General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0UHUMZ
ADC Name
Trastuzumab bultecan
Synonyms
IBI354
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Organization
Innovent Biologics (Originator)
Drug Status
Phase 3
Drug-to-Antibody Ratio
8
Structure
Antibody Name
Trastuzumab
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2 ECD2); Receptor tyrosine-protein kinase erbB-2 (HER2 ECD4)
 Antigen Info 
Payload Name
NT1
 Payload Info 
Therapeutic Target
DNA topoisomerase 1 (TOP1)
 Target Info 
Linker Name
PODS-CHX-A"-DTPA
 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
Biliary tract cancer
1 Trials
Trial ID
NCT05636215; CTR20232339
Breast cancer
1 Trials
Trial ID
NCT05636215; CTR20232339
Colorectal cancer
1 Trials
Trial ID
NCT05636215; CTR20232339
Fallopian tube cancer
1 Trials
Trial ID
ChiCTR2500104920
1 Trials
Trial ID
NCT06834672; CTR20250364
Gastric cancer
1 Trials
Trial ID
NCT05636215; CTR20232339
Gynaecological cancer
1 Trials
Trial ID
NCT05636215; CTR20232339
Ovarian cancer
1 Trials
Trial ID
ChiCTR2500104920
1 Trials
Trial ID
NCT06834672; CTR20250364
Peritoneal cancer
1 Trials
Trial ID
ChiCTR2500104920
1 Trials
Trial ID
NCT06834672; CTR20250364
Unspecific solid tumor
1 Trials
Trial ID
NCT05636215; CTR20232339
General Information of The Activity Data Related to This ADC
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
Objective Response Rate (ORR)  NCT05636215
PHASE1|||PHASE2
A Phase 1/2, Multicenter, Open-label Study of IBI354 in Subjects With Locally Advanced Unresectable or Metastatic Solid Tumors
Disease control rate (DCR)  NCT05636215
PHASE1|||PHASE2
A Phase 1/2, Multicenter, Open-label Study of IBI354 in Subjects With Locally Advanced Unresectable or Metastatic Solid Tumors
Undisclosed  NCT06834672
PHASE3
A Multicenter, Randomized, Open-label Phase III Study of IBI354 Versus Investigator's Choice of Chemotherapy in Patients With Platinum-resistant Ovarian, Primary Peritoneal, or Fallopian Tube Cancer
Full List of Activity Data of This Antibody-drug Conjugate
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 [1]
Efficacy Data Objective Response Rate (ORR)
58%
Patients Enrolled
Participants (&ge;18y) must have HER2-altered advanced solid tumors (Phase 1a) or selected HER2-expressing cancers (Phase 1b/2), adequate organ function, and contraception compliance. Exclusions cover recent antitumor therapies (<4 weeks), uncontrolled infections (HIV/HBV/HCV/COVID-19/tuberculosis/syphilis), cardiovascular risks (QTc>480ms, hypertension), or unresolved toxicities (>Grade 1 per CTCAE v5.0).

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Administration Dosage
IBI354 was administered intravenously at 6-15 mg/kg Q3W or Q2W.
Related Clinical Trial
NCT Number NCT05636215  Clinical Status PHASE1|||PHASE2
Clinical Description A Phase 1/2, Multicenter, Open-label Study of IBI354 in Subjects With Locally Advanced Unresectable or Metastatic Solid Tumors
Primary Endpoint
The study assesses safety by tracking serious adverse events (SAEs) and treatment-emergent AEs (TEAEs), defined as any new or worsening clinical incidents occurring up to 30 days post-treatment, along with dose-limiting toxicities (DLTs) within the initial 21-day cycle in Phase Ia.
Other Endpoint
Key efficacy measures include objective response rate (ORR, CR/PR rates), duration of response (DoR, time from response to progression/death), progression-free survival (PFS, time to progression/death), and overall survival (OS, time to death)-all evaluated over a 2-year period.
Experiment 2 Reporting the Activity Date of This ADC [1]
Efficacy Data Disease control rate (DCR)
90.90%
Patients Enrolled
Participants (&ge;18y) must have HER2-altered advanced solid tumors (Phase 1a) or selected HER2-expressing cancers (Phase 1b/2), adequate organ function, and contraception compliance. Exclusions cover recent antitumor therapies (<4 weeks), uncontrolled infections (HIV/HBV/HCV/COVID-19/tuberculosis/syphilis), cardiovascular risks (QTc>480ms, hypertension), or unresolved toxicities (>Grade 1 per CTCAE v5.0).

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Administration Dosage
IBI354 was administered intravenously at 6-15 mg/kg Q3W or Q2W.
Related Clinical Trial
NCT Number NCT05636215  Clinical Status PHASE1|||PHASE2
Clinical Description A Phase 1/2, Multicenter, Open-label Study of IBI354 in Subjects With Locally Advanced Unresectable or Metastatic Solid Tumors
Primary Endpoint
The study assesses safety by tracking serious adverse events (SAEs) and treatment-emergent AEs (TEAEs), defined as any new or worsening clinical incidents occurring up to 30 days post-treatment, along with dose-limiting toxicities (DLTs) within the initial 21-day cycle in Phase Ia.
Other Endpoint
Key efficacy measures include objective response rate (ORR, CR/PR rates), duration of response (DoR, time from response to progression/death), progression-free survival (PFS, time to progression/death), and overall survival (OS, time to death)-all evaluated over a 2-year period.
Experiment 3 Reporting the Activity Date of This ADC [2]
Patients Enrolled
Eligibility requires adult females (&ge;18y, ECOG 0-1) with advanced ovarian cancer, measurable lesions, and adequate organ function. Exclusions involve specific tumor types, recent therapies (chemotherapy/radiotherapy/surgery), uncontrolled comorbidities, infections, prior transplants, or conditions compromising safety/compliance.
Administration Dosage
intravenous infusion of 12 mg/kg on Day 1 of each 3-week treatment cycle
Related Clinical Trial
NCT Number NCT06834672  Clinical Status PHASE3
Clinical Description A Multicenter, Randomized, Open-label Phase III Study of IBI354 Versus Investigator's Choice of Chemotherapy in Patients With Platinum-resistant Ovarian, Primary Peritoneal, or Fallopian Tube Cancer
Primary Endpoint
The primary objectives compare Progression-free Survival (PFS) and Overall Survival (OS) between IBI354 monotherapy and chemotherapy, assessed per RECIST v1.1, with PFS tracked up to 36 months and OS up to 48 months.
Other Endpoint
Secondary endpoints include safety (adverse events, physical exam changes), efficacy (ORR, DCR, DoR, TTR per RECIST v1.1), quality of life (EORTC QLQ-C30/OV28, EQ-5D-5L), pharmacokinetics (Cmax, AUC, Tmax, CL, V, T1/2), and immunogenicity (ADA/Nab incidence and impact on safety/efficacy/PK).
References
Ref 1 A First-in-human Study of IBI354 in Subjects With Locally Advanced Unresectable or Metastatic Solid Tumors
Ref 2 Study of IBI354 Versus Investigator's Choice of Chemotherapy in Patients With Platinum-resistant Ovarian, Primary Peritoneal, or Fallopian Tube Cancer