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항목
ADCCurated CoreFDAstaleApproved
enfortumab vedotin-ejfv (Padcev, ASG-22ME, enfortumab-vedotin-ejfv)
Astellas / Pfizer (Seagen)·Nectin-4
201 trials
CGTLimited DatastalePhase 1
CAR-T therapy for nectin4-positive malignant solid tumor (CAR-T therapy for nectin4-positive malignant solid tumor)
The Sixth Affiliated Hospital of W…·Nectin4-positive Advanced Malignan…
1 trials
Overview
Program
Padcev (enfortumab vedotin-ejfv)CAR-T therapy for nectin4-positive malignant solid tumor
Overview
Company
Astellas / Pfizer (Seagen)The Sixth Affiliated Hospital of Wenzhou Medical University
Overview
Modality
ADCCGT
Overview
Target
Nectin-4Nectin4-positive Advanced Malignant Soli
Overview
Indication
Locally advanced or metastatic urothelial carcinomaNectin4-positive Advanced Malignant Solid Tumor
Overview
Phase
APPROVEDPHASE_1
Overview
Status
APPROVEDACTIVE
Overview
Content status
Curated CoreLimited Data
Overview
Data Confidence
Editorial scope · Curated CoreEditorial scope · limited data
Overview
Development Signal
Development Signal · EstablishedDevelopment Signal · Watch
Overview
Approval status
FDA approvedInvestigational
Positioning
Key differentiator
Nectin-4 is near-uniformly expressed in urothelial carcinoma, giving an unusually clean tumor-selective target in that tissue.—
Positioning
Known limitation
Nectin-4 loss, MMAE efflux, and tubulin alterations.—
Positioning
Development positioning
1L with pembrolizumab; monotherapy in later lines—
Technology
Payload
MMAE (monomethyl auristatin E, tubulin inhibitor)—
Technology
Linker
Protease-cleavable mc-vc-PAB, DAR ~3.8—
Technology
DAR
DAR 3.8—
MoA
Mechanism
Binds Nectin-4 on urothelial tumor cells, internalizes, and releases MMAE after cathepsin B cleavage; microtubule disruption arrests mitosis and triggers apoptosis.—
MoA
Biomarker
Nectin-4 expression is high in urothelial carcinoma; no companion diagnostic required.—
Toxicology
Species
Cynomolgus monkey, Mouse, Rat—
Toxicology
Major finding
Boxed warning for serious skin reactions including SJS/TEN. Hyperglycemia, peripheral neuropathy, ocular surface toxicity, and pneumonitis also require monitoring.—
Toxicology
CRS
N/A—
Clinical
Safety signal
Boxed warning for serious skin reactions including SJS/TEN. Hyperglycemia, peripheral neuropathy, ocular surface toxicity, and pneumonitis also require monitoring.—
Clinical
Selected reported efficacy
95%—
Clinical
Reported PFS
12.5 months vs 6.3 months (platinum chemotherapy)—
Clinical
Reported OS
31.5 months vs 16.1 months (platinum chemotherapy)—
Clinical
Result source
FDA approval report 2023-12-15 — EV-302 (NCT04223856)—
Clinical
Program phase
APPROVEDPHASE_1
Clinical
Trial activity
No active/completed counts—
Clinical
Trial ref
NCT04223856—
Padcev (enfortumab vedotin-ejfv) vs CAR-T therapy for nectin4-positive malignant solid tumor 비교 | 바이오정보모아