Drug intelligence / Profile preview

cetuximab + chemotherapy (Merck KGaA)

Development stage
Unknown
Lead developer
Bristol Myers Squibb
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

Cetuximab plus chemotherapy is a combination treatment strategy being evaluated by Fudan University for the management of RAS wild-type colorectal cancer liver metastases (CRCLM). This approach, often referred to as a 'cetuximab rechallenge,' involves the re-administration of cetuximab—a chimeric IgG1 monoclonal antibody that targets the epidermal growth factor receptor (EGFR)—to patients who previously responded to cetuximab-based first-line therapy but subsequently progressed. The cetuximab is combined with standard chemotherapy regimens, such as FOLFOX (fluorouracil, leucovorin, and oxaliplatin) or FOLFIRI (fluorouracil, leucovorin, and irinotecan). The rationale behind this strategy is that a period of withdrawal from EGFR inhibitors (during second-line therapy) may restore the sensitivity of the tumor to cetuximab, a process that can be monitored using circulating tumor DNA (ctDNA) to confirm the absence of RAS mutations.

Brand names
Erbitux
Other names
cetuximab rechallengecetuximab plus chemotherapycetuximab plus FOLFOXcetuximab plus FOLFIRI
02

Targets

EGFR T790M (Epidermal growth factor receptor T790M mutant)TS (Thymidylate synthase)DNATOP1 (DNA Topoisomerase I)

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