Notes
CLDN6-targeted ADC: fully humanized IgG1 (TORL-1-23-MAb) + cathepsin-cleavable valine-citrulline (vc) linker + MMAE payload (vc-MMAE), DAR 4 (ADCdb DRG0KYOBC). Antibody sequence, linker attachment chemistry, conjugation site/method and DAR homogeneity are NOT publicly disclosed (vc-MMAE conventionally implies maleimidocaproyl interchain-cysteine conjugation, but TORL/ADCdb list conjugate type 'Undisclosed' and no linker LIN id exists, so all ADCdb linker physchem cells are blank). FIH Phase 1 (NCT05103683, TORL123-001/TRIO-049; ESMO 2024 abstr 721MO, n=81 evaluable): 11 dose cohorts 0.2-4.0 mg/kg IV Q3W; MTD not reached and no formal RP2D declared; doses being expanded are 2.4 and 3.0 mg/kg (prophylactic pegfilgrastim added at >=3.0 mg/kg, effective for neutropenia). Headline TRAEs (overall n=81, predominantly G1-2): fatigue 42%, peripheral neuropathy 40%, alopecia 38%, nausea 31%, anaemia 31%, WBC decrease 23%, arthralgia 23%; most common G3+ TRAE neutropenia 23%. Fatigue/alopecia/arthralgia/myalgia not captured in toxicity_rows (outside the 7 tracked organ systems). Febrile neutropenia, ILD, and OCULAR toxicities were explicitly NOT observed in the trial (oae_any_pct=0). HOWEVER a separate peer-reviewed case report (PMC12270602, Am J Ophthalmol Case Rep 2025) documents the first ocular AE: bilateral whorled corneal epithelial pseudomicrocysts, decreased visual acuity, photophobia in a treated patient (dosed 4.0 then 2.4 mg/kg) -- classic MMAE off-target corneal microcystic keratopathy, partially reversible/recurrent with dose reduction + topical management. Genuine corneal off-target ocular signal exists despite the 0% trial cohort rate; ocular_surface_subtype/dominant_ae_tissue/reversibility are sourced from this case report. Source discrepancies: top escalation dose reported as 3.6 mg/kg (Medpath) vs 4.0 mg/kg (PRNewswire/case report); dose-expansion n reported as 20 (ESMO Part 2: 2.4 mg/kg n=12 + 3.0 mg/kg n=8) vs 30 (Medpath: 51 escalation + 30 expansion). Payload physchem = standard MMAE (PubChem CID 11542188), reused from the DB's canonical MMAE values. Phase 2 CATALINA-2 in platinum-resistant ovarian cancer is planned/ongoing.