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DRUG CLASS:

Human TF-targeted antibody-drug conjugate

2d
Trial initiation date
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MRG004A
2d
A Study of SYS6051 in Subjects With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=114, Not yet recruiting, CSPC Megalith Biopharmaceutical Co.,Ltd.
New P1 trial
6d
MRG004A-001: A Study of MRG004A in Patients With Tissue Factor Positive Advanced or Metastatic Solid Tumors (clinicaltrials.gov)
P1/2, N=39, Completed, Shanghai Miracogen Inc. | Recruiting --> Completed | N=181 --> 39
Trial completion • Enrollment change
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MRG004A
21d
Trial completion
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Keytruda (pembrolizumab) • Avastin (bevacizumab) • carboplatin • Tivdak (tisotumab vedotin-tftv)
23d
Precision oncology in gynecologic cancers: molecular taxonomy, biomarker-guided therapeutics, and the challenge of therapeutic resistance. (PubMed, Front Oncol)
This has enabled successful clinical translation of targeted agents: PARP inhibitors for homologous recombination deficient (HRD) ovarian cancer, immune checkpoint inhibitors for mismatch repair deficient/microsatellite instability-high (dMMR/MSI-H) endometrial and cervical cancers, and antibody-drug conjugates (ADCs) like mirvetuximab soravtansine and tisotumab vedotin. Equitable access to these advances is imperative to prevent widening health disparities. The field is evolving towards a model of continuous molecular monitoring and adaptive therapy to improve outcomes.
Review • Journal • MSi-H Biomarker • PARP Biomarker • IO biomarker
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MSI (Microsatellite instability) • HRD (Homologous Recombination Deficiency)
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MSI-H/dMMR
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Elahere (mirvetuximab soravtansine-gynx) • Tivdak (tisotumab vedotin-tftv)
1m
Enrollment change • First-in-human
1m
KEYNOTE-834: Safety and Efficacy of Tisotumab Vedotin Monotherapy & in Combination With Other Cancer Agents in Subjects With Cervical Cancer (clinicaltrials.gov)
P1/2, N=214, Terminated, Seagen, a wholly owned subsidiary of Pfizer | Active, not recruiting --> Terminated; Sponsor has decided to stop the trial based on strategic decisions
Trial termination
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Keytruda (pembrolizumab) • Avastin (bevacizumab) • carboplatin • Tivdak (tisotumab vedotin-tftv)
3ms
New P1 trial • First-in-human
3ms
innovaTV 301: Tisotumab Vedotin vs Chemotherapy in Recurrent or Metastatic Cervical Cancer (clinicaltrials.gov)
P3, N=502, Completed, Seagen, a wholly owned subsidiary of Pfizer | Active, not recruiting --> Completed | Trial completion date: May 2026 --> Jan 2026
Trial completion • Trial completion date
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gemcitabine • pemetrexed • irinotecan • vinorelbine tartrate • topotecan • Tivdak (tisotumab vedotin-tftv)
3ms
Antibody-Drug Conjugates in Gynecologic Oncology: Advances, Challenges, and Future Directions. (PubMed, BioDrugs)
Currently, three ADCs have received Food and Drug Administration (FDA) approval for use in gynecologic malignancies: mirvetuximab soravtansine, tisotumab vedotin, and trastuzumab deruxtecan. Furthermore, the inherent complexities of these drugs and their mechanisms of action underscore the need for further research into the relevance of biomarkers, methods of therapy resistance, and the potential for re-utilization of payloads and targets later in the disease course. This review focuses on the mechanisms of action of ADCs, their developmental trajectory, successes in gynecologic cancers, emerging areas of investigation, the prospective landscape, and current challenges in the field.
Review • Journal
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VTCN1 (V-Set Domain Containing T Cell Activation Inhibitor 1) • CDH6 (Cadherin 6)
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Enhertu (fam-trastuzumab deruxtecan-nxki) • Elahere (mirvetuximab soravtansine-gynx) • Tivdak (tisotumab vedotin-tftv)
4ms
Mechanistic Exploration and Clinical Impact of Tisotumab Vedotin-Related Adverse Effects: Integrating FAERS Data Mining, Network Pharmacology, Molecular Docking, and Real-World Evidence (ChiCTR2500114973)
P=N/A, N=20, Not yet recruiting, Sun Yat-sen Memorial Hospital, Sun Yat-sen University; Sun Yat-sen Memorial Hospital, Sun Yat-sen University
New trial
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Tivdak (tisotumab vedotin-tftv)