Drug intelligence / Profile preview

benmelstobart + anlotinib + platinum + etoposide

Development stage
Phase 2
Lead developer
Sino Biopharmaceutical
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

This investigational combination therapy is being evaluated as a first-line treatment for advanced large-cell neuroendocrine carcinoma (LCNEC) and extrapulmonary neuroendocrine carcinoma (EP-NEC). The regimen consists of benmelstobart, a humanized IgG1 monoclonal antibody targeting PD-L1; anlotinib, a multi-targeted small molecule tyrosine kinase inhibitor; and a chemotherapy backbone of etoposide plus a platinum agent (cisplatin or carboplatin). Benmelstobart functions as an immune checkpoint inhibitor by blocking the PD-1/PD-L1 pathway, while anlotinib inhibits angiogenesis and tumor proliferation by targeting VEGFR, FGFR, PDGFR, and c-Kit. The addition of cytotoxic chemotherapy (platinum and etoposide) provides a synergistic effect by inducing DNA damage and inhibiting topoisomerase II. This specific combination is currently being investigated in a Phase II clinical trial led by Tianjin Medical University Cancer Institute and Hospital.

Other names
Benmelstobart + Anlotinib + Chemotherapy
02

Targets

CD80 (T-lymphocyte activation antigen CD80)DNATOP2A (DNA topoisomerase II)PDCD1 (Programmed cell death protein 1 receptor)CD274 (Programmed cell death protein 1 ligand 1)RET (Rearranged during transfection receptor tyrosine kinase)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)KIT (c-KIT proto-oncogene receptor tyrosine kinase)FGFR1 (Fibroblast growth factor receptor 1)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)FGFR4 (Fibroblast growth factor receptor 4)PDGFRA (Platelet-derived growth factor receptor alpha)PDGFRB (Platelet-derived growth factor receptor beta)

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