ADC TOXICITY ATLAS
← Atlas

TORL-1-23

Investigational
TORL 1-23; TORL1-23; TORL 1 23
Sponsor
TORL Biotherapeutics LLC
Indication
Advanced CLDN6-positive solid tumors (ovarian, testicular, endometrial, NSCLC)
Target family
Claudin / tight-junction
RP2D dose
2.4-3.0
Q3W (every 3 weeks)RP2D
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%
RP2D
sagittal schematic · Reversible

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
Cornea
Surface subtype
Corneal (off-target)
Reversibility
Reversible
Reported ocular events
Ocular toxicity (collective); corneal pseudomicrocysts/whorled epithelial keratopathy per case report0%
n=81
02
Construct

Molecular anatomy

Antibody
IgG1
Humanized
Linker
Cleavable
4
DAR
Payload
Tubulin inhibitor (microtubule disruptor)
Linker structure
structure not applicable
Payload structureC39H67N5O7
CC[C@H](C)[C@@H]([C@@H](CC(=O)N1CCC[C@H]1[C@@H]([C@@H](C)C(=O)N[C@H](C)[C@H](C2=CC=CC=C2)O)OC)OC)N(C)C(=O)[C@H](C(C)C)NC(=O)[C@H](C(C)C)NC
03
Antibody

Antibody & Fc engineering

Antibody
TORL-1-23-MAb (anti-CLDN6; sequence undisclosed)
Isotype
IgG1
Origin
Humanized
Fc modifications
-
Glycoengineering
-
Effector silencing
None disclosed (wild-type humanized IgG1 Fc; no silencing mutations reported)
FcγR binding
Retained
C1q binding
Retained
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
Valine-citrulline (vc); vc-MMAE
Class
Peptide
Cleavage
Cleavable
Attachment
-
Conjugation
-
Symmetry
-
DAR (mean)
4
DAR homogeneity
-
Plasma t½
-
Cleavage trigger
Cathepsin B (lysosomal cysteine protease); Val-Cit (vc) dipeptide substrate
Release control
Conditional
Hydrophilicity mask
None
Formula
-
Linker MW
-
Linker TPSA
-
Linker xLogP
-
ADCdb linker
-
In-vitro stability
-
05
Payload

Payload & physicochemistry

Payload profile
Payload
MMAE (monomethyl auristatin E)
Class
Auristatin
Mechanism
Tubulin inhibitor (microtubule disruptor)
Released catabolite
MMAE (free monomethyl auristatin E; released by cathepsin-B cleavage of Val-Cit, PAB self-immolation; Cys-mc-vc-PAB-MMAE intermediate)
Mechanistic subtype
Tubulin-auristatin
Stereochem / salt
-
Bystander
Yes
PAMPA rank
-
MW
718 Da
XLogP3
4.1
logD₇.₄
2.7
TPSA
150 Ų
pKa
9.1 pKa
Charge pH 7.4
+1
H-bond donors
4
H-bond acceptors
8
IC50 (HCEC)
-
Formula
C39H67N5O7
PubChem CID
11542188
ADCdb payload
PAY0FSXOW
Hydrophobicity · logD₇.₄
hydrophilic −2+2.7+4 lipophilic
06
Dosing & regimen

Dosing

RP2D dose
2.4-3.0
Schedule
Q3W (every 3 weeks)
Route
IV
Fractionated
No
n at RP2D
20
Dose basis
-
Trial phase
Other
Dose-OAE available
No
Tox summary basis
RP2D
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
Cornea
Surface subtype
Corneal (off-target)
Grading scale
CTCAE v5
Reversibility
Reversible
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 v5Denominator: RP2D
08
Identity & registry

Identifiers, registry & notes

ADC id
torl-1-23
Approval status
Investigational
Approval year
-
UniProt
P56747
ADCdb ADC
DRG0KYOBC
ADCdb antibody
-
ADCdb target
TAR0UDQEU
Primary source
ESMO 2024 FIH Ph1 (Ann Oncol 2024 abstr 721MO; NCT05103683) + case report Am J Ophthalmol Case Rep 2025 (PMC12270602)
Aliases & development codes
TORL 1-23; TORL1-23; TORL 1 23
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.