Nab-Paclitaxel (Abraxane)

Other Medications · Approved since 2005

US Off-label EU EMA Approved ES Hospital use off-label in CRC IV 17 Clinical Trials
Beta-tubulin

Description

Nab-paclitaxel is a nanoparticle albumin-bound formulation of paclitaxel, a taxane chemotherapy agent used in metastatic colorectal cancer, typically in later-line treatment settings or clinical trial combinations. This formulation allows for higher drug concentrations and improved tumor penetration compared to conventional paclitaxel while avoiding the hypersensitivity reactions associated with solvent-based formulations. In CRC, it is most commonly employed when patients have progressed on standard therapies including fluoropyrimidines, oxaliplatin, and irinotecan-based regimens.

Mechanism of Action

Nab-paclitaxel binds to beta-tubulin subunits within cancer cells, stabilizing microtubules and preventing their normal disassembly during cell division. This disruption of microtubule dynamics arrests cells in the G2/M phase of the cell cycle, ultimately triggering apoptotic cell death. The albumin-bound nanoparticle formulation enhances drug delivery to tumors through increased vascular permeability and albumin receptor-mediated uptake.

Molecular Targets

Side Effects

Neutropenia Peripheral neuropathy Fatigue Nausea Alopecia Diarrhea Thrombocytopenia Myalgia

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

Clinical Trials

NCT07223047 Phase 1
Recruiting
A Study to Evaluate the Safety, Tolerability, and Efficacy of BMS-986523 Alone and in Combination With Anti-Cancer Agents in Participants With Advanced Solid Malignancies
United States, Canada, Spain
NCT07020221 Phase 1
Recruiting
A Phase 1/2 Study of VS-7375 in Patients With KRAS G12D-Mutated Solid Tumors
United States, Australia
NCT06917079 Phase 1
Recruiting
BBO-11818 in Adult Subjects With KRAS Mutant Cancer
United States
NCT06586515 Phase 1
Recruiting
MOONRAY-01, A Study of LY3962673 in Participants With KRAS G12D-Mutant Solid Tumors
United States, Canada, China, France, Germany, Ireland, Italy, Japan, Spain
NCT06445062 Phase 1
Recruiting
Study of RAS(ON) Inhibitors in Patients With Gastrointestinal Solid Tumors
United States
NCT05786924 Phase 1
Recruiting
Phase 1/2 Trial of S241656 in Selected RAS/MAPK Mutation- Positive Malignancies
United States, Japan
View all 17 clinical trials →