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Trastuzumab-Gly5-PNU (also known as T-PNU) is a site-specific antibody-drug conjugate (ADC) developed by NBE-Therapeutics (now part of Boehringer Ingelheim) using its proprietary sortase-mediated antibody conjugation (SMAC) technology. It consists of the HER2-targeting monoclonal antibody trastuzumab conjugated to PNU-159682, an extremely potent anthracycline derivative, via a noncleavable pentaglycine (Gly5-EDA) linker. The payload, PNU-159682, acts as a DNA topoisomerase II inhibitor that induces potent cytotoxicity and immunogenic cell death, stimulating adaptive anti-tumor immunity. Trastuzumab-Gly5-PNU is designed to treat HER2-positive malignancies, including breast cancer, and has demonstrated efficacy in models resistant to trastuzumab and ado-trastuzumab emtansine (T-DM1), as well as in tumors with moderate HER2 expression levels.
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