Izalontamab brengitecan is an investigational EGFRxHER3 bispecific antibody-drug conjugate in oncology development by SystImmune and Bristol Myers Squibb outside China. U.S. FDA granted Breakthrough Therapy Designation in August 2025 for previously treated advanced EGFR-mutated NSCLC after EGFR TKI and platinum chemotherapy. The therapy remains investigational and under ongoing clinical evaluation.
- Drug Class
- Potential first-in-class EGFRxHER3 bispecific antibody-drug conjugate with a topoisomerase 1 inhibitor payload
- Approval Status
-
Investigational; received FDA Breakthrough Therapy Designation (August 18, 2025)
- Mechanism of Action
- Dual EGFR/HER3 signaling blockade plus antibody-mediated internalization and release of cytotoxic payload causing genotoxic stress and cancer cell death
Indications
- \Locally advanced or metastatic non-small cell lung cancer with EGFR exon 19 deletion or exon 21 L858R mutation after EGFR TKI and platinum-based chemotherapy (investigational setting)\