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GZ21T is an investigational topical cream containing a fixed stoichiometric combination of **curcumin, isovanillin, and harmine**. Developed for actinic keratosis, it is intended to induce antitumor activity through DNA-damage and cellular-stress signaling, including reported activation of ataxia-telangiectasia mutated kinase and AMP-activated protein kinase, enhanced autophagy, and mitochondrial caspase-dependent and caspase-independent cell death in actinic-keratosis models. A Phase I topical single-ascending-dose study in healthy volunteers has been registered by Ankh Life Sciences. ([cdn.clinicaltrials.gov](https://cdn.clinicaltrials.gov/large-docs/62/NCT06888362/Prot_000.pdf))
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