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avadomide + rituximab + cyclophosphamide + doxorubicin + vincristine + prednisone

Development stage
Phase 1
Lead developer
Bristol Myers Squibb
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral (avadomide, Cyclophosphamide, Prednisone), Intravenous (rituximab, Cyclophosphamide, Doxorubicin, Vincristine)
01

Overview

Avadomide + rituximab + cyclophosphamide + doxorubicin + vincristine + prednisone is an investigational combination regimen under evaluation for the first-line treatment of diffuse large B-cell lymphoma (DLBCL) with poor risk factors[7]. It integrates avadomide, a novel cereblon E3 ligase modulator (CELMoD) with immunomodulatory and antineoplastic activity, into the established R-CHOP regimen. R-CHOP combines rituximab, a chimeric monoclonal antibody targeting CD20 on B-cells; cyclophosphamide, an alkylating agent; doxorubicin, an anthracycline antibiotic; vincristine, a microtubule inhibitor; and prednisone, a corticosteroid. Avadomide induces degradation of transcription factors IKZF1 and IKZF3 via cereblon binding, modulating immune function and promoting antitumor effects. Each component has a distinct but complementary mechanism, leading to synergistic cytotoxicity and immunomodulation for aggressive B-cell malignancies[2][3][7].

Other names
avadomide + R-CHOPCC-122 + R-CHOP
02

Targets

CD20 (B-lymphocyte antigen CD20)CRBN (Cereblon)DNATOP2A (DNA topoisomerase II)GR (Glucocorticoid receptor)IKZF1 (Ikaros family zinc finger protein 1)IKZF3 (Zinc finger protein Aiolos)TUBB (Tubulin (alpha and beta subunits))

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