Ninja Theranostics for overcoming the drug delivery barriers to pediatric brain tumor
Project Summary/Abstract
Pediatric brain tumors (PBTs) are the leading cause of cancer-related morbidity and mortality among children.
Vincristine (VCR) has been approved to treat PBTs, but its inability to cross blood brain barrier (BBB)/blood
brain tumor barriers (BBTB) and dose-limiting neuropathy have greatly limited its clinical application. Thus the
main challenge is to deliver sufficient amount of drugs to the hard reached PBTs, while multiple barriers
including the severe destabilizing condition in the blood, BBB/BBTB, relatively weak enhanced permeability
and retention (EPR) effects in brain tumor, and limited uptake in tumor cells should all be taken into
consideration to design a whole-process delivery strategy. The goal of this SBIR is to develop a highly effective
and less toxic Ninja-type nanoparticle loaded VCR (Ninja-V) against PBTs in preclinical animal models,
providing validation regarding the feasibility for Phase II studies that will eventually lead to an IND filing to the
FDA. Ninja-V could overcome multi-barriers with several ultimate techniques. It integrates unique stimuli-
responsive crosslinking strategy and transformable multistage targeting approach (sequentially targeting
BBB/BBTB with glucose transporter as well as tumor cells via overexpressed sialic acid) in a simple one
design. This nanoparticle could allow image-guided drug delivery, improve the drug delivery efficacy, and
minimize the neurotoxicity. Our hypotheses are: 1) The transformable multistage targeting Ninja-V will be able
to cross the BBB/BBTB and facilitate the delivery of encapsulated drugs specifically to PBTs with enhanced
tumor cell uptake and deep tissue penetration, thus greatly improving the therapeutic index and minimizing the
toxicity. and 2) the Ninja-V consist of stimuli-responsive crosslinkages will minimize premature drug release in
blood circulation allow while sparing normal brain tissue and normal organs, and therefore will be more
efficacious and less toxic against PBTs compared to the free drug form. State-of-the-art design of nanocarriers
via engineering telodendrimers with well-defined structures represents the frontier development of the
nanomedicine, in terms of ease of large-scale production, fine-tunable and highly reproducible structure and
properties. It will address many translational barriers of nanotherapeutic agents. This simple and unique design
of crosslinking and dual targeting nanoparticles with sequential targeting capability, and stimuli-responsive and
transformable properties are highly innovative. It is an excellent approach to prevent premature drug release
during circulation and deliver high concentrations of drug to tumors. It is expected that this research will lead
to a new method for the management of PBTs.