General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0PULZQ
ADC Name
Tambotatug pelitecan
Synonyms
tambotatug pelitecan; YL201
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Organization
MediLink Therapeutics (Originator);Roche (Top20 MNC)
Drug Status
New Drug Application
Drug-to-Antibody Ratio
8
Structure
Antibody Name
Tambotatug
 Antibody Info 
Antigen Name
CD276 antigen (CD276); Hepatocyte growth factor receptor (MET)
 Antigen Info 
Payload Name
YL0010014
 Payload Info 
Therapeutic Target
DNA topoisomerase 1 (TOP1)
 Target Info 
Linker Name
VK*G-NHCH2-O linker
 Linker Info 
Conjugate Type
Random Cysteines
Combination Type
pelitecan
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
Lung cancer
1 Trials
Trial ID
NCT06057922; NCT05434234; EUCT2024-517589-41-00; CTR20232651; CTR20222005
1 Trials
Trial ID
NCT06612151; CTR20244294
Nasopharyngeal cancer
1 Trials
Trial ID
NCT06629597; CTR20244561
Oesophageal cancer
1 Trials
Trial ID
NCT06057922; NCT05434234; EUCT2024-517589-41-00; CTR20232651; CTR20222005
Prostate cancer
1 Trials
Trial ID
NCT06057922; NCT05434234; EUCT2024-517589-41-00; CTR20232651; CTR20222005
1 Trials
Trial ID
NCT06241846; CTR20240246
Unspecific solid tumor
2 Trials
Trial ID
NCT07307053
NCT06057922; NCT05434234; EUCT2024-517589-41-00; CTR20232651; CTR20222005
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 6 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Undisclosed  NCT06629597
PHASE3
A Randomized, Controlled, Multicenter Phase III Clinical Study of YL201 Versus Investigator's Choice of Chemotherapy in Subjects with Recurrent or Metastatic Nasopharyngeal Carcinoma Who Have Failed Prior PD- (L)1 Inhibitor and At Least Two Lines of Chemotherapy

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Undisclosed  NCT06612151
PHASE3
A Multicenter, Randomized, Controlled, Open-label, Phase III Study to Compare the Efficacy and Safety of YL201 Versus Topotecan Hydrochloride in Subjects with Relapsed Small Cell Lung Cancer
Undisclosed  NCT06241846
PHASE2
A Multicenter, Open-Label, Phase II Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With Metastatic Castration-Resistant Prostate Cancer
Undisclosed  NCT05434234
PHASE1
A Phase 1, Multicenter, Nonrandomized, Open-Label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of YL201 in Patients with Advanced Solid Tumors
Undisclosed  NCT06057922
PHASE1|||PHASE2
A Multicenter, Open-Label, Phase 1/2 Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With Selected Advanced Solid Tumors
Undisclosed  NCT06394414
PHASE1
A Phase 1, Multicenter, Open-label Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Combination with Serplulimab with or Without Platinum-based Chemotherapy in Selected Subjects with Advanced Solid Tumors

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Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 6 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Patients Enrolled
Key inclusion criteria: adults (18-75 years) with ECOG 0-1, recurrent/metastatic NPC, prior PD- (L)1 and chemotherapy failure, measurable lesions, and adequate organ function. Major exclusions: recent malignancies (exceptions apply), prior B7-H3/ADC/CAR-T therapy, inadequate washout, active infections, uncontrolled diseases, CNS metastases (unless stable), pregnancy, or conditions affecting compliance.

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Administration Dosage
YL201 will be administered intravenously on Day 1 of each 3-week cycle at RP3D dose level.
Related Clinical Trial
NCT Number NCT06629597  Clinical Status PHASE3
Clinical Description A Randomized, Controlled, Multicenter Phase III Clinical Study of YL201 Versus Investigator's Choice of Chemotherapy in Subjects with Recurrent or Metastatic Nasopharyngeal Carcinoma Who Have Failed Prior PD- (L)1 Inhibitor and At Least Two Lines of Chemotherapy
Primary Endpoint
The study aims to evaluate the efficacy of YL201 versus investigator-selected chemotherapy in recurrent or metastatic nasopharyngeal carcinoma, focusing on ORR (assessed by BICR using RECIST v1.1) and OS within 36 months. ORR measures the proportion of subjects achieving CR or PR, while OS tracks time from randomization to death from any cause.
Other Endpoint
Secondary endpoints include ORR assessed by investigators, PFS (time to PD or death), DOR (duration of response), DCR (CR/PR/SD rate), and TTR (time to response), all evaluated within 36 months. Safety is assessed via adverse events (NCI CTCAE v5.0), PK parameters (AUC, Cmax, Ctrough, CL, Vd, t½), ADA incidence, and B7H3 expression correlation with efficacy.

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Experiment 2 Reporting the Activity Date of This ADC [2]
Patients Enrolled
Eligible patients (18-75 years, ECOG 0-1) must have confirmed relapsed SCLC progressing after platinum therapy, measurable lesions (RECIST 1.1), and adequate organ function. Key exclusions: recent malignancies (exceptions for cured cancers), prior B7-H3/ADC/CAR-T therapy, CNS metastases (unless stable), uncontrolled infections/conditions, active HBV/HCV, unresolved treatment toxicity, pregnancy, or factors compromising study compliance.

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Administration Dosage
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks (Q3W) as a cycle at RP3D dose level.
Related Clinical Trial
NCT Number NCT06612151  Clinical Status PHASE3
Clinical Description A Multicenter, Randomized, Controlled, Open-label, Phase III Study to Compare the Efficacy and Safety of YL201 Versus Topotecan Hydrochloride in Subjects with Relapsed Small Cell Lung Cancer
Primary Endpoint
The primary objective is to compare overall survival (OS) between YL201 and topotecan hydrochloride in relapsed small-cell lung cancer (SCLC) patients, measured from randomization until death from any cause during the 36-month study period.
Other Endpoint
Secondary endpoints include investigator-assessed PFS (time to progression/death), ORR (CR/PR rate), DOR (duration of response), TTR (time to initial response), and DCR (CR/PR/SD rate). Safety assessment covers adverse events (NCI CTCAE v5.0), PK parameters (AUC, Cmax, Ctrough, CL, Vd, t½), ADA incidence, and tumor B7H3 expression correlation with efficacy, all evaluated over 36 months.

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Experiment 3 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Exclusion criteria include prior B7H3-targeted therapy, concurrent interventional studies, topoisomerase I inhibitor/ADC treatment, insufficient washout periods, major surgery/transplants, prolonged glucocorticoid use (>28 days), recent live vaccines, pathological fracture risks, CNS metastases, uncontrolled urinary/cardiovascular/pulmonary conditions, Gilbert's syndrome, significant effusions, recent GI perforation/fistula or active ulcers, severe infections, HIV/HBV/HCV co-infections, other malignancies affecting survival, unresolved prior toxicity, or hypersensitivity to drug components.

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Administration Dosage
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks on Day 1 or twice every 3 weeks on Day 1 and Day 8 during a 3-week (21-day) cycle.
Related Clinical Trial
NCT Number NCT06241846  Clinical Status PHASE2
Clinical Description A Multicenter, Open-Label, Phase II Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With Metastatic Castration-Resistant Prostate Cancer
Primary Endpoint
The study evaluates YL201's efficacy in mCRPC patients through primary endpoints: Objective Response Rate (ORR) by RECIST1.1/PCWG3, radiographic Progression-Free Survival (rPFS), and recommended dose determination. Secondary endpoints include Disease Control Rate (DCR), Duration of Response (DoR), Time to Response (TTR), and PSA-related metrics along with safety, pharmacokinetics, and biomarker analysis, all assessed over approximately 36 months.

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Other Endpoint
Inclusion criteria require signed informed consent, age ≥18 years, confirmed prostate adenocarcinoma with mCRPC diagnosis per specified criteria (castrate testosterone <50 ng/dL, PSA or imaging progression), prior novel hormone therapy, ≤2 chemotherapy lines, BRCA1/2-mutated patients with prior PARP inhibitor exposure if applicable, measurable metastatic lesions, and tumor tissue for B7H3 IHC testing. Additional requirements: ECOG PS 0-1, adequate organ function (Hb≥90g/L, ANC≥1.5×109/L, PLT≥100×109/L, liver/kidney thresholds), effective contraception, and ≥6-month life expectancy. Patients must comply with protocol procedures.

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Experiment 4 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Inclusion criteria: Signed ICF, age &ge;18, ECOG PS 0-1, adequate organ function, effective contraception, and life expectancy &ge;3 months. Part 1 requires evaluable lesions (RECIST 1.1); Part 2 mandates measurable lesions and tumor samples for analysis. Exclusion criteria: Prior topoisomerase I inhibitor/ADC intolerance, concurrent interventional trials, recent anticancer therapies/surgeries, uncontrolled infections, active HBV/HCV/HIV, unresolved toxicity (NCI CTCAE >Grade 1), hypersensitivity to mAbs, breastfeeding/pregnancy, or conditions impairing compliance. Part 2 excludes multiple malignancies within 3 years (exceptions: cured non-melanoma skin/in situ cancers).

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Administration Dosage
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks (Q3W) as a cycle.
Related Clinical Trial
NCT Number NCT05434234  Clinical Status PHASE1
Clinical Description A Phase 1, Multicenter, Nonrandomized, Open-Label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of YL201 in Patients with Advanced Solid Tumors
Primary Endpoint
The study focuses on evaluating dose-limiting toxicities (DLTs) in Part 1 (Cycle 1, 21 days) and adverse events (AEs) in Part 2, assessing type, frequency, severity, and relationship to YL201 over ~36 months. Primary efficacy measures include PSA response rate (≥50% reduction) in prostate cancer patients and objective response rate (ORR, per RECIST 1.1) in non-prostate solid tumors.

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Other Endpoint
Part 1 assesses AEs and pharmacokinetics (AUC, Cmax, Ctrough, CL, Vd, t1/2) alongside immunogenicity (anti-YL201 antibodies). Efficacy metrics for prostate cancer include PSA-PFS (PCWG3), rPFS (RECIST 1.1/PCWG3), and failure-free survival (FFS). For other solid tumors, ORR, disease control rate (DCR), duration of response (DoR), time to response (TTR), PFS, and overall survival (OS) are evaluated, all over ~36 months.

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Experiment 5 Reporting the Activity Date of This ADC [5]
Patients Enrolled
Inclusion criteria: Patients aged 18-75 with confirmed NSCLC, SCLC, NPC, ESCC, mCRPC, HNSCC, sarcoma, PDAC, HCC, or BTC, measurable lesions per RECIST 1.1, ECOG PS 0-1, acceptable contraception compliance, and life expectancy &ge;3 months. Exclusion: Prior B7H3 or topoisomerase 1 inhibitor treatment, concurrent clinical trials, recent major surgery, uncontrolled infections (HIV, HBV, HCV), active brain/spinal metastasis, immunosuppressive drug use, third-space effusions, unresolved toxicity, pregnancy, or conditions impairing protocol compliance.

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Administration Dosage
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks (Q3W) as a cycle; and at dose levels of 1.0 mg/kg and 1.2 mg/kg administered on Days 1 and 8 of each Q3W treatment cycle.
Related Clinical Trial
NCT Number NCT06057922  Clinical Status PHASE1|||PHASE2
Clinical Description A Multicenter, Open-Label, Phase 1/2 Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With Selected Advanced Solid Tumors
Primary Endpoint
This study evaluates adverse events (AEs) by type, frequency, severity, timing, seriousness, and relationship to treatment over 36 months. It assesses objective response rate (ORR) using RECIST 1.1 for solid tumors, defined as the proportion of patients achieving complete (CR) or partial response (PR). For prostate cancer patients, it measures PSA response rate, defined as ≥50% decrease from baseline.

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Other Endpoint
The study characterizes pharmacokinetic (PK) parameters including AUC, Cmax, Ctrough, CL, Vd, and t1/2, and assesses anti-YL201 antibody incidence over 36 months. Secondary endpoints include disease control rate (DCR), duration of response (DoR), time to response (TTR), progression-free survival (PFS), overall survival (OS), and prostate cancer-specific measures like rPFS, time to PSA progression (TTPP), PSA duration of response (PDoR), and best PSA response.

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Experiment 6 Reporting the Activity Date of This ADC [6]
Patients Enrolled
Eligible patients must have advanced solid tumors (e.g., NPC, SCLC, NSCLC), measurable lesions (RECIST 1.1), ECOG PS 0-1, adequate organ function, and life expectancy &ge;3 months, while adhering to contraception requirements. Exclusions include prior B7H3/topoisomerase 1 inhibitor/anti-PD- (L)1 therapies, unresolved treatment toxicity, recent major surgery, uncontrolled infections (HIV/HBV/HCV), active autoimmune/systemic diseases, third-space effusions, brain/spinal metastases, or pregnancy/breastfeeding.

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Administration Dosage
YL201 (High dose, medium dose and low dose; Q3W) in Combination with Serplulimab (4.5mg/kg; Q3W) with or without Platinum (70 mg/m2; Q3W)-based Chemotherapy.
Related Clinical Trial
NCT Number NCT06394414  Clinical Status PHASE1
Clinical Description A Phase 1, Multicenter, Open-label Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Combination with Serplulimab with or Without Platinum-based Chemotherapy in Selected Subjects with Advanced Solid Tumors
Primary Endpoint
This study evaluates adverse events (AEs) in advanced solid tumors treated with YL201 combined with serplulimab, with or without platinum-based chemotherapy, over 36 months. Key objectives include determining the maximum tolerated dose (MTD), recommended expansion dose (RED), and recommended Phase 2 dose (RP2D), as well as assessing efficacy via objective response rate (ORR).

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Other Endpoint
The pharmacokinetics (PK) of YL201 combination therapy will be evaluated, including parameters such as AUC, Cmax, Ctrough, CL, Vd, and t1/2. Additionally, efficacy measures including depth of response (DpR), disease control rate (DCR), duration of response (DoR), time to response (TTR), progression-free survival (PFS), and overall survival (OS) will be assessed per RECIST 1.1. Immunogenicity (anti-YL201 antibodies) and tumor biomarker expression (B7H3, PD-L1) will also be analyzed.

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References
Ref 1 A Phase III Study of YL201 in Recurrent or Metastatic Nasopharyngeal Carcinoma
Ref 2 A Phase III Study of YL201 in Relapsed Small Cell Lung Cancer
Ref 3 A Phase II Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With mCRPC
Ref 4 A Study of YL201 in Patients with Advanced Solid Tumors
Ref 5 A Study YL201 in Patients With Selected Advanced Solid Tumors
Ref 6 A Phase 1 Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Advanced Solid Tumors