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cyclophosphamide + bortezomib + abatacept
- Development stage
- Phase 2
- Lead developer
- Baxter
- Modality
- Fc-Fusion Proteins → Carrier/Scaffold Proteins → Recombinant Proteins and Enzymes, Small Molecules
- Administration
- Intravenous
01
Overview
This is a combination regimen of three drugs—cyclophosphamide, bortezomib, and abatacept—used primarily for the prevention of graft-versus-host disease (GvHD) following allogeneic hematopoietic stem cell transplantation (allo-HSCT). Cyclophosphamide is an alkylating agent that suppresses immune responses by cross-linking DNA. Bortezomib is a proteasome inhibitor that disrupts protein degradation pathways in cells, leading to apoptosis of activated immune cells. Abatacept is a selective co-stimulation modulator that inhibits T-cell activation by binding to CD80/CD86 on antigen-presenting cells and preventing their interaction with CD28 on T-cells. This combination aims to reduce the incidence and severity of both acute and chronic GvHD while maintaining engraftment and minimizing relapse risk in patients with hematologic malignancies undergoing allo-HSCT[1][2][8].
- Other names
- cyclophosphamide + bortezomib + abatacept
02
Targets
CD80 (T-lymphocyte activation antigen CD80)CD86 (T-lymphocyte activation antigen CD86)DNAPSMB5 (Proteasome subunit beta Type-5)Neuraminidase
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