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INCA33890 + bevacizumab + folinic acid + fluorouracil + irinotecan

Development stage
Unknown
Lead developer
Incyte
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

This combination is an investigational multi-agent regimen comprising a bispecific monoclonal antibody (INCA33890), a VEGF-targeting antibody (bevacizumab), and a standard chemotherapeutic backbone commonly used in colorectal and other advanced cancers (folinic acid, fluorouracil, irinotecan). **INCA33890** is a PD-1 x TGFβR2 bispecific Biclonics® antibody that targets and inhibits both PD-1 and TGFβR2 on T cells, aiming to synergistically overcome tumor microenvironment-driven immunosuppression by blocking both immune checkpoint (PD-1/PD-L1) and TGF-β signaling[1][3][5][7]. **Bevacizumab** is a humanized monoclonal antibody that inhibits VEGF-A, reducing tumor angiogenesis[2][4][6]. **Folinic acid (leucovorin)** potentiates the cytotoxic effect of **fluorouracil**, a pyrimidine antimetabolite inhibiting thymidylate synthase and DNA synthesis, while **irinotecan** is a topoisomerase I inhibitor causing DNA strand breaks. The overall regimen is designed for patients with advanced or metastatic solid tumors, including but not limited to ovarian and colorectal cancers, to attack tumors through immunomodulation, anti-angiogenesis, and cytotoxic chemotherapy.

Other names
leucovorin5-fluorouracil5-FUCPT-11CPT11CPT 11
02

Targets

PDCD1 (Programmed cell death protein 1 receptor)TOP1 (DNA Topoisomerase I)TS (Thymidylate synthase)TGFBR2 (TGF-β receptor type 2)VEGFA (Vascular endothelial growth factor A)

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