Margetuximab
drug drugOn this page
Also known as Margetuximab cmkbMargetuximab-cmkbMGAH-22MGAH22Margenza
Summary
Margetuximab (CHEMBL2364649) is an approved antibody (ATC L01FD06) targeting ERBB2; indicated across 2 conditions including breast neoplasm and neoplasm; with CIViC clinical evidence for 1 variant-indication association (e.g. ERBB2 Amplification in breast cancer).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Antibody
- ATC class: L01FD06
- Targets: 1 (ERBB2)
- Indications: 2 conditions
- Clinical trials: 11
- Precision-oncology evidence (CIViC): 1 variant–indication association
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL2364649 |
| Name | Margetuximab |
| Type | Antibody |
| Max phase | 4 |
| ATC | L01FD06 |
Also known as: Margetuximab, Margetuximab cmkb, Margetuximab-cmkb, MGAH-22, MGAH22, Margenza, MARGETUXIMAB
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| ERBB2 | erb-b2 receptor tyrosine kinase 2 | Binding | 17.7% | P04626 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
Aggregated over 1 target gene(s): ERBB2.
Top Reactome pathways
33 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Signaling by ERBB2 | 1 | ERBB2 |
| SHC1 events in ERBB2 signaling | 1 | ERBB2 |
| PLCG1 events in ERBB2 signaling | 1 | ERBB2 |
| PIP3 activates AKT signaling | 1 | ERBB2 |
| GRB7 events in ERBB2 signaling | 1 | ERBB2 |
| Downregulation of ERBB2:ERBB3 signaling | 1 | ERBB2 |
| GRB2 events in ERBB2 signaling | 1 | ERBB2 |
| PI3K events in ERBB2 signaling | 1 | ERBB2 |
| Constitutive Signaling by Aberrant PI3K in Cancer | 1 | ERBB2 |
| Sema4D induced cell migration and growth-cone collapse | 1 | ERBB2 |
| RAF/MAP kinase cascade | 1 | ERBB2 |
| ERBB2 Regulates Cell Motility | 1 | ERBB2 |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 1 | ERBB2 |
| ERBB2 Activates PTK6 Signaling | 1 | ERBB2 |
| Downregulation of ERBB2 signaling | 1 | ERBB2 |
| TFAP2 (AP-2) family regulates transcription of growth factors and their receptors | 1 | ERBB2 |
| Constitutive Signaling by Overexpressed ERBB2 | 1 | ERBB2 |
| Drug-mediated inhibition of ERBB2 signaling | 1 | ERBB2 |
| Signaling by ERBB2 KD Mutants | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to trastuzumab | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to sapitinib | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to tesevatinib | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to neratinib | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to osimertinib | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to afatinib | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to AEE788 | 1 | ERBB2 |
| Resistance of ERBB2 KD mutants to lapatinib | 1 | ERBB2 |
| Signaling by ERBB2 ECD mutants | 1 | ERBB2 |
| Signaling by ERBB2 TMD/JMD mutants | 1 | ERBB2 |
| Drug resistance in ERBB2 TMD/JMD mutants | 1 | ERBB2 |
| Developmental Lineage of Mammary Gland Luminal Epithelial Cells | 1 | ERBB2 |
| Developmental Lineage of Mammary Gland Myoepithelial Cells | 1 | ERBB2 |
| Developmental Lineage of Mammary Stem Cells | 1 | ERBB2 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| protein phosphorylation | 1 |
| signal transduction | 1 |
| cell surface receptor signaling pathway | 1 |
| enzyme-linked receptor protein signaling pathway | 1 |
| cell surface receptor protein tyrosine kinase signaling pathway | 1 |
| epidermal growth factor receptor signaling pathway | 1 |
| heart development | 1 |
| neuromuscular junction development | 1 |
| motor neuron axon guidance | 1 |
| cell population proliferation | 1 |
| Schwann cell development | 1 |
| peptidyl-tyrosine phosphorylation | 1 |
| neuron differentiation | 1 |
| positive regulation of cell growth | 1 |
| regulation of microtubule-based process | 1 |
Indications & clinical
Indications
2 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).
| Indication | Phase | MONDO | EFO |
|---|---|---|---|
| breast neoplasm | 4 | MONDO:0021100 | MONDO:0007254 |
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
Clinical trials
Total trials: 11.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 4 |
| PHASE1 | 3 |
| PHASE3 | 1 |
| PHASE2/PHASE3 | 1 |
| PHASE1/PHASE2 | 1 |
| Not specified | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02492711 | PHASE3 | COMPLETED | Margetuximab Plus Chemotherapy vs Trastuzumab Plus Chemotherapy in the Treatment of HER2+ Metastatic Breast Cancer |
| NCT04082364 | PHASE2/PHASE3 | COMPLETED | Combination Margetuximab, Retifanlimab, Tebotelimab, and Chemotherapy Phase 2/3 Trial in HER2+ Gastric/GEJ Cancer |
| NCT04425018 | PHASE2 | ACTIVE_NOT_RECRUITING | MARGetuximab Or Trastuzumab (MARGOT) |
| NCT01828021 | PHASE2 | COMPLETED | Phase 2 Study of the Monoclonal Antibody MGAH22 (Margetuximab) in Patients With Relapsed or Refractory Advanced Breast Cancer |
| NCT02689284 | PHASE1/PHASE2 | COMPLETED | Combination Margetuximab and Pembrolizumab for Advanced, Metastatic HER2(+) Gastric or Gastroesophageal Junction Cancer |
| NCT04262804 | PHASE2 | UNKNOWN | A Study to Evaluate the Efficacy and Safety of Margetuximab Plus Chemotherapy in the Treatment of Chinese Patients With HER2+ MBC |
| NCT05227131 | PHASE2 | WITHDRAWN | Margetuximab Plus Tucatinib and Capecitabine in HER2-positive Metastatic Breast Cancer |
| NCT01148849 | PHASE1 | COMPLETED | Safety Study of MGAH22 in HER2-positive Carcinomas |
| NCT03219268 | PHASE1 | COMPLETED | A Study of MGD013 in Patients With Unresectable or Metastatic Neoplasms |
| NCT04398108 | PHASE1 | COMPLETED | A Study to Evaluate the Pharmacokinetics of Margetuximab in Chinese Patients With HER2+ MBC |
| NCT03133988 | Not specified | APPROVED_FOR_MARKETING | Margetuximab Expanded Access Program |
Clinical evidence (CIViC)
Variant × indication × effect (1 predictive associations from 1 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| ERBB2 Amplification | Breast Cancer | Sensitivity/Response | Margetuximab | CIViC A | EID11249 |
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
86 molecules share ≥1 primary target. Top 86 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| AFATINIB | ChEMBL + PubChem | Phase 4 (approved) | ERBB2 |
| DACOMITINIB | ChEMBL + PubChem | Phase 4 (approved) | ERBB2 |
| GEFITINIB | ChEMBL + PubChem | Phase 4 (approved) | ERBB2 |
| LAPATINIB DITOSYLATE | ChEMBL + PubChem | Phase 4 (approved) | ERBB2 |
| LAZERTINIB | ChEMBL + PubChem | Phase 4 (approved) | ERBB2 |
| MOBOCERTINIB | ChEMBL + PubChem | Phase 4 (approved) | ERBB2 |
| ACALABRUTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| AFATINIB DIMALEATE | ChEMBL | Phase 4 (approved) | ERBB2 |
| AMIODARONE | ChEMBL | Phase 4 (approved) | ERBB2 |
| ASTEMIZOLE | ChEMBL | Phase 4 (approved) | ERBB2 |
| BITHIONOL | ChEMBL | Phase 4 (approved) | ERBB2 |
| BOSUTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| BRIGATINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| CABOZANTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| CHLORPROMAZINE | ChEMBL | Phase 4 (approved) | ERBB2 |
| CLOTRIMAZOLE | ChEMBL | Phase 4 (approved) | ERBB2 |
| COLISTIN | ChEMBL | Phase 4 (approved) | ERBB2 |
| DASATINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| DOXORUBICIN | ChEMBL | Phase 4 (approved) | ERBB2 |
| EBASTINE | ChEMBL | Phase 4 (approved) | ERBB2 |
| ECONAZOLE | ChEMBL | Phase 4 (approved) | ERBB2 |
| ERLOTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| FLUPHENAZINE | ChEMBL | Phase 4 (approved) | ERBB2 |
| HEXACHLOROPHENE | ChEMBL | Phase 4 (approved) | ERBB2 |
| IBRUTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| IMATINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| LAPATINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | ERBB2 |
| MITOXANTRONE | ChEMBL | Phase 4 (approved) | ERBB2 |
| NERATINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| OSIMERTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| PACLITAXEL | ChEMBL | Phase 4 (approved) | ERBB2 |
| PONATINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| SORAFENIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| TAMOXIFEN | ChEMBL | Phase 4 (approved) | ERBB2 |
| TIRABRUTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| TRIBROMSALAN | ChEMBL | Phase 4 (approved) | ERBB2 |
| TUCATINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| VANDETANIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| ZANUBRUTINIB | ChEMBL | Phase 4 (approved) | ERBB2 |
| ALISERTIB | ChEMBL | Phase 3 | ERBB2 |
| ALVOCIDIB | ChEMBL | Phase 3 | ERBB2 |
| CANDESARTAN | ChEMBL | Phase 3 | ERBB2 |
| CANERTINIB | ChEMBL | Phase 3 | ERBB2 |
| CEDIRANIB | ChEMBL | Phase 3 | ERBB2 |
| ENCLOMIPHENE | ChEMBL | Phase 3 | ERBB2 |
| MASITINIB | ChEMBL | Phase 3 | ERBB2 |
| POZIOTINIB | ChEMBL | Phase 3 | ERBB2 |
| PYROTINIB | ChEMBL | Phase 3 | ERBB2 |
| REMIBRUTINIB | ChEMBL | Phase 3 | ERBB2 |
| TANESPIMYCIN | ChEMBL | Phase 3 | ERBB2 |
| ZONGERTINIB | ChEMBL | Phase 3 | ERBB2 |
| AEE-788 | ChEMBL | Phase 2 | ERBB2 |
| ALLITINIB | ChEMBL | Phase 2 | ERBB2 |
| ATUZABRUTINIB | ChEMBL | Phase 2 | ERBB2 |
| BENZETHONIUM CHLORIDE | ChEMBL | Phase 2 | ERBB2 |
| CENISERTIB | ChEMBL | Phase 2 | ERBB2 |
| CLOSANTEL | ChEMBL | Phase 2 | ERBB2 |
| CP-724714 | ChEMBL | Phase 2 | ERBB2 |
| DEFOSBARASERTIB | ChEMBL | Phase 2 | ERBB2 |
| ELLAGIC ACID | ChEMBL | Phase 2 | ERBB2 |
| FALNIDAMOL | ChEMBL | Phase 2 | ERBB2 |
| FORETINIB | ChEMBL | Phase 2 | ERBB2 |
| ILORASERTIB | ChEMBL | Phase 2 | ERBB2 |
| IODOQUINOL | ChEMBL | Phase 2 | ERBB2 |
| MUBRITINIB | ChEMBL | Phase 2 | ERBB2 |
| PELITINIB | ChEMBL | Phase 2 | ERBB2 |
| PU-H71 | ChEMBL | Phase 2 | ERBB2 |
| R-406 | ChEMBL | Phase 2 | ERBB2 |
| SAPITINIB | ChEMBL | Phase 2 | ERBB2 |
| SOTRASTAURIN | ChEMBL | Phase 2 | ERBB2 |
| SPH-5030 | ChEMBL | Phase 2 | ERBB2 |
| TG100-115 | ChEMBL | Phase 2 | ERBB2 |
| VARLITINIB | ChEMBL | Phase 2 | ERBB2 |
| Apremilast | PubChem | Approved | ERBB2 |
| belumosudil | PubChem | Approved | ERBB2 |
| Binimetinib | PubChem | Approved | ERBB2 |
| chenodiol | PubChem | Approved | ERBB2 |
| Crizotinib | PubChem | Approved | ERBB2 |
| Erythromycin | PubChem | Approved | ERBB2 |
| Idelalisib | PubChem | Approved | ERBB2 |
| Imipenem | PubChem | Approved | ERBB2 |
| Olodaterol | PubChem | Approved | ERBB2 |
| Pazopanib | PubChem | Approved | ERBB2 |
| Ritlecitinib | PubChem | Approved | ERBB2 |
| Selumetinib | PubChem | Approved | ERBB2 |
Related Atlas pages
- Genes: ERBB2
- Indicated for: breast neoplasm, neoplasm, breast carcinoma
- Drugs: Afatinib, Dacomitinib, Gefitinib, Lapatinib Ditosylate, Lazertinib, Mobocertinib, Acalabrutinib, Amiodarone, Astemizole, Bithionol, Bosutinib, Brigatinib, Cabozantinib, Chlorpromazine, Clotrimazole, Colistin, Dasatinib, Doxorubicin, Ebastine, Econazole, Erlotinib, Fluphenazine, Hexachlorophene, Ibrutinib, Imatinib, Miconazole, Mitoxantrone, Neratinib, Osimertinib, Paclitaxel, Ponatinib, Sorafenib, Tamoxifen, Tirabrutinib, Tribromsalan, Tucatinib, Vandetanib, Zanubrutinib, Alisertib, Alvocidib, Candesartan, Canertinib, Cediranib, Enclomiphene, Masitinib, Poziotinib, Pyrotinib, Remibrutinib, Tanespimycin, Zongertinib, Apremilast, belumosudil, Binimetinib, chenodiol, Crizotinib, Erythromycin, Idelalisib, Imipenem, Olodaterol, Pazopanib, Ritlecitinib, Selumetinib