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Trebananib (AMG 386) is an investigational peptibody (peptide-Fc fusion protein) developed by Amgen that acts as an angiogenesis inhibitor by neutralizing the interaction between angiopoietin 1 and 2 and their receptor, Tie2. In the TRINOVA-3 clinical trial, trebananib was evaluated in combination with the standard chemotherapy doublet of paclitaxel and carboplatin for the first-line treatment of epithelial ovarian, primary peritoneal, or fallopian tube cancer. Paclitaxel is a taxane that stabilizes microtubules to prevent cell division, while carboplatin is a platinum-based agent that causes DNA cross-linking. Although the combination was extensively studied, Amgen discontinued the development of trebananib for ovarian cancer after the TRINOVA program failed to demonstrate a significant overall survival benefit.
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