General Information of This Peptide
Peptide ID
PEP00174
Peptide Name
BT1718 Bicycle peptide
Structure
Sequence
Sar:Ala-Cys-D-Ala]-Asn-Glu-1NAl-(D-Ala)-Cys-Glu-Asp-Phe-Tyr-Asp-tBuGly-Cys
Peptide Type
Cyclic (Bicycle)
Receptor Name
Matrix metalloproteinase-14 (MMP14)
 Receptor Info 
PDC Transmembrane Types Cell targeting peptides (CTPs)
Formula
C85H107N17O25S3
Isosmiles
C[C@H](N)C(=O)N[C@H]1CSCc2cc3cc(c2)CSC[C@H](NC(=O)[C@H](C)NC(=O)[C@@H](Cc2ccc4ccccc4c2)NC(=O)[C@@H](CCC(=O)O)NC(=O)[C@@H](CC(N)=O)NC(=O)[C@H](C)NC1=O)C(=O)N[C@H](CCC(=O)O)C(=O)N[C@H](CC(=O)O)C(=O)N[C@H](Cc1ccccc1)C(=O)N[C@H](Cc1ccc(O)cc1)C(=O)NC(C(=O)O)C(=O)N[C@H](C(C)(C)C)C(=O)N[C@H](C(N)=O)CSC3
InChI
InChI=1S/C85H107N17O25S3/c1-41(86)70(112)99-61-39-129-36-48-26-47-27-49(28-48)37-130-40-62(100-72(114)43(3)89-75(117)57(32-46-16-19-50-14-10-11-15-51(50)29-46)94-73(115)53(22-24-64(105)106)91-77(119)58(33-63(87)104)93-71(113)42(2)90-80(61)122)81(123)92-54(23-25-65(107)108)74(116)97-59(34-66(109)110)78(120)95-55(30-44-12-8-7-9-13-44)76(118)96-56(31-45-17-20-52(103)21-18-45)79(121)101-67(84(126)127)82(124)102-68(85(4,5)6)83(125)98-60(69(88)111)38-128-35-47/h7-21,26-29,41-43,53-62,67-68,103H,22-25,30-40,86H2,1-6H3,(H2,87,104)(H2,88,111)(H,89,117)(H,90,122)(H,91,119)(H,92,123)(H,93,113)(H,94,115)(H,95,120)(H,96,118)(H,97,116)(H,98,125)(H,99,112)(H,100,114)(H,101,121)(H,102,124)(H,105,106)(H,107,108)(H,109,110)(H,126,127)/t41-,42+,43+,53-,54-,55-,56-,57-,58-,59-,60+,61+,62+,67?,68+/m0/s1
InChIKey
SSNICADVCSVWJB-FZWCCHQESA-N
Pharmaceutical Properties
Molecule Weight
1863.086
Polar area
689.03
Complexity
1861.678615
xlogp Value
-3.1298
Heavy Count
130
Rot Bonds
20
Hbond acc
25
Hbond Donor
22
The Activity Data of This Peptide
Peptide Activity Information 1 [1]
KD 3 nM
Each Peptide-drug Conjugate Related to This Peptide
Full Information of The Activity Data of The PDC(s) Related to This Peptide
BT1718 [Phase 2]
Identified from the Human Clinical Data
Click To Hide/Show 2 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [2]
Indication Solid tumor
Efficacy Data Grade 3 increased GGT
8.30%
Patients Enrolled
24 patients with various types of solid tumors.
Administration Dosage 9.6 mg/m2 BIW
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

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Description
24 patients were enrolled with various types of solid tumors across both dose escalation cohorts (see table). BIW RP2D was determined as 7.2 mg/m2. The 2 patients with DLTs at 9.6 mg/m2 BIW experienced grade 3 increased GGT or fatigue. QW dose escalation continues at 20 mg/m2. Mean number of cycles received = 2.3 months (N = 24), with no objective responses observed to date in this unselected population.

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Experiment 2 Reporting the Activity Data of This PDC [2]
Indication Solid tumor
Efficacy Data Fatigue
8.30%
Patients Enrolled
24 patients with various types of solid tumors.
Administration Dosage 9.6 mg/m2 BIW
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
24 patients were enrolled with various types of solid tumors across both dose escalation cohorts (see table). BIW RP2D was determined as 7.2 mg/m2. The 2 patients with DLTs at 9.6 mg/m2 BIW experienced grade 3 increased GGT or fatigue. QW dose escalation continues at 20 mg/m2. Mean number of cycles received = 2.3 months (N = 24), with no objective responses observed to date in this unselected population.

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Discovered Using Cell Line-derived Xenograft Model
Click To Hide/Show 14 Activity Data Related to This Level
Experiment 1 Reporting the Activity Data of This PDC [3]
Indication Solid tumor
Efficacy Data Tumor Growth Inhibition value (TGI)
12.50%
Administration Time Twice a week for 12 days
Administration Dosage 1 mg/kg
Evaluation Method Tumor volume detection
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 72 days.
In Vivo Model Mice implanted with MT1-positive HT-1080 cells
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 2 Reporting the Activity Data of This PDC [3]
Indication Solid tumor
Efficacy Data Tumor Growth Inhibition value (TGI)
12.70%
Administration Time Three times a week for 12 days
Administration Dosage 1 mg/kg
Evaluation Method Tumor volume detection
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 75 days.
In Vivo Model Mice implanted with MT1-positive HT-1080 cells
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 3 Reporting the Activity Data of This PDC [2]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
18%
Administration Time 14 days
Administration Dosage 1 mg/kg qw
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 or BT1718) showed rapid and complete tumour clearance (EBC-1 cells), while BDCs containing more stabilised linkers showed comparatively reduced efficacy (fig. 5) suggesting that target internalisation is not the sole mechanism of action for BDC efficacy and that extracellular cleavage and release of toxin within the local tumour environment likely also contribute. Only the most labile BDC (BT17BDC17) caused any significant toxicity (17% 9.7 body weight loss); all others were well tolerated (<10% body weight loss at 10 mg/kg tiw). Optimal therapeutic index was achieved with BT1718. Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10 mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.

   Click to Show/Hide
In Vivo Model Cell-derived xenograftmodel inmiceimplanted with MT1-positive HT-1080 cells.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 4 Reporting the Activity Data of This PDC [2]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
27%
Administration Time 14 days
Administration Dosage 1 mg/kg biw
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 or BT1718) showed rapid and complete tumour clearance (EBC-1 cells), while BDCs containing more stabilised linkers showed comparatively reduced efficacy (fig. 5) suggesting that target internalisation is not the sole mechanism of action for BDC efficacy and that extracellular cleavage and release of toxin within the local tumour environment likely also contribute. Only the most labile BDC (BT17BDC17) caused any significant toxicity (17% 9.7 body weight loss); all others were well tolerated (<10% body weight loss at 10 mg/kg tiw). Optimal therapeutic index was achieved with BT1718. Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10 mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.

   Click to Show/Hide
In Vivo Model Cell-derived xenograftmodel inmiceimplanted with MT1-positive HT-1080 cells.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 5 Reporting the Activity Data of This PDC [3]
Indication Solid tumor
Efficacy Data Tumor Growth Inhibition value (TGI)
85.40%
Administration Time Three times a week for 12 days
Administration Dosage 3 mg/kg
Evaluation Method Tumor volume detection
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 74 days.
In Vivo Model Mice implanted with MT1-positive HT-1080 cells
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 6 Reporting the Activity Data of This PDC [2]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
88%
Administration Time 14 days
Administration Dosage 3 mg/kg qw
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 or BT1718) showed rapid and complete tumour clearance (EBC-1 cells), while BDCs containing more stabilised linkers showed comparatively reduced efficacy (fig. 5) suggesting that target internalisation is not the sole mechanism of action for BDC efficacy and that extracellular cleavage and release of toxin within the local tumour environment likely also contribute. Only the most labile BDC (BT17BDC17) caused any significant toxicity (17% 9.7 body weight loss); all others were well tolerated (<10% body weight loss at 10 mg/kg tiw). Optimal therapeutic index was achieved with BT1718. Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10 mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.

   Click to Show/Hide
In Vivo Model Cell-derived xenograftmodel inmiceimplanted with MT1-positive HT-1080 cells.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 7 Reporting the Activity Data of This PDC [2]
Indication Lung squamous cell carcinoma
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time 14 days
Administration Dosage 10mg/kg
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 or BT1718) showed rapid and complete tumour clearance (EBC-1 cells), while BDCs containing more stabilised linkers showed comparatively reduced efficacy (fig. 5) suggesting that target internalisation is not the sole mechanism of action for BDC efficacy and that extracellular cleavage and release of toxin within the local tumour environment likely also contribute. Only the most labile BDC (BT17BDC17) caused any significant toxicity (17% 9.7 body weight loss); all others were well tolerated (<10% body weight loss at 10 mg/kg tiw). Optimal therapeutic index was achieved with BT1718. Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10 mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.

   Click to Show/Hide
In Vivo Model Cell-derived xenograftmodel inmiceimplanted with MT1-positive EBC-1 cells.
In Vitro Model Lung squamous cell carcinoma EBC-1 cell CVCL_2891
Experiment 8 Reporting the Activity Data of This PDC [2]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time 14 days
Administration Dosage 10 mg/kg biw
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 or BT1718) showed rapid and complete tumour clearance (EBC-1 cells), while BDCs containing more stabilised linkers showed comparatively reduced efficacy (fig. 5) suggesting that target internalisation is not the sole mechanism of action for BDC efficacy and that extracellular cleavage and release of toxin within the local tumour environment likely also contribute. Only the most labile BDC (BT17BDC17) caused any significant toxicity (17% 9.7 body weight loss); all others were well tolerated (<10% body weight loss at 10 mg/kg tiw). Optimal therapeutic index was achieved with BT1718. Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10 mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.

   Click to Show/Hide
In Vivo Model Cell-derived xenograftmodel inmiceimplanted with MT1-positive HT-1080 cells.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 9 Reporting the Activity Data of This PDC [2]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time 14 days
Administration Dosage 3 mg/kg biw
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 or BT1718) showed rapid and complete tumour clearance (EBC-1 cells), while BDCs containing more stabilised linkers showed comparatively reduced efficacy (fig. 5) suggesting that target internalisation is not the sole mechanism of action for BDC efficacy and that extracellular cleavage and release of toxin within the local tumour environment likely also contribute. Only the most labile BDC (BT17BDC17) caused any significant toxicity (17% 9.7 body weight loss); all others were well tolerated (<10% body weight loss at 10 mg/kg tiw). Optimal therapeutic index was achieved with BT1718. Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10 mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.

   Click to Show/Hide
In Vivo Model Cell-derived xenograftmodel inmiceimplanted with MT1-positive HT-1080 cells.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 10 Reporting the Activity Data of This PDC [2]
Indication Fibrosarcoma
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time 14 days
Administration Dosage 10 mg/kg qw
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 or BT1718) showed rapid and complete tumour clearance (EBC-1 cells), while BDCs containing more stabilised linkers showed comparatively reduced efficacy (fig. 5) suggesting that target internalisation is not the sole mechanism of action for BDC efficacy and that extracellular cleavage and release of toxin within the local tumour environment likely also contribute. Only the most labile BDC (BT17BDC17) caused any significant toxicity (17% 9.7 body weight loss); all others were well tolerated (<10% body weight loss at 10 mg/kg tiw). Optimal therapeutic index was achieved with BT1718. Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10 mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.

   Click to Show/Hide
In Vivo Model Cell-derived xenograftmodel inmiceimplanted with MT1-positive HT-1080 cells.
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 11 Reporting the Activity Data of This PDC [3]
Indication Solid tumor
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time 12 days
Administration Dosage 10 mg/kg
Evaluation Method Tumor volume detection
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Treatment with BDCs containing the most labile linkers (BT17BDC17 orBT1718) showed rapid and complete tumour clearance (EBC-1 cells).
In Vivo Model Mice implanted with MT1-positive EBC-1 cells
In Vitro Model Lung squamous cell carcinoma EBC-1 cell CVCL_2891
Experiment 12 Reporting the Activity Data of This PDC [3]
Indication Solid tumor
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time Twice a week for 12 days
Administration Dosage 10 mg/kg
Evaluation Method Tumor volume detection
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 70 days.
In Vivo Model Mice implanted with MT1-positive HT-1080 cells
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 13 Reporting the Activity Data of This PDC [3]
Indication Solid tumor
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time Twice a week for 12 days
Administration Dosage 3 mg/kg
Evaluation Method Tumor volume detection
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 71 days.
In Vivo Model Mice implanted with MT1-positive HT-1080 cells
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
Experiment 14 Reporting the Activity Data of This PDC [3]
Indication Solid tumor
Efficacy Data Tumor Growth Inhibition value (TGI)
100%
Administration Time Three times a week for 12 days
Administration Dosage 10 mg/kg
Evaluation Method Tumor volume detection
MOA of PDC
BT1718 is a novel first in class bicyclic targeting peptide that selectively binds MT1 MMP (MMP-14) and is linked to the maytansinoid tubulin inhibitor DM1 by a cleavable disulfide linker. Bicycle Toxin Conjugates have a low molecular weight compared to other conjugated toxin approaches, enabling rapid tumour penetration and a short systemic half-life (up to 40 minutes in non-human primates) potentially reducing toxicity. The target MT1-MMP (MT1) is a surface metalloproteinase involved in tissue remodelling through proteolysis of extracellular matrix components: Highly expressed in tumours with unmet medical need, such as triple negative breast cancer, non small cell lung cancer and ovarian cancer. Strong link with cell invasion and metastasis. High tumour MT1 expression is correlated with poor outcomes in multiple tumour types. High adjacent stromal expression and low expression in adult normal tissue.

   Click to Show/Hide
Description
Testing of BT1718 in different dosing regimes in an additional model (HT-1080 cells) also demonstrated excellent tumour regression, with 10mg/kg biw leading to complete tumour clearance in all 3 animals within 23 days and no re-growth out to 73 days.
In Vivo Model Mice implanted with MT1-positive HT-1080 cells
In Vitro Model Fibrosarcoma HT-1080 cell CVCL_0317
References
Ref 1 Abstract 5144: BT1718, a novel bicyclic peptide-maytansinoid conjugate targeting MT1-MMP for the treatment of solid tumors: Design of bicyclic peptide and linker selection. Cancer Res (2017) 77 (13_Supplement): 5144.
Ref 2 BT1718, a novel bicyclic peptide-maytansinoid conjugate targeting MT1-MMP for the treatment of solid tumours: Design of bicyclic peptide and linker selection.
Ref 3 Development of a LC-MS/MS method for the quantification of toxic payload DM1 cleaved from BT1718 in a Phase I study. Bioanalysis. 2021 Jan;13(2):101-113. doi: 10.4155/bio-2020-0256. Epub 2021 Jan 26.