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  • The Dolaflexin-based Antibo...
    Bodyak, Natalya D; Mosher, Rebecca; Yurkovetskiy, Aleksandr V; Yin, Mao; Bu, Charlie; Conlon, Patrick R; Demady, Damon R; DeVit, Michael J; Gumerov, Dmitry R; Gurijala, Venu R; Lee, Winnie; McGillicuddy, Dennis; Park, Peter U; Poling, Laura L; Protopova, Marina; Qin, LiuLiang; Stevenson, Cheri A; Ter-Ovanesyan, Elena; Uttard, Alex; Xiao, Dongmei; Xu, Jian; Xu, Ling; Bergstrom, Donald A; Lowinger, Timothy B

    Molecular cancer therapeutics, 05/2021, Volume: 20, Issue: 5
    Journal Article

    Target selection for antibody-drug conjugates (ADC) frequently focuses on identifying antigens with differential expression in tumor and normal tissue, to mitigate the risk of on-target toxicity. However, this strategy restricts the possible target space. SLC34A2/NaPi2b is a sodium phosphate transporter expressed in a variety of human tumors including lung and ovarian carcinoma, as well as the normal tissues from which these tumors arise. Previous clinical trials with a NaPi2b targeting MMAE-ADCs have shown objective durable responses. However, the protein-based biomarker assay developed for use in that study was unable to discern a statistically significant relationship between NaPi2b protein expression and the probability of response. XMT-1536 is a NaPi2b targeting ADC comprised of a unique humanized antibody conjugated with 10-15 auristatin F- hydroxypropylamide (AF-HPA) payload molecules via the Dolaflexin platform. AF-HPA is a cell-permeable, antimitotic compound that is slowly metabolized intratumorally to an active, very low-permeable metabolite, auristatin F (AF), resulting in controlled bystander killing. We describe the preclinical and antitumor effects of XMT-1536 in models of ovarian and lung adenocarcinoma. Pharmacokinetic analysis showed approximately proportional increases in exposure in rat and monkey. Systemic free AF-HPA and AF concentrations were observed to be low in all animal species. Finally, we describe a unique IHC reagent, generated from a chimeric construct of the therapeutic antibody, that was used to derive a target expression and efficacy relationship in a series of ovarian primary xenograft cancer models.