General Information of This Antibody
Antibody ID
ANI0RYL003
Antibody Name
Ciletatug
Organization
RemeGen Co., Ltd.; Biocytogen Pharmaceuticals (Beijing) Co., Ltd.; Eucure (Beijing) Biopharma Co., Ltd.
Synonyms
Ciletatug
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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
QVQLVQSGAEVKKPGASVKVSCKASGYAFTNYLIEWVRAQPGWGLEWMGLINPGSGGTNY
NEKFKGRVTMTRDTSTSTVYMELSSLRSEDTAVYYCARGGYYGNSFAYWGQGTLVTVSS
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Light Chain Sequence
DIVMTQSPLSLPVTPGEPASISCKSSQSLLNSGNQKNYLTWYLQKPGQSPQLLIYWASTR
ESGVPDRFSGSGSGTDFTLKISRVEAEDVGVYYCQNAYYYPYTFGGGTKVEIK
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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
Ciletatug vedotin [Phase 1/2]
Identified from the Human Clinical Data
Click To Hide/Show 7 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Patients Enrolled
Eligible patients (18-75 years, ECOG 0-1) must have unresectable/metastatic Claudin 18.2-positive tumors refractory to standard therapy, measurable disease per RECIST v1.1, and adequate organ function (ANC&ge;1.5&times;10<sup>9</sup>/L, platelets&ge;100&times;10<sup>9</sup>/L, bilirubin&le;1.5&times;ULN). Key exclusions include active HBV/HCV/HIV, uncontrolled comorbidities (cardiac, CNS metastases, grade&ge;2 neuropathy), recent antitumor therapy (<4 weeks), immunosuppression, or third-space effusions; reproductive-age patients require contraception compliance. Investigators may exclude participants deemed unsuitable for protocol adherence.

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Administration Dosage
Part A (Dose Escalation): RC118 will be administered through IV infusion at the various dose levels, including 0.25, 0.5, 1.0, 1.5, 2, 2.5, and 3 mg/kg, 1-12 subjects for each dose level. Part B (Dose Confirmation): RC118 will be administered at up to two dose levels, which is equal or lower than MTD/MAD, through IV infusion. Each dose level contains 3-6 subjects.

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Related Clinical Trial
NCT Number NCT04914117  Clinical Status PHASE1
Clinical Description
Phase 1, First-in-Human, Multicentre, Open-label Study of RC118 for Injection in Patients With Locally Advanced Unresectable/Metastatic Solid Tumours
Primary Endpoint
The primary objectives include determining the maximum tolerated dose (MTD)/maximum administered dose (MAD) based on dose-limiting toxicities (DLTs) graded per NCI-CTCAE v5.0 over 18 months, with RP2D selection informed by safety committee review, while adverse events will be monitored throughout the study duration to assess treatment tolerability.
Other Endpoint
Secondary efficacy endpoints encompass ORR (RECIST v1.1), PFS, DCR, and DOR, all evaluated over 18 months, alongside pharmacokinetic analyses (Cmax, AUC, Tmax of RC118/MMAE) and immunogenicity assessment (anti-drug antibody incidence) to characterize therapeutic response, drug exposure, and immunogenic potential.
Experiment 2 Reporting the Activity Date of This ADC [2]
Patients Enrolled
Eligible participants (18-75 years, ECOG 0-1) must have CLDN18.2-positive unresectable/metastatic gastric/GEJ/pancreatic cancers refractory to standard therapy with measurable lesions (RECIST v1.1), adequate organ function (ANC&ge;1.5&times;10<sup>9</sup>/L, platelets&ge;100&times;10<sup>9</sup>/L), and commit to contraception. Exclusions: active HBV/HCV/HIV, prior CLDN18.2 therapy, uncontrolled comorbidities (CNS metastases, QTc>480ms, NYHA 3-4 heart failure), recent anti-tumor treatment (<4 weeks), or pregnancy/breastfeeding. Investigator discretion applies for borderline cases.

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Administration Dosage
Participants will be allocated to one of the following dose groups: 0.25, 0.5, 1.0, 1.5, 2.0, 2.5, and 3.0mg/kg, and receive a treatment of RC118-ADC followed by 14 days of dose limited toxicity (DLT) observation period.
Related Clinical Trial
NCT Number NCT05205850  Clinical Status PHASE1|||PHASE2
Clinical Description
An Open, Multi-center Phase I/IIa Clinical Study of RC118 for Injection in Patients with Locally Advanced Unresectable or Metastatic Malignant Solid Tumors with Positive Expression of Claudin 18.2
Primary Endpoint
This study evaluates dose-limiting toxicity (DLT) within 28 days post-initial RC118 treatment (NCI-CTCAE v5.0-graded) and monitors adverse events (AEs) from consent through 28 days post-treatment to define safety, while assessing objective response rate (ORR) over 15 months by RECIST v1.1 (CR+PR).
Other Endpoint
Secondary outcomes include disease control rate (DCR; CR+PR+SD), progression-free survival (PFS), duration of response (DOR) over 15 months, pharmacokinetics (Tmax), immunogenicity (ADA incidence), and overall survival (OS; up to 2 years) to comprehensively characterize therapeutic efficacy, drug exposure, and immune response.
Experiment 3 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Eligible patients (18-75 years, ECOG 0-1) have Claudin18.2-positive metastatic gastric/GEJ adenocarcinoma refractory to &le;2 prior therapies, measurable lesions (RECIST v1.1), and adequate organ function. Key exclusions: active HBV/HCV/HIV, prior CLDN18.2/MMAE-based therapies, unstable brain metastases, QTc>450/470ms (M/F), uncontrolled comorbidities (NYHA 3-4 heart failure, autoimmune diseases requiring systemic treatment), or recent antitumor therapy (&le;4 weeks). Phase 2 excludes patients with prior immune checkpoint inhibitor discontinuation due to toxicity or recent PD-1/PD-L1/VEGFR-targeted therapy.

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Administration Dosage
Participants receive RC118- ADC (dose A or dose B) Q2W and Toripalimab (fixed dose) Q3W. Referring to the results of the Part A, an extension cohort using RC118 plus Toripalimab /RC148 will be established.
Related Clinical Trial
NCT Number NCT06038396  Clinical Status PHASE1|||PHASE2
Clinical Description
A Phase I/II Clinical Study to Evaluate the Safety and Efficacy of RC118 in Combination with Toripalimab / RC148 for Patients with Claudin 18.2-Positive, Locally Advanced Unresectable or Metastatic Malignant Solid Tumors
Primary Endpoint
This Phase 1/2 study evaluates RC118+Toripalimab's safety (DLTs in first 21 days, AE/SAE incidence over 15 months) and establishes MTD/RP2D within 12 months; Phase 2 focuses on ORR (RECIST v1.1-confirmed CR/PR) over 15 months.
Other Endpoint
Secondary efficacy metrics include DCR (CR+PR+SD), PFS, DOR, and OS (all 15-month endpoints); pharmacokinetics (RC118/MMAE peak/trough levels) and immunogenicity (ADA incidence/timing) are assessed to characterize drug exposure and immune responses.
Experiment 4 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Eligible patients (&ge;18 years) must have WHO-confirmed primary/secondary myelofibrosis (MF-2+, DIPSS intermediate-2/high risk), ECOG 0-2, and platelets &ge;25&times;10<sup>9</sup>/L; exclusions: prior TGF-beta inhibitors (e.g., galunisertib), active cardiovascular disease (uncontrolled hypertension, NYHA III-IV), active infections, or pregnancy. Women of childbearing potential require contraception. Organ function thresholds: ALT/AST &le;3x ULN (&le;4x if MF-related), bilirubin &le;1.5x ULN (&le;2x if MF-related/Gilbert's), creatinine &le;2.0 mg/dL.

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Administration Dosage
intravenous in dose cohorts of 70mg/m2 or 180 mg/m2
Related Clinical Trial
NCT Number NCT03895112  Clinical Status PHASE1
Clinical Description
Phase I Study of AVID200 in Patients With Myelofibrosis (Myeloproliferative Neoplasms Research Consortium [MPN-RC] 118)
Primary Endpoint
Phase 1 evaluates the MTD of AVID200 over 6 cycles (21 days each) using a 3+3 design (max 12 patients, target toxicity rate 30%); subjects achieving clinical improvement (per IWG/ELN) or ≥1-grade bone marrow fibrosis reduction may continue in the extension phase.
Other Endpoint
Efficacy assessments include IWG/ELN response criteria (CR, PR, clinical improvement, etc.) at Cycles 6/12, bone marrow fibrosis grade (MF-0 to MF-3), symptom burden (MFSAFv4.0; 0-100 scale), and quality of life (EORTC QLQ-C30; higher scores indicate poorer health), all evaluated up to Cycle 13.
Experiment 5 Reporting the Activity Date of This ADC [5]
Related Clinical Trial
NCT Number NCT03895112  Clinical Status Phase 1
Clinical Description
Phase 1 study of AVID200 in patients with myelofibrosis (myeloproliferative neoplasms research consortium [MPN-RC] 118).
Experiment 6 Reporting the Activity Date of This ADC [6]
Related Clinical Trial
NCT Number NCT04914117  Clinical Status Phase 1
Clinical Description
Phase 1, first-in-human, multicentre, open-label study of RC118 for injection in patients with locally advanced unresectable/metastatic solid tumours.
Experiment 7 Reporting the Activity Date of This ADC [7]
Related Clinical Trial
NCT Number NCT05205850  Clinical Status Phase 1
Clinical Description
An open, multi-center phase 1/2a clinical study of RC118 for injection in patients with locally advanced unresectable or metastatic malignant solid tumors with positive expression of CLAUDIN 18.2.
References
Ref 1 A Study of RC118 in Patients With Locally Advanced Unresectable/Metastatic Solid Tumours
Ref 2 A Study of RC118 in Patients with Locally Advanced Unresectable or Metastatic Malignant Solid Tumors
Ref 3 A Study of RC118 Plus Toripalimab / RC148 in Patients with Locally Advanced Unresectable or Metastatic Solid Tumors
Ref 4 MPN-RC 118 AVID200 in Myelofibrosis
Ref 5 Phase I Study of AVID200 in Patients With Myelofibrosis (Myeloproliferative Neoplasms Research Consortium [MPN-RC] 118), NCT03895112
Ref 6 Phase 1, First-in-Human, Multicentre, Open-label Study of RC118 for Injection in Patients With Locally Advanced Unresectable/Metastatic Solid Tumours, NCT04914117
Ref 7 An Open, Multi-center Phase I/IIa Clinical Study of RC118 for Injection in Patients With Locally Advanced Unresectable or Metastatic Malignant Solid Tumors With Positive Expression of Claudin 18.2, NCT05205850