title: Tumor-targeted prodrug ICT2588 demonstrates therapeutic activity against solid tumors and reduced potential for cardiovascular toxicity.
abstract: Development of therapeutic strategies for tumor-selective delivery of therapeutics through exploitation of the proteolytic tumor phenotype has significant scope for improvement of cancer treatment. ICT2588 is a peptide-conjugated prodrug of the vascular disrupting agent (VDA) azademethylcolchicine developed to be selectively hydrolyzed by matrix metalloproteinase-14 (MMP-14) within the tumor. In this report, we extend our previous proof-of-concept studies and demonstrate the therapeutic potential of this agent against models of human colorectal, lung, breast, and prostate cancer. In all tumor types, ICT2588 was superior to azademethylcolchicine and was greater or comparable to standard clinically used agents for the respective tumor type. Prodrug activation in clinical human lung tumor homogenates relative to stability in human plasma and liver was observed, supporting clinical translation potential. A major limiting factor to the clinical value of VDAs is their inherent cardiovascular toxicity. No increase in plasma von Willebrand factor (vWF) levels, an indicator of systemic vascular dysfunction and acute cardiovascular toxicity, was detected with ICT2588, thereby supporting the tumor-selective activation and reduced potential of ICT2588 to cause cardiovascular toxicity. Our findings reinforce the improved therapeutic index and tumor-selective approach offered by ICT2588 and this nanotherapeutic approach.
authors.affiliation: Institute of Cancer Therapeutics, School of Life Sciences, University of Bradford , Bradford, Yorkshire BD7 1DP, United Kingdom.
authors.forename: Jason H
authors.initials: JH
authors.lastname: Gill
authors.forename: Paul M
authors.initials: PM
authors.lastname: Loadman
authors.forename: Steven D
authors.initials: SD
authors.lastname: Shnyder
authors.forename: Patricia
authors.initials: P
authors.lastname: Cooper
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Atkinson
authors.forename: Goreti
authors.initials: G
authors.lastname: Ribeiro Morais
authors.forename: Laurence H
authors.initials: LH
authors.lastname: Patterson
authors.forename: Robert A
authors.initials: RA
authors.lastname: Falconer
mesh_terms: D000818:Animals; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D002319:Cardiovascular System / Q000187:drug effects*; D003078:Colchicine / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D051379:Mice; D008807:Mice, Inbred BALB C; D009369:Neoplasms / Q000188:drug therapy*; D009842:Oligopeptides / Q000009:adverse effects / Q000627:therapeutic use*; D011355:Prodrugs / Q000627:therapeutic use*; D014841:von Willebrand Factor / Q000032:analysis
chemical_list: D000970:Antineoplastic Agents; C000595447:ICT2588; D009842:Oligopeptides; D011355:Prodrugs; D014841:von Willebrand Factor; D003078:Colchicine