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Rilafucept alfa (SHR-1701) is a bifunctional fusion protein designed to simultaneously inhibit the programmed death-ligand 1 (PD-L1) and transforming growth factor-beta (TGF-β) signaling pathways. Developed by Jiangsu Hengrui Pharmaceuticals, it consists of a humanized anti-PD-L1 monoclonal antibody fused to the extracellular domain of the human TGF-β receptor type II (TGFβRII). By targeting both pathways, rilafucept alfa aims to overcome TGF-β-mediated immunosuppression in the tumor microenvironment, thereby enhancing the anti-tumor activity of PD-L1 blockade. It is currently being evaluated in clinical trials for various solid tumors, including biliary tract cancer, gastric cancer, and non-small cell lung cancer.
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