Prostate-specific membrane antigen (PSMA) is the prototypic cell-surface marker of prostate cancer and provides an attractive target for monoclonal antibody (mAb) targeted therapies. In this study, a novel antibody-drug conjugate (ADC) was generated by linking a fully human PSMA mAb to monomethylauristatin E (MMAE), a potent inhibitor of tubulin polymerization. The PSMA ADC was evaluated for antitumor activity in vitro and in a mouse xenograft model of androgen-independent human prostate cancer. The PSMA ADC eliminated PSMAexpressing cells with picomolar potency and >700-fold selectivity in culture. When used to treat mice with established human C4-2 tumors, the PSMA ADC significantly improved median survival 9-fold relative to vehicle or isotype-matched ADC (P = 0.0018) without toxicity. Treatment effects were also manifest as significant (P = 0.0068) reduction in serum levels of prostate-specific antigen (PSA). Importantly, 40% of treated animals had no detectable tumor or measurable PSA at day 500 and could be considered cured. The findings support development of PSMA antibody-auristatin conjugates for therapy of prostate cancer.Prostate cancer is the most common malignancy and the second leading cause of cancer death in men in the United States (1). Localized prostate cancer typically is treated with surgery or radiation, and recurrent disease can be controlled temporarily with androgen ablation (2). However, almost all prostate carcinomas eventually become hormone refractory and then rapidly progress (3). Hormone-refractory or androgenindependent prostate cancer has proven to be largely resistant to conventional chemotherapy. With the exception of palliative care, the only approved chemotherapy is docetaxel in combination with prednisone, which offers a modest (2.4 months) survival benefit (4, 5). New molecularly targeted therapies are urgently needed.Monoclonal antibody (mAb) therapies have shown considerable use in the treatment of non-Hodgkin's lymphoma (6), B-cell chronic lymphocytic leukemia (7), colorectal carcinoma (8, 9), and breast cancer (10). In addition, mAbs have proven effective as vehicles to deliver therapeutic drugs or radionuclides in acute myeloid leukemia (11) and nonHodgkin's lymphoma (12, 13). Antibody-drug conjugates (ADC) combine the molecular targeting of mAbs with the chemotherapeutic properties of potent cytotoxins and hold great promise as molecularly targeted therapies of cancer.Prostate-specific membrane antigen (PSMA) is a very well characterized cell surface marker of prostate cancer (14 -17). PSMA is a homodimeric type II integral membrane glycoprotein whose expression is largely restricted to the prostate and is highly up-regulated in prostate carcinomas (17,18). Its expression increases with disease progression, becoming highest in metastatic, hormone-refractory disease (19). In addition, PSMA is abundantly expressed on the neovasculature of most other solid tumors but not on normal vasculature (20 -24). Importantly, PSMA is rapidly and constitutively internalized...