Skip to main content
drug_type
RELEVANT_DRUG
intervention_type
Antibody–drug conjugate (ADC)
drug_description
An antibody–drug conjugate (ADC) consisting of a humanized anti–B7‑H3 (CD276) IgG1 linked via a protease‑cleavable linker to a duocarmycin DNA‑alkylating payload. After binding B7‑H3 on tumor cells and internalization, it releases the payload to cause DNA minor‑groove alkylation, DNA damage, and tumor cell death. Administered IV (2.7 mg/kg q28d).
nci_thesaurus_concept_id
C159495
nci_thesaurus_preferred_term
Vobramitamab Duocarmazine
nci_thesaurus_definition
An antibody-drug conjugate (ADC) comprised of vobamitamab, an anti-B7-homolog 3 (B7-H3, CD276) humanized immunoglobulin G1 (IgG1)/kappa monoclonal antibody, conjugated to the cleavable linker-duocarmycin payload duocarmazine (valine-citrulline-seco duocarmycin hydroxybenzamide azaindole; vc-seco-DUBA), with potential antineoplastic activity. Upon administration of vobramitamab duocarmazine, vobramitamab specifically targets and binds to the cell surface antigen B7-H3, leading to internalization of the ADC by B7-H3-expressing tumor cells. The vc linker is cleaved inside the tumor cell by proteases, thereby releasing the duocarmycin payload. Duocarmycin binds to the minor groove of DNA, alkylates adenine at the N3 position, and induces cell death. B7-H3, a type I transmembrane protein and a member of the B7 co-stimulatory protein superfamily, is overexpressed on certain tumor cell types and on various immune cells but is minimally expressed by normal human tissues. B7-H3 is a negative regulator of T-cell activation and its overexpression plays a key role in immuno-evasion, tumor cell invasion and metastasis, and its expression is correlated with poor prognosis.
drug_category
ANTIBODY DRUG CONJUGATE
drug_class
Conjugate
drug_delivery_route
Intravenous
drug_mechanism_of_action
Humanized anti-B7-H3 (CD276) IgG1 ADC with a protease-cleavable linker to a duocarmycin payload; after B7-H3 binding and internalization by tumor cells, linker cleavage releases duocarmycin, which binds the DNA minor groove and alkylates adenine (N3), causing DNA damage and tumor cell death.
drug_name
MGC018
nct_id_drug_ref
NCT06227546