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DRUG:

methotrexate

Company:
Generic mfg.
Drug class:
THF dehydrogenase inhibitor, Dihydrofolic acid reductase inhibitor
1d
A Novel Prognostic Model for Primary CNS Lymphoma Incorporating Clinico-Laboratory Parameters. (PubMed, Neuro Oncol)
The ABLE risk-stratification model can effectively differentiate prognostic subgroups in patients with PCNSL.
Journal
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B2M (Beta-2-microglobulin)
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methotrexate • methotrexate IV
2d
Methotrexate Exhibits a Dual Role in Regulation of CD4+ T Follicular Helper (Tfh) Cell Differentiation and Activity. (PubMed, Scand J Immunol)
MTX when used in combination with AICAR, rescued human Tfh cell differentiation in vitro from MTX-mediated suppression. In the 4T1 mouse model, the synergistic administration of MTX and AICAR significantly enhanced the proliferation of Tfh cells, along with increases in germinal centre B cells, memory B cells, and plasma cells in both circulation and tumor-draining lymph nodes.
Journal
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CD4 (CD4 Molecule)
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methotrexate
2d
AAML1831: A Study to Compare Standard Chemotherapy to Therapy With CPX-351 and/or Gilteritinib for Patients With Newly Diagnosed AML With or Without FLT3 Mutations (clinicaltrials.gov)
P3, N=1186, Recruiting, Children's Oncology Group | Trial completion date: Sep 2027 --> Jun 2029 | Trial primary completion date: Sep 2027 --> Jun 2029
Trial completion date • Trial primary completion date
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FLT3 (Fms-related tyrosine kinase 3)
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Xospata (gilteritinib) • etoposide IV • methotrexate • Mylotarg (gemtuzumab ozogamicin) • Vyxeos (cytarabine/daunorubicin liposomal formulation) • mitoxantrone • Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) • Starasid (cytarabine ocfosfate) • dexrazoxane
2d
AALL1621: Inotuzumab Ozogamicin in Treating Younger Patients With B-Lymphoblastic Lymphoma or Relapsed or Refractory CD22 Positive B Acute Lymphoblastic Leukemia (clinicaltrials.gov)
P2, N=80, Recruiting, Children's Oncology Group | Trial completion date: Mar 2026 --> Dec 2026 | Trial primary completion date: Mar 2026 --> Dec 2026
Trial completion date • Trial primary completion date
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CD22 (CD22 Molecule)
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cytarabine • cyclophosphamide • methotrexate • Besponsa (inotuzumab ozogamicin) • vincristine • leucovorin calcium • Oncaspar liquid (pegaspargase) • Asparlas (calaspargase pegol-mknl) • Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn) • Starasid (cytarabine ocfosfate)
3d
Aloesin alleviates imiquimod-induced psoriasis in dermal layers through inhibition of interleukins and NF-κB signaling pathways. (PubMed, Sci Rep)
A standard drug group receiving methotrexate (MTX) was included to benchmark the efficacy of aloesin. MTX, as a standard comparator, allowed for direct benchmarking of aloesin anti-psoriatic effects. Psoriasis treatment could benefit from this approach in the future.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • TGFB1 (Transforming Growth Factor Beta 1) • IL17A (Interleukin 17A) • IL23A (Interleukin 23 Subunit Alpha) • IL22 (Interleukin 22) • CAT (Catalase)
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methotrexate • Zyclara (imiquimod)
4d
Early-Onset Hypopigmented Mycosis Fungoides in a Young Female: Navigating Diagnostic Delays and Treatment Complexities-A Case Report. (PubMed, Clin Case Rep)
However, the patient relapsed within a few months and needed to be treated with methotrexate. This example highlights the importance of careful clinical, histological, and immunohistochemical testing for timely HMF detection as well as the need for vigilant monitoring to effectively manage recurrences.
Journal
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CD4 (CD4 Molecule)
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methotrexate
4d
Pathway-Informed Machine Learning Identifies Genetic Predictors of High-Dose Methotrexate-Induced Mucositis in Pediatric Acute Lymphoblastic Leukemia. (PubMed, Clin Pharmacol Ther)
This pathway-informed approach identifies genetic contributors to methotrexate-induced mucositis and supports polygenic risk prediction. Our findings provide a foundation for individualized toxicity risk profiling and suggest potential therapeutic targets to mitigate treatment-limiting mucositis in pediatric oncology.
Journal
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IL6 (Interleukin 6)
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methotrexate • methotrexate IV
8d
Protective use of alpha pinene in methotrexate-induced oxidative lung damage in rats. (PubMed, Toxicol Res (Camb))
It was also shown to have a protective effect on the lungs against acute Methotrexate toxicity, preventing alveolar epithelial damage, congestion, inflammatory cell infiltration and alveolar degeneration despite the presence of mild fibrosis and interstitial edema. Alpha Pinene can be considered to be a highly valuable protective agent against Methotrexate-induced lung injury.
Preclinical • Journal
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CASP3 (Caspase 3) • APAF1 (Apoptotic peptidase activating factor 1) • CAT (Catalase)
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methotrexate
9d
Case Report: Possible association between dermatomyositis and Trastuzumab Deruxtecan therapy of triple-negative breast cancer patient. (PubMed, Front Immunol)
The condition remained poorly controlled despite administration of Prednisone combined with Hydroxychloroquine, and showed no significant improvement after adding methotrexate. reported here findings suggest that T-DXd may trigger multi-system involvement through immune-mediated mechanisms, resulting in drug-induced dermatomyositis and interstitial pneumonia. Our findings highlight the need for heightened vigilance regarding such immune-related adverse events during T-DXd therapy, where early recognition and intervention are critically important to avoid irreversible and possibly fatal complications.
Journal
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HER-2 (Human epidermal growth factor receptor 2) • TGFB1 (Transforming Growth Factor Beta 1)
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HER-2 expression
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Enhertu (fam-trastuzumab deruxtecan-nxki) • methotrexate • prednisone • hydroxychloroquine
9d
Immune-Mediated Macular Edema After Intravitreal Methotrexate in Primary Vitreoretinal Lymphoma. (PubMed, Ocul Immunol Inflamm)
The simultaneous inversion of the IL-10/IL-6 ratio with edema onset suggests a cytokine shift unmasking an inflammatory response previously suppressed by malignant lymphoproliferation. This pattern supports an immune reconstitution inflammatory syndrome-like mechanism as the most likely cause.
Journal
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CD20 (Membrane Spanning 4-Domains A1) • MYD88 (MYD88 Innate Immune Signal Transduction Adaptor) • IL10 (Interleukin 10) • IL6R (Interleukin 6 receptor)
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CD20 positive
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methotrexate
10d
Downregulation of ZFP36L1 contributes to methotrexate resistance in osteosarcoma through enhanced NHEJ DNA repair mechanisms. (PubMed, Cell Death Dis)
In summary, decreased ZFP36L1 expression serves as an inherent mechanism enabling osteosarcoma to develop resistance to MTX therapy. These results highlight ZFP36L1 as a promising therapeutic target for overcoming MTX chemoresistance in osteosarcoma.
Journal
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ZFP36 (ZFP36 Ring Finger Protein)
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methotrexate
11d
Single-Cell Analysis of L-Myc Expressing Neural Stem Cells and Their Extracellular Vesicles Revealed Distinct Progenitor Populations With Neurogenic Potential. (PubMed, J Extracell Biol)
These LMNSC-EVs (collected from undifferentiated LMNSCs) demonstrated neuroprotective effects in a brain organoid model of methotrexate-induced toxicity when added to corresponding LMNSC01- or LMNSC02-derived brain organoids. LMNSC01- and LMNSC02-derived EVs restored neuronal and astrocytic populations but failed to rescue OPCs. These findings demonstrate the therapeutic potential of LMNSC-derived EVs to counter chemotherapy-induced neurotoxicity by preserving neurones and astrocytes, while highlighting the need for repeated or complementary interventions to restore oligodendrocyte populations.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • MYCL (MYCL Proto-Oncogene BHLH Transcription Factor) • CD9 (CD9 Molecule) • CD81 (CD81 Molecule)
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methotrexate