drug_type
RELEVANT_DRUG
intervention_type
Biologic (anti‑CD20 monoclonal antibody)
drug_description
Type II anti‑CD20 monoclonal antibody given prior to glofitamab to debulk B cells and mitigate CRS; induces direct B‑cell death and Fc‑mediated ADCC/ADCP.
nci_thesaurus_concept_id
C70741
nci_thesaurus_preferred_term
Obinutuzumab
nci_thesaurus_definition
A glycoengineered, humanized IgG1 monoclonal antibody with potential antineoplastic activity. Obinutuzumab, a third generation type II anti-CD20 antibody, selectivity binds to the extracellular domain of the human CD20 antigen on malignant human B cells. The Fc region carbohydrates of the antibody, enriched in bisected non-fucosylated glycosylation variants, contribute to its higher binding affinity for human FcgammaRIII receptors compared to non-glycoengineered antibodies, resulting in enhanced antibody-dependent cellular cytotoxicity (ADCC) and caspase-independent apoptosis. In addition, modification of elbow hinge sequences within the antibody variable framework regions may account for the strong apoptosis-inducing activity of R7159 upon binding to CD20 on target cells.
drug_mesh_term
Obinutuzumab
drug_category
CYTOTOXIC ANTIBODY
drug_class
Inhibitor
drug_delivery_route
Intravenous
drug_mechanism_of_action
Type II anti-CD20 humanized IgG1 monoclonal antibody that binds CD20 on B cells; glycoengineering increases Fc-gamma RIIIa affinity to enhance antibody-dependent cellular cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP), and it also induces direct, caspase-independent B-cell death, depleting CD20+ B cells (used pre-glofitamab to debulk and mitigate CRS).
drug_name
Obinutuzumab
nct_id_drug_ref
NCT06682130