Companion Diagnostic Antibody for CA6 Detection

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Solution Overview

Problem

Developing drugs for therapeutic use in patient populations is challenging due to difficulties in establishing drug interactions with intended molecular targets, determining target relevance to the disease, and identifying optimal dosing, which can be addressed by developing companion diagnostics that combine with molecular imaging for non-invasive assessment.

Innovation Solution

A companion diagnostic antibody-like binding protein based on the humanized monoclonal antibody DS6 is developed for in vivo detection and quantification of the tumor-associated MUC1-sialoglycotope CA6 using PET bio-imaging, facilitating patient stratification and early evaluation of therapeutic efficacy, and enabling identification of potential responders to the huDS6-DM4 antibody-drug immunoconjugate.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If traditional drug development without companion diagnostic is used, then development cost and time are reduced, but the ability to establish drug interactions with intended molecular targets and identify optimal dosing is insufficient

Engineering Contradiction:
Improvedetection precision of drug-target interactionVSAvoidcomplexity of diagnostic system
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The patent uses a companion diagnostic antibody as an intermediary tool to detect drug-target interactions. The diagnostic antibody specifically binds to the same molecular target (CA6) as the therapeutic antibody-drug conjugate, enabling non-invasive detection of target presence and drug binding in vivo through PET imaging. This intermediary diagnostic system provides precise measurement of drug-target interaction without requiring complex surgical biopsies or invasive monitoring.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Measurement precision

If invasive methods are used to assess drug-target interaction, then measurement precision is improved, but patient safety and ease of operation deteriorate

Engineering Contradiction:
Improveprecision of target expression measurementVSAvoidinvasiveness to patient
Core Design Contradiction:
Measurement precisionVSObject-affected harmful factors

Solution Approach 1:

The patent replaces invasive mechanical biopsy procedures with non-invasive molecular imaging (PET scan). Instead of surgically removing tissue samples to assess target expression and drug binding, the system uses radiolabeled diagnostic antibodies that circulate in the patient's bloodstream and bind to the target antigen, with signal detection performed externally via PET imaging. This substitution eliminates surgical risks while maintaining measurement precision.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

3Adaptability or versatility

If companion diagnostic with molecular imaging is implemented, then patient stratification and dosing optimization are improved, but cost and device complexity increase

Engineering Contradiction:
Improveability to stratify patients and optimize dosingVSAvoidcomplexity of imaging and diagnostic system
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The companion diagnostic antibody is designed with multi-functionality: it serves both as a diagnostic probe for PET imaging and as a surrogate for the therapeutic antibody-drug conjugate. The same antibody variable regions recognize the target antigen in both the diagnostic and therapeutic contexts, allowing a single molecular entity to fulfill multiple roles. This universality reduces overall system complexity compared to using entirely separate diagnostic and therapeutic agents.

Inventive Principle:
Principle #6Universality (Multi-functionality)

4Productivity

If rapid imaging with short exposure times is used, then productivity is improved, but image quality and measurement precision may deteriorate

Engineering Contradiction:
Improveimaging speedVSAvoidquantification accuracy of target expression
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The patent optimizes the diagnostic antibody's binding affinity and pharmacokinetic parameters to achieve rapid target binding and fast blood clearance. The antibody is engineered with high affinity for the CA6 antigen, enabling quick saturation of target sites. Additionally, the Fc region is modified to reduce binding to Fc receptors, accelerating renal clearance and reducing background signal. These parameter changes allow high-quality quantitative imaging within 48-24 hours or less, balancing imaging speed with measurement precision.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The companion diagnostic antibody-like binding protein allows for precise identification of patients with high CA6 expression, enabling targeted treatment with huDS6-DM4 and monitoring treatment response, thereby improving drug development and delivery to appropriate patients.

Implementation Method 1

The antibody-like binding protein can be used as a diagnostic tool for in vivo detection and quantification of the human CA6 tumor antigen by a bio-imaging technique, such as PET, wherein the antibody-like binding protein is conjugated to a suitable chelator for coupling to the bio-imaging tracer.

Methodology Applied
Scientific EffectChelation:

Implementation Method 2

A companion diagnostic antibody-like binding protein based on the humanized monoclonal antibody DS6 was developed for use as a diagnostic tool for in vivo detection and quantification of the tumor-associated MUC1-sialoglycotope, CA6

Methodology Applied
Scientific EffectAntigen-antibody binding:

Data Source

PatentEP2953977B1Immuno imaging agent for use with antibody-drug conjugate therapy
Publication Date: 2017.10.25 SANOFI SA(FR)
  • EP2953977B1 patent drawing
  • EP2953977B1 patent drawing
  • EP2953977B1 patent drawing

AI summary

The invention relates to a companion diagnostic antibody-like binding protein based on the humanized monoclonal antibody, DS6, to be used as diagnostic tool for in vivo detection and quantification of the tumor-associated MUCl-sialoglycotope, CA6.