Drug intelligence / Profile preview

chlorambucil + polatuzumab vedotin + rituximab + cyclophosphamide + doxorubicin + prednisone

Development stage
Unknown
Lead developer
Roche
Modality
Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Oral, Intravenous
01

Overview

This combination regimen, referred to in clinical trial contexts as **CL-Pola-R-CHP**, is an investigational therapy being evaluated for the treatment of patients with double-hit or triple-hit diffuse large B-cell lymphoma (DLBCL). Although the input name specifies chlorambucil, the clinical trial context (NCT06034210) identifies the "CL" components as the HDAC inhibitor **chidamide** (tucidinostat) and the Bcl-2 inhibitor **lisaftoclax** (APG-2575). These are combined with **polatuzumab vedotin** (an anti-CD79b antibody-drug conjugate), **rituximab** (an anti-CD20 monoclonal antibody), and the **CHP** chemotherapy backbone (cyclophosphamide, doxorubicin, and prednisone). The regimen is specifically designed for elderly patients (aged 65 and above) who are ineligible for hematopoietic stem cell transplantation, aiming to improve outcomes in high-risk DLBCL by targeting multiple pathways including epigenetic regulation, apoptosis, and B-cell surface antigens.

Other names
Chidamide + Lisaftoclax + Polatuzumab Vedotin + Rituximab + Cyclophosphamide + Doxorubicin + PrednisoneTucidinostat + Lisaftoclax + Polatuzumab Vedotin + Rituximab + Cyclophosphamide + Doxorubicin + Prednisone
02

Targets

CD20 (B-lymphocyte antigen CD20)TOP2A (DNA topoisomerase II)B-cell antigen receptor complex-associated protein beta chainGR (Glucocorticoid receptor)DNATUBB (Tubulin (alpha and beta subunits))

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