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**GenSci143** is a novel bispecific antibody-drug conjugate (BsADC) developed by Changchun GeneScience Pharmaceutical Co., Ltd., targeting **B7-H3 (CD276)** and **PSMA** (prostate-specific membrane antigen) on tumor cells. It comprises a bispecific antibody linked via a stable, cleavable linker to a potent **topoisomerase I (TOPO-I) inhibitor** payload. Upon binding, the conjugate internalizes into lysosomes, releasing the toxin to induce tumor cell death through targeted chemotherapy, with potential immune effects due to B7-H3 targeting. Preclinical data show superior antitumor efficacy in prostate cancer models versus single-target ADCs like DS-7300 (anti-B7-H3) and ARX517 (anti-PSMA), favorable pharmacokinetics, and tolerability in cynomolgus monkeys, addressing tumor heterogeneity in **metastatic castration-resistant prostate cancer (mCRPC)** and other solid tumors.[1][2][3][5]
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