The present invention relates to therapeutic ADCs comprising SN-38 attached to an anti-Trop-2 antibody or antigen-binding antibody fragment. The ADC may be administered at a dosage of between 4 mg/kg and 18 mg/kg, preferably 4, 6, 8, 9, 10, 12, 16 or 18 mg/kg, most preferably 8 to 10 mg/kg. When administered at specified dosages and schedules, the ADC can reduce solid tumors in size, reduce or eliminate metastases and is effective to treat cancers resistant to standard therapies, such as radiation therapy, chemotherapy or immunotherapy. Preferably, the ADC is administered in combination with one or more other therapeutic agents, such as a PARP inhibitor, a microtubule inhibitor, a Bruton kinase inhibitor or a PI3K inhibitor. Most preferably, the ADC is of use for treating a Trop-2 expressing cancer, such as metastatic urothelial cancer.
本发明涉及治疗用 ADC,该 ADC 由附着于抗 Trop-2
抗体或抗原结合
抗体片段的 SN-38 组成。ADC 的给药剂量为 4 毫克/千克至 18 毫克/千克,优选 4、6、8、9、10、12、16 或 18 毫克/千克,最优选 8 至 10 毫克/千克。按规定的剂量和疗程给药时,ADC 可以缩小实体瘤的体积,减少或消除转移,并能有效治疗对标准疗法(如放疗、化疗或免疫疗法)耐药的癌症。优选地,ADC 与一种或多种其他治疗剂联合使用,如
PARP 抑制剂、微管
抑制剂、布鲁顿激酶
抑制剂或
PI3K 抑制剂。最优选的是,ADC 用于治疗表达 Trop-2 的癌症,如转移性尿道癌。