drug_type
RELEVANT_DRUG
intervention_type
Biological
drug_description
An engineered bispecific IgM T-cell–engaging antibody administered intravenously that binds CD38 on myeloma cells and CD3 on T cells, redirecting T cells to mediate T-cell–dependent cellular cytotoxicity and triggering complement-dependent cytotoxicity.
nci_thesaurus_concept_id
C200343
nci_thesaurus_preferred_term
Anti-CD3/CD38 Bispecific Monoclonal Antibody IGM-2644
nci_thesaurus_definition
An engineered bispecific, pentameric immunoglobulin M (IgM) monoclonal antibody directed against CD3, a T-cell surface antigen, and CD38, a human cell surface glycoprotein and tumor-associated antigen (TAA), with potential antineoplastic activity. IGM-2644 consists of ten CD38 binding sites and an anti-CD3epsilon single chain variable fragment (scFv) domain fused to a joining chain. Upon intravenous administration, anti-CD3/CD38 bispecific monoclonal antibody IGM-2644 targets and binds to both CD3 on T-cells and CD38 expressed on tumor cells. The resulting cross-linkage may trigger T-cell dependent cellular cytotoxicity (TDCC) and complement-dependent cytotoxicity (CDC) against CD38-expressing tumor cells. CD38, a type II transmembrane glycoprotein, is present on various immune cells and hematologic malignancies; its expression has been correlated with poor prognosis.
drug_mesh_term
Antibodies, Bispecific
drug_category
BISPECIFIC T ENGAGER
drug_class
Engager
drug_delivery_route
Intravenous
drug_mechanism_of_action
Engineered bispecific IgM antibody that binds CD38 on tumor cells and CD3 on T cells, crosslinking to redirect T cells for T-cell-dependent cellular cytotoxicity; the IgM format also activates complement to mediate complement-dependent cytotoxicity against CD38-positive cells.
drug_name
IGM-2644
nct_id_drug_ref
NCT05908396