Drug intelligence / Profile preview

amivantamab + folinic acid + fluorouracil + oxaliplatin

Development stage
Phase 3
Lead developer
Johnson & Johnson
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Subcutaneous
01

Overview

Amivantamab + folinic acid + fluorouracil + oxaliplatin is an investigational combination regimen consisting of the bispecific monoclonal antibody amivantamab (Rybrevant) and the standard FOLFOX chemotherapy regimen (folinic acid, fluorouracil, and oxaliplatin). Developed by Johnson & Johnson, this combination is being evaluated for the treatment of patients with RAS/BRAF wild-type metastatic colorectal cancer (mCRC). Amivantamab targets both the epidermal growth factor receptor (EGFR) and mesenchymal-epithelial transition (MET) receptor pathways, aiming to overcome resistance mechanisms associated with standard anti-EGFR therapies. The chemotherapy components provide cytotoxic activity: fluorouracil acts as an antimetabolite that inhibits thymidylate synthase (potentiated by folinic acid), while oxaliplatin is a platinum-based alkylating agent that induces DNA damage. This combination is currently being evaluated in Phase 3 clinical trials (such as the OrigAMI-2 study) as a first-line treatment for patients with unresectable or metastatic left-sided colorectal cancer.

Other names
Rybrevant + FOLFOXRybrevant + mFOLFOX6amivantamab + FOLFOXamivantamab + mFOLFOX6amivantamab plus FOLFOXamivantamab plus mFOLFOX6
02

Targets

DNAEGFR (Epidermal growth factor receptor)MET (Mesenchymal-epithelial transition factor receptor)TS (Thymidylate synthase)

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