General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0BFNMH
ADC Name
GQ1001
Synonyms
GQ1001
   Click to Show/Hide
Organization
GeneQuantum Healthcare (Originator)
Drug Status
Phase 1/2
Drug-to-Antibody Ratio
2
Structure
Antibody Name
Trastuzumab variant
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2 ECD2); Receptor tyrosine-protein kinase erbB-2 (HER2 ECD4)
 Antigen Info 
Payload Name
DM1
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
K'-MCC'
 Linker Info 
Conjugate Type
Enzymatic Catalysis
Combination Type
K'-MCC'-DM1
The indication landscape of This ADC(2027 Update)
The clinical trial pipeline of This ADC(2027 Update)
Indication Phase 1 Phase 1/2 Phase 2 Phase 2/3 Phase 3 New Drug Application Approved
Biliary tract cancer
1 Trials
Trial ID
NCT04450732; CTR20211739; ACTRN12620000592943
Breast cancer
1 Trials
Trial ID
NCT04450732; CTR20211739; ACTRN12620000592943
Gastric cancer
1 Trials
Trial ID
NCT04450732; CTR20211739; ACTRN12620000592943
Gastroesophageal junction adenocarcinoma
1 Trials
Trial ID
NCT04450732; CTR20211739; ACTRN12620000592943
Oral cavity cancer
1 Trials
Trial ID
NCT04450732; CTR20211739; ACTRN12620000592943
Unspecific solid tumor
1 Trials
Trial ID
NCT04450732; CTR20211739; ACTRN12620000592943
General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 2 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Maximum Observed Concentration (Cmax) 34505 ng/mL
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
Area Under the Concentration-Time Curve (AUC) 1760000 ng*h/mL
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
Distribution
Click To Hide/Show 2 Distribution Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 1760000 ng*h/mL
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
Volume of Distribution (Vd) 44.4 mL/kg
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
Metabolism
Click To Hide/Show 1 Metabolism Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 1760000 ng*h/mL
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
Excretion
Click To Hide/Show 3 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 1760000 ng*h/mL
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
Elimination Half-Life (t1/2) 49.01 h
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
Clearance (CL) 0.629 mL/h/kg
Blood samples for pharmacokinetics analysis were available from all 32 enrolled patients at the first cycle, the dose of adc is 1.2 mg/kg.
[1]
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 4 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Partial Response (PR)  NCT04450732
Phase 1
A phase 1, first-in-human, multicenter, open-label, study of GQ1001, a HER2 targeted antibody-drug conjugate, administered intravenously, in adult patients with HER2-positive advanced solid tumors.
Undisclosed  NCT05575804
Phase 1/2
Phase 1b/2 study of GQ1001 and pyrotinib in HER2 positive metastatic breast cancer patients who had failed previous anti-HER2 treatment GRACE.
Undisclosed  NCT05575804
PHASE1|||PHASE2
Phase Ib/II Study of GQ1001 and Pyrotinib in HER2 Positive Metastatic Breast Cancer Patients Who Had Failed Previous Anti-HER2 Treatment(GRACE)
Undisclosed  NCT04450732
PHASE1
A Phase 1, First-In-Human, Multicenter, Open-Label, Study of GQ1001, a HER2 Targeted Antibody-Drug Conjugate, Administered Intravenously, in Adult Patients With HER2-Positive Advanced Solid Tumors
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 4 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data Partial Response (PR)
40%
Patients Enrolled
HER2-positive advanced solid tumors.
Administration Dosage
Administered intravenously as a monotherapy on Day 1 of 21-day cycles. The starting dose was 1.20 mg/kg, followed by 2.40, 3.60, 4.80, 6.00, 7.20 and 8.40 mg/kg.
Related Clinical Trial
NCT Number NCT04450732  Clinical Status Phase 1
Clinical Description A phase 1, first-in-human, multicenter, open-label, study of GQ1001, a HER2 targeted antibody-drug conjugate, administered intravenously, in adult patients with HER2-positive advanced solid tumors.
Experiment 2 Reporting the Activity Date of This ADC [3]
Related Clinical Trial
NCT Number NCT05575804  Clinical Status Phase 1/2
Clinical Description Phase 1b/2 study of GQ1001 and pyrotinib in HER2 positive metastatic breast cancer patients who had failed previous anti-HER2 treatment GRACE.
Experiment 3 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Eligible patients are HER2+ metastatic breast cancer patients (IHC3+/ISH+, ECOG 0-1, LVEF≥50%) with ≥1 prior trastuzumab-based therapy, measurable lesions, and adequate organ function, excluding those with active CNS metastases, prior DM1-ADC/pyrotinib use (exceptions apply), significant cardiac/ILD history, or uncontrolled infections.
Administration Dosage
Patients will receive the recommended phase 2 dose of GQ1001 determined in phase I. GQ1001 infusions on day 1 of each 21-day cycle combinate with pyrotinib 320mg orally once daily until disease progression or unacceptable toxicity.
Related Clinical Trial
NCT Number NCT05575804  Clinical Status PHASE1|||PHASE2
Clinical Description Phase Ib/II Study of GQ1001 and Pyrotinib in HER2 Positive Metastatic Breast Cancer Patients Who Had Failed Previous Anti-HER2 Treatment(GRACE)
Primary Endpoint
The study evaluates dose-limiting toxicities (DLTs) and maximum tolerated dose (MTD) in Phase I (21-day cycles), along with treatment-related adverse events (CTCAE v5.0) and objective response rate (ORR, RECIST 1.1) over 24 months.
Other Endpoint
Pharmacokinetic parameters (Cmax, Ctrough, AUC) for GQ1001, DM1, pyrotinib, and anti-HER2 antibody are assessed in Phase I, while efficacy outcomes (ORR, DoR, DCR, PFS per RECIST 1.1) are tracked across both phases for 24 months.
Experiment 4 Reporting the Activity Date of This ADC [5]
Patients Enrolled
Eligible patients are adults (≥18) with HER2+ advanced/metastatic solid tumors (breast, gastric/GEJ, or other) refractory to standard therapy, ECOG 0-1, LVEF≥50%, and adequate organ function, excluding those with active brain metastases, significant cardiac/pulmonary disease, unresolved toxicities (>Grade 1), uncontrolled infections, or prior cumulative anthracycline dose >360mg/m2 doxorubicin-equivalent.

   Click to Show/Hide
Administration Dosage
GQ1001 will be administered intravenously every 21 days. Dose Escalation will be guided by a modified 3+3 design.
Related Clinical Trial
NCT Number NCT04450732  Clinical Status PHASE1
Clinical Description A Phase 1, First-In-Human, Multicenter, Open-Label, Study of GQ1001, a HER2 Targeted Antibody-Drug Conjugate, Administered Intravenously, in Adult Patients With HER2-Positive Advanced Solid Tumors
Primary Endpoint
The study evaluates dose-limiting toxicities (DLTs) and determines maximum tolerated dose (MTD) or recommended expansion dose (DRDE) during the first 21-day cycle, with adverse events assessed per NCI CTCAE v5.0 criteria.
Other Endpoint
Safety assessments include AE monitoring, lab abnormalities, and pharmacokinetic parameters (AUC, Cmax, Tmax, T1/2, MRT, Vd) of GQ1001, along with efficacy outcomes (ORR, DCR, DoR, PFS per RECIST 1.1) and immunogenicity (anti-drug antibodies) over approximately 1 year.
References
Ref 1 A phase Ia study of a novel anti-HER2 antibody-drug conjugate GQ1001 in patients with previously treated HER2 positive advanced solid tumors
Ref 2 GQ1001: A next generation HER2-targeting ADC that exhibits promising early clinical efficacy with excellent tolerance in a multi-center, Phase Ia study. Cancer Res (2023) 83 (8_Supplement): CT178.
Ref 3 Phase Ib/II Study of GQ1001 and Pyrotinib in HER2 Positive Metastatic Breast Cancer Patients Who Had Failed Previous Anti-HER2 TreatmentGRACE, NCT05575804
Ref 4 GQ1001 Combined With Pyrotinib for Treatment With HER2 Positive Metastatic Breast Cancer
Ref 5 Safety of GQ1001 in Adult Patients With HER2-Positive Advanced Solid Tumors