General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0LQZSE
ADC Name
Naratuximab emtansine
Synonyms
naratuximab emtansine; IMGN529; Debio 1562
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Organization
ImmunoGen (Top20 MNC) (Originator) (No Rights);Debiopharm
Drug Status
Phase 2 (discontinued)
Drug-to-Antibody Ratio
3~4
Structure
Antibody Name
Naratuximab
 Antibody Info 
Antigen Name
Leukocyte antigen CD37 (CD37)
 Antigen Info 
Payload Name
DM1
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Succinimidyl-4-(N-maleimidomethyl)cyclohexane-1-carboxylate (SMCC)
 Linker Info 
Conjugate Type
Random Lysines
Combination Type
emtansine
Special Approval(s)
Orphan drug (FDA)
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
Chronic lymphocytic leukemia
1 Trials
Trial ID
NCT01534715
Diffuse large b-cell lymphoma
1 Trials
Trial ID
NCT01534715
Follicular lymphoma
1 Trials
Trial ID
NCT01534715
Mantle cell lymphoma
1 Trials
Trial ID
NCT01534715
Unspecific non-hodgkin lymphoma
1 Trials
Trial ID
NCT01534715
General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 16 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Maximum Observed Concentration (Cmax) 2.3 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg.

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[1]
Maximum Observed Concentration (Cmax) 3.9 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg.

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[1]
Maximum Observed Concentration (Cmax) 9.1 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg.

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[1]
Maximum Observed Concentration (Cmax) 13.8 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg.

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[1]
Maximum Observed Concentration (Cmax) 20.9 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg.

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[1]
Maximum Observed Concentration (Cmax) 24.9 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg.

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[1]
Maximum Observed Concentration (Cmax) 36 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg.

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[1]
Maximum Observed Concentration (Cmax) 53.5 ug/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg.

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[1]
Area Under the Concentration-Time Curve (AUC) 14.6 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 63.7 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 238.3 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 529.5 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1174 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1282 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1822 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 2525 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg, AUCinf.

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[1]
Distribution
Click To Hide/Show 16 Distribution Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 14.6 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 63.7 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 238.3 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 529.5 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1174 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1282 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1822 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 2525 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg, AUCinf.

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[1]
Volume of Distribution (Vd) 5.1 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg.

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[1]
Volume of Distribution (Vd) 3.8 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg.

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[1]
Volume of Distribution (Vd) 4.8 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg.

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[1]
Volume of Distribution (Vd) 2.6 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg.

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[1]
Volume of Distribution (Vd) 4 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg.

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[1]
Volume of Distribution (Vd) 2.7 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg.

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[1]
Volume of Distribution (Vd) 2.9 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg.

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[1]
Volume of Distribution (Vd) 2.8 L
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg.

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[1]
Metabolism
Click To Hide/Show 8 Metabolism Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 14.6 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 63.7 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 238.3 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 529.5 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1174 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1282 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1822 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 2525 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg, AUCinf.

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[1]
Excretion
Click To Hide/Show 24 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 14.6 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 63.7 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 238.3 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 529.5 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1174 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1282 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 1822 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg, AUCinf.

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[1]
Area Under the Concentration-Time Curve (AUC) 2525 ug*h/mL
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg, AUCinf.

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[1]
Elimination Half-Life (t1/2) 4.9 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg.

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[1]
Elimination Half-Life (t1/2) 9.8 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg.

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[1]
Elimination Half-Life (t1/2) 21.6 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg.

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[1]
Elimination Half-Life (t1/2) 20.9 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg.

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[1]
Elimination Half-Life (t1/2) 39.7 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg.

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[1]
Elimination Half-Life (t1/2) 30.3 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg.

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[1]
Elimination Half-Life (t1/2) 24.9 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg.

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[1]
Elimination Half-Life (t1/2) 33.9 h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg.

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[1]
Clearance (CL) 0.8 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.1 mg/kg.

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[1]
Clearance (CL) 0.3 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.2 mg/kg.

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[1]
Clearance (CL) 0.3 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.4 mg/kg.

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[1]
Clearance (CL) 0.2 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.7 mg/kg.

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[1]
Clearance (CL) 0.07 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 0.8 mg/kg.

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[1]
Clearance (CL) 0.07 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.0 mg/kg.

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[1]
Clearance (CL) 0.09 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.4 mg/kg.

   Click to Show/Hide
[1]
Clearance (CL) 0.07 L/h
Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study, Pharmacokinetic parameters Cycle 1, 1.8 mg/kg.

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[1]
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
Objective Response Rate (ORR)  NCT01534715
Phase 1
A phase 1, multi-center, open-label study of IMGN529 administered intravenously in adult patients with relapsed or refractory non-Hodgkin lymphoma and chronic lymphocytic leukemia.
Objective Response Rate (ORR)  NCT02564744
PHASE2
A Phase 2 Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Patients With Relapsed and/or Refractory Diffuse Large B-Cell Lymphoma and Other Forms of Non-Hodgkin's Lymphoma

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Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 4 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Tumor Growth Inhibition value (TGI) 
≈ 14.5
%
Non-Hodgkin lymphoma cells
Chronic lymphocytic leukemia cells
Non-Hodgkin lymphoma
Chronic lymphocytic leukemia
Tumor Growth Inhibition value (TGI) 
≈ 99
%
Non-Hodgkin lymphoma cells
Chronic lymphocytic leukemia cells
Non-Hodgkin lymphoma
Chronic lymphocytic leukemia
Tumor Growth Inhibition value (TGI) 
100
%
WSU-NHL cells
Diffuse large B-cell lymphoma
Tumor Growth Inhibition value (TGI) 
≈ 100
%
Non-Hodgkin lymphoma cells
Chronic lymphocytic leukemia cells
Non-Hodgkin lymphoma
Chronic lymphocytic leukemia
Revealed Based on the Cell Line Data
Click To Hide/Show 5 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Half Maximal Inhibitory Concentration (IC50) 
< 0.1
nM
Granta-519 cells
Mantle cell lymphoma
Half Maximal Inhibitory Concentration (IC50) 
< 0.1
nM
DoHH2 cells
Diffuse large B-cell lymphoma germinal center B-cell type
Half Maximal Inhibitory Concentration (IC50) 
< 0.1
nM
Farage cells
Diffuse large B-cell lymphoma
Half Maximal Inhibitory Concentration (IC50) 
< 0.1
nM
BJAB cells
Burkitt lymphoma
Half Maximal Inhibitory Concentration (IC50) 
< 1
nM
JVM-2 cells
Mantle cell lymphoma
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 [2]
Efficacy Data Objective Response Rate (ORR) 12.82% Positive CD38 expression (CD38+++/++)
Patients Enrolled
Lymphoma limited to diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), mantle cell lymphoma (MCL), or marginal zone lymphoma (MZL). Patients were also required to have received at least one prior anti-CD20 based therapeutic regimen, have a life expectancy of greater than 3 months, an Eastern Cooperative Oncology Group Performance status of 2 or lower, and adequate hematological, renal, and hepatic function.

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Administration Dosage
Conventional 3+3 dose-escalation design; intravenously once every 3 weeks; from 0.10 to 1.80 mg/kg.
Related Clinical Trial
NCT Number NCT01534715  Clinical Status Phase 1
Clinical Description A phase 1, multi-center, open-label study of IMGN529 administered intravenously in adult patients with relapsed or refractory non-Hodgkin lymphoma and chronic lymphocytic leukemia.
Primary Endpoint
A total of five objective responses were observed, resulting in an overall response rate (ORR) of 12.82% (N=39). Four of these (1 complete response [CR] and 3 partial responses [PRs]) occurred in patients with DLBCL, for an ORR of 22% in this lymphoma subset.
Experiment 2 Reporting the Activity Date of This ADC [4]
Efficacy Data Objective Response Rate (ORR)
44.70%
Patients Enrolled
Eligible participants had R/R DLBCL, FL, MZL/MALT, or MCL (WHO 2008 criteria) with 1-6 prior therapies (including anti-CD20); relapsed DLBCL patients required &ge;24-week response post-first-line or &ge;8-week response post-HD-ASCT. Exclusions: CLL/SLL, primary refractory DLBCL (<24-week response), HD-ASCT candidates, active hepatitis, pregnancy, prior anti-CD37 therapy, CNS involvement, cardiac dysfunction, or severe lung disease.

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Administration Dosage
As part of escalation, doses of IMGN529 were doubled from 0.1 mg/kg to 0.8 mg/kg before DLTs were observed.
Related Clinical Trial
NCT Number NCT02564744  Clinical Status PHASE2
Clinical Description A Phase 2 Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Patients With Relapsed and/or Refractory Diffuse Large B-Cell Lymphoma and Other Forms of Non-Hodgkin's Lymphoma
Primary Endpoint
The study evaluates treatment-emergent adverse events (TEAEs) over 38 months, including clinically significant lab abnormalities (hematology, serum chemistry, urinalysis, coagulation), ECG changes, and vital sign deviations. Secondary outcomes include objective response rate (ORR) based on RECIST criteria (CR: disappearance of target lesions; PR: ≥50% tumor reduction) assessed until disease progression or new therapy initiation.

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Other Endpoint
Key pharmacokinetic parameters (Cmax, AUC0-t, AUC0-inf, t1/2, CL, Vss, Tmax) for Debio 1562 and rituximab were measured across cycles (21-day intervals) up to 37 months. Efficacy endpoints included PFS (time to progression/death), TTR (time to first response), DOR (response duration), and OS (time to death), with PD defined as new lesions, >50% tumor growth, or nodal enlargement >1.5 cm. Anti-drug antibodies (ADA) against Debio 1562 were monitored.

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Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 4 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 14.50% Positive CD38 expression (CD38+++/++)
Method Description
IMGN529 induces efficient tumor cell killing in cell line-derived models B-cell NHL of cells with lower CD27 expression, dosed at 2.5 ug/kg , 2 qw3.
In Vivo Model CD37-positive NHL and CLL model
In Vitro Model Non-Hodgkin lymphoma Non-Hodgkin lymphoma cells Homo sapiens
Chronic lymphocytic leukemia Chronic lymphocytic leukemia cells Homo sapiens
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 99% Positive CD38 expression (CD38+++/++)
Method Description
IMGN529 induces efficient tumor cell killing in cell line-derived models B-cell NHL of cells with lower CD27 expression, dosed at 5 ug/kg , 2 qw3.
In Vivo Model CD37-positive NHL and CLL model
In Vitro Model Non-Hodgkin lymphoma Non-Hodgkin lymphoma cells Homo sapiens
Chronic lymphocytic leukemia Chronic lymphocytic leukemia cells Homo sapiens
Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) 100% Positive CD38 expression (CD38+++/++)
Method Description
The inhibitory activity of SGN-LIV1A against cancer cell growth was evaluated in various human cancer cell lines in vitro. The cells were treated 1 day.
In Vivo Model DoHH2 CDX model
In Vitro Model Diffuse large B-cell lymphoma WSU-NHL cells CVCL_1793
Experiment 4 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100% Positive CD38 expression (CD38+++/++)
Method Description
IMGN529 induces efficient tumor cell killing in cell line-derived models B-cell NHL of cells with lower CD27 expression, dosed at 10 ug/kg , 2 qw3.
In Vivo Model CD37-positive NHL and CLL model
In Vitro Model Non-Hodgkin lymphoma Non-Hodgkin lymphoma cells Homo sapiens
Chronic lymphocytic leukemia Chronic lymphocytic leukemia cells Homo sapiens
Revealed Based on the Cell Line Data
Click To Hide/Show 5 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) < 0.1 nM
Method Description
In vitro cytotoxicity was measured by incubating 5000 target cells with indicated agents in complete RPMI-1640 media for 5 days at 37°C. The viability of remaining cells was determined by a colorimetric WST-11 assay.
In Vivo Model DoHH2 CDX model
In Vitro Model Mantle cell lymphoma Granta-519 cells CVCL_1818
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) < 0.1 nM
Method Description
In vitro cytotoxicity was measured by incubating 5000 target cells with indicated agents in complete RPMI-1640 media for 5 days at 37°C. The viability of remaining cells was determined by a colorimetric WST-10 assay.
In Vivo Model DoHH2 CDX model
In Vitro Model Diffuse large B-cell lymphoma germinal center B-cell type DoHH2 cells CVCL_1179
Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) < 0.1 nM Positive CD38 expression (CD38+++/++)
Method Description
In vitro cytotoxicity was measured by incubating 5000 target cells with indicated agents in complete RPMI-1640 media for 5 days at 37°C. The viability of remaining cells was determined by a colorimetric WST-9 assay.
In Vivo Model DoHH2 CDX model
In Vitro Model Diffuse large B-cell lymphoma Farage cells CVCL_3302
Experiment 4 Reporting the Activity Date of This ADC [3]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) < 0.1 nM
Method Description
In vitro cytotoxicity was measured by incubating 5000 target cells with indicated agents in complete RPMI-1640 media for 5 days at 37°C. The viability of remaining cells was determined by a colorimetric WST-8 assay.
In Vivo Model DoHH2 CDX model
In Vitro Model Burkitt lymphoma BJAB cells CVCL_5711
Experiment 5 Reporting the Activity Date of This ADC [3]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) < 1 nM
Method Description
In vitro cytotoxicity was measured by incubating 5000 target cells with indicated agents in complete RPMI-1640 media for 5 days at 37°C. The viability of remaining cells was determined by a colorimetric WST-12 assay.
In Vivo Model DoHH2 CDX model
In Vitro Model Mantle cell lymphoma JVM-2 cells CVCL_1319
References
Ref 1 Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study
Ref 2 Safety, tolerability, and preliminary activity of IMGN529, a CD37-targeted antibody-drug conjugate, in patients with relapsed or refractory B-cell non-Hodgkin lymphoma: a dose-escalation, phase I study. Invest New Drugs. 2018 Oct;36(5):869-876.
Ref 3 A novel anti-CD37 antibody-drug conjugate with multiple anti-tumor mechanisms for the treatment of B-cell malignancies. Blood. 2013 Nov 14;122(20):3500-10.
Ref 4 Study to Evaluate the Efficacy and Tolerability of Debio 1562 in Combination With Rituximab in Participants With Relapsed and/or Refractory DLBCL and Other Forms of NHL