Controlled coupling of an ultrapotent auristatin warhead to cetuximab yields a next-generation antibody-drug conjugate for EGFR-targeted therapy of KRAS mutant pancreatic cancer

Autor: Ninfa L. Straubinger, Stephen Caddick, Daniel B. Longley, James F Burrows, Darren K.W. Chan, Charlene Minx, Michelle K. Greene, Jun Wang, Robert M. Straubinger, Sandra Van Schaeybroeck, James R. Baker, Vijay Chudasama, Eifion Robinson, Ting Chen, Christopher J. Scott, Donald E. Mager
Rok vydání: 2020
Předmět:
Male
Cancer Research
Antibody-drug conjugate
Immunoconjugates
medicine.medical_treatment
Cetuximab
Mice
Transgenic

Mice
SCID

medicine.disease_cause
Article
Targeted therapy
Proto-Oncogene Proteins p21(ras)
Mice
03 medical and health sciences
Targeted therapies
0302 clinical medicine
SDG 3 - Good Health and Well-being
Growth factor receptor
Antigen
In vivo
Cell Line
Tumor

Pancreatic cancer
Animals
Humans
Medicine
Aminobenzoates
Molecular Targeted Therapy
business.industry
Drugs
Investigational

medicine.disease
Xenograft Model Antitumor Assays
ErbB Receptors
Gene Expression Regulation
Neoplastic

Mice
Inbred C57BL

Pancreatic Neoplasms
body regions
Cell Transformation
Neoplastic

Oncology
030220 oncology & carcinogenesis
Mutation
Cancer research
KRAS
business
Oligopeptides
Chemical modification
medicine.drug
Zdroj: Greene, M K, Chen, T, Robinson, E, Straubinger, N L, Minx, C, Chan, D K W, Wang, J, Burrows, J F, Van Schaeybroeck, S, Baker, J R, Caddick, S, Longley, D B, Mager, D E, Straubinger, R M, Chudasama, V & Scott, C J 2020, ' Controlled coupling of an ultrapotent auristatin warhead to cetuximab yields a next-generation antibody-drug conjugate for EGFR-targeted therapy of KRAS mutant pancreatic cancer ', British Journal of Cancer . https://doi.org/10.1038/s41416-020-01046-6
British Journal of Cancer
ISSN: 1532-1827
0007-0920
Popis: Background Antibody-drug conjugate (ADC) construction poses numerous challenges that limit clinical progress. In particular, common bioconjugation methods afford minimal control over the site of drug coupling to antibodies. Here, such difficulties are overcome through re-bridging of the inter-chain disulfides of cetuximab (CTX) with auristatin-bearing pyridazinediones, to yield a highly refined anti-epidermal growth factor receptor (EGFR) ADC. Methods In vitro and in vivo assessment of ADC activity was performed in KRAS mutant pancreatic cancer (PaCa) models with known resistance to CTX therapy. Computational modelling was employed for quantitative prediction of tumour response to various ADC dosing regimens. Results Site-selective coupling of an auristatin to CTX yielded an ADC with an average drug:antibody ratio (DAR) of 3.9, which elicited concentration- and EGFR-dependent cytotoxicity at sub-nanomolar potency in vitro. In human xenografts, the ADC inhibited tumour growth and prolonged survival, with no overt signs of toxicity. Key insights into factors governing ADC efficacy were obtained through a robust mathematical framework, including target-mediated dispositional effects relating to antigen density on tumour cells. Conclusions Together, our findings offer renewed hope for CTX in PaCa therapy, demonstrating that it may be reformatted as a next-generation ADC and combined with a predictive modelling tool to guide successful translation.
Databáze: OpenAIRE