Dulanermin (Not yet branded)

Other Medications

US Experimental EU Experimental ES Not available IV 2 Clinical Trials
DR4 DR5 TRAIL receptors

Description

Dulanermin is a recombinant human TRAIL (TNF-related apoptosis-inducing ligand) protein designed to selectively induce apoptosis in cancer cells. In colorectal cancer treatment, dulanermin is administered in combination with standard chemotherapy regimens including FOLFIRI, FOLFOX, and targeted agents like cetuximab and bevacizumab. The drug aims to enhance the cytotoxic effects of conventional chemotherapy by activating death receptor-mediated apoptotic pathways in malignant cells.

Mechanism of Action

Dulanermin binds to and activates death receptors DR4 and DR5 on the surface of cancer cells, triggering the extrinsic apoptotic pathway through caspase cascade activation. This mechanism allows for selective targeting of malignant cells while sparing normal healthy tissue, as cancer cells typically have higher expression of death receptors and defective apoptotic machinery.

Molecular Targets

Side Effects

Fatigue Nausea Diarrhea Decreased appetite Headache Infusion-related reactions Elevated liver enzymes Thrombocytopenia

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT00873756 Phase 1
Archived
A Study of Dulanermin Administered in Combination With the FOLFOX Regimen and Bevacizumab in Patients With Previously Untreated, Locally Advanced, Recurrent, or Metastatic Colorectal Cancer
United States
NCT00671372 Phase 1
Archived
A Study of Dulanermin Administered in Combination With Camptosar®/Erbitux® Chemotherapy or FOLFIRI (With or Without Bevacizumab) in Subjects With Previously Treated Metastatic Colorectal Cancer
United States