D2C7-(scdsFv)-PE38KDEL (D2C7-IT) is a novel recombinant Pseudomonas
exotoxin A-based
immunotoxin (IT), targeting both wild-type
epidermal growth factor receptor (EGFRwt) and mutant EGFR variant III (
EGFRvIII)
proteins overexpressed in
glioblastomas. Initial pre-clinical testing demonstrated the anti-
tumor efficacy of D2C7-IT against orthotopic
glioblastoma xenograft models expressing EGFRwt,
EGFRvIII, or both EGFRwt and
EGFRvIII. A good laboratory practice (GLP) manufacturing process was developed to produce sufficient material for a phase I/II clinical trial. D2C7-IT was expressed under the control of the T7 promoter in Escherichia coli BLR (λ DE3). D2C7-IT was produced by a 10-L batch fermentation process and was then purified from inclusion bodies using
anion exchange, size exclusion, and an
endotoxin removal process that achieved a yield of over 300 mg of purified
protein. The final vialed batch of D2C7-IT for clinical testing was at a concentration of 0.12 ± 0.1 mg/mL, the pH was at 7.4 ± 0.4, and
endotoxin levels were below the detection limit of 10 EU/mL (1.26 EU/mL). The stability of the vialed D2C7-IT has been monitored over a period of 42 months through
protein concentration,
sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE), isoelectric focusing, size exclusion chromatography, cytotoxicity,
sterility, and pH measurements. The vialed D2C7-IT is currently being tested in a phase I/II clinical trial by intratumoral convection-enhanced delivery for 72 h in patients with recurrent
glioblastoma (NCT02303678, D2C7 for Adult Patients with Recurrent
Malignant Glioma; clinicaltrials.gov ).