ADC TOXICITY ATLAS
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DLYE5953A (RG-7841)

Discontinued
RG-7841; RG7841; RG 7841; DLYE-5953A; Anti-LY6E ADC
Sponsor
Genentech/Roche (with Seattle Genetics)
Indication
Refractory solid tumors (RP2D expansion: HER2-negative metastatic breast cancer, NSCLC)
Target family
GPI-anchored
RP2D dose
2.4 mg/kg
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
3 adverse-event terms

Ocular

Any-grade
10%
G3+
0%
RP2D
sagittal schematic · Unknown

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
Ocular surface
Surface subtype
Corneal (off-target)
Reversibility
Unknown
Reported ocular events
Dry eye10%
Vitreous floaters1.5%
Any ocular/eye-disorder AE (grade >=3)-
G3+ 0%
Per-trial detail

Adverse events by trial

NCT02092792Phase 10.2–2.4 mg/kg (pooled) IV Q3Wn=68CTCAE v4.0PooledBto verify
Tolaney 2020 Clin Cancer Res 26(21):5588-97 Table 2 (related AE, any grade; n_events=22) PMC9899652
26 adverse-event terms · 1 system · expand a system below
Other26
Patients with ≥1 adverse event
93%
63/68
Alopecia
53%
36/68
Fatigue
46%
31/68
Nausea
38%
26/68
Peripheral neuropathy
32%
22/68
Chills
28%
19/68
Decreased appetite
28%
19/68
Peripheral sensory neuropathy
24%
16/68
Diarrhea
21%
14/68
Constipation
18%
12/68
Aspartate aminotransferase increased
16%
11/68
Back pain
15%
10/68
Alanine aminotransferase increased
13%
9/68
Mucosal inflammation
13%
9/68
Myalgia
13%
9/68
Neutropenia
13%
9/68
Pruritus
13%
9/68
Peripheral motor neuropathy
12%
8/68
Anemia
12%
8/68
Dry mouth
12%
8/68
Vomiting
12%
8/68
Arthralgia
10%
7/68
Dry eye
10%
7/68
Headache
10%
7/68
Pyrexia
10%
7/68
Parasthesia
6%
4/68
02
Construct

Molecular anatomy

Antibody
IgG1
Humanized
Linker
Cleavable
2
DAR
Payload
Tubulin inhibitor (microtubule polymerization inhibitor)
Linker structureC28H40N6O7
[H]OC([H])([H])c1c([H])c([H])c(N([H])C(=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])N2C(=O)C([H])=C([H])C2=O)C([H])(C([H])([H])[H])C([H])([H])[H])C([H])([H])C([H])([H])C([H])([H])N([H])C(=O)N([H])[H])c([H])c1[H]
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
MLYE4489A
Isotype
IgG1
Origin
Humanized
Fc modifications
None
Glycoengineering
Standard
Effector silencing
No Fc-silencing mutations reported (conventional humanized IgG1)
FcγR binding
Retained
C1q binding
Unknown
Target KD (nM)
7
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
MC-vc-PAB (vedotin); Mc-Val-Cit-PABC
Class
Cleavable
Cleavage
Cleavable
Attachment
Maleimide attached to engineered cysteine
Conjugation
Site-specific cysteine
Symmetry
Symmetric
DAR (mean)
2
DAR homogeneity
Homogeneous
Plasma t½
7.21 d
Cleavage trigger
Cathepsin B (lysosomal cysteine protease; Val-Cit dipeptide recognition)
Release control
Conditional
Hydrophilicity mask
None
Platform
THIOMAB
Conjugation site
LC-K149C
Formula
C28H40N6O7
Linker MW
572.663 Da
Linker TPSA
200.03 Ų
Linker xLogP
0.6769
ADCdb linker
LIN0SQEDQ
In-vitro stability
~100%
05
Payload

Payload & physicochemistry

Payload profile
Payload
MMAE
Class
Auristatin
Mechanism
Tubulin inhibitor (microtubule polymerization inhibitor)
Released catabolite
MMAE (free / unconjugated monomethyl auristatin E)
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
Bioactivity note
ADCdb reports clinical efficacy ORR 17.76% in Phase 1 (dosing 0.20-2.40 mg/kg IV q3w; trial status terminated). No payload IC50/potency value is listed on the ADCdb ADC page or the PubChem MMAE page.
06
Dosing & regimen

Dosing

RP2D dose
2.4 mg/kg
Schedule
Q3W (every 3 weeks)
Route
IV
Fractionated
No
n at RP2D
55
Dose basis
TBW
Trial phase
Phase 1
Dose-OAE available
No
Tox summary basis
RP2D
ADA rate (%)
25 %
08
Ocular & expression

Ocular profile & eye-tissue target expression

Target profile
OAE any-grade
10 %
OAE grade 3+
0 %
OAE data status
reported
Severity (weighted)
3
Keratopathy
-
Conjunctival
-
Dry eye
10 %
Blurred vision
-
Dominant tissue
Ocular surface
Surface subtype
Corneal (off-target)
Grading scale
CTCAE v4.0
Reversibility
Unknown
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
-
Cornea (limbal)
-
Conjunctiva
-
RPE
-
Retina (HPA)
-
Cross-trial comparability · source-verified
Ascertainment: Symptom-driven reportingScale: CTCAE v4Denominator: RP2D⚠ Not comparable: symptom-driven ascertainment
Ocular AE grading reference — interspecialty consensus · 6 scales + dose modification
09
Identity & registry

Identifiers, registry & notes

ADC id
dlye5953a
Approval status
Discontinued
Approval year
-
UniProt
Q16553
ADCdb ADC
DRG0WOUMV
ADCdb antibody
ANI0AODFG
ADCdb target
TAR0LXDND
Primary source
Clin Cancer Res 2020;26(21):5588–5597 (PMC9899652); NCT02092792 (DLYE5953A Phase I); ADCdb DRG0WOUMV
Aliases & development codes
RG-7841; RG7841; RG 7841; DLYE-5953A; Anti-LY6E ADC
Notes
Anti-LY6E vc-MMAE ADC; Phase 1 only (terminated), no INN. Backbone clinical data from a peer-reviewed Phase I publication (Tier B); composition cross-checked against ADCdb DRG0WOUMV and ADC Review. CAVEATS: (1) DAR=4 is from ADCdb (Tier C); the publication text did not state a DAR. It is the conventional interchain-cysteine MC-vc-PAB MMAE conjugate (the preclinical mAbs 2020 paper explored THIOMAB variants, but the clinical molecule is the conventional one; DAR ~4 consistent). (2) OCULAR AMBIGUITY: the only quantified ocular PT is dry eye 10% (7/68), so oae_any_pct is set to 10 conservatively (max tabulated ocular PT). The paper states 'Thirty-seven of 68 (54%) patients developed alopecia... All but 2 patients who experienced alopecia concurrently experienced ocular AEs,' which could be read to imply a large fraction had concurrent (mostly untabulated, low-grade) ocular AEs — but NO aggregate any-grade ocular percentage is stated anywhere, and both the primary abstract and the Oncologist 2024 ADC-ocular review characterize ocular AEs as 'not prominent... all grades 1-2.' All ocular AEs grade 1-2 → oae_g3plus_pct=0 (documented). (3) N: publication safety population N=68; RP2D (2.4 mg/kg Q3W) expansion cohort n=55 (29 metastatic breast cancer, 25 NSCLC, 1 ovarian). ClinicalTrials.gov NCT02092792 shows hasResults=false and an outdated registry enrollment of 42 — no AE data posted there. (4) Linker physchem and MMAE payload values are taken from the identical shared linker LIN0SQEDQ and the standard MMAE warhead used by the DB's polatuzumab vedotin / enfortumab vedotin rows (same MC-vc-PAB vedotin chemistry). Identifiers: ADC=DLYE5953A/RG-7841; antibody=MLYE4489A.