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MDC-MMAE is a monobody-drug conjugate (MDC) designed to selectively target RAS-mutant cancers, specifically multiple myeloma, by exploiting the process of macropinocytosis. Developed by Tezcat Biosciences in collaboration with the NYU Grossman School of Medicine, the drug consists of a proprietary fibronectin-based scaffold (monobody) conjugated to the cytotoxic payload monomethyl auristatin E (MMAE) via a cathepsin-cleavable linker. Unlike traditional antibody-drug conjugates (ADCs), the monobody scaffold is engineered to be selectively internalized through macropinocytosis, a nutrient-scavenging pathway upregulated in oncogenic RAS-driven cells. This mechanism allows for targeted delivery of the toxin to RAS-mutant clones while sparing wild-type cells. Preclinical studies have demonstrated significant anti-tumor activity, including complete tumor regression in murine models, and a favorable safety profile with increased tolerable drug delivery compared to standard ADC-MMAE formulations.
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