Dalotuzumab (Not yet branded)

Immunotherapy

US Experimental EU Experimental ES med_spain_not_available IV 3 Clinical Trials
IGF-1R

Description

Dalotuzumab (MK-0646) is a humanized monoclonal antibody that targets the insulin-like growth factor-1 receptor (IGF-1R) pathway. This targeted therapy has been evaluated in metastatic colorectal cancer, particularly in combination with established treatments like cetuximab and irinotecan. The drug was developed to block IGF-1R signaling, which promotes tumor cell growth and survival in various cancer types including colorectal cancer.

Mechanism of Action

Dalotuzumab binds specifically to the insulin-like growth factor-1 receptor (IGF-1R), blocking the binding of IGF-1 and IGF-2 ligands to this receptor. This inhibition disrupts downstream signaling pathways including PI3K/AKT and MAPK pathways, which are critical for cancer cell proliferation, survival, and metastasis.

Molecular Targets

Side Effects

Hyperglycemia Fatigue Decreased appetite Nausea Diarrhea Skin rash Thrombocytopenia Elevated liver enzymes

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

Clinical Trials

NCT01609231 med_phase_prefix2
Archived
A Trial of Dalotuzumab in Combination With Irinotecan Versus Cetuximab and Irinotecan for Participants With Metastatic Rectal Cancers (mRC) (MK-0646-025)
NCT01243762 med_phase_prefix1
Archived
A Study of Dalotuzumab + MK-2206, Dalotuzumab + MK-0752, and Dalotuzumab + Ridaforolimus Combination Therapies in Participants With Advanced Cancer (MK-0646-027)
NCT00614393 med_phase_prefix2
Archived
Study of Dalotuzumab (MK-0646) in Combination With Cetuximab and Irinotecan in Metastatic Colorectal Cancer (MK-0646-004)