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ALM-502 is a biparatopic antibody-drug conjugate (ADC) developed by Almac Discovery for the treatment of various solid tumors. It utilizes VHH single-domain antibody binders (nanobodies) engineered into a biparatopic format and fused to a human Fc (hFc) domain. The ADC targets Alkaline Phosphatase Placental (ALPP) and Alkaline Phosphatase Placental Like 2 (ALPPL2), which are GPI-anchored cell-surface proteins overexpressed in cancers such as high-grade serous ovarian cancer (HGSOC), pancreatic, gastric, and bladder cancers, while maintaining minimal expression in normal tissues. ALM-502 is conjugated to a monomethyl auristatin E (MMAE) cytotoxic payload via a protease-cleavable valine-citrulline (vc) linker. The biparatopic design is specifically engineered to enhance tumor cell binding, internalization, and lysosomal trafficking compared to traditional monospecific ADCs, leading to potent anti-tumor efficacy.
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