ADC TOXICITY ATLAS
← Atlas

STRO-001

Discontinued
STRO-001; bezetabart; SP7219-SC236; anti-CD74 ADC (Sutro)
Sponsor
Sutro Biopharma, Inc. (co-dev BioNova Pharmaceuticals; Piramal Pharma Solutions)
Indication
B-cell non-Hodgkin lymphoma (DLBCL, follicular, mantle cell)
Target family
Other
RP2D dose
-
Day 1 of every 3-week cycle (Q3W); initially Days 1 and 15 of 28-day cyclePooled
01
Multi-organ toxicity

Fingerprint & organ drill-down

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

Ocular

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

Tissues shaded by reported adverse-event rate.

Cornea
AE
-
Express.
-
Limbus
AE
-
Express.
-
Conjunctiva
AE
-
Express.
-
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
-
Dominant tissue
-
Surface subtype
None
Reversibility
-
Reported ocular events
Any ocular toxicity (explicitly assessed and absent)0%
n=18
02
Construct

Molecular anatomy

Antibody
IgG1
Human
Linker
Non-cleavable
2
DAR
Payload
Tubulin polymerization inhibition / microtubule disruption -> mitotic arrest -> apoptosis
Linker structureC29H36N2O6
CCOCCOCCOCCOCCC(=O)NCCC(=O)N1Cc2ccccc2C#Cc2ccccc21
Payload structureC38H53ClN4O11
CNC(=O)CCCC(=O)N(C)C(C)C(=O)OC1CC(=O)N(C)c2cc(cc(OC)c2Cl)C/C(C)=C\C=C/C(OC)C2(O)CC(OC(=O)N2)C(C)C2OC12C
03
Antibody

Antibody & Fc engineering

Antibody
Bezetabart (anti-CD74 IgG1, clone SP7219)
Isotype
IgG1
Origin
Human
Fc modifications
Aglycosylated
Glycoengineering
Aglycosylated
Effector silencing
Aglycosylated IgG1 (lacks N297 glycan -> abrogated FcgammaR/effector function and silenced ADCC/CDC)
FcγR binding
Abolished
C1q binding
Abolished
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
Cys-12 ADC linker (non-cleavable DBCO-maytansinoid)
Class
Non-cleavable
Cleavage
Non-cleavable
Attachment
Site-specific (enzymatic/non-natural AA)
Conjugation
Site-specific conjugation (pAMF/SPAAC click chemistry; XpressCF+ cell-free platform)
Symmetry
Site-specific (paired)
DAR (mean)
2
DAR homogeneity
Homogeneous
Plasma t½
-
Cleavage trigger
None (non-cleavable linker; payload released via lysosomal antibody catabolism as lysine-linker-maytansinoid adduct)
Release control
Unconditional
Hydrophilicity mask
Discrete-PEG-spacer
Formula
C29H36N2O6
Linker MW
508.615 Da
Linker TPSA
86.33 Ų
Linker xLogP
2.9157
ADCdb linker
LIN0ZKOQW
In-vitro stability
-
05
Payload

Payload & physicochemistry

Payload profile
Payload
Maytansinoid (DM4-class maytansine derivative; warhead SC236)
Class
Maytansinoid
Mechanism
Tubulin polymerization inhibition / microtubule disruption -> mitotic arrest -> apoptosis
Released catabolite
Lysine-Nepsilon-linker-maytansinoid (charged catabolite from non-cleavable DBCO-maytansinoid)
Mechanistic subtype
Tubulin-maytansinoid
Stereochem / salt
-
Bystander
Partial
PAMPA rank
-
MW
794.4 Da
XLogP3
3.6
logD₇.₄
-
TPSA
157 Ų
pKa
-
Charge pH 7.4
0
H-bond donors
3
H-bond acceptors
11
IC50 (HCEC)
-
Formula
C38H53ClN4O11
PubChem CID
-
ADCdb payload
PAY0ATCSD
Bioactivity note
STRO-001 in vitro cytotoxicity (EC50) on CD74+ multiple myeloma lines: MC/CAR 0.84 nM (90% kill), U266B1 8.8 nM (83%), MM.1S 12 nM (85%), ARP-1 23 nM (88%); ARD and OPM-2 not killed. Unconjugated SP7219 antibody non-cytotoxic. Released catabolites SC246 (major) and SC401 (minor)
06
Dosing & regimen

Dosing

RP2D dose
-
Schedule
Day 1 of every 3-week cycle (Q3W); initially Days 1 and 15 of 28-day cycle
Route
Other
Fractionated
No
n at RP2D
-
Dose basis
-
Trial phase
Phase 1
Dose-OAE available
No
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
-
Surface subtype
None
Grading scale
CTCAE (unversioned)
Reversibility
-
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
-
Cornea (limbal)
-
Conjunctiva
-
RPE
-
Retina (HPA)
-
Cross-trial comparability · source-verified
Ascertainment: Systematic eye examsScale: CTCAE (unversioned)Denominator: RP2D
08
Identity & registry

Identifiers, registry & notes

ADC id
stro-001
Approval status
Discontinued
Approval year
-
UniProt
P04233
ADCdb ADC
DRG0RJKWE
ADCdb antibody
ANI0QYT012
ADCdb target
TAR0KVKEF
Primary source
Shah et al., ASH 2020 (Paper 139829) / ASH 2019 (Blood 134 Suppl 1:5329), Phase 1 dose-escalation of STRO-001 (anti-CD74 ADC), NCT03424603
Aliases & development codes
STRO-001; bezetabart; SP7219-SC236; anti-CD74 ADC (Sutro)
Notes
STRO-001 = anti-CD74 maytansinoid ADC, INN bezetabart (Sutro Biopharma). Built using XpressCF+ cell-free protein synthesis with site-specific conjugation at heavy-chain F404 via the non-natural amino acid para-azidomethyl-L-phenylalanine (pAMF) and copper-free strain-promoted azide-alkyne cycloaddition (SPAAC/DBCO click chemistry); aglycosylated human IgG1 (clone SP7219). Payload-linker designated SC236, a non-cleavable DBCO-maytansinoid (DM4-class maytansine derivative); DAR 2. ADCdb DRG0RJKWE; linker LIN0ZKOQW (Cys-12 ADC linker, thiol-sensitive, uncleavable). OCULAR ANCHOR: Phase 1 explicitly reported NO ocular and NO neuropathy toxicity signals (assessed-absent), consistent with triage explicit-zero; oae_any_pct=0. Program later terminated. ASH 2020 NHL cohort n=18; broader study reported ~21 pts across B-cell malignancies (EHA/ASH 2019). MTD not reached (escalated to 2.5 mg/kg). ~90% of AEs were grade 1-2. One DLT: grade 3 thromboembolic event at 0.91 mg/kg. PubChem/SEC interim-data and ASH-publications full-text returned 403; toxicity rows below are abstract-level (>=20% grouped AEs reported without per-PT percentages), hence pct given as documented bucket counts/qualitative where exact % not published.