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DRUG:

Kaitanni (cadonilimab)

i
Other names: AK104, AK-104, AK 104
Company:
Akesobio
Drug class:
PD1 inhibitor, CTLA4 inhibitor
Related drugs:
1d
Efficacy and Safety of Cadonilimab Plus Anlotinib in Advanced STS That Failed the Previous First-line Standard Treatment (clinicaltrials.gov)
P2, N=27, Recruiting, Second Affiliated Hospital, School of Medicine, Zhejiang University | Trial primary completion date: Apr 2026 --> Dec 2026
Trial primary completion date
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Focus V (anlotinib) • Kaitanni (cadonilimab)
3d
AK104AXI-ssRCC: A Study of AK104 Plus Axitinib in Advanced/Metastatic Special Pathological Subtypes of Renal Cell Carcinoma (clinicaltrials.gov)
P1/2, N=37, Active, not recruiting, Hao Zeng | Recruiting --> Active, not recruiting | Trial completion date: Dec 2025 --> Jun 2026 | Trial primary completion date: Oct 2025 --> Apr 2026
Enrollment closed • Trial completion date • Trial primary completion date
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TFE3 (Transcription Factor Binding To IGHM Enhancer 3)
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axitinib • Kaitanni (cadonilimab)
8d
Precision Treatment of Recurrent/Metastatic Salivary Gland Carcinoma Guided by Molecular Typing (clinicaltrials.gov)
P2, N=39, Recruiting, Peking Union Medical College | Trial primary completion date: Jul 2026 --> Jul 2028
Trial primary completion date
|
HER-2 (Human epidermal growth factor receptor 2) • NTRK (Neurotrophic receptor tyrosine kinase)
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carboplatin • Perjeta (pertuzumab) • Enhertu (fam-trastuzumab deruxtecan-nxki) • Lenvima (lenvatinib) • AiRuiKa (camrelizumab) • AiTan (rivoceranib) • Piqray (alpelisib) • Irene (pyrotinib) • albumin-bound paclitaxel • abiraterone acetate • fulvestrant • Aidixi (disitamab vedotin) • exemestane • Padcev (enfortumab vedotin-ejfv) • bicalutamide • Kaitanni (cadonilimab) • goserelin acetate • Qibeian (iparomlimab/tuvonralimab) • Yidafan (ivonescimab) • iparomlimab (QL1604) • leuprolide acetate for depot suspension • Entyvio (vedolizumab)
22d
IC Plus Low-dose Radiation Plus Cadonilimab in LANPC (clinicaltrials.gov)
P3, N=380, Recruiting, Sun Yat-sen University | Active, not recruiting --> Recruiting
Enrollment open
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cisplatin • gemcitabine • Kaitanni (cadonilimab)
24d
Enrollment open
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tinengotinib (TT-00420) • Kaitanni (cadonilimab) • Yidafan (ivonescimab)
25d
Dual PD-1 and CTLA-4 targeting in endometrial carcinoma: integrating efficacy, toxicity, and biomarkers into clinical practice. (PubMed, Front Immunol)
In dMMR EC, the conventional ipilimumab-nivolumab combination yields higher objective response rates (ORR ≈ 63%) than PD-1 monotherapy (ORR ≈ 48%) but is associated with a substantially increased incidence of grade ≥ 3 immune-related adverse events (≈ 23% vs. ≈ 12%)...In contrast, for patients with mismatch repair-proficient (pMMR) tumors, the evidence firmly supports alternative regimens, such as lenvatinib plus pembrolizumab, over dual PD-1/CTLA-4 blockade. Navigating the evolving landscape of immunotherapy in EC requires a nuanced, patient-centric approach. The integration of novel bispecific antibodies may soon simplify the balance between efficacy and toxicity, but until then, treatment selection remains a deliberate process, underscoring the gynecologic oncologist's pivotal role in personalizing care.
Review • Journal • PD(L)-1 Biomarker • IO biomarker
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CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
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MSI-H/dMMR
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Keytruda (pembrolizumab) • Opdivo (nivolumab) • Yervoy (ipilimumab) • Lenvima (lenvatinib) • Kaitanni (cadonilimab)
25d
Cadonilimab plus chemotherapy for patients with HER2-negative advanced gastric or gastroesophageal junction adenocarcinoma in China and the United States: a cost-effectiveness analysis. (PubMed, Ther Adv Med Oncol)
Its economic advantage is most pronounced in patients with high PD-L1 expression and at lower drug prices. These findings provide quantitative evidence supporting reimbursement negotiations and future pricing strategies for cadonilimab in global markets.
Journal • HEOR • PD(L)-1 Biomarker • IO biomarker • Cost-effectiveness
|
HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1)
|
PD-L1 expression • PD-L1 overexpression • HER-2 negative
|
Kaitanni (cadonilimab)
29d
Cadonilimab plus chemotherapy vs. PD-1 inhibitor plus chemotherapy as first-line treatment for advanced gastric or gastroesophageal junction cancer with PD-L1 combined positive score <5: a propensity-matched, retrospective cohort study. (PubMed, J Gastrointest Oncol)
Cadonilimab (AK104) is a first-in-class bispecific antibody targeting programmed cell death-1 (PD-1) and cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4)...Immune-related AEs occurred in 8 patients (30.8%) in the cadonilimab group and 6 patients (23.1%) in the PD-1 inhibitor group. Compared to PD-1 inhibitor plus chemotherapy, cadonilimab plus chemotherapy significantly improved PFS and OS with a manageable safety profile in the first-line treatment of advanced G/GEJ cancer with PD-L1 CPS <5 in a real-world setting.
Retrospective data • Journal
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PD-L1 (Programmed death ligand 1) • CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
|
Kaitanni (cadonilimab)
29d
Case Report: A successfully managed case of SMARCA4-deficient undifferentiated gastric carcinoma. (PubMed, Front Oncol)
The regimen included ifosfamide, liposomal doxorubicin hydrochloride, cadonilimab, and anlotinib capsules...Here we present a successfully treated case of this tumor type originating in the stomach. This case may serve as a reference for future management of such tumors.
Journal
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SMARCA4 (SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily A, member 4)
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Focus V (anlotinib) • ifosfamide • Kaitanni (cadonilimab)
1m
Study of Cadonilimab (AK104) Plus Lenvatinib in Patients With Advanced Endometrial Cancer (clinicaltrials.gov)
P2, N=32, Active, not recruiting, Sun Yat-sen University | Not yet recruiting --> Active, not recruiting
Enrollment closed
|
Lenvima (lenvatinib) • Kaitanni (cadonilimab)
1m
Efficacy and safety of cadonilimab combined with chemotherapy for gastric or gastroesophageal junction adenocarcinoma: a single-arm meta-analysis. (PubMed, Front Immunol)
Further large-scale, high-quality randomized controlled trials are needed to validate these findings and define the optimal treatment strategy. https://www.crd.york.ac.uk/PROSPERO, identifier CRD420251089855.
Retrospective data • Review • Journal
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CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4)
|
Kaitanni (cadonilimab)
1m
AK112 and Cadonilimab Combined With Chemotherapy for 1L Treatment of Metastatic Pancreatic Cancer (clinicaltrials.gov)
P1/2, N=110, Active, not recruiting, Akeso | Recruiting --> Active, not recruiting
Enrollment closed
|
gemcitabine • albumin-bound paclitaxel • Kaitanni (cadonilimab) • Yidafan (ivonescimab)