IGF-1R Antibody-Drug Conjugate for Cancer Treatment

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Solution Overview

Problem

Current treatments for IGF-1R expressing cancers are hindered by ineffective diagnostic antibodies leading to false positives and negatives, and the failure of anti-IGF-1R antibodies in clinical trials due to inappropriate patient selection and the challenge of targeting IGF-1R, which is widely expressed in normal cells.

Innovation Solution

A method involving the use of a first IGF-1R antibody for determining the IGF-1R status of a subject, followed by treatment with an antibody-drug-conjugate (ADC) comprising a second IGF-1R antibody that binds to IGF-1R and is internalized, delivering a drug moiety to cancer cells.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If a first IGF-1R antibody is used for determining the IGF-1R status of a cancer, then the diagnostic accuracy is improved, but the complexity of the treatment protocol increases

Engineering Contradiction:
ImproveIGF-1R status determination accuracyVSAvoidtreatment protocol complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The treatment protocol is segmented into two distinct phases: a diagnostic phase using a first IGF-1R antibody to determine cancer status, and a therapeutic phase using an ADC comprising a second IGF-1R antibody. This segmentation allows each antibody to be optimized for its specific function while maintaining overall protocol manageability through clear stage separation.

Inventive Principle:
Principle #1Segmentation

2Reliability

If an antibody-drug-conjugate is used for treatment, then the therapeutic effectiveness is improved, but the risk of affecting normal cells increases

Engineering Contradiction:
Improvetherapeutic effectivenessVSAvoidimpact on normal cells
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The ADC is designed with localized functionality: the antibody component provides cancer-specific targeting through IGF-1R binding, while the drug moiety provides cytotoxic activity. This local quality differentiation ensures that the harmful drug effect is concentrated only at the tumor site where IGF-1R is overexpressed, minimizing impact on normal cells that do not express the target antigen.

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The antibody component acts as an intermediary that selectively delivers the drug moiety to cancer cells expressing IGF-1R. This intermediary function ensures that the cytotoxic drug is transported specifically to the tumor site through antigen-antibody binding, preventing systemic distribution and reducing off-target effects on normal cells.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Reliability

If patient selection is based on accurate IGF-1R status determination, then the treatment success rate is improved, but the time required for patient evaluation increases

Engineering Contradiction:
Improvetreatment success rateVSAvoidpatient evaluation time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

IGF-1R status determination is performed as a preliminary action before initiating ADC treatment. By establishing the diagnostic criterion in advance and using well-defined antibody binding assays, the evaluation process is streamlined and can be completed efficiently, allowing timely identification of suitable patients without delaying treatment initiation.

Inventive Principle:
Principle #10Preliminary action

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

This approach enables targeted and effective treatment of IGF-1R expressing cancers by ensuring accurate patient selection and minimizing impact on normal cells through specific internalization of the ADC, potentially overcoming previous treatment failures.

Implementation Method 1

a first IGF-1R antibody being: i) an antibody, or any antigen binding fragment thereof, comprising a heavy chain with CDR-H1 of SEQ ID No. 1, CDR-H2 of SEQ ID No. 2, and CDR-H3 of SEQ ID No. 3

Methodology Applied
Scientific EffectAntigen-antibody binding:

Implementation Method 2

Ab is a second IGF-1R antibody, or an antigen binding fragment thereof, which binds to the human IGF-1R and which is internalized following its binding to IGF-1R

Methodology Applied
Scientific EffectAntigen-antibody binding:

Implementation Method 3

which is internalized following its binding to IGF-1R

Methodology Applied
Scientific EffectCell internalization:

Implementation Method 4

delivering a drug moiety to cancer cells

Methodology Applied
Scientific EffectTargeted drug delivery:

Implementation Method 5

treating a subject in need thereof with an IGF-1R targeting therapy

Methodology Applied
Scientific EffectCytotoxicity:

Data Source

PatentUS10858423B2Composition for the treatment of IGF-1R expressing cancer
Publication Date: 2020.12.08 PIERRE FABRE MEDICAMENT SAS
  • US10858423B2 patent drawing
  • US10858423B2 patent drawing
  • US10858423B2 patent drawing

AI summary

The present invention relates to a method for the treatment of IGF-IR expressing cancers as well as to a compositions and a kit for said traitment. From one aspect, the invention relates to the combined use of a first antibody for the determination of the IGF-IR status of a cancer and a second antibody used as an ADC for the treatment of said cancer.