OnCo
drugsProductPhase 1

AK146D1

AK146D1 is Akeso's Nectin-4 × TROP2 bispecific ADC, combining the two most validated ADC addresses in one molecule.

Entered clinic in 2025 alongside Avenzo's AVZO-103 in the same target pair. Rationale: complementary expression across urothelial, breast, and lung cancers; potentially higher internalisation. Very early.

Loading structure…
|
Payload class: exatecan
PubChem

AK146D1 carries a camptothecin-derived TOP1 inhibitor; exatecan shown as the class representative.

How it works, step by step · animated schematic, not to scale
Bispecific ADC
Mechanism, step by step
auto-advancing · hover to pause

1.Antibody binds Nectin-4 and TROP2 (bispecific) on the tumour cell surface

Modality
Bispecific ADC
Mechanism
Bispecific Nectin-4/TROP2 antibody with TOP1 payload.
Payload
TOP1 inhibitor
Linker
Cleavable
Dosing & schedule
Route
IV infusion
Schedule
Phase 1 dose escalation

Source: clinicaltrials.gov. Doses are for orientation; the current label governs.

Regulatory

1top
  1. Mar 2025Filing / dealChina

    IND cleared; first-in-human phase 1 started source

Cost & access

1top
Cost & access
CountryReimbursement
ChinaInvestigational

List prices are manufacturer or Medicare figures where publicly disclosed; net prices after rebates are usually lower. Reimbursement changes; check the payer.

Trials

top
ClinicalTrials.gov · phase 2/3
refreshed 2026-09-06
3 studies2 recruiting3 Phase 2
Search “AK146D1” on ClinicalTrials.gov →
Counts are from a name search and may include unrelated studies; up to 100 studies are summarised.

Recruiting now (live from ClinicalTrials.gov)

Recruiting trials near you · live from ClinicalTrials.gov
AK146D1
intervention: AK146D1
Open on ClinicalTrials.gov →

Country and place are remembered in this browser only. A postcode is sent to OpenStreetMap's Nominatim service to find coordinates when you press the button; nothing else leaves your device.

Latest papers

top
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this drug: (TITLE:"AK146D1" OR ABSTRACT:"AK146D1") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about AK146D1, not a curated reading list.

Connected

11top