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drug_type
RELEVANT_DRUG
intervention_type
Biological
drug_description
An anti-CD38 antibody–drug conjugate (anti-CD38–Duostatin 5.2) that binds CD38 on clonal plasma cells, is internalized, and releases the Duostatin 5.2 cytotoxic payload to induce selective plasma-cell killing and reduce pathogenic light-chain production in systemic AL amyloidosis.
nci_thesaurus_concept_id
C174057
nci_thesaurus_preferred_term
Anti-CD38 Antibody-drug Conjugate STI-6129
nci_thesaurus_definition
An antibody-drug conjugate (ADC) composed of STI-5171, a fully human monoclonal antibody targeting human cell surface glycoprotein and tumor-associated antigen (TAA) CD38, site-specifically conjugated, via a non-polyethylene glycol linker, to a monomethyl auristatin F (MMAF)-derived cytotoxic payload, with potential antineoplastic activity. Upon administration of anti-CD38 ADC STI-6129, the antibody moiety targets and binds to CD38 on tumor cells. Upon antibody/antigen binding and internalization, the MMAF derivative binds to and inhibits tubulin polymerization, which results in G2/M phase arrest and tumor cell apoptosis. CD38, a type II transmembrane glycoprotein, is present on various immune cells and hematologic malignancies; its expression has been correlated with poor prognosis.
drug_mesh_term
Antibody-Drug Conjugates
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
CD38-targeting antibody–drug conjugate that binds CD38 on plasma cells, is internalized, and releases an MMAF (Duostatin 5.2) cytotoxic payload to inhibit tubulin polymerization, causing G2/M arrest and apoptosis of CD38+ cells, thereby reducing pathogenic light-chain production in AL amyloidosis.
drug_name
STI-6129
nct_id_drug_ref
NCT05692908