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Safety of antibody drug conjugates

Safety of antibody drug conjugates

Safety of antibody drug conjugates

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Designing an ADC Toxicology Program<br />

POINTS TO<br />

CONSIDER SMALL MOLECULE BIOLOGICS ADCs<br />

Species Selection 2 species Often 1 species 1 or 2 species<br />

Test Article Chemical Protein Conjugate (protein-chemical)<br />

Manufacturing Synthesized Culture-derived Both + conjugation<br />

Toxicity On- and <strong>of</strong>f-target Typically exaggerated<br />

pharmacology<br />

PK Less specific binding Specific antigen<br />

binding<br />

PK Assays Drug product,<br />

metabolites (if<br />

applicable)<br />

Immunogenicity<br />

Assays<br />

Typically antigen-independent<br />

Specific antigen binding; nonspecific<br />

for released SM<br />

Short t½ Long t½ Long t½ (<strong>antibody</strong>); sustained<br />

delivery <strong>of</strong> SM and rapid clearance<br />

High Vd Lower Vd, target<br />

dependent<br />

Lower Vd, mainly target dependent<br />

Total <strong>antibody</strong> Total <strong>antibody</strong>, ADC, un-conjugated<br />

toxin<br />

No Yes Yes

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