Drug intelligence / Profile preview

loncastuximab tesirine + rituximab + cyclophosphamide + doxorubicin + vincristine + prednisone

Development stage
Unknown
Lead developer
ADC Therapeutics
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Oral
01

Overview

A **multi-agent combination regimen** consisting of loncastuximab tesirine (an anti-CD19 antibody-drug conjugate), rituximab (an anti-CD20 monoclonal antibody), cyclophosphamide (an alkylating agent), doxorubicin (an anthracycline antibiotic and topoisomerase II inhibitor), vincristine (a vinca alkaloid that inhibits microtubule formation), and prednisone (a synthetic glucocorticoid). This combination is being investigated mainly in **relapsed/refractory aggressive B-cell lymphomas** (including double-hit and double-expressor lymphomas and follicular lymphoma). Each component has a distinct mechanism of action targeting B-cell malignancy via immune-mediated, cytotoxic, and cell cycle effects. This regimen adds targeted antibody-drug conjugate therapy to standard immunochemotherapy.

02

Targets

CD19 (B lymphocyte antigen CD19)CD20 (B-lymphocyte antigen CD20)N7-G (DNA guanine-N7 adduct)GR (Glucocorticoid receptor)DNA minor grooveTUBB (Tubulin (alpha and beta subunits))TOP2A (DNA topoisomerase II)

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