Use of tissue cross-reactivity studies in the development of antibody-based biopharmaceuticals: history, experience,

Michael W Leach1, Wendy G Halpern, Carol W Johnson

  • 1Therapeutic Area Lead, Biocorrection, Drug Safety Research and Development, Pfizer, Andover, Massachusetts 01810, USA.

Toxicologic Pathology
|October 8, 2010
PubMed

Insights

Tissue cross-reactivity (TCR) studies screen antibody therapeutics for off-target binding using immunohistochemistry. While valuable, TCR assay development challenges and variable correlation with outcomes necessitate a case-by-case interpretation within broader safety assessments.

Area of Science:

  • Biopharmaceutical Development
  • Immunohistochemistry
  • Drug Safety Evaluation

Background:

  • Tissue cross-reactivity (TCR) studies are crucial screening assays for antibody-based therapeutics.
  • These studies identify potential off-target binding sites and confirm on-target binding.
  • TCR assays are typically performed ex vivo using immunohistochemical (IHC) staining of tissue panels before human trials.

Purpose of the Study:

  • To define the role and application of TCR studies in antibody development.
  • To provide guidance on the interpretation and limitations of TCR assay findings.
  • To emphasize a flexible, case-by-case approach to TCR study design and implementation.

Main Methods:

  • Utilizes ex vivo immunohistochemical (IHC) staining of human and animal tissue panels.
  • Involves screening antibody and antibody-like molecules with complementarity-determining regions (CDRs).
  • Results are submitted in Investigational New Drug (IND) or Clinical Trial Application (CTA) packages.

Main Results:

  • TCR studies primarily detect off-target binding.
  • They can also identify previously unrecognized sites of on-target binding.
  • A robust TCR assay is not always achievable, and its absence should not halt development.
  • The correlation of TCR findings with toxicity or efficacy is variable.

Conclusions:

  • TCR studies are a valuable tool but should be interpreted cautiously within the overall safety data.
  • Findings require further evaluation alongside pharmacology and safety assessments.
  • TCR studies are generally not recommended for surrogate molecules or manufacturing comparability assessments.
  • A case-by-case strategy is essential for designing, executing, and interpreting TCR studies.