A DNA-Interacting Payload Designed to Eliminate Cross-Linking Improves the Therapeutic Index of Antibody-Drug Conjugates (ADCs)

Tumor-selective delivery of cytotoxic agents in the form of antibody-drug conjugates (ADCs) is now a clinically validated approach for cancer treatment. In an attempt to improve the clinical success rate of ADCs, emphasis has been recently placed on the use of DNA-cross-linking pyrrolobenzodiazepine...

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Veröffentlicht in:Molecular cancer therapeutics 2018-03, Vol.17 (3), p.650-660
Hauptverfasser: Miller, Michael L, Shizuka, Manami, Wilhelm, Alan, Salomon, Paulin, Reid, Emily E, Lanieri, Leanne, Sikka, Surina, Maloney, Erin K, Harvey, Lauren, Qiu, Qifeng, Archer, Katie E, Bai, Chen, Vitharana, Dilrukshi, Harris, Luke, Singh, Rajeeva, Ponte, Jose F, Yoder, Nicholas C, Kovtun, Yelena, Lai, Katharine C, Ab, Olga, Pinkas, Jan, Keating, Thomas A, Chari, Ravi V J
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container_end_page 660
container_issue 3
container_start_page 650
container_title Molecular cancer therapeutics
container_volume 17
creator Miller, Michael L
Shizuka, Manami
Wilhelm, Alan
Salomon, Paulin
Reid, Emily E
Lanieri, Leanne
Sikka, Surina
Maloney, Erin K
Harvey, Lauren
Qiu, Qifeng
Archer, Katie E
Bai, Chen
Vitharana, Dilrukshi
Harris, Luke
Singh, Rajeeva
Ponte, Jose F
Yoder, Nicholas C
Kovtun, Yelena
Lai, Katharine C
Ab, Olga
Pinkas, Jan
Keating, Thomas A
Chari, Ravi V J
description Tumor-selective delivery of cytotoxic agents in the form of antibody-drug conjugates (ADCs) is now a clinically validated approach for cancer treatment. In an attempt to improve the clinical success rate of ADCs, emphasis has been recently placed on the use of DNA-cross-linking pyrrolobenzodiazepine compounds as the payload. Despite promising early clinical results with this class of ADCs, doses achievable have been low due to systemic toxicity. Here, we describe the development of a new class of potent DNA-interacting agents wherein changing the mechanism of action from a cross-linker to a DNA alkylator improves the tolerability of the ADC. ADCs containing the DNA alkylator displayed similar potency, but improved bystander killing and efficacy, compared with those of the cross-linker. Thus, the improved tolerability and antitumor activity achieved in rodent models with ADCs of the novel DNA alkylator could provide an efficacious, yet safer option for cancer treatment. .
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Thus, the improved tolerability and antitumor activity achieved in rodent models with ADCs of the novel DNA alkylator could provide an efficacious, yet safer option for cancer treatment. .</abstract><cop>United States</cop><pub>American Association for Cancer Research Inc</pub><pmid>29440292</pmid><doi>10.1158/1535-7163.MCT-17-0940</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Association for Cancer Research; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Alkylation
Animal models
Animals
Anticancer properties
Antineoplastic Agents, Alkylating - chemistry
Antineoplastic Agents, Alkylating - metabolism
Antineoplastic Agents, Alkylating - pharmacology
Antitumor activity
Biocompatibility
Cancer
Cancer therapies
Cell Line, Tumor
Cell Survival - drug effects
Conjugates
Cross-Linking Reagents - chemistry
Crosslinking
Cytotoxic agents
Cytotoxicity
Deoxyribonucleic acid
DNA
DNA - genetics
DNA - metabolism
Drug delivery systems
Drug Design
Humans
Immunoconjugates - chemistry
Immunoconjugates - metabolism
Immunoconjugates - pharmacology
Intercalating Agents - chemistry
Intercalating Agents - metabolism
Intercalating Agents - pharmacology
Mice
Neoplasms - drug therapy
Neoplasms - pathology
Therapeutic Index, Drug
Toxicity
Tumor Burden - drug effects
Xenograft Model Antitumor Assays
title A DNA-Interacting Payload Designed to Eliminate Cross-Linking Improves the Therapeutic Index of Antibody-Drug Conjugates (ADCs)
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