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词条 Polatuzumab vedotin
释义

  1. Mechanism of Action

  2. Clinical trials

  3. References

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| type = mab
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| mab_type =
| source = zu/o
| target = CD79b
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| CAS_number = 1313206-42-6
| ATC_prefix = none
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| IUPHAR_ligand = 8404
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| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D10761
| C=6670 | H=10317 | N=1745 | O=2087 | S=40
| molecular_weight = 149.6 kg/mol
| synonyms = DCDS4501A, RG7596
}}Polatuzumab vedotin (INN[1]) (DCDS4501A or RG7596) is an antibody-drug conjugate or ADC designed for the treatment of cancer.[2]

The investigational drug, being developed by Genentech/Roche, contains a humanized monoclonal antibody (mAb) targeting CD79b (B-cell antigen receptor complex-associated protein beta chain) conjugated to the synthetic dolastatin 10 analog microtubule-disrupting monomethyl auristatin E (MMAE) through engineered cysteines (THIOMABs) via a protease-cleavable peptide linker (valine–citrulline; Maleimidocaproylvaline-citrulline-p-aminobenzoyloxycarbonyl or MC-VC-PABC). The advantage of the citrulline-valine (VC) linker being used that it is highly stable in plasma.[3]

Mechanism of Action

Upon administration, polatuzumab vedotin selectively binds to CD79b, a protein which is abundantly expressed on the surface of B-cells. Following internalization and proteolytic cleavage, MMAE binds to tubulin and inhibits its polymerization, resulting in G2/M phase arrest and tumor cell apoptosis.

Clinical trials

Polatuzumab vedotin is being investigated in Phase I and Phase II clinical trials. The Phase I trial investigates the drug in B-cell non-Hodgkin’s lymphoma [4] while the Phase II trials investigates the trial drug for the treatment of patients with relapsed or refractory follicular or diffuse large B-Cell Lymphoma.[5]

References

1. ^{{cite journal | author = World Health Organization | title = International Nonproprietary Names for Pharmaceutical Substances (INN). Proposed INN: List 108 | journal = WHO Drug Information | volume = 26 | issue = 4 | year = 2012 | url = http://www.who.int/medicines/publications/druginformation/innlists/PL108.pdf | format=PDF}}
2. ^Statement On A Nonproprietary Name Adopted By The USAN Council - Polatuzumab Vedotin, American Medical Association - Needs login/subscription.
3. ^Polatuzumab vedotin (Drug Description)
4. ^NCT01992653 (Clinical Trial / Polatuzumab Vedotin / DCDS4501A / RG-7596)
5. ^NCT02257567 (Clinical Trial / Polatuzumab Vedotin / DCDS4501A / RG-7596)
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1 : Monoclonal antibodies

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