drug_type
RELEVANT_DRUG
intervention_type
Drug
drug_description
An antibody–drug conjugate composed of an anti–Nectin-4 IgG1 monoclonal antibody linked via a protease-cleavable linker to the microtubule-disrupting cytotoxin monomethyl auristatin E (MMAE). It binds Nectin-4 on tumor cells, is internalized, and releases MMAE to inhibit tubulin polymerization, leading to mitotic arrest and apoptosis; Fc-mediated effector functions may also contribute.
nci_thesaurus_concept_id
C114500
nci_thesaurus_definition
An antibody drug conjugate (ADC) containing a human monoclonal antibody AGS-22 targeting the cell adhesion molecule nectin-4 and conjugated to the cytotoxic agent monomethyl auristatin E (MMAE), via a proprietary enzyme-cleavable linker (AGS-22CE), with potential antineoplastic activity. The monoclonal antibody moiety of enfortumab vedotin selectively binds to nectin-4. After internalization and proteolytic cleavage, MMAE binds to tubulin and inhibits its polymerization, which results in G2/M phase arrest and induces apoptosis in nectin-4 overexpressing tumor cells. Nectin-4, a tumor associated antigen belonging to the nectin family, is overexpressed in a variety of cancers, including breast, bladder, lung and pancreatic cancer.
drug_mesh_term
enfortumab vedotin
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Anti–Nectin-4 IgG1 antibody linked via a protease-cleavable linker to MMAE. Upon binding Nectin-4 on tumor cells, the ADC is internalized and the linker is cleaved to release MMAE, which inhibits tubulin polymerization, causing G2/M arrest and apoptotic cell death; Fc-mediated effector functions may also contribute.
drug_name
Enfortumab vedotin
nct_id_drug_ref
NCT05868265