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DRUG CLASS:

Dihydrofolic acid reductase inhibitor

1d
Hesperidin methyl chalcone alleviates imiquimod-induced psoriasis in mice: effects alone and in combination with methotrexate. (PubMed, Naunyn Schmiedebergs Arch Pharmacol)
In conclusion, this study provides the first preclinical evidence that HMC, particularly in combination with MTX, ameliorates IMQ-induced psoriasis via modulation of inflammatory cytokines, oxidative stress, and histopathological damage. These findings suggest its potential as a therapeutic candidate that warrants further preclinical and clinical investigation in plaque-type psoriasis.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL17A (Interleukin 17A)
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methotrexate • Zyclara (imiquimod)
1d
The "Route Cause" of Methotrexate-Induced Brain Structure Changes in a Juvenile Mouse Model: Comparison of Systemic and CNS-Targeted Chemotherapy. (PubMed, Neurotoxicology)
Comparison of systemic and intrathecal delivery routes revealed that systemic MTX had a wider impact on brain morphology than did IT MTX treatment, particularly at clinically relevant doses of IT MTX. This finding provides important insight into the mechanisms that likely underlie MTX-induced neurotoxicity and focuses potential interventions on systemic toxicity.
Preclinical • Journal
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TP63 (Tumor protein 63)
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methotrexate
2d
BI26 More than skin deep: a case of eosinophilic fasciitis in a patient with relapsing-remitting multiple sclerosis. (PubMed, Br J Dermatol)
Her disease remains well controlled on methotrexate 15 mg once weekly. While the development of eosinophilic fasciitis in this case was presumed to be idiopathic, to our knowledge, this is the first case of eosinophilic fasciitis developing in the setting of long-term ocrelizumab use.
Journal
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CRP (C-reactive protein)
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methotrexate • Ocrevus (ocrelizumab)
2d
SG05 The use of oral methotrexate in a case of Ferguson-Smith syndrome. (PubMed, Br J Dermatol)
Despite 3 years of acitretin therapy, surgical excisions, imiquimod and repeated cryotherapy, the lesions remained poorly controlled. This case, along with her sister's experience, highlights oral methotrexate as a potential therapeutic option for refractory cases. Further studies are needed to explore its role in the management of this challenging condition.
Journal
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TGFBR1 (Transforming Growth Factor Beta Receptor 1)
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methotrexate • Zyclara (imiquimod)
2d
PA26 Folliculotropic mycosis fungoides with large cell transformation in an adolescent patient. (PubMed, Br J Dermatol)
He commenced first-line systemic therapy with methotrexate, but had no response. He was switched to brentuximab vedotin and has received eight cycles with partial response...Approach to mycosis fungoides in children: consensus-based recommendations. J Am Acad Dermatol 2024; 91: 1078-85).
Journal
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CD8 (cluster of differentiation 8) • TNFRSF8 (TNF Receptor Superfamily Member 8) • CD4 (CD4 Molecule) • CD7 (CD7 Molecule) • SESN1 (Sestrin 1)
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TNFRSF8 expression
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methotrexate • Adcetris (brentuximab vedotin)
2d
BI33 Expect the unexpected. (PubMed, Br J Dermatol)
After not responding to topical treatments and apremilast, and experiencing short-term remission with phototherapy, he began treatment with methotrexate in consultation with rheumatologists...He was prescribed tamoxifen for the following 5 years...This research is crucial for the development of early detection and prevention strategies. Finally, patients diagnosed with melanoma should continue regular surveillance, not only for potential melanoma recurrence but also to detect new primary cancers.
Journal • BRCA Biomarker
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BRCA2 (Breast cancer 2, early onset) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A)
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tamoxifen • methotrexate
2d
P021 A case of radiation-induced haemorrhagic bullous lichen sclerosus of the breast. (PubMed, Br J Dermatol)
Her right breast ductal carcinoma, diagnosed 9 months prior, was treated with surgery, adjuvant letrozole and radiotherapy...Management options include topical and systemic corticosteroids, phototherapy and methotrexate (Hobbs L, Tiwari N. Hemorrhagic bullous lichen sclerosus of the breast: a rare complication of radiotherapy...To the best of our knowledge, this is the fifth reported case of RHBLS. Early recognition is crucial to alleviate concerns about breast cancer recurrence and to rule out vulval lichen sclerosus.
Journal
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IL4 (Interleukin 4)
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methotrexate • letrozole
2d
DP08 Paediatric-onset lymphomatoid papulosis (LyP) in a 2 year old: a case report exploring the diagnostic difficulty of LyP in children. (PubMed, Br J Dermatol)
While topical corticosteroids are the most common treatment adopted, other options include watchful waiting, phototherapy and systemic methotrexate...Clinicians should remain vigilant in diagnosing LyP. Although its course is often benign, the association with haematological malignancy requires both careful clinicopathological correlation for diagnosis and long-term follow-up.
Journal
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TNFRSF8 (TNF Receptor Superfamily Member 8)
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methotrexate • methotrexate IV
2d
Methotrexate Treatment of Arthritis Caused by Chikungunya Virus (MARCH) (clinicaltrials.gov)
P3, N=150, Active, not recruiting, George Washington University | Trial completion date: Feb 2030 --> Aug 2027 | Trial primary completion date: Feb 2030 --> Aug 2027
Trial completion date • Trial primary completion date
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methotrexate
2d
Efficacy of ozoralizumab in rheumatoid arthritis patients with large joint involvement: a post hoc analysis of OHZORA and NATSUZORA trials. (PubMed, RMD Open)
Ozoralizumab has the potential to improve disease activity and physical dysfunction and prevent joint destruction in patients, regardless of the presence of LJI, and is a reasonable treatment option, even for patients with LJI.
Clinical • Retrospective data • Journal
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IL6 (Interleukin 6)
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methotrexate
3d
Management of Cancer During Pregnancy: ASCO Guideline. (PubMed, J Clin Oncol)
Management of cancer during pregnancy should be grounded in a values-based informed-consent process outlining maternal and fetal risks and anticipated benefits. Diagnostic evaluation should follow the as low as reasonably achievable (ALARA) principle, with timing of diagnostic studies individualized based on urgency of cancer detection, potential dangers of delay, and the balance of risks to both the pregnant patient and her embryo or fetus. Due to significant risk of harm to the developing embryo and/or fetus, systemic therapy should be deferred until the second trimester. Methotrexate, hormonal therapies, human epidermal growth factor receptor 2-targeted agents, vascular endothelial growth factor and poly (ADP-ribose) polymerase inhibitors, antibody-drug conjugates, and all cellular therapies are contraindicated during pregnancy, regardless of gestational age. For patients who wish to continue their pregnancy, delivery should be planned at or after 37 weeks, with the final chemotherapy dose scheduled 2-4 weeks before birth. Referral to psychosocial support services is essential to address emotional and practical challenges, reduce distress, and support shared decision making.Additional information is available at www.asco.org/survivorship-guidelines.
Journal
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HER-2 (Human epidermal growth factor receptor 2)
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methotrexate
3d
Report of a case of nasal-type extranodal NK/T-cell lymphoma with ciliary body involvement and literature review of interleukin-10 and interleukin-6 in intraocular T-cell lymphoma. (PubMed, Am J Ophthalmol Case Rep)
The patient underwent five cycles of intravitreal methotrexate for presumed uveal lymphoma involving the ciliary body with pseudo-keratic precipitates before a nasal biopsy confirmed recurrent ENKL...The IL-10/IL-6 ratio is of limited value in the diagnosis of T-cell lymphoma affecting intraocular structures. This case highlights the critical role of UBM in identifying ciliary body involvement of intraocular malignancies.
Journal
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IL6 (Interleukin 6) • IL10 (Interleukin 10) • IL6R (Interleukin 6 receptor)
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methotrexate