Agenus Releases Key Study on Botensilimab for Resistant Cancers

16 August 2024
Agenus Inc., a prominent player in the field of cancer immunotherapy, has made a groundbreaking announcement as detailed in a pivotal study published in the esteemed journal, Cancer Discovery. This study explores the innovative mechanisms and efficacy of botensilimab, an investigational and multifunctional anti-CTLA-4 antibody, in combating various treatment-resistant cancers.

The study is titled “Botensilimab, an Fc-Enhanced Anti-CTLA-4 Antibody, Is Effective Against Tumors Poorly Responsive to Conventional Immunotherapy.” It presents several significant findings that highlight the potential of botensilimab in enhancing cancer treatment outcomes.

Botensilimab has exhibited increased activity across a range of treatment-resistant cancers, including those that have previously shown progression despite the use of checkpoint inhibitors. Its Fc-enhanced design is a notable feature, allowing for simultaneous activation of multiple immune mechanisms. This includes augmented T cell priming, the reduction of intratumoral regulatory T cells, and the activation of antigen-presenting cells, leading to a strong anti-tumor response.

One of the key advantages of botensilimab is its ability to perform independently of conventional limitations that typically hinder the efficacy of traditional immunotherapies. For example, its effectiveness does not rely on factors such as tumor neoantigen burden and FcγRIIIA genotype, thereby widening its applicability among diverse patient populations.

A standout feature of botensilimab is its capability to remodel the tumor microenvironment. This transformation is crucial as it converts "cold" tumors, which are typically unresponsive to immune therapies, into "hot" tumors that are immunologically active. This is achieved by decreasing regulatory T cells and enhancing T cell inflammation gene signatures within the tumor, making them more responsive to treatment.

Botensilimab also shows promising results in treating over nine difficult-to-treat cancers, including microsatellite stable colorectal cancer. This could potentially extend clinical benefits to patient populations that have historically been unresponsive to conventional immune checkpoint inhibitors.

Dr. Dhan Chand, the lead author and Vice President of Research at Agenus, expressed his excitement about these findings. He emphasized that the preclinical and clinical evidence gathered with botensilimab unveils a viable pathway to improve treatment outcomes and extend survival for patients who have limited options with existing therapies.

This publication underscores the potential of botensilimab to overcome some of the most significant challenges in cancer treatment. Agenus is dedicated to advancing this promising therapy through further clinical development and regulatory channels to ensure broad and rapid access for patients.

Cancer Discovery, the journal where this study was published, is known for its high-impact, peer-reviewed articles that report major advancements in cancer research and clinical trials. It serves as a premier resource for information in the field, presenting review articles, perspectives, commentaries, and summaries of important journal articles to keep readers updated on the latest findings.

Botensilimab is an investigational human Fc-enhanced CTLA-4 blocking antibody designed to boost both innate and adaptive anti-tumor immune responses. Its innovative design targets mechanisms of action that extend immunotherapy benefits even to "cold" tumors, which generally respond poorly to standard care or are refractory to conventional PD-1/CTLA-4 therapies. It augments immune responses across various tumor types by priming and activating T cells, downregulating intratumoral regulatory T cells, activating myeloid cells, and inducing long-term memory responses.

Approximately 1,100 patients have been treated with botensilimab in phase 1 and phase 2 clinical trials. Clinical responses have been observed in nine metastatic, late-line cancers when botensilimab is used alone or in combination with Agenus’ investigational PD-1 antibody, balstilimab.

Agenus, established in 1994, is an immuno-oncology company aimed at expanding the patient populations benefiting from cancer immunotherapy. The company employs a broad array of antibody therapeutics, adoptive cell therapies, and adjuvants to achieve this mission. Agenus is headquartered in Lexington, Massachusetts.

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