Drug intelligence / Profile preview

iparomlimab + tuvonralimab + lenvatinib + etoposide + cisplatin + carboplatin

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

Overview

Iparomlimab + tuvonralimab + lenvatinib + EP/EC is an investigational combination regimen being evaluated for the first-line treatment of unresectable or metastatic extrapulmonary neuroendocrine carcinoma (EP-NEC). The regimen's immunotherapy backbone, QL1706 (also known as Qibeian), is a bifunctional combination of two monoclonal antibodies: iparomlimab (targeting PD-1) and tuvonralimab (targeting CTLA-4) in a fixed 2:1 ratio. This is combined with lenvatinib, a multi-kinase inhibitor targeting VEGFR and FGFR, and standard platinum-etoposide chemotherapy (etoposide plus either cisplatin or carboplatin). The combination aims to enhance anti-tumor activity by simultaneously blocking multiple immune checkpoints, inhibiting angiogenesis and tumor cell proliferation, and inducing cytotoxic cell death.

Brand names
Qibeian
Other names
iparomlimab + tuvonralimab injection + lenvatinib + EP/ECQL1706 + lenvatinib + etoposide + platinum
02

Targets

CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)DNAFGFR1 (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)PDGFRB (Platelet-derived growth factor receptor beta)RET (Rearranged during transfection receptor tyrosine kinase)TOP2A (DNA topoisomerase II)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)

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