Drug intelligence / Profile preview

N-803 + cisplatin + carboplatin + pembrolizumab + pemetrexed

Development stage
Unknown
Lead developer
ImmunityBio
Modality
Cytokines & Interferons → Recombinant Proteins and Enzymes, Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravesical, Intravenous
01

Overview

This is a multi-agent combination regimen consisting of five drugs with distinct mechanisms of action, primarily investigated and used in oncology: **N-803 (Anktiva/ALT-803/nogapendekin alfa inbakicept-pmln):** A novel interleukin 15 (IL‑15) receptor agonist that stimulates the proliferation and activation of natural killer cells and CD8+ T cells, enhancing anti-tumor immune responses. Developed by ImmunityBio, it is FDA-approved for BCG-unresponsive non-muscle invasive bladder cancer[1][2][4][5][8]. **Cisplatin:** A platinum-based chemotherapy agent that causes DNA crosslinking and apoptosis in rapidly dividing tumor cells. **Carboplatin:** Another platinum-based chemotherapeutic similar to cisplatin but with a different toxicity profile. **Pembrolizumab (Keytruda):** A humanized monoclonal antibody targeting PD‑1 on lymphocytes. It blocks the interaction between PD‑1 and its ligands PD-L1/PD-L2, thereby preventing immune evasion by tumors and enabling T-cell mediated anti-tumor activity[6]. **Pemetrexed:** An antifolate antineoplastic agent that inhibits several enzymes involved in folate metabolism required for DNA synthesis. This combination may be explored or used experimentally for synergistic effects against certain cancers such as non-small cell lung cancer or bladder cancer. Each component has distinct indications; together they represent an aggressive multimodal approach to oncologic therapy.

Other names
nogapendekin alfa inbakicept-pmln
02

Targets

DNADHFR (Dihydrofolate reductase)FCGR1A (High affinity immunoglobulin gamma fc receptor I)GART (GAR transformylase)IL-2/15Rβγ (Interleukin-2/interleukin-15 receptor subunit beta/common gamma-chain complex)PDCD1 (Programmed cell death protein 1 receptor)TS (Thymidylate synthase)IL15RA (Interleukin-15 receptor subunit alpha)

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