Drug intelligence / Profile preview

methotrexate + zoledronic acid

Development stage
Unknown
Modality
Small Molecules
Administration
Oral, Intravenous, Intramuscular, Subcutaneous
01

Overview

Methotrexate is an antimetabolite and immunosuppressant that inhibits enzymes responsible for nucleotide synthesis, thereby reducing cell division and inflammation. It is widely used in rheumatoid arthritis, psoriasis, and certain cancers[6][9]. Zoledronic acid is a bisphosphonate that inhibits osteoclast function, preventing bone resorption. It is used to treat osteoporosis, hypercalcemia of malignancy, multiple myeloma, and bone metastases from solid tumors[5]. The combination of methotrexate and zoledronic acid has been studied for its potential to prevent both bone erosion (via anti-inflammatory effects) and systemic bone loss (via direct osteoclast inhibition), particularly in models of rheumatoid arthritis[1]. In clinical trials for advanced cancer with bone involvement (e.g., osteosarcoma), this combination has also been explored alongside other agents such as cyclophosphamide and sirolimus[3][7].

Other names
MTX + ZAmethotrexate and zoledronic acid
02

Targets

ATIC (Aminoimidazole carboxamide ribonucleotide transformylase)DHFR (Dihydrofolate reductase)FDPS (Farnesyl pyrophosphate synthase)

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