Abstract Background: Prostate cancer and breast cancer are the most commonly diagnosed non-skin cancers and the second leading cause of cancer related mortalities in men and women respectively in the United States. Fifteen percent of breast cancer is TNBC characterized with lack of receptors for estrogen, progesterone, and HER-2/neu making it resistant to hormone therapies and therapies targeting estrogen, progesterone, and HER-2/neu signaling. The first line of treatment for men with advanced prostate cancer is androgen depravation therapy. While initial responses are observed, unfortunately, the disease frequently recurs as a lethal metastatic form referred to as castration-resistant prostate cancer (CRPC). We recently identified that the cell surface receptor, Trop2, is a new regulator of TNBC and CRPC. We demonstrated that Trop2 is highly expressed in CRPC and TNBC. In this study, we set out to test the therapeutic potential of new fully humanized human anti-Trop2 antibody fragments in CRPC and NEPC. Methods: We have generated new human anti-Trop2 antibody fragments. Lentiviral infection was used to generate prostate and breast cancer cell lines with over-expression of Trop2 and knock-down of Trop2. In vivo functional assays were performed including subcutaneous xenograft growth and metastasis. Results: High protein levels of Trop2 are observed in metastatic CRPC and TNBC. Furthermore, loss of Trop2 significantly delays growth, migration and invasion of prostate and breast cancer cells in vitro and delays tumor growth and metastasis of prostate and breast cancer in vivo. Overexpression of Trop2 enhances tumor growth and metastasis of prostate cancer cells and drives CRPC. We generated new fully humanized human anti-Trop2 antibody fragments that have therapeutic efficacy in preclinical models of prostate and breast cancers. Conclusions: In a previous study, we identified cell surface receptor, Trop2, as a novel driver of metastatic CRPC. Herein, our new findings reveal that Trop2 represents a promising therapeutic target for prostate, breast, and potentially other epithelial cancers. We identified lead antibody candidates that bind to human Trop2 protein with high affinity and stability. Furthermore, our lead anti-Trop2 Abs significantly delay the tumors growth in CRPC and TNBC without measurable toxicity and provide new therapeutic strategy for metastatic CRPC and TNBC. Citation Format: Tanya Stoyanova. Targeting Trop2 for treatment of prostate and breast cancer [abstract]. In: Proceedings of the AACR-NCI-EORTC Virtual International Conference on Molecular Targets and Cancer Therapeutics; 2021 Oct 7-10. Philadelphia (PA): AACR; Mol Cancer Ther 2021;20(12 Suppl):Abstract nr P157.