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Denintuzumab mafodotin (NHL) Discontinued SGN-CD19A; NHL cohort
Target family
Immunoglobulin superfamily
RP2D dose
3 mg/kg Q3W + Q6W mixed (52+10) RP2D
01 Multi-organ toxicity
Fingerprint & organ drill-down Any-grade Grade 3+
Ocular
84%
Hepatic
-
Neutrop.
-
Thrombo.
-
Anemia
-
GI
29%
ILD
-
Neuro.
-
Also reported Other · 2 · 1 system
5 adverse-event terms
Ocular Toxicity Target expression Compare
sagittal schematic · Reversible
↳ Tissues shaded by reported adverse-event rate.
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.
Surface subtype
Corneal (off-target)
Reported ocular events
Keratopathy (superficial microcystic; corneal exam + symptoms composite) 84%
Keratopathy / corneal AEs (Grade 3-4) -
02 Construct
Molecular anatomy Linker structure C10H13NO4
O=C(O)CCCCCN1C(=O)C=CC1=O copy
Payload structure C52H83N7O13S
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 copy
03 Antibody
Antibody & Fc engineering Antibody
SGN-CD19 (denintuzumab)
Attachment
Cysteine (interchain)
Conjugation
Conventional interchain Cys
DAR homogeneity
Heterogeneous
Cleavage trigger
Non-cleavable
Release control
Unconditional
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
Mechanism
Tubulin inhibitor
Released catabolite
Cys-mcMMAF (cysteine-maleimidocaproyl-MMAF)
Mechanistic subtype
Tubulin-auristatin
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
Schedule
Q3W + Q6W mixed (52+10)
07 Ocular & expression
Ocular profile & eye-tissue target expression Target profile → Surface subtype
Corneal (off-target)
Target expression in eye tissues (HCA detection · HPA bulk)
Cross-trial comparability
Ascertainment: Systematic eye exams Scale: Unknown Denominator: RP2D ⚠ OAE rate not directly comparable across trials
08 Identity & registry
Identifiers, registry & notes ADC id
denintuzumab-mafodotin-nhl
Approval status
Discontinued
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).