Drug intelligence / Profile preview

liposomal irinotecan + 5-fluorouracil + leucovorin + bevacizumab + enlonstobart

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

Overview

This combination regimen is a multi-agent therapeutic strategy being evaluated for the second-line treatment of metastatic colorectal cancer (mCRC). It integrates a cytotoxic chemotherapy backbone—consisting of a nanoliposomal formulation of the topoisomerase I inhibitor irinotecan, the antimetabolite 5-fluorouracil (5-FU), and the biochemical modulator leucovorin—with the anti-angiogenic monoclonal antibody bevacizumab and the novel bifunctional antibody enlonstobart (QL1706). Enlonstobart is a 'Mab-body' that simultaneously targets the immune checkpoints programmed cell death protein 1 (PD-1) and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4). By combining cytotoxic, anti-angiogenic, and dual-checkpoint inhibitory mechanisms, the regimen aims to overcome tumor resistance and enhance anti-tumor immune responses in patients who have progressed on prior therapies. It is currently under investigation in the Phase II/III IRIS-02 clinical trial.

Other names
5-FULVfolinic acidnanoliposomal irinotecan
02

Targets

TOP1 (DNA Topoisomerase I)VEGFA (Vascular endothelial growth factor A)PDCD1 (Programmed cell death protein 1 receptor)TS (Thymidylate synthase)

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