In vitro 3D patient-derived xenograft (PDX) model. (a) GXA3067 is a HER2 overexpressing gastric tumor PDX model; (b) Size-filtered tumoroids were seeded in 384-well plates and treated with increasing concentrations of ADCs, the trastuzumab-based DAR = 8 MMAU ADC (T-MMAU ADC, upper row) and T-DM1 (Kadcyla®, middle row); as well as the naked antibody trastuzumab (bottom row). (c) The DAR = 8 MMAU ADC was 10× more effective in reducing tumoroid size than T-DM1, while trastuzumab had only a moderate effect. (d) The DAR = 8 MMAU ADC was 18× more effective in inducing apoptosis than T-DM1, while trastuzumab did not have an effect. IC50 values are marked in the figure panels and they were determined using curve fitting by nonlinear regression as the concentration of the drug that causes 50% inhibition of cell viability compared to maximum inhibition. The experiments were made with eight replicates. Error bars show the standard error of the mean.