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ABBV-400 + fluorouracil + folinic acid + bevacizumab is a combination regimen being studied in advanced and metastatic colorectal cancer, particularly in patients previously treated for their disease. **ABBV-400** (telisotuzumab adizutecan) is an antibody-drug conjugate that targets the c-Met (MET) protein, which is often overexpressed in solid tumors. ABBV-400 uses a c-Met–binding antibody linked to a topoisomerase 1 inhibitor payload. **Fluorouracil** is a pyrimidine analog antimetabolite that interferes with DNA synthesis. **Folinic acid** (leucovorin) potentiates the anticancer effect of fluorouracil by stabilizing the fluorouracil–thymidylate synthase complex. **Bevacizumab** is a monoclonal antibody targeting vascular endothelial growth factor (VEGF), inhibiting tumor angiogenesis. This combination is evaluated in clinical trials for efficacy and safety in metastatic colorectal cancer, leveraging multiple mechanisms: targeted killing of c-Met–expressing cells, inhibition of angiogenesis, and cytotoxic effects on tumor DNA synthesis[2][5].
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