ADC TOXICITY ATLAS
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AVID-100

Discontinued
AVID100; AVID 100; MAB100-SMCC-DM1
Sponsor
Formation Biologics (Forbius)
Indication
EGFR-overexpressing advanced solid tumors (SCCHN, squamous NSCLC, TNBC)
Target family
Receptor tyrosine kinase
RP2D dose
220 mg/m2 (~6 mg/kg)
Q3WRP2D
01
Multi-organ toxicity

Fingerprint & organ drill-down

Also reported
0%severity100%
0
Assessed · clear
true 0%
No data
never assessed
10 adverse-event terms

Ocular

Any-grade
8%
G3+
-
RP2D
sagittal schematic · Reversible

Tissues shaded by reported adverse-event rate.

Cornea
AE
8%
Express.
89.35%
Limbus
AE
-
Express.
97.58%
Conjunctiva
AE
-
Express.
93.02%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
83.36%
9.4 nTPM
Off-target signature

8% corneal toxicity, yet the Epidermal growth factor receptor (EGFR; ErbB1/HER1) target is detected in only 89.35% of central cornea - toxicity is not explained by target expression.

Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Reversibility
Reversible
Reported ocular events
Lacrimation increased20%
Keratitis punctate14.3%
n=7
Conjunctivitis allergic (Allergic conjunctivitis)8.3%
Dry eye4%
Lacrimation increased (Watering eyes)-
Conjunctival injection (conjunctival hyperaemia)-
Eye pain / Eye irritation-
Uveitis-
Photophobia-
Keratitis-
02
Construct

Molecular anatomy

Antibody
Linker
Non-cleavable
DAR
Payload
Tubulin inhibitor
Linker structureC16H18N2O6
[H]C1=C([H])C(=O)N(C([H])([H])C2([H])C([H])([H])C([H])([H])C([H])(C(=O)ON3C(=O)C([H])([H])C([H])([H])C3=O)C([H])([H])C2([H])[H])C1=O
Payload structureC53H75ClN6O15S
C[C@@H]1[C@@H]2C[C@]([C@@H](/C=C/C=C(/CC3=CC(=C(C(=C3)OC)Cl)N(C(=O)C[C@@H]([C@]4([C@H]1O4)C)OC(=O)[C@H](C)N(C)C(=O)CCSC5CC(=O)N(C5=O)CC6CCC(CC6)C(=O)NCCCC[C@@H](C(=O)O)N)C)\C)OC)(NC(=O)O2)O
03
Antibody

Antibody & Fc engineering

Antibody
MAB100
Isotype
-
Origin
-
Fc modifications
-
Glycoengineering
-
Effector silencing
-
FcγR binding
Retained
C1q binding
Retained
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
SMCC
Class
Non-cleavable
Cleavage
Non-cleavable
Attachment
Lysine
Conjugation
Conventional Lys (SMCC)
Symmetry
Symmetric
DAR (mean)
-
DAR homogeneity
Heterogeneous
Plasma t½
-
Cleavage trigger
Non-cleavable
Release control
Unconditional
Hydrophilicity mask
None
Formula
C16H18N2O6
Linker MW
334.328 Da
Linker TPSA
101.06 Ų
Linker xLogP
0.325
ADCdb linker
LIN0EBJON
In-vitro stability
-
05
Payload

Payload & physicochemistry

Payload profile
Payload
Lys-SMCC-DM1
Class
Maytansinoid
Mechanism
Tubulin inhibitor
Released catabolite
Lys-SMCC-DM1 (lysine-Neps-MCC-DM1); charged, membrane-impermeable catabolite (= same released species as trastuzumab-emtansine)
Mechanistic subtype
Tubulin-maytansinoid
Stereochem / salt
-
Bystander
No
PAMPA rank
-
MW
1103.7 Da
XLogP3
-0.2
logD₇.₄
-0.5
TPSA
312 Ų
pKa
2.2 pKa
Charge pH 7.4
Zwitterion
H-bond donors
5
H-bond acceptors
17
IC50 (HCEC)
-
Formula
C53H75ClN6O15S
PubChem CID
71587969
ADCdb payload
PAY0JCIBW
Hydrophobicity · logD₇.₄
hydrophilic −2-0.5+4 lipophilic
06
Dosing & regimen

Dosing

RP2D dose
220 mg/m2 (~6 mg/kg)
Schedule
Q3W
Route
Other
Fractionated
No
n at RP2D
25
Dose basis
BSA
Trial phase
Phase 1
Dose-OAE available
Yes
Tox summary basis
RP2D
07
Ocular & expression

Ocular profile & eye-tissue target expression

Target profile
OAE any-grade
8 %
OAE grade 3+
-
OAE data status
reported
Severity (weighted)
-
Keratopathy
8 %
Conjunctival
-
Dry eye
-
Blurred vision
-
Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Grading scale
CTCAE v4
Reversibility
Reversible
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
89.35 %
Cornea (limbal)
97.58 %
Conjunctiva
93.02 %
RPE
83.36 %
Retina (HPA)
9.4 nTPM
Cross-trial comparability · source-verified
Ascertainment: Systematic eye examsScale: CTCAE v4Denominator: RP2D
08
Identity & registry

Identifiers, registry & notes

ADC id
avid-100
Approval status
Discontinued
Approval year
-
UniProt
P00533
ADCdb ADC
DRG0OJHEN
ADCdb antibody
ANI0ABINN
ADCdb target
TAR0UYFIF
Primary source
Spira et al. AACR 2019 Abstract CT056 (Cancer Res 2019;79(13 Suppl):CT056); ESMO 2019 (Ann Oncol 2019;30(Suppl 5), S0923-7534(19)32637-7); ADCdb DRG0OJHEN
Aliases & development codes
AVID100; AVID 100; MAB100-SMCC-DM1
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).