Development of a bispecific antibody-drug conjugate targeting EpCAM and CLDN3 for the treatment of multiple solid

Meiying Luo1, Xiaohuan Wang2, Guoji Yu3

  • 1State Key Laboratory of Nonlinear Mechanics, Beijing Key Laboratory of Engineered Construction and Mechanobiology, Institute of Mechanics, Chinese Academy of Sciences, No. 15, North Fourth Ring Road West, Beijing, 100190, China.

Insights

A novel bispecific antibody-drug conjugate (ADC) targets both EpCAM and CLDN3, reducing toxicity in normal tissues. This EpCAM and CLDN3 targeting ADC shows potent anti-tumor efficacy and low toxicity in preclinical studies.

Area of Science:

  • Oncology
  • Immunology
  • Biotechnology

Background:

  • Epithelial cell adhesion molecule (EpCAM) is a key target for antibody-drug conjugates (ADCs) in epithelial cancers.
  • Clinical use of EpCAM ADCs is limited by toxicity in normal tissues with high EpCAM expression.
  • Claudin 3 (CLDN3) is co-expressed with EpCAM in malignancies and minimally expressed in normal tissues, making it an attractive co-target.

Purpose of the Study:

  • To develop a bispecific ADC (BsADC) targeting both EpCAM and CLDN3 to mitigate toxicity in normal tissues.
  • To engineer ADCs with improved therapeutic index by leveraging differential expression of EpCAM and CLDN3.

Main Methods:

  • Screening and modification of monoclonal antibodies for EpCAM and CLDN3 binding and endocytosis.
  • Construction of bispecific antibodies (BsAbs) with restored binding and endocytosis.
  • Generation of BsADCs by conjugating Drutecan (Dxd) to BsAbs via a cleavable linker.

Main Results:

  • The developed BsADCs demonstrated potent binding and inhibited tumor cell growth in vitro.
  • BsADCs showed weak binding to cells with high EpCAM but low CLDN3, suggesting reduced normal tissue toxicity.
  • In vivo studies in mice revealed favorable pharmacokinetics and low toxicity profiles for the BsADCs.

Conclusions:

  • Bispecific ADCs targeting EpCAM and CLDN3 are effective against tumors co-expressing these antigens.
  • This dual-targeting strategy offers a promising approach to reduce ADC-related toxicities.
  • EpCAM/CLDN3 BsADCs represent a potential new therapeutic option for various solid tumors.