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Effector

cell

ADCC, antibody-dependent cell-mediated cytotoxicity; CDC, complement-dependent cytotoxicity

FcγRIIIa

Complement

Increased direct cell death

Type II antibody & elbow-hinge modification

Increased ADCC

Higher affinity to the 'ADCC receptor' FcγRIIIa

(GlycoMab TM technology) &

Reduced CD20 internalization (?)

Reduced CDC activity

Type II antibody

Enhanced activity in combination with

chemotherapy

Type II CD20 antibody

Putative mechanism(s) of action