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h15H3-mcMMAF is an antibody-drug conjugate (ADC) developed by Seattle Genetics (now Seagen/Pfizer) that targets integrin alpha-V beta-6 (ITGAV-ITGB6). The ADC consists of a humanized monoclonal antibody (h15H3) conjugated to the microtubule-disrupting agent monomethyl auristatin F (MMAF) via a non-cleavable maleimidocaproyl (mc) linker. Integrin alpha-V beta-6 is an epithelial-specific receptor that is frequently overexpressed in various solid tumors, including cancers of the head and neck, pancreas, bladder, lung, ovary, and breast, while showing minimal expression in normal tissues. Upon binding to the target antigen, the ADC is internalized and undergoes lysosomal degradation, which releases the MMAF payload. MMAF then inhibits tubulin polymerization, leading to G2/M phase cell cycle arrest and apoptosis of the tumor cells.
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