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**B9-MMAE** is an antibody-drug conjugate composed of a human single-domain antibody (UdAb) called B9, which specifically binds to CEACAM5 (Carcinoembryonic Antigen-related Cell Adhesion Molecule 5), conjugated to the cytotoxic payload monomethyl auristatin E (MMAE) via a valine-citrulline (vc) cleavable linker. The conjugate is designed for selective antitumor action: after B9 binds CEACAM5 on tumor cells, B9-MMAE is internalized, and MMAE is released intracellularly to inhibit tubulin polymerization, thereby blocking cell division and inducing cell death. Preclinical studies have demonstrated potent, target-specific cytotoxicity against CEACAM5-positive colorectal, pancreatic, and gastric cancer cell lines, and in xenograft models, significant tumor growth inhibition without notable toxicity was observed. The developer is Fudan University[3][5].
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