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This is a combination regimen consisting of three agents: - **ISIS 3521 (aprinocarsen)**, an antisense phosphorothioate oligonucleotide that inhibits the expression of protein kinase C-alpha (PKCα), a serine/threonine kinase implicated in cancer cell proliferation and survival. By binding to the mRNA of PKCα, it leads to RNase-H-mediated degradation and downregulation of this protein[2][5]. - **Carboplatin**, a platinum-based chemotherapy agent that causes DNA crosslinking and apoptosis in rapidly dividing cells[7]. - **Paclitaxel**, a microtubule-stabilizing agent that disrupts mitosis by preventing microtubule depolymerization, leading to cell cycle arrest and apoptosis[7]. The combination has been studied primarily for advanced solid tumors, especially non-small cell lung cancer (NSCLC), with the rationale that ISIS 3521 may sensitize tumor cells to standard chemotherapies like carboplatin and paclitaxel[8].
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