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ifinatamab deruxtecan + pembrolizumab + 5-fluorouracil + leucovorin + oxaliplatin
- Development stage
- Unknown
- Lead developer
- Daiichi Sankyo
- Modality
- Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
- Administration
- Intravenous
01
Overview
This combination is an experimental multi-agent regimen evaluated in clinical trials, particularly for esophageal squamous cell carcinoma. It combines ifinatamab deruxtecan (an antibody-drug conjugate targeting B7-H3), pembrolizumab (a PD-1 checkpoint inhibitor), and a chemotherapeutic backbone including 5-fluorouracil, leucovorin, and oxaliplatin. Ifinatamab deruxtecan delivers a cytotoxic deruxtecan payload directly to cells expressing B7-H3. Pembrolizumab blocks the PD-1 pathway to enhance T-cell-mediated antitumor response. The chemotherapy agents (5-fluorouracil, leucovorin, oxaliplatin) act by damaging DNA or interfering with DNA synthesis, contributing to cytotoxic effects against rapidly dividing tumor cells. The combination is studied primarily for advanced esophageal squamous cell carcinoma, aiming to improve efficacy over existing treatment regimens[1][3][5].
- Other names
- ifinatamab deruxtecanpembrolizumab5-fluorouracilleucovorinoxaliplatin
02
Targets
TS (Thymidylate synthase)TOP1 (DNA Topoisomerase I)DNAB7-H3PDCD1 (Programmed cell death protein 1 receptor)
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