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TARGETING TREG CELLS BY TNFR2 ANTIBODY INDUCES TUMOR REGRESSION IN VIVO 体内用tnfr2抗体靶向treg细胞诱导肿瘤消退
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.015
Zuoan Yi, C. He, Yueh-Mei Hso, M. Strainic, Yong Yin, W. Zhai
Abstract Background Tumor necrosis factor receptor 2 (TNFR2) is considered an appealing target due to its low-level expression on immune cells, but it could be upregulated on regulatory T cells (Tregs) in the tumor microenvironment which plays key roles in Treg proliferation and function. It has been demonstrated that Tregs with high TNFR2 expression were the most suppressive subsets among all Treg populations in the tumor. While early studies showed that TNFR2 co-stimulates naïve T cells, it has been revealed later that TNFR2 also limits CD8+ T-cell-mediated viral clearance and anti-tumor immunity by inducing rapid contraction of CD8+ T cells. Consistent with these findings, several publications reported that anti-TNFR2 antibody treatment exhibited robust antitumor efficacy. In short, TNFR2 signaling is critical in regulating immune response in different diseases. In the current study, the anti-human TNFR2 antibody SBT-1901 was developed and the anti-tumor activity was evaluated. Materials and methods SBT-1901 was generated through hybridoma and humanization technologies. The binding affinity and specificity were tested by ELISA, FACS, and OCTET. The function of SBT-1901 was tested in TNFR2-Fas overexpressing Ramos cells and in Treg proliferation assay. The in vivo anti-tumor activity and pharmacokinetics of SBT-1901 were evaluated in the human TNFR2 transgenic mouse model (Biocytogen) bearing MC38 tumor. Results SBT-1901 binds to the extracellular domain of human and cynomolgus TNFR2 with the affinity of single digit-nanomolar. It competes with TNFα for binding to TNFR2 receptor and inhibits TNFα-induced TNFR2-Fas overexpressing RAMOS cell death. SBT-1901 also blocks TNFα induced Treg proliferation in human PBMC. In addition, SBT-1901 significantly inhibits MC38 tumor growth in a dose-dependent manner as a monotherapy and enhances anti-tumor efficacy of mPD-1 antibody in a combination study in human TNFR2 transgenic mouse model. SBT-1901 is currently under preclinical development. Conclusions Our studies show that SBT-1901 exhibits a very potent anti-tumor efficacy in vivo as a single agent or the combination. Therefore, it is highly valuable to further develop SBT-1901 for human cancer treatment.
摘要背景肿瘤坏死因子受体2(TNFR2)由于其在免疫细胞上的低水平表达而被认为是一个有吸引力的靶点,但它可能在肿瘤微环境中的调节性T细胞(Treg)上上调,这在Treg的增殖和功能中起着关键作用。已经证明具有高TNFR2表达的Treg是肿瘤中所有Treg群体中最具抑制性的亚群。虽然早期研究表明TNFR2共同刺激幼稚的T细胞,但后来发现,TNFR2还通过诱导CD8+T细胞的快速收缩来限制CD8+T介导的病毒清除和抗肿瘤免疫。与这些发现一致,一些出版物报道了抗TNFR2抗体治疗显示出强大的抗肿瘤功效。简而言之,TNFR2信号传导在调节不同疾病的免疫反应中至关重要。本研究开发了抗人TNFR2抗体SBT-1901,并对其抗肿瘤活性进行了评价。材料与方法通过杂交瘤和人源化技术制备SBT-1901。通过ELISA、FACS和OCET测试结合亲和力和特异性。SBT-1901的功能在TNFR2-Fas过表达的Ramos细胞和Treg增殖测定中进行了测试。在携带MC38肿瘤的人TNFR2转基因小鼠模型(生物细胞原)中评估SBT-1901的体内抗肿瘤活性和药代动力学。结果SBT-1901与人和食蟹猴TNFR2细胞外结构域结合,亲和力为个位数纳摩尔。它与TNFα竞争与TNFR2受体的结合,并抑制TNFα诱导的TNFR2 Fas过表达RAMOS细胞死亡。SBT-1901还阻断TNFα诱导的人PBMC中Treg的增殖。此外,在人TNFR2转基因小鼠模型的联合研究中,SBT-1901作为单一疗法以剂量依赖性方式显著抑制MC38肿瘤生长,并增强mPD-1抗体的抗肿瘤功效。SBT-1901目前正在进行临床前开发。结论SBT-1901作为单一药物或联合药物在体内具有很强的抗肿瘤作用。因此,进一步开发用于人类癌症治疗的SBT-1901具有很高的价值。
{"title":"TARGETING TREG CELLS BY TNFR2 ANTIBODY INDUCES TUMOR REGRESSION IN VIVO","authors":"Zuoan Yi, C. He, Yueh-Mei Hso, M. Strainic, Yong Yin, W. Zhai","doi":"10.1093/abt/tbad014.015","DOIUrl":"https://doi.org/10.1093/abt/tbad014.015","url":null,"abstract":"Abstract Background Tumor necrosis factor receptor 2 (TNFR2) is considered an appealing target due to its low-level expression on immune cells, but it could be upregulated on regulatory T cells (Tregs) in the tumor microenvironment which plays key roles in Treg proliferation and function. It has been demonstrated that Tregs with high TNFR2 expression were the most suppressive subsets among all Treg populations in the tumor. While early studies showed that TNFR2 co-stimulates naïve T cells, it has been revealed later that TNFR2 also limits CD8+ T-cell-mediated viral clearance and anti-tumor immunity by inducing rapid contraction of CD8+ T cells. Consistent with these findings, several publications reported that anti-TNFR2 antibody treatment exhibited robust antitumor efficacy. In short, TNFR2 signaling is critical in regulating immune response in different diseases. In the current study, the anti-human TNFR2 antibody SBT-1901 was developed and the anti-tumor activity was evaluated. Materials and methods SBT-1901 was generated through hybridoma and humanization technologies. The binding affinity and specificity were tested by ELISA, FACS, and OCTET. The function of SBT-1901 was tested in TNFR2-Fas overexpressing Ramos cells and in Treg proliferation assay. The in vivo anti-tumor activity and pharmacokinetics of SBT-1901 were evaluated in the human TNFR2 transgenic mouse model (Biocytogen) bearing MC38 tumor. Results SBT-1901 binds to the extracellular domain of human and cynomolgus TNFR2 with the affinity of single digit-nanomolar. It competes with TNFα for binding to TNFR2 receptor and inhibits TNFα-induced TNFR2-Fas overexpressing RAMOS cell death. SBT-1901 also blocks TNFα induced Treg proliferation in human PBMC. In addition, SBT-1901 significantly inhibits MC38 tumor growth in a dose-dependent manner as a monotherapy and enhances anti-tumor efficacy of mPD-1 antibody in a combination study in human TNFR2 transgenic mouse model. SBT-1901 is currently under preclinical development. Conclusions Our studies show that SBT-1901 exhibits a very potent anti-tumor efficacy in vivo as a single agent or the combination. Therefore, it is highly valuable to further develop SBT-1901 for human cancer treatment.","PeriodicalId":36655,"journal":{"name":"Antibody Therapeutics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43558052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
APPLICATION OF EXCHABODY TECHNOLOGY FOR PAIRING VHHS TO ACHIEVE SYNERGISTIC EFFECTS 应用体表技术对VHHS进行配对,实现协同效应
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.025
Yi Luo, Xiaoxiao Zhan, Yilong Shen, Ziyang Sheng, Yin Zhu, Mingyue Huang
Abstract Objective Single-domain antibodies, such as VHH and nanobody, have shown potential for use in therapy and diagnostics. One application of VHHs is the tethering of two fragments to different epitopes on the same target, which is difficult to achieve with conventional antibodies. Synergistic heterologous VHH dimers have higher affinity, better specificity, and broad applications in developing high-affinity monoclonal antibodies, bispecific antibodies, ADCs, and CAR-Ts. However, finding the best pair of VHHs for these applications requires combinational screening, which is traditionally a time-consuming and costly process. The objective of this study is to develop a technology that can quickly screen and pair two synergistic VHHs without the need to express tandem VHH dimers. Methods The researchers developed proprietary tags and specific dockers that, when stabilized on a solid station, can capture any VHHs that the dockers recognize and pull them together to form a non-covalent dimer. This platform is called ExchaBody technology, and the VHH dimers formed this way are ExchaBodies. The researchers used this technology to conduct a bi-epitope screening campaign, where VHHs were first expressed as monomers with tags and then binned and grouped into different categories. VHHs were then paired with all reasonable combinations using ExchaBody technology, and these ExchaBodies were evaluated for their combined activities. Results ExchaBody technology was able to link any two VHHs together within one hour, and the resulting ExchaBodies had bivalent or bifunctional VHH activities. The bi-epitope VHH screening campaign, which would have taken months to complete using traditional methods, was finished within two weeks using ExchaBody technology, saving time and cost. The researchers were able to construct two lead molecules, a bi-specific VHH-Fc fusion protein and a tri-valent VHH molecule, using ExchaBody technology. These lead molecules were found to be superior to their counterparts on the market based on affinity and functional assays. Conclusion ExchaBody technology is a bispecific VHH screening and pairing platform that can quickly and cost-effectively create non-covalent, bispecific VHHs (ExchaBodies) without the need to express them. ExchaBodies possess the binding and cellular activities of a covalently linked, bispecific, tandem VHH dimer. This technology has broad applications in developing high-affinity monoclonal antibodies, bispecific antibodies, ADCs, and CAR-Ts.
摘要目的单结构域抗体,如VHH和纳米抗体,已显示出在治疗和诊断方面的潜力。VHH的一个应用是将两个片段连接到同一靶标上的不同表位,这是传统抗体难以实现的。协同异源VHH二聚体在开发高亲和力单克隆抗体、双特异性抗体、ADC和CAR-T方面具有更高的亲和力、更好的特异性和广泛的应用。然而,为这些应用找到最佳的VHH对需要组合筛选,这在传统上是一个耗时且昂贵的过程。本研究的目的是开发一种技术,可以快速筛选和配对两个协同VHH,而无需表达串联VHH二聚体。方法研究人员开发了专有标签和特定的对接蛋白,当它们稳定在固体站上时,可以捕获对接蛋白识别的任何VHH,并将它们拉在一起形成非共价二聚体。这个平台被称为ExchaBody技术,以这种方式形成的VHH二聚体就是ExchaBodies。研究人员使用这项技术进行了一项双表位筛选活动,VHH首先以带有标签的单体形式表达,然后装箱并分组为不同的类别。然后使用ExchaBody技术将VHH与所有合理的组合配对,并评估这些ExchaBody的组合活性。结果ExchaBody技术能够在一小时内将任意两个VHH连接在一起,所得的ExchaBodies具有二价或双功能VHH活性。使用传统方法需要数月才能完成的双表位VHH筛选活动,使用ExchaBody技术在两周内完成,节省了时间和成本。研究人员能够使用ExchaBody技术构建两个先导分子,一个双特异性VHH-Fc融合蛋白和一个三价VHH分子。基于亲和力和功能测定,发现这些铅分子优于市场上的同类分子。结论ExchaBody技术是一种双特异性VHH筛选和配对平台,可以快速、经济高效地产生非共价、双特异性的VHH(ExchaBodies),而无需表达它们。交换抗体具有共价连接的双特异性串联VHH二聚体的结合和细胞活性。该技术在开发高亲和力单克隆抗体、双特异性抗体、ADC和CAR-T方面具有广泛的应用。
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引用次数: 0
DEVELOPMENT OF A METHOD FOR PRODUCING FAB/F(AB’)2 FRAGMENTS FROM A FULL-LENGTH MONOCLONAL ANTIBODY FOR BIOANALYTICAL ASSAYS 生物分析用全长单克隆抗体制备FAB/F(AB’)2片段的方法研究
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.019
Hefeng Zhang, Lingling Zhu, Emily Zou, Yu Liang, Linglong Zou
Abstract Background Monoclonal antibodies (mAb) comprise of two Fab fragments and one Fc fragment or one F(ab)’2 fragment and one Fc fragment. While a full-length mAb is frequently used as an assay reagent for bioanalysis, mAb fragments are required in certain cases. For example, to build a sandwich assay for detection of anti-drug antibodies (ADA) for therapeutic antibodies, Fab or F(ab)’2 fragment is used instead of a full-length mAb as capture reagent. This is because therapeutic antibodies, either humanized or fully human, are in many ways indistinguishable from the ADA generated in patients, especially in Fc fragment. When ADA detection methods utilizes anti-human Fc antibodies as the detection reagent, the full-length mAb drug will be directly bound by the detection reagent, causing interference. Preparation of a Fab or F(ab)’2 fragment is therefore needed. Methods and results We are developing a method for enzymatic digestion of therapeutic antibodies to generate monovalent Fab or bivalent F(ab’)2 fragments in this study. With such reagents becoming available, a sandwich ADA assay formats can be expanded to allow anti-human Fc antibodies as detection regents. To standardize the method, we explored various enzymatic conditions, including type of enzymes (i.e., pepsin, papain, and IdeS Protease), digestion-time (1, 2, 4, and 6 h), enzyme to antibody ratio (1:10, 1:20, and 1:40 w/w), IgG species and isotypes (human IgG1-κ, IgG1-λ, and IgG4-κ). The enzymatic hydrolysates were quantified by NanoDrop and purified by dialysis (10K MWCO) and Protein A/G/L magnetic bead methods. The effective recovery of truncated antibodies was > 90%, as assessed by reduced/non-reduced SDS-PAGE and ELISA analysis. Digestion of human IgG1 and IgG4 with pepsin resulted into a complete cleavage into F(ab')2 fragments and degradation of Fc fragments. While IdeS Protease produced an equivalent quantity of F(ab’)2 and Fc fragments with a similar efficiency, removal of the intact Fc fragment was required as an additional step. If the Fab fragments were desired, papain could be used with yield being over 90%. We have subsequently utilized either Fab or F(ab’)2 as a capture reagent for ADA detection. Conclusion We have successfully developed the enzymatic digestion method to prepare Fab or F(ab’)2 fragments. The optimized conditions described here are broadly applicable to different IgG isotypes across many therapeutic antibodies.
摘要背景单克隆抗体(mAb)由两个Fab片段和一个Fc片段或一个F(ab)’2片段和一条Fc片段组成。虽然全长mAb经常用作生物分析的测定试剂,但在某些情况下需要mAb片段。例如,为了构建用于检测治疗性抗体的抗药物抗体(ADA)的夹心分析,使用Fab或F(ab)'2片段代替全长mAb作为捕获试剂。这是因为治疗性抗体,无论是人源化的还是全人类的,在许多方面都与患者体内产生的ADA无法区分,尤其是Fc片段。当ADA检测方法使用抗人Fc抗体作为检测试剂时,全长mAb药物会直接与检测试剂结合,造成干扰。因此需要制备Fab或F(ab)’2片段。方法和结果在本研究中,我们正在开发一种酶促消化治疗性抗体以产生单价Fab或二价F(ab')2片段的方法。随着这种试剂的可用,夹心ADA测定形式可以扩展,以允许抗人Fc抗体作为检测试剂。为了标准化该方法,我们探索了各种酶促条件,包括酶的类型(即胃蛋白酶、木瓜蛋白酶和IdeS蛋白酶)、消化时间(1、2、4和6小时)、酶与抗体的比例(1:10、1:20和1:40 w/w)、IgG种类和同种型(人IgG1-κ、IgG1-λ和IgG4-κ)。酶水解产物通过NanoDrop定量,并通过透析(10KMWCO)和蛋白质A/G/L磁珠法纯化。通过还原/非还原SDS-PAGE和ELISA分析评估,截短抗体的有效回收率>90%。用胃蛋白酶消化人IgG1和IgG4导致完全裂解成F(ab’)2片段并降解Fc片段。虽然IdeS蛋白酶以相似的效率产生等量的F(ab’)2和Fc片段,但作为附加步骤,需要去除完整的Fc片段。如果需要Fab片段,可以使用木瓜蛋白酶,产率超过90%。我们随后使用Fab或F(ab’)2作为ADA检测的捕获试剂。结论我们已经成功地开发了酶消化法来制备Fab或F(ab')2片段。这里描述的优化条件广泛适用于许多治疗性抗体的不同IgG同种型。
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引用次数: 0
A BIVALENT TIM-3/PD-1 BISPECIFIC ANTIBODY FOR THE TREATMENT OF PD-1 ANTIBODY RESISTANT OR REFRACTORY SOLID TUMORS 一种二价tim-3 / pd-1双特异性抗体,用于治疗pd-1抗体耐药或难治性实体瘤
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.002
Yansong Luan, Hong-Ying Deng, Fengpo Wang, Cuihui Wang, Zhen Zhang, Xun Liu, K. Abuduwaili, Jiajian Liu
Abstract Background Immune checkpoint inhibitors (ICI) PD-1/PD-L1 antibody are key drugs for the treatment of cancer. Bispecific antibody is one of the strategies aimed to meet the clinical needs for cancer patients who are resistant to or refractory from ICI treatment. TIM-3, one of the next generation of ICI targets, co-expressed on exhausted T cells with PD-1. It is also expressed by innate immune populations, including NK and DC. Dual blocking PD-1 and TIM-3 not only on T cells but also on DC, NK cells may achieve better clinical benefit for patients who are resistant to or refractory from ICI treatment. Method A bivalent TIM-3 and PD-1 bispecific antibody (Bis5) was developed, a series of in vitro and in vivo efficacy, preclinical pharmacokinetic and toxicity studies were conducted. A Phase I, multicenter, open-label study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity and preliminary efficacy of Bis5 in patients with advanced and/or metastatic solid tumors is ongoing in China. Results Bis5 showed affinity of 5-8 nM to both TIM-3 and PD-1, with better cell activity than TIM-3 and PD-1 mAb combination to activated T cell as well as NK and DC, over the other clinical stage reference BsAb. In huPD-1/TIM-3 double knock in mice-CT26 tumor model, Bis5 showed significant tumor inhibition activity and doubled the survival rate, while neither PD-1 mAb, TIM-3 mAb nor PD-1 and TIM-3 antibody combination showed activity. The highest non-severe toxicity dose (HNSTD) was 200mg/kg in monkeys. Nine cohorts (0.001-15 mg/kg) are planned to be enrolled sequentially in the dose escalation part in the Phase I study, as of April 2023, seven cohorts enrollment have completed. No dose limiting toxicity was observed, and the optimal effective dose was not reached. No TRAE higher than grade 2 was observed. The TRAE with ≥10% Incidence was anemia. SD >4 or 2 months were shown in the suboptimal dose levels in NSCLC and CRC (0.3mg/kg, 1mg/kg). The Part 2 dose expansion will further characterize the safety profile and preliminary tumor response in several cohorts including NSCLC, CRC, ESCC etc. Conclusion Bis5 showed good preclinical efficacy and safety profile, its clinical performance is expected. Clinical trial information: NCT05357651.
摘要背景免疫检查点抑制剂(ICI)PD-1/PD-L1抗体是治疗癌症的关键药物。双特异性抗体是旨在满足对ICI治疗具有耐药性或难治性的癌症患者临床需求的策略之一。TIM-3是下一代ICI靶点之一,在衰竭的T细胞上与PD-1共表达。它也由先天免疫群体表达,包括NK和DC。双重阻断PD-1和TIM-3不仅对T细胞,而且对DC、NK细胞都可以为对ICI治疗有耐药性或难治性的患者带来更好的临床益处。方法研制TIM-3和PD-1双特异性二价抗体(Bis5),进行一系列体内外药效、临床前药代动力学和毒性研究。中国正在进行一项I期、多中心、开放标签研究,以评估Bis5在晚期和/或转移性实体瘤患者中的安全性、耐受性、药代动力学、药效学、免疫原性和初步疗效。结果Bis5对TIM-3和PD-1均显示5-8nM的亲和力,与其他临床阶段参考BsAb相比,其对活化的T细胞以及NK和DC的细胞活性优于TIM-3和PD-1mAb组合。在huPD-1/TIM-3双敲小鼠-CT26肿瘤模型中,Bis5表现出显著的肿瘤抑制活性并使存活率翻倍,而PD-1mAb、TIM-3mAb以及PD-1和TIM-3抗体组合均未表现出活性。猴子的最高非严重毒性剂量(HNSTD)为200mg/kg。计划在第一阶段研究的剂量递增部分依次纳入九个队列(0.001-15 mg/kg),截至2023年4月,已经完成了七个队列的纳入。未观察到剂量限制性毒性,也未达到最佳有效剂量。未观察到高于2级的TRAE。TRAE发生率≥10%为贫血。NSCLC和CRC的次优剂量水平(0.3mg/kg,1mg/kg)显示SD>4或2个月。第2部分的剂量扩展将进一步表征包括NSCLC、CRC、ESCC等几个队列的安全性和初步肿瘤反应。结论Bis5显示出良好的临床前疗效和安全性,其临床性能值得期待。临床试验信息:NCT05357651。
{"title":"A BIVALENT TIM-3/PD-1 BISPECIFIC ANTIBODY FOR THE TREATMENT OF PD-1 ANTIBODY RESISTANT OR REFRACTORY SOLID TUMORS","authors":"Yansong Luan, Hong-Ying Deng, Fengpo Wang, Cuihui Wang, Zhen Zhang, Xun Liu, K. Abuduwaili, Jiajian Liu","doi":"10.1093/abt/tbad014.002","DOIUrl":"https://doi.org/10.1093/abt/tbad014.002","url":null,"abstract":"Abstract Background Immune checkpoint inhibitors (ICI) PD-1/PD-L1 antibody are key drugs for the treatment of cancer. Bispecific antibody is one of the strategies aimed to meet the clinical needs for cancer patients who are resistant to or refractory from ICI treatment. TIM-3, one of the next generation of ICI targets, co-expressed on exhausted T cells with PD-1. It is also expressed by innate immune populations, including NK and DC. Dual blocking PD-1 and TIM-3 not only on T cells but also on DC, NK cells may achieve better clinical benefit for patients who are resistant to or refractory from ICI treatment. Method A bivalent TIM-3 and PD-1 bispecific antibody (Bis5) was developed, a series of in vitro and in vivo efficacy, preclinical pharmacokinetic and toxicity studies were conducted. A Phase I, multicenter, open-label study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity and preliminary efficacy of Bis5 in patients with advanced and/or metastatic solid tumors is ongoing in China. Results Bis5 showed affinity of 5-8 nM to both TIM-3 and PD-1, with better cell activity than TIM-3 and PD-1 mAb combination to activated T cell as well as NK and DC, over the other clinical stage reference BsAb. In huPD-1/TIM-3 double knock in mice-CT26 tumor model, Bis5 showed significant tumor inhibition activity and doubled the survival rate, while neither PD-1 mAb, TIM-3 mAb nor PD-1 and TIM-3 antibody combination showed activity. The highest non-severe toxicity dose (HNSTD) was 200mg/kg in monkeys. Nine cohorts (0.001-15 mg/kg) are planned to be enrolled sequentially in the dose escalation part in the Phase I study, as of April 2023, seven cohorts enrollment have completed. No dose limiting toxicity was observed, and the optimal effective dose was not reached. No TRAE higher than grade 2 was observed. The TRAE with ≥10% Incidence was anemia. SD >4 or 2 months were shown in the suboptimal dose levels in NSCLC and CRC (0.3mg/kg, 1mg/kg). The Part 2 dose expansion will further characterize the safety profile and preliminary tumor response in several cohorts including NSCLC, CRC, ESCC etc. Conclusion Bis5 showed good preclinical efficacy and safety profile, its clinical performance is expected. Clinical trial information: NCT05357651.","PeriodicalId":36655,"journal":{"name":"Antibody Therapeutics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45359788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
ACCELERATING THE DEVELOPMENT OF NOVEL ANTIBODY-DRUG CONJUGATES THROUGH SITE-SPECIFIC CONJUGATION METHODS 通过位点特异性偶联方法加速新型抗体-药物偶联物的开发
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.021
A. Ouyang, Spencer Chiang, Chao Wang
Abstract Background Antibody–drug conjugates (ADC) typically consist of a monoclonal antibody (mAbs) attached to a cytotoxic payload via a chemical linker. ADC development requires careful consideration of each of its key components and development strategy since each element has the potential to affect the final therapeutic efficacy and safety. One important characteristic of an ADC drug is the drug-to-antibody ratio (DAR). This ratio elucidates the number of drug molecules bound onto a single antibody. Based on the conjugation strategy, the number of drug molecules that are bound to a single antibody varies. Low-drug loading reduces the overall potency, whereas high-drug loading can have higher cytotoxic effects but increased side-effects and altered pharmacokinetics (PK). As such, appropriate selection of conjugation strategy can affect the homogeneity of ADCs and resulting effectiveness. To increase the efficacy of ADCs, site-specific conjugation technologies, including engineered cysteine residues, unnatural amino acids, or enzymatic conjugation through glycosyltransferases, have been applied to obtain more homogeneous ADCs. This has proven to be clinically effective by improving ADC pharmacokinetics and therapeutic index. Furthermore, the increased control over conjugation site reduces the overall hydrophobicity of the linker–payload, preventing unintended payload release in blood. AGLink ADC site-specific conjugation kits were used to perform site-specific conjugation. The AGLink technology utilizes an enzymatic modification method (one-pot process) to reduce antibody N-glycans by fucosylation and enable site-specific and controllable conjugation. After conjugation, the resulting ADCs were evaluated for ADC homogeneity, immunoreactivity, and cytotoxicity. Methods and Results AGLink ADC site-specific conjugation were used and based on the conjugation platform YTConju™. To characterize the efficacy of AGLink, Trastuzumab and MMAE were used. N-glycans were identified to be at the asparagine 297 (N297) position of the CH2 domain on each heavy chain Fc fragment. The N-glycans were reduced to form reactive sites linked with payloads through glycosylation. The resulting glycosylation is predominantly composed of varied amounts of N-acetylglucosamine, fucose, galactose, mannose and N-acetylneuraminic acid (sialic acid) residues, which are assembled in different complex-type biantennary structures. The resulting ADCs (Trastuzumab-MMAE) with different DARs (2 or 4) were developed and characterized through varying studies. Conclusion Site-specific modifications are beginning to be used more frequently to meet the rapidly evolving applications of ADCs. Of these modification methods, we see that glycoengineering has been demonstrated as a useful approach for site-specific antibody conjugation methods. The AGLink site-specific conjugation kit utilizes glycoengineering by performing an enzymatic modification method of IgG Fc glycans to perform conjugatio
摘要背景抗体-药物偶联物(ADC)通常由通过化学接头连接到细胞毒性有效载荷上的单克隆抗体(mAbs)组成。ADC的开发需要仔细考虑其每个关键组成部分和开发策略,因为每个元素都有可能影响最终的治疗效果和安全性。ADC药物的一个重要特征是药物与抗体的比率(DAR)。这个比率阐明了结合到单个抗体上的药物分子的数量。根据结合策略,与单个抗体结合的药物分子数量各不相同。低载药量会降低总体效力,而高载药量可能具有更高的细胞毒性作用,但会增加副作用并改变药代动力学(PK)。因此,适当选择共轭策略会影响ADC的同质性和由此产生的有效性。为了提高ADC的功效,位点特异性结合技术,包括工程半胱氨酸残基、非天然氨基酸或通过糖基转移酶的酶结合,已被应用于获得更均匀的ADC。通过改善ADC的药代动力学和治疗指标,这已被证明是临床有效的。此外,对结合位点的控制增加了接头-有效载荷的整体疏水性,防止了血液中意外释放有效载荷。AGLink ADC位点特异性偶联试剂盒用于进行位点特异性缀合。AGLink技术利用酶修饰方法(一锅法)通过岩藻糖基化减少抗体N-聚糖,并实现位点特异性和可控结合。结合后,评估所得ADC的ADC同质性、免疫反应性和细胞毒性。方法和结果使用AGLink ADC位点特异性缀合,并基于缀合平台YTCongu™. 为了表征AGLink的疗效,使用了曲妥珠单抗和MMAE。N-聚糖被鉴定为位于每个重链Fc片段上CH2结构域的天冬酰胺297(N297)位置。N-聚糖被还原,通过糖基化形成与有效载荷连接的反应位点。由此产生的糖基化主要由不同量的N-乙酰葡糖胺、岩藻糖、半乳糖、甘露糖和N-乙酰神经氨酸(唾液酸)残基组成,这些残基组装成不同的复杂型二元结构。通过不同的研究开发并表征了具有不同DAR(2或4)的所得ADC(曲妥珠单抗MMAE)。结论位点特异性修饰开始更频繁地使用,以满足ADC快速发展的应用。在这些修饰方法中,我们发现糖工程已被证明是位点特异性抗体偶联方法的一种有用方法。AGLink位点特异性缀合试剂盒利用糖工程,通过对IgG-Fc聚糖进行酶修饰方法进行缀合。AGLink不需要任何先前的氨基酸序列工程,并且产生稳定的抗体缀合物,批次之间的变化最小。因此,偶联试剂盒中使用的AGLink技术提供了一种独特的位点特异性偶联方法,有可能应用于MMAE ADC的临床前开发。
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引用次数: 0
Alpaca single B cell interrogation and heavy-chain-only antibody discovery on an optofluidic platform. 羊驼单B细胞探询及光流平台上仅重链抗体的发现。
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad018
Mariya B Shapiro, Jacqueline Boucher, Anna Brousseau, Amin Dehkharghani, Justin Gabriel, Vishal Kamat, Ketan Patil, Feng Gao, Jennifer Walker, Ryan Kelly, Colby A Souders

In vivo VHH discovery approaches have been limited by the lack of methodologies for camelid B cell interrogation. Here, we report a novel application of the Beacon® optofluidic platform to the discovery of heavy-chain-only antibodies by screening alpaca B cells. Methods for alpaca B cell enrichment, culture, IgG2/3 detection, and sequencing were developed and used to discover target-specific VHH from an alpaca immunized with prostate-specific membrane antigen (PSMA) or a second target. PSMA-specific hits were expressed as VHH-Fc and characterized using label-free techniques. Anti-PSMA IgG2/3 titer plateaued on day 153, when on-Beacon IgG2/3 secretion and target binding rates peaked. Of 13 recombinantly expressed VHH-Fc, all but one bound with nanomolar affinity, and five were successfully humanized. Repertoire sequencing uncovered additional variants within the clonal lineages of the validated hits. The establishment of this workflow extends the powerful Beacon technology to enable rapid VHH discovery directly from natural camelid immune repertoires.

由于缺乏对骆驼B细胞的研究方法,体内VHH发现方法受到了限制。在这里,我们报告了Beacon®光流体平台在筛选羊驼B细胞中发现仅重链抗体的新应用。建立了羊驼B细胞富集、培养、IgG2/3检测和测序的方法,并用于从前列腺特异性膜抗原(PSMA)或第二靶标免疫的羊驼中发现靶标特异性VHH。psma特异性命中表达为VHH-Fc,并使用无标记技术进行表征。抗psma IgG2/3滴度在第153天趋于稳定,此时on- beacon IgG2/3分泌和靶结合率达到峰值。在13个重组表达的VHH-Fc中,除1个外,其余均具有纳米级亲和力,其中5个成功人源化。保留序列测序在验证命中的克隆谱系中发现了额外的变体。该工作流程的建立扩展了强大的Beacon技术,可以直接从天然骆驼免疫库中快速发现VHH。
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引用次数: 0
DISCOVERY OF NOVEL ANTI-SERUM ALBUMIN VHH AS A BUILDING BLOCK FOR PK PROLONGATION 发现新的抗血清白蛋白VHH作为延长药代动力学的基石
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.011
Yunying Chen, Xin Lin, Yi Qin, Donghui Wu, Jijie Gu, Siwei Nie
Abstract Background The serum half-life of endogenous albumin is approximately 19 days in humans and 1.5-2.5 days in rodents. This extended half-life in vivo is primarily due to effective recycling upon internalization mediated by the neonatal Fc receptor (FcRn). Many protein therapeutics smaller than 60 kD have short serum half-life, which can be extended by fusing the proteins of interest with an anti-albumin antibody. The fusion proteins then take advantage of FcRn-mediated recycling. Single domain antibody (VHH) molecules (around 15 kD), derived from camelid heavy-chain-only IgG, are attracting increased attention globally in the field of antibody-based therapies due to several features including small size, high stability, low immunogenicity, good tissue penetration and cost effectiveness in manufacturing. Methods an anti-human/cynomolgus monkey/murine/canine/feline serum albumin VHH lead was discovered from a proprietary, large native phage-displayed VHH library, which was then humanized, and affinity matured. The optimized VHH was fused to bispecific and trispecific antibodies for in vivo PK studies. Results An anti-human serum albumin VHH Ab was discovered, and it also bound to cyno and mouse serum albumin with high affinity without affecting the interaction of HSA with FcRn. The VHH showed good developability and, once fused to protein therapeutics, long half-life and anti-tumor activity in rodents. Conclusions a novel VHH against serum albumin of different species was discovered from native VHH libraries, and it can be easily assembled into bispecific Abs and multispecific Abs to prolong the molecules’ PK profile.
内源性白蛋白的血清半衰期在人体内约为19天,在啮齿动物中约为1.5-2.5天。这种延长的体内半衰期主要是由于新生儿Fc受体(FcRn)介导的内化有效循环。许多小于60 kD的蛋白质疗法具有较短的血清半衰期,可以通过将感兴趣的蛋白质与抗白蛋白抗体融合来延长半衰期。然后融合蛋白利用fcrn介导的再循环。单域抗体(VHH)分子(约15 kD)来源于骆驼重链IgG,由于其小尺寸、高稳定性、低免疫原性、良好的组织穿透性和制造成本效益等特点,在全球基于抗体的治疗领域受到越来越多的关注。方法从具有专利的大型噬菌体展示VHH文库中发现抗人/食虫猴/鼠/犬/猫血清白蛋白VHH铅,将其人源化,并进行亲和成熟。优化后的VHH与双特异性和三特异性抗体融合进行体内PK研究。结果发现了一种抗人血清白蛋白VHH Ab,并能与cyno和小鼠血清白蛋白高亲和力结合,不影响HSA与FcRn的相互作用。在啮齿类动物中,VHH表现出良好的发育性,一旦与蛋白质治疗药物融合,其半衰期长,具有抗肿瘤活性。结论从天然VHH文库中发现了一种新的抗不同种类血清白蛋白的VHH,该VHH可以很容易地组装成双特异性抗体和多特异性抗体,从而延长分子的PK谱。
{"title":"DISCOVERY OF NOVEL ANTI-SERUM ALBUMIN VHH AS A BUILDING BLOCK FOR PK PROLONGATION","authors":"Yunying Chen, Xin Lin, Yi Qin, Donghui Wu, Jijie Gu, Siwei Nie","doi":"10.1093/abt/tbad014.011","DOIUrl":"https://doi.org/10.1093/abt/tbad014.011","url":null,"abstract":"Abstract Background The serum half-life of endogenous albumin is approximately 19 days in humans and 1.5-2.5 days in rodents. This extended half-life in vivo is primarily due to effective recycling upon internalization mediated by the neonatal Fc receptor (FcRn). Many protein therapeutics smaller than 60 kD have short serum half-life, which can be extended by fusing the proteins of interest with an anti-albumin antibody. The fusion proteins then take advantage of FcRn-mediated recycling. Single domain antibody (VHH) molecules (around 15 kD), derived from camelid heavy-chain-only IgG, are attracting increased attention globally in the field of antibody-based therapies due to several features including small size, high stability, low immunogenicity, good tissue penetration and cost effectiveness in manufacturing. Methods an anti-human/cynomolgus monkey/murine/canine/feline serum albumin VHH lead was discovered from a proprietary, large native phage-displayed VHH library, which was then humanized, and affinity matured. The optimized VHH was fused to bispecific and trispecific antibodies for in vivo PK studies. Results An anti-human serum albumin VHH Ab was discovered, and it also bound to cyno and mouse serum albumin with high affinity without affecting the interaction of HSA with FcRn. The VHH showed good developability and, once fused to protein therapeutics, long half-life and anti-tumor activity in rodents. Conclusions a novel VHH against serum albumin of different species was discovered from native VHH libraries, and it can be easily assembled into bispecific Abs and multispecific Abs to prolong the molecules’ PK profile.","PeriodicalId":36655,"journal":{"name":"Antibody Therapeutics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48158167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
POTENT AND SELECTIVE A2AR MONOCLONAL ANTIBODY ANTAGONIST FOR THE TREATMENT OF CANCER 强效选择性A2AR单克隆抗体拮抗剂治疗肿瘤
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.010
Changyun Hu, Yanyan Wang, Xiqian Lan, Jiandong Zhang, Xinyan Zhao
Abstract Background and significance The presence of adenosine at abnormally high concentrations in tumor microenvironment leads to the activation of adenosine receptor 2A (A2aR) and represents one of the mechanisms for cancer patients to be resistance to immune checkpoint blockade therapies. CD39 and CD73 play an important role in converting ATP to adenosine. Currently antibodies or small molecule inhibitors (SMIs) targeting CD39 and CD73, as well as SMIs targeting adenosine receptors, are under preclinical investigation and early clinical development. However, effective biologics targeting adenosine receptors has not been reported. Here we demonstrated that humanized anti-A2aR antibodies represent promising novel therapeutic candidates for developing immunotherapy to restore anti-tumor responses in solid tumors that only partially respond or are completely resistance to ICB therapies. Methods Humanized anti-human A2aR monoclonal antibodies (mAbs) were generated from mouse hybridoma antibody via classic CDR grafting method. The A2aR binding and non-human primate cross-reactivity were measured by FACS using human A2aR-expressing HEK293 cells as well as human and cynomolgus monkey PBMCs. Internalizing properties were determined by FACS and immunofluorescent method. The cellular potency of these mAbs was assessed by their capability of inhibiting cAMP production induced by A2aR agonist adenosine and NECA in hA2aR-overexpressing HEK293 cells. The ability of lead candidates to reverse adenosine-mediated suppression of human effector cell function was determined using standard CD3/CD28 activation conditions in the presence of A2aR agonist NECA. Results and Conclusion We successfully humanized anti-A2aR antibody discovered via hybridoma technology. Humanized anti-A2aR antibodies maintain binding, cross-reactivity to human and cynomolgus monkey A2aR, as well as internalizing property and A2aR-antagonizing potency, in comparison with parental antibody. Humanized antibodies are 5~10 fold more potent than clinical stage small molecule inhibitors CPI-444 and AB928 in inhibiting cAMP production. Blockade of A2aR with humanized antibody can restore activation and cytokine production of human T and NK cells suppressed by A2aR agonist adenosine or NECA. Thus, antibody-mediated blockade of A2aR pathway represents a novel strategy to mitigate adenosine-mediated tumor resistance to immune checkpoint blockade therapies.
背景与意义肿瘤微环境中异常高浓度的腺苷导致腺苷受体2A (adenosine receptor 2A, A2aR)激活,是癌症患者对免疫检查点阻断疗法产生耐药性的机制之一。CD39和CD73在ATP转化为腺苷的过程中起重要作用。目前,靶向CD39和CD73的抗体或小分子抑制剂(SMIs)以及靶向腺苷受体的SMIs正处于临床前研究和早期临床开发阶段。然而,针对腺苷受体的有效生物制剂尚未见报道。在这里,我们证明了人源化抗a2ar抗体代表了开发免疫疗法以恢复对ICB治疗仅部分反应或完全耐药的实体肿瘤的抗肿瘤反应的有希望的新治疗候选物。方法以小鼠杂交瘤抗体为基础,采用经典CDR法,制备人源化抗人A2aR单克隆抗体(mab)。利用表达A2aR的人HEK293细胞以及人和食蟹猴PBMCs,通过流式细胞仪检测A2aR结合和非人灵长类动物的交叉反应性。采用流式细胞仪和免疫荧光法测定内化性质。这些单抗通过抑制过表达ha2ar的HEK293细胞中A2aR激动剂腺苷和NECA诱导的cAMP产生的能力来评估细胞效力。在A2aR激动剂NECA存在的条件下,使用标准CD3/CD28激活条件来确定先导候选物逆转腺苷介导的人效应细胞功能抑制的能力。结果与结论通过杂交瘤技术成功人源化了发现的抗a2ar抗体。与亲本抗体相比,人源化抗A2aR抗体保持与人和食蟹猴A2aR的结合性、交叉反应性、内化性和A2aR拮抗能力。人源化抗体对cAMP的抑制作用是临床小分子抑制剂CPI-444和AB928的5~10倍。人源化抗体阻断A2aR可恢复被A2aR激动剂腺苷或NECA抑制的人T细胞和NK细胞的活化和细胞因子的产生。因此,抗体介导的A2aR通路阻断代表了一种减轻腺苷介导的肿瘤对免疫检查点阻断疗法耐药的新策略。
{"title":"POTENT AND SELECTIVE A2AR MONOCLONAL ANTIBODY ANTAGONIST FOR THE TREATMENT OF CANCER","authors":"Changyun Hu, Yanyan Wang, Xiqian Lan, Jiandong Zhang, Xinyan Zhao","doi":"10.1093/abt/tbad014.010","DOIUrl":"https://doi.org/10.1093/abt/tbad014.010","url":null,"abstract":"Abstract Background and significance The presence of adenosine at abnormally high concentrations in tumor microenvironment leads to the activation of adenosine receptor 2A (A2aR) and represents one of the mechanisms for cancer patients to be resistance to immune checkpoint blockade therapies. CD39 and CD73 play an important role in converting ATP to adenosine. Currently antibodies or small molecule inhibitors (SMIs) targeting CD39 and CD73, as well as SMIs targeting adenosine receptors, are under preclinical investigation and early clinical development. However, effective biologics targeting adenosine receptors has not been reported. Here we demonstrated that humanized anti-A2aR antibodies represent promising novel therapeutic candidates for developing immunotherapy to restore anti-tumor responses in solid tumors that only partially respond or are completely resistance to ICB therapies. Methods Humanized anti-human A2aR monoclonal antibodies (mAbs) were generated from mouse hybridoma antibody via classic CDR grafting method. The A2aR binding and non-human primate cross-reactivity were measured by FACS using human A2aR-expressing HEK293 cells as well as human and cynomolgus monkey PBMCs. Internalizing properties were determined by FACS and immunofluorescent method. The cellular potency of these mAbs was assessed by their capability of inhibiting cAMP production induced by A2aR agonist adenosine and NECA in hA2aR-overexpressing HEK293 cells. The ability of lead candidates to reverse adenosine-mediated suppression of human effector cell function was determined using standard CD3/CD28 activation conditions in the presence of A2aR agonist NECA. Results and Conclusion We successfully humanized anti-A2aR antibody discovered via hybridoma technology. Humanized anti-A2aR antibodies maintain binding, cross-reactivity to human and cynomolgus monkey A2aR, as well as internalizing property and A2aR-antagonizing potency, in comparison with parental antibody. Humanized antibodies are 5~10 fold more potent than clinical stage small molecule inhibitors CPI-444 and AB928 in inhibiting cAMP production. Blockade of A2aR with humanized antibody can restore activation and cytokine production of human T and NK cells suppressed by A2aR agonist adenosine or NECA. Thus, antibody-mediated blockade of A2aR pathway represents a novel strategy to mitigate adenosine-mediated tumor resistance to immune checkpoint blockade therapies.","PeriodicalId":36655,"journal":{"name":"Antibody Therapeutics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43810777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PRELIMINARY SAFETY, EFFICACY AND PHARMACOKINETICS (PK) RESULTS OF KN026 (A HER2 BISPECIFIC ANTIBODY) MONOTHERAPY IN ADVANCED SOLID TUMOR PATIENTS WITH HER2 EXPRESSION KN026(一种HER2双特异性抗体)单药治疗HER2表达的晚期实体瘤患者的初步安全性、有效性和药代动力学(PK)结果
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.006
T. Xu, Yuan-Fei Lv, Jie Sun, Jianjian Peng, Jingqiu Li, Xionghui Li, B. Guo
Abstract Background KN026 is a novel bispecific antibody and simultaneously binds to two distinct HER2 epitopes which are the same domains as trastuzumab (ECD4) and pertuzumab (ECD2). It showed higher maximal binding than monospecific HER2 antibodies and favors that crosslinking of HER2 receptors could enhance the receptors internalization in preclinical studies. KN026 significantly inhibited the growth of human cancer cell lines and demonstrated obviously antitumor activity against different xenografts models. The encouraging efficacy and manageable safety of KN026 were reported in Chinese cancer patients (pts) with HER2 expression and ph3 study is ongoing in gastric cancer (NCT05427383). Methods The late line solid tumor pts with HER2 expression who were refractory to or ineligible for standard therapy were recruited in this phase I dose-escalation study in US (NCT03847168). All pts intravenously received KN026 monotherapy at ascending dose of 10 mg/kg (QW), 20 mg/kg (Q2W) or 30 mg/kg (Q3W). Dose escalation followed standard “3 + 3” design. Expansion was determined by Safety Monitoring Committee (SMC). The primary objectives were to evaluate safety and tolerability of KN026 and determine the MTD and/or RP2D. Safety was evaluated according to CTCAE v 5.0, and efficacy was assessed by RECIST 1.1. Results A total of 22 pts with median 4 lines prior treatment were enrolled, including 5 breast cancer pts, 3 gastric or gastroesophageal junction cancer pts and 14 other solid tumor pts. 21 pts were included in the efficacy analysis. The median age was 57.0 (47-79), with 8 males and 14 females and most of pts were Caucasian (72.7%). 3, 10 (7 at expansion phase), and 9 (6 at expansion phase) pts were treated at 10mg/kg, 20mg/kg, 30mg/kg, respectively. No dose-limiting toxicities (DLTs) were observed and MTD wasn’t reached. 20 pts (90.9%) occurred TRAEs and the common (≥20%) TRAEs were diarrhea (45.5%), fatigue (40.9%), chills (36.4%) and nausea (27.3%). Most of TRAE were Gr 1-2, and only 3 pts (13.6%) experienced ≥ Gr3 TRAE (anemia, fatigue and pneumonitis) without treatment discontinuation and death caused by KN026. 4 of 21 pts (1 at 10mg/kg, 2 at 20 mg/kg, 1 at 30mg/kg) achieved objective response (ORR 19.0%, 95% CI: 5.5, 41.9), and DCR was 61.9% (95% CI: 38.4, 81.9). The exposure of KN026 and T1/2 increased with dose escalation. Accumulation ratio of Cmax and AUC was 1.18-1.42 and 1.14-1.71. The concentration of Ctrough was over 20μM at all dose levels. There was only one positive ADA sample in 20 mg/kg group in C1D1. And the RP2D was 20mg/kg Q2W or 30mg/kg Q3W. Conclusion KN026 was well tolerated and showed the promising anti-tumor activity in US pts with HER2 expression. Besides, KN026 has well pharmacokinetic profile and favorable immunogenicity.
摘要背景KN026是一种新型双特异性抗体,同时与两个不同的HER2表位结合,这两个表位与曲妥珠单抗(ECD4)和帕妥珠单抗(经合2)是相同的结构域。在临床前研究中,它显示出比单特异性HER2抗体更高的最大结合,并有利于HER2受体的交联可以增强受体的内化。KN026能显著抑制人癌症细胞系的生长,并对不同的异种移植物模型表现出明显的抗肿瘤活性。据报道,KN026在具有HER2表达的中国癌症患者(pts)中具有令人鼓舞的疗效和可管理的安全性,并且正在对癌症进行ph3研究(NCT05427383)。方法在美国进行的I期剂量递增研究(NCT03847168)中,招募了对标准治疗无效或不合格的HER2表达的晚期实体瘤患者。所有患者静脉注射KN026单药治疗,递增剂量为10 mg/kg(QW)、20 mg/kg(Q2W)或30 mg/kg(Q3W)。剂量递增遵循标准的“3+3”设计。扩建由安全监测委员会(SMC)决定。主要目的是评估KN026的安全性和耐受性,并确定MTD和/或RP2D。安全性根据CTCAE v5.0进行评估,疗效通过RECIST 1.1进行评估。结果共有22例患者在治疗前平均有4条线,其中5例为癌症患者,3例为胃或胃食管交界癌症患者,14例为其他实体瘤患者。疗效分析包括21例患者。中位年龄为57.0岁(47-79岁),其中8名男性和14名女性,大多数患者为高加索人(72.7%)。3名、10名(扩张期7名)和9名(扩张阶段6名)患者分别接受10mg/kg、20mg/kg和30mg/kg的治疗。未观察到剂量限制性毒性(DLTs),也未达到MTD。20例(90.9%)发生TRAE,常见(≥20%)的TRAE为腹泻(45.5%)、疲劳(40.9%)、发冷(36.4%)和恶心(27.3%)。大多数TRAE为Gr 1-2,只有3例(13.6%)出现≥Gr 3 TRAE(贫血、疲劳和肺炎),未停药和KN026引起的死亡。21例患者中有4例(1例10mg/kg,2例20mg/kg,1例30mg/kg)达到了客观反应(ORR 19.0%,95%CI:5.5,41.9),DCR为61.9%(95%CI:38.4,81.9)。KN026和T1/2的暴露量随着剂量的增加而增加。Cmax和AUC的累积比分别为1.18-1.42和1.14-1.71。在所有剂量水平下,Ctrough的浓度均超过20μM。在20 mg/kg组中,C1D1中只有一个ADA阳性样本。RP2D为20mg/kg Q2W或30mg/kg Q3W。结论KN026对HER2表达的US患者具有良好的耐受性和良好的抗肿瘤活性。此外,KN026具有良好的药代动力学特性和良好的免疫原性。
{"title":"PRELIMINARY SAFETY, EFFICACY AND PHARMACOKINETICS (PK) RESULTS OF KN026 (A HER2 BISPECIFIC ANTIBODY) MONOTHERAPY IN ADVANCED SOLID TUMOR PATIENTS WITH HER2 EXPRESSION","authors":"T. Xu, Yuan-Fei Lv, Jie Sun, Jianjian Peng, Jingqiu Li, Xionghui Li, B. Guo","doi":"10.1093/abt/tbad014.006","DOIUrl":"https://doi.org/10.1093/abt/tbad014.006","url":null,"abstract":"Abstract Background KN026 is a novel bispecific antibody and simultaneously binds to two distinct HER2 epitopes which are the same domains as trastuzumab (ECD4) and pertuzumab (ECD2). It showed higher maximal binding than monospecific HER2 antibodies and favors that crosslinking of HER2 receptors could enhance the receptors internalization in preclinical studies. KN026 significantly inhibited the growth of human cancer cell lines and demonstrated obviously antitumor activity against different xenografts models. The encouraging efficacy and manageable safety of KN026 were reported in Chinese cancer patients (pts) with HER2 expression and ph3 study is ongoing in gastric cancer (NCT05427383). Methods The late line solid tumor pts with HER2 expression who were refractory to or ineligible for standard therapy were recruited in this phase I dose-escalation study in US (NCT03847168). All pts intravenously received KN026 monotherapy at ascending dose of 10 mg/kg (QW), 20 mg/kg (Q2W) or 30 mg/kg (Q3W). Dose escalation followed standard “3 + 3” design. Expansion was determined by Safety Monitoring Committee (SMC). The primary objectives were to evaluate safety and tolerability of KN026 and determine the MTD and/or RP2D. Safety was evaluated according to CTCAE v 5.0, and efficacy was assessed by RECIST 1.1. Results A total of 22 pts with median 4 lines prior treatment were enrolled, including 5 breast cancer pts, 3 gastric or gastroesophageal junction cancer pts and 14 other solid tumor pts. 21 pts were included in the efficacy analysis. The median age was 57.0 (47-79), with 8 males and 14 females and most of pts were Caucasian (72.7%). 3, 10 (7 at expansion phase), and 9 (6 at expansion phase) pts were treated at 10mg/kg, 20mg/kg, 30mg/kg, respectively. No dose-limiting toxicities (DLTs) were observed and MTD wasn’t reached. 20 pts (90.9%) occurred TRAEs and the common (≥20%) TRAEs were diarrhea (45.5%), fatigue (40.9%), chills (36.4%) and nausea (27.3%). Most of TRAE were Gr 1-2, and only 3 pts (13.6%) experienced ≥ Gr3 TRAE (anemia, fatigue and pneumonitis) without treatment discontinuation and death caused by KN026. 4 of 21 pts (1 at 10mg/kg, 2 at 20 mg/kg, 1 at 30mg/kg) achieved objective response (ORR 19.0%, 95% CI: 5.5, 41.9), and DCR was 61.9% (95% CI: 38.4, 81.9). The exposure of KN026 and T1/2 increased with dose escalation. Accumulation ratio of Cmax and AUC was 1.18-1.42 and 1.14-1.71. The concentration of Ctrough was over 20μM at all dose levels. There was only one positive ADA sample in 20 mg/kg group in C1D1. And the RP2D was 20mg/kg Q2W or 30mg/kg Q3W. Conclusion KN026 was well tolerated and showed the promising anti-tumor activity in US pts with HER2 expression. Besides, KN026 has well pharmacokinetic profile and favorable immunogenicity.","PeriodicalId":36655,"journal":{"name":"Antibody Therapeutics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42160602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A mammalian cell display platform based on scFab transposition. 基于 scFab 转座的哺乳动物细胞展示平台。
Q2 Medicine Pub Date : 2023-05-26 eCollection Date: 2023-07-01 DOI: 10.1093/abt/tbad009
Jing Chang, Christoph Rader, Haiyong Peng

In vitro display technologies have been successfully utilized for the discovery and evolution of monoclonal antibodies (mAbs) for diagnostic and therapeutic applications, with phage display and yeast display being the most commonly used platforms due to their simplicity and high efficiency. As their prokaryotic or lower eukaryotic host organisms typically have no or different post-translational modifications, several mammalian cell-based display and screening technologies for isolation and optimization of mAbs have emerged and are being developed. We report here a novel and useful mammalian cell display platform based on the PiggyBac transposon system to display mAbs in a single-chain Fab (scFab) format on the surface of HEK293F cells. Immune rabbit antibody libraries encompassing ~7 × 107 independent clones were generated in an all-in-one transposon vector, stably delivered into HEK293F cells and displayed as an scFab with rabbit variable and human constant domains. After one round of magnetic activated cell sorting and two rounds of fluorescence activated cell sorting, mAbs with high affinity in the subnanomolar range and cross-reactivity to the corresponding human and mouse antigens were identified, demonstrating the power of this platform for antibody discovery. We developed a highly efficient mammalian cell display platform based on the PiggyBac transposon system for antibody discovery, which could be further utilized for humanization as well as affinity and specificity maturation.

体外展示技术已成功用于诊断和治疗用单克隆抗体(mAbs)的发现和进化,其中噬菌体展示和酵母展示因其简单高效而成为最常用的平台。由于其原核或低等真核宿主生物通常没有或有不同的翻译后修饰,一些基于哺乳动物细胞的展示和筛选技术已经出现并正在开发中,用于分离和优化 mAbs。我们在此报告一种基于 PiggyBac 转座子系统的新颖实用的哺乳动物细胞展示平台,该平台可在 HEK293F 细胞表面以单链 Fab(scFab)格式展示 mAbs。免疫兔抗体文库包括约 7 × 107 个独立克隆,由一体化转座子载体生成,稳定地传递到 HEK293F 细胞中,并显示为具有兔可变结构域和人恒定结构域的 scFab。经过一轮磁激活细胞分选和两轮荧光激活细胞分选后,鉴定出了亚纳摩尔范围内亲和力高且与相应的人和小鼠抗原有交叉反应的 mAbs,证明了这一平台在抗体发现方面的强大功能。我们开发了一种基于 PiggyBac 转座子系统的高效哺乳动物细胞展示平台,用于发现抗体,并可进一步用于人源化以及亲和性和特异性成熟。
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Antibody Therapeutics
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