CENTERED ON INNOVATION
UBLITUXIMAB IS A NOVEL GLYCOENGINEERED ANTI-CD20 MONOCLONAL ANTIBODY
AZERCABTAGENE ZAPRELEUCEL IS A CD19 DIRECTED ALLOGENEIC CAR T
UBLITUXIMAB IS A NOVEL GLYCOENGINEERED ANTI-CD20 MONOCLONAL ANTIBODY
CD20 IV
Ublituximab is a novel, glycoengineered monoclonal antibody designed to selectively target a unique epitope on CD20-expressing B cells. CD20 is a well-validated therapeutic target found on the surface of pre-B and mature B lymphocytes, which play a central role in the pathogenesis of multiple autoimmune diseases and B-cell malignancies.
Upon binding to CD20, ublituximab initiates several immune-mediated mechanisms of action, including antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC), leading to efficient depletion of CD20 expressing B cells. Ublituximab has been glycoengineered to remove specific fucose sugar residues from the Fc region of the antibody. This structural modification enhances binding affinity to Fc gamma receptors on immune effector cells, resulting in increased ADCC activity and improved potency compared to non-glycoengineered anti-CD20 antibodies.
Targeting CD20 with monoclonal antibodies has become a cornerstone therapeutic strategy across a range of B-cell-driven conditions, including autoimmune disorders and hematologic malignancies. Ublituximab is currently approved (under the brand name, BRIUMVI) for relapsing forms of multiple sclerosis and being investigated in other B-cell mediated autoimmune conditions.
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Azercabtagene zapreleucel (“azer-cel”) is an investigational anti-CD19 allogeneic chimeric antigen receptor (CAR) T cell therapy. In contrast to autologous CAR T cell therapies which are made individually from a patient’s own cells, azer-cel is an allogeneic or “off-the-shelf” therapy made from donor-derived T cells, modified using a proprietary gene editing technology. Azer-cel recognizes the well characterized B cell surface protein CD19 and is designed to avoid graft-versus-host disease, a significant complication associated with other donor-derived, cell-based therapies.
Ublituximab is a novel glycoengineered monoclonal antibody that targets a unique epitope on CD20-expressing B-cells. When ublituximab binds to the B-cell it triggers a series of immunological reactions (including antibody-dependent cellular cytotoxicity [ADCC] and complement dependent cytotoxicity [CDC]), leading to destruction of the cell. Additionally, ublituximab is uniquely designed to lack certain sugar molecules normally expressed on the antibody. Removal of these sugar molecules, a process called glycoengineering, has been shown to enhance the potency of ublituximab, especially the ADCC activity.
A subcutaneous (SUB-Q) formulation of ublituximab is currently being studied in a phase 3 clinical trial for adults with relapsing forms of multiple sclerosis (RMS).
Click here to learn more about the Phase 2 trial evaluating subcutaneous ublituximab.