Drug intelligence / Profile preview

disitamab vedotin + S-1 + xindilizumab

Development stage
Unknown
Lead developer
RemeGen
Modality
Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

Disitamab vedotin + S‑1 + xindilizumab is a combination regimen under investigation for the treatment of advanced HER2-overexpressing gastric and gastroesophageal junction cancers. Disitamab vedotin is an antibody-drug conjugate targeting human epidermal growth factor receptor 2 (HER2), consisting of a monoclonal antibody linked to the cytotoxic agent monomethyl auristatin E via a cleavable linker. It binds to HER2 on tumor cells, is internalized, and releases MMAE intracellularly to disrupt microtubules and induce cell death[1][2][4]. S‑1 is an oral fluoropyrimidine-based chemotherapy combining tegafur with modulators gimeracil and oteracil, designed to enhance antitumor activity while reducing gastrointestinal toxicity. Xindilizumab is a monoclonal antibody immune checkpoint inhibitor targeting PD‑1, enhancing T-cell mediated antitumor immunity. The combination aims to leverage targeted cytotoxicity, chemotherapy-induced tumor cell kill, and immune activation for synergistic efficacy in HER2-positive cancers[3].

Brand names
Aidixi (for disitamab vedotin)
Other names
爱地希 (for disitamab vedotin)RC48 (for disitamab vedotin)
02

Targets

PDCD1 (Programmed cell death protein 1 receptor)ERBB2 (Erb-b2 receptor tyrosine kinase 2)TS (Thymidylate synthase)

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