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Ispectamab debotansine (CC-99712, BMS-986352) is an antibody-drug conjugate (ADC) targeting B-cell maturation antigen (BCMA), developed through a collaboration between Sutro Biopharma and Celgene (now Bristol Myers Squibb). It was engineered using Sutro's proprietary XpressCF cell-free protein synthesis platform, which allows for site-specific conjugation. The ADC consists of a humanized IgG1 monoclonal antibody conjugated to a maytansinoid payload, debotansine (N2'-deacetylmaytansine), via a non-cleavable dibenzocyclooctyne (DBCO) linker. Upon binding to BCMA on the surface of malignant plasma cells, the conjugate is internalized, and the payload inhibits tubulin polymerization, leading to cell cycle arrest and apoptosis. It was primarily investigated for the treatment of relapsed and refractory multiple myeloma. Development was discontinued by Bristol Myers Squibb in 2023.
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