Antibody-drug conjugates for the treatment of non-Hodgkin's lymphoma: target and linker-drug selection

Cancer Res. 2009 Mar 15;69(6):2358-64. doi: 10.1158/0008-5472.CAN-08-2250. Epub 2009 Mar 3.

Abstract

Antibody-drug conjugates (ADC), potent cytotoxic drugs covalently linked to antibodies via chemical linkers, provide a means to increase the effectiveness of chemotherapy by targeting the drug to neoplastic cells while reducing side effects. Here, we systematically examine the potential targets and linker-drug combinations that could provide an optimal ADC for the treatment for non-Hodgkin's lymphoma. We identified seven antigens (CD19, CD20, CD21, CD22, CD72, CD79b, and CD180) for potential treatment of non-Hodgkin's lymphoma with ADCs. ADCs with cleavable linkers mediated in vivo efficacy via all these targets; ADCs with uncleavable linkers were only effective when targeted to CD22 and CD79b. In target-independent safety studies in rats, the uncleavable linker ADCs showed reduced toxicity, presumably due to the reduced release of free drug or other toxic metabolites into the circulation. Thus, our data suggest that ADCs with cleavable linkers work on a broad range of targets, and for specific targets, ADCs with uncleavable linkers provide a promising opportunity to improve the therapeutic window for ADCs in humans.

MeSH terms

  • Animals
  • Antigens, CD / biosynthesis
  • Antigens, CD / immunology
  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / pharmacokinetics
  • B-Lymphocytes / immunology
  • Cross-Linking Reagents / administration & dosage
  • Cross-Linking Reagents / pharmacokinetics
  • Female
  • Immunotoxins / immunology
  • Immunotoxins / pharmacokinetics
  • Immunotoxins / pharmacology*
  • Lymphoma, Non-Hodgkin / drug therapy*
  • Lymphoma, Non-Hodgkin / immunology
  • Maytansine / administration & dosage
  • Maytansine / analogs & derivatives*
  • Maytansine / pharmacokinetics
  • Mice
  • Mice, Inbred ICR
  • Mice, SCID
  • Oligopeptides / administration & dosage*
  • Oligopeptides / pharmacokinetics
  • Rats
  • Sulfhydryl Compounds / administration & dosage*
  • Sulfhydryl Compounds / pharmacokinetics
  • Xenograft Model Antitumor Assays

Substances

  • Antigens, CD
  • Antineoplastic Agents
  • Cross-Linking Reagents
  • Immunotoxins
  • N(2')-deacetyl-N(2')-(3-mercapto-1-oxopropyl)maytansine
  • Oligopeptides
  • Sulfhydryl Compounds
  • monomethylauristatin F
  • Maytansine