Drug intelligence / Profile preview

liposomal irinotecan + 5-fluorouracil + leucovorin + lenvatinib

Development stage
Unknown
Lead developer
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Modality
Nanoparticles → Drug Delivery Systems, Small Molecules
Administration
Intravenous, Oral
01

Overview

This combination chemotherapy and targeted therapy regimen is being evaluated as a second-line treatment for advanced biliary tract cancer. It consists of liposomal irinotecan (a nanoliposomal formulation of the topoisomerase I inhibitor irinotecan), 5-fluorouracil (an antimetabolite), leucovorin (a folate analog that enhances 5-FU activity), and lenvatinib (a multi-kinase inhibitor). The regimen aims to inhibit tumor cell replication through DNA damage and metabolic disruption while simultaneously targeting angiogenesis and tumor growth pathways by inhibiting VEGFR, FGFR, and other receptor tyrosine kinases. It is currently being studied in a Phase II clinical trial sponsored by the Cancer Institute and Hospital, Chinese Academy of Medical Sciences, specifically for patients who have progressed after first-line therapy.

Other names
nal-IRI + 5-FU/LV + lenvatinibLiposomal irinotecan II + 5-FU + LV + lenvatinib
02

Targets

VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)TS (Thymidylate synthase)VEGFR4 (Vascular endothelial growth factor Receptor-3)PDGFRA (Platelet-derived growth factor receptor alpha)FGFR2 (Keratinocyte growth factor receptor)KIT (c-KIT proto-oncogene receptor tyrosine kinase)FGFR4 (Fibroblast growth factor receptor 4)TOP1 (DNA Topoisomerase I)FGFR3 (Fibroblast growth factor receptor 3)FGFR1 (Fibroblast growth factor receptor 1)RET (Rearranged during transfection receptor tyrosine kinase)

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