General Information of This Antibody
Antibody ID
ANI0FQFZL
Antibody Name
Sirtratumab
Organization
Agensys, Inc.
Indication
Solid tumors
Synonyms
AGS-15C; AGS15C; Ha15-10ac12; Ha15-10ac12.1
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Antibody Type
Monoclonal antibody (mAb)
Antibody Subtype
Humanized IgG2-kappa
Antigen Name
SLIT and NTRK-like protein 6 (SLITRK6)
 Antigen Info 
Click to Show/Hide the Sequence Information of This Antibody
Heavy Chain Sequence
QVQLVESGGGVVQPGRSLRLSCAASGFTFSSYGMHWVRQAPGKGLEWVAVIWYDGSNQYY
ADSVKGRFTISRDNSKNTLFLQMHSLRAEDTAVYYCARGLTSGRYGMDVWGQGTTVTVSS
ASTKGPSVFPLAPCSRSTSESTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSS
GLYSLSSVVTVPSSNFGTQTYTCNVDHKPSNTKVDKTVERKCCVECPPCPAPPVAGPSVF
LFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVQFNWYVDGVEVHNAKTKPREEQFNSTFR
VVSVLTVVHQDWLNGKEYKCKVSNKGLPAPIEKTISKTKGQPREPQVYTLPPSREEMTKN
QVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQQGN
VFSCSVMHEALHNHYTQKSLSLSPGK
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Heavy Chain Varible Domain
QVQLVESGGGVVQPGRSLRLSCAASGFTFSSYGMHWVRQAPGKGLEWVAVIWYDGSNQYY
ADSVKGRFTISRDNSKNTLFLQMHSLRAEDTAVYYCARGLTSGRYGMDVWGQGTTVTVSS
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Heavy Chain Constant Domain 1
ASTKGPSVFPLAPCSRSTSESTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSS
GLYSLSSVVTVPSSNFGTQTYTCNVDHKPSNTKVDKTV
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Heavy Chain Constant Domain 2
APPVAGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVQFNWYVDGVEVHNAKTKP
REEQFNSTFRVVSVLTVVHQDWLNGKEYKCKVSNKGLPAPIEKTISKTK
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Heavy Chain Constant Domain 3
GQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPMLDS
DGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK
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Heavy Chain Hinge Region
ERKCCVECPPCP
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Heavy Chain CDR 1
GFTFSSYG
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Heavy Chain CDR 2
IWYDGSNQ
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Heavy Chain CDR 3
ARGLTSGRYGMDV
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Light Chain Sequence
DIVMTQSPLSLPVTPGEPASISCRSSQSLLLSHGFNYLDWYLQKPGQSPQLLIYLGSSRA
SGVPDRFSGSGSGTDFTLKISRVEAEDVGLYYCMQPLQIPWTFGQGTKVEIKRTVAAPSV
FIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSL
SSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC
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Light Chain Varible Domain
DIVMTQSPLSLPVTPGEPASISCRSSQSLLLSHGFNYLDWYLQKPGQSPQLLIYLGSSRA
SGVPDRFSGSGSGTDFTLKISRVEAEDVGLYYCMQPLQIPWTFGQGTKVEIK
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Light Chain Constant Domain
RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQD
SKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC
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Light Chain CDR 1
QSLLLSHGFNY
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Light Chain CDR 2
LGS
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Light Chain CDR 3
MQPLQIPWT
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The Activity Data of This Antibody
Antibody Activity Information 1 [1]
Dissociation Constant (Kd)
15
pM
SW780 cells CVCL_1728 
Antigen Expression Positive SLITRK6 expression (SLITRK6+++/++)
Antibody Function Confirm the effect of the drug conjugation with the anti-SLITRK6 mAb and ADC on binding activity to cell line.
Antibody Antigen Binding Assay FACS analysis to determine maximum binding (Bmax) and affinity of ASG-15ME (ADC) and AGS-15C (unconjugated mAb). For the assay, antibodies were serially diluted and incubated with SW-780 cells (50,000 cells/well) at a final concentration of 40.0 to 0.00067 nmol/L and added to the SW-780 cells for overnight incubation at 4C.
Each Antibody-drug Conjugate Related to This Antibody
Full Information of The Activity Data of The ADC(s) Related to This Antibody
Sirtratumab vedotin [Phase 1 (discontinued)]
Identified from the Human Clinical Data
Click To Hide/Show 3 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [2]
Efficacy Data Objective Response Rate (ORR)
13.00
29.00
40.00
40.00 %
High SLITRK6 expression (SLITRK6+++; IHC H-score=230)
Patients Enrolled
Metastatic uroepithelial carcinoma (mUC) patients unselected for SLITRK6 expression (determined by an IHC assay) and previously treated with 1 prior chemo regimen or unfit for cisplatin.
Administration Dosage
Administered IV weekly for 3 out of every 4 weeks.
Related Clinical Trial
NCT Number NCT01963052  Clinical Status Phase 1
Clinical Description
A phase 1 study of the safety and pharmacokinetics of escalating doses of AGS15E given as monotherapy in subjects with metastatic urothelial cancer.
Experiment 2 Reporting the Activity Date of This ADC [4]
Efficacy Data Progression Free Survival
16 weeks
Patients Enrolled
Eligible patients must have histologically confirmed TCCU with specific prior treatment requirements per cohort (Parts A, B, C). Key inclusion criteria include measurable disease, ECOG status 0-2, life expectancy ≥3 months, and adequate organ function. Exclusion criteria cover severe neuropathy, uncontrolled CNS metastases, recent investigational/cancer therapy, significant cardiac disease, active infections, major surgery within 28 days, and specific ocular conditions.

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Administration Dosage
ASG-15ME was administered IV weekly for 3 out of every 4 wks until no further benefit. 6 dose levels were studied: 0.1, .25, .5, 0.75, 1, or 1.25 mg/kg.
Related Clinical Trial
NCT Number NCT01963052  Clinical Status PHASE1
Clinical Description
A Phase 1 Study of the Safety and Pharmacokinetics of Escalating Doses of AGS15E Given as Monotherapy in Subjects With Metastatic Urothelial Cancer
Primary Endpoint
The primary safety endpoint is the incidence of adverse events over 36 months, while pharmacokinetic parameters for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE) including CEOI, Cmax, Ctrough, Tmax, AUC0-7, t1/2, CL, and Vss are assessed during specific dosing cycles up to 6 months.
Other Endpoint
Secondary endpoints include Anti-Drug Antibody (ADA) incidence and tumor response (CR/PR per RECIST 1.1 confirmed ≥28 days), objective response rate, disease control rate (CR/PR/SD), progression-free survival (time from first infusion to progression/death), and duration of response (time from first CR/PR to progression/death) evaluated over 26-36 months.

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Experiment 3 Reporting the Activity Date of This ADC [4]
Efficacy Data Objective Response Rate (ORR)
30%
Patients Enrolled
Eligible patients must have histologically confirmed TCCU with specific prior treatment requirements per cohort (Parts A, B, C). Key inclusion criteria include measurable disease, ECOG status 0-2, life expectancy ≥3 months, and adequate organ function. Exclusion criteria cover severe neuropathy, uncontrolled CNS metastases, recent investigational/cancer therapy, significant cardiac disease, active infections, major surgery within 28 days, and specific ocular conditions.

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Administration Dosage
ASG-15ME was administered IV weekly for 3 out of every 4 wks until no further benefit. 6 dose levels were studied: 0.1, .25, .5, 0.75, 1, or 1.25 mg/kg.
Related Clinical Trial
NCT Number NCT01963052  Clinical Status PHASE1
Clinical Description
A Phase 1 Study of the Safety and Pharmacokinetics of Escalating Doses of AGS15E Given as Monotherapy in Subjects With Metastatic Urothelial Cancer
Primary Endpoint
The primary safety endpoint is the incidence of adverse events over 36 months, while pharmacokinetic parameters for total antibody (TAb), antibody drug conjugate (ADC), and Monomethyl Auristatin E (MMAE) including CEOI, Cmax, Ctrough, Tmax, AUC0-7, t1/2, CL, and Vss are assessed during specific dosing cycles up to 6 months.
Other Endpoint
Secondary endpoints include Anti-Drug Antibody (ADA) incidence and tumor response (CR/PR per RECIST 1.1 confirmed ≥28 days), objective response rate, disease control rate (CR/PR/SD), progression-free survival (time from first infusion to progression/death), and duration of response (time from first CR/PR to progression/death) evaluated over 26-36 months.

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Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 3 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 73.40% Moderate SLITRK6 expression (SLITRK6++; IHC H-score=185)
Method Description
PDX models were established by subcutaneous implantation of xenograft fragments (AG-B7 or AG-B8) in the flanks of SCID mice. When the tumor volume reached approximately 200 mm3,Sirtratumab Vedotin was dosed at 0.25 mg/kg,2x per week i.v in AG-B8 PDX model. The last dose was given on day 14.
In Vivo Model Bladder cancer PDX model (PDX: AG-B8)
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 86.90% High SLITRK6 expression (SLITRK6+++; IHC H-score=280)
Method Description
PDX models were established by subcutaneous implantation of xenograft fragments (AG-B7 or AG-B8) in the flanks of SCID mice. When the tumor volume reached approximately 200 mm3,Sirtratumab Vedotin was dosed at 0.5 mg/kg,2x per week i.v in AG-B7 PDX model. The last dose was given on day 21.
In Vivo Model Bladder cancer PDX model (PDX: AG-B7)
Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 88.40% High SLITRK6 expression (SLITRK6+++; IHC H-score=250)
Method Description
PDX models were established by subcutaneous implantation of xenograft fragments (AG-B7 or AG-B8) in the flanks of SCID mice. When the tumor volume reached approximately 200 mm3,Sirtratumab Vedotin was dosed at 0.5 mg/kg,2x per week i.v in AG-B8 PDX model. The last dose was given on day 14.
In Vivo Model Bladder cancer PDX model (PDX: AG-B8)
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 88.90% High SLITRK6 expression (SLITRK6+++)
Method Description
CDX models were established by subcutaneous injection of between 2 and 10 million SW780, RT4 (ATCC) or NCI-H322M (NCI) cells in SCID mice. When the tumor volume reached approximately 230 mm3, a single dose of Sirtratumab Vedotin, 5 mg/kg intravenously, was administered intravenously (iv) to the mice.
In Vivo Model Bladder cancer CDX model
In Vitro Model Bladder carcinoma RT-4 cells CVCL_0036
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 91.10% Negative SLITRK6 expression (SLITRK6-)
Method Description
CDX models were established by subcutaneous injection of between 2 and 10 million SW780, RT4 (ATCC) or NCI-H322M (NCI) cells in SCID mice. Sirtratumab Vedotin was administered twice weekly at 3 mg/kg (n = 6) starting when the tumor volume reached approximately 200 mm3.
In Vivo Model Lung cancer NCI-322M CDX model
In Vitro Model Lung cancer NCI-322M cells Homo sapiens
Revealed Based on the Cell Line Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.99 nM
Method Description
ASG-15ME was tested for its ability to kill several SLITRK6-positive cell lines in vitro. The viability of CHP-212 cells treated with ASG-15ME was compared with that of target negative cells (IGR-OV1) or cells treated with an isotype control antibody to determine IC50 values.
In Vitro Model Neuroblastoma CHP-212 cells CVCL_1125
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Half Maximal Inhibitory Concentration (IC50) > 10 uM High SLITRK6 expression (SLITRK6+++; IHC H-score=250)
Method Description
ASG-15ME was tested for its ability to kill several SLITRK6-positive cell lines in vitro. The viability of CHP-212 cells treated with ASG-15ME was compared with that of target negative cells (IGR-OV1) or cells treated with an isotype control antibody to determine IC50 values.
In Vitro Model Ovarian endometrioid adenocarcinoma IGROV-1 cells CVCL_1304
ASG-15MF [Investigative]
Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 3 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 62.90% High SLITRK6 expression (SLITRK6+++; IHC H-score=250)
Method Description
PDX models were established by subcutaneous implantation of xenograft fragments (AG-B7 or AG-B8) in the flanks of SCID mice. When the tumor volume reached approximately 200 mm3,ASG-15MF was dosed at 0.25 mg/kg,2x per week i.v in AG-B8 PDX model. The last dose was given on day 14.
In Vivo Model Bladder cancer PDX model (PDX: AG-B8)
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 63.40% High SLITRK6 expression (SLITRK6+++; IHC H-score=230)
Method Description
PDX models were established by subcutaneous implantation of xenograft fragments (AG-B7 or AG-B8) in the flanks of SCID mice. When the tumor volume reached approximately 200 mm3,ASG-15MF was dosed at 0.5 mg/kg,2x per week i.v in AG-B7 PDX model. The last dose was given on day 21.
In Vivo Model Bladder cancer PDX model (PDX: AG-B7)
Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 80% High SLITRK6 expression (SLITRK6+++; IHC H-score=250)
Method Description
PDX models were established by subcutaneous implantation of xenograft fragments (AG-B7 or AG-B8) in the flanks of SCID mice. When the tumor volume reached approximately 200 mm3,ASG-15MF was dosed at 0.5 mg/kg,2x per week i.v in AG-B8 PDX model. The last dose was given on day 14.
In Vivo Model Bladder cancer PDX model (PDX: AG-B8)
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 35.20% Moderate SLITRK6 expression (SLITRK6++; IHC H-score=185)
Method Description
CDX models were established by subcutaneous injection of between 2 and 10 million SW780, RT4 (ATCC) or NCI-H322M (NCI) cells in SCID mice. ASG-15MF was administered twice weekly at 3 mg/kg (n = 6) starting when the tumor volume reached approximately 200 mm3.
In Vivo Model NCI-322M CDX model
In Vitro Model Lung cancer NCI-322M cells Homo sapiens
Experiment 2 Reporting the Activity Date of This ADC [3]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 81.30% High SLITRK6 expression (SLITRK6+++; IHC H-score=280)
Method Description
CDX models were established by subcutaneous injection of between 2 and 10 million SW780, RT4 (ATCC) or NCI-H322M (NCI) cells in SCID mice. When the tumor volume reached approximately 230 mm3, a single dose of ASG-15MF, 5 mg/kg intravenously, was administered intravenously (iv) to the mice.
In Vivo Model Bladder cancer CDX model
In Vitro Model Bladder cancer Bladder cancer cells Homo sapiens
References
Ref 1 ADC review: basic information about sirtratumab vedotin.
Ref 2 Phase 1 study of SGN-B7H4V, a novel, investigational vedotin antibodydrug conjugate directed to B7-H4, in patients with advanced solid tumors (SGNB7H4V-001, trial in progress). J Clin Oncol. 2022 40:16_suppl, TPS3155-TPS3155.
Ref 3 Development of ASG-15ME, a Novel Antibody-Drug Conjugate Targeting SLITRK6, a New Urothelial Cancer Biomarker. Mol Cancer Ther. 2016 Jun;15(6):1301-10.
Ref 4 ASG-15ME is a Study of Escalating Doses of AGS15E Given as Monotherapy in Subjects With Metastatic Urothelial Cancer