Drug intelligence / Profile preview

FOLFIRI + FOLFOX + bevacizumab + cetuximab

Development stage
Unknown
Lead developer
Istituto Romagnolo per lo Studio dei Tumori Dino Amadori
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

FOLFIRI + FOLFOX + bevacizumab + cetuximab refers to a sequential treatment strategy for metastatic colorectal cancer (mCRC) evaluated in the ITACa (Italian Trial in Advanced Colorectal Cancer) phase III trial. This strategy utilizes two primary chemotherapy regimens: FOLFIRI (a combination of 5-fluorouracil, leucovorin, and irinotecan) and FOLFOX (a combination of 5-fluorouracil, leucovorin, and oxaliplatin). These cytotoxic backbones are combined with targeted monoclonal antibodies: bevacizumab, which inhibits angiogenesis by targeting vascular endothelial growth factor (VEGF), and cetuximab, which targets the epidermal growth factor receptor (EGFR). The ITACa trial, sponsored by the Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS, investigated the optimal sequencing of these agents in first- and second-line settings to improve clinical outcomes in patients with advanced colorectal cancer, particularly those with KRAS wild-type tumors.

Other names
ITACa regimenSequential chemotherapy plus targeted biologics
02

Targets

TS (Thymidylate synthase)VEGFA (Vascular endothelial growth factor A)TOP1 (DNA Topoisomerase I)DNAEGFR T790M (Epidermal growth factor receptor T790M mutant)

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