General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0RJKWE
ADC Name
Bezetabart debotansine
Synonyms
bezetabart debotansine; STRO-001; BN301
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Organization
Sutro Biopharma (Originator);Yehui Medicine
Drug Status
Phase 1/2 (discontinued)
Drug-to-Antibody Ratio
2
Structure
Antibody Name
Bezetabart
 Antibody Info 
Antigen Name
HLA class II histocompatibility antigen gamma chain (CD74)
 Antigen Info 
Payload Name
SC347
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Cys-12 ADC linker
 Linker Info 
Conjugate Type
Non-natural Amino Acids
Combination Type
debotansine
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
Diffuse large b-cell lymphoma
1 Trials
Trial ID
NCT03424603
1 Trials
Trial ID
NCT05611853; CTR20222409
Follicular lymphoma
1 Trials
Trial ID
NCT03424603
1 Trials
Trial ID
NCT05611853; CTR20222409
Mantle cell lymphoma
1 Trials
Trial ID
NCT03424603
1 Trials
Trial ID
NCT05611853; CTR20222409
Multiple myeloma
1 Trials
Trial ID
NCT03424603
Unspecific non-hodgkin lymphoma
1 Trials
Trial ID
NCT03424603
1 Trials
Trial ID
NCT05611853; CTR20222409
ADC-specific functional property(2027 Update)
Binding Affinity
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Dissocation Constant (Kd) Binding Target Description Reference
1.1 nM
Human CD74
Conjugation to the non-cleavable linker-maytansine warhead did not affect the binding affinity of SP7219 since STRO-001 retained high binding affinity to CHO cells expressing human (KD = 1.1 nM) and monkey CD74 (KD = 1.0 nM)

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[1]
1 nM
Monkey CD74
Conjugation to the non-cleavable linker-maytansine warhead did not affect the binding affinity of SP7219 since STRO-001 retained high binding affinity to CHO cells expressing human (KD = 1.1 nM) and monkey CD74 (KD = 1.0 nM)

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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
Disease control rate (DCR)  NCT03424603
PHASE1
A Phase 1 Open-Label, Safety, Pharmacokinetic and Preliminary Efficacy Study of STRO-001, an Anti-CD74 Antibody Drug Conjugate, in Patients With Advanced B-Cell Malignancies
Undisclosed  NCT05611853
PHASE1|||PHASE2
A Multicenter Phase 1/2 Clinical Study to Evaluate the Safety and Efficacy of BN301,An Anti-CD74 Antibody Drug Conjugate, in Patients With Advanced B-cell Non-Hodgkin's 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 Disease control rate (DCR)
25%
Patients Enrolled
Eligible patients (≥18 years) must have relapsed/refractory MM/NHL, ECOG 0-2, >3-month life expectancy, and adequate organ function. Exclusions include active CNS involvement, Grade≥2 neuropathy, uncontrolled infections (HBV/HCV/HIV), QTcF≥500ms, prior CD74-targeted therapy, or significant cardiac/pulmonary disease. 18 patients with NHL have been treated at 9 dose levels: .05, .075, .15, .27, .43, .65, .91, 1.27 and 1.78 mg/kg.

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Administration Dosage
Patients with advanced, relapsed/refractory NHL are eligible for enrollment. STRO-001 is administered as a 60-minute IV infusion. STRO-001 was initially administered on Days 1 and 15 of a 28-day cycle. Starting at 0.91 mg/kg, STRO-001 was administered on Day 1 of a 3-week cycle. Treatment is administered until disease progression or unacceptable toxicity.

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Related Clinical Trial
NCT Number NCT03424603  Clinical Status PHASE1
Clinical Description A Phase 1 Open-Label, Safety, Pharmacokinetic and Preliminary Efficacy Study of STRO-001, an Anti-CD74 Antibody Drug Conjugate, in Patients With Advanced B-Cell Malignancies
Primary Endpoint
This study evaluates STRO-001's safety (AE incidence) and establishes MTD/RP2D during dose escalation (18 months), while assessing efficacy (ORR per IMWG/Lugano criteria) in MM/NHL expansion cohorts over 24 months.
Other Endpoint
PK parameters (Cmax, t1/2, AUCinf, CL, Vss) and immunogenicity (ADA) are characterized in both phases. Expansion cohorts further analyze safety, DOR, PFS and PK over 24 months.
Experiment 2 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Eligible patients (≥18 years) must have histologically confirmed B-cell NHL (DLBCL/FL/MZL/MCL) with ≥2 prior therapies (including anti-CD20 regimens), measurable lesions (≥1.5cm nodal/≥1.0cm extranodal), ECOG 0-2. Key exclusions: CNS lymphoma, active HBV/HCV/HIV, QTcF>450/470ms (M/F), CAR-T within 60 days, prior CD74-targeted therapy, or unresolved toxicity >Grade 1 (except alopecia).

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Administration Dosage
Will be administered by intravenous infusion every 3 weeks on D1
Related Clinical Trial
NCT Number NCT05611853  Clinical Status PHASE1|||PHASE2
Clinical Description A Multicenter Phase 1/2 Clinical Study to Evaluate the Safety and Efficacy of BN301,An Anti-CD74 Antibody Drug Conjugate, in Patients With Advanced B-cell Non-Hodgkin's Lymphoma
Primary Endpoint
The study evaluates safety (CTCAE v4.0.3) and efficacy (Lugano 2014 criteria ORR) of BN301 over 12-24 months in relapsed/refractory B-cell NHL patients.
Other Endpoint
Pharmacokinetic parameters (Cmax, Tmax, t1/2, AUC0-t) and CD74 expression correlation with efficacy are analyzed over 12 months in plasma samples.
References
Ref 1 Targeting CD74 in B-cell non-Hodgkin lymphoma with the antibody-drug conjugate STRO-001
Ref 2 Study of STRO-001, an Anti-CD74 Antibody Drug Conjugate, in Patients With Advanced B-Cell Malignancies
Ref 3 Study of BN301, an Anti-CD74 Antibody Drug Conjugate, in Patients With Advanced B-Cell Malignancies