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Zynlonta: animal efficacy model or human cells?

loncastuximab tesirine · CD19
Efficacy evidence
CD19-positive human Burkitt lymphoma (Ramos, Daudi) and DLBCL (WSU-DLCL2) xenografts in immunodeficient mice
“The in vivo activity of ADCT‐402 was evaluated in immunodeficient mice subcutaneously (SC) xenografted with the CD19 positive human Ramos or Daudi Burkitt’s lymphoma cell lines or with the CD19 positive human DLBCL cell line, WSU‐DLCL2 (Study No. ADCT‐402_R_007_R).”
✓ VerifiedFDA multi-discipline review, p. 43Source ↗
Why that model
Antibody selective for human CD19; not cross-reactive with CD19 of any nonclinical species
“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 ↗
Reviewer's view of the efficacy data
EMA: studies in lymphoma/leukaemia patient-derived cell lines supported clinical testing; cancer cell lines accepted for ADCs
“The nonclinical studies conducted with ADCT-402 using a panel of cell lines derived from lymphoma and leukaemia patients have supported the clinical testing of loncastuximab tesirine in patients. Findings from these nonclinical studies support the use of cancer cell lines for nonclinical studies with ADCs.”
✓ VerifiedEMA assessment report, p. 40Source ↗

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)

Kadcyla

ado-trastuzumab emtansine · HER2
HER2+ xenografts (BT-474 EI, Calu-3) and MMTV-HER2 transgenic tumor model; growth inhibition in all three at 3 to 31 mg/kg

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

Summary across all 14 ADCs →