A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy

ABSTRACTEpithelial cell adhesion molecule (EpCAM) is a transmembrane glycoprotein that plays several roles in cancer biology. EpCAM is an attractive therapeutic target because of its expression in most solid tumors. However, targeting EpCAM has been challenging because it is also highly expressed in...

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Main Authors: Gerhard Frey, Ana Paula G. Cugnetti, Haizhen Liu, Charles Xing, Christina Wheeler, Hwai Wen Chang, William J. Boyle, Jay M. Short
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:mAbs
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/19420862.2024.2322562
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author Gerhard Frey
Ana Paula G. Cugnetti
Haizhen Liu
Charles Xing
Christina Wheeler
Hwai Wen Chang
William J. Boyle
Jay M. Short
author_facet Gerhard Frey
Ana Paula G. Cugnetti
Haizhen Liu
Charles Xing
Christina Wheeler
Hwai Wen Chang
William J. Boyle
Jay M. Short
author_sort Gerhard Frey
collection DOAJ
description ABSTRACTEpithelial cell adhesion molecule (EpCAM) is a transmembrane glycoprotein that plays several roles in cancer biology. EpCAM is an attractive therapeutic target because of its expression in most solid tumors. However, targeting EpCAM has been challenging because it is also highly expressed in normal epithelial tissues. Initial attempts to develop EpCAM-specific T-cell engagers were unsuccessful due to severe cytokine release effects, as well as serious on-target, off-tumor drug-related toxicities. We developed novel, conditionally active biological (CAB) bispecific antibodies that bind to both EpCAM and CD3 in an acidic tumor microenvironment. In healthy tissues, binding to EpCAM and CD3 is greatly reduced by a novel, dual CAB selection, where each binding domain is independently blocked by the presence of physiological chemicals known as Protein-associated Chemical Switches (PaCS). The CAB anti-EpCAM T-cell engagers displayed the anticipated bispecific binding properties and mediated the potent lysis of EpCAM-positive cancer cell lines through the recruitment of T cells in the tumor microenvironment. Xenograft studies showed that the efficacy of CAB bispecific antibodies is similar to that of a non-CAB anti-EpCAM bispecific antibody, but they have markedly reduced toxicity in non-human primates, indicating an unprecedentedly widened therapeutic index of over 100-fold. These preclinical results indicate that the dual CAB bispecific antibody is potentially both a powerful and safe therapeutic platform and a promising T cell-engaging treatment for patients with EpCAM-expressing tumors.
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spelling doaj.art-7fc31e7a3b674b338e4ac1b2672d0edf2024-03-06T12:18:47ZengTaylor & Francis GroupmAbs1942-08621942-08702024-12-0116110.1080/19420862.2024.2322562A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapyGerhard Frey0Ana Paula G. Cugnetti1Haizhen Liu2Charles Xing3Christina Wheeler4Hwai Wen Chang5William J. Boyle6Jay M. Short7Research & Development, BioAtla Inc, San Diego, CA, USAResearch & Development, BioAtla Inc, San Diego, CA, USAResearch & Development, BioAtla Inc, San Diego, CA, USAResearch & Development, BioAtla Inc, San Diego, CA, USAResearch & Development, BioAtla Inc, San Diego, CA, USAResearch & Development, BioAtla Inc, San Diego, CA, USAResearch & Development, BioAtla Inc, San Diego, CA, USAResearch & Development, BioAtla Inc, San Diego, CA, USAABSTRACTEpithelial cell adhesion molecule (EpCAM) is a transmembrane glycoprotein that plays several roles in cancer biology. EpCAM is an attractive therapeutic target because of its expression in most solid tumors. However, targeting EpCAM has been challenging because it is also highly expressed in normal epithelial tissues. Initial attempts to develop EpCAM-specific T-cell engagers were unsuccessful due to severe cytokine release effects, as well as serious on-target, off-tumor drug-related toxicities. We developed novel, conditionally active biological (CAB) bispecific antibodies that bind to both EpCAM and CD3 in an acidic tumor microenvironment. In healthy tissues, binding to EpCAM and CD3 is greatly reduced by a novel, dual CAB selection, where each binding domain is independently blocked by the presence of physiological chemicals known as Protein-associated Chemical Switches (PaCS). The CAB anti-EpCAM T-cell engagers displayed the anticipated bispecific binding properties and mediated the potent lysis of EpCAM-positive cancer cell lines through the recruitment of T cells in the tumor microenvironment. Xenograft studies showed that the efficacy of CAB bispecific antibodies is similar to that of a non-CAB anti-EpCAM bispecific antibody, but they have markedly reduced toxicity in non-human primates, indicating an unprecedentedly widened therapeutic index of over 100-fold. These preclinical results indicate that the dual CAB bispecific antibody is potentially both a powerful and safe therapeutic platform and a promising T cell-engaging treatment for patients with EpCAM-expressing tumors.https://www.tandfonline.com/doi/10.1080/19420862.2024.2322562Antibody engineeringbispecific antibodyconditionally activeEpCAMprotein engineeringT-cell engager
spellingShingle Gerhard Frey
Ana Paula G. Cugnetti
Haizhen Liu
Charles Xing
Christina Wheeler
Hwai Wen Chang
William J. Boyle
Jay M. Short
A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy
mAbs
Antibody engineering
bispecific antibody
conditionally active
EpCAM
protein engineering
T-cell engager
title A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy
title_full A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy
title_fullStr A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy
title_full_unstemmed A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy
title_short A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy
title_sort novel conditional active biologic anti epcam x anti cd3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy
topic Antibody engineering
bispecific antibody
conditionally active
EpCAM
protein engineering
T-cell engager
url https://www.tandfonline.com/doi/10.1080/19420862.2024.2322562
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