Drug intelligence / Profile preview

R-MEGACHOP

Development stage
Unknown
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Covalent Small Molecules → Small Molecules, Nucleic Acid-Directed Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

R-MEGACHOP is a high-dose, dose-dense variant of the standard R-CHOP chemotherapy regimen used in the treatment of aggressive B-cell non-Hodgkin lymphoma, particularly diffuse large B-cell lymphoma (DLBCL). Like standard R-CHOP, it combines rituximab (a monoclonal antibody targeting CD20 on B cells), cyclophosphamide (an alkylating agent), doxorubicin (an anthracycline antibiotic), vincristine (a vinca alkaloid), and prednisone or prednisolone (a corticosteroid). The "Mega" designation refers to increased doses and/or shortened intervals between cycles compared to conventional regimens. The goal is to intensify therapy for high-risk patients. However, clinical studies have shown that increasing the dose intensity with regimens like R-MegaCHOP does not significantly improve outcomes compared to standard dose-dense approaches but does increase toxicity[6].

Brand names
R-MEGACHOP
Other names
R-MegaCHOPRituximab plus MegaCHOPHigh-dose R-CHOP
02

Targets

CD20 (B-lymphocyte antigen CD20)DNAGR (Glucocorticoid receptor)TOP2A (DNA topoisomerase II)TUBB (Tubulin (alpha and beta subunits))

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