Payload Information
General Information of This Payload
| Payload ID | PAY0GPNQT |
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| Name | YL0010014 |
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| Synonyms |
YL0010014
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| Target | DNA topoisomerase 1 (TOP1) | |||||
| Structure |
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| Formula | C24H22N2O7 |
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| Isosmiles | CC[C@]1(C(OCC2=C1C=C3N(CC4=C3N=C5C=C6C(OCO6)=CC5=C4CCCO)C2=O)=O)O |
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| InChI |
InChI=1S/C24H22N2O7/c1-2-24(30)16-7-18-21-14(9-26(18)22(28)15(16)10-31-23(24)29)12(4-3-5-27)13-6-19-20(33-11-32-19)8-17(13)25-21/h6-8,27,30H,2-5,9-11H2,1H3/t24-/m0/s1
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| InChIKey |
CUXVKKNRAHURNN-DEOSSOPVSA-N
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| Pharmaceutical Properties | Molecule Weight |
450.447 |
Polar area |
120.11 |
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Complexity |
1375.884427 |
xlogp Value |
1.7332 |
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Heavy Count |
33 |
Rot Bonds |
4 |
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Hbond acc |
9 |
Hbond Donor |
2 |
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Each Antibody-drug Conjugate Related to This Payload
Full Information of The Activity Data of The ADC(s) Related to This Payload
Tambotatug pelitecan [New Drug Application]
Identified from the Human Clinical Data
| Experiment 1 Reporting the Activity Date of This ADC | [1] | ||||
| Patients Enrolled |
Key inclusion criteria: adults (18-75 years) with ECOG 0-1, recurrent/metastatic NPC, prior PD- (L)1 and chemotherapy failure, measurable lesions, and adequate organ function. Major exclusions: recent malignancies (exceptions apply), prior B7-H3/ADC/CAR-T therapy, inadequate washout, active infections, uncontrolled diseases, CNS metastases (unless stable), pregnancy, or conditions affecting compliance.
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| Administration Dosage |
YL201 will be administered intravenously on Day 1 of each 3-week cycle at RP3D dose level.
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| Related Clinical Trial | |||||
| NCT Number | NCT06629597 | Phase Status | PHASE3 | ||
| Clinical Description |
A Randomized, Controlled, Multicenter Phase III Clinical Study of YL201 Versus Investigator's Choice of Chemotherapy in Subjects with Recurrent or Metastatic Nasopharyngeal Carcinoma Who Have Failed Prior PD- (L)1 Inhibitor and At Least Two Lines of Chemotherapy
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| Primary Endpoint |
The study aims to evaluate the efficacy of YL201 versus investigator-selected chemotherapy in recurrent or metastatic nasopharyngeal carcinoma, focusing on ORR (assessed by BICR using RECIST v1.1) and OS within 36 months. ORR measures the proportion of subjects achieving CR or PR, while OS tracks time from randomization to death from any cause.
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| Other Endpoint |
Secondary endpoints include ORR assessed by investigators, PFS (time to PD or death), DOR (duration of response), DCR (CR/PR/SD rate), and TTR (time to response), all evaluated within 36 months. Safety is assessed via adverse events (NCI CTCAE v5.0), PK parameters (AUC, Cmax, Ctrough, CL, Vd, t½), ADA incidence, and B7H3 expression correlation with efficacy.
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| Experiment 2 Reporting the Activity Date of This ADC | [2] | ||||
| Patients Enrolled |
Eligible patients (18-75 years, ECOG 0-1) must have confirmed relapsed SCLC progressing after platinum therapy, measurable lesions (RECIST 1.1), and adequate organ function. Key exclusions: recent malignancies (exceptions for cured cancers), prior B7-H3/ADC/CAR-T therapy, CNS metastases (unless stable), uncontrolled infections/conditions, active HBV/HCV, unresolved treatment toxicity, pregnancy, or factors compromising study compliance.
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| Administration Dosage |
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks (Q3W) as a cycle at RP3D dose level.
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| Related Clinical Trial | |||||
| NCT Number | NCT06612151 | Phase Status | PHASE3 | ||
| Clinical Description |
A Multicenter, Randomized, Controlled, Open-label, Phase III Study to Compare the Efficacy and Safety of YL201 Versus Topotecan Hydrochloride in Subjects with Relapsed Small Cell Lung Cancer
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| Primary Endpoint |
The primary objective is to compare overall survival (OS) between YL201 and topotecan hydrochloride in relapsed small-cell lung cancer (SCLC) patients, measured from randomization until death from any cause during the 36-month study period.
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| Other Endpoint |
Secondary endpoints include investigator-assessed PFS (time to progression/death), ORR (CR/PR rate), DOR (duration of response), TTR (time to initial response), and DCR (CR/PR/SD rate). Safety assessment covers adverse events (NCI CTCAE v5.0), PK parameters (AUC, Cmax, Ctrough, CL, Vd, t½), ADA incidence, and tumor B7H3 expression correlation with efficacy, all evaluated over 36 months.
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| Experiment 3 Reporting the Activity Date of This ADC | [3] | ||||
| Patients Enrolled |
Exclusion criteria include prior B7H3-targeted therapy, concurrent interventional studies, topoisomerase I inhibitor/ADC treatment, insufficient washout periods, major surgery/transplants, prolonged glucocorticoid use (>28 days), recent live vaccines, pathological fracture risks, CNS metastases, uncontrolled urinary/cardiovascular/pulmonary conditions, Gilbert's syndrome, significant effusions, recent GI perforation/fistula or active ulcers, severe infections, HIV/HBV/HCV co-infections, other malignancies affecting survival, unresolved prior toxicity, or hypersensitivity to drug components.
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| Administration Dosage |
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks on Day 1 or twice every 3 weeks on Day 1 and Day 8 during a 3-week (21-day) cycle.
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| Related Clinical Trial | |||||
| NCT Number | NCT06241846 | Phase Status | PHASE2 | ||
| Clinical Description |
A Multicenter, Open-Label, Phase II Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With Metastatic Castration-Resistant Prostate Cancer
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| Primary Endpoint |
The study evaluates YL201's efficacy in mCRPC patients through primary endpoints: Objective Response Rate (ORR) by RECIST1.1/PCWG3, radiographic Progression-Free Survival (rPFS), and recommended dose determination. Secondary endpoints include Disease Control Rate (DCR), Duration of Response (DoR), Time to Response (TTR), and PSA-related metrics along with safety, pharmacokinetics, and biomarker analysis, all assessed over approximately 36 months.
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| Other Endpoint |
Inclusion criteria require signed informed consent, age ≥18 years, confirmed prostate adenocarcinoma with mCRPC diagnosis per specified criteria (castrate testosterone <50 ng/dL, PSA or imaging progression), prior novel hormone therapy, ≤2 chemotherapy lines, BRCA1/2-mutated patients with prior PARP inhibitor exposure if applicable, measurable metastatic lesions, and tumor tissue for B7H3 IHC testing. Additional requirements: ECOG PS 0-1, adequate organ function (Hb≥90g/L, ANC≥1.5×109/L, PLT≥100×109/L, liver/kidney thresholds), effective contraception, and ≥6-month life expectancy. Patients must comply with protocol procedures.
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| Experiment 4 Reporting the Activity Date of This ADC | [4] | ||||
| Patients Enrolled |
Inclusion criteria: Signed ICF, age ≥18, ECOG PS 0-1, adequate organ function, effective contraception, and life expectancy ≥3 months. Part 1 requires evaluable lesions (RECIST 1.1); Part 2 mandates measurable lesions and tumor samples for analysis. Exclusion criteria: Prior topoisomerase I inhibitor/ADC intolerance, concurrent interventional trials, recent anticancer therapies/surgeries, uncontrolled infections, active HBV/HCV/HIV, unresolved toxicity (NCI CTCAE >Grade 1), hypersensitivity to mAbs, breastfeeding/pregnancy, or conditions impairing compliance. Part 2 excludes multiple malignancies within 3 years (exceptions: cured non-melanoma skin/in situ cancers).
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| Administration Dosage |
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks (Q3W) as a cycle.
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| Related Clinical Trial | |||||
| NCT Number | NCT05434234 | Phase Status | PHASE1 | ||
| Clinical Description |
A Phase 1, Multicenter, Nonrandomized, Open-Label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of YL201 in Patients with Advanced Solid Tumors
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| Primary Endpoint |
The study focuses on evaluating dose-limiting toxicities (DLTs) in Part 1 (Cycle 1, 21 days) and adverse events (AEs) in Part 2, assessing type, frequency, severity, and relationship to YL201 over ~36 months. Primary efficacy measures include PSA response rate (≥50% reduction) in prostate cancer patients and objective response rate (ORR, per RECIST 1.1) in non-prostate solid tumors.
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| Other Endpoint |
Part 1 assesses AEs and pharmacokinetics (AUC, Cmax, Ctrough, CL, Vd, t1/2) alongside immunogenicity (anti-YL201 antibodies). Efficacy metrics for prostate cancer include PSA-PFS (PCWG3), rPFS (RECIST 1.1/PCWG3), and failure-free survival (FFS). For other solid tumors, ORR, disease control rate (DCR), duration of response (DoR), time to response (TTR), PFS, and overall survival (OS) are evaluated, all over ~36 months.
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| Experiment 5 Reporting the Activity Date of This ADC | [5] | ||||
| Patients Enrolled |
Inclusion criteria: Patients aged 18-75 with confirmed NSCLC, SCLC, NPC, ESCC, mCRPC, HNSCC, sarcoma, PDAC, HCC, or BTC, measurable lesions per RECIST 1.1, ECOG PS 0-1, acceptable contraception compliance, and life expectancy ≥3 months. Exclusion: Prior B7H3 or topoisomerase 1 inhibitor treatment, concurrent clinical trials, recent major surgery, uncontrolled infections (HIV, HBV, HCV), active brain/spinal metastasis, immunosuppressive drug use, third-space effusions, unresolved toxicity, pregnancy, or conditions impairing protocol compliance.
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| Administration Dosage |
Patients will be treated with YL201 intravenous (IV) infusion once every 3 weeks (Q3W) as a cycle; and at dose levels of 1.0 mg/kg and 1.2 mg/kg administered on Days 1 and 8 of each Q3W treatment cycle.
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| Related Clinical Trial | |||||
| NCT Number | NCT06057922 | Phase Status | PHASE1|||PHASE2 | ||
| Clinical Description |
A Multicenter, Open-Label, Phase 1/2 Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Patients With Selected Advanced Solid Tumors
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| Primary Endpoint |
This study evaluates adverse events (AEs) by type, frequency, severity, timing, seriousness, and relationship to treatment over 36 months. It assesses objective response rate (ORR) using RECIST 1.1 for solid tumors, defined as the proportion of patients achieving complete (CR) or partial response (PR). For prostate cancer patients, it measures PSA response rate, defined as ≥50% decrease from baseline.
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| Other Endpoint |
The study characterizes pharmacokinetic (PK) parameters including AUC, Cmax, Ctrough, CL, Vd, and t1/2, and assesses anti-YL201 antibody incidence over 36 months. Secondary endpoints include disease control rate (DCR), duration of response (DoR), time to response (TTR), progression-free survival (PFS), overall survival (OS), and prostate cancer-specific measures like rPFS, time to PSA progression (TTPP), PSA duration of response (PDoR), and best PSA response.
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| Experiment 6 Reporting the Activity Date of This ADC | [6] | ||||
| Patients Enrolled |
Eligible patients must have advanced solid tumors (e.g., NPC, SCLC, NSCLC), measurable lesions (RECIST 1.1), ECOG PS 0-1, adequate organ function, and life expectancy ≥3 months, while adhering to contraception requirements. Exclusions include prior B7H3/topoisomerase 1 inhibitor/anti-PD- (L)1 therapies, unresolved treatment toxicity, recent major surgery, uncontrolled infections (HIV/HBV/HCV), active autoimmune/systemic diseases, third-space effusions, brain/spinal metastases, or pregnancy/breastfeeding.
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| Administration Dosage |
YL201 (High dose, medium dose and low dose; Q3W) in Combination with Serplulimab (4.5mg/kg; Q3W) with or without Platinum (70 mg/m2; Q3W)-based Chemotherapy.
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| Related Clinical Trial | |||||
| NCT Number | NCT06394414 | Phase Status | PHASE1 | ||
| Clinical Description |
A Phase 1, Multicenter, Open-label Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of YL201 in Combination with Serplulimab with or Without Platinum-based Chemotherapy in Selected Subjects with Advanced Solid Tumors
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| Primary Endpoint |
This study evaluates adverse events (AEs) in advanced solid tumors treated with YL201 combined with serplulimab, with or without platinum-based chemotherapy, over 36 months. Key objectives include determining the maximum tolerated dose (MTD), recommended expansion dose (RED), and recommended Phase 2 dose (RP2D), as well as assessing efficacy via objective response rate (ORR).
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| Other Endpoint |
The pharmacokinetics (PK) of YL201 combination therapy will be evaluated, including parameters such as AUC, Cmax, Ctrough, CL, Vd, and t1/2. Additionally, efficacy measures including depth of response (DpR), disease control rate (DCR), duration of response (DoR), time to response (TTR), progression-free survival (PFS), and overall survival (OS) will be assessed per RECIST 1.1. Immunogenicity (anti-YL201 antibodies) and tumor biomarker expression (B7H3, PD-L1) will also be analyzed.
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HLX43 [Phase 2/3]
Identified from the Human Clinical Data
| Experiment 1 Reporting the Activity Date of This ADC | [7] | ||||
| Patients Enrolled |
Key exclusions were active CNS metastases, uncontrolled effusions, grade ≥1 radiation pneumonitis, autoimmune/immunosuppressive conditions, recent live vaccines, HIV/HBV/HCV infection, or pregnancy. Contraception was required for 6 months post-treatment.
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| Related Clinical Trial | |||||
| NCT Number | NCT06769152 | Phase Status | PHASE2 | ||
| Clinical Description |
A Phase II Clinical Study to Evaluate the Efficacy and Safety of HLX43 (Anti-PD-L1 ADC) in Patients with Recurrent/Metastatic Cervical Cancer (CC) Failed or Intolerance to Standard First-Line Therapy
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| Primary Endpoint |
The study evaluated cervical cancer patients (18-75 years) with disease progression after ≥1 prior systemic therapy, measurable lesions per RECIST v1.1, ECOG 0-1, and adequate organ function.
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| Other Endpoint |
Primary endpoints included ORR (investigator/IRRC-assessed) and PFS per RECIST v1.1 at 24 weeks, with secondary endpoints of OS (up to 36 months) and AE incidence/severity (CTCAE v5.0) over 24 months.
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| Experiment 2 Reporting the Activity Date of This ADC | [8] | ||||
| Patients Enrolled |
Eligible patients (18-75 years, ECOG 0-1) had advanced ESCC refractory to prior therapy, measurable lesions, and adequate organ function. Key exclusions included BMI <17.5, uncontrolled metastases/effusions, grade ≥3 radiation pneumonitis/ILD, active infections, recent immunosuppressants/CYP modulators, or HIV/HBV/HCV infection. Contraception was required for 6 months post-treatment.
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| Administration Dosage |
Patients with good tolerability and well controlled disease will receive the treatment once every 3 weeks (Q3W), Until disease progression, initiation of a new anti-tumor therapy, death, emergence of intolerable toxicity, or withdrawal of informed consent (whichever occurs first)
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| Related Clinical Trial | |||||
| NCT Number | NCT06769113 | Phase Status | PHASE2 | ||
| Clinical Description |
A Phase II Clinical Study to Evaluate the Efficacy and Safety of HLX43 (Anti-PD-L1 ADC) in Patients With Recurrent/Metastatic Esophageal Squamous Cell Carcinoma (ESCC) Failed or Intolerance to Standard First-line Therapy
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| Primary Endpoint |
The study evaluated ORR (investigator-assessed) and PFS (time to progression/death) per RECIST v1.1 in ESCC patients over 24 weeks and 14 months respectively.
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| Other Endpoint |
Additional efficacy measures included IRRC-assessed ORR/PFS, OS (up to 36 months), and AE incidence/severity (NCI CTCAE v5.0) monitored for 24 months post-treatment.
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| Experiment 3 Reporting the Activity Date of This ADC | [9] | ||||
| Patients Enrolled |
Key eligibility criteria: ECOG 0-1, measurable lesions, adequate organ function. Major exclusions included candidates for curative local therapy, uncontrolled metastases/effusions, grade ≥3 ILD/radiation pneumonitis, active infections (HIV/HBV/HCV), recent immunosuppressants/CYP modulators, or autoimmune diseases (except controlled endocrine disorders). Contraception was mandatory for 6 months post-treatment.
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| Administration Dosage |
Patients with good tolerability and well controlled disease will receive the treatment once every 3 weeks (Q3W), until disease progression and loss of benifit, initiation of a new anti-tumor therapy, death, emergence of intolerable toxicity, or withdrawal of informed consent (whichever occurs first).
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| Related Clinical Trial | |||||
| NCT Number | NCT06839066 | Phase Status | PHASE2 | ||
| Clinical Description |
A Phase II Study to Evaluate the Efficacy and Safety of HLX43 (Anti-PD-L1 ADC) in Subjects with Recurrent/Metastatic Nasopharyngeal Carcinoma (NPC) Failed or Intolerance to Second-line Therapy
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| Primary Endpoint |
Primary efficacy endpoints included investigator-assessed ORR (24 weeks) and PFS (12 months) per RECIST v1.1 in recurrent/metastatic nasopharyngeal carcinoma patients who failed ≥2 prior therapies (including platinum-based chemo and PD-1/PD-L1 inhibitors).
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| Other Endpoint |
Secondary endpoints comprised IRRC-assessed ORR/PFS, OS (18 months), and AE monitoring (NCI CTCAE v5.0) until 90 days post-treatment. Tumor PD-L1 expression analysis was required from archival/fresh biopsies.
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| Experiment 4 Reporting the Activity Date of This ADC | [10] | ||||
| Patients Enrolled |
Key eligibility criteria: Age 18-75, ECOG 0-1, ≥1 measurable lesion, adequate organ function. Major exclusions included: candidates for radical local therapy, uncontrolled metastases/effusions, grade ≥3 immune-related AEs, active ILD/pneumonitis, cardiovascular comorbidities (NYHA II+ heart failure, uncontrolled hypertension/arrhythmias), recent immunosuppressants/CYP modulators, active infections (HIV/HBV/HCV), or autoimmune diseases. Contraception was required for 6 months post-treatment.
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| Administration Dosage |
Patients with good tolerability and well controlled disease will receive the treatment once every 3 weeks (Q3W), Until disease progression, initiation of a new anti-tumor therapy, death, emergence of intolerable toxicity, or withdrawal of informed consent (whichever occurs first)
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| Related Clinical Trial | |||||
| NCT Number | NCT06857279 | Phase Status | PHASE2 | ||
| Clinical Description |
A Phase II Clinical Study to Evaluate the Efficacy and Safety of HLX43 (Anti-PD-L1 ADC) in Subjects with Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC)
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| Primary Endpoint |
Primary efficacy endpoints included investigator-assessed ORR (24 weeks) and PFS (14 months) per RECIST v1.1 in recurrent/metastatic head and neck squamous cell carcinoma patients who failed prior systemic treatment.
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| Other Endpoint |
Secondary endpoints comprised IRRC-assessed ORR/PFS, OS (36 months), and comprehensive safety monitoring (NCI CTCAE v5.0) including AEs, vital signs and lab results for 24 months. Tumor tissue analysis was required from archival samples or fresh biopsies.
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| Experiment 5 Reporting the Activity Date of This ADC | [11] | ||||
| Patients Enrolled |
Key eligibility: Child-Pugh A liver function, ECOG 0-1, ≥1 measurable lesion. HBV/HCV virologic control required (HBV-DNA <500 IU/mL; HCV-RNA positive required antiviral therapy). Major exclusions: fibrolamellar/mixed HCC, main portal vein Vp4 invasion, uncontrolled variceal bleeding risk, recent local liver therapy (≤4 weeks), grade ≥3 immune-related AEs, active infections (HIV excluded), or significant cardiovascular comorbidities. Contraception was mandatory for 6 months post-treatment.
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| Administration Dosage |
Patients with good tolerability and well controlled disease will receive the treatment once every 3 weeks (Q3W), Until disease progression, initiation of a new anti-tumor therapy, death, emergence of intolerable toxicity, or withdrawal of informed consent (whichever occurs first)
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| Related Clinical Trial | |||||
| NCT Number | NCT06742892 | Phase Status | PHASE2 | ||
| Clinical Description |
A Phase II Clinical Study to Evaluate HLX43 (Anti-PD-L1 ADC) in Patients With Locally Advanced or Metastatic Hepatocellular Carcinoma (HCC) Failed or Intolerance to Standard Therapy
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| Primary Endpoint |
Primary efficacy endpoints included investigator-assessed ORR (24 weeks) and PFS (14 months) per RECIST v1.1 in advanced HCC patients (BCLC stage C or B unsuitable for local therapy) who failed prior systemic treatment (PD-1/L1-based therapy or TKIs).
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| Other Endpoint |
Secondary endpoints comprised IRRC-assessed ORR/PFS, OS (36 months), and comprehensive safety monitoring (NCI CTCAE v5.0) including AEs, vital signs and lab results for 24 months. Tumor tissue PD-L1 analysis was required where available.
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| Experiment 6 Reporting the Activity Date of This ADC | [12] | ||||
| Patients Enrolled |
Key eligibility: ECOG 0-1, ≥1 measurable lesion, adequate organ function. Phase II required EGFR-mutant NSCLC with prior EGFR-TKI and platinum failure. Major exclusions: uncontrolled CNS metastases, grade ≥3 immune-related AEs, active ILD, significant cardiovascular disease (NYHA II+ heart failure, QTc ≥450/470ms), active infections (HIV/HBV/HCV excluded), or recent immunosuppressants/CYP modulators. Contraception was mandatory for 6 months post-treatment.
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| Administration Dosage |
Patients with good tolerability and well controlled disease will receive the treatment once every 3 weeks (Q3W), Until disease progression, initiation of a new anti-tumor therapy, death, emergence of intolerable toxicity, or withdrawal of informed consent (whichever occurs first)
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| Related Clinical Trial | |||||
| NCT Number | NCT06848699 | Phase Status | PHASE1|||PHASE2 | ||
| Clinical Description |
A Phase Ib/ II Clinical Study to Evaluate the Safety ,Torlerbility , and Efficacy of HLX43 (Anti-PD-L1 ADC) in Combination with Serplulimab (anti-PD-1 Humanized Monocl ) in Patients with Advanced/metastatic Solid Tumors
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| Primary Endpoint |
Primary endpoints included DLT assessment (21 days post-dose), MTD determination (12 months), and IRRC-assessed ORR (24 weeks) per RECIST v1.1 for HLX43 combined with serplulimab in advanced solid tumors (Phase Ib) and EGFR-mutated NSCLC (Phase II).
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| Other Endpoint |
Secondary objectives comprised comprehensive safety monitoring (NCI CTCAE v5.0 until 90 days post-treatment), RP2/3D determination (12 months), investigator/IRRC-assessed PFS (15 months), investigator-assessed ORR (24 weeks), and OS (25 months). Tumor PD-L1 expression analysis was required.
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| Experiment 7 Reporting the Activity Date of This ADC | [13] | ||||
| Patients Enrolled |
Key eligibility criteria: Age 18-75, ECOG 0-1, ≥1 measurable lesion, adequate organ function. Major exclusions: active autoimmune/CNS diseases, grade ≥3 irAEs, uncontrolled cardiovascular conditions (NYHA II+ heart failure, QTc ≥450/470ms), active infections (HIV/HBV/HCV), recent immunosuppressants/CYP modulators, or live vaccines within 28 days. Contraception is required for 6 months post-treatment. HCC patients require Child-Pugh A liver function.
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| Administration Dosage |
Patients with good tolerability and well controlled disease will receive the treatment once every 3 weeks (Q3W), until progressive disease (PD) without any clinical benefit, initiation of other anti-tumor therapies, death, intolerable toxicity, or withdraw the informed consent (whichever occurs first).
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| Related Clinical Trial | |||||
| NCT Number | NCT06115642 | Phase Status | PHASE1 | ||
| Clinical Description |
A Phase I Clinical Study to Evaluate the Safety, Tolerability, and Pharmacokinetic Characteristics of HLX43 (Anti-PD-L1 ADC) in Patients With Advanced/Metastatic Solid Tumors
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| Primary Endpoint |
Primary safety endpoints include DLT evaluation (21 days post-first dose) and MTD determination for HLX43 in advanced solid tumors. DLTs are defined as treatment-related AEs impacting dose escalation, with MTD being the highest dose where ≤1/6 patients experience DLTs during the 3-week observation period.
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| Other Endpoint |
Key efficacy and pharmacokinetic measures include investigator-assessed ORR/DOR/PFS/OS (all up to 24 months), along with HLX43 pharmacokinetics (Cmax, Tmax, T1/2 within 21 days) and immunogenicity (ADA/Nab incidence up to 24 months). Safety monitoring covers TEAEs until 90 days post-last dose. Tumor PD-L1 and DDX5 expression analysis is required.
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XNW27011 [Phase 3]
Identified from the Human Clinical Data
| Experiment 1 Reporting the Activity Date of This ADC | [14] | ||||
| Efficacy Data | Objective Response Rate (ORR) |
50%
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| Patients Enrolled |
Eligible patients are ≥18 years old with advanced solid tumors (gastric/GEJ adenocarcinoma, pancreatic, ovarian, etc.), measurable disease (RECIST 1.1), ECOG ≤2, and adequate organ function. Phase II requires CLDN18.2-positive tumors. Exclusions include prior anti-CLDN18.2 therapy, severe allergies to ADC components, uncontrolled comorbidities (cardiovascular, infections, third-space effusions), recent major surgery/radiotherapy, or pregnancy. Both phases mandate contraception compliance.
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| Administration Dosage |
As of Apr. 15, 2024, 16 pts were enrolled in 6 dose cohorts from 0.6 to 6.0 mg/kg, including 11 GC/GEJC, 2 OC, 2 PC, and 1 duodenal periampullary adenocarcinoma (ECOG 0-1, majority of pts received ≥3 lines of prior therapy).
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| Related Clinical Trial | |||||
| NCT Number | NCT06792435 | Phase Status | PHASE1|||PHASE2 | ||
| Clinical Description |
A Phase I/II, First-in-Human Study of XNW27011 in Patients with Locally Advanced And/or Metastatic Solid Tumors
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| Primary Endpoint |
This study aims to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of XNW27011 in a dose escalation phase (Phase I) for patients with locally advanced/metastatic solid tumors, assessing dose-limiting toxicities (DLTs) during the first 3-week cycle. The Phase II expansion phase will evaluate objective response rate (ORR) at RP2D, measuring complete (CR) and partial responses (PR) over approximately 2 years.
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| Other Endpoint |
Safety assessments include adverse event monitoring (NCI CTCAE v5.0), pharmacokinetic profiling (AUC, Cmax, Ctrough), immunogenicity (anti-drug antibodies), and CLDN18.2 biomarker correlation with efficacy. Phase II will further assess disease control rate (DCR), duration of response (DOR), time to response (TTR), progression-free survival (PFS), and overall survival (OS) at RP2D over 2 years.
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| Experiment 2 Reporting the Activity Date of This ADC | [14] | ||||
| Efficacy Data | Disease control rate (DCR) |
86%
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| Patients Enrolled |
Eligible patients are ≥18 years old with advanced solid tumors (gastric/GEJ adenocarcinoma, pancreatic, ovarian, etc.), measurable disease (RECIST 1.1), ECOG ≤2, and adequate organ function. Phase II requires CLDN18.2-positive tumors. Exclusions include prior anti-CLDN18.2 therapy, severe allergies to ADC components, uncontrolled comorbidities (cardiovascular, infections, third-space effusions), recent major surgery/radiotherapy, or pregnancy. Both phases mandate contraception compliance.
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| Administration Dosage |
As of Apr. 15, 2024, 16 pts were enrolled in 6 dose cohorts from 0.6 to 6.0 mg/kg, including 11 GC/GEJC, 2 OC, 2 PC, and 1 duodenal periampullary adenocarcinoma (ECOG 0-1, majority of pts received ≥3 lines of prior therapy).
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| Related Clinical Trial | |||||
| NCT Number | NCT06792435 | Phase Status | PHASE1|||PHASE2 | ||
| Clinical Description |
A Phase I/II, First-in-Human Study of XNW27011 in Patients with Locally Advanced And/or Metastatic Solid Tumors
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| Primary Endpoint |
This study aims to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of XNW27011 in a dose escalation phase (Phase I) for patients with locally advanced/metastatic solid tumors, assessing dose-limiting toxicities (DLTs) during the first 3-week cycle. The Phase II expansion phase will evaluate objective response rate (ORR) at RP2D, measuring complete (CR) and partial responses (PR) over approximately 2 years.
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| Other Endpoint |
Safety assessments include adverse event monitoring (NCI CTCAE v5.0), pharmacokinetic profiling (AUC, Cmax, Ctrough), immunogenicity (anti-drug antibodies), and CLDN18.2 biomarker correlation with efficacy. Phase II will further assess disease control rate (DCR), duration of response (DOR), time to response (TTR), progression-free survival (PFS), and overall survival (OS) at RP2D over 2 years.
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YL202 [Phase 3]
Identified from the Human Clinical Data
| Experiment 1 Reporting the Activity Date of This ADC | [15] | ||||
| Efficacy Data | Objective Response Rate (ORR) |
37%
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| Patients Enrolled |
Eligible patients must be ≥18 years old, have adequate organ function, and meet disease-specific criteria (NSCLC: EGFR-mutant, prior 3rd-gen TKI; BC: HR+/HER2-, prior CDK4/6i + endocrine therapy). Key exclusions include prior HER3-targeted therapy, uncontrolled cardiovascular/ocular disease, active infections, severe toxicities, or unresolved organ dysfunction. Pregnancy, breastfeeding, or immunosuppressive conditions are also disqualifying.
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| Administration Dosage |
YL202 is provided as the lyophilized powder, 200 mg/vial. YL202 will be given intravenously once every 3 weeks (Q3W) as a cycle. The initial dose of YL202 will be infused IV into each patient for 90 ±10 minutes. If there is no infusion-related reaction after the initial dose, the second and subsequent doses of YL202 will be infused IV into each patient for 60 ±10 minutes.
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| Related Clinical Trial | |||||
| NCT Number | NCT05653752 | Phase Status | PHASE1 | ||
| Clinical Description |
A Phase 1, Multicenter, Open-label, First-in-human Study of YL202 in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer and Breast Cancer
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| Primary Endpoint |
This study evaluates dose-limiting toxicities (DLTs) during the first 21-day cycle and assesses adverse events (AEs) by type, frequency, severity, timing, seriousness, and relation to treatment over approximately 36 months.
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| Other Endpoint |
Pharmacokinetic (PK) parameters including AUC, Cmax, Ctrough, CL, Vd, and t1/2 will be characterized. Immunogenicity (anti-YL202 antibodies) and efficacy outcomes such as objective response rate (ORR), disease control rate (DCR), and best tumor response per RECIST v1.1 will also be analyzed over a 36-month period.
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| Experiment 2 Reporting the Activity Date of This ADC | [15] | ||||
| Efficacy Data | Disease control rate (DCR) |
93.50%
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| Patients Enrolled |
Eligible patients must be ≥18 years old, have adequate organ function, and meet disease-specific criteria (NSCLC: EGFR-mutant, prior 3rd-gen TKI; BC: HR+/HER2-, prior CDK4/6i + endocrine therapy). Key exclusions include prior HER3-targeted therapy, uncontrolled cardiovascular/ocular disease, active infections, severe toxicities, or unresolved organ dysfunction. Pregnancy, breastfeeding, or immunosuppressive conditions are also disqualifying.
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| Administration Dosage |
YL202 is provided as the lyophilized powder, 200 mg/vial. YL202 will be given intravenously once every 3 weeks (Q3W) as a cycle. The initial dose of YL202 will be infused IV into each patient for 90 ±10 minutes. If there is no infusion-related reaction after the initial dose, the second and subsequent doses of YL202 will be infused IV into each patient for 60 ±10 minutes.
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| Related Clinical Trial | |||||
| NCT Number | NCT05653752 | Phase Status | PHASE1 | ||
| Clinical Description |
A Phase 1, Multicenter, Open-label, First-in-human Study of YL202 in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer and Breast Cancer
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| Primary Endpoint |
This study evaluates dose-limiting toxicities (DLTs) during the first 21-day cycle and assesses adverse events (AEs) by type, frequency, severity, timing, seriousness, and relation to treatment over approximately 36 months.
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| Other Endpoint |
Pharmacokinetic (PK) parameters including AUC, Cmax, Ctrough, CL, Vd, and t1/2 will be characterized. Immunogenicity (anti-YL202 antibodies) and efficacy outcomes such as objective response rate (ORR), disease control rate (DCR), and best tumor response per RECIST v1.1 will also be analyzed over a 36-month period.
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| Experiment 3 Reporting the Activity Date of This ADC | [17] | ||||
| Patients Enrolled |
Eligible patients had advanced/metastatic HR-/HER2- or HR+/HER2-low breast cancer post-ADC failures, measurable lesions, adequate organ function, and life expectancy ≥3 months. Key exclusions included prior HER3 therapy, topoisomerase I inhibitor intolerance, active infections, uncontrolled comorbidities, recent major surgery/vaccines, CNS metastases, or other malignancies within 5 years.
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| Administration Dosage |
YL202 is provided as the lyophilized powder, 200 mg/vial. Patients will be given YL202 by intravenously once every 3 weeks (Q3W) as a cycle.
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| Related Clinical Trial | |||||
| NCT Number | NCT06439771 | Phase Status | PHASE2 | ||
| Clinical Description |
A Multicenter, Open-Label, Phase 2 Study to Evaluate the Efficacy, Safety and Pharmacokinetics of YL202 in Patients With Locally Advanced or Metastatic Breast Cancer With TNBC, HR-Positive, HER2-Zero-expression or HER2-Low-expression
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| Primary Endpoint |
The primary endpoint was ORR (CR+PR) per RECIST v1.1 over 36 months, along with determining YL202's recommended dose for pivotal studies.
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| Other Endpoint |
Key secondary endpoints included PFS, CBR, DpR, DCR, DOR, TTR, OS, AE profiling, PK parameters (AUC, Cmax, Ctrough, CL, Vd, t1/2), immunogenicity (anti-YL202 antibodies), and HER3 expression correlation with response rates, all assessed over ~36 months.
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| Experiment 4 Reporting the Activity Date of This ADC | [18] | ||||
| Patients Enrolled |
Eligible patients (18-75 years) must have histologically confirmed advanced/metastatic solid tumors (e.g., NSCLC, BC, HNSCC), ≥1 measurable lesion, ECOG PS 0-1, adequate organ function, and contraception compliance. Exclusions involve prior HER3-targeted therapy, topoisomerase I inhibitor intolerance, recent major surgery/live vaccines, uncontrolled comorbidities (CNS metastases, cardiovascular/pulmonary/GI disorders, infections, HIV/HBV/HCV), other malignancies, or pregnancy/lactation.
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| Administration Dosage |
YL202 is provided as the lyophilized powder, 200 mg/vial. Patients will be given YL202 by intravenously once every 3 weeks (Q3W) as a cycle.
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| Related Clinical Trial | |||||
| NCT Number | NCT06107686 | Phase Status | PHASE2 | ||
| Clinical Description |
A Multicenter, Open-Label, Phase II Study to Evaluate the Efficacy, Safety, and Pharmacokinetics of YL202 in Selected Patients with Advanced Solid Tumors
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| Primary Endpoint |
The primary endpoints include ORR (complete or partial response rate per RECIST v1.1) and determination of YL202's recommended dose, assessed within 36 months.
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| Other Endpoint |
Secondary endpoints evaluated within 36 months encompass efficacy measures (PFS, CBR, DpR, DCR, DOR, TTR, OS), safety (AE profile), PK parameters (AUC, Cmax, Ctrough, CL, Vd, t1/2), immunogenicity (anti-YL202 antibody), exposure-response modeling, and HER3 expression correlation with clinical response rates.
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ZL-1310 [Phase 1]
Identified from the Human Clinical Data
| Experiment 1 Reporting the Activity Date of This ADC | [16] | ||||
| Patients Enrolled |
Eligible participants must provide informed consent, have histologically confirmed extensive-stage SCLC progressing after platinum therapy (≤3 prior metastatic regimens), be ≥18 years with ECOG 0-1, possess ≥1 RECIST-measurable lesion, provide tumor tissue (fresh or archived), and demonstrate >3 month life expectancy. Prior therapies must meet specified washout periods before enrollment.
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| Administration Dosage |
Dose level 1 of ZL-1310 established from single-agent dose-escalation
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| Related Clinical Trial | |||||
| NCT Number | NCT06179069 | Phase Status | PHASE1 | ||
| Clinical Description |
An Open-label, Multicenter Study of ZL-1310 to Evaluate the Safety, Tolerability, and Pharmacokinetics in Subjects With Small Cell Lung Cancer
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| Primary Endpoint |
Safety endpoints include incidence of Dose Limiting Toxicities (DLTs), Treatment-Emergent Adverse Events (TEAEs), and Serious Adverse Events (SAEs) for ZL-1310 as monotherapy and in combination with atezolizumab ± carboplatin, all assessed over 24 months. DLTs will be evaluated separately for each treatment regimen (monotherapy, doublet, and triplet combinations), with corresponding counts of affected subjects recorded for each safety parameter.
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| Other Endpoint |
Efficacy measures comprise ORR, DOR, PFS, DCR (all per RECIST 1.1), and OS for all three treatment regimens (monotherapy, doublet, triplet), evaluated over 24 months. Pharmacokinetic analyses include total antibody and unconjugated payload measurements for each treatment combination, with assessments continuing through the 24-month study period.
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References
