General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0CYMEB
ADC Name
Trastuzumab emtansine
Brand Name
Kadcyla
Synonyms
PRO-132365;ADO-Trastuzumab Emtansine;R-3502;R3502;RG 3502;RG-3502;RO 5304020;RO-5304020;T-DM1;DM1-trastuzumab immunoconjugate;Herceptin-DM1;Trastuzu;Trastuzumab-DM1;Trastuzumab-DM1 immunoconjugate;Trastuzumab-MCC-DM1;Trastuzumab-MCC-DM1 antibody-drug conjugate
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Organization
Genentech, Inc.; Roche Holding AG; Chugai Pharmaceutical Co., Ltd.; F. Hoffmann-La Roche Ltd.
Drug Status
Approved (FDA): Feb 22, 2013
Indication
In total 9 Indication(s)
Breast cancer [ICD11:2C60-2C65]
Approved
HER2(+) breast cancer [ICD11:2C60-2C65]
Approved
Metastatic breast cancer [ICD11:2C6Y]
Approved
Solid tumors [ICD11:2A00-2A0Z|2B50-2F9Z]
Phase 2
Gastric cancer [ICD11:2B72]
Terminated in phase 3
Bladder cancer [ICD11:2C94]
Terminated in phase 2
Intrahepatic bile ducts cancer [ICD11:2C12]
Terminated in phase 2
Non-small cell lung cancer [ICD11:2C25]
Terminated in phase 2
Pancreatic cancer [ICD11:2C10]
Terminated in phase 2
Drug-to-Antibody Ratio
3.5
Structure
Antibody Name
Trastuzumab
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (ERBB2)
 Antigen Info 
Payload Name
Mertansine DM1
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Succinimidyl-4-(N-maleimidomethyl)cyclohexane-1-carboxylate (SMCC)
 Linker Info 
Conjugate Type
Random conjugation through nucleophilic lysines.
Combination Type
Emtansine
Absorption
The absorption/ bioavailability should be close to 100% since trastuzumab emtansine is administered IV.
Distribution
The volume of distribution of trastuzumab emtansine is about 3.13 L. DM1 has a plasma protein binding value of 93%
Metabolism
Trastuzumab emtansine undergoes lysosomal degradation to MCC-DM1, Lys-MCC-DM1, and DM1. All of these products are detected at low levels in the plasma. DM1 undergoes further degradation by CYP3A4 and CYP3A5, but DM1 does not induce or inhibit any of the CYP450 enzymes. Trastuzumab emtansine has a long half life of about 4 days.
Elimination
The route of elimination has not yet been fully elucidated. After IV infusion, trastuzumab emtansine has a clearance of 0.68 L/day.
Toxicity
The FDA label includes a black box warning of serious side effects such as hepatotoxicity, embryo-fetal toxicity, and cardiac toxicity.
Special Approval(s)
Breakthrough therapy(FDA); Fast track(FDA); Priority review(NMPA)
Puchem SID
472425630 , 404336835 , 135353969 , 375758853 , 446174156 , 135626701 , 335986980 , 347910224 , 136368305 , 160698804 , 178103510 , 472469334 , 252216509 , 461629169 , 463561822 , 472226772 , 479828526 , 481146820 , 475546944 , 480500992
Drugbank ID
DB05773
DrugMap ID
DMU1LXS
TTD ID
D0UG0K
DRESIS ID
DG00339
ChEBI ID
CHEMBL1743082
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 6 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Objective Response Rate (ORR)  NCT01702571
Phase 3
A two-cohort, open-label, multicenter study of trastuzumab emtansine (T-DM1) in HER2-positive locally advanced or metastatic breast cancer patients who have received prior anti-HER2 and chemotherapy-based treatment.

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Objective Response Rate (ORR)  NCT02999672
Phase 2
A study to determine best tumor response with trastuzumab emtansine in human epidermal growth factor receptor 2 (HER2) overexpressing solid tumors (KAMELEON).
Objective Response Rate (ORR)  NCT02465060
Phase 2
Targeted therapy directed by genetic testing in treating patients with advanced refractory solid tumors, lymphomas, or multiple myeloma (the MATCH screening trial).
Objective Response Rate (ORR)  NCT02924883
Phase 2
A randomized, multicenter, double-blind, placebo-controlled phase II study of the efficacy and safety of trastuzumab emtansine in combination with atezolizumab or atezolizumab-placebo in patients with HER2-positive locally advanced or metastatic breast cancer who have received prior trastuzumab and taxane based therapy.

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Objective Response Rate (ORR)  NCT03032107
Phase 1b
A phase 1b study of pembrolizumab in combination with trastuzumab-dm1 in metastatic HER2-positive breast cancer.
Undisclosed  NCT01966471
Phase 3
A randomized, multicenter, open-label, phase 3 trial comparing trastuzumab plus pertuzumab plus a taxane following anthracyclines versus trastuzumab emtansine plus pertuzumab following anthracyclines as adjuvant therapy in patients with operable HER2-positive primary breast cancer.

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Discovered Using Patient-derived Xenograft Model
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Standard Type Value Units Animal Model (No. of PDX)
Tumor Growth Inhibition value (TGI) 
≈ 1.1
%
Breast cancer PDX model (PDX: ST565)
Tumor Growth Inhibition value (TGI) 
≈ 19.2
%
Breast cancer PDX model (PDX: ST313)
Tumor Growth Inhibition value (TGI) 
≈ 37.6
%
Gastric cancer PDX model (PDX model: NIBIO G016)
Tumor Growth Inhibition value (TGI) 
≈ 85.2
%
Breast cancer PDX model (PDX: ST225)
Tumor Growth Inhibition value (TGI) 
≈ 90.4
%
Breast cancer PDX model (PDX: PDX12)
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 36 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Tumor Growth Inhibition value (TGI) 
≈ 7.1
%
CFPAC-1 cells
Pancreatic ductal adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 15.5
%
MMTV-HER2 cells
Breast cancer
Tumor Growth Inhibition value (TGI) 
≈ 27.1
%
BT-474 EEI cells
Invasive breast carcinoma of no special type
Tumor Growth Inhibition value (TGI) 
≈ 31.7
%
Capan-1 cells
Pancreatic ductal adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 33.1
%
GCIY cells
Gastric adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 36
%
HT29 cells
Colon cancer
Tumor Growth Inhibition value (TGI) 
≈ 36
%
SW48 cells
Colon adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 42
%
11-18 cells
Lung adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 42
%
11-18 cells
Lung adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 43.3
%
BT-474 cells (Trastuzumab emtansine resistant)
Invasive breast carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 45
%
SK-OV-3 cells (YES1 Y537F expression)
Ovarian serous cystadenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 45.5
%
BT-474 EEI cells
Invasive breast carcinoma of no special type
Tumor Growth Inhibition value (TGI) 
≈ 46.2
%
MMTV-HER2 cells
Breast cancer
Tumor Growth Inhibition value (TGI) 
≈ 55
%
HT-29 cells
Colon adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 55
%
HT-29 cells
Colon adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 58.5
%
JIMT-1 cells
Breast ductal carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 58.7
%
BT-474 EEI cells
Invasive breast carcinoma of no special type
Tumor Growth Inhibition value (TGI) 
≈ 63
%
NCI-H3255 cells
Lung adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 63
%
NCI-H3255 cells
Lung adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 63.3
%
LS174T cells
Colon adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 66.7
%
HCC827 cells
Lung adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 74
%
MMTV-HER2 cells
Breast cancer
Tumor Growth Inhibition value (TGI) 
≈ 76.54
%
KPL-4 cells
Breast inflammatory carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 82.9
%
KPL-4 cells
Breast inflammatory carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 83.9
%
MMTV-HER2 cells
Breast cancer
Tumor Growth Inhibition value (TGI) 
≈ 84.39
%
KPL-4 cells
Breast inflammatory carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 88.7
%
MMTV-HER2 cells
Breast cancer
Tumor Growth Inhibition value (TGI) 
≈ 90.1
%
MMTV-HER2 cells
Breast cancer
Tumor Growth Inhibition value (TGI) 
≈ 90.7
%
BT-474 EEI cells
Invasive breast carcinoma of no special type
Tumor Growth Inhibition value (TGI) 
≈ 92.3
%
KPL-4 cells
Breast inflammatory carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 98.7
%
BT-474 EEI cells
Invasive breast carcinoma of no special type
Tumor Growth Inhibition value (TGI) 
≈ 99.4
%
KPL-4 cells
Breast inflammatory carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 100
%
HCC1954 cells
Breast ductal carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 100
%
KMCH-1 cells
Combined hepatocellular carcinoma and cholangiocarcinoma
Minimal Effective Dose (MED) 
< 5
mg/kg
NCI-N87 cells
Gastric tubular adenocarcinoma
Maximum Tolerated Dose (MTD) 
> 20
mg/kg
NCI-N87 cells
Gastric tubular adenocarcinoma
Obtained from the Model Organism Data
Click To Hide/Show 1 Activity Data Related to This Level
Standard Type Value Units Animal Model (No. of PDX)
Tumor Growth Inhibition value (TGI) 
≈ 94.98
%
Breast cancer model MMTV-HER2 Fo5
Revealed Based on the Cell Line Data
Click To Hide/Show 23 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Half Maximal Inhibitory Concentration (IC50) 
0.04
nM
SK-BR-3 cells
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.14
nM
SK-OV-3 cells
Ovarian serous cystadenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.24
nM
SK-BR-3 cells
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.26
nM
NCI-N87 cells
Gastric tubular adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
1.57
nM
NCI-N87 cells
Gastric tubular adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
1.76
nM
JIMT-1 cells
Breast ductal carcinoma
Half Maximal Inhibitory Concentration (IC50) 
2.71
nM
BT-474 cells
Invasive breast carcinoma
Half Maximal Inhibitory Concentration (IC50) 
4.26
nM
BT-474 cells
Invasive breast carcinoma
Half Maximal Inhibitory Concentration (IC50) 
5.89
nM
BT-474 cells
Invasive breast carcinoma
Half Maximal Inhibitory Concentration (IC50) 
6.4
nM
SK-BR-3 cells
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
18.37
nM
MDA-MB-468 cells
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
> 50
nM
MCF-7 cells
Invasive breast carcinoma
Half Maximal Inhibitory Concentration (IC50) 
> 100
nM
MCF-7 cells
Invasive breast carcinoma
Half Maximal Inhibitory Concentration (IC50) 
220
nM
MDA-MB-468 cells
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
317
nM
HCC827 cells
Lung adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
> 500
nM
MCF-7 cells
Invasive breast carcinoma
Half Maximal Inhibitory Concentration (IC50) 
8.00-15.00
ng/mL
CVCL_0033
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0
ug/mL
BT-474 EEI cells
Invasive breast carcinoma of no special type
Half Maximal Inhibitory Concentration (IC50) 
0.01
ug/mL
KPL-4 cells
Breast inflammatory carcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.01
ug/mL
SK-OV-3 cells
Ovarian serous cystadenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.03
ug/mL
HCC1954 cells
Breast ductal carcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.06
ug/mL
Calu-3 cells
Lung adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.27
ug/mL
MKN7 cells
Gastric tubular adenocarcinoma
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 6 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Objective Response Rate (ORR) 21.40% Positive HER2 expression (HER2 +++/++)
Patients Enrolled
Untreated, asymptomatic BM or controlled brain disease treated with radiotherapy >14 days before enrollment; had received prior HER2-targeted therapy and chemotherapy; and had progressed on or after their most recent treatment of advanced breast cancer.
Administration Dosage
3.6 mg/kg intravenously every 3 weeks.
Related Clinical Trial
NCT Number NCT01702571  Clinical Status Phase 3
Clinical Description A two-cohort, open-label, multicenter study of trastuzumab emtansine (T-DM1) in HER2-positive locally advanced or metastatic breast cancer patients who have received prior anti-HER2 and chemotherapy-based treatment.
Primary Endpoint
Objective response rate=21.40% (95% CI 14.60-29.60), clinical benefit rate=42.90% (95% CI 34.10-52.00).
Other Endpoint
Median PFS=5.50 months (95% CI, 5.30-5.60), overall survival =18.90 months (95% CI, 17.10-21.30).
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Objective Response Rate (ORR) 5.10% Positive HER2 expression (HER2+++/++)
Patients Enrolled
HER2 positive advanced urothelial bladder cancer or pancreatic cancer/cholangiocarcinoma
Administration Dosage
Received singleagent TDM1 2.4 mg/kg once weekly (qw) or 3.6 mg/kg every 3 weeks (q3w).
Related Clinical Trial
NCT Number NCT02999672  Clinical Status Phase 2
Clinical Description A study to determine best tumor response with trastuzumab emtansine in human epidermal growth factor receptor 2 (HER2) overexpressing solid tumors (KAMELEON).
Primary Endpoint
BOR, Urothelial bladder cancer (n=13); PR N=5 (38.46%);SD N=1 (7.7%);PD N=6 (46.2%);NE N=1 (7.69%). Pancreatic cancer/cholangiocarcinoma (n=7) PR N=1 (14.29%);SD N=3 (42.86%);PD N=2 (28.57%); NE N=1 (14.29%).
Other Endpoint
PFS, Urothelial bladder cancer (n=13), Median PFS, months (95% CI) 2.20 (1.18-4.30), Median OS, months (95% CI) 7.03 (3.75-NE). Pancreatic cancer/cholangiocarcinoma (n=7), Median PFS, months (95% CI) 2.58 (1.31-9.99), Median OS, months (95% CI) NE (1.45-NE).
Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Objective Response Rate (ORR)
5.60% (Day 21)
Patients Enrolled
38 patients were enrolled and 36 included in efficacy analysis.Patients were treated with the standard intravenous dosing of T- DM1, that is 3.6mg/kg every 3 weeks for a 21-day cycle.
Administration Dosage
3.6 mg/kg every 3 weeks for a 21-day cycle, until toxicity or progression.
Related Clinical Trial
NCT Number NCT02465060  Clinical Status Phase 2
Clinical Description Targeted therapy directed by genetic testing in treating patients with advanced refractory solid tumors, lymphomas, or multiple myeloma (the MATCH screening trial).
Primary Endpoint
ORR was 2/36 (5.56%) with 90% confidence interval (90% CI, 1.00% to 16.50%)
Other Endpoint
6-mouth sPFS=23.60%.
Experiment 4 Reporting the Activity Date of This ADC [4]
Efficacy Data Objective Response Rate (ORR) 45.00% Positive HER2 expression (HER2 +++/++)
Patients Enrolled
An Eastern Cooperative Oncology Group performance status of 0 or 1 and centrally confirmed, measurable, HER2-positive advanced breast cancer previously treated with trastuzumab and a taxane.
Administration Dosage
3.6 mg/kg ( trastuzumab emtansine) and 1200 mg (Atezolizumab) intravenously every 3 weeks.
Related Clinical Trial
NCT Number NCT02924883  Clinical Status Phase 2
Clinical Description A randomized, multicenter, double-blind, placebo-controlled phase II study of the efficacy and safety of trastuzumab emtansine in combination with atezolizumab or atezolizumab-placebo in patients with HER2-positive locally advanced or metastatic breast cancer who have received prior trastuzumab and taxane based therapy.
Primary Endpoint
Median PFS=8.20 months (95% CI 5.80-10.70).
Other Endpoint
Median overall survival was not estimable (95% CI NE-NE); Objective response rate=45.00% (95% CI 28.06-50.30).
Experiment 5 Reporting the Activity Date of This ADC [5]
Efficacy Data Objective Response Rate (ORR) 20.00% High HER2 expression (HER2+++)
Patients Enrolled
HER2-positive, metastatic breast cancer previously treated with taxane, trastuzumab, and pertuzumab, and were T-DM1-nave.
Administration Dosage
The study consisted of a dose de-escalation (dose-finding) cohort, followed by an expansion cohort at the recommended phase II dose (RP2D), T-DM1 3.60 mg/kg intravenously every 21 days, and pembrolizumab 200mg intravenously every 21 days, if one or fewer DLTs were noted in the first six patients at that dose level, it would be declared the RP2D.
Related Clinical Trial
NCT Number NCT03032107  Clinical Status Phase 1b
Clinical Description A phase 1b study of pembrolizumab in combination with trastuzumab-dm1 in metastatic HER2-positive breast cancer.
Primary Endpoint
OrR=20.00% (95% CI 5.70%-43.70%), and median PFS=9.60 months (95%CI 2.80-16.00 months).
Other Endpoint
There were no dose-limiting toxicities. The RP2D was 3.60 mg/kg T-DM1 plus 200 mg pembrolizumab every 21 days.
Experiment 6 Reporting the Activity Date of This ADC [6]
Patients Enrolled
Newly diagnosed, HER2-positive, nonmetastatic, histologically confirmed, operable primary invasive breast carcinoma.
Administration Dosage
T-DM1 was dosed at 3.60 mg/kg once every 3 weeks. Trastuzumab was dosed at 6 mg/kg once every 3 weeks after an 8 mg/kg loading dose and started concurrently with the taxane. Pertuzumab was dosed at 420 mg once every 3 weeks after an 840 mg loading dose and administered concurrently with T-DM1 or trastuzumab-plus-taxane. An interval of 3 weeks from the last dose of anthracycline to initiation of HER2-targeted therapy was required. After the taxane-concurrent phase in the trastuzumab-containing arm, trastuzumab-plus-pertuzumab was continued for 1 year. In the T-DM1containing arm, T-DM1-plus-pertuzumab was continued for 1 year.

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Related Clinical Trial
NCT Number NCT01966471  Clinical Status Phase 3
Clinical Description A randomized, multicenter, open-label, phase 3 trial comparing trastuzumab plus pertuzumab plus a taxane following anthracyclines versus trastuzumab emtansine plus pertuzumab following anthracyclines as adjuvant therapy in patients with operable HER2-positive primary breast cancer.
Primary Endpoint
82 (9.90%) IDFS events had occurred in the AC-THP arm and 80 (9.60%) had occurred in the AC-KP arm.
Other Endpoint
3-year IDFS rates were 94.10% (95% CI, 92.50 to 95.70) with AC-THP and 92.80% (95% CI, 91.00 to 94.50) with AC-KP.
Discovered Using Patient-derived Xenograft Model
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Experiment 1 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 1.10% (Day 28) Low HER2 expression (HER2+)
Method Description
The antitumor activity of T-DM1 was evaluated in various patient-derived xenograft models with different HER2 expression levels. Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model Breast cancer PDX model (PDX: ST565)
Experiment 2 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 19.20% (Day 28) Low HER2 expression (HER2+)
Method Description
The antitumor activity of T-DM1 was evaluated in various patient-derived xenograft models with different HER2 expression levels. Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model Breast cancer PDX model (PDX: ST313)
Experiment 3 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 37.60% (Day 28) High HER2 expression (HER2+++)
Method Description
The antitumor activity of T-DM1 was evaluated in various patient-derived xenograft models with different HER2 expression levels. Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model Gastric cancer PDX model (PDX model: NIBIO G016)
Experiment 4 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 85.20% (Day 21) Moderate HER2 expression (HER2++)
Method Description
The antitumor activity of T-DM1 was evaluated in various patient-derived xenograft models with different HER2 expression levels. Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model Breast cancer PDX model (PDX: ST225)
Experiment 5 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 90.40% Positive HER2 expression (HER2+++/++)
Method Description
T-DM1 (Genentech) was administered i.p. at 10 mg/kg once per week.
In Vivo Model Breast cancer PDX model (PDX: PDX12)
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 36 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 7.10% (Day 21) Low HER2 expression (HER2+)
Method Description
The antitumor activity of T-DM1 was evaluated in various mice xenograft models with different HER2 expression levels; CFPAC-1 (low-expression). Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model CFPAC-1 cell line xenograft model
In Vitro Model Pancreatic ductal adenocarcinoma CFPAC-1 cells CVCL_1119
Experiment 2 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 15.50% (Day 7) High HER2 expression (HER2+++)
Method Description
The activity of trastuzumab-MCC-DM1 was further investigated in trastuzumab-insensitive mouse xenograft model. After transplantation of MMTV-HER2 Fo5 mammary tumor explants, tumor-bearing nude mice (n = 8 mice per group) were treated once every 3 weeks with 1 mg/kg trastuzmab-MCC-DM1.
In Vivo Model MMTV-HER2 Fo5 CDX model (Trastuzumab resistant)
In Vitro Model Breast cancer MMTV-HER2 cells Mus musculus
Experiment 3 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 27.10% (Day 48) High HER2 expression (HER2+++)
Method Description
Naive female beige nude XID mice were inoculated in the mammary fat pad with 20 million tumor cells suspended in 50% phenol redfree Matrigel mixed with culture medium. All animals were randomly assigned into treatment groups, such that the mean tumor volume for each group was 100 to 200 mm3. Nude mice with established tumors were dosed i.v. with Tmab-MCC-DM1 0.3 mg/kg for a total of three injections.

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In Vivo Model Trastuzumab-resistant breast cancer CDX model
In Vitro Model Invasive breast carcinoma of no special type BT-474 EEI cells CVCL_AR96
Experiment 4 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 31.70% (Day 21) Low HER2 expression (HER2+)
Method Description
The antitumor activity of T-DM1 was evaluated in various mice xenograft models with different HER2 expression levels; Capan-1 (weak positive). Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model Capan-1 cell line xenograft model
In Vitro Model Pancreatic ductal adenocarcinoma Capan-1 cells CVCL_0237
Experiment 5 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 33.10% (Day 21) Negative HER2 expression (HER2-)
Method Description
The antitumor activity of T-DM1 was evaluated in various mice xenograft models with different HER2 expression levels; GCIY (negative). Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model GCIY cell line xenograft model
In Vitro Model Gastric adenocarcinoma GCIY cells CVCL_1228
Experiment 6 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 36.00% (Day 33) Moderate HER2 expression (HER2++)
Method Description
Subcutaneous injection of 100,000 cells mixed in 200 mL PBS solution was performed. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 at a dose of 300 mg/kg via IP injection.
In Vivo Model HT29 CDX model
In Vitro Model Colon cancer HT29 cells CVCL_A8EZ
Experiment 7 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 36.00% (Day 33) Low HER2 expression (HER2 +)
Method Description
SW48, HT-29 and LS174T cells were injected into null mice subcutaneously, followed by treatment with cetuximab, trastuzumab and T-DM1. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 at a dose of 300 mg/kg via IP injection.
In Vivo Model SW48 CDX model
In Vitro Model Colon adenocarcinoma SW48 cells CVCL_1724
Experiment 8 Reporting the Activity Date of This ADC [11]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 42.00% (Day 58) Low HER2 expression (HER2 +)
Method Description
11-18 cells (4,000,000 ) and HCC827 cells (2,000,000 ) were injected subcutaneously into the backs on both sides of the mice. T-DM1 (30 mg/kg, once per week i.p.) for 8 weeks.
In Vivo Model 11-18 CDX model
In Vitro Model Lung adenocarcinoma 11-18 cells CVCL_6659
Experiment 9 Reporting the Activity Date of This ADC [11]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 42.00% (Day 58) Low HER2 expression (HER2+)
Method Description
Subcutaneous injection of 100,000 cells mixed in 200 mL PBS solution was performed. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 (30 mg/kg, once per week i.p.) for 8 weeks.
In Vivo Model 11-18 CDX model
In Vitro Model Lung adenocarcinoma 11-18 cells CVCL_6659
Experiment 10 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 43.30% (Day 30) Positive HER2 expression (HER2 +++/++)
Method Description
Trastuzumab-emtansine (3 mg/kg, every seven days 4) induces efficient tumor cell killing in cell line-derived models of BT-474/R1-7 cells with HER2 expression with high expression.
In Vivo Model BT-474 CDX model (T-DM1 resistant)
In Vitro Model Invasive breast carcinoma BT-474 cells (Trastuzumab emtansine resistant) CVCL_0179
Experiment 11 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 45.00% (Day 21) Positive HER2 expression (HER2 +++/++)
Method Description
Trastuzumab-emtansine (3 mg/kg, every seven days x3) induces efficient tumor cell killing in cell line-derived models of SK-OV-3 cells with HER2 expression with high expression.
In Vivo Model SK-OV-3 CDX model (Expressing YES1 Y537F)
In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cells (YES1 Y537F expression) CVCL_0532
Experiment 12 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 45.50% (Day 48) High HER2 expression (HER2+++)
Method Description
Naive female beige nude XID mice were inoculated in the mammary fat pad with 20 million tumor cells suspended in 50% phenol redfree Matrigel mixed with culture medium. All animals were randomly assigned into treatment groups, such that the mean tumor volume for each group was 100 to 200 mm3. Nude mice with established tumors were dosed i.v. with Tmab-MCC-DM1 1 mg/kg for a total of three injections.

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In Vivo Model Trastuzumab-resistant breast cancer CDX model
In Vitro Model Invasive breast carcinoma of no special type BT-474 EEI cells CVCL_AR96
Experiment 13 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 46.20% (Day 7) High HER2 expression (HER2+++)
Method Description
The activity of trastuzumab-MCC-DM1 was further investigated in trastuzumab-insensitive mouse xenograft model. After transplantation of MMTV-HER2 Fo5 mammary tumor explants, tumor-bearing nude mice (n = 8 mice per group) were treated once every 3 weeks with 3 mg/kg trastuzmab-MCC-DM1.
In Vivo Model MMTV-HER2 Fo5 CDX model (Trastuzumab resistant)
In Vitro Model Breast cancer MMTV-HER2 cells Mus musculus
Experiment 14 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 55.00% (Day 33) Positive HER2 expression (HER2+++/++)
Method Description
Subcutaneous injection of 100,000 cells mixed in 200 mL PBS solution was performed. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 at a dose of 300 mg/kg via IP injection.
In Vivo Model HT-29 CDX model
In Vitro Model Colon adenocarcinoma HT-29 cells CVCL_0320
Experiment 15 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 55.00% (Day 33) Moderate HER2 expression (HER2 ++)
Method Description
SW48, HT-29 and LS174T cells were injected into null mice subcutaneously, followed by treatment with cetuximab, trastuzumab and T-DM1. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 at a dose of 300 mg/kg via IP injection.
In Vivo Model HT-29 CDX model
In Vitro Model Colon adenocarcinoma HT-29 cells CVCL_0320
Experiment 16 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 58.50% (Day 21) Moderate HER2 expression (HER2++)
Method Description
The antitumor activity of T-DM1 was evaluated in various mice xenograft models with different HER2 expression levels; JIMT-1 (moderate positive). Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model JIMT-1 cell line xenograft model
In Vitro Model Breast ductal carcinoma JIMT-1 cells CVCL_2077
Experiment 17 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 58.70% (Day 48) High HER2 expression (HER2+++)
Method Description
Naive female beige nude XID mice were inoculated in the mammary fat pad with 20 million tumor cells suspended in 50% phenol redfree Matrigel mixed with culture medium. All animals were randomly assigned into treatment groups, such that the mean tumor volume for each group was 100 to 200 mm3. Nude mice with established tumors were dosed i.v. with Tmab-MCC-DM1 3 mg/kg for a total of three injections.

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In Vivo Model Trastuzumab-resistant breast cancer CDX model
In Vitro Model Invasive breast carcinoma of no special type BT-474 EEI cells CVCL_AR96
Experiment 18 Reporting the Activity Date of This ADC [11]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 63.00% (Day 58) Positive HER2 expression (HER2+++/++)
Method Description
Subcutaneous injection of 100,000 cells mixed in 200 mL PBS solution was performed. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 (30 mg/kg, once per week i.p.) for 8 weeks.
In Vivo Model H3255 CDX model
In Vitro Model Lung adenocarcinoma NCI-H3255 cells CVCL_6831
Experiment 19 Reporting the Activity Date of This ADC [11]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 63.00% (Day 58) High HER2 expression (HER2 +++)
Method Description
T-DM1 (30 mg/kg, once per week i.p.) for 8 weeks,.
In Vivo Model H3255 CDX model
In Vitro Model Lung adenocarcinoma NCI-H3255 cells CVCL_6831
Experiment 20 Reporting the Activity Date of This ADC [10]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 63.30% (Day 33) High HER2 expression (HER2 +++)
Method Description
SW48, HT-29 and LS174T cells were injected into null mice subcutaneously, followed by treatment with cetuximab, trastuzumab and T-DM1. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 at a dose of 300 mg/kg via IP injection.
In Vivo Model LS174T CDX model
In Vitro Model Colon adenocarcinoma LS174T cells CVCL_1384
Experiment 21 Reporting the Activity Date of This ADC [11]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 66.70% (Day 51) Low HER2 expression (HER2+)
Method Description
Subcutaneous injection of 100,000 cells mixed in 200 mL PBS solution was performed. Two weeks after tumour cell injection, mice were treated with trastuzumab, cetuximab or T-DM1 (30 mg/kg, once per week i.p.) for 8 weeks.
In Vivo Model HCC827 CDX model
In Vitro Model Lung adenocarcinoma HCC827 cells CVCL_2063
Experiment 22 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 74.00% (Day 7) High HER2 expression (HER2+++)
Method Description
The activity of trastuzumab-MCC-DM1 was further investigated in trastuzumab-insensitive mouse xenograft model. After transplantation of MMTV-HER2 Fo5 mammary tumor explants, tumor-bearing nude mice (n = 8 mice per group) were treated once every 3 weeks with 10 mg/kg trastuzmab-MCC-DM1.
In Vivo Model MMTV-HER2 Fo5 CDX model (Trastuzumab resistant)
In Vitro Model Breast cancer MMTV-HER2 cells Mus musculus
Experiment 23 Reporting the Activity Date of This ADC [13]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 76.54% (Day 24) Positive HER2 expression (HER2+++/++)
Method Description
Inoculate 150 mice with KPL-4 cells at 3 million cells/mouse suspended in HBSS/matrigel, in the thoracic mammary fat pad at a volume of 0.2 ml. When tumors have reached a mean tumor volume of 100-250 mm3, they will be grouped out into 10 groups of 8-10 mice each. A single treatment will be administered intravenously (1 mg/kg) via the tail vein on Day 0.

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In Vivo Model KPL-4 CDX model
In Vitro Model Breast inflammatory carcinoma KPL-4 cells CVCL_5310
Experiment 24 Reporting the Activity Date of This ADC [13]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 82.90% (Day 24) Positive HER2 expression (HER2+++/++)
Method Description
Inoculate 150 mice with KPL-4 cells at 3 million cells/mouse suspended in HBSS/matrigel, in the thoracic mammary fat pad at a volume of 0.2 ml. When tumors have reached a mean tumor volume of 100-250 mm3, they will be grouped out into 10 groups of 8-10 mice each. A single treatment will be administered intravenously (ADC-211, 1 mg/kg plus ADC-106, 5 mg/kg) via the tail vein on Day 0.

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In Vivo Model KPL-4 CDX model
In Vitro Model Breast inflammatory carcinoma KPL-4 cells CVCL_5310
Experiment 25 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 83.90% (Day 10) High HER2 expression (HER2+++)
Method Description
Mice bearing mammary tumor transplants from the MMTV-HER2 Fo5 line were given a single iv injection (10 mg/kg) of Tmab-SPP-DM1, Tmab-SSNPP-DM3, Tmab-SSNPP-DM4, Tmab-MCC-DM1, or vehicle (n=7 mice per group), and tumor growth was monitored for 25 days.
In Vivo Model MMTV-HER2 Fo5 CDX model (Trastuzumab resistant)
In Vitro Model Breast cancer MMTV-HER2 cells Mus musculus
Experiment 26 Reporting the Activity Date of This ADC [13]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 84.39% (Day 24) Positive HER2 expression (HER2+++/++)
Method Description
Inoculate 150 mice with KPL-4 cells at 3 million cells/mouse suspended in HBSS/matrigel, in the thoracic mammary fat pad at a volume of 0.2 ml. When tumors have reached a mean tumor volume of 100-250 mm3, they will be grouped out into 10 groups of 8-10 mice each. A single treatment will be administered intravenously (ADC-211, 1 mg/kg plus ADC-106, 1 mg/kg) via the tail vein on Day 0.

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In Vivo Model KPL-4 CDX model
In Vitro Model Breast inflammatory carcinoma KPL-4 cells CVCL_5310
Experiment 27 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 88.70% (Day 7) High HER2 expression (HER2+++)
Method Description
The activity of trastuzumab-MCC-DM1 was further investigated in trastuzumab-insensitive mouse xenograft model. After transplantation of MMTV-HER2 Fo5 mammary tumor explants, tumor-bearing nude mice (n = 8 mice per group) were treated once every 3 weeks with 15 mg/kg trastuzmab-MCC-DM1.
In Vivo Model MMTV-HER2 Fo5 CDX model (Trastuzumab resistant)
In Vitro Model Breast cancer MMTV-HER2 cells Mus musculus
Experiment 28 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 90.10% (Day 7) High HER2 expression (HER2+++)
Method Description
The activity of trastuzumab-MCC-DM1 was further investigated in trastuzumab-insensitive mouse xenograft model. After transplantation of MMTV-HER2 Fo5 mammary tumor explants, tumor-bearing nude mice (n = 8 mice per group) were treated once every 3 weeks with 30 mg/kg trastuzmab-MCC-DM1.
In Vivo Model MMTV-HER2 Fo5 CDX model (Trastuzumab resistant)
In Vitro Model Breast cancer MMTV-HER2 cells Mus musculus
Experiment 29 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 90.70% (Day 48) High HER2 expression (HER2+++)
Method Description
Naive female beige nude XID mice were inoculated in the mammary fat pad with 20 million tumor cells suspended in 50% phenol redfree Matrigel mixed with culture medium. All animals were randomly assigned into treatment groups, such that the mean tumor volume for each group was 100 to 200 mm3. Nude mice with established tumors were dosed i.v. with Tmab-MCC-DM1 10 mg/kg for a total of three injections.

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In Vivo Model Trastuzumab-resistant breast cancer CDX model
In Vitro Model Invasive breast carcinoma of no special type BT-474 EEI cells CVCL_AR96
Experiment 30 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 92.30% (Day 14) High HER2 expression (HER2+++)
Method Description
KPL-4 human breast tumor cells were inoculated (3 million cells per mouse, in Matrigel) into the mammary fat pads of SCID beige mice. All animals were randomly assigned into treatment groups, such that the mean tumor volume for each group was 100 to 200 mm3. Trastuzumab-maytansinoid conjugates were given by single 15 mg/kg iv injection.
In Vivo Model Breast cancer CDX model
In Vitro Model Breast inflammatory carcinoma KPL-4 cells CVCL_5310
Experiment 31 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.70% (Day 48) High HER2 expression (HER2+++)
Method Description
Naive female beige nude XID mice were inoculated in the mammary fat pad with 20 million tumor cells suspended in 50% phenol redfree Matrigel mixed with culture medium. All animals were randomly assigned into treatment groups, such that the mean tumor volume for each group was 100 to 200 mm3. Nude mice with established tumors were dosed i.v. with Tmab-MCC-DM1 15 mg/kg for a total of three injections.

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In Vivo Model Trastuzumab-resistant breast cancer CDX model
In Vitro Model Invasive breast carcinoma of no special type BT-474 EEI cells CVCL_AR96
Experiment 32 Reporting the Activity Date of This ADC [7]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 99.40% (Day 21) High HER2 expression (HER2+++)
Method Description
The antitumor activity of T-DM1 was evaluated in various mice xenograft models with different HER2 expression levels; KPL-4 (strong positive). Each cell suspension or tumor fragment was inoculated subcutaneously into specific pathogen-free female nude mice.The tumor-bearing mice were randomized into treatment and control groups based on the tumor volumes, and dosing was initiated on day 0. In this group, 10 mg/kg T-DM1 was i.v. to the tumor-bearing mice.

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In Vivo Model KPL-4 cell line xenograft model
In Vitro Model Breast inflammatory carcinoma KPL-4 cells CVCL_5310
Experiment 33 Reporting the Activity Date of This ADC [14]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 56) Positive HER2 expression (HER2 +++/++)
Method Description
HER2-positive HCC1954 cells were either treated with vehicle (control) or T-DM1 for 5 days, trypsinized, washed in PBS and sorted by flow cytometry based on the surface ROR1 expression. ROR1- and ROR1+ or unfractionated cells were injected into the subcutaneous site of 6-8-week old Nu/J mice (n=3/group).
In Vivo Model HCC1954 CDX model
In Vitro Model Breast ductal carcinoma HCC1954 cells CVCL_1259
Experiment 34 Reporting the Activity Date of This ADC [15]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 35) High HER2 expression (HER2+++)
Method Description
Mice were inoculated subcutaneously in the right flank with either 5x106 cells/mouse of BTC cell line KKU-100, mice were randomized to the control group or treatment with T-DM1 20 mg/kg groups.
In Vivo Model KMCH-1 CDX model
In Vitro Model Combined hepatocellular carcinoma and cholangiocarcinoma KMCH-1 cells CVCL_7970
Experiment 35 Reporting the Activity Date of This ADC [16]
Efficacy Data Minimal Effective Dose (MED) < 5.00 mg/kg Moderate HER2 expression (HER2++)
Method Description
Following the acclimatization period (1 week), the animals were stratified by body weight and randomly assigned to the following group: two T-DM1 groups, treated with 20 mg/kg and 60 mg/kg. Each group consisted of five animals for blood chemistry test as well as five animals for clinical signs and body weight measurements.
In Vivo Model Gastric cancer CDX model
In Vitro Model Gastric tubular adenocarcinoma NCI-N87 cells CVCL_1603
Experiment 36 Reporting the Activity Date of This ADC [16]
Efficacy Data Maximum Tolerated Dose (MTD) > 20.00 mg/kg High HER2 expression (HER2+++)
Method Description
Following the acclimatization period (1 week), the animals were stratified by body weight and randomly assigned to the following group: two T-DM1 groups, treated with 20 mg/kg and 60 mg/kg. Each group consisted of five animals for blood chemistry test as well as five animals for clinical signs and body weight measurements.
In Vivo Model Gastric cancer CDX model
In Vitro Model Gastric tubular adenocarcinoma NCI-N87 cells CVCL_1603
Obtained from the Model Organism Data
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [17]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 94.98% (Day 7) High HER2 expression (HER2 +++)
Method Description
An allograft was propagated from the Fo5 mmty transgenic mouse which does not respond to.or responds poorly to HERCEPTIN therapy. Subjects were treated once with ADC (10 mg/kg); and placebo PBS buffer control (Vehicle) andmonitored over 3 weeks.
In Vivo Model Breast cancer model MMTV-HER2 Fo5
Revealed Based on the Cell Line Data
Click To Hide/Show 23 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [18]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.04 nM High HER2 expression (HER2 +++)
Method Description
With OHPAS ADCs 1-4 , we first performed cell-based MTT assays against a series of HER2 positive/negative cell lines using the commercially available HER2 ADC, T-DM1 (average DAR 3.5), which we purchased as a positive control.
In Vitro Model Breast adenocarcinoma SK-BR-3 cells CVCL_0033
Experiment 2 Reporting the Activity Date of This ADC [18]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.14 nM High HER2 expression (HER2 +++)
Method Description
With OHPAS ADCs 1-4 , we first performed cell-based MTT assays against a series of HER2 positive/negative cell lines using the commercially available HER2 ADC, T-DM1 (average DAR 3.5), which we purchased as a positive control.
In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cells CVCL_0532
Experiment 3 Reporting the Activity Date of This ADC [19]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.24 nM±0.12 nM High HER2 expression (HER2 +++)
Method Description
To determine the IC50 values of the ADCs, different concentrations of each conjugate was directly added to the culture medium. After the cells were cultured for 3 days at 37°C, the number of viable cells was quantified by using the WST- reagent, and the absorbance was measured at OD450.
In Vitro Model Breast adenocarcinoma SK-BR-3 cells CVCL_0033
Experiment 4 Reporting the Activity Date of This ADC [18]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.26 nM High HER2 expression (HER2 +++)
Method Description
With OHPAS ADCs 1-4 , we first performed cell-based MTT assays against a series of HER2 positive/negative cell lines using the commercially available HER2 ADC, T-DM1 (average DAR 3.5), which we purchased as a positive control.
In Vitro Model Gastric tubular adenocarcinoma NCI-N87 cells CVCL_1603
Experiment 5 Reporting the Activity Date of This ADC [19]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 1.57 nM±0.10 nM High HER2 expression (HER2 +++)
Method Description
To determine the IC50 values of the ADCs, different concentrations of each conjugate was directly added to the culture medium. After the cells were cultured for 3 days at 37°C, the number of viable cells was quantified by using the WST- reagent, and the absorbance was measured at OD450.
In Vitro Model Gastric tubular adenocarcinoma NCI-N87 cells CVCL_1603
Experiment 6 Reporting the Activity Date of This ADC [18]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 1.76 nM Moderate HER2 expression (HER2 ++)
Method Description
With OHPAS ADCs 1-4 , we first performed cell-based MTT assays against a series of HER2 positive/negative cell lines using the commercially available HER2 ADC, T-DM1 (average DAR 3.5), which we purchased as a positive control.
In Vitro Model Breast ductal carcinoma JIMT-1 cells CVCL_2077
Experiment 7 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
2.71 nM
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. For measurement of apoptosis, BT-474 and SK-BR-3 were exposed to trastuzumab or trastuzumab-DM for 48 h.

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In Vitro Model Invasive breast carcinoma BT-474 cells CVCL_0179
Experiment 8 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 4.26 nM High HER2 expression (HER2+++)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. For measurement of apoptosis, BT-474 and SK-BR-3 were exposed to trastuzumab or trastuzumab-DM for 48 h.

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In Vitro Model Invasive breast carcinoma BT-474 cells CVCL_0179
Experiment 9 Reporting the Activity Date of This ADC [19]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 5.89 nM±3.51 nM High HER2 expression (HER2 +++)
Method Description
To determine the IC50 values of the ADCs, different concentrations of each conjugate was directly added to the culture medium. After the cells were cultured for 3 days at 37°C, the number of viable cells was quantified by using the WST- reagent, and the absorbance was measured at OD450.
In Vitro Model Invasive breast carcinoma BT-474 cells CVCL_0179
Experiment 10 Reporting the Activity Date of This ADC [20]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 6.40 nM±4.80 nM Positive HER2 expression (HER2 +++/++)
Method Description
ADCs 21-23 was performed on HCC827 and NCI-H2228 cells. cells (5 x 103 cells/well) were cultured in 96-well plates with 100 uL complete medium, and 24 h later the cells were treated in triplicate with varying concentrations of ADCs for 72 h.
In Vitro Model Breast adenocarcinoma SK-BR-3 cells CVCL_0033
Experiment 11 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 18.37 nM Low HER2 expression (HER2+; IHC 1+)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Breast adenocarcinoma MDA-MB-468 cells CVCL_0419
Experiment 12 Reporting the Activity Date of This ADC [18]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 50.00 nM Negative HER2 expression (HER2 -)
Method Description
With OHPAS ADCs 1-4 , we first performed cell-based MTT assays against a series of HER2 positive/negative cell lines using the commercially available HER2 ADC, T-DM1 (average DAR 3.5), which we purchased as a positive control.
In Vitro Model Invasive breast carcinoma MCF-7 cells CVCL_0031
Experiment 13 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 100.00 nM Negative HER2 expression (HER2 -)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Invasive breast carcinoma MCF-7 cells CVCL_0031
Experiment 14 Reporting the Activity Date of This ADC [20]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 220.00 nM±39.50 nM Negative HER2 expression (HER2 -)
Method Description
ADCs 21-23 was performed on HCC827 and NCI-H2228 cells. cells (5 x 103 cells/well) were cultured in 96-well plates with 100 uL complete medium, and 24 h later the cells were treated in triplicate with varying concentrations of ADCs for 72 h.
In Vitro Model Breast adenocarcinoma MDA-MB-468 cells CVCL_0419
Experiment 15 Reporting the Activity Date of This ADC [20]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 317.00 nM±93.70 nM Negative HER2 expression (HER2 -)
Method Description
ADCs 21-23 was performed on HCC827 and NCI-H2228 cells. cells (5 x 103 cells/well) were cultured in 96-well plates with 100 uL complete medium, and 24 h later the cells were treated in triplicate with varying concentrations of ADCs for 72 h.
In Vitro Model Lung adenocarcinoma HCC827 cells CVCL_2063
Experiment 16 Reporting the Activity Date of This ADC [20]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 500 nM Negative HER2 expression (HER2 -)
Method Description
ADCs 21-23 was performed on HCC827 and NCI-H2228 cells. cells (5 x 103 cells/well) were cultured in 96-well plates with 100 uL complete medium, and 24 h later the cells were treated in triplicate with varying concentrations of ADCs for 72 h.
In Vitro Model Invasive breast carcinoma MCF-7 cells CVCL_0031
Experiment 17 Reporting the Activity Date of This ADC [17]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 8.00-15.00 ng/mL High HER2 expression (HER2+++)
Method Description
Exposing mammalian cells having HER2 receptors to ADC in a cell culture medium; culturing the cells for a period from about 6 hours to about 5 days; and measuring cell viability Cell-based in vitro assays were used to measure viability, cytotoxicity, and induction of apoptosis of the ADC of the invention.
In Vitro Model Breast adenocarcinoma SK-BR-3 cells CVCL_0033
Experiment 18 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.00 ug/mL Negative HER2 expression (HER2-)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Invasive breast carcinoma of no special type BT-474 EEI cells CVCL_AR96
Experiment 19 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.01 ug/mL Moderate HER2 expression (HER2++; IHC 2+)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Breast inflammatory carcinoma KPL-4 cells CVCL_5310
Experiment 20 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.01 ug/mL Positive HER2 expression (HER2+++/++; HER2 MFI=95.7)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cells CVCL_0532
Experiment 21 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.03 ug/mL High HER2 expression (HER2+++)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Breast ductal carcinoma HCC1954 cells CVCL_1259
Experiment 22 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.06 ug/mL High HER2 expression (HER2+++)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Lung adenocarcinoma Calu-3 cells CVCL_0609
Experiment 23 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.27 ug/mL Low HER2 expression (HER2+)
Method Description
The effects of trastuzumab and trastuzumab-maytansinoid conjugates on tumor cell viability were assessed using Cell Titer-Glo. Cells were plated in black-walled 96-well plates (20,000 per well for BT-474; 10,000 cells per well for all other lines) and allowed to adhere overnight at 37°C in a humidified atmosphere of 5% CO2. Medium was then removed and replaced by fresh culture medium containing different concentrations of trastuzumab, trastuzumab ADC, or free DM1, and the cells incubated for varying periods of time.

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In Vitro Model Gastric tubular adenocarcinoma MKN7 cells CVCL_1417
References
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Ref 2 Phase II study (KAMELEON) of single-agent T-DM1 in patients with HER2-positive advanced urothelial bladder cancer or pancreatic cancer/cholangiocarcinoma. Cancer Med. 2023 Jun;12(11):12071-12083. doi: 10.1002/cam4.5893. Epub 2023 Apr 29.
Ref 3 Ado-trastuzumab emtansine (T-DM1) in patients with HER2-amplified tumors excluding breast and gastric/gastroesophageal junction (GEJ) adenocarcinomas: results from the NCI-MATCH trial (EAY131) subprotocol Q. Ann Oncol. 2019 Nov 1;30(11):1821-1830. doi: 10.1093/annonc/mdz291.
Ref 4 Trastuzumab emtansine plus atezolizumab versus trastuzumab emtansine plus placebo in previously treated, HER2-positive advanced breast cancer (KATE2): a phase 2, multicentre, randomised, double-blind trial. Lancet Oncol. 2020 Oct;21(10):1283-1295. doi: 10.1016/S1470-2045(20)30465-4.
Ref 5 Phase Ib study of pembrolizumab in combination with trastuzumab emtansine for metastatic HER2-positive breast cancer. J Immunother Cancer. 2022 Oct;10(10):e005119.
Ref 6 Trastuzumab Emtansine Plus Pertuzumab Versus Taxane Plus Trastuzumab Plus Pertuzumab After Anthracycline for High-Risk Human Epidermal Growth Factor Receptor 2-Positive Early Breast Cancer: The Phase III KAITLIN Study. J Clin Oncol. 2022 Feb 10;40(5):438-448.
Ref 7 DS-8201a, A Novel HER2-Targeting ADC with a Novel DNA Topoisomerase I Inhibitor, Demonstrates a Promising Antitumor Efficacy with Differentiation from T-DM1. Clin Cancer Res. 2016 Oct 15;22(20):5097-5108.
Ref 8 Neutralization of BCL-2/X(L) Enhances the Cytotoxicity of T-DM1 In Vivo. Mol Cancer Ther. 2019 Jun;18(6):1115-1126. doi: 10.1158/1535-7163.MCT-18-0743. Epub 2019 Apr 8.
Ref 9 Targeting HER2-positive breast cancer with trastuzumab-DM1, an antibody-cytotoxic drug conjugate. Cancer Res. 2008 Nov 15;68(22):9280-90.
Ref 10 Application of trastuzumab emtansine in HER-2-positive and KRAS/BRAF-mutated colon cancer cells. Eur J Clin Invest. 2020 Apr 29:e13255. doi: 10.1111/eci.13255.
Ref 11 Beneficial effect of erlotinib and trastuzumab emtansine combination in lung tumors harboring EGFR mutations. Biochem Biophys Res Commun. 2020 Nov 12;532(3):341-346. doi: 10.1016/j.bbrc.2020.07.055.
Ref 12 YES1 amplification confers trastuzumab-emtansine (T-DM1) resistance in HER2-positive cancer. Br J Cancer. 2020 Sep;123(6):1000-1011. doi: 10.1038/s41416-020-0952-1.
Ref 13 Pyrrolobenzodiazepine antibody drug conjugates and methods of use; 2017-04-06.
Ref 14 Antibody-drug conjugate T-DM1 treatment for HER2+ breast cancer induces ROR1 and confers resistance through activation of Hippo transcriptional coactivator YAP1. EBioMedicine. 2019 May;43:211-224. doi: 10.1016/j.ebiom.2019.04.061.
Ref 15 Molecular targeting of HER2-overexpressing biliary tract cancer cells with trastuzumab emtansine, an antibody-cytotoxic drug conjugate. Cancer Chemother Pharmacol. 2019 Apr;83(4):659-671. doi: 10.1007/s00280-019-03768-8. Epub 2019 Jan 18.
Ref 16 Biological Evaluation of Maytansinoid-Based Site-Specific Antibody-Drug Conjugate Produced by Fully Chemical Conjugation Approach: AJICAP. Front Biosci (Landmark Ed). 2022 Aug 5;27(8):234.
Ref 17 Cysteine engineered antibodies and conjugates.
Ref 18 Aryl Sulfate is a Useful Motif for Conjugating and Releasing Phenolic Molecules: Sulfur Fluorine Exchange Click Chemistry Enables Discovery of Ortho-Hydroxy-Protected Aryl Sulfate Linker. Bioconjug Chem. 2019 Jul 17;30(7):1957-1968. doi: 10.1021/acs.bioconjchem.9b00340. Epub 2019 Jun 28.
Ref 19 Preparation and characterization of antibody-drug conjugates acting on HER2-positive cancer cells. PLoS One. 2020 Sep 28;15(9):e0239813. doi: 10.1371/journal.pone.0239813. eCollection 2020.
Ref 20 Near-infrared-induced drug release from antibody-drug double conjugates exerts a cytotoxic photo-bystander effect. Bioeng Transl Med. 2022 Aug 21;7(3):e10388. doi: 10.1002/btm2.10388. eCollection 2022 Sep.

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