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ResearchIn-Press PreviewClinical ResearchOncology
Open Access |
10.1172/JCI201090
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Fang, B. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Li, X. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Lu, Y. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Ma, W. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Gan, H. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Zhang, T. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Liu, Q. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Wang, B. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Wang, Z. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Zhu, Y. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Zhu, H. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Xiao, S. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Bian, X. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Wei, G. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Ye, D. in: PubMed | Google Scholar
1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China
2Department of Biochemistry and Molecular Biology of School of Basic Medical, Shanghai Medical College of Fudan University, Shanghai, China
3Department of Oncology, Fudan University, Shanghai, China
4Sichuan Biokin Pharmaceutical Co., Ltd., Chengdu, China
5Baili-Bio (Chengdu) Pharmaceutical Co., Ltd., Chengdu, China
Find articles by Zhu, Y. in: PubMed | Google Scholar
Published April 7, 2026 - More info
Metastatic castration-resistant prostate cancer (mCRPC) remains lethal with limited treatment options. Antibody–drug conjugates (ADCs) have emerged as a transformative class across multiple solid tumors, yet their clinical application in prostate cancer has been limited. Izalontamab brengitecan (Iza-bren; BL-B01D1) is a bispecific ADC targeting EGFR and HER3 that has demonstrated activity in other malignancies. Here, we evaluated its therapeutic potential in prostate cancer. Multi-omics analyses revealed frequent EGFR and HER3 expression in CRPC adenocarcinoma but not in neuroendocrine subtypes. BL-B01D1 exerted potent, target-dependent cytotoxicity in prostate cancer cell lines, xenografts, and patient-derived organoids (PDOs). We highlight a representative mCRPC patient with high EGFR/HER3 expression who achieved a rapid and durable clinical and radiologic response to BL-B01D1, concordant with matched PDO sensitivity. Mechanistic studies identified ABCG2 upregulation as a driver of acquired resistance, with genetic or pharmacologic inhibition restoring BL-B01D1 sensitivity. Importantly, tumor tissue obtained at progression after BL-B01D1 treatment confirmed ABCG2 upregulation, validating a clinically relevant resistance mechanism. These findings support BL-B01D1 as a promising therapeutic strategy in mCRPC and nominate ABCG2 as a rational target for overcoming resistance.