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arsenic trioxide + ascorbic acid + bortezomib

Development stage
Unknown
Lead developer
Teva Pharmaceutical Industries
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules
Administration
Intravenous, Subcutaneous
01

Overview

This is an investigational combination therapy consisting of three agents: - **Arsenic trioxide** (Trisenox), an antineoplastic that induces apoptosis and differentiation in malignant cells. - **Ascorbic acid** (vitamin C), which may enhance the cytotoxic effects of arsenic trioxide by depleting intracellular glutathione. - **Bortezomib** (Velcade), a proteasome inhibitor that disrupts protein degradation pathways in cancer cells. The combination has been studied primarily for relapsed or refractory multiple myeloma. Preclinical data suggest synergistic anti-tumor activity when these agents are used together. Clinical trials have demonstrated feasibility and some clinical benefit in heavily pretreated patients with multiple myeloma[1][2][3][4][5][7].

Other names
AAV (arsenic trioxide, ascorbic acid, and bortezomib combination)
02

Targets

TXNRD2 (Thioredoxin reductase 2)Cellular thiol-containing proteinsPSMB6 (Proteasome 20S subunit beta 6)PSMB5 (Proteasome subunit beta Type-5)PSMB7 (Proteasome subunit beta type-7)

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