Drug Target
March 5, 2026

Trophoblast Cell Surface Antigen 2

Mariyum Habib
Max 10 Mins Read
Target Overview
Drug Target:
TROP2
Indication area:
Oncology
Therapeutic class:
Antibody-Drug Conjugate (ADC) / Monoclonal Antibodies
Specific Indications:
Triple-Negative Breast Cancer (TNBC), HR+/HER2- Breast Cancer, Urothelial Cancer, Non-Small Cell Lung Cancer (NSCLC)
Summary:
TROP2 is a transmembrane glycoprotein that regulates epithelial cell growth at low levels in healthy tissue but is overexpressed in multiple cancers. This overexpression makes it an effective therapeutic target, enabling targeted therapies to deliver cytotoxic drugs directly to tumor cells.

Disease Biology

Disease:
HR+/HER2- Breast Cancer
Prevalence:
1.6 million cases per year
Disease Mechanism:
Triple-negative breast cancer is an aggressive subtype of breast cancer defined by the absence of three common receptors that usually drive tumor growth: estrogen, progesterone, and HER2. Because it lacks these targets, traditional hormone therapies and HER2-targeted drugs do not work. At a molecular level, TNBC tumors often hijack growth pathways to compensate for these missing receptors, frequently overexpressing TROP2 to fuel their expansion. The disease progresses rapidly, often spreading to the lungs or brain more quickly than other breast cancer types. The lack of "anchors" for standard targeted drugs has historically left chemotherapy as the primary treatment option, which often leads to systemic toxicity and high rates of recurrence as the cancer develops resistance to general cell-killing agents.
Why Target the drug target is used in this disease?
TROP2 is overexpressed in nearly 90% of TNBC cases, making it a nearly universal target for this specific patient population. By using an Antibody-Drug Conjugate (ADC) directed at TROP2, doctors can deliver a "payload" of chemotherapy specifically to the cancer cells. Once the antibody attaches to TROP2 on the cell surface, the entire complex is swallowed by the cell, releasing the toxic medicine inside to destroy the cancer's DNA. This approach is significantly more effective than standard chemotherapy because it achieves a higher concentration of medicine within the tumor while reducing the amount of poison circulating in the patient’s bloodstream, thereby limiting side effects like severe nausea or extreme immune suppression.
Disease:
Non-Small Cell Lung Cancer (NSCLC)
Prevalence:
Approximately 2.1 million new cases worldwide in 2024
Disease Mechanism:
Non-small cell lung cancer accounts for the vast majority of all lung cancer cases. It begins when the epithelial cells lining the airways undergo genetic mutations, often triggered by environmental toxins like cigarette smoke or pollution. These cells lose their ability to self-destruct when damaged, leading to the formation of tumors that obstruct breathing and eventually hijack the blood supply to fuel further growth. As the disease progresses, the cancer cells often develop resistance to common treatments like "checkpoint inhibitors" (immunotherapy), creating a desperate need for new ways to identify and kill the mutated lung cells without destroying the delicate lung tissue required for oxygen exchange.
Why Target the drug target is used in this disease?
In NSCLC, high TROP2 levels are associated with poor prognosis and a higher likelihood of the cancer spreading. Unlike some targets that are only present in specific genetic mutations (like EGFR), TROP2 is widely present across many different types of lung cancer cells. This makes TROP2-targeted drugs a "broad-spectrum" option for patients who have failed other therapies. By modulating TROP2 via ADCs, clinicians can deliver a highly concentrated dose of medicine to the lung tumors. Newer TROP2 drugs are also designed with a "bystander effect," meaning the toxin can leak out of the primary target cell to kill neighboring cancer cells that might have lower levels of TROP2, ensuring a more thorough clearance of the tumor.

Drugs In the Market

Name
Trodelvy (Sacituzumab Govitecan)
Company
Gilead Sciences
Clinical Entry
2017
Status
Fully approved by the U.S. FDA and other regulators.
Current Stage
TROP-2–directed antibody–drug conjugate (ADC) used for metastatic triple-negative breast cancer (TNBC) and metastatic urothelial cancer after prior therapies. Delivers the topoisomerase-I inhibitor SN-38 to TROP-2–expressing tumor cells.
Name
Datroway / Datopotamab Deruxtecan (Dato-DXd)
Company
Daiichi Sankyo & AstraZeneca
Clinical Entry
2020
Status
Late-stage clinical development with regulatory submissions ongoing in multiple regions.
Current Stage
TROP-2–targeting ADC linked to a topoisomerase-I inhibitor payload (DXd). Being developed for non-small cell lung cancer (NSCLC) and breast cancer, showing strong efficacy in TROP-2 expressing tumors.
Name
SKB264 (Sacituzumab Tirumotecan)
Company
Kelun Biotech & Merck
Clinical Entry
2021
Status
Late-stage clinical trials (Phase III).
Current Stage
TROP-2–targeted ADC carrying a topoisomerase-I inhibitor payload designed to improve stability and efficacy in breast cancer, NSCLC, and other solid tumors.
Name
Trastuzumab-TROP2 bispecific ADC (e.g., AZD9592)
Company
AstraZeneca
Clinical Entry
2023
Status
Early clinical development (Phase I/II).
Current Stage
Novel bispecific antibody-drug conjugate targeting TROP-2 and HER2, designed to enhance tumor selectivity and deliver cytotoxic payloads to HER2-low and TROP-2 expressing tumors.

Work With Elucidata to Build Your
Target Discovery Platform

We partner with Biotech teams to build AI- platforms that turn complex biological data into actionable insights. Turn your multi-omics and research data into smarter decisions across the drug discovery workflow.
Request Demo