Development of novel neoantigen-based spherical nucleic acid immunotherapeutics
openNCI - National Cancer Institute
PROJECT SUMMARY
Triple negative breast cancer (TNBC) is a highly invasive form of breast cancer with a dismal outcome,
accounting for a staggering 25% of all breast cancer associated deaths despite comprising only 10-15% of
cases. The standard of care for TNBC includes aggressive surgery, followed by radiation therapy and
continued chemoimmunotherapy yet often results in a high rate of recurrence, formation of tumor resistance
mechanisms, and metastasis, leading to poor patient outcomes. Current therapies are limited due to the lack of
clear molecular targets, genomic instability, and the suppressive tumor microenvironment. Thus, there is an
overwhelming need for targeted, effective, and safe therapeutics to combat TNBC. Flashpoint Therapeutics
and the Gillanders Laboratory at Washington University School of Medicine (WUSM) proposed solution
leverages the combined expertise of both teams to develop a targeted, personalized neoantigen cancer
immunotherapeutic for TNBC using a structural nanomedicine platform. Cancer neoantigens represent a
potentially optimal target to combat cancer as tumor-specific mutations can be utilized to selectively prime a
specific immune response to target and destroy cancer cells while sparing healthy tissue. Additionally, delivery
of RNA through lipid nanoparticles (LNPs) decorated with immunostimulatory spherical nucleic acids (SNA)
has shown drastic improvement over conventional approaches. Having already demonstrated proof-of-concept
feasibility for the safety and efficacy of TNBC personalized neoantigens and proven immunostimulatory RNA
LNP SNA properties, we are poised to develop a patient-specific neoantigen-based personalized nanoparticle
immunotherapeutic (PNI), termed P-SNA, for TNBC patients. In this Academic-Industrial Partnership R01
application we first aim to evaluate the efficacy and mechanism of action of our lead P-SNA candidate through
in vivo preclinical breast cancer mouse models (Aim 1.1), and by use of fluorescently labeled constructs to
determine biodistribution, immune activation, and immune priming (Aim 1.2). We will then chemically optimize
our lead candidate to improve therapeutic properties using a rigorous Design of Experiments approach (Aim
2.1) and test the efficacy and mechanism of action of optimized candidates in vivo (Aim 2.2). As there is no
model which can accurately or completely reproduce the complex immune and non-immune interactions that
occur between the host and a tumor, even in the absence of vaccination, the only way to understand the
impact of the P-SNA therapeutics are to test in well characterized animal models. Finally, we will develop GMP
manufacturing protocols for the production of our optimized P-SNA lead GMP-compliant facilities (Aim 3.1) and
complete FDA recommended IND-enabling studies (Aim 3.2). Together, these steps will enable the delivery of
a lead P-SNA therapeutic for TNBC, fully characterized and optimized for efficacy and ready for clinical
evaluation. Additionally, this work will establish a versatile platform for the development of P-SNAs for other
cancer subtypes, increase our knowledge of immune mechanisms to fight cancer, and elucidate important
aspects critical for rational PNI design and development.
Up to $563K
health research