MedPath

Carotuximab

Generic Name
Carotuximab
Drug Type
Biotech
CAS Number
1268714-50-6
Unique Ingredient Identifier
YB2EWE6139

Overview

No overview information available.

Indication

Investigated for use/treatment in solid tumors.

Associated Conditions

No associated conditions information available.

Research Report

Published: Sep 28, 2025

An In-Depth Analysis of Carotuximab (DB06322): Mechanism, Clinical Development, and Therapeutic Potential

Executive Summary

Carotuximab is an investigational chimeric monoclonal antibody that represents a novel therapeutic approach in oncology by targeting endoglin (CD105), a co-receptor in the transforming growth factor-beta (TGF-β) signaling superfamily critical for angiogenesis. This report provides a comprehensive analysis of Carotuximab's molecular profile, its intricate mechanism of action, its extensive and varied clinical development history, and its future therapeutic potential. Initially developed under the code name TRC-105, Carotuximab's journey is a compelling narrative of scientific promise, significant clinical setbacks, and recent, potentially transformative, success.

The drug's mechanism is multifaceted, extending beyond simple anti-angiogenesis. By binding to endoglin, which is highly expressed on proliferating tumor endothelial cells, Carotuximab inhibits the pro-angiogenic Smad1/5/8 signaling pathway. Furthermore, it demonstrates crucial crosstalk with the vascular endothelial growth factor (VEGF) pathway, potentiating the effects of VEGF inhibitors and providing a strong rationale for combination therapies. Its IgG1 backbone also enables immunomodulatory functions, including antibody-dependent cell-mediated cytotoxicity (ADCC).

Continue reading the full research report

Clinical Trials

Title
Posted
Study ID
Phase
Status
Sponsor
2022/09/09
Phase 2
Recruiting
Edwin Posadas, MD
2022/06/02
Phase 1
Recruiting
Karen Reckamp, MD, MS
2018/12/19
Phase 1
Completed
Tracon Pharmaceuticals Inc.
2018/02/01
Phase 2
Completed
2017/06/08
Phase 1
Completed
Tracon Pharmaceuticals Inc.
2016/01/27
Phase 2
Terminated
Tracon Pharmaceuticals Inc.
2015/09/25
Phase 1
Completed
Tracon Pharmaceuticals Inc.
2015/08/11
Phase 1
Active, not recruiting
2015/04/29
Phase 1
Completed
2015/02/03
N/A
NO_LONGER_AVAILABLE
Tracon Pharmaceuticals Inc.

FDA Drug Approvals

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No FDA approvals found for this drug.

EMA Drug Approvals

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No EMA approvals found for this drug.

HSA Drug Approvals

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No HSA approvals found for this drug.

NMPA Drug Approvals

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No NMPA approvals found for this drug.

PPB Drug Approvals

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No PPB approvals found for this drug.

TGA Drug Approvals

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No TGA approvals found for this drug.

Health Canada Drug Approvals

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No Health Canada approvals found for this drug.

CIMA AEMPS Drug Approvals

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No CIMA AEMPS (Spain) approvals found for this drug.

Philippines FDA Drug Approvals

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No Philippines FDA approvals found for this drug.

Saudi SFDA Drug Approvals

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No Saudi SFDA approvals found for this drug.

Malaysia NPRA Drug Approvals

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No Malaysia NPRA approvals found for this drug.

UK EMC Drug Information

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Authorization Date
No UK EMC drug information found for this drug.

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