Work performed at Ablynx NV, currently affiliated with argenx BV, Belgium.
Work performed at Ablynx NV, currently affiliated with UCB Biopharma SRL, Belgium.
J Immunol Methods. 2020 Dec;487:112896. doi: 10.1016/j.jim.2020.112896. Epub 2020 Oct 13.
Detection of anti-drug antibodies (ADA) that have a neutralizing capacity is an important aspect of immunogenicity evaluation during development of biotherapeutics, but developing and validating neutralizing antibody (NAb) assays that show direct interference of a biologic function is a challenging and resource-intensive activity. In particular, the need for adequate drug and target tolerance often requires extensive pre-treatment steps that limit assay sensitivity compared with a typical bridging-format assay used to detect binding ADA. Such limitations may complicate data interpretation as a positive ADA followed by a negative NAb result could be due to the presence of non-neutralizing antibodies or could be a false-negative for NAbs due to methodology differences. To address such issues, we developed a novel assay for Nanobodies® and other antibody-derived therapeutics that solely detects ADA directed against the complementarity-determining regions (CDRs) involved in drug-target interactions. This was achieved by creating a "null variant" of the therapeutic drug, which has mutated CDRs rendering it non-functional for target binding but is otherwise identical to the drug compound. Non-CDR-binding antibodies are pre-complexed with the null variant of the Nanobody leaving only CDR-binding ADA with neutralizing potential (ANP) to be detected in this assay, which is called a NAb Epitope Characterization Assay (NECA). Method qualification results confirmed highly comparable assay characteristics (sensitivity, drug tolerance, selectivity and precision) of both the NECA and a validated ADA assay for the same Nanobody. A panel of purified neutralizing and non-neutralizing antibodies as well as non-clinical and clinical samples were used to further substantiate the fit-for-purpose and advantages of this novel assay format to detect ANP. In the clinical case study, a 20 to 40-fold difference in assay sensitivity existed between the validated ADA assay and NAb assay, which complicated data interpretation. Implementation of the NECA allowed unambiguous comparison of the levels of binding ADA and ANP in study samples which enabled us to delineate the true neutralizing capacity of the responses. Depending on the risk of the therapeutic, this method could be a valuable alternative for NAb testing by enabling earlier detection of ADA with neutralizing potential and ensuring adequate immunogenicity risk assessment.
检测具有中和能力的抗药物抗体 (ADA) 是生物治疗药物开发过程中免疫原性评估的一个重要方面,但开发和验证能够直接干扰生物功能的中和抗体 (NAb) 检测方法是一项具有挑战性且资源密集型的活动。特别是,需要足够的药物和靶标耐受性通常需要广泛的预处理步骤,这与用于检测结合 ADA 的典型桥接格式检测相比限制了检测的灵敏度。这种限制可能会使数据解释复杂化,因为阳性 ADA 后出现阴性 NAb 结果可能是由于存在非中和抗体引起的,也可能是由于方法学差异导致 NAb 出现假阴性。为了解决这些问题,我们开发了一种针对纳米抗体®和其他抗体衍生治疗药物的新型检测方法,该方法仅检测针对药物靶相互作用中涉及的互补决定区 (CDR) 的 ADA。这是通过创建治疗药物的“无效变体”来实现的,该变体具有突变的 CDR,使其无法与靶标结合,但在其他方面与药物化合物相同。非 CDR 结合抗体与纳米抗体的无效变体预先复合,仅留下具有中和潜力 (ANP) 的 CDR 结合 ADA 可在该检测方法中检测到,该方法称为 NAb 表位特征分析检测 (NECA)。方法验证结果证实,对于同一纳米抗体,NECA 和经过验证的 ADA 检测方法具有高度可比的检测特性(灵敏度、药物耐受性、选择性和精密度)。一组纯化的中和和非中和抗体以及非临床和临床样本被进一步用于证实这种新型检测方法检测 ANP 的适用性和优势。在临床案例研究中,经过验证的 ADA 检测方法和 NAb 检测方法之间的检测灵敏度存在 20 至 40 倍的差异,这使得数据解释变得复杂。实施 NECA 可以在研究样本中明确比较结合 ADA 和 ANP 的水平,这使我们能够描绘出反应的真正中和能力。根据治疗药物的风险,该方法可能是 NAb 检测的一种有价值的替代方法,能够更早地检测具有中和潜力的 ADA,并确保充分的免疫原性风险评估。