Drug intelligence / Profile preview

cisplatin + pemetrexed + rh-endostatin

Development stage
Unknown
Lead developer
Bristol Myers Squibb
Modality
Recombinant Proteins and Enzymes, Small Molecules
Administration
Intravenous, Intrapleural
01

Overview

This is a combination therapy consisting of cisplatin, pemetrexed, and recombinant human endostatin (rh-endostatin). Cisplatin is a platinum-based chemotherapeutic agent that induces DNA crosslinking and apoptosis in rapidly dividing cells. Pemetrexed is an antifolate antineoplastic agent that inhibits multiple folate-dependent enzymes involved in nucleotide synthesis, thereby blocking DNA replication and cell division. Rh-endostatin (commonly known by the brand name Endostar) is a recombinant form of endostatin, an endogenous inhibitor of angiogenesis; it works by inhibiting the proliferation and migration of endothelial cells required for new blood vessel formation within tumors. This combination has been primarily investigated as first-line or maintenance therapy for advanced non-small cell lung cancer (NSCLC), with studies suggesting potential benefits in progression-free survival when used as maintenance but not consistently showing significant improvement over chemotherapy alone in all settings[1][3][5]. The regimen leverages cytotoxic effects from cisplatin/pemetrexed alongside anti-angiogenic activity from rh-endostatin.

Other names
cisplatin plus Endostar plus pemetrexedcisplatin + rh-endostatin + pemetrexedCP+Endostar
02

Targets

VEGFR2 (Vascular endothelial growth factor receptor 2)ITGA5:ITGB1 (Integrin α5β1)TS (Thymidylate synthase)ATIC (Aminoimidazole carboxamide ribonucleotide transformylase)DHFR (Dihydrofolate reductase)DNAGART (GAR transformylase)HSPG (Basement membrane-specific heparan sulfate proteoglycan core protein (perlecan))

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