drug_type
RELEVANT_DRUG
intervention_type
Biological
drug_description
A monoclonal antibody immunotherapy targeting MICA/MICB on tumor cells to enhance NKG2D-mediated immune recognition, reduce shedding of soluble MICA/MICB, and engage Fcγ receptors to promote ADCC/ADCP in relapsed/refractory multiple myeloma.
nci_thesaurus_concept_id
C188311
nci_thesaurus_preferred_term
Anti-MICA/MICB Monoclonal Antibody CLN-619
nci_thesaurus_definition
A human immunoglobulin G1 (IgG1) monoclonal antibody directed against the natural-killer group 2, member D receptor protein (NKG2D or KLRK1) ligands MHC class I polypeptide-related sequence A (MICA) and B (MICB), with potential immunostimulating and antineoplastic activities. Upon administration, anti-MICA/MICB monoclonal antibody CLN-619 targets and binds to the alpha3 domain of MICA and MICB, and prevents the cleavage of MICA and MICB from the cell surface of tumor cells by proteases in the tumor microenvironment (TME). This enhances the binding of NKG2D-expressing immune cells, including natural killer (NK) cells and subset of T-cells, to MICA- and MICB-expressing tumor cells, which leads to the activation of NK cells and the lysis of tumor cells. CLN-619 also enhances antitumor response through antibody-dependent cell-mediated cytotoxicity (ADCC). MICA and MICB are stress-induced NKG2D ligands overexpressed on infected cells and many cancer cell types, but are not expressed on most normal, healthy cells. The shedding of MICA and MICB from tumor cell surface allows the tumor cells to evade NKG2D-expressing immune cells.
drug_mesh_term
Antibodies, Monoclonal
drug_category
CYTOTOXIC ANTIBODY
drug_class
General immune activator
drug_delivery_route
Intravenous
drug_mechanism_of_action
CLN-619 is a human IgG1 monoclonal antibody that binds the alpha3 domain of MICA/MICB on tumor cells, preventing their proteolytic shedding and reducing soluble MICA/MICB. This preserves and enhances NKG2D-mediated recognition by NK cells and cytotoxic T cells, activating antitumor immunity. Its Fc domain engages Fcγ receptors to promote antibody-dependent cell-mediated cytotoxicity and phagocytosis (ADCC/ADCP).
drug_name
CLN-619
nct_id_drug_ref
NCT06381141