SGN-CD33A: Overcoming Multi-Drug Resistance in AML Through Targeted Pyrrolobenzodiazepine Dimer Therapy

3 June 2024
The abstract discusses the limited treatment options for acute myeloid leukemia (AML) and the potential of CD33-targeted therapy. It introduces SGN-CD33A, a new antibody-drug conjugate with a humanized anti-CD33 monoclonal antibody linked to pyrrolobenzodiazepine (PBD) dimer drug molecules through a specific linker. The PBD dimers bind and cross-link DNA, leading to cell cycle arrest, mitochondrial disruption, and cell death.

SGN-CD33A was found to be highly effective against a variety of AML cell lines and patient samples, including those with multidrug resistance (MDR). It showed superior activity compared to Gemtuzumab ozogamicin (GO), a currently used anti-CD33 monoclonal antibody. Resistance to SGN-CD33A was associated with low CD33 expression.

In vivo studies using AML mouse xenograft models demonstrated that SGN-CD33A could induce complete regressions and significantly delay tumor growth in drug-resistant AML, even at lower doses. GO showed minimal activity in comparison.

The results suggest that SGN-CD33A has potent antitumor activity against primary AML samples and could be effective in overcoming multidrug resistance. Clinical trials are planned to further assess its efficacy in AML treatment. Several authors are affiliated with Seattle Genetics, Inc., indicating a potential conflict of interest.

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