General Information of This Antibody-drug Conjugate (ID: DRG0YZEVV)
ADC Name
MT-5111
Synonyms
MT 5111; MT-5111; MT5111
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Organization
Molecular Templates, Inc.
Drug Status
Phase 1 (discontinued)
Antibody Name
Undisclosed
Antigen Name
Receptor tyrosine-protein kinase erbB-2 (HER2)
 Antigen Info 
Payload Name
Shiga toxin B subunit (StxB)
 Payload Info 
Payload Target
Ribosome (RB)
 Target Info 
Linker Name
Undisclosed
2027 Update
The disease landscape of This ADC
2027 Update
The clinical trial pipelines of This ADC
Disease Name Phase 1 Phase 2 Phase 3 Approved
Unspecific solid tumor
1 Trials
Clinical trial identifier
NCT04029922
2027 Update
General Information of The ADMET Data Related to This ADC
Absorption
Click To Hide/Show 8 Absorption Data Related to This Level
Standard Type Value Units Description Reference
Maximum Observed Concentration (Cmax) 33 ng/mL
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 6.75 ug/kg, N=5
[2]
Maximum Observed Concentration (Cmax) 0.6 nM
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 6.75 ug/kg, N=5
[2]
Maximum Observed Concentration (Cmax) 54 ng/mL
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 10 ug/kg, N=11
[2]
Maximum Observed Concentration (Cmax) 0.98 nM
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 10 ug/kg, N=11
[2]
Maximum Observed Concentration (Cmax) 81 ng/mL
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 13 ug/kg, N=3
[2]
Maximum Observed Concentration (Cmax) 1.47 nM
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 13 ug/kg, N=3
[2]
Maximum Observed Concentration (Cmax) 93 ng/mL
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 17 ug/kg, N=4
[2]
Maximum Observed Concentration (Cmax) 1.69 nM
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 17 ug/kg, N=4
[2]
Excretion
Click To Hide/Show 5 Excretion Data Related to This Level
Standard Type Value Units Description Reference
Elimination Half-Life (t1/2) 2-5 h
MT-5111 was designed to achieve a short half-life to allow for efficient tumor cell targeting but minimal serum exposure time to avoid systemic effects over time. This short half-life was confirmed in primates

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[1]
Elimination Half-Life (t1/2) 3.9 h
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 6.75 ug/kg, N=5
[2]
Elimination Half-Life (t1/2) 6.9 h
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 10 ug/kg, N=11
[2]
Elimination Half-Life (t1/2) 5.3 h
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 13 ug/kg, N=3
[2]
Elimination Half-Life (t1/2) 6.6 h
A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results, 17 ug/kg, N=4
[2]
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  NCT04029922
PHASE1
A Phase 1 Open-label, Multicenter Dose Escalation and Expansion Study of MT-5111 in Subjects With Previously Treated Advanced HER2-positive Solid Tumors
Undisclosed  NCT04757090
PHASE2
A Pilot Study of 89Zr-Trastuzumab PET/CT in Subjects With Previously Treated HER2-Positive Solid Tumors Scheduled to Receive Treatment With MT-5111
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 [3]
Patients Enrolled
Eligible patients have HER2-positive unresectable/metastatic solid tumors (Part A: all types; Part B: breast/GEA) refractory to prior therapies, measurable/evaluable lesions (RECIST 1.1), ECOG ≤1, and adequate organ function. Exclusions include active CNS metastases, uncontrolled comorbidities, significant cardiovascular disease, or concurrent infections (HBV/HCV/HIV).

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Administration Dosage
The assigned dose level of MT-5111 will be given as an intravenous (IV) infusion over about 30 minutes on the same day every week (i.e., on day 1, day 8 and day 15 of each cycle).
Related Clinical Trial
NCT Number NCT04029922  Clinical Status PHASE1
Clinical Description A Phase 1 Open-label, Multicenter Dose Escalation and Expansion Study of MT-5111 in Subjects With Previously Treated Advanced HER2-positive Solid Tumors
Primary Endpoint
The primary objectives are to assess the safety and tolerability of MT-5111 by monitoring adverse events (CTCAE v5.0) and dose-limiting toxicities (DLTs) to determine the MTD/RP2D over 21-day cycles.
Other Endpoint
Secondary objectives include evaluating MT-5111 pharmacokinetics (Cmax, Tmax, AUC) on Days 1/8/15 per cycle, tumor response (ORR per RECIST 1.1), and immunogenicity (ADA/NAb titers) at baseline, treatment cycles, and follow-up.
Experiment 2 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Eligible participants must be enrolled in MT-5111_001 with ≥1 measurable lesion (RECIST 1.1; osteosarcoma exceptions permitted), have recent/planned FDG-PET/CT, and be capable of PET/CT imaging. Exclusions include hepatic-only disease and pregnancy/breastfeeding status.
Administration Dosage
.
Related Clinical Trial
NCT Number NCT04757090  Clinical Status PHASE2
Clinical Description A Pilot Study of 89Zr-Trastuzumab PET/CT in Subjects With Previously Treated HER2-Positive Solid Tumors Scheduled to Receive Treatment With MT-5111
Primary Endpoint
The primary imaging endpoint is the average 89Zr-trastuzumab SUVmax (maximum standardized uptake value) in lesions identified on baseline FDG-PET/CT scans.
Other Endpoint
Secondary imaging analyses include average 89Zr-trastuzumab tumor-to-normal tissue and tumor-to-blood uptake ratios, along with intra-patient heterogeneity assessment (fractions of scan-positive/negative lesions) in multi-lesion cases.
References
Ref 1 Abstract P1-18-35: MT-5111, a novel HER2 targeting engineered toxin body, under clinical development to overcome mechanisms of resistance to existing HER2 targeted therapies
Ref 2 Abstract OT2-11-01: A phase 1 study of the novel immunotoxin MT-5111 in patients with HER2+ tumors: interim results
Ref 3 Study of MT-5111 in HER2-positive Solid Tumors
Ref 4 89Zr-Trastuzumab PET/CT in Subjects With Previously Treated HER2-Positive Solid Tumors Scheduled to Receive Treatment With MT-5111