drug_type
RELEVANT_DRUG
intervention_type
Biological (monoclonal antibody)
drug_description
Recombinant fully humanized IgG4 monoclonal antibody immunotherapy that promotes macrophage-mediated tumor cell phagocytosis, enhancing innate antitumor activity; engages tumor-associated macrophages and innate immune phagocytic pathways.
nci_thesaurus_concept_id
C180682
nci_thesaurus_definition
An agent blocking the interaction between the leukocyte surface antigen CD47 and the signal regulatory protein alpha (SIRPalpha; SIRPa), with potential immune checkpoint inhibitory and antineoplastic activities. Upon administration, CD47/SIRPa blocking agent TQB2928 blocks the interaction between CD47, which is expressed on tumor cells, and SIRPa, which is expressed on phagocytic cells. This prevents CD47/SIRPa-mediated signaling and abrogates the CD47/SIRPa-mediated inhibition of macrophage activation and phagocytosis of cancer cells. This induces pro-phagocytic signaling mediated by the binding of calreticulin (CRT), which is specifically expressed on the surface of tumor cells, to low-density lipoprotein (LDL) receptor-related protein-1 (LRP-1), which is expressed on macrophages, and results in macrophage activation and the specific phagocytosis of tumor cells. CD47, also called integrin-associated protein (IAP), is a tumor-associated antigen (TAA) expressed on normal, healthy hematopoietic stem cells (HSCs) and overexpressed on the surface of a variety of cancer cells. Expression of CD47, and its interaction with SIRPa, leads to the inhibition of macrophage activation and protects cancer cells from phagocytosis, thereby allowing cancer cells to proliferate.
drug_mesh_term
Antibodies, Monoclonal, Humanized
drug_category
INHIBITORY ANTIBODY
drug_class
Inhibitor
drug_delivery_route
Intravenous
drug_mechanism_of_action
Fully humanized IgG4 monoclonal antibody that blocks the CD47–SIRPα innate immune checkpoint. By preventing CD47 on tumor cells from engaging SIRPα on macrophages, it abrogates the anti-phagocytic “don’t eat me” signal and promotes macrophage activation and calreticulin–LRP1–mediated phagocytosis of tumor cells, enhancing innate antitumor activity.
drug_name
TQB2928
nct_id_drug_ref
NCT06585059