New mechanism of antitumor action identified

ABTL0812 preclinical development of ABLT0812 has been conducted by Drs. Tatiana Erazo and José Miguel Lizcano, Cell Signalling and its Alteration in Disease Research Group, in collaboration with Ability Pharmaceuticals, owner of ABTL0812. This study was performed in collaboration with researchers from Hospital Universitari Vall d'Hebron and Hospital Clínic in Barcelona, and from Universidad Complutense in Madrid.

ABTL0812, a small molecule derived from a polyunsaturated fatty acid, is a first-in-class anti-tumor drug. Using cell and animal models (tumor xenografts), researchers identified a new mechanism of action: the activation of the PPAR receptors and the TRIB3 gene, leading to inhibition of the Akt/mTOR pathway.

The intracellular Akt/mTOR pathway drives a wide variety of extracellular signals, controlling cell metabolism, size, growth and survival. This pathway is hyperactivated in most human cancers, favouring the proliferation and survival of the cancer cells and, therefore it is one of the principal targets of new anti-tumor drugs.

By activating the PPAR receptors, ABTL0812 induces over-expression of TRIB3 protein, which binds to the Akt oncogene and inhibits the Akt/mTOR axis.

ABTL0812 shows high efficacy in vitro and in vivo in preclinical trial studies, and an activity similar to or greater than standard chemotherapeutical drugs, but low toxicity. "We have shown that ABTL0812 enhances the anti-tumor effect of several standard chemotherapeutic drugs, and it shows efficacy in those tumor cells that have become resistant to the standard treatment," explains Dr Lizcano.

Cell death by autophagy

Through the newly identified pathway, ABTL0812 attacks tumor cells without affecting healthy cells, causing their death by autophagy without activating apoptosis (programmed cell death). It is the first anti-tumor drug to act in this way.

Autophagy is a type of cell death that differs from apoptosis, usually associated with tasks of cell degradation and clearance. Autophagy has recently emerged as an alternative for tackling cancer cells without inducing the resistance to apoptosis generated by standard drugs.

ABTL0812 is also the first drug to activate the gene TRIB3 through the PPAR receptors. The researchers highlight the role of TRIB3 in cell death and inhibition of tumor growth, as well as its use as a biomarker for monitoring the biological activity of the drug in humans.

"TRIB3 represents a new mechanism for inhibiting the Akt/mTOR pathway. In the next future we will study whether or not ABTL0812 generates resistance in tumor cells. If not, this would be very relevant to cancer therapy," stresses Dr Lizcano.

The new PPAR-TRIB3-Akt pathway might well be used to design safer and more effective anti-tumor drugs, such as ABTL0812.

Clinical trials

ABTL0812 has recently undergone Clinical Phase I trials in patients with advanced cancer, showing efficacy in several patients (long term stabilization) as well as low toxicity and high tolerability. Clinical Phase II trials are due to start soon in patients with endometrial cancer and lung squamous cell carcinoma.

European Medicines Agency (EMA) and US Food and Drug Administration (FDA) have designated ABTL0812 as an orphan drug for treatment of pediatric neuroblastoma. (See links below*.)

"The publication of the new cellular mechanism in Clinical Cancer Research is a major step forward the development of ABTL0812 as a promising anti-tumor drug, and a success story of research collaboration between a company located in the UAB Research Park and the University," says Dr. Carles Domènech, CEO of Ability Pharmaceuticals S.L.

The drug was developed thanks to collaborative work of several leading institutions in health sciences research. Hospital Clínic de Barcelona, Institut Català d'Oncologia, Universitat de Girona and Vall d'Hebron Institut de Recerca collaborate with Ability Pharmaceuticals on the project, in addition to the UAB.