ADC TOXICITY ATLAS
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Denintuzumab mafodotin (ALL)

Discontinued
SGN-CD19A; ALL cohort
Sponsor
Seagen
Indication
CD19+ ALL
Target family
Immunoglobulin superfamily
RP2D dose
4-6 mg/kg
Q3WRP2D
01
Multi-organ toxicity

Fingerprint & organ drill-down

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

Ocular

Any-grade
56%
G3+
-
RP2D
sagittal schematic · Reversible

Tissues shaded by reported adverse-event rate.

Cornea
AE
56%
Express.
0%
Limbus
AE
-
Express.
0%
Conjunctiva
AE
-
Express.
0%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
0.05%
0 nTPM
Off-target signature

56% corneal toxicity, yet the CD19 target is detected in only 0% of central cornea - toxicity is not explained by target expression.

Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Reversibility
Reversible
Reported ocular events
Keratopathy (microcystic)56%
n=71
Vision blurred35%
n=71
Keratopathy (microcystic) — Grade 3/4 corneal AE-
02
Construct

Molecular anatomy

Antibody
IgG1
Humanized
Linker
Non-cleavable
4
DAR
Payload
Tubulin inhibitor
Linker structureC10H13NO4
O=C(O)CCCCCN1C(=O)C=CC1=O
Payload structureC52H83N7O13S
CC[C@H](C)[C@@H]([C@@H](CC(=O)N1CCC[C@H]1[C@@H]([C@@H](C)C(=O)N[C@@H](CC2=CC=CC=C2)C(=O)O)OC)OC)N(C)C(=O)[C@H](C(C)C)NC(=O)[C@H](C(C)C)N(C)C(=O)CCCCCN3C(=O)CC(C3=O)SC[C@@H](C(=O)O)N
03
Antibody

Antibody & Fc engineering

Antibody
SGN-CD19 (denintuzumab)
Isotype
IgG1
Origin
Humanized
Fc modifications
None
Glycoengineering
Standard
Effector silencing
None
FcγR binding
Retained
C1q binding
Retained
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
mc (non-cleavable)
Class
Non-cleavable
Cleavage
Non-cleavable
Attachment
Cysteine (interchain)
Conjugation
Conventional interchain Cys
Symmetry
Symmetric
DAR (mean)
4
DAR homogeneity
Heterogeneous
Plasma t½
14.0 d
Cleavage trigger
Non-cleavable
Release control
Unconditional
Hydrophilicity mask
None
Formula
C10H13NO4
Linker MW
211.217 Da
Linker TPSA
74.68 Ų
Linker xLogP
0.5564
ADCdb linker
LIN0TAFAV
In-vitro stability
-
Stability note
Same ADC as NHL cohort (different population, ALL); inherited per-ADC PK from Fathi 2015; Blanc 2015 ASH abstract for ALL cohort does not separately tabulate t½
05
Payload

Payload & physicochemistry

Payload profile
Payload
Cys-mcMMAF
Class
Auristatin
Mechanism
Tubulin inhibitor
Released catabolite
Cys-mcMMAF
Mechanistic subtype
Tubulin-auristatin
Stereochem / salt
-
Bystander
No
PAMPA rank
6
MW
1046.3 Da
XLogP3
1.4
logD₇.₄
-1
TPSA
301 Ų
pKa
3.5 pKa
Charge pH 7.4
-1
H-bond donors
5
H-bond acceptors
15
IC50 (HCEC)
-
Formula
C52H83N7O13S
PubChem CID
86278355
ADCdb payload
PAY0QLDVX
Hydrophobicity · logD₇.₄
hydrophilic −2-1+4 lipophilic
Bioactivity note
ADCdb payload page (PAY0QLDVX, MMAF) lists free-MMAF cytotoxicity IC50 values: SK-BR-3 5.3 nM, Hep-G2 7 nM, BT474-M1 8.8 nM, HT-29 10 nM, H3396 105 nM, HL-60 137 nM, HCT 116 2880 nM. No ADC-level (SGN-CD19A) binding/efficacy IC50 reported on the ADCdb ADC page; ADC was in Phase 1
06
Dosing & regimen

Dosing

RP2D dose
4-6 mg/kg
Schedule
Q3W
Route
IV
Fractionated
No
n at RP2D
71
Dose basis
TBW
Trial phase
Phase 1
Dose-OAE available
No
Tox summary basis
RP2D
07
Ocular & expression

Ocular profile & eye-tissue target expression

Target profile
OAE any-grade
56 %
OAE grade 3+
-
OAE data status
reported
Severity (weighted)
-
Keratopathy
56 %
Conjunctival
-
Dry eye
-
Blurred vision
35 %
Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Grading scale
Unknown
Reversibility
Reversible
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
0 %
Cornea (limbal)
0 %
Conjunctiva
0 %
RPE
0.05 %
Retina (HPA)
0 nTPM
Cross-trial comparability
Ascertainment: Partial / unspecified monitoringScale: UnknownDenominator: RP2D⚠ OAE rate not directly comparable across trials
08
Identity & registry

Identifiers, registry & notes

ADC id
denintuzumab-mafodotin-all
Approval status
Discontinued
Approval year
-
UniProt
P15391
ADCdb ADC
DRG0OVAOS
ADCdb antibody
ANI0VYXVW
ADCdb target
TAR0EBTXG
Primary source
Blanc Blood 2015 ASH abstract (126:1328)
Aliases & development codes
SGN-CD19A; ALL cohort
Notes
Same ADC as NHL cohort; different population. V3.1: 56% keratopathy + 35% blurred verified. n=71 is total adults; includes weekly 0.3-3 mg/kg + Q3W 4-6 mg/kg cohorts.