Drug intelligence / Profile preview

panitumumab + oxaliplatin + folinic acid + 5-fluorouracil

Development stage
Phase 3
Lead developer
Amgen
Modality
DNA Intercalators/Alkylators → Nucleic Acid-Directed Small Molecules → Small Molecules, Metabolically Activated Prodrugs → Prodrugs/Conditional Activator Small Molecules → Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

This regimen is a combination of four drugs—panitumumab (a monoclonal antibody), oxaliplatin (a platinum-based chemotherapy), folinic acid (leucovorin, a vitamin B derivative used to enhance the effects of fluorouracil), and 5-fluorouracil (a pyrimidine analog antimetabolite chemotherapy). It is primarily used as first-line treatment for patients with RAS wild-type metastatic colorectal cancer. Panitumumab targets the epidermal growth factor receptor (EGFR) on cancer cells, inhibiting cell proliferation. Oxaliplatin forms DNA crosslinks that inhibit DNA replication and transcription. Folinic acid enhances the binding of 5-fluorouracil to thymidylate synthase, increasing its cytotoxicity. 5-Fluorouracil inhibits thymidylate synthase, disrupting DNA synthesis and leading to cell death. This combination has demonstrated improved progression-free survival compared to regimens without panitumumab in clinical trials[1][2][3][6].

Brand names
Vectibix (for panitumumab)Eloxatin (for oxaliplatin)
Other names
FOLFOX + panitumumabMFOLFOX6+PNTMFOLFOX plus panitumumab
02

Targets

EGFR (Epidermal growth factor receptor)TS (Thymidylate synthase)Pt-DNA adduct (DNA-oxaliplatin adduct)

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