Preclinical development of 1B7/CD3, a novel anti-TSLPR bispecific antibody that targets CRLF2-rearranged Ph-like

Ze Tian1, Chunhua Shi2, Guojun Yang2

  • 1ORBIT Platform, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. ztian1@mdanderson.org.

Leukemia
|August 26, 2023
PubMed

Insights

A novel bispecific antibody, 1B7/CD3, shows promise for treating CRLF2-rearranged B-lineage acute lymphocytic leukemia (B-ALL). This therapy targets thymic stromal lymphopoietin receptor (TSLPR) and demonstrates potent anti-tumor activity in preclinical models.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • CRLF2-rearranged B-lineage acute lymphocytic leukemia (B-ALL) has a poor prognosis with a 5-year survival rate as low as 20%.
  • Current targeted therapies for B-ALL require further development for improved response duration.
  • Elevated thymic stromal lymphopoietin receptor (TSLPR) expression is observed in patients with CRLF2-rearranged Ph-like ALL.

Purpose of the Study:

  • To evaluate the anti-tumor characteristics of 1B7/CD3, a novel CD3-redirecting bispecific antibody (BsAb) that co-targets TSLPR.
  • To assess the efficacy and safety of 1B7/CD3 in preclinical models of CRLF2-rearranged B-ALL.

Main Methods:

  • In vitro assessment of 1B7/CD3 binding to human and cynomolgus CD3 and TSLPR.
  • Evaluation of T cell activation and tumor lytic activity induced by 1B7/CD3 in cell lines and primary B-ALL samples.
  • In vivo studies using humanized cell- or patient-derived xenograft models, pharmacokinetic, and toxicology studies in murine and cynomolgus monkey models.

Main Results:

  • 1B7/CD3 demonstrated potent T cell activation and tumor lytic activity in vitro.
  • 1B7/CD3 treatment led to dose-dependent tumor remission or growth inhibition in xenograft models.
  • Pharmacokinetic studies showed a prolonged half-life, and toxicology studies established a maximum tolerated dose of ≤1 mg/kg in cynomolgus monkeys.

Conclusions:

  • Preclinical data support the clinical evaluation of 1B7/CD3 for CRLF2-rearranged B-ALL.
  • 1B7/CD3 exhibits promising anti-tumor activity and a favorable safety profile.
  • This novel bispecific antibody offers a potential new therapeutic option for patients with refractory B-ALL.

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