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Combination Therapies in Drug Repurposing: Personalized Approaches to Combatting Leukaemia and Multiple Myeloma
B Monchusi1,2, P Dube1,3, M M Takundwa1
1Synthetic Nanobiotechnology and Biomachines, Synthetic Biology and Precision Medicine Centre, Future production Chemicals Cluster, Council for Scientific and Industrial Research, Pretoria, South Africa.
Abstract:
Despite advances in cancer research, treating malignancies remains challenging due to issues like drug resistance, disease heterogeneity, and the limited efficacy of current therapies, particularly in relapsed or refractory cases. In recent years, several drugs originally approved for non-cancer indications have shown potential in cancer treatment, demonstrating anti-proliferative, anti-metastatic, and immunomodulatory effects. Drug repurposing has shown immense promise due to well-established safety profiles and mechanisms of action of the compounds. However, the implementation is fraught with clinical, logistical, regulatory, and ethical challenges, especially in diseases such as leukaemia and multiple myeloma. This chapter examines the treatment challenges in leukaemia and multiple myeloma, focusing on the role of drug repurposing in addressing therapeutic resistance and disease variability. It highlights the potential of personalized, tailored combination therapies, using repurposed drug components, to offer more effective, targeted, and cost-efficient treatment strategies, overcoming resistance and improving patient outcomes.
Insights
Drug repurposing offers a promising strategy to overcome challenges in treating leukemia and multiple myeloma, particularly drug resistance. Tailored combination therapies with repurposed drugs can improve patient outcomes.
Area of Science:
- Oncology
- Pharmacology
- Drug Discovery
Background:
- Cancer treatment faces challenges including drug resistance, heterogeneity, and limited efficacy in relapsed/refractory cases.
- Drugs approved for non-cancer indications show potential in cancer therapy with known safety profiles.
- Drug repurposing presents a viable strategy to address unmet needs in oncology.
Purpose of the Study:
- To examine treatment challenges in leukemia and multiple myeloma.
- To explore the role of drug repurposing in overcoming therapeutic resistance and disease variability.
- To highlight the potential of personalized combination therapies using repurposed drugs.
Main Methods:
- Review of current literature on cancer treatment challenges.
- Analysis of drug repurposing strategies in oncology.
- Focus on leukemia and multiple myeloma treatment paradigms.
Main Results:
- Drug repurposing demonstrates anti-proliferative, anti-metastatic, and immunomodulatory effects.
- Repurposed drugs offer established safety profiles and mechanisms of action.
- Personalized, tailored combination therapies can enhance treatment efficacy.
Conclusions:
- Drug repurposing holds significant promise for treating leukemia and multiple myeloma.
- Overcoming resistance and variability requires innovative therapeutic approaches.
- Repurposed drugs can lead to more targeted, cost-efficient, and effective cancer treatments.
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