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HAIC-FOLFOX + camrelizumab + apatinib

Development stage
Unknown
Lead developer
Jiangsu Hengrui Medicine
Modality
Nucleic Acid-Directed Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics, Covalent Small Molecules → Small Molecules, Classical Binding Small Molecules → Small Molecules
Administration
Intra-arterial, Intravenous, Oral
01

Overview

HAIC-FOLFOX + camrelizumab + apatinib is a combination regimen used primarily in the treatment of advanced or unresectable hepatocellular carcinoma (HCC) and other liver cancers. The regimen consists of three components: - **HAIC-FOLFOX** (Hepatic Arterial Infusion Chemotherapy with FOLFOX): This involves the direct infusion of a chemotherapy combination—oxaliplatin, fluorouracil (5FU), and folinic acid (leucovorin)—into the hepatic artery, delivering high local concentrations to liver tumors while minimizing systemic toxicity. Oxaliplatin is a platinum-based DNA crosslinker, 5FU is an antimetabolite that inhibits thymidylate synthase, and folinic acid enhances 5FU’s efficacy[2][3][6][7]. - **Camrelizumab**: A monoclonal antibody targeting PD-1 on T cells, acting as an immune checkpoint inhibitor to enhance anti-tumor immune responses. - **Apatinib**: A small molecule tyrosine kinase inhibitor that selectively targets vascular endothelial growth factor receptor 2 (VEGFR2), inhibiting tumor angiogenesis. This triple therapy combines locoregional chemotherapy with immunotherapy and targeted antiangiogenic therapy. It aims to maximize tumor response rates by attacking cancer through cytotoxicity, immune activation, and inhibition of blood vessel formation[5].

Other names
FOLFOX-Camrelizumab-ApatinibInfusional FOLFOX Plus Camrelizumab and Apatinib
02

Targets

VEGFR2 (Vascular endothelial growth factor receptor 2)PDCD1 (Programmed cell death protein 1 receptor)DNATS (Thymidylate synthase)

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