Drug intelligence / Profile preview

FOLFIRI + ramucirumab

Development stage
Phase 3
Lead developer
Eli Lilly
Modality
Classical Binding Small Molecules → Small Molecules, Covalent Small Molecules → Small Molecules, Nucleic Acid-Directed Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

FOLFIRI + ramucirumab is a combination regimen used primarily as a second-line treatment for metastatic colorectal cancer (mCRC) and gastroesophageal adenocarcinoma. The regimen consists of the chemotherapy combination FOLFIRI—comprising folinic acid (leucovorin), fluorouracil (5-FU), and irinotecan—administered together with ramucirumab, a monoclonal antibody targeting vascular endothelial growth factor receptor 2 (VEGFR-2). Ramucirumab inhibits angiogenesis by blocking VEGFR-2 signaling, thereby reducing tumor blood supply. The chemotherapeutic agents in FOLFIRI work synergistically to disrupt DNA synthesis and cell division in rapidly proliferating cancer cells. This combination has demonstrated efficacy in prolonging progression-free survival and overall survival in patients whose disease has progressed after first-line therapy[1][3][4].

Other names
FOLFIRI plus ramucirumabFOLFIRI + RAMRAM + FOLFIRI
02

Targets

TS (Thymidylate synthase)TOP1 (DNA Topoisomerase I)VEGFR2 (Vascular endothelial growth factor receptor 2)

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