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cisplatin + capecitabine + trastuzumab + MM-111

Development stage
Discontinued
Lead developer
Merrimack Pharmaceuticals
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules, Fc-Fusion Proteins → Carrier/Scaffold Proteins → Recombinant Proteins and Enzymes, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

This is a combination regimen consisting of three established anticancer agents—cisplatin, capecitabine, and trastuzumab—plus the investigational agent MM‑111. Cisplatin is a platinum-based chemotherapy that forms DNA crosslinks and induces apoptosis in rapidly dividing cells. Capecitabine is an oral prodrug of 5-fluorouracil, inhibiting thymidylate synthase and interfering with DNA synthesis. Trastuzumab is a monoclonal antibody targeting the human epidermal growth factor receptor 2 (HER2/ERBB2), blocking downstream signaling and mediating antibody-dependent cellular cytotoxicity in HER2-positive cancers[1][4][8]. MM‑111 is a bispecific recombinant fusion protein designed to inhibit both HER2 and HER3 receptors by binding to their extracellular domains, thereby disrupting neuregulin-mediated signaling pathways critical for tumor cell survival in certain cancers[6]. This combination has been investigated primarily for advanced or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma.

Brand names
Platinol (cisplatin)Xeloda (capecitabine)Herceptin (trastuzumab)
Other names
CDDP (cisplatin)XELODA (capecitabine)rhuMAb HER2 (trastuzumab)
02

Targets

ERBB2 (Erb-b2 receptor tyrosine kinase 2)TS (Thymidylate synthase)DNAERBB3 (Erb-b2 receptor tyrosine kinase 3)

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