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Epirubicin plus Cyclophosphamide

Shanghai Jiao Tong University School of Medicine · Phase 3 active Small molecule

Epirubicin and cyclophosphamide are chemotherapy agents that work together to damage cancer cell DNA and inhibit cell division, commonly used as a combination regimen in breast cancer treatment.

Epirubicin and cyclophosphamide are chemotherapy agents that work together to damage cancer cell DNA and inhibit cell division, commonly used as a combination regimen in breast cancer treatment. Used for Breast cancer (neoadjuvant or adjuvant treatment), Early-stage and locally advanced breast cancer.

At a glance

Generic nameEpirubicin plus Cyclophosphamide
Also known asEC
SponsorShanghai Jiao Tong University School of Medicine
Drug classChemotherapy combination (anthracycline + alkylating agent)
TargetDNA (topoisomerase II for epirubicin; DNA alkylation for cyclophosphamide)
ModalitySmall molecule
Therapeutic areaOncology
PhasePhase 3

Mechanism of action

Epirubicin is a topoisomerase II inhibitor and anthracycline that intercalates into DNA and generates reactive oxygen species, while cyclophosphamide is an alkylating agent that cross-links DNA strands. Together, this combination (EC regimen) provides synergistic cytotoxic effects against rapidly dividing cancer cells. This regimen is frequently used as neoadjuvant or adjuvant therapy in breast cancer.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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