Delving into the Latest Updates on Anti-xCT antibody-drug conjugate (Agilvax) with Synapse

Overview

Basic Info

Drug Type

Antibody, Drug conjugates

Synonyms

Anti-xCT-ADC, Anti-xCT-ADC (Agilvax)

Target

SLC7A11

Mechanism

SLC7A11 inhibitors(Cystine/glutamate transporter inhibitors)

Therapeutic Areas

Neoplasms

Active Indication

Neoplasms

Inactive Indication-

Originator Organization

Agilvax, Inc.

Active Organization

Agilvax, Inc.

Inactive Organization-

Drug Highest PhasePreclinical

First Approval Date-

Regulation-

Structure

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Author: Ho, Wei-Hsien ; Ma, Jing-Tyan ; Strop, Pavel ; Kudaravalli, Jyothirmayee ; Stauffer, Angela ; Holz, Charles ; Blasi, Eileen ; Lindquist, Kevin ; Delaria, Kathy ; Shelton, David L ; Tran, Thomas-Toan ; Buetow, Bernard ; Dorywalska, Magdalena ; Chunyk, Allison Given ; Rajpal, Arvind ; Costa, Maria José ; Liu, Shu-Hui ; Zong, Qing

AbstractAntibody-drug conjugates (ADCs) are promising therapies for haematological cancers. Historically, their therapeutic benefit is due to ADC targeting of lineage-restricted antigens. TheC-X-Cmotif chemokinereceptor 4 (CXCR4) is attractive for targeted therapy of haematological cancers, given its expression in multiple tumour types and role in cancer “homing” to bone marrow. However, CXCR4 is also expressed in haematopoietic cells and other normal tissues, raising safety challenges to the development of anti-CXCR4 ADCs for cancer treatment. Here, we designed the first anti-CXCR4 ADC with favourable therapeutic index, effective in xenografts of haematopoietic cancers resistant to standard of care and anti-CXCR4 antibodies. We screened multiple ADC configurations, by varying type of linker-payload, drug-to-antibody ratio (DAR), affinity and Fc format. The optimal ADC bears a non-cleavable linker, auristatin as payload at DAR = 4 and a low affinity antibody with effector–reduced Fc. Contrary to other drugs targeting CXCR4, anti-CXCR4 ADCs effectively eliminated cancer cells as monotherapy, while minimizing leucocytosis. The optimal ADC selectively eliminated CXCR4+cancer cells in solid tumours, but showed limited toxicity to normal CXCR4+tissues, sparing haematopoietic stem cells and progenitors. Our work provides proof-of-concept that through empirical ADC design, it is possible to target proteins with broad normal tissue expression.

100 Deals associated with Anti-xCT antibody-drug conjugate (Agilvax)

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