Poster: Azymetric Bispecific CD3-CD19 T-cell Engaging Antibodies For Treatment of Cancers
Presenter: Gordon Ng, Zymeworks
About the Poster: Blinatumomab (AMG330) is a CD3-CD19 single-chain Bispecific T-Cell Engaging (BiTE) Antibody that has shown exciting Phase 2 clinical efficacy in ALL. Blinatumomab has provided important clinical validation of the T-cell engaging and target B cell killing mechanism of action. However, single-chain bispecific antibodies can lead to poor biochemical properties and manufacturing issues, and Blinatumomab treatment has been associated with cytokine flares, neurological adverse effects, and a short half-life of several hours post IV dosing. We have reported that Azymetric® engineering of human IgG1 CH2 and CH3 domains provides a rational structure-based approach to the design of novel bispecific IgG antibodies with tailored effector functions and enhanced Fc heterodimer formation. Azymetric® bispecific antibodies may represent a new class of T-cell engaging antibodies with equal if not better drug-like properties compared to single-chain bispecific formats. Side-by-side comparison with CD3-CD19 BiTE (generated based on literature data) has shown that Azymetric® CD3-CD19 bispecific IgG antibodies can independently bind CD3+ T cells and CD19+ B cells, and bridge T-B cells. Similar specificity of T and B cell binding was obtained with an Azymetric® CD3-CD20 antibody. Azymetric® CD3-CD19 antibodies can redirect both IL-2 stimulated and unstimulated human PBMC and isolated T cells for lysis of human B lymphoma Raji cells or autologous B cells. The in vitro potency and efficacy is comparable to CD3-CD19 Bite. Azymetric® CD3-CD19 antibody mediated B cell cytotoxicity is partially blocked by IgG suggesting that cytotoxic activity owed to linking T and B cells and T cells becoming activated. The Fc-independent mechanism was confirmed in cytotoxicity studies using purified T and B cells and extended with CD3-CD19 Azymetric® antibodies with Fc heterodimers lacking FcγR binding. The CD3-CD19 Azymetric® antibody was more selective than CD3-CD19 BiTE by sparing autologous T cells. At maximal concentrations that elicited T-cell engagement and redirected B cell killing, CD3-CD19 Azymetric® antibodies with wild-type or Fc knocked-out effector activity had no significant effect on PBMC proliferation nor induced cytokine release. At 100-fold higher concentrations, the Azymetric® CD3-CD19 antibody with the wild-type heterodimer Fc did elicit PBMC proliferation and cytokine release. The Azymetric® Fc can mediate ADCC and ADCC may be a feature of a molecule’s clinical efficacy as claimed for the trifunctional CD3-EpCAM bispecific IgG antibody Catumaxomab. Azymetric® CD3-CD19 bispecific IgG antibodies expressed in CHO cells had significantly higher yields compared to CD3-CD19 BiTE, and can be readily purified in a stable form using Protein A and other conventional process resins. Quantitative LCMS of the purified antibody showed >95% purity of the Azymetric® heterodimer antibody with no detection of CD3 or CD19 homodimers. Mouse PK studies showed Azymetric® antibodies exhibit typical IgG1 like PK parameters. Taken together, these studies suggest that the Azymetric® heterodimeric Fc antibody format shows appropriate pharmacological properties, and manufacturability characteristics suitable for developing BiTE therapeutic antibodies.
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1 comment :
I found that you have so much information about antibodies.....Please tell me what is the difference between antibody sigma and monoclonal antibodies ?
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