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항목
ADCCurated CoreFDAstaleApproved
datopotamab deruxtecan-dlnk (Datroway, DS-1062, Dato-DXd)
Daiichi Sankyo / AstraZeneca·TROP2
50 trials
AntibodyCurated CoreFDAstaleApproved
tislelizumab (Tevimbra, BGB-A317, tislelizumab-jsgr)
BeOne Medicines·PD-1
213 trials·t½ ~20 days class range
AntibodyLimited DatastalePhase 3
atezolizumab (Tecentriq, MPDL3280A, Atezolizumab (MPDL3280A), an Engineered Anti-PDL1 Antibody)
Roche / Genentech·Colorectal Cancer
143 trials
Overview
Program
Datroway (datopotamab deruxtecan-dlnk)Tevimbra (tislelizumab)Atezolizumab (MPDL3280A), an Engineered Anti-PDL1 Antibody
Overview
Company
Daiichi Sankyo / AstraZenecaBeOne MedicinesRoche / Genentech
Overview
Modality
ADCANTIBODYANTIBODY
Overview
Target
TROP2PD-1Colorectal Cancer
Overview
Indication
HR-positive/HER2-negative breast cancer after specified prior therapies; EGFR-mutated NSCLC after specified prior therapies; first-line TNBC unsuitable for PD-1/PD-L1 therapy. Consult current US label.Esophageal squamous cell carcinoma, gastric/GEJ adenocarcinoma, and first-line HER2-positive GEA with zanidatamab and chemotherapyTriple-Negative Breast Cancer
Overview
Phase
APPROVEDAPPROVEDPHASE_3
Overview
Status
APPROVEDAPPROVEDACTIVE
Overview
Content status
Curated CoreCurated CoreLimited Data
Overview
Data Confidence
Editorial scope · Curated CoreEditorial scope · Curated CoreEditorial scope · limited data
Overview
Development Signal
Development Signal · EstablishedDevelopment Signal · EstablishedDevelopment Signal · Emerging
Overview
Approval status
FDA approvedFDA approvedInvestigational
Positioning
Key differentiator
Same DXd chemistry that made Enhertu work, aimed at TROP2 — high plasma stability with a short-half-life payload to limit systemic exposure.Not a Keytruda substitute. The 2026 GEA label is a HER2-selected triplet with zanidatamab, not a PD-L1-unselected 1L PD-1 row.—
Positioning
Known limitation
TROP2 loss, SLFN11 status, and topoisomerase I pathway adaptation.Antigen-presentation loss, alternate checkpoints, immunosuppressive TME.—
Positioning
Development positioning
Indication-specific; includes 1L TNBC unsuitable for PD-1/PD-L1 therapy1L–2L gastroesophageal, regimen-dependent—
Technology
Payload
DXd (exatecan derivative, topoisomerase I inhibitor)——
Technology
Linker
Tetrapeptide-based cleavable maleimide linker, DAR ~4——
Technology
DAR
DAR 4——
MoA
Mechanism
Anti-TROP2 antibody delivers DXd intracellularly after lysosomal linker cleavage; topoisomerase I inhibition drives DNA damage, with membrane-permeable payload producing a bystander effect.Binds PD-1 on T cells, blocking PD-L1/PD-L2 engagement and restoring antitumor T-cell activity. Fc silencing is intended to avoid macrophage-mediated T-cell clearance.targets in breast cancer and the most important molecular pathway
MoA
Biomarker
TROP2 expression is not a required companion diagnostic; quantitative continuous scoring (QCS) is investigational.PD-L1 and tumor type on older labels; HER2 IHC/ISH when given with Ziihera.PD-1 + ) CD8 + T cells follow
PK/PD
Half-life
—~20 days class range—
PK/PD
Species
—OS/PFS, radiographic response—
PK/PD
Animal (cat.)
—Human—
Toxicology
Species
Rat, Hamster——
Toxicology
Major finding
Stomatitis, dry eye and keratitis, nausea, and alopecia. Interstitial lung disease is a class warning for DXd conjugates and requires prompt steroid intervention.Immune-mediated pneumonitis, colitis, hepatitis, endocrinopathies, and infusion-related reactions. Allogeneic transplant complications are labeled.—
Toxicology
CRS
N/AN/A—
Clinical
Safety signal
Stomatitis, dry eye and keratitis, nausea, and alopecia. Interstitial lung disease is a class warning for DXd conjugates and requires prompt steroid intervention.Immune-mediated pneumonitis, colitis, hepatitis, endocrinopathies, and infusion-related reactions. Allogeneic transplant complications are labeled.—
Clinical
Selected reported efficacy
ORR 64%——
Clinical
Reported ORR
64% vs 30% (chemotherapy)——
Clinical
Reported PFS
10.8 months vs 5.6 months (chemotherapy)——
Clinical
Reported OS
23.7 months vs 18.7 months (chemotherapy)——
Clinical
Result source
FDA approval report 2026-05-22 — TROPION-Breast02 (NCT05374512)——
Clinical
Program phase
APPROVEDAPPROVEDPHASE_3
Clinical
Trial activity
No active/completed counts—No active/completed counts
Clinical
Trial ref
NCT05374512——
Preclinical
Animal (cat.)
Mouse, In vitro——