Tocilizumab (Actemra, RoActemra)

Immunotherapy · Approved since 2010

US Off-label EU EMA Approved ES Hospital use off-label in CRC IV, Subcutaneous 4 Clinical Trials
IL-6 receptor

Description

Tocilizumab is a humanized monoclonal antibody that targets the interleukin-6 (IL-6) receptor and is primarily used in colorectal cancer for managing immune-related adverse events rather than direct anti-tumor therapy. In the CRC setting, it serves as a therapeutic intervention for checkpoint inhibitor-induced colitis and other inflammatory complications that can arise during immunotherapy treatment. This IL-6 receptor antagonist helps control severe inflammatory responses while allowing patients to continue or resume their primary cancer treatment regimen.

Mechanism of Action

Tocilizumab binds specifically to both soluble and membrane-bound IL-6 receptors, blocking IL-6-mediated signaling pathways that drive inflammatory responses. By inhibiting IL-6 signaling, it reduces the production of inflammatory cytokines and helps resolve immune-mediated tissue damage, particularly in the gastrointestinal tract during checkpoint inhibitor-induced colitis.

Molecular Targets

Side Effects

Upper respiratory tract infections Headache Hypertension Elevated liver enzymes Neutropenia Injection site reactions Increased cholesterol levels Dizziness

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

Clinical Trials

NCT07594067 Phase 1
Recruiting
TCR1188-ABC Cells in KRAS-mutated Cancers
United States
NCT05769959 Phase 1
Archived
Study of RO7515629 in Participants With HLA-G Positive Solid Tumors
United States
NCT03866239 Phase 1
Archived
A Phase Ib Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Cibisatamab in Combination With Atezolizumab After Pretreatment With Obinutuzumab in Participants With Previously Treated Metastatic Colorectal Adenocarcinoma
United States, Denmark, France, Spain
NCT03601611 Not Applicable
Archived
Checkpoint Inhibitor Induced Colitis and Arthritis -Immunomodulation With IL-6 Blockade and Exploration of Disease Mechanisms
Denmark