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drug_type
RELEVANT_DRUG
intervention_type
Biologic (antibody-drug conjugate)
drug_description
Anti-CD123 antibody-drug conjugate (ADC) that binds IL-3Rα (CD123) on leukemic blasts and delivers an internalized DNA-alkylating cytotoxic payload.
nci_thesaurus_concept_id
C184834
nci_thesaurus_preferred_term
Pivekimab Sunirine
nci_thesaurus_definition
An antibody-drug conjugate (ADC) consisting of a humanized anti-CD123 (interleukin-3 (IL-3) receptor alpha chain; IL3RA) immunoglobulin G1 (IgG1) monoclonal antibody conjugated, via a cleavable linker, to a cytotoxic, DNA-alkylating payload, which is an indolino-benzodiazepine dimer containing an imine moiety, with potential antineoplastic activity. Upon administration of anti-CD123 ADC IMGN632, the antibody moiety targets the cell surface antigen CD123. Upon antibody/antigen binding, internalization, and lysosome uptake, the cytotoxic moiety is released, and covalently binds to and alkylates DNA with its imine moiety. This results in cell cycle arrest in S-phase, which leads to apoptosis and inhibition of cell growth in cells overexpressing CD123. CD123, the alpha subunit of the IL-3 receptor, regulates the proliferation, survival and differentiation of hematopoietic cells. CD123 is overexpressed on a variety of cancers.
drug_mesh_term
Antibody-Drug Conjugates
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Humanized anti‑CD123 (IL‑3Rα) IgG1 antibody–drug conjugate that binds CD123 on leukemic cells, is internalized, and via a cleavable linker releases an indolino‑benzodiazepine dimer DNA‑alkylating payload. The payload alkylates DNA (via an imine moiety), causing S‑phase arrest and apoptosis in CD123‑overexpressing cells.
drug_name
Pivekimab Sunirine
nct_id_drug_ref
NCT06034470