General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0KDAUC
ADC Name
Trastuzumab imbotolimod
Synonyms
BDC-1001; trastuzumab imbotolimod
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Organization
Bolt Biotherapeutics (Originator)
Drug Status
Phase 2 (discontinued)
Structure
Antibody Name
Trastuzumab
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2 ECD2); Receptor tyrosine-protein kinase erbB-2 (HER2 ECD4)
 Antigen Info 
Payload Name
T785
 Payload Info 
Therapeutic Target
Toll-like receptor 7 (TLR7); Toll-like receptor 8 (TLR8)
 Target Info 
Linker Name
BG based linker
 Linker Info 
Conjugate Type
Random Lysines
Combination Type
imbotolimod
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
Breast cancer
1 Trials
Trial ID
NCT04278144; EudraCT2021-006812-10; EUCT2024-518411-19-00
1 Trials
Trial ID
NCT05954143; EUCT2023-506038-65-00
Colorectal cancer
1 Trials
Trial ID
NCT04278144; EudraCT2021-006812-10; EUCT2024-518411-19-00
Endometrial cancer
1 Trials
Trial ID
NCT04278144; EudraCT2021-006812-10; EUCT2024-518411-19-00
Gastroesophageal junction adenocarcinoma
1 Trials
Trial ID
NCT04278144; EudraCT2021-006812-10; EUCT2024-518411-19-00
Unspecific solid tumor
1 Trials
Trial ID
NCT04278144; EudraCT2021-006812-10; EUCT2024-518411-19-00
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 3 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Partial Response (PR)  NCT04278144
PHASE1|||PHASE2
Phase 1/2 Study of BDC-1001 As a Single Agent and in Combination with Nivolumab in Patients with Advanced HER2-Expressing Solid Tumors
Undisclosed  NCT05954143
PHASE2
Phase 2, Multi-Center, Randomized, Open-Label Trial of BDC-1001 As a Single Agent and in Combination with Pertuzumab in Subjects with HER2-Positive Metastatic Breast Cancer Previously Treated with Trastuzumab Deruxtecan

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Undisclosed  NCT04278144
Phase 1/2
Phase 1/2 study of BDC-1001 as a single agent and in combination with nivolumab in patients with advanced HER2-expressing solid tumors.
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 3 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Partial Response (PR)
27%
Patients Enrolled
Eligible patients must have HER2-positive advanced solid tumors with exhausted treatment options, measurable disease (RECIST 1.1), ECOG 0-1, and available tumor tissue. Exclusions include hypersensitivity to study drugs, prior TLR7/8 agonist treatment, cardiac dysfunction, active infections (HIV, HBV, HCV, SARS-CoV-2), and untreated CNS metastases. Other protocol-specific criteria may apply.

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Administration Dosage
Pts with HER2+ (protein or gene) or HER2-low solid tumors progressing after standard therapies (Txs) were enrolled. BDC-1001 was given IV q3w, q2w, or q1w as monotherapy (mono; n=94) and q2w or q1w with nivolumab 240mg q2w (combo; n=37).
Related Clinical Trial
NCT Number NCT04278144  Clinical Status PHASE1|||PHASE2
Clinical Description Phase 1/2 Study of BDC-1001 As a Single Agent and in Combination with Nivolumab in Patients with Advanced HER2-Expressing Solid Tumors
Primary Endpoint
The study evaluates safety (AEs, SAEs, DLTs, and immune-related toxicities) and determines the maximum tolerated dose (MTD) during the escalation phase, alongside assessing ORR of complete/partial responses (CR/PR) in the expansion phase over a 2-year timeframe.
Other Endpoint
Pharmacokinetic parameters (Cmax, Cmin, AUC, CL, Vz, t1/2) of BDC-1001 are measured during both escalation and expansion periods, alongside efficacy outcomes (ORR, DOR, DCR, PFS per RECIST 1.1) and immunogenicity (anti-BDC-1001 antibodies) over 2 years.
Experiment 2 Reporting the Activity Date of This ADC [2]
Patients Enrolled
Eligible participants must have confirmed HER2+ breast adenocarcinoma (IHC 3+/ISH+/NGS+) with ≥2 prior anti-HER2 therapies (including trastuzumab deruxtecan), measurable disease, ECOG 0-1, and biopsy/archival tissue. Key exclusions cover hypersensitivity to BDC-1001/pertuzumab, prior TLR7/8 agonist treatment, significant cardiac disease, active viral infections, and unstable CNS metastases.

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Administration Dosage
BDC-1001 administered intravenously (IV) every 2 weeks
Related Clinical Trial
NCT Number NCT05954143  Clinical Status PHASE2
Clinical Description Phase 2, Multi-Center, Randomized, Open-Label Trial of BDC-1001 As a Single Agent and in Combination with Pertuzumab in Subjects with HER2-Positive Metastatic Breast Cancer Previously Treated with Trastuzumab Deruxtecan
Primary Endpoint
The efficacy of BDC-1001 alone and combined with pertuzumab is evaluated through Objective Response Rate (ORR) per RECIST v1.1 at 12 weeks.
Other Endpoint
Additional endpoints include long-term efficacy (DOR, DCR, PFS, OS up to 24 months), safety (TEAEs/TESAEs), pharmacokinetics (Cmin, Cmax), and immunogenicity (anti-BDC-1001 ADAs) during the 24-month period for both single-agent and combination therapy.
Experiment 3 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Patients with advanced metastatic HER2-expressing (IHC2/3+) or amplified solid tumors. Patients had received a median of 4 prior therapies.
Administration Dosage
4 dose levels (0.15-5.00 mg/kg) every 3 weeks.
Related Clinical Trial
NCT Number NCT04278144  Clinical Status Phase 1/2
Clinical Description Phase 1/2 study of BDC-1001 as a single agent and in combination with nivolumab in patients with advanced HER2-expressing solid tumors.
References
Ref 1 A First-in-human Study Using BDC-1001 As a Single Agent and in Combination with Nivolumab in Advanced HER2-Expressing Solid Tumors
Ref 2 Trial of BDC-1001 +/- Pertuzumab in Subjects with HER2-Positive Metastatic Breast Cancer
Ref 3 Preliminary results from a phase 1/2 study of BDC-1001, a novel HER2 targeting TLR7/8 immune-stimulating antibody conjugate (ISAC), in patients (pts) with advanced HER2-expressing solid tumors. J Clin Oncol. 2021 39:15_suppl, 2549-2549.