Drug intelligence / Profile preview

NT4-methotrexate

Development stage
Preclinical
Lead developer
Università di Siena
Modality
Peptide-Drug Conjugates → Peptide Conjugates → Peptides
Administration
Intravenous
01

Overview

NT4-methotrexate (NT4-MTX) is a preclinical peptide-drug conjugate (PDC) consisting of the tetra-branched neurotensin-derived peptide NT4 conjugated to the cytotoxic folate antagonist methotrexate (MTX). Developed by SetLance and researchers at the University of Siena, NT4-methotrexate is designed to selectively target cancer cells by binding to sulfated glycosaminoglycans (sGAGs), particularly heparan sulfate, and low-density lipoprotein receptor-related proteins (LRP1 and LRP6) on tumor cell membranes. Upon binding, the conjugate is internalized, delivering methotrexate intracellularly to inhibit dihydrofolate reductase (DHFR), thereby bypassing drug resistance mechanisms such as those mediated by the loss of the reduced folate carrier (RFC). It has demonstrated significant tumor growth reduction in preclinical xenograft models of colorectal, breast, and bladder cancers.

Other names
NT4-MTX conjugateNT-4-MTX conjugateNT 4-MTX conjugateNT4-conjugated methotrexateNT-4-conjugated methotrexateNT 4-conjugated methotrexatemethotrexate-conjugated NT4
02

Targets

LRP1 (Prolow-density lipoprotein receptor-related protein 1)LRP6 (Low-density lipoprotein receptor-related protein 6)DHFR (Dihydrofolate reductase)HSPG (Basement membrane-specific heparan sulfate proteoglycan core protein (perlecan))

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