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2d
Overcoming diagnostic pitfalls in primary gastric squamous cell carcinoma: the imperative of adequate sampling in an elderly female patient, case report. (PubMed, Front Oncol)
Given the patient's advanced age, poor physical condition, and refusal of surgery, a palliative treatment plan of "Raltitrexed + Sintilimab" was finally decided upon after a multidisciplinary consultation. This case highlights the importance of adequate sampling in the diagnosis of gastric squamous cell carcinoma to avoid misdiagnosis due to limited specimens. It also provides a potential treatment option of immune therapy combined with low-dose chemotherapy for elderly patients with gastric squamous cell carcinoma who are not suitable for surgery.
Journal
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TP63 (Tumor protein 63) • MUC5AC (Mucin 5AC)
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Tyvyt (sintilimab) • Tomudex (raltitrexed)
1m
Pathways in the brain, heart and lung influenced by SARS-CoV-2 NSP6 and SARS-CoV-2 regulated miRNAs: an in silico study hinting cancer incidence. (PubMed, Cardiooncology)
This study highlights probable hub genes, drugs targeting them, and associated pathways perturbed by SARS-CoV-2 NSP6. Galectin3 (LGALS3) upregulated in both heart and brain after COVID-19 infection is reported to be influencing all the ten hallmarks of cancer. Our bioinformatics and systems study hints probable effect of COVID-19 infection in cancer incidence and warrants in-depth studies for present scenario of long and recurrent COVID-19.
Journal
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CCND1 (Cyclin D1) • CCNE1 (Cyclin E1) • TGFBR2 (Transforming Growth Factor Beta Receptor 2) • EGF (Epidermal growth factor) • LGALS3 (Galectin 3) • TGFB1 (Transforming Growth Factor Beta 1) • CDKN1B (Cyclin dependent kinase inhibitor 1B) • ATP6AP1 (ATPase H+ Transporting Accessory Protein 1) • CANX (Calnexin) • CCNA1 (Cyclin A1) • CCNB1 (Cyclin B1) • LAMP2 (Lysosomal Associated Membrane Protein 2)
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Erbitux (cetuximab) • Ibrance (palbociclib) • lapatinib • doxorubicin hydrochloride • irinotecan • methotrexate • Tomudex (raltitrexed) • Davanat (galactomannan)
4ms
New P4 trial
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RAS wild-type
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Tevimbra (tislelizumab-jsgr) • Stivarga (regorafenib) • Tomudex (raltitrexed)
4ms
Raltitrexed in HIPEC (clinicaltrials.gov)
P1, N=27, Completed, Fudan University | Recruiting --> Completed | N=15 --> 27 | Trial completion date: Dec 2022 --> Apr 2025 | Trial primary completion date: Dec 2021 --> Nov 2024
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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Tomudex (raltitrexed)
5ms
Prolonged Progression-Free Survival in a Patient with Highly Pretreated Recurrent Ovarian Cancer after Developing Multisystem Immune-Related Adverse Events: A Case Report and Literature Review. (PubMed, Case Rep Oncol)
Between 2013 and 2021, she underwent palliative chemotherapy comprising paclitaxel liposomes, cisplatin/nedaplatin, S-1/raltitrexed, irinotecan, doxorubicin, vinorebine, toripalimab, apatinib, gemcitabine, oxaliplatin, and capecitabine, as well as two debulking surgeries. From November 2021, she received six cycles of tislelizumab (a PD-1 inhibitor), paclitaxel (albumin-bound), and carboplatin, to which a partial response was observed according to the Response Evaluation Criteria in Solid Tumors. From May 2022, the patient was switched to maintenance therapy with tislelizumab plus olaparib...We report a case involving a patient with highly pretreated recurrent ovarian cancer who exhibited prolonged PFS after developing three irAEs. The distinctly prolonged PFS observed, along with the reviewed literature, suggests that irAEs may be correlated with improved survival in ovarian cancer.
Journal • Adverse events • Tumor mutational burden • PARP Biomarker • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability)
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TMB-H
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Lynparza (olaparib) • carboplatin • gemcitabine • paclitaxel • Loqtorzi (toripalimab-tpzi) • doxorubicin hydrochloride • Tevimbra (tislelizumab-jsgr) • AiTan (rivoceranib) • capecitabine • oxaliplatin • irinotecan • Teysuno (gimeracil/oteracil/tegafur) • Aqupla (nedaplatin) • Tomudex (raltitrexed)
5ms
Camrelizumab Combined with Lenvatinib and RALOX-Hepatic Arterial Infusion Chemotherapy for Unresectable Hepatocellular Carcinoma (Cal Era): A Prospective, Single-Arm, Phase II Trial. (PubMed, Liver Cancer)
This study aimed to assess the efficacy, safety, and potential predictive biomarkers of a therapeutic approach incorporating camrelizumab, lenvatinib, and a HAIC protocol using raltitrexed plus oxaliplatin (RALOX) in patients with intermediate-to-advanced HCC. The triple regimen of camrelizumab, lenvatinib, and RALOX-HAIC exhibited notable antitumor capabilities and acceptable tolerability in patients with advanced HCC. Moreover, baseline levels of IL-2, CXCL13, and CCL19 may function as predictive indicators of the response to this first-line therapeutic strategy.
P2 data • Journal • PD(L)-1 Biomarker
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CXCL13 (Chemokine (C-X-C motif) ligand 13) • CCL19 (C-C Motif Chemokine Ligand 19)
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Lenvima (lenvatinib) • AiRuiKa (camrelizumab) • oxaliplatin • Tomudex (raltitrexed)
6ms
BH3 mimetics targeting BCL-XL have efficacy in solid tumors with RB1 loss and replication stress. (PubMed, Nat Commun)
Therapy with a BCL-2/BCL-XL inhibitor (navitoclax) in combination with thymidylate synthase inhibitors (raltitrexed or capecitabine) causes marked and prolonged tumor regression in prostate and breast cancer xenograft models. These findings indicate that BCL-XL inhibitors may be effective as single agents in a subset of solid tumors with RB1 loss, and that pharmacological induction of replication stress may be a broadly applicable approach for sensitizing to BCL-XL inhibitors.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • RB1 (RB Transcriptional Corepressor 1) • BCL2L1 (BCL2-like 1) • BIRC5 (Baculoviral IAP repeat containing 5) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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capecitabine • navitoclax (ABT 263) • Tomudex (raltitrexed)
8ms
N6-methyladenosine in DNA promotes genome stability. (PubMed, Elife)
To discover factors in repair of genomic uracil, we performed a CRISPR knockout screen in the presence of floxuridine, a chemotherapeutic agent that incorporates uracil and fluorouracil into DNA. METTL3 and 6mA were required for repair of lesions driven by additional base-damaging agents, including raltitrexed, gemcitabine, and hydroxyurea. Our results establish a role for METTL3 and 6mA in promoting genome stability in mammalian cells, especially in response to base damage.
Journal
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METTL3 (Methyltransferase Like 3)
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gemcitabine • 5-fluorouracil • Tomudex (raltitrexed) • hydroxyurea
9ms
Exploiting the Achilles' heel of cancer through a structure-based drug-repurposing approach and experimental validation of top drugs using the TRAP assay. (PubMed, Mol Divers)
Using a structure-based drug discovery framework, we screened the DrugBank database through a previously validated pharmacophore model for the FVYL pocket in the hTERT thumb domain, the established binding site of BIBR1532. As the top lead, Raltitrexed demonstrates the potential of repurposed drugs in telomerase-targeted therapies, offering a time and cost-effective strategy for advancing its clinical development. The study also provides a robust framework for future drug development, addressing challenges in targeting telomerase for anticancer therapy.
Journal
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TYMS (Thymidylate Synthetase)
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Tomudex (raltitrexed) • BIBR1532
11ms
Efficacy and safety of liposomes irinotecan combined with Raltitrexed and fuquitinib in second-line treatment of advanced colorectal cancer (ChiCTR2400094120)
P=N/A, N=49, The First Affiliated Hosptial of Science and Technology of China; The First Affiliated Hosptial of Science and Technology of China
New trial
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BRAF (B-raf proto-oncogene) • MSI (Microsatellite instability)
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MSI-H/dMMR
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Tomudex (raltitrexed)
11ms
New P2 trial
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Tevimbra (tislelizumab-jsgr) • Tomudex (raltitrexed)
1year
New P2 trial
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Fruzaqla (fruquintinib) • leucovorin calcium • Tomudex (raltitrexed)