Drug intelligence / Profile preview

muzastotug + atezolizumab + bevacizumab

Development stage
Phase 2
Lead developer
Adagene
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

Muzastotug + atezolizumab + bevacizumab is an investigational triplet immunotherapy regimen combining muzastotug (ADG126), a masked, tumor-activated anti-CTLA-4 monoclonal antibody, with atezolizumab, an anti-PD-L1 monoclonal antibody, and bevacizumab, an anti-VEGF monoclonal antibody. Muzastotug is designed using Adagene's SAFEbody technology to conditionally activate in the tumor microenvironment, minimizing systemic toxicities while selectively depleting regulatory T cells (Tregs) and blocking CTLA-4 signaling. Atezolizumab blocks PD-L1 to restore T-cell anti-tumor activity, and bevacizumab inhibits VEGF-A to suppress angiogenesis and alleviate immunosuppression in the tumor microenvironment. This triplet combination is being developed under a clinical collaboration between Adagene and Roche, and is currently being evaluated in the Phase 1b/2 MORPHEUS-Liver umbrella study (NCT04524871) as a first-line treatment for patients with locally advanced, metastatic, or unresectable hepatocellular carcinoma (HCC).

Other names
ADG126 + Atezo + BevADG126 + atezolizumab + bevacizumabmuzastotug + atezolizumab + bevacizumab regimenmuzastotug, atezolizumab and bevacizumab
02

Targets

CTLA-4 (Cytotoxic t-lymphocyte–associated protein 4)PDCD1 (Programmed cell death protein 1 receptor)CD274 (Programmed cell death protein 1 ligand 1)VEGFA (Vascular endothelial growth factor A)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)

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