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Tidutamab (formerly XmAb18087) is a humanized, Fc domain-containing bispecific monoclonal antibody developed by Xencor. It targets both somatostatin receptor 2 (SSTR2), which is highly expressed on certain neuroendocrine tumor cells, and CD3, a T-cell surface antigen. By binding to these targets simultaneously, tidutamab redirects T-cell–mediated cytotoxicity specifically toward SSTR2-positive tumor cells. The drug has demonstrated the ability to induce acute and sustained T-cell activation in peripheral blood and has shown preliminary antitumor activity in early-phase clinical trials for neuroendocrine tumors (NETs), gastrointestinal stromal tumors (GIST), Merkel cell carcinoma, and small cell lung cancer[1][5][6][8]. Clinical development was discontinued for these indications after phase 1/phase 1/2 studies[5].
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