OnCo
drugsProductNot filed🇨🇳

Disitamab vedotin

Disitamab vedotin is a Chinese HER2 ADC approved for gastric and bladder cancer, now in global trials with Pfizer.

Approved in China (2021) for HER2+ gastric cancer and HER2-expressing urothelial cancer. Phase 3 with toripalimab in first-line HER2-expressing urothelial cancer was positive (2025). Pfizer (via Seagen) holds ex-China rights.

Loading structure…
|
Payload: MMAE · 2D coordinates (no PubChem conformer)
PubChem
How it works, step by step · animated schematic, not to scale
Antibody-drug conjugate (ADC)
Mechanism, step by step
auto-advancing · hover to pause

1.Antibody binds HER2 on the tumour cell surface

Modality
ADC
Mechanism
Anti-HER2 (hertuzumab) with MMAE.
Brand / code
RC48
Payload
MMAE
Linker
mc-vc-PABC
Dosing & schedule
Route
IV infusion
Schedule
2.0 mg/kg every 2 weeks (China label)
Monitoring
Peripheral neuropathy, neutropenia, LFTs

Source: www.remegen.com. Doses are for orientation; the current label governs.

Medicare
Not covered (not FDA-approved)

Not FDA-approved, so there is no US coverage; access is only through a clinical trial or an FDA expanded-access request.

Commercial insurance
unknown

Not FDA-approved, so there is no US coverage; access is only through a clinical trial or an FDA expanded-access request.

Sources: CMS Medicare Coverage Database (NCDs and LCDs). Not medical or financial advice; verify with your plan.

Not appraisedSearch NICE
Notes
No UK marketing authorisation as of September 2026, so no NICE appraisal. Access only through a clinical trial or a company early access scheme.
NHS England
Not routinely funded

Sources: NICE search: disitamab vedotin. Funding decisions are indication-specific and change monthly; verify with NICE and your treating team.

Regulatory

4top
  1. Sept 2020DesignationUS

    Breakthrough Therapy designation, HER2+ urothelial cancer source

  2. Jun 2021ApprovalChina

    Conditional approval, HER2+ gastric cancer after ≥2 lines source

  3. 31 Dec 2021ApprovalChina

    HER2-expressing urothelial cancer after platinum source

  4. Dec 2025Filing / dealChina

    First-line urothelial cancer with toripalimab, positive phase 3 source

Approvals

RegionYearIndication
China2021HER2+ gastric cancer; HER2-expressing urothelial cancer

Safety

4top
Toxicity profile
Adverse event
Peripheral neuropathy
Neutropenia
Alopecia
AST/ALT increased

Events listed without rates were not read from a primary source; see the label. Blank cells mean the figure was not sourced, not that it is zero.

Cost & access

2top
Cost & access
CountryReimbursement
ChinaNMPA approved 2021; on the National Reimbursement Drug List
United StatesInvestigational (Pfizer; phase 3 in urothelial cancer)

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 2026-09-09
105 studies44 recruiting93 Phase 212 Phase 3
Search “Disitamab vedotin” 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
Disitamab vedotin
intervention: Disitamab vedotin
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
Literature trend92 papers in the last 12 months+88% vs prior 12How this is computed
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this drug: (TITLE:"Disitamab vedotin" OR ABSTRACT:"Disitamab vedotin" OR TITLE:"RC48" OR ABSTRACT:"RC48") 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 Disitamab vedotin, not a curated reading list.

Connected

15top