Drug intelligence / Profile preview

cyclophosphamide + fludarabine + clofarabine + etoposide + interleukin-2

Development stage
Unknown
Lead developer
Baxter
Modality
Vaccines & Immunotherapeutics, Classical Binding Small Molecules → Small Molecules, Covalent Small Molecules → Small Molecules, Nucleic Acid-Directed Small Molecules → Small Molecules
Administration
Intravenous
01

Overview

This combination therapy involves cyclophosphamide (an alkylating agent), fludarabine (a purine nucleoside analog), clofarabine (a second-generation purine nucleoside analog), etoposide (a topoisomerase II inhibitor), and interleukin-2 (a cytokine). Based on the provided search results, the exact combination of all five agents is not specifically described as a single standardized regimen. However, the individual components are used in various sub-combinations for treating refractory or relapsed acute leukemias, conditioning before cellular therapies (like CAR-T), and as bridge-to-transplant approaches. * Cyclophosphamide and fludarabine are commonly used together for lymphodepletion before CAR-T cell therapy. * Clofarabine, etoposide, and cyclophosphamide (CloEC) have been studied as a bridge-to-transplant regimen in pediatric refractory acute leukemia. * Clofarabine has been used with cyclophosphamide before CAR-T cell infusion. * Interleukin-2 is mentioned in combination with fludarabine and cyclophosphamide for lymphodepletion in the context of certain cell therapies. The efficacy and safety data presented in the results relate to these sub-combinations, showing variable response rates and significant toxicity, particularly immunosuppression and infection risk.

02

Targets

DNAPOLA1 (DNA polymerase alpha)DNA-directed primase/polymerase protein (PrimPol)IL-2R (Interleukin-2/interleukin-15 receptor complex)RRM1TOP2A (DNA topoisomerase II)DNA polymerase family

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