Drug intelligence / Profile preview

trastuzumab rezetecan + retlirafusp alfa + CAPOX

Development stage
Unknown
Lead developer
Hengrui Pharmaceutical
Modality
Fc-Fusion Proteins → Carrier/Scaffold Proteins → Recombinant Proteins and Enzymes, Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

Trastuzumab rezetecan + retlirafusp alfa + CAPOX is an investigational combination regimen being evaluated for the perioperative treatment of resectable locally advanced gastric or gastroesophageal junction (GEJ) adenocarcinoma. The regimen combines three distinct therapeutic components: (1) trastuzumab rezetecan (SHR-A1811), a novel human epidermal growth factor receptor 2 (HER2)-targeted antibody-drug conjugate (ADC) carrying a topoisomerase I inhibitor payload; (2) retlirafusp alfa (SHR-1701), a bifunctional fusion protein designed to simultaneously block the programmed death-ligand 1 (PD-L1) and transforming growth factor-beta (TGF-beta) pathways; and (3) CAPOX, a standard chemotherapy doublet consisting of capecitabine and oxaliplatin. This combination is being evaluated in a randomized Phase II clinical trial sponsored by Tianjin Medical University Cancer Institute and Hospital to assess its safety, tolerability, and efficacy (measured by pathological complete response rate) in patients with resectable stage II-III gastric or GEJ adenocarcinoma.

Other names
SHR-A1811 + SHR-1701 + CAPOX
02

Targets

TS (Thymidylate synthase)TGFB (GARP–latent transforming growth factor beta 1 complex)ERBB2 (Erb-b2 receptor tyrosine kinase 2)CD274 (Programmed cell death protein 1 ligand 1)TOP1 (DNA Topoisomerase I)DNA

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