Drug intelligence / Profile preview

rilvegostomig + S-1

Development stage
Unknown
Lead developer
AstraZeneca
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

rilvegostomig + S-1 is a combination therapy being developed by AstraZeneca for the treatment of biliary tract cancer. It consists of rilvegostomig (AZD2936), a bispecific monoclonal antibody that simultaneously targets the PD-1 and TIGIT immune checkpoints, and S-1, an oral fluoropyrimidine chemotherapy agent. S-1 itself is a multi-component drug containing tegafur (a 5-fluorouracil prodrug), gimeracil (a dihydropyrimidine dehydrogenase inhibitor), and oteracil (an orotate phosphoribosyltransferase inhibitor). The regimen is currently being evaluated in the Phase III ARTEMIDE-Biliary01 trial as an adjuvant treatment for patients with resected biliary tract cancer who are at high risk of recurrence. By combining immune checkpoint blockade with cytotoxic chemotherapy, the treatment aims to enhance the immune system's ability to target cancer cells and eliminate residual disease following surgical resection.

Brand names
TS-1TS1TS 1Teysuno
Other names
rilvegostomig + tegafur + gimeracil + oteracilAZD2936 + S-1
02

Targets

PDCD1 (Programmed cell death protein 1 receptor)TS (Thymidylate synthase)DPYD (Dihydropyrimidine dehydrogenase)TIGIT (T cell immunoreceptor with Ig and ITIM domains)OPRT (Orotidine 5'-phosphate decarboxylase)

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