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Tretazicar + caricotamide is an investigational combination therapy composed of the prodrug tretazicar (also known as CB1954) and the cosubstrate caricotamide (EP-0152R). Tretazicar is a dinitrobenzamide derivative that acts as a prodrug; it requires enzymatic activation by quinone oxidoreductase 2 (NQO2), which uses caricotamide as an electron donor. Upon activation, tretazicar forms a bifunctional alkylating agent that induces DNA cross-linking and subsequent apoptosis in target cells. This mechanism has been explored primarily for antineoplastic activity in liver cancer and for anti-parasitic effects in cutaneous leishmaniasis models. The combination demonstrates synergistic efficacy compared to monotherapy with either agent alone[1][5][6][9].
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