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Table 3 Landscape of unconventional ADC payloads investigated at the preclinical stage

From: Payload diversification: a key step in the development of antibody–drug conjugates

Payload mechanism

Payload family

Payload name {ADC name}

Target antigen

DAR

First publication date

Reference(s)

Topoisomerase II inhibitors

Anthracyclines

Doxorubicin

N/A

N/A

2010

109

HER2

4

2017

110

CD30

4

2017

110

PNU-159682

LGR5

2

2015

111

CD22

2

2015

114

CD30

4

2017

109

tenascin-C

2

2017

116

HER2

4

2019

115

CD46

2

2020

117

EREG

n.d

2022

118

PNU-159682 + MMAF

HER2

2 + 2

2019

119

Daunorubicin

alpha-fetoprotein

1.2

1984

120

ganglioside

20

1991

121

Idarubicin

Ly2.1

2 to 4

1988

122

CD19

3.2

1993

123

HER2

1

2019

124

Transcription inhibitors

RNApolII inhibitors

Beta-amanitin

Albumin

1.9

1973

130

MUC1

n. d

2006

131

PSMA

2

2014

132, 133

Alpha-amanitin and derivatives

Thy 1.2

3.6–6.3

1981

134

EpCam

4 to 8

2012

137

HER2

2

2018

138

PSMA

2

2018

138

CD19

2

2018

138

Amanitin + MMAE

FGFR1

1 + 1

2018

139

Phalloidin

Albumin

n. d

1986

140

Trichothecene T-2

murine EL-4 lymphoma

n.d

1991

141

Verrucarin A

oncofetal glycoprotein

n.d

1991

141

Roridin A

oncofetal glycoprotein

n.d

1991

141

Transcription Factor inhibitors

Triptolide

CD26

6.5

2019

145

EGFR

5.5

2020

146

HER2

2 to 3

2021

147

HDAC inhibitors

ST7464AA1

EGFR

4.5

2018

150

HER2

5

2020

151

Vorinostat (SAHA)

EGFR, HER2

4 to 6

2021

152

Dacinostat (VP-LAQ824)

EGFR, HER2

3

2021

152

Kinase inhibitors

PTK inhibitors

Genistein

EGFR

n.d

1998

168

17.1A mAb

3

2003

169

PIKK inhibitors

Neolymphostin

HER2

2

2019

170

multi-kinase inhibitors

Dasatinib

CXCR4

3

2015

171

Staurosporine

EGFR

n.d

2018

172

Immune stimulants

TLR7/8 agonists

UC-1V150

CD20

1 to 3

2015

184

CL264

HER2

2

2020

185

D18

PDL1

2

2021

186

n.d

PDL1

2

2022

181

n.d {BDC-2034}

CEACAM5

2.5

2021

179, 180

T785

HER2

2

2020

185

TLR7 agonists

AmberX ADC

HER2

n.d

2022

187

STING agonists

{CRD5500}

HER2

n.d

2019

189

XMT-1621

FcyR

2

2022

192

XMT-1621 {XMT-2056}

HER2

8

2021

190, 191

Protein synthesis inhibitors

HSP90 inhibitors

Geldanamycin

HER2

n.d

2000

195, 196, 197

CD70

4

2009

198

HER2

n.d

2021

199

Splicing inhibitors

Thailanstatin A

HER2

2 to 3

2016

25, 202

Translation inhibitors

Psymberin (irciniastatin A)

CD30, CD70

5.4

2010

204

Proteasome inhibitors

carmaphycin B analogues

HER2

1 to 2

2019

205

PROTACs/glue degraders

BET/BRD4 degraders

GNE-987

CCL1/HER2

6

2019

209

MZ1 analogue

HER2

4

2020

212

STEAP1

2 or 6

2021

210, 211

BRD4/VHL

STEAP1/CCL1

6

2021

213

BRD4/CRBN

HER2

2

2019

213

ERa degraders

ERa/XIAP

HER2/CD22/B7-H4

2 to 6

2020

214

ERa/VHL

HER2/CD22/B7-H4

2 to 6

2020

214

TGFbR2 degraders

TGFbR2/VHL

HER2

2 to 4

2020

208

BRM degraders

BRL/VHL

CD22

6

2020

208

GSTP1 degraders

Smol006 {ORM-5029}

HER2

4

2022

215

Others

NAMPT inhibitors

FK-866 analogues

c-kit or HER2

2 to 4

2018

217

CD30

8 to 10

2018

216

KSP inhibitors

Filanesib derivative

HER2, c-kit

3 to 4.5

2019

218

HER‐2, TWEAKR/Fn14

2 to 4

2018

219, 202

carbonic anhydrase inhibitors

CA IX and XII peptides

CA IX and XII

n.d

2022

230

Beyond cytotoxic payloads

lipid homeostasis and inflammation

LXR agonist

CD11a

2

2016

235

Enzymatic activity inhibition

CGS27023A

MMP9

4 to 8

2019

229

  1. ADC Antibody–drug conjugate, DAR drug-to-antibody ratio