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This B7-H3 antibody-drug conjugate (ADC) is an investigational therapeutic consisting of a monoclonal antibody targeting the CD276 (B7-H3) antigen, conjugated to the DNA-alkylating payload tesirine (SG3249). Developed by the ORBIT platform at MD Anderson Cancer Center, the agent is designed to treat B7-H3-expressing malignancies, with a particular focus on primary and metastatic osteosarcoma. B7-H3 is a transmembrane protein often overexpressed in pediatric and adult solid tumors while maintaining low expression in normal tissues, providing a wide therapeutic window. The tesirine payload is a pyrrolobenzodiazepine (PBD) dimer that induces sequence-specific DNA cross-linking, leading to cell cycle arrest and apoptosis. Preclinical data presented at AACR 2026 demonstrated potent cytotoxicity in patient-derived xenograft (PDX) models and significant efficacy in preventing and treating pulmonary metastases in osteosarcoma models.
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