AI Article Synopsis

  • Antibody-drug conjugates (ADCs) with pyrrolobenzodiazepine (PBD) dimers are showing promise in clinical trials for treating cancer.
  • Next-gen designs focus on adding tumor-selective triggers and using less potent PBDs to enhance treatment effects.
  • The study found that β-glucuronidase-cleavable SG3600 ADCs outperformed traditional SG3400 ADCs in terms of efficacy and stability, relying on β-glucuronidase for their activity.

Article Abstract

Antibody-drug conjugates (ADCs) containing pyrrolobenzodiazepine (PBD) dimers are currently being evaluated in human oncology clinical trials with encouraging results. To further improve the therapeutic window, next-generation PBD drug-linker design has focused on the inclusion of additional tumor-selective triggers and use of lower-potency PBDs. β-Glucuronidase is a well-known target for discovery prodrugs due to increased presence in tumor cells and microenvironment. In this study, a β-glucuronidase cleavable cap was investigated at the PBD N10-position and compared with corresponding free imine ADCs. SG3600 (glucuronide) ADCs showed in vitro and in vivo efficacy/tolerability comparable to SG3400 (imine) ADCs, and good 50% inhibitory concentration differentials were observed in vitro between control non-antigen-targeted ADCs and targeted ADCs. Dependence on β-glucuronidase for SG3600 activity was demonstrated through CRISPRCas9 knockdown studies and addition of exogenous β-glucuronidase. SG3600 showed better serum stability, improved conjugation efficiency and was able to reach high drug-to-antibody ratio without aggregation.

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http://dx.doi.org/10.1016/j.ejmech.2019.06.044DOI Listing

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