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DRUG:

simvastatin

i
Other names: L-644128-000U, MK-733
Company:
Generic mfg.
Drug class:
HMG-CoA reductase inhibitor
3d
Exploratory Clinical Trial of 2% Simvastatin Versus 2% Simvastatin/2% Cholesterol Cream in the Treatment of Disseminated Superficial Actinic Porokeratosis (ChiCTR2600117720)
P=N/A, N=24, Not yet recruiting, Dermatology Hospital of Southern Medical University; Dermatology Hospital of Southern Medical University
New trial
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simvastatin
3d
A randomized, double-blind, placebo-controlled clinical exploration of simvastatin in the treatment of lipid metabolism disorders complicated with depression (ChiCTR2500112180)
P=N/A, N=210, Not yet recruiting, Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine; Affiliated Mental Health Center &amp
New trial
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simvastatin
4d
Simvastatin Alleviates ConA-Induced Autoimmune Hepatitis by Inhibiting CD4+ T Cell Activation via Calcium-NFATC3 Pathway. (PubMed, Inflammation)
qPCR and flow cytometry analyses further confirmed that simvastatin exerted its therapeutic effects by suppressing the calcium signaling pathway and downregulating the expression of nuclear factor of activated T cells 3 (NFATC3). Collectively, our study demonstrates that simvastatin alleviates CD4+ T cell inflammatory responses in AIH through calcium-dependent signaling pathway.
Journal
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IFNG (Interferon, gamma) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CD4 (CD4 Molecule) • IL17A (Interleukin 17A) • NFATC1 (Nuclear Factor Of Activated T Cells 1) • NFATC3 (Nuclear Factor Of Activated T Cells 3)
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simvastatin
11d
Single-Cell Regulatory Network Analysis Identifies Adjunctive Drug Candidates in Early Risankizumab-Treated Psoriasis. (PubMed, Curr Pharm Des)
These findings offer preliminary clues for future risankizumab-based combination strategies in psoriasis.
Journal
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CD4 (CD4 Molecule) • S100A8 (S100 Calcium Binding Protein A8) • S100A9 (S100 Calcium Binding Protein A9) • ELF3 (E74 Like ETS Transcription Factor 3) • KRT14 (Keratin 14) • MAFB (MAF BZIP Transcription Factor B) • KRT6A (Keratin 6A) • NFIC (Nuclear Factor I C) • SREBF1 (Sterol Regulatory Element Binding Transcription Factor 1)
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Jingzhuda (entinostat) • simvastatin
15d
Low-dose Simvastatin protects pancreatic cancer cells by promoting mitochondrial autophagy through TFEB. (PubMed, Cell Oncol (Dordr))
These findings may explain one of the reasons for the suboptimal efficacy of simvastatin in the treatment of pancreatic cancer, while also providing new insights for research on the antitumor effects of statins.
Journal
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SQSTM1 (Sequestosome 1) • TFEB (Transcription Factor EB 2)
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erastin • simvastatin
25d
VIRMA/IGF2BP3-mediated ANLN upregulation promotes intrahepatic cholangiocarcinoma growth by forming a positive feedback loop with RhoA/YAP1/TEAD1 signaling pathway. (PubMed, Cell Death Dis)
Importantly, two clinical drugs, the RhoA inhibitor simvastatin and the YAP1/TEAD inhibitor verteporfin were determined to be the disruptors of this feed-forward signaling axis, inhibiting ICC tumor growth. These findings reveal the vital function of ANLN in ICC growth and provide promising treatment strategies for ICC.
Journal
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YAP1 (Yes associated protein 1) • RHOA (Ras homolog family member A) • ANLN (Anillin Actin Binding Protein) • IGF2BP3 (Insulin Like Growth Factor 2 MRNA Binding Protein 3) • TEAD1 (TEA Domain Transcription Factor 1) • VIRMA (Vir Like M6A Methyltransferase Associated)
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Visudyne (verteporfin) • simvastatin
25d
Neurotoxicity Prophylaxis With Intrathecal Dexamethasone and Simvastatin Post Axi-Cel (clinicaltrials.gov)
P1, N=37, Active, not recruiting, Masonic Cancer Center, University of Minnesota | Trial completion date: Dec 2025 --> Dec 2026
Trial completion date
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CXCL8 (Chemokine (C-X-C motif) ligand 8)
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Yescarta (axicabtagene ciloleucel) • dexamethasone • simvastatin
25d
Statin-dye conjugates for selective targeting of KRAS mutant cancer cells. (PubMed, PLoS One)
To investigate this, we synthesized statin-dye conjugates by attaching a fluorescent dye (Cy5.5) to two statins: simvastatin and pravastatin, aiming to assess whether selective uptake indeed occurs. Notably, in the PCC and CAF co-culture model, the pravastatin-Cy5.5 conjugate selectively killed KRASMUT PCCs without affecting the KRASWT CAFs. These findings highlight the unique synergistic potential of statin-Cy5.5-distinct from either component alone-as targeted delivery vehicles for KRASMUT cancer therapy.
Journal
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KRAS (KRAS proto-oncogene GTPase) • PTEN (Phosphatase and tensin homolog)
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KRAS mutation • KRAS wild-type • RAS wild-type
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simvastatin
27d
SACRED: Multi-Center Study of the Effects of Simvastatin on Hepatic Decompensation and Death in Subjects Presenting With High-Risk Compensated Cirrhosis (clinicaltrials.gov)
P3, N=142, Active, not recruiting, VA Office of Research and Development | Trial completion date: Dec 2025 --> Dec 2026 | Trial primary completion date: Dec 2025 --> Dec 2026
Trial completion date • Trial primary completion date
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simvastatin
1m
Regulating Tumor Metabolic Reprogramming with Biomimetic Co-Delivery of Simvastatin and Kynureninase for Immunotherapy. (PubMed, Adv Sci (Weinh))
Further, PTSK@CRM reduces the infiltration of immunosuppressive cells, thereby reversing ITME to improve the therapeutic efficacy of αPD-1. Overall, this immune-metabolic therapeutic strategy provides a potential route for remodeling ITME to enhance tumor immunotherapy.
Journal
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CD8 (cluster of differentiation 8) • IDO1 (Indoleamine 2,3-dioxygenase 1) • CD4 (CD4 Molecule) • KYNU (Kynureninase)
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simvastatin
1m
Lipophilic Statins Deplete GPX4 to Promote Ferroptosis and Sensitize Cancer Cells to Immune Checkpoint Blockade. (PubMed, Mol Cancer Ther)
Simvastatin also depleted GPX4 in vivo. These results highlight the therapeutic potential of statin use in combination with immunotherapies.
Journal • Checkpoint inhibition • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • PD-1 (Programmed cell death 1) • GPX4 (Glutathione Peroxidase 4)
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simvastatin
2ms
Effects of Ezetimibe, Statins, and Their Combination on Nuclear Factor Erythroid 2‑Related Factor 2/Heme Oxygenase-1/Kelch-like ECH-Associated Protein‑1 Signaling and Inflammatory Markers in Indomethacin-Induced Gastric Ulcer in Rats. (PubMed, ACS Pharmacol Transl Sci)
Rats were assigned into six groups (n = 8, each): (I) normal (control), (II) gastric ulcer induced with a single oral dose of indomethacin (30 mg/kg body weight), (III) rats received oral simvastatin (40 mg/kg/day) for 14 days, (IV) rats received oral ezetimibe (10 mg/kg/day) for 14 days, (V) the combination group received both oral simvastatin and ezetimibe, and (VI) standard group received oral famotidine (20 mg/kg). Simvastatin plus ezetimibe exerted synergistic gastroprotective effects in rats, associated with Nrf2/HO-1 activation and suppression of Keap1, oxidative stress, and pro-inflammatory cytokines. This combination may represent a novel therapeutic approach for preventing NSAID-induced GUs, meriting further mechanistic and translational studies.
Preclinical • Journal
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KEAP1 (Kelch Like ECH Associated Protein 1) • TNFA (Tumor Necrosis Factor-Alpha) • HMOX1 (Heme Oxygenase 1) • CRP (C-reactive protein)
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KEAP1 mutation
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simvastatin • ezetimibe/simvastatin