Drug intelligence / Profile preview

iparomlimab + tuvonralimab + gemcitabine + oxaliplatin + lenvatinib

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

Overview

This combination therapy is an investigational regimen being evaluated as conversion therapy for patients with initially potentially resectable intrahepatic cholangiocarcinoma and gallbladder cancer. The regimen integrates **QL1706**, a bifunctional MabPair product developed by Qilu Pharmaceutical that contains two engineered monoclonal antibodies: **iparomlimab** (targeting PD-1) and **tuvonralimab** (targeting CTLA-4). This dual checkpoint inhibition is combined with the **GemOX** chemotherapy doublet (**gemcitabine** and **oxaliplatin**) and **lenvatinib**, a multi-kinase inhibitor that targets several receptor tyrosine kinases involved in angiogenesis and tumor proliferation, including VEGFR1-3 and FGFR1-4. The goal of this multi-modal approach is to achieve significant tumor shrinkage to allow for surgical resection in patients whose tumors were previously considered borderline or unresectable. The therapy is currently being studied in a Phase 2 clinical trial sponsored by Tianjin Medical University Cancer Institute and Hospital.

Other names
QL1706 + GemOX + lenvatinibIparomlimab and Tuvonralimab Injection combined with GemOX and lenvatinib
02

Targets

FGFR4 (Fibroblast growth factor receptor 4)PDCD1 (Programmed cell death protein 1 receptor)PDGFRA (Platelet-derived growth factor receptor alpha)KIT (c-KIT proto-oncogene receptor tyrosine kinase)VEGFR2 (Vascular endothelial growth factor receptor 2)FGFR3 (Fibroblast growth factor receptor 3)CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)VEGFR-1 (Vascular endothelial growth factor receptor 1)DNAVEGFR3 (Vascular endothelial growth factor receptor 3)FGFR2 (Keratinocyte growth factor receptor)FGFR1 (Fibroblast growth factor receptor 1)RET (Rearranged during transfection receptor tyrosine kinase)

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