ADC TOXICITY ATLAS
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PF-06664178

Discontinued
anti-Trop-2/Aur0101 ADC
Sponsor
Pfizer
Indication
Advanced/metastatic solid tumors (Trop-2-expressing)
Target family
Other
RP2D dose
Not established; MTD not reached (2.4 mg/kg highest tolerated; doses 0.15-4.8 mg/kg explored; study terminated early)
Q3W (every 21 days)RP2D
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
6.5%
G3+
0%
RP2D
sagittal schematic · -

Tissues shaded by reported adverse-event rate.

Cornea
AE
-
Express.
65.43%
Limbus
AE
-
Express.
73.31%
Conjunctiva
AE
3.2%
Express.
86.39%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
0%
0 nTPM
Dominant tissue
Mixed
Surface subtype
Mixed
Reversibility
-
Reported ocular events
Vision blurred6.5%
Dry eye3.2%
Conjunctival hyperaemia3.2%
02
Construct

Molecular anatomy

Antibody
IgG1
Humanized
Linker
Cleavable
2
DAR
Payload
Tubulin inhibitor (microtubule polymerization inhibitor)
Linker structureC26H43N7O6
CC(=O)NC(CCCCN)C(=O)NC(C(=O)NC(CCCNC(N)=O)C(=O)Nc1ccc(CO)cc1)C(C)C
Payload structureC39H62N6O6S
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)C3=NC=CS3)OC)OC)N(C)C(=O)[C@H](C(C)C)NC(=O)C(C)(C)N
03
Antibody

Antibody & Fc engineering

Antibody
PF-06478924
Isotype
IgG1
Origin
Humanized
Fc modifications
-
Glycoengineering
-
Effector silencing
-
FcγR binding
Retained
C1q binding
Retained
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
AcLys-Val-Cit-PABC
Class
Cleavable
Cleavage
Cleavable
Attachment
Cysteine (interchain)
Conjugation
Conventional Cys (random interchain cysteine)
Symmetry
Symmetric
DAR (mean)
2
DAR homogeneity
Heterogeneous
Plasma t½
-
Cleavage trigger
Cathepsin B (lysosomal; Val-Cit dipeptide cleavage followed by PABC self-immolation)
Release control
Conditional
Hydrophilicity mask
-
Formula
C26H43N7O6
Linker MW
549.673 Da
Linker TPSA
217.77 Ų
Linker xLogP
-0.1748
ADCdb linker
LIN0FSRSR
In-vitro stability
-
05
Payload

Payload & physicochemistry

Payload profile
Payload
Aur0101 (Auristatin 0101 / PF-06380101)
Class
Auristatin
Mechanism
Tubulin inhibitor (microtubule polymerization inhibitor)
Released catabolite
Aur0101 (free auristatin payload; PF-06380101)
Mechanistic subtype
Tubulin-auristatin
Stereochem / salt
-
Bystander
Yes
PAMPA rank
-
MW
743 Da
XLogP3
4.1
logD₇.₄
-
TPSA
184 Ų
pKa
-
Charge pH 7.4
+1
H-bond donors
3
H-bond acceptors
9
IC50 (HCEC)
-
Formula
C39H62N6O6S
PubChem CID
71569947
ADCdb payload
PAY0WDZAK
Bioactivity note
No payload IC50 reported on the ADCdb ADC page. ADCdb reports clinical efficacy for the ADC: objective response rate 0.00%, with stable disease in 11 of 29 patients (37.90%).
06
Dosing & regimen

Dosing

RP2D dose
Not established; MTD not reached (2.4 mg/kg highest tolerated; doses 0.15-4.8 mg/kg explored; study terminated early)
Schedule
Q3W (every 21 days)
Route
Other
Fractionated
No
n at RP2D
31 (total treated; no RP2D defined)
Dose basis
TBW
Trial phase
Phase 1
Dose-OAE available
No
Tox summary basis
-
07
Ocular & expression

Ocular profile & eye-tissue target expression

Target profile
OAE any-grade
6.5 %
OAE grade 3+
0 %
OAE data status
reported
Severity (weighted)
1.95
Keratopathy
-
Conjunctival
3.2 %
Dry eye
3.2 %
Blurred vision
6.5 %
Dominant tissue
Mixed
Surface subtype
Mixed
Grading scale
CTCAE (unversioned)
Reversibility
-
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
65.43 %
Cornea (limbal)
73.31 %
Conjunctiva
86.39 %
RPE
0 %
Retina (HPA)
0 nTPM
Cross-trial comparability · source-verified
Ascertainment: Systematic eye examsScale: CTCAE (unversioned)Denominator: RP2D
08
Identity & registry

Identifiers, registry & notes

ADC id
pf-06664178
Approval status
Discontinued
Approval year
-
UniProt
P09758
ADCdb ADC
DRG0KTRKE
ADCdb antibody
ANI0AKOIB
ADCdb target
TAR0MIBZW
Primary source
King et al., Invest New Drugs 2018 (PMID 29333575; PMC7519583); ClinicalTrials.gov NCT02122146 posted results
Aliases & development codes
anti-Trop-2/Aur0101 ADC
Notes
PF-06664178 (Pfizer) = humanized anti-Trop-2 (TACSTD2) IgG1 mAb PF-06478924 conjugated to the auristatin Aur0101 (PF-06380101, a dolastatin-10 analogue) via a cleavable cathepsin-B AcLys-Val-Cit-PABC linker (ADCdb LIN0FSRSR), DAR 2, random interchain-cysteine conjugation. Phase 1 dose-escalation NCT02122146 (N=31; 0.15-4.8 mg/kg IV Q3W); TERMINATED early for excess toxicity. MTD/RP2D NOT reached (2.4 mg/kg was highest tolerated; 3.6/4.2/4.8 mg/kg intolerable). DOMINANT/DOSE-LIMITING TOXICITY was SKIN RASH (8/31 = 25.8% any-grade [pub ~26%]; Grade 3+ in 5 patients including a Grade 4 toxic epidermal necrolysis and a Grade 4/serious bullous dermatitis), together with neutropenia and mucosal inflammation. Skin is NOT in the organ-system enum so no skin toxicity_row was created; it is recorded here as it is the principal toxicity. All-causality Grade 3/4 AEs occurred in 20/31 (64.5%); treatment-related in 14/31 (45.2%). OCULAR (the flagged reason for inclusion) is MINIMAL and ALL-CAUSE: vision blurred 6.5% (2/31), dry eye 3.2% (1/31), conjunctival hyperaemia 3.2% (1/31) — all non-serious, no Grade 3+, no corneal/keratopathy/keratitis. King et al. 2018 EXPLICITLY state 'No ophthalmologic toxicity was observed in the evaluable patients,' i.e., these CT.gov eye PTs are background/incidental, NOT treatment-attributed. Hence ocular tier C and overall_tier C for the OAE outcome. CT.gov assessment type for these PTs is NON_SYSTEMATIC. Per-dose all-cause distribution: vision blurred at 1.20 mg/kg (1/4) and 4.80 mg/kg (1/8); dry eye and conjunctival hyperaemia each 1/8 at 4.80 mg/kg only — no dose-OAE relationship, so dose_oae_available=false. This is a useful LOW/negative ocular reference case for an auristatin (Aur0101) ADC at low DAR (2). HEPATIC: no ALT/AST/bilirubin AEs reported (a single 'hepatic encephalopathy' event was disease/liver-related, not transaminitis) — no hepatic toxicity_row created (blank = not in literature). PAYLOAD Aur0101 = PF-06380101 (PubChem CID 71569947, C39H62N6O6S): MW 743.0, XLogP3 4.1, TPSA 184; neutral/lipophilic, membrane-permeable -> bystander-capable like MMAE; one basic primary aliphatic amine (no acidic groups) -> +1 net charge at pH 7.4; logD7.4 and experimental pKa not in sources. Aur0101 is NOT one of the standardized shared payloads, so values are PubChem-computed (tier C). The same payload is used in Pfizer's PF-06650808 and PF-06804103. CTCAE version not specified in accessible sources (CTCAE assumed; likely v4.0 for this 2014-2016 trial). pct values computed from CT.gov Total-group counts (denominator 31); percentages match the wave1 oae_hint exactly. Composition/dosing/non-ocular toxicity are tier B (peer-reviewed King et al. 2018 corroborated by CT.gov posted results); linker chemistry and payload physchem are tier C (ADCdb/PubChem secondary).