Abstract
Salvatore Lopez1,2,3, Emanuele Perrone1, Stefania Bellone1, Elena Bonazzoli1, Burak Zeybek1, Chanhee Han1, Joan Tymon-Rosario1, Gary Altwerger1, Gulden Menderes1, Anna Bianchi1, Luca Zammataro1, Aranzazu Manzano1, Paola Manara1, Elena Ratner1, Dan-Arin Silasi1, Gloria S. Huang1, Masoud Azodi1, Peter E. Schwartz1, Francesco Raspagliesi3, Roberto Angioli4, Natalia Buza5, Pei Hui5, Heather M. Bond6 and Alessandro D. Santin1
1 Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA
2 Department of Experimental and Clinical Medicine, Magna Graecia University, Catanzaro, Italy
3 Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy
4 University Campus Bio Medico of Rome, Department of Obstetrics and Gynecology, Rome, Italy
5 Department of Pathology, Yale University School of Medicine, New Haven, CT, USA
6 Department of Clinical and Experimental Medicine, Laboratory of Molecular Haematopoiesis and Stem Cell Biology, University “Magna Græcia”, Catanzaro, Italy
Correspondence to:
| Alessandro D. Santin, | email: | alessandro.santin@yale.edu |
Keywords: sacituzumab govitecan; IMMU-132; uterine carcinosarcoma; trop-2
Received: July 19, 2019 Accepted: October 26, 2019 Published: February 04, 2020
ABSTRACT
Background
Uterine and ovarian carcinosarcomas (CS) are rare cancers with poor prognosis. Sacituzumab-govitecan (SG) is a new class of antibody-drug-conjugate (ADC) targeting the human-trophoblast-cell-surface marker (Trop-2) conjugated with the active metabolite of irinotecan (SN-38). We evaluated the efficacy of SG against biologically aggressive CS.
Methods
Trop-2 expression was evaluated in 10 formalin-fixed-paraffined-embedded (FFPE) CS by immunohistochemistry and 9 primary CS cell-lines by flow-cytometry. One Trop-2 low/negative (SARARK14) and two Trop-2 positive (SARARK4, SARARK9) cell-lines were tested in cell-viability assays . The in vivo antitumor activity of SG was tested in xenografts models (ie, SARARK9) with strong Trop-2 expression.
Results
Strong/diffuse staining was seen in 30% (3/10) of FFPE tumors and 33% (3/9) of primary CS cell lines. Trop-2 positive cell-lines (SARARK4, SARARK9) showed higher sensitivity to SG in vitro when compared to Trop-2 low/negative (SARARK14) cell lines. In xenografts, twice-weekly intravenous administration of SG for three weeks showed a significant tumor growth inhibition when compared to control, to ADC control and to the naked AB (p=0.004, p=0.007 and p=0.0007, respectively). SG significantly improved overall survival at 90 days when compared to control groups (p<0.0001).
Conclusion
SG may represent a novel class of active drugs for carcinosarcomas patients overexpressing Trop-2.
