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Vadastuximab talirine is an antibody-drug conjugate (ADC) developed for the treatment of acute myeloid leukemia (AML). It consists of a humanized monoclonal antibody targeting CD33—a transmembrane receptor expressed on cells of myeloid lineage—conjugated to a highly potent DNA-binding cytotoxic agent, pyrrolobenzodiazepine (PBD) dimer. The antibody binds to CD33-expressing cells and is internalized; within lysosomes, the linker is cleaved to release the PBD dimer. The released PBD crosslinks DNA in target cells, causing cell cycle arrest and apoptosis at very low concentrations. Vadastuximab talirine was developed by Seagen and underwent clinical trials for AML but its development was discontinued after phase III due to safety concerns[2][3][6][7].
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