ADC TOXICITY ATLAS
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Vorsetuzumab mafodotin

Discontinued
SGN-75; anti-CD70-MMAF
Sponsor
Seagen
Indication
CD70+ RCC/NHL
Target family
Other
RP2D dose
3 mg/kg (MTD not reached)
Q3WRP2D
01
Multi-organ toxicity

Fingerprint & organ drill-down

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

Ocular

Any-grade
57%
G3+
23%
RP2D
sagittal schematic · Reversible

Tissues shaded by reported adverse-event rate.

Cornea
AE
15%
Express.
0.82%
Limbus
AE
-
Express.
1%
Conjunctiva
AE
-
Express.
0.64%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
-
0 nTPM
Off-target signature

15% corneal toxicity, yet the CD70 target is detected in only 0.82% of central cornea - toxicity is not explained by target expression.

Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Reversibility
Reversible
Reported ocular events
Ocular adverse events (any type, composite)57%
n=47
Dry eye32%
n=47
Ocular adverse events (grade >=3, composite)-
G3+ 23%n=47
Vision blurred - WEEKLY schedule18%
Corneal epitheliopathy15%
n=47
Vision blurred11%
n=47
Keratitis9%
n=47
Iridocyclitis-
02
Construct

Molecular anatomy

Antibody
IgG1
Humanized
Linker
Non-cleavable
4
DAR
Payload
Tubulin inhibitor
Linker structureC10H13NO4
O=C(O)CCCCCN1C(=O)C=CC1=O
Payload structureC39H65N5O8
CC[C@H](C)[C@@H]([C@@H](CC(=O)N1CCC[C@H]1[C@@H]([C@@H](C)C(=O)N[C@@H](CC2=CC=CC=C2)C(=O)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
h1F6 (vorsetuzumab)
Isotype
IgG1
Origin
Humanized
Fc modifications
None
Glycoengineering
Standard
Effector silencing
None
FcγR binding
Retained
C1q binding
Retained
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
mc (non-cleavable)
Class
Non-cleavable
Cleavage
Non-cleavable
Attachment
Cysteine (interchain)
Conjugation
Conventional interchain Cys
Symmetry
Symmetric
DAR (mean)
4
DAR homogeneity
Heterogeneous
Plasma t½
10.0 d
Cleavage trigger
Non-cleavable
Release control
Unconditional
Hydrophilicity mask
None
Formula
C10H13NO4
Linker MW
211.217 Da
Linker TPSA
74.68 Ų
Linker xLogP
0.5564
ADCdb linker
LIN0TAFAV
In-vitro stability
-
Stability note
Inherited from mc-MMAF class (depatux-m 10 d, AGS-16C3F 8.3 d, denintuzumab 14 d, belantamab 13 d). Tannir 2014 Phase 1 N=47 R/R RCC/NHL paper does not separately tabulate t½ in d in open figures; Ph1 trial closed before MTD reached
05
Payload

Payload & physicochemistry

Payload profile
Payload
Cys-mcMMAF
Class
Auristatin
Mechanism
Tubulin inhibitor
Released catabolite
Cys-mcMMAF
Mechanistic subtype
Tubulin-auristatin
Stereochem / salt
-
Bystander
No
PAMPA rank
6
MW
1046.3 Da
XLogP3
1.4
logD₇.₄
-1
TPSA
301 Ų
pKa
3.5 pKa
Charge pH 7.4
-1
H-bond donors
4
H-bond acceptors
9
IC50 (HCEC)
-
Formula
C39H65N5O8
PubChem CID
10395173
ADCdb payload
PAY0QLDVX
Hydrophobicity · logD₇.₄
hydrophilic −2-1+4 lipophilic
Bioactivity note
ADCdb payload page (PAY0QLDVX, MMAF) reports microtubule-inhibitor IC50 values: HT-29 10 nM; SK-BR-3 5.3 nM; Hep-G2 7 nM; BT474-M1 8.8 nM. MMAF is an antimitotic tubulin-polymerization inhibitor; its C-terminal phenylalanine carboxylate attenuates membrane permeability relative t
06
Dosing & regimen

Dosing

RP2D dose
3 mg/kg (MTD not reached)
Schedule
Q3W
Route
IV
Fractionated
No
n at RP2D
47
Dose basis
TBW
Trial phase
Phase 1
Dose-OAE available
No
Tox summary basis
RP2D
07
Ocular & expression

Ocular profile & eye-tissue target expression

Target profile
OAE any-grade
57 %
OAE grade 3+
23 %
OAE data status
reported
Severity (weighted)
33.2
Keratopathy
15 %
Conjunctival
-
Dry eye
32 %
Blurred vision
11 %
Dominant tissue
Cornea
Surface subtype
Corneal (off-target)
Grading scale
Unknown
Reversibility
Reversible
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
0.82 %
Cornea (limbal)
1 %
Conjunctiva
0.64 %
RPE
-
Retina (HPA)
0 nTPM
Cross-trial comparability
Ascertainment: Symptom-driven reportingScale: UnknownDenominator: RP2D⚠ OAE rate not directly comparable across trials
08
Identity & registry

Identifiers, registry & notes

ADC id
vorsetuzumab-mafodotin
Approval status
Discontinued
Approval year
-
UniProt
P32970
ADCdb ADC
DRG0XPPOZ
ADCdb antibody
ANI0ESDXP
ADCdb target
PATR0CXRBX
Primary source
Tannir Invest New Drugs 2014
Aliases & development codes
SGN-75; anti-CD70-MMAF
Notes
MMAF-driven OAE on eye-absent CD70 target. V3.1: n_rp2d 35→47 (Q3W cohort); G3+ OAE 23% (prev blank, per review PMC4677113); blurred vision 18→11% (Q3W; 18 was weekly). PMID corrected 25169121→25142258.