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SGN-B7H4V (felmetatug vedotin) is a novel, investigational antibody-drug conjugate (ADC) targeting B7-H4, an immune checkpoint ligand overexpressed in various solid tumors such as breast, ovarian, and endometrial cancers. The ADC consists of a human monoclonal antibody directed against B7-H4 conjugated to the cytotoxic payload monomethyl auristatin E (MMAE) via a protease-cleavable maleimidocaproyl valine citrulline (mc-vc) linker. Upon binding to B7-H4 on tumor cells, SGN-B7H4V is internalized and releases MMAE inside the cell, leading to direct cytotoxicity. Additionally, it mediates antibody-dependent cellular cytotoxicity and phagocytosis. Preclinical studies have shown robust antitumor activity both as monotherapy and in combination with anti-PD-1 agents. SGN-B7H4V is currently being evaluated in phase 1 clinical trials for advanced solid tumors[1][2][3][9].
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