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MRG004A is an investigational **tissue factor-targeting antibody-drug conjugate** developed by Lepu Biopharma and Shanghai Miracogen for tissue factor-positive advanced solid tumors. The ADC uses a monoclonal antibody directed against tissue factor to deliver the microtubule-disrupting payload monomethyl auristatin E into tumor cells. It uses GlycoConnect site-specific conjugation technology and HydraSpace technology, with a reported drug-to-antibody ratio of 3.8. MRG004A has shown early clinical activity in heavily pretreated pancreatic cancer and is being evaluated in a randomized Phase III study in advanced pancreatic cancer.
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