ADC TOXICITY ATLAS
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Glembatumumab vedotin

Discontinued
CDX-011; CR011-vcMMAE
Sponsor
Celldex
Indication
GPNMB+ TNBC/melanoma
Target family
Other
RP2D dose
1.88 mg/kg
Q3WRP2D
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.
1.48%
Limbus
AE
-
Express.
11.06%
Conjunctiva
AE
-
Express.
49.3%
Lens
AE
-
Express.
-
Retina / RPE
AE
-
Express.
-
Dominant tissue
-
Surface subtype
None
Reversibility
Unknown
Reported ocular events
No granular adverse-event rows recorded for this system.
Per-trial detail

Adverse events by trial

Glembatumumab vedotin advanced melanoma (NCT02302339 / CDX011-05; Ott Cancer 2019)Phase 21.9 mg/kg + anti-PD-1 IV q3w (Day 1 of 21-day cycle)n=29CTCAE not specified in CT.goB
CT.gov posted results NCT02302339 [GV + PD-1 inhibitor (nivolumab or pembrolizumab)] otherEvents [4/29] NCT02302339
101 adverse-event terms · 18 systems · expand a system below
GI14
Nausea
55.2%
16/29
Diarrhoea
48.3%
14/29
Constipation
37.9%
11/29
Vomiting
27.6%
8/29
Abdominal Pain
24.1%
7/29
Stomatits
20.7%
6/29
Dry Mouth
10.3%
3/29
Dyspepsia
10.3%
3/29
Abdominal Distension
6.9%
2/29
Abdominal Pain Upper
6.9%
2/29
Flatulence
6.9%
2/29
Gastrooesophageal Reflux Disease
6.9%
2/29
Ileus
6.9%
2/29
Oesophagitis
6.9%
2/29
Dermatologic12
Metabolic11
Investigations9
Musculoskeletal9
General8
Neurologic (other)7
Infections6
Pulmonary6
Psychiatric4
Hematologic3
Cardiac3
Injury3
Renal2
Endocrine1
Ocular1
Vision Blurred
6.9%
2/29
Hepatic1
Vascular1
02
Construct

Molecular anatomy

Antibody
IgG2
Human
Linker
Cleavable
4.5
DAR
Payload
Tubulin 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
anti-GPNMB (glembatumumab)
Isotype
IgG2
Origin
Human
Fc modifications
None
Glycoengineering
Standard
Effector silencing
None
FcγR binding
Retained
C1q binding
Reduced
Dev code
CR011
04
Linker & conjugation

Linker chemistry

Linker profile
Linker
MC-vc-PAB (vedotin)
Class
Cleavable
Cleavage
Cleavable
Attachment
Cysteine (interchain)
Conjugation
Conventional interchain Cys
Symmetry
Symmetric
DAR (mean)
4.5
DAR homogeneity
Heterogeneous
Plasma t½
1 d
Cleavage trigger
Cathepsin B (Val-Cit)
Release control
Conditional
Hydrophilicity mask
None
Formula
C28H40N6O7
Linker MW
572.663 Da
Linker TPSA
200.03 Ų
Linker xLogP
0.6769
ADCdb linker
LIN0SQEDQ
In-vitro stability
-
Stability note
Conventional MC-vc-PAB on IgG2 inter-chain Cys (DAR 4.5). Roth Pediatr Blood Cancer 2020 PMC6952063 (osteosarcoma) reports acAb t½ 17.3–36.8 h (range across 3 patients aged 12–14) — implying ~1 d in pediatric population, but small N and pediatric body composition makes extrapolation to adult cohort unreliable. Adult preclinical t½ in mouse 5.5–10.8 d at 1 mg/kg (Doolittle 2019). Adult clinical t½ in METRIC TNBC / EMERGE not separately tabulated in open Yardley 2015 / Ott 2019 publications
05
Payload

Payload & physicochemistry

Payload profile
Payload
MMAE
Class
Auristatin
Mechanism
Tubulin inhibitor
Released catabolite
MMAE
Mechanistic subtype
Tubulin-auristatin
Stereochem / salt
-
Bystander
Yes
PAMPA rank
1
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 (DRG0IRZIB) reports clinical/preclinical outcomes: objective response rates ~11-12% in melanoma and breast cancer trials; partial response 7.69% in lung cancer; tumor growth inhibition ~93.33% in xenograft models. No discrete payload IC50 value listed on the ADCdb ADC page.
06
Dosing & regimen

Dosing

RP2D dose
1.88 mg/kg
Schedule
Q3W
Route
IV
Fractionated
No
n at RP2D
62
Dose basis
TBW
Trial phase
Phase 2
Dose-OAE available
No
Tox summary basis
RP2D
ADA rate (%)
12 %
08
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 v4.0
Reversibility
Unknown
Target expression in eye tissues (HCA detection · HPA bulk)
Cornea (central)
1.48 %
Cornea (limbal)
11.06 %
Conjunctiva
49.3 %
RPE
-
Retina (HPA)
-
Cross-trial comparability · source-verified
Ascertainment: Systematic eye examsScale: CTCAE v4Denominator: RP2D
Dose & schedule → ocular toxicity · ocular AE (any-grade) by cohort
1.88 mg/kg
IV q21d (Day 1 of 21-day cycle)
0.5%
n=213 · METRIC
1.9 mg/kg + anti-PD-1
IV q3w (Day 1 of 21-day cycle)
6.9%
n=29 · Glembatumumab vedotin advanced melanoma
1.9 mg/kg
IV q3w (Day 1 of 21-day cycle)
4.8%
n=62 · Glembatumumab vedotin advanced melanoma
1.9 mg/kg + varlilumab
IV q3w (Day 1 of 21-day cycle)
2.9%
n=34 · Glembatumumab vedotin advanced melanoma
1.3-2.2 mg/kg (dose-escalation)
IV 90-min q3w (Day 1 of 21-day cycle)
7.7%
n=13 · Glembatumumab vedotin lung SCC
Per-cohort rates from the per-trial extraction, sorted by dose. Cross-trial comparison is subject to ascertainment / scale differences (see comparability above) — e.g. an early symptom-driven trial can read lower than a later systematic-exam trial at a higher dose.
Ocular AE grading reference — interspecialty consensus · 6 scales + dose modification
09
Identity & registry

Identifiers, registry & notes

ADC id
glembatumumab-vedotin
Approval status
Discontinued
Approval year
2018
UniProt
Q14956
ADCdb ADC
DRG0IRZIB
ADCdb antibody
ANI0PYFAC
ADCdb target
TAR0MCXEX
Primary source
Ott Cancer 2019; Yardley npj BC 2021
Aliases & development codes
CDX-011; CR011-vcMMAE
Notes
Unexplained 0% OAE despite 49.3% conjunctival expression - MMAE outlier. V3.1: IgG2 isotype CONFIRMED (XenoMouse fully human). DAR 4.5 may be high — commonly 3.8-4 for vc-MMAE; flagged for v3.2.