Drug intelligence / Profile preview

pemetrexed + gemcitabine + bevacizumab

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

Overview

This is a combination regimen of three anticancer drugs—pemetrexed, gemcitabine, and bevacizumab—used primarily in the treatment of advanced non-small cell lung cancer (NSCLC). Pemetrexed is an antifolate chemotherapy agent that inhibits several folate-dependent enzymes involved in nucleotide synthesis, thereby disrupting DNA replication and cell division[8]. Gemcitabine is a nucleoside analog that interferes with DNA synthesis by incorporating into DNA strands and inhibiting ribonucleotide reductase. Bevacizumab is a monoclonal antibody targeting vascular endothelial growth factor A (VEGF-A), inhibiting angiogenesis required for tumor growth. The combination has been investigated as first-line therapy for advanced NSCLC, showing activity and tolerability in phase II clinical trials[1][2]. Each drug contributes distinct mechanisms to inhibit tumor proliferation and survival.

Other names
pemetrexed disodium (for pemetrexed)dFdC (for gemcitabine)rhuMAb VEGF (for bevacizumab)
02

Targets

ATIC (Aminoimidazole carboxamide ribonucleotide transformylase)DHFR (Dihydrofolate reductase)GART (GAR transformylase)RNR (Ribonucleotide reductase)TS (Thymidylate synthase)VEGFA (Vascular endothelial growth factor A)

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