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**ASP9853 + docetaxel** is a combination therapy investigated for advanced solid tumors. ASP9853 is a small molecule inhibitor of **inducible nitric oxide synthase (iNOS) dimerization**, leading to decreased nitric oxide (NO) production. Docetaxel is a taxane-class antineoplastic agent that inhibits microtubule depolymerization, disrupting cell division and inducing apoptosis. Preclinical studies demonstrated synergistic antitumor activity of ASP9853 with taxanes (docetaxel and paclitaxel) in xenograft cancer models. In a Phase I clinical trial, ASP9853 was administered orally daily in combination with intravenous docetaxel every three weeks in patients with advanced non-hematologic malignancies. The combination showed increased toxicity (notably neutropenia and leukopenia) compared to docetaxel alone, and did not result in improved clinical efficacy; the study was terminated early without determination of the maximum tolerated dose or recommended Phase II dose[1][3][7][9].
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