Alphav integrin-targeted immunoconjugates regress established human tumors in xenograft models

Qiming Chen1, Hillary J Millar, Francis L McCabe

  • 1Oncology Research, Centocor R&D, Inc., Malvern, Pennsylvania 19087, USA. qchen2@cntus.jnj.com

Abstract

Insights

Targeting alpha(v) integrins on solid tumors with antibody-maytansinoid conjugates shows promise for cancer treatment. CNTO 365 demonstrated superior in vivo antitumor activity compared to other linker-maytansinoid chemistries tested.

Area of Science:

  • Oncology
  • Immunotherapy
  • Drug Development

Background:

  • Targeted delivery of cytotoxic agents to solid tumors via cell surface antigens can minimize systemic toxicity and enhance drug efficacy.
  • Alpha(v) integrins are cell surface antigens overexpressed on various solid tumors, making them attractive targets for cancer therapy.

Purpose of the Study:

  • To demonstrate the feasibility of treating solid tumors by targeting alpha(v) integrins using antibody-maytansinoid conjugates.
  • To evaluate and compare the in vivo antitumor activities of different linker-maytansinoid chemistries within these conjugates.

Main Methods:

  • Three antibody-maytansinoid conjugates (CNTO 364, CNTO 365, CNTO 366) were synthesized by linking a CNTO 95 anti-alpha(v) integrin antibody to distinct maytansinoid-linker structures.
  • Linker structures varied in chemical substitution around the disulfide bond, influencing stability and drug release.
  • A model conjugate confirmed specific cytotoxicity in vitro and significant activity against human tumor xenografts in rats.

Main Results:

  • CNTO 365, featuring a linker with intermediate stability, exhibited substantially greater antitumor activity than conjugates with less or more substitution around the disulfide linkage.
  • In vivo studies in rat xenograft models confirmed the differential efficacy of the tested conjugates.

Conclusions:

  • CNTO 95-maytansinoid immunoconjugates are effective antitumor agents against alpha(v) integrin-expressing human carcinomas.
  • These findings establish the feasibility of targeting alpha(v) integrins on solid tumors using tumor-activated prodrugs.
  • The DM4 linker-maytansinoid configuration in CNTO 365 proved significantly more potent than alternative configurations in the tested models.

Related Concept Videos