RC-88 (English: RC-88)
Generic Name: Misitatug Blivedotin
Drug Type: Antibody-drug conjugate (ADC)
Target: Mesothelin (MSLN)
Payload: Monomethyl auristatin E (MMAE)
Developer: RemeGen Biosciences (Shandong China)
Manufacturer: Yantai Rongchang Biological Engineering (manufactured by MabPlex)
Clinical Domain: Oncology
Clinical Indication:
- Mesothelioma
- Bile Duct Carcinoma
- Pancreatic cancer
- Lung Adenocarcinoma
- Ovarian Cancer
- Other Solid Tumors
Development Status: Phase 1 and Phase 2 (in China)
Regulatory Decisions:
- January 2024: Fast Track Designation (FTD) by the U.S. Food and Drug Administration (FDA) for the treatment of platinum-resistant recurrent epithelial ovarian, fallopian tube, and primary peritoneal cancer.
- December 2023: Investigational new drug (IND) approval by the U.S. FDA for a Phase 2 clinical trial in gynecological tumors.
- March 2023: Approval by the CDE (China) for a Phase I/II clinical study in combination with Sintilimab for advanced malignant solid tumors.
Clinical Trials:
- NCT06173037: RC88 in Platinum-Resistant Recurrent Epithelial Ovarian Cancer, Fallopian Tube Cancer, and Primary Peritoneal Cancer (Phase 2, multi-country, open-label, randomized, dose-optimization).
- NCT06016062: A Study of RC148 As a Single Agent and Combination Therapy in Patients with Locally Advanced Unresectable or Metastatic Malignant Solid Tumors.
- NCT05804526: A Study of RC88 Combined With Sintilimab for Advanced Solid Tumours (Phase I/II, China).
- NCT05508334: A Study to Assess the Safety and Tolerability of RC88 for Patients With Advanced Solid Tumours (Phase 1).
- NCT04175847: A Phase I/IIa Study of RC88-ADC in Subjects With Advanced Malignant Solid Tumors.
Mechanism of Action: RC88 is composed of a humanized anti-mesothelin antibody conjugated via a cleavable linker to MMAE, a microtubule-disrupting agent. It binds to mesothelin-expressing tumor cells, leading to internalization and release o