Cadonilimab — Investigational Agent

Bispecific Antibody · Approved Abroad / Investigational in US · Akeso

Mechanism of Action

Tetravalent, bispecific IgG1 antibody that simultaneously targets PD-1 and CTLA-4. Its Fc-null design reduces Fc-gamma receptor binding, limiting complement- and ADCC-mediated toxicity while enabling avidity-driven preferential binding in the tumor microenvironment where both PD-1 and CTLA-4 are highly co-expressed. This dual blockade aims to deliver combination checkpoint efficacy with a potentially improved safety profile relative to separate anti-PD-1 plus anti-CTLA-4 antibodies.

Investigational Indications

Key Trials