First-in-class anti-PVR mAb NTX1088 restores DNAM1 expression and enhances antitumor immunity

نویسندگان

چکیده

NTX1088 is a humanized, hinge-stabilized IgG4 mAb that binds PVR with sub-nM affinity and blocks all known interacting receptors single nM EC-50. (CD155), cell surface protein, highly upregulated on tumor cells, across multiple cancer types. has been associated worse patient outcomes, due to its role in immune suppression. impact cells mediated through interaction the key stimulatory receptor, DNAM1 (CD226), T NK leading internalization degradation of DNAM1. additionally, ligand for inhibitory checkpoint receptors, TIGIT CD96. Accordingly, blocking multi-faceted immune-stimulating role, namely, restoration expression activation function, while simultaneously neutralizing CD96 signals cells. Importantly, downmodulation was recently identified as resistance mechanism approved ICIs, by unique MoA, not shared other therapies. In vitro, NTX1088, monotherapy, significantly increased activation, superior TIGIT, CD112R, PD1 antibody blockade, immune-mediated killing, IFNg release, CD137 induction. Importantly only able restore settings. Synergy observed when combined blockers or anti-CD112R mAb, NTX2R13, line expression. Numerous humanized murine xenograft models were investigated. monotherapy exhibited robust growth inhibition PDAC line, HPAFII, co-engrafted human PBMC NOD/SCID mice. The effect improved inhibitor. Furthermore, strong NSG mice engrafted PBMCs NSCLC A549, whereas failed this setting. Tumor-infiltrating lymphocytes, harvested from these mice, demonstrated higher prevalence CD137+, DNAM1+, CD8+ vivo toxicity toxicokinetic studies cynomolgus monkeys revealed well tolerated up high exposure level, equivalent over 60 times EC90 values. Moreover, ability induce non-specific cytokine release ruled out tested vitro. an open IND, enrolling patients locally advanced metastatic solid tumors NCT05378425. No conflict interest.

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ژورنال

عنوان ژورنال: European Journal of Cancer

سال: 2022

ISSN: ['0959-8049', '1879-0852']

DOI: https://doi.org/10.1016/s0959-8049(22)00987-x