PD-1 Antagonist and Multi-RTK Inhibitor Combination Therapy

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Solution Overview

Problem

Current cancer therapies, including PD-1 antagonists and multi-RTK inhibitors, often fail to achieve effective anti-tumor responses in all patients when used individually, necessitating a combination therapy to enhance treatment efficacy.

Innovation Solution

A combination therapy comprising a PD-1 antagonist, such as pembrolizumab, and a multi-RTK inhibitor, specifically lenvatinib or its pharmaceutically acceptable salts, is administered to patients with cancers that test positive for PD-L1 expression, where the PD-1 antagonist and multi-RTK inhibitor are formulated to inhibit key kinase activities and tumor growth pathways.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a PD-1 antagonist is used alone for cancer treatment, then immune action against tumor cells is enhanced, but anti-tumor response is insufficient in many patients

Engineering Contradiction:
Improveanti-tumor responseVSAvoidtreatment efficacy
Core Design Contradiction:
ReliabilityVSProductivity

Solution Approach 1:

The patent combines a PD-1 antagonist with a multi-RTK inhibitor (lenvatinib) to create a combination therapy that targets both immune signaling and tumor proliferation pathways simultaneously. This merging of two therapeutic mechanisms addresses the insufficiency of single-agent therapy by attacking the tumor through multiple concurrent pathways, thereby improving overall anti-tumor response and treatment efficacy.

Inventive Principle:
Principle #5Merging (Combining)

2Reliability

If a multi-RTK inhibitor is used alone for cancer treatment, then tumor proliferation is inhibited, but anti-tumor response is insufficient in many patients

Engineering Contradiction:
Improveanti-tumor responseVSAvoidtreatment efficacy
Core Design Contradiction:
ReliabilityVSProductivity

Solution Approach 1:

The patent merges a multi-RTK inhibitor with a PD-1 antagonist to create a combination therapy that simultaneously inhibits tumor proliferation pathways and enhances immune recognition. This combination addresses the insufficiency of multi-RTK inhibitors alone by adding an immune activation component, thereby improving overall anti-tumor response and treatment efficacy.

Inventive Principle:
Principle #5Merging (Combining)

3Productivity

If combination therapy is used to enhance treatment efficacy, then anti-tumor effect is improved, but treatment complexity increases

Engineering Contradiction:
Improvetreatment efficacyVSAvoidtherapy complexity
Core Design Contradiction:
ProductivityVSDevice complexity

Solution Approach 1:

The combination therapy is administered as two separate agents with distinct mechanisms of action, allowing for segmented targeting of different pathways (immune signaling and proliferation). This segmentation enables the complexity to be managed through modular therapy design, where each agent can be optimized independently while contributing to the overall anti-tumor effect.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS20250000853A1Combination of a PD-1 antagonist and a VEGF-r/FGFR/RET tyrosine kinase inhibitor for treating cancer
Publication Date: 2025.01.02 MERCK SHARP & DOHME LLC
  • US20250000853A1 patent drawing
  • US20250000853A1 patent drawing
  • US20250000853A1 patent drawing

AI summary

The present disclosure describes combination therapies comprising an antagonist of Programmed Death 1 receptor (PD-1) and a multi-RTK inhibitor, and the use of the combination therapies for the treatment of cancer. The multi-RTK inhibitor may be represented by Formula (I):wherein R1 is C1-6 alkyl or C3-8 cycloalkyl, R2 is a hydrogen atom or C1-6 alkoxy, and R3 is a hydrogen atom or a halogen atom. A tumor therapeutic agent is disclosed that combines a compound or pharmaceutically acceptable salt thereof represented by Formula I and an anti-PD-1 antibody.