General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0THGAW
ADC Name
Trastuzumab duocarmazine
Synonyms
SYD 985; SYD-985; SYD985; (vic-)trastuzumab-duocarmazine; Anti-HER2 ADC (Byondis); humanized monoclonal antibody conjugated to the pro-drug seco-duocarmycinhydroxyb; Trastuzumab vc-seco-DUBA; Trastuzumab-SYD980
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Organization
Synthon BV; Byondis BV
Drug Status
NDA
Indication
In total 5 Indication(s)
HER2(+) breast cancer [ICD11:2C60-2C65]
NDA
Breast cancer [ICD11:2C60-2C65]
Phase 3
Endometrial cancer [ICD11:2C76]
Phase 2
Gastric cancer [ICD11:2B72]
Phase 1
Non-small cell lung cancer [ICD11:2C25]
Terminated
Drug-to-Antibody Ratio
2.8
Structure
Antibody Name
Trastuzumab
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (ERBB2)
 Antigen Info 
Payload Name
seco-DUBA
 Payload Info 
Therapeutic Target
Human Deoxyribonucleic acid (hDNA)
 Target Info 
Linker Name
Mal-PEG2-Val-Cit-PABA-Cyclization Spacer
 Linker Info 
Conjugate Type
Random conjugation through reduced inter-chain cysteines.
Combination Type
Duocarmazine
Special Approval(s)
Fast track(FDA)
Puchem SID
377483939 , 472422783 , 476262869 , 384585353 , 476269414 , 404719519 , 475546943
Drugbank ID
DB16342
TTD ID
D0HL5N
ChEBI ID
CHEMBL4298178
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 7 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Undisclosed  NCT03262935
Phase 3
A multi-centre, open-label, randomized clinical trial comparing the efficacy and safety of the antibody-drug conjugate SYD985 to physician's choice in patients with HER2-positive unresectable locally advanced or metastatic breast cancer.

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Undisclosed  NCT04205630
Phase 2
A single-arm phase 2 trial to evaluate the safety and efficacy of the antibody-drug conjugate (ADC) SYD985 in patients with human epidermal growth factor receptor 2 (HER2)-expressing endometrial carcinoma who previously progressed on or after first line platinum-based chemotherapy.

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Undisclosed  NCT01042379
Phase 2
I-SPY trial (investigation of serial studies to predict your therapeutic response with imaging and molecular analysis 2).
Undisclosed  NCT04983238
Phase 1
A multicenter, randomized, double-blind, placebo-controlled trial with a single arm run-in period to evaluate the safety and efficacy of sodium thiosulfate (BYON5667) Eye drops to reduce ocular toxicity in cancer patients treated with SYD985.

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Undisclosed  NCT04602117
Phase 1
ISPY-P1.01: evaluating the safety of weekly paclitaxel with trastuzumab duocarmazine (SYD985) in patients with metastatic cancer: a phase 1/Ib trial.
Undisclosed  NCT04235101
Phase 1
A two-part phase 1 study with the antibody-drug conjugate SYD985 in combination with niraparib to evaluate safety, pharmacokinetics and efficacy in patients with HER2-expressing locally advanced or metastatic solid tumors.

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Undisclosed  NCT02277717
Phase 1
A two part first-in-human phase 1 study (with expanded cohorts) with the antibody-drug conjugate SYD985 to evaluate the safety, pharmacokinetics and efficacy in patients with locally advanced or metastatic solid tumors.

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Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 11 Activity Data Related to This Level
Standard Type Value Units Animal Model (No. of PDX)
Tumor Growth Inhibition value (TGI) 
≈ 33.3
%
Breast cancer PDX model (PDX: MAXF-1162)
Tumor Growth Inhibition value (TGI) 
≈ 42.9
%
Breast cancer PDX model (PDX: MAXF 449)
Tumor Growth Inhibition value (TGI) 
≈ 65
%
Breast cancer PDX model (PDX: HBCx-34)
Tumor Growth Inhibition value (TGI) 
≈ 66.7
%
Breast cancer PDX model (PDX: ST313)
Tumor Growth Inhibition value (TGI) 
≈ 75
%
Gastric cancer PDX model (PDX: GXA3057)
Tumor Growth Inhibition value (TGI) 
≈ 90
%
Gastric cancer PDX model (PDX: GXA3038)
Tumor Growth Inhibition value (TGI) 
≈ 100
%
Gastric cancer PDX model (PDX: GXA3054)
Tumor Growth Inhibition value (TGI) 
≈ 100
%
Gastric cancer PDX model (PDX: GXA3067)
Tumor Growth Inhibition value (TGI) 
≈ 100
%
Bladder cancer PDX model (PDX: BXF439)
Tumor Growth Inhibition value (TGI) 
≈ 100
%
Breast cancer PDX model (PDX: MAXF-MX1)
Tumor Growth Inhibition value (TGI) 
≈ 100
%
Breast cancer PDX model (PDX: HBCx-10)
Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 7 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Related Clinical Trial
NCT Number NCT03262935  Clinical Status Phase 3
Clinical Description A multi-centre, open-label, randomized clinical trial comparing the efficacy and safety of the antibody-drug conjugate SYD985 to physician's choice in patients with HER2-positive unresectable locally advanced or metastatic breast cancer.
Experiment 2 Reporting the Activity Date of This ADC [2]
Related Clinical Trial
NCT Number NCT04205630  Clinical Status Phase 2
Clinical Description A single-arm phase 2 trial to evaluate the safety and efficacy of the antibody-drug conjugate (ADC) SYD985 in patients with human epidermal growth factor receptor 2 (HER2)-expressing endometrial carcinoma who previously progressed on or after first line platinum-based chemotherapy.
Experiment 3 Reporting the Activity Date of This ADC [3]
Related Clinical Trial
NCT Number NCT01042379  Clinical Status Phase 2
Clinical Description I-SPY trial (investigation of serial studies to predict your therapeutic response with imaging and molecular analysis 2).
Experiment 4 Reporting the Activity Date of This ADC [4]
Related Clinical Trial
NCT Number NCT04983238  Clinical Status Phase 1
Clinical Description A multicenter, randomized, double-blind, placebo-controlled trial with a single arm run-in period to evaluate the safety and efficacy of sodium thiosulfate (BYON5667) Eye drops to reduce ocular toxicity in cancer patients treated with SYD985.
Experiment 5 Reporting the Activity Date of This ADC [5]
Related Clinical Trial
NCT Number NCT04602117  Clinical Status Phase 1
Clinical Description ISPY-P1.01: evaluating the safety of weekly paclitaxel with trastuzumab duocarmazine (SYD985) in patients with metastatic cancer: a phase 1/Ib trial.
Experiment 6 Reporting the Activity Date of This ADC [6]
Related Clinical Trial
NCT Number NCT04235101  Clinical Status Phase 1
Clinical Description A two-part phase 1 study with the antibody-drug conjugate SYD985 in combination with niraparib to evaluate safety, pharmacokinetics and efficacy in patients with HER2-expressing locally advanced or metastatic solid tumors.
Experiment 7 Reporting the Activity Date of This ADC [7]
Related Clinical Trial
NCT Number NCT02277717  Clinical Status Phase 1
Clinical Description A two part first-in-human phase 1 study (with expanded cohorts) with the antibody-drug conjugate SYD985 to evaluate the safety, pharmacokinetics and efficacy in patients with locally advanced or metastatic solid tumors.
Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 11 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 33.30% (Day 76) High HER2 expression (HER2+++; IHC 3+; FISH+)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 3 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Breast cancer PDX model (PDX: MAXF-1162)
Experiment 2 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 42.90% (Day 80) Low HER2 expression (HER2+; IHC +; FISH-)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 3 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Breast cancer PDX model (PDX: MAXF 449)
Experiment 3 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 65.00% (Day 80) Moderate HER2 expression (HER2++; IHC 2+; FISH-)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 3 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Breast cancer PDX model (PDX: HBCx-34)
Experiment 4 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 66.70% (Day 31) Moderate HER2 expression (HER2++; IHC 2+; FISH-)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 3 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Breast cancer PDX model (PDX: ST313)
Experiment 5 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 75.00% (Day 28) Low HER2 expression (HER2+; IHC +; FISH-)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 10 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Gastric cancer PDX model (PDX: GXA3057)
Experiment 6 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 90.00% (Day 46) Moderate HER2 expression (HER2++; IHC 2+; FISH-)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 10 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Gastric cancer PDX model (PDX: GXA3038)
Experiment 7 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 20) High HER2 expression (HER2+++; IHC 3+; FISH+)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 10 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Gastric cancer PDX model (PDX: GXA3054)
Experiment 8 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 21) Moderate HER2 expression (HER2++; IHC 2+; FISH+)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 10 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Gastric cancer PDX model (PDX: GXA3067)
Experiment 9 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 41) High HER2 expression (HER2+++; IHC 3+; FISH+)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 10 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Bladder cancer PDX model (PDX: BXF439)
Experiment 10 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 32) Low HER2 expression (HER2+; IHC +; FISH-)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 3 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Breast cancer PDX model (PDX: MAXF-MX1)
Experiment 11 Reporting the Activity Date of This ADC [8]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 100.00% (Day 40) Low HER2 expression (HER2+; IHC +; FISH-)
Method Description
All treatments were conducted at day 0 by a single dose, i.v, 3 mg/kg x1 injection into the tail vein, Data, depicted as mean tumour volume, consists of 6-8 animals per experimental group.
In Vivo Model Breast cancer PDX model (PDX: HBCx-10)
References
Ref 1 A Multi-centre, Open-label, Randomized Clinical Trial Comparing the Efficacy and Safety of the Antibody-drug Conjugate SYD985 to Physician's Choice in Patients With HER2-positive Unresectable Locally Advanced or Metastatic Breast Cancer, NCT03262935
Ref 2 A Single-arm Phase II Trial to Evaluate the Safety and Efficacy of the Antibody-Drug Conjugate (ADC) SYD985 in Patients With Human Epidermal Growth Factor Receptor 2 (HER2)-Expressing Endometrial Carcinoma Who Previously Progressed on or After First Line Platinum-based Chemotherapy, NCT04205630
Ref 3 I-SPY Trial (Investigation of Serial Studies to Predict Your Therapeutic Response With Imaging And moLecular Analysis 2), NCT01042379
Ref 4 A Multicenter, Randomized, Double-blind, Placebo-controlled Trial With a Single Arm run-in Period to Evaluate the Safety and Efficacy of Sodium Thiosulfate (BYON5667) Eye Drops to Reduce Ocular Toxicity in Cancer Patients Treated With SYD985, NCT04983238
Ref 5 ISPY-P1.01: Evaluating the Safety of Weekly Paclitaxel With Trastuzumab Duocarmazine (SYD985) in Patients With Metastatic Cancer: A Phase I/Ib Trial, NCT04602117
Ref 6 A Two-part Phase I Study With the Antibody-drug Conjugate SYD985 in Combination With Niraparib to Evaluate Safety, Pharmacokinetics and Efficacy in Patients With HER2-expressing Locally Advanced or Metastatic Solid Tumors. NCT04235101
Ref 7 A Two Part First-in-human Phase I Study (With Expanded Cohorts) With the Antibody-drug Conjugate SYD985 to Evaluate the Safety, Pharmacokinetics and Efficacy in Patients With Locally Advanced or Metastatic Solid Tumors, NCT02277717
Ref 8 Anti-integrin immunoconjugates, methods and uses.

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