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SIBP-A18 is an **antibody-drug conjugate (ADC)** targeting claudin 18.2 (CLDN18.2) and DNA topoisomerase I (TOP1). It is being developed for the treatment of advanced malignant solid tumors, with a primary focus on evaluating its safety, tolerability, pharmacokinetics, immunogenicity, and preliminary anti-tumor efficacy in Phase 1 clinical trials. SIBP-A18's mechanism involves specific inhibition of CLDN18.2, a tight junction protein selectively expressed in various cancers, and inhibition of TOP1 to induce DNA damage in tumor cells. The developer is the Shanghai Institute of Biological Products. The clinical trial is designed with dose escalation, dose expansion, and indication expansion stages, with intravenous administration at dosages ranging from 1.0 to 8.0 mg/kg[1][2][5][7].
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