BR96-Dox is an immunoconjugate (IC) in which doxorubicin (8 equivalent
s) is linked via an acid-labile hydrazone to the chimeric MAb BR96. It
binds to a modified Le(y) Ag on tumor cells: which then internalize i
t via endocytosis into lysosomes. There, the acidic milieu hydrolyzes
the hydrazone link, releasing free Dox. In vivo, it is more active and
less toxic than untargeted Dox, producing complete remissions and man
y cures of subcutaneous human breast, lung and colon tumors, as well a
s disseminated lung tumors. In vivo, only BR96(+) and not BR96(-) tumo
rs respond, and ICs with nonbinding Abs are inactive.