Even older low-tech drugs could be much more effective as new treatments if targeted to only diseased cells at high dose levels without toxic spillover into normal tissues. Targeting is essential for intense, concentrated drug delivery.
Biomedical engineer Robert Langer of MIT (Cambridge, Mass. USA) and former student Omid Farokhzad now of Harvard Medical School are co-founders of BIND Biosciences (Cambridge, Mass., USA) which is engineering nanoparticles to deliver a variety of drugs to specific cells and tissues for multiple indications, including cancers. The company will launch a phase 1 trial next year for an undisclosed late stage metastatic oncology indication. BIND’s technology platform combines both passive and active principles for delivery of drug to the desired locations. Passive delivery of nanoparticles to newly forming and hence leaky vasculature in tumor tissue allows drug-laden particles ranging from 50 to 150 nm to escape capillaries through gaps between the boundaries of endothelial cells. “The physics work out perfectly,” says Farokhzad. “Those fenestrations are just large enough to accommodate the particles into the tissue.” The active component of the system is enabled through the selective engagement of nanoparticle surface ligands designed to bind specific receptors which could be any differentially expressed epitope, including sugars or proteins on a target cell surface, or in the extracellular matrix. But the “blood-brain barrier” attributable to tight endothelial junctions remains an obstacle in potential treatment of brain metastasis, which is on Farokhzad’s high priority list. “We were not as lucky with the brain, but this is an engineering problem, and we are working on that now,” he says. “We will publish a paper soon on how we propose to engineer nanoparticles in a specific way to treat brain metastases.”
The company has already developed ideas and strategies for payload delivery that include small molecules, peptides, proteins and oligonucleotides, such as siRNAs or antagomirs to inhibit microRNAs. One of the major hurdles to success has been the issue of how the nanoparticle might avoid immune system surveillance, but at the same time not be so invisible that it can’t be recognized by its intended target. Part of the answer was to coat the particle with polyethylene glycol which acts as the stealth moiety and which prevents uptake by the reticuloendothelial system. The other part of the solution was to find the correct densities of the targeting and stealth components and get them into balance. “Getting the densities of these two things just right was the answer and is the key,” says Langer. “That was one of the most challenging things, and a lot work has gone into this solution.” (Ref 1)
Langer is also on the founding board of directors as well as the scientific advisory board (SAB) of Tempo Pharmaceuticals (Cambridge, Mass., USA) which was also co-founded by a former student, biomedical engineer Ram Sasisekharan of MIT. Tempo is developing nanoparticles for delivery of anti- angiogenic and chemotherapeutic agents that can be released in sequence over measured periods of time for optimal efficacy. The calculation is that if the oncologist uses an angiogenesis inhibitor systemically to cut off blood supply to the tumor, a chemotherapy agent cannot subsequently reach the diseased tissue to initiate apoptosis because its supply line is shut down. Furthermore, depriving the tumor mass of its blood supply can trigger a buildup of hypoxia- inducible factor-1α (HIF1-α), which is associated with increasing tumor malignancy and chemotherapy drug resistance.
Accordingly, the theory of temporal drug release is to make a nanoparticle with the anti-angiogenesis drug in the outer core and the chemotherapeutic portion in the inner core. The physical properties of the particles are such that, like BIND’ s nanoparticles, they are small enough to escape from the capillary neovasculature into tumor tissues, but at about 200 nm they are sufficiently large to become ensnared. Once they are wedged in place securely, the outer core releases its drug to shut down the blood supply which leaves the particles in the tumor bed as a residue to release the cytotoxic inner core drug over time. “The design is simple really,” he says. “We started with size because we wanted the particle to be retained. Then, the outer shell had to be released with the proper kinetics to target and kill the endothelial cells.” Tempo and Sasisekharan are planning a first clinical trial for 2010.
Both companies have developed the capabilities to deliver multiple drugs that could be very different in character—even to the point of carrying and releasing hydrophilic and hydrophobic molecules in the same nanoparticle. Tempo and BIND have different patent estates, and they will serve the different needs of their pharma partners.
1. Gu, F., Zhang, L., Teply, B.A., Mann, N., Wang, A., Radovic-Moreno, A.F., Langer, R. & Farokhzad, O.C., Precise engineering of targeted nanoparticles by using self-assembled biointegrated block copolymers. PNAS, 105 (7), 2586- 2591 (2008).