General Information of This Antibody
Antibody ID
ANI0TAEHM
Antibody Name
Mipasetamab
Organization
ADC Therapeutics SA
Indication
Solid tumors
Synonyms
1H12; 1H12-GaINAcN3; 1H12-GALNACN3; 1H12-HAKB; BGB-601
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Antibody Type
Monoclonal antibody (mAb)
Antibody Subtype
Humanized IgG1-kappa
Antigen Name
Tyrosine-protein kinase receptor UFO (AXL)
 Antigen Info 
ChEMBI ID
CHEMBL5095447
Click to Show/Hide the Sequence Information of This Antibody
Heavy Chain Sequence
QVQLVESGGGVVQPGRSLRLSCAASGFTFSSYGMSWVRQAPGKGLEWVATISSGGSYTYY
PDSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARHPIYYTYDDTMDYWGQGTTVTV
SSASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQ
SSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELL
GGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQ
YNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPS
R EEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVD
KS RWQQGNVFSCSVMHEALHNHYTQKSLSLSPG
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Heavy Chain Varible Domain
QVQLVESGGGVVQPGRSLRLSCAASGFTFSSYGMSWVRQAPGKGLEWVATISSGGSYTYY
PDSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARHPIYYTYDDTMDYWGQGTTVTV
SS
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Heavy Chain Constant Domain 1
ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSS
GLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKV
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Heavy Chain Constant Domain 2
APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTK
PREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAK
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Heavy Chain Constant Domain 3
GQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDS
DGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG
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Heavy Chain Hinge Region
EPKSCDKTHTCPPCP
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Heavy Chain CDR 1
GFTFSSYG
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Heavy Chain CDR 2
ISSGGSYT
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Heavy Chain CDR 3
ARHPIYYTYDDTMDY
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Light Chain Sequence
EIVLTQSPGTLSLSPGERATLSCSASSSVSSGNFHWYQQKPGLAPRLLIYRTSNLASGIP
ARFSGSGSGTDFTLTISSLEPEDFAVYYCQQWSGYPWTFGGGTKLEIKRTVAAPSVFIFP
PSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTL
TLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC
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Light Chain Varible Domain
EIVLTQSPGTLSLSPGERATLSCSASSSVSSGNFHWYQQKPGLAPRLLIYRTSNLASGIP
ARFSGSGSGTDFTLTISSLEPEDFAVYYCQQWSGYPWTFGGGTKLEIK
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Light Chain Constant Domain
RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQD
SKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC
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Light Chain CDR 1
SSVSSGN
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Light Chain CDR 2
RTS
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Light Chain CDR 3
QQWSGYPWT
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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
Mipasetamab uzoptirine [Phase 1 (discontinued)]
Discovered Using Patient-derived Xenograft Model
Click To Hide/Show 8 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 35% Positive AXL expression (AXL+++/++)
Method Description
In vivo antitumor activity of ADCT-601 in BRCA1-mutated ovarian cancer PDX model. Single-dose (0.15 mg/kg,q.d.) ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model BRCA1-mutated ovarian cancer PDX model (PDX: CTG-0703)
Experiment 2 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 57.40% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.075 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Pancreatic cancer PDX model (PDX: PAXF1657)
Experiment 3 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 65.80% Negative AXL expression (AXL-)
Method Description
In vivo antitumor activity of ADCT-601 in BRCA1-mutated ovarian cancer PDX model. Single-dose (0.15 mg/kg,q.d.) ADCT-601 in combination with olaparib (50 mg/kg) and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model BRCA1-mutated ovarian cancer PDX model (PDX: CTG-0703)
Experiment 4 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 68.70% Negative AXL expression (AXL-)
Method Description
In vivo antitumor activity of ADCT-601 in a MMAE-resistant NCI-H1299 NSCLC model. Single-dose (0.50 mg/kg,q.d.) ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model MMAE-resistant non-small cell lung cancer PDX model (PDX: NCI-H1299)
Experiment 5 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 72.10% Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
In vivo antitumor activity of ADCT-601 in a MMAE-resistant NCI-H1299 NSCLC model. Single-dose (1.00 mg/kg,q.d.) ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model MMAE-resistant non-small cell lung cancer PDX model (PDX: NCI-H1299)
Experiment 6 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 84.90% Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.15 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Pancreatic cancer PDX model (PDX: PAXF1657)
Experiment 7 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 96.90% Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.30 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Pancreatic cancer PDX model (PDX: PAXF1657)
Experiment 8 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.50% Positive AXL expression (AXL+++/++; 36,000 copy number)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (1 mg/kg,q.d.) 0.ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Esophageal caner PDX model (PDX: ES0195)
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 4 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 69.40% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.30 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model kidney cancer CDX model
In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Experiment 2 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 86.20% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (0.60 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model kidney cancer CDX model
In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Experiment 3 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 97.60% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (1.00 mg/kg,q.d.). ADCT-601 and isotype-control ADC were administered intravenously (day 1) to treatment groups of 10 mice.
In Vivo Model Triple-negative breast cancer CDX model
In Vitro Model Breast adenocarcinoma MDA-MB-231 cells CVCL_0062
Experiment 4 Reporting the Activity Date of This ADC [1]
Efficacy Data Tumor Growth Inhibition value (TGI) ≈ 98.50% Positive AXL expression (AXL+++/++)
Method Description
The antitumor activity of ADCT-601 was tested in a range of human solid tumor xenograft models covering multiple indications. Single-dose (1.00 mg/kg,q.d.). ADCT-601 and isotype-control ADC (B12-PL1601) were administered intravenously (day 1) to treatment groups of 8 mice.
In Vivo Model Kidney cancer CDX model
In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Revealed Based on the Cell Line Data
Click To Hide/Show 9 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.02 nM
Positive AXL expression (AXL+++/++; 46,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Lung adenocarcinoma SK-LU-1 cells CVCL_0629
Experiment 2 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.11 nM
Positive AXL expression (AXL+++/++; 88,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cells CVCL_0532
Experiment 3 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.35 nM
Positive AXL expression (AXL+++/++; 79,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cells CVCL_0062
Experiment 4 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.47 nM
Positive AXL expression (AXL+++/++; 24,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Pancreatic ductal adenocarcinoma PANC-1 cells CVCL_0480
Experiment 5 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.59 nM
Positive AXL expression (AXL+++/++; 23,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Glioblastoma A-172 cells CVCL_0131
Experiment 6 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
0.83 nM
Positive AXL expression (AXL+++/++; 79,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Renal cell carcinoma SN12C cells CVCL_1705
Experiment 7 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
2.2 nM
Positive AXL expression (AXL+++/++; 20,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Lung large cell carcinoma NCI-H1299 cells CVCL_0060
Experiment 8 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
9.29 nM
Positive AXL expression (AXL+++/++; 79,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model Breast adenocarcinoma MDA-MB-361 cells CVCL_0620
Experiment 9 Reporting the Activity Date of This ADC [1]
Efficacy Data Half Maximal Inhibitory Concentration (IC50)
14.62 nM
Positive AXL expression (AXL+++/++; 36,000 copy number)
Method Description
In vitro cytotoxicity was determined by incubation of cell lines with serial dilutions of ADCT-601,the nonbinding control ADC,or the free PBD dimer cytotoxin SG3199 for 5-8 days at 37°C in a 5% CO2-gassed,humidified incubator. ADCT-601 selectively inhibited the growth of a panel of seven AXL-positive human cancer cell lines and two AXL-negative cell lines.

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In Vitro Model ALK-positive anaplastic large cell lymphoma Karpas-299 cells CVCL_1324
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 Stable disease (SD)
47.10%
Patients Enrolled
Eligible participants are adults (≥18 years) with locally advanced/metastatic solid tumors (specific sarcoma subtypes, NSCLC, or AXL-amplified tumors) refractory to standard therapy, measurable disease per RECIST 1.1, ECOG 0-1, and adequate organ function. Key exclusions include active CNS metastases (unless treated and stable ≥4 weeks), significant third-space fluid accumulation, recent infections requiring IV therapy, chronic diarrhea (CTCAE Grade 2+), or experimental medication use within 14 days prior to treatment initiation.

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Administration Dosage
As of 04 December 2023, 18 sarcoma patients (15 [83%], soft tissue sarcoma [STS] and 3 [17%] bone sarcoma), unselected for AXL expression, with a median number of 3 prior lines of therapy (1-10), were enrolled in 4 different dose cohorts: 7.5mg, 11mg, 13mg and 15mg. Reasons for treatment discontinuation were disease progression (10 pts [55.6%]), adverse events (3 pts [16.7%]) and consent withdrawal (2 pts [11.1%]). Treatment emergent adverse events (TEAE) were seen in 17 pts (94.4%). Most common TEAE (all grades and relationship [≥20%]) were palmar-plantar erythrodysesthesia syndrome (7 pts [38.9%]); anemia (6 pts [33.3%]); rash maculopapular (5 pts [27.8%]); cheilitis and constipation (4 pts each [22.2%]). TEAE≥grade 3 were seen in 9 pts (50%). Most common TEAE≥grade 3 (≥10%) were GGT increase (2 pts [11.1%]). Two dose limiting toxicities were seen: cheilitis grade 2 and grade 3 at 15mg and 13mg respectively. Cutaneous reactions, all grades, are more prominent in higher doses. Maximum tolerated dose (MTD) has not been established.

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Related Clinical Trial
NCT Number NCT05389462  Clinical Status PHASE1
Clinical Description
A Phase 1b, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Mipasetamab Uzoptirine (ADCT-601) Monotherapy and in Combination with Other Anti-Cancer Therapies in Patients with Selected Advanced Solid Tumors
Primary Endpoint
The study evaluates safety by monitoring adverse events (AEs), serious adverse events (SAEs), dose-limiting toxicities (DLTs) during the first 21 days, and dose modifications/interruptions over approximately 2 years, with comprehensive assessments including vital signs, lab tests, and ECG monitoring.
Other Endpoint
Efficacy is measured by overall response rate (ORR), duration of response (DOR), progression-free survival (PFS), and overall survival (OS) over 2 years. Pharmacokinetic analysis includes serum concentration measurements of ADCT-601 components (total antibody, PBD-conjugated antibody, and unconjugated warhead SG3199) with parameters like Cmax, Tmax, AUC, and half-life, alongside immunogenicity assessment through anti-drug antibody (ADA) responses and titers.

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Experiment 2 Reporting the Activity Date of This ADC [2]
Efficacy Data Partial Response (PR)
11.80%
Patients Enrolled
Eligible participants are adults (≥18 years) with locally advanced/metastatic solid tumors (specific sarcoma subtypes, NSCLC, or AXL-amplified tumors) refractory to standard therapy, measurable disease per RECIST 1.1, ECOG 0-1, and adequate organ function. Key exclusions include active CNS metastases (unless treated and stable ≥4 weeks), significant third-space fluid accumulation, recent infections requiring IV therapy, chronic diarrhea (CTCAE Grade 2+), or experimental medication use within 14 days prior to treatment initiation.

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Administration Dosage
As of 04 December 2023, 18 sarcoma patients (15 [83%], soft tissue sarcoma [STS] and 3 [17%] bone sarcoma), unselected for AXL expression, with a median number of 3 prior lines of therapy (1-10), were enrolled in 4 different dose cohorts: 7.5mg, 11mg, 13mg and 15mg. Reasons for treatment discontinuation were disease progression (10 pts [55.6%]), adverse events (3 pts [16.7%]) and consent withdrawal (2 pts [11.1%]). Treatment emergent adverse events (TEAE) were seen in 17 pts (94.4%). Most common TEAE (all grades and relationship [≥20%]) were palmar-plantar erythrodysesthesia syndrome (7 pts [38.9%]); anemia (6 pts [33.3%]); rash maculopapular (5 pts [27.8%]); cheilitis and constipation (4 pts each [22.2%]). TEAE≥grade 3 were seen in 9 pts (50%). Most common TEAE≥grade 3 (≥10%) were GGT increase (2 pts [11.1%]). Two dose limiting toxicities were seen: cheilitis grade 2 and grade 3 at 15mg and 13mg respectively. Cutaneous reactions, all grades, are more prominent in higher doses. Maximum tolerated dose (MTD) has not been established.

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Related Clinical Trial
NCT Number NCT05389462  Clinical Status PHASE1
Clinical Description
A Phase 1b, Open-Label, Dose-Escalation and Dose-Expansion Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of Mipasetamab Uzoptirine (ADCT-601) Monotherapy and in Combination with Other Anti-Cancer Therapies in Patients with Selected Advanced Solid Tumors
Primary Endpoint
The study evaluates safety by monitoring adverse events (AEs), serious adverse events (SAEs), dose-limiting toxicities (DLTs) during the first 21 days, and dose modifications/interruptions over approximately 2 years, with comprehensive assessments including vital signs, lab tests, and ECG monitoring.
Other Endpoint
Efficacy is measured by overall response rate (ORR), duration of response (DOR), progression-free survival (PFS), and overall survival (OS) over 2 years. Pharmacokinetic analysis includes serum concentration measurements of ADCT-601 components (total antibody, PBD-conjugated antibody, and unconjugated warhead SG3199) with parameters like Cmax, Tmax, AUC, and half-life, alongside immunogenicity assessment through anti-drug antibody (ADA) responses and titers.

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Experiment 3 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Eligible patients must be &ge;18 years with locally advanced/metastatic solid tumors (including breast, colorectal, NSCLC, and ovarian cancers) refractory to standard therapy, measurable disease per RECIST 1.1, ECOG 0-1, and adequate organ function. Key exclusions include active autoimmune/CNS diseases, uncontrolled comorbidities, recent anticancer therapy (<14 days), QTcF >480 ms, pregnancy, or live vaccines. Contraception is required during and for 16 weeks post-treatment.

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Administration Dosage
As of data cutoff (April 12, 2019), 8 pts were treated at doses of 50-100 ug/kg. The median (range) age was 70 (46-77) years. Pathological subtypes enrolled are colorectal cancer (4 pts) and chondrosarcoma, head and neck carcinoma, ovarian carcinoma, and esophageal carcinoma (1 pt each). Six pts had received ≥4 previous lines of therapy. One pt treated at 100 ug/kg had a dose-limiting toxicity of grade 3 hematuria, which resulted in hospitalization and was possibly related to ADCT-601. The most common treatment-emergent adverse events, regardless of relationship to ADCT-601, were abdominal pain, erythema, fatigue, peripheral edema, and maculopapular rash (each occurring in 2 pts). The following 4 pts had undergone disease assessment at data cutoff: 1 pt (chondrosarcoma) had a partial response, 1 pt (head and neck carcinoma) had stable disease, and 2 pts (ovarian carcinoma and esophageal carcinoma) had progressive disease.

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Related Clinical Trial
NCT Number NCT03700294  Clinical Status PHASE1
Clinical Description
A Phase 1, Open-Label, Dose-Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of ADCT-601 in Patients With Advanced Solid Tumors
Primary Endpoint
The study evaluates safety by assessing dose-limiting toxicities (DLTs) during the first treatment cycle (21-42 days depending on dosing schedule) and determines the maximum tolerated dose (MTD) through monitoring adverse events (AEs), serious adverse events (SAEs), and dose modifications over a 2-year follow-up period with treatment cycles every 3-6 weeks.

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Other Endpoint
Efficacy endpoints include overall response rate (ORR) and disease control rate (DCR) per RECIST 1.1, duration of response (DOR), and overall survival (OS), all measured over a 2-year period to assess the treatment's antitumor activity.
References
Ref 1 Preclinical Development of ADCT-601, a Novel Pyrrolobenzodiazepine Dimer-based Antibody-drug Conjugate Targeting AXL-expressing Cancers. Mol Cancer Ther. 2022 Apr 1;21(4):582-593.
Ref 2 A Study of Mipasetamab Uzoptirine (ADCT-601) in Participants with Solid Tumors
Ref 3 Safety, Tolerability, Pharmacokinetics, and Antitumor Study of ADCT-601 to Treat Advanced Solid Tumors