在一项 1 期研究中,健康受试者对 GSK2618960(一种人源化抗 IL-7 受体单克隆抗体)产生了强有力的体液免疫应答。

Characterization of the robust humoral immune response to GSK2618960, a humanized anti-IL-7 receptor monoclonal antibody, observed in healthy subjects in a Phase 1 study.

机构信息

Immunogenicity Group, GlaxoSmithKline, Collegeville, Pennsylvania, United States of America.

Oncology Cell Therapy, Oncology R&D, Stevenage, United Kingdom.

出版信息

PLoS One. 2021 Mar 23;16(3):e0249049. doi: 10.1371/journal.pone.0249049. eCollection 2021.

Abstract

Interleukin-7 (IL-7) signaling modulates T cell activity and is implicated in numerous autoimmune diseases. An anti-IL-7 receptor monoclonal antibody (GSK2618960) biotherapeutic was evaluated in healthy subjects for safety, pharmacokinetics (PK), pharmacodynamics (PD) and immunogenicity in a single-dose escalation phase I study. We found that antibodies against GSK2618960 (i.e., anti-drug antibodies or ADA) developed in 83% and 100% of GSK2618960-treated subjects in the 0.6 and 2.0 mg/kg dose cohorts, respectively. Of the ADA positive subjects, 64% (7 of 11) had detectable neutralizing activity. Further investigation revealed the presence of GSK2618960-specific memory B cells, indicating the development of immunological memory for the ADAs. Ex vivo stimulation of peripheral blood mononuclear cell (PBMC) samples demonstrated a relatively strong CD4+ T cell proliferation response to GSK2618960 as compared to the control anti-RSV antibody (which is known to have only low immunogenic potential), confirming the high immunogenic potential of GSK2618960. Furthermore, GSK2618960 was found to bind in vitro monocyte-derived dendritic cells (DCs). GSK2618960 treatment of PBMCs increased the proportion of DC cells showing an increase in expression of CD83, CD86 and CD209, which indicated enhanced DC differentiation and activation relative to the isotype control anti-β amyloid antibody. Collectively, the evidence supports that the high incidence of observed clinical immunogenicity was likely related to the receptor-mediated activity by GSK2618960.

摘要

白细胞介素-7 (IL-7) 信号调节 T 细胞活性,并与许多自身免疫性疾病有关。一种抗白细胞介素-7 受体单克隆抗体(GSK2618960)生物疗法在健康受试者中进行了单剂量递增 I 期研究,评估其安全性、药代动力学 (PK)、药效学 (PD) 和免疫原性。我们发现,在 0.6 和 2.0mg/kg 剂量组中,分别有 83%和 100%的 GSK2618960 治疗受试者产生了针对 GSK2618960 的抗体(即抗药物抗体或 ADA)。在 ADA 阳性受试者中,有 64%(11 例中的 7 例)具有可检测的中和活性。进一步的研究表明存在 GSK2618960 特异性记忆 B 细胞,表明针对 ADA 产生了免疫记忆。外周血单核细胞 (PBMC) 样本的体外刺激表明,与对照抗 RSV 抗体(已知其免疫原性潜力较低)相比,GSK2618960 对 CD4+T 细胞的增殖反应相对较强,证实了 GSK2618960 的高免疫原性潜力。此外,发现 GSK2618960 可在体外结合单核细胞衍生的树突状细胞 (DC)。GSK2618960 处理 PBMC 增加了显示 CD83、CD86 和 CD209 表达增加的 DC 细胞的比例,这表明与同种型对照抗β淀粉样蛋白抗体相比,DC 分化和激活增强。总之,证据表明观察到的高临床免疫原性发生率可能与 GSK2618960 的受体介导活性有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0b6/7987154/4aac19aab2c8/pone.0249049.g001.jpg

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