General Information of This Peptide-drug Conjugate (PDC)
PDC ID
PDC_00062
PDC Name
ANG1005
Synonyms
Paclitaxel trevatide; CHEMBL1089636; ANG1005; ANG-1005
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PDC Status
Phase 3
Indication
In total 1 Indication(s)
Breast cancer
Structure
Peptide Name
Angiopep-2
 Peptide Info 
Receptor Name
Prolow-density lipoprotein receptor-related protein 1; Low-density lipoprotein receptor-related protein 2 (LRP1; LRP2)
 Receptor Info 
Drug Name
Paclitaxel
 Drug Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Succinic Acid
 Linker Info 
Drugbank ID
DB06171
ChEBI ID
CHEMBL1089636
Formula
C257H308N32O79
#Ro5 Violations (Lipinski): 4 Molecular Weight 5109
Lipid-water partition coefficient (xlogp) 3.6
Hydrogen Bond Donor Count (hbonddonor) 46
Hydrogen Bond Acceptor Count (hbondacc) 81
Rotatable Bond Count (rotbonds) 138
Full List of Activity Data of This Peptide-drug Conjugate
Identified from the Human Clinical Data
Click To Hide/Show 10 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data 3-month progression-free survival rate
52.00%
Patients Enrolled
Adult patients with measurable recurrent brain metastases from breast cancer.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
Investigator assessments resulted in median intracranial PFS of 2.8 months and the 3-month intracranial PFS rate was 52%.
Experiment 2 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data 3-month progression-free survival rate
54.00%
Patients Enrolled
Patients with leptomeningeal carcinomatosis.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
The investigator determined intracranial median PFS was 2.8 months and the 3-month PFS rate was 54% (Table 3). Median duration of response was 18 weeks (7.3-26.3).
Experiment 3 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data 6-month progression-free survival rate
18.70%
Patients Enrolled
Adult patients with measurable recurrent brain metastases from breast cancer.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
Investigator assessments resulted in median intracranial PFS of 2.8 months and the 3-month intracranial PFS rate was 52%.
Experiment 4 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data Clinical benefit rate (CBR)
67%
Patients Enrolled
Patients with leptomeningeal carcinomatosis.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
Investigator determined ORR was 29% and the iCBR was 67%.
Experiment 5 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data Clinical benefit rate (CBR)
68%
Patients Enrolled
Adult patients with measurable recurrent brain metastases from breast cancer.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
On the basis of the CNS tumor response assessment, performed by local investigators, there were nine (15%) evaluable patients with PR including five (8%) confirmed PR (to confirm PR, it was required that the response was sustained for ≥4 weeks), and 32 (53%) evaluable patients with SD, resulting in an overall iORR of 15% and iCBR of 68%.
Experiment 6 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data Median duration of response
18 weeks
Patients Enrolled
Patients with leptomeningeal carcinomatosis.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
The investigator determined intracranial median PFS was 2.8 months and the 3-month PFS rate was 54% (Table 3). Median duration of response was 18 weeks (7.3-26.3).
Experiment 7 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data Median progression-free survival (mPFS)
2.8 months
Patients Enrolled
Patients with leptomeningeal carcinomatosis.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
The investigator determined intracranial median PFS was 2.8 months and the 3-month PFS rate was 54% (Table 3). Median duration of response was 18 weeks (7.3-26.3).
Experiment 8 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data Median progression-free survival (mPFS)
12.1 weeks
Patients Enrolled
Adult patients with measurable recurrent brain metastases from breast cancer.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
Investigator assessments resulted in median intracranial PFS of 2.8 months and the 3-month intracranial PFS rate was 52%.
Experiment 9 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data Objective response rate (ORR)
15%
Patients Enrolled
Adult patients with measurable recurrent brain metastases from breast cancer.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
On the basis of the CNS tumor response assessment, performed by local investigators, there were nine (15%) evaluable patients with PR including five (8%) confirmed PR (to confirm PR, it was required that the response was sustained for ≥4 weeks), and 32 (53%) evaluable patients with SD, resulting in an overall iORR of 15% and iCBR of 68%.
Experiment 10 Reporting the Activity Data of This PDC [1]
Indication Breast cancer
Efficacy Data Objective response rate (ORR)
29%
Patients Enrolled
Patients with leptomeningeal carcinomatosis.
Administration Time Every 3 weeks
Administration Dosage 600 mg/m2
MOA of PDC
Because LRP1 is also expressed on tumor cells in both CNS and systemic metastases, ANG1005 gains entry via LRP1 mediated endocytosis, where paclitaxel is cleaved from the peptide backbone by lysosomal esterases.
Description
Investigator determined ORR was 29% and the iCBR was 67%.
References
Ref 1 ANG1005, a Brain-Penetrating Peptide-Drug Conjugate, Shows Activity in Patients with Breast Cancer with Leptomeningeal Carcinomatosis and Recurrent Brain Metastases. Clin Cancer Res. 2020 Jun 15;26(12):2789-2799. doi: 10.1158/1078-0432.CCR-19-3258. Epub 2020 Jan 22.