General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0PHKMG
ADC Name
roltotatug vedotin
Synonyms
roltotatug vedotin; TORL-4-500
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Organization
TORL Biotherapeutics (Originator)
Drug Status
Phase 1
Structure
Antibody Name
Roltotatug
 Antibody Info 
Antigen Name
Protein delta homolog 1 (DLK1)
 Antigen Info 
Payload Name
MMAE
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Mc-Val-Cit-PABC
 Linker Info 
Conjugate Type
Random Cysteines
Combination Type
vedotin
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
NCT06005740
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  NCT06005740
PHASE1
A Phase 1, First in Human Study of TORL-4-500 in Patients with Advanced Cancer
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 must have advanced solid tumors (RECIST 1.1 measurable) with ECOG 0-1 and adequate organ function. Exclusions include: unresolved treatment toxicities (>Grade 1); recent anticancer therapy (14-day/28-day washout for small molecules/biologics); active brain metastases; uncontrolled medical conditions/organ dysfunction; significant cardiac disease; MDS/AML history; recent malignancies (except cured skin cancers/low-risk DCIS/prostate cancer); and pregnancy/breastfeeding.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06005740  Clinical Status PHASE1
Clinical Description A Phase 1, First in Human Study of TORL-4-500 in Patients with Advanced Cancer
Primary Endpoint
The safety profile including AE/SAE incidence and severity (graded by NCI-CTCAE v5.0) will be monitored for two years. The study will establish the MTD (highest dose with <33% DLTs among 6 evaluable participants in 28 days) and determine RP2D based on MTD, safety data, and pharmacokinetics.
Other Endpoint
Efficacy measures include ORR (CR+PR per RECIST 1.1), DOR from first response to progression/death, PFS from treatment initiation to progression/death, and TTR over two years. Survival rates (1-/2-year OS) will be tracked. Immunogenicity (ADA positivity) and comprehensive PK parameters (Cmax/Cmin/Tmax/AUC/Vz/CL/Rac) for TORL-4-500 will be assessed at single-dose (21-day) and steady-state (63-day) timepoints.

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References
Ref 1 A Phase 1, First in Human Study of TORL-4-500 in Patients with Advanced Cancer