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sunitinib + bevacizumab + carboplatin + paclitaxel

Development stage
Discontinued
Lead developer
Genentech
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

Sunitinib + bevacizumab + carboplatin + paclitaxel is an investigational combination therapy that was evaluated for the first-line treatment of locally advanced, metastatic, or recurrent nonsquamous non-small cell lung cancer (NSCLC). The regimen consists of **sunitinib** (a small molecule multi-targeted receptor tyrosine kinase inhibitor), **bevacizumab** (a monoclonal antibody targeting VEGF), and the chemotherapy doublet **carboplatin** and **paclitaxel**. The combination was studied in the Phase II **SABRE-L** trial (Study Assessing the Blockade of both VEGF Receptor and ligand to enhance Efficacy in Lung) with the rationale of achieving dual blockade of the VEGF pathway (targeting both the ligand and its receptors) to improve clinical outcomes. However, clinical results indicated that the addition of sunitinib to the standard paclitaxel/carboplatin/bevacizumab regimen was poorly tolerated at the tested doses, primarily due to severe myelosuppressive toxicities. Consequently, the development of this specific four-drug combination was terminated.

Other names
SABRE-L regimen
02

Targets

VEGFR2 (Vascular endothelial growth factor receptor 2)TUBB (Tubulin (alpha and beta subunits))PDGFRA (Platelet-derived growth factor receptor alpha)PDGFRB (Platelet-derived growth factor receptor beta)VEGFA (Vascular endothelial growth factor A)DNAVEGFR3 (Vascular endothelial growth factor receptor 3)VEGFR-1 (Vascular endothelial growth factor receptor 1)

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