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**anti-collagen-4-SN-38** is an experimental cancer-stroma-targeting antibody-drug conjugate developed as part of cancer stromal targeting therapy. It consists of an anti-collagen type IV monoclonal antibody conjugated through a PEGylated ester linker to SN-38, a topoisomerase I inhibitor. The conjugate binds collagen type IV within tumor stroma, forming a local drug depot that releases SN-38 extracellularly under physiological conditions; released SN-38 diffuses through stromal-rich tumor tissue and damages tumor cells and tumor vasculature. It showed preclinical antitumor activity in stroma-rich pancreatic cancer xenograft models. ([europepmc.org](https://europepmc.org/article/MED/21749132))
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