ADC TOXICITY ATLAS
← Atlas

TRPH-222

Discontinued
CAT-02-106; CD22-4AP; TRPH 222; TRPH222
Sponsor
Triphase Accelerator Corp. (SMARTag via Catalent/Redwood Bioscience)
Indication
Relapsed/refractory B-cell non-Hodgkin lymphoma (R/R B-NHL)
Target family
Siglec
RP2D dose
7.5 mg/kg
Q3W (once 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
3 adverse-event terms

Ocular

Any-grade
31%
G3+
6%
RP2D
sagittal schematic · Reversible

Tissues shaded by reported adverse-event rate.

Cornea
AE
-
Express.
0.5%
Limbus
AE
-
Express.
1.1%
Conjunctiva
AE
-
Express.
1.64%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
1.16%
0 nTPM
Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Reversibility
Reversible
Reported ocular events
Ocular/eye disorders (composite; blurred vision and/or dry eye, epithelial keratopathy)31%
n=32
Dry eye-
G3+ 6%n=32
Blurred vision (vision blurred)-
G3+ 6%n=32
02
Construct

Molecular anatomy

Antibody
Humanized
Linker
Non-cleavable
2
DAR
Payload
Microtubule/tubulin polymerization inhibitor (antimitotic, M-phase arrest)
Linker structureC30H45N5O8
CNN(C)Cc1cc2ccccc2n1CCC(=O)N1CCC(N(CCOCCOCCC(=O)O)C(=O)CCC(=O)O)CC1
Payload structureC32H44ClN3O9
C[C@@H]1[C@@H]2C[C@]([C@@H](/C=C/C=C(/CC3=CC(=C(C(=C3)OC)Cl)N(C(=O)C[C@@H]([C@]4(C1O4)C)OC(=O)[C@H](C)NC)C)\C)OC)(NC(=O)O2)O
03
Antibody

Antibody & Fc engineering

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

Linker chemistry

Linker profile
Linker
HIPS-4AP
Class
Non-cleavable
Cleavage
Non-cleavable
Attachment
Genetic fusion
Conjugation
Site-specific SMARTag (aldehyde-tag/formylglycine + HIPS chemistry); engineered/non-natural residue
Symmetry
Site-specific (paired)
DAR (mean)
2
DAR homogeneity
Homogeneous
Plasma t½
-
Cleavage trigger
None (non-cleavable HIPS-4AP linker; payload released only by lysosomal antibody catabolism)
Release control
Unconditional
Hydrophilicity mask
Discrete-PEG-spacer
Formula
C30H45N5O8
Linker MW
603.72 Da
Linker TPSA
153.88 Ų
Linker xLogP
1.79
ADCdb linker
LIN0RJLTB
In-vitro stability
-
05
Payload

Payload & physicochemistry

Payload profile
Payload
Maytansine (maytansinoid derivative; ADCdb PAY0CHGPD)
Class
Maytansinoid
Mechanism
Microtubule/tubulin polymerization inhibitor (antimitotic, M-phase arrest)
Released catabolite
Charged amino-acid-HIPS-4AP-maytansinoid adduct (non-cleavable; cell-impermeable catabolite analogous to lysine-MCC-DM1)
Mechanistic subtype
Tubulin-maytansinoid
Stereochem / salt
-
Bystander
No
PAMPA rank
-
MW
650.17 Da
XLogP3
3.28
logD₇.₄
-
TPSA
148.19 Ų
pKa
-
Charge pH 7.4
0
H-bond donors
3
H-bond acceptors
10
IC50 (HCEC)
-
Formula
C32H44ClN3O9
PubChem CID
90167111
ADCdb payload
PAY0CHGPD
Bioactivity note
ADCdb (DRG0JCWGF): Phase 1 objective response rate 22.70% (all). Preclinical xenograft tumor growth inhibition approximately 51% to 100% across cell lines. No payload IC50 reported on ADCdb/PubChem pages.
06
Dosing & regimen

Dosing

RP2D dose
7.5 mg/kg
Schedule
Q3W (once every 3 weeks)
Route
IV
Fractionated
No
n at RP2D
10
Dose basis
TBW
Trial phase
Phase 1
Dose-OAE available
Partial
Tox summary basis
RP2D
07
Ocular & expression

Ocular profile & eye-tissue target expression

Target profile
OAE any-grade
31 %
OAE grade 3+
6 %
OAE data status
reported
Severity (weighted)
13.5
Keratopathy
-
Conjunctival
-
Dry eye
-
Blurred vision
-
Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Grading scale
CTCAE (unversioned)
Reversibility
Reversible
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
0.5 %
Cornea (limbal)
1.1 %
Conjunctiva
1.64 %
RPE
1.16 %
Retina (HPA)
0 nTPM
Cross-trial comparability
Ascertainment: Monitoring unknownScale: CTCAE (unversioned)Denominator: RP2D⚠ OAE rate not directly comparable across trials
08
Identity & registry

Identifiers, registry & notes

ADC id
trph-222
Approval status
Discontinued
Approval year
-
UniProt
P20273
ADCdb ADC
DRG0JCWGF
ADCdb antibody
-
ADCdb target
-
Primary source
TRPH-222 Phase 1 R/R B-NHL: EHA 2022 P1152 (HemaSphere; PMC9430507) + ASH 2020 (Blood 136 Suppl 1:41, abstr 142859) + Triphase PR 2022-02-22; NCT03682796. Composition/physchem from ADCdb DRG0JCWGF / LIN0RJLTB / PAY0CHGPD.
Aliases & development codes
CAT-02-106; CD22-4AP; TRPH 222; TRPH222
Notes
TRPH-222 (CAT-02-106) = humanized anti-CD22 maytansinoid ADC built with Catalent/Redwood SMARTag site-specific conjugation (genetically encoded aldehyde tag/formylglycine + HIPS chemistry), non-cleavable HIPS-4AP linker, DAR 2 (homogeneous). Sponsor Triphase Accelerator; Phase 1 only, program terminated. Antibody name and isotype are undisclosed (humanized anti-CD22; engineered aldehyde-tagged IgG, isotype not confirmed in accessible sources) -> left blank. Clinical: Phase 1 dose-escalation + expansion in R/R B-NHL, n=32 (15 indolent / 17 aggressive; 22 escalation 0.6-10 mg/kg, 10 expansion at 7.5 mg/kg), IV Q3W; NCT03682796. RP2D not formally declared; expansion/recommended dose 7.5 mg/kg. DLTs: Gr3-4 transaminase elevation (4.2 and 10 mg/kg) and Gr3 thrombocytopenia (4.2 mg/kg). Treatment-related SAEs (thrombocytopenia + pyrexia) in 6.3% at 7.5 mg/kg. Grade>=3 AEs more prevalent at doses >=7.5 mg/kg. Ocular (STRONG INCLUDE): off-target maytansinoid epithelial keratopathy. Published grade>=3 ocular = dry eye 6% and blurred vision 6% (Tier B, EHA 2022 P1152 / Triphase PR). Any-grade ocular ~31% (~10/32; grade 1-2 blurred vision and/or dry eye, onset cycles 1-3, doses ~2.0-10 mg/kg) per curator reading of the EHA poster (Tier C; per-PT all-grade splits not separately published). Reversible to <=Gr1 with dose interruption/reduction +/- lubricant eye drops; 1 patient discontinued for Gr3 dry eye + blurred vision. CD22 is not expressed in ocular surface tissue, so this is off-target corneal epitheliopathy (classic DM/maytansinoid class effect); subtype = Corneal (off-target), with blurred vision/dry eye as downstream manifestations. Physchem: linker HIPS-4AP (LIN0RJLTB) C30H45N5O8, MW 603.72, TPSA 153.88, xLogP 1.79 (ADCdb computed); SMILES shows discrete PEG2 spacer + dicarboxylic-acid hydrophilizing arms (hydrophobicity masking = Discrete-PEG-spacer). Payload (PAY0CHGPD) is the TRPH-222 maytansinoid derivative C32H44ClN3O9, MW 650.17, xLogP 3.28, TPSA 148.19 (ADCdb computed, Tier C); logD7.4/pKa/charge not available. Non-cleavable maytansinoid -> minimal/no bystander effect (charged, cell-impermeable amino-acid-linker-maytansinoid catabolite, analogous to lysine-MCC-DM1). No reported pulmonary/ILD, infusion, GI, or peripheral-neuropathy grade>=3 signal in accessible sources (not fabricated). CTCAE version not stated. Derived columns (dna_damage subtype, stability cond/uncond, FcgammaR/C1q, severity, HCA/HPA) intentionally left for downstream computation.