General Information of This Peptide-drug Conjugate (PDC)
PDC ID
PDC_00241
PDC Name
Mipsagargin
PDC Status
Discontinued
Indication
In total 8 Indication(s)
Advanced solid tumour
Colorectal cancer
Pancreatic cancer
Cholangiocarcinoma
Hepatocellular carcinoma
Non-small cell lung cancer
Prostate cancer
Adenocarcinoma
Structure
Peptide Name
PSMA-specific peptide
 Peptide Info 
Receptor Name
Glutamate carboxypeptidase 2 (FOLH1)
 Receptor Info 
Drug Name
12Adt-asp
 Drug Info 
Therapeutic Target
Calcium-transporting ATPase type 2C member 1 (ATP2C1)
 Target Info 
Linker Name
Amide bond
 Linker Info 
Formula
C66H100N6O27
#Ro5 Violations (Lipinski): 4 Molecular Weight 1409.541
Lipid-water partition coefficient (xlogp) 2.3454
Hydrogen Bond Donor Count (hbonddonor) 13
Hydrogen Bond Acceptor Count (hbondacc) 23
Rotatable Bond Count (rotbonds) 46
Full List of Activity Data of This Peptide-drug Conjugate
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 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.
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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

   Click to Show/Hide
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 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.
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.