Table 1. Properties of ADC and dosing regimen in first-in-man studies.
| Drug | Name | Company | Target | Indication | Isotype | linker | Linker class | Cytotoxin | DAR | Development phase | Ph 1 Doses (mg/kg) | Ph 1 Regimen | MTD (mg/kg) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adcetris® | Brentuximab vedotin, SGN35 | Seattle | CD30 | HL and ALCL | IgG1 | vc | cleavable, protease | MMAE | 4 | Approved | 0.4 - 1.4 | Q1W | 1.8 |
| Genetics | 1.2 - 2.7 | Q3W | |||||||||||
| Kadcyla® | Trastuzumab emtansine, T-DM1 | Genentech/ | Her2 | HER2+ breast cancer | IgG1 | SMCC | stable | DM1 | 3.5 | Approved | 1.2 - 2.9 | Q1W | 2.4 |
| Roche | 0.3 - 4.8 | Q3W | 3.6 | ||||||||||
| Mylotarg® | Gemtuzumab ozogamicin | Pfizer | CD33 | AML | IgG4 | hydrazone | cleavable, | calicheamicin | 2.5 | Approved, withdrawn | 0.006–0.22 | Q2W | 0.22 |
| acid labile | (2 doses) | ||||||||||||
| CMC544 | Inotuzumab ozogamicin | Pfizer | CD22 | NHL - ALL | IgG4 | hydrazone | cleavable, | calicheamicin | 6 | 3 | 0.01–0.06 | Q3W | - |
| acid labile | 0.044 | Q4W | 0.044 | ||||||||||
| IMGN242, huC242-DM4 | Cantuzumab ravtansine | ImmunoGen | CanAg | Gastric | IgG1 | SPDB | cleavable, disulfide | DM4 | ND | 2, discontinued | 0.44–7.3 | Q3W | 4.2 |
| IMGN901 | Lorvotuzumab mertansine | ImmunoGen | CD56 | Small cell lung cancer | IgG1 | SPP | cleavable, disulfide | DM1 | 3.5 | 2, discontinued | 1–3.5 | Q4W | 2.8 |
| Day 1 and 8 | |||||||||||||
| BT062 | Indatuximab ravtansine | Biotest | CD138 | Multiple myeloma | IgG4 | SPDB | cleavable, disulfide | DM4 | 3.5 | 2 | - | Q1W | - |
| 0.25–4.9 | Q3W | 4.0 | |||||||||||
| - | Q4W | - | |||||||||||
| CDX-011 | Glembatumumab vedotin | Celldex | GPNMB | Breast | IgG2 | vc | cleavable, protease | MMAE | 4 | 2 | - | Q1W | 1.88 |
| - | Q2/3W | ||||||||||||
| 0.03 - 2.63 | Q3W | ||||||||||||
| DCDT2980S | Pinatuzumab vedotin | Genentech/ | CD22 | NHL and DLBCL | IgG1 | MC-VC-PABC | cleavable, protease | MMAE | ND | 2 | 0.1–3.2 | Q3W | 2.4 |
| Roche | |||||||||||||
| PSMA-ADC | - | Progenics | PSMA | metCRPC | IgG1 | vc | cleavable, protease | MMAE | 4 | 2 | 0.4 - 2.8 | Q3W | 2.5 |
| SAR3419 | Coltuximab ravtansine | Sanofi | CD19 | NHL | IgG1 | SPDB | cleavable, disulfide | DM4 | 3.5 | 2 | 0.12–1.7 | Q1W | 1.4 |
| 0.25–6.7 | Q3W | 4.0 | |||||||||||
| DCDS4501A | Polatuzumab vedotin | Genentech / | CD79b | NHL and DLBCL | IgG1 | MC-VC-PABC | cleavable, protease | MMAE | ND | 2 | 0.1 - 2.4 | Q3W | not reached |
| Roche | |||||||||||||
| AVE9633 | - | Sanofi | CD33 | AML | IgG1 | SPDB | cleavable, disulfide | DM4 | 3.5 | 1, discontinued | 0.37–6.4 | Q1W | not reached |
| Q3W | |||||||||||||
| huC242-DM1 | Cantuzumab mertansine | ImmunoGen | CanAg | Solid malignancies | IgG1 | SPP | cleavable, disulfide | DM1 | 3.5 | 1, discontinued | 0.54–7.3 | Q3W | 5.8 |
| IMGN388 | - | ImmunoGen | integrin | Solid malignancies | IgG1 | SPDB | cleavable, disulfide | DM4 | ND | 1, discontinued | 0.12–4.0 | Q3W | not defined |
| MEDI547 | - | MedImmune | EphA2 | Solid tumors | IgG1 | maleimido caproyl | stable | MMAF | 4 | 1, discontinued | 0.08 | Q3W | not defined |
| MLN2704 | - | Millennium | PSMA | Prostate | IgG1 | thioester | cleavable, disulfide | DM1 | 3.5 | 1, discontinued | 0.44–8.5 | Q4W | not defined |
| ASG-5ME | - | Agensys (Astellas) | SLC44A4 | Prostate, pancreatic, and gastric cancers | IgG2 | vc | cleavable, protease | MMAE | 3.7 | 1, discontinued | 0.3 - 1.5 | Q1W | 1.2 |
| 0.3 - 3 | Q3W | 2.4 | |||||||||||
| SGN-75 | Vorsetuzumab mafodotin | Seattle | CD70 | RCC | IgG1 | mc | stable | MMAF | ND | 1, discontinued | 0.3 - 4.5 | Q1W | - |
| Genetics | 0.3 - 4.5 | Q3W | 3.0 | ||||||||||
| IMGN853 | - | ImmunoGen | FOLR1 | Ovarian, solid tumors | ND | sulfo-SPDB | cleavable, disulfide | DM4 | ND | 1 | 0.15 - 7 | Q3W | ongoing |
| MLN0264 | - | Millennium | Guanylyl cyclase C | GI malignancies | ND | ND | cleavable, protease | MMAE | ND | 1 | 0.3–1.8 | Q3W | ongoing |
ND: no data; HL: Hodgkin lymphoma; ALCL: Anaplastic large cell lymphoma; DLBCL: diffuse large B-cell lymphoma; AML: Acute myeloid leukemia ; NHL: Non-Hodgkin Lymphoma; metCRPC: metastatic castrate-resistant prostate cancer; RCC: Renal cell carcinoma ; q1w: every week; q2w: every 2 wk; q3w: every 3 wk