General Information of This Peptide-drug Conjugate (PDC)
PDC ID
PDC_00068
PDC Name
BT5528
Synonyms
BT5528; BT-5528; CIT3DOS0DW; CHEMBL5314953; Bt 5528; 2648849-70-9
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PDC Status
Phase 1/2
Indication
In total 1 Indication(s)
Fibrosarcoma
Structure
Peptide Name
BCY6099
 Peptide Info 
Receptor Name
Ephrin type-A receptor 2 (EPHA2)
 Receptor Info 
Drug Name
Monomethyl auristatin E
 Drug Info 
Therapeutic Target
Microtubule (MT)
 Target Info 
Linker Name
Val-Cit
 Linker Info 
Peptide Modified Type
Amino acid modifications; Cyclization modification
Modified Segment
Side-chain and side-chain cyclization; Use D-amino acids instead of L-amino acids
Formula
C201H315N53O52S3
#Ro5 Violations (Lipinski): 5 Molecular Weight 4402
Lipid-water partition coefficient (xlogp) -6.1
Hydrogen Bond Donor Count (hbonddonor) 35
Hydrogen Bond Acceptor Count (hbondacc) 58
Rotatable Bond Count (rotbonds) 95
Full List of Activity Data of This Peptide-drug Conjugate
Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [1]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
50%
Administration Time 20 day
Administration Dosage 0.167 mg/kg every week
MOA of PDC
Here we describe the development of BT5528, a bicyclic peptide (Bicycle) conjugated to the auristatin derivative maleimidocaproyl-monomethyl auristatin E to generate the Bicycle toxin conjugate BT5528. There are two potential mechanism of BT5528 bystander activity: extracellular linker cleavage and toxin penetration into neighboring cells, or receptor internalization and intracellular linker cleavage followed by release of cell penetrant toxin from lysed cells. The available data do not allow us to distinguish between these two mechanisms and it seems likely that BT5528 activity is mediated by toxin release following a combination of intracellular and extracellular linker cleavage.

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Description
BT5528 is efficacious in the PC3 xenograft model but control BTCs with noncleavable linkers and non-cell penetrant toxins lack comparable efficacy. A, The nonbinding BTC, BCY8245, is less active than BT5528 in the PC3 model (group mean ± SEM, n = 5) at both 0.5 and 0.0167 mg/kg dosing level (*, P < 0.05; **, P < 0.01; two-way ANOVA with Sidak's multiple comparisons test). B, Replacement of the cell penetrant toxin (MMAE: BT5528) with the non-cell penetrant toxin (MMAF: BCY10188) reduces activity in the PC3 model at 3, 1, and 0.33 mg/kg (group mean ± SEM; n = 5; *, P < 0.05; **, P < 0.01; two-way ANOVA with Sidak's multiple comparisons test). C, noncleavable linker chemistry abolishes activity in the HT1080 model; BCY6063, 10 mg/kg twice a week (group mean ± SEM, n = 3).

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In Vivo Model HT108 cells xenograft models in 6- to 8-week-old female balb/c nude or CB17-SCID mice.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Half life period 0.4 hour (Mouse); 0.3 hour (Rat); 0.6 hour (Nonhuman primate)
Experiment 2 Reporting the Activity Data of This PDC [1]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
87%
Administration Time 20 day
Administration Dosage 0.5 mg/kg every week
MOA of PDC
Here we describe the development of BT5528, a bicyclic peptide (Bicycle) conjugated to the auristatin derivative maleimidocaproyl-monomethyl auristatin E to generate the Bicycle toxin conjugate BT5528. There are two potential mechanism of BT5528 bystander activity: extracellular linker cleavage and toxin penetration into neighboring cells, or receptor internalization and intracellular linker cleavage followed by release of cell penetrant toxin from lysed cells. The available data do not allow us to distinguish between these two mechanisms and it seems likely that BT5528 activity is mediated by toxin release following a combination of intracellular and extracellular linker cleavage.

   Click to Show/Hide
Description
BT5528 is efficacious in the PC3 xenograft model but control BTCs with noncleavable linkers and non-cell penetrant toxins lack comparable efficacy. A, The nonbinding BTC, BCY8245, is less active than BT5528 in the PC3 model (group mean ± SEM, n = 5) at both 0.5 and 0.0167 mg/kg dosing level (*, P < 0.05; **, P < 0.01; two-way ANOVA with Sidak's multiple comparisons test). B, Replacement of the cell penetrant toxin (MMAE: BT5528) with the non-cell penetrant toxin (MMAF: BCY10188) reduces activity in the PC3 model at 3, 1, and 0.33 mg/kg (group mean ± SEM; n = 5; *, P < 0.05; **, P < 0.01; two-way ANOVA with Sidak's multiple comparisons test). C, noncleavable linker chemistry abolishes activity in the HT1080 model; BCY6063, 10 mg/kg twice a week (group mean ± SEM, n = 3).

   Click to Show/Hide
In Vivo Model HT108 cells xenograft models in 6- to 8-week-old female balb/c nude or CB17-SCID mice.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Half life period 0.4 hour (Mouse); 0.3 hour (Rat); 0.6 hour (Nonhuman primate)
References
Ref 1 MMAE Delivery Using the Bicycle Toxin Conjugate BT5528. Mol Cancer Ther. 2020 Jul;19(7):1385-1394. doi: 10.1158/1535-7163.MCT-19-1092. Epub 2020 May 12.