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IIT-ATLG-69 refers to a clinical development program by Neovii Pharmaceuticals involving their proprietary anti-human T-lymphocyte globulin (ATLG), commercially known as Grafalon. ATLG is a rabbit-derived polyclonal antibody that targets various T-cell surface antigens (such as CD2, CD3, CD4, CD8, CD11a, CD18, CD25, CD44, and CD45) as well as HLA class I and II molecules. Its primary mechanism of action involves the depletion of T-lymphocytes through complement-dependent cytotoxicity (CDC) and opsonization followed by phagocytosis. In the context of stem cell transplantation (SCT), it is used as part of the conditioning regimen to prevent graft-versus-host disease (GvHD) and graft rejection by suppressing the recipient's immune system and modulating the donor T-cell response. The IIT-ATLG-69 designation specifically relates to investigator-initiated trials, including the Phase 3 FORUM II study, which evaluates optimized dosing strategies for ATLG in pediatric patients undergoing allogeneic hematopoietic stem cell transplantation.
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