Drug intelligence / Profile preview

cadonilimab + lenvatinib

Development stage
Unknown
Lead developer
Kangfang Sainuo Pharmaceutical
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

Cadonilimab + lenvatinib is a combination therapy being investigated for the treatment of hepatocellular carcinoma (HCC), specifically as a conversion therapy for unresectable cases. Cadonilimab (AK104) is a humanized, tetravalent, bispecific antibody developed by Akeso Biopharma that simultaneously targets the PD-1 and CTLA-4 immune checkpoints. By blocking these pathways, it aims to restore and enhance the anti-tumor activity of T-cells. Lenvatinib is an oral, small-molecule multi-kinase inhibitor developed by Eisai that targets vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), platelet-derived growth factor receptor alpha (PDGFRα), RET, and KIT. The combination of dual checkpoint inhibition and anti-angiogenic therapy is intended to provide synergistic anti-tumor effects, potentially shrinking tumors to a size where surgical resection becomes feasible. This specific regimen is being evaluated in a Phase II clinical trial led by Peking Union Medical College Hospital.

Brand names
Kaitani
Other names
AK104 + lenvatinibcadonilimab plus lenvatinib
02

Targets

FGFR4 (Fibroblast growth factor receptor 4)PDCD1 (Programmed cell death protein 1 receptor)PDGFRA (Platelet-derived growth factor receptor alpha)KIT (c-KIT proto-oncogene receptor tyrosine kinase)VEGFR2 (Vascular endothelial growth factor receptor 2)PDGFRB (Platelet-derived growth factor receptor beta)FGFR3 (Fibroblast growth factor receptor 3)CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR3 (Vascular endothelial growth factor receptor 3)FGFR2 (Keratinocyte growth factor receptor)FGFR1 (Fibroblast growth factor receptor 1)RET (Rearranged during transfection receptor tyrosine kinase)

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