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drug_type
RELEVANT_DRUG
intervention_type
monoclonal antibody
drug_description
Glycoengineered type II anti‑CD20 monoclonal antibody used for B‑cell depletion/bridging and to mitigate cytokine release syndrome.
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
Glycoengineered humanized anti‑CD20 IgG1 that binds CD20 on B cells and, via enhanced FcγRIIIa engagement from afucosylated Fc glycans, drives potent antibody‑dependent cellular cytotoxicity and phagocytosis, while its type II binding induces direct, caspase‑independent cell death, resulting in efficient B‑cell depletion.
drug_name
Obinutuzumab
nct_id_drug_ref
NCT06464185