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항목
AntibodyCurated CoreFDAstaleApproved
bevacizumab (Avastin)
Roche / Genentech·VEGF-A
1444 trials
ADCCurated CoreFDAstalePhase 3
Polatuzumab Vedotin (Polatuzumab Vedotin)
Roche / Genentech·FRα
91 trials
ADCCurated CoreFDAstaleApproved
mirvetuximab soravtansine-gynx (Elahere, IMGN853, mirvetuximab-soravtansine-gynx)
AbbVie / ImmunoGen·FRα (folate receptor alpha)
32 trials
Overview
Program
Avastin (bevacizumab)Polatuzumab VedotinElahere (mirvetuximab soravtansine-gynx)
Overview
Company
Roche / GenentechRoche / GenentechAbbVie / ImmunoGen
Overview
Modality
ANTIBODYADCADC
Overview
Target
VEGF-AFRαFRα (folate receptor alpha)
Overview
Indication
US label: colorectal, non-squamous NSCLC, glioblastoma, renal, cervical and ovarian cancers; regimen-specific indicationsLarge B-Cell LymphomaFRα-positive platinum-resistant ovarian, fallopian tube, or primary peritoneal cancer
Overview
Phase
APPROVEDPHASE_3APPROVED
Overview
Status
APPROVEDRECRUITINGAPPROVED
Overview
Content status
Curated CoreCurated CoreCurated Core
Overview
Data Confidence
Editorial scope · Curated CoreEditorial scope · Curated CoreEditorial scope · Curated Core
Overview
Development Signal
Development Signal · EstablishedDevelopment Signal · EstablishedDevelopment Signal · Established
Overview
Approval status
FDA approvedFDA approvedFDA approved
Positioning
Key differentiator
novel NaPi2b-targeting ADC YL205 in heavily pretreated platinum-resistant ovarian cancerunique toxicities related to the antigen target, linker, or payload that have limited their developmentFRα is overexpressed in ovarian cancer but sparse in normal tissue, and the label requires IHC-confirmed expression.
Positioning
Known limitation
downregulation across different drug combinationsresistance to POLA in vivoFRα downregulation and multidrug-resistance transporter upregulation.
Positioning
Development positioning
——2L–4L platinum-resistant
Technology
Payload
—vedotin, rituximab, cyclophosphamide, doxorubicDM4 (maytansinoid, tubulin inhibitor)
Technology
Linker
—linker, or payload that have limited their developmentCleavable sulfo-SPDB disulfide, DAR ~3.5
Technology
DAR
——DAR 3.5
MoA
Mechanism
target proteins (DHFR, TGF-1beta, estrogen receptortargeting specific cell surface antigens, many ADCs have also been associated with unique toxicities related to the antigenBinds FRα, internalizes via receptor-mediated endocytosis, and releases DM4 after disulfide reduction; tubulin disruption causes mitotic arrest, with lipophilic S-methyl-DM4 giving bystander activity.
MoA
Biomarker
biomarker angiopoietin-2 (Ang-2), producing effects similar to the Wnt/β-catenin inhibitor (dickkopf-reCD20 expressionFRα IHC (VENTANA FOLR1 RxDx), PS2+ scoring with ≥75% of tumor cells staining.
Toxicology
Species
—Cynomolgus monkey, Mouse, RatRat
Toxicology
Animal (cat.)
—Mouse, Rat, NHP—
Toxicology
Major finding
—Hepatotoxicity: Monitor liver enzymes and bilirubinBoxed warning for ocular toxicity — keratopathy, blurred vision, and dry eye. Peripheral neuropathy, nausea, and fatigue are also common.
Toxicology
CRS
——N/A
Clinical
Safety signal
—Hepatotoxicity: Monitor liver enzymes and bilirubinBoxed warning for ocular toxicity — keratopathy, blurred vision, and dry eye. Peripheral neuropathy, nausea, and fatigue are also common.
Clinical
Selected reported efficacy
——ORR 42%
Clinical
Reported ORR
——42% vs 16% (chemotherapy; rounded in NCI report)
Clinical
Reported PFS
——5.6 months vs 4.0 months (chemotherapy)
Clinical
Reported OS
——16.5 months vs 12.8 months (chemotherapy)
Clinical
Result source
——NCI approval analysis 2024 — MIRASOL (NCT04209855)
Clinical
Program phase
APPROVEDPHASE_3APPROVED
Clinical
Trial activity
No active/completed countsNo active/completed countsNo active/completed counts
Clinical
Trial ref
——NCT04209855
Preclinical
Animal (cat.)
—Rat—