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ado-trastuzumab emtansine + bintrafusp alfa + entinostat

Development stage
Unknown
Lead developer
Roche
Modality
Fc-Fusion Proteins → Carrier/Scaffold Proteins → Recombinant Proteins and Enzymes, Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

This is an investigational combination therapy consisting of three agents with distinct mechanisms of action, primarily under evaluation for cancer treatment: **Ado-trastuzumab emtansine** is an antibody-drug conjugate composed of the monoclonal antibody trastuzumab linked to the cytotoxic agent DM1. It targets HER2-positive cancer cells, delivering DM1 directly to these cells and inhibiting their proliferation. **Bintrafusp alfa** is a bifunctional fusion protein that simultaneously blocks programmed death-ligand 1 (PD-L1) and traps transforming growth factor-beta (TGF-beta), aiming to enhance anti-tumor immune responses by overcoming two major immunosuppressive pathways in the tumor microenvironment. **Entinostat** is a selective oral small-molecule inhibitor of class I histone deacetylases. By inhibiting HDACs, it induces hyperacetylation of histones, leading to transcriptional activation of genes involved in cell cycle arrest, differentiation, apoptosis, and modulation of immune responses[2][3][5]. The combination aims to synergistically target tumor cells through direct cytotoxicity, immune checkpoint inhibition/immune modulation, and epigenetic reprogramming.

Brand names
Kadcyla
Other names
T-DM1T-DM-1T-DM 1M7824M-7824M 7824SNDX 275SNDX275SNDX-275MS 275MS275MS-275
02

Targets

ERBB2 (Erb-b2 receptor tyrosine kinase 2)HDAC1 (Histone Deacetylase 1)TGFB (GARP–latent transforming growth factor beta 1 complex)CD274 (Programmed cell death protein 1 ligand 1)TUBB (Tubulin (alpha and beta subunits))

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