Drug intelligence / Profile preview

decitabine + nivolumab + tetrahydrouridine

Development stage
Phase 2
Lead developer
Case Comprehensive Cancer Center
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

A combination therapy consisting of decitabine, nivolumab, and tetrahydrouridine. Decitabine depletes DNA methyltransferase 1 (DNMT1), an enzyme often increased in cancer that suppresses neo-antigen expression. Tetrahydrouridine (THU) blocks cytidine deaminase, an enzyme that rapidly breaks down decitabine, thereby increasing the time cancer cells are exposed to decitabine. Nivolumab is an immune checkpoint inhibitor that blocks PD-1, enhancing T-cell immune response against cancer cells. This combination aims to overcome the limitations of using these drugs individually, particularly for solid tumors like non-small cell lung cancer (NSCLC).

Other names
THU-Dec/anti-PD1
02

Targets

CDA (Cytidine deaminase)DNMT1 (DNA (cytosine-5)-methyltransferase 1)PDCD1 (Programmed cell death protein 1 receptor)

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