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DRUG CLASS:

RNA polymerase inhibitor

1m
Silibinin is a natural molecular glue that inhibits PD-L1 glycomaturation. (PubMed, Phytomedicine)
SBN is a plant-derived molecular glue that intercepts PD-L1 glycomaturation co-translationally in the ER. When combined with canonical PD-L1 dimerizers, SBN collapses adaptive PD-L1 expression and renders cancer cells exquisitely susceptible to the cytolytic insults of T cells. Due to its favorable safety profile and oral bioavailability, SBN is a promising "glycotherapeutic" phytochemical for T-cell-based immunotherapy, particularly in IFN-rich tumors with reactive PD-L1 expression programs.
Journal • PD(L)-1 Biomarker • IO biomarker
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IFNG (Interferon, gamma) • STAT3 (Signal Transducer And Activator Of Transcription 3)
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PD-L1 expression
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Legalon (silibinin)
2ms
Complexed rifampicin with iron mitigates doxorubicin-induced nephrotoxicity. (PubMed, BMC Pharmacol Toxicol)
In conclusion, we propose the iron-rifampicin complex as a potential candidate for nephroprotection against doxorubicin-induced nephrotoxicity, subject to further validation.
Journal
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CAT (Catalase)
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doxorubicin hydrochloride • rifampicin
2ms
Cross-linked (R)-(+)-lipoic acid nanoparticles loaded with silibinin induce apoptosis and autophagy in glioblastoma cells. (PubMed, Am J Transl Res)
SF@LA-NPs developed in this study significantly enhanced the delivery efficiency and antitumor activity of silibinin in glioblastoma cells. Moreover, a dual-mechanism mode of action was elucidated, involving ROS-induced mitochondrial apoptosis and compensatory protective autophagy. These findings provide a promising nano-platform and a theoretical basis for combination therapies targeting apoptosis-autophagy crosstalk in glioblastoma.
Journal
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CASP3 (Caspase 3)
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Legalon (silibinin)
2ms
RIFACute: Impact of Rifampicin in Treatment Outcome of Cutibacterium Acnes Prosthetic Joint Infections (clinicaltrials.gov)
P3, N=235, Recruiting, Centre Hospitalier Universitaire de Nice | Not yet recruiting --> Recruiting | Trial completion date: Jul 2027 --> May 2028 | Trial primary completion date: Jul 2027 --> May 2028
Enrollment open • Trial completion date • Trial primary completion date
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rifampicin
2ms
RICHH: Rifampin in CYP24A1-related Hypercalcemia and Hypercalciuria (clinicaltrials.gov)
P2, N=60, Recruiting, Children's Hospital of Philadelphia | Trial primary completion date: Dec 2026 --> Dec 2027
Trial primary completion date
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rifampicin
2ms
LOTS: Lurbinectedin With Osimertinib in Transformed Small Cell Lung Cancer (clinicaltrials.gov)
P1/2, N=16, Recruiting, Misty Shields | Not yet recruiting --> Recruiting | Initiation date: May 2026 --> Aug 2026
Enrollment open • Trial initiation date
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MET (MET proto-oncogene, receptor tyrosine kinase)
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EGFR mutation • MET amplification
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Tagrisso (osimertinib) • Zepzelca (lurbinectedin)
2ms
RIFREE: Rifampin-free Regimen Versus Rifampin-containing Regimen in the Treatment of Staphylococcal Prosthetic Valve Endocarditis (clinicaltrials.gov)
P3, N=422, Recruiting, Nantes University Hospital | Not yet recruiting --> Recruiting | Trial completion date: Jan 2031 --> Jun 2031 | Initiation date: Jan 2026 --> Jun 2026 | Trial primary completion date: Jul 2030 --> Dec 2030
Enrollment open • Trial completion date • Trial initiation date • Trial primary completion date • Head-to-Head
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rifampicin
2ms
An Exploratory Study of Lurbinectedin With Radiotherapy in SCLC With Single-lesion Progression After First Course Treatment (clinicaltrials.gov)
P2, N=9, Active, not recruiting, Cancer Institute and Hospital, Chinese Academy of Medical Sciences | Not yet recruiting --> Active, not recruiting | Trial completion date: Dec 2025 --> Jun 2027 | Trial primary completion date: Mar 2025 --> Dec 2026
Enrollment closed • Trial completion date • Trial primary completion date
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Zepzelca (lurbinectedin)
2ms
New P2 trial
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paclitaxel • Zepzelca (lurbinectedin)
2ms
Enrollment closed
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doxorubicin hydrochloride • dexamethasone • Zepzelca (lurbinectedin) • Neupogen (filgrastim) • ondansetron
2ms
Bcl-2 as a Double-edged Sword for the Treatment of Multiple Sclerosis: A Systematic Review. (PubMed, CNS Neurol Disord Drug Targets)
While modulating Bcl-2 pathways can be effective in MS, future research should aim to provide greater clarification and to design precision-based drugs capable of neuroprotective effects.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • IFNB1 (Interferon Beta 1) • LEP (Leptin)
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sirolimus • rifampicin
2ms
Guselkumab Safety in Patients With Latent Tuberculosis: Analysis of 11 Studies in Psoriatic Disease. (PubMed, J Dermatol)
Among 5 255 randomized patients, 374 (7.1%) had LTBI and received preventive treatment, most commonly isoniazid (82.1%) and rifampicin (11.8%). From Year 1-5 (after ~98% of LTBI+ patients completed preventive treatment), transaminase elevations were generally similar among LTBI+ and LTBI- patients. The absence of observed TB risk in guselkumab-treated patients suggests IL-23 inhibitors may be better treatment options than TNFi in high-risk patients, including those in TB-endemic regions.
Journal
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IL23A (Interleukin 23 Subunit Alpha)
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rifampicin