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DRUG CLASS:

Mitosis inhibitor

6ms
Parthenolide disrupts mitosis by inhibiting ZNF207/BUGZ-promoted kinetochore-microtubule attachment. (PubMed, EMBO J)
Our results show that parthenolide covalently binds to Cys54 of BUGZ via Michael addition to its α-methylene-γ-lactone moiety. Since Cys54 is located within the second zinc-finger domain of the BUGZ microtubule-targeting region, we propose that parthenolide interferes with the microtubule-binding ability of BUGZ, consequently preventing kinetochore-microtubule attachments required for accurate chromosome congression to the spindle equator.
Journal
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ZNF207 (Zinc Finger Protein 207)
almost2years
Safety, Dose Tolerance, Pharmacokinetics, and Pharmacodynamics Study of CPX-POM in Patients With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=9, Completed, CicloMed LLC | Trial completion date: Dec 2022 --> Apr 2023 | Trial primary completion date: Dec 2022 --> Apr 2023
Trial completion date • Trial primary completion date • Metastases
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fosciclopirox (CPX-POM)
almost2years
CPX-POM-003: Study of Fosciclopirox in Patients With Relapsed/Refractory Acute Myeloid Leukemia (clinicaltrials.gov)
P1/2, N=18, Terminated, CicloMed LLC | Phase classification: P1b/2a --> P1/2 | N=28 --> 18 | Recruiting --> Terminated; Discontinued
Phase classification • Enrollment change • Trial termination • Combination therapy
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cytarabine • fosciclopirox (CPX-POM)
almost2years
Trial completion
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fosciclopirox (CPX-POM)
over2years
New topical agents for actinic keratoses: clinical and OCT evaluation (WCD 2023)
OBSERVATION: Among available treatments, it is possible to distinguish lesion-directed therapies (cryotherapy, laser therapy, conventional photodynamic theapy and surgery when a progression to iSCC is suspected) and field-directed therapies (5-fluorouracil, diclofenac,piroxicam, imiquimod and daylight photodynamic therapy)associated to daily appropriate photoprotection...We evaluated efficacy, safety and adherence to therapy of topical ointments indicated for the treatment of the different clinico-pathologic variants of AK (focusing on tirbanibulin and 5-Fluorouracil 0.5%, Salicylic Acid 10%), providing a clinical, dermoscopic and OCT longitudinal evaluation...Phase 3 Trials of Tirbanibulin Ointment for Actinic Keratosis...2021;384(6):512-520. doi:10.1056/NEJMoa2024040
Clinical
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Zyclara (imiquimod) • Klisyri (tirbanibulin ointment)
over2years
Anti-PD-(L)1 therapy of non-small cell lung cancer-A summary of clinical trials and current progresses. (PubMed, Heliyon)
Clinical responses to nivolumab and pembrolizumab, in particular, are promising...In regard with safety profile, adverse events (AEs) related to anti-PD-(L)1 are lower compared with that for platinum-based and docetaxel therapy. Toripalimab is the safest among various immunotherapy drugs...Appropriate biomarker selection will improve therapy outcomes in ICI treated NSCLC patients, particularly in cases under combinatory ICI therapy. Application of bispecific antibodies and EV-based targeted therapy are effective novel strategies to improve therapeutic outcomes in cancer patients.
Review • Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase) • TMB (Tumor Mutational Burden)
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PD-L1 expression
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Keytruda (pembrolizumab) • Opdivo (nivolumab) • docetaxel • Loqtorzi (toripalimab-tpzi)
over2years
A rapidly evolving landscape: immune checkpoint inhibitors in pretreated metastatic endometrial cancer. (PubMed, Ther Adv Med Oncol)
Only the phase III KEYNOTE-775 trial reported a statistically significant overall survival improvement for the combination of pembrolizumab plus lenvatinib compared with docetaxel or paclitaxel regardless of MMR/MSI status. Pembrolizumab plus lenvatinib is indicated for patients with unselected pretreated metastatic endometrial cancer and pembrolizumab monotherapy is a preferred option for patients with MMRd/MSI-H tumors.
Review • Journal • Checkpoint inhibition • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker • Metastases
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PD-L1 (Programmed death ligand 1) • MSI (Microsatellite instability)
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PD-L1 expression • MSI-H/dMMR
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Keytruda (pembrolizumab) • paclitaxel • docetaxel • Lenvima (lenvatinib)
over2years
Molecular features and race-associated outcomes of SPOP-mutant metastatic castration-resistant prostate cancer. (PubMed, Prostate)
Inactivating mutations in SPOP are associated with better response to ARSI treatment in mCRPC overall. Additional analysis with a larger cohort is needed to evaluate the association of SPOP status and outcomes with docetaxel. Race-associated clinical outcomes and molecular features were observed, suggesting the benefit of biomarker-directed therapy selection for individualized patient subsets in guiding treatment decisions for mCRPC patients.
Retrospective data • Journal • Metastases
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APC (APC Regulator Of WNT Signaling Pathway) • SPOP (Speckle Type BTB/POZ Protein)
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APC mutation • SPOP mutation
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docetaxel • Xtandi (enzalutamide) • abiraterone acetate
over2years
Integrated analysis from multicentre studies identities m7G-related lncRNA-derived molecular subtypes and risk stratification systems for gastric cancer. (PubMed, Front Immunol)
After comprehensive analysis of different risk groups, the efficacy of the high-risk group on bleomycin, cisplatin, docetaxel, doxorubicin and etoposide was better than that of the low-risk group, suggesting that risk subgroups based on risk scores play a guiding role in chemotherapy and that the high-risk group may benefit more from immunotherapy. RT-qPCR results showed that LINC00924, LINC00944, and LINC00865 were highly expressed in tumour tissues, while LINC00702 and ZFAS1 were expressed at low levels in tumour tissues. In conclusion, we were the first to discover that m7G-related lncRNAs play a vital role in the tumour immune microenvironment of gastric cancer, and a risk prediction model was established to identify patients with potential benefits from immunotherapy and predict the prognosis of GC patients.
Journal
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ZFAS1 (ZNFX1 Antisense RNA 1)
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cisplatin • docetaxel • doxorubicin hydrochloride • etoposide IV • bleomycin
over2years
Curcumin enhances the efficacy of docetaxel by promoting anti-tumor immune response in head and neck squamous cell carcinoma. (PubMed, Cancer Invest)
Conversely, the secretion of interferon-γ and tumor necrosis factor-α were increased. Our study provided a promising therapeutic strategy for HNSCC.
Journal
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CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • CXCL1 (Chemokine (C-X-C motif) ligand 1)
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docetaxel
over2years
Taxane rechallenge during metastatic disease in HER-2 negative breast cancer patients: Clinical activity, tolerance and survival results. (PubMed, Breast)
Although only a minority of MBC patients are concerned, taxane rechallenge appears to be a pragmatic option with an acceptable tolerance, and good efficacy, especially when these drugs have shown clinical activity earlier in the disease course, and/or have been stopped for reasons other than progression.
Retrospective data • Journal • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
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HER-2 negative
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paclitaxel • docetaxel
over2years
Pralsetinib for RET Fusion-Positive Advanced Non-small-Cell Lung Cancer: An Evidence Review Group Perspective of a NICE Single Technology Appraisal. (PubMed, Pharmacoeconomics)
The comparators in the untreated population were pembrolizumab + pemetrexed + chemotherapy and pembrolizumab monotherapy. The comparators for the pre-treated population were docetaxel monotherapy, docetaxel + nintedanib, and platinum-based chemotherapy ± pemetrexed...The uncertainty of the clinical evidence and the estimates of cost effectiveness were too high to be considered a cost-effective use of NHS resources. Therefore, pralsetinib was not recommended for routine use.
NICE • Review • Journal • Metastases
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RET (Ret Proto-Oncogene)
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RET fusion • RET positive
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Keytruda (pembrolizumab) • docetaxel • pemetrexed • Gavreto (pralsetinib) • nintedanib