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Which animal species did regulators accept for approved ADCs?

From the FDA and EMA reviews of all 14 approved ADCs. Each answer links to the regulator's own sentence.

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Short answer
13 of 14 approved ADCs ran pivotal tox in: monkey + rodent.
Monkey + rodent13/14
No relevant species1/14

Precedent by precedent

14 approved ADCs, with the reviewers' own words.

Adcetris

brentuximab vedotin · CD30
Species
Rat and cynomolgus monkey (monkey the antigen-binding species)
“Single- and repeat-dose toxicology studies were conducted in rats and monkeys. The pivotal repeat-dose toxicity studies were GLP compliant.”
✓ VerifiedEMA assessment report, p. 23Source ↗
Why that species
Binds human and cynomolgus CD30 with equal affinity (Kd 0.2 nM), not rat or mouse; rat used for target-independent payload toxicity
“Both brentuximab vedotin and unconjugated brentuximab bound with a Kd of 0.2 nM to human and cynomolgus CD30-positive primary lymphocytes, but not to rat or mouse CD30-positive cells or cells not expressing CD30.”
✓ VerifiedEMA assessment report, p. 23Source ↗

Besponsa

inotuzumab ozogamicin · CD22
Species
Rat and cynomolgus monkey (neither cross-reactive; target-independent toxicity only)
“The Applicant conducted repeat-dose toxicity studies of up to 6 months duration in rats and cynomolgus monkeys to investigate the chronic toxicity of inotuzumab ozogamicin;”
✓ VerifiedFDA multi-discipline review, p. 34Source ↗
Why that species
No relevant species: G544 does not bind mouse, rat, rabbit or monkey B cells; tox limited to payload-driven, target-independent effects
“G544 did not bind B cells from mouse, rat, rabbit, or cynomolgus monkey whole blood, or granulocytes, MONO, or T cells from any species evaluated, including humans.”
✓ VerifiedFDA multi-discipline review, p. 36Source ↗

Datroway

datopotamab deruxtecan · Trop-2
Species
Rat (non-binding) and cynomolgus monkey (relevant); DXd payload in rat and monkey
“Though datopotamab deruxtecan did not bind rat Trop2 in an in vitro assay, the monkey is a pharmacologically relevant species considering datopotamab deruxtecan demonstrated similar binding to human and monkey Trop2.”
✓ VerifiedFDA multi-discipline review, p. 66Source ↗
Why that species
Similar binding to human and monkey Trop2; weak to no binding to mouse and rat Trop2
“Datopotamab deruxtecan bound to human and monkey Trop2 similarly in an ELISA-based assay but demonstrated weak to no binding to mouse and rat Trop2.”
✓ VerifiedFDA multi-discipline review, p. 44Source ↗

Decnupaz

pivekimab sunirine · CD123
Species
Cynomolgus monkey (no CD123 cross-reactivity; off-target/payload toxicity) plus rat for FGN849 payload
“pivekimab sunirine does not cross-react with CD123 in standard animal species used for toxicology studies (mouse, rat, or cynomolgus monkey).”
✓ VerifiedFDA multi-discipline review, p. 42Source ↗
Why that species
No CD123 cross-reactivity in standard species; monkey used for off-target/payload effects; weaker monkey TCR staining
“PVEK produced less intense and less frequently observed staining in monkey mononuclear cells.”
✓ VerifiedFDA multi-discipline review, p. 62Source ↗

Elahere

mirvetuximab soravtansine · FRα
Species
Cynomolgus monkey (general tox); rabbit for ocular tox; DM4 payload in monkey and mouse
“The monkey was demonstrated to be the most appropriate animal species for toxicological evaluation of MIRV based on FOLR1 gene sequence homology assessments, in vitro binding assays, and IHC analysis of FRα protein expression on fresh frozen tissue sections using MIRV.”
✓ VerifiedEMA assessment report, p. 49Source ↗
Why that species
Binds human and monkey FRα with similar affinity (98% homology); no binding to mouse or rat FRα; similar TCR staining
“MIRV (and M9346A) cross-reacts only with rhesus and cynomolgus monkey FRα, out of toxicological species.”
✓ VerifiedEMA assessment report, p. 41Source ↗

Emrelis

telisotuzumab vedotin · c-Met
Species
Cynomolgus monkey (relevant); rat non-binding (exploratory, MMAE-related effects)
“In addition, these studies support the use of cynomolgus monkey as the pharmacologically relevant species for toxicity assessments of telisotuzumab vedotin.”
✓ VerifiedFDA multi-discipline review, p. 33Source ↗
Why that species
Binds human and monkey c-Met with similar EC50 (1.3 vs 1.5 nM); no binding to mouse, rat, rabbit c-Met
“In vitro, telisotuzumab bound to cells overexpressing human or monkey c-Met with EC50 values of 1.3 and 1.5 nM, respectively, but did not bind to cells expressing mouse, rat, or rabbit c-Met.”
✓ VerifiedFDA multi-discipline review, p. 33Source ↗

Enhertu

fam-trastuzumab deruxtecan · HER2
Species
Cynomolgus monkey (relevant) plus rat (non-binding species)
“DS-8201a and MAAL-9001 bound to cynomolgus monkey HER2 protein but not to mouse or rat HER2 proteins, showing that the cynomolgus monkey is an appropriate species in which to conduct toxicity evaluation with DS-8201a, based on its binding to HER2.”
✓ VerifiedFDA multi-discipline review, p. 41Source ↗
Why that species
ADC and naked antibody bind cyno HER2 with affinity similar to human; no binding to mouse or rat HER2
“In the same assay, DS-8201a and MAAL-9001 bound to cynomolgus monkey HER2-His protein (Kd [ED50] = 7.46 ng/mL and 6.77 ng/mL, respectively) but not to mouse or rat HER2-His proteins.”
✓ VerifiedFDA multi-discipline review, p. 44Source ↗

Kadcyla

ado-trastuzumab emtansine · HER2
Species
Rat and cynomolgus monkey (monkey pharmacologically relevant; long-term studies in monkey)
“Nonclinical single- and repeat-dose toxicology studies submitted to this BLA were conducted in rats and Cynomolgus monkeys.”
✓ VerifiedFDA pharmacology/toxicology review, p. 5Source ↗
Why that species
Trastuzumab binds cynomolgus HER2 with similar affinity to human; does not bind rat HER2 (rat for off-target payload toxicity)
“it was previously demonstrated that trastuzumab binds to the Cynomolgus monkey receptor with similar affinity as to human HER2, but does not bind with high avidity to the rat receptor indicating Cynomolgus monkey is the more relevant pharmacologic species.”
✓ VerifiedFDA pharmacology/toxicology review, p. 5Source ↗

Mylotarg

gemtuzumab ozogamicin · CD33
Species
Rat and cynomolgus monkey (neither pharmacologically relevant; no CD33 cross-reactivity)
“In view of the absence of cross-reactivity of gemtuzumab ozogamicin with CD33 from laboratory species, studies of kinetics in animals can only be of limited value, as there will be no binding, specific intracellular uptake, and metabolism of the conjugate that underlies its therapeutic action in humans.”
✓ VerifiedEMA assessment report, p. 51Source ↗
Why that species
No relevant species: antibody does not bind monkey CD33 or stain rat/monkey tissues; species used for off-target payload toxicity
“hP67.6 bound strongly to human CD33-transfected CHO cells but did not bind to the monkey CD33-transfected CHO cells (study 084032).”
✓ VerifiedEMA assessment report, p. 22Source ↗

Padcev

enfortumab vedotin · Nectin-4
Species
Rat and cynomolgus monkey
“Binding affinity of enfortumab vedotin to Nectin-4 was similar between humans, cynomolgus monkeys, and rats, but enfortumab vedotin bound to murine Nectin-4 at 10-fold lower affinity, thus supporting the use of the rat and monkey in the nonclinical toxicology studies.”
✓ VerifiedFDA multi-discipline review, p. 33Source ↗
Why that species
Nectin-4 homology >99% monkey, ~94% rat; similar binding affinity in human, monkey and rat (mouse 10-fold lower)
“Orthologs of Nectin-4 share >99%, ~94%, and ~92% homology to the human protein in cynomolgus monkeys, rats, and mice, respectively.”
✓ VerifiedFDA multi-discipline review, p. 33Source ↗

Polivy

polatuzumab vedotin · CD79b
Species
Rat and cynomolgus monkey (monkey with clinical ADC plus monkey-CD79b surrogate ADC)
“Polatuzumab does not bind to its target epitope on species typically used in toxicology studies. Both polatuzumab vedotin and a surrogate ADC that binds monkey CD79b were used in the toxicology studies.”
✓ VerifiedFDA pharmacology/toxicology review, p. 10Source ↗
Why that species
Polatuzumab does not bind non-human primate or rodent CD79b (3 amino-acid epitope difference); surrogate binds cyno CD79b
“Peptide sequence alignment of CD79b between humans and cynomolgus monkeys showed a variation in three amino acids in the N-terminal epitope region.”
✓ VerifiedFDA pharmacology/toxicology review, p. 16Source ↗

Tivdak

tisotumab vedotin · Tissue factor
Species
Cynomolgus monkey only for ADC; rat and monkey for MMAE payload
“The data suggests that the cynomolgus monkey was the only relevant toxicological species.”
✓ VerifiedFDA multi-discipline review, p. 34Source ↗
Why that species
Tisotumab binds human and cynomolgus TF similarly; no binding to mouse, rat, rabbit, pig or dog TF
“Tisotumab did not bind to mouse, rat, rabbit, pig, or dog TF.”
✓ VerifiedFDA multi-discipline review, p. 34Source ↗

Trodelvy

sacituzumab govitecan · Trop-2
Species
Cynomolgus monkey only (mouse for target-independent toxicity only)
“Cynomolgus monkeys were identified as the only relevant toxicity species due to cross-reactivity of the target, Trop-2 with the hRS7antibody, the binding moiety of sacituzumab govitecan.”
✓ VerifiedEMA assessment report, p. 23Source ↗
Why that species
hRS7 binds human and monkey Trop-2 comparably; no binding to mouse or rat Trop-2 despite ~80% homology
“Despite approx. 80% sequence homology at the protein level between human and rodent Trop-2, hRS7 did not bind to mouse and rat Trop-2.”
✓ VerifiedEMA assessment report, p. 25Source ↗

Zynlonta

loncastuximab tesirine · CD19
Species
No pharmacologically relevant species; cynomolgus monkey (non-binding) for ADC; rat and dog for payload SG3199
“No pharmacologically relevant nonclinical species for safety evaluation—as defined in ICH S6(R1)—exists for loncastuximab tesirine, due its antibody component being selective for human CD19.”
✓ VerifiedFDA multi-discipline review, p. 49Source ↗
Why that species
Antibody not cross-reactive with any nonclinical CD19; monkey chosen for PK predictivity, lower ADA impact, and PBD class-toxicity translation
“The monoclonal antibody (mAb) component of loncastuximab tesirine, RB4v1.2, is selective for human CD19 and not cross‐reactive with CD19 from any nonclinical species.”
✓ VerifiedFDA multi-discipline review, p. 37Source ↗