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An affinity threshold for maximum efficacy in anti-PD-1 immunotherapy.

Sarah C Cowles1,2, Allison Sheen1,3, Luciano Santollani1,2

  • 1Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.

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|August 4, 2022
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Summary

Higher binding affinity is crucial for effective anti-programmed cell death protein 1 (PD-1) cancer immunotherapy. A minimum threshold affinity is required for maximum efficacy, demonstrating a link between dose, affinity, and target saturation.

Keywords:
PD-1affinityantibodycancer immunotherapypharmacokinetic modeling

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Area of Science:

  • Immunology
  • Oncology
  • Pharmacology

Background:

  • Monoclonal antibodies targeting programmed cell death protein 1 (PD-1) are key cancer immunotherapies.
  • The relationship between anti-PD-1 antibody binding affinity and in vivo functional potency is not well-established.
  • New anti-PD-1 antibodies with varying affinities are emerging, necessitating research into their efficacy.

Purpose of the Study:

  • To investigate the impact of varying binding affinities on the in vivo efficacy of anti-PD-1 antibodies.
  • To determine if a threshold affinity exists for optimal anti-PD-1 immunotherapy response.
  • To explore the interplay between antibody affinity, dose, and target engagement.

Main Methods:

  • Development of a panel of murine anti-PD-1 antibodies with a wide range of affinities (20 pM to 15 nM).
  • Evaluation of antibody efficacy in a syngeneic immunocompetent mouse model (MC38 adenocarcinoma).
  • Utilizing physiologically based pharmacokinetic modeling to analyze dose, affinity, and target saturation.

Main Results:

  • A threshold binding affinity was identified as necessary for achieving maximum therapeutic efficacy at a given dose.
  • Antibodies with affinities below this threshold showed reduced efficacy.
  • Pharmacokinetic modeling confirmed a direct correlation between dose, affinity, and PD-1 target saturation in the tumor microenvironment.

Conclusions:

  • Binding affinity is a critical determinant of functional potency for anti-PD-1 antibodies in vivo.
  • Optimizing antibody affinity is essential for maximizing the efficacy of PD-1 targeted cancer immunotherapy.
  • Understanding the affinity-efficacy relationship can guide the development of more effective immunotherapies.