Drug intelligence / Profile preview

gecacitinib + donafenib + PD-1 inhibitor

Development stage
Unknown
Lead developer
Tianjin Medical University Cancer Institute and Hospital
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

Gecacitinib + donafenib + PD-1 inhibitor is a combination therapy regimen being evaluated for the treatment of unresectable hepatocellular carcinoma (HCC). The regimen consists of gecacitinib, a selective Janus kinase 1 (JAK1) inhibitor; donafenib, a deuterated multi-kinase inhibitor targeting VEGFR and Raf kinases; and an unspecified programmed cell death protein 1 (PD-1) inhibitor. This combination aims to overcome resistance to prior immunotherapy by simultaneously targeting tumor angiogenesis, intracellular signaling pathways, and the immune microenvironment. It is currently being studied in a Phase II clinical trial sponsored by Tianjin Medical University Cancer Institute and Hospital as a second-line immune rechallenge therapy for patients who have failed previous PD-1/PD-L1 inhibitor treatments.

Brand names
Zeponid
Other names
Gecacitinib Combined With Donafenib and PD-1 Inhibitor
02

Targets

TYK2 (Tyrosine kinase 2)JAK2 (Janus kinase 2)BRAF (B-Raf proto-oncogene, serine/threonine kinase)PDCD1 (Programmed cell death protein 1 receptor)VEGFR2 (Vascular endothelial growth factor receptor 2)RAF1 (c-Raf-1 (Y340D/Y341D))PDGFR (PDGFR family)JAK1 (Janus kinase 1)ACVR1 (Activin receptor type I)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR3 (Vascular endothelial growth factor receptor 3)JAK3 (Janus kinase 3)

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