Drug intelligence / Profile preview

cadonilimab + chiauranib

Development stage
Phase 2
Lead developer
Akeso
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

Cadonilimab + chiauranib is an investigational combination of two oncology agents: cadonilimab, a bispecific monoclonal antibody targeting PD-1 and CTLA-4, and chiauranib, an oral small molecule inhibitor targeting multiple kinases (including Aurora B, VEGFR, PDGFR, c-Kit, and CSF1R). Cadonilimab enhances T cell activation and decreases immunosuppression by simultaneously blocking PD-1 and CTLA-4, key immune checkpoints involved in tumor immune evasion. Chiauranib inhibits multiple signaling pathways associated with tumor angiogenesis, cell proliferation, and immunosuppression. The combination is being studied primarily for cancers with poor prognosis and resistance to prior lines of therapy, such as extensive-stage small cell lung cancer (ES-SCLC) previously treated with platinum-based chemotherapy and PD-1/PD-L1 inhibitors.

Other names
cadonilimab and chiauranib combination
02

Targets

AURKB (Aurora kinase B)CSF1R (Macrophage colony-stimulating factor receptor)CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)PDCD1 (Programmed cell death protein 1 receptor)PDGFRA (Platelet-derived growth factor receptor alpha)PDGFRB (Platelet-derived growth factor receptor beta)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)

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