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Pinatuzumab vedotin is an investigational antibody-drug conjugate (ADC) developed for the treatment of B-cell malignancies, particularly non-Hodgkin's lymphoma (NHL), diffuse large B-cell lymphoma (DLBCL), and chronic lymphocytic leukemia (CLL)[1][4][8]. It consists of a humanized monoclonal antibody targeting CD22, a cell surface antigen expressed on most B-cell lineage cells, linked via a protease-cleavable linker to monomethyl auristatin E (MMAE), a potent antimicrotubule agent[2][6]. Upon binding to CD22 on tumor cells and internalization, the linker is cleaved by intracellular proteases, releasing MMAE inside the cell. MMAE then inhibits tubulin polymerization, disrupting mitosis and inducing apoptosis in malignant B-cells[6]. Pinatuzumab vedotin was developed by Genentech/Roche in collaboration with Seattle Genetics/Seagen. Clinical development has been discontinued for its main indications[4].
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