ZD2767 represents an improved version of antibody-directed
enzyme prodrug therapy. It consists of a conjugate of the F(ab')2 A5B7
antibody fragment and
carboxypeptidase G2 (CPG2) and a
prodrug, 4-[N,N-bis(2-iodoethyl)amino]phenoxycarbonyl
L-glutamic acid. The IC50 of the
prodrug against LoVo
colorectal tumor cells was 47 microM, and cleavage by CPG2 released the potent bis-iodo
phenol mustard drug (IC50 = 0.34 microM). The
drug killed both proliferating and quiescent LoVo cells. Administration of the
ZD2767 conjugate to nude mice bearing LoVo colorectal xenografts resulted in approximately 1% of injected
ZD2767 conjugate localizing/g of
tumor after 72 h, and blood and normal tissue levels of the conjugate were 10-50-fold lower. A single round of
therapy involving the administration of the
prodrug 72 h after the conjugate to athymic mice bearing established LoVo xenografts resulted in approximately 50% of the
tumors undergoing complete regressions,
tumor growth delays greater than 30 days, and little toxicity (as judged by
body-weight loss). Similar studies using a control antibody-CPG2 conjugate that does not bind to LoVo
tumor cells resulted in a growth delay of less than 5 days, confirming the
tumor specificity of this approach. These studies demonstrate the potential of
ZD2767 for the treatment of
colorectal cancer.