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drug_type
RELEVANT_DRUG
intervention_type
Drug
drug_description
An antibody–drug conjugate (Blenrep; belantamab mafodotin-blmf) consisting of a humanized anti-BCMA IgG1 linked to mafodotin (MMAF). It binds BCMA on malignant plasma cells, is internalized, and releases MMAF to disrupt microtubules and induce apoptosis; the afucosylated IgG1 can mediate ADCC/ADCP.
nci_thesaurus_concept_id
C114299
nci_thesaurus_preferred_term
Belantamab Mafodotin
nci_thesaurus_definition
An antibody-drug conjugate (ADC) consisting of belantamab, an afucosylated, humanized monoclonal antibody, directed against the B-cell maturation antigen (BCMA), conjugated to mafodotin, an auristatin analogue and microtubule inhibitor monomethyl auristatin phenylalanine (MMAF), with potential antineoplastic activity. Upon administration of belantamab mafodotin, the anti-BCMA antibody moiety selectively binds to BCMA on tumor cell surfaces. Upon internalization, the MMAF moiety binds to tubulin and inhibits its polymerization, which results in G2/M phase arrest and induces tumor cell apoptosis. In addition, belantamab mafodotin induces antibody-dependent cellular cytotoxicity (ADCC). Altogether, this results in the inhibition of cellular proliferation in tumor cells that overexpress BCMA. BCMA, a receptor for a proliferation-inducing ligand and B-cell activating factor, is a member of the tumor necrosis factor (TNF) receptor superfamily and plays a key role in plasma cell survival; it is found on the surfaces of plasma cells and overexpressed on malignant plasma cells. Afucosylation of the antibody moiety increases ADCC.
drug_mesh_term
belantamab mafodotin
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Afucosylated anti-BCMA IgG1 antibody–drug conjugate that binds BCMA (TNFRSF17) on malignant plasma cells, is internalized, and releases the microtubule inhibitor MMAF to disrupt tubulin, leading to G2/M arrest and apoptosis; the afucosylated Fc also enhances ADCC/ADCP.
drug_name
Belantamab Mafodotin
nct_id_drug_ref
NCT05847569