Drug intelligence / Profile preview

capecitabine + lenvatinib + tislelizumab

Development stage
Phase 2
Lead developer
Fudan University Shanghai Cancer Center
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

Capecitabine + lenvatinib + tislelizumab is an investigational combination therapy comprising three agents with distinct mechanisms of action, used primarily in oncology clinical trials. Capecitabine is an oral prodrug of 5-fluorouracil (5-FU), functioning as a cytotoxic antimetabolite that inhibits DNA synthesis in rapidly dividing cells. Lenvatinib is a small molecule multi-kinase inhibitor targeting vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), platelet-derived growth factor receptor alpha (PDGFRα), RET, and KIT, thereby inhibiting tumor angiogenesis and proliferation. Tislelizumab is a humanized monoclonal antibody against programmed cell death protein 1 (PD-1) on T cells; it acts as an immune checkpoint inhibitor to enhance anti-tumor immune responses by preventing cancer-mediated immunosuppression. This triple combination has been studied as adjuvant therapy after resection in patients with biliary tract cancer and other digestive system neoplasms[7][9]. Each component has established roles in various cancers, but the specific three-drug regimen remains under clinical investigation.

Other names
Tislelizumab plus Lenvatinib plus CapecitabineTLC regimen
02

Targets

FGFR1 (Fibroblast growth factor receptor 1)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDCD1 (Programmed cell death protein 1 receptor)RET (Rearranged during transfection receptor tyrosine kinase)TS (Thymidylate synthase)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)PDGFRA (Platelet-derived growth factor receptor alpha)

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