Overview

NCI Definition [1]:
A recombinant antibody prodrug composed of a monoclonal antibody directed against the tumor-associated antigen (TAA) programmed cell death 1 ligand 1 (PD-L1; B7-H1; CD274) that is linked to a proprietary masking peptide through a protease-cleavable linker on the amino terminus of the light chain domain of the antibody, with potential immune checkpoint inhibitory and antineoplastic activities. Upon administration of pacmilimab, the linkage system is stable in the circulation and, upon extravasation into the tumor microenvironment, the peptide mask is cleaved by tumor-associated proteases. These proteases are present in high concentrations and aberrantly activated in the tumor microenvironment, while expressed as inactive forms, at much lower concentrations, in normal, healthy tissue. Protease cleavage of the linker enables binding of the unmasked, fully active monoclonal antibody moiety of CX-072 to PD-L1, which is over expressed on certain cancer cells. This blocks the binding to and activation of its receptor programmed cell death 1 (PD-1) on T-lymphocytes, thereby enhancing the T-cell-mediated anti-tumor immune response and reversing PD-L1/PD-1-mediated T-cell suppression. PD-L1 binding to PD-1 on T-cells suppresses the immune system and results in immune evasion. Compared to the unmodified PD-L1 antibody, peptide masking of CX-072 minimizes binding to PD-L1 in normal tissues, thereby decreasing autoimmune-based side effects while retaining anti-tumor activity.

Pacmilimab has been investigated in 3 clinical trials, of which 2 are open and 1 is closed. Of the trials investigating pacmilimab, 1 is phase 1/phase 2 (1 open) and 2 are phase 2 (1 open).

ALCAM Overexpression, ER Negative, and ER No Expression are the most frequent biomarker inclusion criteria for pacmilimab clinical trials.

Malignant solid tumor, breast carcinoma, and lymphoma are the most common diseases being investigated in pacmilimab clinical trials [2].

Top Biomarker Inclusion Criteria for Open Clinical Trials Investigating Pacmilimab
Top Biomarker Inclusion Criteria for Closed Clinical Trials Investigating Pacmilimab
This graph displays the 20 most frequently occurring biomarkers curated on clinical trials investigating pacmilimab 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]:
cx-072, pd-l1 probody therapeutic cx-072, probody cx-072, cx 072, protease-activated anti-pd-l1 antibody prodrug cx-072
Drug Target(s) [2]:
CD274
NCIT ID [1]:
C132192

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.