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This is a combination of two antibody-drug conjugates (ADC): - **Ifinatamab deruxtecan** is a humanized anti-B7-H3 IgG1 monoclonal antibody linked to deruxtecan (DXd, a DNA topoisomerase I inhibitor exatecan derivative) via a cleavable tetrapeptide-based linker. It specifically targets B7-H3, overexpressed in many tumor cells, offering a novel antineoplastic mechanism, and is in late-stage clinical development for extensive-stage small cell lung cancer[1][7][9]. - **Raludotatug deruxtecan** is a humanized anti-CDH6 IgG1 monoclonal antibody conjugated to deruxtecan by a similar linker technology, targeting cadherin-6 (CDH6) which is highly expressed in various solid tumors, notably platinum-resistant ovarian, primary peritoneal, and fallopian tube cancers[2][3][4][8][10]. It induces antitumor activity via cellular uptake, lysosomal degradation, and targeted DNA damage in CDH6-expressing tumors. Both drugs have demonstrated efficacy in their respective indications, are engineered using Daiichi Sankyo’s DXd ADC technology, and show potential for combination use in treating solid malignancies.
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