A novel strategy in metallodrug discovery today is incorporating
clinically approved drugs into metal complexes as coordinating ligands.
Using this strategy, various drugs have been repurposed to prepare
organometallic complexes to overcome the resistance of drugs and to
design promising alternatives to currently available metal-based drugs.
Notably, the combination of organoruthenium moiety and clinical drug
in a single molecule has been shown, in some instances, to enhance
pharmacological activity and reduce toxicity in comparison to the
parent drug. Thus, for the past two decades, there has been increasing
interest in exploiting metal–drug synergism to develop multifunctional
organoruthenium drug candidates. Herein, we summarized the recent
reports of rationally designed half-sandwich Ru(arene) complexes containing
different FDA-approved drugs. This review also focuses on the mode
of coordination of drugs, ligand-exchange kinetics, mechanism of action,
and structure–activity relationship of organoruthenated complexes
containing drugs. We hope this discussion may serve to shed light
on future developments in ruthenium-based metallopharmaceuticals.