Overview

NCI Definition [1]:
A probody composed of ipilimumab, a recombinant human immunoglobulin (Ig) G1 monoclonal antibody directed against the human T-cell receptor cytotoxic T-lymphocyte-associated antigen 4 (CTLA4; CTLA-4), linked to a proprietary masking peptide that covers the active antigen-binding site of the antibody through a protease-cleavable linker, with potential immune checkpoint inhibitory and antineoplastic activities. Upon administration of CTLA-4-directed probody BMS-986249, the masking peptide is cleaved by tumor-associated proteases upon extravasation into the tumor microenvironment (TME). Protease-mediated removal of the linker enables binding of the unmasked monoclonal antibody moiety to CTLA-4, which is expressed on certain T-cells. This inhibits the CTLA4-mediated downregulation of T-cell activation, and leads to both activation of tumor infiltrating T-effector cells and a cytotoxic T-lymphocyte (CTL)-mediated immune response against cancer cells. CTLA4, an inhibitory receptor and member of the immunoglobulin superfamily expressed on activated effector T-cells (Teffs) and regulatory T-cells (Tregs), plays a key role in the inhibition of T-cell activity and downregulation of the immune system. The peptide masking of BMS-986249 minimizes binding to CTLA-4 in normal tissues and may reduce systemic toxicity, when compared to ipilimumab. Tumor-associated proteases are present in high concentrations and aberrantly activated in the TME.

Bms-986249 has been investigated in 1 clinical trial, of which 1 is open and 0 are closed. Of the trial investigating bms-986249, 1 is phase 1/phase 2 (1 open).

ER Negative, ER No Expression, and HER2 Deficient Expression are the most frequent biomarker inclusion criteria for bms-986249 clinical trials.

Breast carcinoma and malignant solid tumor are the most common diseases being investigated in bms-986249 clinical trials [2].

Top Biomarker Inclusion Criteria for Open Clinical Trials Investigating Bms-986249
This graph displays the 20 most frequently occurring biomarkers curated on clinical trials investigating bms-986249 and the cancer types associated with these biomarkers. These numbers are derived from a set of 5,956 clinical trials for which biomarker status defines treatment.

Drug Details

Synonyms [2]:
bms986249, bms 986249, ctla-4 probody bms-986249, protease-activated anti-ctla-4 antibody prodrug bms-986249, ctla-4 probody bms-986249, ctla-4-directed probody bms-986249
Drug Categories [2]:
Anti-CTLA4 antibodies, Proteasome inhibitors
Drug Target(s) [2]:
CTLA4
NCIT ID [1]:
C146765

References

1. National Cancer Institute. NCI Thesaurus Version 18.11d. https://ncit.nci.nih.gov/ncitbrowser/. [2018-07-30] [2018-08-02].

2. All assertions and clinical trial landscape data are curated from primary sources. You can read more about the curation process here.