Drug intelligence / Profile preview

sorafenib + pembrolizumab

Development stage
Phase 2
Lead developer
Merck
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

sorafenib + pembrolizumab is a combination regimen of two pharmaceuticals used primarily in the treatment of advanced hepatocellular carcinoma (HCC). Sorafenib is an oral small molecule multikinase inhibitor that targets tumor cell proliferation and angiogenesis, while pembrolizumab is a monoclonal antibody that acts as an immune checkpoint inhibitor targeting programmed cell death protein 1 (PD-1). The combination leverages the targeted anti-tumor effects of sorafenib with the immune-activating effects of pembrolizumab to potentially improve clinical outcomes, including progression-free survival and overall survival, in advanced HCC, particularly after other treatment modalities such as transcatheter arterial chemoembolization (TACE). Early clinical studies and retrospective analyses suggest enhanced efficacy in disease control with manageable safety profiles compared to monotherapies, but this specific combination is primarily under clinical investigation and not formally FDA approved as a fixed combination product[1][6][7].

02

Targets

BRAF (B-Raf proto-oncogene, serine/threonine kinase)VEGFR-1 (Vascular endothelial growth factor receptor 1)FLT3 (Fms related receptor tyrosine kinase 3)VEGFR4 (Vascular endothelial growth factor Receptor-3)HTR2B (5-Hydroxytryptamine Receptor 2B)VEGFR2 (Vascular endothelial growth factor receptor 2)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDCD1 (Programmed cell death protein 1 receptor)PDGFRB (Platelet-derived growth factor receptor beta)RAF1 (c-Raf-1 (Y340D/Y341D))RET (Rearranged during transfection receptor tyrosine kinase)RTK (Receptor tyrosine kinase)

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