Drug intelligence / Profile preview

bevacizumab + liposomal irinotecan + 5-fluorouracil + leucovorin

Development stage
Unknown
Lead developer
Sanjun Cai
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules, Nanoparticles → Drug Delivery Systems
Administration
Intravenous
01

Overview

This combination regimen is a multi-agent chemotherapy and targeted therapy protocol consisting of bevacizumab, liposomal irinotecan, 5-fluorouracil (5-FU), and leucovorin. It is currently being investigated in the Phase II IRIS trial (NCT06184698) as a second-line treatment for patients with metastatic colorectal cancer who have progressed on oxaliplatin-based first-line therapy. Bevacizumab is a monoclonal antibody that targets vascular endothelial growth factor (VEGF), inhibiting angiogenesis. Liposomal irinotecan is a nanoliposomal formulation of the topoisomerase I inhibitor irinotecan, designed to enhance drug delivery to tumor tissues while reducing systemic toxicity. 5-FU is an antimetabolite that inhibits thymidylate synthase, and leucovorin is administered to potentiate the cytotoxic effects of 5-FU. Preliminary clinical data suggest that this combination offers encouraging activity with a manageable safety profile in the advanced colorectal cancer setting.

Brand names
Duoenda
Other names
bevacizumab + irinotecan liposome + 5-FU/LVbevacizumab + nal-IRI + 5-FU/LV
02

Targets

TOP1 (DNA Topoisomerase I)TS (Thymidylate synthase)VEGFA (Vascular endothelial growth factor A)

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