CytomX Therapeutics, Inc, South San Francisco, California.
Cancer Res. 2022 Nov 15;82(22):4288-4298. doi: 10.1158/0008-5472.CAN-21-2483.
UNLABELLED: T cell-engaging bispecific antibodies (TCB) are highly potent therapeutics that can recruit and activate cytotoxic T cells to stimulate an antitumor immune response. However, the development of TCBs against solid tumors has been limited by significant on-target toxicity to normal tissues. Probody therapeutics have been developed as a novel class of recombinant, protease-activated antibody prodrugs that are "masked" to reduce antigen binding in healthy tissues but can become conditionally unmasked by proteases that are preferentially active in the tumor microenvironment (TME). Here, we describe the preclinical efficacy and safety of CI107, a Probody TCB targeting EGFR and CD3. In vitro, the protease-activated, unmasked CI107 effectively bound EGFR and CD3 expressed on the surface of cells and induced T-cell activation, cytokine release, and cytotoxicity toward tumor cells. In contrast, dually masked CI107 displayed a >500-fold reduction in antigen binding and >15,000-fold reduction in cytotoxic activity. In vivo, CI107 potently induced dose-dependent tumor regression of established colon cancer xenografts in mice engrafted with human peripheral blood mononuclear cells. Furthermore, the MTD of CI107 in cynomolgus monkeys was more than 60-fold higher than that of the unmasked TCB, and much lower levels of toxicity were observed in animals receiving CI107. Therefore, by localizing activity to the TME and thus limiting toxicity to normal tissues, this Probody TCB demonstrates the potential to expand clinical opportunities for TCBs as effective anticancer therapies for solid tumor indications. SIGNIFICANCE: A conditionally active EGFR-CD3 T cell-engaging Probody therapeutic expands the safety window of bispecific antibodies while maintaining efficacy in preclinical solid tumor settings.
未标记:T 细胞结合双特异性抗体(TCB)是一种高效的治疗药物,能够招募和激活细胞毒性 T 细胞,刺激抗肿瘤免疫反应。然而,针对实体瘤的 TCB 的发展受到对正常组织的显著靶向毒性的限制。前药治疗剂已被开发为一类新型的重组、蛋白酶激活的抗体前药,这些前药被“掩蔽”以减少在健康组织中的抗原结合,但可以被在肿瘤微环境(TME)中优先活跃的蛋白酶条件性地去掩蔽。在这里,我们描述了靶向 EGFR 和 CD3 的 Probody TCB CI107 的临床前疗效和安全性。在体外,蛋白酶激活的、去掩蔽的 CI107 有效地结合了细胞表面表达的 EGFR 和 CD3,并诱导 T 细胞活化、细胞因子释放和对肿瘤细胞的细胞毒性。相比之下,双重掩蔽的 CI107 对抗原结合的亲和力降低了>500 倍,对细胞毒性的活性降低了>15000 倍。在体内,CI107 强烈诱导了人外周血单核细胞植入的已建立的结肠癌异种移植瘤的剂量依赖性肿瘤消退。此外,CI107 在食蟹猴中的 MTD 比去掩蔽的 TCB 高 60 多倍,并且在接受 CI107 的动物中观察到的毒性水平要低得多。因此,通过将活性定位到 TME,从而将毒性限制在正常组织中,这种 Probody TCB 显示出了潜力,可以扩大 TCB 作为有效的抗癌疗法用于实体瘤适应症的临床机会。
意义:一种条件激活的 EGFR-CD3 T 细胞结合 Probody 治疗剂在维持临床前实体瘤疗效的同时,扩大了双特异性抗体的安全性窗口。
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