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**Precemtabart tocentecan** is an investigational, CEACAM5-directed antibody-drug conjugate developed by Merck KGaA for advanced solid tumors, led by metastatic colorectal cancer. The ADC binds carcinoembryonic antigen-related cell adhesion molecule 5 on tumor cells and delivers an exatecan topoisomerase I inhibitor payload through a circulation-stable beta-glucuronide linker, causing topoisomerase I inhibition and DNA damage after tumor-cell uptake. It is being evaluated in the Phase 3 PROCEADE-CRC-03 trial in metastatic colorectal cancer, as well as earlier-stage studies in other CEACAM5-expressing solid tumors. ([merckgroup.com](https://www.merckgroup.com/en/news/precem-tct-phase-3-first-dose-21-05-2026.html))
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