drug_type
RELEVANT_DRUG
intervention_type
Biologic (bispecific T-cell engager antibody)
drug_description
Intravenous bispecific T-cell engager antibody that binds CD123 on AML blasts/leukemia stem cells and CD3 on T cells to redirect cytotoxic killing; priming doses used to mitigate cytokine release syndrome.
nci_thesaurus_concept_id
C157257
nci_thesaurus_preferred_term
Mipletamig
nci_thesaurus_definition
An immunoglobulin Fc-modified bispecific monoclonal antibody against the tumor-associated antigen (TAA) CD123 and the human T-cell surface antigen CD3 bispecific monoclonal antibody, with potential immunostimulatory and antineoplastic activities. Upon administration, mipletamig simultaneously binds to both CD3-expressing T-cells and CD123-expressing cancer cells, thereby crosslinking CD123-expressing tumor cells and cytotoxic T-lymphocytes (CTLs). This results in the activation and proliferation of T-cells and causes CTL-mediated cell lysis of CD123-expressing tumor cells. CD123, the interleukin-3 receptor alpha chain, is overexpressed in a variety of hematological malignancies; its expression is low or absent in normal hematopoietic progenitors and stem cells. The Fc domain on the antibody prolongs the half-life of the bispecific antibody. Compared to some other CD123 x CD3 targeting bispecific antibodies, mipletamig causes less cytokine release upon T-cell stimulation.
drug_mesh_term
Antibodies, Bispecific
drug_category
BISPECIFIC T ENGAGER
drug_class
Engager
drug_delivery_route
Intravenous
drug_mechanism_of_action
Fc-modified bispecific antibody that binds CD123 (IL-3Rα) on AML blasts/leukemia stem cells and CD3 on T cells, crosslinking tumor cells with T cells to activate and expand cytotoxic T lymphocytes and drive perforin/granzyme-mediated lysis of CD123+ cells; Fc domain extends half-life and step-up dosing is used to mitigate cytokine release syndrome.
drug_name
APVO436
nct_id_drug_ref
NCT06634394