General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0PFKFR
ADC Name
Pinatuzumab vedotin
Synonyms
ACD22-VCMMAE; Anti-CD22-ADC; Anti-CD22-MCC-DM1; DCDT 2980S ADC; DCDT-2980S; DCDT2980S; FCU-2703; RG-7593; RO-5541072; RO-5541072-000; DCDT 2980S antibody-drug conjugate
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Organization
Genentech, Inc.
Drug Status
Terminated in phase 2
Indication
In total 3 Indication(s)
Diffuse large B-cell lymphoma [ICD11:2A81]
Terminated in phase 2
Follicular lymphoma [ICD11:2A80]
Terminated in phase 2
B-cell lymphoma [ICD11:2A86]
Terminated in phase 1
Drug-to-Antibody Ratio
4
Structure
Antibody Name
Pinatuzumab
 Antibody Info 
Antigen Name
B-cell receptor CD22 (CD22)
 Antigen Info 
Payload Name
Monomethyl auristatin E
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Mc-Val-Cit-PABC
 Linker Info 
Conjugate Type
Random conjugation through reduced inter-chain cysteines.
Combination Type
Vedotin
Puchem SID
472405292 , 223370410 , 242651785 , 404772859 , 472225372
Drugbank ID
DB15432
ChEBI ID
CHEMBL3301585
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
Objective Response Rate (ORR)  NCT01209130
Phase 1
An open-label, multicenter, phase 1 trial of the safety and pharmacokinetics of escalating doses of DCDT2980S in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma and chronic lymphocytic leukemia and DCDT2980S in combination with rituximab in patients with relapsed or refractory B-cell non Hodgkin's lymphoma.

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Objective Response Rate (ORR)  NCT01691898
Phase 1
A randomized, open-label, multicenter, phase 2 trial evaluating the safety and activity of pinatuzumab vedotin (DCDT2980S) in combination with rituximab or polatuzumab vedotin (DCDS4501A) in combination with rituximab and a non-randomized phase 1b/2 evaluation of polatuzumab vedotin in combination with obinutuzumab in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.

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Objective Response Rate (ORR)  NCT01691898
Phase 1
A randomized, open-label, multicenter, phase 2 trial evaluating the safety and activity of pinatuzumab vedotin (DCDT2980S) in combination with rituximab or polatuzumab vedotin (DCDS4501A) in combination with rituximab and a non-randomized phase 1b/2 evaluation of polatuzumab vedotin in combination with obinutuzumab in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.

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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 Objective Response Rate (ORR)
36.00% (DLBCL)
50.00% (iNHL)
Patients Enrolled
Relapsed/refractory (r/r) diffuse diffuse large B-cell lymphoma (DLBCL), iNHL (including follicular lymphoma, marginal zone lymphoma, and small lymphocytic lymphoma), mantle cell lymphoma (MCL), and chronic lymphocytic leukemia (CLL), and for whom no suitable therapy of curative intent or higher priority existed.
Administration Dosage
Intravenously over 30-90 minutes in 21-day cycles, starting dose of 0.10 mg/kg.
Related Clinical Trial
NCT Number NCT01209130  Clinical Status Phase 1
Clinical Description An open-label, multicenter, phase 1 trial of the safety and pharmacokinetics of escalating doses of DCDT2980S in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma and chronic lymphocytic leukemia and DCDT2980S in combination with rituximab in patients with relapsed or refractory B-cell non Hodgkin's lymphoma.
Primary Endpoint
On the basis of these observations, while 3.20 mg/kg did not exceed the protocol-defined MTD.
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Objective Response Rate (ORR)
54.05% (R/R DLBCL, PiV% (CD22) + RTX)
66.67% (R/R FL, PiV% (CD22) + RTX)
Patients Enrolled
R/R diffuse large B-cell lymphoma (DLBCL), R/R follicular lymphoma (FL).
Administration Dosage
PiV + RTX (ADC 2.40 mg/kg + RTX 375 mg/m2) every 21 days.
Related Clinical Trial
NCT Number NCT01691898  Clinical Status Phase 1
Clinical Description A randomized, open-label, multicenter, phase 2 trial evaluating the safety and activity of pinatuzumab vedotin (DCDT2980S) in combination with rituximab or polatuzumab vedotin (DCDS4501A) in combination with rituximab and a non-randomized phase 1b/2 evaluation of polatuzumab vedotin in combination with obinutuzumab in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.
Primary Endpoint
For R/R DLBCL, ORR=51.35% (N=19/37, 95% Cl, 34.00-68.00), CR rate=13.51% (N=5/37, 95% Cl, 5.00-29.00) and PR rate=37.84% (N=14/37,95% Cl, 23.00-55.00) in patients treated with PoV (CD79b) + RTX. For R/R DLBCL, ORR=54.05% (N=20/37,95% Cl, 37.00-71.00),CR rate=18.92% (N=7/37,95% Cl, 8.00-35.00) and PR rate=35.14% (N=13/37,95% Cl, 20.00-53.00) in patients treated with PiV (CD22) + RTX.

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Other Endpoint
For R/R FL, ORR=60.00% (N=12/20,95% Cl 36.00-81.00), CR rate=30.00% (N=6/20, 95% Cl 12.00-54.00) and PR rate=30.00% (N=6/20,95% Cl 12.00-54.00) in patients treated with PoV (CD79b) + RTX. For R/R FL, ORR=66.67% (N=14/21,95% Cl 43.00-85.00), CR rate=4.76% (N=1/21, 95% Cl 0.10-24.00) and PR rate=61.90% (N=13/21,95% Cl 38.00-52.00) in patients treated with PiV (CD22) + RTX.

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Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Objective Response Rate (ORR)
60.00% (diffuse large B-cell lymphoma)
62.00% (follicular lymphoma cohort)
Patients Enrolled
Relapsed or refractory diffuse large B-cell lymphoma or relapsed or refractory grade 13a follicular lymphoma.
Administration Dosage
R-pina (375 mg/m2 rituximab plus 24 mg/kg ADCs) every 21 days until disease progression or unacceptable toxicity up to 1 year.
Related Clinical Trial
NCT Number NCT01691898  Clinical Status Phase 1
Clinical Description A randomized, open-label, multicenter, phase 2 trial evaluating the safety and activity of pinatuzumab vedotin (DCDT2980S) in combination with rituximab or polatuzumab vedotin (DCDS4501A) in combination with rituximab and a non-randomized phase 1b/2 evaluation of polatuzumab vedotin in combination with obinutuzumab in patients with relapsed or refractory B-cell non-Hodgkin's lymphoma.
Primary Endpoint
Pr=60.00%, CR=26.00% for large B-cell lymphoma. PR=62.00%,CR=70.00% for follicular lymphoma.
References
Ref 1 Phase I Study of the Anti-CD22 Antibody-Drug Conjugate Pinatuzumab Vedotin with/without Rituximab in Patients with Relapsed/Refractory B-cell Non-Hodgkin Lymphoma. Clin Cancer Res. 2017 Mar 1;23(5):1167-1176.
Ref 2 Preliminary results of a phase II randomized study (ROMULUS) of polatuzumab vedotin (PoV) or pinatuzumab vedotin (PiV) plus rituximab (RTX) in patients (Pts) with relapsed/refractory (R/R) non-Hodgkin lymphoma (NHL). Journal of Clinical Oncology 32, no. 15_suppl (May 20, 2014) 8519-8519.
Ref 3 Polatuzumab vedotin or pinatuzumab vedotin plus rituximab in patients with relapsed or refractory non-Hodgkin lymphoma: final results from a phase 2 randomised study (ROMULUS). Lancet Haematol. 2019 May;6(5):e254-e265.

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