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sintilimab + lenvatinib + nab-paclitaxel

Development stage
Unknown
Lead developer
Zhejiang Province Cancer Hospital
Modality
Nanoparticles → Drug Delivery Systems, Small Molecules, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

A combination therapy regimen consisting of the PD-1 inhibitor sintilimab, the multi-kinase inhibitor lenvatinib, and the albumin-bound chemotherapy agent nab-paclitaxel. This triplet combination is being investigated in clinical trials, notably by Zhejiang Cancer Hospital, as a first-line treatment for patients with recurrent or metastatic triple-negative breast cancer (TNBC). Sintilimab is a monoclonal antibody that targets the programmed cell death protein 1 (PD-1) receptor to enhance anti-tumor immune responses. Lenvatinib is a small molecule tyrosine kinase inhibitor that targets vascular endothelial growth factor receptors (VEGFR1-3), fibroblast growth factor receptors (FGFR1-4), and other kinases to inhibit angiogenesis and tumor growth. Nab-paclitaxel is a nanoparticle formulation of paclitaxel that stabilizes microtubules, leading to cell cycle arrest and apoptosis. The combination aims to provide a multi-pronged attack on TNBC by combining immune checkpoint blockade, anti-angiogenesis, and cytotoxic chemotherapy.

Brand names
TyvytLenvimaAbraxane
Other names
sindilimab + lenvatinib + nab-paclitaxelsintilimab + lenvatinib + nab-paclitaxelsindilimab-Zhejiang Cancer Hospital-triple-negative breast cancer
02

Targets

FGFR4 (Fibroblast growth factor receptor 4)PDGFRA (Platelet-derived growth factor receptor alpha)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDCD1 (Programmed cell death protein 1 receptor)TUBB (Tubulin (alpha and beta subunits))FGFR3 (Fibroblast growth factor receptor 3)VEGFR3 (Vascular endothelial growth factor receptor 3)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)FGFR1 (Fibroblast growth factor receptor 1)RET (Rearranged during transfection receptor tyrosine kinase)FGFR2 (Keratinocyte growth factor receptor)

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