Notes
Anti-EGFR-DM1 ADC: antibody MAB100 + SMCC non-cleavable linker + DM1 maytansinoid; structurally analogous to trastuzumab-emtansine (T-DM1) but with a function-blocking anti-EGFR antibody engineered to spare normal EGFR+ tissue. Shares the exact ADCdb linker record LIN0EBJON (SMCC) and DM1 payload with T-DM1, so linker physchem, payload physchem (Lys-SMCC-DM1 catabolite), and chemistry fields are mirrored from T-DM1 (tier C, derived).
CLINICAL: Phase 1a/2a, NCT03094169 (Formation Biologics/Forbius). Phase 1a dose-escalation n=24, cohorts 1-6 = 20/40/80/120/180/220 mg/m2 q3w (2-h IV); no cycle-1 DLTs; RP2D = 220 mg/m2 (~6 mg/kg) q3w - among the highest RP2D of any ADC in development. Phase 2a expansion at RP2D (n=25). Program discontinued for lack of efficacy.
OCULAR (qualifying AE): punctate keratitis, dose-dependent - 1/7 (14.3%) at a higher Ph1a level (~180 mg/m2, dose-level inferred), 2/6 (33.3%) at 220 mg/m2 Ph1a, 2/25 (8.0%) at 220 mg/m2 Ph2a expansion (the RP2D row). Low-grade, not a DLT. EGFR is expressed on corneal epithelium, so keratitis is on-target/off-tumor mechanistically; classified ocular_surface_subtype='Corneal (off-target)' per the DB's controlled vocabulary and matching the other anti-EGFR ADC depatuxizumab-mafodotin. oae_g3plus left blank (no explicit G3+ ocular count; events characterized as low-grade).
OTHER TOX: Phase 1a pooled (n=24, all G1-2): rash 66.7%, nausea 41.7% (GI row), fatigue 29.2%. Reported qualitatively WITHOUT percentages (not rowable since pct is required): infusion-related reactions (ameliorated by premedication + infusion prolongation), vomiting, headache, anorexia, mucositis, diarrhea, reversible transaminase + alkaline-phosphatase elevations (no other evidence of hepatotoxicity), elevated amylase / G2-3 lipase, hypomagnesemia, hypokalemia, reversible thrombocytopenia. Hepatic / Hematologic / Infusion are therefore reported-but-unquantified and left without summary rows.
CAVEATS: DAR undisclosed by sponsor & ADCdb (dar_mean blank); dar_homogeneity='Heterogeneous (Lys)' and conjugation_method='Conventional Lys (SMCC)' are DERIVED (tier C) from the SMCC lysine-NHS-ester chemistry. Antibody isotype/origin not disclosed (likely humanized IgG1; cf. depatuxizumab). Fc engineering not disclosed (likely wild-type IgG1; effector_silencing left blank). payload_name recorded as 'Lys-SMCC-DM1' to mirror T-DM1's representation (warhead = DM1/mertansine, ADCdb PAY0JCIBW). Sponsor = Formation Biologics (Forbius); ADCdb also lists Bristol Myers Squibb - BMS acquired Forbius in 2020 for its TGF-beta assets (AVID200/300), not the AVID100 ADC. All clinical/ocular data are conference-abstract level (tier D); no peer-reviewed full paper or regulatory label exists. overall_tier=D reflects the qualifying OAE evidence; composition/adcdb cells are tier B and physchem/chemistry are tier C (derived from T-DM1).