General Information of This Payload
Payload ID
PAY0PCTOE
Name
Tubulysin
Synonyms
TUBULYSIN; 1943604-24-7; CHEMBL1288708; EX-A5466A; DLKUYSQUHXBYPB-NSSHGSRYSA-N; AKOS040740948; HY-128914; CS-0102166
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Target Microtubule (MT)
Structure
Formula
C44H67N5O9S
Isosmiles
CC[C@H](C)[C@@H](C(=O)N(COC(=O)CC(C)C)[C@H](C[C@H](C1=NC(=CS1)C(=O)N[C@@H](CC2=CC=C(C=C2)C)C[C@H](C)C(=O)O)OC(=O)C)C(C)C)NC(=O)[C@H]3CCCCN3C
PubChem CID
52945681
InChI
InChI=1S/C44H67N5O9S/c1-11-29(7)39(47-41(53)35-14-12-13-19-48(35)10)43(54)49(25-57-38(51)20-26(2)3)36(27(4)5)23-37(58-31(9)50)42-46-34(24-59-42)40(52)45-33(21-30(8)44(55)56)22-32-17-15-28(6)16-18-32/h15-18,24,26-27,29-30,33,35-37,39H,11-14,19-23,25H2,1-10H3,(H,45,52)(H,47,53)(H,55,56)/t29-,30-,33+,35+,36+,37+,39-/m0/s1
InChIKey
DLKUYSQUHXBYPB-NSSHGSRYSA-N
IUPAC Name
(2S,4R)-4-[[2-[(1R,3R)-1-acetyloxy-4-methyl-3-[3-methylbutanoyloxymethyl-[(2S,3S)-3-methyl-2-[[(2R)-1-methylpiperidine-2-carbonyl]amino]pentanoyl]amino]pentyl]-1,3-thiazole-4-carbonyl]amino]-2-methyl-5-(4-methylphenyl)pentanoic acid
Pharmaceutical Properties
Molecule Weight
842.1
Polar area
213
Complexity
1390
xlogp Value
5.4
Heavy Count
59
Rot Bonds
24
Hbond acc
12
Hbond Donor
3
The activity data of This Payload
Standard Type Value Units Cell line Disease Model Cell line ID Reference
Half Maximal Inhibitory Concentration (IC50) 2.2 nM
A2780 cells
Ovarian endometrioid adenocarcinoma
CVCL_0134 
[1]
Half Maximal Inhibitory Concentration (IC50) 2.5 nM
LNCaP cells
Prostate carcinoma
CVCL_0395 
[2]
Each Antibody-drug Conjugate Related to This Payload
Full Information of The Activity Data of The ADC(s) Related to This Payload
BMS-986148 [Phase 1/2 (discontinued)]
Identified from the Human Clinical Data
Click To Hide/Show 5 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [3]
Efficacy Data Objective Response Rate (ORR)
2.00
6.00
4.00
9.00
20.00
23.00 %
Patients Enrolled
Pleural or peritoneal mesothelioma (except sarcomatoid mesothelioma), ovarian cancer (except mucinous carcinoma), pancreatic cancer, gastric cancer, or non-small cell lung cancer (adenocarcinoma only).
Administration Dosage
BMS-986148 monotherapy (0.1-1.6 mg/kg intravenously (i.v.) every 3 weeks or 0.4 or 0.6 mg/kg i.v. once weekly; n = 96) or BMS-986148 0.8 mg/kg + nivolumab 360 mg i.v. every 3 weeks (n = 30). The primary endpoint was safety and tolerability.
Related Clinical Trial
NCT Number NCT02341625  Phase Status Phase 1/2a
Clinical Description
A phase 1/2a study of BMS-986148, a mesothelin directed antibody drug conjugate, in subjects with select advanced solid tumors.
Primary Endpoint
The MTD and the recommended dose for the part 2 monotherapy expansion is BMS-986148 1.20 mg/kg every 3 weeks dose level. The MTD in the combination expansion cohort is BMS-986148 0.80 mg/kg + nivolumab 360 mg every 3 weeks.
Experiment 2 Reporting the Activity Date of This ADC [4]
Related Clinical Trial
NCT Number NCT02341625  Phase Status Phase 1/2
Clinical Description
A phase 1/2a study of BMS-986148, a mesothelin directed antibody drug conjugate, in subjects with select advanced solid tumors.
Experiment 3 Reporting the Activity Date of This ADC [5]
Related Clinical Trial
NCT Number NCT02884726  Phase Status Phase 1
Clinical Description
A phase 1 study of the safety and tolerability of BMS 986148 in subjects with advanced and/or metastatic solid tumors.
Experiment 4 Reporting the Activity Date of This ADC [6]
Efficacy Data Objective Response Rate (ORR)
9%
Patients Enrolled
Eligible participants (≥18 years, ECOG 0-1) must have mesothelin-positive measurable tumors (pancreatic/ovarian/gastric/NSCLC/mesothelioma) and ≥3-month life expectancy. Exclusions cover brain metastases, active/hepatitis infections, major surgery (<1 month), uncontrolled cardiac/liver/bone marrow dysfunction, or hypersensitivity to mesothelin antibodies/tubulysin/nivolumab-related agents.

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Related Clinical Trial
NCT Number NCT02341625  Phase Status PHASE1|||PHASE2
Clinical Description
A Phase I/IIa Study of BMS-986148, a Mesothelin Directed Antibody Drug Conjugate, in Subjects With Select Advanced Solid Tumors
Primary Endpoint
Safety outcomes include adverse events (AEs, SAEs, discontinuations, deaths) and laboratory toxicity shifts (hematology/chemistry) from baseline to 100 days post-treatment (≤6 months), analyzed by NCT CTCAE v4.03 criteria and grouped by dose/regimen.
Other Endpoint
Pharmacokinetics (Cmax, Tmax, Ctau, Ctrough, AUC (0-t), AUC[TAU]) are assessed during Cycle 1, with arithmetic %CV reported. Efficacy endpoints (up to 58 months) include best overall response (CR/PR/SD/PD), ORR, duration of response (DoR), progression-free survival (PFS), and PFS rates (4-12 months), stratified by tumor type (mesothelioma, pancreatic, ovarian, NSCLC, gastric). QTcF interval changes and ADA status are also evaluated by dose/regimen.

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Experiment 5 Reporting the Activity Date of This ADC [7]
Patients Enrolled
Eligible participants must have advanced/metastatic mesothelin-expressing solid tumors, progression/intolerance to standard therapy, measurable disease per RECIST, and ECOG 0-1. Exclusions include brain metastases, uncontrolled cardiovascular disease, eye/peripheral neuropathy, hepatitis B/C infection, or other protocol-specified conditions.
Administration Dosage
Specified dose on specified days
Related Clinical Trial
NCT Number NCT02884726  Phase Status PHASE1
Clinical Description
A Phase 1 Study of the Safety and Tolerability of BMS 986148 in Subjects With Advanced and/or Metastatic Solid Tumors
Primary Endpoint
Safety analysis covers adverse events (AEs/SAEs), including discontinuations and deaths, from Day 1 to 30 days post-treatment, with grading and laboratory toxicity shifts from baseline as key metrics for participant safety assessment.
Other Endpoint
Pharmacokinetic parameters (Cmax, Tmax, AUC (0-T), AUC (TAU), Ctrough, etc.) and accumulation indices (AI) are evaluated from Day 1 to 84, alongside tumor response based on RECIST criteria post-BMS-986148 treatment to assess drug exposure and efficacy.
BMS-986183 [Phase 1/2 (discontinued)]
Identified from the Human Clinical Data
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Date of This ADC [8]
Patients Enrolled
Key inclusion criteria require advanced unresectable hepatocellular carcinoma (histologically confirmed) with Child-Pugh class A, ECOG 0-1, and contraception use. Exclusions cover prior liver transplant, uncontrolled portal hypertension, CNS metastases, active HBV/HCV/HDV/HIV co-infections, recent cardiovascular events, additional malignancies within 2 years, >2 prior systemic therapies (Part 2 restrictions), concurrent anticoagulation, recent radiotherapy, major allergies, and protocol-specified contraindications. Full eligibility details are available via BMSStudyConnect.com.

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Related Clinical Trial
NCT Number NCT02828124  Phase Status PHASE1|||PHASE2
Clinical Description
A Phase 1/2 Study of BMS-986183 in Subjects With Advanced Hepatocellular Carcinoma
Primary Endpoint
The study evaluates the safety profile of the treatment by monitoring the incidence and severity of adverse events (AEs), serious adverse events (SAEs), AEs leading to discontinuation or death, and laboratory toxicity grade shifts over a 24-month period.
Other Endpoint
Efficacy assessments include Best Overall Response (BOR, requiring confirmation scan), Overall Response Rate (ORR), Duration of Response (DoR), Progression-Free Survival (PFS), and PFS rates at predefined intervals (12, 24, 36 weeks). Pharmacokinetic analysis focuses on Cmax, Tmax, AUC (0-T and TAU), Ctrough, CLT, Vss, Vz, accumulation indices (AI_Cmax, AI_Ctau, AI_AUC (TAU)), Css,avg, and T-HALF for BMS-986183 components (total antibody, active ADC, tubulysin) as monotherapy and with nivolumab. Additional endpoints include QTcF changes from baseline and anti-drug antibody (ADA) incidence.

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References
Ref 1 Recent advances in the chemistry and biology of new generation taxoids. J Nat Prod. 2009 Mar 27;72(3):554-65. doi: 10.1021/np8006556.
Ref 2 Synthesis and biological analysis of prostate-specific membrane antigen-targeted anticancer prodrugs. J Med Chem. 2010 Nov 11;53(21):7767-77. doi: 10.1021/jm100729b.
Ref 3 Phase I/IIa Trial of BMS-986148, an Anti-mesothelin Antibody-drug Conjugate, Alone or in Combination with Nivolumab in Patients with Advanced Solid Tumors. Clin Cancer Res. 2022 Jan 1;28(1):95-105.
Ref 4 A Phase I/IIa Study of BMS-986148, a Mesothelin Directed Antibody Drug Conjugate, in Subjects With Select Advanced Solid Tumors, NCT02341625
Ref 5 A Phase 1 Study of the Safety and Tolerability of BMS 986148 in Subjects With Advanced and/or Metastatic Solid Tumors, NCT02884726
Ref 6 A Study of BMS-986148 in Patients With Select Advanced Solid Tumors
Ref 7 Phase 1 Study of Mesothelin-ADC
Ref 8 A Study of the Safety and Tolerability of BMS-986183 in Patients With Liver Cancer