Abstract Introduction: Proton boron capture therapy (PBCT) has the potential to enhance the biological effectiveness of proton therapy, based on proton-boron fusion reactions (11B + p → 3α + 8.7 MeV), which produce 3 α particles. In this study, we formulated o-carborane, a high boron content cage-like compound, into a polymeric micelle (M-carb) as a delivery tool to achieve effective delivery of the boronated compound to cancer cells and validated the enhancement of the biological effectiveness of proton therapy promoted by the uptake of o-carborane-entrapped in the micelle. Methods: O-carborane was effectively entrapped into an amphiphilic block copolymer to yield a stable polymeric micelle. The size and surface charge of the resulting M-carb were characterized by dynamic light scattering (DLS) and the uptake of M-carb in MIA PaCa-2 pancreatic cancer cells was measured by inductively coupled plasma mass spectrometry (ICP-MS). A colony formation assay was employed to assess the impact of M-carb on the survival of MIA PaCa-2 cells irradiated with a proton beam at the entrance and distal Spread-Out Bragg Peak (SOBP) positions at doses ranging from 0, 2, 5, and 8 Gy. The γH2AX foci were quantified by immunofluorescence to assess treatment-induced DNA double-strand breaks. Boron phenylalanine (BPA) was used as a control boron-carrying agent. Results: O-carborane-entrapped polymeric micelles (M-carb) had a diameter of about 60 nm and a relatively narrow size distribution (polydispersity index ~0.15) and possessed a slight negative charge. After 6 h incubated with M-carb at an equivalent concentration of 200 µM boron, MIA PaCa-2 cells were found to have taken up ~45 ng 11Boron per million cells. The colony formation assay demonstrated a significant decrease in the survival rate of MIA PaCa-2 cells after 8 Gy proton irradiation in the presence of 40 ppm of boron (corresponding to 4.61 µM BPA or 0.46 µM carborane) compared to irradiation treatment alone (p<0.05). At 8 Gy, the survival rates were 0.10, 0.07, and 0.04 for the following irradiation conditions: i) irradiation alone; ii) in the presence of BPA; in the presence of M-carb. At 2 and 5 Gy, these survival rate values were 0.78, 0.69, and 0.69 and 0.33, 0.19, and 0.16, respectively. Importantly, M-carb alone at the concentration used in proton irradiation experiments displayed no cytotoxicity. Immunofluorescence assays revealed that at both 2 Gy and 5 Gy, BPA and M-carb significantly increased γH2AX foci compared to irradiation alone (p<0.0001). Conclusion: M-carb was efficiently taken up by MIA PaCa-2 cells. PBCT mediated by M-carb or BPA enhanced the relative biological effectiveness of proton therapy with consequent improvement of its cell-killing efficacy in pancreatic cancer cells. This approach holds promise for advancing proton therapy as a new treatment modality for pancreatic cancer. Citation Format: Qiu-Xu Teng, Guodong Zhang, Haiyan Chen, Filipa Mendes, Narayan Sahoo, Célia Fernandes, António Paulo, Chun Li. O-carborane-entrapped polymeric Micelles for Proton Boron Capture Therapy [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 2885.