Drug intelligence / Profile preview

DHODH-IN16-ADC

Development stage
Preclinical
Lead developer
WO2024133845
Modality
Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

DHODH-IN16-ADC is a first-in-class antibody-drug conjugate (ADC) designed to selectively deliver a potent dihydroorotate dehydrogenase (DHODH) inhibitor, DHODH-IN16, to cancer cells, specifically targeting acute myeloid leukemia (AML). Unlike traditional cytotoxic ADCs, this agent acts as an immune-boosting therapeutic by disrupting mitochondrial redox balance and electron transport chain (ETC) dynamics. Inhibition of DHODH reroutes metabolic flux toward ETC Complex I, leading to Complex I hyperactivation, mitochondrial DNA (mtDNA) instability, and leakage of mtDNA into the cytosol. This cytosolic mtDNA activates the cGAS-STING pathway, inducing a robust Type I interferon (IFN-I) response that converts "immune-cold" tumors into "immune-hot" environments. This mechanism sensitizes OXPHOS-dependent cancers to immunotherapies such as immune checkpoint inhibitors and CAR-T cell therapy while sparing systemic immune cells from the immunosuppressive effects typically associated with systemic DHODH inhibition.

Other names
dihydroorotate dehydrogenase inhibitor antibody-drug conjugateDHODH-IN16 ADCDHODH-IN-16 ADCDHODH-IN 16 ADC
02

Targets

PfDHODH (Plasmodium falciparum dihydroorotate dehydrogenase)ERBB2 (Erb-b2 receptor tyrosine kinase 2)STING (Stimulator of interferon genes protein)Cyclic GMP–AMP synthase

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