General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0PTOUF
ADC Name
LY4101174
Synonyms
LY4101174; ETx-22
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Organization
Emergence Therapeutics (Top20 MNC) (Originator);Heidelberg Pharma (Originator) (No Rights);Mablink Bioscience (Top20 MNC) (No Rights)
Drug Status
Phase 1
Drug-to-Antibody Ratio
8
Structure
Antibody Name
Anti-Nectin-4 antibody
 Antibody Info 
Antigen Name
Nectin-4 (NECTIN4)
 Antigen Info 
Payload Name
Exatecan
 Payload Info 
Therapeutic Target
DNA topoisomerase 1 (TOP1)
 Target Info 
Linker Name
maleimide-β-glucuronide poly-sarcosine linker
 Linker Info 
Conjugate Type
Random 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
Breast cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Cervical cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Head and neck cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Kidney cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Lung cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Oesophageal cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Ovarian cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Pancreatic cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Prostate cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
Urothelial cancer
1 Trials
Trial ID
NCT06238479; jRCT2031240083; EudraCT2023-509867-26; EUCT2023-509867-26-00; CTR20253122
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  NCT06238479
PHASE1
A Phase 1 Trial Investigating LY4101174, an Antibody-Drug Conjugate Targeting Nectin-4, in Participants With Recurrent, Advanced or Metastatic Solid Tumors
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 specified advanced solid tumors (urothelial, TNBC, NSCLC, etc.) with disease progression after prior therapies (requirements vary by cohort). Key requirements include ECOG 0-1, measurable disease (except Cohort A1), and available tumor tissue. Exclusion criteria include CNS metastases, uncontrolled comorbidities (hypercalcemia, diabetes), corneal disease, recent thromboembolic events, QTcF ≥470ms, or active infections.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06238479  Clinical Status PHASE1
Clinical Description A Phase 1 Trial Investigating LY4101174, an Antibody-Drug Conjugate Targeting Nectin-4, in Participants With Recurrent, Advanced or Metastatic Solid Tumors
Primary Endpoint
The Phase 1a primary objective is to establish LY4101174's recommended dose based on dose-limiting toxicities (DLTs) observed within the first two 28-day cycles. Phase 1b evaluates antitumor activity through overall response rate (ORR) as per RECIST 1.1 criteria over approximately 4 years.
Other Endpoint
Pharmacokinetic analysis assesses minimum plasma concentration (Cmin) and area under curve (AUC) during initial treatment cycles (56 days). Antitumor evaluation includes multiple efficacy measures: ORR, duration of response (DOR), time to response (TTR), progression-free survival (PFS), disease control rate (DCR) and overall survival (OS) - all assessed per RECIST 1.1 over ~4 years.

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References
Ref 1 A Study of LY4101174 in Participants With Recurrent, Advanced or Metastatic Solid Tumors