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贝那鲁肽结合中和抗体检测方法的选择:与抗体依赖性细胞介导的细胞毒性(ADCC)细胞检测方法的比较。

Selection of a Ligand-Binding Neutralizing Antibody Assay for Benralizumab: Comparison with an Antibody-Dependent Cell-Mediated Cytotoxicity (ADCC) Cell-Based Assay.

机构信息

Clinical Pharmacology and DMPK, MedImmune LLC, One MedImmune Way, Gaithersburg, Maryland, 20878, USA.

出版信息

AAPS J. 2018 Mar 14;20(3):49. doi: 10.1208/s12248-018-0207-8.

Abstract

Assessment of anti-drug antibodies (ADAs) for neutralizing activity is important for the clinical development of biopharmaceuticals. Two types of neutralizing antibody (NAb) assays (competitive ligand-binding assay [CLBA] and cell-based assay [CBA]) are commonly used to characterize neutralizing activities. To support the clinical development of benralizumab, a humanized, anti-interleukin-5 receptor α, anti-eosinophil monoclonal antibody, we developed and validated a CLBA and a CBA. The CLBA and CBA were compared for sensitivity, drug tolerance, and precision to detect NAbs in serum samples from clinical trials. The CLBA was more sensitive (27.1 and 37.5 ng/mL) than the CBA (1.02 and 1.10 μg/mL) in detecting NAbs to benralizumab for the polyclonal and monoclonal ADA controls, respectively. With the same polyclonal ADA control, the CLBA detected 250 ng/mL of ADA in the presence of 100 ng/mL of benralizumab, whereas the CBA detected 1.25 μg/mL of ADA in the presence of 780 ng/mL of benralizumab. In 195 ADA-positive samples from 5 studies, 63.59% (124/195) and 16.9% (33/195) were positive for NAb as measured by the CLBA and the CBA, respectively. ADA titers were strongly correlated (Pearson's correlation coefficient r = 0.91; n = 195) with CLBA titers. Moreover, the CLBA titer correlated with CBA percentage inhibition in the CBA-positive samples (Spearman's coefficient r = 0.50; n = 33). Our data demonstrated advantages of the CLBA in various aspects and supported the choice of the CLBA as a NAb assay for the phase III trials.

摘要

评估中和抗体(NAb)的活性对于生物制药的临床开发非常重要。两种类型的中和抗体(NAb)检测方法(竞争性配体结合检测法 [CLBA] 和基于细胞的检测法 [CBA])常用于鉴定中和活性。为了支持 benralizumab 的临床开发,一种人源化、抗白细胞介素-5 受体 α、抗嗜酸性粒细胞的单克隆抗体,我们开发并验证了 CLBA 和 CBA。我们比较了 CLBA 和 CBA 在检测临床试验血清样本中 NAb 时的灵敏度、药物耐受性和精密度。与多克隆 ADA 对照相比,CLBA 检测针对 benralizumab 的 NAb 的灵敏度(分别为 27.1 和 37.5 ng/mL)高于 CBA(1.02 和 1.10 μg/mL)。使用相同的多克隆 ADA 对照,CLBA 在存在 100 ng/mL benralizumab 的情况下检测到 250 ng/mL 的 ADA,而 CBA 在存在 780 ng/mL benralizumab 的情况下检测到 1.25 μg/mL 的 ADA。在 5 项研究的 195 份 ADA 阳性样本中,CLBA 和 CBA 分别检测到 63.59%(124/195)和 16.9%(33/195)的样本呈 NAb 阳性。ADA 滴度与 CLBA 滴度呈强相关性(Pearson 相关系数 r=0.91;n=195)。此外,CLBA 滴度与 CBA 阳性样本中的 CBA 抑制百分比呈相关性(Spearman 系数 r=0.50;n=33)。我们的数据证明了 CLBA 在各个方面的优势,并支持选择 CLBA 作为 III 期试验的 NAb 检测方法。

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