Ivonescimab (Not yet branded)

Immunotherapy

US Experimental EU Experimental ES Not available IV 11 Clinical Trials
PD-1 VEGF

Description

Ivonescimab is a bispecific antibody that simultaneously targets both PD-1 and VEGF pathways for the treatment of metastatic colorectal cancer. This dual-targeting immunotherapy agent is being evaluated in combination with standard chemotherapy regimens like FOLFOX and CAPOX for patients with both microsatellite stable (MSS) and microsatellite instability-high (MSI-H) colorectal cancers. The drug shows promise in treating initially unresectable colorectal cancer liver metastases and locally advanced rectal cancer when combined with chemotherapy and radiation therapy.

Mechanism of Action

Ivonescimab functions as a bispecific antibody that blocks both the PD-1 immune checkpoint pathway and VEGF-mediated angiogenesis simultaneously. By inhibiting PD-1, it enhances T-cell activation and anti-tumor immune responses, while VEGF blockade reduces tumor blood vessel formation and growth. This dual mechanism combines immunotherapy with anti-angiogenic effects to potentially improve treatment outcomes compared to single-pathway targeting.

Molecular Targets

Side Effects

Fatigue Diarrhea Nausea Decreased appetite Skin rash Hypertension Proteinuria Immune-related colitis

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

Clinical Trials

NCT07397338 Phase 1
Recruiting
Study of RAS(ON) Inhibitors in Combination With Ivonescimab in Patients With Solid Tumors
United States
NCT07228832 Phase 3
Recruiting
Phase III Study of Ivonescimab or Bevacizumab Combined With FOLFOX in Patients With Metastatic Colorectal Cancer
United States, Belgium, Canada, Czechia, France, Germany, Japan, Poland, Puerto
NCT06848842 Phase 2
Recruiting
Ivonescimab Plus Chemotherapy in Patients With Initially Unresectable Colorectal Cancer Liver Metastases
China
NCT06959550 Phase 2
Recruiting
Phase II Study of Anti-PD-1/VEGF Bispecific Antibody Ivonescimab in Patients With Previously Treated Metastatic Colorectal Cancer
United States
NCT06802666 Phase 2
Recruiting
Short-course Radiotherapy Followed by AK112 and CAPOX as Neoadjuvant Therapy for Locally Advanced Rectal Cancer
China
NCT07359456 Phase 2
Not yet recruiting
Testing Ivonescimab in Combination With Chemotherapy in Patients With Metastatic Colorectal Cancers Without Liver Metastases
France
View all 11 clinical trials →