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**Navitoclax + celecoxib** is a combination of two small-molecule drugs: navitoclax, a potent, orally bioavailable inhibitor of the BCL-2 family of anti-apoptotic proteins (notably BCL-2, BCL-XL, and BCL-W), and celecoxib, a selective COX-2 (cyclooxygenase-2) inhibitor belonging to the nonsteroidal anti-inflammatory drug (NSAID) class. Navitoclax induces apoptosis in cancer cells by mimicking BH3-only proteins and inhibiting pro-survival BCL-2 family proteins. This mechanism is relevant in cancers where these proteins are overexpressed. Celecoxib reduces inflammation and pain by selectively inhibiting COX-2, thereby decreasing prostaglandin synthesis. The specific combination is being studied for its pharmacokinetics, safety, and potential drug-drug interactions, particularly in patients with myeloproliferative neoplasms (such as myelofibrosis), as indicated by a clinical trial that included a dedicated arm evaluating navitoclax's effect on celecoxib PK and safety[1][6]. The combination does not have a unique marketed brand name or regulatory approval as a fixed-dose combination, and is used currently only in clinical research.
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