^
15h
Integrative Chinese-Western medicine strategy to overcome docetaxel resistance in prostate cancer. (PubMed, J Ethnopharmacol)
The integration of TCMs in PCa treatment emerges as an innovative approach with significant potential to overcome DTX resistance. This review not only provides insights into the mechanisms of resistance but also presents new prospects for improving the clinical outcomes of patients with PCa undergoing DTX therapy. The comprehensive understanding of these mechanisms lays the foundation for future research and the development of more effective therapeutic interventions.
Review • Journal
|
AR (Androgen receptor)
|
AR splice variant 7
|
docetaxel
1d
Oncolytic Adenovirus for the Targeting of Paclitaxel-Resistant Breast Cancer Stem Cells. (PubMed, Viruses)
Importantly, OAd-hNIS also destroyed already formed tumorspheres seven days after their initiation. Overall, our findings highlight the promise of OAd-hNIS as a potential tool for studying and targeting ER+ breast cancer recurrence and metastasis.
Journal • Oncolytic virus • Cancer stem
|
ER (Estrogen receptor)
|
ER positive
|
paclitaxel
1d
Imbalance between Actin Isoforms Contributes to Tumour Progression in Taxol-Resistant Triple-Negative Breast Cancer Cells. (PubMed, Int J Mol Sci)
Notably, taxol-resistant cells exhibited a reduced proliferation rate, which was associated with an increased invasiveness in vitro and in vivo, revealing a complex interplay between proliferative and metastatic potential. This study suggests that prolonged exposure to taxol and acquisition of taxol resistance may lead to pro-metastatic changes in the TNBC cell line.
Journal
|
CTNNB1 (Catenin (cadherin-associated protein), beta 1) • CDH1 (Cadherin 1) • TWIST1 (Twist Family BHLH Transcription Factor 1)
|
CDH1 expression
|
paclitaxel
1d
Integrated aerobic exercise with LDE-docetaxel treatment: a novel approach to combat prostate cancer progression. (PubMed, Sci Rep)
Collectively, our data illuminate the profound impact of integrating LDE-mediated DTX delivery with structured physical exercise, which together spearhead a dual-front assault on PC. This multimodal approach heralds a new paradigm in PC management, accentuating the promise of combined pharmacological and non-pharmacological interventions to elevate tumor suppressor protein activity and refine patient outcomes.
Journal • IO biomarker
|
BCL2 (B-cell CLL/lymphoma 2)
|
BCL2 expression
|
docetaxel
1d
Intermittent energy restriction inhibits tumor growth and enhances paclitaxel response in a transgenic mouse model of endometrial cancer. (PubMed, Gynecol Oncol)
In Lkb1fl/flp53fl/fl mice, IER is generally more effective than LFD in promoting weight loss, inhibiting obesity-related endometrial tumor growth (particularly in combination with paclitaxel), and reversing detrimental obesity-related metabolic effects. These findings lay the foundation for further investigations of IER as an EC prevention and treatment strategies in overweight/obesity women.
Preclinical • Journal
|
LEP (Leptin)
|
paclitaxel
2d
Non-Small Cell Lung Cancer Metastatic Without Oncogenic Alterations. (PubMed, Am Soc Clin Oncol Educ Book)
Docetaxel, with or without combination of antiangiogenic agents, serves as the backbone of treatment, although evidence in the post-ICI setting is limited...Antibody-drug conjugates have emerged as a promising treatment modality, offering the potential for reduced toxicity and improved efficacy by targeting specific cancer antigens. Moreover, several chemotherapy-free approaches are currently under investigation for treatment-naïve patients, including alternative ICI and drugs targeting epitopes on both cancer and immune cells.
Review • Journal • Metastases
|
PD-L1 (Programmed death ligand 1)
|
docetaxel
3d
Mitochondrial calcium uniporter as biomarker and therapeutic target for breast cancer: Prognostication, immune microenvironment, epigenetic regulation and precision medicine. (PubMed, J Adv Res)
MCU shows significant implication in prognosis, outcome prediction, microenvironmental shaping and precision medicine for BC. miR-29a-mediated MCU inhibition exerts therapeutic effect in tumor growth and metastasis.
Journal
|
TP53 (Tumor protein P53) • CD8 (cluster of differentiation 8) • CDH1 (Cadherin 1) • MIR29A (MicroRNA 29a)
|
TP53 mutation
|
docetaxel
3d
Long-term outcomes of a randomized, open-label, phase II study comparing cabazitaxel versus paclitaxel as neoadjuvant treatment in patients with triple-negative or luminal B/HER2-negative breast cancer (GENEVIEVE). (PubMed, ESMO Open)
The significant differences in pCR rates observed in both treatment arms did not significantly impact long-term outcomes for patients treated with cabazitaxel versus paclitaxel in the GENEVIEVE trial.
P2 data • Journal
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 negative • ER positive + PGR positive • PGR positive
|
paclitaxel • cabazitaxel
3d
Synergistic effect of human uterine cervical mesenchymal stem cell secretome and paclitaxel on triple negative breast cancer. (PubMed, Stem Cell Res Ther)
In conclusion, our data demonstrate the synergistic effect of the combination of CM-hUCESC with paclitaxel on TNBC and opens an opportunity to reduce the dose of the chemotherapeutic agents, which may decrease chemotherapy-related toxicity.
Journal
|
TIMP1 (Tissue inhibitor of metalloproteinases 1)
|
paclitaxel
3d
Suppression of B7-H7 Enhanced MCF-7 Cancer Cell Line's Chemosensitivity to Paclitaxel. (PubMed, Mol Biotechnol)
B7-H7 silencing improved the chemosensitivity of MCF-7 cells to Paclitaxel and demonstrated antiproliferative effects. After the adequate study has been conducted, this strategy may be regarded as a possible alternative treatment option for this cancer.
Preclinical • Journal
|
HHLA2 (HERV-H LTR-Associating 2)
|
paclitaxel
3d
An endothelial-related prognostic index for bladder cancer patients. (PubMed, Discov Oncol)
We have effectively discerned pivotal genes from the endothelial cell perspective and constructed an EPI for BC patients, thereby offering promising prospects for precision medicine.
Journal • Tumor mutational burden • IO biomarker
|
TMB (Tumor Mutational Burden) • CYTL1 (Cytokine Like 1) • FAM43A (Family With Sequence Similarity 43 Member A) • RBP7 (Retinol Binding Protein 7)
|
cisplatin • gemcitabine • docetaxel
3d
Crocin enhances the sensitivity to paclitaxel in human breast cancer cells by reducing BIRC5 expression. (PubMed, Chem Biol Drug Des)
Moreover, BIRC5 overexpression reversed the inhibitory effect of crocin on PTX resistance in breast cancer cells. In conclusion, crocin enhanced the sensitivity of PTX in breast cancer cells partially through inhibiting BIRC5 expression.
Journal
|
BIRC5 (Baculoviral IAP repeat containing 5)
|
BIRC5 expression • BIRC5 overexpression
|
paclitaxel
4d
Co-transcriptional R-loops-mediated epigenetic regulation drives growth retardation and docetaxel chemosensitivity enhancement in advanced prostate cancer. (PubMed, Mol Cancer)
Moreover, our findings first emphasized the functional importance of IGF2BPs as epigenetic R-loop readers in transcriptional genetic regulation and cancer biology. In addition, our research provides a novel RBM15/IGF2BPs/DNMT1 trans-omics regulation m6A axis, indicating the new crosstalk between RNA m6A methylation and DNA methylation in prostate cancer.
Journal • Metastases
|
DNMT1 (DNA methyltransferase 1) • RBM15 (RNA Binding Motif Protein 15)
|
docetaxel
5d
Chemotherapy-elicited extracellular vesicle CXCL1 from dying cells promotes triple-negative breast cancer metastasis by activating TAM/PD-L1 signaling. (PubMed, J Exp Clin Cancer Res)
Our results highlight CXCL1EV-dead as a novel dying cell-released signal and provide TPCA-1 as a targeting candidate to improve TNBC prognosis.
Journal
|
PD-L1 (Programmed death ligand 1) • CXCL1 (Chemokine (C-X-C motif) ligand 1)
|
paclitaxel • doxorubicin hydrochloride
5d
LncRNA RPL22P1-201 affects prostate cancer cell proliferation, cell cycle, and sensitivity to docetaxel by regulating miR-216b-5p expression (PubMed, Zhonghua Nan Ke Xue)
RPL22P1-201 is highly expressed in prostate cancer, and silencing RPL22P1-201 inhibits prostate cancer PC3 cell proliferation and cell cycle by increasing miR-216b-5p expression, and enhances PC3 cell sensitivity to docetaxel.
Journal
|
NTRK2 (Neurotrophic tyrosine kinase, receptor, type 2) • CDK4 (Cyclin-dependent kinase 4) • CDK6 (Cyclin-dependent kinase 6) • CCND2 (Cyclin D2) • CCND3 (Cyclin D3)
|
CDK6 expression
|
docetaxel
6d
Management of Cisplatin-Ineligible Patients With Metastatic Bladder Cancer and The Role of Geriatric Assessments (clinicaltrials.gov)
P=N/A, N=180, Recruiting, Dana-Farber Cancer Institute | Not yet recruiting --> Recruiting
Enrollment open • Metastases
|
carboplatin
6d
Journal
|
ATP7A (ATPase Copper Transporting Alpha) • ANXA5 (Annexin A5)
|
TP53 mutation • TP53 expression
|
carboplatin
6d
Construction of glutathione-responsive paclitaxel prodrug nanoparticles for image-guided targeted delivery and breast cancer therapy. (PubMed, RSC Adv)
Moreover, the prodrug NPs also shown superior anti-tumor effects in vivo experimental. Overall, the HA/TPE-CS-SS-PTX NPs we constructed have excellent bio-imaging capabilities and can be served as a potential nanomedicine for PTX delivery against breast cancer.
Journal
|
CD44 (CD44 Molecule)
|
CD44 expression
|
paclitaxel
7d
NEUROTAX: Randomized Study Versus Placebo for the Prevention of Neurotoxicity Induced by Weekly PACLITAXEL (clinicaltrials.gov)
P2, N=60, Recruiting, Centre Georges Francois Leclerc | Not yet recruiting --> Recruiting
Enrollment open
|
paclitaxel
7d
ELK3 destabilization by speckle-type POZ protein suppresses prostate cancer progression and docetaxel resistance. (PubMed, Cell Death Dis)
Notably, this observation was correlated with the protein levels of ELK3. Taken together, our study reveals the precise mechanism of SPOP-mediated degradation of ELK3 and provides evidence that SPOP mutations contribute to docetaxel resistance in PCa.
Journal
|
SPOP (Speckle Type BTB/POZ Protein) • FOS (Fos Proto-Oncogene AP-1 Transcription Factor Subunit 2)
|
SPOP mutation
|
docetaxel
7d
BAI-BACE for Advanced Lung Squamous Cell Carcinoma (clinicaltrials.gov)
P=N/A, N=85, Recruiting, Sun Yat-sen University
New trial • Metastases
|
paclitaxel
8d
CCAAT enhancer binding protein delta activates vesicle associated membrane protein 3 transcription to enhance chemoresistance and extracellular PD-L1 expression in triple-negative breast cancer. (PubMed, J Exp Clin Cancer Res)
This study provides novel evidence that CEBPD plays a key role in enhancing PTX resistance in TNBC cells across various subtypes through VAMP3-mediated autophagy activation. Additionally, the CEBPD/VAMP3 axis also increases extracellular PD-L1 level, delivered by cancer cell-derived EVs, to suppress CD8+ T cell-mediated anti-tumor immune response. These significant observations may provide new insights into the treatment of TNBC, suggesting CEBPD and VAMP3 as promising targets to overcome treatment resistance.
Journal • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1) • CD8 (cluster of differentiation 8) • CEBPD (CCAAT Enhancer Binding Protein Delta)
|
PD-L1 expression
|
paclitaxel
8d
An LRPPRC-HAPSTR1-PSMD14 interaction regulates tumor progression in ovarian cancer. (PubMed, Aging (Albany NY))
Previously, HAPSTR1 was shown to be a target gene of a paclitaxel resistance-associated miRNA...Moreover, LRPPRC knockdown reversed HAPSTR1-mediated improvement in cellular proliferation, invasion, and migration. Our study is the first detailed and comprehensive analysis of HAPSTR1 in cancer progression and offers an experimental basis for the clinical treatment of ovarian carcinoma.
Journal
|
PSMD14 (Proteasome 26S Subunit, Non-ATPase 14) • LRPPRC (Leucine Rich Pentatricopeptide Repeat Containing)
|
paclitaxel
8d
IP3R1 dysregulation via miR-200c-3p/SSFA2 axis contributes to taxol resistance in head and neck cancer. (PubMed, Eur J Pharmacol)
Both involved in intracellular cytoskeleton remodeling, we found that SSFA2 works collaboratively with IP3R1 to modulate resistance to taxol in HNC cells. When considered collectively, our results showed that miR-200c-3p acts as a tumor suppressor microRNA and targets SSFA2/IP3R1 axis to sensitize HNC cells to taxol.
Journal
|
MIR200C (MicroRNA 200c)
|
miR-200-c expression
|
paclitaxel
8d
Targeting CD8+ T cells with natural products for tumor therapy: Revealing insights into the mechanisms. (PubMed, Phytomedicine)
Clarifying the role and underlying mechanism of natural products in cancer immunotherapy may provide more options for combinational treatment strategies and benefit cancer therapy, to shed light on identifying potential natural compounds for improving the clinical outcome in cancer immunotherapy.
Review • Journal
|
CD8 (cluster of differentiation 8)
|
paclitaxel
10d
Dynamics of clonal hematopoiesis under DNA-damaging treatment in patients with ovarian cancer. (PubMed, Leukemia)
Here, we analyzed 423 serial whole blood and plasma samples from 103 patients with relapsed high-grade ovarian cancer receiving carboplatin, poly(ADP-ribose) polymerase inhibitor (PARPi) and heat shock protein 90 inhibitor (HSP90i) treatment within the phase II EUDARIO trial using error-corrected sequencing of 72 genes...Together, these results provide unique insights into the architecture and the preferential selection of DDR-mutated hematopoietic clones under intense DNA-damaging treatment. Specifically, PARPi and HSP90i therapies pose an independent risk for the expansion of DDR-CH in a dose-dependent manner.
Journal • PARP Biomarker
|
TP53 (Tumor protein P53) • HRD (Homologous Recombination Deficiency) • DNMT3A (DNA methyltransferase 1) • TET2 (Tet Methylcytosine Dioxygenase 2) • PPM1D (Protein Phosphatase Mg2+/Mn2+ Dependent 1D)
|
TP53 mutation • HRD • DNMT3A mutation • TET2 mutation • PPM1D mutation
|
carboplatin
11d
PFDN4 as a Prognostic Marker Was Associated with Chemotherapy Resistance through CREBP1/AURKA Pathway in Triple-Negative Breast Cancer. (PubMed, Int J Mol Sci)
High PFDN4 expression was associated with poor overall survival in chemotherapy and resistance to doxorubicin and paclitaxel through the CREBP1/AURKA pathway in the triple-negative MDAMB231 cell line. This study provides insightful evidence for the value of PFDN4 in poor prognosis and chemotherapy resistance in breast cancer patients.
Journal
|
HER-2 (Human epidermal growth factor receptor 2) • AURKA (Aurora kinase A) • CREB1 (CAMP Responsive Element Binding Protein 1)
|
HER-2 positive
|
paclitaxel • doxorubicin hydrochloride
11d
Enhanced Therapeutic Potential of Hybrid Exosomes Loaded with Paclitaxel for Cancer Therapy. (PubMed, Int J Mol Sci)
Our research highlights the considerable therapeutic efficacy of ELP and its promising potential for future application in cancer therapy. The development of hybrid exosomes presents an innovative approach to enhance drug delivery and modulate the tumor microenvironment, offering exciting prospects for effective cancer treatment strategies.
Journal
|
CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule)
|
paclitaxel
11d
Journal
|
CASP3 (Caspase 3) • ANXA5 (Annexin A5)
|
docetaxel • 5-fluorouracil • cyclophosphamide
11d
HN1 is a novel dedifferentiation factor involved in regulating the cell cycle and microtubules in SH-SY5Y neuroblastoma cells. (PubMed, J Cell Biochem)
Moreover, HN1 expression is also correlated with the microtubule stability in SH-SY5Y cells, which was investigated with nocodazole and taxol treatments...Moreover, cell cycle dynamics also changed upon HN1 overexpression with alternating effects on SH-SY5Y and RA-differentiated (N-type) cells. Therefore, HN1 is a potential cell cycle regulatory element in the development of neuroblastoma or dedifferentiation of neurons, which requires further studies to decipher its mechanistic role.
Journal
|
JPT1 (Jupiter Microtubule Associated Homolog 1)
|
paclitaxel
11d
Overcoming the Blood-Brain Tumor Barrier with Docetaxel-Loaded Mesoporous Silica Nanoparticles for Treatment of Temozolomide-Resistant Glioblastoma. (PubMed, ACS Appl Mater Interfaces)
The apoptotic pathways activated by DTX@C8-MSN, evidenced by the increased levels of cleaved caspase-3 and PARP, point to a potent therapeutic mechanism. Collectively, the results advocate DTX@C8-MSN as a promising candidate for targeted therapy in TMZ-resistant GBM, optimizing drug delivery and bioavailability to overcome current therapeutic limitations.
Journal
|
CASP3 (Caspase 3)
|
docetaxel • temozolomide
12d
ModraDoc006/r vs Docetaxel IV in Metastatic Prostate Cancer (clinicaltrials.gov)
P2, N=135, Completed, Modra Pharmaceuticals | Phase classification: P2b --> P2 | N=102 --> 135
Phase classification • Enrollment change • Metastases
|
docetaxel oral/ritonavir (ModraDoc006/r)
12d
A degradome-related signature for predicting the prognosis and immunotherapy benefit in stomach adenocarcinoma based on machine learning procedure. (PubMed, Medicine (Baltimore))
STAD patients with a high DPS score had a lower IC50 value of common chemotherapy and targeted therapy regimens (Cisplatin, Docetaxel, Gefitinib, etc). Our study developed an optimal DPS for STAD. The DPS could predict the prognosis, risk stratification and guide treatment for STAD patients.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker • Machine learning
|
TMB (Tumor Mutational Burden) • CD8 (cluster of differentiation 8) • PD-1 (Programmed cell death 1) • CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
|
cisplatin • gefitinib • docetaxel
13d
Alleviating iatrogenic effects of paclitaxel via antiinflammatory treatment. (PubMed, Vasc Med)
Additionally, we used dexamethasone (DEX), a well-known antiinflammatory compound, to assess its effectiveness in counteracting these PTX-induced changes. Our findings illustrate that PTX exposure induces an upregulation of atherothrombotic mediators, which can be alleviated with concurrent administration of DEX. Considering these observations, further long-term investigations should focus on understanding the systemic implications associated with PTX-based therapies and explore the clinical relevance of DEX in mitigating such risks.
Journal
|
TNFRSF9 (TNF Receptor Superfamily Member 9) • CCL2 (Chemokine (C-C motif) ligand 2) • VCAM1 (Vascular Cell Adhesion Molecule 1)
|
paclitaxel
13d
Evaluating the docetaxel effect in an animal model of polyarthritis. (PubMed, Inflammopharmacology)
DTX reduces the progression and joint destruction in rats induced by Complete Freund's Adjuvant which may due to inhibition of PAD4, TNF-α, IL-1β, VEGF, and ACPA. Also, methotrexate exhibited anti PAD4 effect.
Preclinical • Journal
|
TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta)
|
docetaxel • methotrexate
13d
Targeting CD73 with flavonoids inhibits cancer stem cells and increases lymphocyte infiltration in a triple-negative breast cancer mouse model. (PubMed, Front Immunol)
When quercetin and luteolin were combined with the chemotherapeutic paclitaxel in a triple-drug regimen, we found an effective downregulation in paclitaxel-enhanced CD73 and CSC-promoting pathways YAP and Wnt...Conclusively, our findings elucidate the significance of CSCs in impairing anti-tumor immunity. The high efficacy of our triple-drug regimen in clinically relevant platforms not only underscores the importance for further mechanistic investigations but also paves the way for potential development of new, safe, and cost-effective therapeutic strategies for TNBC.
Preclinical • Journal • Cancer stem • IO biomarker
|
CD73 (5'-Nucleotidase Ecto) • NT5E (5'-Nucleotidase Ecto)
|
CD73 expression • CD44 overexpression + CD24 underexpression
|
paclitaxel
15d
Targeting PNPO to suppress tumor growth via inhibiting autophagic flux and to reverse paclitaxel resistance in ovarian cancer. (PubMed, Apoptosis)
Chloroquine counteracted the promotion effect of PNPO on autophagic flux and inhibited OC cell survival, facilitating the inhibitory effect of PNPO-shRNA on tumor growth in vivo. In conclusion, PNPO has a regulatory effect on lysosomal biogenesis that in turn promotes autophagic flux, leading to OC cell proliferation, and tumor formation, and is a paclitaxel-resistant factor. These data imply a potential application by targeting PNPO to suppress tumor growth and reverse PTX resistance in OC.
Journal
|
CDK1 (Cyclin-dependent kinase 1) • CCNB1 (Cyclin B1) • LAMP2 (Lysosomal Associated Membrane Protein 2)
|
paclitaxel
16d
Sperm-Associated Antigen 5 Knockout Reduces Doxorubicin and Docetaxel Resistance in Triple-Negative Breast Cancer MDA-MB-231 and BT549 Cells. (PubMed, Cancers (Basel))
In conclusion, recombinant plasmid-based CRISPR-Cas9 technology can be used to delete the SPAG5 gene in the TNBC cell lines. SPAG5 has an important role in regulating cell proliferation and doxorubicin- and docetaxel-resistance in MDA-MB-231 and BT549 cells.
Journal
|
SPAG5 (Sperm Associated Antigen 5)
|
docetaxel • doxorubicin hydrochloride
17d
GPRC5A promotes paclitaxel resistance and glucose content in NSCLC. (PubMed, Anticancer Drugs)
Second, Gtex, Oncomine, and gene expression omnibus database data mining identified GPRC5A, G protein-coupled receptor, as the most prominent differentially expressed gene in drug-resistant datasets including gemcitabine, paclitaxel, and gefitinib overlapped with the microarray data from cancer cell metabolism. Kaplan-Meier plot also confirmed that lung cancer patients with high expression of GPRC5A had a relatively lower survival rate. Our study provided a potential drug target GPRC5A, which may benefit lung cancer patients with acquired paclitaxel resistance in the future and a theoretical basis for future preclinical trials.
Journal
|
GPRC5A (G Protein-Coupled Receptor Class C Group 5 Member A)
|
gefitinib • gemcitabine • paclitaxel
18d
CX3CL1 and its receptor CX3CR1 interact with RhoA signaling to induce paclitaxel resistance in gastric cancer. (PubMed, Heliyon)
The promotion of PTX resistance by CX3CL1/CX3CR1 was inhibited by impairment of the small GTPase Ras homolog gene family member A (RhoA) pathway in vitro and in vivo. These findings indicate that the CX3CL1/CX3CR1 expedites PTX resistance through the RhoA signaling in GC cells.
Journal
|
RHOA (Ras homolog family member A) • CX3CL1 (C-X3-C Motif Chemokine Ligand 1) • CX3CR1 (C-X3-C Motif Chemokine Receptor 1)
|
paclitaxel
18d
New P2 trial
|
docetaxel
18d
Investigation of efficacy of two different chemotherapy protocols used in neoadjuvant chemotherapy in clinical stages II-IV canine malignant mammary tumours. (PubMed, Vet Comp Oncol)
The first aim of this study is to demonstrate the clinical efficacy and reliability of two different neoadjuvant chemotherapy (NAC) protocols consisting of doxorubicin/cyclophosphamide (AC) and paclitaxel in dogs with clinical stages II-IV canine malignant mammary tumours (CMTs). Alterations in Ki-67, HER2, ER, and PgR expressions after chemotherapy were not statistically significant (p > .05). As a result, we have shown that these neoadjuvant chemotherapy protocols are effective and safe alternative treatment options for CMTs.
Journal
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
HER-2 positive • HER-2 expression • PGR expression
|
paclitaxel • doxorubicin hydrochloride • cyclophosphamide