CDCP1-targeting ADC outperforms standard therapies in Ras-mutant pancreatic cancer

Yun Jung Um1, Hee-Dong Noh1, Jin Gu Cho2

  • 1College of Pharmacy, Ajou University, 206 World Cup-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do 16499, Republic of Korea.

PubMed

Insights

A novel antibody-drug conjugate targeting CUB domain containing protein 1 (CDCP1) shows significant promise for treating Ras-mutant cancers, including pancreatic cancer. This new therapy, 2G10-PNU159682, demonstrated superior efficacy and long-lasting tumor remission in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Development

Background:

  • Ras (R-RAS) mutations are prevalent in many cancers, particularly pancreatic cancer, correlating with aggressive disease and poor patient outcomes.
  • CUB domain containing protein 1 (CDCP1) is a key target in Ras-driven cancers, regardless of specific R-RAS mutation.
  • Existing small-molecule inhibitors show limited effectiveness against mutant Ras-driven cancers.

Purpose of the Study:

  • To develop and evaluate a novel antibody-drug conjugate (ADC) targeting CDCP1 for the treatment of Ras-mutant cancers.
  • To assess the correlation between CDCP1 overexpression and R-RAS mutations in pancreatic cancer.
  • To investigate the anti-tumor activity of the CDCP1-targeting ADC, 2G10-PNU159682, in vitro and in vivo.

Main Methods:

  • Generated and characterized a CDCP1-specific monoclonal antibody (2G10) and conjugated it to PNU159682, a topoisomerase II inhibitor.
  • Evaluated the anti-tumor efficacy of 2G10-PNU159682 in pancreatic cancer cell lines with G12D and G12C R-RAS mutations.
  • Assessed the in vivo anti-tumor activity in a mouse xenograft model of R-RAS-mutant pancreatic cancer.

Main Results:

  • CDCP1 overexpression was found to significantly correlate with R-RAS mutations in pancreatic cancer.
  • 2G10-PNU159682 demonstrated superior in vitro efficacy compared to MRTX1133 and sotorasib in G12D- and G12C-mutant cell lines.
  • In vivo studies showed robust anti-tumor activity, achieving complete tumor remission for up to 100 days, outperforming gemcitabine and FOLFIRINOX.

Conclusions:

  • The CDCP1-targeting ADC, 2G10-PNU159682, shows significant therapeutic potential for Ras-mutant cancers.
  • This ADC offers a promising new treatment strategy, especially for pancreatic cancer, demonstrating durable responses even after chemotherapy relapse.
  • Further clinical investigation of 2G10-PNU159682 is warranted for Ras-mutant cancer patients.