ADCs with payloads based on auristatins and maytansines are used in Adcetris and Kadcyla respectively, both with manageable, tolerated safety profile. This off-target tox could be the target or the new PBD dimer payloads. Me think it's the payload, so for now I would worry about SGN-CD70A (think SGN-CD123A and SGN-CD352A too), as it has a similar structure with identical payload as SGN-CD33A (a different antibody component of course).
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