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cisplatin + gemcitabine + ifosfamide + etoposide + L-asparaginase + dexamethasone + aprepitant
- Development stage
- Phase 3
- Lead developer
- The University of Hong Kong
- Modality
- Small Molecules, Recombinant Proteins and Enzymes
- Administration
- Intravenous
01
Overview
SIMPLE is a combination chemotherapy regimen developed by The University of Hong Kong for the treatment of natural killer (NK) cell malignancies, specifically extranodal NK/T-cell lymphoma and aggressive NK leukaemia. The regimen is a modification of the earlier PIGLETS protocol, renamed to avoid religious insensitivity and updated to include the neurokinin-1 receptor antagonist aprepitant to better manage chemotherapy-induced nausea and vomiting. SIMPLE consists of cisplatin, gemcitabine, ifosfamide, etoposide, L-asparaginase, and dexamethasone. It is currently being evaluated in a Phase 3 non-inferiority trial against the SMILE regimen, aiming to provide a comparable therapeutic effect with a lower risk of nephrotoxicity.
- Other names
- SIMPLE chemotherapyPIGLETS chemotherapySIMPLE regimenPIGLETS regimen
02
Targets
DNADNA polymerase familyTOP2A (DNA topoisomerase II)GR (Glucocorticoid receptor)TACR1 (Neurokinin‑1 Receptor)RNR (Ribonucleotide reductase)
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