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This combination therapy consists of naxitamab, a humanized monoclonal antibody targeting the ganglioside GD2, and sacituzumab govitecan, a Trop-2-directed antibody-drug conjugate (ADC). Naxitamab binds to GD2 on the surface of tumor cells, inducing cell death through antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC). Sacituzumab govitecan consists of a humanized monoclonal antibody (hRS7) that targets Trop-2, conjugated via a hydrolyzable linker to SN-38, a topoisomerase I inhibitor. The combination is being evaluated in a Phase I/II clinical trial led by M.D. Anderson Cancer Center for patients with metastatic triple-negative breast cancer (TNBC), specifically targeting tumors that express GD2. This approach aims to leverage the targeted delivery of cytotoxic SN-38 alongside the immune-mediated antitumor activity of naxitamab.
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