General Information of This Linker
Linker ID
LIN0WYMQF
Linker Name
Cys-13 ADC linker
Linker Type
Thiol-sensitive linker
Antibody-Linker Relation
Cleavable
Structure
Each Antibody-drug Conjugate Related to This Linker
Full Information of The Activity Data of The ADC(s) Related to This Linker
XMT-1592 [Phase 1 (discontinued)]
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [1]
Patients Enrolled
Eligible patients (ECOG 0-1) must have measurable disease, adequate organ function, and provide tumor tissue for NaPi2b testing (fresh biopsy in expansion cohorts if feasible). Key exclusions: major surgery/systemic therapy within 28 days, untreated/progressive brain metastases, active infections (HIV/HBV/HCV), severe systemic illness (e.g., uncontrolled cardiovascular/pulmonary disease), prior auristatin/maytansinoid ADC treatment, or pregnancy. NSCLC and ovarian cancer (non-mucinous subtype) are specific cohorts.

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Administration Dosage
XMT-1592 will be administered once every 21 or 28 days until disease progression, unacceptable toxicity, or either the patient or study physician determines it is in the best interest of the patient to discontinue participation in the study.
Related Clinical Trial
NCT Number NCT04396340  Clinical Status PHASE1
Clinical Description
A Phase 1b, First-in-Human, Dose Escalation and Expansion Study of XMT-1592 In Patients With Solid Tumors Likely to Express NaPi2b
Primary Endpoint
The study evaluates the maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D) of XMT-1592 over 36 weeks, based on dose-limiting toxicities (DLTs) and adverse events, alongside concomitant medication use.
Other Endpoint
Key pharmacokinetic parameters (Tmax, Cmax, AUC) are assessed daily for the first week, then weekly until 21 days post-dose, and before/after subsequent doses. Tumor response (RECIST 1.1) is monitored every 6 weeks, while anti-drug and neutralizing antibodies are analyzed every 3 weeks initially, then every 6 weeks up to 36 weeks.
Experiment 2 Reporting the Activity Date of This ADC [2]
Related Clinical Trial
NCT Number NCT04396340  Clinical Status Phase 1/2
Clinical Description
A phase 1b, first-in-human, dose escalation and expansion study of XMT-1592 in patients with solid tumors likely to express NAPI2B.
References
Ref 1 First-in-Human Study of XMT-1592 in Patients With Ovarian Cancer and NSCLC Likely to Express NaPi2b
Ref 2 A Phase 1b, First-in-Human, Dose Escalation and Expansion Study of XMT-1592 In Patients With Solid Tumors Likely to Express NaPi2b, NCT04396340