Discovery and Preclinical Characterization of XMT-1660, an Optimized B7-H4-Targeted Antibody-Drug Conjugate for the Treatment of Cancer

被引:18
作者
Toader, Dorin [1 ,2 ]
Fessler, Shawn P. [1 ]
Collins, Scott D. [1 ]
Conlon, Patrick R. [1 ]
Bollu, Reddy [1 ]
Catcott, Kalli C. [1 ]
Chin, Chen-Ni [1 ]
Dirksen, Anouk [1 ]
Du, Bingfan [1 ]
Duvall, Jeremy R. [1 ]
Higgins, Stacy [1 ]
Kozytska, Mariya V. [1 ]
Bellovoda, Kamela [1 ]
Faircloth, Chelsey [1 ]
Lee, David [1 ]
Li, Fu [1 ]
Qin, Liuliang [1 ]
Routhier, Caitlin [1 ]
Shaw, Pamela [1 ]
Stevenson, Cheri A. [1 ]
Wang, Jason [1 ]
Wongthida, Phonphimon [1 ]
Ter-Ovanesyan, Elena [1 ]
Ditty, Elizabeth [1 ]
Bradley, Stephen P. [1 ]
Xu, Ling [1 ]
Yin, Mao [1 ]
Yurkovetskiy, Alexandr V. [1 ]
Mosher, Rebecca [1 ]
Damelin, Marc [1 ]
Lowinger, Timothy B. [1 ,2 ]
机构
[1] Mersana Therapeut Inc, 840 Mem Dr, Cambridge, MA USA
[2] 840 Mem Dr, Cambridge, MA 02139 USA
关键词
B7; FAMILY; B7-H4; BREAST; EXPRESSION; PHARMACOKINETICS; IMPROVES;
D O I
10.1158/1535-7163.MCT-22-0786
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Antibody-drug conjugates (ADC) achieve targeted drug delivery to a tumor and have demonstrated clinical success in many tumor types. The activity and safety profile of an ADC depends on its construction: antibody, payload, linker, and conjugation method, as well as the number of payload drugs per antibody [drug-to-antibody ratio (DAR)]. To allow for ADC optimization for a given target antigen, we developed Dolasynthen (DS), a novel ADC platform based on the payload auristatin hydroxypropylamide, that enables precise DAR-ranging and site-specific conjugation. We used the new platform to optimize an ADC that targets B7-H4 (VTCN1), an immune-suppressive protein that is overexpressed in breast, ovarian, and endometrial cancers. XMT-1660 isa site-specific DS DAR 6 ADC that induced complete tumor regressions in xenograft models of breast and ovarian cancer as well as in a syngeneic breast cancer model that is refractory to PD-1 immune checkpoint inhibition. In a panel of 28 breast cancer PDXs, XMT-1660 demonstrated activity that correlated with B7-H4 expression. XMT-1660 has recentlyentered clinical development in a phase I study (NCT05377996) in patients with cancer.
引用
收藏
页码:999 / 1012
页数:14
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