CAT-8015: a second-generation pseudomonas exotoxin A-based immunotherapy targeting CD22-expressing hematologic malignancies

Clin Cancer Res. 2009 Feb 1;15(3):832-9. doi: 10.1158/1078-0432.CCR-08-1456.

Abstract

Purpose: To compare the in vitro and in vivo efficacy of CAT-8015, a second-generation recombinant immunotoxin composed of disulfide-linked affinity matured V(H) and V(L) chains of the mouse anti-CD22 monoclonal antibody RFB4 fused to PE38, to the parental compound CAT-3888.

Experimental design: The biological activity of CAT-8015 was examined in vitro using B-cell tumor lines and in vivo in a JD38-based s.c. tumor model in NCr athymic mice. Pharmacokinetics and interspecies scaling of CAT-8015 were evaluated in mice, rats, and cynomolgus monkeys. The potential toxicity of CAT-8015 was assessed in monkeys in a toxicologic study and compared with CAT-3888.

Results: The IC50 values of CAT-8015 in vitro using the EHEB, MEC1, Daudi, CA46, and JD38 cell lines ranged from 0.3 to 8.6 ng/mL. Pharmacokinetic studies with CAT-8015 were conducted in mouse, rat, and cynomolgus monkey. The t1/2 was calculated to be 0.42, 0.61, and 0.79 hours and the Vss was 1.37, 5.57, and 140.3 mL in mouse, rat, and monkey, respectively. In vivo, when JD38 tumor-bearing animals were treated with CAT-8015 at doses > or =75 microg/kg at 48-hour intervals for a total of three doses, a rapid reduction in tumor volume and in some cases complete remission in tumor growth was observed. The comparative toxicologic study showed comparable clinical and anatomic pathology changes for CAT-8015 and CAT-3888.

Conclusions: CAT-8015 is a CD22-targeting immunotoxin that, in preclinical studies, has greatly improved efficacy compared with CAT-3888.

Publication types

  • Comparative Study

MeSH terms

  • ADP Ribose Transferases / therapeutic use*
  • Animals
  • Antibodies / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Bacterial Toxins / therapeutic use*
  • Burkitt Lymphoma / drug therapy
  • Burkitt Lymphoma / therapy
  • Enterotoxins / therapeutic use
  • Exotoxins / therapeutic use*
  • Female
  • Haplorhini
  • Hematologic Neoplasms / therapy*
  • Humans
  • Immunotoxins / therapeutic use*
  • Immunotoxins / toxicity
  • Leukemia, B-Cell / therapy
  • Macaca fascicularis
  • Mice
  • Mice, Nude
  • Pseudomonas aeruginosa Exotoxin A
  • Rats
  • Rats, Sprague-Dawley
  • Sialic Acid Binding Ig-like Lectin 2 / immunology*
  • Virulence Factors / therapeutic use*

Substances

  • Antibodies
  • Antibodies, Monoclonal
  • Bacterial Toxins
  • Enterotoxins
  • Exotoxins
  • Immunotoxins
  • RFB4(dsFv)-PE38 recombinant immunotoxin
  • Sialic Acid Binding Ig-like Lectin 2
  • Virulence Factors
  • immunotoxin HA22
  • ADP Ribose Transferases