General Information of This Linker
Linker ID
LIN0CRGGD
Linker Name
A proprietary stable-cleavable linker
Linker Type
Unclear
Antibody-Linker Relation
Cleavable
Each Antibody-drug Conjugate Related to This Linker
Full Information of The Activity Data of The ADC(s) Related to This Linker
ESG401 [Phase 3]
Identified from the Human Clinical Data
Click To Hide/Show 6 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Efficacy Data Objective Response Rate (ORR)
34.20%
Patients Enrolled
Eligibility requires confirmed advanced/metastatic solid tumors, ECOG 0-1, life expectancy ≥12 weeks, and adequate organ function, excluding recent cancer therapy, unresolved toxicities (>Grade 1), major surgery, active infections, uncontrolled comorbidities (CNS, cardiovascular, hepatic, GI), HIV/hepatitis B/C, drug hypersensitivity, or pregnancy risk. Exclusions also cover conditions jeopardizing protocol compliance.

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Administration Dosage
The initial dose-escalation study design included 6 dose levels ranging from 2 mg/kg to 20 mg/kg administered every 3 weeks (Q3 weeks), with a total of 17 subjects enrolled.
Related Clinical Trial
NCT Number NCT04892342  Clinical Status PHASE1|||PHASE2
Clinical Description
An Open-Label, Multiple Dose, Dose Escalation and Cohort Expansion Phase I/II Study to Investigate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of ESG401 in Subjects With Locally Advanced/Metastatic Solid Tumors
Primary Endpoint
The study evaluates treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) graded by CTCAE v5.0, occurring from first dose until 30 days post-treatment. Key efficacy measures include Objective Response Rate (ORR) by Independent Central Review (ICR) using RECIST 1.1 criteria, with CR/PR definitions for tumor assessment, analyzed in the TNBC Target Population during phase 2 over 49 months.

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Other Endpoint
Pharmacokinetic parameters (Cmax, AUC0-inf) and immunogenicity (ADA incidence) are assessed over 49 months. Additional efficacy endpoints include ORR and Progression-Free Survival (PFS) by local assessment, along with Overall Survival (OS), measured from the first dose in both phase 1 and phase 2.
Experiment 2 Reporting the Activity Date of This ADC [1]
Efficacy Data Disease control rate (DCR)
65.80%
Patients Enrolled
Eligibility requires confirmed advanced/metastatic solid tumors, ECOG 0-1, life expectancy ≥12 weeks, and adequate organ function, excluding recent cancer therapy, unresolved toxicities (>Grade 1), major surgery, active infections, uncontrolled comorbidities (CNS, cardiovascular, hepatic, GI), HIV/hepatitis B/C, drug hypersensitivity, or pregnancy risk. Exclusions also cover conditions jeopardizing protocol compliance.

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Administration Dosage
The initial dose-escalation study design included 6 dose levels ranging from 2 mg/kg to 20 mg/kg administered every 3 weeks (Q3 weeks), with a total of 17 subjects enrolled.
Related Clinical Trial
NCT Number NCT04892342  Clinical Status PHASE1|||PHASE2
Clinical Description
An Open-Label, Multiple Dose, Dose Escalation and Cohort Expansion Phase I/II Study to Investigate the Safety, Tolerability, Pharmacokinetics and Antitumor Activities of ESG401 in Subjects With Locally Advanced/Metastatic Solid Tumors
Primary Endpoint
The study evaluates treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) graded by CTCAE v5.0, occurring from first dose until 30 days post-treatment. Key efficacy measures include Objective Response Rate (ORR) by Independent Central Review (ICR) using RECIST 1.1 criteria, with CR/PR definitions for tumor assessment, analyzed in the TNBC Target Population during phase 2 over 49 months.

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Other Endpoint
Pharmacokinetic parameters (Cmax, AUC0-inf) and immunogenicity (ADA incidence) are assessed over 49 months. Additional efficacy endpoints include ORR and Progression-Free Survival (PFS) by local assessment, along with Overall Survival (OS), measured from the first dose in both phase 1 and phase 2.
Experiment 3 Reporting the Activity Date of This ADC [2]
Patients Enrolled
The study emphasized safety (monitoring AEs/SAEs), efficacy (PFS, OS, ORR, CBR, DoR), and pharmacokinetics (clearance, volume of distribution) over 24 months, with stringent enrollment criteria targeting refractory HR+/HER2- breast cancer patients while excluding those with significant prior treatments, comorbidities, or pregnancy/lactation.
Administration Dosage
IV infusion on day 1, 8 and15 of each 28 day cycle
Related Clinical Trial
NCT Number NCT06383767  Clinical Status PHASE3
Clinical Description
A Open-label, Randomized, Multicenter Phase III Study of ESG401 Versus Investigator's Choice Chemotherapy in Patients With Locally Advanced or Metastatic HR+/HER2- Breast Cancer Who Had Failed at Least One Line of Chemotherapy
Primary Endpoint
The primary endpoint was progression-free survival (PFS) assessed by IRC and investigators per RECIST 1.1, measuring time from randomization to PD or death over 24 months. Key secondary endpoints included overall survival (OS), objective response rate (ORR), clinical benefit rate (CBR), and duration of response (DoR), all evaluated over 24 months using RECIST 1.1 criteria. Quality of life was assessed via NCC-BC-A scale, while safety covered AEs, SAEs (CTCAE 5.0), pharmacokinetic parameters (clearance, volume of distribution), and ADA incidence.

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Other Endpoint
Eligible patients were adults (≥18 years) with HR+/HER2- breast cancer failing ≥1 line of chemotherapy, measurable lesions per RECIST 1.1, ECOG 0-1, and adequate organ function. Key exclusions included recent anti-cancer therapies (within 4 weeks), unresolved toxicities (>Grade 1), major surgery within 4 weeks, prior topoisomerase I/TROP2 inhibitors, untreated CNS metastases, active infections, uncontrolled comorbidities (cardiovascular, GI, HIV, hepatitis B/C), or hypersensitivity to irinotecan/excipients.

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Experiment 4 Reporting the Activity Date of This ADC [3]
Patients Enrolled
Key inclusion criteria include adults ≥18 years with histologically confirmed TNBC (metastatic or relapsed), no prior systemic therapy for advanced disease, PD-L1-negative or PD-L1-positive post-relapse, measurable lesions, ECOG 0-1, and adequate organ function. Exclusion criteria cover recent investigational drugs, prior topoisomerase I/TROP2 therapy, severe comorbidities (CNS metastases, cardiovascular disease, uncontrolled infections, gastrointestinal disorders), drug hypersensitivity, and pregnancy/lactation.

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Administration Dosage
IV infusion on day 1, 8 and15 of each 28 day cycle
Related Clinical Trial
NCT Number NCT06732323  Clinical Status PHASE3
Clinical Description
A Randomized, Open-label, Phase III Study of ESG401 Versus Investigator's Choice Chemotherapy as First-line Treatment in Patients With Unresectable Recurrent or Metastatic Triple-Negative Breast Cancer
Primary Endpoint
The primary endpoints include Progression-Free Survival (PFS) assessed by Blinded Independent Central Review (BICR) and Overall Survival (OS). PFS is defined as the time from randomization to disease progression per RECIST 1.1 or death, while OS measures time from randomization to any-cause death, with follow-up periods of approximately 28 and 41 months, respectively.

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Other Endpoint
Secondary endpoints encompass investigator-assessed PFS, Objective Response Rate (ORR), Disease Control Rate (DCR), Duration of Response (DoR), and Time to Response (TTR) evaluated by both BICR and investigator. Additional assessments include Quality of Life via NCC-BC-A scale, safety analysis for AEs/SAEs, pharmacokinetic parameters (clearance, volume of distribution), and immunogenicity measurement (anti-drug antibodies), with evaluations spanning approximately 28 months.

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Experiment 5 Reporting the Activity Date of This ADC [4]
Patients Enrolled
Eligible patients require histopathologically confirmed salivary gland carcinoma with specific biomarker testing, good ECOG status (0-1), measurable lesions per RECIST 1.1, and adequate organ function. Exclusions include treatment allergies, recent major surgery/vaccination, active infections, major cardiovascular diseases, uncontrolled comorbidities, or pregnancy/breastfeeding.

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Related Clinical Trial
NCT Number NCT06145308  Clinical Status PHASE2
Clinical Description
Cancer Hospital, Chinese Academy of Medical Sciences/National Cancer Center of China
Primary Endpoint
The study evaluates ORR in patients with advanced salivary gland cancer at the end of Cycle 3 (14 days per cycle) for neoadjuvant/translational therapy and salvage therapy in cases of rapid progression where surgery is not tolerated or refused.
Other Endpoint
Key secondary endpoints include MPR rate, R0 resection rate, facial nerve protection rate post-surgery, 3-year DFS for surgical patients, 2-year PFS for rescue therapy recipients, and 5-year OS for all participants.
Experiment 6 Reporting the Activity Date of This ADC [5]
Efficacy Data Objective Response Rate (ORR)
36.40%
Patients Enrolled
Patients (pts) aged 18 years with locally advanced/metastatic solid tumors refractory to/relapsed.
Administration Dosage
Treated with 1 dose of ESG401 during escalation at doses of 2-20 mg/kg once Q3W (Regimen A), or 12-16 mg/kg D1,8,15 in a 4-week cycle (Regimen B).
Related Clinical Trial
NCT Number NCT04892342  Clinical Status Phase 1/2
Clinical Description
An open-label, multiple dose, dose escalation and cohort expansion phase 1/2 study to investigate the safety, tolerability, pharmacokinetics and antitumor activities of ESG401 in Subjects with locally advanced/metastatic solid tumors.
References
Ref 1 Phase 1a study of ESG401, a Trop2 antibody-drug conjugate, in patients with locally advanced/metastatic solid tumors
Ref 2 A Phase III Study of ESG401 for Locally Advanced or Metastatic HR+/HER2- Breast Cancer
Ref 3 A Phase III Study of ESG401 for Unresectable Recurrent or Metastatic Triple-Negative Breast Cancer
Ref 4 Precision Treatment of Recurrent/Metastatic Salivary Gland Carcinoma Guided by Molecular Typing
Ref 5 Preliminary results from a first-in-human study of ESG401, a trophoblast cell-surface antigen 2 (TROP2) antibody drug conjugate (ADC), in patients with locally advanced/metastatic solid tumors. J Clin Oncol. 2023 41:16_suppl, 1100-1100.