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Toripalimab

From Wikipedia, the free encyclopedia
Medication

Pharmaceutical compound
Toripalimab
Monoclonal antibody
TypeWhole antibody
SourceHumanized
TargetPD-1
Clinical data
Trade namesLoqtorzi
Other namesToripalimab-tpzi
AHFS/Drugs.comMonograph
MedlinePlusa624004
License data
Routes of
administration
Intravenous
Drug classAntineoplastic
ATC code
Legal status
Legal status
Identifiers
CAS Number
DrugBank
UNII
KEGG
Chemical and physical data
FormulaC6548H10104N1728O2054S44
Molar mass147309.54 g·mol−1

Toripalimab, sold under the brand nameLoqtorzi, is amonoclonal antibody used for the treatment of melanoma and nasopharyngeal carcinoma.[3][7] Toripalimab is a recombinant humanizedprogrammed cell death protein 1 (PD-1)monoclonal antibody that acts as acheckpoint inhibitor.[8]

In 2018, toripalimab was approved in China for the treatment of unresectable or metastaticmelanoma that has failed previous systemic therapy.[8] In October 2023, the USFood and Drug Administration (FDA) approved toripalimab for the first-line treatment of adults with metastatic or recurrent, locally advancednasopharyngeal carcinoma when used withcisplatin andgemcitabine.[7][9]

Medical uses

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Toripalimab isindicated in combination with cisplatin and gemcitabine for the first-line treatment of adults with metastatic or recurrent locally advancednasopharyngeal carcinoma.[3][7] It is also indicated as a single agent for adults with recurrent unresectable or metastatic nasopharyngeal carcinoma with disease progression on or after a platinum-containing chemotherapy.[3][7]

History

[edit]

Efficacy of toripalimab with cisplatin and gemcitabine was evaluated in JUPITER-02 (NCT03581786), a randomized, multicenter, single region, double-blind, placebo-controlled trial in 289 participants with metastatic or recurrent, locally advanced nasopharyngeal carcinoma who had not received previous systemic chemotherapy for recurrent or metastatic disease.[7] Participants were randomized (1:1) to either toripalimab with cisplatin and gemcitabine, followed by toripalimab, or placebo with cisplatin and gemcitabine, followed by placebo.[7]

Efficacy of toripalimab as a single agent was evaluated in POLARIS-02 (NCT02915432), an open-label, multicenter, single country, multicohort trial in 172 participants with unresectable or metastatic nasopharyngeal carcinoma who had received prior platinum-based chemotherapy or had disease progression within six months of completion of platinum-based chemotherapy administered as neoadjuvant, adjuvant, or definitive chemoradiation treatment for locally advanced disease.[7] Participants received toripalimab until disease progression per RECIST v1.1 or unacceptable toxicity.[7]

The FDA granted the application for toripalimabpriority review,breakthrough therapy, andorphan drug designations.[7]

Society and culture

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Legal status

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In July 2024, theCommittee for Medicinal Products for Human Use (CHMP) of theEuropean Medicines Agency adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Loqtorzi, intended for the treatment of nasopharyngeal carcinoma and esophageal squamous cell carcinoma.[5] The applicant for this medicinal product is TMC Pharma (EU) Limited.[5] Loqtorzi was authorized for medical use in the European Union in September 2024.[5][6]

References

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  1. ^"Tuoyi (AA-Med Pty Ltd)".Therapeutic Goods Administration (TGA). 19 February 2025. Retrieved7 March 2025.
  2. ^"Tuoyi toripalimab 240 mg/ 6 mL concentrated injection vial (426950)".Therapeutic Goods Administration (TGA). 22 January 2025. Retrieved7 March 2025.
  3. ^abcd"Loqtorzi- toripalimab injection".DailyMed. 23 October 2023. Retrieved20 November 2023.
  4. ^"Loqtorzi- toripalimab-tpzi injection".DailyMed. 27 October 2023. Retrieved20 November 2023.
  5. ^abcd"Loqtorzi EPAR".European Medicines Agency. 25 July 2024. Retrieved27 July 2024. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  6. ^ab"Loqtorzi PI".Union Register of medicinal products. 23 September 2024. Retrieved27 September 2024.
  7. ^abcdefghi"FDA approves toripalimab-tpzi for nasopharyngeal carcinoma". U.S.Food and Drug Administration (FDA). 27 October 2023.Archived from the original on 2 November 2023. Retrieved2 November 2023.Public Domain This article incorporates text from this source, which is in thepublic domain.
  8. ^abKeam SJ (April 2019)."Toripalimab: First Global Approval".Drugs.79 (5):573–578.doi:10.1007/s40265-019-01076-2.PMID 30805896.S2CID 71147241.
  9. ^Li J, Zhang H, Zhu H, Li H (November 2023). "Clinical outcomes and immunological evaluation of toripalimab combination for cancer treatment: A systematic review and meta-analysis of randomized controlled trials".International Immunopharmacology.125 (Pt B): 111176.doi:10.1016/j.intimp.2023.111176.PMID 37948860.S2CID 265121325.

External links

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  • Clinical trial numberNCT03581786 for "The Efficacy and Safety Study of TORIPALIMAB INJECTION Combined With Chemotherapy for Nasophapyngeal Cancer" atClinicalTrials.gov
  • Clinical trial numberNCT02915432 for "The Study to Evaluate Toripalimab (JS001) in Patients With Advanced GC, ESCC, NPC, HNSCC" atClinicalTrials.gov
CImonoclonal antibodies ("-mab")
Receptor tyrosine kinase
Others for solid tumors
Leukemia/lymphoma
Other
Tyrosine kinase inhibitors ("-nib")
Receptor tyrosine kinase
Non-receptor
Other
PD-1 inhibitorsTooltip Programmed cell death protein 1
PD-L1 inhibitorsTooltip Programmed death-ligand 1
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