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drug_type
RELEVANT_DRUG
intervention_type
Antibody-drug conjugate (biologic drug)
drug_description
An antibody-drug conjugate (ADC) comprising a humanized anti-CLDN18.2 monoclonal antibody linked via a cleavable linker to a cytotoxic payload (DDDXD), with a drug–antibody ratio of 8; administered IV every 3 weeks (0.5–5.0 mg/kg). It binds CLDN18.2 on tumor cells, is internalized, and releases the cytotoxic agent intracellularly to kill cancer cells.
nci_thesaurus_concept_id
C200908
nci_thesaurus_definition
An antibody-drug conjugate (ADC) composed of a humanized monoclonal antibody directed against the tumor-associated antigen (TAA) claudin 18.2 (CLDN18.2; A2 isoform of claudin-18) conjugated via a cleavable linker, to an undisclosed cytotoxic agent, with potential antineoplastic activity. Upon administration, anti-CLDN18.2 ADC TQB2103 specifically targets and binds to CLDN18.2 expressed on tumor cells. Upon endocytosis and the transfer to lysosomes, the payload is released via enzymatic cleavage of the linker. The cytotoxic agent causes DNA damage in and kills CLDN18.2-expressing tumor cells. Through bystander effect, TQB2103 is also able to kill adjacent tumor cells. CLDN18.2, a tight junction protein and stomach-specific isoform of claudin-18, is expressed on a variety of tumor cells. Its expression in healthy tissues is strictly confined to short-lived differentiated epithelial cells of the gastric mucosa.
drug_mesh_term
Antibody-Drug Conjugates
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Humanized anti‑CLDN18.2 monoclonal antibody conjugated via a cleavable linker to a cytotoxic payload. Binds CLDN18.2 on tumor cells, is internalized, linker is cleaved in lysosomes, releasing the payload that induces DNA damage and kills CLDN18.2‑expressing cells, with potential bystander killing of adjacent tumor cells.
drug_name
TQB2103
nct_id_drug_ref
NCT05867563