Redefining Drug Discovery: A Review of Drug Repurposing –Approaches, Benefits and Breakthroughs


International Journal of Pharmacy and Biomedical Engineering
© 2025 by SSRG - IJPBE Journal
Volume 12 Issue 3
Year of Publication : 2025
Authors : Shaharban K, Nethaji Ramalingam, Arathi T P, Jinisha E.K, Farsana T
pdf
How to Cite?

Shaharban K, Nethaji Ramalingam, Arathi T P, Jinisha E.K, Farsana T, "Redefining Drug Discovery: A Review of Drug Repurposing –Approaches, Benefits and Breakthroughs," SSRG International Journal of Pharmacy and Biomedical Engineering, vol. 12,  no. 3, pp. 1-9, 2025. Crossref, https://doi.org/10.14445/23942576/IJPBE-V12I3P101

Abstract:

The pharmaceutical industry uses drug repurposing or drug repositioning as an innovative method to find new medical uses for existing medications that are already on the market. The method has gained widespread acceptance because it provides a speedier and more budget-friendly solution to traditional drug development, which often takes years and costs substantial amounts. The process of drug repurposing uses existing safety information and pharmacokinetic data to decrease development risks while making treatments available more quickly, especially during public health crises. This review examines the historical development of drug repurposing, its benefits, and current experimental and computational methods for drug repurposing. This review explains how regulatory and intellectual property barriers restrict the widespread adoption of this technology. This review also considers some case studies about Sildenafil, Thalidomide, and Remdesivir to demonstrate how successful drug repositioning can be achieved. The growing importance of drug repurposing becomes evident through its applications in pandemic situations, neglected diseases, and worldwide health challenges. The scientific field of drug repurposing has transformed from accidental discovery to a structured discipline that will revolutionize disease treatment methods through advances in artificial intelligence, multi-omics, and international partnerships.

Keywords:

Computational Approaches, Drug Repositioning, Drug Repurposing, Pharmaceutical Innovation, Therapeutic Development.

References:

[1] Sudeep Pushpakom et al., “Drug Repurposing: Progress, Challenges and Recommendations,” Nature Reviews Drug Discovery, vol. 18, no. 1, pp. 41-58, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Nicola Nosengo, “Can you Teach Old Drugs New Tricks?,” Nature, vol. 534, pp. 314-316, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[3] T.I. Oprea, and J. Mestres, “Drug Repurposing: Far Beyond New Targets for Old Drugs,” The AAPS Journal, vol. 14, no. 4, pp. 759-763, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[4] Ted T. Ashburn, and Karl B. Thor, “Drug Repositioning: Identifying and Developing New Uses for Existing Drugs,” Nature Reviews Drug Discovery, vol. 3, no. 8, pp. 673-683, 2004.
[CrossRef] [Google Scholar] [Publisher Link]
[5] Yadi Zhou et al., “Network-Based Drug Repurposing for Novel Coronavirus 2019-nCoV/SARS-CoV-2,” Cell Discovery, vol. 6, pp. 1-18, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[6] Maryam Lotfi Shahreza et al., “A Review of Network-Based Approaches to Drug Repositioning,” Briefings in Bioinformatics, vol. 19, no. 5, pp. 878-892, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[7] Steven M Corsello et al., “The Drug Repurposing Hub: A Next-Generation Drug Library and Information Resource,” Nature Medicine, vol. 23, no. 4, pp. 405-408, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[8] Joris Langedijk et al., “Drug Repositioning and Repurposing: Terminology and Definitions in Literature,” Drug Discovery Today, vol. 20, no. 8, pp. 1027-1034, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[9] Curtis R. Chong, and David J. Sullivan Jr, “New Uses for Old Drugs,” Nature, vol. 448, pp. 645-646, 2007.
[CrossRef] [Google Scholar] [Publisher Link]
[10] Erik De Clercq, “Anti-Viral Drugs in Current Clinical Use,” Journal of Clinical Virology, vol. 30, no. 2, pp. 115-133, 2004.
[CrossRef] [Google Scholar] [Publisher Link]
[11] Álvaro Mourenza et al., “Drug Repurposing: A Quick and Easy Way of Finding New Medicines,” Frontiers for Young Minds, vol. 9, pp. 1-7, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[12] Yadi Zhou et al., “Artificial Intelligence in COVID-19 Drug Repurposing,” The Lancet Digital Health, vol. 2, no. 12, pp. e667-e676, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[13] R. Kiplin Guy et al., “Rapid Repurposing of Drugs for COVID-19,” Science, vol. 368, no. 6493, pp. 829-830, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[14] Aravind Subramanian et al., “A Next Generation Connectivity Map: L1000 Platform and the First 1,000,000 Profiles,” Cell, vol. 171, no. 6, pp. 1437-1452, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[15] Wei Jiang et al., “Network-Based Multi-Omics Integrative Analysis Methods in Drug Discovery: A Systematic Review,” BioData Mining, vol. 18, no. 1, pp. 1-29, 2025.
[CrossRef] [Google Scholar] [Publisher Link]
[16] Jeff Janes et al., “The ReFRAME Library as a Comprehensive Drug Repurposing Library and Its Application to the Treatment of Cryptosporidiosis,” Proceedings of the National Academy of Sciences, vol. 115, no. 42, pp. 10750-10755, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[17] David C. Swinney, and Jason Anthony, “How Were New Medicines Discovered?,” Nature Reviews Drug Discovery, vol. 10, no. 7, pp. 507-519, 2011.
[CrossRef] [Google Scholar] [Publisher Link]
[18] Joong Sup Shim, and Jun O. Liu, “Recent Advances in Drug Repositioning for the Discovery of New Anticancer Drugs,” International Journal of Biological Sciences, vol. 10, no. 7, pp. 654, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[19] Hossein A. Ghofrani, Ian H. Osterloh, and Friedrich Grimminger, “Sildenafil: From Angina to Erectile Dysfunction to Pulmonary Hypertension and Beyond,” Nature Reviews Drug Discovery, vol. 5, no. 8, pp. 689-702, 2006.
[CrossRef] [Google Scholar] [Publisher Link]
[20] Justin Lamb et al., “The Connectivity Map: Using Gene-Expression Signatures to Connect Small Molecules, Genes, and Disease,” Science, vol. 313, no. 5795, pp. 1929-1935, 2006.
[CrossRef] [Google Scholar] [Publisher Link]
[21] Albert-László Barabási, Natali Gulbahce, and Joseph Loscalzo, “Network Medicine: A Network-Based Approach to Human Disease,” Nature Reviews Genetics, vol. 12, no. 1, pp. 56-68, 2011.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Peter Richardson et al., “Baricitinib as Potential Treatment for 2019-nCoV Acute Respiratory Disease,” The Lancet, vol. 395, pp. e30 e31, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[23] Pan Pantziarka et al., “Repurposing Drugs in Oncology (Redo)—Cimetidine as an Anti-Cancer Agent,” Cancer Medical Science, vol. 8, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[24] Hema Sree GNS et al., “An Update on Drug Repurposing: Re-Written Saga of the Drug’s Fate,” Biomedicine & Pharmacotherapy, vol. 110, pp. 700-716, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[25] Garrett M. Morris et al., “AutoDock4 and AutoDockTools4: Automated Docking with Selective Receptor Flexibility,” Journal of Computational Chemistry, vol. 30, no. 16, pp. 2785-2791, 2009.
[CrossRef] [Google Scholar] [Publisher Link]
[26] William J. Allen et al., “DOCK 6: Impact of New Features and Current Docking Performance,” Journal of Computational Chemistry, vol. 36, no. 15, pp. 1132-1156, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[27] Damian Szklarczyk et al., “STRING v11: Protein–Protein Association Networks with Increased Coverage, Supporting Functional Discovery in Genome-Wide Experimental Datasets,” Nucleic Acids Research, vol. 47, no. D1, pp. D607-D613, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[28] Paul Shannon et al., “Cytoscape: A Software Environment for Integrated Models of Biomolecular Interaction Networks,” Genome Research, vol. 13, no. 11, pp. 2498-2504, 2003.
[CrossRef] [Google Scholar] [Publisher Link]
[29] Bharath Ramsundar et al., “Is Multitask Deep Learning Practical for Pharma?,” Journal of Chemical Information and Modeling, vol. 57, no. 8, pp. 2068-2076, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[30] Jonathan M. Stokes et al., “A Deep Learning Approach to Antibiotic Discovery,” Cell, vol. 180, no. 4, pp. 688-702, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[31] William F. Salminen, Marc E. Wiles, and Ruth E. Stevens, “Streamlining Nonclinical Drug Development Using the FDA 505(b)(2) New Drug Application Regulatory Pathway,” Drug Discovery Today, vol. 24, no. 1, pp. 46-56, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[32] Guangxu Jin, and Stephen T.C. Wong, “Toward Better Drug Repositioning: Prioritizing and Integrating Existing Methods into Efficient Pipelines,” Drug Discovery Today, vol. 19, no. 5, pp. 637-644, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[33] Jean-Pierre Jourdan et al., “Drug Repositioning: A Brief Overview,” Journal of Pharmacy and Pharmacology, vol. 72, no. 9, pp. 1145 1151, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[34] Nicholas K. Terrett et al., “Sildenafil (VIAGRATM), A Potent and Selective Inhibitor of Type 5 cGMP Phosphodiesterase with Utility for the Treatment of Male Erectile Dysfunction,” Bioorganic & Medicinal Chemistry Letters, vol. 6, no. 15, pp. 1819-1824, 1996.
[CrossRef] [Google Scholar] [Publisher Link]
[35] Seema Singhal et al., “Antitumor Activity of Thalidomide in Refractory Multiple Myeloma,” New England Journal of Medicine, vol. 341, no. 21, pp. 1565-1571, 1999.
[CrossRef] [Google Scholar] [Publisher Link]
[36] Benoit Viollet et al., “Cellular and Molecular Mechanisms of Metformin: An Overview,” Clinical Science, vol. 122, no. 6, pp. 253-270, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[37] John H. Beigel et al., “Remdesivir for the Treatment of Covid-19—Final Report,” New England Journal of Medicine, vol. 383, no. 19, pp. 1813-1826, 2020.
[CrossRef] [Publisher Link]
[38] Elise A. Olsen, “The Midline Part: An Important Physical Clue to the Clinical Diagnosis of Androgenetic Alopecia in Women,” Journal of the American Academy of Dermatology, vol. 40, no. 1, pp. 106-109, 1999.
[Google Scholar] [Publisher Link]
[39] RECOVERY Collaborative Group, “Dexamethasone in Hospitalized Patients with Covid-19,” New England Journal of Medicine, vol. 384, no. 8, pp. 693-704, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[40] Kathleen L. Strong et al., “Patterns and Trends in Causes of Child and Adolescent Mortality 2000–2016: Setting the Scene for Child Health Redesign,” BMJ Global Health, vol. 6, no. 3, pp. 1-13, 2021.
[CrossRef] [Google Scholar] [Publisher Link]