Drug intelligence / Profile preview

paclitaxel + doxorubicin + cyclophosphamide

Development stage
Phase 4
Lead developer
Instituto do Cancer do Estado de São Paulo
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

This refers to a metronomic chemotherapy regimen developed by the **Instituto do Cancer do Estado de São Paulo (ICESP)** for the neoadjuvant treatment of locally advanced HER2-negative breast cancer. The regimen, investigated in the **TAME-01** phase II feasibility study, consists of a sequential administration of weekly paclitaxel followed by weekly doxorubicin combined with daily oral cyclophosphamide. Unlike traditional high-dose chemotherapy, this metronomic approach utilizes lower, more frequent dosing without granulocyte colony-stimulating factor (G-CSF) support, aiming to maintain efficacy while minimizing hematological and systemic toxicity by potentially inhibiting tumor angiogenesis and altering the tumor microenvironment.

Other names
Metronomic Paclitaxel, Doxorubicin, and CyclophosphamideTAME regimen
02

Targets

DNATOP2A (DNA topoisomerase II)TUBB (Tubulin (alpha and beta subunits))

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