Evidence map›Paper›PMID 40813394›Full record

ArticleNature communications2025

A humanized anaplastic lymphoma kinase (ALK)-directed antibody-drug conjugate with pyrrolobenzodiazepine payload demonstrates efficacy in ALK-expressing cancers.

Alberto D Guerra, Smita Matkar, Christina Acholla, Colleen Casey, Grant Li, Martina Mazzeschi, Khushbu Patel, Kateryna Krytska, Chuan Chen, Skye Balyasny and 23 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Antibody-Empowered Nanomedicine for Precise Biomedical Applications.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Alberto D GuerraThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0008-6789-2652
Smita MatkarThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Christina AchollaThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Colleen CaseyThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0004-9259-1035
Grant LiThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Martina MazzeschiIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-4695-9175
Khushbu PatelThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Kateryna KrytskaThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Chuan ChenUniversity of Pittsburgh Medical School, Department of Medicine, Division of Infectious Diseases, Center for Antibody Therapeutics, Pittsburgh, PA, USA.
Skye BalyasnyThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0008-9646-8762
Joshua KalnaThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0009-0009-6308-142X
Paul KamitsukaThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Mark GerelusThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-8986-4523
Grace PolkosnikThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-6631-9995
David GroffThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-6897-2656
Apratim MukherjeUniversity of Pennsylvania, Department of Cell and Developmental Biology, Philadelphia, PA, USA.
Cynthia AdamsUniversity of Pittsburgh Medical School, Department of Medicine, Division of Infectious Diseases, Center for Antibody Therapeutics, Pittsburgh, PA, USA.
Gabriela WitekThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Amber K HamiltonThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Daniel MartinezThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Jennifer PogorilerThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-9366-4401
Timothy T SpearThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Yimei LiThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Piotr JungThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.
Diego AlvaradoCelldex Therapeutics, Antibody Therapeutics Department, Hampton, NJ, USA.
Mattia LauriolaIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID http://orcid.org/0000-0002-7966-0065
John M MarisThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8088-7929
Adam J WolpawThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1373-7648
Kristopher R BosseThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-1424-2858
Dimiter DimitrovUniversity of Pittsburgh Medical School, Department of Medicine, Division of Infectious Diseases, Center for Antibody Therapeutics, Pittsburgh, PA, USA.
Mustafa MirThe Children's Hospital of Philadelphia, Center for Computational and Genomic Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-8280-2821
Dontcho V JelevUniversity of Pittsburgh Medical School, Department of Medicine, Division of Infectious Diseases, Center for Antibody Therapeutics, Pittsburgh, PA, USA.
Yael P MosséThe Children's Hospital of Philadelphia, Division of Oncology and Center for Childhood Cancer Research, Philadelphia, PA, USA. mosse@chop.edu.ORCID http://orcid.org/0000-0002-3463-0399

Funding

Discovering mechanisms of neuroblastoma tumorigenesis to improve patient outcomesR35CA220500 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI JOHN M MARIS · 2017 to 2026
$8.7M
Targeting Oncogenic ALK Signaling in NeuroblastomaR01CA140198 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI MOSSE, YAEL P · 2009 to 2023
$5.6M
Quantifying the dynamics of gene regulation and nuclear organization during embryogenesisDP2HD108775 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI MIR, MUSTAFA AIZED HASAN · 2021 to 2024
$2.6M
GPC2 CARs in neuroblastoma: Mechanisms of resistance and efficacy of next-generation constructsR37CA282041 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Kristopher R Bosse · 2024 to 2026
$1.8M
Targeting the GPC2 oncoprotein with immune-based therapies in neuroblastomaK08CA230223 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI BOSSE, KRISTOPHER R · 2018 to 2022
$1.0M
NCI NIH HHS R01 CA140198NCI NIH HHS R35 CA220500U.S. Department of Defense (United States Department of Defense) W81XWH-12-1-0486U.S. Department of Health & Human Services | National Institutes of Health (NIH) 5T32CA009615U.S. Department of Health & Human Services | National Institutes of Health (NIH) DP2HD108775U.S. Department of Health & Human Services | National Institutes of Health (NIH) R013208130624U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) K08CA230223U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA140198-11-15U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R37CA282041
6 · The paper itself

Abstract

The Anaplastic Lymphoma Kinase (ALK) gene is a receptor tyrosine kinase (RTK) with expression restricted to the developing nervous system. Most neuroblastomas express native ALK protein on the cell surface and ALK is uniformly overexpressed in fusion-positive rhabdomyosarcoma and in subsets of metastatic colorectal carcinoma, melanoma, ovarian carcinoma, and breast carcinoma. Here, we first confirm that ALK RNA, protein, and tumor cell surface expression is elevated in multiple pediatric and adult malignancies with minimal expression in childhood normal tissues. We then demonstrate that a humanized ALK-directed antibody conjugated to pyrrolobenzodiazepine (CDX0239-PBD) is internalized in ALK-expressing neuroblastoma cell lines with cell surface expression-dependent cytotoxicity. Finally, we show that CDX0239-PBD exhibits potent antitumor efficacy including maintained complete responses in ALK-expressing patient and cell line-derived neuroblastoma, fusion-positive rhabdomyosarcoma, and colorectal carcinoma xenograft models. These data support the clinical development of a first-in-class ALK-directed antibody-drug conjugate (ADC) for multiple pediatric and adult ALK-expressing malignancies.

Indexed as

Anaplastic Lymphoma KinaseAntibodies, Monoclonal, HumanizedBenzodiazepinesImmunoconjugatesPyrrolesAdultAnimalsCell Line, TumorColorectal NeoplasmsFemaleHumansMiceMice, SCIDNeuroblastomaRhabdomyosarcomaXenograft Model Antitumor AssaysALK protein, humanAnaplastic Lymphoma KinaseAntibodies, Monoclonal, HumanizedBenzodiazepinesImmunoconjugatesPyrrolespyrrolo(2,1-c)(1,4)benzodiazepine

Identifiers

PMID40813394
PMCPMC12354906

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.