Selective activation of anticancer prodrugs by monoclonal antibody-enzyme conjugates

P M Wallace1, P D Senter

  • 1Bristol Myers Squibb Pharmaceutical Research Institute, Seattle, Washington.

Insights

Targeted monoclonal antibody-enzyme conjugates enable site-selective anticancer drug generation at solid tumors. This approach enhances drug delivery and antitumor activity compared to systemic administration, offering a promising cancer therapy strategy.

Area of Science:

  • Biotechnology
  • Oncology
  • Pharmacology

Background:

  • Anticancer drug development faces challenges in achieving site-selectivity and minimizing systemic toxicity.
  • Targeted drug delivery systems are crucial for improving therapeutic efficacy in cancer treatment.
  • Monoclonal antibody-enzyme conjugates offer a promising platform for site-specific prodrug activation.

Purpose of the Study:

  • To demonstrate the efficacy of monoclonal antibody-enzyme conjugates for site-selective anticancer drug generation at solid tumors.
  • To evaluate the antitumor activity and specificity of antibody-enzyme/prodrug combinations.
  • To explore the potential of this approach for delivering potent drugs and overcoming multidrug resistance.

Main Methods:

  • Development of monoclonal antibody-beta-lactamase conjugates for activating various anticancer prodrugs.
  • Utilizing targeted cytosine deaminase for enhanced 5-fluorouracil generation within tumors.
  • Investigating prodrugs releasing potent toxins and targeting multidrug-resistant cancer cells.

Main Results:

  • Monoclonal antibody-beta-lactamase conjugate/prodrug combinations showed superior antitumor activity compared to systemic drug administration.
  • The targeted approach demonstrated immunological specificity.
  • Targeted cytosine deaminase resulted in up to 17-fold greater drug delivery within tumors than standalone 5-fluorouracil.

Conclusions:

  • Site-selective prodrug activation using targeted antibody-enzyme conjugates is an effective strategy for cancer therapy.
  • This method significantly enhances drug concentration at the tumor site and improves therapeutic outcomes.
  • The approach holds potential for delivering highly potent drugs and treating challenging cancer phenotypes, including multidrug resistance.

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