General Information of This Antibody
Antibody ID
ANI0QYT006
Antibody Name
Sonesitatug
Organization
Keymed Biosciences, Inc.; Shanghai Miracogen Inc.; Lepu Biopharma Co., Ltd.; AstraZeneca PLC
Synonyms
Sonesitatug
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Antibody Type
Monoclonal antibody (mAb)
Antigen Name
Claudin-18.2 (CLDN18.2)
 Antigen Info 
Click to Show/Hide the Sequence Information of This Antibody
Heavy Chain Sequence
QVQLQESGPGLVKPSETLSLTCTVSGGSISSNYAWNWIRQPPGKGLEWIGYIYYSGNTNY
NPSLKSRVTISRDTSKNQFSLKLSSVTAADTAVYYCATSYYGNSFIYWGQGTLVTVSS
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Light Chain Sequence
DIVMTQSPDSLAVSLGERATINCKSSQSLLNSGNQKNYLTWYQQKPGQPPKLLIYWASTR
ESGVPDRFSGSGSGTDFTLTISSLQAEDVAVYYCQNAYSFPWTFGQGTKVEIK
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Each Antibody-drug Conjugate Related to This Antibody
Full Information of The Activity Data of The ADC(s) Related to This Antibody
Sonesitatug vedotin [Phase 3]
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 [1]
Efficacy Data Objective Response Rate (ORR)
29%
Patients Enrolled
Eligibility requires ECOG 0-1, advanced solid tumors (Part A: measurable/evaluable; Part B: confirmed Claudin 18.2+ lesions). Key exclusions: recent anticancer therapies (<28 days), active infections/CNS metastases, neuropathy &ge;Grade 2, uncontrolled effusions, HBV/HCV viremia, or QTc >480msec. Contraception is mandated for reproductive-age participants.

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Administration Dosage
CMG901 will be administered intravenously (IV) on Day 1 of every 21-day cycle. Individual subjects may continue study treatment until confirmed Progressive Disease (PD), unacceptable toxicity, initiation of new anti-tumor therapy, withdrawal from the study, or death, whichever occurs first.
Related Clinical Trial
NCT Number NCT04805307  Clinical Status PHASE1
Clinical Description
An Open-Label, Phase 1, Dose Escalation and Dose Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of CMG901 in Subjects With Advanced Unresectable or Metastatic Solid Tumor
Primary Endpoint
Part A evaluates safety endpoints including AE incidence, lab abnormalities (30 days post-treatment), and MTD determination (21-day DLT window). Part B focuses on preliminary efficacy (ORR per RECIST v1.1) and RP2D establishment for Claudin 18.2+ advanced solid tumors over 24 months.
Other Endpoint
Comprehensive PK analysis covers AUC (0-last/tau/inf), Cmax, Tmax, clearance, and volume parameters through 24 months, alongside immunogenicity (anti-CMG901 antibodies). Secondary endpoints include DCR, DoR, PFS, OS, and Claudin 18.2 expression correlation, with Part B adding NCI CTCAE v5.0 safety monitoring.
Experiment 2 Reporting the Activity Date of This ADC [2]
Patients Enrolled
Eligible participants (&ge;18yo, ECOG 0-1) required CLDN18.2+ lesions (RECIST v1.1), adequate organ function (>35kg). Substudies targeted specific cancers: GC/GEJC (&le;2 prior lines), PDAC (treatment-na&iuml;ve metastatic), biliary tract (1-2 prior lines). Key exclusions: active GI bleeding, ascites, ILD history, CNS metastases, prior MMAE-ADC/CLDN18.2 therapy (except antibodies), QTc risks (Substudy 1), UGT1A1/CYP3A4 interactions (Substudy 2), or biliary obstruction (Substudy 3).

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Administration Dosage
Substudy 1 is recruiting patients with human epidermal growth factor receptor 2 (HER2)-negative, CLDN18.2-expressing G/GEJ cancer with ≤2 prior lines of therapy for unresectable or metastatic disease, who are randomized 1:1 to receive AZD0901 1.8 or 2.2 mg/kg intravenous (IV) every 3 weeks (Q3W).
Related Clinical Trial
NCT Number NCT06219941  Clinical Status PHASE2
Clinical Description
A Phase II, Open-label, Multi-centre Study to Evaluate Safety, Tolerability, Efficacy, PK, and Immunogenicity of AZD0901 as Monotherapy and in Combination With Anti-cancer Agents in Participants With Advanced Solid Tumours Expressing Claudin 18.2 (CLARITY-PanTumour01)
Primary Endpoint
Safety monitoring included AEs/SAEs, lab/vital sign changes, DLTs (30 days post-treatment; AE follow-up for 90 days). Primary objective assessed AZD0901's safety (monotherapy/combination) in CLDN18.2+ advanced/metastatic solid tumors, analyzing discontinuation rates and tolerability.
Other Endpoint
Efficacy measures included ORR (RECIST v1.1), OS, PFS (both ~2 years), DoR, DCR (11-week landmark), and tumor shrinkage percentage. PK analysis covered serum concentrations (AZD0901/MMAE) and parameters (AUC/Cmax/tmax) until 90 days post-treatment, alongside immunogenicity (ADA) and biomarker correlations (tissue-based RNA/DNA/proteins) during early treatment.

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Experiment 3 Reporting the Activity Date of This ADC [3]
Efficacy Data Objective Response Rate (ORR)
75%
Patients Enrolled
Patients with advanced malignant tumors.
Administration Dosage
Day 1 in 3-week (Q3W) cycle 3.40 mg/kg.
Related Clinical Trial
NCT Number NCT04805307  Clinical Status Phase 1
Clinical Description
An open-label, phase 1, dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics and antitumor activities of CMG901 in subjects with advanced unresectable or metastatic solid tumor.
References
Ref 1 Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy, Phase 1 Study of CMG901
Ref 2 AZD0901 in Participants With Advanced Solid Tumours Expressing Claudin18.2
Ref 3 A phase 1a dose-escalation, multicenter trial of anti-claudin 18.2 antibody drug conjugate CMG901 in patients with resistant/refractory solid tumors. J Clin Oncol. 2023 41:4_suppl, 352-352.