Drug intelligence / Profile preview

pembrolizumab + vibostolimab + carboplatin + paclitaxel

Development stage
Phase 2
Lead developer
Merck
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous
01

Overview

This drug is a four-agent combination therapy consisting of two immune checkpoint inhibitors (**pembrolizumab**, a PD-1 inhibitor, and **vibostolimab**, a TIGIT inhibitor) along with two cytotoxic chemotherapies (**carboplatin**, a platinum-based DNA crosslinker, and **paclitaxel**, a mitotic spindle inhibitor). The immune checkpoint inhibitors work by augmenting anti-tumor immune responses: pembrolizumab blocks PD-1 on T cells, preventing tumor-induced immune suppression; vibostolimab blocks TIGIT, further enhancing T cell activation. Carboplatin induces DNA damage and cell death, while paclitaxel disrupts microtubule dynamics needed for cell division. The regimen is under investigation for the treatment of various advanced cancers, including head and neck squamous cell carcinoma (HNSCC) and non-small cell lung cancer (NSCLC) in first-line and refractory settings. The combination is designed to optimize anti-tumor effects through synergistic immunotherapy and chemotherapy mechanisms[1][2][4][5].

Brand names
no brand
Other names
pembrolizumab/vibostolimab coformulation + pembrolizumab plus vibostolimab plus carboplatin plus paclitaxel
02

Targets

DNAMicrotubulePDCD1 (Programmed cell death protein 1 receptor)TIGIT (T cell immunoreceptor with Ig and ITIM domains)TUBB (Tubulin (alpha and beta subunits))

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