Drug intelligence / Profile preview

nab-paclitaxel + pembrolizumab + pemetrexed

Development stage
Unknown
Lead developer
Merck
Modality
Nanoparticles → Drug Delivery Systems, Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

This drug is a combination therapy consisting of three agents used primarily for the first-line treatment of advanced non-squamous non-small cell lung cancer (NSCLC). - **Nab-paclitaxel** is an albumin-bound formulation of paclitaxel, a microtubule inhibitor that disrupts mitosis in cancer cells. It offers improved delivery and reduced toxicity compared to solvent-based paclitaxel formulations. - **Pembrolizumab** is a monoclonal antibody immune checkpoint inhibitor targeting PD-1 (programmed death 1) receptor on T cells, blocking its interaction with PD-L1/PD-L2 ligands and thereby enhancing anti-tumor immune response. - **Pemetrexed** is an antifolate chemotherapy agent that inhibits multiple folate-dependent enzymes involved in nucleotide synthesis, leading to inhibition of DNA and RNA synthesis in tumor cells. The combination leverages cytotoxic chemotherapy with immunotherapy to improve outcomes in metastatic or advanced NSCLC. Pembrolizumab plus pemetrexed with platinum chemotherapy has become a standard first-line regimen due to demonstrated survival benefits. Nab-paclitaxel combined with pemetrexed has shown feasibility and activity as well[1][4][5][6][10].

Other names
nanoparticle albumin-bound paclitaxel + pembrolizumab + pemetrexed
02

Targets

TUBB (Tubulin (alpha and beta subunits))GART (GAR transformylase)PDCD1 (Programmed cell death protein 1 receptor)DHFR (Dihydrofolate reductase)TS (Thymidylate synthase)

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