Article ; Online: Therapeutic potential of SGN-CD19B, a PBD-based anti-CD19 drug conjugate, for treatment of B-cell malignancies.
2017 Volume 130, Issue 18, Page(s) 2018–2026
Abstract: Patients with relapsed/refractory B-cell malignancies such as non-Hodgkin lymphoma (B-NHL) or acute lymphoblastic leukemia have a poor prognosis. Despite measurable clinical activity with new targeted therapies, many patients do not achieve a complete or ...
Abstract | Patients with relapsed/refractory B-cell malignancies such as non-Hodgkin lymphoma (B-NHL) or acute lymphoblastic leukemia have a poor prognosis. Despite measurable clinical activity with new targeted therapies, many patients do not achieve a complete or durable response suggesting an opportunity to improve upon existing therapies. Here we describe SGN-CD19B, a pyrrolobenzodiazepine (PBD)-based anti-CD19 antibody drug conjugate (ADC) being investigated for treatment of B-cell malignancies, which has improved potency compared with other ADCs. CD19-expressing tumor cells rapidly internalize SGN-CD19B, and the released PBD drug induces DNA damage, resulting in G2/M cell cycle arrest and cell death. SGN-CD19B demonstrated activity against a broad panel of malignant B-cell lines and induced durable regressions in mice bearing xenografts derived from these B-cell malignancies. A single dose of SGN-CD19B induced durable regressions at 300 μg/kg (3 μg/kg drug equivalents); combination with rituximab decreased the curative dose to 100 μg/kg (1 μg/kg drug equivalents). These doses are significantly lower than the level of drug required with other ADC payloads. In cynomolgus monkeys, SGN-CD19B effectively depleted CD20 |
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MeSH term(s) | Animals ; Antibodies/pharmacology ; Antibodies/therapeutic use ; Antigens, CD19/metabolism ; Benzodiazepines/chemistry ; Cell Cycle Checkpoints/drug effects ; Cell Line, Tumor ; Cytotoxicity, Immunologic/drug effects ; Humans ; Lymphoma, B-Cell/drug therapy ; Lymphoma, B-Cell/pathology ; Macaca fascicularis ; Mice, SCID ; Pyrroles/chemistry ; Xenograft Model Antitumor Assays |
Chemical Substances | Antibodies ; Antigens, CD19 ; Pyrroles ; SGN-CD19B ; pyrrolo(2,1-c)(1,4)benzodiazepine ; Benzodiazepines (12794-10-4) |
Language | English |
Publishing date | 2017-09-13 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 80069-7 |
ISSN | 1528-0020 ; 0006-4971 |
ISSN (online) | 1528-0020 |
ISSN | 0006-4971 |
DOI | 10.1182/blood-2017-04-779389 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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