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The FLT3-directed BiTE molecule is an investigational bispecific T-cell engager (BiTE) designed for the treatment of acute myeloid leukemia (AML). It is engineered to simultaneously bind to FMS-like tyrosine kinase 3 (FLT3, also known as CD135) on the surface of AML blasts and leukemic stem cells, and the CD3 epsilon subunit of the T-cell receptor complex on cytotoxic T cells. This dual binding brings T cells into close proximity with tumor cells, triggering T-cell activation and the release of perforins and granzymes, which results in the selective lysis of FLT3-expressing malignant cells. AMG 427 is the primary clinical candidate representing this molecule type, developed by Amgen, although its clinical development was terminated following early-phase trials.
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