General Information of This Drug
Drug ID DRG00020
Drug Name Docetaxel
Synonyms
docetaxel; 114977-28-5; Taxotere; Docetaxel anhydrous; Docetaxel Winthrop; Docetaxol; Docetaxel Kabi; EmDOC; Docetaxolum; Docefrez; Taxoel; Docetaxel Teva; Docetaxel Accord; RP-56976; Docetaxel [INN]; Docetaxel, anhydrous; DOCETAXEL MYLAN; Docecad; NSC-628503; DTXSID0040464; N-debenzoyl-N-tert-butoxycarbonyl-10-deacetyltaxol; RP 56976; TXL; DOCETAXEL TEVA PHARMA; NSC 628503; UNII-699121PHCA; CHEBI:4672; HSDB 6965; N-debenzoyl-N-(tert-butoxycarbonyl)-10-deacetyltaxol; 699121PHCA; Taxotere (TN); RP56976; CABAZITAXEL METABOLITE (RP56976); BIND 014; N-debenzoyl-N-(tert-butoxycarbonyl)-10-deacetylpaclitaxel; DTXCID8020464; CKD-810; NSC628503; [(1S,2S,3R,4S,7R,9S,10S,12R,15S)-4-acetyloxy-1,9,12-trihydroxy-15-[(2R,3S)-2-hydroxy-3-[(2-methylpropan-2-yl)oxycarbonylamino]-3-phenylpropanoyl]oxy-10,14,17,17-tetramethyl-11-oxo-6-oxatetracyclo[11.3.1.03,10.04,7]heptadec-13-en-2-yl] benzoate; Benzenepropanoic acid, beta-(((1,1-dimethylethoxy)carbonyl)amino)-alpha-hydroxy-, 12b-(acetyloxy)-12-(benzoyloxy)-2a,3,4,4a,5,6,9,10,11,12,12a,12b-dodecahydro-4,6,11-trihydroxy-4a,8,13,13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca(3,4)benz(1,2-b)oxet-9-yl ester; Docetaxel, Trihydrate; taxotel; DOCETAXEL (USP-RS); UNII-15H5577CQD; MFCD00800737; Docetaxel (Taxotere); DOCETAXEL (EP MONOGRAPH); DOCETAXEL (USP IMPURITY); DOCETAXEL (USP MONOGRAPH); (1S,2S,3R,4S,7R,9S,10S,12R,15S)-4-(acetyloxy)-15-{[(2R,3S)-3-{[(tert-butoxy)carbonyl]amino}-2-hydroxy-3-phenylpropanoyl]oxy}-1,9,12-trihydroxy-10,14,17,17-tetramethyl-11-oxo-6-oxatetracyclo[11.3.1.0^{3,10}.0^{4,7}]heptadec-13-en-2-yl benzoate; (2alpha,5beta,7beta,10beta,13alpha)-4-(acetyloxy)-13-({(2R,3S)-3-[(tert-butoxycarbonyl)amino]-2-hydroxy-3-phenylpropanoyl}oxy)-1,7,10-trihydroxy-9-oxo-5,20-epoxytax-11-en-2-yl benzoate; (2aR,4S,4aS,6R,9S,11S,12S,12aR,12bS)-12b-acetoxy-9-(((2R,3S)-3-((tert-butoxycarbonyl)amino)-2-hydroxy-3-phenylpropanoyl)oxy)-4,6,11-trihydroxy-4a,8,13,13-tetramethyl-5-oxo-2a,3,4,4a,5,6,9,10,11,12,12a,12b-dodecahydro-1H-7,11-methanocyclodeca[3,4]benzo[1,2-b]oxet-12-yl benzoate; 4-(acetyloxy)-13alpha-({(2R,3S)-3-[(tert-butoxycarbonyl)amino]-2-hydroxy-3-phenylpropanoyl}oxy)-1,7beta,10beta-trihydroxy-9-oxo-5beta,20-epoxytax-11-en-2alpha-yl benzoate; Benzenepropanoic acid, beta-(((1,1-dimethylethoxy)carbonyl)amino)-alpha-hydroxy-, (2aR,4S,4aS,6R,9S,11S,12S,12aR,12bS)-12b-(acetyloxy)-12-(benzoyloxy)-2a,3,4,4a,5,6,9,10,11,12,12a,12b-dodecahydro-4,6,11-trihydroxy-4a,8,13,13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca(3,4)benz(1,2-b)oxet-9-yl ester, (alphaR,betaS)-; CAS-114977-28-5; NSC 759850; Docetaxolum [INN-Latin]; DOCETAXEL TRIHYDRATE (EP MONOGRAPH); docetaxelum; MFCD00871399; docetaxel 114977-28-5; XRP-6976L; ANX-514; SDP-014; SID 530; Docetaxel (TN); Docetaxel- Bio-X; NCGC00181306-01; NCGC00181306-02; 4-(acetyloxy)-13alpha-(((2R,3S)-3-((tert-butoxycarbonyl)amino)-2-hydroxy-3-phenylpropanoyl)oxy)-1,7beta,10beta-trihydroxy-9-oxo-5beta,20-epoxytax-11-en-2alpha-yl benzoate; Taxotere (Aventis); CID148124; Docetaxolum (Latin); N-debenzoyl-N-Boc-10-deacetyl taxol; bind-014; Docetaxel (JAN/INN); DOCETAXEL [JAN]; DOCETAXEL [MI]; CHEMBL92; DOCETAXEL [HSDB]; Benzenepropanoic acid, beta-(((1,1-dimethylethoxy)carbonyl)amino)-alpha-hydroxy-, (2aR,4S,4aS,6R,9S,11S,12S,12aR,12bS)-12b-(acetyloxy)-12-(benzoyloxy)-2a,3,4,4a,5,6,9,10,11,12,12a,12b-dodecahydro-4,6,11-trihydroxy-4a,8,1313-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca(3,4)benz(1,2-b)oxet-9-yl ester, trihydrate, (alphaR,betaS)-; SCHEMBL4419; N Debenzoyl N tert butoxycarbonyl 10 deacetyltaxol; GTPL6809; BIND 014 [WHO-DD]; BDBM36351; SYP-0704A; ZDZOTLJHXYCWBA-VCVYQWHSSA-; AMY4356; L01CD02; 114977-28-5, Docetaxel; HMS2089K08; 114915-20-7; EX-A1206; HY-B0011; Tox21_112781; Tox21_113088; AC-383; DOCETAXEL ANHYDROUS [WHO-DD]; AKOS015960718; AKOS024457953; Tox21_112781_1; CS-1144; DB01248; KS-1452; Docetaxel, purum, >=97.0% (HPLC); NCGC00181306-04; NCGC00242509-01; BD164373; D4102; FT-0625558; NS00006849; D07866; EN300-123047; AB01273941-01; AB01273941-02; Q420436; SR-01000003023; W-60384; Q-100074; SR-01000003023-5; BRD-K30577245-001-04-3; BRD-K30577245-341-01-9; Z1546621742; Anhydrous Docetaxel, European Pharmacopoeia (EP) Reference Standard; (1S,2S,3R,4S,5R,7S,8S,10R,13S)-4-Acetoxy-2-benzoyloxy-5,20-epoxy-1,7,10-trihydroxy-9-oxotax-11-en-13-yl (2R,3S)-3-(1,1-dimethylethyl)oxycarbonylamino-2-hydroxy-3-phenylpropanoate; (2aR,4S,4aS,6R,9S,11S,12S,12aR,12bS)-12b-(acetyloxy)-12-(benzoyloxy)-2a,3,4,4a,5,6,9,10,11,12,12a,12b-dodecahydro-4,6,11-trihydroxy-4a,8,13,13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca[3,4]benz[1,2-b]oxet-9-yl (aR,bS)-b-[[(1,1-dimethylethoxy)carbonyl]amino]-a-hydroxybenzenepropanoate; (2beta,5beta,7alpha,8alpha,10alpha,13alpha)-4-(acetyloxy)-13-({(2R,3S)-3-[(tert-butoxycarbonyl)amino]-2-hydroxy-3-phenylpropanoyl}oxy)-1,7,10-trihydroxy-9-oxo-5,20-epoxytax-11-en-2-yl benzoate; (2R,3S)-N-CARBOXY-3-PHENYLISOSERINE, N-TERT-BUTYL ESTER, 13-ESTER WITH 5.BETA.,20-EPOXY-1,2.ALPHA.,4,7.BETA.,10.BETA.,13.ALPHA.-HEXAHYDROXYTAX-11-EN-9-ONE 4-ACETATE 2-BENZOATE; (2R,3S)-N-CARBOXY-3-PHENYLISOSERINE, N-TERT-BUTYL ESTER, 13-ESTER WITH 5beta,20-EPOXY-1,2alpha,4,7beta,10beta,13alpha-HEXAHYDROXYTAX-11-EN-9-ONE 4-ACETATE 2-BENZOATE; [acetoxy-[(2R,3S)-3-(tert-butoxycarbonylamino)-2-hydroxy-3-phenyl-propanoyl]oxy-trihydroxy-tetramethyl-oxo-[?]yl] benzoate; Benzenepropanoic acid, beta-(((1,1-dimethylethoxy)carbonyl)amino)-alpha-hydroxy-, (2aR,4S,4aR,6R,9S,11S,12S,12aS,12bS)-12b-(acetyloxy)-12-(benzoyloxy)-2a,3,4,4a,5,6,9,10,11,12,12a,12b-dodecahydro-4,4a,6,11-tetrahydroxy-8,12a,13,13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca(3,4)benz(1,2-b)oxet-9-yl ester, (alphaR)-, hydrate (1:3); Benzenepropanoic acid,1-dimethylethoxy)carbonyl]amino]-.alpha.-hydroxy-, (2aR,4S,4aS,6R,9S,11S,12S,12aR,12bS)-12b-(acetyloxy)-12-(benzyloxy)-2a,3,4,4a,5,6,9,10,11,12,12a,12b-dodecahydro-4,6,11-trihydroxy-4a,8,13,13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca[3,4]benz[1,2-b]oxet-9-yl ester, (.alpha.R,.beta.S)
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Target(s) Microtubule (MT)  Target Info 
Structure
Formula
C43H53NO14
#Ro5 Violations (Lipinski): 3 Molecular Weight (mw) 807.9
Lipid-water partition coefficient (xlogp) 1.6
Hydrogen Bond Donor Count (hbonddonor) 5
Hydrogen Bond Acceptor Count (hbondacc) 14
Rotatable Bond Count (rotbonds) 13
PubChem CID
148124
Canonical smiles
CC1=C2C(C(=O)C3(C(CC4C(C3C(C(C2(C)C)(CC1OC(=O)C(C(C5=CC=CC=C5)NC(=O)OC(C)(C)C)O)O)OC(=O)C6=CC=CC=C6)(CO4)OC(=O)C)O)C)O
InChI
InChI=1S/C43H53NO14/c1-22-26(55-37(51)32(48)30(24-15-11-9-12-16-24)44-38(52)58-39(3,4)5)20-43(53)35(56-36(50)25-17-13-10-14-18-25)33-41(8,34(49)31(47)29(22)40(43,6)7)27(46)19-28-42(33,21-54-28)57-23(2)45/h9-18,26-28,30-33,35,46-48,53H,19-21H2,1-8H3,(H,44,52)/t26-,27-,28+,30-,31+,32+,33-,35-,41+,42-,43+/m0/s1
InChIKey
ZDZOTLJHXYCWBA-VCVYQWHSSA-N
IUPAC Name
[(1S,2S,3R,4S,7R,9S,10S,12R,15S)-4-acetyloxy-1,9,12-trihydroxy-15-[(2R,3S)-2-hydroxy-3-[(2-methylpropan-2-yl)oxycarbonylamino]-3-phenylpropanoyl]oxy-10,14,17,17-tetramethyl-11-oxo-6-oxatetracyclo[11.3.1.03,10.04,7]heptadec-13-en-2-yl] benzoate
The activity data of This Drug
Standard Type Value Administration times Administration dosage Cell line Cell line ID Ref.
Tumor Growth Inhibition value (TGI) 0% 20 days 3.75 mg/kg Human triple-negative breast cancer stem cell (hTNBCSC) N.A. [1]
Tumor Growth Inhibition value (TGI) 30% 20 days 15 mg/kg Human triple-negative breast cancer stem cell (hTNBCSC) N.A. [1]
Tumor Growth Inhibition value (TGI) 30% 15 days 15 mg/kg Ovarian cancer stem cell (hOvCSC) N.A. [1]
Tumor Growth Inhibition value (TGI) 35.90% Once a week for 4 weeks 20 mg/kg A-549 cell CVCL_0023 [2]
Half Maximal Inhibitory Concentration (IC50) 109.5 nmol/L 72 h N.A. MDA-MB-231 cell CVCL_0062 [3]
Half Maximal Inhibitory Concentration (IC50) 135.8 nmol/L 72 h N.A. MDA-MB-231 cell CVCL_0062 [3]
Half Maximal Inhibitory Concentration (IC50) 0.39 nM 72 h N.A. SORT1-positive SKMEL28 cell CVCL_0526 [4]
Half Maximal Inhibitory Concentration (IC50) 0.5 nM 48 h N.A. H1975 cell CVCL_1511 [2]
Half Maximal Inhibitory Concentration (IC50) 1.11 nM 48 h N.A. A-549 cell CVCL_0023 [2]
Half Maximal Inhibitory Concentration (IC50) 1.72 nM 72 h N.A. SORT1-positive B16-F10 cell CVCL_0159 [4]
Tumor Growth Inhibition value (TGI) 50% 12 days N.A. N.A. N.A. [4]
Half Maximal Cytotoxicity Concentration (CC50) 60 nM N.A. N.A. HEp-2 cell CVCL_1906 [5]
Half Maximal Cytotoxicity Concentration (CC50) 1.3 uM N.A. N.A. Vero cell CVCL_0059 [5]
Half Maximal Inhibitory Concentration (IC50) 0.2 nM N.A. N.A. LNCaP cell CVCL_0395 [6]
Half Maximal Inhibitory Concentration (IC50) 0.3 nM N.A. N.A. HeLa cell CVCL_0030 [7]
Half Maximal Inhibitory Concentration (IC50) 0.5 nM N.A. N.A. PC-3 cell CVCL_0035 [8]
Half Maximal Inhibitory Concentration (IC50) 0.75 nM N.A. N.A. SK-OV-3 cell CVCL_0532 [9]
Half Maximal Inhibitory Concentration (IC50) 1.7 nM N.A. N.A. MCF-7 cell CVCL_0031 [10]
Half Maximal Inhibitory Concentration (IC50) 4 nM N.A. N.A. HCT 116 cell CVCL_0291 [11]
Half Maximal Inhibitory Concentration (IC50) 5 nM N.A. N.A. DU145 cell CVCL_0105 [12]
Half Maximal Inhibitory Concentration (IC50) 7.2 nM N.A. N.A. HL-60 cell CVCL_0002 [13]
Half Maximal Inhibitory Concentration (IC50) 7.3 nM N.A. N.A. KB cell CVCL_0372 [10]
Half Maximal Inhibitory Concentration (IC50) 8 nM N.A. N.A. PC-3 cell CVCL_0035 [14]
Half Maximal Inhibitory Concentration (IC50) 10 nM N.A. N.A. MDA-MB-231 cell CVCL_0062 [15]
Half Maximal Inhibitory Concentration (IC50) 10.3 nM N.A. N.A. MCF-7 cell CVCL_0031 [16]
Half Maximal Inhibitory Concentration (IC50) 16 nM N.A. N.A. K562 cell CVCL_0004 [17]
Half Maximal Inhibitory Concentration (IC50) 20 nM N.A. N.A. SW620 cell CVCL_0547 [18]
Half Maximal Inhibitory Concentration (IC50) 25 nM N.A. N.A. Capan-1 cell CVCL_0237 [19]
Half Maximal Inhibitory Concentration (IC50) 38 nM N.A. N.A. KB cell CVCL_0372 [16]
Half Maximal Inhibitory Concentration (IC50) 47 nM N.A. N.A. HL-60 cell CVCL_0002 [17]
Half Maximal Inhibitory Concentration (IC50) 50 nM N.A. N.A. KB cell CVCL_0372 [5]
Half Maximal Inhibitory Concentration (IC50) 60 nM N.A. N.A. HEp-2 cell CVCL_1906 [5]
Half Maximal Inhibitory Concentration (IC50) 90 nM N.A. N.A. SiHa cell CVCL_0032 [5]
Half Maximal Inhibitory Concentration (IC50) 130 nM N.A. N.A. Vero cell CVCL_0059 [5]
Half Maximal Inhibitory Concentration (IC50) 950 nM N.A. N.A. Capan-1 cell CVCL_0237 [20]
Half Maximal Inhibitory Concentration (IC50) 1.68 uM N.A. N.A. L132 cell CVCL_1908 [21]
Half Maximal Inhibitory Concentration (IC50) 1.94 uM N.A. N.A. HL-60 cell CVCL_0002 [20]
Half Maximal Inhibitory Concentration (IC50) 13 uM N.A. N.A. HeLa cell CVCL_0030 [22]
Half Maximal Inhibitory Concentration (IC50) 25 uM N.A. N.A. TERT-RPE1 cell CVCL_4388 [20]
Half Maximal Inhibitory Concentration (IC50) 116.54 uM N.A. N.A. CCD-18Co cell CVCL_2379 [18]
Each Peptide-drug Conjugate Related to This Drug
Full Information of The Activity Data of The PDC(s) Related to This Drug
TH1902 [Phase 3]
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 3 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [1]
Indication Melanoma
Efficacy Data Tumor Growth Inhibition value (TGI) 30%
Administration Time 20 days
Administration Dosage 8.75 mg/kg
MOA of PDC
Sortilin (SORT1) is a receptor protein which cycles from the cell surface through intracellular membrane bodies. It binds several circulating proteins and peptides, including progranulin and neurotensin, prior to their rapid intracellular internalization. It is also involved in their intracellular trafficking in endosomal vesicles from the plasma membrane to lysosomes through the endocytic pathway. Deregulation in SORT1 functions has been implicated in cardiovascular disease, Alzheimers disease, and diabetes, whereas its upregulation has been documented in several forms of cancer. Recently, TH1902, a peptide-drug conjugate (PDC) to which two docetaxel molecules were linked to TH19P01 peptide, was generated. TH1902 was demonstrated to recognize and exploit SORT1 functions, and to efficiently inhibit in vitro cell proliferation, and in vivo growth of xenografts from gynecological cancers including triple-negative breast cancer (TNBC)-derived MDA-MB-231 cells, ovarian cancer-derived ES2 and SKOV3 cells, as well as endometrial cancer-derived AN3-CA cells. Interestingly, TH1902 was found to reduce in vitro vasculogenic mimicry (VM) processes in breast and ovarian cancer cells. While some molecular aspects revealing the inter-relationship existence between CSC and VM have been addressed in breast cancer, gastrointestinal cancer, and melanoma, the specific targeting of the CSC subpopulation by TH1902 remains unexplored.

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Description
In vivo assessment in tumor-bearing animal models classically complements cell cultures data for comparing cancer treatment efficacies. For this reason, hTNBCSC and hOvCSC xenografts were implanted subcutaneously into immunodeficient mice as described in the Methods section with only 1000 cells given their highly tumorigenic nature. Three days later, the animals began receiving weekly IV bolus administration of either vehicle, docetaxel, or TH1902. Docetaxel was administered at a dose (15 mg/kg/week; for 3 cycles) in accordance with the estimated maximal tolerated dose (MTD) for mice, as well as at 1/4 of the MTD (3.75 mg/kg/week). TH1902 was administered at doses (35 and 8.75 mg/kg/week) which contained quantities of docetaxel equivalent to those in the two administrations of free docetaxel. From the size of the hTNBCSC and hOvCSC tumors, it is apparent that docetaxel had little impact on xenografts growth when administered neither at its MTD, for both hTNBCSC and hOvCSC, nor at 1/4 of this dosage as reflected by the growth curves. TH1902, when administered at a dosage equivalent to docetaxel at its MTD, provided greater tumor growth inhibition than did docetaxel for both xenograft models. Furthermore, higher dosage of administered TH1902 (up to 1.5 equivalent of docetaxel MTD) did not generate significant differences in terms of hOvCSC tumor inhibition without affecting mice body weights suggesting that TH1902, even at higher doses, is better tolerated compared to docetaxel. Then, in order to statistically compare the effects of docetaxel and TH1902 on tumor growth, the tumor sizes measured at the vehicle group endpoint were compared and statistically significant differences between the tumor sizes in vehicle-treated animals found in TH1902-treated animals for hTNBCSC and hOvCSC. Mouse body weight was used as an indicator of the morbidity associated with administration of docetaxel or TH1902. Administration of docetaxel at its MTD provoked a weight loss that approached 10% after the treatments, which is often observed in xenograft models with administration of docetaxel at this level. The body weights of animals treated with an equivalent quantity or a 1.5-fold equivalent of TH1902 were maintained at a roughly constant level throughout the experiment. The animals treated with vehicle recorded a slight weight gain (~5%) over this period while animals treated with the lower dosages of docetaxel or TH1902 were similar to the animals treated with vehicle. The body weight data indicates that TH1902 appears to be better tolerated than the equivalent quantity of free docetaxel, in addition to the fact that TH1902 is more efficacious than docetaxel when administered in vivo in the murine models of CSC tested.

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In Vivo Model Nude mice hTNBCSC cells xenograft tumor model.
In Vitro Model Triple-negative breast cancer Human triple-negative breast cancer stem cell (hTNBCSC) Homo sapiens
Experiment 2 Reporting the Activity Data of This PDC [1]
Indication Melanoma
Efficacy Data Tumor Growth Inhibition value (TGI) 75%
Administration Time 20 days
Administration Dosage 35 mg/kg
MOA of PDC
Sortilin (SORT1) is a receptor protein which cycles from the cell surface through intracellular membrane bodies. It binds several circulating proteins and peptides, including progranulin and neurotensin, prior to their rapid intracellular internalization. It is also involved in their intracellular trafficking in endosomal vesicles from the plasma membrane to lysosomes through the endocytic pathway. Deregulation in SORT1 functions has been implicated in cardiovascular disease, Alzheimers disease, and diabetes, whereas its upregulation has been documented in several forms of cancer. Recently, TH1902, a peptide-drug conjugate (PDC) to which two docetaxel molecules were linked to TH19P01 peptide, was generated. TH1902 was demonstrated to recognize and exploit SORT1 functions, and to efficiently inhibit in vitro cell proliferation, and in vivo growth of xenografts from gynecological cancers including triple-negative breast cancer (TNBC)-derived MDA-MB-231 cells, ovarian cancer-derived ES2 and SKOV3 cells, as well as endometrial cancer-derived AN3-CA cells. Interestingly, TH1902 was found to reduce in vitro vasculogenic mimicry (VM) processes in breast and ovarian cancer cells. While some molecular aspects revealing the inter-relationship existence between CSC and VM have been addressed in breast cancer, gastrointestinal cancer, and melanoma, the specific targeting of the CSC subpopulation by TH1902 remains unexplored.

   Click to Show/Hide
Description
In vivo assessment in tumor-bearing animal models classically complements cell cultures data for comparing cancer treatment efficacies. For this reason, hTNBCSC and hOvCSC xenografts were implanted subcutaneously into immunodeficient mice as described in the Methods section with only 1000 cells given their highly tumorigenic nature. Three days later, the animals began receiving weekly IV bolus administration of either vehicle, docetaxel, or TH1902. Docetaxel was administered at a dose (15 mg/kg/week; for 3 cycles) in accordance with the estimated maximal tolerated dose (MTD) for mice, as well as at 1/4 of the MTD (3.75 mg/kg/week). TH1902 was administered at doses (35 and 8.75 mg/kg/week) which contained quantities of docetaxel equivalent to those in the two administrations of free docetaxel. From the size of the hTNBCSC and hOvCSC tumors, it is apparent that docetaxel had little impact on xenografts growth when administered neither at its MTD, for both hTNBCSC and hOvCSC, nor at 1/4 of this dosage as reflected by the growth curves. TH1902, when administered at a dosage equivalent to docetaxel at its MTD, provided greater tumor growth inhibition than did docetaxel for both xenograft models. Furthermore, higher dosage of administered TH1902 (up to 1.5 equivalent of docetaxel MTD) did not generate significant differences in terms of hOvCSC tumor inhibition without affecting mice body weights suggesting that TH1902, even at higher doses, is better tolerated compared to docetaxel. Then, in order to statistically compare the effects of docetaxel and TH1902 on tumor growth, the tumor sizes measured at the vehicle group endpoint were compared and statistically significant differences between the tumor sizes in vehicle-treated animals found in TH1902-treated animals for hTNBCSC and hOvCSC. Mouse body weight was used as an indicator of the morbidity associated with administration of docetaxel or TH1902. Administration of docetaxel at its MTD provoked a weight loss that approached 10% after the treatments, which is often observed in xenograft models with administration of docetaxel at this level. The body weights of animals treated with an equivalent quantity or a 1.5-fold equivalent of TH1902 were maintained at a roughly constant level throughout the experiment. The animals treated with vehicle recorded a slight weight gain (~5%) over this period while animals treated with the lower dosages of docetaxel or TH1902 were similar to the animals treated with vehicle. The body weight data indicates that TH1902 appears to be better tolerated than the equivalent quantity of free docetaxel, in addition to the fact that TH1902 is more efficacious than docetaxel when administered in vivo in the murine models of CSC tested.

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In Vivo Model Nude mice hTNBCSC cells xenograft tumor model.
In Vitro Model Triple-negative breast cancer Human triple-negative breast cancer stem cell (hTNBCSC) Homo sapiens
Experiment 3 Reporting the Activity Data of This PDC [4]
Indication Melanoma
Efficacy Data Tumor Growth Inhibition value (TGI) 90%
Administration Time 12 days
Administration Dosage 35 mg/kg/wk
MOA of PDC
The efficacy of current chemotherapeutic treatments against most solid tumors is limited by their systemic toxicity, which is partly associated with the cytotoxic properties of agents such as docetaxel or doxorubicin. To avoid or minimize adverse effects from chemotherapeutic molecules, a promising targeted approach is through peptide-drug conjugates (PDCs) that link anticancer molecules to peptides designed to interact with receptors highly expressed on cancer cells, and which can mediate the molecules rapid internalization within those cells. One such receptor is sortilin (SORT1), also known as neurotensin receptor3, a membranebound receptor that belongs to the VPS10P family of receptors. TH19P01 peptide was recently designed to target and exploit SORT1s ligand internalization function. Studies have confirmed that both TH1902 (a docetaxel-TH19P01 conjugate) and TH1904 (a doxorubicin-TH19P01 conjugate) require a SORT1-dependent mechanism of action to exert anticancer activities. In recent preclinical studies performed in immunocompromised animal models, which are unable to produce mature T-cells, TH1902 was effective against several human SORT1-positive xenograft models including triple-negative breast cancer (TNBC), ovarian cancer, and endometrial cancer.

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Description
B16-F10 melanoma syngeneic tumors were generated, with tumor sizes monitored as described in the Methods section. Tumors in xenograft-bearing, vehicle-treated mice grew at an exponential rate. Partial inhibition of tumor growth was observed after IV administration of 15 mg/kg/wk docetaxel, whereas treatment with a docetaxel-equivalent quantity of TH1902 (35 mg/kg/wk) induced tumor regression after two treatments over the period measured. Due to rapid tumor growth, only two administrations of the test articles could be performed on a weekly schedule. B16-F10 melanoma tumors from the mice treated with either vehicle, docetaxel, or TH1902 were then excised, fixed in formalin, and immunohistochemically examined.

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In Vivo Model SORT1-positive B16-F10 cells female CD1 nude mice xenograft tumor models.
In Vitro Model Mouse melanoma SORT1-positive B16-F10 cell CVCL_0159
Obtained from the Model Organism Data
Click To Hide/Show 6 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Tumor growth inhibition value (TGI) 45.00%
Administration Time 28 days
Administration Dosage 8.75 mg/kg
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
In the ES-2 study, mice treated with low and high doses of TH1902 significantly inhibited the growth of tumors by, respectively, 45% and 87%, whereas both docetaxel groups, at equivalent docetaxel content, produced little effect (Figure 6A and Table 1). Low doses of docetaxel and low and high doses of TH1902 were well-tolerated with slight weight gain, whereas three weekly cycles of treatments with high doses of docetaxel (the MTD for this agent in mice) produced a small weight loss when compared to initial mice weights

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In Vivo Model Female CD-1 nude mice xenograft model.
In Vitro Model Ewing sarcoma ES2 cell CVCL_AX39
Experiment 2 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Tumor growth inhibition value (TGI) 69.00%
Administration Time 28 days
Administration Dosage 8.75 mg/kg
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
In the SKOV3 study, mice treated with low and high doses of TH1902 showed significant inhibitions of tumor growth where only high dose of docetaxel produced this effect (Figure 6B). When compared to vehicle endpoint (Day 28), low dose of TH1902 produced similar tumor growth inhibitions when compared to high dose of docetaxel (69% vs. 84%, respectively) while high dose of TH1902 induced stronger inhibition with slight regression of tumors (Table 1). Moreover, mice treated with high dose of TH1902 showed prolonged inhibitory effect (up to Day 46) where docetaxel-treated mice could not sustain this effect, which is marked by tumor regrowth (Figure 6B).

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In Vivo Model Female CD-1 nude mice xenograft model.
In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cell CVCL_0532
Experiment 3 Reporting the Activity Data of This PDC [23]
Indication Endometrial cancer
Efficacy Data Tumor growth inhibition value (TGI) 74.00%
Administration Time 28 days
Administration Dosage 8.75 mg/kg
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
For mice bearing endometrial tumor xenografts, a similar dosage regimen to that for ovarian tumor xenografts was used as described previously for both docetaxel and TH1902. The growth of AN3-CA tumors was inhibited by both dosages of TH1902, whereas only a high dose of docetaxel could produce this effect. When compared to vehicle endpoint, low dose of TH1902 significantly inhibited the growth of AN3-CA tumors by 74%, whereas both high doses of docetaxel and TH1902 induced tumor regressions. Interestingly, a large portion of tumors (5 out of 6) within the high-dose TH1902 group were unmeasurable or remained in regression for a prolonged period (up to Day 54), whereas tumors in the equivalent docetaxel dose were unresponsive and regrew before the end of treatments. The two high doses were diminished by half for the final two treatments due to weight loss in the animals receiving high-dose docetaxel. Rapid weight loss was associated with administration of high dosage docetaxel, but this was reversed when the dosage was halved. In contrast, only mild weight loss was observed in animals administered with high-dosage TH1902.

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In Vivo Model Female CD-1 nude mice xenograft model.
In Vitro Model Endometrial adenocarcinoma AN3-CA cell CVCL_0028
Experiment 4 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Tumor growth inhibition value (TGI) 84.00%
Administration Time 28 days
Administration Dosage 35 mg/kg
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

   Click to Show/Hide
Description
In the SKOV3 study, mice treated with low and high doses of TH1902 showed significant inhibitions of tumor growth where only high dose of docetaxel produced this effect (Figure 6B). When compared to vehicle endpoint (Day 28), low dose of TH1902 produced similar tumor growth inhibitions when compared to high dose of docetaxel (69% vs. 84%, respectively) while high dose of TH1902 induced stronger inhibition with slight regression of tumors (Table 1). Moreover, mice treated with high dose of TH1902 showed prolonged inhibitory effect (up to Day 46) where docetaxel-treated mice could not sustain this effect, which is marked by tumor regrowth (Figure 6B).

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In Vivo Model Female CD-1 nude mice xenograft model.
In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cell CVCL_0532
Experiment 5 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Tumor growth inhibition value (TGI) 87.00%
Administration Time 28 days
Administration Dosage 35 mg/kg
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

   Click to Show/Hide
Description
In the ES-2 study, mice treated with low and high doses of TH1902 significantly inhibited the growth of tumors by, respectively, 45% and 87%, whereas both docetaxel groups, at equivalent docetaxel content, produced little effect (Figure 6A and Table 1). Low doses of docetaxel and low and high doses of TH1902 were well-tolerated with slight weight gain, whereas three weekly cycles of treatments with high doses of docetaxel (the MTD for this agent in mice) produced a small weight loss when compared to initial mice weights

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In Vivo Model Female CD-1 nude mice xenograft model.
In Vitro Model Ewing sarcoma ES2 cell CVCL_AX39
Experiment 6 Reporting the Activity Data of This PDC [23]
Indication Endometrial cancer
Efficacy Data Tumor growth inhibition value (TGI) 100.00%
Administration Time 28 days
Administration Dosage 35 mg/kg
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

   Click to Show/Hide
Description
For mice bearing endometrial tumor xenografts, a similar dosage regimen to that for ovarian tumor xenografts was used as described previously for both docetaxel and TH1902. The growth of AN3-CA tumors was inhibited by both dosages of TH1902, whereas only a high dose of docetaxel could produce this effect. When compared to vehicle endpoint, low dose of TH1902 significantly inhibited the growth of AN3-CA tumors by 74%, whereas both high doses of docetaxel and TH1902 induced tumor regressions. Interestingly, a large portion of tumors (5 out of 6) within the high-dose TH1902 group were unmeasurable or remained in regression for a prolonged period (up to Day 54), whereas tumors in the equivalent docetaxel dose were unresponsive and regrew before the end of treatments. The two high doses were diminished by half for the final two treatments due to weight loss in the animals receiving high-dose docetaxel. Rapid weight loss was associated with administration of high dosage docetaxel, but this was reversed when the dosage was halved. In contrast, only mild weight loss was observed in animals administered with high-dosage TH1902.

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In Vivo Model Female CD-1 nude mice xenograft model.
In Vitro Model Endometrial adenocarcinoma AN3-CA cell CVCL_0028
Revealed Based on the Cell Line Data
Click To Hide/Show 30 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 33.30%
Administration Time 5 days
Administration Dosage 8.75 mg/kg
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 2 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 42.00%
Administration Time 5 days
Administration Dosage 50mg /kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The in vivo efficacy of TH1902 and docetaxel against a TNBC xenograft model was next investigated in vivo. Thus, nude mice were implanted in the right flank with MDA-MB-231-luc cancer cells, and luminescence was measured to monitor tumor growth. Mice were treated with intraperitoneal injections of either docetaxel at the MTD of 15 mg/kg/wk, or with TH1902 at the maximal injectable dose of 50 mg/kg/wk, both for five cycles of treatment. Unlike the vehicle-treated control group, where the average tumor luminescence increased over time, a significant decline in luminescence intensity was observed, starting at day 5 in the TH1902-treated group. The level of luminescence intensity was also significantly lower in the free docetaxel-treated group, when compared to that in the vehicle-treated control group, but remained higher than that for the TH1902-treated group. Interestingly, tumor relapse was observed in the docetaxel-treated group beginning at day 46, whereas a sustained decrease of tumor volume was maintained in the TH1902-treated group until day 74, at which time point a complete disappearance of the tumor was achieved. Representative images of luminescence are shown for vehicle-, docetaxel-, or TH1902-treated mice at day 14 when the control group reached the tumor volume endpoint and at day 74 post-treatment at the end of the experiment. Quantification of the residual tumor burden at days 14 and 74 after docetaxel or TH1902 treatment was performed, and the analysis confirmed a much better in vivo TH1902 efficacy profile than was seen with unconjugated docetaxel. Given the lack of apoptotic or antiproliferative effects of TH19P01, no rationale supports its further assessment in vivo. As TH1902 is considered a new chemical entity, its best control condition therefore is the unconjugated docetaxel molecule itself. Body weight of mice on intraperitoneal administration of either docetaxel or TH1902 remained within endpoint limits (-20%, data not shown).

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 3 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 50.00%
Administration Time 10 days
Administration Dosage 8.75 mg/kg
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 4 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 55.00%
Administration Time 5 days
Administration Dosage 35 mg/kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

   Click to Show/Hide
Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 5 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 66.70%
Administration Time 15 days
Administration Dosage 8.75 mg/kg
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

   Click to Show/Hide
Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 6 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 70.00%
Administration Time 10 days
Administration Dosage 50mg /kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

   Click to Show/Hide
Description
The in vivo efficacy of TH1902 and docetaxel against a TNBC xenograft model was next investigated in vivo. Thus, nude mice were implanted in the right flank with MDA-MB-231-luc cancer cells, and luminescence was measured to monitor tumor growth. Mice were treated with intraperitoneal injections of either docetaxel at the MTD of 15 mg/kg/wk, or with TH1902 at the maximal injectable dose of 50 mg/kg/wk, both for five cycles of treatment. Unlike the vehicle-treated control group, where the average tumor luminescence increased over time, a significant decline in luminescence intensity was observed, starting at day 5 in the TH1902-treated group. The level of luminescence intensity was also significantly lower in the free docetaxel-treated group, when compared to that in the vehicle-treated control group, but remained higher than that for the TH1902-treated group. Interestingly, tumor relapse was observed in the docetaxel-treated group beginning at day 46, whereas a sustained decrease of tumor volume was maintained in the TH1902-treated group until day 74, at which time point a complete disappearance of the tumor was achieved. Representative images of luminescence are shown for vehicle-, docetaxel-, or TH1902-treated mice at day 14 when the control group reached the tumor volume endpoint and at day 74 post-treatment at the end of the experiment. Quantification of the residual tumor burden at days 14 and 74 after docetaxel or TH1902 treatment was performed, and the analysis confirmed a much better in vivo TH1902 efficacy profile than was seen with unconjugated docetaxel. Given the lack of apoptotic or antiproliferative effects of TH19P01, no rationale supports its further assessment in vivo. As TH1902 is considered a new chemical entity, its best control condition therefore is the unconjugated docetaxel molecule itself. Body weight of mice on intraperitoneal administration of either docetaxel or TH1902 remained within endpoint limits (-20%, data not shown).

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 7 Reporting the Activity Data of This PDC [1]
Indication Melanoma
Efficacy Data Tumor Growth Inhibition value (TGI) 78.60%
Administration Time 15 days
Administration Dosage 35 mg/kg
MOA of PDC
Sortilin (SORT1) is a receptor protein which cycles from the cell surface through intracellular membrane bodies. It binds several circulating proteins and peptides, including progranulin and neurotensin, prior to their rapid intracellular internalization. It is also involved in their intracellular trafficking in endosomal vesicles from the plasma membrane to lysosomes through the endocytic pathway. Deregulation in SORT1 functions has been implicated in cardiovascular disease, Alzheimers disease, and diabetes, whereas its upregulation has been documented in several forms of cancer. Recently, TH1902, a peptide-drug conjugate (PDC) to which two docetaxel molecules were linked to TH19P01 peptide, was generated. TH1902 was demonstrated to recognize and exploit SORT1 functions, and to efficiently inhibit in vitro cell proliferation, and in vivo growth of xenografts from gynecological cancers including triple-negative breast cancer (TNBC)-derived MDA-MB-231 cells, ovarian cancer-derived ES2 and SKOV3 cells, as well as endometrial cancer-derived AN3-CA cells. Interestingly, TH1902 was found to reduce in vitro vasculogenic mimicry (VM) processes in breast and ovarian cancer cells. While some molecular aspects revealing the inter-relationship existence between CSC and VM have been addressed in breast cancer, gastrointestinal cancer, and melanoma, the specific targeting of the CSC subpopulation by TH1902 remains unexplored.

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Description
In vivo assessment in tumor-bearing animal models classically complements cell cultures data for comparing cancer treatment efficacies. For this reason, hTNBCSC and hOvCSC xenografts were implanted subcutaneously into immunodeficient mice as described in the Methods section with only 1000 cells given their highly tumorigenic nature. Three days later, the animals began receiving weekly IV bolus administration of either vehicle, docetaxel, or TH1902. Docetaxel was administered at a dose (15 mg/kg/week; for 3 cycles) in accordance with the estimated maximal tolerated dose (MTD) for mice, as well as at 1/4 of the MTD (3.75 mg/kg/week). TH1902 was administered at doses (35 and 8.75 mg/kg/week) which contained quantities of docetaxel equivalent to those in the two administrations of free docetaxel. From the size of the hTNBCSC and hOvCSC tumors, it is apparent that docetaxel had little impact on xenografts growth when administered neither at its MTD, for both hTNBCSC and hOvCSC, nor at 1/4 of this dosage as reflected by the growth curves. TH1902, when administered at a dosage equivalent to docetaxel at its MTD, provided greater tumor growth inhibition than did docetaxel for both xenograft models. Furthermore, higher dosage of administered TH1902 (up to 1.5 equivalent of docetaxel MTD) did not generate significant differences in terms of hOvCSC tumor inhibition without affecting mice body weights suggesting that TH1902, even at higher doses, is better tolerated compared to docetaxel. Then, in order to statistically compare the effects of docetaxel and TH1902 on tumor growth, the tumor sizes measured at the vehicle group endpoint were compared and statistically significant differences between the tumor sizes in vehicle-treated animals found in TH1902-treated animals for hTNBCSC and hOvCSC. Mouse body weight was used as an indicator of the morbidity associated with administration of docetaxel or TH1902. Administration of docetaxel at its MTD provoked a weight loss that approached 10% after the treatments, which is often observed in xenograft models with administration of docetaxel at this level. The body weights of animals treated with an equivalent quantity or a 1.5-fold equivalent of TH1902 were maintained at a roughly constant level throughout the experiment. The animals treated with vehicle recorded a slight weight gain (~5%) over this period while animals treated with the lower dosages of docetaxel or TH1902 were similar to the animals treated with vehicle. The body weight data indicates that TH1902 appears to be better tolerated than the equivalent quantity of free docetaxel, in addition to the fact that TH1902 is more efficacious than docetaxel when administered in vivo in the murine models of CSC tested.

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In Vitro Model Ovarian cancer Ovarian cancer stem cell (hOvCSC) Homo sapiens
Experiment 8 Reporting the Activity Data of This PDC [1]
Indication Melanoma
Efficacy Data Tumor Growth Inhibition value (TGI) 79%
Administration Time 15 days
Administration Dosage 42.75 mg/kg
MOA of PDC
Sortilin (SORT1) is a receptor protein which cycles from the cell surface through intracellular membrane bodies. It binds several circulating proteins and peptides, including progranulin and neurotensin, prior to their rapid intracellular internalization. It is also involved in their intracellular trafficking in endosomal vesicles from the plasma membrane to lysosomes through the endocytic pathway. Deregulation in SORT1 functions has been implicated in cardiovascular disease, Alzheimers disease, and diabetes, whereas its upregulation has been documented in several forms of cancer. Recently, TH1902, a peptide-drug conjugate (PDC) to which two docetaxel molecules were linked to TH19P01 peptide, was generated. TH1902 was demonstrated to recognize and exploit SORT1 functions, and to efficiently inhibit in vitro cell proliferation, and in vivo growth of xenografts from gynecological cancers including triple-negative breast cancer (TNBC)-derived MDA-MB-231 cells, ovarian cancer-derived ES2 and SKOV3 cells, as well as endometrial cancer-derived AN3-CA cells. Interestingly, TH1902 was found to reduce in vitro vasculogenic mimicry (VM) processes in breast and ovarian cancer cells. While some molecular aspects revealing the inter-relationship existence between CSC and VM have been addressed in breast cancer, gastrointestinal cancer, and melanoma, the specific targeting of the CSC subpopulation by TH1902 remains unexplored.

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Description
In vivo assessment in tumor-bearing animal models classically complements cell cultures data for comparing cancer treatment efficacies. For this reason, hTNBCSC and hOvCSC xenografts were implanted subcutaneously into immunodeficient mice as described in the Methods section with only 1000 cells given their highly tumorigenic nature. Three days later, the animals began receiving weekly IV bolus administration of either vehicle, docetaxel, or TH1902. Docetaxel was administered at a dose (15 mg/kg/week; for 3 cycles) in accordance with the estimated maximal tolerated dose (MTD) for mice, as well as at 1/4 of the MTD (3.75 mg/kg/week). TH1902 was administered at doses (35 and 8.75 mg/kg/week) which contained quantities of docetaxel equivalent to those in the two administrations of free docetaxel. From the size of the hTNBCSC and hOvCSC tumors, it is apparent that docetaxel had little impact on xenografts growth when administered neither at its MTD, for both hTNBCSC and hOvCSC, nor at 1/4 of this dosage as reflected by the growth curves. TH1902, when administered at a dosage equivalent to docetaxel at its MTD, provided greater tumor growth inhibition than did docetaxel for both xenograft models. Furthermore, higher dosage of administered TH1902 (up to 1.5 equivalent of docetaxel MTD) did not generate significant differences in terms of hOvCSC tumor inhibition without affecting mice body weights suggesting that TH1902, even at higher doses, is better tolerated compared to docetaxel. Then, in order to statistically compare the effects of docetaxel and TH1902 on tumor growth, the tumor sizes measured at the vehicle group endpoint were compared and statistically significant differences between the tumor sizes in vehicle-treated animals found in TH1902-treated animals for hTNBCSC and hOvCSC. Mouse body weight was used as an indicator of the morbidity associated with administration of docetaxel or TH1902. Administration of docetaxel at its MTD provoked a weight loss that approached 10% after the treatments, which is often observed in xenograft models with administration of docetaxel at this level. The body weights of animals treated with an equivalent quantity or a 1.5-fold equivalent of TH1902 were maintained at a roughly constant level throughout the experiment. The animals treated with vehicle recorded a slight weight gain (~5%) over this period while animals treated with the lower dosages of docetaxel or TH1902 were similar to the animals treated with vehicle. The body weight data indicates that TH1902 appears to be better tolerated than the equivalent quantity of free docetaxel, in addition to the fact that TH1902 is more efficacious than docetaxel when administered in vivo in the murine models of CSC tested.

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In Vitro Model Ovarian cancer Ovarian cancer stem cell (hOvCSC) Homo sapiens
Experiment 9 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 80.00%
Administration Time 15 days
Administration Dosage 50mg /kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The in vivo efficacy of TH1902 and docetaxel against a TNBC xenograft model was next investigated in vivo. Thus, nude mice were implanted in the right flank with MDA-MB-231-luc cancer cells, and luminescence was measured to monitor tumor growth. Mice were treated with intraperitoneal injections of either docetaxel at the MTD of 15 mg/kg/wk, or with TH1902 at the maximal injectable dose of 50 mg/kg/wk, both for five cycles of treatment. Unlike the vehicle-treated control group, where the average tumor luminescence increased over time, a significant decline in luminescence intensity was observed, starting at day 5 in the TH1902-treated group. The level of luminescence intensity was also significantly lower in the free docetaxel-treated group, when compared to that in the vehicle-treated control group, but remained higher than that for the TH1902-treated group. Interestingly, tumor relapse was observed in the docetaxel-treated group beginning at day 46, whereas a sustained decrease of tumor volume was maintained in the TH1902-treated group until day 74, at which time point a complete disappearance of the tumor was achieved. Representative images of luminescence are shown for vehicle-, docetaxel-, or TH1902-treated mice at day 14 when the control group reached the tumor volume endpoint and at day 74 post-treatment at the end of the experiment. Quantification of the residual tumor burden at days 14 and 74 after docetaxel or TH1902 treatment was performed, and the analysis confirmed a much better in vivo TH1902 efficacy profile than was seen with unconjugated docetaxel. Given the lack of apoptotic or antiproliferative effects of TH19P01, no rationale supports its further assessment in vivo. As TH1902 is considered a new chemical entity, its best control condition therefore is the unconjugated docetaxel molecule itself. Body weight of mice on intraperitoneal administration of either docetaxel or TH1902 remained within endpoint limits (-20%, data not shown).

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 10 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 80.00%
Administration Time 10 days
Administration Dosage 35 mg/kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 11 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 80.00%
Administration Time 20 days
Administration Dosage 8.75 mg/kg
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 12 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 86.00%
Administration Time 15 days
Administration Dosage 35 mg/kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 13 Reporting the Activity Data of This PDC [1]
Indication Melanoma
Efficacy Data Tumor Growth Inhibition value (TGI) 87%
Administration Time 15 days
Administration Dosage 52.5 mg/kg
MOA of PDC
Sortilin (SORT1) is a receptor protein which cycles from the cell surface through intracellular membrane bodies. It binds several circulating proteins and peptides, including progranulin and neurotensin, prior to their rapid intracellular internalization. It is also involved in their intracellular trafficking in endosomal vesicles from the plasma membrane to lysosomes through the endocytic pathway. Deregulation in SORT1 functions has been implicated in cardiovascular disease, Alzheimers disease, and diabetes, whereas its upregulation has been documented in several forms of cancer. Recently, TH1902, a peptide-drug conjugate (PDC) to which two docetaxel molecules were linked to TH19P01 peptide, was generated. TH1902 was demonstrated to recognize and exploit SORT1 functions, and to efficiently inhibit in vitro cell proliferation, and in vivo growth of xenografts from gynecological cancers including triple-negative breast cancer (TNBC)-derived MDA-MB-231 cells, ovarian cancer-derived ES2 and SKOV3 cells, as well as endometrial cancer-derived AN3-CA cells. Interestingly, TH1902 was found to reduce in vitro vasculogenic mimicry (VM) processes in breast and ovarian cancer cells. While some molecular aspects revealing the inter-relationship existence between CSC and VM have been addressed in breast cancer, gastrointestinal cancer, and melanoma, the specific targeting of the CSC subpopulation by TH1902 remains unexplored.

   Click to Show/Hide
Description
In vivo assessment in tumor-bearing animal models classically complements cell cultures data for comparing cancer treatment efficacies. For this reason, hTNBCSC and hOvCSC xenografts were implanted subcutaneously into immunodeficient mice as described in the Methods section with only 1000 cells given their highly tumorigenic nature. Three days later, the animals began receiving weekly IV bolus administration of either vehicle, docetaxel, or TH1902. Docetaxel was administered at a dose (15 mg/kg/week; for 3 cycles) in accordance with the estimated maximal tolerated dose (MTD) for mice, as well as at 1/4 of the MTD (3.75 mg/kg/week). TH1902 was administered at doses (35 and 8.75 mg/kg/week) which contained quantities of docetaxel equivalent to those in the two administrations of free docetaxel. From the size of the hTNBCSC and hOvCSC tumors, it is apparent that docetaxel had little impact on xenografts growth when administered neither at its MTD, for both hTNBCSC and hOvCSC, nor at 1/4 of this dosage as reflected by the growth curves. TH1902, when administered at a dosage equivalent to docetaxel at its MTD, provided greater tumor growth inhibition than did docetaxel for both xenograft models. Furthermore, higher dosage of administered TH1902 (up to 1.5 equivalent of docetaxel MTD) did not generate significant differences in terms of hOvCSC tumor inhibition without affecting mice body weights suggesting that TH1902, even at higher doses, is better tolerated compared to docetaxel. Then, in order to statistically compare the effects of docetaxel and TH1902 on tumor growth, the tumor sizes measured at the vehicle group endpoint were compared and statistically significant differences between the tumor sizes in vehicle-treated animals found in TH1902-treated animals for hTNBCSC and hOvCSC. Mouse body weight was used as an indicator of the morbidity associated with administration of docetaxel or TH1902. Administration of docetaxel at its MTD provoked a weight loss that approached 10% after the treatments, which is often observed in xenograft models with administration of docetaxel at this level. The body weights of animals treated with an equivalent quantity or a 1.5-fold equivalent of TH1902 were maintained at a roughly constant level throughout the experiment. The animals treated with vehicle recorded a slight weight gain (~5%) over this period while animals treated with the lower dosages of docetaxel or TH1902 were similar to the animals treated with vehicle. The body weight data indicates that TH1902 appears to be better tolerated than the equivalent quantity of free docetaxel, in addition to the fact that TH1902 is more efficacious than docetaxel when administered in vivo in the murine models of CSC tested.

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In Vitro Model Ovarian cancer Ovarian cancer stem cell (hOvCSC) Homo sapiens
Experiment 14 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Tumor growth inhibition value (TGI) 91.00%
Administration Time 20 days
Administration Dosage 35 mg/kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

   Click to Show/Hide
Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 15 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Residual tumor burden 2x106 RLU
Administration Time 27 days
Administration Dosage 35 mg/kg
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 16 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Residual tumor burden 6x106 RLU
Administration Time 14 days
Administration Dosage 50mg /kg/wk
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The use of intravenous administration of TH1902 was next investigated in the TNBC-derived MDA-MB-231 xenograft model. Mice subjected to docetaxel treatment were administered with three intravenous injections at 15 mg/kg/wk (MTD), whereas those treated with TH1902 received five injections of an equivalent dose of docetaxel at 35 mg/kg/wk. Similar to what was seen with the intraperitoneal administration protocol, a sustained decrease in tumor size was observed following intravenous administration of TH1902 until day 70, whereas a restart of tumor growth was observed at day 50 for the docetaxel-treated mice. When lower doses, equivalent to the quarter of the MTD, were used of docetaxel (3.75 mg/kg) and TH1902 (8.75 mg/kg), tumor growth as assessed by luminescence intensity was unaffected by intravenous administration of docetaxel, whereas it was significantly inhibited in the TH1902-treated group. This was further confirmed through the measurement of the tumor burden luminescence where TH1902 reduced it significantly in comparison to vehicle- or docetaxel-treated groups. Interestingly, body weight changes remained within endpoint limits in mice on intravenous administration of either docetaxel or TH1902 (data not shown). Similar conclusions were reached on testing another TNBC-derived HCC-70 xenograft model. In fact, administration of TH1902 at 8.75 mg/kg/wk led to a 93% inhibition of HCC-70 tumor growth as compared to 24% for docetaxel alone at an equivalent dose.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 17 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Half maximal inhibitory concentration (IC50) 0.24 ± 0.28 nM
Evaluation Method MTT assay
Administration Time 72 h
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
To determine whether docetaxel or TH1902 inhibited TNBC cell proliferation, MTT assays were performed in MDA-MB-231 and HCC-70 cells exposed to various concentrations of TH19P01, docetaxel or TH1902. Inhibition of MDA-MB-231 cell proliferation was effectively triggered by both docetaxel and TH1902 compounds in a concentration-dependent manner whereas TH19P01 had no effect at the concentrations tested. The IC50 value of TH1902 was found to be comparable to that of docetaxel at low nM concentrations in both MDA-MB-231 and HCC-70 cells, which supports the rationale that conjugated docetaxel can indeed be released from TH1902 once internalized and exert its antiproliferative effect inside the targeted cancer cells. The effect of TH1902 on MBA-MB-231 cell-cycle arrest was also tested. The results show that more than 70% of treated cells were arrested in the G2/M phase of the cell cycle in comparison to vehicle-treated control cells where ~14% of the cells remained in the G2/M phase. While TH19P01 appears to be an inert peptide with no in vitro antiproliferative effects, these data confirm both the growth inhibitory effect of TH1902 and, more importantly, that the docetaxel anticancer potency was unaffected by its conjugation to the TH19P01 peptide.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 18 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Half maximal inhibitory concentration (IC50) 0.29 ± 0.24 nM
Administration Time 72 h
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
Cells were thus exposed to various concentrations of TH1902 or docetaxel, and the effects on cell proliferation were measured using the MTT detection assay. It is apparent that both reagents exerted a cytotoxic effect with IC50 values of TH1902 comparable to that of docetaxel at low nM concentrations in the four cell lines tested. This supports the rationale that conjugated docetaxel can be released from TH1902 and exert its anti-proliferative effect inside the targeted cancer cells. Parallel experiment showed that cell proliferation was unaffected by the free peptide (TH19P01) at concentrations up to 1000 nM.

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In Vitro Model Endometrial adenocarcinoma AN3-CA cell CVCL_0028
Experiment 19 Reporting the Activity Data of This PDC [4]
Indication Melanoma
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.38 nM
Evaluation Method MTT assay
Administration Time 72 h
MOA of PDC
The cancer phenotype is commonly associated with aberrant glycosylation patterns. One glycan that is directly linked to cancer is the Thomsen-Friedenreich antigen (TF or CD176). It is a disaccharide composed of a galactose β1-3 N-acetylgalactosamine, O-linked to a glycoprotein through serine or threonine residues and commonly written as Galβ1-3GalNAc--O-Ser/Thr. The TF is therapeutically attractive due to its cryptic nature in normal cells and exposure in embryonic and cancer cells. The expression of the TF has been demonstrated in 90% of primary human carcinomas, including in the lung, the breast, and the pancreas. Additionally, cancer initiating cells or cancer stem cells in the lung, liver, and colon express the TF. The peptide sequence HGRFILPWWYAFSPS (TF-peptide) is known to bind tightly to the TF (Kd = 1.2 M) and has been demonstrated to inhibit processes directly involved in TF accessibility.

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Description
SORT1-positive SK-MEL-28 and B16-F10 melanoma cells were selected for testing the anti-proliferative effect of docetaxel and TH1902. When TH1902 biological effects were monitored, the half-maximal inhibitory concentration (IC50) of TH1902 was similar to that of docetaxel, averaging 0.38 vs. 0.39 nM, respectively, in human SK-MEL-28 cells, and 2.57 vs. 1.72 nM in murine B16-F10 cells.

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In Vitro Model Cutaneous melanoma SORT1-positive SKMEL28 cell CVCL_0526
Experiment 20 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Half maximal inhibitory concentration (IC50) 0.55 ± 0.21 nM
Evaluation Method MTT assay
Administration Time 72 h
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
Cells were thus exposed to various concentrations of TH1902 or docetaxel, and the effects on cell proliferation were measured using the MTT detection assay. It is apparent that both reagents exerted a cytotoxic effect with IC50 values of TH1902 comparable to that of docetaxel at low nM concentrations in the four cell lines tested. This supports the rationale that conjugated docetaxel can be released from TH1902 and exert its anti-proliferative effect inside the targeted cancer cells. Parallel experiment showed that cell proliferation was unaffected by the free peptide (TH19P01) at concentrations up to 1000 nM.

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In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cell CVCL_0532
Experiment 21 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Half maximal inhibitory concentration (IC50) 1.00 ±0.55 nM
Evaluation Method MTT assay
Administration Time 72 h
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
To determine whether docetaxel or TH1902 inhibited TNBC cell proliferation, MTT assays were performed in MDA-MB-231 and HCC-70 cells exposed to various concentrations of TH19P01, docetaxel or TH1902. Inhibition of MDA-MB-231 cell proliferation was effectively triggered by both docetaxel and TH1902 compounds in a concentration-dependent manner whereas TH19P01 had no effect at the concentrations tested. The IC50 value of TH1902 was found to be comparable to that of docetaxel at low nM concentrations in both MDA-MB-231 and HCC-70 cells, which supports the rationale that conjugated docetaxel can indeed be released from TH1902 once internalized and exert its antiproliferative effect inside the targeted cancer cells. The effect of TH1902 on MBA-MB-231 cell-cycle arrest was also tested. The results show that more than 70% of treated cells were arrested in the G2/M phase of the cell cycle in comparison to vehicle-treated control cells where ~14% of the cells remained in the G2/M phase. While TH19P01 appears to be an inert peptide with no in vitro antiproliferative effects, these data confirm both the growth inhibitory effect of TH1902 and, more importantly, that the docetaxel anticancer potency was unaffected by its conjugation to the TH19P01 peptide.

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In Vitro Model Breast ductal carcinoma HCC70 cell CVCL_1270
Half life period 1.44 h
Experiment 22 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Half maximal inhibitory concentration (IC50) 1.58±0.07 nM
Evaluation Method MTT assay
Administration Time 72 h
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
For mice bearing endometrial tumor xenografts, a similar dosage regimen to that for ovarian tumor xenografts was used as described previously for both docetaxel and TH1902. The growth of AN3-CA tumors was inhibited by both dosages of TH1902, whereas only
In Vitro Model Ovarian clear cell adenocarcinoma ES-2 cell CVCL_3509
Experiment 23 Reporting the Activity Data of This PDC [4]
Indication Melanoma
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 2.57 nM
Evaluation Method MTT assay
Administration Time 72 h
MOA of PDC
As a payload for PDCs (and ADCs), analogues of the duocarmycins are attractive. Duocarmycin SA and yatakemycin rank among the most potent natural cytotoxins discovered. The cyclopropyl and prodrug seco forms are both naturally occurring and equipotent in most circumstances. Studies of the binding-driven bonding model of their interaction with DNA suggest that their utility will be enhanced when targeted to tumor cells. In fact, SYD985, an ADC that utilizes a peptide linker for a duocarmycin analogue to trastuzumab, has recently been progressed to phase III clinical trial.

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Description
SORT1-positive SK-MEL-28 and B16-F10 melanoma cells were selected for testing the anti-proliferative effect of docetaxel and TH1902. When TH1902 biological effects were monitored, the half-maximal inhibitory concentration (IC50) of TH1902 was similar to that of docetaxel, averaging 0.38 vs. 0.39 nM, respectively, in human SK-MEL-28 cells, and 2.57 vs. 1.72 nM in murine B16-F10 cells.

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In Vitro Model Mouse melanoma SORT1-positive B16-F10 cell CVCL_0159
Experiment 24 Reporting the Activity Data of This PDC [23]
Indication Endometrial cancer
Efficacy Data Half maximal inhibitory concentration (IC50) 3.99 ± 0.96 nM
Administration Time 72 h
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

   Click to Show/Hide
Description
Cells were thus exposed to various concentrations of TH1902 or docetaxel, and the effects on cell proliferation were measured using the MTT detection assay. It is apparent that both reagents exerted a cytotoxic effect with IC50 values of TH1902 comparable to that of docetaxel at low nM concentrations in the four cell lines tested. This supports the rationale that conjugated docetaxel can be released from TH1902 and exert its anti-proliferative effect inside the targeted cancer cells. Parallel experiment showed that cell proliferation was unaffected by the free peptide (TH19P01) at concentrations up to 1000 nM.

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In Vitro Model Ovarian endometrioid adenocarcinoma A2780 cell CVCL_0134
Experiment 25 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Apotosis rate 9.00%
Evaluation Method Flow cytometry
Administration Time 5 h
Administration Dosage 5 μM
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The impact of docetaxel and TH1902 on MDA-MB-231 cellular morphology was evaluated and visualized by light microscopy. A drastic change in cell shape was observed in both docetaxel- and TH1902-treated cells when compared to control cells. As already reported for docetaxel-treated human renal clear cell carcinoma, MDA-MB-231 cells treated with docetaxel appeared more contracted than control cells. Interestingly, TH1902-treated cell morphology appeared even smaller, less flattened, and presented greater inter-cell spacing in comparison to those treated with free docetaxel. This observation confirms the enhanced cytotoxic effect of TH1902 when compared to docetaxel. Docetaxel is further believed to exert its cytotoxic effects through both cell cycle regulation and apoptosis induction. MDA-MB-231 cells were therefore treated for 5 or 24 hours with various concentrations of either docetaxel or TH1902, followed by AnnexinV/PI staining. TH1902 increased MDA-MB-231 cell apoptosis in a dose-dependent manner when compared to docetaxel treatment. Less than 1% apoptotic cells were measured when cells were treated with 50 μM TH19P01 for 24 hours (data not shown). Overall, this suggests that, even within such a short time frame, receptor-mediated events account for the increased effects of TH1902. Finally, to confirm the role of SORT1 in TH1902 internalization and induced apoptosis, pharmacological inhibition of its apoptotic activity was measured after incubating MDA-MB-231 breast cancer cells with TH1902 in the presence or absence of the free unlabeled TH19P01 peptide or of one of the two different SORT1 ligands neurotensin or progranulin. The apoptosis assay showed that excess TH19P01 peptide, neurotensin or progranulin competitively reduced TH1902-induced cell death by 68%, 53% and 87%, respectively. This confirms the involvement of SORT1 in the internalization process of TH1902 leading to cell death in a TNBC cell model.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 26 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Apotosis rate 19.00%
Evaluation Method Flow cytometry
Administration Time 24 h
Administration Dosage 5 μM
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The impact of docetaxel and TH1902 on MDA-MB-231 cellular morphology was evaluated and visualized by light microscopy. A drastic change in cell shape was observed in both docetaxel- and TH1902-treated cells when compared to control cells. As already reported for docetaxel-treated human renal clear cell carcinoma, MDA-MB-231 cells treated with docetaxel appeared more contracted than control cells. Interestingly, TH1902-treated cell morphology appeared even smaller, less flattened, and presented greater inter-cell spacing in comparison to those treated with free docetaxel. This observation confirms the enhanced cytotoxic effect of TH1902 when compared to docetaxel. Docetaxel is further believed to exert its cytotoxic effects through both cell cycle regulation and apoptosis induction. MDA-MB-231 cells were therefore treated for 5 or 24 hours with various concentrations of either docetaxel or TH1902, followed by AnnexinV/PI staining. TH1902 increased MDA-MB-231 cell apoptosis in a dose-dependent manner when compared to docetaxel treatment. Less than 1% apoptotic cells were measured when cells were treated with 50 μM TH19P01 for 24 hours (data not shown). Overall, this suggests that, even within such a short time frame, receptor-mediated events account for the increased effects of TH1902. Finally, to confirm the role of SORT1 in TH1902 internalization and induced apoptosis, pharmacological inhibition of its apoptotic activity was measured after incubating MDA-MB-231 breast cancer cells with TH1902 in the presence or absence of the free unlabeled TH19P01 peptide or of one of the two different SORT1 ligands neurotensin or progranulin. The apoptosis assay showed that excess TH19P01 peptide, neurotensin or progranulin competitively reduced TH1902-induced cell death by 68%, 53% and 87%, respectively. This confirms the involvement of SORT1 in the internalization process of TH1902 leading to cell death in a TNBC cell model.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 27 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Apotosis rate 22.00%
Evaluation Method Flow cytometry
Administration Time 5 h
Administration Dosage 10 μM
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The impact of docetaxel and TH1902 on MDA-MB-231 cellular morphology was evaluated and visualized by light microscopy. A drastic change in cell shape was observed in both docetaxel- and TH1902-treated cells when compared to control cells. As already reported for docetaxel-treated human renal clear cell carcinoma, MDA-MB-231 cells treated with docetaxel appeared more contracted than control cells. Interestingly, TH1902-treated cell morphology appeared even smaller, less flattened, and presented greater inter-cell spacing in comparison to those treated with free docetaxel. This observation confirms the enhanced cytotoxic effect of TH1902 when compared to docetaxel. Docetaxel is further believed to exert its cytotoxic effects through both cell cycle regulation and apoptosis induction. MDA-MB-231 cells were therefore treated for 5 or 24 hours with various concentrations of either docetaxel or TH1902, followed by AnnexinV/PI staining. TH1902 increased MDA-MB-231 cell apoptosis in a dose-dependent manner when compared to docetaxel treatment. Less than 1% apoptotic cells were measured when cells were treated with 50 μM TH19P01 for 24 hours (data not shown). Overall, this suggests that, even within such a short time frame, receptor-mediated events account for the increased effects of TH1902. Finally, to confirm the role of SORT1 in TH1902 internalization and induced apoptosis, pharmacological inhibition of its apoptotic activity was measured after incubating MDA-MB-231 breast cancer cells with TH1902 in the presence or absence of the free unlabeled TH19P01 peptide or of one of the two different SORT1 ligands neurotensin or progranulin. The apoptosis assay showed that excess TH19P01 peptide, neurotensin or progranulin competitively reduced TH1902-induced cell death by 68%, 53% and 87%, respectively. This confirms the involvement of SORT1 in the internalization process of TH1902 leading to cell death in a TNBC cell model.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 28 Reporting the Activity Data of This PDC [24]
Indication Triple-negative breast cancer
Efficacy Data Apotosis rate 35.00%
Evaluation Method Flow cytometry
Administration Time 24 h
Administration Dosage 10 μM
MOA of PDC
Triple-negative breast cancer (TNBC) is a heterogeneous subgroup of cancers which lacks the expression and/or amplification of targetable biomarkers (ie, estrogen receptor, progestrogen receptor, and human epidermal growth factor receptor 2), and is often associated with the worse disease-specific outcomes than other breast cancer subtypes. Here, we report that high expression of the sortilin (SORT1) receptor correlates with the decreased survival in TNBC patients, and more importantly in those bearing lymph node metastases. By exploiting SORT1 function in ligand internalization, a new anticancer treatment strategy was designed to target SORT1-positive TNBC-derived cells both in vitro and in two in vivo tumor xenografts models. A peptide (TH19P01), which requires SORT1 for internalization and to which many anticancer drugs could be conjugated, was developed. In vitro, while the TH19P01 peptide itself did not exert any antiproliferative or apoptotic effects, the docetaxel-TH19P01 conjugate (TH1902) exerted potent antiproliferative and antimigratory activities when tested on TNBC-derived MDA-MB-231 cells. TH1902 triggered faster and more potent apoptotic cell death than did unconjugated docetaxel. The apoptotic and antimigratory effects of TH1902 were both reversed by two SORT1 ligands, neurotensin and progranulin, and on siRNA-mediated silencing of SORT1. TH1902 also altered microtubule polymerization and triggered the downregulation of the anti-apoptotic Bcl-xL biomarker. In vivo, both i.p. and i.v. administrations of TH1902 led to greater tumor regression in two MDA-MB-231 and HCC-70 murine xenograft models than did docetaxel, without inducing neutropenia. Altogether, the data demonstrates the high in vivo efficacy and safety of TH1902 against TNBC through a SORT1 receptor-mediated mechanism. This property allows for selective treatment of SORT1-positive TNBC and makes TH1902 a promising avenue for personalized therapy with the potential of improving the therapeutic window of cytotoxic anticancer drugs such as docetaxel.

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Description
The impact of docetaxel and TH1902 on MDA-MB-231 cellular morphology was evaluated and visualized by light microscopy. A drastic change in cell shape was observed in both docetaxel- and TH1902-treated cells when compared to control cells. As already reported for docetaxel-treated human renal clear cell carcinoma, MDA-MB-231 cells treated with docetaxel appeared more contracted than control cells. Interestingly, TH1902-treated cell morphology appeared even smaller, less flattened, and presented greater inter-cell spacing in comparison to those treated with free docetaxel. This observation confirms the enhanced cytotoxic effect of TH1902 when compared to docetaxel. Docetaxel is further believed to exert its cytotoxic effects through both cell cycle regulation and apoptosis induction. MDA-MB-231 cells were therefore treated for 5 or 24 hours with various concentrations of either docetaxel or TH1902, followed by AnnexinV/PI staining. TH1902 increased MDA-MB-231 cell apoptosis in a dose-dependent manner when compared to docetaxel treatment. Less than 1% apoptotic cells were measured when cells were treated with 50 μM TH19P01 for 24 hours (data not shown). Overall, this suggests that, even within such a short time frame, receptor-mediated events account for the increased effects of TH1902. Finally, to confirm the role of SORT1 in TH1902 internalization and induced apoptosis, pharmacological inhibition of its apoptotic activity was measured after incubating MDA-MB-231 breast cancer cells with TH1902 in the presence or absence of the free unlabeled TH19P01 peptide or of one of the two different SORT1 ligands neurotensin or progranulin. The apoptosis assay showed that excess TH19P01 peptide, neurotensin or progranulin competitively reduced TH1902-induced cell death by 68%, 53% and 87%, respectively. This confirms the involvement of SORT1 in the internalization process of TH1902 leading to cell death in a TNBC cell model.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 1.44 h
Experiment 29 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Apotosis rate 45.00%
Evaluation Method Annexin X/PI staining combined with flow cytometry
Administration Time 5 h
Administration Dosage 2 μM
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
The results show that TH1902 induces more efficiently apoptosis in both cell lines when compared to docetaxel especially in SKOV3 cells. Overall, this suggests that receptor-mediated events appear to account for the increased effects of TH1902 within such a short time frame. To confirm the implication of SORT1 in TH1902 internalization and apoptosis induction, SORT1 was transiently silenced in ES-2 and SKOV3 cells.

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In Vitro Model Ovarian serous cystadenocarcinoma SK-OV-3 cell CVCL_0532
Experiment 30 Reporting the Activity Data of This PDC [23]
Indication Ovarian cancer
Efficacy Data Apotosis rate 47.00%
Evaluation Method Annexin X/PI staining combined with flow cytometry
Administration Time 5 h
Administration Dosage 2 μM
MOA of PDC
TH1902 is a peptide-drug conjugate with a payload of two docetaxel molecules ester-linked to a peptide (TH19P01) designed to recognize SORT1. Studies in breast and ovarian cancer cell lines have shown that TH1902 exploited SORT1s ligand internalization functions and exerted potent antiproliferative and anti-migratory effects. Within the cell, the docetaxel molecules are released from the conjugate and can then affect polymerization of microtubules leading to aberrant mitosis and apoptosis. Intravenous administration of TH1902 to mice bearing xenografts of MDA-MB-231 breast cancer cells demonstrated a marked superiority of TH1902 over free docetaxel in preventing the growth and relapse of subcutaneous xenografts. In a previous study, SORT1 was reported to have a role in vasculogenic mimicry (VM), and TH1902 was shown to inhibit in vitro VM in these cells and in the ES-2 ovarian cancer cell line.

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Description
The results show that TH1902 induces more efficiently apoptosis in both cell lines when compared to docetaxel especially in SKOV3 cells. Overall, this suggests that receptor-mediated events appear to account for the increased effects of TH1902 within such a short time frame. To confirm the implication of SORT1 in TH1902 internalization and apoptosis induction, SORT1 was transiently silenced in ES-2 and SKOV3 cells.

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In Vitro Model Ovarian clear cell adenocarcinoma ES-2 cell CVCL_3509
DTX-P7 [Preclinical]
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 1 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [2]
Indication Non-small cell lung cancer
Efficacy Data Tumor Growth Inhibition value (TGI) 93.2% (Day 28)
Evaluation Method Tumor volume detection assay
Administration Time Once a week for 4 weeks
Administration Dosage 20 mg/kg
MOA of PDC
Collecitvely, by force of active targeting delivery of DTX via membrane-bound Hsp90, DTX-P7 induces unfolded protein response and subsequent apoptosis by degrading Hsp90, meanwhile awakens and kills the dormant cancer stem cells.
Description
Intraperitoneal administration of 20 mg/kg DTX-P7 (equivalent to DTX dose calculated as DTX) reduced tumor growth by 93.2% compared with control mice, whereas the tumor growth inhibition of DTX was only 35.9%.
In Vivo Model A549 cells mouse xenograft model.
In Vitro Model Lung adenocarcinoma A-549 cell CVCL_0023
Revealed Based on the Cell Line Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [2]
Indication Non-small cell lung cancer
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 0.62 nM
Evaluation Method CCK-8 assay
Administration Time 48 h
MOA of PDC
Collecitvely, by force of active targeting delivery of DTX via membrane-bound Hsp90, DTX-P7 induces unfolded protein response and subsequent apoptosis by degrading Hsp90, meanwhile awakens and kills the dormant cancer stem cells.
Description
Intraperitoneal administration of 20 mg/kg DTX-P7 (equivalent to DTX dose calculated as DTX) reduced tumor growth by 93.2% compared with control mice, whereas the tumor growth inhibition of DTX was only 35.9%.
In Vitro Model Lung adenocarcinoma H1975 cell CVCL_1511
Experiment 2 Reporting the Activity Data of This PDC [2]
Indication Non-small cell lung cancer
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 11.4 nM
Evaluation Method CCK-8 assay
Administration Time 48 h
MOA of PDC
Collecitvely, by force of active targeting delivery of DTX via membrane-bound Hsp90, DTX-P7 induces unfolded protein response and subsequent apoptosis by degrading Hsp90, meanwhile awakens and kills the dormant cancer stem cells.
Description
Intraperitoneal administration of 20 mg/kg DTX-P7 (equivalent to DTX dose calculated as DTX) reduced tumor growth by 93.2% compared with control mice, whereas the tumor growth inhibition of DTX was only 35.9%.
In Vitro Model Lung adenocarcinoma A-549 cell CVCL_0023
MPD3 [Investigative]
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 3 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [25]
Indication Metastatic triple-negative breast cancer
Efficacy Data Tumor Growth Inhibition value (TGI) 48.40%
Administration Time 3 weeks
Administration Dosage 3 mg/kg
MOA of PDC
To demonstrate our strategy, we developed a peptide-drug conjugate (PDC) composed of the caspase-3 cleavablepeptide sequence(DEVD), an albumin-binding functional moiety, and docetaxel linked to the peptide via self-immolated linker. Functionalization of albumin-binding domain enables intravenously injected PDC to spontaneously bind to circulatingserum albumin, which is employed as a drug carrier capable of inducing macropinocytic uptake of the conjugate. Furthermore, in order to combat tumoral heterogeneity, a unique peptide sequence of DEVD is deployed, which is a core component of the PDC that propagates bystander killing of cancer cells. More specifically, caspase-3 is triggered from albumin-metabolism induced apoptosis in PTEN-loss cancer cells, which in turn recognizes and activates extracellular PDC to release the payload. The released hydrophobic payload subsequently penetrates neighboring cancer cells, thereby inducing bystander killing in a non-selective manner, leading to the continual amplification ofin-situapoptosis. Additionally, to boost the apoptosis of initial cancer cells and caspase-3 expression, we used olaparib as a combination therapeutic agent. Given that olaparib is the first targeted therapy approved against metastatic TNBC with BRCA mutation, we reasoned that combination therapy with olaparib has the potential to induce apoptosis in BRCA mutant cancer cells and intensify tumoral apoptosis. In this study, we demonstrate the therapeutic potential of exploiting PTEN-loss drivenbiomimeticdrug delivery and the significant therapeutic benefit of combination therapy in the treatment of metastatic TNBC with altered PTEN and BRCA using our novel PDC.

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Description
To examine whether BRCA and PTEN alteration status affect the anti-tumor efficacy of olaparib/MPD3 combination, we performedin vivoexperiments on Hs578t-tumor and BT549-tumor bearing balb/cnude mice. As expected, olaparib monotherapy in Hs578t or BT549 tumors did not show detectable tumor suppressing efficacy, which could be ascribed to the poor sensitivity of olaparib in BRCA wild-type tumors. Interestingly, Hs578t tumors showed delayed onset of tumor growth inhibition effect by MPD3 monotherapy, producing 48.4% TGI rate on the last day of observation. Following an unexpected response to MPD3 in PTEN wild-type tumors, different control tumor specimens at day 1, 16, and 28 were examined by immunohistochemical staining to investigate tumor microenvironmental changes during the drug treatment course. We found evidence of increasing pattern of active caspase-3 expression over the course of time, which is thought to be associated with activation of localized extracellular prodrug and late tumor inhibiting efficacy in Hs578t tumors. Owing to the poor response to olaparib therapy, both MPD3 and olaparib/MPD3 displayed similar tumor inhibiting efficacies in Hs578t tumor bearing mice, suggesting that olaparib triggered apoptosis is needed to generate synergistic efficacy with MPD3. Lastly,in vivoexperiment results with BT549 tumor xenografted model confirmed the contribution of PTEN-loss alteration to thein vivoactivity of MPD3. MPD3 monotherapy was able to induce substantial tumor growth inhibition with 63.4% TGI. We ascribe these results mainly to the PTEN-loss induced upregulation of the macropinocytosis level, witnessed by significantly increased albumin uptake level in BT549cells. However, as with Hs578t xenograft model, the addition of olaparib did not cause significant tumor growth inhibition. Note that despite the comparable anti-cancer activity of olaparib/docetaxel to that of olaparib/MPD3, docetaxel combination treatment caused severebody weight loss, with 60% and 20% lethality in Hs578t and in BT549 tumor bearing mice, respectively. The results ofin vivoanti-cancer efficacies of MPD3 and olaparib in TNBC tumor models expressing different biomarkers are summarized inTable 1. Coefficients of drug interaction (CDI) values of the combination of olaparib/MPD3 were 0.04, 1.22 and 0.42 in MDA-MB-436, Hs578t, BT549 xenograft models, respectively, where CDI of <1, =1, or >1 indicates that the combination therapy is synergistic, additive, or antagonistic. These results provide compelling evidence that the BRCA and PTEN alteration status influence the efficacy of our combination strategy, showing that BRCA mutation and PTEN-loss contribute to the favorable anti-cancer efficacy of the strategy.

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In Vivo Model BRCA/PTEN wt Hs578t cells female BALB/cnude mice xenograft model.
In Vitro Model Invasive breast carcinoma of no special type BRCA/PTEN WT Hs578t cell CVCL_0332
Experiment 2 Reporting the Activity Data of This PDC [25]
Indication Metastatic triple-negative breast cancer
Efficacy Data Tumor Growth Inhibition value (TGI) 63.40%
Administration Time 3 weeks
Administration Dosage 3 mg/kg
MOA of PDC
To demonstrate our strategy, we developed a peptide-drug conjugate (PDC) composed of the caspase-3 cleavablepeptide sequence(DEVD), an albumin-binding functional moiety, and docetaxel linked to the peptide via self-immolated linker. Functionalization of albumin-binding domain enables intravenously injected PDC to spontaneously bind to circulatingserum albumin, which is employed as a drug carrier capable of inducing macropinocytic uptake of the conjugate. Furthermore, in order to combat tumoral heterogeneity, a unique peptide sequence of DEVD is deployed, which is a core component of the PDC that propagates bystander killing of cancer cells. More specifically, caspase-3 is triggered from albumin-metabolism induced apoptosis in PTEN-loss cancer cells, which in turn recognizes and activates extracellular PDC to release the payload. The released hydrophobic payload subsequently penetrates neighboring cancer cells, thereby inducing bystander killing in a non-selective manner, leading to the continual amplification ofin-situapoptosis. Additionally, to boost the apoptosis of initial cancer cells and caspase-3 expression, we used olaparib as a combination therapeutic agent. Given that olaparib is the first targeted therapy approved against metastatic TNBC with BRCA mutation, we reasoned that combination therapy with olaparib has the potential to induce apoptosis in BRCA mutant cancer cells and intensify tumoral apoptosis. In this study, we demonstrate the therapeutic potential of exploiting PTEN-loss drivenbiomimeticdrug delivery and the significant therapeutic benefit of combination therapy in the treatment of metastatic TNBC with altered PTEN and BRCA using our novel PDC.

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Description
To examine whether BRCA and PTEN alteration status affect the anti-tumor efficacy of olaparib/MPD3 combination, we performedin vivoexperiments on Hs578t-tumor and BT549-tumor bearing balb/cnude mice. As expected, olaparib monotherapy in Hs578t or BT549 tumors did not show detectable tumor suppressing efficacy, which could be ascribed to the poor sensitivity of olaparib in BRCA wild-type tumors. Interestingly, Hs578t tumors showed delayed onset of tumor growth inhibition effect by MPD3 monotherapy, producing 48.4% TGI rate on the last day of observation. Following an unexpected response to MPD3 in PTEN wild-type tumors, different control tumor specimens at day 1, 16, and 28 were examined by immunohistochemical staining to investigate tumor microenvironmental changes during the drug treatment course. We found evidence of increasing pattern of active caspase-3 expression over the course of time, which is thought to be associated with activation of localized extracellular prodrug and late tumor inhibiting efficacy in Hs578t tumors. Owing to the poor response to olaparib therapy, both MPD3 and olaparib/MPD3 displayed similar tumor inhibiting efficacies in Hs578t tumor bearing mice, suggesting that olaparib triggered apoptosis is needed to generate synergistic efficacy with MPD3. Lastly,in vivoexperiment results with BT549 tumor xenografted model confirmed the contribution of PTEN-loss alteration to thein vivoactivity of MPD3. MPD3 monotherapy was able to induce substantial tumor growth inhibition with 63.4% TGI. We ascribe these results mainly to the PTEN-loss induced upregulation of the macropinocytosis level, witnessed by significantly increased albumin uptake level in BT549cells. However, as with Hs578t xenograft model, the addition of olaparib did not cause significant tumor growth inhibition. Note that despite the comparable anti-cancer activity of olaparib/docetaxel to that of olaparib/MPD3, docetaxel combination treatment caused severebody weight loss, with 60% and 20% lethality in Hs578t and in BT549 tumor bearing mice, respectively. The results ofin vivoanti-cancer efficacies of MPD3 and olaparib in TNBC tumor models expressing different biomarkers are summarized inTable 1. Coefficients of drug interaction (CDI) values of the combination of olaparib/MPD3 were 0.04, 1.22 and 0.42 in MDA-MB-436, Hs578t, BT549 xenograft models, respectively, where CDI of <1, =1, or >1 indicates that the combination therapy is synergistic, additive, or antagonistic. These results provide compelling evidence that the BRCA and PTEN alteration status influence the efficacy of our combination strategy, showing that BRCA mutation and PTEN-loss contribute to the favorable anti-cancer efficacy of the strategy.

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In Vivo Model BRCA wt BT549 cells female BALB/cnude mice xenograft model.
In Vitro Model Invasive breast carcinoma of no special type BRCA WT BT-549 cell CVCL_1092
Experiment 3 Reporting the Activity Data of This PDC [25]
Indication Metastatic triple-negative breast cancer
Efficacy Data Tumor Growth Inhibition value (TGI) 64.60%
Administration Time 3 weeks
Administration Dosage 3 mg/kg
MOA of PDC
To demonstrate our strategy, we developed a peptide-drug conjugate (PDC) composed of the caspase-3 cleavablepeptide sequence(DEVD), an albumin-binding functional moiety, and docetaxel linked to the peptide via self-immolated linker. Functionalization of albumin-binding domain enables intravenously injected PDC to spontaneously bind to circulatingserum albumin, which is employed as a drug carrier capable of inducing macropinocytic uptake of the conjugate. Furthermore, in order to combat tumoral heterogeneity, a unique peptide sequence of DEVD is deployed, which is a core component of the PDC that propagates bystander killing of cancer cells. More specifically, caspase-3 is triggered from albumin-metabolism induced apoptosis in PTEN-loss cancer cells, which in turn recognizes and activates extracellular PDC to release the payload. The released hydrophobic payload subsequently penetrates neighboring cancer cells, thereby inducing bystander killing in a non-selective manner, leading to the continual amplification ofin-situapoptosis. Additionally, to boost the apoptosis of initial cancer cells and caspase-3 expression, we used olaparib as a combination therapeutic agent. Given that olaparib is the first targeted therapy approved against metastatic TNBC with BRCA mutation, we reasoned that combination therapy with olaparib has the potential to induce apoptosis in BRCA mutant cancer cells and intensify tumoral apoptosis. In this study, we demonstrate the therapeutic potential of exploiting PTEN-loss drivenbiomimeticdrug delivery and the significant therapeutic benefit of combination therapy in the treatment of metastatic TNBC with altered PTEN and BRCA using our novel PDC.

   Click to Show/Hide
Description
To examine whether BRCA and PTEN alteration status affect the anti-tumor efficacy of olaparib/MPD3 combination, we performedin vivoexperiments on Hs578t-tumor and BT549-tumor bearing balb/cnude mice. As expected, olaparib monotherapy in Hs578t or BT549 tumors did not show detectable tumor suppressing efficacy, which could be ascribed to the poor sensitivity of olaparib in BRCA wild-type tumors. Interestingly, Hs578t tumors showed delayed onset of tumor growth inhibition effect by MPD3 monotherapy, producing 48.4% TGI rate on the last day of observation. Following an unexpected response to MPD3 in PTEN wild-type tumors, different control tumor specimens at day 1, 16, and 28 were examined by immunohistochemical staining to investigate tumor microenvironmental changes during the drug treatment course. We found evidence of increasing pattern of active caspase-3 expression over the course of time, which is thought to be associated with activation of localized extracellular prodrug and late tumor inhibiting efficacy in Hs578t tumors. Owing to the poor response to olaparib therapy, both MPD3 and olaparib/MPD3 displayed similar tumor inhibiting efficacies in Hs578t tumor bearing mice, suggesting that olaparib triggered apoptosis is needed to generate synergistic efficacy with MPD3. Lastly,in vivoexperiment results with BT549 tumor xenografted model confirmed the contribution of PTEN-loss alteration to thein vivoactivity of MPD3. MPD3 monotherapy was able to induce substantial tumor growth inhibition with 63.4% TGI. We ascribe these results mainly to the PTEN-loss induced upregulation of the macropinocytosis level, witnessed by significantly increased albumin uptake level in BT549cells. However, as with Hs578t xenograft model, the addition of olaparib did not cause significant tumor growth inhibition. Note that despite the comparable anti-cancer activity of olaparib/docetaxel to that of olaparib/MPD3, docetaxel combination treatment caused severebody weight loss, with 60% and 20% lethality in Hs578t and in BT549 tumor bearing mice, respectively. The results ofin vivoanti-cancer efficacies of MPD3 and olaparib in TNBC tumor models expressing different biomarkers are summarized inTable 1. Coefficients of drug interaction (CDI) values of the combination of olaparib/MPD3 were 0.04, 1.22 and 0.42 in MDA-MB-436, Hs578t, BT549 xenograft models, respectively, where CDI of <1, =1, or >1 indicates that the combination therapy is synergistic, additive, or antagonistic. These results provide compelling evidence that the BRCA and PTEN alteration status influence the efficacy of our combination strategy, showing that BRCA mutation and PTEN-loss contribute to the favorable anti-cancer efficacy of the strategy.

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In Vivo Model BRCA1 mut MDA-MB-436 cells female BALB/cnude mice xenograft model.
In Vitro Model Invasive breast carcinoma of no special type BRCA1 mut MDA-MB-436 cell CVCL_0623
CTCE-DTX [Investigative]
Revealed Based on the Cell Line Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [3]
Indication Breast cancer
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 99.2 nM
Evaluation Method CCK-8 assay
Administration Time 72 h
MOA of PDC
To increase the DTX solubility and avoid the DTX therapy induced metastasis, we designed a peptide-drug conjugate (CTCE-DTX) by coupling two functional molecules (CXCR4 antagonist peptide and chemotherapeutic agent DTX) through a flexible linker. The amphiphilic monomer of CTCE-DTX could self-assemble into nanoparticles (CTCE-DTX NPs) in the water environment (without the participation of toxic ethanol and Tween 80 as excipients). The CXCR4 antagonist component could target CXCR4 upregulated tumor cells, which not only enhanced the efficacy of DTX but also inhibited the bone and lung metastasis of TNBC.

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Description
Besides, the combination of DTX and CTCE showed a substantially greater cytotoxicity, with an approximate 2 folds reduction (67.9 nmol/L) in half-maximal inhibitory concentration (IC50) compared to DTX alone. What's more, CTCE-DTX NPs retained a greater cytotoxicity (IC50 = 88.5 nmol/L) than Sc-DTX NPs (IC50 = 169.5 nmol/L), which meant CXCR4 antagonist peptide could work as a sensitizer to DTX. The slightly higher IC50 value of CTCE-DTX NPs than that of DTX + CTCE group may attribute to the incomplete disassembly of nanostructures. Meanwhile, consistent with previous reports14, the CXCR4 antagonist peptide and scramble peptide didn't not show any cytotoxicity to 4T1 cell at low concentration. We also tested the cytotoxicity of the formulations to another CXCR4 high expression (MDA-MB-231) and CXCR4 low expression (HepG2) cell lines and calculated the IC50. In MDA-MB-231 cell line, the IC50 of CTCE-DTX NPs (99.2 nmol/L) was significantly lower than that of DTX (135.8 nmol/L) and Sc-DTX NPs (250.1 nmol/L), which was consist with the tendency of formulations to 4T1 cell line. In comparison, in HepG2 cell line, the IC50 of CTCE-DTX NPs (166.8 nmol/L) was higher than that of DTX (109.5 nmol/L). The results further proved that the recognition of CTCE-DTX NPs with CXCR4 could enhance the cytotoxicity to tumor cells. These results demonstrated that CTCE peptide enhanced the chemosensitivity of cancer cell toward DTX but possessed with no direct toxicity.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 25.7 h
Experiment 2 Reporting the Activity Data of This PDC [3]
Indication Liver cancer
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 166.8 nM
Evaluation Method CCK-8 assay
Administration Time 72 h
MOA of PDC
To increase the DTX solubility and avoid the DTX therapy induced metastasis, we designed a peptide-drug conjugate (CTCE-DTX) by coupling two functional molecules (CXCR4 antagonist peptide and chemotherapeutic agent DTX) through a flexible linker. The amphiphilic monomer of CTCE-DTX could self-assemble into nanoparticles (CTCE-DTX NPs) in the water environment (without the participation of toxic ethanol and Tween 80 as excipients). The CXCR4 antagonist component could target CXCR4 upregulated tumor cells, which not only enhanced the efficacy of DTX but also inhibited the bone and lung metastasis of TNBC.

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Description
Besides, the combination of DTX and CTCE showed a substantially greater cytotoxicity, with an approximate 2 folds reduction (67.9 nmol/L) in half-maximal inhibitory concentration (IC50) compared to DTX alone. What's more, CTCE-DTX NPs retained a greater cytotoxicity (IC50 = 88.5 nmol/L) than Sc-DTX NPs (IC50 = 169.5 nmol/L), which meant CXCR4 antagonist peptide could work as a sensitizer to DTX. The slightly higher IC50 value of CTCE-DTX NPs than that of DTX + CTCE group may attribute to the incomplete disassembly of nanostructures. Meanwhile, consistent with previous reports14, the CXCR4 antagonist peptide and scramble peptide didn't not show any cytotoxicity to 4T1 cell at low concentration. We also tested the cytotoxicity of the formulations to another CXCR4 high expression (MDA-MB-231) and CXCR4 low expression (HepG2) cell lines and calculated the IC50. In MDA-MB-231 cell line, the IC50 of CTCE-DTX NPs (99.2 nmol/L) was significantly lower than that of DTX (135.8 nmol/L) and Sc-DTX NPs (250.1 nmol/L), which was consist with the tendency of formulations to 4T1 cell line. In comparison, in HepG2 cell line, the IC50 of CTCE-DTX NPs (166.8 nmol/L) was higher than that of DTX (109.5 nmol/L). The results further proved that the recognition of CTCE-DTX NPs with CXCR4 could enhance the cytotoxicity to tumor cells. These results demonstrated that CTCE peptide enhanced the chemosensitivity of cancer cell toward DTX but possessed with no direct toxicity.

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In Vitro Model Hepatoblastoma L-O2 cell line CVCL_0027
Half life period 25.7 h
SC-CTCE-DTX [Investigative]
Revealed Based on the Cell Line Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [3]
Indication Liver cancer
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 206.0 nM
Evaluation Method CCK-8 assay
Administration Time 72 h
MOA of PDC
To increase the DTX solubility and avoid the DTX therapy induced metastasis, we designed a peptide-drug conjugate (CTCE-DTX) by coupling two functional molecules (CXCR4 antagonist peptide and chemotherapeutic agent DTX) through a flexible linker. The amphiphilic monomer of CTCE-DTX could self-assemble into nanoparticles (CTCE-DTX NPs) in the water environment (without the participation of toxic ethanol and Tween 80 as excipients). The CXCR4 antagonist component could target CXCR4 upregulated tumor cells, which not only enhanced the efficacy of DTX but also inhibited the bone and lung metastasis of TNBC.

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Description
Besides, the combination of DTX and CTCE showed a substantially greater cytotoxicity, with an approximate 2 folds reduction (67.9 nmol/L) in half-maximal inhibitory concentration (IC50) compared to DTX alone. What's more, CTCE-DTX NPs retained a greater cytotoxicity (IC50 = 88.5 nmol/L) than Sc-DTX NPs (IC50 = 169.5 nmol/L), which meant CXCR4 antagonist peptide could work as a sensitizer to DTX. The slightly higher IC50 value of CTCE-DTX NPs than that of DTX + CTCE group may attribute to the incomplete disassembly of nanostructures. Meanwhile, consistent with previous reports14, the CXCR4 antagonist peptide and scramble peptide didn't not show any cytotoxicity to 4T1 cell at low concentration. We also tested the cytotoxicity of the formulations to another CXCR4 high expression (MDA-MB-231) and CXCR4 low expression (HepG2) cell lines and calculated the IC50. In MDA-MB-231 cell line, the IC50 of CTCE-DTX NPs (99.2 nmol/L) was significantly lower than that of DTX (135.8 nmol/L) and Sc-DTX NPs (250.1 nmol/L), which was consist with the tendency of formulations to 4T1 cell line. In comparison, in HepG2 cell line, the IC50 of CTCE-DTX NPs (166.8 nmol/L) was higher than that of DTX (109.5 nmol/L). The results further proved that the recognition of CTCE-DTX NPs with CXCR4 could enhance the cytotoxicity to tumor cells. These results demonstrated that CTCE peptide enhanced the chemosensitivity of cancer cell toward DTX but possessed with no direct toxicity.

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In Vitro Model Hepatoblastoma L-O2 cell line CVCL_0027
Half life period 29.3 h
Experiment 2 Reporting the Activity Data of This PDC [3]
Indication Breast cancer
Efficacy Data Half Maximal Inhibitory Concentration (IC50) 250.1 nM
Evaluation Method CCK-8 assay
Administration Time 72 h
MOA of PDC
To increase the DTX solubility and avoid the DTX therapy induced metastasis, we designed a peptide-drug conjugate (CTCE-DTX) by coupling two functional molecules (CXCR4 antagonist peptide and chemotherapeutic agent DTX) through a flexible linker. The amphiphilic monomer of CTCE-DTX could self-assemble into nanoparticles (CTCE-DTX NPs) in the water environment (without the participation of toxic ethanol and Tween 80 as excipients). The CXCR4 antagonist component could target CXCR4 upregulated tumor cells, which not only enhanced the efficacy of DTX but also inhibited the bone and lung metastasis of TNBC.

   Click to Show/Hide
Description
Besides, the combination of DTX and CTCE showed a substantially greater cytotoxicity, with an approximate 2 folds reduction (67.9 nmol/L) in half-maximal inhibitory concentration (IC50) compared to DTX alone. What's more, CTCE-DTX NPs retained a greater cytotoxicity (IC50 = 88.5 nmol/L) than Sc-DTX NPs (IC50 = 169.5 nmol/L), which meant CXCR4 antagonist peptide could work as a sensitizer to DTX. The slightly higher IC50 value of CTCE-DTX NPs than that of DTX + CTCE group may attribute to the incomplete disassembly of nanostructures. Meanwhile, consistent with previous reports14, the CXCR4 antagonist peptide and scramble peptide didn't not show any cytotoxicity to 4T1 cell at low concentration. We also tested the cytotoxicity of the formulations to another CXCR4 high expression (MDA-MB-231) and CXCR4 low expression (HepG2) cell lines and calculated the IC50. In MDA-MB-231 cell line, the IC50 of CTCE-DTX NPs (99.2 nmol/L) was significantly lower than that of DTX (135.8 nmol/L) and Sc-DTX NPs (250.1 nmol/L), which was consist with the tendency of formulations to 4T1 cell line. In comparison, in HepG2 cell line, the IC50 of CTCE-DTX NPs (166.8 nmol/L) was higher than that of DTX (109.5 nmol/L). The results further proved that the recognition of CTCE-DTX NPs with CXCR4 could enhance the cytotoxicity to tumor cells. These results demonstrated that CTCE peptide enhanced the chemosensitivity of cancer cell toward DTX but possessed with no direct toxicity.

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In Vitro Model Breast adenocarcinoma MDA-MB-231 cell CVCL_0062
Half life period 29.3 h
Doce-βA-thioether-CGFLG-C6-[KTVRTSADE] [Investigative]
Revealed Based on the Cell Line Data
Click To Hide/Show 10 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 45%
Administration Time 72 h
In Vitro Model Prostate carcinoma LNCaP C4-2 cell CVCL_4782
Experiment 2 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 55%
Evaluation Method MTS assay
Administration Time 72 h
Description
An increase in the cytotoxicity of Dox and Dox/peptide 9 physical mixture as compared to the conjugate 13 over an incubation period of 24 h to 72 h. Conjugates 13 and 14 were found to be less cytotoxic as compared to drug alone in 24-72 h. These cells were not treated with TGF-, so very minimal or no overexpression of EDB-FN. Figure 10b showed the effect of overexpression of EDB-FN in the cell viability. There was no observed effect of TGF- treatment for the cytotoxicity of Dox and physical mixture of Dox/peptide 9 on the cell viability as compared to the TGF- untreated cell lines. However, conjugate 13 showed a decrease in cell viability by 17% after 72 h as compared to untreated cell lines. Similarly, Doce and Doce conjugate 14 showed decrease in cell viability by 16 and 10%, respectively, after 72 h. The physical mixtures of Doce/peptide 9 showed a decrease in cell viability by 16% as compared to untreated cells.

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In Vitro Model Prostate carcinoma LNCaP C4-2 cell CVCL_4782
Experiment 3 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 78%
Evaluation Method MTS assay
Administration Time 48 h
Description
An increase in the cytotoxicity of Dox and Dox/peptide 9 physical mixture as compared to the conjugate 13 over an incubation period of 24 h to 72 h. Conjugates 13 and 14 were found to be less cytotoxic as compared to drug alone in 24-72 h. These cells were not treated with TGF-, so very minimal or no overexpression of EDB-FN. Figure 10b showed the effect of overexpression of EDB-FN in the cell viability. There was no observed effect of TGF- treatment for the cytotoxicity of Dox and physical mixture of Dox/peptide 9 on the cell viability as compared to the TGF- untreated cell lines. However, conjugate 13 showed a decrease in cell viability by 17% after 72 h as compared to untreated cell lines. Similarly, Doce and Doce conjugate 14 showed decrease in cell viability by 16 and 10%, respectively, after 72 h. The physical mixtures of Doce/peptide 9 showed a decrease in cell viability by 16% as compared to untreated cells.

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In Vitro Model Prostate carcinoma LNCaP C4-2 cell CVCL_4782
Experiment 4 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 80%
Evaluation Method MTS assay
Administration Time 48 h
Description
An increase in the cytotoxicity of Dox and Dox/peptide 9 physical mixture as compared to the conjugate 13 over an incubation period of 24 h to 72 h. Conjugates 13 and 14 were found to be less cytotoxic as compared to drug alone in 24-72 h. These cells were not treated with TGF-, so very minimal or no overexpression of EDB-FN. Figure 10b showed the effect of overexpression of EDB-FN in the cell viability. There was no observed effect of TGF- treatment for the cytotoxicity of Dox and physical mixture of Dox/peptide 9 on the cell viability as compared to the TGF- untreated cell lines. However, conjugate 13 showed a decrease in cell viability by 17% after 72 h as compared to untreated cell lines. Similarly, Doce and Doce conjugate 14 showed decrease in cell viability by 16 and 10%, respectively, after 72 h. The physical mixtures of Doce/peptide 9 showed a decrease in cell viability by 16% as compared to untreated cells.

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In Vitro Model Prostate carcinoma LNCaP C4-2 cell CVCL_4782
Experiment 5 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 95%
Evaluation Method MTS assay
Administration Time 72 h
Administration Dosage 5 µM
Description
Dox conjugate 13 was moderately toxic with a reduced cell proliferation to a range of 25-35% as compared to Dox which reduced cell proliferation in the range of 20-34% for all selected four cell lines. However, it was interesting to observe that Doce conjugate 14 was almost nontoxic (cell proliferation within the range of 89-96%) in all the cell lines as compared to Doce alone which reduced the cell proliferation in the range of 54-61% (Figure 9).

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In Vitro Model Normal RWPE-1 cell CVCL_3791
Experiment 6 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 95%
Evaluation Method MTS assay
Administration Time 24 h
Description
An increase in the cytotoxicity of Dox and Dox/peptide 9 physical mixture as compared to the conjugate 13 over an incubation period of 24 h to 72 h. Conjugates 13 and 14 were found to be less cytotoxic as compared to drug alone in 24-72 h. These cells were not treated with TGF-, so very minimal or no overexpression of EDB-FN. Figure 10b showed the effect of overexpression of EDB-FN in the cell viability. There was no observed effect of TGF- treatment for the cytotoxicity of Dox and physical mixture of Dox/peptide 9 on the cell viability as compared to the TGF- untreated cell lines. However, conjugate 13 showed a decrease in cell viability by 17% after 72 h as compared to untreated cell lines. Similarly, Doce and Doce conjugate 14 showed decrease in cell viability by 16 and 10%, respectively, after 72 h. The physical mixtures of Doce/peptide 9 showed a decrease in cell viability by 16% as compared to untreated cells.

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In Vitro Model Prostate carcinoma LNCaP C4-2 cell CVCL_4782
Experiment 7 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 96%
Evaluation Method MTS assay
Administration Time 72 h
Administration Dosage 5 µM
Description
Dox conjugate 13 was moderately toxic with a reduced cell proliferation to a range of 25-35% as compared to Dox which reduced cell proliferation in the range of 20-34% for all selected four cell lines. However, it was interesting to observe that Doce conjugate 14 was almost nontoxic (cell proliferation within the range of 89-96%) in all the cell lines as compared to Doce alone which reduced the cell proliferation in the range of 54-61% (Figure 9).

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In Vitro Model Prostate carcinoma LNCaP cell CVCL_0395
Experiment 8 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 98%
Evaluation Method MTS assay
Administration Time 72 h
Administration Dosage 5 µM
Description
Dox conjugate 13 was moderately toxic with a reduced cell proliferation to a range of 25-35% as compared to Dox which reduced cell proliferation in the range of 20-34% for all selected four cell lines. However, it was interesting to observe that Doce conjugate 14 was almost nontoxic (cell proliferation within the range of 89-96%) in all the cell lines as compared to Doce alone which reduced the cell proliferation in the range of 54-61% (Figure 9).

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In Vitro Model Prostate carcinoma PC-3 cell CVCL_0035
Experiment 9 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 99%
Evaluation Method MTS assay
Administration Time 72 h
Administration Dosage 5 µM
Description
Dox conjugate 13 was moderately toxic with a reduced cell proliferation to a range of 25-35% as compared to Dox which reduced cell proliferation in the range of 20-34% for all selected four cell lines. However, it was interesting to observe that Doce conjugate 14 was almost nontoxic (cell proliferation within the range of 89-96%) in all the cell lines as compared to Doce alone which reduced the cell proliferation in the range of 54-61% (Figure 9).

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In Vitro Model Prostate carcinoma DU145 cell CVCL_0105
Experiment 10 Reporting the Activity Data of This PDC [26]
Indication Prostate cancer
Efficacy Data Cell viability 100%
Evaluation Method MTS assay
Administration Time 24 h
Description
An increase in the cytotoxicity of Dox and Dox/peptide 9 physical mixture as compared to the conjugate 13 over an incubation period of 24 h to 72 h. Conjugates 13 and 14 were found to be less cytotoxic as compared to drug alone in 24-72 h. These cells were not treated with TGF-, so very minimal or no overexpression of EDB-FN. Figure 10b showed the effect of overexpression of EDB-FN in the cell viability. There was no observed effect of TGF- treatment for the cytotoxicity of Dox and physical mixture of Dox/peptide 9 on the cell viability as compared to the TGF- untreated cell lines. However, conjugate 13 showed a decrease in cell viability by 17% after 72 h as compared to untreated cell lines. Similarly, Doce and Doce conjugate 14 showed decrease in cell viability by 16 and 10%, respectively, after 72 h. The physical mixtures of Doce/peptide 9 showed a decrease in cell viability by 16% as compared to untreated cells.

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In Vitro Model Prostate carcinoma LNCaP C4-2 cell CVCL_4782
References
Ref 1 The TH1902 Docetaxel Peptide-Drug Conjugate Inhibits Xenografts Growth of Human SORT1-Positive Ovarian and Triple-Negative Breast Cancer Stem-like Cells. Pharmaceutics. 2022 Sep 9;14(9):1910. doi: 10.3390/pharmaceutics14091910.
Ref 2 DTX-P7, a peptide-drug conjugate, is highly effective for non-small cell lung cancer. J Hematol Oncol. 2022 Jun 3;15(1):73. doi: 10.1186/s13045-022-01274-8.
Ref 3 Self-assembly of CXCR4 antagonist peptide-docetaxel conjugates for breast tumor multi-organ metastasis inhibition. Acta Pharm Sin B. 2023 Sep;13(9):3849-3861. doi: 10.1016/j.apsb.2023.03.024. Epub 2023 Mar 31.
Ref 4 Sudocetaxel Zendusortide (TH1902) triggers the cGAS/STING pathway and potentiates anti-PD-L1 immune-mediated tumor cell killing. Front Immunol. 2024 Feb 16;15:1355945. doi: 10.3389/fimmu.2024.1355945. eCollection 2024.
Ref 5 Lupane-Type Triterpenes of Phoradendron vernicosum. J Nat Prod. 2017 Nov 22;80(11):3038-3042. doi: 10.1021/acs.jnatprod.7b00177. Epub 2017 Nov 9.
Ref 6 Optimized synthesis and antiproliferative activity of desTHPdactylolides. Bioorg Med Chem. 2018 Jul 23;26(12):3514-3520. doi: 10.1016/j.bmc.2018.05.026. Epub 2018 May 18.
Ref 7 Antiproliferative Cardenolides from the Aerial Parts of Pergularia tomentosa. J Nat Prod. 2019 Jan 25;82(1):74-79. doi: 10.1021/acs.jnatprod.8b00630. Epub 2019 Jan 10.
Ref 8 Structure-Guided Design, Synthesis, and Biological Evaluation of (2-(1H-Indol-3-yl)-1H-imidazol-4-yl)(3,4,5-trimethoxyphenyl) Methanone (ABI-231) Analogues Targeting the Colchicine Binding Site in Tubulin. J Med Chem. 2019 Jul 25;62(14):6734-6750. doi: 10.1021/acs.jmedchem.9b00706. Epub 2019 Jul 12.
Ref 9 Taxol Analogues Exhibit Differential Effects on Photoaffinity Labeling of -Tubulin and the Multidrug Resistance Associated P-Glycoprotein. J Nat Prod. 2018 Mar 23;81(3):600-606. doi: 10.1021/acs.jnatprod.7b01047. Epub 2018 Mar 8.
Ref 10 Synthesis and biological evaluation of novel larotaxel analogues. Eur J Med Chem. 2018 Aug 5;156:692-710. doi: 10.1016/j.ejmech.2018.07.029. Epub 2018 Jul 20.
Ref 11 Neothalfine, a potent natural anti-tumor agent against metastatic colorectal cancer and its primary mechanism. Bioorg Med Chem. 2021 Jan 1;29:115849. doi: 10.1016/j.bmc.2020.115849. Epub 2020 Nov 8.
Ref 12 Design and evaluation of 1,2,3-dithiazoles and fused 1,2,4-dithiazines as anti-cancer agents. Bioorg Med Chem Lett. 2021 Jul 1;43:128078. doi: 10.1016/j.bmcl.2021.128078. Epub 2021 May 2.
Ref 13 N-substituted benzimidazole acrylonitriles as in?vitro tubulin polymerization inhibitors: Synthesis, biological activity and computational analysis. Eur J Med Chem. 2021 Feb 5;211:113003. doi: 10.1016/j.ejmech.2020.113003. Epub 2020 Nov 7.
Ref 14 Brefeldin A enhances docetaxel-induced growth inhibition and apoptosis in prostate cancer cells in monolayer and 3D cultures. Bioorg Med Chem Lett. 2017 Jun 1;27(11):2286-2291. doi: 10.1016/j.bmcl.2017.04.047. Epub 2017 Apr 17.
Ref 15 Potent antiproliferative activity of bradykinin B2 receptor selective agonist FR-190997 and analogue structures thereof: A paradox resolved?. Eur J Med Chem. 2021 Jan 15;210:112948. doi: 10.1016/j.ejmech.2020.112948. Epub 2020 Oct 23.
Ref 16 Metabolomics-Driven Discovery of Meroterpenoids from a Mussel-Derived Penicillium ubiquetum. J Nat Prod. 2018 Nov 26;81(11):2501-2511. doi: 10.1021/acs.jnatprod.8b00569. Epub 2018 Nov 8.
Ref 17 Xylo-C-nucleosides with a pyrrolo[2,1-f][1,2,4]triazin-4-amine heterocyclic base: Synthesis and antiproliferative properties. Bioorg Med Chem Lett. 2019 Jun 15;29(12):1450-1453. doi: 10.1016/j.bmcl.2019.04.023. Epub 2019 Apr 15.
Ref 18 Novel octapeptide-DTX prodrugs targeting MMP-7 as effective agents for the treatment of colorectal cancer with lower systemic toxicity. Eur J Med Chem. 2020 May 1;193:112194. doi: 10.1016/j.ejmech.2020.112194. Epub 2020 Feb 28.
Ref 19 Synthesis and Antitumor Activity of C-7-Alkynylated and Arylated Pyrrolotriazine C-Ribonucleosides. ACS Med Chem Lett. 2020 Jul 9;11(8):1605-1610. doi: 10.1021/acsmedchemlett.0c00269. eCollection 2020 Aug 13.
Ref 20 Synthesis and anti-HSV activity of tricyclic penciclovir and hydroxybutylguanine derivatives. Bioorg Med Chem. 2019 Mar 15;27(6):1023-1033. doi: 10.1016/j.bmc.2019.02.005. Epub 2019 Feb 2.
Ref 21 Design, synthesis and biological evaluation of 1,3,6-trisubstituted -carboline derivatives for cytotoxic and anti-leishmanial potential. Bioorg Med Chem Lett. 2016 Feb 1;26(3):789-794. doi: 10.1016/j.bmcl.2015.12.095. Epub 2015 Dec 29.
Ref 22 Discovery and preclinical evaluation of 7-benzyl-N-(substituted)-pyrrolo[3,2-d]pyrimidin-4-amines as single agents with microtubule targeting effects along with triple-acting angiokinase inhibition as antitumor agents. Bioorg Med Chem. 2017 Jan 15;25(2):545-556. doi: 10.1016/j.bmc.2016.11.026. Epub 2016 Nov 15.
Ref 23 The Peptide-Drug Conjugate TH1902: A New Sortilin Receptor-Mediated Cancer Therapeutic against Ovarian and Endometrial Cancers. Cancers (Basel). 2022 Apr 8;14(8):1877. doi: 10.3390/cancers14081877.
Ref 24 TH1902, a new docetaxel-peptide conjugate for the treatment of sortilin-positive triple-negative breast cancer. Cancer Sci. 2021 Oct;112(10):4317-4334. doi: 10.1111/cas.15086. Epub 2021 Aug 12.
Ref 25 Sustained potentiation of bystander killing via PTEN-loss driven macropinocytosis targeted peptide-drug conjugate therapy in metastatic triple-negative breast cancer. Biomaterials. 2022 Oct;289:121783. doi: 10.1016/j.biomaterials.2022.121783. Epub 2022 Sep 2.
Ref 26 EDB-FN Targeted Peptide-Drug Conjugates for Use against Prostate Cancer. Int J Mol Sci. 2019 Jul 4;20(13):3291. doi: 10.3390/ijms20133291.