Avelumab (Bavencio)

Immunotherapy · Approved since 2017

US FDA Approved EU EMA Approved ES Hospital use off-label in CRC IV 16 Clinical Trials
PD-L1

Description

Avelumab is a fully human monoclonal antibody immunotherapy that blocks the PD-L1 (programmed death-ligand 1) pathway to enhance anti-tumor immune responses. In colorectal cancer treatment, avelumab is used in combination with other agents such as cetuximab for rechallenge strategies in RAS wild-type metastatic disease and with 5-FU based chemotherapy for adjuvant treatment of stage 3 MSI-high or POLE mutant colon cancer. The drug has shown particular promise in microsatellite instability-high (MSI-H) colorectal cancers, which are more responsive to immune checkpoint inhibition.

Mechanism of Action

Avelumab binds specifically to PD-L1 and blocks its interaction with PD-1 receptors on T-cells, preventing the tumor from suppressing immune system activation. By inhibiting this immune checkpoint pathway, avelumab allows cytotoxic T-lymphocytes to maintain their anti-tumor activity and promotes sustained immune-mediated tumor cell destruction.

Molecular Targets

Side Effects

Fatigue Musculoskeletal pain Diarrhea Nausea Infusion-related reactions Rash Decreased appetite Abdominal pain

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05291156 Phase 2
Unknown
CAVE-2 GOIM Study: a Clinical Study of the Combination of Avelumab Plus Cetuximab as Rechallenge Strategy
Italy
NCT04513951 Phase 2
Completed
AVELUMAB and CETUXIMAB and mFOLFOXIRI as Initial Therapy for Unresectable Metastatic Colorectal Cancer Patients
Italy
NCT05217069 Phase 2
Archived
FOLFIRI + Cetuximab + Avelumab RAS Wild-type CRC
Germany
NCT03854799 Phase 2
Archived
Immunotherapy In Locally Advanced Rectal Cancer
Italy
NCT03845166 Phase 1
Active, not recruiting
A Study of XL092 as Single-Agent and Combination Therapy in Subjects With Solid Tumors
United States, Australia, Belgium, Czechia, France, Germany, Italy, Netherlands,
NCT03228667 Phase 2
Active, not recruiting
QUILT-3.055: A Study of Combination Immunotherapies in Patients Who Have Previously Received Treatment With Immune Checkpoint Inhibitors
United States
View all 16 clinical trials →