1. PAX8 lineage-driven T cell engaging antibody for the treatment of high-grade serous ovarian cancer
- Author
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Jayson Chen, Mateusz Piksa, Giorgio G. Galli, Smita Jaiswal, Keith Mansfield, Viviana Cremasco, Sinan Isim, Thomas B. Nicholson, Angelo Grauel, Ana Carrion, Stephanie Schwartz, Bernd Voedisch, Emily Lee, Joyce Judge, Michelle Steinkrauss, Andrew Anh Nguyen, Sarah Szvetecz, Chietara Japutra, Lingheswar Sadhasivam, Nicole Vincent Jordan, Brian Granda, Jinsheng Liang, Hong Lei, Hui Qin Wang, Dana B. Walker, Yiqin Wang, Joel Wagner, Qing Fang, Rie Maeda, Quincey Simmons, and Ryan Polli
- Subjects
0301 basic medicine ,CD3 Complex ,Science ,T cell ,CD3 ,T-Lymphocytes ,Immunology ,GPI-Linked Proteins ,Article ,03 medical and health sciences ,Mice ,PAX8 Transcription Factor ,0302 clinical medicine ,Antigen ,In vivo ,Antibodies, Bispecific ,medicine ,Animals ,Cancer ,Ovarian Neoplasms ,Multidisciplinary ,biology ,business.industry ,Drug discovery ,Tumor Suppressor Proteins ,Xenograft Model Antitumor Assays ,Tumor antigen ,Serous fluid ,Macaca fascicularis ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,biology.protein ,Cancer research ,Medicine ,Female ,Immunotherapy ,Antibody ,Neoplasm Grading ,PAX8 ,business ,Biotechnology - Abstract
High-grade serous ovarian cancers (HGSOC) represent the most common subtype of ovarian malignancies. Due to the frequency of late-stage diagnosis and high rates of recurrence following standard of care treatments, novel therapies are needed to promote durable responses. We investigated the anti-tumor activity of CD3 T cell engaging bispecific antibodies (TCBs) directed against the PAX8 lineage-driven HGSOC tumor antigen LYPD1 and demonstrated that anti-LYPD1 TCBs induce T cell activation and promote in vivo tumor growth inhibition in LYPD1-expressing HGSOC. To selectively target LYPD1-expressing tumor cells with high expression while sparing cells with low expression, we coupled bivalent low-affinity anti-LYPD1 antigen-binding fragments (Fabs) with the anti-CD3 scFv. In contrast to the monovalent anti-LYPD1 high-affinity TCB (VHP354), the bivalent low-affinity anti-LYPD1 TCB (QZC131) demonstrated antigen density-dependent selectivity and showed tolerability in cynomolgus monkeys at the maximum dose tested of 3 mg/kg. Collectively, these data demonstrate that bivalent TCBs directed against LYPD1 have compelling efficacy and safety profiles to support its use as a treatment for high-grade serous ovarian cancers.
- Published
- 2021