Elmo Labs

AI-designed protein binders for colorectal cancer radioligand therapy

We use AI to design small proteins that bind CEACAM5, a protein found on colorectal cancer cells, with a view to carrying radiation to tumours.

Several candidates look promising. Lab testing is the next step.

Mitchell Benjamin, software developer (AI and ML), and Elsa Welin, pharmacist specialising in peptide chemistry, Sweden

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Problem

Colorectal cancer is a leading cause of cancer death

1.9M

new cases a year worldwide

900,000+

deaths a year worldwide

13%–18%

of patients are alive five years after the cancer has spread

Sources: WHO colorectal cancer fact sheet / GLOBOCAN 2022 (cases and deaths); American Cancer Society and SEER (distant-stage five-year survival: 13% colon, 18% rectum).

Target

CEACAM5 is found on colorectal cancer cells and has clinical precedent

On the tumour

CEACAM5 is highly expressed in colorectal cancer, with limited expression in normal tissue.

BinderHow it worked
CEA-Scan (99mTc-arcitumomab)Approved in Europe in 1996 to find recurrent colorectal cancer
131I-labetuzumabReached tumours; median survival of 55 months in a 63-patient phase II study
90Y-DOTA-M5AReached tumours; 10 of 16 patients had stable disease

Antibody-based agents reach the tumour but are held back by blood and marrow toxicity.

Sources: He et al., Eur J Nucl Med Mol Imaging 2023 (expression); NCI and EMA (CEA-Scan); Sahlmann et al., Cancer 2017; Akhavan et al., 2020. Small studies, not proof of benefit. Our binders have not been tested in a lab.

Our approach

AI designs a small protein that carries radiation to colorectal cancer cells

Predicted 3D structure of a designed protein binder (coloured ribbons) attached to CEACAM5 (grey surface)
Predicted structure of one of our designs (colour) attached to CEACAM5 (grey). A computational model, not yet tested in a lab.

AI designs it

A small protein, made to attach to CEACAM5.

It finds the cancer

CEACAM5 sits on colorectal cancer cells.

It delivers radiation

A radioactive atom on the protein treats the tumour.

The linker, radioactive atom, kidney clearance and tumour retention are experimental requirements and have not been tested. The aim of a small protein is to clear the blood faster than antibodies; this is to be tested in the lab.

Progress

Several promising candidates, and a pipeline to find more

Candidates

Several designs look promising. Lab testing is the next step.

Pipeline

A repeatable AI pipeline that designs, scores and re-checks new binders against CEACAM5, so we can keep generating candidates.

Current stage: our work so far is computational. Our binders have not been tested in a lab.

Team

A software developer and a peptide-chemistry pharmacist

Mitchell Benjamin

Mitchell Benjamin

Melbourne

Software developer specialising in AI and machine learning.

Elsa Welin

Elsa Welin

Sweden

Pharmacist specialising in peptide chemistry. MSc Pharmacy, Uppsala University; BSc, Lund University.