Drug intelligence / Profile preview

atezolizumab + tiragolumab + cisplatin + 5-fluorouracil

Development stage
Unknown
Lead developer
Roche
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

This is a multi-agent investigational combination therapy comprising: - **Atezolizumab**: a monoclonal antibody that inhibits programmed death-ligand 1 (PD-L1), thereby restoring and amplifying T-cell–mediated antitumor immune responses. - **Tiragolumab**: a monoclonal antibody targeting TIGIT, an inhibitory receptor on T cells and natural killer cells, designed to further enhance antitumor immunity; often trialed in combination with atezolizumab. - **Cisplatin**: a platinum-based small molecule chemotherapy agent that causes crosslinking of DNA, leading to apoptosis in cancer cells. - **5-Fluorouracil (5FU)**: a pyrimidine analog functioning as an antimetabolite, inhibiting thymidylate synthase and interfering with DNA synthesis. This combination aims to leverage both immune checkpoint inhibition and cytotoxic chemotherapy for synergistic antitumor efficacy, particularly in advanced solid tumors such as non-small cell lung cancer, esophageal cancer, and head and neck cancers[1][2][4][5][6][7][8]. The regimen is currently under investigation in phase I-III trials for indications including metastatic non-small cell lung cancer and esophageal carcinoma, primarily in immunotherapy-naive or previously treated patient populations.

Brand names
5FU
Other names
atezolizumabtiragolumabcisplatin5-fluorouracil5FU
02

Targets

DNATS (Thymidylate synthase)CD274 (Programmed cell death protein 1 ligand 1)TIGIT (T cell immunoreceptor with Ig and ITIM domains)

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