Drug intelligence / Profile preview

gemcitabine + nab-paclitaxel + lenvatinib + tislelizumab

Development stage
Phase 2
Lead developer
BeiGene
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

This is a combination regimen consisting of four distinct pharmaceutical agents: **gemcitabine**, **nab-paclitaxel** (nanoparticle albumin-bound paclitaxel), **lenvatinib**, and **tislelizumab**. - **Gemcitabine** is a nucleoside analog that inhibits DNA synthesis, causing cell death in rapidly dividing cells. - **Nab-paclitaxel** is a nanoparticle albumin-bound formulation of paclitaxel, a microtubule inhibitor that disrupts mitosis in cancer cells[1][6]. - **Lenvatinib** is a multi-kinase inhibitor that targets vascular endothelial growth factor receptors (VEGFR1, VEGFR2, VEGFR3), fibroblast growth factor receptors (FGFR1-4), platelet-derived growth factor receptor alpha (PDGFRα), RET, and KIT, inhibiting angiogenesis and tumor growth. - **Tislelizumab** is a humanized IgG4 monoclonal antibody against programmed death-1 (PD-1), acting as an immune checkpoint inhibitor to enhance anti-tumor immunity. This combination is under investigation for potential use in advanced solid tumors, particularly pancreatic cancer, reflecting a strategy that combines cytotoxic chemotherapy, targeted anti-angiogenic therapy, and immunotherapy to potentially improve tumor response rates over standard regimens[7].

Other names
Gemcitabine, nab-Paclitaxel, Lenvatinib, and Tislelizumab quadruplet regimenGALENT-BT regimen
02

Targets

DNA polymerase familyFGFR1 (Fibroblast growth factor receptor 1)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)FGFR4 (Fibroblast growth factor receptor 4)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDCD1 (Programmed cell death protein 1 receptor)PDGFRA (Platelet-derived growth factor receptor alpha)RET (Rearranged during transfection receptor tyrosine kinase)RNR (Ribonucleotide reductase)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)TUBB (Tubulin (alpha and beta subunits))

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