OnCo
drugsProductPhase 2

Tilatamig samrotecan

AstraZeneca's EGFR×c-MET bispecific ADC, the most advanced in the most crowded next-generation ADC target pair.

Designed with a low-affinity EGFR arm and high-affinity c-MET arm to bias delivery toward tumour cells co-expressing both. In phase 2 in EGFR-mutant NSCLC after osimertinib and in EGFR-wild-type NSCLC, per AstraZeneca's 2026 pipeline. Among ~24 c-MET×EGFR ADC candidates.

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Payload class: exatecan
PubChem

Tilatamig samrotecan 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
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1.Antibody binds EGFR and c-MET (bispecific) on the tumour cell surface

Modality
Bispecific ADC
Mechanism
Bispecific EGFR/c-MET IgG with TOP1 payload; avidity-driven tumour selectivity.
Brand / code
AZD9592
Payload
AZ14170133 (TOP1 inhibitor)
Linker
Cleavable
Dosing & schedule
Route
IV infusion
Schedule
Phase 2 dose-optimisation; every 3 weeks

Source: clinicaltrials.gov/study/NCT05647122. Doses are for orientation; the current label governs.

Safety

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Toxicity profile
Adverse event
Stomatitis
Nausea
Fatigue
Neutropenia

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

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Cost & access
CountryReimbursement
United StatesInvestigational

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

Trials

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Recruiting now (live from ClinicalTrials.gov)

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

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Latest papers

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Literature trend0 papers in the last 12 monthsHow this is computed
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this drug: (TITLE:"Tilatamig samrotecan" OR ABSTRACT:"Tilatamig samrotecan" OR TITLE:"AZD9592" OR ABSTRACT:"AZD9592") 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 Tilatamig samrotecan, not a curated reading list.

Connected

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