ADC TOXICITY ATLAS
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Denintuzumab mafodotin (NHL)

Discontinued
SGN-CD19A; NHL cohort
Sponsor
Seagen
Indication
CD19+ NHL
Target family
Immunoglobulin superfamily
RP2D dose
3 mg/kg
Q3W + Q6W mixed (52+10)RP2D
01
Multi-organ toxicity

Fingerprint & organ drill-down

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

Ocular

Any-grade
84%
G3+
-
RP2D
sagittal schematic · Reversible

Tissues shaded by reported adverse-event rate.

Cornea
AE
84%
Express.
0%
Limbus
AE
-
Express.
0%
Conjunctiva
AE
-
Express.
0%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
0.05%
0 nTPM
Off-target signature

84% 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 (superficial microcystic; corneal exam + symptoms composite)84%
n=62
Blurred vision65%
n=62
Dry eye52%
n=62
Photophobia27%
n=62
Keratopathy / corneal AEs (Grade 3-4)-
G3+ 9%
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
Terminal t½ ~2 weeks reported for SGN-CD19A in Fathi Blood 2015 ASH abstract (R/R B-NHL); accumulation observed with multiple doses. Same mc-MMAF chemistry as belantamab/depatux-m
05
Payload

Payload & physicochemistry

Payload profile
Payload
Cys-mcMMAF
Class
Auristatin
Mechanism
Tubulin inhibitor
Released catabolite
Cys-mcMMAF (cysteine-maleimidocaproyl-MMAF)
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
When delivered extracellularly, the intact SGN-CD19A-class ADC is ~1000-fold more potent than the free active catabolite Cys-mcMMAF, demonstrating the antibody's intracellular targeting requirement and the poor bystander activity of the released metabolite (the charged/membrane-i
06
Dosing & regimen

Dosing

RP2D dose
3 mg/kg
Schedule
Q3W + Q6W mixed (52+10)
Route
IV
Fractionated
No
n at RP2D
62
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
84 %
OAE grade 3+
-
OAE data status
reported
Severity (weighted)
-
Keratopathy
84 %
Conjunctival
-
Dry eye
52 %
Blurred vision
65 %
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: Systematic eye examsScale: UnknownDenominator: RP2D⚠ OAE rate not directly comparable across trials
08
Identity & registry

Identifiers, registry & notes

ADC id
denintuzumab-mafodotin-nhl
Approval status
Discontinued
Approval year
-
UniProt
P15391
ADCdb ADC
DRG0OVAOS
ADCdb antibody
ANI0VYXVW
ADCdb target
TAR0EBTXG
Primary source
Moskowitz Blood 2015;126(23):182 (NHL, NCT01786135)
Aliases & development codes
SGN-CD19A; NHL cohort
Notes
CD19 absent from cornea but 84% OAE via MMAF macropinocytosis. V3.1: schedule clarified as mixed Q3W (52 pts) + Q6W (10 pts) per Fathi 2015. All ocular AE rates verified exactly. Photophobia 27% noted (not in schema).