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drug_type
RELEVANT_DRUG
intervention_type
Drug
drug_description
Investigational HER2-directed biologic for HER2-positive tumors; specific type/mechanism not specified in the registry.
nci_thesaurus_concept_id
C173962
nci_thesaurus_definition
An antibody-drug conjugate (ADC) composed of trastuzumab, a humanized immunoglobulin G1 (IgG1) a monoclonal antibody targeting human epidermal growth factor receptor 2 (EGFR2; HER2; ErbB2) and site-specifically conjugated, via a cleavable linker, to the microtubule-disrupting cytotoxic agent monomethyl auristatin E (MMAE), with potential antineoplastic activity. Upon administration of trastuzumab envedotin, the trastuzumab moiety targets and binds to HER2 on the surface of tumor cells. Following internalization, MMAE targets and binds to tubulin, and inhibits microtubule polymerization. This results in G2/M phase cell cycle arrest and apoptosis in HER2-expressing tumor cells. HER2, a tyrosine kinase receptor, is overexpressed by many cancer cell types. Trastuzumab envedotin has an average drug-to-antibody (DAR) ratio of 2.0; the two MMAE molecules are attached site-specifically through transamidation to residue Q295 in the antibody heavy chains constant region.
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
HER2-targeted trastuzumab-based monoclonal antibody site-specifically conjugated via a cleavable linker to the microtubule inhibitor MMAE. After binding HER2 on tumor cells and internalization, linker cleavage releases MMAE, which binds tubulin and inhibits microtubule polymerization, causing G2/M arrest and apoptosis in HER2-expressing cells; the antibody may also retain HER2 signaling blockade and ADCC activity.
drug_name
DP303c
nct_id_drug_ref
NCT05901935