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Toripalimab + bevacizumab + irinotecan is a combination therapy regimen being investigated for the treatment of advanced colorectal cancer, specifically in patients with high microsatellite instability (MSI-H) or deficient mismatch repair (dMMR). The regimen consists of toripalimab, a humanized IgG4 monoclonal antibody that targets the programmed cell death protein 1 (PD-1) receptor to restore immune response; bevacizumab, a monoclonal antibody that targets vascular endothelial growth factor (VEGF) to inhibit tumor angiogenesis; and irinotecan, a cytotoxic chemotherapy agent that inhibits DNA topoisomerase I. This combination is being evaluated by Peking University Cancer Hospital & Institute in both neoadjuvant and adjuvant settings, showing high pathological complete response rates in early clinical trials (NCT04988191).
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