# Development of a DCLK1 siRNA Nanoparticle as Targeted Therapy to Treat Pancreatic Cancer

> **NIH NIH R44** · COARE HOLDINGS, INC. · 2021 · $989,826

## Abstract

Abstract: Pancreatic ductal adenocarcinoma (PDAC) is one of the most devastating human cancers. It is the
fourth leading cause of cancer-related deaths in the U.S. annually, with a <7% 5-year survival rate. Despite
FDA-approved therapeutic regimens and marked improvements in medical and surgical care, no significant
impact on PDAC patient survival has been achieved. In 2017, some 53,000 Americans are expected to be
diagnosed, and ~43,000 are expected to die from PDAC. There is increasing evidence that most solid tumors
such as PDAC have a subpopulation of tumor-initiating cells termed tumor stem cells (TSCs) that are involved
in cancer invasion/metastasis through a process called epithelial-mesenchymal transition (EMT). Additionally,
studies have demonstrated that DCLK1 marks TSCs in the Apcmin/+ mouse model of intestinal neoplasia.
COARE has shown that the TSC marker DCLK1 is upregulated in PDAC and is a central regulator of key
oncogenic, pluripotency pathways and EMT. Also, the Dclk1 role in PDAC initiation is demonstrated by
lineage-tracing and TSC-initiating mouse models. COARE's pre-clinical data shows that targeting of cells that
overexpress DCLK1 arrests xenograft tumor growth. DCLK1 signaling inhibition using DCLK1 specific siRNAs
delivered via PLGA nanoparticles (NPs) triggers induction and activation of several critical endogenous tumor-
suppressor pathways, which in turn regulate oncogenic pathways and EMT-related transcription factors.
COARE, in collaboration with Bioneer Inc., has developed CBT-411E (DCLK1 siRNAs encapsulated into
SAMiRNATM conjugated with EGFR antibodies), which has several advantages over PLGA NPs including
enhanced efficacy, reduce off-target toxicity, increase siRNA half-life, and minimal cytokine or interferon
induction in human PBMCs. The potential outcome of this Fast-Track SBIR project is improved inhibition of
PDAC and preparation for human clinical trials and commercialization. We will pursue four Phase I/II Aims:
Fast-Track Phase I: Aim 1: Formulate and standardize CBT-411E. Aim 2: Demonstrate effectiveness of CBT-
411E against PDAC in vitro and in vivo. Fast-Track Phase II: Aim 3: Obtain optimum pharmacokinetic (PK)
and pharmacodynamic (PD) properties, and continued preclinical efficacy of CBT-411E in patient-derived
tumor xenograft models of PDAC. Aim 4: Perform IND-enabling toxicity and immunogenicity studies for CBT-
411E in Sprague-Dawley rats (SDR) and non-human primates (NHPs). Milestones: CBT-411E will show >40%
inhibition of DCLK1 activity (10 nM); a DCLK1 MOA (>50% reduction in EMT factors, oncogenes (NOTCH,
MYC, VEGF, and COX2) and DCLK1 expression); continued preclinical efficacy incl. a >3-fold reduction in
patient-derived model tumorigenesis; suitable PK/PD, and <5% measureable toxicity in SDR and NHPs.
Desired Outcome: Phase I/II SBIR success will provide the results and data needed to engage private-sector
investors/partners in funding the regulatory approval needed for clinical trials in ...

## Key facts

- **NIH application ID:** 10452874
- **Project number:** 4R44CA224472-02
- **Recipient organization:** COARE HOLDINGS, INC.
- **Principal Investigator:** Eliseu O. De Oliveira
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $989,826
- **Award type:** 4N
- **Project period:** 2018-08-22 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10452874

## Citation

> US National Institutes of Health, RePORTER application 10452874, Development of a DCLK1 siRNA Nanoparticle as Targeted Therapy to Treat Pancreatic Cancer (4R44CA224472-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10452874. Licensed CC0.

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