Drug intelligence / Profile preview

idarubicin + etoposide + cytarabine + tretinoin + pegfilgrastim

Development stage
Unknown
Lead developer
Ulm University
Modality
Recombinant Proteins and Enzymes, Small Molecules
Administration
Intravenous, Oral, Subcutaneous
01

Overview

This multi-agent chemotherapy regimen serves as the standard-of-care backbone in clinical trials conducted by the German-Austrian AML Study Group (AMLSG), specifically at the University of Ulm. It is primarily utilized for the treatment of adult patients with nucleophosmin-1 (NPM1)-mutated acute myeloid leukemia (AML). The regimen consists of an induction and consolidation phase featuring the antimetabolite cytarabine, the anthracycline idarubicin, and the topoisomerase II inhibitor etoposide (collectively known as the ICE regimen). This is supplemented with all-trans retinoic acid (ATRA/tretinoin), which acts as a differentiating agent to promote the maturation of leukemic blasts, and pegfilgrastim, a long-acting granulocyte colony-stimulating factor (G-CSF) used to accelerate myeloid recovery and reduce the duration of neutropenia.

Other names
standard chemotherapy (University of Ulm)ICE + ATRA + Pegfilgrastimstandard chemotherapy-University of Ulm-acute myeloid leukemia
02

Targets

DNA polymerase familyCSF3R (Granulocyte colony-stimulating factor receptor)TOP2A (DNA topoisomerase II)DNARARA (Retinoic acid receptor alpha)

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