Drug intelligence / Profile preview

PAXG

Development stage
Phase 3
Modality
Nucleic Acid-Directed Small Molecules → Small Molecules, Covalent Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Intravenous (nab-paclitaxel, Gemcitabine, Cisplatin), Oral (capecitabine)
01

Overview

PAXG is a combination chemotherapy regimen used in the treatment of advanced pancreatic adenocarcinoma. The acronym "PAXG" stands for a four-drug combination consisting of nab-paclitaxel (Abraxane), gemcitabine, capecitabine (Xeloda), and cisplatin. This regimen has been investigated in clinical trials for its efficacy and safety in patients with stage III-IV pancreatic cancer. Each component acts via different mechanisms to inhibit tumor growth and proliferation: - Nab-paclitaxel is a microtubule inhibitor. - Gemcitabine is a nucleoside analog that inhibits DNA synthesis. - Capecitabine is an oral prodrug converted to 5-fluorouracil, which inhibits thymidylate synthase. - Cisplatin forms DNA crosslinks, leading to apoptosis.

Brand names
PAXG
Other names
PAX-GPAXG
02

Targets

MicrotubuleTS (Thymidylate synthase)DNARNR (Ribonucleotide reductase)

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