Drug intelligence / Profile preview

denintuzumab mafodotin + rituximab + cyclophosphamide + doxorubicin + prednisone

Development stage
Discontinued
Lead developer
Pfizer
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

This is a combination regimen consisting of **denintuzumab mafodotin** (an antibody-drug conjugate targeting CD19), **rituximab** (an anti-CD20 monoclonal antibody), **cyclophosphamide** (an alkylating agent), **doxorubicin** (an anthracycline antibiotic cytotoxic agent), and **prednisone** (a corticosteroid). Denintuzumab mafodotin binds to CD19 on B cells, delivering a cytotoxic payload (monomethyl auristatin F) upon internalization; rituximab targets CD20 to induce B cell lysis; cyclophosphamide crosslinks DNA; doxorubicin intercalates DNA and inhibits topoisomerase II; prednisone induces apoptosis and exerts anti-inflammatory effects. The combination was studied as a front-line or salvage therapy for diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma grade 3b.

02

Targets

CD19 (B lymphocyte antigen CD19)CD20 (B-lymphocyte antigen CD20)TOP2A (DNA topoisomerase II)GR (Glucocorticoid receptor)DNATUBB (Tubulin (alpha and beta subunits))

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