Summary of ADC Therapeutics Conference Call Company Overview - ADC Therapeutics is focused on antibody-drug conjugates (ADCs) and is a commercial-stage company with an approved product, Zynlonta, for third-line treatment of diffuse large B-cell lymphoma (DLBCL) [5][6][20] Market Performance - Zynlonta has maintained a stable market share of approximately 10% in the third-line DLBCL setting despite competition from bispecific therapies, which have gained significant market share [7][20] - The DLBCL market is divided into complex therapies (CAR-T and bispecifics) and broadly accessible therapies (ADCs, monoclonal antibodies, and chemotherapy) [6][10] Clinical Trials and Studies - **LOTIS-5 Trial**: A confirmatory study comparing Zynlonta plus rituximab to R-GemOx, with a primary endpoint of progression-free survival (PFS). Top-line results are expected in the first half of 2026 [11][12][20] - **LOTIS-7 Trial**: A study combining Zynlonta with glofitamab, showing promising initial results with an overall response rate of 93% and a complete response (CR) rate of 87% [31][35] Market Opportunities - The third-line DLBCL setting has about 6,000 patients, which could double to over 12,000 in the second-line setting. The potential market opportunity for LOTIS-5 is estimated at $200 million to $300 million [20][21] - The marginal zone lymphoma market presents a significant opportunity with an estimated market potential of $500 million, given the high unmet need and competitive CR rates [24][25] Safety and Efficacy - Zynlonta is characterized by a favorable safety profile, being a fixed-duration, chemo-free therapy with manageable and reversible side effects [18][19] - The company aims to achieve a CR rate of 40% or higher in combination therapies to differentiate itself in the market [16] Financial Position - As of Q3, ADC Therapeutics reported a pro forma cash position of $293 million, providing a runway into at least 2028, which supports the relaunch of Zynlonta and ongoing clinical trials [40] Future Outlook - The company is exploring additional indications for Zynlonta and has a PSMA-directed ADC that is expected to be IND-ready by the end of the year, with plans to seek partnerships for this asset [39] Conclusion - ADC Therapeutics is strategically positioned in the ADC market with a focus on expanding the use of Zynlonta through ongoing clinical trials and exploring new indications, while maintaining a strong financial position to support its growth initiatives [38][40]