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rituximab + ifosfamide + mesna + mitoxantrone hydrochloride liposome + etoposide

Development stage
Unknown
Lead developer
Jiangsu Provincial People's Hospital
Modality
Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics, Lipid-based Nanoparticles → Nanoparticles → Drug Delivery Systems
Administration
Intravenous
01

Overview

Modified R-MINE is a combination chemotherapy regimen consisting of rituximab, ifosfamide, mesna, mitoxantrone hydrochloride liposome (PLM60), and etoposide. Developed by The First Affiliated Hospital with Nanjing Medical University, this regimen is specifically designed for patients with late relapsed diffuse large B-cell lymphoma (DLBCL). The key innovation is the substitution of conventional mitoxantrone with a liposomal formulation (PLM60), which aims to enhance efficacy and reduce cardiotoxicity. Rituximab targets CD20-positive B-cells, while ifosfamide, mitoxantrone, and etoposide act as cytotoxic agents through DNA alkylation, intercalation, and topoisomerase II inhibition. Mesna is included to prevent hemorrhagic cystitis associated with ifosfamide use.

Other names
Modified R-MINE regimenR-MINE (modified)PLM60-modified R-MINEPLM-60-modified R-MINEPLM 60-modified R-MINErituximab + ifosfamide + mesna + mitoxantrone hydrochloride liposome + etoposide-The First Affiliated Hospital with Nanjing Medical University-diffuse large B-cell lymphoma
02

Targets

DNATOP2A (DNA topoisomerase II)CD20 (B-lymphocyte antigen CD20)

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