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JS108 is a recombinant humanized anti-TROP2 monoclonal antibody-Tub196 conjugate developed as an antibody-drug conjugate (ADC) for the treatment of solid tumors. Based on the search results, I can provide the following comprehensive information about this drug. ## Drug Profile JS108 is an antibody-drug conjugate that targets TROP2 (trophoblast cell-surface antigen 2), a transmembrane glycoprotein highly expressed in various solid tumors including breast cancer, gastric cancer, non-small cell lung cancer, small cell lung cancer, colon cancer, and pancreatic cancer[1][2]. The drug consists of a humanized anti-TROP2 monoclonal antibody conjugated with Tub196, which is an antitubulin Tubulysin B analog[1]. This conjugation occurs through a smart linker system that allows for targeted delivery of the cytotoxic payload to cancer cells[1]. ## Development History JS108 was developed through a collaboration between Hangzhou DAC Biotech and Shanghai Junshi Biosciences[1][2]. In July 2020, the clinical trial application for JS108 was approved by the National Medical Products Administration (NMPA) in China[2][6]. The first patient was dosed in a Phase I clinical study (NCT04601285) in December 2020[2][3]. The Phase I clinical trial was designed as an open-label, first-in-human study to evaluate the safety, tolerability, pharmacokinetic profile, and efficacy of JS108 in patients with advanced solid tumors[2][3]. The study consisted of three stages: dose escalation, dose expansion, and indication expansion, with planned enrollments of 16-36, 12-27, and 60-90 patients with advanced solid tumors, respectively[2][3]. However, according to the search results, the trial was terminated in June 2023 after enrolling 25 patients instead of the planned 153, as the sponsor adjusted its development plan[4]. ## Mechanism of Action As an antibody-drug conjugate, JS108 works by targeting TROP2, which is implicated in promoting tumor cell proliferation, tissue invasion, and metastasis[2][6]. The overexpression of TROP2 has been correlated with poor clinical prognosis in various cancers[2][6]. Unlike non-specific chemotherapy, ADCs like JS108 are designed to target and kill tumor cells while sparing normal healthy cells[2][6]. The antibody component binds specifically to TROP2 on cancer cells, after which the conjugate is internalized, releasing the cytotoxic Tub196 payload that disrupts microtubule function, leading to cell death[1][4]. ## Current Status As of January 2025, JS108 was reported to be in Phase I clinical trials for solid tumors according to the Shanghai Junshi Biosciences pipeline[1]. However, it's important to note that the original Phase I trial (NCT04601285) was terminated in June 2023[4], suggesting that the development strategy for this drug may have been revised. ## Comparison to Other TROP2-Targeted ADCs JS108 is part of a growing class of TROP2-targeted ADCs being developed for solid tumors. Other notable drugs in this class include: 1. Sacituzumab govitecan (Trodelvy) - Already approved for triple-negative breast cancer (TNBC) and urothelial carcinoma 2. Datopotamab deruxtecan (Dato-DXd) - In Phase III trials for multiple indications 3. SKB-264 - In Phase III trials for various cancers 4. BIO-106 - In Phase I/II trials for solid tumors[5] Each of these ADCs has unique characteristics in terms of antibody structure, linker technology, and cytotoxic payload, which may affect their efficacy and safety profiles in different cancer types.
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