General Information of This Antibody-drug Conjugate (ADC)
ADC ID
DRG0YDBZU
ADC Name
SHR-4602
Synonyms
SHR-4602
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Organization
Jiangsu Hengrui Pharmaceuticals (Originator)
Drug Status
Phase 2
Antibody Name
Pertuzumab
 Antibody Info 
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2 ECD2); Receptor tyrosine-protein kinase erbB-2 (HER2 ECD4)
 Antigen Info 
Payload Name
ER300
 Payload Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Stable enzyme-cleavable linker
 Linker Info 
Conjugate Type
Undisclosed
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
2 Trials
Trial ID
NCT06560138
NCT05819684; CTR20231070
2 Trials
Trial ID
NCT06704828; CTR20244423
NCT06516926; CTR20242442
ADC-specific functional property(2027 Update)
Bystander Killing Effect
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Bystander Killing Effect Description Reference
yes
Furthermore, SHR-4602 showed a strong in vitro bystander effect in the co-culture of HER2 positive/negative cells.
[1]
General Information of The Activity Data Related to This ADC
Identified from the Human Clinical Data
Click To Hide/Show 4 Activity Data Related to This Level
Standard Type NCT Number Clinical Status Clinical Trial Description
Undisclosed  NCT05819684
PHASE1
A Phase I Multi-Center, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of SHR-4602 in HER2 Expressing or Mutated Advanced Malignant Solid Tumor Subjects
Undisclosed  NCT06516926
PHASE2
An Open-label, Randomized, Multi-center Phase II Clinical Study of SHR-4602 for Injection in Subjects With HER2-expressing or -Mutated Unresectable or Metastatic Solid Tumors
Undisclosed  NCT06560138
PHASE1
An Open-label, Multi-center Phase I Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of SHR-4602 in Subjects With HER2-expressing or HER2-mutated Locally Advanced or Metastatic Solid Tumors

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Undisclosed  NCT06704828
PHASE2
An Open-label, Multi-center Phase II Study to Evaluate the Safety, Tolerablity, Pharmacokinetics, and Efficacy of SHR-4602 as Montherapy or in Combination With Other Anti-tumor Therapies in Sujbects With Advanced Solid Tumors

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Full List of Activity Data of This Antibody-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 4 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Patients Enrolled
Eligible participants must have HER2+ advanced solid tumors refractory to standard therapy, ≥1 measurable lesion (RECIST v1.1), ECOG PS 0-1, adequate organ function, and contraceptive use. Key exclusions: CNS metastases, active lung/autoimmune diseases, severe allergies, uncontrolled cardiac conditions, concurrent malignancies (5-year window), or bleeding disorders.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT05819684  Clinical Status PHASE1
Clinical Description A Phase I Multi-Center, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of SHR-4602 in HER2 Expressing or Mutated Advanced Malignant Solid Tumor Subjects
Primary Endpoint
The primary safety endpoints include adverse event (AE) incidence/severity (monitored until 90 days post-treatment), maximum tolerated dose (MTD), dose-limiting toxicities (DLTs) within 21 days post-dose, and recommended Phase 2 dose (RP2D) determination.
Other Endpoint
Pharmacokinetic analysis (Cmax, AUC0-t, Tmax, T1/2) and immunogenicity (anti-drug antibodies, ADAs) will be assessed up to 30-90 days post-treatment. Efficacy endpoints (per RECIST v1.1) include objective response rate (ORR), disease control rate (DCR), duration of response (DOR), and progression-free survival (PFS).
Experiment 2 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Eligible participants (age 18-75, ECOG PS 0-1) must have HER2-positive disease confirmed via tissue testing, ≥1 measurable lesion (RECIST v1.1), and adequate organ function, with stringent contraception requirements. Exclusions include active brain/CNS metastases, untreated interstitial lung disease, uncontrolled infections/cardiovascular conditions, prior therapies within 4 weeks, unresolved toxicities (>Grade 1), concurrent malignancies (5-year window), and severe allergies to SHR-4602 components.

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Administration Dosage
Intravenous infusion, cycle every 21 days;
Related Clinical Trial
NCT Number NCT06516926  Clinical Status PHASE2
Clinical Description An Open-label, Randomized, Multi-center Phase II Clinical Study of SHR-4602 for Injection in Subjects With HER2-expressing or -Mutated Unresectable or Metastatic Solid Tumors
Primary Endpoint
The primary endpoint is the objective response rate (ORR) assessed over a two-year period, evaluating treatment efficacy based on tumor response criteria.
Other Endpoint
Secondary endpoints include duration of response (DoR), progression-free survival (PFS), best overall response (BOR), disease control rate (DCR), incidence and severity of adverse events (AEs/SAEs) graded per CTCAE v5.0, and pharmacokinetic parameters (blood concentrations of conjugated/total antibodies and free toxin), all monitored over two years.

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Experiment 3 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Eligible participants (ECOG PS 0-1, HER2+ advanced solid tumors, life expectancy ≥12 weeks) must have adequate organ function and provide consent. Key exclusions: active brain metastases, recent anticancer therapies (4 weeks), unresolved toxicities (Grade>1), uncontrolled infections, bleeding disorders, active hepatitis B/C, other malignancies (5-year window), or SHR-4602 hypersensitivity.

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Administration Dosage
Experimental: SHR-4602 Dose level 1 : 2.0 mg/kg, Dose level 2 : 2.5mg/kg
Related Clinical Trial
NCT Number NCT06560138  Clinical Status PHASE1
Clinical Description An Open-label, Multi-center Phase I Dose-expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of SHR-4602 in Subjects With HER2-expressing or HER2-mutated Locally Advanced or Metastatic Solid Tumors
Primary Endpoint
The recommended Phase II dose (RP2D) of SHR-4602 will be determined based on observed clinical responses and tolerability, assessed from informed consent until 45 (±3) days post-treatment or new anti-tumor therapy initiation (up to 1 year).
Other Endpoint
PK parameters (Cmax, Tmax, AUC0-t, AUC0-∞, t1/2, CL, Vss, Rac) and immunogenicity (ADA) will be evaluated over 1 year post-treatment. Efficacy endpoints (ORR, DOR, DCR, PFS) will be assessed per RECIST v1.1 for up to 3 years, with responses confirmed ≥4 weeks later and Kaplan-Meier analysis for time-to-event outcomes.
Experiment 4 Reporting the Activity Date of This ADC [5]
Patients Enrolled
Additional exclusion criteria involve untreated hepatitis, recent live vaccines (28 days), known allergies to study drug components, uncontrolled mental illness, substance abuse, other malignancies within 5 years, active tuberculosis, or any condition deemed to compromise study integrity by investigators. Requirements include consent provision and commitment to contraception until 8 months post-treatment.

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Administration Dosage
.
Related Clinical Trial
NCT Number NCT06704828  Clinical Status PHASE2
Clinical Description An Open-label, Multi-center Phase II Study to Evaluate the Safety, Tolerablity, Pharmacokinetics, and Efficacy of SHR-4602 as Montherapy or in Combination With Other Anti-tumor Therapies in Sujbects With Advanced Solid Tumors
Primary Endpoint
The primary endpoint is ORR by investigator assessment, defined as the percentage of participants achieving confirmed CR or PR per RECIST v1.1, evaluated over approximately 5 years. Secondary endpoints include DCR (CR+PR+SD), DoR (time from first response to PD/death), PFS (time from treatment start to PD/death), OS (time to death from any cause), and incidence of AEs.

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Other Endpoint
Eligible participants aged 18-80 with ECOG 0-1 must have confirmed advanced/metastatic solid tumors after ≥1 line of prior therapy, measurable lesions per RECIST v1.1, expected survival ≥12 weeks, adequate organ function, and HER2 expression (Stage I). Key exclusions include active CNS metastases, recent anticancer therapy (within 4 weeks), unresolved toxicities > Grade 1, significant lung/cardiac diseases, active infections/autoimmune disorders, pregnancy/lactation, and prior severe immune-related AEs from checkpoint inhibitors.

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References
Ref 1 Abstract 3195: SHR-4602, next generation of HER2-targeting ADC with potent anti-tumor efficacy overcoming the resistance of HER2 ADC with Topo I inhibitor payload in xenograft models
Ref 2 A Study of SHR-4602 in Subjects With Advanced Malignant Solid Tumors
Ref 3 SHR-4602 for Injection in Subjects With HER2-expressing or -Mutated Unresectable or Metastatic Solid Tumors
Ref 4 A Trial of SHR-4602 Infusion in Patients With SHR-4602 in Subjects With HER2-expressing or HER2-mutated Locally Advanced or Metastatic Solid Tumors
Ref 5 A Phase II Study of SHR-4602 as Montherapy or in Combination With Other Anti-tumor Therapies in Advanced Solid Tumors