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EV20/NMS-P945, a Novel Thienoindole Based Antibody-Drug Conjugate Targeting HER-3 for Solid Tumors
Emily Capone1,2, Rossano Lattanzio1,2, Fabio Gasparri3
1Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy.
Abstract:
HER-3 is becoming an attractive target for antibody-drug conjugate (ADC)-based therapy. Indeed, this receptor and its ligands are found to be overexpressed in several malignancies, and re-activation of its downstream signaling axis is known to play a critical role in modulating the sensitivity of targeted therapeutics in different tumors. In this study, we generated a novel ADC named EV20/NMS-P945 by coupling the anti-HER-3 antibody EV20 with a duocarmycin-like derivative, the thienoindole (TEI) NMS-P528, a DNA minor groove alkylating agent through a peptidic cleavable linker. This ADC showed target-dependent cytotoxic activity in vitro on several tumor cell lines and therapeutic activity in mouse xenograft tumor models, including those originating from pancreatic, prostatic, head and neck, gastric and ovarian cancer cells and melanoma. Pharmacokinetics and toxicological studies in monkeys demonstrated that this ADC possesses a favorable terminal half-life and stability and it is well tolerated. These data support further EV20/NMS-P945 clinical development as a therapeutic agent against HER-3-expressing malignancies.
Insights
A novel antibody-drug conjugate (ADC), EV20/NMS-P945, targets HER-3 expressing cancers. This therapy demonstrated significant efficacy in preclinical models and favorable safety in toxicology studies, supporting clinical development.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- HER-3 receptor is overexpressed in various malignancies.
- HER-3 signaling impacts tumor sensitivity to therapeutics.
- Targeting HER-3 offers a promising therapeutic strategy.
Purpose of the Study:
- To develop and evaluate a novel antibody-drug conjugate (ADC) targeting HER-3.
- To assess the efficacy and safety of EV20/NMS-P945 in preclinical models.
Main Methods:
- Generation of EV20/NMS-P945 by conjugating anti-HER-3 antibody EV20 with NMS-P528 (a duocarmycin-like derivative).
- In vitro cytotoxicity assays on tumor cell lines.
- In vivo efficacy studies using xenograft tumor models.
- Pharmacokinetic and toxicological assessments in non-human primates.
Main Results:
- EV20/NMS-P945 exhibited target-dependent cytotoxicity in vitro.
- The ADC demonstrated therapeutic activity in xenograft models of pancreatic, prostate, head and neck, gastric, ovarian cancers, and melanoma.
- Pharmacokinetic and toxicological studies showed favorable half-life, stability, and tolerability in monkeys.
Conclusions:
- EV20/NMS-P945 is a potent ADC targeting HER-3.
- The compound shows promising preclinical efficacy and safety.
- EV20/NMS-P945 warrants further clinical investigation for HER-3-expressing cancers.
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