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capecitabine + nab-paclitaxel
- Development stage
- Unknown
- Lead developer
- GBG Forschungs
- Modality
- Nanoparticles → Drug Delivery Systems, Small Molecules
- Administration
- Intravenous, Oral
01
Overview
Capecitabine + nab-paclitaxel is a combination chemotherapy regimen investigated by the German Breast Group (GBG Forschungs GmbH) for the adjuvant treatment of early breast cancer in elderly patients. The regimen consists of nab-paclitaxel, an albumin-bound nanoparticle formulation of paclitaxel, and capecitabine, an oral fluoropyrimidine carbamate. Nab-paclitaxel functions as a microtubule inhibitor by promoting the assembly of microtubules from tubulin dimers and stabilizing them by preventing depolymerization, which leads to cell cycle arrest and apoptosis. Capecitabine is a prodrug that is enzymatically converted to 5-fluorouracil (5-FU) within the body, where it inhibits thymidylate synthase and interferes with DNA synthesis and RNA processing. This specific combination was evaluated in the ICE II (GBG 52) trial to determine its efficacy and safety compared to standard chemotherapy (EC or CMF) in non-frail patients aged 65 years or older with moderate to high-risk primary breast cancer.
- Brand names
- AbraxaneXeloda
- Other names
- nab-paclitaxel plus capecitabineICE II regimen
02
Targets
TUBB (Tubulin (alpha and beta subunits))TS (Thymidylate synthase)
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