Drug intelligence / Profile preview

folinic acid + fluorouracil + oxaliplatin + irinotecan + fuquinitinib

Development stage
Phase 2
Lead developer
HUTCHMED
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

This is a **combination chemotherapy regimen** composed of five agents: **folinic acid (leucovorin or calcium folinate), fluorouracil (5FU), oxaliplatin, irinotecan, and fuquinitinib**. The first four agents (collectively known as FOLFOXIRI) are a well-established combination for the treatment of advanced or metastatic colorectal cancer, acting via multiple cytotoxic mechanisms to inhibit DNA synthesis and promote apoptosis in rapidly dividing tumor cells[2][3][4]. Folinic acid enhances the cytotoxicity of fluorouracil. Fuquinitinib is a novel vascular endothelial growth factor receptor (VEGFR) inhibitor, which works as an antiangiogenic targeted therapy; adding it to cytotoxic chemotherapy is being explored in clinical development, primarily for gastrointestinal cancers, including colorectal cancer. The combination aims to maximize antitumor efficacy by combining cytotoxic, antimetabolic, DNA-damaging, topoisomerase-inhibiting, and antiangiogenic effects.

Other names
FOLFOXIRI-based HAIC + fruquintinibFOLFOXIRI + fruquintinibHAIP Combined With FuquinitinibFOLFOXIRI-based HAIC Combined With Fruquintinib
02

Targets

DNAFGFR1 (Fibroblast growth factor receptor 1)RET (Rearranged during transfection receptor tyrosine kinase)TS (Thymidylate synthase)TOP1 (DNA Topoisomerase I)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)KIT (c-KIT proto-oncogene receptor tyrosine kinase)

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