General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0FUFBP
ADC Name
Camidanlumab tesirine
Synonyms
camidanlumab tesirine; ADCT-301; HuMax-TAC-ADC
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Organization
ADC Therapeutics (Originator);Spirogen (Top20 MNC) (Originator) (No Rights);Genmab (No Rights)
Drug Status
Phase 2 (discontinued)
Drug-to-Antibody Ratio
2.25~2.3
Structure
Antibody Name
Camidanlumab
 Antibody Info 
Antigen Name
Interleukin-2 receptor subunit alpha (IL2RA)
 Antigen Info 
Payload Name
SG3199 (SC-DR002)
 Payload Info 
Therapeutic Target
Human deoxyribonucleic acid (hDNA)
 Target Info 
Linker Name
Mal-PEG8-Val-Ala-PABC
 Linker Info 
Conjugate Type
Random Cysteines
Combination Type
tesirine
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
Myelodysplastic syndrome
1 Trials
Trial ID
NCT04639024
Acute myeloid leukaemia
1 Trials
Trial ID
NCT02588092
1 Trials
Trial ID
NCT04639024
Unspecific non-hodgkin lymphoma
1 Trials
Trial ID
NCT02432235; EudraCT2015-005272-25
1 Trials
Trial ID
NCT04639024
Hodgkin lymphoma
1 Trials
Trial ID
NCT02432235; EudraCT2015-005272-25
2 Trials
Trial ID
NCT04052997; EudraCT2018-002556-32
EudraCT2020-004181-20
Acute lymphoblastic leukemia
1 Trials
Trial ID
NCT02588092
Oesophageal cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Gastric cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Colorectal cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Pancreatic cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Lung cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Melanoma
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Breast cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Ovarian cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Fallopian tube cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Kidney cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Urothelial cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
Head and neck cancer
1 Trials
Trial ID
NCT03621982; EudraCT2019-003132-23
ADC-specific functional property(2027 Update)
Circulating Stability
Click To Hide/Show 1 ADC-specific functional property Data
Incubation Time 7.3days Release 50% Reference
[1]
Incubation Medium mice serum
Description
In mice serum, the half-lives of the naked antibody HuMax-Tac and camidanlumab tesirine were the same, both were 7.3 days
Binding Affinity
Click To Hide/Show 1 ADC-specific functional property Data
Dissocation Constant (Kd) Binding Target Description Reference
Undisclosed
CD25
ADCT-301 showed strong binding affinity to CD25-positive human anaplastic large cell lymphoma-derived cell lines Karpas 299 and Su-DHL-1
[1]
General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 19 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Maximum Observed Concentration (Cmax) 648 ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1.
[2]
Area Under the Concentration-Time Curve (AUC) 1846 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1, AUCinf.
[2]
Maximum Observed Concentration (Cmax) 808 ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2.
[2]
Area Under the Concentration-Time Curve (AUC) 2183 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2, AUCinf.
[2]
Maximum Observed Concentration (Cmax) 716.4 ng/mL
Summary of exposures by occurrence of ORR at cycle 2, Non-responders.
[3]
Maximum Observed Concentration (Cmax) 796.8 ng/mL
Summary of exposures by occurrence of ORR at cycle 2, Responders.
[3]
Maximum Observed Concentration (Cmax) 748.6 ng/mL
Summary of exposures by occurrence of ORR at cycle 2, Overall.
[3]
Maximum Observed Concentration (Cmax) 501 ng/mL
Summary of exposures by occurrence of OS at cycle 2, Non-resonders.
[3]
Maximum Observed Concentration (Cmax) 760.9 ng/mL
Summary of exposures by occurrence of OS at cycle 2, Resonders.
[3]
Maximum Observed Concentration (Cmax) 748.6 ng/mL
Summary of exposures by occurrence of OS at cycle 2, Overall.
[3]
Maximum Observed Concentration (Cmax) 722.5 ng/mL
Summary of exposures by occurrence of increased GGT at cycle 2, no.
[3]
Maximum Observed Concentration (Cmax) 931.5 ng/mL
Summary of exposures by occurrence of increased GGT at cycle 2, yes.
[3]
Maximum Observed Concentration (Cmax) 741.8 ng/mL
Summary of exposures by occurrence of increased GGT at cycle 2, overall.
[3]
Maximum Observed Concentration (Cmax) 741.3 ng/mL
Summary of exposures by occurrence of neurologic AEs at cycle 2, no.
[3]
Maximum Observed Concentration (Cmax) 757 ng/mL
Summary of exposures by occurrence of neurologic AEs at cycle 2, yes.
[3]
Maximum Observed Concentration (Cmax) 741.8 ng/mL
Summary of exposures by occurrence of neurologic AEs at cycle 2, overall.
[3]
Maximum Observed Concentration (Cmax) 748.4 ng/mL
Summary of exposures by occurrence of autoimmune AEs at cycle 2, no.
[3]
Maximum Observed Concentration (Cmax) 576.5 ng/mL
Summary of exposures by occurrence of autoimmune AEs at cycle 2, yes.
[3]
Maximum Observed Concentration (Cmax) 741.8 ng/mL
Summary of exposures by occurrence of autoimmune AEs at cycle 2, overall.
[3]
Distribution
Click To Hide/Show 4 Distribution Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 1846 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1, AUCinf.
[2]
Volume of Distribution (Vd) 5.08 L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1.
[2]
Area Under the Concentration-Time Curve (AUC) 2183 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2, AUCinf.
[2]
Volume of Distribution (Vd) 4.91 L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2.
[2]
Metabolism
Click To Hide/Show 2 Metabolism Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 1846 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1, AUCinf.
[2]
Area Under the Concentration-Time Curve (AUC) 2183 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2, AUCinf.
[2]
Excretion
Click To Hide/Show 8 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Elimination Half-Life (t1/2) 7.3 days
In mice serum, the half-lives of the naked antibody HuMax-Tac and camidanlumab tesirine were the same, both were 7.3 days
[1]
Clearance (CL) 1.68 L/day
Based on phase 1 trial data, increased pharmacokinetic exposure was dose-dependent, and the mean apparent clearance (1.68 L/day) showed moderate to marked interpatient variability
[1]
Area Under the Concentration-Time Curve (AUC) 1846 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1, AUCinf.
[2]
Elimination Half-Life (t1/2) 2.31 day
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1.
[2]
Clearance (CL) 1,68 L/day
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 1.
[2]
Area Under the Concentration-Time Curve (AUC) 2183 day*ug/L
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2, AUCinf.
[2]
Elimination Half-Life (t1/2) 2.69 day
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2.
[2]
Clearance (CL) 1.37 L/day
Summary of camidanlumab tesirine PK parameters in serum following the 45 ug/kg dose Q3W for the total study population, Cycle 2.
[2]
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 9 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Progression Free Survival  NCT04052997
PHASE2
A Phase 2, Open-Label, Single-Arm Study to Evaluate the Efficacy and Safety of Camidanlumab Tesirine (ADCT-301) in Patients With Relapsed or Refractory Hodgkin Lymphoma
Overall response (OR)  NCT02432235
PHASE1
A Phase 1 Adaptive Dose-Escalation Study to Evaluate the Tolerability, Safety, Pharmacokinetics, and Antitumor Activity of ADCT-301 in Patients With Relapsed or Refractory Hodgkin Lymphoma and Non-Hodgkin Lymphoma

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Objective Response Rate (ORR)  NCT03621982
PHASE1
A Phase 1b, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Camidanlumab Tesirine (ADCT-301) as Monotherapy or in Combination in Patients With Selected Advanced Solid Tumors

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Disease control rate (DCR)  NCT03621982
PHASE1
A Phase 1b, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Camidanlumab Tesirine (ADCT-301) as Monotherapy or in Combination in Patients With Selected Advanced Solid Tumors

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Undisclosed  NCT04639024
PHASE2
An Open-label Pilot Study to Evaluate the Safety and Efficacy of ADCT-301 in Patients With Relapsed or Refractory Acute Myeloid Leukemia, Myelodysplastic Syndrome, or Myeloproliferative Neoplasms.
Undisclosed  NCT02588092
PHASE1
A Phase 1, Open-label, Dose-escalation, Multicenter Study to Evaluate the Tolerability, Safety, Pharmacokinetics, and Activity of ADCT 301 in Patients With Relapsed or Refractory CD25-positive Acute Myeloid Leukemia (AML) or CD25-positive Acute Lymphoblastic Leukemia

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Complete Remission (CR)  NCT02432235
Phase 1
A phase 1 adaptive dose-escalation study to evaluate the tolerability, safety, pharmacokinetics, and antitumor activity of ADCT-301 in patients with relapsed or refractory Hodgkin lymphoma and non-Hodgkin lymphoma.

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Undisclosed  NCT02588092
Phase 1
A phase 1, open-label, dose-escalation, multicenter study to evaluate the tolerability, safety, pharmacokinetics, and activity of ADCT 301 in patients with relapsed or refractory CD25-positive acute myeloid leukemia (AML) or CD25-positive acute lymphoblastic leukemia.

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Undisclosed  NCT02432235
Phase 1
A phase 1 adaptive dose-escalation study to evaluate the tolerability, safety, pharmacokinetics, and antitumor activity of ADCT-301 in patients with relapsed or refractory Hodgkin lymphoma and non-Hodgkin lymphoma.

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Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 9 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Tumor Growth Inhibition value (TGI) 
≈ 11.6
%
Karpas-299 cells
ALK-positive anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 41.5
%
SU-DHL-1 cells
Anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 51.3
%
SU-DHL-1 cells
Anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 68.4
%
Karpas-299 cells
ALK-positive anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 93.2
%
Karpas-299 cells
ALK-positive anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 94.1
%
SU-DHL-1 cells
Anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 97.1
%
Karpas-299 cells
ALK-positive anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 98.4
%
Karpas-299 cells
ALK-positive anaplastic large cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 98.8
%
SU-DHL-1 cells
Anaplastic large cell lymphoma
Revealed Based on the Cell Line Data
Click To Hide/Show 9 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Half Maximum Growth Inhibitory Concentration (GI50) 
0.26
pM
EoL-1 cells
Chronic eosinophilic leukemia
Half Maximum Growth Inhibitory Concentration (GI50) 
4.96
pM
SU-DHL-1 cells
Anaplastic large cell lymphoma
Half Maximum Growth Inhibitory Concentration (GI50) 
17.07
pM
Karpas-299 cells
ALK-positive anaplastic large cell lymphoma
Half Maximum Growth Inhibitory Concentration (GI50) 
19.6
pM
HDLM-2 cells
Hodgkin lymphoma
Half Maximum Growth Inhibitory Concentration (GI50) 
> 6667
pM
KG-1 cells
Adult acute myeloid leukemia
Half Maximum Growth Inhibitory Concentration (GI50) 
> 6667
pM
HuT 78 cells
T lymphocytic leukemia
Half Maximum Growth Inhibitory Concentration (GI50) 
> 6667
pM
Daudi cells
Burkitt lymphoma
Half Maximum Growth Inhibitory Concentration (GI50) 
> 6667
pM
Ramos cells
Burkitt lymphoma
Half Maximum Growth Inhibitory Concentration (GI50) 
7.49
1.11
pM
ng/mL
L-540 cells
Hodgkin lymphoma
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 9 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [4]
Efficacy Data Progression Free Survival
9.1 months
Patients Enrolled
Key inclusion criteria: Adults (≥18 years, ≥16 in US) with relapsed/refractory cHL (≥3 prior therapies including BV+CPI, or ≥2 if HSCT-ineligible), measurable disease (Lugano 2014), ECOG 0-2, and adequate organ function. FFPE tumor tissue and negative beta-HCG (WOCBP) required. Contraception mandated for 9.5 months (females) or 6.5 months (males) post-treatment.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT04052997  Clinical Status PHASE2
Clinical Description A Phase 2, Open-Label, Single-Arm Study to Evaluate the Efficacy and Safety of Camidanlumab Tesirine (ADCT-301) in Patients With Relapsed or Refractory Hodgkin Lymphoma
Primary Endpoint
The study evaluates efficacy endpoints including ORR (CR+PR per Lugano 2014), DOR (time from first response to progression/death), CR rate, RFS (time from CR to progression/death), PFS (time from first dose to progression/death), and OS (time from first dose to death). Safety assessments cover TEAEs (from first dose to 30 days post-last dose or new therapy start), SAEs (life-threatening events/hospitalization), ECOG status (0-5 scale), and HSCT recipients. PK parameters (Cmax, AUC, CL, T1/2, Vss, AI) are analyzed for total antibody, PBD-conjugated antibody, and SG3199 warhead across Cycles 1-2 (21-day cycles). ADA responses and HRQoL changes (EQ-5D-5L VAS, FACT-Lym) are monitored.

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Experiment 2 Reporting the Activity Date of This ADC [5]
Efficacy Data Overall response (OR)
71%
Patients Enrolled
Eligible participants were adults (&ge;18 years) with relapsed/refractory lymphoma (WHO-confirmed), ECOG 0-2, adequate organ function (ANC&ge;1500/uL, platelets&ge;75,000/uL, bilirubin&le;1.5&times;ULN), and measurable disease (Lugano 2014). Exclusions included active GVHD, recent transplant (<60 days), autoimmune diseases, uncontrolled comorbidities (e.g., QTc&ge;450ms), or prior ADCT-301 hypersensitivity. Pregnancy, breastfeeding, or inadequate recovery from prior therapy (non-hematologic toxicity >Grade 1) also excluded participation.

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Administration Dosage
Participants received an intravenous (IV) infusion of camidanlumab tesirine (3 ug/kg) on Day 1 of each 3-week treatment cycle, for a maximum of 2 cycles.
Related Clinical Trial
NCT Number NCT02432235  Clinical Status PHASE1
Clinical Description A Phase 1 Adaptive Dose-Escalation Study to Evaluate the Tolerability, Safety, Pharmacokinetics, and Antitumor Activity of ADCT-301 in Patients With Relapsed or Refractory Hodgkin Lymphoma and Non-Hodgkin Lymphoma
Primary Endpoint
The study evaluated dose-limiting toxicities (DLTs) during Cycle 1-2 (21-day cycles), including hematologic (Grade 3-4 febrile neutropenia, Grade 4 thrombocytopenia/anemia) and non-hematologic events (Grade 4 tumor lysis, ≥Grade 3 AEs, ≥Grade 2 neuropathy/skin ulcers). The recommended Phase 2 dose was determined by safety data. Treatment-emergent AEs (TEAEs) and serious AEs (SAEs) were monitored for 84 days post-last dose (median treatment: 43 days).

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Other Endpoint
Efficacy endpoints per Lugano 2014 criteria included ORR (CR: complete metabolic/radiologic response; PR: >50% node reduction), DoR (time from response to progression/death), PFS (time from first dose to progression/death), and OS (time to death). Pharmacokinetics (Cmax, Tmax, AUC, half-life, clearance) were analyzed for HuMax-TAC antibody, PBD-conjugated antibody, and free warhead SG3199 across Cycles 1-2. ADA responses were assessed via ECLIA.

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Experiment 3 Reporting the Activity Date of This ADC [6]
Efficacy Data Objective Response Rate (ORR)
28%
Patients Enrolled
Eligible participants were adults with advanced/metastatic solid tumors (specific types varied by study phase) refractory to standard therapy, measurable disease per RECIST, ECOG 0-1, and adequate organ function. Key exclusions included autoimmune diseases, recent infections linked to GBS, active CNS metastases, significant comorbidities, or prior CD25 antibody therapy. Combination therapy cohorts excluded patients with intolerance/history of severe immune-related toxicities from checkpoint inhibitors. Contraception requirements were strictly enforced.

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Administration Dosage
Camidanlumab tesirine is administered as a 30-minute intravenous (IV) infusion on Day 1 of each cycle. Participants treated with camidanlumab tesirine as monotherapy, in the initial dose cohort will receive 20 ug/kg Q3W and the highest dose was 150 ug/kg Q3W.
Related Clinical Trial
NCT Number NCT03621982  Clinical Status PHASE1
Clinical Description A Phase 1b, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Camidanlumab Tesirine (ADCT-301) as Monotherapy or in Combination in Patients With Selected Advanced Solid Tumors
Primary Endpoint
The safety profile was assessed through treatment-emergent adverse events (TEAEs) graded by CTCAE v4.0, including serious adverse events (SAEs), dose interruptions/reductions, and dose-limiting toxicities (DLTs) observed during ADCT-301 monotherapy and combination therapy with pembrolizumab over up to 3 years. Safety monitoring covered clinical lab values, vital signs, ECG, and ECOG performance status.

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Other Endpoint
Efficacy endpoints included overall response rate (ORR), duration of response (DOR), progression-free survival (PFS), and overall survival (OS) per RECIST v1.1. Pharmacokinetic parameters (Tmax, AUC, Cmax, clearance, half-life) and anti-drug antibody (ADA) responses were evaluated for ADCT-301 components in serum during treatment cycles, with discontinuation of PK/ADA sampling if therapy switched to pembrolizumab alone.

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Experiment 4 Reporting the Activity Date of This ADC [6]
Efficacy Data Disease control rate (DCR)
44%
Patients Enrolled
Eligible participants were adults with advanced/metastatic solid tumors (specific types varied by study phase) refractory to standard therapy, measurable disease per RECIST, ECOG 0-1, and adequate organ function. Key exclusions included autoimmune diseases, recent infections linked to GBS, active CNS metastases, significant comorbidities, or prior CD25 antibody therapy. Combination therapy cohorts excluded patients with intolerance/history of severe immune-related toxicities from checkpoint inhibitors. Contraception requirements were strictly enforced.

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Administration Dosage
Camidanlumab tesirine is administered as a 30-minute intravenous (IV) infusion on Day 1 of each cycle. Participants treated with camidanlumab tesirine as monotherapy, in the initial dose cohort will receive 20 ug/kg Q3W and the highest dose was 150 ug/kg Q3W.
Related Clinical Trial
NCT Number NCT03621982  Clinical Status PHASE1
Clinical Description A Phase 1b, Open-label, Dose-escalation and Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Camidanlumab Tesirine (ADCT-301) as Monotherapy or in Combination in Patients With Selected Advanced Solid Tumors
Primary Endpoint
The safety profile was assessed through treatment-emergent adverse events (TEAEs) graded by CTCAE v4.0, including serious adverse events (SAEs), dose interruptions/reductions, and dose-limiting toxicities (DLTs) observed during ADCT-301 monotherapy and combination therapy with pembrolizumab over up to 3 years. Safety monitoring covered clinical lab values, vital signs, ECG, and ECOG performance status.

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Other Endpoint
Efficacy endpoints included overall response rate (ORR), duration of response (DOR), progression-free survival (PFS), and overall survival (OS) per RECIST v1.1. Pharmacokinetic parameters (Tmax, AUC, Cmax, clearance, half-life) and anti-drug antibody (ADA) responses were evaluated for ADCT-301 components in serum during treatment cycles, with discontinuation of PK/ADA sampling if therapy switched to pembrolizumab alone.

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Experiment 5 Reporting the Activity Date of This ADC [7]
Patients Enrolled
Inclusion: Adults &ge;18 with relapsed/refractory AML, MDS, or MDS/MPN post-allogeneic transplant, stable GVHD (grade 1), creatinine clearance &ge;60ml/min, liver function within limits, no pregnancy, and immune suppression &le;20mg prednisone/day. Exclusion: Active infections, CNS disease, recent cancer therapy (3 years), hypersensitivity to CD25 antibodies, severe autoimmune diseases, or recent infections (HSV, EBV, CMV, SARS-CoV-2, etc.).

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Administration Dosage
Patients will receive ADCT-301 37.5 ug/kg infused day 1,8, and 15 of a q3week cycle. Patients will have up to 2 cycles to assess response and safety to therapy and if they are not progressing may continue for up to 6 cycles.
Related Clinical Trial
NCT Number NCT04639024  Clinical Status PHASE2
Clinical Description An Open-label Pilot Study to Evaluate the Safety and Efficacy of ADCT-301 in Patients With Relapsed or Refractory Acute Myeloid Leukemia, Myelodysplastic Syndrome, or Myeloproliferative Neoplasms.
Primary Endpoint
The study evaluates ADCT-301's morphologic complete response rate (primary endpoint, up to 3 years) and safety (adverse events within 12 weeks post-last dose).
Experiment 6 Reporting the Activity Date of This ADC [8]
Patients Enrolled
Eligibility requires relapsed/refractory CD25+ AML/ALL (WHO criteria), ECOG 0-2, adequate organ function (creatinine &le;1.5mg/dL, ALT/AST &le;2&times;ULN, bilirubin &le;1.5&times;ULN), and WBC <15,000/uL. Exclusions include active CNS leukemia, GVHD, recent transplant (&le;60 days), HIV/HBV/HCV, QTc &ge;450ms, prior immunogenicity to CD25 antibodies, or other malignancies (exceptions: non-melanoma skin cancer, in situ cancers). Concurrent experimental therapies or unresolved toxicities (>Grade 1) are prohibited.

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Administration Dosage
Weekly administration - Participants will receive an IV infusion of ADCT-301, on Days 1, 8, and 15 of each 3-week (21-day) cycle.3-week administration - Participants will receive an IV infusion of ADCT-301, on Day 1 of each 3-week (21-day) cycle.The dose escalation will be conducted according to a 3+3 design.
Related Clinical Trial
NCT Number NCT02588092  Clinical Status PHASE1
Clinical Description A Phase 1, Open-label, Dose-escalation, Multicenter Study to Evaluate the Tolerability, Safety, Pharmacokinetics, and Activity of ADCT 301 in Patients With Relapsed or Refractory CD25-positive Acute Myeloid Leukemia (AML) or CD25-positive Acute Lymphoblastic Leukemia
Primary Endpoint
The study evaluates dose-limiting toxicities (DLTs) in Cycle 1 (Days 1-21), defining hematologic DLTs as Grade 3+ neutropenia/thrombocytopenia or Grade 4 anemia with hypocellular marrow (≥6 weeks) and non-hematologic DLTs as Grade 4 tumor lysis, Grade 3+ AEs (excluding alopecia), or Grade 2+ neuropathy. The recommended dose for Part 2 is determined by safety data from Part 1. Treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) are monitored up to 24 weeks post-treatment, with SAEs including life-threatening events, hospitalization, or death.

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Other Endpoint
Efficacy endpoints include duration of response (DOR) from first response to progression/death, overall response rate (ORR) as CR/CRi/PR rates, and overall survival (OS) from first dose to death. Pharmacokinetics (Cmax, Tmax, AUC, half-life, clearance) are analyzed for PBD-conjugated antibody, total antibody, and free warhead (SG3199) in Q3W and QW dosing schedules. Anti-drug antibodies (ADA) are assessed through Cycle 2.

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Experiment 7 Reporting the Activity Date of This ADC [9]
Efficacy Data Complete Remission (CR)
48.60
35.00
6.50
10.00
7.10
0.00 %
Patients Enrolled
Relapsed or refractory classical Hodgkin lymphoma or non-Hodgkin lymphoma, an Eastern Cooperative Oncology Group performance status 0-2, who had no therapies available to them with established clinical benefit for their disease stage were enrolled.
Administration Dosage
Intravenously (3-150 ug/kg) once every 3 weeks.
Related Clinical Trial
NCT Number NCT02432235  Clinical Status Phase 1
Clinical Description A phase 1 adaptive dose-escalation study to evaluate the tolerability, safety, pharmacokinetics, and antitumor activity of ADCT-301 in patients with relapsed or refractory Hodgkin lymphoma and non-Hodgkin lymphoma.
Primary Endpoint
The maximum tolerated dose was not reached. The recommended doses for expansion were 30 ug/kg and 45 ug/kg for patients with classical Hodgkin lymphoma and 80 ug/kg for patients with T-cell non-Hodgkin lymphomas. No recommended doses for expansion were defined for B-cell non-Hodgkin lymphomas.
Other Endpoint
In the cHL cohort,ORR (95% CI) was 86.49% at 45 ug/kg (32/37 patients [71.20-95.50]) and 55.00% at 30 ug/kg (11/20 patients [31.50-76.90]); 48.65% (18/37 patients) and 35.00% (7/20 patients) achieved CR. Median (95% CI) DOR for the cHL population was 6.64 months (5.06-8.11),and was 7.16 months (4.57-8.51) in patients treated at 45 ug/kg.
Experiment 8 Reporting the Activity Date of This ADC [10]
Patients Enrolled
Antecedent myelodysplastic syndrome who received treatment with hypomethylating agents and subsequently presented with CD25-positive AmL, or patients with R/R CD25-positive acute lymphocytic leukemia (ALL) who had failed or were intolerant to any established therapy, or for whom no other treatment options were available.
Administration Dosage
Intravenously at 3-92 ug/kg once every three weeks (Q3W) or 30 or 37.50 ug/kg every week (QW).
Related Clinical Trial
NCT Number NCT02588092  Clinical Status Phase 1
Clinical Description A phase 1, open-label, dose-escalation, multicenter study to evaluate the tolerability, safety, pharmacokinetics, and activity of ADCT 301 in patients with relapsed or refractory CD25-positive acute myeloid leukemia (AML) or CD25-positive acute lymphoblastic leukemia.
Primary Endpoint
Two patients achieved complete responses with incomplete hematologic recovery; one each at 30.00 and 37.50 ug/kg QW.
Other Endpoint
Of 16 patients with post-baseline disease assessments, two patients treated on the QW dosing regimen had a complete response (CR).
Experiment 9 Reporting the Activity Date of This ADC [11]
Patients Enrolled
Relapsed or refractory classical Hodgkin lymphoma and non-Hodgkin lymphoma.
Administration Dosage
45 ug/kg Q3W for 2 cycles and then 30 ug/kg Q3W thereafter; intravenous administration.
Related Clinical Trial
NCT Number NCT02432235  Clinical Status Phase 1
Clinical Description A phase 1 adaptive dose-escalation study to evaluate the tolerability, safety, pharmacokinetics, and antitumor activity of ADCT-301 in patients with relapsed or refractory Hodgkin lymphoma and non-Hodgkin lymphoma.
Primary Endpoint
The ORR was 40%,representing 51 responders (patients achieved a best overall response of confirmed PR).
Other Endpoint
Of the 130 patients included in the safety analysis, 27 (20.77%) experienced grade2 increased GGT, 17 (13.08%) experienced a grade2 neurologic AE,and 18 (13.85%) experienced a grade2 autoimmune AE at cycle 6.
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 9 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 11.60% Moderate CD25 expression (CD25++; 76,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Karpas 299 with moderate CD25 expression (molecules per cell surface=76000). Compared with injection of vehicle (PBS), ADCT-301 administered intravenously (i.v.) at a mean tumor volume of 160 mm3 as a single dose at 0.1 mg/kg.

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
Experiment 2 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 41.50% High CD25 expression (CD25+++; 310,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Su-DHL-1 with high CD25 expression (molecules per cell surface=310000).ADCT-301 was administered intravenously at mean tumor volume of 155 mm3 at single doses of 0.3 mg/kg and tumor growth compared with that observed after injection of vehicle (PBS).

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model Anaplastic large cell lymphoma SU-DHL-1 cells CVCL_0538
Experiment 3 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 51.30% High CD25 expression (CD25+++; 310,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Su-DHL-1 with high CD25 expression (molecules per cell surface=310000).ADCT-301 was administered intravenously at mean tumor volume of 155 mm3 at single doses of 0.3 mg/kg and tumor growth compared with that observed after injection of vehicle (PBS).

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model Anaplastic large cell lymphoma SU-DHL-1 cells CVCL_0538
Experiment 4 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 68.40% Moderate CD25 expression (CD25++; 76,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Karpas 299 with moderate CD25 expression (molecules per cell surface=76000). Compared with injection of vehicle (PBS), ADCT-301 administered intravenously (i.v.) at a mean tumor volume of 160 mm3 as a single dose at 0.2 mg/kg.

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
Experiment 5 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 93.20% Moderate CD25 expression (CD25++; 76,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Karpas 299 with moderate CD25 expression (molecules per cell surface=76000). Compared with injection of vehicle (PBS), ADCT-301 administered intravenously (i.v.) at a mean tumor volume of 160 mm3 as a single dose at 0.4 mg/kg.

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
Experiment 6 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 94.10% High CD25 expression (CD25+++; 310,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Su-DHL-1 with high CD25 expression (molecules per cell surface=310000).ADCT-301 was administered intravenously at mean tumor volume of 155 mm3 at single doses of 0.6 mg/kg and tumor growth compared with that observed after injection of vehicle (PBS).

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model Anaplastic large cell lymphoma SU-DHL-1 cells CVCL_0538
Experiment 7 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 97.10% Moderate CD25 expression (CD25++; 76,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Karpas 299 with moderate CD25 expression (molecules per cell surface=76000).Vechicle (PBS), ADCT-301 (dar 2.2), nonbinding ADC (DAR 2.1) or Adcetris (DAR~4) were administered intravenously at a mean Karpas 299 tumor volume of 130mm3 as single doses at 0.5 mg/kg.

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
Experiment 8 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.40% Moderate CD25 expression (CD25++; 76,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Karpas 299 with moderate CD25 expression (molecules per cell surface=76000). Compared with injection of vehicle (PBS), ADCT-301 administered intravenously (i.v.) at a mean tumor volume of 160 mm3 as a single dose at 0.6mg/kg.

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
Experiment 9 Reporting the Activity Date of This ADC [12]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.80% High CD25 expression (CD25+++; 310,000 CD25 molecules/cell)
Method Description
Camidanlumab tesirine induces efficient tumor cell killing in CDX models of an anaplastic large cell lymphoma (ALCL) cell line Su-DHL-1 with high CD25 expression (molecules per cell surface=310000).ADCT-301 was administered intravenously at mean tumor volume of 155 mm3 at single doses of 0.6 mg/kg and tumor growth compared with that observed after injection of vehicle (PBS).

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In Vivo Model Anaplastic large cell lymphoma CDX model
In Vitro Model Anaplastic large cell lymphoma SU-DHL-1 cells CVCL_0538
Revealed Based on the Cell Line Data
Click To Hide/Show 9 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) 0.26 pM Moderate CD25 expression (CD25++; 17,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model Chronic eosinophilic leukemia EoL-1 cells CVCL_0258
Experiment 2 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) 4.96 pM High CD25 expression (CD25+++; 310,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model Anaplastic large cell lymphoma SU-DHL-1 cells CVCL_0538
Experiment 3 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) 17.07 pM Moderate CD25 expression (CD25++; 76,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
Experiment 4 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) 19.6 pM High CD25 expression (CD25+++; 167,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model Hodgkin lymphoma HDLM-2 cells CVCL_0009
Experiment 5 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) > 6667 pM Negative CD25 expression (CD25-; <1,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model Adult acute myeloid leukemia KG-1 cells CVCL_0374
Experiment 6 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) > 6667 pM Negative CD25 expression (CD25-; <1,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model T lymphocytic leukemia HuT 78 cells CVCL_0337
Experiment 7 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) > 6667 pM Negative CD25 expression (CD25-; <1,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model Burkitt lymphoma Daudi cells CVCL_0008
Experiment 8 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) > 6667 pM Negative CD25 expression (CD25-; <1,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model Burkitt lymphoma Ramos cells CVCL_0597
Experiment 9 Reporting the Activity Date of This ADC [12]
Efficacy Data Half Maximum Growth Inhibitory Concentration (GI50) 7.49, 1.11 pM, ng/mL Moderate CD25 expression (CD25++; 96,000 CD25 molecules/cell)
Method Description
The inhibitory activity of ADCT-301 against cancer cell growth was evaluated in various human cancer cell lines in vitro. CD25-positive and -negative cell lines were incubated with increasing concentrations of ADCT-301 or free warhead (SG3199) for 96 hours before processing by the MTS assay.
In Vitro Model Hodgkin lymphoma L-540 cells CVCL_1362
References
Ref 1 CD25-targeted antibody-drug conjugate camidanlumab tesirine for relapsed or refractory classical Hodgkin lymphoma
Ref 2 Camidanlumab tesirine in patients with relapsed or refractory lymphoma: a phase 1, open-label, multicentre, dose-escalation, dose-expansion study
Ref 3 Exposure-response analysis of Camidanlumab tesirine in patients with relapsed or refractory classical Hodgkin lymphoma and non-Hodgkin lymphoma
Ref 4 Study to Evaluate the Efficacy and Safety of Camidanlumab Tesirine (ADCT-301) in Patients With Relapsed or Refractory Hodgkin Lymphoma
Ref 5 Study of ADCT-301 in Patients With Relapsed or Refractory Hodgkin and Non-Hodgkin Lymphoma
Ref 6 Study of ADCT-301 in Patients With Selected Advanced Solid Tumors
Ref 7 ADCT-301 in Patients With R/R AML, MDS, or MDS/MPN
Ref 8 Study of ADCT-301 in Patients With Relapsed/Refractory CD25-positive Acute Myeloid Leukemia (AML) or CD25-positive Acute Lymphoblastic Leukemia (ALL)
Ref 9 Camidanlumab tesirine in patients with relapsed or refractory lymphoma: a phase 1, open-label, multicentre, dose-escalation, dose-expansion study. Lancet Haematol. 2021 Jun;8(6):e433-e445.
Ref 10 Camidanlumab tesirine, an antibody-drug conjugate, in relapsed/refractory CD25-positive acute myeloid leukemia or acute lymphoblastic leukemia: A phase I study. Leuk Res. 2020 Aug;95:106385.
Ref 11 Exposure-response analysis of Camidanlumab tesirine in patients with relapsed or refractory classical Hodgkin lymphoma and non-Hodgkin lymphoma. Cancer Chemother Pharmacol. 2023 Jan;91(1):1-12.
Ref 12 ADCT-301, a Pyrrolobenzodiazepine (PBD) Dimer-Containing Antibody-Drug Conjugate (ADC) Targeting CD25-Expressing Hematological Malignancies. Mol Cancer Ther. 2016 Nov;15(11):2709-2721.