Drug intelligence / Profile preview

TST001 + oxaliplatin + capecitabine + nivolumab

Development stage
Unknown
Lead developer
Transcenta
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules, Vaccines & Immunotherapeutics
Administration
Intravenous (TST001, Oxaliplatin, Nivolumab), Oral (capecitabine)
01

Overview

A four-drug combination regimen used as first-line therapy for unresectable locally advanced or metastatic gastric/gastroesophageal junction (G/GEJ) cancer. TST001 (osemitamab) is a humanized monoclonal antibody targeting Claudin 18.2 (CLDN18.2), with enhanced antibody-dependent cellular cytotoxicity (ADCC). Oxaliplatin is a platinum-based chemotherapeutic. Capecitabine is an oral fluoropyrimidine antimetabolite. Nivolumab is a programmed death 1 (PD-1) immune checkpoint inhibitor. The combination leverages targeted therapy (TST001), immunotherapy (nivolumab), and chemotherapeutic cytotoxicity (CAPOX = capecitabine + oxaliplatin) to maximize anti-tumor efficacy regardless of CLDN18.2 or PD-L1 expression. This regimen is under investigation in phase 1/2 clinical trials for efficacy and safety in advanced G/GEJ cancer[5].

Brand names
XELOXCAPOXTST001 (osemitamab)nivolumab (Opdivo)
Other names
TST001 + oxaliplatin + capecitabine + nivolumabosemitamab + oxaliplatin + capecitabine + nivolumab
02

Targets

PDCD1 (Programmed cell death protein 1 receptor)Claudin 18.2DNATS (Thymidylate synthase)

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