Drug intelligence / Profile preview

apatinib + docetaxel + fluorouracil + leucovorin + oxaliplatin + sintilimab

Development stage
Unknown
Lead developer
Second Hospital of Lanzhou University
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

This is a chemo-immunotherapy combination regimen being investigated for the perioperative treatment of locally advanced gastric adenocarcinoma and gastroesophageal junction (GEJ) adenocarcinoma. It combines the FLOT chemotherapy backbone (docetaxel, oxaliplatin, fluorouracil, and leucovorin) with sintilimab, a PD-1 monoclonal antibody, and apatinib, a small-molecule tyrosine kinase inhibitor targeting VEGFR-2. The rationale is to combine the cytotoxic effects of chemotherapy with the immune checkpoint inhibition of sintilimab and the anti-angiogenic properties of apatinib to improve pathological complete response (pCR) rates and survival outcomes. The regimen is primarily associated with clinical trials conducted by Lanzhou University Second Hospital.

Other names
Sintilimab plus Apatinib plus FLOTFLOT-ASSintilimab + Apatinib + FLOT
02

Targets

DNAVEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDCD1 (Programmed cell death protein 1 receptor)RET (Rearranged during transfection receptor tyrosine kinase)SRC (Proto-oncogene tyrosine-protein kinase Src)TS (Thymidylate synthase)TUBB (Tubulin (alpha and beta subunits))

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