General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0XFQVE
ADC Name
SYSA1801
Synonyms
SYSA1801; CPO102; EO-3021
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Organization
CSPC Innovation Pharmaceutical (Originator);Elevation Oncology
Drug Status
Phase 1 (discontinued)
Drug-to-Antibody Ratio
2
Structure
Antibody Name
Anti-CLDN18.2 mAb
 Antibody Info 
Antigen Name
Claudin-18.2 (CLDN18.2)
 Antigen Info 
Payload Name
MMAE
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
PEG3-Val-Cit-PABC
 Linker Info 
Conjugate Type
Enzymatic Catalysis
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
Gastric cancer
3 Trials
Trial ID
NCT05009966; CTR20211879
NCT05980416; jRCT2031230637
NCT05043987
Gastroesophageal junction adenocarcinoma
2 Trials
Trial ID
NCT05009966; CTR20211879
NCT05980416; jRCT2031230637
Lung cancer
1 Trials
Trial ID
NCT05009966; CTR20211879
Pancreatic cancer
2 Trials
Trial ID
NCT05009966; CTR20211879
NCT05043987
Unspecific solid tumor
1 Trials
Trial ID
NCT05009966; CTR20211879
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  NCT05043987
PHASE1
A Phase 1, Multicenter, Dose Escalation and Dose Expansion Study to Evaluate Safety of CPO102, an Anti-claudin 18.2 Antibody-MMAE Drug Conjugate Administered Intravenously in Patients With Advanced Pancreatic and Gastric Cancers

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Objective Response Rate (ORR)  NCT05009966
Phase 1
A phase 1 trial to evaluate safety, tolerability, pharmacokinetics, immunogenicity and initial efficacy of SYSA1801 in the treatment of CLDN 18.2 positive advanced malignant solid tumor.
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
Inclusion criteria for Parts A/B: histologically confirmed pancreatic/gastric/esophagogastric junction cancer with ≥50% tumor cells showing moderate-to-strong claudin 18.2 staining (IHC 2+/3+), archived/fresh tumor tissue, adequate organ function, life expectancy >12 weeks, age ≥18, ECOG PS 0/1, informed consent, and negative pregnancy test for reproductive-potential females within 48h prior to enrollment.

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Administration Dosage
Part A will follow the standard 3+3 dose-escalation design and will be enrolled at dose levels of CPO102 at (0.5, 1, 1.8, 2.5, 3.5, 4.5, 5.5 mg/kg).
Related Clinical Trial
NCT Number NCT05043987  Clinical Status PHASE1
Clinical Description A Phase 1, Multicenter, Dose Escalation and Dose Expansion Study to Evaluate Safety of CPO102, an Anti-claudin 18.2 Antibody-MMAE Drug Conjugate Administered Intravenously in Patients With Advanced Pancreatic and Gastric Cancers
Primary Endpoint
The study will assess the number of participants with dose-limiting toxicities (DLTs) during the DLT evaluation period (first 21-day cycle) to determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D), with data collected over an average of 3 years.
Other Endpoint
Safety evaluations include treatment-emergent adverse events (TEAEs) graded by NCI-CTCAE v5.0 (Grade ≥3, serious, or fatal TEAEs with causality assessment), clinically significant changes in vital signs and lab tests, and CPO102 pharmacokinetics (AUC, Cmax, Tmax, t½, CL). Efficacy is measured by objective response rate (ORR per RECIST v1.1), while immunogenicity tracks anti-drug-antibody (ADA) incidence, all monitored over ~3 years.

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Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Objective Response Rate (ORR)
47.10
33.30
40.00
100.00
20.00
38.10 %
Patients Enrolled
Patients with resistant/refractory solid tumors that express CLDN18.2 who progressed on or were intolerant to standard treatment, or had no standard treatment were recruited.. ECOG score of 0-2.
Administration Dosage
0.50 up to 3.00 mg/kg on day 1, administered once every 3 weeks.
Related Clinical Trial
NCT Number NCT05009966  Clinical Status Phase 1
Clinical Description A phase 1 trial to evaluate safety, tolerability, pharmacokinetics, immunogenicity and initial efficacy of SYSA1801 in the treatment of CLDN 18.2 positive advanced malignant solid tumor.
References
Ref 1 Dose Escalation and Expansion Study of CPO102, an Anti-claudin 18.2 ADC in Patients With Advanced Cancers
Ref 2 Phase I, first-in-human study of AbGn-107, a novel antibody-drug conjugate (ADC), in patients with gastric, colorectal, pancreatic or biliary cancers. J Clin Oncol. 2020 38:15_suppl, e16771-e16771.