Whereas many cancer drugs attack tumour cells directly or stimulate the immune system broadly, our approach focuses on disabling a specific immunosuppressive myeloid niche inside tumours. The ADC’s precision, binding to a macrophage-restricted receptor that is upregulated in solid tumours, enables targeted depletion of those suppressive cells without broadly depleting beneficial immune populations. This provides a complementary mechanism that can be combined with chemotherapy, radiotherapy, or checkpoint inhibitors to convert “cold” tumours into treatment-responsive ones.
This strategy could (i) improve response rates and durability for patients with limited options, (ii) reduce systemic toxicity versus less targeted approaches, and (iii) expand the utility of existing standards-of-care by reshaping the tumour microenvironment. At a health-system level, such combinations may yield better outcomes per treatment course by making current therapies work more effectively. Next steps:
- Further research & development: IND-enabling studies (GLP tox, safety pharmacology, PK/PD modelling), CMC scale-up with a cGMP process, and refinement of dose/schedule and combination regimens.
- Clinical demonstration: Early phase trials in macrophage-rich solid tumours with integrated biomarker plans (macrophage depletion and immune-activation readouts).
- Access to markets & finance: Strategic partnerships for co-development and manufacturing, together with non-dilutive and private financing to support first-in-human studies.
- IPR and regulatory support: Continued patent prosecution and dialogue with regulators on ADC-specific considerations (linker/payload safety, immunogenicity monitoring, companion biomarkers).
Overview of results. The project delivered: (1) a validated set of macrophage-targeting ADC prototypes and a nominated lead; (2) in-vitro and in-vivo data supporting the mechanism and therapeutic potential; (3) a clear IP and freedom-to-operate position; (4) a commercialisation and partnering roadmap through a research-institute spin-out (Adaptam therapeutics); and (5) a regulatory-ready plan for first-in-human evaluation. Collectively, these outcomes advance a first-in-class, tumour-microenvironment-modulating ADC from concept to a translation-ready stage.