Drug intelligence / Profile preview

carboplatin + ivonescimab + pemetrexed

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

Overview

This combination therapy consists of ivonescimab (a bispecific antibody targeting PD-1 and VEGF-A) plus the chemotherapy agents pemetrexed and carboplatin. The regimen works through multiple mechanisms: ivonescimab simultaneously blocks PD-1/PD-L1 interaction (relieving immunosuppression) and VEGF-A/VEGFR2 binding (inhibiting tumor angiogenesis), while pemetrexed inhibits multiple folate-dependent enzymes involved in DNA synthesis and folate metabolism, and carboplatin forms DNA adducts that disrupt cellular replication. This combination received approval in China in May 2024 for EGFR-mutated locally advanced or metastatic non-squamous NSCLC in patients who have progressed after tyrosine kinase inhibitor therapy.

Other names
ivonescimab + pemetrexed + carboplatin
02

Targets

GART (GAR transformylase)DNADHFR (Dihydrofolate reductase)VEGFA (Vascular endothelial growth factor A)TS (Thymidylate synthase)PDCD1 (Programmed cell death protein 1 receptor)

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