Effect of Ang-2-VEGF-A Bispecific Antibody in Renal Cell Carcinoma

Hideharu Bessho1,2,3, Bernice Wong1,2, Dachuan Huang1,2

  • 1a Laboratory of Cancer Epigenome , National Cancer Centre Singapore , Singapore.

Cancer Investigation
|June 27, 2015
PubMed

Insights

A novel bispecific antibody targeting Angiopoietin-2 (Ang-2) and VEGF shows enhanced anti-tumor effects in renal cell carcinoma (RCC) models. This A2V CrossMab therapy significantly reduced tumor growth and improved outcomes compared to single-target treatments.

Area of Science:

  • Oncology
  • Immunology
  • Vascular Biology

Background:

  • Vascular Endothelial Growth Factor (VEGF) pathway blockade is a validated treatment for renal cell carcinoma (RCC).
  • Angiopoietin-2 (Ang-2) plays a critical role in escaping anti-angiogenic therapy.
  • Dual targeting may overcome resistance mechanisms in RCC treatment.

Purpose of the Study:

  • To evaluate the efficacy of a novel bispecific antibody (A2V CrossMab) targeting both Ang-2 and VEGF.
  • To compare the anti-tumor effects of A2V CrossMab with monotherapies targeting either Ang-2 or VEGF in RCC.
  • To investigate the impact of A2V CrossMab on tumor angiogenesis and related gene expression.

Main Methods:

  • In vivo studies using RCC models to assess tumor growth and vascularization.
  • Administration of A2V CrossMab, anti-VEGF monotherapy, and anti-Ang-2 monotherapy.
  • Measurement of tumor volume, vessel density, interstitial fluid pressure, and angiogenesis-related gene expression.

Main Results:

  • A2V CrossMab significantly reduced tumor volume, vessel density, and interstitial fluid pressure compared to monotherapies.
  • Host-derived angiogenesis-related genes were significantly down-regulated in the A2V CrossMab treatment group.
  • The bispecific antibody demonstrated additive anti-tumor effects.

Conclusions:

  • A2V CrossMab exhibits superior anti-tumor efficacy in RCC models compared to targeting Ang-2 or VEGF alone.
  • Dual inhibition of Ang-2 and VEGF pathways represents a promising therapeutic strategy for renal cell carcinoma.
  • This approach may enhance treatment outcomes by overcoming angiogenesis escape mechanisms.