Cyclosporine A (CsA) functions as a calcineurin inhibitor that perturbs T cell activation via calcineurin-nuclear factor of activated T cells (CaN-NFAT) signaling inhibitors, establishing its central role in hematological therapeutics. The manuscript further elaborates on pharmacological synergies between CsA and novel targeted agents including eltrombopag, ruxolitinib, and immune checkpoint inhibitors, while evaluating its capacity to surmount chemotherapeutic resistance and function as a bridging modality to CAR-T cell infusion. Lastly, we propose tiered management protocols for dose-limiting toxicities (nephrotoxicity and hypertension) and highlight emerging research frontiers in nanoformulation and artificial intelligence-guided therapeutic drug monitoring.
2 months ago
Review • Journal • IO biomarker
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STAT3 (Signal Transducer And Activator Of Transcription 3) • NFATC1 (Nuclear Factor Of Activated T Cells 1)
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STAT3 mutation
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Jakafi (ruxolitinib) • cyclosporin A microemulsion • Promacta (eltrombopag)
P4, N=224, Recruiting, Institute of Hematology & Blood Diseases Hospital, China | Trial completion date: Aug 2022 --> Aug 2030 | Trial primary completion date: Feb 2022 --> Feb 2029
3 months ago
Trial completion date • Trial primary completion date
Among patients with SAA treated with IST-EPAG, early and late patterns of clonal evolution to myeloid cancer were observed: Chromosome 7 abnormalities occurred within 1 year, whereas later events (4-5 years) involved stepwise mutation acquisition in preexisting ASXL1- or U2AF1-mutated clones.
P2, N=34, Completed, National Heart, Lung, and Blood Institute (NHLBI) | Active, not recruiting --> Completed | Trial completion date: Jun 2025 --> Jan 2026