Drug intelligence / Profile preview

lenvatinib + sintilimab + oxaliplatin + 5-fluorouracil + leucovorin

Development stage
Phase 2
Lead developer
Sun Yat-sen University
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

This combination therapy regimen consists of the multi-kinase inhibitor lenvatinib, the PD-1 inhibitor sintilimab, and the FOLFOX chemotherapy backbone (oxaliplatin, 5-fluorouracil, and leucovorin). It is primarily being investigated as a first-line treatment for patients with metastatic intrahepatic cholangiocarcinoma (ICC). Lenvatinib targets multiple receptor tyrosine kinases involved in angiogenesis and tumor progression, including VEGFR1-3, FGFR1-4, PDGFRα, KIT, and RET. Sintilimab is a monoclonal antibody that enhances the anti-tumor immune response by blocking the programmed cell death protein 1 (PD-1) receptor. The FOLFOX component provides cytotoxic activity through oxaliplatin-induced DNA damage and 5-fluorouracil-mediated inhibition of thymidylate synthase, with leucovorin acting as a biochemical modulator to enhance the efficacy of 5-fluorouracil.

Other names
Lenvatinib + Sintilimab + FOLFOXLenvatinib + Sintilimab + Oxaliplatin + 5-fluorouracil + Leucovorin
02

Targets

DNAFGFR1 (Fibroblast growth factor receptor 1)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)TS (Thymidylate synthase)VEGFR2 (Vascular endothelial growth factor receptor 2)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)FGFR4 (Fibroblast growth factor receptor 4)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR4 (Vascular endothelial growth factor Receptor-3)

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