1. Academic Validation
  2. OMTX705, a Novel FAP-Targeting ADC Demonstrates Activity in Chemotherapy and Pembrolizumab-Resistant Solid Tumor Models

OMTX705, a Novel FAP-Targeting ADC Demonstrates Activity in Chemotherapy and Pembrolizumab-Resistant Solid Tumor Models

  • Clin Cancer Res. 2020 Jul 1;26(13):3420-3430. doi: 10.1158/1078-0432.CCR-19-2238.
Myriam Fabre 1 Cristina Ferrer 2 Saioa Domínguez-Hormaetxe 2 Bruno Bockorny 3 Laura Murias 2 Oliver Seifert 4 Stephan A Eisler 4 Roland E Kontermann 4 Klaus Pfizenmaier 4 So Young Lee 5 María dM Vivanco 5 Pedro P López-Casas 6 Sofia Perea 3 6 Muhammad Abbas 7 Wolfgang Richter 7 Laureano Simon 2 Manuel Hidalgo 8 9
Affiliations

Affiliations

  • 1 Oncomatryx Biopharma S.L., Derio, Spain. [email protected] [email protected].
  • 2 Oncomatryx Biopharma S.L., Derio, Spain.
  • 3 Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
  • 4 Institute of Cell Biology and Immunology, University of Stuttgart, Stuttgart, Germany.
  • 5 CIC BioGUNE, Derio, Spain.
  • 6 Gastrointestinal Cancer Clinical Research Unit, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
  • 7 TUBE Pharmaceuticals, Wien, Austria.
  • 8 Gastrointestinal Cancer Clinical Research Unit, Spanish National Cancer Research Centre (CNIO), Madrid, Spain. [email protected] [email protected].
  • 9 Weill Cornell Medical College, New York, New York.
Abstract

Purpose: The tumor microenvironment plays a key role in Cancer development and progression and is involved in resistance to chemo- and immunotherapy. Cancer-associated fibroblast expressing fibroblast-activating protein α (FAPα) is one of the predominant stroma cell types and is involved in resistance to immunotherapy.

Experimental design: We generated OMTX705, a novel antibody-drug conjugate from a humanized anti-FAP antibody linked to a new cytolysin. Here, we studied its antineoplastic activity in vitro and in preclinical mouse models alone and in combination with chemotherapy as well as immunotherapy in PD-1-resistant tumors.

Results: In Avatar models, OMTX705 showed a 100% tumor growth inhibition and prolonged tumor regressions as single agent and in combination with chemotherapy. Treatment rechallenge following treatment discontinuation induced additional tumor regression, suggesting lack of treatment resistance. In a mouse model with a humanized immune system resistant to PD-1 inhibition, OMTX705 increased tumor infiltration by CD8+ T cells, induced complete regressions, and delayed tumor recurrence.

Conclusions: These data suggest that FAP targeting with OMTX705 represents a novel and potent strategy for Cancer treatment, including tumors resistant to immunotherapy, and support its clinical development.

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