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The great majority of people on the planet suffer from cancer, one of the main worldwide diseases. The unchecked proliferation of the body's cells makes it one of the most challenging and intricate illnesses to manage. After cardiac disease, it is regarded as one of the primary causes of mortality globally. Numerous anticancer drugs have been developed over time, and their safety is still being evaluated. Among them, Schiff base derivatives are one of the key contributors to cancer treatment worldwide. Often referred to as imines or azomethines, they stand out as fundamental organic moieties that have continuously transformed medicinal chemistry. This versatile moiety serves not only as a key intermediate and linker but also as a fundamental scaffold in the synthesis of biologically active molecules. This review examines non-metallic and non-cyclic imine derivatives as potential anticancer agents, along with their synthetic schemes and structure-activity relationships (SARs). Some Schiff base-based drugs in clinical trials, with their primary action and structure, are also tabulated. By integrating these insights, the review describes how these compounds are being reimagined as potential targeted therapeutic agents in oncology. This comprehensive analysis is designed to guide researchers in developing and designing next-generation anticancer drugs that take advantage of the unique pharmacological properties of Schiff bases with minimal adverse effects.
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