Page last updated: 2024-10-30

leflunomide and Kahler Disease

leflunomide has been researched along with Kahler Disease in 5 studies

Leflunomide: An isoxazole derivative that inhibits dihydroorotate dehydrogenase, the fourth enzyme in the pyrimidine biosynthetic pathway. It is used an immunosuppressive agent in the treatment of RHEUMATOID ARTHRITIS and PSORIATIC ARTHRITIS.
leflunomide : A monocarboxylic acid amide obtained by formal condensation of the carboxy group of 5-methyl-1,2-oxazole-4-carboxylic acid with the anilino group of 4-(trifluoromethyl)aniline. The prodrug of teriflunomide.

Research Excerpts

ExcerptRelevanceReference
"The inexpensive, well-tolerated, immunomodulatory agent leflunomide, used extensively for the treatment of rheumatoid arthritis, has been shown to produce significant activity against multiple myeloma (MM) in pre-clinical studies."9.34Repurposing leflunomide for relapsed/refractory multiple myeloma: a phase 1 study. ( Buettner, R; Chowdhury, A; Duarte, L; Forman, SJ; Hammond, SN; Htut, M; Karanes, C; Krishnan, A; Nathwani, N; Palmer, J; Pichiorri, F; Rosen, ST; Rosenzweig, M; Sahebi, F; Sanchez, JF; Synold, T; Tao, S; Tsai, NC; Wu, X, 2020)
"Leflunomide, an anti-inflammatory agent, has been shown to be effective in multiple myeloma (MM) treatment; however, the mechanism of this phenomenon has not been fully elucidated."8.02The Mitochondria-Independent Cytotoxic Effect of Leflunomide on RPMI-8226 Multiple Myeloma Cell Line. ( Adamczuk, G; Adamczuk, K; Humeniuk, E; Iwan, M; Korga-Plewko, A; Natorska-Chomicka, D, 2021)
"Multiple myeloma is still an incurable disease; therefore, new therapeutics are urgently needed."5.35Dihydroorotate dehydrogenase inhibitor A771726 (leflunomide) induces apoptosis and diminishes proliferation of multiple myeloma cells. ( Adam, C; Baumann, P; Bumeder, I; Mandl-Weber, S; Oduncu, F; Schmidmaier, R; Völkl, A, 2009)
"The inexpensive, well-tolerated, immunomodulatory agent leflunomide, used extensively for the treatment of rheumatoid arthritis, has been shown to produce significant activity against multiple myeloma (MM) in pre-clinical studies."5.34Repurposing leflunomide for relapsed/refractory multiple myeloma: a phase 1 study. ( Buettner, R; Chowdhury, A; Duarte, L; Forman, SJ; Hammond, SN; Htut, M; Karanes, C; Krishnan, A; Nathwani, N; Palmer, J; Pichiorri, F; Rosen, ST; Rosenzweig, M; Sahebi, F; Sanchez, JF; Synold, T; Tao, S; Tsai, NC; Wu, X, 2020)
"Leflunomide, an anti-inflammatory agent, has been shown to be effective in multiple myeloma (MM) treatment; however, the mechanism of this phenomenon has not been fully elucidated."4.02The Mitochondria-Independent Cytotoxic Effect of Leflunomide on RPMI-8226 Multiple Myeloma Cell Line. ( Adamczuk, G; Adamczuk, K; Humeniuk, E; Iwan, M; Korga-Plewko, A; Natorska-Chomicka, D, 2021)
"Multiple myeloma is still an incurable disease; therefore, new therapeutics are urgently needed."1.35Dihydroorotate dehydrogenase inhibitor A771726 (leflunomide) induces apoptosis and diminishes proliferation of multiple myeloma cells. ( Adam, C; Baumann, P; Bumeder, I; Mandl-Weber, S; Oduncu, F; Schmidmaier, R; Völkl, A, 2009)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (20.00)29.6817
2010's1 (20.00)24.3611
2020's3 (60.00)2.80

Authors

AuthorsStudies
Adamczuk, G1
Humeniuk, E1
Iwan, M1
Natorska-Chomicka, D1
Adamczuk, K1
Korga-Plewko, A1
Rosenzweig, M1
Palmer, J2
Tsai, NC1
Synold, T1
Wu, X2
Tao, S1
Hammond, SN1
Buettner, R2
Duarte, L1
Htut, M1
Karanes, C1
Nathwani, N1
Pichiorri, F2
Sahebi, F1
Sanchez, JF2
Chowdhury, A1
Krishnan, A2
Forman, SJ1
Rosen, ST2
Morales, C1
Caserta, E1
Troadec, E1
Gunes, EG1
Viola, D1
Khalife, J1
Li, H1
Keats, JJ1
Christofferson, A1
Synold, TW1
Pozhitkov, A1
Vaidehi, N1
Marcucci, G1
Rosenzweig, MA1
Baumann, P1
Mandl-Weber, S1
Völkl, A1
Adam, C1
Bumeder, I1
Oduncu, F1
Schmidmaier, R1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase I/II Dose-Escalation Trial of Leflunomide in Patients With Relapsed or Relapsed/Refractory Multiple Myeloma[NCT02509052]Phase 1/Phase 212 participants (Actual)Interventional2015-12-02Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Best Overall Response Rate: Proportion of Patients Reaching CR by IMWG Criteria

Stringent complete response [sCR]/complete response [CR]/very good partial response [VGPR]/or partial response [PR]), assessed by International Myeloma Working Group (IMWG) criteria. (NCT02509052)
Timeframe: From the start of treatment until disease progression/recurrence, assessed up to 48 months

InterventionParticipants (Count of Participants)
Arm 1: 20 mg Leflunomide3
Arm 2: 40 mg Leflunomide3
Arm 3: 60 mg Leflunomide3

Clinical Benefit Response Rate (sCR/CR/VGPR/Partial Response [PR]/Minimal Response [MR] or Stable Disease [SD]), Assessed by IMWG Criteria

Clinical benefit response rate (sCR/CR/VGPR/partial response [PR]/minimal response [MR] or stable disease [SD]), assessed by International Myeloma Working Group (IMWG) criteria (NCT02509052)
Timeframe: From the start of treatment until disease progression/recurrence, assessed up to 48 months

InterventionParticipants (Count of Participants)
Arm 1: 20 mg Leflunomide3
Arm 2: 40 mg Leflunomide3
Arm 3: 60 mg Leflunomide3

MTD, Defined as the Highest Dose in Which =< 1/6 Patients Experience a Dose-limiting Toxicity, Graded According to the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.03

Observed toxicities will be summarized, for all dose levels, in terms of type (organ affected or laboratory determination), severity, time of onset, duration, serum concentration of the active leflunomide metabolite, probable association with the study treatment and reversibility or outcome. (NCT02509052)
Timeframe: 28 days

Interventionmg (Number)
All Participants60

Response Duration

Median and range of nine patients with Complete Response (CR) (NCT02509052)
Timeframe: Assessed up to 48 months

Interventiondays (Median)
Arm 1: 20 mg Leflunomide336
Arm 2: 40 mg Leflunomide112
Arm 3: 60 mg Leflunomide54

Response Duration

Number of patients with Stable Disease greater than or equal to 90 days (NCT02509052)
Timeframe: Assessed at ninety days.

InterventionParticipants (Count of Participants)
Arm 1: 20 mg Leflunomide2
Arm 2: 40 mg Leflunomide3
Arm 3: 60 mg Leflunomide0

Trials

1 trial available for leflunomide and Kahler Disease

ArticleYear
Repurposing leflunomide for relapsed/refractory multiple myeloma: a phase 1 study.
    Leukemia & lymphoma, 2020, Volume: 61, Issue:7

    Topics: Antineoplastic Combined Chemotherapy Protocols; Drug Repositioning; Humans; Leflunomide; Multiple My

2020

Other Studies

4 other studies available for leflunomide and Kahler Disease

ArticleYear
The Mitochondria-Independent Cytotoxic Effect of Leflunomide on RPMI-8226 Multiple Myeloma Cell Line.
    Molecules (Basel, Switzerland), 2021, Sep-17, Volume: 26, Issue:18

    Topics: Antineoplastic Agents; Apoptosis; Cell Cycle Checkpoints; Cell Line, Tumor; Crotonates; Enzyme Inhib

2021
Buettner R, Morales C, Caserta E, et al. Leflunomide regulates c-Myc expression in myeloma cells through PIM targeting. Blood Adv. 2019;3(7):1027-1032.
    Blood advances, 2022, 11-08, Volume: 6, Issue:21

    Topics: Humans; Leflunomide; Multiple Myeloma; Proto-Oncogene Proteins; Proto-Oncogene Proteins c-pim-1

2022
Leflunomide regulates c-Myc expression in myeloma cells through PIM targeting.
    Blood advances, 2019, 04-09, Volume: 3, Issue:7

    Topics: Animals; Drug Synergism; Drug Therapy, Combination; Enzyme Inhibitors; Humans; Leflunomide; Lenalido

2019
Dihydroorotate dehydrogenase inhibitor A771726 (leflunomide) induces apoptosis and diminishes proliferation of multiple myeloma cells.
    Molecular cancer therapeutics, 2009, Volume: 8, Issue:2

    Topics: Adaptor Proteins, Signal Transducing; Antineoplastic Agents; Apoptosis; Cell Adhesion Molecules; Cel

2009