ADC TOXICITY ATLAS
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BYON-3521

Investigational
BYON3521; BYON 3521
Sponsor
Byondis BV (originated Syntarga BV)
Indication
c-MET-expressing locally advanced or metastatic solid tumors
Target family
Receptor tyrosine kinase
RP2D dose
-
Every 3 weeks (Q3W)Pooled
01
Multi-organ toxicity

Fingerprint & organ drill-down

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

Ocular

Any-grade
0%
G3+
0%
Pooled
sagittal schematic · -

Tissues shaded by reported adverse-event rate.

Cornea
AE
-
Express.
26.59%
Limbus
AE
-
Express.
37.08%
Conjunctiva
AE
-
Express.
67.14%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
59.48%
3.6 nTPM
Dominant tissue
None
Surface subtype
None
Reversibility
-
Reported ocular events
Eye disorder (unspecified; 2 distinct events in 1 patient)3.2%
Eye disorder (unspecified)-
G3+ 3.2%
Keratitis0%
n=31
02
Construct

Molecular anatomy

Antibody
IgG1
Humanized
Linker
Cleavable
1.8
DAR
Payload
DNA minor-groove alkylation; seco-DUBA activated to DUBA causing irreversible DNA alkylation
Linker structureC28H40N6O7
CC(C)[C@@H](C(=O)N[C@@H](CCCNC(=O)N)C(=O)NC1=CC=C(C=C1)CO)NC(=O)CCCCCN2C(=O)C=CC2=O
Payload structureC29H23ClN4O4
CC1=C2C(=CC=C1)C(=CC3=C2[C@@H](CN3C(=O)C4=CN5C=C(C=CC5=N4)NC(=O)C6=CC=C(C=C6)O)CCl)O
03
Antibody

Antibody & Fc engineering

Antibody
Humanized cysteine-engineered IgG1 anti-MET (clone mAb3b / SYD2884)
Isotype
IgG1
Origin
Humanized
Fc modifications
-
Glycoengineering
-
Effector silencing
-
FcγR binding
Retained
C1q binding
Retained
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
vc-seco-DUBA (valine-citrulline-seco-DUBA / SYD980; Mc-Val-Cit-PABC)
Class
Peptide
Cleavage
Cleavable
Attachment
Site-specific (engineered Cys)
Conjugation
Site-specific via reactive engineered cysteines
Symmetry
Site-specific (paired)
DAR (mean)
1.8
DAR homogeneity
Homogeneous
Plasma t½
-
Cleavage trigger
Cathepsin B (lysosomal protease; valine-citrulline cleavage)
Release control
Conditional
Hydrophilicity mask
None
Formula
C28H40N6O7
Linker MW
572.7 Da
Linker TPSA
200 Ų
Linker xLogP
0.68
ADCdb linker
LIN0SQEDQ
In-vitro stability
Stable in CES1c KO mouse, cynomolgus, and human plasma (37C, 0-96 h); percent not quantified in accessible text
05
Payload

Payload & physicochemistry

Payload profile
Payload
seco-DUBA (duocarmycin)
Class
Duocarmycin
Mechanism
DNA minor-groove alkylation; seco-DUBA activated to DUBA causing irreversible DNA alkylation
Released catabolite
seco-DUBA, activated to DUBA (duocarmycin)
Mechanistic subtype
DNA-alkylator
Stereochem / salt
-
Bystander
Yes
PAMPA rank
-
MW
527 Da
XLogP3
5.3
logD₇.₄
-
TPSA
107 Ų
pKa
-
Charge pH 7.4
0
H-bond donors
3
H-bond acceptors
5
IC50 (HCEC)
-
Formula
C29H23ClN4O4
PubChem CID
46240929
ADCdb payload
PAY0SOSMQ
Bioactivity note
Free DUBA payload is highly potent (ADCdb-reported cell IC50 ~0.09 nM SK-BR-3 / SW620, 0.43 nM SK-OV-3). BYON3521 ADC showed good potency and full efficacy in MET-amplified/high-MET cell lines (publication IC50 ~1.5-18.2 ng/mL across MET-expressing lines) with target- and bystand
06
Dosing & regimen

Dosing

RP2D dose
-
Schedule
Every 3 weeks (Q3W)
Route
IV
Fractionated
No
n at RP2D
-
Dose basis
-
Trial phase
Phase 1
Dose-OAE available
Yes
Tox summary basis
dose-escalation
07
Ocular & expression

Ocular profile & eye-tissue target expression

Target profile
OAE any-grade
0 %
OAE grade 3+
0 %
OAE data status
documented-absent
Severity (weighted)
0
Keratopathy
-
Conjunctival
-
Dry eye
-
Blurred vision
-
Dominant tissue
None
Surface subtype
None
Grading scale
CTCAE (unversioned)
Reversibility
-
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
26.59 %
Cornea (limbal)
37.08 %
Conjunctiva
67.14 %
RPE
59.48 %
Retina (HPA)
3.6 nTPM
Cross-trial comparability · source-verified
Ascertainment: Systematic eye examsScale: CTCAE (unversioned)Denominator: RP2D
08
Identity & registry

Identifiers, registry & notes

ADC id
byon-3521
Approval status
Investigational
Approval year
-
UniProt
P08581
ADCdb ADC
DRG0SZKXH
ADCdb antibody
-
ADCdb target
TAR0AIJKM
Primary source
AACR 2023 Abstract CT185 (Cancer Res 2023;83(8_suppl):CT185); NCT05323045
Aliases & development codes
BYON3521; BYON 3521
Notes
c-MET (MET/HGFR) targeting ADC from Byondis (originated by Syntarga). Humanized cysteine-engineered IgG1 (clone mAb3b / SYD2884) conjugated site-specifically via engineered cysteine (HC-41C, Kabat) to the cleavable valine-citrulline-seco-DUBA (vc-seco-DUBA / SYD980; ADCdb linker "Mc-Val-Cit-PABC", LIN0SQEDQ) duocarmycin linker-drug, DAR ~1.8 (ADCdb lists 2). Payload seco-DUBA is a DNA-alkylating duocarmycin activated to DUBA, with bystander activity. Clinical evidence is the AACR 2023 dose-escalation abstract CT185 (FIH Phase 1 NCT05323045, n=8 as of data cutoff Jan 1, 2023; doses 0.8/1.6/3.2/4.8 mg/kg IV Q3W). No Grade 3/4 TRAEs and no DLTs at cutoff; most common related AEs were decreased appetite/weight, fatigue, abdominal pain, back pain, vomiting and chills. OCULAR: explicit-zero - the abstract states "Typical ADC associated adverse events as keratitis and pneumonitis have not been observed so far," consistent with the triage. "History or presence of keratitis" is a trial exclusion criterion (ctv.veeva.com / NCT05323045). The ClinicalTrials.gov registry summary now lists the study as Completed with 31 patients enrolled, but no primary publication beyond the n=8 CT185 abstract was retrievable, so dosing/toxicity reflect the Jan 2023 cutoff. NOTE: duocarmycin/seco-DUBA is the same payload class as trastuzumab duocarmazine (SYD985), which is ocular-prone; the preclinical paper (Mol Cancer Ther 2023, PMC10233350) characterizes BYON3521's eye toxicity as "modest" in the nonclinical (cynomolgus) setting only - that is preclinical, not clinical. A secondary/unverified suggestion that eye disorders may emerge at higher doses (>4.8 mg/kg) in later data could not be confirmed in any primary source. No RP2D/MTD was defined at the data cutoff (escalation ongoing), so dosing.rp2d fields left blank. Payload physchem reported at the seco-DUBA/DUBA duocarmycin level (Tier C; exact computed PubChem values for the specific seco-DUBA structure not separately retrieved, so left blank where uncertain rather than imputed).