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drug_type
RELEVANT_DRUG
intervention_type
Monoclonal antibody (bispecific)
drug_description
Bispecific IgG1-like anti-HER2 monoclonal antibody targeting ECD2 and ECD4; induces HER2 clustering/internalization, blocks signaling, and activates ADCC/ADCP/CDC.
nci_thesaurus_concept_id
C130010
nci_thesaurus_preferred_term
Zanidatamab
nci_thesaurus_definition
An engineered immunoglobulin G1 (IgG1) bi-specific monoclonal antibody that targets two different non-overlapping epitopes of the human tumor-associated antigen (TAA) epidermal growth factor receptor 2 (HER2), ECD2 and ECD4, with potential immunomodulating and antineoplastic activities. Upon administration, zanidatamab targets and binds to the two distinct HER2 domains on the tumor cell surface. This results in dual HER2 signal blockade, HER2 clustering, receptor internalization and downregulation. This also induces a cytotoxic T-lymphocyte (CTL) response and antibody-dependent cell-mediated cytotoxicity (ADCC) against tumor cells that overexpress HER2. Antibody-dependent cellular phagocytosis (ADCP) is also induced and further stimulates the immune system to kill HER2-overexpressing tumor cells. The HER2 receptor internalization also further inhibits HER2 activation, HER2-mediated signaling and HER2-mediated tumor cell growth. HER2, a tyrosine kinase receptor, is overexpressed by many cancer cell types.
drug_mesh_term
zanidatamab
drug_category
INHIBITORY ANTIBODY
drug_class
Inhibitor
drug_delivery_route
Intravenous
drug_mechanism_of_action
Zanidatamab is a bispecific IgG1 monoclonal antibody that binds two non-overlapping HER2 extracellular domains (ECD2 and ECD4), promoting HER2 clustering and internalization/downregulation, blocking HER2 signaling and dimerization, and leveraging Fc-mediated effector functions (ADCC, ADCP, CDC) to kill HER2-overexpressing tumor cells.
drug_name
Zanidatamab
nct_id_drug_ref
NCT05868226