# Tumor-Activated Dual Payload-Drug Conjugates

> **NIH NIH R21** · WASHINGTON STATE UNIVERSITY · 2024 · $393,401

## Abstract

PROJECT SUMMARY/ABSTRACT
Targeting the hallmark biomarker prostate specific membrane antigen (PSMA) has been a successful small
molecule drug-delivery strategy for various payloads to prostate tumor cells, which is evident in the FDA's
recent approval of 177Lu-PSMA-617 and the clinical advancement of our 18F-CTT1057 (an irreversible-binding
phosphoramidate-based) PSMA-targeted PET-imaging agent (NCT04838626, NCT04838613). However,
efforts to develop PSMA-targeted chemotherapeutic nanomedicine have had limited clinical therapeutic
efficacy. Our long-term goal is to develop a versatile and intelligently designed platform for the selective
delivery of synergistic therapeutic payloads to offer novel treatment options for lengthening and improving the
quality of life for metastatic castration-resistant prostate cancer (mCRPC) patients. The overall objective of this
project is to develop a PSMA-targeted small-molecule dual drug conjugate (SMDDC) to serve as a companion
therapeutic to our PSMA-targeted PET-imaging agent (NCT02916537, NCT03427476). Our central hypothesis
is that tumor-site activation and release of two distinct chemotherapeutic payloads for prostate cancer can be
achieved and will be more effective than small molecule drug conjugates (SMDCs) releasing only a single
chemotherapeutic payload. The rationale for developing SMDDCs is to set the groundwork for a new, dual-
drug therapeutic strategy for patients with mCRPC and advanced malignancies with PSMA(+) neovasculature.
Two specific aims will be pursued to test the central hypothesis: 1) Assess the spatio-temporal cargo-release in
prostate tumor cells with a PSMA-targeted small-molecule dual probe conjugate (SMDPC); and 2) Determine
the potency enhancement of a SMDDC bearing dual payloads in prostate cancer cell lines. For Aim 1,
PSMA(+) and PSMA(-) prostate cancer cell lines will be used to assess the spatio-temporal cargo-release of a
PSMA-targeted SMDPC bearing two distinct turn-on probes, 7-Amino-4-methylcoumarin and hydroxymethyl
rhodamine green. Established PSMA activity assays will be used to determine the IC50 and mode of binding for
the PSMA-targeted SMDPC. In Aim 2, in vitro effectiveness of an SMDDC bearing both MMAE and Exatecan
vs. an SMDC bearing either MMAE or Exatecan alone will be evaluated in PSMA(+) and PSMA(-) prostate
cancer cell lines. The proposed work is innovative because it aims to utilize a unique combination of drug-
delivery strategies; PSMA-ligand promoted internalization, a novel acid-labile linker for pH-triggered drug
release, and two distinct chemotherapeutic drugs with differing mechanisms of action. This will be a significant
achievement because it will provide proof-of-concept for developing clinically relevant chemotherapy for
mCRPC and other malignancies with PSMA(+) neovasculature. Future plans include expanding the selection
of drug payloads for PSMA-targeted SMDDCs and initiate preclinical IND-enabling studies. The expected
positive impact of the...

## Key facts

- **NIH application ID:** 10947537
- **Project number:** 1R21CA292338-01
- **Recipient organization:** WASHINGTON STATE UNIVERSITY
- **Principal Investigator:** Clifford Berkman
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $393,401
- **Award type:** 1
- **Project period:** 2024-07-01 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10947537

## Citation

> US National Institutes of Health, RePORTER application 10947537, Tumor-Activated Dual Payload-Drug Conjugates (1R21CA292338-01). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10947537. Licensed CC0.

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