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DRUG CLASS:

Topoisomerase I inhibitor

Related drugs:
20h
DB-1310, an ADC comprised of a novel anti-HER3 antibody conjugated to a DNA topoisomerase I inhibitor, is highly effective for the treatment of HER3-positive solid tumors. (PubMed, J Transl Med)
These finding demonstrated that DB-1310 exerted potent antitumor activities against HER3 + tumors in in vitro and in vivo models, and showed acceptable safety profiles in nonclinical species. Therefore, DB-1310 may be effective for the clinical treatment of HER3 + solid tumors.
Journal
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HER-2 (Human epidermal growth factor receptor 2)
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ERBB3 overexpression • ERBB3 positive
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Tagrisso (osimertinib) • patritumab deruxtecan (U3-1402) • DB-1310
20h
IDeate-2: A Study of Ifinatamab Deruxtecan Versus Treatment of Physician's Choice in Subjects With Relapsed Small Cell Lung Cancer (clinicaltrials.gov)
P3, N=468, Not yet recruiting, Daiichi Sankyo | Trial completion date: Jan 2028 --> Feb 2029 | Trial primary completion date: Jul 2026 --> Apr 2027
Trial completion date • Trial primary completion date
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topotecan • Zepzelca (lurbinectedin) • ifinatamab deruxtecan (DS-7300) • Calsed (amrubicin)
20h
NALLONG: RWE on Patients With mPDAC Long-term Survival After Treatment With Liposomal Irinotecan (clinicaltrials.gov)
P=N/A, N=163, Active, not recruiting, Servier Affaires Médicales | Recruiting --> Active, not recruiting | Trial completion date: Jan 2024 --> Sep 2024
Enrollment closed • Trial completion date • HEOR • Real-world evidence • Real-world • Metastases
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Onivyde (nanoliposomal irinotecan)
1d
Impact of concurrent antibody-drug conjugates and radiotherapy on symptomatic radiation necrosis in breast cancer patients with brain metastases: a multicenter retrospective study. (PubMed, J Neurooncol)
This study suggests that concurrent ADC and radiotherapy are associated with a higher risk of SRN in HER2-positive breast cancer patients.
Retrospective data • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive
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Kadcyla (ado-trastuzumab emtansine) • Enhertu (fam-trastuzumab deruxtecan-nxki)
1d
Unveiling the intra-tumor fate of trastuzumab deruxtecan in a xenograft model to support its mechanism of action. (PubMed, Drug Metab Pharmacokinet)
In addition, based on the data showing the antibody component of T-DXd barely distributed in the nucleus, it was suggested that the DXd-related signals detected in the nucleus were predominantly derived from free DXd. These observations help support the mode of action of T-DXd from the perspective of drug disposition.
Preclinical • Journal
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CTSS (Cathepsin S)
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HER-2 positive • HER-2 expression
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Enhertu (fam-trastuzumab deruxtecan-nxki)
4d
Recent Advances in Systemic Therapy for Advanced Intrahepatic Cholangiocarcinoma. (PubMed, Liver Cancer)
The addition of durvalumab to a gemcitabine plus cisplatin regimen has significantly improved overall survival in the phase 3 TOPAZ-1 trial and is currently recommended as a standard first-line treatment. The phase 3 ABC-06 and phase 2b NIFTY trials have shown the benefit of second-line fluoropyrimidine plus oxaliplatin, and fluoropyrimidine plus nanoliposomal irinotecan, respectively...However, most patients eventually show resistance to the treatment, and tumor progression occurs within a year. Indeed, there should be further efforts to improve the outcomes of patients with advanced IHCCA.
Review • Journal • PD(L)-1 Biomarker • IO biomarker • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • BRAF (B-raf proto-oncogene) • FGFR2 (Fibroblast growth factor receptor 2) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1)
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BRAF mutation • HER-2 amplification • HER-2 mutation • IDH1 mutation • FGFR2 mutation • FGFR2 rearrangement
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cisplatin • Imfinzi (durvalumab) • gemcitabine • oxaliplatin • Onivyde (nanoliposomal irinotecan)
4d
Trial initiation date • Combination therapy • Metastases
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TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
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capecitabine • Trodelvy (sacituzumab govitecan-hziy)
4d
NaliCap (Irinotecan Liposome (Nal-IRI)/Capecitabine) vs. NAPOLI (Nal-IRI/5-FU/LV) ) in Advanced Pancreatic Cancer (clinicaltrials.gov)
P2, N=200, Recruiting, Seoul National University Hospital | Trial completion date: Dec 2024 --> Dec 2025 | Trial primary completion date: Dec 2023 --> Dec 2024
Trial completion date • Trial primary completion date • Metastases
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gemcitabine • 5-fluorouracil • capecitabine • leucovorin calcium • Onivyde (nanoliposomal irinotecan)
4d
Study Evaluating Treatment of Sacituzumab-govitecan for Patients With Metastatic Esophagogastric Adenocarcinoma (clinicaltrials.gov)
P1/2, N=56, Recruiting, Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest | Not yet recruiting --> Recruiting
Enrollment open • Metastases
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MSI (Microsatellite instability)
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MSI-H/dMMR
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Trodelvy (sacituzumab govitecan-hziy)
4d
DECIPHER: Developing ctDNA Guided Adjuvant Therapy for Gastrooesophageal Cancer (clinicaltrials.gov)
P2, N=25, Recruiting, University of Southampton | Not yet recruiting --> Recruiting | Trial primary completion date: Nov 2025 --> Mar 2026
Enrollment open • Trial primary completion date • Circulating tumor DNA
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 overexpression
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Signatera™
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Enhertu (fam-trastuzumab deruxtecan-nxki)
5d
Testing the Biological Effects of DS-8201a on Patients With Advanced Cancer (clinicaltrials.gov)
P1, N=63, Active, not recruiting, National Cancer Institute (NCI) | Recruiting --> Active, not recruiting
Enrollment closed • Metastases
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CD4 (CD4 Molecule)
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HER-2 positive • HER-2 amplification • HER-2 expression
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Enhertu (fam-trastuzumab deruxtecan-nxki)
5d
Study of AZD9829 in CD123+ Hematological Malignancies (clinicaltrials.gov)
P1/2, N=65, Recruiting, AstraZeneca | Trial completion date: Dec 2025 --> Aug 2026 | Trial primary completion date: Dec 2025 --> Aug 2026
Trial completion date • Trial primary completion date
6d
Testing the Biological Effects of DS-8201a on Patients With Advanced Cancer (clinicaltrials.gov)
P1, N=63, Recruiting, National Cancer Institute (NCI) | Trial completion date: Dec 2024 --> Dec 2025 | Trial primary completion date: Dec 2024 --> Dec 2025
Trial completion date • Trial primary completion date • Metastases
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CD4 (CD4 Molecule)
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HER-2 positive • HER-2 amplification • HER-2 expression
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Enhertu (fam-trastuzumab deruxtecan-nxki)
6d
Enrollment open • Surgery
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Keytruda (pembrolizumab) • cisplatin • carboplatin • gemcitabine • paclitaxel • pemetrexed • sacituzumab tirumotecan (MK-2870)
6d
A Study of HLX42 in Advanced/Metastatic Solid Tumors (clinicaltrials.gov)
P1, N=42, Recruiting, Shanghai Henlius Biotech | Not yet recruiting --> Recruiting
Enrollment open • Metastases
6d
Tropion-Lung08: Study of Dato-DXd Plus Pembrolizumab vs Pembrolizumab Alone in the First-line Treatment of Subjects With Advanced or Metastatic NSCLC Without Actionable Genomic Alterations (clinicaltrials.gov)
P3, N=740, Recruiting, Daiichi Sankyo | Trial completion date: Jun 2026 --> Apr 2028 | Trial primary completion date: Jun 2026 --> Feb 2028
Trial completion date • Trial primary completion date • Metastases
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EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • RET (Ret Proto-Oncogene) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
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PD-L1 expression
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PD-L1 IHC 22C3 pharmDx
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Keytruda (pembrolizumab) • datopotamab deruxtecan (DS-1062a)
7d
Saci-IO TNBC: Sacituzumab Govitecan +/- Pembrolizumab in Metastatic TNBC (clinicaltrials.gov)
P2, N=110, Recruiting, Dana-Farber Cancer Institute | Trial completion date: Apr 2027 --> Apr 2029 | Trial primary completion date: Apr 2024 --> Apr 2026
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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PD-L1 expression • HER-2 negative • PD-L1 negative • PGR expression
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PD-L1 IHC 22C3 pharmDx • VENTANA PD-L1 (SP142) Assay
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Keytruda (pembrolizumab) • Trodelvy (sacituzumab govitecan-hziy)
7d
The Study of Huaier Granule in Postoperative Adjuvant Therapy of Resectable Pancreatic Cancer (clinicaltrials.gov)
P4, N=642, Not yet recruiting, Health Science Center of Xi'an Jiaotong University
New P4 trial
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capecitabine • oxaliplatin • irinotecan
7d
A Phase II Trial of Sacituzumab Govitecan in Patients With Advanced Thymic Epithelial Tumors (clinicaltrials.gov)
P2, N=18, Recruiting, Georgetown University | Not yet recruiting --> Recruiting
Enrollment open • Metastases
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Trodelvy (sacituzumab govitecan-hziy)
7d
Enrollment open • Pan tumor • Metastases
|
ifinatamab deruxtecan (DS-7300)
7d
Trial completion date
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HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 negative
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irinotecan • Onivyde (nanoliposomal irinotecan)
8d
New P1 trial • Combination therapy
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Enhertu (fam-trastuzumab deruxtecan-nxki) • azenosertib (ZN-c3)
9d
Open questions, current challenges, and future perspectives in targeting human epidermal growth factor receptor 2-low breast cancer. (PubMed, ESMO Open)
Available evidence supports the efficacy of T-DXd in patients with any history of IHC 1+ or IHC 2+/ISH- scores; however, future research may further refine the population who could benefit from T-DXd or other HER2-directed therapies and identify novel methods for patient identification. Because HER2 expression can change with disease progression or treatment, and variability exists in scoring and interpretation of HER2 status, careful re-evaluation in certain scenarios may help to identify more patients who may benefit from T-DXd.
Review • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HR positive • HER-2 negative • HER-2 expression
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Enhertu (fam-trastuzumab deruxtecan-nxki)
10d
HER2-Positive Gastric Cancer and Antibody Treatment: State of the Art and Future Developments. (PubMed, Cancers (Basel))
HER2-targeting agents, such as the tyrosine kinase inhibitor lapatinib, the antibody drug conjugate (ADC) trastuzumab-emtansine or dual HER2 inhibition (pertuzumab and trastuzumab), have been investigated in the second-line setting but led to negative study results. More recently, the ADC trastuzumab-deruxtecan was authorized after the failure of trastuzumab-based treatment. However, further improvements in HER2-directed therapy are required as resistance mechanisms and HER2 heterogeneity limit the existing treatment options. This review aims to give an overview of the current standard-of-care HER2-directed therapy in gastric cancer, as well as its challenges and future developments.
Review • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive
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lapatinib • Perjeta (pertuzumab) • Kadcyla (ado-trastuzumab emtansine) • Enhertu (fam-trastuzumab deruxtecan-nxki)
10d
Ginsenoside Rh4 alleviates gastrointestinal mucositis and enhances chemotherapy efficacy through modulating gut microbiota. (PubMed, Phytomedicine)
In summary, our findings confirm that ginsenoside Rh4 can alleviate CPT-11-induced gastrointestinal mucositis and enhance the anti-tumor activity of CPT-11 by modulating gut microbiota and its related metabolites. Our study validates the potential of ginsenoside Rh4 as a modulator of the gut microbiota and an adjunctive agent for chemotherapy, offering new therapeutic strategies for addressing chemotherapy side effects and improving chemotherapy efficacy.
Journal
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TLR4 (Toll Like Receptor 4)
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irinotecan
11d
New P1/2 trial • Combination therapy
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Tecentriq (atezolizumab) • carboplatin • etoposide IV • ifinatamab deruxtecan (DS-7300)
12d
New trial
|
irinotecan liposomal
12d
Trial completion date • Metastases
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 positive • HR positive • HER-2 expression
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gemcitabine • Enhertu (fam-trastuzumab deruxtecan-nxki) • capecitabine • albumin-bound paclitaxel • Halaven (eribulin mesylate)
12d
Sacituzumab govitecan in metastatic triple-negative breast cancer patients treated at Institut Curie Hospitals: efficacy, safety, and impact of brain metastases. (PubMed, Breast Cancer)
The observed response rate and safety of SG are consistent with the results of the ASCENT trial, with efficacy observed in patients with brain metastases, but observed PFS and OS are numerically shorter.
Journal • BRCA Biomarker • Metastases
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
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BRCA2 mutation • BRCA1 mutation
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Trodelvy (sacituzumab govitecan-hziy)
13d
Sacituzumab Govitecan for the treatment of advanced triple negative breast cancer patients: a multi-center real-world analysis. (PubMed, Front Oncol)
The results of this real-world analysis showed that both safety and efficacy of sacituzumab govitecan in mTNBC patients are consistent with that previously reported in regulatory trials. The use of premedication and supportive measures was associated with a satisfactory toxicity profile.
Journal • Real-world evidence • Real-world • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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ER expression
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Trodelvy (sacituzumab govitecan-hziy)
13d
New P3 trial • Metastases
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paclitaxel • docetaxel • irinotecan • Lonsurf (trifluridine/tipiracil) • sacituzumab tirumotecan (MK-2870)
13d
CTMX-2051-101: First In Human Study of CX-2051 in Advanced Solid Tumors (clinicaltrials.gov)
P1, N=124, Recruiting, CytomX Therapeutics | Not yet recruiting --> Recruiting
Enrollment open • Metastases
13d
Enrollment change • Trial primary completion date • HER2 exon 20 • Metastases
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 mutation
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Keytruda (pembrolizumab) • cisplatin • carboplatin • Enhertu (fam-trastuzumab deruxtecan-nxki) • pemetrexed
13d
New P3 trial • Combination therapy • IO biomarker • Metastases
|
PD-L1 (Programmed death ligand 1) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
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TROP2 positive
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Keytruda (pembrolizumab) • datopotamab deruxtecan (DS-1062a) • rilvegostomig (AZD2936)
13d
New trial • Real-world evidence • Real-world effectiveness • Real-world • Metastases
|
Trodelvy (sacituzumab govitecan-hziy)
13d
Adverse event costs associated with systemic therapies for metastatic colorectal cancer previously treated with oxaliplatin- and irinotecan- based chemotherapy therapy in the United States (AMCP 2024)
"BACKGROUND: Systemic therapies such as fruquintinib, regorafenib, and trifluridine/tipiracil (T/T) have demon- strated survival benefits vs best supportive care (BSC) in patients with metastatic colorectal cancer (mCRC) pre- viously treated with oxaliplatin- and irinotecan-based chemotherapy (OIC)...OBJECTIVE: To compare the AE management costs of fruquin- tinib, regorafenib, T/T and T/T+bevacizumab (T/T+bev) for mCRC previously treated with OIC, from US Commercial and Medicare payer perspectives... Based on the cost-consequence model results, fruquintinib was associated with lower AE manage- ment costs compared with regorafenib, T/T, and T/T+bev for patients with mCRC previously treated with OIC, which should be considered in treatment and formulary decision- making."
Adverse events
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Avastin (bevacizumab) • Stivarga (regorafenib) • oxaliplatin • irinotecan • Fruzaqla (fruquintinib) • Lonsurf (trifluridine/tipiracil)
13d
Roche obtains CE Mark for first companion diagnostic to identify patients with HER2-low metastatic breast cancer eligible for ENHERTU (PRNewswire)
"Roche...announced today the approval of the CE Mark for the VENTANA HER2 (4B5) Rabbit Monoclonal Primary Antibody RxDx to identify metastatic breast cancer patients with low HER2 expression for whom ENHERTU (trastuzumab deruxtecan) may be considered as a targeted treatment....The VENTANA HER2 (4B5) test now includes a scoring algorithm that helps pathologists to identify 'low expressors' of HER2, assigning a HER2 low status to this group of patients. With this lower cutoff, the test is able to identify patients who may benefit from ENHERTU as a treatment option....The CE Mark of the new HER2-low indication expands on the intended use for Roche's proven, on-market VENTANA HER2 (4B5) test, delivering timely, clear and confident results."
Commercial • European regulatory
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PATHWAY antiHer2/neu (4B5) Rabbit Monoclonal Primary Antibody
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Enhertu (fam-trastuzumab deruxtecan-nxki)
14d
Study design for DESTINY-Breast Respond HER2-low Europe: T-DXd in patients with HER2-low advanced breast cancer. (PubMed, Future Oncol)
This non-interventional study will provide real-world insight into T-DXd treatment for HER2-low mBC with data on effectiveness, safety and tolerability, patient-reported outcomes, treatment patterns, geriatric health status and HER2 testing. This will be beneficial for improving guidance to maximize patient treatment benefit.
Review • Journal • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
|
Enhertu (fam-trastuzumab deruxtecan-nxki)
14d
Therapy-induced senescent tumor cell-derived extracellular vesicles promote colorectal cancer progression through SERPINE1-mediated NF-κB p65 nuclear translocation. (PubMed, Mol Cancer)
We provide the in vivo evidence of the clinical prognostic implications of therapy-induced senescence. Our results revealed that STCs were responsible for CRC progression by producing large amounts of EVs enriched in SERPINE1. These findings further confirm the crucial role of therapy-induced senescence in tumor progression and offer a potential therapeutic strategy for CRC treatment.
Journal • Tumor cell
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SERPINE1 (Serpin Family E Member 1) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
|
PAI1 expression • SERPINE1 expression
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irinotecan
14d
Study of DS-1062a in Advanced or Metastatic Non-small Cell Lung Cancer With Actionable Genomic Alterations (TROPION-Lung05) (clinicaltrials.gov)
P2, N=137, Active, not recruiting, Daiichi Sankyo | Trial completion date: May 2026 --> Dec 2024
Trial completion date • Metastases
|
EGFR (Epidermal growth factor receptor) • KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • MET (MET proto-oncogene, receptor tyrosine kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • NTRK (Neurotrophic receptor tyrosine kinase)
|
KRAS mutation • EGFR mutation • EGFR overexpression • MET exon 14 mutation
|
datopotamab deruxtecan (DS-1062a)
14d
Trial completion • Metastases
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 positive
|
Enhertu (fam-trastuzumab deruxtecan-nxki)