General Information of This Drug
Drug ID DRG00041
Drug Name 12Adt-asp
Synonyms
12Adt-asp; Aspartyl-12adt; UNII-U4U7MXY86U; U4U7MXY86U; 1172636-20-2; CHEMBL4802225; C21580; Q27290687
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Target(s) Calcium-transporting ATPase type 2C member 1 (ATP2C1)  Target Info 
Structure
Formula
C46H72N2O15
#Ro5 Violations (Lipinski): 3 Molecular Weight (mw) 893.1
Lipid-water partition coefficient (xlogp) 2.7
Hydrogen Bond Donor Count (hbonddonor) 5
Hydrogen Bond Acceptor Count (hbondacc) 16
Rotatable Bond Count (rotbonds) 30
PubChem CID
72941986
Canonical smiles
CCCCCCCC(=O)OC1C2C(=C(C1OC(=O)C(=CC)C)C)C3C(C(CC2(C)OC(=O)C)OC(=O)CCCCCCCCCCCNC(=O)CC(C(=O)O)N)(C(C(=O)O3)(C)O)O
InChI
InChI=1S/C46H72N2O15/c1-8-10-11-17-20-24-35(52)60-39-37-36(29(4)38(39)61-42(55)28(3)9-2)40-46(58,45(7,57)43(56)62-40)32(27-44(37,6)63-30(5)49)59-34(51)23-21-18-15-13-12-14-16-19-22-25-48-33(50)26-31(47)41(53)54/h9,31-32,37-40,57-58H,8,10-27,47H2,1-7H3,(H,48,50)(H,53,54)/b28-9-/t31-,32-,37+,38-,39-,40-,44-,45+,46+/m0/s1
InChIKey
JFUXBZKLZFCZME-WFETZLHTSA-N
IUPAC Name
(2S)-4-[[12-[[(3S,3aR,4S,6S,6aR,7S,8S,9bS)-6-acetyloxy-3,3a-dihydroxy-3,6,9-trimethyl-8-[(Z)-2-methylbut-2-enoyl]oxy-7-octanoyloxy-2-oxo-4,5,6a,7,8,9b-hexahydroazuleno[4,5-b]furan-4-yl]oxy]-12-oxododecyl]amino]-2-amino-4-oxobutanoic acid
Each Peptide-drug Conjugate Related to This Drug
Full Information of The Activity Data of The PDC(s) Related to This Drug
Mipsagargin [Discontinued]
Identified from the Human Clinical Data
Click To Hide/Show 15 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [1]
Indication Hepatocellular carcinoma
Efficacy Data Time to disease progression 134 Day
Patients Enrolled
Patients with hepatocellular carcinoma who progressed on or after treatment with sorafenib or intolerant of sorafenib.
Administration Time Days 1, 2, and 3 of a 28-day cycle
Administration Dosage 40 mg/m2
Description
The median TTP was 134.0 days, median PFS was 129.0 days, and median OS was 205.0 days.
Experiment 2 Reporting the Activity Data of This PDC [2]
Indication Non-small cell lung cancer
Efficacy Data Progression-free survival (PFS) 52 day
Patients Enrolled
Patients with non-small cell lung cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 10
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 3 Reporting the Activity Data of This PDC [2]
Indication Pancreatic cancer
Efficacy Data Progression-free survival (PFS) 57 day
Patients Enrolled
Patients with pancreas cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 40
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 4 Reporting the Activity Data of This PDC [2]
Indication Adenocarcinoma
Efficacy Data Progression-free survival (PFS) 63 day
Patients Enrolled
Patients with adenocarcinoma cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 66.8
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 5 Reporting the Activity Data of This PDC [2]
Indication Advanced solid tumour
Efficacy Data Progression-free survival (PFS) 77 day
Patients Enrolled
Patients with endometrial cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 40/66.8/66.8
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 6 Reporting the Activity Data of This PDC [2]
Indication Cholangiocarcinoma
Efficacy Data Progression-free survival (PFS) 89 day
Patients Enrolled
Patients with cholangiocarcinoma cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 2.5
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 7 Reporting the Activity Data of This PDC [2]
Indication Prostate cancer
Efficacy Data Progression-free survival (PFS) 112 day
Patients Enrolled
Patients with prostate cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 1.2
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 8 Reporting the Activity Data of This PDC [2]
Indication Colorectal cancer
Efficacy Data Progression-free survival (PFS) 112 day
Patients Enrolled
Patients with colorectal cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 5
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 9 Reporting the Activity Data of This PDC [2]
Indication Prostate cancer
Efficacy Data Progression-free survival (PFS) 119 day
Patients Enrolled
Patients with prostate cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 88
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 10 Reporting the Activity Data of This PDC [2]
Indication Prostate cancer
Efficacy Data Progression-free survival (PFS) 121 day
Patients Enrolled
Patients with prostate cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 40/66.8/66.8
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 11 Reporting the Activity Data of This PDC [2]
Indication Hepatocellular carcinoma
Efficacy Data Progression-free survival (PFS) 133 day
Patients Enrolled
Patients with hepatocellular cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 40/66.8/66.8
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 12 Reporting the Activity Data of This PDC [2]
Indication Hepatocellular carcinoma
Efficacy Data Progression-free survival (PFS) 277 day
Patients Enrolled
Patients with hepatocellular cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 40/66.8/66.8
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 13 Reporting the Activity Data of This PDC [2]
Indication Hepatocellular carcinoma
Efficacy Data Progression-free survival (PFS) 336 day
Patients Enrolled
Patients with hepatocellular cancer.
Administration Time Day 1/2/3
Administration Dosage Dose level ( mg/m2) 40/66.8/66.8
Description
Among the 42 patients considered to be evaluable for efficacy, there were no observations of objective response. However, 12 (28.6%) of patients had disease stabilisation. Overall, PFS was a median of 52.0 days (n1/442; censored 8; Q1, Q3: 50.0, 112.0). However, among the 12 patients with SD as best response, progression-free survival (PFS) was considerably higher: 129 days with 8 patients censored at the date of last study visit (Table 5A). Among the 16 efficacy-evaluable patients enrolled in part 2, 5 patients presented to the study with a diagnosis of hepatocellular carcinoma and had progressed on or were intolerant of sorafenib. In these 5 patients, prolonged disease stabilisation with an average PFS of 166 days (6 months) was observed (Table 5B); in patients with HCC who received more than 2 cycles of treatment, the PFS was 209 days, approaching 7.5 months

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Experiment 14 Reporting the Activity Data of This PDC [1]
Indication Hepatocellular carcinoma
Efficacy Data Progression-free survival (PFS) 129
Patients Enrolled
Patients with hepatocellular carcinoma who progressed on or after treatment with sorafenib or intolerant of sorafenib.
Administration Time Days 1, 2, and 3 of a 28-day cycle
Administration Dosage 40 mg/m2
Description
The median TTP was 134.0 days, median PFS was 129.0 days, and median OS was 205.0 days.
Experiment 15 Reporting the Activity Data of This PDC [1]
Indication Hepatocellular carcinoma
Efficacy Data Median overall survival (mOS) 205
Patients Enrolled
Patients with hepatocellular carcinoma who progressed on or after treatment with sorafenib or intolerant of sorafenib.
Administration Time Days 1, 2, and 3 of a 28-day cycle
Administration Dosage 40 mg/m2
Description
The median TTP was 134.0 days, median PFS was 129.0 days, and median OS was 205.0 days.
References
Ref 1 A Phase II, Multicenter, Single-Arm Study of Mipsagargin (G-202) as a Second-Line Therapy Following Sorafenib for Adult Patients with Progressive Advanced Hepatocellular Carcinoma. Cancers (Basel). 2019 Jun 17;11(6):833. doi: 10.3390/cancers11060833.
Ref 2 Mipsagargin, a novel thapsigargin-based PSMA-activated prodrug: results of a first-in-man phase I clinical trial in patients with refractory, advanced or metastatic solid tumours. Br J Cancer. 2016 Apr 26;114(9):986-94. doi: 10.1038/bjc.2016.72.