Drug intelligence / Profile preview

regorafenib + cetuximab

Development stage
Phase 1
Lead developer
Bayer
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

Regorafenib + cetuximab is an investigational combination regimen integrating a small molecule multikinase inhibitor (**regorafenib**) and a monoclonal antibody inhibitor of epidermal growth factor receptor (**cetuximab**), primarily studied for advanced and refractory **colorectal cancer**. Regorafenib blocks multiple kinases involved in angiogenesis, oncogenesis, and the tumor microenvironment, chiefly inhibiting **VEGF receptors 1–3, KIT, PDGFR-α/β, RET, FGFR1/2, TIE2, DDR2, TrkA, Eph2A, RAF-1, BRAF, SAPK-2, PTK5, ABL**. Cetuximab binds to **EGFR**, blocking ligand-induced receptor activation and downstream signaling that drives tumor proliferation and survival. The combination is postulated to **overcome intrinsic and acquired resistance** in colorectal cancer by **simultaneous blockade of EGFR and VEGF pathways**, which often underpins resistance to single-agent therapy, with additional antitumor effects by blocking MAPK and AKT pathways and remodeling the tumor microenvironment.

Other names
regorafenibcetuximab
02

Targets

ABL2 (ABL proto-oncogene 2, non-receptor tyrosine kinase)BRAF (B-Raf proto-oncogene, serine/threonine kinase)DDR2 (Discoidin domain receptor tyrosine kinase 2)EGFR (Epidermal growth factor receptor)EPHA2 (Ephrin type-A receptor 2)FGFR1 (Fibroblast growth factor receptor 1)FGFR2 (Keratinocyte growth factor receptor)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDGFRB (Platelet-derived growth factor receptor beta)RAF1 (c-Raf-1 (Y340D/Y341D))RET (Rearranged during transfection receptor tyrosine kinase)TEK (Tie2)NTRK1 (Tropomyosin-related receptor kinase A)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase)PDGFRA (Platelet-derived growth factor receptor alpha)Fgr proto-oncogene tyrosine-protein kinase

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