Drug intelligence / Profile preview

hydroxyurea + naproxen + sorafenib

Development stage
Preclinical
Lead developer
Bristol Myers Squibb
Modality
Small Molecules
Administration
Oral
01

Overview

Hydroxyurea + naproxen + sorafenib is an unapproved, investigational combination of three small-molecule drugs: hydroxyurea (a ribonucleotide reductase inhibitor that blocks DNA synthesis), naproxen (a nonsteroidal anti-inflammatory drug that inhibits cyclooxygenase enzymes), and sorafenib (a multikinase inhibitor targeting RAF, VEGFR, and PDGFR kinases). This specific triplet lacks established clinical use or unique branding, though naproxen + sorafenib shows preclinical synergy in hepatocellular carcinoma (HCC) via enhanced apoptosis through CAPN2 downregulation and PI3K/AKT inhibition. Hydroxyurea adds antineoplastic effects but introduces risks of myelosuppression when combined with sorafenib-like kinase inhibitors; no data confirms synergy or safety for the full combination, positioning it as experimental for cancers like HCC.

02

Targets

RNR (Ribonucleotide reductase)KIT (c-KIT proto-oncogene receptor tyrosine kinase)VEGFR2 (Vascular endothelial growth factor receptor 2)RAF1 (c-Raf-1 (Y340D/Y341D))PDGFRB (Platelet-derived growth factor receptor beta)PTGS2 (Prostaglandin-Endoperoxide Synthase 2)PGHS-1 (Prostaglandin G/H Synthase 1)RET (Rearranged during transfection receptor tyrosine kinase)FLT3 (Fms related receptor tyrosine kinase 3)

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