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DRUG CLASS:

Cytochrome P450 inhibitor

22d
Investigating the Impact of Calcium Channel Blockers on the Pharmacokinetics of Lapatinib: Possible Role of Cytochrome P450 Enzymes and P-glycoprotein Efflux Transporters. (PubMed, Eur J Drug Metab Pharmacokinet)
Pretreatment with diltiazem and nicardipine increased lapatinib exposure, whereas pretreatment with verapamil reduced it. These findings from preclinical models suggest the potential for drug-drug interactions between lapatinib and calcium channel blockers, warranting further clinical investigation.
PK/PD data • Journal
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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lapatinib
23d
Clinical Features, Treatment, and Outcomes of Mucormycosis: A Retrospective Analysis of 13 Cases from a Single Center in Turkey (2015-2025). (PubMed, Trop Med Infect Dis)
All patients received Liposomal Amphotericin B, and nine (69.2%) patients received sequential posaconazole therapy. A total of eight (61.5%) patients, including three (23%) patients with intracranial involvement, died. Mucormycosis is a severe infection, especially in patients with hematological malignancies or DM, despite early diagnosis and combined antifungal and surgical treatments.
Retrospective data • Journal
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CRP (C-reactive protein)
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Noxafil (posaconazole)
24d
Transcriptomic and functional profiling of human intestinal organoids identifies enhanced calcium signalling and thrombospondin-2 activity in cystic fibrosis. (PubMed, J Cyst Fibros)
By utilising gene-edited HIOs derived from the same donor, we reveal epithelial cell-intrinsic mechanisms downstream of CFTR loss. These findings, enabled by our experimental approach, offer important insights into the role of the intestinal epithelium in CF, independent of immune cells, the microbiome, and inflammation. They also lend support for therapeutic targeting of calcium signalling to reverse disease-associated transcriptomic changes.
Journal
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IFNG (Interferon, gamma) • CFTR (CF Transmembrane Conductance Regulator) • MUC2 (Mucin 2) • THBS2 (Thrombospondin 2)
25d
Use of Adenosine to Determine the Electrophysiological Mechanism of Premature Ventricular Contractions (clinicaltrials.gov)
P4, N=100, Recruiting, Weill Medical College of Cornell University | Trial completion date: Dec 2025 --> Dec 2027 | Trial primary completion date: Dec 2025 --> Dec 2027
Trial completion date • Trial primary completion date
1m
Management of Acute Myeloid Leukemia in a Dialysis-Dependent Patient: A Case Report, Literature Review, and Therapeutic Considerations. (PubMed, Cureus)
Azacitidine was administered after dialysis sessions, while venetoclax dosing was adjusted because of concomitant posaconazole prophylaxis. Approximately one year after diagnosis, relapsed AML was identified on peripheral blood flow cytometry. This case highlights the feasibility of venetoclax-based lower-intensity therapy in selected dialysis-dependent AML patients while underscoring the persistent therapeutic limitations and adverse prognosis associated with relapsed disease in this population.
Journal
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RUNX1 (RUNX Family Transcription Factor 1) • BCL6 (B-cell CLL/lymphoma 6) • BCOR (BCL6 Corepressor) • NSD1 (Nuclear Receptor Binding SET Domain Protein 1)
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RUNX1 mutation
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Venclexta (venetoclax) • azacitidine • Noxafil (posaconazole)
2ms
Chemical components from Uncaria gambir (W.Hunter) Roxb. and their preliminary bioactivities in CDC25B phosphatase inhibition and vasodilatory activity. (PubMed, Nat Prod Res)
Compound 3 (3α-dihydrocadambine) effectively revealed strong vasodilatory activity with EC50 values of 2.4 μM and 2.1 μM, respectively, similar levels comparable to the positive control (verapamil)...Moreover, network pharmacology and molecular docking predicted compound 1 to correlate with the p53-Hippo-TGF-β antitumor signalling pathway and compound 3 with the cAMP/cGMP-PKG cardiovascular signalling pathway. This work provides preliminary experimental data for the development of potential lead compounds from U. gambir.
Journal
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TGFB1 (Transforming Growth Factor Beta 1) • CDC25B (Cell Division Cycle 25B) • GNRP (Ras-Specific Guanine Nucleotide-Releasing Factor 1)
2ms
Amphotericin Versus Posaconazole for Pulmonary Mucormycosis (clinicaltrials.gov)
P2, N=82, Completed, Post Graduate Institute of Medical Education and Research, Chandigarh | Recruiting --> Completed | N=50 --> 82 | Trial completion date: Jul 2025 --> Feb 2026 | Trial primary completion date: Dec 2024 --> Feb 2026
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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Noxafil (posaconazole)
2ms
Clinical impact of potential drug-drug interactions between midostaurin and posaconazole in FLT3-mutated AML. (PubMed, Antimicrob Agents Chemother)
Midostaurin clearance was delayed during co-administration. Midostaurin therapeutic drug monitoring may serve for decision-making when DDI with CYP3A4 inhibitors is suspected.
Journal
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FLT3 (Fms-related tyrosine kinase 3)
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FLT3 mutation
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midostaurin • Noxafil (posaconazole)
2ms
Histoplasmosis Induction and Consolidation Therapy Factorial Randomized Clinical Trial (Histo-FACT) (clinicaltrials.gov)
P3, N=664, Not yet recruiting, University of Minnesota | Initiation date: May 2026 --> Sep 2026
Trial initiation date
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itraconazole • Noxafil (posaconazole)
3ms
Pharmacological boosting of azacitidine/venetoclax in acute myeloid leukemia. (PubMed, Blood Neoplasia)
Azacitidine/venetoclax is the standard treatment for patients with acute myeloid leukemia (AML) unfit for intensive chemotherapy. The potentiated antileukemic activity positions cobicistat as a promising complementary agent in AML therapy. This trial was registered at www.clinicaltrials.gov as NCT06014489.
Clinical • Journal
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CYP3A4 (Cytochrome P450, family 3, subfamily A, polypeptide 4)
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Venclexta (venetoclax) • azacitidine • Tybost (cobicistat)
3ms
Celastrol overcomes 5-fluorouracil resistance in osteosarcoma cells through p53-mediated apoptotic pathway modulation and P-glycoprotein inhibition: A comprehensive mechanistic study. (PubMed, Bioimpacts)
Celastrol reduced P-gp expression and increased intracellular drug accumulation, comparable to verapamil. Celastrol synergizes with 5-FU to overcome chemoresistance in osteosarcoma by enhancing p53-mediated and -independent apoptosis and inhibiting P-gp-mediated drug efflux. These findings suggest a promising low-toxicity therapeutic strategy, warranting further in vivo and clinical investigations.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BAX (BCL2-associated X protein) • CASP9 (Caspase 9)
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TP53 mutation
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5-fluorouracil