Chemically triggered drug release from an antibody-drug conjugate leads to potent antitumour activity in mice

Nat Commun. 2018 May 4;9(1):1484. doi: 10.1038/s41467-018-03880-y.

Abstract

Current antibody-drug conjugates (ADCs) target internalising receptors on cancer cells leading to intracellular drug release. Typically, only a subset of patients with solid tumours has sufficient expression of such a receptor, while there are suitable non-internalising receptors and stroma targets. Here, we demonstrate potent therapy in murine tumour models using a non-internalising ADC that releases its drugs upon a click reaction with a chemical activator, which is administered in a second step. This was enabled by the development of a diabody-based ADC with a high tumour uptake and very low retention in healthy tissues, allowing systemic administration of the activator 2 days later, leading to efficient and selective activation throughout the tumour. In contrast, the analogous ADC comprising the protease-cleavable linker used in the FDA approved ADC Adcetris is not effective in these tumour models. This first-in-class ADC holds promise for a broader applicability of ADCs across patient populations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, Neoplasm / chemistry
  • Antigens, Neoplasm / immunology
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / chemistry
  • Antineoplastic Agents / pharmacokinetics*
  • Brentuximab Vedotin
  • Cell Line, Tumor
  • Drug Liberation
  • Female
  • Glycoproteins / antagonists & inhibitors
  • Glycoproteins / chemistry
  • Glycoproteins / immunology
  • HT29 Cells
  • Humans
  • Immunoconjugates / administration & dosage
  • Immunoconjugates / chemistry
  • Immunoconjugates / pharmacokinetics*
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Neoplasms, Experimental / drug therapy*
  • Neoplasms, Experimental / immunology
  • Neoplasms, Experimental / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • Antigens, Neoplasm
  • Antineoplastic Agents
  • Glycoproteins
  • Immunoconjugates
  • tumor-associated antigen 72
  • Brentuximab Vedotin