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Epratuzumab-CL2E-SN-38 is an experimental antibody-drug conjugate (ADC) developed by Immunomedics (now Gilead Sciences) for the treatment of B-cell malignancies. It consists of the humanized anti-CD22 monoclonal antibody epratuzumab conjugated to the topoisomerase I inhibitor SN-38 via a serum-stable, cathepsin B-cleavable CL2E linker. While the CL2E linker was designed for high stability in circulation, preclinical studies demonstrated that it was significantly less potent (approximately 40–55 times) than the related CL2A-linked conjugate, likely due to slower drug release following internalization. Consequently, development was deprioritized in favor of the CL2A-linked variant (epratuzumab-SN-38).
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