Drug intelligence / Profile preview

sacituzumab tirumotecan

Development stage
Phase 3
Lead developer
Merck
Modality
Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

Sacituzumab tirumotecan is a recombinant humanized IgG1 anti-TROP2 monoclonal antibody-drug conjugate (ADC) designed to target and deliver a cytotoxic payload specifically to TROP2-expressing tumor cells. The ADC consists of an antibody targeting trophoblast cell surface antigen 2 (TROP2), which is highly expressed in various epithelial-derived tumors, conjugated via a proprietary pyrimidine-thiol linker to a belotecan-derivative topoisomerase I inhibitor as the cytotoxic payload. The drug-to-antibody ratio (DAR) is approximately 7.4. Upon binding to TROP2 on cancer cells, the ADC is internalized and releases its topoisomerase I inhibitor payload through both extracellular pH-sensitive cleavage and intracellular enzymatic cleavage, resulting in DNA damage and apoptosis of targeted tumor cells as well as neighboring bystander effect due to membrane-permeable payload release. Sacituzumab tirumotecan has demonstrated significant clinical benefit in heavily pretreated advanced triple-negative breast cancer (TNBC) and non-small cell lung cancer (NSCLC), particularly those with EGFR mutations who have progressed after tyrosine kinase inhibitors and platinum-based chemotherapy[1][3][9].

Brand names
SKB264SKB-264SKB 264
Other names
Sacituzumab TirumotecanSac-TMTMK-2870MK2870MK 2870
02

Targets

TACSTD2 (Tumor-associated calcium signal transducer 2)TOP1 (DNA Topoisomerase I)

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