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Drug Combination Details

General Information of the Combination (ID: C58578)
Name Arsenic trioxide   NP Info  + Azacitidine   Drug Info 
Structure +
Disease
Myelodysplastic syndromes [ICD-11: 2A36]
Phase 2 [1]
Acute lymphoblastic leukemia [ICD-11: 2B33]
Phase 1 [2]
Multiple myeloma [ICD-11: 2A83]
Investigative [3]
Acute myeloid leukemia [ICD-11: 2A60]
Investigative [4]
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Combinatorial Therapeutic Effect(s) Validated Clinically or Experimentally
    α. Enhancing Drug Efficacy by This Combination
                 Achieving Therapeutic Synergy     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [4]
                    Molecule(s)
                    Regulation
Up-regulation Expression CEBPA  Molecule Info 
Pathway MAP
Up-regulation Expression HNF1A  Molecule Info 
Pathway MAP
Up-regulation Expression RHOH  Molecule Info 
Pathway MAP
                    In-vitro Model HL-60 CVCL_0002 Adult acute myeloid leukemia Homo sapiens
NB4 CVCL_0005 Acute promyelocytic leukemia Homo sapiens
K-562 CVCL_0004 Chronic myelogenous leukemia Homo sapiens
                    Experimental
                    Result(s)
Azacytidine sensitizes acute myeloid leukemia cells to arsenic trioxide by up-regulating the arsenic transporter aquaglyceroporin 9.
                    Experiment 2 Reporting the Effect of This Combination [3]
                    Molecule(s)
                    Regulation
Up-regulation Expression XAF1  Molecule Info 
Pathway MAP
                    In-vitro Model 8226 CVCL_0014 Plasma cell myeloma Homo sapiens
XG-7 CVCL_A772 Plasma cell myeloma Homo sapiens
                    Experimental
                    Result(s)
Combination of DNA methylation inhibitor 5-azacytidine and arsenic trioxide has synergistic activity in myeloma.
References
Reference 1 ClinicalTrials.gov (NCT00118196) Azacitidine and Arsenic Trioxide in Treating Patients With Myelodysplastic Syndromes or Chronic Myelomonocytic Leukemia.
Reference 2 ClinicalTrials.gov (NCT00234000) Azacitidine and Arsenic Trioxide in Treating Patients With Myelodysplastic Syndromes.
Reference 3 Combination of DNA methylation inhibitor 5-azacytidine and arsenic trioxide has synergistic activity in myeloma. Eur J Haematol. 2009 Mar;82(3):176-83.
Reference 4 Azacytidine sensitizes acute myeloid leukemia cells to arsenic trioxide by up-regulating the arsenic transporter aquaglyceroporin 9. J Hematol Oncol. 2015 May 8;8:46.
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Cite NPCDR
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Correspondence

X. N. Sun, Y. T. Zhang, Y. Zhou, X. C. Lian, L. L. Yan, T. Pan, T. Jin, H. Xie, Z. M. Liang, W. Q. Qiu, J. X. Wang, Z. R. Li, F. Zhu*, X. B. Sui*. NPCDR: natural product-based drug combination and its disease-specific molecular regulation. Nucleic Acids Research. 50(D1): 1324-1333 (2020). PMID: 34664659

Prof. Feng ZHU  (zhufeng@zju.edu.cn)

College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China


Prof. Xinbing SUI  (hzzju@hznu.edu.cn)

School of Pharmacy and Department of Medical Oncology, the Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China