Translating a Preclinical Hydrogel Platform into a Human Therapeutic for Delivering Targeted Low-Dose Anti-CTLA-4

Airi Harui1, Michael D Roth1

  • 1Division of Pulmonary & Critical Care, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1690, USA.

Insights

This study developed a novel hydrogel platform for localized cancer immunotherapy using cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) antibodies. This approach minimizes systemic toxicity while enhancing anti-tumor immune responses for potential human therapeutic applications.

Area of Science:

  • Oncology
  • Immunology
  • Biomaterials Science

Background:

  • Systemic immune checkpoint inhibitor therapy, like cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) antibodies, shows efficacy in cancer treatment but is limited by systemic toxicity.
  • Preclinical studies demonstrated that peri-tumoral injection of hydrogel-encapsulated CTLA-4 antibodies selectively activates T cells in tumor-draining lymph nodes, leading to tumor regression and protective immunity with reduced systemic exposure.

Purpose of the Study:

  • To translate the preclinical hydrogel-encapsulated CTLA-4 antibody platform into a biocompatible human therapeutic.
  • To optimize hydrogel formulation, incorporating hyaluronic acid and recombinant human hyaluronidase (rHuPH20), for enhanced lymph node targeting and self-resorption.

Main Methods:

  • Reformulated the hydrogel matrix using low-molecular-weight hyaluronic acid and incorporated rHuPH20.
  • Optimized formulations for neutral pH and a 5-10 minute administration window.
  • Assessed hydrogel capacity to encapsulate human IgG or ipilimumab (1-15 mg/mL), the impact of rHuPH20 and antibody on rheology and microstructure, and in vitro/in vivo payload delivery.

Main Results:

  • The hydrogel platform demonstrated successful encapsulation of human IgG and ipilimumab at therapeutic doses.
  • Incorporation of rHuPH20 and antibodies showed manageable effects on rheologic properties and microstructure.
  • In vitro and in vivo studies confirmed controlled payload delivery profiles.

Conclusions:

  • The developed hydrogel platform is adaptable for human therapeutic use in localized cancer immunotherapy.
  • This approach offers a promising strategy to enhance anti-tumor immunity while mitigating systemic autoimmune toxicity associated with CTLA-4 blockade.

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