Drug intelligence / Profile preview

metformin + docetaxel + prednisone

Development stage
Unknown
Lead developer
New Mexico Cancer Research Alliance
Modality
Small Molecules
Administration
Oral, Intravenous
01

Overview

This combination therapy involves the addition of the biguanide metformin to the standard-of-care regimen of docetaxel and prednisone for the treatment of metastatic castration-resistant prostate cancer (mCRPC). Metformin, primarily used as an antihyperglycemic agent for type 2 diabetes, is investigated in oncology for its ability to activate AMP-activated protein kinase (AMPK), which subsequently inhibits the mTOR pathway and reduces circulating insulin and insulin-like growth factor 1 (IGF-1) levels—factors often associated with tumor progression. Docetaxel is a taxane chemotherapy agent that stabilizes microtubules, thereby inhibiting mitotic cell division and inducing apoptosis. Prednisone is a corticosteroid administered to mitigate the side effects of docetaxel and provide secondary hormonal therapy benefits. The New Mexico Cancer Research Alliance conducted a Phase II trial to evaluate whether this combination improves clinical outcomes and manages toxicity in patients with endocrine-resistant prostate cancer.

Other names
Metformin with Docetaxel and PrednisoneMetformin hydrochloride + Docetaxel + Prednisone
02

Targets

AMPK (Adenosine monophosphate–activated protein kinase)mTOR (Mammalian target of rapamycin kinase)GR (Glucocorticoid receptor)TUBB (Tubulin (alpha and beta subunits))

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