Drug intelligence / Profile preview

tauroursodeoxycholic acid + camrelizumab + tyrosine kinase inhibitor

Development stage
Unknown
Lead developer
Hengrui Pharmaceutical
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

This combination therapy is an investigational regimen being evaluated for the treatment of advanced hepatocellular carcinoma (HCC) following the failure of first-line therapy. It is a specific arm within the HCC-SIGHT platform trial, a Phase II Bayesian adaptive study led by Fudan University. The regimen consists of three components: tauroursodeoxycholic acid (TUDCA), an oral bile acid that may provide cytoprotection and reduce endoplasmic reticulum (ER) stress; camrelizumab, a humanized monoclonal antibody that acts as an immune checkpoint inhibitor by targeting the programmed cell death protein 1 (PD-1) receptor; and a tyrosine kinase inhibitor (TKI), which in this trial is either lenvatinib or regorafenib. Lenvatinib and regorafenib are small molecule inhibitors that target multiple receptors involved in angiogenesis and tumor growth, such as VEGFR, FGFR, and PDGFR. The combination aims to leverage the synergistic potential of anti-angiogenic therapy and immunotherapy while utilizing TUDCA to potentially improve the safety profile or efficacy within the liver's unique metabolic environment.

Brand names
LenvimaStivarga
Other names
TUDCA + camrelizumab + TKItauroursodeoxycholic acid + camrelizumab + lenvatinibtauroursodeoxycholic acid + camrelizumab + regorafenib
02

Targets

FGFR3 (Fibroblast growth factor receptor 3)Endoplasmic reticulum stress / unfolded protein response machineryFGFR4 (Fibroblast growth factor receptor 4)S1PR2 (S1P receptor 2)GPBAR1VEGFR2 (Vascular endothelial growth factor receptor 2)PDCD1 (Programmed cell death protein 1 receptor)RET (Rearranged during transfection receptor tyrosine kinase)FGFR2 (Keratinocyte growth factor receptor)PDGFRA (Platelet-derived growth factor receptor alpha)VEGFR-1 (Vascular endothelial growth factor receptor 1)KIT (c-KIT proto-oncogene receptor tyrosine kinase)VEGFR4 (Vascular endothelial growth factor Receptor-3)FGFR1 (Fibroblast growth factor receptor 1)FXR (Farnesoid x-activated receptor)

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