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Vintafolide is a targeted cancer therapeutic that consists of a folic acid moiety linked to the vinca alkaloid desacetylvinblastine monohydrazide (DAVLBH). It is designed to selectively deliver cytotoxic chemotherapy to cancer cells that overexpress the folate receptor, such as those found in ovarian and certain other solid tumors. The drug binds to the folate receptor on tumor cells, is internalized via endocytosis, and then releases its cytotoxic payload inside the cell through a proprietary linker mechanism. This approach aims to minimize off-target toxicity by sparing normal tissues with low or absent folate receptor expression. Vintafolide was developed primarily for use in platinum-resistant ovarian cancer, often in combination with pegylated liposomal doxorubicin (PLD), and was investigated alongside a companion diagnostic imaging agent (etarfolatide) for patient selection[1][2][4][5].
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