Drug intelligence / Profile preview

HRS-4642 + paclitaxel protein-bound + gemcitabine

Development stage
Phase 2
Lead developer
Hengrui Therapeutics
Modality
Small Molecules, Nanoparticles → Drug Delivery Systems
Administration
Intravenous
01

Overview

HRS-4642 + paclitaxel protein-bound + gemcitabine is an investigational combination regimen consisting of HRS-4642, a selective, high-affinity, non-covalent KRAS G12D inhibitor, combined with a standard chemotherapy backbone of albumin-bound paclitaxel (nab-paclitaxel) and gemcitabine (also known as the AG or GnP regimen). Developed by Hengrui Pharma, HRS-4642 is formulated as an intravenous liposomal nanoparticle to enhance tumor accumulation via the enhanced permeability and retention (EPR) effect, prolong target inhibition, and minimize systemic toxicities. By specifically binding to the KRAS G12D mutant protein, HRS-4642 blocks downstream MEK and ERK phosphorylation, inhibiting the MAPK signaling pathway that drives tumor cell proliferation and survival. The addition of the cytotoxic agents gemcitabine (a nucleoside metabolic inhibitor) and nab-paclitaxel (a microtubule inhibitor) provides synergistic antitumor activity. This combination is primarily being evaluated in Phase III clinical trials for the first-line, neoadjuvant, and adjuvant treatment of advanced, metastatic, or resectable pancreatic ductal adenocarcinoma (PDAC) harboring the KRAS G12D mutation.

Other names
HRS-4642 + AGHRS-4642 + GnPHRS-4642 + gemcitabine + nab-paclitaxelHRS-4642 + gemcitabine and albumin-bound paclitaxelHRS-4642 + gemcitabine and nab-paclitaxelHRS-4642 + nab-paclitaxel + gemcitabineHRS-4642 + paclitaxel protein-bound + gemcitabine
02

Targets

DNAMAPK3 (Mitogen-activated protein kinase 1)KRASG12D (Kirsten rat sarcoma viral oncogene homolog (KRAS) G12D mutant)MEK1 (Dual specificity mitogen-activated protein kinase kinase 1)RAF1 (c-Raf-1 (Y340D/Y341D))RNR (Ribonucleotide reductase)SOS1 (Son of sevenless homolog 1)TUBB (Tubulin (alpha and beta subunits))

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