A novel anti-CD37 antibody-drug conjugate with multiple anti-tumor mechanisms for the treatment of B-cell malignancies

Blood. 2013 Nov 14;122(20):3500-10. doi: 10.1182/blood-2013-05-505685. Epub 2013 Sep 3.

Abstract

CD37 has gathered renewed interest as a therapeutic target in non-Hodgkin lymphoma (NHL) and chronic lymphocytic leukemia (CLL); however, CD37-directed antibody-drug conjugates (ADCs) have not been explored. Here, we identified a novel anti-CD37 antibody, K7153A, with potent in vitro activity against B-cell lines through multiple mechanisms including apoptosis induction, antibody-dependent cellular cytotoxicity, antibody-dependent cellular phagocytosis, and complement-dependent cytotoxicity. The antibody was conjugated to the maytansinoid, DM1, a potent antimicrotubule agent, via the thioether linker, N-succinimidyl-4-(N-maleimidomethyl)cyclohexane-1-carboxylate (SMCC), and the resulting ADC, IMGN529, retained the intrinsic antibody activities and showed enhanced cytotoxic activity from targeted payload delivery. In lymphoma cell lines, IMGN529 induced G2/M cell cycle arrest after internalization and lysosomal processing to lysine-N(ε)-SMCC-DM1 as the sole intracellular maytansinoid metabolite. IMGN529 was highly active against subcutaneous B-cell tumor xenografts in severe combined immunodeficient mice with comparable or better activity than rituximab, a combination of cyclophosphamide, vincristine, and prednisone, or bendamustine. In human blood cells, CD37 is expressed in B cells at similar levels as CD20, and IMGN529 resulted in potent and specific depletion of normal and CLL B cells. These results support evaluation of the CD37-targeted ADC, IMGN529, in clinical trials in patients with B-cell malignancies including NHL and CLL.

MeSH terms

  • Animals
  • Antibodies, Monoclonal, Humanized / immunology
  • Antibodies, Monoclonal, Humanized / pharmacology
  • Antibodies, Monoclonal, Humanized / therapeutic use*
  • Antibodies, Monoclonal, Murine-Derived / administration & dosage
  • Antibodies, Monoclonal, Murine-Derived / pharmacology
  • Antibodies, Monoclonal, Murine-Derived / therapeutic use*
  • Antigens, Neoplasm / immunology*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Apoptosis / drug effects
  • B-Lymphocytes / drug effects*
  • B-Lymphocytes / pathology
  • Bendamustine Hydrochloride
  • Cell Line, Tumor / drug effects
  • Cyclophosphamide / administration & dosage
  • Cytotoxicity, Immunologic / drug effects
  • Drug Screening Assays, Antitumor
  • Female
  • Humans
  • Immunotoxins / immunology
  • Immunotoxins / pharmacology
  • Immunotoxins / therapeutic use*
  • Maytansine / administration & dosage
  • Maytansine / analogs & derivatives*
  • Maytansine / pharmacology
  • Maytansine / therapeutic use
  • Mice
  • Mice, SCID
  • Molecular Targeted Therapy*
  • Nitrogen Mustard Compounds / therapeutic use
  • Prednisone / administration & dosage
  • Rituximab
  • Tetraspanins / immunology*
  • Vincristine / administration & dosage
  • Xenograft Model Antitumor Assays

Substances

  • Antibodies, Monoclonal, Humanized
  • Antibodies, Monoclonal, Murine-Derived
  • Antigens, Neoplasm
  • CD37 protein, human
  • Immunotoxins
  • K7153A
  • Nitrogen Mustard Compounds
  • Tetraspanins
  • Maytansine
  • Rituximab
  • Vincristine
  • Cyclophosphamide
  • Bendamustine Hydrochloride
  • Prednisone
  • naratuximab emtansine