General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0TZZNJ
ADC Name
Mipasetamab uzoptirine
Synonyms
mipasetamab uzoptirine; ADCT-601; BGB601
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Organization
BerGenBio (Originator);ADC Therapeutics;Synaffix;Overland Pharmaceuticals
Drug Status
Phase 1 (discontinued)
Drug-to-Antibody Ratio
2
Structure
Antibody Name
Mipasetamab
 Antibody Info 
Antigen Name
Tyrosine-protein kinase receptor UFO (AXL)
 Antigen Info 
Payload Name
SG3199 (SC-DR002)
 Payload Info 
Therapeutic Target
Human deoxyribonucleic acid (hDNA)
 Target Info 
Linker Name
BCN-HydraSpace-Val-Ala-PABC
 Linker Info 
Conjugate Type
Enzymatic Catalysis
Combination Type
uzoptirine
Elimination
The main excretion pathways of SG3199 have not been formally studied in humans. SG3199 is thought to be minimally excreted by the kidneys. The mean clearance of loncastuximab tesirine-lpyl were 0.499 L/day (after a single dose) and 0.275 L/day (at steady-state).
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
NCT03700294
Colorectal cancer
1 Trials
Trial ID
NCT03700294
Gastric cancer
1 Trials
Trial ID
NCT03700294
Head and neck cancer
1 Trials
Trial ID
NCT03700294
Lung cancer
2 Trials
Trial ID
NCT05389462; EudraCT2021-005566-18; EUCT2022-500116-18-00
NCT03700294
Oesophageal cancer
1 Trials
Trial ID
NCT03700294
Ovarian cancer
1 Trials
Trial ID
NCT03700294
Pancreatic cancer
2 Trials
Trial ID
NCT05389462; EudraCT2021-005566-18; EUCT2022-500116-18-00
NCT03700294
Pleura mesothelioma
1 Trials
Trial ID
NCT03700294
Sarcomas
2 Trials
Trial ID
NCT05389462; EudraCT2021-005566-18; EUCT2022-500116-18-00
NCT03700294
Unspecific solid tumor
1 Trials
Trial ID
NCT05389462; EudraCT2021-005566-18; EUCT2022-500116-18-00
ADC-specific functional property(2027 Update)
Bystander Killing Effect
Click To Hide/Show 1 ADC-specific functional property Data
Bystander Killing Effect Description Reference
yes
The ability of ADCT-601 to induce bystander killing of AXL-negative tumor cells was assessed via the conditioned medium transfer method. After AXL-positive SN12C cells and AXL-negative Karpas-299 cells were exposed to ADCT-601 and B12-PL1601, targeted AXL-specific cytotoxicity was observed in SN12C cells but not in Karpas-299 cells (ADCT-601 IC50 0.042 nmol/L and 3.51 nmol/L in SN12C and Karpas-299 cells, respectively; isotype-control B12-PL1601 IC50 1.62 nmol/L and 2.92 nmol/L in SN12C and Karpas-299 cells, respectively). When conditioned medium from SN12C or Karpas-299 cells treated with ADCT-601 was transferred to Karpas-299 cells, only the conditioned medium from ADCT-601-treated SN12C (IC50 0.0159 nmol/L), but not Karpas-299 (IC50 2.12 nmol/L), induced bystander killing of Karpas-299 cells. No bystander effect was observed when conditioned medium from B12-PL1601-treated SN12C cells or Karpas-299 cells was transferred onto untreated Karpas-299 cells.

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[1]
General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 4 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Maximum Observed Concentration (Cmax) 49446 ng/mL
Assessment of ADCT-601 PK in rats at 3 mg/kg.
[1]
Time to Maximum Concentration (Tmax) 1 h
Assessment of ADCT-601 PK in rats at 3 mg/kg.
[1]
Maximum Observed Concentration (Cmax) 93355 ng/mL
Assessment of ADCT-601 PK in rats at 6 mg/kg.
[1]
Time to Maximum Concentration (Tmax) 1 h
Assessment of ADCT-601 PK in rats at 6 mg/kg.
[1]
Excretion
Click To Hide/Show 6 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Last Quantifiable Concentration (Clast) 5238 ng/mL
Assessment of ADCT-601 PK in rats at 3 mg/kg.
[1]
Time of Last Quantifiable Concentration (Tlast) 504 h
Assessment of ADCT-601 PK in rats at 3 mg/kg.
[1]
Elimination Half-Life (t1/2) 229 h
Assessment of ADCT-601 PK in rats at 3 mg/kg.
[1]
Last Quantifiable Concentration (Clast) 3771 ng/mL
Assessment of ADCT-601 PK in rats at 6 mg/kg.
[1]
Time of Last Quantifiable Concentration (Tlast) 504 h
Assessment of ADCT-601 PK in rats at 6 mg/kg.
[1]
Elimination Half-Life (t1/2) 138 h
Assessment of ADCT-601 PK in rats at 6 mg/kg.
[1]
General Information of The Activity Data Related to This ADC
Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 8 Activity Data Related to This Level
Standard Type Value Units Animal Model (No. of PDX)
Tumor Growth Inhibition value (TGI) 
≈ 35
%
BRCA1-mutated ovarian cancer PDX model (PDX: CTG-0703)
Tumor Growth Inhibition value (TGI) 
≈ 57.4
%
Pancreatic cancer PDX model (PDX: PAXF1657)
Tumor Growth Inhibition value (TGI) 
≈ 65.8
%
BRCA1-mutated ovarian cancer PDX model (PDX: CTG-0703)
Tumor Growth Inhibition value (TGI) 
≈ 68.7
%
MMAE-resistant non-small cell lung cancer PDX model (PDX: NCI-H1299)
Tumor Growth Inhibition value (TGI) 
≈ 72.1
%
MMAE-resistant non-small cell lung cancer PDX model (PDX: NCI-H1299)
Tumor Growth Inhibition value (TGI) 
≈ 84.9
%
Pancreatic cancer PDX model (PDX: PAXF1657)
Tumor Growth Inhibition value (TGI) 
≈ 96.9
%
Pancreatic cancer PDX model (PDX: PAXF1657)
Tumor Growth Inhibition value (TGI) 
≈ 98.5
%
Esophageal caner PDX model (PDX: ES0195)
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 4 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Tumor Growth Inhibition value (TGI) 
≈ 69.4
%
SN12C cells
Renal cell carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 86.2
%
SN12C cells
Renal cell carcinoma
Tumor Growth Inhibition value (TGI) 
≈ 97.6
%
MDA-MB-231 cells
Breast adenocarcinoma
Tumor Growth Inhibition value (TGI) 
≈ 98.5
%
SN12C cells
Renal cell carcinoma
Revealed Based on the Cell Line Data
Click To Hide/Show 9 Activity Data Related to This Level
Standard Type Value Units Cell Line Disease Model
Half Maximal Inhibitory Concentration (IC50) 
0.02
nM
SK-LU-1 cells
Lung adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.11
nM
SK-OV-3 cells
Ovarian serous cystadenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.35
nM
MDA-MB-231 cells
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.47
nM
PANC-1 cells
Pancreatic ductal adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
0.59
nM
A-172 cells
Glioblastoma
Half Maximal Inhibitory Concentration (IC50) 
0.83
nM
SN12C cells
Renal cell carcinoma
Half Maximal Inhibitory Concentration (IC50) 
2.2
nM
NCI-H1299 cells
Lung large cell carcinoma
Half Maximal Inhibitory Concentration (IC50) 
9.29
nM
MDA-MB-361 cells
Breast adenocarcinoma
Half Maximal Inhibitory Concentration (IC50) 
14.62
nM
Karpas-299 cells
ALK-positive anaplastic large cell lymphoma
Identified from the Human Clinical Data
Click To Hide/Show 3 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Stable disease (SD)  NCT05389462
PHASE1
A Phase 1b, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Mipasetamab Uzoptirine (ADCT-601) Monotherapy and in Combination with Other Anti-Cancer Therapies in Patients with Selected Advanced Solid Tumors

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Partial Response (PR)  NCT05389462
PHASE1
A Phase 1b, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Mipasetamab Uzoptirine (ADCT-601) Monotherapy and in Combination with Other Anti-Cancer Therapies in Patients with Selected Advanced Solid Tumors

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Undisclosed  NCT03700294
PHASE1
A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of ADCT-601 in Patients With Advanced Solid Tumors
Full List of Activity Data of This Antibody-drug Conjugate
Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 8 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 35% Positive AXL expression (AXL+++/++)
Method Description
In vivo antitumor activity of ADCT-601 in BRCA1-mutated ovarian cancer PDX model. Single-dose (0.15 mg/kg,q.d.) ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model BRCA1-mutated ovarian cancer PDX model (PDX: CTG-0703)
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 57.40% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.075 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Pancreatic cancer PDX model (PDX: PAXF1657)
Experiment 3 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 65.80% Negative AXL expression (AXL-)
Method Description
In vivo antitumor activity of ADCT-601 in BRCA1-mutated ovarian cancer PDX model. Single-dose (0.15 mg/kg,q.d.) ADCT-601 in combination with olaparib (50 mg/kg) and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model BRCA1-mutated ovarian cancer PDX model (PDX: CTG-0703)
Experiment 4 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 68.70% Negative AXL expression (AXL-)
Method Description
In vivo antitumor activity of ADCT-601 in a MMAE-resistant NCI-H1299 NSCLC model. Single-dose (0.50 mg/kg,q.d.) ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model MMAE-resistant non-small cell lung cancer PDX model (PDX: NCI-H1299)
Experiment 5 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 72.10% Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
In vivo antitumor activity of ADCT-601 in a MMAE-resistant NCI-H1299 NSCLC model. Single-dose (1.00 mg/kg,q.d.) ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model MMAE-resistant non-small cell lung cancer PDX model (PDX: NCI-H1299)
Experiment 6 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 84.90% Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.15 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Pancreatic cancer PDX model (PDX: PAXF1657)
Experiment 7 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 96.90% Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.30 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Pancreatic cancer PDX model (PDX: PAXF1657)
Experiment 8 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.50% Positive AXL expression (AXL+++/++; 36,000 copy number)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (1 mg/kg,q.d.) 0.ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Esophageal caner PDX model (PDX: ES0195)
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 4 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 69.40% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.30 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model kidney cancer CDX model
In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 86.20% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.60 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model kidney cancer CDX model
In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Experiment 3 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 97.60% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (1.00 mg/kg,q.d.). ADCT-601 and isotype-control ADC were administered intravenously (day 1) to treatment groups of 10 mice.
In Vivo Model Triple-negative breast cancer CDX model
In Vitro Model Breast adenocarcinoma MDA-MB-231 cells CVCL_0062
Experiment 4 Reporting the Activity Date of This ADC [2]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.50% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (1.00 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Kidney cancer CDX model
In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Revealed Based on the Cell Line Data
Click To Hide/Show 9 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.02 nM Positive AXL expression (AXL+++/++; 46,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Lung adenocarcinoma SK-LU-1 cells CVCL_0629
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.11 nM Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cells CVCL_0532
Experiment 3 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.35 nM Positive AXL expression (AXL+++/++; 79,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cells CVCL_0062
Experiment 4 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.47 nM Positive AXL expression (AXL+++/++; 24,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Pancreatic ductal adenocarcinoma PANC-1 cells CVCL_0480
Experiment 5 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.59 nM Positive AXL expression (AXL+++/++; 23,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Glioblastoma A-172 cells CVCL_0131
Experiment 6 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.83 nM Positive AXL expression (AXL+++/++; 79,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Experiment 7 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 2.2 nM Positive AXL expression (AXL+++/++; 20,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Lung large cell carcinoma NCI-H1299 cells CVCL_0060
Experiment 8 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 9.29 nM Positive AXL expression (AXL+++/++; 79,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Breast adenocarcinoma MDA-MB-361 cells CVCL_0620
Experiment 9 Reporting the Activity Date of This ADC [2]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 14.62 nM Positive AXL expression (AXL+++/++; 36,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
Identified from the Human Clinical Data
Click To Hide/Show 3 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Stable disease (SD)
47.10%
Patients Enrolled
Eligible participants are adults (≥18 years) with locally advanced/metastatic solid tumors (specific sarcoma subtypes, NSCLC, or AXL-amplified tumors) refractory to standard therapy, measurable disease per RECIST 1.1, ECOG 0-1, and adequate organ function. Key exclusions include active CNS metastases (unless treated and stable ≥4 weeks), significant third-space fluid accumulation, recent infections requiring IV therapy, chronic diarrhea (CTCAE Grade 2+), or experimental medication use within 14 days prior to treatment initiation.

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Administration Dosage
As of 04 December 2023, 18 sarcoma patients (15 [83%], soft tissue sarcoma [STS] and 3 [17%] bone sarcoma), unselected for AXL expression, with a median number of 3 prior lines of therapy (1-10), were enrolled in 4 different dose cohorts: 7.5mg, 11mg, 13mg and 15mg. Reasons for treatment discontinuation were disease progression (10 pts [55.6%]), adverse events (3 pts [16.7%]) and consent withdrawal (2 pts [11.1%]). Treatment emergent adverse events (TEAE) were seen in 17 pts (94.4%). Most common TEAE (all grades and relationship [≥20%]) were palmar-plantar erythrodysesthesia syndrome (7 pts [38.9%]); anemia (6 pts [33.3%]); rash maculopapular (5 pts [27.8%]); cheilitis and constipation (4 pts each [22.2%]). TEAE≥grade 3 were seen in 9 pts (50%). Most common TEAE≥grade 3 (≥10%) were GGT increase (2 pts [11.1%]). Two dose limiting toxicities were seen: cheilitis grade 2 and grade 3 at 15mg and 13mg respectively. Cutaneous reactions, all grades, are more prominent in higher doses. Maximum tolerated dose (MTD) has not been established.

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Related Clinical Trial
NCT Number NCT05389462  Clinical Status PHASE1
Clinical Description A Phase 1b, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Mipasetamab Uzoptirine (ADCT-601) Monotherapy and in Combination with Other Anti-Cancer Therapies in Patients with Selected Advanced Solid Tumors
Primary Endpoint
The study evaluates safety by monitoring adverse events (AEs), serious adverse events (SAEs), dose-limiting toxicities (DLTs) during the first 21 days, and dose modifications/interruptions over approximately 2 years, with comprehensive assessments including vital signs, lab tests, and ECG monitoring.
Other Endpoint
Efficacy is measured by overall response rate (ORR), duration of response (DOR), progression-free survival (PFS), and overall survival (OS) over 2 years. Pharmacokinetic analysis includes serum concentration measurements of ADCT-601 components (total antibody, PBD-conjugated antibody, and unconjugated warhead SG3199) with parameters like Cmax, Tmax, AUC, and half-life, alongside immunogenicity assessment through anti-drug antibody (ADA) responses and titers.

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Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Partial Response (PR)
11.80%
Patients Enrolled
Eligible participants are adults (≥18 years) with locally advanced/metastatic solid tumors (specific sarcoma subtypes, NSCLC, or AXL-amplified tumors) refractory to standard therapy, measurable disease per RECIST 1.1, ECOG 0-1, and adequate organ function. Key exclusions include active CNS metastases (unless treated and stable ≥4 weeks), significant third-space fluid accumulation, recent infections requiring IV therapy, chronic diarrhea (CTCAE Grade 2+), or experimental medication use within 14 days prior to treatment initiation.

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Administration Dosage
As of 04 December 2023, 18 sarcoma patients (15 [83%], soft tissue sarcoma [STS] and 3 [17%] bone sarcoma), unselected for AXL expression, with a median number of 3 prior lines of therapy (1-10), were enrolled in 4 different dose cohorts: 7.5mg, 11mg, 13mg and 15mg. Reasons for treatment discontinuation were disease progression (10 pts [55.6%]), adverse events (3 pts [16.7%]) and consent withdrawal (2 pts [11.1%]). Treatment emergent adverse events (TEAE) were seen in 17 pts (94.4%). Most common TEAE (all grades and relationship [≥20%]) were palmar-plantar erythrodysesthesia syndrome (7 pts [38.9%]); anemia (6 pts [33.3%]); rash maculopapular (5 pts [27.8%]); cheilitis and constipation (4 pts each [22.2%]). TEAE≥grade 3 were seen in 9 pts (50%). Most common TEAE≥grade 3 (≥10%) were GGT increase (2 pts [11.1%]). Two dose limiting toxicities were seen: cheilitis grade 2 and grade 3 at 15mg and 13mg respectively. Cutaneous reactions, all grades, are more prominent in higher doses. Maximum tolerated dose (MTD) has not been established.

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Related Clinical Trial
NCT Number NCT05389462  Clinical Status PHASE1
Clinical Description A Phase 1b, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Mipasetamab Uzoptirine (ADCT-601) Monotherapy and in Combination with Other Anti-Cancer Therapies in Patients with Selected Advanced Solid Tumors
Primary Endpoint
The study evaluates safety by monitoring adverse events (AEs), serious adverse events (SAEs), dose-limiting toxicities (DLTs) during the first 21 days, and dose modifications/interruptions over approximately 2 years, with comprehensive assessments including vital signs, lab tests, and ECG monitoring.
Other Endpoint
Efficacy is measured by overall response rate (ORR), duration of response (DOR), progression-free survival (PFS), and overall survival (OS) over 2 years. Pharmacokinetic analysis includes serum concentration measurements of ADCT-601 components (total antibody, PBD-conjugated antibody, and unconjugated warhead SG3199) with parameters like Cmax, Tmax, AUC, and half-life, alongside immunogenicity assessment through anti-drug antibody (ADA) responses and titers.

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Experiment 3 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Eligible patients must be &ge;18 years with locally advanced/metastatic solid tumors (including breast, colorectal, NSCLC, and ovarian cancers) refractory to standard therapy, measurable disease per RECIST 1.1, ECOG 0-1, and adequate organ function. Key exclusions include active autoimmune/CNS diseases, uncontrolled comorbidities, recent anticancer therapy (<14 days), QTcF >480 ms, pregnancy, or live vaccines. Contraception is required during and for 16 weeks post-treatment.

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Administration Dosage
As of data cutoff (April 12, 2019), 8 pts were treated at doses of 50-100 ug/kg. The median (range) age was 70 (46-77) years. Pathological subtypes enrolled are colorectal cancer (4 pts) and chondrosarcoma, head and neck carcinoma, ovarian carcinoma, and esophageal carcinoma (1 pt each). Six pts had received ≥4 previous lines of therapy. One pt treated at 100 ug/kg had a dose-limiting toxicity of grade 3 hematuria, which resulted in hospitalization and was possibly related to ADCT-601. The most common treatment-emergent adverse events, regardless of relationship to ADCT-601, were abdominal pain, erythema, fatigue, peripheral edema, and maculopapular rash (each occurring in 2 pts). The following 4 pts had undergone disease assessment at data cutoff: 1 pt (chondrosarcoma) had a partial response, 1 pt (head and neck carcinoma) had stable disease, and 2 pts (ovarian carcinoma and esophageal carcinoma) had progressive disease.

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Related Clinical Trial
NCT Number NCT03700294  Clinical Status PHASE1
Clinical Description A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of ADCT-601 in Patients With Advanced Solid Tumors
Primary Endpoint
The study evaluates safety by assessing dose-limiting toxicities (DLTs) during the first treatment cycle (21-42 days depending on dosing schedule) and determines the maximum tolerated dose (MTD) through monitoring adverse events (AEs), serious adverse events (SAEs), and dose modifications over a 2-year follow-up period with treatment cycles every 3-6 weeks.

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Other Endpoint
Efficacy endpoints include overall response rate (ORR) and disease control rate (DCR) per RECIST 1.1, duration of response (DOR), and overall survival (OS), all measured over a 2-year period to assess the treatment's antitumor activity.
References
Ref 1 Preclinical Development of ADCT-601, a Novel Pyrrolobenzodiazepine Dimer-based Antibody-drug Conjugate Targeting AXL-expressing Cancers
Ref 2 Preclinical Development of ADCT-601, a Novel Pyrrolobenzodiazepine Dimer-based Antibody-drug Conjugate Targeting AXL-expressing Cancers. Mol Cancer Ther. 2022 Apr 1;21(4):582-593.
Ref 3 A Study of Mipasetamab Uzoptirine (ADCT-601) in Participants with Solid Tumors
Ref 4 Safety, Tolerability, Pharmacokinetics, and Antitumor Study of ADCT-601 to Treat Advanced Solid Tumors