Drug intelligence / Profile preview

ivonescimab + temozolomide

Development stage
Phase 2
Lead developer
Summit Therapeutics
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

**Ivonescimab + temozolomide** is an investigational combination therapy consisting of ivonescimab (AK112/SMT112), a humanized tetravalent bispecific antibody targeting programmed cell death protein 1 (PD-1) and vascular endothelial growth factor A (VEGF-A), and temozolomide, an oral alkylating chemotherapy agent. Ivonescimab simultaneously blocks PD-1-mediated immunosuppression and VEGF-mediated angiogenesis, exhibiting cooperative binding where the presence of one target enhances affinity for the other. Temozolomide induces DNA damage by alkylating/methylating DNA, which is the standard of care for glioblastoma. The combination is being evaluated in a Phase I/II clinical trial for the treatment of recurrent glioblastoma and other high-grade gliomas, aiming to leverage the synergistic effects of dual checkpoint/angiogenesis blockade and immunogenic cell death induced by chemotherapy.

Other names
AK112 + temozolomideAK112 plus temozolomideAK-112 plus temozolomideAK 112 plus temozolomideivonescimab plus temozolomideSMT112 + temozolomideSMT112 plus temozolomideSMT-112 plus temozolomideSMT 112 plus temozolomide
02

Targets

DNAAGT (O6-methylguanine-DNA methyltransferase)PDCD1 (Programmed cell death protein 1 receptor)CD274 (Programmed cell death protein 1 ligand 1)VEGFA (Vascular endothelial growth factor A)VEGFB (Vascular endothelial growth factor B)VEGFR2 (Vascular endothelial growth factor receptor 2)

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