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DRUG:

paclitaxel

i
Other names: BMY 45622, BMS-181339, NSC-125973, QW-8184, MBT-0206, NK-105, DHP-107
Company:
Generic mfg.
Drug class:
Bcl2 inhibitor, Tubulin polymerization promoter
Related drugs:
1d
PIK3CA mutations in endometrial cancer: a pre-planned biomarker analysis from the phase II MITO END-3 study of carboplatin and paclitaxel with or without avelumab in advanced or recurrent endometrial cancer (AIOM 2024)
The frequent alterations of the PI3K pathway in gynecological cancers could emerge as new treatment target. Our data confirm the high frequency of PIK3CA mutations establishing EC as an ideal candidate for testing of PI3K inhibitors regardless of the TCGA classification. Moreover, these data confirm that other targetable mutations are present also in MSS EC group thus suggesting that new target agents should be explored.
P2 data • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker • Metastases
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TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • MSI (Microsatellite instability) • PTEN (Phosphatase and tensin homolog) • ARID1A (AT-rich interaction domain 1A) • POLE (DNA Polymerase Epsilon)
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TP53 mutation • MSI-H/dMMR • PIK3CA mutation • TP53 wild-type • PIK3CA H1047R • PTEN mutation • ARID1A mutation • POLE mutation • PIK3CA E545K • PIK3CA E545 • PIK3CA E542 • PIK3CA H1047L • PIK3CA mutation + PTEN mutation • PIK3CA C420R • PIK3CA E545A • PIK3CA E545G • PIK3CA Q546 • PIK3CA Q546R
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FoundationOne® CDx
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carboplatin • paclitaxel • Bavencio (avelumab)
1d
DLL4-targeted CAR-T therapy sensitizes neoadjuvant chemotherapy via eliminating cancer stem cells and reshaping immune microenvironment in HER2+ breast cancer. (PubMed, J Immunother Cancer)
Our study revealed novel functions of DLL4 in cell stemness and immune infiltration, including NET formation and T cell exclusion, which collectively contributed to THP neoadjuvant therapy resistance in HER2+ BC. Furthermore, we provided a CAR-T-based therapy to sensitize the THP neoadjuvant therapy.
Journal • Cancer stem • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2)
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Herceptin (trastuzumab) • paclitaxel • Perjeta (pertuzumab)
1d
Systemic chemokine-modulatory regimen combined with neoadjuvant chemotherapy in patients with triple-negative breast cancer. (PubMed, J Immunother Cancer)
Combined paclitaxel/CKM regimen was safe, with desirable TME changes and preliminary indications of promising pCR+ypTmic of 66%, comparable to the combination of NAC with pembrolizumab.
Journal
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FOXP3 (Forkhead Box P3) • TLR3 (Toll Like Receptor 3) • IFNA1 (Interferon Alpha 1)
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Keytruda (pembrolizumab) • paclitaxel • doxorubicin hydrochloride • cyclophosphamide • Ampligen (rintatolimod) • celecoxib oral
1d
Aprepitant mitigates paclitaxel-induced neuropathic pain in rats via suppressing inflammatory pathways in dorsal root ganglia. (PubMed, Drug Chem Toxicol)
Aprepitant was orally administered every alternate day between days 2 and 14, with a prescribed dosage of 10 or 20 mg/kg. In addition, aprepitant application suppressed the protein expression of NF-kB in the dorsal root ganglia of paclitaxel-treated rats, as revealed by western blot analysis. Aprepitant treatment ameliorates neuropathy induced by paclitaxel, which is associated with decreasing proinflammatory cytokines and NF-kB expression.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • NFKB1 (Nuclear factor of kappa light polypeptide gene enhancer in B-cells 1) • IL1B (Interleukin 1, beta)
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NFKB1 expression
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paclitaxel • aprepitant oral
1d
Clinicopathologic feature and treatment progress of high-grade ovarian neuroendocrine tumors. (PubMed, Med Oncol)
Primary treatment strategies predominantly involve surgical intervention coupled with etoposide-cisplatin combination chemotherapy. In cases of recurrence, second-line chemotherapeutic agents including paclitaxel, irinotecan, and doxorubicin are commonly employed alongside localized radiotherapy. While specific genetic mutations remain elusive, emerging evidence suggests potential therapeutic effect involving mTOR inhibitors, PD-1 monoclonal antibodies, and antiangiogenic agents based on isolated case reports. The exploration of representative set of mutations will help for precise targeted therapies and remains a focal point of our ongoing research efforts.
Review • Journal • PD(L)-1 Biomarker • IO biomarker
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MUC16 (Mucin 16, Cell Surface Associated) • CA 19-9 (Cancer antigen 19-9)
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cisplatin • paclitaxel • doxorubicin hydrochloride • etoposide IV • irinotecan
1d
Microtubule poleward flux as a target for modifying chromosome segregation errors. (PubMed, Proc Natl Acad Sci U S A)
In a similar manner, a low-dose taxol treatment rescued mitotic errors in a high-grade serous ovarian carcinoma cell line OVKATE. Collectively, our results highlight the potential of targeting microtubule poleward flux to modify chromosome instability and provide insight into the mechanism through which low doses of taxol rescue certain mitotic errors in cancer cells.
Journal
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KIF18A (Kinesin Family Member 18A)
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paclitaxel
2d
Cocrystal@protein-anchoring nanococktail for combinatorially treating multidrug-resistant cancer. (PubMed, Acta Pharm Sin B)
Herein, a "one stone and three birds" nanococktail integrated by a cocrystal@protein-anchoring strategy was purposed for triple-payload delivery, which paclitaxel-disulfiram cocrystal-like nanorods (NRs) were anchored with the basic protein drug Cytochrome c (Cyt C), followed by hyaluronic-acid modification. Our mechanistic study indicated that the system induced the apoptosis of Taxol-resistant tumor cells through the signal axis P-glycoprotein/Cyt C/caspase 3. Collectively, this nanococktail strategy offers a promising approach to improve the sensitivity of tumor cells to chemotherapeutic drugs and strengthen intractable drug-resistant oncotherapy.
Journal
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CASP3 (Caspase 3)
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paclitaxel
2d
Multi-omics analysis revealed significant metabolic changes in brain cancer cells treated with paclitaxel and/or topotecan. (PubMed, Heliyon)
Overall, this study underscores the effectiveness of multi-omics approaches in revealing the molecular mechanisms driving chemotherapy responses in cancer cells. Additionally, this work generates a comprehensive list of molecular alterations that can serve as a foundation for further investigations and inform personalized healthcare strategies to enhance patient outcomes.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • RACK1 (Receptor For Activated C Kinase 1) • RPA3 (Replication Protein A3)
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paclitaxel • topotecan
3d
Impact of metabolism-related markers on outcomes in ovarian cancer patients: Findings of the MITO16A/MaNGO-OV2 trial. (PubMed, Int J Biol Markers)
These results indicate marked heterogeneity of expression of metabolism-associated markers in ovarian cancer; however, there was a lack of association with clinical benefit after chemotherapy/anti-vascular endothelial growth factor treatment. Notwithstanding the lack of prognostic value, knowledge of the pattern of expression of these biomarkers in tumors can be useful for patient stratification purposes when new drugs targeting these metabolic pathways will be tested.
Journal
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CA9 (Carbonic anhydrase 9) • SLC16A1 (Solute Carrier Family 16 Member 1)
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Avastin (bevacizumab) • carboplatin • paclitaxel
3d
Targeted Elimination of the Oral Pathogen to Overcome Chemoresistance of Oral Squamous Cell Carcinoma by Biologically Derived Nanotherapeutics. (PubMed, ACS Nano)
Accordingly, the biologically derived nanovesicles from ginger (GDNVs) with excellent P. gingivalis elimination ability are explored to transport the clinically used drug paclitaxel (PTX) for potentiating the therapeutic efficiency...By evaluating both P. gingivalis-infected tumor cells and P. gingivalis-infiltrated tumor-bearing mice, P-GDNVs show a much enhanced tumor cell killing effect, as compared with free PTX. This naturally occurring nanotherapeutic system represents an effective bioactive material for targeted elimination of host microbiota to boost therapeutic response, showing great promise to combat commensal microbiota-rich tumors.
Journal
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IL6 (Interleukin 6)
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paclitaxel
3d
Oncogene Downregulation by Mahanine Suppresses Drug-Sensitive and Drug-Resistant Lung Cancer and Inhibits Orthotopic Tumor Progression. (PubMed, Cancers (Basel))
The antiproliferative activity of MH was determined using MTT and colony formation assays against drug-sensitive (A549 and H1299) and Taxol-resistant lung cancer cells (A549-TR)...In vivo, MH (25 mg/kg b. wt.) significantly (p < 0.001) inhibited the growth of A549 lung cancer orthotopic xenografts in NOD Scid mice by 70%. Our study provides new mechanistic insights into MH's therapeutic potential against NSCLC.
Journal • IO biomarker
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • CDK4 (Cyclin-dependent kinase 4) • BCL2L1 (BCL2-like 1) • BIRC5 (Baculoviral IAP repeat containing 5) • CDK1 (Cyclin-dependent kinase 1)
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paclitaxel
3d
Enrollment change
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Keytruda (pembrolizumab) • carboplatin • paclitaxel
3d
Neoadjuvant Chemotherapy in Combination With Toripalimab for HR+/HER2- Breast Cancer (NEOTORCH-BREAST01) (clinicaltrials.gov)
P2, N=30, Recruiting, First Affiliated Hospital of Zhejiang University | N=50 --> 30 | Trial completion date: Oct 2029 --> Jun 2029 | Initiation date: Oct 2024 --> Jun 2024 | Trial primary completion date: Oct 2026 --> Jun 2026
Enrollment change • Trial completion date • Trial initiation date • Trial primary completion date • Combination therapy
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 negative
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paclitaxel • Loqtorzi (toripalimab-tpzi) • cyclophosphamide • epirubicin
3d
New P1 trial
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cisplatin • paclitaxel • Tevimbra (tislelizumab-jsgr)
4d
Reversal Potentials of Tween 20 in ABC Transporter-Mediated Multidrug-Resistant Cancer and Treatment-Resistant Depression Through Interacting with Both Drug-Binding and ATP-Binding Areas on MDR proteins. (PubMed, J Drug Target)
Additionally, 0.005% Tween 20 effectively reversed resistance to paclitaxel, vincristine, doxorubicin, and mitoxantrone in various cancer MDR cell lines. In the in vivo depression-like behavior model, 0.01% Tween 20 markedly enhanced the antidepressant and anxiolytic effects of fluoxetine. Given its strong inhibitory effects on P-gp, MRP1, and BCRP, along with its capacity to reverse drug resistance both in vitro and in vivo, Tween 20 is a compelling candidate for tackling transporter-mediated drug resistance.
Journal
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ABCC1 (ATP Binding Cassette Subfamily C Member 1)
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paclitaxel • doxorubicin hydrochloride • vincristine • mitoxantrone • fluoxetine
4d
Phase Ib clinical and pharmacodynamic study of the TIE2 kinase inhibitor rebastinib with paclitaxel or eribulin in HER2-negative metastatic breast cancer. (PubMed, Clin Cancer Res)
In patients with MBC, the recommended phase 2 dose of rebastinib associated with pharmacodynamic evidence of TIE2 inhibition is either 50 or 100 mg PO BID in combination with paclitaxel or eribulin.
P1 data • PK/PD data • Journal • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 negative
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paclitaxel • Halaven (eribulin mesylate) • rebastinib (DCC-2036)
4d
Efficacy and safety of dostarlimab in combination with chemotherapy in patients with dMMR/MSI-H primary advanced or recurrent endometrial cancer in a phase 3, randomized, placebo-controlled trial (ENGOT-EN6-NSGO/GOG-3031/RUBY). (PubMed, Gynecol Oncol)
All primary and secondary efficacy assessments demonstrate the consistent benefit of dostarlimab plus carboplatin-paclitaxel. The improvements seen in survival and the manageable safety profile support the favorable benefit-risk profile for dostarlimab plus carboplatin-paclitaxel in patients with dMMR/MSI-H primary advanced or recurrent EC.
P3 data • Journal • Combination therapy • Metastases
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MSI (Microsatellite instability)
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MSI-H/dMMR
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carboplatin • paclitaxel • Jemperli (dostarlimab-gxly)
5d
A Prospective, Randomized Multicenter, Open-label Comparison of Preoperative Combination of Trastuzumab and Pertuzumab With or Without Concurrent Taxane Chemotherapy Given for Twelve Weeks in Patients With Operable HER2+/HR- Breast Cancer Within the ADAPT Protocol (clinicaltrials.gov)
P2, N=220, Active, not recruiting, West German Study Group | Recruiting --> Active, not recruiting | Trial completion date: Oct 2024 --> Jan 2025 | Trial primary completion date: Aug 2015 --> Jan 2025
Enrollment closed • Trial completion date • Trial primary completion date
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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PGR negative
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Herceptin (trastuzumab) • paclitaxel • Perjeta (pertuzumab)
5d
Study of Pembrolizumab (MK-3475) Plus Chemotherapy Versus Placebo Plus Chemotherapy for HR+/HER2- Locally Recurrent Inoperable or Metastatic Breast Cancer (MK-3475-B49/KEYNOTE-B49) (clinicaltrials.gov)
P3, N=340, Active, not recruiting, Merck Sharp & Dohme LLC | N=800 --> 340 | Trial completion date: Jul 2028 --> Mar 2025 | Trial primary completion date: Jul 2028 --> Mar 2025
Enrollment change • Trial completion date • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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HER-2 negative
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Keytruda (pembrolizumab) • paclitaxel • capecitabine • albumin-bound paclitaxel • pegylated liposomal doxorubicin
5d
ARC-10: Study Evaluating Effectiveness and Safety of Zimberelimab and Domvanalimab in Lung Cancer (clinicaltrials.gov)
P2, N=169, Active, not recruiting, Arcus Biosciences, Inc. | Phase classification: P3 --> P2 | Trial primary completion date: Aug 2024 --> May 2027
Phase classification • Trial primary completion date
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression • PD-L1 overexpression
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VENTANA PD-L1 (SP263) Assay
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Keytruda (pembrolizumab) • carboplatin • paclitaxel • pemetrexed • Yutuo (zimberelimab) • domvanalimab (AB154)
6d
New P1/2 trial
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cisplatin • carboplatin • paclitaxel • everolimus • Stivarga (regorafenib) • etoposide IV • SYHA1813
6d
Trial completion date
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HER-2 (Human epidermal growth factor receptor 2)
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paclitaxel • docetaxel • cyclophosphamide • epirubicin
8d
Real world data to evaluate the efficacy of paclitaxel plus cisplatin in the treatment of breast cancer (ChiCTR2400089679)
P=N/A, N=304, Not yet recruiting, Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine; Renji Hospital affiliated to Shanghai Jiaotong University School of Medi
New trial • Real-world evidence • Real-world
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cisplatin • paclitaxel
8d
A multicenter, single-arm clinical study of enlonstobart combined with chemoradiotherapy for locally advanced cervical cancer (ENLONG-003) (ChiCTR2400091264)
P4, N=50, Not yet recruiting, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology; Union Hospital, Tongji Medical College, Huazhong University of
New P4 trial • Metastases
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression
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Avastin (bevacizumab) • cisplatin • carboplatin • paclitaxel • Enshuxing (enlonstobart)
8d
New P4 trial • Metastases
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cisplatin • carboplatin • paclitaxel • Tevimbra (tislelizumab-jsgr)
8d
New P3 trial • Combination therapy
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paclitaxel • topotecan • BNT327
8d
New P2 trial • Metastases
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carboplatin • paclitaxel • Yidafan (ivonescimab)
8d
An open, single-arm, exploratory clinical trial of anlotinib hydrochloride combined with chemoradiotherapy for the treatment of locally advanced cervical cancer (ChiCTR2400089617)
P2, N=30, Not yet recruiting, Gansu Provincial Maternal and Child Health Care Hospital/Gansu Provincial Central Hospital; Gansu Provincial Maternal and Child Health Care Hospital/G
New P2 trial • Metastases
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CA 19-9 (Cancer antigen 19-9)
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cisplatin • paclitaxel • Focus V (anlotinib)
8d
New P2 trial • Combination therapy • Metastases
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carboplatin • paclitaxel
10d
RAMIRIS: Ramucirumab Plus FOLFIRI Versus Ramucirumab Plus Paclitaxel in Patients With Advanced or Metastatic Gastric Cancer, Who Failed One Prior Line of Palliative Chemotherapy (clinicaltrials.gov)
P2/3, N=429, Recruiting, Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest | Trial primary completion date: Sep 2024 --> Dec 2024
Trial primary completion date • Metastases
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paclitaxel • 5-fluorouracil • Cyramza (ramucirumab) • irinotecan • leucovorin calcium
10d
Phase I Study of TH1 Dendritic Cell Immunotherapy for the Treatment of Cutaneous Angiosarcoma (clinicaltrials.gov)
P1, N=0, Withdrawn, M.D. Anderson Cancer Center | N=24 --> 0 | Trial completion date: Dec 2029 --> Nov 2024 | Recruiting --> Withdrawn | Trial primary completion date: Dec 2029 --> Nov 2024
Enrollment change • Trial completion date • Trial withdrawal • Trial primary completion date
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CD4 (CD4 Molecule)
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paclitaxel • Neupogen (filgrastim)
10d
New P2 trial • Metastases
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paclitaxel • Cyramza (ramucirumab) • irinotecan • Lonsurf (trifluridine/tipiracil) • bemarituzumab (AMG 552)
11d
Prognosis prediction of head and neck squamous cell carcinoma through the basement membrane-related lncRNA risk model. (PubMed, Front Mol Biosci)
Additionally, heightened sensitivity to paclitaxel and docetaxel was evident in the patients at high risk. We have established a BMLncRNA-based prognostic model that can provide clinical guidance for future laboratory and clinical studies of HNSCC.
Journal • Tumor mutational burden • IO biomarker
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TMB (Tumor Mutational Burden)
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paclitaxel • docetaxel
11d
RATIONALE-311: A Study to Investigate Tislelizumab (BGB-A317) Versus Placebo in Combination With Concurrent Chemoradiotherapy in Participants With Localized Esophageal Squamous Cell Carcinoma (clinicaltrials.gov)
P3, N=370, Active, not recruiting, BeiGene | Trial completion date: Dec 2024 --> Jun 2026 | Trial primary completion date: Nov 2024 --> Jun 2025
Trial completion date • Trial primary completion date • Combination therapy
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cisplatin • paclitaxel • Tevimbra (tislelizumab-jsgr)
12d
Phase classification
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cisplatin • gemcitabine • paclitaxel • fluorouracil topical
12d
New P3 trial • Metastases
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cisplatin • paclitaxel
12d
STUB1 suppresses paclitaxel resistance in ovarian cancer through mediating HOXB3 ubiquitination to inhibit PARK7 expression. (PubMed, Commun Biol)
Furthermore, STUB1 overexpression or PARK7 silencing suppressed tumor formation in nude mice. In short, STUB1 promoted ferroptosis through regulating HOXB3/PARK7 axis, thereby suppressing chemotherapy resistance in OC.
Journal
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HOXB3 (Homeobox B3)
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paclitaxel
13d
Sapanisertib and Serabelisib (PIKTOR) With Paclitaxel and a Substudy With Diet in Patients With Advanced/Recurrent Endometrial Cancer (clinicaltrials.gov)
P2, N=40, Not yet recruiting, Faeth Therapeutics | N=120 --> 40 | Initiation date: Sep 2024 --> Dec 2024
Enrollment change • Trial initiation date • Metastases
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paclitaxel • sapanisertib (CB-228) • serabelisib (MLN1117)
13d
EORTC-1206: Androgen Deprivation Therapy in Advanced Salivary Gland Cancer (clinicaltrials.gov)
P2, N=149, Completed, European Organisation for Research and Treatment of Cancer - EORTC | Active, not recruiting --> Completed | Trial completion date: Jul 2024 --> Feb 2024
Trial completion • Trial completion date • Metastases
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AR expression
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cisplatin • carboplatin • paclitaxel • doxorubicin hydrochloride • bicalutamide • triptorelin
13d
PINBALL: Paricalcitol Addition to Chemotherapy in Patients With Previously Untreated Metastatic Pancreatic Ductal Adenocarcinoma (clinicaltrials.gov)
P2, N=14, Active, not recruiting, Barts & The London NHS Trust | Unknown status --> Active, not recruiting | Trial completion date: Jun 2021 --> Jun 2025 | Trial primary completion date: Jun 2021 --> Jun 2025
Enrollment closed • Trial completion date • Trial primary completion date • Metastases
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cisplatin • gemcitabine • paclitaxel