Drug intelligence / Profile preview

ipalolitovolimab + tuvonralimab + lenvatinib

Development stage
Unknown
Lead developer
Qilu Pharmaceutical
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

This combination therapy consists of ipalolitovolimab (JS004), tuvonralimab (toripalimab; JS001), and lenvatinib. Ipalolitovolimab is a first-in-class recombinant humanized monoclonal antibody targeting B- and T-lymphocyte attenuator (BTLA), a co-inhibitory molecule expressed on T and B lymphocytes that negatively regulates immune responses. Tuvonralimab is a humanized monoclonal antibody directed against the programmed cell death protein 1 (PD-1) receptor, designed to block the interaction between PD-1 and its ligands (PD-L1 and PD-L2), thereby restoring T-cell mediated anti-tumor activity. Lenvatinib is an oral multi-kinase inhibitor that targets vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), platelet-derived growth factor receptor alpha (PDGFRα), KIT, and RET. The combination is being investigated, particularly by institutions like Zhejiang Tumor Hospital, for the treatment of advanced malignancies such as pleural mesothelioma, aiming to leverage the synergistic effects of dual checkpoint inhibition (BTLA and PD-1) alongside anti-angiogenic and multi-kinase inhibition.

Brand names
Tuoyi
Other names
JS004 + JS001 + LenvatinibIpalolitovolimab + Toripalimab + Lenvatinib
02

Targets

CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)FGFR1 (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)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)BTLA

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