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drug_type
RELEVANT_DRUG
intervention_type
Biological (bispecific T‑cell engager antibody)
drug_description
A conditionally active biologic (CAB) bispecific T‑cell engager antibody that simultaneously binds EpCAM on tumor cells and CD3 on T cells to redirect and activate cytotoxic T cells against EpCAM-expressing cancer cells; designed for conditional activation within the tumor microenvironment.
nci_thesaurus_concept_id
C200082
nci_thesaurus_preferred_term
Anti-EpCAM/Anti-CD3 Bispecific Antibody BA3182
nci_thesaurus_definition
A conditionally active biologic (CAB) and bispecific antibody directed against both the tumor-associated antigen (TAA) human epithelial cell adhesion molecule (Ep-CAM; EpCAM; CD326) and T-cell surface glycoprotein CD3 epsilon chain (CD3E), with potential immunomodulating and antineoplastic activities. Upon administration and specific activation in the tumor microenvironment (TME), anti-EpCAM/anti-CD3 bispecific antibody BA3182 targets and binds to both EpCAM on EpCAM-expressing tumor cells and CD3E on cytotoxic T-lymphocytes (CTLs) within the TME. This activates and redirects CTLs to EpCAM-expressing tumor cells, which results in the CTL-mediated cell death of EpCAM-expressing tumor cells. EpCAM, a cell surface protein upregulated on many tumor cell types, promotes the proliferation, migration and invasiveness of tumor cells. Negatively charged, physiologically-occurring molecules interact with positively charged areas on the protein surface to prevent the activation of BA3182 outside the TME. In the acidic TME, the negatively charged molecules are neutralized and released, allowing the binding to EpCAM and CD3E. This may reduce systemic toxicity.
drug_mesh_term
Antibodies, Bispecific
drug_category
BISPECIFIC T ENGAGER
drug_class
Engager
drug_delivery_route
Intravenous
drug_mechanism_of_action
Conditionally active bispecific antibody that binds EpCAM on tumor cells and CD3 on T cells; in the acidic tumor microenvironment it becomes activated to recruit and activate cytotoxic T cells, forming an immune synapse and inducing T cell–mediated killing of EpCAM‑expressing cancer cells while aiming to limit systemic toxicity.
drug_name
BA3182
nct_id_drug_ref
NCT05808634