General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0UIDCY
ADC Name
NJH395
Synonyms
NJH395
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Organization
Novartis (Top20 MNC) (Originator)
Drug Status
Phase 1 (discontinued)
Drug-to-Antibody Ratio
~4
Antibody Name
MIW338
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2 ECD2); Receptor tyrosine-protein kinase erbB-2 (HER2 ECD4)
 Antigen Info 
Payload Name
TLR7 agonist
 Payload Info 
Therapeutic Target
Toll-like receptor 7 (TLR7)
 Target Info 
Linker Name
A non-cleavable linker
 Linker Info 
Conjugate Type
Reactive 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
Unspecific solid tumor
1 Trials
Trial ID
NCT03696771; jRCT2080224178; JapicCTI-184239
General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 14 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Maximum Observed Concentration (Cmax) 0.8 ug/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.1 mg/kg, N=4.
[1]
Time to Maximum Concentration (Tmax) 7.3 h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.1 mg/kg, N=4.
[1]
Area Under the Concentration-Time Curve (AUC) 173.7 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.2 mg/kg, N=3.
[1]
Maximum Observed Concentration (Cmax) 3.4 ug/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.2 mg/kg, N=3.
[1]
Time to Maximum Concentration (Tmax) 1.6 h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.2 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 298.6 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.4 mg/kg, N=4.
[1]
Maximum Observed Concentration (Cmax) 6.6 ug/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.4 mg/kg, N=4.
[1]
Time to Maximum Concentration (Tmax) 5.8 h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.4 mg/kg, N=4.
[1]
Area Under the Concentration-Time Curve (AUC) 971.2 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.8 mg/kg, N=3.
[1]
Maximum Observed Concentration (Cmax) 18.7 ug/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.8 mg/kg, N=3.
[1]
Time to Maximum Concentration (Tmax) 1.6 h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.8 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 2141.5 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 1.6 mg/kg, N=4.
[1]
Maximum Observed Concentration (Cmax) 27.7 ug/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 1.6 mg/kg, N=4.
[1]
Time to Maximum Concentration (Tmax) 1.7 h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 1.6 mg/kg, N=4.
[1]
Distribution
Click To Hide/Show 4 Distribution Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 173.7 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.2 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 298.6 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.4 mg/kg, N=4.
[1]
Area Under the Concentration-Time Curve (AUC) 971.2 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.8 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 2141.5 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 1.6 mg/kg, N=4.
[1]
Metabolism
Click To Hide/Show 4 Metabolism Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 173.7 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.2 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 298.6 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.4 mg/kg, N=4.
[1]
Area Under the Concentration-Time Curve (AUC) 971.2 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.8 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 2141.5 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 1.6 mg/kg, N=4.
[1]
Excretion
Click To Hide/Show 8 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 173.7 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.2 mg/kg, N=3.
[1]
Clearance (CL) 79.2 mL/h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.2 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 298.6 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.4 mg/kg, N=4.
[1]
Clearance (CL) 74.9 mL/h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.4 mg/kg, N=4.
[1]
Area Under the Concentration-Time Curve (AUC) 971.2 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 0.8 mg/kg, N=3.
[1]
Clearance (CL) 55.5 mL/h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 0.8 mg/kg, N=3.
[1]
Area Under the Concentration-Time Curve (AUC) 2141.5 ug*h/mL
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, AUCinf, 1.6 mg/kg, N=4.
[1]
Clearance (CL) 49.2 mL/h
Mean pharmacokinetic parameters in plasma from patients with HER2-positive advanced malignancies treated with NJH395, 1.6 mg/kg, N=4.
[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
Undisclosed  NCT03696771
PHASE1
A Phase I, Multicenter, Open-label Dose Finding Study of NJH395, Administered Intravenously in Patients With Non-breast HER2+ Advanced Malignancies
Objective Response Rate (ORR)  NCT03696771
Phase 1
A phase 1, multicenter, open-label dose finding study of NJH395, administered intravenously in patients with non-breast HER2+ advanced malignancies.
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]
Patients Enrolled
Eligible patients must have HER2+ non-breast solid tumors refractory to standard therapies (ECOG ≤2) with biopsy-accessible lesions. Key exclusions include prior TLR7/8 treatment, cardiac dysfunction, autoimmune/active lung diseases, HIV, checkpoint inhibitor toxicity history, or QT-prolonging drug use. Additional protocol criteria may apply.
Administration Dosage
As of July 01, 2020, 18 patients (10 males, 8 females; median age, 52.5 years [range, 42-74 years]) were enrolled in 5 dose cohorts (0.1-1.6 mg/kg).
Related Clinical Trial
NCT Number NCT03696771  Clinical Status PHASE1
Clinical Description A Phase I, Multicenter, Open-label Dose Finding Study of NJH395, Administered Intravenously in Patients With Non-breast HER2+ Advanced Malignancies
Primary Endpoint
Dose-limiting toxicities (DLTs) incidence and severity will be assessed over 21 days, extending to 42 days in the second study phase. Adverse event data collection spans 2.5 years.
Other Endpoint
PK profiles for NJH395 and metabolites will be tracked for 126 days, including Cmax/AUC measurements. Anti-drug antibody assessment and efficacy endpoints (ORR, CBR, PFS, DOR per RECIST v1.1/iRECIST) will be evaluated over 2.5 years. Tumor infiltrating lymphocyte changes will be monitored via IHC at specified treatment cycles (21-day intervals).
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Objective Response Rate (ORR)
0%
Patients Enrolled
Patients with nonbreast HER2+ advanced malignancies.
Administration Dosage
5 dose cohorts (0.10-1.60 mg/kg).
Related Clinical Trial
NCT Number NCT03696771  Clinical Status Phase 1
Clinical Description A phase 1, multicenter, open-label dose finding study of NJH395, administered intravenously in patients with non-breast HER2+ advanced malignancies.
References
Ref 1 Preclinical Characterization and Phase I Study of an Anti-HER2-TLR7 Immune-Stimulator Antibody Conjugate in Patients with HER2+ Malignancies
Ref 2 Study to Determine Safety and Dose of NJH395 in Non-breast HER2+ Advanced Cancer
Ref 3 Phase Ia Study of Anti-NaPi2b Antibody-Drug Conjugate Lifastuzumab Vedotin DNIB0600A in Patients with Non-Small Cell Lung Cancer and Platinum-Resistant Ovarian Cancer. Clin Cancer Res. 2020 Jan 15;26(2):364-372. doi: 10.1158/1078-0432.CCR-18-3965.