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Mecbotamab vedotin is a conditionally active antibody-drug conjugate (ADC) targeting AXL. It consists of a humanized IgG1 monoclonal antibody that binds to AXL under acidic tumor microenvironment conditions and is conjugated via a cleavable linker to the cytotoxic payload monomethyl auristatin E (MMAE). The drug is designed to selectively bind and kill AXL-expressing cancer cells by delivering MMAE directly into the tumor cell after internalization. Its mechanism includes inhibition of tubulin polymerization leading to mitotic arrest and apoptosis. Mecbotamab vedotin is being developed primarily for solid tumors such as non-small cell lung cancer (NSCLC), soft tissue sarcoma (with orphan drug designation), ovarian cancer, and other advanced solid tumors[1][2][4][5][6].
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