Drug intelligence / Profile preview

durvalumab + tremelimumab + oxaliplatin + 5-fluorouracil + leucovorin

Development stage
Unknown
Lead developer
AstraZeneca
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

A combination regimen consisting of **durvalumab** (a monoclonal antibody targeting the programmed death-ligand 1, PD-L1), **tremelimumab** (a monoclonal antibody targeting cytotoxic T-lymphocyte-associated protein 4, CTLA-4), **oxaliplatin** (a platinum-based chemotherapeutic agent that induces DNA crosslinking), **5-fluorouracil** (a pyrimidine analog that inhibits thymidylate synthase, disrupting DNA synthesis), and **leucovorin** (a reduced folate used to enhance the efficacy of 5-fluorouracil). This combination has been evaluated as a first-line regimen for metastatic or advanced colorectal cancer, particularly microsatellite stable (MSS) disease. Durvalumab and tremelimumab provide checkpoint inhibition (immunotherapy), while oxaliplatin, 5-fluorouracil, and leucovorin comprise the mFOLFOX6 chemotherapy backbone[6].

Brand names
ImfinziImjudo
Other names
durvalumab + tremelimumab + oxaliplatin + 5-fluorouracil + leucovorindurvalumab + tremelimumab + mFOLFOX6
02

Targets

TS (Thymidylate synthase)DHFR (Dihydrofolate reductase)CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)CD274 (Programmed cell death protein 1 ligand 1)DNA

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