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- W2992583613 abstract "Abstract BT5528 is a Bicycle Toxin Conjugate (BTC) in which an EphA2 binding peptide (a Bicycle®) is conjugated through an inert sarcosine spacer chain, and a cleavable linker, to the antimitotic toxin MMAE. Increased EphA2 expression has been reported in multiple tumor types (including NSCLC, ovarian cancer, TNBC, gastric/upper GI, pancreatic and urothelial cancers) and so represents a attractive tumor binding target. The identification, characterization and initial in vivo profiling of BT5528 has previously been described. This abstract describes a more detailed analysis of the mechanism of action of BT5528. Dosing of BT5528 on a once weekly schedule is efficacious in a range of tumour models. Observed anti-tumor activity is closely related to the level of EphA2 expression on tumor cells ranging from complete responses in EphA2 positive models to minimal activity in EphA2 low/null models. Efficacy of BT5528 is also seen in a number of “hard to hit” models including large (~1000mm3) patient derived xenograft models (PDX) including highly-resistant models and PDX models of pancreatic ductal adenocarcinoma. We also demonstrate the utility of BT5528 in disseminated disease in an EphA2 positive model of bone metastasis. Efficacy of BT5528 is seen even when dosed as infrequently as every 2 weeks and is not dependent on infusion duration allowing for flexible drug administration schedule. Additionally, we demonstrate the significance of the BT5528 bystander effect to anti-tumor activity using versions of BT5528 with non-releasable payload as well as non-cell permeable payload. Efficacy of BT5528 is also seen in a number of “hard to hit” models including large (~1000mm3) PDX, highly-resistant models, models of pancreatic cancer, and models of metastatic disease. Importantly, BT5528 can produce this profound efficacy without the bleeding and coagulation toxicity seen with previous ADC approaches to this target. The overall profile of BT5528 provides a highly differentiated approach to targeting EphA2, offering the potential for profound efficacy in a range of solid tumours. IND-enabling activities are underway, with clinical trials expected to start later this year. Citation Format: Gavin Bennett, Amy Brown, Gemma Mudd, Johanna Lahdenranta, Nicholas Keen. BT5528, a Bicycle Toxin Conjugate targeting EphA2: mechanism of action and clinical translation [abstract]. In: Proceedings of the AACR-NCI-EORTC International Conference on Molecular Targets and Cancer Therapeutics; 2019 Oct 26-30; Boston, MA. Philadelphia (PA): AACR; Mol Cancer Ther 2019;18(12 Suppl):Abstract nr C066. doi:10.1158/1535-7163.TARG-19-C066" @default.
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- W2992583613 date "2019-12-01" @default.
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- W2992583613 title "Abstract C066: BT5528, a Bicycle Toxin Conjugate targeting EphA2: mechanism of action and clinical translation" @default.
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