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**Labetuzumab govitecan** is an investigational, humanized anti-CEACAM5 antibody-drug conjugate developed by Immunomedics. It couples the anti-carcinoembryonic antigen-related cell adhesion molecule 5 antibody labetuzumab to the topoisomerase I inhibitor payload SN-38, the active metabolite of irinotecan, through a proprietary cleavable linker. The antibody targets CEACAM5-expressing tumor cells, particularly colorectal cancer, to concentrate and release SN-38 in the tumor microenvironment, resulting in topoisomerase I inhibition and cytotoxic DNA damage. It was evaluated in heavily pretreated metastatic colorectal cancer in Phase I/II studies, but the clinical development program was not advanced to registration and is considered discontinued. ([clinicaltrials.gov](https://clinicaltrials.gov/study/NCT01605318))
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