Nonclinical precedent Request an invite

Kadcyla: animal efficacy model or human cells?

ado-trastuzumab emtansine · HER2
Efficacy evidence
HER2+ xenografts (BT-474 EI, Calu-3) and MMTV-HER2 transgenic tumor model; growth inhibition in all three at 3 to 31 mg/kg
“Trastuzumab-MCC-DM1 caused tumor growth inhibition in all three models in the dose range of 3 to 31 mg/kg, depending on the model.”
✓ VerifiedFDA pharmacology/toxicology review, p. 147Source ↗
Why that model
Mouse models carrying human HER2-positive tumors (human cell-line xenografts) allowed testing of the clinical ADC
“Anti-tumor activity of trastuzumab emtansine was evaluated in three independent animal models of HER2-positive human cancers (not formally reviewed). Two of these are xenograft models using human tumor cell lines.”
✓ VerifiedFDA pharmacology/toxicology review, p. 147Source ↗
Reviewer's view of the efficacy data
EMA: pharmacodynamic activity adequately characterised by the nonclinical package
“Based on the nonclinical safety data trastuzumab emtansine has been adequately characterised in terms of its pharmacodynamic activity, pharmacokinetic properties and safety profile.”
✓ VerifiedEMA assessment report, p. 37Source ↗

Same question, other ADCs

Adcetris

brentuximab vedotin · CD30
Three xenograft models from human HL and ALCL cell lines

Besponsa

inotuzumab ozogamicin · CD22
Subcutaneous xenograft and systemically disseminated ALL mouse models

Datroway

datopotamab deruxtecan · Trop-2
Nude mouse xenografts of human pancreatic cancer, NSCLC and breast cancer

Decnupaz

pivekimab sunirine · CD123
Two BPDCN patient-derived xenograft (PDX) models in NSG mice

Elahere

mirvetuximab soravtansine · FRα
Ovarian cancer xenograft mouse models (single IV dose)

Emrelis

telisotuzumab vedotin · c-Met
c-Met-positive NSCLC cell line-derived and patient-derived xenograft mouse models

Enhertu

fam-trastuzumab deruxtecan · HER2
HER2-positive breast cancer xenograft mouse models (e.g., KPL-4 in nude mice)

Mylotarg

gemtuzumab ozogamicin · CD33
CD33+ HL-60 leukemia xenograft in mice: >80% tumor growth inhibition

Padcev

enfortumab vedotin · Nectin-4
Nectin-4-expressing patient-derived bladder cancer xenografts (AG-B1, AG-B8) in mice: >75% tumor growth inhibition

Polivy

polatuzumab vedotin · CD79b
Human DLBCL and B-cell lymphoma xenografts in mice; in vitro Ramos cytotoxicity

Tivdak

tisotumab vedotin · Tissue factor
Cervical cancer patient-derived xenograft (PDX) models in mice

Trodelvy

sacituzumab govitecan · Trop-2
Mouse xenografts bearing human Trop-2-expressing tumours

Zynlonta

loncastuximab tesirine · CD19
CD19-positive human Burkitt lymphoma (Ramos, Daudi) and DLBCL (WSU-DLCL2) xenografts in immunodeficient mice

Summary across all 14 ADCs →