Preclinical Comparison of Two CD3xB7H4 Bispecific Antibodies for Solid Tumor Therapy Reveals CD3 Affinity-Dependent

Louise A Koopman1, Farshid Alemdehy1, Stefanie A H de Poot1

  • 1Genmab (Netherlands) Utrecht Netherlands.

Insights

This study compares two B7H4-targeting bispecific antibodies (bsAbs) for cancer immunotherapy. Higher CD3 affinity enhances tumor cell killing but increases cytokine release, indicating a key design trade-off for bsAb development.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • B7H4 is an immune checkpoint protein overexpressed in tumors.
  • B7H4 is a promising target for cancer immunotherapy.
  • Bispecific antibodies (bsAbs) engaging CD3 and tumor antigens offer therapeutic potential.

Purpose of the Study:

  • To compare two B7H4-targeting CD3 bsAbs with differing CD3 affinities.
  • To evaluate the impact of CD3 affinity on in vitro and in vivo efficacy and safety.
  • To identify design trade-offs in bsAb development for cancer immunotherapy.

Main Methods:

  • In vitro characterization of bsAb-mediated tumor cell killing and cytokine secretion.
  • In vivo efficacy studies in ovarian cancer patient-derived xenograft (PDX) mouse models.
  • Nonclinical toxicology assessments in cynomolgus monkeys.
  • Ex vivo analysis of bsAb activity in human ovarian tumor samples.

Main Results:

  • The higher CD3 affinity bsAb variant showed increased in vitro tumor cell killing and cytokine secretion.
  • The lower CD3 affinity bsAb variant induced less cytokine secretion and was better tolerated in nonclinical toxicology studies.
  • Both bsAb variants demonstrated antitumor activity in vivo and ex vivo.
  • Increased CD3 affinity enhances cytotoxic potency but also cytokine release at lower concentrations.

Conclusions:

  • CD3 affinity is a critical parameter in designing B7H4-targeting CD3 bsAbs.
  • A balance between enhanced potency and manageable cytokine release is crucial for bsAb development.
  • Further clinical investigation of CD3xB7H4 bsAbs, considering CD3 affinity, is warranted.

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