Enhanced CTLA-4 Targeting: Novel Prodrug Antibodies' Therapeutic Potential in Preclinical Studies

3 June 2024
The abstract discusses the development of a novel therapeutic approach using Probody® technology to enhance the therapeutic index of CTLA-4-directed therapy for cancer treatment. Two new anti-CTLA-4 Probody monoclonal antibodies (mAbs) were characterized preclinically: BMS-986249, a peptide-masked version of ipilimumab (IPI), and BMS-986288, a peptide-masked version of an anti-CTLA-4 nonfucosylated antibody with improved antibody-dependent cellular cytotoxicity (ADCC) and regulatory T-cell (Treg) depletion.

The study evaluated antibody binding to CD16 using surface plasmon resonance and measured IL-2 release from stimulated human peripheral blood mononuclear cells (PBMCs) and CD4+ T cells. The ADCC function was assessed by NK-cell-induced lysis of CD4+ T cells or activated CD4+Foxp3+ Tregs. Tumor growth was monitored in transgenic mice implanted with MC38 tumors, and pharmacodynamic markers of anti-CTLA-4 activity were evaluated using Tregs and effector T cells from treated mice. Additionally, the study assessed pharmacodynamic responses in cynomolgus macaques following administration of customized adenovirus-5 vector vaccines.

Results indicated that both anti-CTLA-4 Probody mAbs showed reduced activity in non-proteolytic in vitro assays compared to their parent antibodies. However, in a MC38 tumor model, both Probody mAbs demonstrated equivalent antitumor activity to IPI and the nonfucosylated anti-CTLA-4. They also exhibited similar intratumoral pharmacodynamic activity but reduced peripheral activity compared to their parent mAbs. In cynomolgus macaques, the Probody mAbs led to decreased inflammation and peripheral pharmacodynamic responses.

The findings suggest that the Probody technology platform may improve the therapeutic indices of the anti-CTLA-4 Probody mAbs by limiting peripheral activity while maintaining antitumor efficacy. Ongoing phase 1 studies are investigating the safety and antitumor activity of these Probody mAbs in patients with advanced solid cancers.

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