AXL Inhibitor TP-0903 Reduces Metastasis and Therapy Resistance in Pancreatic Cancer

Yuqing Zhang1,2,3, Emily N Arner1,2,3, Ali Rizvi1

  • 1Hamon Center for Therapeutic Oncology Research, Dallas, TX.

Insights

An AXL inhibitor, TP-0903, shows promise in treating pancreatic cancer by reducing metastasis and enhancing therapy response. This novel approach may overcome treatment resistance and improve survival rates in pancreatic ductal adenocarcinoma patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Pancreatic cancer has a poor prognosis, with limited treatment options due to therapy resistance and an immunosuppressive tumor microenvironment.
  • Epithelial plasticity, driven by receptor tyrosine kinase AXL, contributes to pancreatic cancer's invasion, metastasis, and immune evasion.
  • High AXL expression correlates with poor outcomes in various cancers, including pancreatic cancer.

Purpose of the Study:

  • To investigate the therapeutic potential of the AXL inhibitor TP-0903 in preclinical models of pancreatic ductal adenocarcinoma (PDA).
  • To evaluate the effects of TP-0903, alone and in combination with standard therapies, on tumor growth, metastasis, and survival.
  • To assess the impact of AXL inhibition on the tumor microenvironment and immune activation.

Main Methods:

  • Utilized preclinical mouse models of pancreatic ductal adenocarcinoma (PDA).
  • Administered TP-0903 as a single agent or in combination with gemcitabine and/or anti-PD1 antibody.
  • Assessed anti-tumor and anti-metastatic effects, survival rates, and analyzed gene expression in tumors.

Main Results:

  • TP-0903 demonstrated significant anti-tumor and anti-metastatic effects in PDA models, improving survival.
  • Combination therapy with TP-0903, gemcitabine, and anti-PD1 antibody showed augmented anti-tumor activity.
  • TP-0903 treatment led to an upregulation of pro-inflammatory and immune activation genes, suggesting an immunostimulatory microenvironment.

Conclusions:

  • Pharmacologic inhibition of AXL with TP-0903 exhibits antitumor and therapy-sensitizing effects in pancreatic cancer.
  • TP-0903 holds potential for overcoming resistance to standard therapies and immune checkpoint blockade in pancreatic cancer.
  • These findings provide a strong rationale for clinical evaluation of TP-0903 in pancreatic cancer treatment.