408:. However, unlike paclitaxel, it does not induce these pro-tumor effects in Type I cells." The detrimental effects attributed to paclitaxel were alleged to be "...due to paclitaxel-induced enhancement of NF-κB and ERK activities, and cytokine production (e.g. IL-6), which promote chemoresistance and tumor progression." The latter study also reported promising results, concluding that filanesib "...potently induces cell cycle block and subsequent death in leukemic cells via the mitochondrial pathway and has the potential to eradicate AML progenitor cells." However, a clinical trial published in 2012 on patients with advanced myeloid leukemias found that the drug exhibited a "relative lack of clinical activity"; the trial was therefore halted before it was scheduled to end.
231:
24:
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Ocio, E. M.; Richardson, P. G.; Rajkumar, S. V.; Palumbo, A.; Mateos, M. V.; Orlowski, R.; Kumar, S.; Usmani, S.; Roodman, D.; Niesvizky, R.; Einsele, H.; Anderson, K. C.; Dimopoulos, M. A.; Avet-Loiseau, H.; Mellqvist, U. H.; Turesson, I.; Merlini, G.; Schots, R.; McCarthy, P.; Bergsagel, L.; Chim,
462:; the results concluded that 16 percent of patients who had received a median of six prior therapies responded to single-agent filanesib. In the week after this presentation, Array BioPharma's stock fell by 16%. In February 2014, a review was published by researchers from the
601:
Khoury, H. J.; Garcia-Manero, G.; Borthakur, G.; Kadia, T.; Foudray, M. C.; Arellano, M.; Langston, A.; Bethelmie-Bryan, B.; Rush, S.; Litwiler, K.; Karan, S.; Simmons, H.; Marcus, A. I.; Ptaszynski, M.; Kantarjian, H. (2012).
454:, though it is possible that it may cause low blood cell counts as well. Shah et al. have conducted a phase II study of filanesib both by itself, and in combination with dexamethasone, presented at the annual meeting of the
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concluded that filanesib was "effective in monotherapy as well as in combination with dexamethasone in heavily pretreated patients." According to Jatin Shah, an assistant professor at
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Chari, A; Htut, M; Zonder, JA; Fay, JW; Jakubowiak, AJ; Levy, JB; Lau, K; Burt, SM; Tunquist, BJ; Hilder, BW; Rush, SA; Walker, DH; Ptaszynski, M; Kaufman, JL (15 November 2016).
485:
had a favorable safety profile. The same study reported that this combination of drugs "appears to have durable activity in patients with recurrent/refractory multiple myeloma."
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438:(i.e. the time until the cancer recurs). A previous trial had reported that 37% of patients receiving filanesib in conjunction with carfilzomib showed lower levels of
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270:
774:"Array BioPharma Announces Positive Interim Results From Combination Trial Of ARRY-520 With Kyprolis At The 2013 European Hematology Association Congress"
254:
InChI=1S/C20H22F2N4O2S/c1-25(28-2)19(27)26-20(11-6-12-23,14-7-4-3-5-8-14)29-18(24-26)16-13-15(21)9-10-17(16)22/h3-5,7-10,13H,6,11-12,23H2,1-2H3/t20-/m0/s1
442:, also known as "M protein", whereas only 16% of controls (i.e. those receiving only carfilzomib) showed such a reduction. In addition, a report by the
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443:
942:"A phase 1 dose-escalation study of filanesib plus bortezomib and dexamethasone in patients with recurrent/refractory multiple myeloma"
994:
726:"New drugs and novel mechanisms of action in multiple myeloma in 2013: A report from the international myeloma working group (imwG)"
245:
862:
724:
J.; Lahuerta, J. J.; Shah, J.; Reiman, A.; Mikhael, J.; Zweegman, S.; Lonial, S.; Comenzo, R.; Chng, W. J.; Moreau, P. (2013).
604:"A phase 1 dose-escalation study of ARRY-520, a kinesin spindle protein inhibitor, in patients with advanced myeloid leukemias"
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in Spain, which concluded that "...some of these novel agents seem promising, such as monoclonal antibodies (anti-CD38 —
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188:
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cells were published. The former reported that filanesib "...has similar anti-tumor activity in EOC cells as that of
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554:"Inhibition of KSP by ARRY-520 induces cell cycle block and cell death via the mitochondrial pathway in AML cells"
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Carter, B Z; Mak, D H; Woessner, R; Gross, S; Schober, W D; Estrov, Z; Kantarjian, H; Andreeff, M (21 May 2009).
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377:
450:, the primary adverse effect of treatment with filanesib observed in trials conducted thus far is reversible
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419:. On October 31, 2013, it was reported that the company which developed the drug, Array BioPharma (based in
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850:
Filanesib (ARRY-520) Continues To Show
Promise In Heavily Pretreated Multiple Myeloma Patients (ASH 2013)
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A 2016 phase 1 dose-escalation study found that the studied dosing regimen of filanesib combined with
458:. In December 2013, further clinical trial results were presented, also at the annual meeting of the
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36:
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Ocio, Enrique M; Mitsiades, Constantine S; Orlowski, Robert Z; Anderson, Kenneth C (February 2014).
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Kim, Ki Hyung; Xie, Yanhua; Tytler, Ewan M.; Woessner, Richard; Mor, Gil; Alvero, Ayesha B. (2009).
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In June 2013, preliminary results from a trial of the drug were presented at a conference of the
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Except where otherwise noted, data are given for materials in their
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684:"Kinesin inhibitor marches toward first-in-class pivotal trial"
656:"Array Biopharma Outlines Path To Market For New Myeloma Drug"
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in several hundred patients. The study's primary endpoint was
427:. The study began in mid-2014, and paired filanesib with the
891:"Future agents and treatment directions in multiple myeloma"
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CN(C(=O)N1(SC(=N1)C2=C(C=CC(=C2)F)F)(CCCN)C3=CC=CC=C3)OC
807:
American
Society of Clinical Oncology Educational Book
801:Lee, H. C.; Shah, J. J.; Orlowski, R. Z. (2013).
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474:) or the kinesin protein inhibitor Arry-520."
396:studies on the effects of filanesib on either
448:University of Texas MD Anderson Cancer Center
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863:"3 Horrendous Health-Care Stocks This Week"
45:)-2-(3-Aminopropyl)-5-(2,5-difluorophenyl)-
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861:Speights, Keith (14 December 2013).
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402:acute myeloid leukemia
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701:10.1038/nm1213-1550a
570:10.1038/leu.2009.101
429:proteasome inhibitor
37:Preferred IUPAC name
388:History of research
344: g·mol
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958:10.1002/cncr.30174
682:Owens, B. (2013).
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358:Infobox references
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952:(21): 3327–3335.
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813:: 302–306.
786:16 December
468:daratumumab
452:neutropenia
440:paraprotein
432:carfilzomib
372:(code name
287:Properties
89:885060-09-3
989:Categories
667:5 February
489:References
479:bortezomib
472:elotuzumab
406:paclitaxel
337:Molar mass
198:8A49OSO368
124:ChemSpider
100:3D model (
79:CAS Number
17:Filanesib
513:(1): 63.
417:Stockholm
400:cells or
370:Filanesib
49:-methoxy-
976:27433944
927:24350987
868:Fool.com
837:23714530
760:24253022
730:Leukemia
710:24309639
638:22139909
588:19458629
558:Leukemia
539:19619321
394:in vitro
374:ARRY-520
178:44224257
133:25069697
66:ARRY-520
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874:7 April
828:3762449
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31:Names
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102:JSmol
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833:PMID
788:2013
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