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Varseta-M + bevacizumab is a combination therapy being developed by CytomX Therapeutics for the treatment of second-line (2L) and third-line (3L) metastatic colorectal cancer (mCRC). Varseta-M (varsetatug masetecan; CX-2051) is a conditionally activated Probody antibody-drug conjugate (ADC) targeting the epithelial cell adhesion molecule (EpCAM). It is armed with a topoisomerase-1 inhibitor payload (masetecan) and is designed to remain inactive in systemic circulation, becoming activated by proteases within the tumor microenvironment to minimize off-tumor toxicity. Bevacizumab is a recombinant humanized monoclonal antibody that binds to and neutralizes vascular endothelial growth factor (VEGF), inhibiting angiogenesis. The combination aims to leverage the targeted cytotoxic effects of the EpCAM-directed ADC alongside the anti-angiogenic properties of bevacizumab to improve outcomes in advanced colorectal cancer.
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