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drug_type
RELEVANT_DRUG
intervention_type
Antibody–drug conjugate
drug_description
Intravenous Nectin-4–directed antibody–drug conjugate delivering MMAE, a microtubule-disrupting cytotoxin.
nci_thesaurus_concept_id
C114500
nci_thesaurus_definition
An antibody drug conjugate (ADC) containing a human monoclonal antibody AGS-22 targeting the cell adhesion molecule nectin-4 and conjugated to the cytotoxic agent monomethyl auristatin E (MMAE), via a proprietary enzyme-cleavable linker (AGS-22CE), with potential antineoplastic activity. The monoclonal antibody moiety of enfortumab vedotin selectively binds to nectin-4. After internalization and proteolytic cleavage, MMAE binds to tubulin and inhibits its polymerization, which results in G2/M phase arrest and induces apoptosis in nectin-4 overexpressing tumor cells. Nectin-4, a tumor associated antigen belonging to the nectin family, is overexpressed in a variety of cancers, including breast, bladder, lung and pancreatic cancer.
drug_mesh_term
enfortumab vedotin
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Nectin-4–targeted monoclonal antibody linked via a cleavable linker to the cytotoxin MMAE. After binding Nectin-4 on tumor cells and internalization, linker cleavage releases MMAE, which binds tubulin to inhibit microtubule polymerization, causing G2/M cell-cycle arrest and apoptotic cell death in Nectin-4–expressing tumors.
drug_name
Enfortumab vedotin
nct_id_drug_ref
NCT05614739