ADC TOXICITY ATLAS
← Atlas

Vadastuximab talirine

Discontinued
SGN-CD33A; anti-CD33 PBD
Sponsor
Seagen
Indication
CD33+ AML
Target family
Siglec
RP2D dose
40 mcg/kg
Q3W (or D1+D4 split)RP2D
01
Multi-organ toxicity

Fingerprint & organ drill-down

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

Ocular

Any-grade
0%
G3+
0%
RP2D
sagittal schematic · Unknown

Tissues shaded by reported adverse-event rate.

Cornea
AE
-
Express.
0.07%
Limbus
AE
-
Express.
0.03%
Conjunctiva
AE
-
Express.
0.06%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
0.46%
0.2 nTPM
Dominant tissue
-
Surface subtype
None
Reversibility
Unknown
Reported ocular events
No granular adverse-event rows recorded for this system.
02
Construct

Molecular anatomy

Antibody
IgG1
Humanized
Linker
Cleavable
2
DAR
Payload
DNA cross-linker
Linker structureC18H27N3O6
[H]OC(=O)[C@@]([H])(N([H])C(=O)[C@@]([H])(N([H])C(=O)C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])N1C(=O)C([H])=C([H])C1=O)C([H])(C([H])([H])[H])C([H])([H])[H])C([H])([H])[H]
Payload structureC42H39N5O7
COC1=CC=C(C=C1)C2=CN3[C@@H](C2)C=NC4=CC(=C(C=C4C3=O)OC)OCCCOC5=C(C=C6C(=C5)N=C[C@@H]7CC(=CN7C6=O)C8=CC=C(C=C8)N)OC
03
Antibody

Antibody & Fc engineering

Antibody
anti-CD33 (vadastuximab)
Isotype
IgG1
Origin
Humanized
Fc modifications
EC-mAb engineered Cys
Glycoengineering
Standard
Effector silencing
None
FcγR binding
Retained
C1q binding
Unknown
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
VA dipeptide + engineered Cys (EC-mAb)
Class
Cleavable
Cleavage
Cleavable
Attachment
Site-specific (engineered Cys)
Conjugation
Site-specific engineered Cys (EC-mAb)
Symmetry
Site-specific (paired)
DAR (mean)
2
DAR homogeneity
Homogeneous
Plasma t½
7.0 d
Cleavage trigger
Cathepsin B (Val-Ala)
Release control
Conditional
Hydrophilicity mask
None
Formula
C18H27N3O6
Linker MW
381.429 Da
Linker TPSA
132.88 Ų
Linker xLogP
0.2019
ADCdb linker
LIN0ENDIF
In-vitro stability
-
Stability note
Inherited from VA-PBD class. Stein Blood 2018 PMID 29196412 Ph1 N=131 R/R AML at 40 mcg/kg RP2D does not tabulate explicit clinical acAb t½ in d in the open-access full text; engineered-Cys EC-mAb platform (Kung Sutherland Blood 2013) is more homogeneous than conventional Cys but not necessarily longer-t½
05
Payload

Payload & physicochemistry

Payload profile
Payload
SG3199 (PBD dimer)
Class
PBD dimer
Mechanism
DNA cross-linker
Released catabolite
SGD-1882 (free PBD dimer; DNA interstrand cross-linker)
Mechanistic subtype
DNA-crosslinker-PBD
Stereochem / salt
-
Bystander
Partial
PAMPA rank
6
MW
584.7 Da
XLogP3
2.8
logD₇.₄
2.5
TPSA
102 Ų
pKa
5 pKa
Charge pH 7.4
0
H-bond donors
1
H-bond acceptors
10
IC50 (HCEC)
-
Formula
C42H39N5O7
PubChem CID
45257190
ADCdb payload
PAY0AKDAM
Hydrophobicity · logD₇.₄
hydrophilic −2+2.5+4 lipophilic
Bioactivity note
ADCdb reports IC50 ~0.10 ng/mL in high-CD33-expressing AML cell lines (e.g., MV4-11) and primary AML samples, rising to >110 ng/mL (up to >5000 ng/mL) in CD33-low/negative lines, indicating CD33 target-dependent cytotoxicity. PBD-dimer payload acts as a DNA minor-groove cross-lin
06
Dosing & regimen

Dosing

RP2D dose
40 mcg/kg
Schedule
Q3W (or D1+D4 split)
Route
IV
Fractionated
Yes
n at RP2D
131
Dose basis
TBW
Trial phase
Phase 3
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
-
Surface subtype
None
Grading scale
CTCAE v4
Reversibility
Unknown
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
0.07 %
Cornea (limbal)
0.03 %
Conjunctiva
0.06 %
RPE
0.46 %
Retina (HPA)
0.2 nTPM
Cross-trial comparability · source-verified
Ascertainment: Systematic eye examsScale: CTCAE v4Denominator: RP2D
08
Identity & registry

Identifiers, registry & notes

ADC id
vadastuximab-talirine
Approval status
Discontinued
Approval year
-
UniProt
P20138
ADCdb ADC
DRG0WXQJL
ADCdb antibody
ANI0MDDEU
ADCdb target
PATR0RIOXT
Primary source
Stein Blood 2018 PMID 29196412
Aliases & development codes
SGN-CD33A; anti-CD33 PBD
Notes
PBD on CD33 (like gemtuzumab calicheamicin); both 0% OAE. V3.1: 0% OAE supportable — Stein 2018 Blood has no ocular AEs. n=131 is total Ph1; 18 at 40 µg/kg RP2D.