Drug intelligence / Profile preview

capecitabine + peginterferon alfa-2a

Development stage
Phase 2
Lead developer
Roche
Modality
Small Molecules, Recombinant Proteins and Enzymes
Administration
Oral, Subcutaneous
01

Overview

**Capecitabine + peginterferon alfa-2a** is a combination drug regimen consisting of capecitabine, an oral fluoropyrimidine carbamate prodrug of 5-fluorouracil (5-FU), and peginterferon alfa-2a, a pegylated recombinant alpha interferon. Capecitabine is selectively activated within tumors to 5-FU, which inhibits thymidylate synthase and incorporates into RNA, leading to cytotoxicity in rapidly dividing cells. Peginterferon alfa-2a acts via the interferon alpha/beta receptor, activating the JAK/STAT pathway and stimulating innate immune responses with antiproliferative and immunomodulatory effects. The combination has been investigated primarily in advanced solid tumors, including metastatic renal cell carcinoma, hepatocellular carcinoma, and brain metastases from breast cancer, with trials showing moderate but manageable toxicity and evidence of efficacy in subsets of patients[1][3][4].

Other names
capecitabine and pegylated interferon alfa-2acapecitabine + PEG-interferon alfa-2acapecitabine + peginterferon α-2a
02

Targets

IFNAR1 (Interferon alpha/beta receptor 1)IFNAR2 (Interferon alpha/beta receptor subunit 2)TS (Thymidylate synthase)

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