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DRUG CLASS:

RNA polymerase inhibitor

1d
TNFAIP1 suppresses hepatocellular carcinoma progression via the PXR/CYP3A4 signaling axis. (PubMed, Am J Cancer Res)
TNFAIP1 knockout not only decreased CYP3A4 expression but also significantly impaired the ability of rifampicin (RIF), an upstream nuclear receptor-pregnane X receptor (PXR) agonist, to induce CYP3A4, indicating that TNFAIP1 is an essential regulator of PXR/CYP3A4 pathway...In vivo experiments demonstrated that overexpression of Tnfaip1 upregulated the Pxr/Cyp3a11 pathway and inhibited tumor growth, whereas Tnfaip1 knockout suppressed this pathway. This study identified TNFAIP1-PXR-CYP3A4 as a novel tumor-suppressive axis in HCC, providing potential molecular targets for HCC diagnosis and treatment.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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rifampicin
17d
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)
19d
UPro1A8: A Specific Fluorescent Probe for Functional Imaging and Inhibitor Screening of UGT1A8. (PubMed, J Med Chem)
Screening of a compound library using this probe identified four natural products, namely Ginkgetin, Silibinin, Ledebouriellol, and Antcin C (R), as potent UGT1A8 inhibitors. Collectively, these findings position UPro1A8 as a robust molecular tool for advancing UGT1A8 functional studies.
Journal
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UGT1A8 (UDP Glucuronosyltransferase Family 1 Member A8)
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Legalon (silibinin)
21d
Shenling Baizhu Powder Alleviated Lung Damage and Enhanced Immunoregulatory Activity in Mice with Non-Tuberculosis Mycobacterial Lung Disease. (PubMed, Chin J Integr Med)
SLBZP alleviated NTM-induced lung damage and enhanced NK cell immune response, which might be linked to CD4+ T cell immunity.
Preclinical • Journal
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IFNG (Interferon, gamma) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CD4 (CD4 Molecule) • CXCL13 (Chemokine (C-X-C motif) ligand 13) • IL10 (Interleukin 10) • CCL2 (Chemokine (C-C motif) ligand 2) • CXCR5 (C-X-C Motif Chemokine Receptor 5) • GATA3 (GATA binding protein 3) • IL1B (Interleukin 1, beta)
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rifampicin
23d
Study of Trilaciclib and Lurbinectidin (clinicaltrials.gov)
P2, N=30, Recruiting, UNC Lineberger Comprehensive Cancer Center | Trial completion date: Dec 2027 --> Dec 2028 | Trial primary completion date: Dec 2025 --> Dec 2026
Trial completion date • Trial primary completion date
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PD-L1 (Programmed death ligand 1)
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Zepzelca (lurbinectedin) • Cosela (trilaciclib)
28d
Impact of rifampicin on P-glycoprotein (ABCB1) expression in M1 and M2 macrophages derived from the THP-1 monocytic cell line or peripheral blood mononuclear cells. (PubMed, Naunyn Schmiedebergs Arch Pharmacol)
In conclusion, ABCB1 expression in macrophages differs by the cell model (THP-1 cell line vs. primary PBMC) and the polarization phenotype (M1 vs. M2). Strong rifampicin-mediated enhancements of ABCB1 were only observed in THP-1-derived M1 and M2 cells.
Preclinical • Journal
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IFNG (Interferon, gamma) • ABCB1 (ATP Binding Cassette Subfamily B Member 1) • ABCG2 (ATP Binding Cassette Subfamily G Member 2) • IL13 (Interleukin 13) • IL4 (Interleukin 4) • SLCO2B1 (Solute Carrier Organic Anion Transporter Family Member 2B1)
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rifampicin
1m
Co-SAM: An Adaptive Multi-arm Trial to Improve Clinical Outcomes Among Children Recovering From Complicated SAM (clinicaltrials.gov)
P3, N=674, Active, not recruiting, Queen Mary University of London | Trial completion date: Sep 2027 --> Aug 2026 | Trial primary completion date: Feb 2026 --> Aug 2026
Trial completion date • Trial primary completion date
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rifampicin
1m
Lurbinectedin With Berzosertib, an ATR Kinase Inhibitor in Small Cell Cancers and High-Grade Neuroendocrine Cancers (clinicaltrials.gov)
P1/2, N=37, Active, not recruiting, National Cancer Institute (NCI) | Recruiting --> Active, not recruiting | N=120 --> 37 | Trial primary completion date: Aug 2026 --> Dec 2025
Enrollment closed • Enrollment change • Trial primary completion date
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berzosertib (M6620) • Zepzelca (lurbinectedin)
1m
New P2 trial
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Imfinzi (durvalumab) • Zepzelca (lurbinectedin)
2ms
Co-SAM: An Adaptive Multi-arm Trial to Improve Clinical Outcomes Among Children Recovering From Complicated SAM (clinicaltrials.gov)
P3, N=674, Active, not recruiting, Queen Mary University of London | Recruiting --> Active, not recruiting | N=1266 --> 674 | Trial primary completion date: Jul 2026 --> Feb 2026
Enrollment closed • Enrollment change • Trial primary completion date
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rifampicin
2ms
Onconase Induces Apoptosis in Dabrafenib-Resistant Melanoma Cell Lines Through Dysregulation of ROS Homeostasis, Antioxidant Protein Expression, and Mitochondrial Dynamics. (PubMed, Int J Mol Sci)
Collectively, these findings demonstrate that ONC disrupts redox homeostasis, mitochondrial function, and survival signaling in melanoma cells, exerting particularly potent effects in BRAF inhibitor-resistant populations. This study provides mechanistic insight into the anti-melanoma activity of ONC and supports its potential therapeutic application in drug-resistant melanoma.
Preclinical • Journal
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BIRC5 (Baculoviral IAP repeat containing 5) • CASP9 (Caspase 9) • CDK1 (Cyclin-dependent kinase 1) • ATG3 (Autophagy Related 3) • BECN1 (Beclin 1)
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BRAF mutation
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Tafinlar (dabrafenib) • Onconase (ranpirnase)
2ms
Mechanical Bowel Preparation With or Without Oral Antibiotics in Left Sided Colorectal Cancer Surgery (clinicaltrials.gov)
P=N/A, N=60, Enrolling by invitation, Shaukat Khanum Memorial Cancer Hospital & Research Centre
New trial
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rifampicin