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Drug Combination Details

General Information of the Combination (ID: C79321)
Name Metformin   NP Info  + Simvastatin   Drug Info 
Structure +
Disease
Bladder cancer [ICD-11: 2C94]
Phase 2 [1]
Prostate cancer [ICD-11: 2C82]
Investigative [2]
Uterine cancer [ICD-11: 2C76]
Investigative [3]
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 [3]
                    Molecule(s)
                    Regulation
Up-regulation Expression PRKAA2  Molecule Info 
Pathway MAP
                    In-vitro Model RL95-2 CVCL_0505 Endometrial adenosquamous carcinoma Homo sapiens
HEC-1-B CVCL_0294 Endometrial adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
Combination simvastatin and metformin synergistically inhibits endometrial cancer cell growth.
                    Experiment 2 Reporting the Effect of This Combination [2]
                    Molecule(s)
                    Regulation
Up-regulation Expression PRKAA2  Molecule Info 
Pathway MAP
                    In-vitro Model PC-3 D12 CVCL_4Y40 Prostate carcinoma Homo sapiens
LNCaP C4-2B5 CVCL_4788 Prostate carcinoma Homo sapiens
LNCaP C4-2B4 CVCL_4787 Prostate carcinoma Homo sapiens
LNCaP C4-2B3 CVCL_4786 Prostate carcinoma Homo sapiens
MDA-MB-231 CVCL_0062 Breast adenocarcinoma Homo sapiens
                    In-vivo Model Male NCr-nu/nu mice were used in this study.
                    Experimental
                    Result(s)
Combination of simvastatin and metformin, within pharmacologic dose range (500 nmol/L to 4 umol/L simvastatin and 250 umol/L to 2 mmol/L metformin), significantly and synergistically reduces C4-2B3/B4 CRPC cell viability and metastatic properties, with minimal adverse effects on normal prostate epithelial cells.
References
Reference 1 ClinicalTrials.gov (NCT02360618) Metformin and Simvastatin Use in Bladder Cancer.
Reference 2 Synergistic simvastatin and metformin combination chemotherapy for osseous metastatic castration-resistant prostate cancer. Mol Cancer Ther. 2014 Oct;13(10):2288-302.
Reference 3 Combination simvastatin and metformin synergistically inhibits endometrial cancer cell growth. Gynecol Oncol. 2019 Aug;154(2):432-440.
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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