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drug_type
RELEVANT_DRUG
intervention_type
Antibody–drug conjugate
drug_description
A nectin‑4–targeted antibody–drug conjugate that binds nectin‑4 on tumor cells, is internalized, and releases a cytotoxic payload to induce tumor cell death.
nci_thesaurus_concept_id
C205638
nci_thesaurus_preferred_term
Anti-nectin-4/MMAE Antibody-drug Conjugate CRB-701
nci_thesaurus_definition
An antibody-drug conjugate (ADC) composed of an immunoglobulin G1 (IgG1) monoclonal antibody directed against the cell surface adhesion molecule and tumor-associated antigen (TAA) nectin-4 (PVRL4), site-specifically conjugated, via a cleavable linker, to the cytotoxic agent monomethyl auristatin E (MMAE), with potential antineoplastic activity. Upon administration of anti-nectin-4/MMAE ADC CRB-701, the anti-nectin-4 antibody moiety targets and binds to nectin-4 expressed on tumor cells. Upon binding, internalization, and linker cleavage, 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. CRB-701 may also induce anti-tumor activity through the induction of antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC) against nectin-4-expressing tumor cells.
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
CRB-701 is a nectin-4–targeted IgG1 antibody-drug conjugate linked via a cleavable linker to monomethyl auristatin E (MMAE). After binding nectin-4 on tumor cells, it is internalized and releases MMAE, which inhibits tubulin polymerization, causing G2/M cell-cycle arrest and apoptosis; the antibody component may also mediate ADCC and CDC against nectin-4–expressing cells.
drug_name
CRB-701
nct_id_drug_ref
NCT06265727