Drug intelligence / Profile preview

D-TACE + lenvatinib + tislelizumab

Development stage
Unknown
Lead developer
Wen Li
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules, Device-based Delivery → Drug Delivery Systems
Administration
Intra-arterial, Oral, Intravenous
01

Overview

D-TACE + lenvatinib + tislelizumab is an investigational combination regimen being evaluated for the treatment of advanced unresectable hepatocellular carcinoma (HCC). The regimen integrates three distinct therapeutic modalities: Drug-eluting Bead Transarterial Chemoembolization (D-TACE) using pirarubicin-loaded CalliSpheres (100-300 µm), the oral multi-kinase inhibitor lenvatinib, and the intravenous anti-PD-1 monoclonal antibody tislelizumab. D-TACE provides a dual effect by delivering high-dose chemotherapy (pirarubicin) directly to the tumor while simultaneously inducing ischemia through embolization. Lenvatinib targets multiple tyrosine kinases, including VEGFR1-3 and FGFR1-4, to inhibit angiogenesis and lymphangiogenesis. Tislelizumab is a humanized IgG4 monoclonal antibody that binds to PD-1, preventing its interaction with PD-L1 and PD-L2 to enhance the immune system's ability to detect and destroy cancer cells. This triple-modality approach is currently being compared against HAIC-based combination therapies in clinical trials led by investigator Wen Li.

Brand names
CalliSpheres
Other names
D-TACE plus lenvatinib and tislelizumabD-TACE-L-T
02

Targets

DNATOP2A (DNA topoisomerase II)FGFR1 (Fibroblast growth factor receptor 1)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)FGFR4 (Fibroblast growth factor receptor 4)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDCD1 (Programmed cell death protein 1 receptor)PDGFRA (Platelet-derived growth factor receptor alpha)RET (Rearranged during transfection receptor tyrosine kinase)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)

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