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DRUG CLASS:

Tubulin inhibitor

1d
Unlocking synergistic potential: enhancing paclitaxel efficacy in combination with silibinin in breast cancer cell line through H19 LncRNA and P53/Bax/Bcl2 axis. (PubMed, Ann Med Surg (Lond))
Silibinin potentiates paclitaxel cytotoxicity by suppressing H19 transcription, offering a potential strategy to overcome paclitaxel resistance. The combination promotes apoptosis via caspase activation, highlighting a novel synergistic therapeutic approach in breast cancer treatment.
Preclinical • Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • H19 (H19 Imprinted Maternally Expressed Transcript) • CASP7 (Caspase 7)
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paclitaxel • Legalon (silibinin)
1d
Protective Effect of Silymarin Against Paclitaxel-Induced Cardiotoxicity. (PubMed, Food Sci Nutr)
Silymarin also reduced Caspase-3 levels while increasing Bcl-2 protein expression, an antiapoptotic protein. These results suggest that silymarin has significant therapeutic potential for reducing Paclitaxel-induced cardiotoxicity via its antioxidant, anti-inflammatory, and anti-apoptotic properties.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • NFKB1 (Nuclear factor of kappa light polypeptide gene enhancer in B-cells 1) • CASP3 (Caspase 3) • IL1B (Interleukin 1, beta) • RELA (RELA Proto-Oncogene)
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paclitaxel
4d
Cimigenoside enhances Taxol chemosensitivity in triple-negative breast cancer via the γ-secretase/RBPJ-PXR axis. (PubMed, Br J Pharmacol)
We show that CG enhances the chemical sensitivity of TNBC by regulating the γ-secretase/RBPJ-PXR axis.
Journal
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NICD (NOTCH1 intracellular domain)
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paclitaxel
4d
iRGD-functionalized PLGA nanocomplex co-loaded with paclitaxel and Trametes robiniophila Murr for targeted inhibition of chemoresistant and metastatic signaling gene PDCD4 in colon cancer. (PubMed, BMC Pharmacol Toxicol)
The study identifies PDCD4 as a key therapeutic target and demonstrates that the PTX-TP@PLGA-iRGD nanocomplex enhances drug potency, selectivity and molecular engagement. This study offers a promising strategy to overcome metastasis and chemoresistance in colon cancer.
Journal
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CCND1 (Cyclin D1)
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paclitaxel
4d
Protective Effects of p-Coumaric Acid Against Paclitaxel-Induced Testicular Damage: Role of Oxidative Stress, Inflammation, Apoptosis, and Autophagy. (PubMed, Reprod Toxicol)
Moreover, PCA improved sperm density and motility, decreased abnormal morphology, and partially restored reduced testosterone, follicle-stimulating hormone (FSH), and luteinizing hormone (LH) levels. Overall, the findings indicate that PCA may serve as a potential therapeutic agent against PTX-induced testicular damage through its strong antioxidant and cytoprotective effects.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • NFKB1 (Nuclear factor of kappa light polypeptide gene enhancer in B-cells 1) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • TLR4 (Toll Like Receptor 4) • IL1B (Interleukin 1, beta)
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paclitaxel
6d
Integrated spatial transcriptomics and pan-cancer XGBoost modeling uncover spatial drivers of immune exclusion and predict immunotherapy response. (PubMed, Cancer Immunol Immunother)
Furthermore, pharmacogenomic analysis revealed that high expression of this axis correlates with sensitivity to chemotherapy agents like Vinblastine, suggesting a potential stratification strategy for patients with immune-excluded tumors...Collectively, this study highlights spatial determinants of immune exclusion and chemotherapy sensitivity- and presents a generalized machine- learning tool for precision immunotherapy stratification. The developed online resource is freely available to facilitate community-wide biomarker discovery.
Journal • PD(L)-1 Biomarker • IO biomarker • Pan tumor
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PD-L1 (Programmed death ligand 1) • BIRC5 (Baculoviral IAP repeat containing 5)
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vinblastine
6d
New trial
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paclitaxel
6d
OPTIMAL: Oral Paclitaxel Trial In Recurrent and Metastatic Breast Cancer As 1st Line Therapy (clinicaltrials.gov)
P2/3, N=549, Active, not recruiting, Daehwa Pharmaceutical Co., Ltd. | Trial completion date: Dec 2025 --> Nov 2028
Trial completion date
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paclitaxel • Liporaxel (paclitaxel oral)
6d
Bcl-xL blockade targets neutrophils and synergizes with chemotherapy in lung squamous cell carcinoma. (PubMed, EMBO Mol Med)
After carboplatin and paclitaxel treatment, a combination chemotherapy used in human LUSC, we detected increased neutrophils in circulation, spleen and tumors, and increased Bcl-xL in neutrophils and TANs. Bcl-xL blockade decreased the pool of Bcl-xL-high TANs and synergized with chemotherapy. Altogether, our results suggest distinct outcomes for targeting TANs in different tumor types and reinforce the concept of repurposing BH3 mimetics against cancer.
Journal
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KRAS (KRAS proto-oncogene GTPase) • BCL2L1 (BCL2-like 1) • SOX2
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KRAS G12D • TP53 wild-type • KRAS G12
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carboplatin • paclitaxel
7d
Activity of Didesmethylrocaglamide in High Grade Serous Ovarian Cancer Using Preclinical In Vitro and In Vivo Models. (PubMed, J Nat Prod)
In addition, (±)-DDR was cytotoxic in the PE04 and MCF7-ADR (OVCAR8-RES) cell lines that are resistant to cisplatin and paclitaxel, respectively. (-)-DDR was further evaluated using an OVCAR8 xenograft model in mice, and a reduction in tumor burden was observed. Its effective cytotoxicity in drug-sensitive and -resistant cell models suggests that (±)-DDR and its corresponding minus enantiomer may have potential as a new therapeutic strategy against HGSOC.
Preclinical • Journal
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CASP3 (Caspase 3)
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cisplatin • paclitaxel
7d
OPERA: a phase II study of DHP107 (oral paclitaxel) versus intravenous paclitaxel in patients with HER2-negative recurrent or metastatic breast cancer. (PubMed, Breast Cancer Res Treat)
DHP107 is a tolerable and feasible treatment for patients with recurrent or metastatic HER2-negative breast cancer, with similar efficacy and safety to IV paclitaxel.
Clinical • P2 data • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 negative
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Liporaxel (paclitaxel oral)