Monoclonal antibody | |
---|---|
Type | Whole antibody |
Source | Humanized |
Target | PD-1 |
Clinical data | |
Trade names | Loqtorzi |
Other names | Toripalimab-tpzi |
AHFS/Drugs.com | Monograph |
MedlinePlus | a624004 |
License data | |
Routes of administration | Intravenous |
Drug class | Antineoplastic |
ATC code | |
Legal status | |
Legal status | |
Identifiers | |
CAS Number | |
DrugBank | |
UNII | |
KEGG | |
Chemical and physical data | |
Formula | C6548H10104N1728O2054S44 |
Molar mass | 147309.54 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]
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]
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]
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]