Drug intelligence / Profile preview

iparomlimab + tuvonralimab + lenvatinib + S-1 + oxaliplatin

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

Overview

This combination therapy regimen is a multi-modal treatment approach being investigated for the treatment of microsatellite instability-high (MSI-H) or mismatch repair-deficient (dMMR) locally advanced gastric and gastroesophageal junction (GEJ) adenocarcinomas. The regimen consists of **QL1706** (a bifunctional combination of the anti-PD-1 monoclonal antibody **iparomlimab** and the anti-CTLA-4 monoclonal antibody **tuvonralimab**), the multi-targeted tyrosine kinase inhibitor **lenvatinib**, and the **SOX** chemotherapy regimen (comprising the oral fluoropyrimidine **S-1** and the platinum-based agent **oxaliplatin**). The combination aims to leverage synergistic effects between dual checkpoint inhibition, anti-angiogenesis, and cytotoxic chemotherapy to achieve tumor downstaging and conversion to resectability in patients with potentially resectable tumors. Iparomlimab and tuvonralimab are biologics developed by Qilu Pharmaceutical, while lenvatinib is a small molecule kinase inhibitor, and S-1 and oxaliplatin are standard chemotherapy agents.

Other names
QL1706 plus lenvatinib and SOX chemotherapyQL-1706 plus lenvatinib and SOX chemotherapyQL 1706 plus lenvatinib and SOX chemotherapyIparomlimab and Tuvonralimab combined with lenvatinib and SOX
02

Targets

PDCD1 (Programmed cell death protein 1 receptor)TS (Thymidylate synthase)VEGFR2 (Vascular endothelial growth factor receptor 2)CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)DNAFGFR1 (Fibroblast growth factor receptor 1)RET (Rearranged during transfection receptor tyrosine kinase)

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