drug_type
RELEVANT_DRUG
intervention_type
Biological drug (bispecific IgM monoclonal antibody)
drug_description
IGM-2323; an intravenously administered bispecific IgM monoclonal antibody (T-cell engager) that binds CD20 on B cells and CD3 on T cells to redirect T-cell cytotoxicity and activate complement, depleting CD20+ B cells to reduce pathogenic autoantibody production in SLE.
nci_thesaurus_concept_id
C165166
nci_thesaurus_preferred_term
Imvotamab
nci_thesaurus_definition
An engineered immunoglobulin M (IgM) bispecific antibody, with potential antineoplastic activity. Imvotamab contains ten high affinity binding domains for the tumor-associated antigen (TAA) CD20, and one binding domain for CD3, a T-cell surface antigen. Upon administration, imvotamab binds to both T-cells and CD20-expressing B-lineage tumor cells. The resulting cross-linkage may trigger a potent cytotoxic T-lymphocyte (CTL) response against the CD20-expressing tumor B-cells. Additionally, imvotamab induces complement-dependent cytotoxicity (CDC) to a greater extent than anti-CD20/anti-CD3 IgG bispecific antibodies, thereby further enhancing the killing CD20-expressing tumor cells. The extra binding units of imvotamab may bind cancer cells that express relatively low amounts of CD20. Also, compared to IgG format bispecific T-cell engaging antibodies, imvotamab appears to induce less cytokine release, which may reduce the risk of cytokine release syndrome (CRS). CD20 is exclusively expressed on B-cells during most stages of B-cell development and is often overexpressed in B-cell malignancies.
drug_mesh_term
Antibodies, Bispecific
drug_category
BISPECIFIC T ENGAGER
drug_class
Engager
drug_delivery_route
Intravenous
drug_mechanism_of_action
Imvotamab is a bispecific IgM antibody that binds CD20 on B cells and CD3 on T cells, crosslinking them to redirect T-cell cytotoxicity against CD20+ B cells. Its multivalent IgM format confers high-avidity CD20 binding and strong complement activation, inducing complement-dependent cytotoxicity in addition to T-cell–mediated killing, resulting in depletion of CD20+ B cells and reduction of pathogenic autoantibody production.
drug_name
Imvotamab
nct_id_drug_ref
NCT06041568