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camrelizumab + apatinib + gemcitabine + oxaliplatin + tegafur

Development stage
Preclinical
Lead developer
Hengrui Pharmaceutical
Modality
DNA Intercalators/Alkylators → Nucleic Acid-Directed Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

This is a multi-agent combination regimen consisting of five drugs with distinct mechanisms targeting cancer through immunotherapy, antiangiogenesis, and cytotoxic chemotherapy. **Camrelizumab** is a humanized monoclonal antibody that inhibits the programmed death 1 (PD‑1) receptor on T cells, thereby enhancing antitumor immune responses. **Apatinib** is an oral small-molecule tyrosine kinase inhibitor that selectively targets vascular endothelial growth factor receptor 2 (VEGFR2), inhibiting tumor angiogenesis. **Gemcitabine** is a nucleoside analog that interferes with DNA synthesis and induces apoptosis in rapidly dividing cells. **Oxaliplatin** is a platinum-based chemotherapeutic agent causing DNA crosslinking and cell death. **Tegafur**, often used as part of the oral fluoropyrimidine S‑1 or UFT formulations, is a prodrug of 5-fluorouracil (5-FU), which inhibits thymidylate synthase and disrupts DNA synthesis in cancer cells. This combination leverages immune checkpoint blockade with antiangiogenic therapy to modulate the tumor microenvironment while simultaneously delivering cytotoxic agents to maximize antitumor efficacy. It has been explored primarily for advanced solid tumors such as hepatocellular carcinoma and gastrointestinal cancers[1][2][3][7].

Other names
camrelizumab + apatinib + gemcitabine + oxaliplatin + tegafur
02

Targets

TOP1 (DNA Topoisomerase I)VEGFR2 (Vascular endothelial growth factor receptor 2)PDCD1 (Programmed cell death protein 1 receptor)TS (Thymidylate synthase)

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