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DRUG CLASS:

Alkylating agent

Related drugs:
1d
Multiple Tolerization Subtractive Immunization in the Obtention of Specific Monoclonal Antibodies Against Paracoccidioides lutzii. (PubMed, Monoclon Antib Immunodiagn Immunother)
MTSI involved immunizing BALB/c mice with CFA from Pb18 as a tolerogen and Pl01 as an immunogen, using Freund's adjuvant and cyclophosphamide to induce immune tolerance...The effective generation of P. lutzii-specific antibodies by MTSI demonstrates this technology's promise for the development of accurate PCM diagnostic instruments. These antibodies have the potential to enhance patient outcomes and reduce the incidence of false-negative diagnoses, which could lead to better disease management.
Journal
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HSPD1 (Heat Shock Protein Family D (Hsp60) Member 1)
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cyclophosphamide
2d
Enhancing lobaplatin sensitivity in lung adenocarcinoma through inhibiting LDHA-targeted metabolic pathways. (PubMed, PLoS One)
Targeting LDHA and disrupting lactate metabolism and its signaling pathways can effectively enhance the sensitivity of LUAD to Lobaplatin, providing a promising approach to overcoming multidrug resistance. These findings offer valuable insights into developing new treatment strategies for lung adenocarcinoma, emphasizing the role of metabolic pathways in cancer therapy.
Journal
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LDHA (Lactate dehydrogenase A)
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lobaplatin (D19466)
2d
SAGES1: Gene Editing For Sickle Cell Disease (clinicaltrials.gov)
P1, N=25, Not yet recruiting, St. Jude Children's Research Hospital | Trial completion date: Dec 2031 --> Dec 2032 | Trial primary completion date: Dec 2028 --> Dec 2029
Trial completion date • Trial primary completion date
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CD34 (CD34 molecule)
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busulfan • plerixafor
2d
CAR T-cell Therapy in Patients With Renal Dysfunction (clinicaltrials.gov)
P2, N=20, Recruiting, Northside Hospital, Inc. | Not yet recruiting --> Recruiting
Enrollment open • CAR T-Cell Therapy
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cyclophosphamide • fludarabine IV
3d
The Effect of Mycophenolate Mofetil and Cyclophosphamide on the Lymphocyte Subsets in Patients With Proliferative Lupus Nephritis (clinicaltrials.gov)
P=N/A, N=50, Recruiting, The University of Hong Kong | Unknown status --> Recruiting | Trial completion date: Jun 2021 --> Dec 2028 | Trial primary completion date: Mar 2021 --> Dec 2028
Enrollment open • Trial completion date • Trial primary completion date
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CD4 (CD4 Molecule)
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cyclophosphamide
4d
The genomic and clinical consequences of replacing procarbazine with dacarbazine in escalated BEACOPP for Hodgkin lymphoma: a retrospective, observational study. (PubMed, Lancet Oncol)
Procarbazine induces a higher mutation burden and novel mutational signatures in patients with Hodgkin lymphoma treated with eBEACOPP and their germline DNA, raising concerns for the genomic health of survivors of Hodgkin lymphoma and hereditary consequences for their offspring. However, replacing procarbazine with dacarbazine appears to mitigate gonadal and stem-cell toxicity while maintaining similar clinical efficacy.
Observational data • Retrospective data • Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden)
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TMB-H
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doxorubicin hydrochloride • cyclophosphamide • etoposide IV • vincristine • dacarbazine • Leukeran (chlorambucil) • Matulane (procarbazine hydrochloride) • bleomycin • vinblastine
5d
BMT-06: Study of Intensity Modulated Total Marrow Irradiation (IM-TMI) (clinicaltrials.gov)
P2, N=27, Recruiting, University of Illinois at Chicago | Trial completion date: Nov 2024 --> Dec 2026 | Trial primary completion date: Nov 2024 --> Dec 2026
Trial completion date • Trial primary completion date • Post-transplantation
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RUNX1 (RUNX Family Transcription Factor 1) • ASXL1 (ASXL Transcriptional Regulator 1) • KMT2A (Lysine Methyltransferase 2A) • HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1) • HLA-DQB1 (Major Histocompatibility Complex, Class II, DQ Beta 1) • HLA-B (Major Histocompatibility Complex, Class I, B)
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RUNX1 mutation • ASXL1 mutation • MLL rearrangement • MLL rearrangement • MLL translocation
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cyclophosphamide • fludarabine IV
6d
AKY15-HK-301_NEPA Study (clinicaltrials.gov)
P2, N=55, Active, not recruiting, Chinese University of Hong Kong | Trial completion date: Dec 2025 --> Dec 2026 | Trial primary completion date: Dec 2024 --> Dec 2025
Trial completion date • Trial primary completion date
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doxorubicin hydrochloride • cyclophosphamide • dexamethasone • Akynzeo oral (netupitant/palonesteron FDC)
6d
Lurbinectedin or in Combination with Irinotecan Versus Topotecan in Patients with Relapsed SCLC (clinicaltrials.gov)
P3, N=180, Recruiting, Luye Pharma Group Ltd. | Not yet recruiting --> Recruiting
Enrollment open • Combination therapy
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irinotecan • topotecan • Zepzelca (lurbinectedin)
7d
NAD+ METABOLISM RESTRICTION BOOSTS HIGH-DOSE MELPHALAN EFFICACY IN PATIENTS WITH MULTIPLE MYELOMA. (PubMed, Blood Adv)
Concomitant NAMPT inhibition further compounded the effects of NAPRT KO, effectively sensitizing MM cells to the chemotherapeutic drug, melphalan; NAPRT added-back fully rescues these phenotypes. Overall, our results propose comprehensive NAD+ biosynthesis inhibition, through simultaneously targeting NAMPT and NAPRT, as a promising strategy to be tested in randomized clinical trials involving transplant-eligible MM patients, especially those with more aggressive disease.
Clinical • Journal
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NAMPT (Nicotinamide Phosphoribosyltransferase)
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melphalan
7d
Investigate eNAMPT in Multiple Myeloma Biology and Establish Its Role in Disease Progression (clinicaltrials.gov)
P=N/A, N=26, Completed, University of Turin, Italy | Recruiting --> Completed | N=100 --> 26 | Trial completion date: Sep 2022 --> Dec 2024
Trial completion • Enrollment change • Trial completion date
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SDC1 (Syndecan 1)
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carfilzomib • melphalan
8d
New P1 trial • Metastases
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cyclophosphamide
8d
Lurbinectedin sensitizes PD-L1 blockade therapy by activating STING-IFN signaling in small-cell lung cancer. (PubMed, Cell Rep Med)
Interestingly, our study shows that lurbinectedin treatment upregulates MHC-I/II genes and CD8 in SCLC clinical samples. We provide mechanistic insights into the effect of lurbinectedin on STING-mediated multimodal immune activation and demonstrate that lurbinectedin treatment represents a promising therapeutic strategy to potentiate the efficacy of immunotherapy in SCLC.
Journal
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CD8 (cluster of differentiation 8) • STING (stimulator of interferon response cGAMP interactor 1)
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Zepzelca (lurbinectedin)
9d
Self-Activated Cascade-Tailored Small Molecule for Cancer Therapy, Companion Diagnostics, and "Theranostic Correlation" Evaluation. (PubMed, Anal Chem)
Upon cleavage by tumor-cell-overexpressed carboxylesterase, chlorambucil (Cbl) can be released to induce tumor cell apoptosis and activate caspase-3. This activation triggers the production of the near-infrared dye Hcy-NH2, generating both near-infrared fluorescence and photoacoustic signals for monitoring the apoptosis process. The excellent "theranostic correlation" between the imaging signal and therapeutic response, as demonstrated in orthotopic breast tumors, highlights the potential of Cbl-DEVD-Hcy for effective tumor therapy and precise CDx in the body.
Journal • Companion diagnostic
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CASP3 (Caspase 3)
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Leukeran (chlorambucil)
9d
Effect of Anthracyclines and Cyclophosphamide on Cardiovascular Responses (clinicaltrials.gov)
P=N/A, N=15, Active, not recruiting, University of Sao Paulo General Hospital | Recruiting --> Active, not recruiting
Enrollment closed
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doxorubicin hydrochloride • cyclophosphamide
9d
Trial completion • Metastases
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doxorubicin hydrochloride • Yondelis (trabectedin) • dacarbazine
11d
Large granular lymphocyte leukemia: a clonal disorder with autoimmune manifestations. (PubMed, Hematology Am Soc Hematol Educ Program)
The first-line treatment for LGL leukemia is historically based on immunosuppressive agents (methotrexate, cyclophosphamide, or cyclosporine). However, cytokines blocking molecules or Jak/STAT inhibitors represent a new conceptual therapeutic approach for LGL leukemia. In this review, we present an overview of the spectrum of LGL proliferations, potential links between LGL expansion and autoimmunity, and therapeutic approaches.
Review • Journal
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STAT3 (Signal Transducer And Activator Of Transcription 3)
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STAT3 mutation
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cyclophosphamide • methotrexate • cyclosporine
12d
SARC037: a Phase I/II Study to Evaluate the Safety of Trabectedin in Combination with Irinotecan in Ewing Sarcoma Patients (clinicaltrials.gov)
P1/2, N=48, Active, not recruiting, Sarcoma Alliance for Research through Collaboration | Trial completion date: Jun 2024 --> Jun 2025 | Trial primary completion date: Jun 2024 --> Jun 2025
Trial completion date • Trial primary completion date • Combination therapy
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EWSR1 (EWS RNA Binding Protein 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor)
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irinotecan • Yondelis (trabectedin)
12d
Reduced Intensity BMT for Immune Dysregulatory and Bone Marrow Failure Syndromes Using Post-Transplant Cyclophosphamide (clinicaltrials.gov)
P2, N=27, Recruiting, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Trial completion date: Dec 2026 --> Dec 2028 | Trial primary completion date: Dec 2024 --> Dec 2027
Trial completion date • Trial primary completion date • Post-transplantation
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HLA-DRB1 (Major Histocompatibility Complex, Class II, DR Beta 1) • HLA-DQB1 (Major Histocompatibility Complex, Class II, DQ Beta 1) • HLA-B (Major Histocompatibility Complex, Class I, B) • HLA-C (Major Histocompatibility Complex, Class I, C)
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cyclophosphamide • Campath (alemtuzumab) • melphalan • fludarabine IV
13d
Study of Sequential CAR-T Cell Treating Leukemia Children (clinicaltrials.gov)
P2, N=81, Terminated, Beijing Boren Hospital | Active, not recruiting --> Terminated; ethic commitee decision
Trial termination • CAR T-Cell Therapy • IO biomarker
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ABL1 (ABL proto-oncogene 1) • CD22 (CD22 Molecule)
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CD19 expression • CD22 positive • CD22 expression
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cyclophosphamide
14d
Genetically Engineered Cells (MUC1-Activated T-Cells) for the Treatment of MUC1 Positive Recurrent or Refractory Multiple Myeloma (clinicaltrials.gov)
P1, N=5, Active, not recruiting, Mayo Clinic | N=18 --> 5 | Trial completion date: Oct 2025 --> Aug 2028 | Trial primary completion date: Oct 2024 --> Aug 2027 | Recruiting --> Active, not recruiting
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
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MUC1 (Mucin 1)
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MUC1 expression
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cyclophosphamide
14d
Trial of 2 Step ATG for Acute GVHD Prevention Post Myeloablative Allogeneic Stem Cell Transplant (clinicaltrials.gov)
P2, N=29, Not yet recruiting, University of Alabama at Birmingham | Initiation date: Nov 2024 --> Jun 2025 | Trial primary completion date: Jan 2026 --> Dec 2026
Trial initiation date • Trial primary completion date
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cyclophosphamide
14d
Trial completion • Metastases
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • BRCA (Breast cancer early onset)
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Lynparza (olaparib) • Yondelis (trabectedin)
15d
A Phase I Study of Bendamustine and Melphalan Conditioning and Autologous Stem Cell Transplantation for Treatment of Multiple Myeloma and Relapsed/Refractory B-cell Lymphoma in Elderly Patients (clinicaltrials.gov)
P1, N=28, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Nov 2024 --> Nov 2025 | Trial primary completion date: Nov 2024 --> Nov 2025
Trial completion date • Trial primary completion date
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Rituxan (rituximab) • bendamustine • melphalan
15d
Haploidentical Hematopoietic Stem Cell Transplantation With Early ATG and Low Dose Post-transplant Cyclophosphamide (clinicaltrials.gov)
P=N/A, N=20, Recruiting, Samsung Medical Center | Trial primary completion date: Jul 2023 --> Jul 2025
Trial primary completion date • Post-transplantation
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CD4 (CD4 Molecule)
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cyclophosphamide
15d
Enrollment closed
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BRAF (B-raf proto-oncogene)
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BRAF mutation • BRAF V600
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melphalan
16d
NCI-2014-00639: Total Marrow and Lymphoid Irradiation and Chemotherapy Before DSCT in Treating Patients With High-Risk ALL or AML (clinicaltrials.gov)
P2, N=108, Active, not recruiting, City of Hope Medical Center | Recruiting --> Active, not recruiting
Enrollment closed • Combination therapy
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cyclophosphamide • etoposide IV
16d
Trial initiation date
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doxorubicin hydrochloride • Yondelis (trabectedin)
17d
Collagen (peptide) extracted from sturgeon swim bladder: Physicochemical characterization and protective effects on cyclophosphamide-induced premature ovarian failure in mice. (PubMed, Food Chem)
Moreover, the effects observed in POF mice were enhanced, including an increasing in the number of growing ovarian follicles, regulation of serum hormone levels, and alterations in signaling pathways, as evidenced by the up-regulation of Phosphatidylinositol 3-kinase/Protein Kinase B (PI3K/Akt) and B cell lymphoma-2/ Bcl-associated x protein (Bcl-2/Bax) pathways, alongside the down-regulation of the mitogen-activated protein kinases (MAPK) signaling pathway. Sturgeon swim bladder collagen (peptide) could protect against cyclophosphamide-induced POF in mice, which could be very beneficial in the future advancement of health products.
Preclinical • Journal
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BCL2 (B-cell CLL/lymphoma 2)
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cyclophosphamide
17d
Suppression of ADP-ribosylation reversal triggers cell vulnerability to alkylating agents. (PubMed, Neoplasia)
Furthermore, we reveal a reduction in PARP1/PARP2 levels in ARH3-deficient cells treated with PARG inhibitor due to excessive ADP-ribosylation, which may contribute to alkylating agents' vulnerability. Collectively, these results uncover the potential of targeting ADP-ribosyl hydrolases in combination with alkylating agents for cancer therapy and provide insights into the mechanisms underlying the synthetic lethal effect.
Journal
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PARP2 (Poly(ADP-Ribose) Polymerase 2)
18d
Supercritical CO2 extracts of propolis inhibits tumor proliferation and Enhances the immunomodulatory activity via activating the TLR4-MAPK/NF-κB signaling pathway. (PubMed, Food Res Int)
We used cyclophosphamide (CTX) to construct the immunosuppressive mice model and then inoculated them with CT26 cells to build the CT26 tumor-bearing immunosuppression mice model...These results indicated that SEP activated the immune activity of RAW 264.7 macrophages through the TLR4-mitogen-activated protein kinase (MAPK)/nuclear factor kappa B (NF-κB) signaling pathway to exert immunomodulatory function and inhibit tumor proliferation. This study facilitated the further application of SEP as a potential immunomodulatory and anti-tumor functional food.
Journal • IO biomarker • Immunomodulating
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CD8 (cluster of differentiation 8) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CD4 (CD4 Molecule) • TLR4 (Toll Like Receptor 4) • IL1B (Interleukin 1, beta) • MAPK8 (Mitogen-activated protein kinase 8)
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cyclophosphamide
21d
Levocabastine ameliorates cyclophosphamide-induced hepatotoxicity in Swiss albino mice: modulation of Nrf2, NF-κB p65, cleaved caspase-3 and TGF-β signaling molecules. (PubMed, J Mol Histol)
LEV can be helpful as an adjuvant in cancer patients who are on CP treatment, to minimize toxicity. However, its role in in-vivo cancer model is further needed to be confirmed.
Preclinical • Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • NFE2L2 (Nuclear Factor, Erythroid 2 Like 2) • NFKB1 (Nuclear factor of kappa light polypeptide gene enhancer in B-cells 1) • CASP3 (Caspase 3) • TGFB1 (Transforming Growth Factor Beta 1) • IL1B (Interleukin 1, beta) • CAT (Catalase)
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NFKB1 expression
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cyclophosphamide
21d
Effects of Apis dorsata Honey on the mRNA Expression of Selected CYP450, Pro-apoptotic, and Anti-apoptotic Genes during Induced Cytotoxicity in Cyclophosphamide-treated Human Lung Carcinoma (A549) Cells. (PubMed, Acta Med Philipp)
Phytosphingosine and sphinganine are honey constituents which may be linked to the increased cytotoxicity of CP observed in A549 cells. This study provides further knowledge on the molecular basis by which A. dorsata honey potentiates the cytotoxic effect of cyclophosphamide in A549 cells.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • CASP8 (Caspase 8) • CYP1B1 (Cytochrome P450 Family 1 Subfamily B Member 1)
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cyclophosphamide
21d
Extraction and Identification of Polysaccharide from Lentinus edodes and Its Effect on Immunosuppression and Intestinal Barrier Injury Induced by Cyclophosphamide. (PubMed, Int J Mol Sci)
This restoration brought the gut microbiota back to normal levels and increased the abundance of certain tumor-inhibiting bacteria, such as Alistipes. Overall, lentinan demonstrated the ability to reverse the immunosuppressive effects induced by cyclophosphamide and modulate gut microbiota to restore a healthy microbial balance.
Journal
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IFNG (Interferon, gamma) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL2 (Interleukin 2) • IL1B (Interleukin 1, beta) • TJP1 (Tight Junction Protein 1) • OCLN (Occludin)
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cyclophosphamide
22d
Lacticaseibacillus rhamnosus LRa05 alleviates cyclophosphamide-induced immunosuppression and intestinal microbiota disorder in mice. (PubMed, J Food Sci)
Based on these findings, orally administered LRa05 could effectively maintain intestinal microbiota homeostasis and regulate immunity, suggesting the potential of L. rhamnosus LRa05 as a candidate probiotic strain in the application of dietary supplement. PRACTICAL APPLICATION: Supplement with L. rhamnosus LRa05 can improve immunity, regulate gut microbiota and promote body health.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • IL1B (Interleukin 1, beta)
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cyclophosphamide
22d
Mechanism of efficacy of trabectedin against myxoid liposarcoma entails detachment of the FUS-DDIT3 transcription factor from its DNA binding sites. (PubMed, J Exp Clin Cancer Res)
These findings explain the unusual mechanism underlying trabectedin's effectiveness against MLPS by pinpointing the chimera's role in inducing the differentiation block responsible for MLPS pathogenesis. Additionally, the findings hint at a potential mechanism of resistance acquired in vivo.
Journal
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FUS (FUS RNA Binding Protein) • DDIT3 (DNA-damage-inducible transcript 3)
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Yondelis (trabectedin)
23d
New P3 trial • Combination therapy • Post-transplantation
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cyclophosphamide
23d
Clinicopathological factors affecting response and survival in stage III breast cancer patients undergoing a dose-dense neoadjuvant regimen. (PubMed, Clin Ter)
This is a retrospective study including patients with stage III breast cancer who received neoadjuvant chemotherapy consisting of doxorubicin 60 mg/m² plus cyclophosphamide 600 mg/m², followed by paclitaxel 175 mg/m² every two weeks at Vietnam National Cancer Hospital and Hanoi Oncology Hospital between January 2015 and December 2022. Low cT stage, grade 3, and hormone receptor-negative status were independent predictors of pCR. Hormone receptor-positive status and pCR were independent prognostic factors for better EFS, while hormone receptor-positive status was the only independent prognostic factor for better OS.
Observational data • Retrospective data • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HR positive
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paclitaxel • doxorubicin hydrochloride • cyclophosphamide
25d
Zuogui Pills Ameliorate Chemotherapy-Induced Ovarian Aging by Improving Stemness, Regulating Cell Cycle and Reducing Apoptosis of Oogonial Stem Cells via the Notch1/Nrf2 Pathway. (PubMed, J Ethnopharmacol)
ZGP protects ovarian function in CTX-induced ovarian aging rats by regulating the Notch1/Nrf2 pathway. It restores serum sex hormone levels, maintains normal follicle development, promotes the proliferation of aged OSCs, optimizes the cell cycle, reduces apoptosis, and preserves stemness, thereby alleviating ovarian aging.
Journal
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NOTCH1 (Notch 1) • CCND1 (Cyclin D1) • CCNE1 (Cyclin E1) • NFE2L2 (Nuclear Factor, Erythroid 2 Like 2) • POU5F1 (POU Class 5 Homeobox 1) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • TCF4 (Transcription Factor 4)
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CCND1 expression • NOTCH1 expression • NOTCH1 overexpression
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cyclophosphamide
27d
Four Cases with FUS/CHOP Fusion Gene Products Positive Myxoid Liposarcoma Responding Effectively to Trabectedin Monotherapy. (PubMed, Onco Targets Ther)
Case 1: A 44-year-old male started trabectedin as second-line therapy after initial chemotherapy, which included doxorubicin. He then began trabectedin and has maintained a response for 10 months to date. Compared to other chemotherapies, trabectedin demonstrated potentially higher efficacy and a favorable safety profile for patients with myxoid liposarcoma harboring the FUS/CHOP fusion gene.
Journal
|
FUS (FUS RNA Binding Protein)
|
doxorubicin hydrochloride • Yondelis (trabectedin)
28d
New P1 trial
|
cyclophosphamide • fludarabine IV
28d
Trial completion
|
NLRP3 (NLR Family Pyrin Domain Containing 3)
|
cyclophosphamide