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Updated: Nov 23, 2025

Dual Bioluminescence Imaging of Tumor Progression and Angiogenesis
Published on: August 1, 2019
ABL001, a Bispecific Antibody Targeting VEGF and DLL4, with Chemotherapy, Synergistically Inhibits Tumor Progression
Dong-Hoon Yeom1,2, Yo-Seob Lee1, Ilhwan Ryu1
1R&D Center, ABL Bio Inc., 2F, 16 Daewangpangyo-ro, 712 beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13488, Korea.
Abstract:
Delta-like-ligand 4 (DLL4) is a promising target to augment the effects of VEGF inhibitors. A simultaneous blockade of VEGF/VEGFR and DLL4/Notch signaling pathways leads to more potent anti-cancer effects by synergistic anti-angiogenic mechanisms in xenograft models. A bispecific antibody targeting VEGF and DLL4 (ABL001/NOV1501/TR009) demonstrates more potent in vitro and in vivo biological activity compared to VEGF or DLL4 targeting monoclonal antibodies alone and is currently being evaluated in a phase 1 clinical study of heavy chemotherapy or targeted therapy pre-treated cancer patients (ClinicalTrials.gov Identifier: NCT03292783). However, the effects of a combination of ABL001 and chemotherapy on tumor vessels and tumors are not known. Hence, the effects of ABL001, with or without paclitaxel and irinotecan were evaluated in human gastric or colon cancer xenograft models. The combination treatment synergistically inhibited tumor progression compared to each monotherapy. More tumor vessel regression and apoptotic tumor cell induction were observed in tumors treated with the combination therapy, which might be due to tumor vessel normalization. Overall, these findings suggest that the combination therapy of ABL001 with paclitaxel or irinotecan would be a better clinical strategy for the treatment of cancer patients.
Insights
Combining ABL001, a dual VEGF/DLL4 inhibitor, with chemotherapy synergistically reduces tumor growth. This combination therapy shows potent anti-cancer effects by normalizing tumor vessels and inducing cancer cell death.
Area of Science:
- Oncology
- Cancer Biology
- Immunotherapy
Background:
- Delta-like-ligand 4 (DLL4) pathway blockade complements VEGF inhibitors for enhanced anti-cancer effects.
- A bispecific antibody (ABL001) targeting both VEGF and DLL4 shows superior activity over single-target antibodies.
- The clinical efficacy of combining ABL001 with chemotherapy remains unexplored.
Purpose of the Study:
- To evaluate the combined effects of ABL001 and chemotherapy on tumor progression.
- To investigate the impact of ABL001 and chemotherapy combination on tumor vasculature and cell apoptosis.
- To determine if ABL001 combined with paclitaxel or irinotecan offers a superior therapeutic strategy.
Main Methods:
- Utilized human gastric and colon cancer xenograft models.
- Administered ABL001 as monotherapy or in combination with paclitaxel or irinotecan.
- Assessed tumor progression, tumor vessel regression, and tumor cell apoptosis.
Main Results:
- Combination therapy demonstrated synergistic inhibition of tumor progression compared to monotherapy.
- Enhanced tumor vessel regression and increased apoptotic tumor cells were observed with combination treatment.
- Tumor vessel normalization is suggested as a mechanism underlying the combination's efficacy.
Conclusions:
- Combination of ABL001 with paclitaxel or irinotecan presents a promising synergistic anti-cancer strategy.
- This combination therapy could offer improved clinical outcomes for cancer patients.
- Targeting both VEGF and DLL4 pathways concurrently with chemotherapy warrants further clinical investigation.
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