PHASE 1:

B. Couple-Famille-Ménages
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Abstract

Background • Tumors attempt to evade the immune system by upregulating CD47, a marker of self. By blocking CD47 interaction with its myeloid cell receptor SIRPα, it may be possible to enhance innate and adaptive immunity against cancer.1 • ALX148 is a fusion protein comprised of an engineered high affinity CD47 binding domain of SIRPα genetically linked to an inactive Fc region of human immunoglobulin (Figure 1).2, 3 • In non clinical models, ALX148 blocks CD47 and safely enhances the activity of several anti-cancer targeted antibodies and checkpoint inhibitors through Fc dependent and independent mechanisms, bridging innate and adaptive anti-cancer immune response.2,3 • Based upon these observations, AT148001, a first-in-human phase 1 study of ALX148 administered as a single agent (Part 1) and in combination with established anticancer antibodies (Part 2) was initiated.
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阶段1:
•肿瘤试图通过上调CD47(一种自我标记物)来逃避免疫系统。通过阻断CD47与其髓细胞受体SIRPα的相互作用,有可能增强对癌症的先天和适应性免疫。1•ALX148是一种融合蛋白,由SIRPα的高亲和力CD47结合域与人免疫球蛋白的失活Fc区基因连接组成(图1)。2,3•在非临床模型中,ALX148阻断CD47,并通过Fc依赖和独立机制安全地增强几种抗癌靶向抗体和检查点抑制剂的活性,架起先天和适应性抗癌免疫反应的桥梁。基于这些观察结果,AT148001,即ALX148作为单一药物(第一部分)和与已建立的抗癌抗体(第二部分)联合使用的首次人体i期研究开始了。
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