General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0JOHND
ADC Name
Gemtuzumab ozogamicin
Brand Name
Mylotarg
Synonyms
gemtuzumab ozogamicin; Mylotarg; gemtuzumab; gemtuzumab ozogamycin; CMA-676; CDP-771; hP67.6
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Organization
Celltech (Originator) (No Rights);Wyeth (Top20 MNC)
Drug Status
Approved in 2000 (withdrawn in 2010, approved again in 2017)
Drug-to-Antibody Ratio
2~3
Structure
Antibody Name
Gemtuzumab
 Antibody Info 
Antigen Name
Myeloid cell surface antigen CD33 (CD33)
 Antigen Info 
Payload Name
N-acetyl-gamma-calicheamicin
 Payload Info 
Therapeutic Target
Human deoxyribonucleic acid (hDNA)
 Target Info 
Linker Name
AcButDMH
 Linker Info 
Conjugate Type
Random Lysines
Combination Type
ozogamicin
Absorption
In pediatric patients (9 mg/m2), the peak plasma concentration (Cmax) was approximately 3.47±1.04 (mg/L) with the AUC of 136 ±107 (mg x h/L).
Distribution
The volume of distribution at steady state (Vss) was approximately 6.5±5.5 L in pediatric patients receiving a dose level of 9mg/m2.
Metabolism
Metabolic studies indicate hydrolytic release of the calicheamicin derivative from gemtuzumab ozogamicin. The drug is most likely removed by opsonization via the reticuloendothelial system. In pediatric patients receiving a dose level of 9mg/m2, the half life was approximately 64±44 h after the first dose.
Toxicity
Hepatotoxicity, including severe or fatal hepatic veno-occlusive disease (VOD), also known as sinusoidal obstruction syndrome (SOS), has been reported in association with the use of MYLOTARG as a single agent, and as part of a combination chemotherapy regimen.
Special Approval(s)
Accelerated approval (FDA); Orphan drug (FDA); Orphan drug (EMA)
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
Acute lymphoblastic leukemia
1 Trials
Trial ID
NCT00038805
Acute myeloid leukaemia
1 Trials
Trial ID
NCT03848754
8 Trials
Trial ID
NCT00089050
EudraCT2005-000640-91
NCT01548911
NCT00053274; NCT00044733
NCT00006122
NCT00003131
NCT00003673
NCT03737955
2 Trials
Trial ID
NCT00091234
EudraCT2004-004356-39
8 Trials
Trial ID
NCT04093505; EudraCT2019-003913-32
NCT02724163; ISRCTN12389567; EudraCT2014-005066-30; EUCT2024-516112-21-00
ISRCTN77039377
EudraCT2004-001918-13
NCT00476541
NCT00962767
EudraCT2006-002743-89
NCT06713837; EudraCT2024-514517-35; EUCT2024-514517-35-00
Chronic myeloid leukemia
1 Trials
Trial ID
NCT00038805
Coronavirus disease 2019
1 Trials
Trial ID
ISRCTN40580903; EudraCT2020-001684-89
Haemophagocytic lymphohistiocytosis
2 Trials
Trial ID
ISRCTN89158144
EudraCT2020-002428-36
Macrophage activation syndrome
2 Trials
Trial ID
ISRCTN89158144
EudraCT2020-002428-36
Myelodysplastic syndrome
1 Trials
Trial ID
NCT00022321
1 Trials
Trial ID
NCT00038805
1 Trials
Trial ID
EudraCT2004-001918-13
Unspecific solid tumor
2 Trials
Trial ID
ISRCTN89158144
EudraCT2020-002428-36
ADC-specific functional property(2027 Update)
Bystander Killing Effect
Click To Hide/Show 1 ADC-specific functional property Data
Bystander Killing Effect Description Reference
no Undisclosed
[1]
General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 45 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 132±136 h/liter
After i.v. administration of the 9 mg/m2 dose,Corresponding AUCs were 132±136 and 243±198 mg h/liter for dose periods 1 and 2, respectively.
[1]
Maximum Observed Concentration (Cmax) 2.86 mg/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Area Under the Concentration-Time Curve (AUC) 123 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Maximum Observed Concentration (Cmax) 3.67 mg/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Area Under the Concentration-Time Curve (AUC) 239 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Maximum Observed Concentration (Cmax) 1.70±1.12 mg/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 48.8±47.6 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Maximum Observed Concentration (Cmax) 1.94±1.09 mg/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 79.7±66.2 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 3.11 mg/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 112 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Maximum Observed Concentration (Cmax) 3 mg/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 153 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 3.47±1.04 mg/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 136±107 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Maximum Observed Concentration (Cmax) 4.68±2.18 mg/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 241±157 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 1.58±1.16 mg/L
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 46.2±54.5 mg*h/L
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 2.14±1.66 mg/L
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 41.1±48 mg*h/L
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 1.49±0.8 mg/L
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 54.3±51.9 mg*h/L
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 3.11±0.55 mg/L
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 113±37.7 mg*h/L
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 3.54±0.83 mg/L
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 134±36.7 mg*h/L
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 3.76±1 mg/L
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 184±163 mg*h/L
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 3.24±1.19 mg/L
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 102±59.6 mg*h/L
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 5.86±1.35 mg/L
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Maximum Observed Concentration (Cmax) 2.99±1.63 mg/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 137±124 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Maximum Observed Concentration (Cmax) 2.72±0.98 mg/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 110±82 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Maximum Observed Concentration (Cmax) 3.03±1.36 mg/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Area Under the Concentration-Time Curve (AUC) 129±91 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Maximum Observed Concentration (Cmax) 2.61±1.31 mg/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Area Under the Concentration-Time Curve (AUC) 115±125 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Maximum Observed Concentration (Cmax) 2.86±1.35 mg/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Maximum Observed Concentration (Cmax) 1.4 mg/L
Pediatric Patients (6 mg/m2)
[5]
Area Under the Concentration-Time Curve (AUC) 48.5 mg*h/L
Pediatric Patients (6 mg/m2)
[5]
Distribution
Click To Hide/Show 54 Distribution Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 132±136 h/liter
After i.v. administration of the 9 mg/m2 dose,Corresponding AUCs were 132±136 and 243±198 mg h/liter for dose periods 1 and 2, respectively.
[1]
Area Under the Concentration-Time Curve (AUC) 123 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Volume of Distribution (Vd) 20.95 L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Area Under the Concentration-Time Curve (AUC) 239 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Volume of Distribution (Vd) 9.92 L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Area Under the Concentration-Time Curve (AUC) 48.8±47.6 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Volume of Distribution (Vd) 13.7±14.0 L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 79.7±66.2 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 12.5±13.1 L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 112 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Volume of Distribution (Vd) 6.3 L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 153 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 14.5 L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 136±107 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Volume of Distribution (Vd) 6.5±5.5 L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 241±157 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 3.9±2.1 L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 46.2±54.5 mg*h/L
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 2.3±1.2 L
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.19±0.1 L/kg
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 41.1±48 mg*h/L
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 11.2±11.8 L
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.48±0.51 L/kg
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 54.3±51.9 mg*h/L
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 20.1±15.5 L
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.36±0.28 L/kg
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 113±37.7 mg*h/L
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 6.3±2.5 L
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.11±0.04 L/kg
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 134±36.7 mg*h/L
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 2.9±2.7 L
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.24±0.22 L/kg
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 184±163 mg*h/L
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 3.9±1.6 L
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.17±0.07 L/kg
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 102±59.6 mg*h/L
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 9.4±6.6 L
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.17±0.12 L/kg
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 20.9±21.5 L
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Volume of Distribution (Vd) 0.3±0.31 L/kg
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 137±124 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Volume of Distribution (Vd) 20±20.8 L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 110±82 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Volume of Distribution (Vd) 21.9±22.6 L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 129±91 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Volume of Distribution (Vd) 19.2±19 L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Area Under the Concentration-Time Curve (AUC) 115±125 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Volume of Distribution (Vd) 23.4±24.9 L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Volume of Distribution (Vd) 20.9±21.5 L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Area Under the Concentration-Time Curve (AUC) 48.5 mg*h/L
Pediatric Patients (6 mg/m2)
[5]
Volume of Distribution (Vd) 6.37 L
Population Pharmacokinetic Modeling of Gemtuzumab Ozogamicin in Adult Patients with Acute Myeloid Leukemia,volume of distribution in central compartment
[6]
Volume of Distribution (Vd) 8.58 L
Population Pharmacokinetic Modeling of Gemtuzumab Ozogamicin in Adult Patients with Acute Myeloid Leukemia,volume of distribution in peripheral compartment
[6]
Metabolism
Click To Hide/Show 23 Metabolism Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 132±136 h/liter
After i.v. administration of the 9 mg/m2 dose,Corresponding AUCs were 132±136 and 243±198 mg h/liter for dose periods 1 and 2, respectively.
[1]
Area Under the Concentration-Time Curve (AUC) 123 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Area Under the Concentration-Time Curve (AUC) 239 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Area Under the Concentration-Time Curve (AUC) 48.8±47.6 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 79.7±66.2 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 112 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 153 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 136±107 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 241±157 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 46.2±54.5 mg*h/L
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 41.1±48 mg*h/L
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 54.3±51.9 mg*h/L
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 113±37.7 mg*h/L
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 134±36.7 mg*h/L
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 184±163 mg*h/L
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 102±59.6 mg*h/L
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 137±124 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 110±82 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 129±91 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Area Under the Concentration-Time Curve (AUC) 115±125 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Area Under the Concentration-Time Curve (AUC) 48.5 mg*h/L
Pediatric Patients (6 mg/m2)
[5]
Excretion
Click To Hide/Show 88 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 132±136 h/liter
After i.v. administration of the 9 mg/m2 dose,Corresponding AUCs were 132±136 and 243±198 mg h/liter for dose periods 1 and 2, respectively.
[1]
Clearance (CL) 0.12±0.15 L/h/m2
The mean clearance rate was approximately 0.12±0.15 L/h/m2 in pediatric patients receiving a dose level of 9mg/m2
[1]
Elimination Half-Life (t1/2) 64±44 h
In pediatric patients receiving a dose level of 9mg/m2 , the half life was approximately 64±44 h after the first dose
[1]
Elimination Half-Life (t1/2) 72.4 h
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Area Under the Concentration-Time Curve (AUC) 123 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Clearance (CL) 0.265 L/h
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 1 (n=59).
[2]
Elimination Half-Life (t1/2) 93.7 h
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Area Under the Concentration-Time Curve (AUC) 239 mg*h/L
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Clearance (CL) 0.132 L/h
Summary of hP67.6 Pharmacokinetic Parameters in Patients Receiving 9 mg/m2 Intravenous Infusion Doses of Gemtuzumab Ozogamicin, Dose period 2 (n=49).
[2]
Elimination Half-Life (t1/2) 43.1±22.7 h
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 48.8±47.6 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Clearance (CL) 0.61±1.34 L/h
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Clearance (CL) 0.48±0.94 L/h/m2
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Elimination Half-Life (t1/2) 49.4±25.6 h
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 79.7±66.2 mg*h/L
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.32±0.49 L/h
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.25±0.35 L/h/m2
6 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 40 h
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 112 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Clearance (CL) 0.12 L/h
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Clearance (CL) 0.07 L/h/m2
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Elimination Half-Life (t1/2) 33.4 h
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 153 mg*h/L
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.09 L/h
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.05 L/h/m2
7.5 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 63.7±44.3 h
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Area Under the Concentration-Time Curve (AUC) 136±107 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Clearance (CL) 0.16±0.23 L/h
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Clearance (CL) 0.12±0.15 L/h/m2
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 1.
[3]
Elimination Half-Life (t1/2) 57.8±33.4 h
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 241±157 mg*h/L
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.21±0.45 L/h
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.16±0.34 L/h/m2
9 Mg/m2, first dose, Administered in AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 30.6±8.9 h
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 46.2±54.5 mg*h/L
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.16±0.16 L/h
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.29±0.30 L/h/m2
6 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 32.9±18.2 h
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 41.1±48 mg*h/L
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.27±0.22 L/h
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.29±0.18 L/h/m2
6 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 52.5±25 h
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 54.3±51.9 mg*h/L
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.99±1.87 L/h
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.68±1.34 L/h/m2
6 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 40±7.4 h
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 113±37.7 mg*h/L
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.12±0.06 L/h
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.07±0.02 L/h/m2
7.5 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 113±108 h
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 134±36.7 mg*h/L
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.03±0.02 L/h
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.05±0.02 L/h/m2
9 Mg/m2, first dose, Administered in Infants (0-2 years) AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 45.6±30.8 h
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 184±163 mg*h/L
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.06±0.03 L/h
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.08±0.05 L/h/m2
9 Mg/m2, first dose, Administered in Children (3-11 years) AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 62±16.5 h
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 102±59.6 mg*h/L
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.26±0.3 L/h
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.17±0.21 L/h/m2
9 Mg/m2, first dose, Administered in Adolescents (12-16 years) AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 72.4±42.0 h
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.27±0.23 L/h
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Clearance (CL) 0.15±0.13 L/h/m2
9 Mg/m2, first dose, Administered in Adults AML patients in first relapse,period 2.
[3]
Elimination Half-Life (t1/2) 66.8±39.4 h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 137±124 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Clearance (CL) 0.254±0.229 L/h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Men (n=29)
[4]
Elimination Half-Life (t1/2) 77.9±44.5 h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Area Under the Concentration-Time Curve (AUC) 110±82 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Clearance (CL) 0.288±0.232 L/h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Women (n=29)
[4]
Elimination Half-Life (t1/2) 74.1±47.7 h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Area Under the Concentration-Time Curve (AUC) 129±91 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Clearance (CL) 0.239±0.207 L/h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Age<60 yrs (n=34)
[4]
Elimination Half-Life (t1/2) 69.8±33.1 h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Area Under the Concentration-Time Curve (AUC) 115±125 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Clearance (CL) 0.304±0.258 L/h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by Aged≥60 yrs (n=24)
[4]
Elimination Half-Life (t1/2) 72.4±42.0 h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Area Under the Concentration-Time Curve (AUC) 123±105 mg*h/L
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Clearance (CL) 0.265±0.229 L/h
HP67.6 Pharmacokinetics for the First Dose Period of Patients by All patients
[4]
Area Under the Concentration-Time Curve (AUC) 48.5 mg*h/L
Pediatric Patients (6 mg/m2)
[5]
Clearance (CL) 0.296 L/h
Pediatric Patients (6 mg/m2)
[5]
Elimination Half-Life (t1/2) 51.6 h
Pediatric Patients (6 mg/m2)
[5]
Clearance (CL) 0.353 L/h
Adult Patients (9 mg/m2)
[5]
Elimination Half-Life (t1/2) 66.5 h
Adult Patients (9 mg/m2)
[5]
Clearance (CL) 0.117 L/h
Population Pharmacokinetic Modeling of Gemtuzumab Ozogamicin in Adult Patients with Acute Myeloid Leukemia, linear clearance
[6]
Clearance (CL) 0.0861 L/h
Population Pharmacokinetic Modeling of Gemtuzumab Ozogamicin in Adult Patients with Acute Myeloid Leukemia, intercompartmental clearance
[6]
Clearance (CL) 2.75 L/h
Population Pharmacokinetic Modeling of Gemtuzumab Ozogamicin in Adult Patients with Acute Myeloid Leukemia, clearance associated with CLt, CLt time-dependent clearance
[6]
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Two-year Overall Survival (OS)  NCT00893399
Phase 3
Phase III study of chemotherapy in combination with atra with or without gemtuzumab ozogamicin in patients with acute myeloid leukemia and npm1 gene mutation.
Objective Response Rate (ORR)  NCT00909168
Phase 3
Induction, consolidation and intensification therapy for patients younger than 66 years with previously untreated CD33 positive acute myeloid leukemia (AML) (MYFLAI07).
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 1 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Tumor Growth Inhibition value (TGI) 
≈ 13.81
%
MV4-11 cells
Childhood acute monocytic leukemia
Revealed Based on the Cell Line Data
Click To Hide/Show 40 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Half Maximal Inhibitory Concentration (IC50) 
20
pM
ML-2 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
30
pM
EoL-1 cells
Chronic eosinophilic leukemia
Half Maximal Inhibitory Concentration (IC50) 
30
pM
MOLM-13 cells
Adult acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
40
pM
SKNO-1 cells
Adult acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
70
pM
MV4-11 cells
Childhood acute monocytic leukemia
Half Maximal Inhibitory Concentration (IC50) 
90
pM
OCI-AML-1 cells
Adult acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
90
pM
HL-60 cells
Adult acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.1
nM
Kasumi-6 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.1
nM
AML-193 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.1
nM
OCI-AML-4 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 0.41
nM
KOPN-8 cells
Leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.43
nM
MOLT-4 cells
Adult T acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.45
nM
SKM-1 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.52
nM
HNT-34 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.56
nM
RS4
11 cells
Adult B acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
0.58
nM
Reh cells
B acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
1.47
nM
LC4-1 cells
B acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
1.78
nM
SUP-B15 cells
B-lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
2.57
nM
THP-1 cells
Childhood acute monocytic leukemia
Half Maximal Inhibitory Concentration (IC50) 
2.92
nM
TALL-1 cells
T acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
3.31
nM
LOUCY cells
Adult T acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
8.02
nM
NALM-16 cells
Childhood B acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
8.03
nM
ATN-1 cells
T acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
8.56
nM
CCRF-CEM cells
T acute lymphoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
8.61
nM
SUP-T1 cells
T lymphoblastic lymphoma
Half Maximal Inhibitory Concentration (IC50) 
8.91
nM
ARH-77 cells
Leukemia
Half Maximal Inhibitory Concentration (IC50) 
10.2
nM
Jurkat E6.1 cells
Leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
GDM-1 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
TF-1a cells
Acute erythroid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
KU812 cells
Chronic myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
CMK-11-5 cells
Acute megakaryoblastic leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
PLB-985 cells
Adult acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
OCI-M1 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
Kasumi-1 cells
Myeloid leukemia with maturation
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
NOMO-1 cells
Acute monocytic leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
KG-1a cells
Leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
Kasumi-3 cells
Adult acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
AML-193 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
Kasumi-6 cells
Acute myeloid leukemia
Half Maximal Inhibitory Concentration (IC50) 
> 20
nM
F-36P cells
Myelodysplastic syndrome
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [7]
Efficacy Data Two-year Overall Survival (OS)
69.00 (standard group); 73.00 (gemtuzumab ozogamicin group) %
Patients Enrolled
Eligible participants were 18 years or older and had newly diagnosed NPM1-mutated acute myeloid leukaemia and an Eastern Cooperative Oncology Group performance status of 0-2.
Administration Dosage
Participants received two cycles of induction therapy plus all-trans retinoic acid (ATRA) followed by three consolidation cycles of high-dose cytarabine and ATRA, without or with gemtuzumab ozogamicin (3 mg/m2 i.v.on day 1 of induction cycles 1 and 2, and consolidation cycle 1).
Related Clinical Trial
NCT Number NCT00893399  Clinical Status Phase 3
Clinical Description Phase III study of chemotherapy in combination with atra with or without gemtuzumab ozogamicin in patients with acute myeloid leukemia and npm1 gene mutation.
Primary Endpoint
Short-term event-free survival at 6-month follow-up, 53.00% in the standard group and 58.00% in the gemtuzumab ozogamicin group.
Other Endpoint
CRi rates, n=267 (90%) in the standard group vs n=251 (86%) in the gemtuzumab ozogamicin group.
Experiment 2 Reporting the Activity Date of This ADC [8]
Efficacy Data Objective Response Rate (ORR) 85% Positive CD33 expression (CD33+++/++)
Patients Enrolled
Previously untreated primary or secondary acute myeloid leukemia (with bone marrow blasts 20%), express CD33 on blast cells.
Administration Dosage
3 mg/sqm single dose on day 6.
Related Clinical Trial
NCT Number NCT00909168  Clinical Status Phase 3
Clinical Description Induction, consolidation and intensification therapy for patients younger than 66 years with previously untreated CD33 positive acute myeloid leukemia (AML) (MYFLAI07).
Primary Endpoint
Objective response rate=85.00%, comprising 82.00% complete responses and 3.00% partial responses.
Other Endpoint
median DFS=61 months, median OS=63 months.
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [9]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 13.81% Positive CD33 expression (CD33+++/++)
Method Description
Subcutaneous tumor model MV4-11 human acute myelocytic leukemia cells (1x10 cells in 0.1 mL) were subcutaneously inoculated into the right flank of female athymic nude mice. Mice were treated with ADCs (iv, 0.1 mg/kg x 1) when tumors reached 150 mm3 and mouse body weight were measured twice per week.
In Vivo Model MV411 CDX model
In Vitro Model Childhood acute monocytic leukemia MV4-11 cells CVCL_0064
Revealed Based on the Cell Line Data
Click To Hide/Show 40 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 20 pM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia ML-2 cells CVCL_1418
Experiment 2 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 30 pM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Chronic eosinophilic leukemia EoL-1 cells CVCL_0258
Experiment 3 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 30 pM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult acute myeloid leukemia MOLM-13 cells CVCL_2119
Experiment 4 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 40 pM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult acute myeloid leukemia SKNO-1 cells CVCL_2196
Experiment 5 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 70 pM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Childhood acute monocytic leukemia MV4-11 cells CVCL_0064
Experiment 6 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 90 pM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult acute myeloid leukemia OCI-AML-1 cells CVCL_5228
Experiment 7 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 90 pM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult acute myeloid leukemia HL-60 cells CVCL_0002
Experiment 8 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.1 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia Kasumi-6 cells CVCL_0614
Experiment 9 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.1 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia AML-193 cells CVCL_1071
Experiment 10 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.1 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia OCI-AML-4 cells CVCL_5224
Experiment 11 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 0.41 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Leukemia KOPN-8 cells CVCL_1866
Experiment 12 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.43 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult T acute lymphoblastic leukemia MOLT-4 cells CVCL_0013
Experiment 13 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.45 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia SKM-1 cells CVCL_0098
Experiment 14 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.52 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia HNT-34 cells CVCL_2071
Experiment 15 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.56 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult B acute lymphoblastic leukemia RS4;11 cells CVCL_0093
Experiment 16 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.58 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model B acute lymphoblastic leukemia Reh cells CVCL_1650
Experiment 17 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 1.47 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model B acute lymphoblastic leukemia LC4-1 cells CVCL_1374
Experiment 18 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 1.78 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model B-lymphoblastic leukemia SUP-B15 cells CVCL_0103
Experiment 19 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 2.57 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Childhood acute monocytic leukemia THP-1 cells CVCL_0006
Experiment 20 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 2.92 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model T acute lymphoblastic leukemia TALL-1 cells CVCL_1736
Experiment 21 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 3.31 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult T acute lymphoblastic leukemia LOUCY cells CVCL_1380
Experiment 22 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 8.02 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Childhood B acute lymphoblastic leukemia NALM-16 cells CVCL_1834
Experiment 23 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 8.03 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model T acute lymphoblastic leukemia ATN-1 cells CVCL_1073
Experiment 24 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 8.56 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model T acute lymphoblastic leukemia CCRF-CEM cells CVCL_0207
Experiment 25 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 8.61 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model T lymphoblastic lymphoma SUP-T1 cells CVCL_1714
Experiment 26 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 8.91 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Leukemia ARH-77 cells CVCL_1072
Experiment 27 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 10.2 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Leukemia Jurkat E6.1 cells CVCL_0367
Experiment 28 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia GDM-1 cells CVCL_1230
Experiment 29 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute erythroid leukemia TF-1a cells CVCL_3608
Experiment 30 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Chronic myeloid leukemia KU812 cells CVCL_0379
Experiment 31 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Negative CD33 expression (CD33-)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute megakaryoblastic leukemia CMK-11-5 cells CVCL_0217
Experiment 32 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult acute myeloid leukemia PLB-985 cells CVCL_2162
Experiment 33 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia OCI-M1 cells CVCL_2149
Experiment 34 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Myeloid leukemia with maturation Kasumi-1 cells CVCL_0589
Experiment 35 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute monocytic leukemia NOMO-1 cells CVCL_1609
Experiment 36 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Leukemia KG-1a cells CVCL_1824
Experiment 37 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Adult acute myeloid leukemia Kasumi-3 cells CVCL_0612
Experiment 38 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia AML-193 cells CVCL_1071
Experiment 39 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Acute myeloid leukemia Kasumi-6 cells CVCL_0614
Experiment 40 Reporting the Activity Date of This ADC [9]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 20 nM Positive CD33 expression (CD33+++/++)
Method Description
The cells, at a predetermined concentration, were plated into 96 well plates, and, after overnight incubation at 37°C/5% CO2, serial dilutions of each test article (TA) were added to the cells. Cells were incubated with test articles for 72 hours. and viability was detected with CellTiter-Gloreagent.
In Vitro Model Myelodysplastic syndrome F-36P cells CVCL_2037
References
Ref 1 Approval summary: gemtuzumab ozogamicin in relapsed acute myeloid leukemia
Ref 2 Pharmacokinetics of gemtuzumab ozogamicin, an antibody-targeted chemotherapy agent for the treatment of patients with acute myeloid leukemia in first relapse
Ref 3 Pharmacokinetics of gemtuzumab ozogamicin as a single-agent treatment of pediatric patients with refractory or relapsed acute myeloid leukemia
Ref 4 Impact of age and gender on the pharmacokinetics of gemtuzumab ozogamicin
Ref 5 Gemtuzumab Ozogamicin
Ref 6 Population Pharmacokinetic Modeling of Gemtuzumab Ozogamicin in Adult Patients with Acute Myeloid Leukemia
Ref 7 Intensive chemotherapy with or without gemtuzumab ozogamicin in patients with NPM1-mutated acute myeloid leukaemia (AMLSG 09-09): a randomised, open-label, multicentre, phase 3 trial. Lancet Haematol. 2023 Jul;10(7):e495-e509. doi: 10.1016/S2352-3026(23)00089-3. Epub 2023 May 12.
Ref 8 Flai (fludarabine, cytarabine, idarubicin) plus low-dose Gemtuzumab Ozogamicin as induction therapy in CD33-positive AML: Final results and long term outcome of a phase II multicenter clinical trial. Am J Hematol. 2018 May;93(5):655-663. doi: 10.1002/ajh.25057. Epub 2018 Mar 2.
Ref 9 Neodegrader conjugates; 2021-10-07.