CD73 inhibition

CompoundOleclumab

Area under investigation

NSCLC

Scientific PillarImmuno-Oncology

Target Overview

CD73, or ecto-5’-nucleotidase, is a cell surface enzyme expressed on tumor cells, endothelial cells, lymphoid cells, and myeloid cells, including antigen-presenting cells.1 It catalyzes the conversion of extracellular AMP to the nucleoside adenosine.1,2

Overexpression of CD73 and elevated extracellular levels of adenosine in the microenvironments of many solid tumors are known to exert potent immunosuppressive effects by binding of adenosine to adenosine receptors on antigen-presenting cells and lymphocytes, including T cells.1,2 This is known to suppress many aspects of antitumor immunity.

Compound Overview

Oleclumab is an investigational human IgG1λ monoclonal antibody that selectively binds to and inhibits the ectonucleotidase activity of CD73. Results from preclinical studies suggest that oleclumab may help to overcome adenosine-mediated immunosuppression in a number of solid tumor model systems. The molecule is currently being clinically evaluated in solid tumor malignancies.

Mechanism of Action

  • Mechanism of Action

Figure adapted from Martinez-Marti et al. ESMO 2021 oral presentation (LBA42).

References

Clinical trial information


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Abbreviations

  • 1L

    first line

  • ADP

    adenosine diphosphate

  • ALK

    anaplastic lymphoma kinase

  • AMP

    adenosine monophosphate

  • ATP

    adenosine triphosphate

  • BICR

    blinded independent central review

  • cCRT

    concurrent chemoradiation therapy

  • CD73

    cluster of differentiation 73

  • DoR

    duration of response

  • EGFR

    epidermal growth factor receptor

  • FOLFOX

    folinic acid (leucovorin), fluorouracil (5-FU), oxaliplatin

  • IgG1

    immunoglobulin G1

  • IV

    intravenous

  • mCRPC

    metastatic castration-resistant prostate cancer

  • MSS-CRC

    microsatellite stable colorectal cancer

  • NSCLC

    non-small cell lung cancer

  • ORR

    overall or objective response rate

  • OS

    overall survival

  • P2X7

    P2X purinoceptor 7

  • P2Y2

    P2Y purinoceptor 2

  • PD-L1

    programmed cell death ligand-1

  • PDC

    platinum doublet chemotherapy

  • PFS

    progression-free survival

  • PFS2

    time to second progression or death

  • Q*W

    every * weeks

  • Q4W

    every 4 weeks

  • R

    randomization

  • RECIST

    Response Evaluation Criteria in Solid Tumors

  • TFST

    time to first subsequent therapy

  • TTDM

    time to death or distant metastases