Drug intelligence / Profile preview

FTD-TPI + bevacizumab-UMC Utrecht

Development stage
Unknown
Lead developer
University Medical Center Utrecht
Modality
Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous, Intra-arterial
01

Overview

FTD-TPI + bevacizumab-UMC Utrecht refers to a combination therapy regimen being evaluated in the Phase II STARLIGHT trial at University Medical Center Utrecht. This therapeutic approach combines systemic treatment with trifluridine/tipiracil (FTD-TPI, an oral nucleoside-based chemotherapy) and bevacizumab (a monoclonal antibody targeting VEGF) alongside localized, individualized radioembolization using holmium-166 (166Ho) microspheres. The regimen is specifically investigated for patients with refractory, liver-dominant metastatic colorectal cancer (mCRC). FTD-TPI serves as both a cytotoxic agent and a potential radiosensitizer, while bevacizumab inhibits tumor angiogenesis and 166Ho-microspheres deliver targeted internal beta-radiation to hepatic lesions. The goal of this multi-modal strategy is to improve disease control in both intrahepatic and extrahepatic sites for patients who have failed standard therapies including fluoropyrimidines, oxaliplatin, and irinotecan.

Brand names
LonsurfAvastinQuiremSpheres
Other names
trifluridine/tipiracil + bevacizumab + 166Ho-microspheresTAS-102 + bevacizumab + holmium-166 radioembolization
02

Targets

DNATYMP (Thymidine phosphorylase)VEGFA (Vascular endothelial growth factor A)

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