Antibody-targeted chemotherapy with CMC-544: a CD22-targeted immunoconjugate of calicheamicin for the treatment of B-lymphoid malignancies

Blood. 2004 Mar 1;103(5):1807-14. doi: 10.1182/blood-2003-07-2466. Epub 2003 Nov 13.

Abstract

Antibody-targeted chemotherapy with gemtuzumab ozogamicin (CMA-676, a CD33-targeted immunoconjugate of N-acetyl-gamma-calicheamicin dimethyl hydrazide [CalichDMH], a potent DNA-binding cytotoxic antitumor antibiotic) is a clinically validated therapeutic option for patients with acute myeloid leukemia (AML). Here, we describe the preclinical profile of another immunoconjugate of CalichDMH, CMC-544, targeted to CD22 expressed by B-lymphoid malignancies. CMC-544 comprises a humanized IgG4 anti-CD22 monoclonal antibody (mAb), G5/44, covalently linked to CalichDMH via an acid-labile 4-(4'-acetylphenoxy) butanoic acid (AcBut) linker. Both CMC-544 and unconjugated G5/44 bound human CD22 with subnanomolar affinity. CMC-544, but not unconjugated G5/44, exerted potent cytotoxicity against CD22+ B-cell lymphoma (BCL) cell lines (inhibitory concentration of 50%: 6-600 pM CalichDMH). CMC-544 caused a potent inhibition of growth of small but established BCL xenografts leading to cures (therapeutic index > 10). CMC-544 prevented the establishment of BCL xenografts and also caused regression of large BCLs (> 1.5 g tumor mass). In contrast, unconjugated CalichDMH, unconjugated G5/44, and an isotype-matched control conjugate, CMA-676, were ineffective against these BCL xenografts. Thus, CD22-targeted delivery of CalichDMH is a potent and effective preclinical therapeutic strategy for BCLs. The strong antitumor profile of CMC-544 supports its clinical evaluation as a treatment option for B-lymphoid malignancies.

MeSH terms

  • Animals
  • Antibodies, Monoclonal / metabolism
  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Monoclonal, Humanized
  • Antigens, CD / biosynthesis*
  • Antigens, CD / metabolism
  • Antigens, Differentiation, B-Lymphocyte / biosynthesis*
  • Antigens, Differentiation, B-Lymphocyte / metabolism
  • Antineoplastic Agents / pharmacology
  • Cell Adhesion Molecules*
  • Cell Line, Tumor
  • Female
  • Humans
  • Immunoconjugates / therapeutic use*
  • Immunoglobulin G / metabolism
  • Immunotherapy / methods
  • Inhibitory Concentration 50
  • Inotuzumab Ozogamicin
  • Lectins / biosynthesis*
  • Lectins / metabolism
  • Lymphoma, B-Cell / metabolism
  • Lymphoma, B-Cell / therapy*
  • Lymphoma, Non-Hodgkin / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Models, Chemical
  • Neoplasm Transplantation
  • Protein Binding
  • Sialic Acid Binding Ig-like Lectin 2
  • Time Factors

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antigens, CD
  • Antigens, Differentiation, B-Lymphocyte
  • Antineoplastic Agents
  • CD22 protein, human
  • Cd22 protein, mouse
  • Cell Adhesion Molecules
  • Immunoconjugates
  • Immunoglobulin G
  • Lectins
  • Sialic Acid Binding Ig-like Lectin 2
  • Inotuzumab Ozogamicin