drug_type
RELEVANT_DRUG
intervention_type
monoclonal antibody (anti‑CD20)
drug_description
A type II anti‑CD20 monoclonal antibody used as priming to deplete circulating B cells and reduce cytokine release syndrome risk prior to glofitamab administration.
nci_thesaurus_concept_id
C70741
nci_thesaurus_preferred_term
Obinutuzumab
nci_thesaurus_definition
A glycoengineered, humanized IgG1 monoclonal antibody with potential antineoplastic activity. Obinutuzumab, a third generation type II anti-CD20 antibody, selectivity binds to the extracellular domain of the human CD20 antigen on malignant human B cells. The Fc region carbohydrates of the antibody, enriched in bisected non-fucosylated glycosylation variants, contribute to its higher binding affinity for human FcgammaRIII receptors compared to non-glycoengineered antibodies, resulting in enhanced antibody-dependent cellular cytotoxicity (ADCC) and caspase-independent apoptosis. In addition, modification of elbow hinge sequences within the antibody variable framework regions may account for the strong apoptosis-inducing activity of R7159 upon binding to CD20 on target cells.
drug_mesh_term
Obinutuzumab
drug_category
CYTOTOXIC ANTIBODY
drug_class
Cytotoxic protein
drug_delivery_route
Intravenous
drug_mechanism_of_action
Obinutuzumab is a glycoengineered, humanized type II anti-CD20 IgG1 monoclonal antibody that binds CD20 on B cells and depletes them by enhanced FcγRIIIa-mediated antibody-dependent cellular cytotoxicity and phagocytosis, and by inducing direct, caspase-independent cell death; it has reduced reliance on complement-dependent cytotoxicity.
drug_name
Obinutuzumab
nct_id_drug_ref
NCT06552572