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anti-PD-1 + rituximab + cyclophosphamide + doxorubicin + vincristine + prednisone

Development stage
Preclinical
Lead developer
Merck
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

This is a combination regimen consisting of an anti-programmed cell death protein 1 (anti-PD-1) monoclonal antibody, rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone. The backbone of this regimen is R-CHOP—a standard first-line treatment for B-cell non-Hodgkin lymphomas such as diffuse large B-cell lymphoma (DLBCL), follicular lymphoma, and others[6][9]. R-CHOP combines the CD20-targeting monoclonal antibody rituximab with three cytotoxic chemotherapy agents (cyclophosphamide—an alkylating agent; doxorubicin—an anthracycline antibiotic; vincristine—a vinca alkaloid) and the corticosteroid prednisone[6][9]. The addition of an anti-PD-1 antibody introduces immune checkpoint inhibition to enhance antitumor immune responses by blocking PD-1-mediated T-cell suppression. This combination aims to leverage both direct cytotoxicity against malignant cells and immunomodulation for improved efficacy in aggressive lymphomas.

Other names
R-CHOP plus anti-PD-1anti-PD-1 antibody plus R-CHOPanti-PD1 antibody plus R-CHOPanti-PD 1 antibody plus R-CHOP
02

Targets

PDCD1 (Programmed cell death protein 1 receptor)CD20 (B-lymphocyte antigen CD20)TOP2A (DNA topoisomerase II)GR (Glucocorticoid receptor)DNATUBB (Tubulin (alpha and beta subunits))

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