ZIOPHARM and Intrexon Announce Preclinical Study Results at 2011 ASGCT Meeting from Controlled In Vivo Expression of Genes with Broad and Potent Antitumor Activity
Human Application of Novel, Synthetic Biology Approach to Be Presented at 2011 ASCO Annual Meeting
Interleukin-12 (IL-12) is an important regulatory protein that has a function central to the initiation and regulation of cellular immune responses. IL-12, naturally produced by dendritic cells (DCs), has demonstrated potent anti-tumor activity and has been shown to elicit anti-tumor T-cells as well as activate natural killer (NK) cells. The utility of recombinant IL-12 protein therapy, however, has been limited in clinical settings by substantial systemic toxicity.
To improve therapeutic benefit and minimize toxicity, ZIOPHARM, exclusive channel partner to Intrexon in the development and commercialization of DNA-based therapeutics in oncology, has combined Intrexon's RheoSwitch Therapeutic System™ (RTSTM) with the IL-12 gene. Using RTS™ technology, IL-12 expression is regulated using a controllable gene switch, which is activated by an orally-delivered small-molecule activator ligand (AL). RTS-IL-12 is delivered to the tumor through an adenoviral vector (Ad), a tool used to deliver genetic material (and encoded protein) into cells, or through dendritic cells transduced with Ad-RTS-IL-12 (DC-RTS-IL-12), an approach validated in preclinical proof-of-concept studies.
The studies, entitled "RheoSwitch-Mediated Regulation of IL-12 Protein Delivered Using an Adenoviral Vector Results in Anti-Tumor Effects Across a Spectrum of Tumor Types" by Murugesan et al. (Poster #883, Poster Session I) and "Local and Systemic Anti-Tumor Immunity is Induced by Rheoswitch Regulated IL-12 Production after Intra-Tumoral Injection of Adenovirus Vector as well as Vector-Transduced Dendritic Cells" by Herberman et al. (poster #899, Poster Session II), are available at http://www.asgct.org/am11/index.php.
"The use of recombinant proteins is one of the most important advances in therapeutic drug development over the past 30 years, but the limits of systemic delivery of proteins such as IL-12 are evident since they cannot readily be given safely at therapeutic levels," said Ronald B. Herberman, M.D., Chief Medical Officer of Intrexon and lead author of the ‘899' study. "As we demonstrated in these studies, however, the tightly controlled production of IL-12 directly within the tumor allows us to modulate its broad antitumor response. Specifically, these data highlight the potential therapeutic benefit of direct adenoviral-based immune-therapy with Ad-RTS-IL-12, which is a simpler approach than using autologous, transduced dendritic cells. Clearly, the data warrant further evaluation in the clinic. The RTS™ technology used to achieve this preclinical result is at the cutting edge of medical and scientific research, and it represents a novel approach where the body itself is used to manufacture the effector protein, in the right place and at the right time."
On
Results in Detail
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In Murugesan et al., the induction of IL-12 expression in the presence of the AL was first established in vitro. No induction of IL-12 was detected when the activator was omitted whereas an up to >6000-fold induction of human IL-12 expression above background levels was established depending on the exposure concentration of the AL. Dose response for both the AL and virus vector dose were then investigated in vivo using murine IL-12 (mIL-12) in a B16FO melanoma model. Significant tumor inhibition (91-98%) compared to controls was observed when Ad-RTS-mIL-12 + AL was delivered at doses ranging from 100-1000mg/kg of rodent feed, without observable reduction in animal body weight. At a constant AL dose and varying virus vector doses (1x107- 5x1010 viral particles), Ad-RTS-mIL-12 + AL produced 73% tumor growth inhibition at low dose and a 95-99% tumor reduction at high doses (p0.005), with no major body weight loss.
Ad-RTS-mIL-12 + AL demonstrated similar tolerability and statistically significant tumor-growth inhibition relative to controls in several additional murine tumor models including colon, lung, leukemia breast and pancreatic cancer models. These data suggest the RTS-controlled IL-12 expression delivered through direct intra-tumoral adenoviral delivery is effective and tolerable, with a broad therapeutic window for both the activator and vector dose. -
Herberman et al. sought to determine whether the immunologic mechanism
of action of direct intratumoral injection of Ad-RTS-IL-12 + AL was
similar to that of DC-RTS-IL-12 (dendritic cells transduced with
Ad-RTS-IL-12) + AL, the subject of Komita et al. (Cancer Gene Therapy,
2009) as well as a Phase Ib clinical study to be presented at the 2011
Annual Meeting of the
American Society of Clinical Oncology (ASCO). Komita et al. reported that the mechanism of action of DC-RTS-mIL-12 with the AL appeared to be induction of systemic anti-tumor immunity, with CD8+ T cells (killer T cells) secreting increased levels of IFNγ, a protein with anti-tumor properties, in response to specific tumor cells, as well as the persistence and accumulation of dendritic cells in treated tumors. Recent studies have indicated that mice treated with DC-RTS-mIL-12 + AL had, in both the tumor-draining lymph nodes and spleen, increased numbers of tumor-specific T-cells capable of secreting granzyme B (GzB) and IFNγ in response to both CD8+ and CD4+ tumor peptides.
To evaluate cell types transduced by direct adenovirus injection, adenovirus expressing green fluorescent protein (GFP) under a strong constitutive promoter was injected into established B16F0 melanoma tumors, and within 12 hours the virus was detectable in dendritic cells and T-cells as well as in melanoma cells. At day seven (7) after intra-tumoral injection of Ad-RTS-mIL-12 + AL, increased percentages of T cell subsets, natural killer cells and dendritic cells were observed in the tumor microenvironment, and cells isolated from the tumor-draining lymph nodes and spleens of the treated animals showed increased numbers of GzB and IFNγ-secreting T-cells in response to CD8+ and CD4+ melanoma peptides. Taken together, these data indicate that intra-tumoral injection of either Ad-RTS-mIL-12 or DC-RTS-mIL-12, in combination with daily oral AL, induced changes in the tumor micro-environment that favor anti-tumor immune responses and systemic anti-tumor immunity.
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