Details of the Drug Combination

General Information of Drug Combination (ID: DCR2ZR4)

• Drug Combination Name: Vinorelbine + MK-4827
• Indication: Adenocarcinoma; Status: Investigative [1]
• Component Drugs:
  Vinorelbine (DMVXFYE): Small molecular drug
  MK-4827 (DMLYGH4): Small molecular drug
• High-throughput Screening Result:
  Testing Cell Line: NCIH520
  Zero Interaction Potency (ZIP) Score: 1.03
  Bliss Independence Score: 1.2
  Loewe Additivity Score: 3.72
  LHighest Single Agent (HSA) Score: 6.77

Molecular Interaction Atlas of This Drug Combination

Indication(s) of Vinorelbine

Disease Entry	ICD 11	Status	REF
Advanced cancer	2A00-2F9Z	Approved	[2]
Lung cancer	2C25.0	Approved	[2]
Non-small-cell lung cancer	2C25.Y	Approved	[2]
Solid tumour/cancer	2A00-2F9Z	Approved	[3]

Vinorelbine Interacts with 1 DTT Molecule(s)

DTT Name	DTT ID	UniProt ID	Mode of Action	REF
Tubulin (TUB)	TTML2WA	NOUNIPROTAC	Inhibitor	[6]

Vinorelbine Interacts with 1 DTP Molecule(s)

DTP Name	DTP ID	UniProt ID	Mode of Action	REF
P-glycoprotein 1 (ABCB1)	DTUGYRD	MDR1_HUMAN	Substrate	[7]

Vinorelbine Interacts with 2 DME Molecule(s)

DME Name	DME ID	UniProt ID	Mode of Action	REF
Cytochrome P450 3A4 (CYP3A4)	DE4LYSA	CP3A4_HUMAN	Metabolism	[8]
Cytochrome P450 2D6 (CYP2D6)	DECB0K3	CP2D6_HUMAN	Metabolism	[9]

Vinorelbine Interacts with 9 DOT Molecule(s)

DOT Name	DOT ID	UniProt ID	Mode of Action	REF
Prostaglandin G/H synthase 2 (PTGS2)	OT75U9M4	PGH2_HUMAN	Decreases Expression	[10]
Cyclin-dependent kinase inhibitor 2A (CDKN2A)	OTN0ZWAE	CDN2A_HUMAN	Decreases Expression	[10]
Transforming growth factor beta-1 proprotein (TGFB1)	OTV5XHVH	TGFB1_HUMAN	Decreases Activity	[11]
Vitamin K-dependent protein C (PROC)	OTGVH484	PROC_HUMAN	Decreases Expression	[12]
Keratin, type I cytoskeletal 18 (KRT18)	OTVLQFIP	K1C18_HUMAN	Increases Expression	[13]
Epithelial cell adhesion molecule (EPCAM)	OTHBZK5X	EPCAM_HUMAN	Increases Expression	[14]
Splicing factor 45 (RBM17)	OT9ROJCL	SPF45_HUMAN	Decreases Response To Substance	[15]
Equilibrative nucleoside transporter 1 (SLC29A1)	OTLOOZZS	S29A1_HUMAN	Affects Response To Substance	[16]
Nucleophosmin (NPM1)	OTTBYYT0	NPM_HUMAN	Decreases Response To Substance	[17]

Indication(s) of MK-4827

Disease Entry	ICD 11	Status	REF
Ovarian cancer	2C73	Phase 3	[4]
Breast cancer	2C60-2C65	Phase 2	[5]
Ewing sarcoma	2B52	Phase 1	[5]

MK-4827 Interacts with 1 DTT Molecule(s)

DTT Name	DTT ID	UniProt ID	Mode of Action	REF
Poly [ADP-ribose] polymerase (PARP)	TTEBCY8	NOUNIPROTAC	Modulator	[18]

MK-4827 Interacts with 3 DME Molecule(s)

DME Name	DME ID	UniProt ID	Mode of Action	REF
Cytochrome P450 1A1 (CYP1A1)	DE6OQ3W	CP1A1_HUMAN	Metabolism	[19]
Carboxylesterase 1 (CES1)	DEB30C5	EST1_HUMAN	Metabolism	[20]
Beta-glucuronidase (GUSB)	DEP54UE	BGLR_HUMAN	Metabolism	[20]

MK-4827 Interacts with 1 DOT Molecule(s)

DOT Name	DOT ID	UniProt ID	Mode of Action	REF
Histone H2AX (H2AX)	OT18UX57	H2AX_HUMAN	Increases Expression	[21]

Test Results of This Drug Combination in Other Disease Systems

Indication	DrugCom ID	Cell Line	Status	REF
Breast and ovarian cancer syndrome	DCSVNM0	UWB1289	Investigative	[22]
Breast and ovarian cancer syndrome	DC1C3VF	UWB1289+BRCA1	Investigative	[22]
Breast carcinoma	DCQ6LSR	KPL1	Investigative	[22]
Breast carcinoma	DCERZHW	OCUBM	Investigative	[22]
Carcinoma	DCHZQGL	OV90	Investigative	[22]
Carcinoma	DCSMI3Q	EFM192B	Investigative	[22]
Colon adenocarcinoma	DC04C30	LOVO	Investigative	[22]
Colon carcinoma	DCVOPC2	RKO	Investigative	[22]
Invasive ductal carcinoma	DCMVKO8	T-47D	Investigative	[22]
Rectal adenocarcinoma	DCFU6XM	SW837	Investigative	[22]
Adenocarcinoma	DCS41WW	NCIH1650	Investigative	[1]
Adenocarcinoma	DCIBRTN	COLO320DM	Investigative	[1]
Adenocarcinoma	DCV6A07	DLD1	Investigative	[1]
Adenocarcinoma	DCHGUSB	HT29	Investigative	[1]
Adenocarcinoma	DCGOMQV	SW-620	Investigative	[1]
Ewing sarcoma-peripheral primitive neuroectodermal tumour	DCHOXZ7	ES2	Investigative	[1]
Large cell lung carcinoma	DCU4KVY	NCI-H460	Investigative	[1]
Malignant melanoma	DCZE4K9	RPMI7951	Investigative	[1]
Malignant melanoma	DCU28TH	SKMEL30	Investigative	[1]
Mesothelioma	DCB5IEW	MSTO	Investigative	[1]
Non small cell carcinoma	DCYKNJH	SKMES1	Investigative	[1]
Ovarian endometrioid adenocarcinoma	DCVBP23	A2780	Investigative	[1]
Ovarian serous cystadenocarcinoma	DCDMU19	SK-OV-3	Investigative	[1]

References

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• [2] Vinorelbine FDA Label
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• [13] Docetaxel induces apoptosis in hormone refractory prostate carcinomas during multiple treatment cycles. Br J Cancer. 2006 Jun 5;94(11):1592-8. doi: 10.1038/sj.bjc.6603129.
• [14] Adenocarcinoma cells exposed in vitro to Navelbine or Taxol increase Ep-CAM expression through a novel mechanism. Cancer Immunol Immunother. 2003 Jul;52(7):429-37. doi: 10.1007/s00262-003-0386-7. Epub 2003 Apr 15.
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• [16] High expression of nucleoside transporter protein hENT1 in Reed-Sternberg cells is associated with treatment failure in relapsed/refractory Hodgkin lymphoma patients treated with gemcitabine, vinorelbine and liposomal doxorubicin - a CALGB 59804 correlative study. Leuk Lymphoma. 2008 Jun;49(6):1202-5. doi: 10.1080/10428190802094237.
• [17] Proteomic identification of differentially expressed proteins associated with the multiple drug resistance in methotrexate-resistant human breast cancer cells. Int J Oncol. 2014 Jul;45(1):448-58.
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• [19] Discovery of 2-{4-[(3S)-piperidin-3-yl]phenyl}-2H-indazole-7-carboxamide (MK-4827): a novel oral poly(ADP-ribose)polymerase (PARP) inhibitor efficacious in BRCA-1 and -2 mutant tumors. J Med Chem. 2009 Nov 26;52(22):7170-85.
• [20] Summary of FDA-approved anticancer cytotoxic drugs at May 2019.
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