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DRUG CLASS:

EGFR-targeted-dye conjugate

1m
New P3 trial • Combination therapy
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Keytruda (pembrolizumab) • Erbitux (cetuximab) • cisplatin • carboplatin • paclitaxel • docetaxel • 5-fluorouracil • Akalux (cetuximab sarotalocan)
3ms
ASP-1929 Photoimmunotherapy (PIT) Study in Recurrent Head/Neck Cancer for Patients Who Have Failed At Least Two Lines of Therapy (clinicaltrials.gov)
P3, N=275, Recruiting, Rakuten Medical, Inc. | Trial completion date: Dec 2024 --> Dec 2025 | Trial primary completion date: Sep 2024 --> Dec 2025
Trial completion date • Trial primary completion date
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Erbitux (cetuximab) • paclitaxel • docetaxel • Akalux (cetuximab sarotalocan)
4ms
ASP-1929 Photoimmunotherapy (PIT) Study in Patients With Recurrent Head/Neck Cancer (clinicaltrials.gov)
P2, N=9, Active, not recruiting, Rakuten Medical, Inc. | Recruiting --> Active, not recruiting | N=22 --> 9 | Trial completion date: Mar 2027 --> Jun 2026 | Trial primary completion date: Mar 2025 --> Jul 2024
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date
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Akalux (cetuximab sarotalocan)
8ms
ASP-1929 Photoimmunotherapy Combined With Pembrolizumab in Patients With Recurrent Head and Neck Cancer, With or Without Metastases (clinicaltrials.gov)
P2, N=16, Terminated, Rakuten Medical, Inc. | Active, not recruiting --> Terminated; Business decision
Trial termination
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Keytruda (pembrolizumab) • Akalux (cetuximab sarotalocan)
8ms
ASP-1929 Photoimmunotherapy (PIT) Study in Patients With Recurrent Head/Neck Cancer (clinicaltrials.gov)
P2, N=22, Recruiting, Rakuten Medical, Inc. | Trial completion date: Sep 2025 --> Mar 2027
Trial completion date
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Akalux (cetuximab sarotalocan)
8ms
Antibody-dye Conjugates Targeting EGFR and HER2 for the Photoimmunotherapy of Bladder Cancer. (PubMed, Anticancer Res)
Our new antibody dye conjugate targeting EGFR-expressing bladder cancer cells is a promising candidate for the future PIT of bladder cancer patients.
Journal
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EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2)
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EGFR expression • EGFR positive
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Herceptin (trastuzumab) • Erbitux (cetuximab)
3years
Anti-tumor efficacy of an MMAE-conjugated antibody targeting cell surface TACE/ADAM17-cleaved Amphiregulin in breast cancer. (PubMed, Antib Ther)
We further demonstrate that these antibodies recognize the AREG neo-epitope in formalin-fixed, paraffin-embedded tumor tissue, suggesting their utility as a companion diagnostic for patient selection. This ADC targeting AREG has potential utility in the treatment of breast and other tumors in which proteolytic AREG shedding is a frequent event.
Clinical • Journal
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EGFR (Epidermal growth factor receptor) • ER (Estrogen receptor) • ADAM17 (ADAM Metallopeptidase Domain 17)
over3years
Simultaneously Combined Cancer Cell- and CTLA4-Targeted NIR-PIT Causes a Synergistic Treatment Effect in Syngeneic Mouse Models. (PubMed, Mol Cancer Ther)
Furthermore, dual-targeted NIR-PIT showed antitumor immunity in distant untreated tumors of the same type. Thus, simultaneous cancer cell-targeted NIR-PIT and CTLA4-targeted NIR-PIT is a promising new cancer therapy strategy, especially in poorly immunogenic tumors where NIR-PIT monotherapy is suboptimal.
Preclinical • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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CTLA4 expression
over3years
Endoscopic Near-infrared Photoimmunotherapy in an Orthotopic Head and Neck Cancer Model. (PubMed, Cancer Sci)
This method could also be applied to other types of cancer approachable with endoscopy. Supporting information.
Preclinical • Journal
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EGFR (Epidermal growth factor receptor) • CD44 (CD44 Molecule)
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CD44 expression
over3years
Shortwave-Infrared Fluorescent Molecular Imaging Probes Based on π-Conjugation Extended Indocyanine Green. (PubMed, Bioconjug Chem)
Herein, we demonstrate noninvasive SWIR fluorescence imaging of human epidermal growth factor receptor 2 (HER2)-positive and epidermal growth factor receptor (EGFR)-positive breast tumors using π-conjugation extended ICG and monoclonal antibody conjugates. The presented π-conjugation extended ICG analog probes will be a breakthrough to apply SWIR fluorescence imaging in biomedical fields.
Journal
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HER-2 (Human epidermal growth factor receptor 2)
4years
Regulatory approval of photoimmunotherapy: photodynamic therapy that induces immunogenic cell death. (PubMed, Oncoimmunology)
In September 2020, the Japanese government approved cetuximab saratolacan (previously known as RM-1929, commercial name: Akalux) for the treatment of unresectable locally advanced or recurrent head and neck cancer. The treatment consists in the intravenous injection of cetuximab saratolacan, which binds to head and neck cancer cells expressing high levels of EGFR, followed by illumination of the tumor with red light (690 nm) for photodynamic therapy. This approach causes immunogenic cell death in malignant tissues, thus triggering a potent anticancer immune response.
Journal
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EGFR (Epidermal growth factor receptor)
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EGFR expression
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Erbitux (cetuximab) • Akalux (cetuximab sarotalocan)
4years
[VIRTUAL] PD-L1 is a potential predictive biomarker for response to RM-1929 treatment in recurrent head and neck squamous cell carcinoma patients (SITC 2020)
Background RM-1929 is an antibody-dye conjugate comprised of cetuximab covalently linked to the photoactivable dye, IRDye® 700DX (IR700). Conclusions These results suggest that rHNSCC patients with lower PD-L1 expression levels may be more responsive to RM-1929 treatment and CPS/TPS could potentially be predictive biomarkers in identifying patients with a higher probability of benefiting from this treatment. Given the limited number of patients in this analysis, additional clinical trials will be needed to validate PD-L1 expression as an effective predictive biomarker for RM-1929 treatment.
Clinical • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression
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Erbitux (cetuximab) • Akalux (cetuximab sarotalocan)
4years
[VIRTUAL] PD-L1 is a potential predictive biomarker for response to RM-1929 treatment in recurrent head and neck squamous cell carcinoma patients (SITC 2020)
Background RM-1929 is an antibody-dye conjugate comprised of cetuximab covalently linked to the photoactivable dye, IRDye® 700DX (IR700). Conclusions These results suggest that rHNSCC patients with lower PD-L1 expression levels may be more responsive to RM-1929 treatment and CPS/TPS could potentially be predictive biomarkers in identifying patients with a higher probability of benefiting from this treatment. Given the limited number of patients in this analysis, additional clinical trials will be needed to validate PD-L1 expression as an effective predictive biomarker for RM-1929 treatment.
Clinical • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression
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Erbitux (cetuximab) • Akalux (cetuximab sarotalocan)
over4years
Design, synthesis and biological evaluation of novel heptamethine cyanine dye-erlotinib conjugates as antitumor agents. (PubMed, Bioorg Med Chem Lett)
Finally, molecular docking analysis verified that the erlotinib moiety of compound CE17 could form hydrogen bond with Met-769 and occupy active cavity of EGFR-TK. Therefore, we believed the integration strategy between heptamethine cyanine dyes and EGFR-TKI will contribute to enhancing the therapeutic effect of EGFR-TKI for NSCLC treatment.
Journal
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EGFR (Epidermal growth factor receptor)
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erlotinib
over4years
Quenched cetuximab conjugate for fast fluorescence imaging of EGFR-positive lung cancers. (PubMed, Biomater Sci)
The ON-Cetuximab-treated mice expressed strong fluorescence throughout their body at 8 h post-injection; therefore, lung tumor sites could not be discriminated using fluorescence imaging. These results confirm the benefits of Q-Cetuximab for image-guided precision surgery of EGFR-positive lung cancers.
Journal
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EGFR (Epidermal growth factor receptor)
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EGFR positive
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Erbitux (cetuximab)