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API CSV33행 · 4개 프로그램

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항목
ADCCurated CoreFDAstaleApproved
trastuzumab deruxtecan (Enhertu, T-DXd, DS-8201, TDxd)
Daiichi Sankyo / AstraZeneca·HER2
243 trials
ADCCurated CorestaleApproved
disitamab vedotin (Disitamab Vedotin, RC48)
RemeGen·HER2
159 trials
ADCLimited DatastalePhase 3
Taxane (Taxane)
Chia Tai Tianqing Pharmaceutical G…·HER2
94 trials
Overview
Program
Enhertu (fam-trastuzumab deruxtecan-nxki)Disitamab Vedotin (RC48)TaxaneDisitamab Vedotin(RC48) Plus Tratuzumab
Overview
Company
Daiichi Sankyo / AstraZenecaRemeGenChia Tai Tianqing Pharmaceutical Group Co., Ltd.RemeGen
Overview
Modality
ADCADCADCADC
Overview
Target
HER2HER2HER2HER2
Overview
Indication
HER2-positive breast cancer (including regimen-specific first-line and early-stage indications); HER2-low/ultralow breast cancer, HER2-positive gastric cancer, HER2-mutant NSCLC and HER2-positive solid tumors: consult the current US labelHER2+ urothelial, gastric, breastGastric CancerHER2-positive Gastric Cancer; HER2-positive Gastroesophageal Junction Adenocarcinoma
Overview
Phase
APPROVEDAPPROVEDPHASE_3PHASE_2
Overview
Status
APPROVEDACTIVERECRUITINGRECRUITING
Overview
Content status
Curated CoreCurated CoreLimited DataStandard Database
Overview
Data Confidence
Editorial scope · Curated CoreEditorial scope · Curated CoreEditorial scope · limited dataEditorial scope · structured catalog
Overview
Development Signal
Development Signal · EstablishedDevelopment Signal · EstablishedDevelopment Signal · EmergingDevelopment Signal · Emerging
Overview
Approval status
FDA approvedApproved (flag incomplete)InvestigationalInvestigational
Positioning
Key differentiator
High DAR (~8), bystander effect, HER2-low activityNovel anti-HER2 mAb with distinct epitope——
Positioning
Known limitation
HER2 antigen loss/downregulation, payload efflux, and dose-limiting ILD/pneumonitis leading to discontinuation.resistance mechanisms, optimize payload delivery, and minimize off-target toxicity——
Positioning
Development positioning
Indication- and regimen-specific; includes 1L + pertuzumab in HER2-positive metastatic breast cancer2L+——
Technology
Payload
DXd (topo-I inhibitor)MMAEDeruxtecan in Patients With Previously Treated HER—
Technology
Linker
Cleavable tetrapeptideCleavable—linker
MoA
Mechanism
Fam-trastuzumab deruxtecan is a HER2-directed antibody-drug conjugate: humanized anti-HER2 IgG1 linked via a cleavable tetrapeptide linker to DXd, a membrane-permeable topoisomerase I inhibitor. After binding HER2 on tumor cells, the conjugate is internalized; lysosomal proteases cleave the linker and release DXd, causing DNA damage and apoptosis. Released DXd can exert a bystander effect in neighboring cells.Disitamab vedotin binds a distinct HER2 epitope (different from trastuzumab), internalizes, and releases MMAE via cleavable linker, causing microtubule disruption and apoptosis.targeting this shared pathwayADC is revealed to exert its antitumor effect by inducing G2/M arrest and caspase-dependent apoptosis
MoA
Biomarker
HER2 expression (IHC/ISH per indication); higher systemic exposure associated with greater ILD incidence (FDA label §12.2).HER2 expression (IHC); activity in HER2+ urothelial and gastric cancers.biomarker-informed trials, rather than to identify a single preferred ICI strategyPD-1 blockade and gemcitabine/cisplatin in high
Toxicology
Species
Cynomolgus monkey, NHP, Rat, HamsterCynomolgus monkey——
Toxicology
Animal (cat.)
NHPNHP——
Toxicology
Major finding
ILD-like lung findings at high exposureHematologic toxicity and peripheral neuropathy class effects of MMAE; ILD reported at lower frequency than DXd ADCs in published datasets.——
Toxicology
CRS
MinimalN/A——
Toxicology
NOAEL
10 mg/kg———
Clinical
Safety signal
ILD-like lung findings at high exposureHematologic toxicity and peripheral neuropathy class effects of MMAE; ILD reported at lower frequency than DXd ADCs in published datasets.——
Clinical
Selected reported efficacy
ORR 87%———
Clinical
Reported ORR
87% vs 81% (THP)———
Clinical
Reported PFS
40.7 months vs 26.9 months (THP)———
Clinical
Reported OS
Immature at the reported PFS analysis———
Clinical
Result source
FDA label 2026, Table 28 — DESTINY-Breast09 (NCT04784715)———
Clinical
Program phase
APPROVEDAPPROVEDPHASE_3PHASE_2
Clinical
Trial activity
No active/completed countsNo active/completed countsNo active/completed counts—
Clinical
Trial ref
NCT04784715———
Preclinical
Animal (cat.)
Human, Mouse, In vitro———