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QUAD-DM1 is a multivalent drug conjugate designed to target four receptors frequently overexpressed in glioblastoma and various brain metastases: EphA2, EphA3, EphB2, and interleukin 13 receptor alpha 2 (IL-13RA2). The therapeutic consists of a multivalent ligand (QUAD) conjugated to DM1 (mertansine), a potent microtubule-disrupting agent. By targeting multiple receptors simultaneously, QUAD-DM1 aims to overcome tumor heterogeneity and increase the precision of payload delivery. Developed by researchers at Wake Forest School of Medicine, the agent has shown significant efficacy in preclinical models of glioblastoma, triple-negative breast cancer (TNBC) brain metastasis, lung cancer, and melanoma. It has also undergone dose-limiting toxicity and efficacy studies in canine models of spontaneous glioma, supporting its transition into human clinical trials.
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