Treatment of high Trop-2 expressing triple negative breast cancer (TNBC) with sacituzumab govitecan (IMMU-132) overcomes homologous recombination repair (HRR) rescue mediated by Rad51
申请人:Immunomedics, Inc.
公开号:US10918734B2
公开(公告)日:2021-02-16
The present invention relates to treatment of Trop-2 positive cancers with the combination of anti-Trop-2 ADC and a Rad51 inhibitor. Preferably the drug conjugated to the antibody is SN-38, and the ADC is sacituzumab govitecan. The ADC may be administered at a dosage of between 4 mg/kg and 16 mg/kg, preferably 4, 6, 8, 9, 10, 12, or 16 mg/kg. When administered at specified dosages and schedules, the combination of ADC and Rad51 inhibitor can reduce solid tumors in size, reduce or eliminate metastases and is effective to treat cancers resistant to standard therapies, such as radiation therapy, chemotherapy or immunotherapy. Surprisingly, the combination is effective to treat cancers that are refractory to or relapsed from irinotecan or topotecan.
本发明涉及用抗Trop-2 ADC和Rad51抑制剂联合治疗Trop-2阳性癌症。与抗体结合的药物最好是 SN-38,ADC 最好是 sacituzumab govitecan。ADC的给药剂量可在4毫克/千克到16毫克/千克之间,最好是4、6、8、9、10、12或16毫克/千克。按规定的剂量和时间给药时,ADC 和 Rad51 抑制剂的组合可缩小实体瘤的大小,减少或消除转移,并能有效治疗对标准疗法(如放疗、化疗或免疫疗法)耐药的癌症。令人惊奇的是,这种组合还能有效治疗对伊立替康或托泊替康难治或复发的癌症。