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DRUG CLASS:

RNA polymerase inhibitor

5d
Impact of rifampicin on P-glycoprotein (ABCB1) expression in M1 and M2 macrophages derived from the THP-1 monocytic cell line or peripheral blood mononuclear cells. (PubMed, Naunyn Schmiedebergs Arch Pharmacol)
In conclusion, ABCB1 expression in macrophages differs by the cell model (THP-1 cell line vs. primary PBMC) and the polarization phenotype (M1 vs. M2). Strong rifampicin-mediated enhancements of ABCB1 were only observed in THP-1-derived M1 and M2 cells.
Preclinical • Journal
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IFNG (Interferon, gamma) • ABCB1 (ATP Binding Cassette Subfamily B Member 1) • ABCG2 (ATP Binding Cassette Subfamily G Member 2) • IL13 (Interleukin 13) • IL4 (Interleukin 4) • SLCO2B1 (Solute Carrier Organic Anion Transporter Family Member 2B1)
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rifampicin
10d
Co-SAM: An Adaptive Multi-arm Trial to Improve Clinical Outcomes Among Children Recovering From Complicated SAM (clinicaltrials.gov)
P3, N=674, Active, not recruiting, Queen Mary University of London | Trial completion date: Sep 2027 --> Aug 2026 | Trial primary completion date: Feb 2026 --> Aug 2026
Trial completion date • Trial primary completion date
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rifampicin
12d
Lurbinectedin With Berzosertib, an ATR Kinase Inhibitor in Small Cell Cancers and High-Grade Neuroendocrine Cancers (clinicaltrials.gov)
P1/2, N=37, Active, not recruiting, National Cancer Institute (NCI) | Recruiting --> Active, not recruiting | N=120 --> 37 | Trial primary completion date: Aug 2026 --> Dec 2025
Enrollment closed • Enrollment change • Trial primary completion date
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berzosertib (M6620) • Zepzelca (lurbinectedin)
19d
New P2 trial
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Imfinzi (durvalumab) • Zepzelca (lurbinectedin)
27d
Co-SAM: An Adaptive Multi-arm Trial to Improve Clinical Outcomes Among Children Recovering From Complicated SAM (clinicaltrials.gov)
P3, N=674, Active, not recruiting, Queen Mary University of London | Recruiting --> Active, not recruiting | N=1266 --> 674 | Trial primary completion date: Jul 2026 --> Feb 2026
Enrollment closed • Enrollment change • Trial primary completion date
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rifampicin
1m
Onconase Induces Apoptosis in Dabrafenib-Resistant Melanoma Cell Lines Through Dysregulation of ROS Homeostasis, Antioxidant Protein Expression, and Mitochondrial Dynamics. (PubMed, Int J Mol Sci)
Collectively, these findings demonstrate that ONC disrupts redox homeostasis, mitochondrial function, and survival signaling in melanoma cells, exerting particularly potent effects in BRAF inhibitor-resistant populations. This study provides mechanistic insight into the anti-melanoma activity of ONC and supports its potential therapeutic application in drug-resistant melanoma.
Preclinical • Journal
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BIRC5 (Baculoviral IAP repeat containing 5) • CASP9 (Caspase 9) • CDK1 (Cyclin-dependent kinase 1) • ATG3 (Autophagy Related 3) • BECN1 (Beclin 1)
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BRAF mutation
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Tafinlar (dabrafenib) • Onconase (ranpirnase)
1m
Mechanical Bowel Preparation With or Without Oral Antibiotics in Left Sided Colorectal Cancer Surgery (clinicaltrials.gov)
P=N/A, N=60, Enrolling by invitation, Shaukat Khanum Memorial Cancer Hospital & Research Centre
New trial
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rifampicin
1m
Differential gene regulation by SR12813 and rifampicin: Insights into PXR and PPARγ activation and metabolic pathway modulation in LS180 colon cancer cells. (PubMed, Drug Metab Dispos)
SIGNIFICANCE STATEMENT: SR12813 activates both pregnane X receptor and peroxisome proliferator-activated receptor gamma, demonstrating dual nuclear receptor modulation in colon cancer cells. By linking xenobiotic metabolism with lipid and mitochondrial pathways, this work uncovers previously unreported receptor crosstalk and provides a mechanistic framework for how diverse ligands can differentially shape transcriptional programs relevant to drug metabolism and tumor biology.
Journal
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ABCB1 (ATP Binding Cassette Subfamily B Member 1) • UGT1A1 (UDP glucuronosyltransferase family 1 member A1) • PPARG (Peroxisome Proliferator Activated Receptor Gamma) • CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4) • NR1I2 (Nuclear Receptor Subfamily 1 Group I Member 2)
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rifampicin
1m
Biomimetic 3D-Bioprinted organoids of thymic epithelial tumors for translational drug screening and biomarker identification. (PubMed, Mater Today Bio)
Leveraging this biomimetic platform, we conducted high-throughput drug screening and identified lurbinectedin as a potent therapeutic candidate for TETs...Integrating RNAseq data with TCGA survival analysis further identified PBX3, REPS2, and CXCR4 as potential efficacy-predictive biomarkers. This study establishes a translational framework linking 3D bioprinted TET models with biomarker discovery, offering a standardized platform for precision drug screening and mechanistic exploration in thymic epithelial tumors.
Journal
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CXCR4 (Chemokine (C-X-C motif) receptor 4) • PBX3 (PBX Homeobox 3)
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Zepzelca (lurbinectedin)
1m
LiFFT: Lurbinectedin in FET-Fused Tumors (clinicaltrials.gov)
P1/2, N=63, Recruiting, Children's Hospital of Philadelphia | Trial primary completion date: Jul 2026 --> Jul 2027
Trial primary completion date
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EWSR1 (EWS RNA Binding Protein 1) • ETV1 (ETS Variant Transcription Factor 1) • FLI1 (Fli-1 Proto-Oncogene ETS Transcription Factor) • FUS (FUS RNA Binding Protein) • TAF15 (TATA-Box Binding Protein Associated Factor 15) • ETV4 (ETS Variant Transcription Factor 4)
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Zepzelca (lurbinectedin)
1m
BIOMARK4TB: Clinical trial in multiple hospitals to explore new ways to diagnose and monitor tuberculosis treatment (2025-522235-34-00)
P4, N=75, Recruiting, Fundacion Para La Investigacion Biomedica Del Hospital Universitario La Paz
New P4 trial