Cantargia AB (publ) presented new preclinical data for its lead candidate, the IL1RAP-binding antibody nadunolimab (CAN04) at the AACR Annual Meeting. The data show that nadunolimab targets a fundamental property of PDAC tumors, fibrosis, through a strong impact on tumor promoting stromal cells. The results support the promising clinical efficacy of nadunolimab in PDAC patients and also highlight the broad and unique mode of action of nadunolim AB.

One factor that significantly contributes to the poor treatment response in PDAC is the high abundance of tumor-supporting stroma, driven by the excessive activity of cancer-associated fibroblasts (CAFs). Pro-C3 is a biomarker for that activity which also correlates with aggressive disease and short survival. The new data demonstrate that IL-1a and IL-1b, that are upregulated in PDAC, induce formation of type III collagen in cancer-associated fibroblast as measured by pro-C3.

The data also show that when PDAC cancer cells and CAFs are cultured together, pro-fibrotic genes and the production of pro-C3 are upregulated. Notably, addition of nadunolim ab to these cultures inhibited the formation of pro-C3. Thus, the new data highlight the potential for nadunolimab to counter the detrimental, fibrotic microenvironment in PDAC tumors and this effect may be documented by measuring the biomarker pro-C3.

These findings support the promising clinical data previously presented at the ASCO Annual Meeting 2022, at the AACR annual meeting in 2023 and at the AACR special conference on pancreatic cancer in 2023. In over 70 PDAC patients evaluated in the phase IIa part of the clinical trial CANFOUR, nadunolimab In combination with chemotherapy results in efficacy well above historical controls for chemotherapy alone. Currently, Cantargia is preparing a phase IIb clinical trial in first line PDAC with a planned start during summer 2024.

The data was generated in collaboration with Nordic Bioscience and Lund University and will be presented by Dr. Nicholas Willumsen from Nordic Bioscience A/S at the AACR Annual Meeting April 5-10 in San Diego, California.