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drug_type
RELEVANT_DRUG
intervention_type
Monoclonal antibody (anti-CLDN1)
drug_description
Anti–claudin-1 (CLDN1) monoclonal antibody intended to inhibit CLDN1-driven pro-tumor signaling and invasion and enable immune effector engagement against CLDN1-positive cells.
nci_thesaurus_concept_id
C201755
nci_thesaurus_preferred_term
Eclutatug
nci_thesaurus_definition
A humanized monoclonal antibody directed against the tumor-associated antigen (TAA) claudin-1 (CLDN1; CLDN-1), with potential immunostimulating and antineoplastic activities. Upon administration, eclutatug targets and binds to a specific extracellular loop epitope that is exposed in non-junctional (NJ) CLDN1 expressed on certain tumor cells. This prevents CLDN1-mediated signaling, which disrupts the stiff extracellular matrix (ECM) in tumors and, by disturbing the physical barrier, enhances the infiltration of immune cells, such as natural killer cells (NKs) and T-cells. This abrogates immunosuppression in the tumor microenvironment (TME) and leads to NK- and T-cell-mediated tumor cell killing. In addition, eclutatug can directly kill CLDN1-expressing tumor cells via antibody-dependent cell mediated cytotoxicity (ADCC). CLDN1, which is normally confined within the tight junctions in epithelial tissues, is overexpressed on a variety of tumor cells in a non-junctional form. CLDN1 overexpression on tumor cells correlates with ECM remodeling and T-cell exclusion, and is associated with reduced efficacy of checkpoint inhibitors (CPIs).
drug_category
INHIBITORY ANTIBODY
drug_class
Inhibitor
drug_delivery_route
Intravenous
drug_mechanism_of_action
Humanized anti-CLDN1 monoclonal antibody that binds an extracellular epitope on non-junctional CLDN1 on tumor cells, blocks CLDN1-driven pro-tumor signaling and ECM remodeling to improve immune-cell infiltration, and engages Fc effector functions to mediate ADCC, promoting NK- and T-cell-mediated killing of CLDN1-positive cells.
drug_name
ALE.C04
nct_id_drug_ref
NCT06054477