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**Mipasetamab uzoptirine + gemcitabine** is a combination therapy under clinical investigation for advanced solid tumors, including sarcomas and pancreatic cancer. Mipasetamab uzoptirine (ADCT-601) is an antibody-drug conjugate targeting AXL, a receptor tyrosine kinase overexpressed in multiple malignancies and implicated in tumor progression and therapeutic resistance. The antibody is site-specifically conjugated via GlycoConnect technology to a pyrrolobenzodiazepine (PBD) dimer cytotoxin (SG3199) using a cleavable Val-Ala linker. Upon binding to AXL-expressing tumor cells, the ADC is internalized, releasing the cytotoxic payload that induces DNA interstrand cross-links and irreparable DNA damage, resulting in tumor cell death. Gemcitabine is a nucleoside analog chemotherapy that inhibits DNA synthesis by incorporation into DNA and subsequent chain termination, blocking cell proliferation and inducing apoptosis. Preclinical studies show synergy between mipasetamab uzoptirine and gemcitabine, supporting the rationale for this combination in resistant and heterogeneous solid tumors[2][3][4][7].
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