Request an invite

Columvi: how was the first human dose set?

glofitamab · CD20 x CD3
First-in-human starting dose
MABEL: monkey PK/PD IL-6 excursion model plus in vitro human/monkey whole-blood cytokine data; 5 ug flat dose
“A pharmacokinetic-pharmacodynamic (PK/PD) model for cytokine excursions in cynomolgus monkeys, particularly interleukin 6 (IL-6), was built and translated to humans. The human starting dose was selected to keep the predicted IL-6 excursion below a predefined threshold in patients”
✓ VerifiedFDA multi-discipline review, p. 50Source ↗
NOAEL / key findings
HNSTD 30/100 ug/kg step-up (2-week); B-cell depletion, cytokine release, lymphoid hypocellularity; CRS deaths at 100 ug/kg first dose
“Key findings with glofitamab identified in single- and repeat-dose toxicity studies up to 4 weeks in duration in cynomolgus monkeys included B-cell depletion, transient postdose cytokine release, primarily after the first dose,”
✓ VerifiedFDA multi-discipline review, p. 57Source ↗

Same question, other bispecifics

Lunsumio

mosunetuzumab · CD20 x CD3
MABEL-type: EC20 from in vitro human PBMC cytokine release / T-cell activation assay

Vabysmo

faricimab · VEGF-A x Ang-2
Starting dose 0.5 mg/eye IVT supported by monkey tox data (6 mg/eye high dose not initially supported; dose escalation gated)

Bizengri

zenocutuzumab · HER2 x HER3
Not stated in public reviews

Blincyto

blinatumomab · CD19 x CD3
Not stated in public reviews

Elrexfio

elranatamab · BCMA x CD3
Not stated in public reviews

Epkinly

epcoritamab · CD20 x CD3
Not stated in public reviews

Hemlibra

emicizumab · FIXa x FX
Not stated in public reviews

Imdelltra

tarlatamab · DLL3 x CD3
Not stated in public reviews

Kimmtrak

tebentafusp · CD3 x gp100 (TCR fusion)
Not stated in public reviews

Korjuny

catumaxomab · EpCAM x CD3
Not stated in public reviews

Lynozyfic

linvoseltamab · BCMA x CD3
Not stated in public reviews

Ordspono

odronextamab · CD20 x CD3
Not stated in public reviews

Removab

catumaxomab · EpCAM x CD3
Not stated in public reviews

Rybrevant

amivantamab · EGFR x MET
Not stated in public reviews

Talvey

talquetamab · GPRC5D x CD3
Not stated in public reviews

Tecvayli

teclistamab · BCMA x CD3
Not stated in public reviews

Ziihera

zanidatamab · HER2 x HER2 (biparatopic)
Not stated in public reviews

Summary across all 18 bispecifics →