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DRUG:

sacituzumab tirumotecan (MK-2870)

i
Other names: MK-2870, SKB 264, SKB264
Company:
Merck (MSD), Sichuan Kelun Pharma
Drug class:
Topoisomerase I inhibitor, TROP-2-targeted antibody-drug conjugate
Related drugs:
6d
Enrollment open • Metastases
|
paclitaxel • docetaxel • irinotecan • Lonsurf (trifluridine/tipiracil) • sacituzumab tirumotecan (MK-2870)
18d
New P3 trial • Combination therapy • Surgery
|
Keytruda (pembrolizumab) • capecitabine • sacituzumab tirumotecan (MK-2870)
1m
Enrollment open • Surgery
|
Keytruda (pembrolizumab) • cisplatin • carboplatin • gemcitabine • paclitaxel • pemetrexed • sacituzumab tirumotecan (MK-2870)
1m
New P3 trial • Metastases
|
paclitaxel • docetaxel • irinotecan • Lonsurf (trifluridine/tipiracil) • sacituzumab tirumotecan (MK-2870)
1m
Enrollment open • Combination therapy • Metastases
|
Keytruda (pembrolizumab) • capecitabine • albumin-bound paclitaxel • pegylated liposomal doxorubicin • sacituzumab tirumotecan (MK-2870)
2ms
New P3 trial • Surgery
|
Keytruda (pembrolizumab) • cisplatin • carboplatin • gemcitabine • paclitaxel • pemetrexed • sacituzumab tirumotecan (MK-2870)
2ms
New P3 trial • Combination therapy • Metastases
|
Keytruda (pembrolizumab) • capecitabine • albumin-bound paclitaxel • pegylated liposomal doxorubicin • sacituzumab tirumotecan (MK-2870)
2ms
New P3 trial • Combination therapy • Metastases
|
carboplatin • pemetrexed • dexamethasone • sacituzumab tirumotecan (MK-2870)
2ms
Phase 3 MK-2870-007 study: MK-2870 (SKB264) plus pembrolizumab vs pembrolizumab alone as first-line treatment for metastatic non-small-cell lung cancer with PD-L1 tumor proportion score (TPS) ≥50% (AACR 2024)
AEs will be graded according to National Cancer Institute Common Terminology Criteria for Adverse Events v5.0. Enrollment began in December 2023 and is currently ongoing.
Clinical • PD(L)-1 Biomarker • IO biomarker • Tumor proportion score • Metastases
|
EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
|
TROP2 expression • TROP2 overexpression
|
PD-L1 IHC 22C3 pharmDx
|
Keytruda (pembrolizumab) • sacituzumab tirumotecan (MK-2870)
3ms
New P3 trial
|
carboplatin • capecitabine • albumin-bound paclitaxel • Halaven (eribulin mesylate) • sacituzumab tirumotecan (MK-2870)
4ms
Trial completion date • Trial primary completion date • Metastases
|
Keytruda (pembrolizumab) • paclitaxel • Lenvima (lenvatinib) • irinotecan • sacituzumab tirumotecan (MK-2870) • MK-4830
4ms
Enrollment open • Combination therapy • Tumor proportion score • Metastases
|
Keytruda (pembrolizumab) • sacituzumab tirumotecan (MK-2870)
5ms
MK-2870 in Post Platinum and Post Immunotherapy Endometrial Cancer (MK-2870-005) (clinicaltrials.gov)
P3, N=710, Recruiting, Merck Sharp & Dohme LLC | Not yet recruiting --> Recruiting
Enrollment open
|
paclitaxel • doxorubicin hydrochloride • sacituzumab tirumotecan (MK-2870)
5ms
SKB264 Combinatiton Therapy in Patients With Advanced or Metastatic Non-small Cell Lung Cancer. (clinicaltrials.gov)
P2, N=110, Recruiting, Sichuan Kelun Pharmaceutical Research Institute Co., Ltd. | Not yet recruiting --> Recruiting | Trial completion date: Apr 2025 --> Apr 2026 | Trial primary completion date: Aug 2023 --> Aug 2024
Enrollment open • Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
ALK (Anaplastic lymphoma kinase)
|
EGFR mutation • EGFR wild-type • ALK fusion • ALK negative
|
cisplatin • carboplatin • sacituzumab tirumotecan (MK-2870) • tagitanlimab (HBM9167)
5ms
MK-2870 in Post Platinum and Post Immunotherapy Endometrial Cancer (MK-2870-005) (clinicaltrials.gov)
P3, N=710, Not yet recruiting, Merck Sharp & Dohme LLC | Phase classification: P2/3 --> P3
Phase classification
|
paclitaxel • doxorubicin hydrochloride • sacituzumab tirumotecan (MK-2870)
6ms
Enrollment open • Metastases
|
EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene)
|
EGFR mutation • EGFR T790M
|
docetaxel • pemetrexed • sacituzumab tirumotecan (MK-2870)
6ms
Enrollment change • Metastases
|
Keytruda (pembrolizumab) • paclitaxel • Lenvima (lenvatinib) • irinotecan • sacituzumab tirumotecan (MK-2870) • MK-4830
6ms
New P2/3 trial
|
paclitaxel • doxorubicin hydrochloride • sacituzumab tirumotecan (MK-2870)
7ms
Combination therapy • Enrollment open • Metastases
|
EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
|
PD-L1 IHC 22C3 pharmDx
|
Keytruda (pembrolizumab) • carboplatin • sacituzumab tirumotecan (MK-2870)
7ms
SKB264 Monotherapy in Selected Subjects With Advanced Solid Tumors (clinicaltrials.gov)
P2, N=366, Recruiting, Sichuan Kelun Pharmaceutical Research Institute Co., Ltd. | Not yet recruiting --> Recruiting | N=237 --> 366
Enrollment open • Enrollment change • Metastases
|
ALK (Anaplastic lymphoma kinase)
|
EGFR mutation • EGFR wild-type • ALK fusion
|
docetaxel • sacituzumab tirumotecan (MK-2870)
7ms
SKB264 +/- KL-A167 in Recurrent or Metastatic HER2-negative Breast Cancer (clinicaltrials.gov)
P2, N=175, Recruiting, Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd. | Not yet recruiting --> Recruiting | N=95 --> 175 | Trial completion date: Jul 2024 --> Jul 2025 | Trial primary completion date: Apr 2024 --> Apr 2025
Enrollment open • Enrollment change • Trial completion date • Trial primary completion date • Metastases
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 negative
|
sacituzumab tirumotecan (MK-2870) • tagitanlimab (HBM9167)
7ms
SKB264 Injection vs Investigator Selected Regimens to Treat Locally Advanced, Recurrent or Metastatic Triple-negative Breast Cancer (clinicaltrials.gov)
P3, N=254, Active, not recruiting, Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd. | Not yet recruiting --> Active, not recruiting
Enrollment closed • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
|
BRCA2 mutation • BRCA1 mutation • HER-2 negative • HER-2 expression • PGR negative
|
gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate • sacituzumab tirumotecan (MK-2870)
7ms
A Phase III Study of SKB264 for Locally Advanced, Recurrent or Metastatic HR+/HER2- Breast Cancer (clinicaltrials.gov)
P3, N=376, Not yet recruiting, Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
New P3 trial • Metastases
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 negative
|
gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate • sacituzumab tirumotecan (MK-2870)
7ms
New P3 trial • Metastases
|
EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene)
|
EGFR mutation • EGFR T790M
|
docetaxel • pemetrexed • sacituzumab tirumotecan (MK-2870)
8ms
Combination therapy • New P1 trial • Metastases
|
EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
|
PD-L1 IHC 22C3 pharmDx
|
Keytruda (pembrolizumab) • carboplatin • sacituzumab tirumotecan (MK-2870)
10ms
SKB264 (MK-2870) in previously treated hormone receptor-positive (HR+)/ HER2-negative metastatic breast cancer (mBC): Results from a phase I/II, single-arm, basket trial (ESMO 2023)
SKB264 is a novel anti-TROP2 ADC developed using sulfonyl pyrimidine-CL2A-carbonate linker to conjugate its payload, a belotecan-derivative topoisomerase I inhibitor, to achieve an average Drug-to-antibody Ratio (DAR) of 7.4. Conclusions SKB264 at 5 mg/kg demonstrates a manageable safety profile and promising antitumor activity in pts with pre-treated HR+/HER2- mBC. Two phase 3 studies are currently planned in HR+/HER2- mBC, one in China for pts after at least one chemo for mBC and a second global for pts previously untreated with chemo for mBC, both comparing SKB264 vs investigator selected chemo.
P1/2 data • Pan tumor • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
|
HR positive • HER-2 overexpression • HER-2 negative
|
sacituzumab tirumotecan (MK-2870) • Camtobell (belotecan)
12ms
A Phase III Study of SKB264 for EGFR Mutant NSCLC Patients (clinicaltrials.gov)
P3, N=356, Not yet recruiting, Sichuan Kelun Pharmaceutical Research Institute Co., Ltd.
New P3 trial • Combination therapy • Metastases
|
EGFR mutation
|
cisplatin • carboplatin • pemetrexed • sacituzumab tirumotecan (MK-2870)
1year
Enrollment open • Combination therapy • Metastases
|
EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase)
|
EGFR mutation • ALK fusion
|
Keytruda (pembrolizumab) • Tagrisso (osimertinib) • carboplatin • sacituzumab tirumotecan (MK-2870)
1year
SKB264 (TROP2-ADC) for the treatment of patients with advanced NSCLC: Efficacy and safety data from a phase 2 study. (ASCO 2023)
SKB264 is a novel anti-TROP2 ADC developed using sulfonyl pyrimidine-CL2A-carbonate linker to conjugate its payload, a belotecan-derivative topoisomerase I inhibitor, to achieve an average Drug-to-antibody Ratio (DAR) of 7.4. SKB264 at 5 mg/kg Q2W demonstrated encouraging anti-tumor activity and manageable safety profile in pts with relapsed or refractory locally advanced/metastatic NSCLC. TRAEs were mainly hematologic. Phase 3 studies of SKB264 in pts with advanced NSCLC have been planned.
Clinical • P2 data • PD(L)-1 Biomarker • IO biomarker • Metastases
|
EGFR (Epidermal growth factor receptor) • TROP2 (Trophoblast Cell Surface Antigen 2) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
|
EGFR mutation • EGFR wild-type • TROP2 expression
|
sacituzumab tirumotecan (MK-2870) • Camtobell (belotecan)
1year
New P2 trial • Combination therapy • Metastases
|
EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase)
|
EGFR mutation • ALK fusion
|
Keytruda (pembrolizumab) • Tagrisso (osimertinib) • carboplatin • sacituzumab tirumotecan (MK-2870)
1year
SHR-A1921, a novel TROP-2 ADC with an optimized design and well-balanced profile between efficacy and safety (AACR 2023)
Compared with other Trop-2-targeted ADCs in the field, such as Trodelvy, TINA-SHR79711 (a molecule synthesized using the published structure of DS-1062), and SKB264, SHR-A1921 has considerable advantages as follows: (1) Stronger binding affinity to both human and rhesus macaque TROP-2 than TINA-SHR79711; (2) Improved plasma stability in plasma of different species presumably due to the proper steric hindrance which was purposely designed on the payload for reducing non-intended cleavage; (3) Stronger bystander cell killing effect presumably due to the increased lipophilicity of the payload vs. that of the payload in TINA-SHR79711; (4) Superior in vivo efficacy in a PSCC2 CDX Model (FaDu) with high Trop-2 expression (TGI 101% vs 53% [TINA-SHR79711] @ 1 mpk) and in an ovarian cancer CDX Model (SK-OV-3) with moderate Trop-2 expression (TGI 63% vs. 23% [TINA-SHR79711] @ 3 mpk; 87% vs. 16% [TINA-SHR79711] @ 10 mpk); (5) ≥ 2X longer half-life in patients# vs. SKB264 vs. IMMU-132, supporting more flexible dosing frequency; (6) Lower free toxin/ADC ratio# regarding PK exposure in patients compared with SKB264 (< 1% vs. 5-6%); (7) approximately linear pharmacokinetics profile in patients with T1/2 ranging from 2.5 to 4.5 days. #. non-head-to-head comparison.)
Clinical • Late-breaking abstract
|
TROP2 (Trophoblast Cell Surface Antigen 2)
|
Trodelvy (sacituzumab govitecan-hziy) • datopotamab deruxtecan (DS-1062a) • sacituzumab tirumotecan (MK-2870) • SHR-A1921
over1year
Preclinical profiles of SKB264, a novel anti-TROP2 antibody conjugated to topoisomerase inhibitor, demonstrated promising antitumor efficacy compared to IMMU-132. (PubMed, Front Oncol)
The aim of this study was to improve the intratumoral accumulation of an antibody-drug conjugate (ADC) and minimize its off-target toxicity, SKB264, a novel anti-trophoblast antigen 2 (TROP2) ADC that was developed using 2-methylsulfonyl pyrimidine as the linker to conjugate its payload (KL610023), a belotecan-derivative topoisomerase I inhibitor. At the same dose, SKB264's exposure in tumor tissue was 4.6-fold higher than that of IMMU-132. Compared with IMMU-132, the longer half-life of SKB264 had a stronger targeting effect and better antitumor activity, suggesting the better therapeutic potential of SKB264 for treating TROP2-positive tumors.
Preclinical • Journal
|
TROP2 (Trophoblast Cell Surface Antigen 2)
|
TROP2 positive
|
Trodelvy (sacituzumab govitecan-hziy) • sacituzumab tirumotecan (MK-2870) • Camtobell (belotecan)
over1year
Enrollment change • Metastases
|
EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • MSI (Microsatellite instability) • TROP2 (Trophoblast Cell Surface Antigen 2) • BRCA (Breast cancer early onset) • TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
|
MSI-H/dMMR • HER-2 negative • HER-2 expression • EGFR wild-type • HER-2 underexpression • TROP2 expression • BRCA mutation
|
sacituzumab tirumotecan (MK-2870)
almost2years
Phase I-II, FIH, TROP2 ADC, Advanced Unresectable/Metastatic Solid Tumors, Refractory to Standard Therapies (clinicaltrials.gov)
P1/2, N=250, Recruiting, Klus Pharma Inc. | Trial completion date: Dec 2022 --> Dec 2025 | Trial primary completion date: Nov 2022 --> Nov 2024
Trial completion date • Trial primary completion date
|
TROP2 (Trophoblast Cell Surface Antigen 2)
|
TROP2 expression
|
sacituzumab tirumotecan (MK-2870)
2years
New P2 trial • Combination therapy
|
EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase)
|
EGFR mutation • EGFR wild-type • ALK fusion • ALK negative
|
cisplatin • carboplatin • sacituzumab tirumotecan (MK-2870) • tagitanlimab (HBM9167)
2years
New P3 trial
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
|
BRCA2 mutation • BRCA1 mutation • HER-2 negative • HER-2 expression • PGR negative
|
gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate • sacituzumab tirumotecan (MK-2870)
2years
Phase I-II, FIH, TROP2 ADC, Advanced Unresectable/Metastatic Solid Tumors, Refractory to Standard Therapies (clinicaltrials.gov)
P1/2, N=250, Recruiting, Klus Pharma Inc. | Trial primary completion date: Feb 2022 --> Nov 2022
Trial primary completion date
|
TROP2 (Trophoblast Cell Surface Antigen 2)
|
TROP2 expression
|
sacituzumab tirumotecan (MK-2870)
almost3years
Clinical • Enrollment change
|
TROP2 (Trophoblast Cell Surface Antigen 2)
|
TROP2 expression
|
sacituzumab tirumotecan (MK-2870)
4years
[VIRTUAL] SKB264 ADC: A first-in-human study of SKB264 in patients with locally advanced unresectable/metastatic solid tumors who are refractory to available standard therapies. (ASCO 2020)
SKB264 is being developed as a further optimized TROP2-targeting ADC with a proprietary cytotoxic, belotecan-derived payload and novel stable conjugation chemistry to achieve average DAR (Drug Antibody Ratio) of 7.4. The enrollment will began in Mar 2020 in USA sites. Research Funding: KLUS Pharm Inc.
Clinical • P1 data
|
TROP2 (Trophoblast Cell Surface Antigen 2)
|
TROP2 expression
|
sacituzumab tirumotecan (MK-2870) • Camtobell (belotecan)