drug_type
RELEVANT_DRUG
intervention_type
Biologic (immunocytokine)
drug_description
A masked immunocytokine comprising an anti‑CD138 human IgG1 antibody fused to human interferon‑α2a, administered IV every 2 weeks to target CD138+ tumor cells and concentrate IFN‑α signaling (IFNAR–JAK/STAT), enhancing antiproliferative/apoptotic effects and immune activation; Fc may mediate ADCC/CDC.
nci_thesaurus_concept_id
C210489
nci_thesaurus_preferred_term
Anti-CD138 Antibody-IFNalpha Fusion Protein QXL138AM
nci_thesaurus_definition
A masked immunocytokine (MIC) comprised of an immunoglobulin G1 (IgG1) antibody against the tumor-associated antigen (TAA) syndecan-1 (CD138) that is fused to the human cytokine interferon alpha (IFNalpha; IFN-alpha; IFNa) which is attached by a tumor-protease cleavable linker to a peptide mask, with potential immunomodulating and antineoplastic activities. Upon administration, the anti-CD138 antibody-IFNalpha fusion protein QXL138AM targets and binds to CD138 expressed on tumor cells. In turn, the proteases on the cell surface cleave the linker and remove the peptide mask from IFNalpha, thereby enabling IFNalpha to attach to its IFN cell-surface receptor on tumor cells and immune cells within the tumor microenvironment (TME). This initiates direct tumor cell destruction through IFNalpha-induced apoptosis and activates IFN-mediated signal transduction pathways and induces the transcription and translation of genes with interferon-stimulated response elements (ISREs), which activates both innate and adaptive anti-tumor immunity. Syndecan-1, a type 1 transmembrane proteoglycan, is overexpressed in a variety of cancer cells and plays a key role in the regulation of cell growth. The selective activation in the TME enhances the IFN-alpha-mediated cytolytic effect and immune responses against tumor cells while sparing the unwanted effects of systemic immune activation while in circulation.
drug_category
SIGNALING PROTEIN
drug_class
General immune activator
drug_delivery_route
Intravenous
drug_mechanism_of_action
Masked immunocytokine: an anti‑CD138 IgG1 fused to IFN‑α2a via a protease‑cleavable, peptide mask. After binding CD138 on tumor cells, tumor proteases unmask IFN‑α, enabling local IFNAR engagement and JAK/STAT signaling to induce antiproliferative/apoptotic effects and enhance innate/adaptive immunity; the IgG1 Fc may also mediate ADCC/CDC against CD138+ cells.
drug_name
QXL138AM
nct_id_drug_ref
NCT06582017