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DRUG:

leucovorin calcium

Company:
Generic mfg.
Drug class:
Folate analog
1d
Hepatic Arterial Infusion With Floxuridine and Dexamethasone Combined With Combination Chemotherapy in Treating Patients With Colorectal Cancer That Has Spread to the Liver (clinicaltrials.gov)
P2, N=64, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: May 2024 --> May 2025 | Trial primary completion date: May 2024 --> May 2025
Trial completion date • Trial primary completion date • Combination therapy
|
5-fluorouracil • oxaliplatin • irinotecan • leucovorin calcium
3d
The response of pancreatic acinar cell carcinoma to platinum and olaparib therapy in a germline BRCA2 variant carrier: case report and literature review. (PubMed, Fam Cancer)
Olaparib therapy was initiated and the metastases responded well (partial response). PACC is a BRCA2-associated cancer which may respond well to PARP inhibitors.
Review • Journal • BRCA Biomarker • PARP Biomarker
|
BRCA2 (Breast cancer 2, early onset)
|
Lynparza (olaparib) • 5-fluorouracil • leucovorin calcium
4d
Cetuximab plus FOLFOXIRI versus cetuximab plus FOLFOX as conversion regimen in RAS/BRAF wild-type patients with initially unresectable colorectal liver metastases (TRICE trial): A randomized controlled trial. (PubMed, PLoS Med)
The combination of cetuximab with FOLFOXIRI did not significantly improve ORR compared to cetuximab plus FOLFOX. Despite achieving an enhanced DpR, this improvement did not translate into improved R0 resection rates or PFS. Moreover, the triplet arm was associated with an increase in treatment-related toxicity.
Clinical • Journal
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BRAF (B-raf proto-oncogene) • RAS (Rat Sarcoma Virus)
|
BRAF wild-type
|
Erbitux (cetuximab) • 5-fluorouracil • oxaliplatin • irinotecan • leucovorin calcium
4d
FOLFOX Plus Lenvatinib Adjuvant Therapy for Hepatocellular Carcinoma Post-Liver Transplantation (clinicaltrials.gov)
P1/2, N=62, Not yet recruiting, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
New P1/2 trial
|
5-fluorouracil • Lenvima (lenvatinib) • oxaliplatin • leucovorin calcium
4d
Trial Treating Relapsed Acute Lymphoblastic Leukemia With Venetoclax and Navitoclax (clinicaltrials.gov)
P1/2, N=98, Active, not recruiting, St. Jude Children's Research Hospital | Recruiting --> Active, not recruiting
Enrollment closed
|
Venclexta (venetoclax) • dasatinib • cytarabine • cyclophosphamide • etoposide IV • Blincyto (blinatumomab) • vincristine • navitoclax (ABT 263) • leucovorin calcium • Oncaspar liquid (pegaspargase) • mercaptopurine • Asparlas (calaspargase pegol-mknl)
5d
Enrollment change • Combination therapy • Metastases
|
gemcitabine • 5-fluorouracil • albumin-bound paclitaxel • oxaliplatin • leucovorin calcium • irinotecan hydrochloride liposome injection (HR070803)
6d
New P2 trial • Combination therapy
|
Avastin (bevacizumab) • 5-fluorouracil • oxaliplatin • leucovorin calcium • adebrelimab (SHR-1316)
6d
ESOPEC: Perioperative Chemotherapy Compared To Neoadjuvant Chemoradiation in Patients With Adenocarcinoma of the Esophagus (clinicaltrials.gov)
P3, N=438, Active, not recruiting, University Hospital Schleswig-Holstein | Trial completion date: Jun 2024 --> Dec 2024 | Trial primary completion date: Apr 2023 --> May 2024
Trial completion date • Trial primary completion date
|
carboplatin • paclitaxel • docetaxel • 5-fluorouracil • oxaliplatin • leucovorin calcium
7d
Trial completion date • Trial primary completion date
|
KRAS (KRAS proto-oncogene GTPase)
|
KRAS mutation • KRAS wild-type • RAS mutation • RAS wild-type
|
Keytruda (pembrolizumab) • docetaxel • 5-fluorouracil • irinotecan • Xpovio (selinexor) • leucovorin calcium
7d
Nivolumab in Combination With Chemotherapy Pre-Surgery in Treating Patients With Borderline Resectable Pancreatic Cancer (clinicaltrials.gov)
P1, N=28, Active, not recruiting, Jonsson Comprehensive Cancer Center | Recruiting --> Active, not recruiting | Trial completion date: Apr 2025 --> Apr 2026 | Trial primary completion date: Apr 2024 --> Apr 2025
Enrollment closed • Trial completion date • Trial primary completion date • Combination therapy • Surgery • Pre-surgery
|
IFNG (Interferon, gamma)
|
IFNG-L
|
Opdivo (nivolumab) • oxaliplatin • irinotecan • leucovorin calcium • fluorouracil topical
7d
Trial completion date
|
Keytruda (pembrolizumab) • cisplatin • docetaxel • 5-fluorouracil • capecitabine • oxaliplatin • leucovorin calcium
7d
Trial completion date
|
Keytruda (pembrolizumab) • cisplatin • docetaxel • 5-fluorouracil • capecitabine • oxaliplatin • leucovorin calcium
8d
Use of deep learning to evaluate tumor microenvironmental features for prediction of colon cancer recurrence. (PubMed, Cancer Res Commun)
Association of TSR with TTR was independently validated. In conclusion, QuantCRC can quantify morphological differences within MMR groups in routine tumor sections to determine their relative contributions to patient prognosis, and may elucidate relevant pathophysiologic mechanisms driving prognosis.
Journal
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KRAS (KRAS proto-oncogene GTPase)
|
BRAF V600E • BRAF V600
|
5-fluorouracil • leucovorin calcium
8d
Risk Factors for Adverse Events of Nanoliposomal Irinotecan Plus 5-Fluorouracil and L-leucovorin. (PubMed, Cancer Diagn Progn)
Patients with UGT1A1*6 or *28 (+/+) should be especially concerned about neutropenia and leukopenia during nal-IRI/FL treatment. Additionally, high AST value and pancreatic head cancer may be risk factors for leukopenia during nal-IRI/FL treatment.
Journal • Adverse events
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UGT1A1 (UDP glucuronosyltransferase family 1 member A1)
|
UGT1A1*1*1 • UGT1A1*28 + UGT1A1*6
|
5-fluorouracil • leucovorin calcium • Onivyde (nanoliposomal irinotecan)
8d
Enrollment change • Metastases
|
BRAF (B-raf proto-oncogene)
|
Avastin (bevacizumab) • Herceptin (trastuzumab) • Erbitux (cetuximab) • Tecentriq (atezolizumab) • Zelboraf (vemurafenib) • 5-fluorouracil • Perjeta (pertuzumab) • Cotellic (cobimetinib) • capecitabine • oxaliplatin • leucovorin calcium
8d
Trial completion • Phase classification • Adverse events • Combination therapy • Metastases
|
5-fluorouracil • oxaliplatin • irinotecan • budigalimab (ABBV-181) • leucovorin calcium • giloralimab (ABBV-927)
9d
Liensinine sensitizes colorectal cancer cells to oxaliplatin by targeting HIF-1α to inhibit autophagy. (PubMed, Phytomedicine)
Research on the relationship between HIF-1α levels and the clinical effect of oxaliplatin is lacking, and whether liensinine regulates HIF-1α is unknown. Our findings suggest that liensinine overcomes the resistance of colorectal cancer cells to oxaliplatin by suppressing HIF-1α levels to inhibit autophagy. Our findings can contribute to improving prognosis following colorectal cancer therapy.
Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • NOS3 (Nitric oxide synthase 3)
|
5-fluorouracil • oxaliplatin • leucovorin calcium
11d
Trial completion • Metastases
|
5-fluorouracil • oxaliplatin • Lonsurf (trifluridine/tipiracil) • leucovorin calcium • ginisortamab (UCB6114)
11d
Feasibility of implementation of the early tumor shrinkage as a potential predictive marker to daily clinical practice in patients with RAS wild type metastatic colorectal cancer, treated with cetuximab - a non-interventional observational study. (PubMed, Klin Onkol)
These findings indicate that the basic time parameter of ETS could not realistically be employed in routine oncology care of patients with metastatic colorectal cancer (mCRC) in the Czech Republic, unless there would be a strict request to perform TRFC by week 8 since the initiation of the therapy. In addition, the frequency of objective tumor response to first-line therapy with cetuximab + chemotherapy was evaluated. Based on the relative regression in the sum of diameters of measurable metastatic lesions, unconfirmed partial responses were achieved in 42.4 % and unconfirmed complete response in 8.6% of patients, altogether corresponding to the overall response rate of 51% with first-line therapy. The frequency of responses was higher among patients with left than right sided primary tumors. It seems that the regimen of cetuximab/FOLFOX might be more active in frontline therapy of right sided RAS wild type mCRC than cetuximab/FOLFIRI.
Observational data • Journal • Metastases
|
RAS (Rat Sarcoma Virus)
|
RAS wild-type
|
Erbitux (cetuximab) • 5-fluorouracil • irinotecan • leucovorin calcium
12d
Genetic Analysis-Guided Irinotecan Hydrochloride Dosing of mFOLFIRINOX in Treating Patients With Locally Advanced Gastroesophageal or Stomach Cancer (clinicaltrials.gov)
P4, N=36, Recruiting, University of Chicago | Trial completion date: Mar 2026 --> Jun 2025 | Trial primary completion date: Mar 2024 --> Jun 2025
Trial completion date • Trial primary completion date • Metastases
|
5-fluorouracil • oxaliplatin • irinotecan • leucovorin calcium
12d
Impact of the thyroid hormone T3 and its nuclear receptor TRα1 on colon cancer stem cell phenotypes and response to chemotherapies. (PubMed, Cell Death Dis)
In the case of chemotherapy FOLFIRI, the increased expression of ABC transcripts and proteins induced by T3 treatment is responsible for the augmented efflux of 5-FU and Irinotecan from the cancer cells. Taken together, these mechanisms contribute to the decreased efficacy of the chemotherapy and allow cells to escape the treatment. Created with BioRender.com .
Journal • Cancer stem
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ABCB1 (ATP Binding Cassette Subfamily B Member 1) • ABCG2 (ATP Binding Cassette Subfamily G Member 2) • ALDH1A1 (Aldehyde Dehydrogenase 1 Family Member A1)
|
5-fluorouracil • irinotecan • leucovorin calcium
12d
DFCI 16-001: Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Children and Adolescents (clinicaltrials.gov)
P3, N=560, Active, not recruiting, Dana-Farber Cancer Institute | Trial completion date: Nov 2028 --> Nov 2034
Trial completion date
|
dasatinib • cytarabine • doxorubicin hydrochloride • cyclophosphamide • etoposide IV • vincristine • leucovorin calcium • Oncaspar liquid (pegaspargase) • nelarabine • mercaptopurine • dexrazoxane
13d
Enrollment change • Trial primary completion date • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2)
|
Keytruda (pembrolizumab) • Herceptin (trastuzumab) • 5-fluorouracil • capecitabine • oxaliplatin • Tukysa (tucatinib) • leucovorin calcium
13d
Talimogene Laherparepvec, Chemotherapy, and Radiation Therapy Before Surgery in Treating Patients With Locally Advanced or Metastatic Rectal Cancer (clinicaltrials.gov)
P1, N=3, Terminated, National Cancer Institute (NCI) | Active, not recruiting --> Terminated; Due to Covid and poor enrollment
Trial termination • Surgery • Metastases
|
capecitabine • oxaliplatin • leucovorin calcium • Imlygic (talimogene laherparepvec) • fluorouracil topical
13d
Testing the Addition of an Anticancer Drug, BAY 1895344, to the Usual Chemotherapy With FOLFIRI in Advanced or Metastatic Cancers of the Stomach and Intestines (clinicaltrials.gov)
P1, N=10, Active, not recruiting, National Cancer Institute (NCI) | N=90 --> 10 | Trial completion date: Dec 2024 --> Apr 2025 | Trial primary completion date: Dec 2024 --> Mar 2024
Enrollment change • Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
irinotecan • elimusertib (BAY 1895344) • leucovorin calcium • fluorouracil topical
14d
Comprehensive multi-omics analysis of resectable locally advanced gastric cancer: Assessing response to neoadjuvant camrelizumab and chemotherapy in a single-center, open-label, single-arm phase II trial. (PubMed, Clin Transl Med)
The findings suggest the combination of PD-1-inhibitor and mFOLFOX6 showed efficacy and acceptable toxicity for locally advanced GC. Extended follow-up is required to determine the duration of the response. This study lays essential groundwork for developing precise neoadjuvant regimens.
P2 data • Clinical Trial,Phase II • Journal • PD(L)-1 Biomarker • IO biomarker • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • CD8 (cluster of differentiation 8) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • MIF (Macrophage Migration Inhibitory Factor) • CCKBR (Cholecystokinin B Receptor)
|
HER-2 positive • HER-2 mutation • CTNNB1 mutation
|
5-fluorouracil • AiRuiKa (camrelizumab) • oxaliplatin • leucovorin calcium
15d
New trial • Surgery
|
5-fluorouracil • oxaliplatin • irinotecan • leucovorin calcium
15d
Enrollment change • Combination therapy • Metastases
|
MSI (Microsatellite instability)
|
MSI-H/dMMR • RAS mutation
|
Avastin (bevacizumab) • 5-fluorouracil • irinotecan • leucovorin calcium • ompenaclid (RGX-202)
18d
Impact of Systemic Treatments on Outcomes and Quality of Life in Patients with RAS-Positive Stage IV Colorectal Cancer: A Systematic Review. (PubMed, Diseases)
From an initial pool of 1345 articles, 11 relevant studies were selected for inclusion, encompassing a diverse range of systemic treatments, including panitumumab combined with FOLFOX4 and FOLFIRI, irinotecan paired with panitumumab, regorafenib followed by cetuximab ± irinotecan and vice versa, and panitumumab as a maintenance therapy post-induction...Notably, cetuximab + FOLFIRI was associated with a median survival of 25.7 months versus 16.4 months for FOLFIRI alone, emphasizing the potential benefits of integrating targeted therapies with chemotherapy. In conclusion, the review underscores the significant impact of systemic treatments, particularly targeted therapies and their combinations with chemotherapy, on survival outcomes and QoL in patients with RAS-positive stage IV colorectal cancer, and the need for personalized treatment.
Review • Journal • HEOR • Metastases
|
KRAS (KRAS proto-oncogene GTPase)
|
KRAS wild-type • RAS wild-type
|
Erbitux (cetuximab) • 5-fluorouracil • Vectibix (panitumumab) • Stivarga (regorafenib) • irinotecan • leucovorin calcium
19d
Helminth-derived molecules improve 5-fluorouracil treatment on experimental colon tumorigenesis. (PubMed, Biomed Pharmacother)
Combination treatment with leucovorin and oxaliplatin or irinotecan improves the effectiveness of 5FU therapy. In vitro assays with human colon cancer cell lines showed that therapy with TcES+5FU significantly reduced cell proliferation and migration by modulating the P53 and P21 signaling pathways. Our findings demonstrate, for the first time in vivo, that helminth-derived excreted/secreted products may potentiate the effect of 5FU on established colon tumors.
Journal
|
CCND1 (Cyclin D1) • MDM2 (E3 ubiquitin protein ligase) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • GZMB (Granzyme B) • TGFB1 (Transforming Growth Factor Beta 1) • IL17A (Interleukin 17A) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
|
5-fluorouracil • oxaliplatin • irinotecan • leucovorin calcium
19d
A preliminary study of optimal treatment response rates in patients undergoing hepatic arterial infusion chemotherapy combined with molecular targeting and immunotherapy. (PubMed, Front Immunol)
This study aimed to examine the effectiveness of the best response rate (BRR) as a surrogate for overall survival (OS), using the modified Response Evaluation Criteria in Solid Tumors (mRECIST), in patients with unresectable hepatocellular carcinoma (HCC) undergoing hepatic arterial infusion chemotherapy (HAIC) with fluorouracil, leucovorin, and oxaliplatin (FOLFOX) combined with molecular targeting and immunotherapy. Thus, by calculating the BRR, the prognosis of HCC patients after combination therapy can be predicted. Inferior vena cava tumor thrombus and baseline tumor size were closely associated with the BRR.
Journal
|
AFP (Alpha-fetoprotein)
|
5-fluorouracil • oxaliplatin • leucovorin calcium
19d
Study of Dato-Dxd as Monotherapy and in Combination With Anti-cancer Agents in Patients With Advanced Solid Tumours (TROPION-PanTumor03) (clinicaltrials.gov)
P2, N=531, Recruiting, AstraZeneca | Trial completion date: Mar 2025 --> Aug 2026 | Trial primary completion date: Mar 2025 --> Aug 2026
Trial completion date • Trial primary completion date • Combination therapy • Pan tumor • Metastases
|
Avastin (bevacizumab) • carboplatin • Imfinzi (durvalumab) • 5-fluorouracil • capecitabine • leucovorin calcium • datopotamab deruxtecan (DS-1062a) • saruparib (AZD5305) • rilvegostomig (AZD2936) • volrustomig (MEDI5752)
19d
Exploring the impact of MiR-92a-3p on FOLFOX chemoresistance biomarker genes in colon cancer cell lines. (PubMed, Front Pharmacol)
We proposed that miR-92a-3p impairs FOLFOX (fluorouracil/oxaliplatin) chemotherapy response by upregulating the expression of chemoresistance biomarker genes through the activation of β-catenin and epithelial-mesenchymal transition (EMT)...Furthermore, even though miR-92a-3p affects ERCC2, XRCC1, E-cadherin, and β-catenin mRNA levels, it has no influence on their protein expression. We found that miR-92a-3p does not upregulate the expression of proteins of DNA-repair pathways and other genes involved in FOLFOX chemotherapy resistance.
Preclinical • Journal
|
ERCC1 (Excision repair cross-complementation group 1) • ERCC2 (Excision repair cross-complementation group 2) • CDH1 (Cadherin 1) • TYMS (Thymidylate Synthetase) • MTHFR (Methylenetetrahydrofolate Reductase) • DPYD (Dihydropyrimidine Dehydrogenase) • XRCC1 (X-Ray Repair Cross Complementing 1)
|
5-fluorouracil • oxaliplatin • leucovorin calcium
19d
HR070803 in Combination With Oxaliplatin, S-1 Versus NALIRIFOX as Adjuvant Therapy for Pancreatic Cancer (clinicaltrials.gov)
P2, N=120, Not yet recruiting, The First Affiliated Hospital with Nanjing Medical University
New P2 trial • Combination therapy
|
5-fluorouracil • leucovorin calcium • Teysuno (gimeracil/oteracil/tegafur) • Onivyde (nanoliposomal irinotecan) • irinotecan hydrochloride liposome injection (HR070803)
19d
Trial initiation date • Combination therapy
|
MCL1 (Myeloid cell leukemia 1) • KMT2A (Lysine Methyltransferase 2A) • BCL2L1 (BCL2-like 1)
|
BCL2 expression
|
Venclexta (venetoclax) • cytarabine • doxorubicin hydrochloride • cyclophosphamide • Blincyto (blinatumomab) • methotrexate • vincristine • daunorubicin • leucovorin calcium • Oncaspar liquid (pegaspargase) • mercaptopurine • Asparlas (calaspargase pegol-mknl) • Rylaze (recombinant Erwinia asparaginase) • thioguanine • Hemady (dexamethasone tablets) • Starasid (cytarabine ocfosfate)
19d
Trial initiation date
|
ABL1 (ABL proto-oncogene 1) • KIT (KIT proto-oncogene, receptor tyrosine kinase) • PDGFRA (Platelet Derived Growth Factor Receptor Alpha) • CD19 (CD19 Molecule) • PDGFRB (Platelet Derived Growth Factor Receptor Beta) • CSF1R (Colony stimulating factor 1 receptor)
|
CD19 expression
|
TruSight RNA Pan-Cancer Panel
|
dasatinib • imatinib • cytarabine • doxorubicin hydrochloride • cyclophosphamide • Blincyto (blinatumomab) • methotrexate • vincristine • daunorubicin • leucovorin calcium • Oncaspar liquid (pegaspargase) • mercaptopurine • Asparlas (calaspargase pegol-mknl) • thioguanine • Starasid (cytarabine ocfosfate)
19d
New P1/2 trial
|
Keytruda (pembrolizumab) • 5-fluorouracil • oxaliplatin • irinotecan • leucovorin calcium
20d
New P2 trial • Metastases
|
Keytruda (pembrolizumab) • oxaliplatin • irinotecan • leucovorin calcium • Visudyne (verteporfin) • fluorouracil topical
20d
Saltikva for Metastatic Pancreatic Cancer (clinicaltrials.gov)
P2, N=60, Active, not recruiting, Salspera LLC | Recruiting --> Active, not recruiting
Enrollment closed • Metastases
|
gemcitabine • 5-fluorouracil • albumin-bound paclitaxel • irinotecan • leucovorin calcium • Saltikva (attenuated Salmonella typhimurium expressing IL-2)
20d
Trial completion • Combination therapy • Real-world evidence • Real-world • Metastases
|
RAS (Rat Sarcoma Virus)
|
5-fluorouracil • Vectibix (panitumumab) • irinotecan • leucovorin calcium
21d
New P3 trial • Combination therapy • Metastases
|
CTNNB1 (Catenin (cadherin-associated protein), beta 1) • STAT3 (Signal Transducer And Activator Of Transcription 3)
|
5-fluorouracil • irinotecan • leucovorin calcium • napabucasin (BBI608)
21d
DeFianCe: Phase 2 Study of DKN-01 in Colorectal Cancer (clinicaltrials.gov)
P2, N=150, Recruiting, Leap Therapeutics, Inc. | Trial completion date: Aug 2024 --> Dec 2025 | Trial primary completion date: Mar 2024 --> Dec 2025
Trial completion date • Trial primary completion date • Metastases
|
Avastin (bevacizumab) • 5-fluorouracil • oxaliplatin • irinotecan • leucovorin calcium • sirexatamab (DKN-01)