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drug_type
RELEVANT_DRUG
intervention_type
Antibody–drug conjugate
drug_description
An antibody–drug conjugate (PADCEV) consisting of a human IgG1 monoclonal antibody targeting Nectin-4 linked to the microtubule-disrupting agent monomethyl auristatin E (MMAE), inducing internalization and apoptosis in Nectin-4–expressing urothelial cancer cells.
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
Enfortumab vedotin is an antibody-drug conjugate comprising a human IgG1 monoclonal antibody targeting Nectin-4 linked via a cleavable linker to the microtubule toxin monomethyl auristatin E (MMAE). After binding Nectin-4 on tumor cells and internalization, intracellular cleavage releases MMAE, which binds tubulin, inhibits microtubule polymerization, induces G2/M cell-cycle arrest, and triggers apoptosis in Nectin-4–expressing cancer cells.
drug_name
Enfortumab vedotin
nct_id_drug_ref
NCT06394570