General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0JQHJW
ADC Name
AGX101
Synonyms
susitabart ponetansine; AGX101
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Organization
Angiex (Originator)
Drug Status
Phase 1
Drug-to-Antibody Ratio
2
Structure
Antibody Name
Anti-TM4SF1 antibody
 Antibody Info 
Antigen Name
Transmembrane 4 L6 family member 1 (TM4SF1)
 Antigen Info 
Payload Name
Maytansine derivative
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
A non-cleavable linker
 Linker Info 
Conjugate Type
Reactive Cysteines
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
Unspecific solid tumor
1 Trials
Trial ID
NCT06440005
Sarcoma
1 Trials
Trial ID
NCT06440005
Colorectal cancer
1 Trials
Trial ID
NCT06440005
Pancreatic cancer
1 Trials
Trial ID
NCT06440005
Liver cancer
1 Trials
Trial ID
NCT06440005
Breast cancer
1 Trials
Trial ID
NCT06440005
Prostate cancer
1 Trials
Trial ID
NCT06440005
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 1 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Undisclosed  NCT06440005
PHASE1
A Phase 1, Open-Label, Dose-Escalation and Expansion Study of AGX101, a TM4SF1 Directed Antibody Drug Conjugate in Patients with Unresectable, Locally Advanced, or Metastatic Solid Tumors
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 5 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Tumor Growth Inhibition value (TGI) 
≈ 92.6
%
MIA PaCa-2 cells
Pancreatic ductal adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 93.4
%
MIA PaCa-2 cells
Pancreatic ductal adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 94.5
%
SK-BR-3 cells
Breast adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 95.6
%
HCC1954 cells
Breast ductal carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 98.1
%
Calu-3 cells
Lung adenocarcinoma
Revealed Based on the Cell Line Data
Click To Hide/Show 2 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Half Maximal Effective Concentration (EC50) 
0.02
nM
MIA PaCa-2 cells
Pancreatic ductal adenocarcinoma
Half Maximal Effective Concentration (EC50) 
0.02
nM
A-549 cells
Lung adenocarcinoma
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Patients Enrolled
Eligible patients have histologically confirmed advanced/metastatic solid tumors refractory to standard therapy, ECOG 0-1, adequate organ function, and effective contraception. Exclusions include untreated CNS metastases, uncontrolled infections, unresolved Grade ≥2 AEs (except neuropathy/endocrine irAEs), major recent surgery/radiotherapy, life-threatening comorbidities, active infections, pregnancy, or recent use of CYP3A modulators. Colorectal cancer/NSCLC with squamous histology requires sponsor approval.

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Administration Dosage
Experimental: Dose Escalation Phase AGX-101, initial 90-minute IV infusion, second 60-minute IV infusion and 30 minute subsequent IV infusions on Day 1 of every 3, 6 or 9-week cycle in Dose Escalation Phase. Dose escalation will be carried out in sequential cohorts of escalating doses, with an expansion cohort in advanced angiosarcoma.
Related Clinical Trial
NCT Number NCT06440005  Clinical Status PHASE1
Clinical Description A Phase 1, Open-Label, Dose-Escalation and Expansion Study of AGX101, a TM4SF1 Directed Antibody Drug Conjugate in Patients with Unresectable, Locally Advanced, or Metastatic Solid Tumors
Primary Endpoint
The study evaluates the maximum tolerated dose (MTD) of AGX101 and dose-limiting toxicities (DLTs) over 21 days post-dose (Day 1-Day 21). Adverse events will be assessed for incidence, severity, and duration from screening through treatment end (approx. 6 months up to 3 years).
Other Endpoint
Pharmacokinetic parameters include terminal elimination half-life, AUC, and Cmax over 22 days (Day 1-Day 22). ADA levels will be measured for approx. 6 months up to 3 years. Efficacy assessments involve ORR, DoR, DCR, PFS, treatment duration, and overall survival per RECIST v1.1.
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 5 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 92.60% High TM4SF1 expression (TM4SF1+++)
Method Description
Mice bearingeither MIA PaCa-2 tumors were treated with either vehiclecontrol or AGX101 at 12 mg/kg g7dx2.
In Vivo Model Pancreatic cancer CDX model
In Vitro Model Pancreatic ductal adenocarcinoma MIA PaCa-2 cells CVCL_0428
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 93.40% High TM4SF1 expression (TM4SF1+++)
Method Description
Mice bearingeither MIA PaCa-2 tumors were treated with either vehiclecontrol or AGX101 at 12 mg/kg g7dx2.
In Vivo Model Pancreatic cancer CDX model
In Vitro Model Pancreatic ductal adenocarcinoma MIA PaCa-2 cells CVCL_0428
Experiment 3 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 94.50% High TM4SF1 expression (TM4SF1+++)
Method Description
Mice bearingeither HCC1954 tumors were treated with either vehiclecontrol or AGX101 at 12 mg/kg g7dx2.
In Vivo Model Breast ductal cancer CDX model
In Vitro Model Breast adenocarcinoma SK-BR-3 cells CVCL_0033
Experiment 4 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 95.60% High TM4SF1 expression (TM4SF1+++)
Method Description
Mice bearingeither HCC1954 tumors were treated with either vehiclecontrol or AGX101 at 12 mg/kg g7dx2.
In Vivo Model Breast ductal cancer CDX model
In Vitro Model Breast ductal carcinoma HCC1954 cells CVCL_1259
Experiment 5 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.10% High TM4SF1 expression (TM4SF1+++)
Method Description
Mice bearingeither CALU-3 tumors were treated with either vehiclecontrol or AGX101 at 12 mg/kg g7dx2.
In Vivo Model Lung adenocarcinoma CDX model
In Vitro Model Lung adenocarcinoma Calu-3 cells CVCL_0609
Revealed Based on the Cell Line Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Effective Concentration (EC50) 0.02 nM High TM4SF1 expression (TM4SF1+++)
Method Description
The inhibitory activity of AGX101 exerted a potent cytotoxic effect against TM4SF1+ solid tumor cell lines.
In Vitro Model Pancreatic ductal adenocarcinoma MIA PaCa-2 cells CVCL_0428
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Effective Concentration (EC50) 0.02 nM High TM4SF1 expression (TM4SF1+++)
Method Description
The inhibitory activity of AGX101 exerted a potent cytotoxic effect against TM4SF1+ cell lines.
In Vitro Model Lung adenocarcinoma A-549 cells CVCL_0023
References
Ref 1 A Study to Evaluate Safety, Tolerability and Preliminary Activity of AGX101 in Participants with Advanced Solid Tumors
Ref 2 AGX101- A novel TM4SF1-directed ADC for the treatment of solid tumors; 2022.