General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0VBVDR
ADC Name
ADCT-502
Synonyms
ADCT-502
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Organization
ADC Therapeutics (Originator)
Drug Status
Phase 1 (discontinued)
Drug-to-Antibody Ratio
1.7
Structure
Antibody Name
Trastuzumab variant
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2 ECD2); Receptor tyrosine-protein kinase erbB-2 (HER2 ECD4)
 Antigen Info 
Payload Name
SG3199 (SC-DR002)
 Payload Info 
Therapeutic Target
Human deoxyribonucleic acid (hDNA)
 Target Info 
Linker Name
Mal-PEG8-Val-Ala-PABC
 Linker Info 
Conjugate Type
Reactive Cysteines
Combination Type
tesirine
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
NCT03125200
Gastroesophageal junction adenocarcinoma
1 Trials
Trial ID
NCT03125200
Lung cancer
1 Trials
Trial ID
NCT03125200
Unspecific solid tumor
1 Trials
Trial ID
NCT03125200
Urothelial cancer
1 Trials
Trial ID
NCT03125200
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
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Standard Type NCT Number Clinical Status Clinical Trial Description
Undisclosed  NCT03125200
PHASE1
A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of ADCT-502 in Patients With Advanced Solid Tumors With HER2 Expression
Objective Response Rate (ORR)  NCT03125200
Phase 1
A phase 1, open-label, dose-escalation study to evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of ADCT-502 in patients with advanced solid tumors with HER2 expression.
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 [1]
Patients Enrolled
Key eligibility: Adults (≥18) with HER2+ metastatic solid tumors, ECOG 0-2 (dose escalation)/0-1 (expansion), adequate organ function (ANC≥1500, platelets≥100K, bilirubin≤1.5×ULN, CrCl≥60). Exclusions: Grade≥3 antibody hypersensitivity, CNS metastases, active HBV/HCV/HIV, recent anticancer therapy, pregnancy, or uncontrolled comorbidities.

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Administration Dosage
Part 1 (dose escalation): Participants received an infusion of ADCT-502, at escalating doses. Part 1 continued until the maximum tolerated dose or the recommended dose (s) and schedule (s) for expansion were determined.Part 2 (expansion): Participants were due to be assigned to the recommended dose level of ADCT-502 as identified in Part 1 by the Dose Escalation Steering Committee.

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Related Clinical Trial
NCT Number NCT03125200  Clinical Status PHASE1
Clinical Description A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of ADCT-502 in Patients With Advanced Solid Tumors With HER2 Expression
Primary Endpoint
Primary endpoints include DLT assessment (Grade ≥3 per CTCAE v4) during first 21-day cycle, TEAE/SAE monitoring through treatment +30 days, and comprehensive safety evaluations (labs, physical exams, ECOG status, vitals, ECG).
Other Endpoint
Secondary objectives cover tumor response (ORR/DCR/DOR/PFS/OS assessed q12w per RECIST 1.1), PK analysis (AUC/Cmax/Tmax for total antibody, DAR≥0 species, PBD-conjugated antibody, free warhead SG3199), and immunogenicity (ADA titers).
Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Objective Response Rate (ORR)
20%
Patients Enrolled
Patients with HER2-positive advanced solid tumors.
Administration Dosage
Seven dose cohorts (30, 60, 120, 150, 180, 210, 240 ug/kg on day 1, iv once every 3 weeks.
Related Clinical Trial
NCT Number NCT03125200  Clinical Status Phase 1
Clinical Description A phase 1, open-label, dose-escalation study to evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of ADCT-502 in patients with advanced solid tumors with HER2 expression.
References
Ref 1 Study of ADCT-502 in Patients With Advanced Solid Tumors Withhuman Epidermal Growth Factor Receptor-2 (HER2) Expression
Ref 2 A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of ADCT-502 in Patients With Advanced Solid Tumors With HER2 Expression