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Published on: December 5, 2017
Avidity-based binding to HER2 results in selective killing of HER2-overexpressing cells by anti-HER2/CD3
Dionysos Slaga1, Diego Ellerman1, T Noelle Lombana1
1Genentech Inc., 1 DNA Way, South San Francisco, CA 94080, USA.
Abstract:
A primary barrier to the success of T cell-recruiting bispecific antibodies in the treatment of solid tumors is the lack of tumor-specific targets, resulting in on-target off-tumor adverse effects from T cell autoreactivity to target-expressing organs. To overcome this, we developed an anti-HER2/CD3 T cell-dependent bispecific (TDB) antibody that selectively targets HER2-overexpressing tumor cells with high potency, while sparing cells that express low amounts of HER2 found in normal human tissues. Selectivity is based on the avidity of two low-affinity anti-HER2 Fab arms to high target density on HER2-overexpressing cells. The increased selectivity to HER2-overexpressing cells is expected to mitigate the risk of adverse effects and increase the therapeutic index. Results included in this manuscript not only support the clinical development of anti-HER2/CD3 1Fab-immunoglobulin G TDB but also introduce a potentially widely applicable strategy for other T cell-directed therapies. The potential of this discovery has broad applications to further enable consideration of solid tumor targets that were previously limited by on-target, but off-tumor, autoimmunity.
Insights
A novel bispecific antibody targets HER2-overexpressing solid tumors by leveraging avidity for high selectivity. This approach aims to reduce on-target, off-tumor effects and enhance T cell therapy safety.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Bispecific antibodies face challenges in solid tumor treatment due to off-tumor effects.
- Lack of tumor-specific targets leads to T cell autoreactivity in normal tissues.
Purpose of the Study:
- To develop a HER2/CD3 bispecific antibody for selective targeting of HER2-overexpressing tumor cells.
- To mitigate on-target, off-tumor adverse effects in solid tumor therapy.
Main Methods:
- Engineered an anti-HER2/CD3 T cell-dependent bispecific (TDB) antibody.
- Utilized dual low-affinity anti-HER2 Fab arms for avidity-based tumor cell selectivity.
- Assessed targeting of HER2-overexpressing cells versus low-HER2 expressing normal tissues.
Main Results:
- The TDB antibody demonstrates high potency against HER2-overexpressing cells.
- Selectivity achieved by avidity spares normal tissues with low HER2 expression.
- Results support clinical development of the anti-HER2/CD3 1Fab-immunoglobulin G TDB.
Conclusions:
- The developed TDB antibody strategy enhances selectivity for solid tumors.
- This approach offers a potential solution to mitigate adverse effects in T cell-directed therapies.
- Broad applications for targeting previously challenging solid tumor antigens are enabled.
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