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domvanalimab + zimberelimab + etrumaadenant + quemliclustat + sacituzumab govitecan

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

Overview

This entry refers to a clinical development platform (specifically the **EDGE-Lung** and **VELOCITY-Lung** Phase 2 trials) led by **Gilead Sciences** in collaboration with **Arcus Biosciences**. The platform evaluates various combinations of immunotherapies and targeted agents for the treatment of non-small cell lung cancer (NSCLC). The regimen includes **domvanalimab** (an Fc-silent anti-TIGIT monoclonal antibody), **zimberelimab** (an anti-PD-1 monoclonal antibody), **etrumaadenant** (a dual A2A/A2B adenosine receptor antagonist), **quemliclustat** (a small molecule CD73 inhibitor), and **sacituzumab govitecan** (a TROP-2 directed antibody-drug conjugate). The strategy aims to target multiple immunosuppressive pathways (adenosine, TIGIT, PD-1) and deliver cytotoxic payloads (via ADC) to enhance anti-tumor activity in NSCLC.

Brand names
Trodelvy
Other names
EDGE-LungVELOCITY-LungMedivir/Gilead Sciences-TIGIT-PD-1-A2A/A2B adenosine-TROP-2-CD73-monoclonal antibody-ADC-small molecule-NSCLC
02

Targets

ADORA2A (Adenosine A₂A Receptor)PDCD1 (Programmed cell death protein 1 receptor)NT5E (Cluster of Differentiation 73)ADORA2B (Adenosine A2B receptor)ADORA1 (Adenosine receptor A1 subtype)TIGIT (T cell immunoreceptor with Ig and ITIM domains)TOP1 (DNA Topoisomerase I)TACSTD2 (Tumor-associated calcium signal transducer 2)

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