An Anti-GDNF Family Receptor Alpha 1 (GFRA1) Antibody-Drug Conjugate for the Treatment of Hormone Receptor-Positive

Sunil Bhakta1, Lisa M Crocker2, Yvonne Chen2

  • 1Genentech, Inc., 1 DNA Way, South San Francisco, California. sbhakta@gene.com jagathjr@gmail.com.

Insights

Researchers developed a novel antibody-drug conjugate targeting Glial cell line-Derived Neurotrophic Factor (GDNF) Family Receptor Alpha 1 (GFRA1) for Luminal A breast cancer. This targeted therapy demonstrated significant efficacy in preclinical models, offering a promising new treatment avenue.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Luminal A breast cancer, a hormone receptor-positive subtype, accounts for 70% of all breast cancer cases.
  • There is a critical need for targeted therapeutics to improve outcomes for Luminal A breast cancer patients.

Purpose of the Study:

  • To identify and characterize novel antibody-drug conjugates (ADCs) targeting Glial cell line-Derived Neurotrophic Factor (GDNF) Family Receptor Alpha 1 (GFRA1) for Luminal A breast cancer treatment.

Main Methods:

  • Utilized RNA sequencing and immunohistochemistry (IHC) to confirm GFRA1 expression in breast cancer tissues.
  • Developed and tested anti-GFRA1 ADCs with a cleavable valine-citrulline-MMAE (vcMMAE) linker-payload.
  • Evaluated ADC efficacy and pharmacokinetics in vitro, in vivo xenograft models (MCF7, KPL-1), and non-human primates.

Main Results:

  • Confirmed abundant GFRA1 expression in Luminal A breast cancer tissues, with minimal expression in normal tissues.
  • Anti-GFRA1-vcMMAE ADC demonstrated target-dependent cell killing and internalized to lysosomes.
  • Showcased robust therapeutic activity in preclinical xenograft models and favorable pharmacokinetic profiles in multiple species.

Conclusions:

  • Anti-GFRA1-vcMMAE ADC exhibits potent anti-tumor activity and a favorable safety profile in preclinical studies.
  • These findings suggest that anti-GFRA1-vcMMAE ADC represents a promising targeted therapeutic strategy for Luminal A breast cancer.

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