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DRUG:

Calsed (amrubicin)

i
Other names: CNF3140, S 5887, SM-5887, CNF-3140, S-5887, SM5887, CNF 3140, S5887, SM 5887
Associations
Company:
BMS, Nippon Kayaku, Sumitomo Pharma
Drug class:
Topoisomerase II inhibitor
Related drugs:
Associations
4ms
Enrollment closed
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topotecan • Zepzelca (lurbinectedin) • Imdelltra (tarlatamab-dlle) • Calsed (amrubicin)
5ms
Enrollment open
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topotecan • Zepzelca (lurbinectedin) • ifinatamab deruxtecan (DS-7300) • Calsed (amrubicin)
7ms
IDeate-2: A Study of Ifinatamab Deruxtecan Versus Treatment of Physician's Choice in Subjects With Relapsed Small Cell Lung Cancer (clinicaltrials.gov)
P3, N=468, Not yet recruiting, Daiichi Sankyo | Trial completion date: Jan 2028 --> Feb 2029 | Trial primary completion date: Jul 2026 --> Apr 2027
Trial completion date • Trial primary completion date
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topotecan • Zepzelca (lurbinectedin) • ifinatamab deruxtecan (DS-7300) • Calsed (amrubicin)
9ms
DeLLphi-304: Study Comparing Tarlatamab With Standard of Care Chemotherapy in Relapsed Small Cell Lung Cancer (clinicaltrials.gov)
P3, N=490, Recruiting, Amgen | N=700 --> 490 | Trial primary completion date: Sep 2025 --> Aug 2027
Enrollment change • Trial primary completion date
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topotecan • Zepzelca (lurbinectedin) • Imdelltra (tarlatamab-dlle) • Calsed (amrubicin)
10ms
New P3 trial
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topotecan • Zepzelca (lurbinectedin) • ifinatamab deruxtecan (DS-7300) • Calsed (amrubicin)
10ms
Amrubicin encapsulated PLGA NPs inhibits the PI3K/AKT signaling pathway by activating PTEN and inducing apoptosis in TMZ-resistant Glioma. (PubMed, Biomed Mater)
To address this issue, a study was conducted to investigate the potential of using amrubicin (AMR) encapsulated in poly (lactic-co-glycolic acid) nanoparticles (AMR-PLGA-NPs) against temozolomide (TMZ) resistant GBM. These findings indicate that AMR-PLGA-NPs can be an effective and flexible nanoplatform for treating GBM while addressing drug resistance issues. Overall, the study demonstrates the potential of AMR-PLGA-NPs as a stable and safe treatment option for GBM, addressing the major issue of drug resistance in these types of tumors. .
Journal
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PTEN (Phosphatase and tensin homolog)
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temozolomide • Calsed (amrubicin)
11ms
Trial primary completion date
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topotecan • Zepzelca (lurbinectedin) • Imdelltra (tarlatamab-dlle) • Calsed (amrubicin)
1year
Second-Line Systemic Therapy for Highly Aggressive Neuroendocrine Prostate Cancer. (PubMed, Anticancer Res)
Prospective and retrospective studies demonstrated that treatment outcome of second-line therapy using platinum with etoposide or docetaxel was unfavorable and progression-free survival was 3 months or shorter. Amrubicin and irinotecan were also frequently used as second-line therapy, however, efficacy of these agents was modest and response duration was less than 6 months...With the increasing recognition and active biopsy of NEPC lesions, the number of NEPC patients is anticipated to rise. Accumulating more knowledge and experience is crucial in developing novel treatment strategies to combat this disease.
Review • Journal • PARP Biomarker • IO biomarker
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HRD (Homologous Recombination Deficiency)
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docetaxel • etoposide IV • irinotecan • Calsed (amrubicin)
over1year
Lower optimal dose of amrubicin for relapsed small-cell lung cancer: a retrospective study. (PubMed, Int J Clin Oncol)
Treatment with AMR between 30 and 35 mg/m showed relatively mild hematologic toxicity compared with AMR at 40 mg/m, without any significant difference in efficacy. Lower dose of AMR for relapsed SCLC could be a promising treatment option.
Retrospective data • Journal
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Calsed (amrubicin)
over1year
Enrollment open
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topotecan • Zepzelca (lurbinectedin) • Imdelltra (tarlatamab-dlle) • Calsed (amrubicin)
over1year
Influencing factors of efficacy and long-term use of amrubicin in patients with small cell lung cancer. (PubMed, Thorac Cancer)
In AMR therapy for patients with relapsed SCLC, continuation of AMR without dose reduction after the second cycle may contribute to disease control and prolonged survival.
Retrospective data • Journal
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Calsed (amrubicin)
over1year
Randomized phase 3 study of tarlatamab, a DLL3-targeting bispecific T-cell engager (BiTE), compared to standard of care in patients with relapsed small cell lung cancer (DeLLphi-304). (ASCO 2023)
Patients will be randomized 1:1 to receive tarlatamab or SOC therapy (lurbinectedin or topotecan in US, Canada, Australia, Singapore, Korea; amrubicin in Japan; topotecan in all countries except Japan), stratified by prior anti-programmed cell death 1 (PD-1) or anti-programmed cell death ligand 1 (PD-L1) exposure, chemotherapy-free interval, presence of brain metastases, and SOC (topotecan/amrubicin vs lurbinectedin). DOI:1200/JCO.22.02823. Clinical trial information: NCT05740566.
Clinical • P3 data
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DLL3 (Delta Like Canonical Notch Ligand 3)
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topotecan • Zepzelca (lurbinectedin) • Imdelltra (tarlatamab-dlle) • Calsed (amrubicin)
over3years
Second-Line Nivolumab in Relapsed Small-Cell Lung Cancer: CheckMate 331. (PubMed, Ann Oncol)
Nivolumab did not improve survival versus chemotherapy in relapsed SCLC. No new safety signals were seen. In exploratory analyses, select baseline characteristics were associated with improved OS for nivolumab.
Clinical • Journal
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PD-L1 (Programmed death ligand 1)
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Opdivo (nivolumab) • topotecan • Calsed (amrubicin)
4years
Phase II study of amrubicin plus erlotinib in previously treated, advanced non-small cell lung cancer with wild-type epidermal growth factor receptor (TORG1320). (PubMed, Invest New Drugs)
This combination therapy might be a viable treatment for previously treated NSCLC patients without a driver oncogene mutation. Clinical trial information UMIN 000010582.
P2 data • Journal
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EGFR (Epidermal growth factor receptor)
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erlotinib • Calsed (amrubicin)
4years
Therapy-related acute promyelocytic leukemia developing during chemotherapy for thymic carcinoma (PubMed, Rinsho Ketsueki)
He had a history of thymic carcinoma, which had been treated with carboplatin in combination with either paclitaxel or amrubicin...Administration of tegafur/gimeracil/oteracil (TS-1) was initiated, which resulted in tumor size reduction and a partial response...The patient achieved and maintained complete remission for more than 20 months by a de novo APL-treatment regimen including all-trans retinoic acid, arsenic trioxide and tamibarotene. Moreover, the thymic carcinoma has remained stable. Although secondary malignancies of thymic carcinoma have been previously reported, therapy-related leukemia, especially tAPL, is very rare.
Journal
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KIT (KIT proto-oncogene, receptor tyrosine kinase) • CD33 (CD33 Molecule) • PML (Promyelocytic Leukemia) • CD34 (CD34 molecule)
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carboplatin • paclitaxel • Teysuno (gimeracil/oteracil/tegafur) • arsenic trioxide • Amnolake (tamibarotene) • Calsed (amrubicin)
4years
The Efficacy of Amrubicin Therapy as a Second Line Treatment in Patients with Small Cell Carcinoma of the Prostate : A Case Report (PubMed, Hinyokika Kiyo)
He was initially treated with carboplatin and etoposide therapy. Tumor enlargement recurred after 8 cycles, and the patient is being treated with palliative therapy. Amrubicin therapy may be effective in the treatment of small cell carcinoma of the prostate.
Clinical • Journal
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KLK3 (Kallikrein-related peptidase 3)
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carboplatin • etoposide IV • Calsed (amrubicin)
over4years
Histological conversion from adenocarcinoma to small cell carcinoma of the lung after treatment with an immune checkpoint inhibitor: a case report. (PubMed, Oxf Med Case Reports)
A 65-year-old man was treated with pembrolizumab as first-line therapy and achieved temporarily a stable disease with progression after six cycles of this agent. At that stage, a transbronchial biopsy showed small cell lung cancer, and he was found to have high serum concentrations of neuron-specific enolase despite concentrations of numerous tumor markers, including neuron-specific enolase, having been within normal limits at the time of presentation. The patient thereafter was treated as a small cell carcinoma patient using cisplatin plus irinotecan and amrubicin.
Clinical • Journal • Checkpoint inhibition • PD(L)-1 Biomarker
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EGFR (Epidermal growth factor receptor)
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Keytruda (pembrolizumab) • cisplatin • irinotecan • Calsed (amrubicin)
over4years
Pembrolizumab Plus Amurubicin in Patients With Refractory Small-cell Lung Cancer (clinicaltrials.gov)
P2, N=25, Active, not recruiting, Wakayama Medical University | Recruiting --> Active, not recruiting | Trial completion date: Aug 2020 --> Dec 2020 | Trial primary completion date: Feb 2020 --> Dec 2020
Clinical • Enrollment closed • Trial completion date • Trial primary completion date
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PD-L1 (Programmed death ligand 1)
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Keytruda (pembrolizumab) • Calsed (amrubicin)