Drug intelligence / Profile preview

regorafenib + TAS-102 + Medicago H5N1 influenza vaccine

Development stage
Unknown
Lead developer
Medicago
Modality
Split/Subunit Vaccines → Inactivated Vaccines → Prophylactic Vaccines → Vaccines & Immunotherapeutics, Recombinant Protein Vaccines → Recombinant Vaccines → Prophylactic Vaccines → Vaccines & Immunotherapeutics, Cancer Vaccines → Therapeutic Vaccines → Vaccines & Immunotherapeutics, Small Molecules
Administration
Oral, Intramuscular
01

Overview

The designation "regorafenib + TAS-102-Medicago-H5N1 influenza" appears to be a concatenated name combining two unrelated therapeutic regimens: the oncology combination of regorafenib and TAS-102 (trifluridine/tipiracil) and the Medicago H5N1 influenza vaccine. Regorafenib is an oral multikinase inhibitor targeting angiogenic, stromal, and oncogenic receptor tyrosine kinases (VEGFR, PDGFR, FGFR, KIT, RET), while TAS-102 is a cytotoxic chemotherapy consisting of a nucleoside analog (trifluridine) and a thymidine phosphorylase inhibitor (tipiracil). Both are primarily used in the treatment of refractory metastatic colorectal cancer. The Medicago H5N1 vaccine was a virus-like particle (VLP) candidate produced in *Nicotiana benthamiana* plants expressing the hemagglutinin protein of the H5N1 avian influenza virus. It was evaluated in Phase 2 trials with adjuvants such as Alhydrogel or GLA-SE to enhance immunogenicity. Notably, Medicago ceased operations in 2023, and development of its vaccine pipeline was discontinued. There is no known clinical use or trial combining these three distinct components into a single therapeutic entity.

Other names
trifluridine/tipiracilH5 VLP vaccineH-5 VLP vaccineH 5 VLP vaccineplant-made H5 VLP influenza vaccine
02

Targets

BRAF (B-Raf proto-oncogene, serine/threonine kinase)DNAKIT (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)TYMP (Thymidine phosphorylase)TS (Thymidylate synthase)VEGFR2 (Vascular endothelial growth factor receptor 2)FGFR (FGFR family)HA (Hemagglutinin)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR4 (Vascular endothelial growth factor Receptor-3)

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