drug_type
RELEVANT_DRUG
intervention_type
Immunotoxin (biologic)
drug_description
Recombinant immunotoxin (D2C7-(scdsFv)-PE38KDEL) targeting EGFR/EGFRvIII; an antibody fragment fused to Pseudomonas exotoxin A that is delivered intracerebrally by convection-enhanced delivery, internalizes into tumor cells, and inactivates EF2 to block protein synthesis and induce tumor cell death.
nci_thesaurus_concept_id
C119739
nci_thesaurus_preferred_term
Immunotoxin D2C7-(scdsFv)-PE38KDEL
nci_thesaurus_definition
A recombinant immunotoxin fusion protein consisting of single-chain variable-region antibody fragments (scFvs), which contain disulfide stabilized heavy- (Vh) and light- (Vl) chain variable regions of the monoclonal antibody D2C7 (D2C7-scdsFv), targeting both the wild-type form (EGFRwt) and the in-frame deletion mutant form (EGFRvIII) of epidermal growth factor receptor (EGFR), and fused, via a 15-amino acid peptide linker to domains II and III of the Pseudomonas exotoxin A (PE38KDEL) (D2C7-(scdsFv)-PE38KDEL), with potential antineoplastic activity. Upon intratumoral administration by convection-enhanced delivery, the scFv moiety of immunotoxin anti-EGFR scFv monoclonal antibody fragment immunotoxin D2C7-(scdsFv)-PE38KDEL targets and binds to a specific amino acid epitope present in the extracellular domain of both the EGFRwt and EGFRvIII proteins. This binding facilitates the internalization of the immunotoxin by tumor cells. Inside the cells, the exotoxin portion of the fusion protein binds to translation elongation factor 2 (EF-2), and deactivates EF-2 through ADP ribosylation. This results in the inhibition of protein synthesis, the induction of apoptosis and a reduction in cell proliferation of EGFRwt/EGFRvIII-expressing tumor cells. Compared to intact IgG antibodies and single-chain antibodies, scFvs are smaller with increased tumor-penetrating capacity which may enhance therapeutic efficacy. The EGFR gene, a transmembrane receptor tyrosine kinase, and its mutant form, EGFRvIII, which contains a deletion of exons 2-7 of the EGFR gene, are frequently amplified and overexpressed in a variety of cancers. KDEL increases the toxins intracellular retention, thereby enhancing its cytotoxicity.
drug_mesh_term
D2C7-(scdsFv)-PE38KDEL
drug_category
CYTOTOXIC FUSION PROTEIN
drug_class
Cytotoxic protein
drug_delivery_route
Intracerebral
drug_mechanism_of_action
Recombinant immunotoxin in which an EGFR/EGFRvIII-targeting scFv (D2C7) is fused to Pseudomonas exotoxin A (PE38KDEL). After binding EGFR/EGFRvIII on tumor cells and internalization, the PE domain ADP-ribosylates and inactivates elongation factor 2 (EF2), blocking protein synthesis and inducing tumor cell death; the KDEL motif enhances intracellular retention. Delivered intracerebrally by convection-enhanced delivery.
drug_name
D2C7-IT
nct_id_drug_ref
NCT05734560