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Margetuximab: An Updated Review of its Clinical Pharmacology and Therapeutic Advances


Authors : Deepika A.; Ariharasivakumar G.

Volume/Issue : Volume 11 - 2026, Issue 8 - August


Google Scholar : https://tinyurl.com/5n8xbxf4

Scribd : https://tinyurl.com/jzksaxbt

DOI : https://doi.org/10.38124/ijisrt/26aug244

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Margetuximab is a new chimeric IgG1 monoclonal antibody designed to enhance antitumor activity in the immune system and treat patients with HER2-positive malignant disease. Margetuximab selectively binds to activate the Fcγ receptor CD16A and shows reduced binding to inhibitory Fcγ receptor CD32B, thereby enhancing antibody-dependent cellular cytotoxicity (ADCC) and providing greater therapeutic potential than conventional HER2-targeted antibodies. This review covers the discovery, physicochemical properties, pharmacokinetic properties, mechanism of action, synthesis, and clinical applications of margetuximab. Furthermore, this review covers evidence of its efficacy, safety profile, adverse effects, drug interactions, contraindications, conventional formulations, emerging formulations, and patents. The efficacy of margetuximab in combination with chemotherapy in clinical studies suggests it is a useful treatment option in the metastatic setting for patients with HER2-positive breast cancer who have failed previous anti-HER2 treatment, have a manageable toxicity profile, and have improved immune-mediated antitumor responses. Moreover, continuous clinical research and formulation strategy development are ongoing to further advance its therapeutic applications. Overall, margetuximab represents a significant improvement in HER2-targeted therapy, and further studies are likely to enhance its clinical effectiveness and expand its potential applications in precision oncology.

Keywords : Margetuximab, HER2-Positive Breast Cancer, Fc-Engineered Antibody, Antibody-Dependent Cellular Cytotoxicity (ADCC), Pharmacokinetics, Clinical Applications, Targeted Therapy, Monoclonal Antibody, Immunotherapy, Metastatic Breast Cancer.

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Margetuximab is a new chimeric IgG1 monoclonal antibody designed to enhance antitumor activity in the immune system and treat patients with HER2-positive malignant disease. Margetuximab selectively binds to activate the Fcγ receptor CD16A and shows reduced binding to inhibitory Fcγ receptor CD32B, thereby enhancing antibody-dependent cellular cytotoxicity (ADCC) and providing greater therapeutic potential than conventional HER2-targeted antibodies. This review covers the discovery, physicochemical properties, pharmacokinetic properties, mechanism of action, synthesis, and clinical applications of margetuximab. Furthermore, this review covers evidence of its efficacy, safety profile, adverse effects, drug interactions, contraindications, conventional formulations, emerging formulations, and patents. The efficacy of margetuximab in combination with chemotherapy in clinical studies suggests it is a useful treatment option in the metastatic setting for patients with HER2-positive breast cancer who have failed previous anti-HER2 treatment, have a manageable toxicity profile, and have improved immune-mediated antitumor responses. Moreover, continuous clinical research and formulation strategy development are ongoing to further advance its therapeutic applications. Overall, margetuximab represents a significant improvement in HER2-targeted therapy, and further studies are likely to enhance its clinical effectiveness and expand its potential applications in precision oncology.

Keywords : Margetuximab, HER2-Positive Breast Cancer, Fc-Engineered Antibody, Antibody-Dependent Cellular Cytotoxicity (ADCC), Pharmacokinetics, Clinical Applications, Targeted Therapy, Monoclonal Antibody, Immunotherapy, Metastatic Breast Cancer.

Paper Submission Last Date
31 - August - 2026

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