Drug intelligence / Profile preview

lenalidomide + doxorubicin + dexamethasone

Development stage
Unknown
Lead developer
Wuerzburg University Hospital
Modality
Small Molecules
Administration
Oral, Intravenous
01

Overview

RAD is a combination chemotherapy regimen consisting of lenalidomide, adriamycin (doxorubicin), and dexamethasone. Developed by Wuerzburg University Hospital in collaboration with the Deutsche Studiengruppe Multiples Myelom (DSMM), it is primarily utilized as an induction therapy for patients with newly diagnosed multiple myeloma, often as a precursor to risk-adapted stem cell transplantation. Lenalidomide serves as an immunomodulatory agent that targets the cereblon E3 ubiquitin ligase complex, doxorubicin is a cytotoxic anthracycline that inhibits topoisomerase II and intercalates DNA, and dexamethasone is a potent corticosteroid that provides anti-inflammatory effects and enhances the pro-apoptotic activity of the other agents. The regimen is typically administered in 28-day cycles and has been evaluated in Phase II and Phase III clinical trials.

Other names
RAD regimenRAD induction therapyRAD-Wuerzburg University Hospital-multiple myeloma
02

Targets

GR (Glucocorticoid receptor)IKZF3 (Zinc finger protein Aiolos)IKZF1 (Ikaros family zinc finger protein 1)TOP2A (DNA topoisomerase II)CRBN (Cereblon)

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