Drug intelligence / Profile preview

aldesleukin + escitalopram

Development stage
Unknown
Lead developer
Emory University
Modality
Cytokines & Interferons → Recombinant Proteins and Enzymes, Small Molecules
Administration
Intravenous, Oral
01

Overview

This combination therapy involves the co-administration of **aldesleukin** (a recombinant interleukin-2 analog) and **escitalopram** (a selective serotonin reuptake inhibitor). Aldesleukin is a potent cytokine immunotherapy used primarily for the treatment of metastatic melanoma and renal cell carcinoma; it works by promoting the proliferation and activation of T cells and natural killer (NK) cells. However, high-dose interleukin-2 (IL-2) therapy is frequently associated with severe neuropsychiatric side effects, most notably treatment-induced depression. Escitalopram is utilized in this context as a prophylactic agent to prevent or mitigate these neurobehavioral symptoms. A Phase 4 clinical trial conducted at **Emory University's Winship Cancer Institute** investigated whether pretreatment with escitalopram could improve the tolerability of high-dose IL-2 regimens by reducing the incidence and severity of depressive symptoms in patients with Stage IV melanoma.

Brand names
Proleukin + Lexapro
Other names
IL-2 + escitalopraminterleukin-2 + escitalopram
02

Targets

IL-2R (Interleukin-2/interleukin-15 receptor complex)SERT (Sodium-dependent serotonin transporter)

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