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Naratuximab emtansine is an investigational antibody-drug conjugate (ADC) designed for the treatment of B-cell malignancies, particularly diffuse large B-cell lymphoma (DLBCL). It consists of a humanized IgG1 monoclonal antibody targeting the cell-surface antigen CD37, covalently linked via a stable thioether-based linker to the cytotoxic maytansinoid DM1. Upon binding to CD37 on malignant B lymphocytes, the ADC is internalized and degraded within the cancer cell, releasing DM1 intracellularly. DM1 disrupts microtubule function, leading to cell cycle arrest and apoptosis. Naratuximab emtansine has shown promising safety and efficacy in phase II trials for relapsed/refractory DLBCL and other B-cell malignancies such as mantle cell lymphoma and follicular lymphoma. The drug benefits from Orphan Drug status and is being developed by Debiopharm[1][3][4][5][7][8].
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