Library · Biology & lab methods

What Small-Molecule Drug Screening got wrong, from 14 theses

Summary written by a model from the records below: The records show that small-molecule screening workflows face frequent failures during computational docking, biophysical assay detection, and secondary biological validation. Candidate hits often suffer from poor drug-likeness, non-specific toxicity, or a failure to translate biochemical activity into cellular settings. These records come from graduate theses, 2021 to 2026, each labeled with its degree where the repository states it, and each links to its thesis. They were extracted by language models reading the full text, so treat each as a lead to read, not a verdict.

14
theses
6
institutions
15
failure records
5
failure modes

Plus 8 problems the authors left open, listed at the end.

Failure modes, by theses reporting them

Select a mode to jump to its records.

Primary hits and docking predictions fail to replicate activity in secondary validation assays
4
4 theses · 3 institutions · 4 records
Candidate screening hits exhibit poor drug-likeness, cytotoxicity, and off-target effects
2
2 theses · 1 institutions · 2 records
Experimental screening assays fail due to low sensitivity, matrix interference, and physical setup constraints
4
4 theses · 3 institutions · 4 records
Biochemical assay hits fail to translate into cellular target engagement or whole-cell potency
3
3 theses · 2 institutions · 3 records
Analogue synthesis and database searches fail to improve potency or target selectivity
2
2 theses · 2 institutions · 2 records

Primary hits and docking predictions fail to replicate activity in secondary validation assays

4 theses · 3 institutions

Small-molecule hits identified via computational docking or initial high-throughput screens failed to reproduce target engagement during follow-up testing. Top docking candidates showed zero binding overlap or enzymatic inhibition, and primary screening hits failed during dose-response and phenotypic validation.

Tried and failed

multi-kinase inhibitor drug screening validation applied to drug-resistant cancer cell lines. Outcome: no signal. Reason: candidate inhibitors failed to replicate increased inhibition during dose-response validation

Identifying Vulnerabilities and Novel Drug Candidates in Platinum-Resistant Ovarian Cancer. · Harvard · Master's

Tried and failed

high-throughput phenotypic screening for candidate target selection applied to therapeutic target validation in cancer cells. Outcome: did not generalise. Reason: top-scoring screening candidate failed to reproduce apoptotic or anti-proliferative effects in secondary validation assays

Modulation of miR-361-3p alters apoptosis in endocrine-resistant and -responsive breast cancer · Imperial · PhD

Tried and failed

molecular docking virtual screening compared to biophysical assays applied to fragment library screening against RNA targets. Outcome: no signal. Reason: computational docking hits showed zero overlap with surface plasmon resonance experimental binding hits

Can In-Silico Computational Virtual Screening of Fragment Libraries Model In-Vitro Biophysical Screening Methods with Similar Results to Identify Novel RNA-Binding Chemical Matter · Harvard · Master's

Tried and failed

structure-based virtual screening with flexible docking applied to bacterial beta-lactamase enzyme inhibition. Outcome: no signal. Reason: top docking-ranked small molecule hits failed to show enzymatic inhibition in vitro

Identifying Novel Inhibitors Against Klebsiella pneumoniae carbanepenamse-2 Enzymes Found in Carbapenem-Resistant Bacteria Through Structure-Based Small Molecule Virtual Screening · UT Austin

Candidate screening hits exhibit poor drug-likeness, cytotoxicity, and off-target effects

2 theses · 1 institutions

Hits prioritized from virtual and physical screens frequently suffered from excessive lipophilicity, high molecular weights, and mammalian cytotoxicity. Other screening hits caused non-specific membrane lysis or displayed off-target activity against control proteins.

Considered and rejected

Considered and rejected: Discarded 12 primary screening hit compounds because they inhibited transgenic Dd2-ScDHODH >40% at 0.2 uM, indicating off-target cellular activity.

Pre-clinical studies characterizing the evolutionary dynamics of resistance to novel antimalarials in Plasmodium falciparum · Harvard · PhD

Tried and failed

covalent fragment-based screening for protein inhibition applied to pro-apoptotic membrane pore-forming protein. Reason: hit compounds induced non-specific membrane lysis at micromolar concentrations independently of target inhibition

Covalent Inhibition of Pro-Apoptotic BAX · Harvard · PhD

Experimental screening assays fail due to low sensitivity, matrix interference, and physical setup constraints

4 theses · 3 institutions

Assays evaluated for high-throughput and biophysical screening were abandoned because of inadequate sensitivity, optical limitations, and background interference from culture media. Other screening setups failed due to distorted sensorgrams, non-saturating kinetics, or the inability to retain cells and exchange wash media.

Considered and rejected

Considered and rejected: Rejected using the direct spTorA-mTurquoise2 periplasmic translocation assay for high-throughput Tat inhibitor screening due to insufficient fluorescent assay sensitivity.

PQS-dependent quorum sensing in pseudomonas aeruginosa is linked to protein export via the twin-arginine translocation (tat) system · Nottingham · PhD

Considered and rejected

Considered and rejected: Discontinued SPR screening for small-molecule KD determination after recurring sensorgram distortions and non-saturating kinetics.

The development and evaluation of PET imaging agents targeting PD-L1 · Imperial · PhD

Considered and rejected

Considered and rejected: Rejected 1H NMR (1D NOESY and 2D J-RES) for high-throughput drug-bacteria screening due to insufficient sensitivity at 20 µM drug concentrations and severe matrix overlap from growth media.

Pharmacomicrobiomics in gastrointestinal cancer: the gut microbiome as modulator of anticancer therapy efficacy and predictor of therapy outcomes · Imperial · PhD

Considered and rejected

Considered and rejected: Rejected 96-well micro-well titer plates for persistence screening due to non-adherence of bacteria and the inability to dynamically exchange media during antibiotic treatment and washout

Identification of genes required for host-cell adhesion and antibiotic persistence of uropathogenic Escherichia coli via high-content screening · EPFL · PhD

Biochemical assay hits fail to translate into cellular target engagement or whole-cell potency

3 theses · 2 institutions

Compounds that exhibited potent enzymatic inhibition in vitro failed to engage targets in cellular lysates or provide adequate whole-cell activity. In microbial natural product screening, isolates displaying active antimicrobial phenotypes on solid media failed to produce or secrete active compounds in liquid broth.

Tried and failed

activity-based protein profiling validation of screening hits applied to deubiquitinating enzyme inhibitor discovery. Outcome: did not generalise. Reason: in vitro biochemical enzyme inhibition failed to translate to target engagement in cellular lysates

Identification of a privileged scaffold to accelerate DUB drug discovery · Harvard · PhD

Considered and rejected

Considered and rejected: Discarded 29 primary enzymatic screening hits from further evaluation due to poor whole-cell potency (<40% inhibition at 20 uM against both 3D7-WT and 3D7-DHODH:E182D).

Pre-clinical studies characterizing the evolutionary dynamics of resistance to novel antimalarials in Plasmodium falciparum · Harvard · PhD

Tried and failed

screening liquid culture broth for secreted antimicrobial activity applied to bacterial isolates from natural microbiome samples. Outcome: no signal. Reason: most solid-media active isolates failed to produce or excrete active compounds in liquid culture broth

HONEY MICROBIOME AND METABOLOME: A VAST RESERVOIR OF NATURAL ANTIMICROBIALS · Cornell · PhD

Analogue synthesis and database searches fail to improve potency or target selectivity

2 theses · 2 institutions

Modifications to screening hits, including shape-based mimics and hybrid inhibitor analogs, failed to maintain enzymatic inhibition or surpass the potency of original hits. Furthermore, screening chemical databases failed to identify selective candidate molecules against intended kinase isoforms.

Tried and failed

3D shape similarity screening and hybrid inhibitor design applied to kinase active site inhibitor optimization. Outcome: no signal. Reason: hybrid analogs and shape-based mimics failed to retain enzymatic phosphorylation inhibition activity

Targeting VRK1: Selective Inhibitors, Chemical Probes, and Biochemical Insights · Harvard · PhD

Considered and rejected

Considered and rejected: Initially focused on developing a selective AKT3-specific inhibitor, but abandoned after database screening revealed no AKT3-selective molecules, redirecting focus to pan-AKT and dual AKT/DNA-PK inhibitors

Targeting AKT and DNA-PK as a therapeutic strategy in platinum resistant high grade serous ovarian cancer · Imperial · PhD

Left open by the authors

Problems the authors named and did not get to.

Left open

Formally validate multi-targeted screening hits as bona fide pan-DUB inhibitors using biochemical assays. Blocker: Requires physical screening hit compounds and wet-lab biochemical validation assays

Discovery and Development of Novel Deubiquitinase Inhibitors via Parallel High-Throughput Screening · Harvard · PhD

Left open

Determine if SteE interacts with and directs phosphorylation on other host kinase substrates using kinase assays or interactome screening. Blocker: Requires wet-lab biochemical assays, protein expression, and kinase interaction screening.

Structural and Functional characterisation of SteE, a Salmonella type III secretion system effector · Imperial · PhD

Left open

Perform kinome profiling and evaluate off-target specificity for the lead reversible inhibitor YKL-04-125. Blocker: Requires wet-lab kinase screening assay panels and physical samples of YKL-04-125.

Biochemical characterization of EGFR exon 20 insertion variants and their inhibitor sensitivities · Harvard · PhD

Left open

Construct in vivo RiPP combinatorial libraries for high-throughput activity-based screening against therapeutic protein-protein interaction targets. Blocker: Requires wet lab facilities, biological reagents, and experimental screening infrastructure

Design of Post-Translationally Modified Peptides by Combining Enzymes from Diverse Pathways · MIT · PhD

Left open

Identify and validate targets for the category 1 and category 3 screening hits from the ΔugtP pathway-directed screen. Blocker: Requires wet-lab experimental biology and biochemistry facilities to validate molecular targets of small molecule hits

Discovery of highly selective inhibitors to probe the physiology of the bacterial cell envelope · Harvard · PhD

Left open

Experimentally evaluate synthesized factorizable mAb libraries via high-throughput screening panning against targets. Blocker: Requires a wet lab and physical reagents for high-throughput screening of mAb libraries

Safe and Ethical Implementation of Intelligent Systems · MIT · PhD

Left open

Refine and score top virtual screening hits using SILCS-MC, parameterize with the Drude force field, and run MD stability assessments. Blocker: Access to proprietary SILCS-MC software and the specific virtual screening hit list from the thesis.

Computer-Aided Drug Design of G-quadruplex Structures: Harnessing Polarization for Rational Drug Design · Virginia Tech · Doctorate

Left open

Perform high-throughput proteomics screening and train a deep learning model on surface electronics data to predict protein surface azidation. Blocker: Requires wet-lab high-throughput proteomics screening experiments to generate training data.

Azide-Containing Hypervalent Iodine Reagents for Biomolecules Functionalization · EPFL · PhD

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