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drug_type
RELEVANT_DRUG
intervention_type
Drug
drug_description
Antibody–drug conjugate targeting Nectin‑4; after binding and internalization it releases the MMAE microtubule inhibitor to disrupt tubulin polymerization and induce apoptosis (with possible bystander and ADCC effects).
nci_thesaurus_concept_id
C200283
nci_thesaurus_definition
An antibody drug conjugate (ADC) composed of bulumtatug, a humanized monoclonal antibody directed against the cell surface adhesion molecule and tumor-associated antigen (TAA) nectin-4 (PVRL4), site-specifically conjugated, via a linker, to the cytotoxic agent monomethyl auristatin E (MMAE), with potential antineoplastic activity. Upon administration of bulumtatug fuvedotin, the anti-nectin-4 antibody targets and binds to nectin-4 expressed on tumor cells. Upon binding and internalization, MMAE binds to tubulin and inhibits its polymerization, which results in G2/M phase arrest and induces apoptosis in nectin-4-expressing tumor cells. Nectin-4, a TAA belonging to the nectin family, is overexpressed in a variety of cancers, but has a restricted distribution in normal tissue.
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Humanized anti–Nectin-4 monoclonal antibody conjugated to the microtubule inhibitor MMAE. After binding Nectin-4 on tumor cells and internalization, the linker is cleaved to release MMAE, which inhibits tubulin polymerization, causing G2/M arrest and apoptosis; potential bystander killing and ADCC may contribute.
drug_name
9MW2821
nct_id_drug_ref
NCT06079112