Drug intelligence / Profile preview

RR001 + nab-paclitaxel + gemcitabine

Development stage
Phase 2
Lead developer
EpicentRx
Modality
Small Molecules, Nanoparticles → Drug Delivery Systems
Administration
Intravenous
01

Overview

**RR001 + nab-paclitaxel + gemcitabine** is a combination regimen comprising RRx-001 (1-bromoacetyl-3,3-dinitroazetidine), an investigational small molecule with multifaceted antitumor mechanisms; nab-paclitaxel (albumin-bound paclitaxel), a nanoparticle formulation of the microtubule inhibitor paclitaxel; and gemcitabine, a cytidine analog chemotherapeutic agent. RRx-001 exerts anti-cancer activity by downregulating CD47, upregulating TP53, inhibiting NLRP3 inflammasome, inducing Nrf2 signaling, mediating epigenetic modulation, normalizing tumor vasculature, reprogramming tumor-associated macrophages, generating reactive oxygen/nitrogen species, and releasing nitric oxide in hypoxic/inflamed tissues[1][3][7]. Nab-paclitaxel interferes with microtubule function, inhibiting cell division, while gemcitabine inhibits DNA synthesis, interfering with cell proliferation[4][6][8]. The combination is investigated for advanced solid tumors, particularly **pancreatic cancer**, seeking to leverage synergistic anti-tumor effects and improve therapeutic outcomes versus standard doublet therapies[2][4][6][8].

Other names
RRx-001RRx001RRx 001albumin-bound paclitaxelpaclitaxel protein-boundgemcitabine hydrochloride
02

Targets

CD47 (Cluster of Differentiation 47)KEAP1 (Kelch-like ECH-associated protein 1)MicrotubuleNLRP3 (Nod-like receptor family pyrin domain-containing protein 3)RNR (Ribonucleotide reductase)TUBB (Tubulin (alpha and beta subunits))NFE2L2 (Nuclear factor (erythroid-derived 2)-like 2)TP53 (Cellular Tumor Antigen p53 R175H)

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