TABLE 1.
Anti-cancer agent interaction with COVID-19 agent.
Anti-cancer agent | Interaction with anti-COVID-19 agent | Mechanism | Effect |
Regorafenib | Azithromycin | Multikinase inhibitor specially inhibits tyrosine kinase | Reduction in therapeutic potential |
Vinblastin | Azithromycin | Inhibition of mitosis leading to cell death | P-glycoprotein serum levels are increased |
Doxorubicin | Chloroquine | Inhibition of topoisomerase II and initiation of apoptosis | Cardiac related abnormalities |
Trastuzumab | Chloroquine | Inhibition of HER2 | Cardiac related abnormalities |
Fluorouracil | Anakinra | Inhibition of thymidylate synthase | Suppression of immunity |
Fluorouracil | Tocilizumab | Inhibition of thymidylate synthase | Suppression of immunity |
Durvalumab | Anakinra | Inhibition of PD-L1 | Reduced therapeutic efficacy |
Enzalutamide | Favipiravir | Competitive binding of androgen, inhibition of tumor gene transcription | Reduction in action of antiviral agent |
Abiraterone | Tocilizumab | Androgen biosynthesis inhibitor | Tocilizumab reduced abiraterone as CYP3A4 inducer |
Abiraterone | Colchicine | Androgen biosynthesis inhibitor | Increase action of abiraterone as CYP3A4 inhibitor |
Docetexel | Tocilizumab | Inhibition of microtubular depolymerization | Tocilizumab reduced docetexel as CYP3A4 inducer |
Ruxolitinib | Tocilizumab | Inhibits myelofibrosis and JAK | Tocilizumab reduced ruxolitinib as CYP3A4 inducer |
Paclitaxel | Tocilizumab | Inhibits cell division by altering chromosomal segregation | Tocilizumab reduced paclitaxel as CYP3A4 inducer |