General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0WLYOR
ADC Name
MLN2704
Synonyms
MLN2704; DM1 conjugated monoclonal antibody MLN591
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Organization
Millennium Pharmaceuticals (Top20 MNC) (Originator)
Drug Status
Phase 1/2 (discontinued)
Drug-to-Antibody Ratio
3~4
Structure
Antibody Name
MLN591
 Antibody Info 
Antigen Name
Glutamate carboxypeptidase 2 (FOLH1)
 Antigen Info 
Payload Name
DM1
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
N-succinimidyl 4-(2-pyridyldithio) pentanoate (SPP)
 Linker Info 
Conjugate Type
Random Lysines
Combination Type
mertansine
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
Prostate cancer
1 Trials
Trial ID
NCT00058409; NCT00052000
1 Trials
Trial ID
NCT00074347; NCT00070837
General Information of The ADMET Data Related to This ADC(2027 Update)
Absorption
Click To Hide/Show 12 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Maximum Observed Concentration (Cmax) 52.4 ug/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 120 mg/m2.
[1]
Maximum Observed Concentration (Cmax) 89.6 ug/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 168 mg/m2.
[1]
Maximum Observed Concentration (Cmax) 138.1 ug/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 236 mg/m2.
[1]
Maximum Observed Concentration (Cmax) 214.9 ug/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 330 mg/m2.
[1]
Maximum Observed Concentration (Cmax) 163.6 ug/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 330 mg/m2.
[1]
Maximum Observed Concentration (Cmax) 273.3 ug/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 462 mg/m2.
[1]
Area Under the Concentration-Time Curve (AUC) 2692 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 120 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 4858 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 168 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 9535 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 236 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 13210 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 10359 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 17658 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 462 mg/m2, AUCinf.
[1]
Distribution
Click To Hide/Show 6 Distribution Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 2692 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 120 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 4858 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 168 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 9535 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 236 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 13210 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 10359 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 17658 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 462 mg/m2, AUCinf.
[1]
Metabolism
Click To Hide/Show 6 Metabolism Data Related to This Level
Standard Type Value Units Description Reference
Area Under the Concentration-Time Curve (AUC) 2692 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 120 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 4858 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 168 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 9535 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 236 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 13210 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 10359 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 17658 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 462 mg/m2, AUCinf.
[1]
Excretion
Click To Hide/Show 18 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Elimination Half-Life (t1/2) 55.7 h
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 120 mg/m2.
[1]
Elimination Half-Life (t1/2) 52.7 h
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 168 mg/m2.
[1]
Elimination Half-Life (t1/2) 59.2 h
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 236 mg/m2.
[1]
Elimination Half-Life (t1/2) 59.3 h
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 330 mg/m2.
[1]
Elimination Half-Life (t1/2) 59.9 h
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 330 mg/m2.
[1]
Elimination Half-Life (t1/2) 65.8 h
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 462 mg/m2.
[1]
Area Under the Concentration-Time Curve (AUC) 2692 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 120 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 4858 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 168 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 9535 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 236 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 13210 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 10359 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 330 mg/m2, AUCinf.
[1]
Area Under the Concentration-Time Curve (AUC) 17658 ug*h/mL
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 462 mg/m2, AUCinf.
[1]
Clearance (CL) 51.1 mL/h/m2
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 120 mg/m2.
[1]
Clearance (CL) 35.6 mL/h/m2
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 168 mg/m2.
[1]
Clearance (CL) 26.5 mL/h/m2
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 236 mg/m2.
[1]
Clearance (CL) 26.1 mL/h/m2
Mean pharmacokinetic parameters for all cycles of MLN2704 on 2-week schedules, 330 mg/m2.
[1]
Clearance (CL) 33.5 mL/h/m2
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 330 mg/m2.
[1]
Clearance (CL) 26.8 mL/h/m2
Mean pharmacokinetic parameters for all cycles of MLN2704 on 3-week schedules, 462 mg/m2.
[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  NCT00052000
PHASE1
A Phase 1 Single Ascending Dose Trial of MLN2704 (DM1 Conjugated Monoclonal Antibody MLN591) in Subjects With Metastatic Androgen Independent Prostate Cancer
Undisclosed  NCT00070837
PHASE1|||PHASE2
A Phase 1/2 Dose Escalation Trial of Multiple Doses of MLN2704 (DM1 Conjugated Monoclonal Antibody MLN591) in Subjects With Metastatic Androgen-Independent Prostate Cancer
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
The study includes patients with histologically confirmed prostate adenocarcinoma showing progression via physical exam, imaging, or rising PSA despite castrate testosterone levels. Continuous LHRH analog therapy is required if initiated before screening, while prior anti-androgens require progression post-withdrawal. Effective barrier contraception is mandatory.

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Administration Dosage
Twenty-three patients received MLN2704 at doses of 18 to 343 mg/m2. Eighteen of these patients received ≥ three doses at 4-week intervals.
Related Clinical Trial
NCT Number NCT00052000  Clinical Status PHASE1
Clinical Description A Phase 1 Single Ascending Dose Trial of MLN2704 (DM1 Conjugated Monoclonal Antibody MLN591) in Subjects With Metastatic Androgen Independent Prostate Cancer
Experiment 2 Reporting the Activity Date of This ADC [1]
Patients Enrolled
Eligible patients require histologically confirmed metastatic prostate adenocarcinoma, age &ge;18 years, disease progression despite castrate testosterone (<50 ng/dL), and continuous LHRH analog therapy unless surgically castrated. Key exclusions include testosterone >50 ng/dL, recent corticosteroids/chemotherapy, CNS metastases, neuropathy >Grade 2, abnormal labs (platelets <100K/mm <sup>3</sup>, ANC <1.5K/mm <sup>3</sup>, Hct <27%), active infections, severe cardiac/respiratory/renal/hepatic conditions, or limited life expectancy (<6 months).

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Administration Dosage
A total of 62 patients received MLN2704 at ascending doses on 4 schedules: weekly (60, 84, 118, and 165 mg/m2; 12 patients); every 2 weeks (120, 168, 236, and 330 mg/m2; 15 patients); every 3 weeks (330 and 426 mg/m2; 18 patients); and on days 1 and 15 of a 6-week schedule (6-week cycle, 330 mg/m2; 17 patients).
Related Clinical Trial
NCT Number NCT00070837  Clinical Status PHASE1|||PHASE2
Clinical Description A Phase 1/2 Dose Escalation Trial of Multiple Doses of MLN2704 (DM1 Conjugated Monoclonal Antibody MLN591) in Subjects With Metastatic Androgen-Independent Prostate Cancer
References
Ref 1 Phase 1/2 multiple ascending dose trial of the prostate-specific membrane antigen-targeted antibody drug conjugate MLN2704 in metastatic castration-resistant prostate cancer
Ref 2 A Trial of MLN2704 in Subjects With Metastatic Androgen Independent Prostate Cancer