High-grade serous ovarian cancers (HGSOC) represent the most common of the ovarian malignancies. Due to the frequency of late-stage diagnosis and high rates of recurrence following standard of care treatments, novel therapies are needed to promote durable responses. We investigated the anti-tumor activity of CD3 T cell-engaging bispecific antibodies (TCBs) directed against the PAX8 lineage-driven HGSOC tumor antigen LYPD1 and demonstrated that anti-LYPD1 TCBs induce T cell activation and promote in vivo tumor growth inhibition in LYPD1-expressing HGSOC. To selectively target LYPD1-expressing tumor cells with high expression while sparing cells with low expression, we coupled bivalent low-affinity anti-LYPD1 Fabs with the anti-CD3 SP34 scFv. In contrast to the monovalent anti-LYPD1 high-affinity TCB (VHP354), the bivalent low-affinity anti-LYPD1 TCB (QZC131) demonstrated antigen density-dependent selectivity and showed tolerability in cynomolgus monkeys at the maximum dose tested of 3 mpk. Collectively, these data demonstrate that bivalent TCBs directed against LYPD1 have compelling efficacy and safety profiles supportive of consideration for treatment of high-grade serous ovarian cancers.
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Competing interest reported. The authors are employees of Novartis Institute of Biomedical Research and Novartis.
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Posted 18 Mar, 2021
On 20 Apr, 2021
Received 08 Apr, 2021
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On 24 Mar, 2021
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On 21 Mar, 2021
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Invitations sent on 17 Mar, 2021
On 17 Mar, 2021
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On 03 Mar, 2021
Posted 18 Mar, 2021
On 20 Apr, 2021
Received 08 Apr, 2021
Received 08 Apr, 2021
Received 08 Apr, 2021
Received 08 Apr, 2021
On 24 Mar, 2021
On 24 Mar, 2021
On 24 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
On 21 Mar, 2021
Invitations sent on 17 Mar, 2021
On 17 Mar, 2021
On 17 Mar, 2021
On 17 Mar, 2021
On 03 Mar, 2021
High-grade serous ovarian cancers (HGSOC) represent the most common of the ovarian malignancies. Due to the frequency of late-stage diagnosis and high rates of recurrence following standard of care treatments, novel therapies are needed to promote durable responses. We investigated the anti-tumor activity of CD3 T cell-engaging bispecific antibodies (TCBs) directed against the PAX8 lineage-driven HGSOC tumor antigen LYPD1 and demonstrated that anti-LYPD1 TCBs induce T cell activation and promote in vivo tumor growth inhibition in LYPD1-expressing HGSOC. To selectively target LYPD1-expressing tumor cells with high expression while sparing cells with low expression, we coupled bivalent low-affinity anti-LYPD1 Fabs with the anti-CD3 SP34 scFv. In contrast to the monovalent anti-LYPD1 high-affinity TCB (VHP354), the bivalent low-affinity anti-LYPD1 TCB (QZC131) demonstrated antigen density-dependent selectivity and showed tolerability in cynomolgus monkeys at the maximum dose tested of 3 mpk. Collectively, these data demonstrate that bivalent TCBs directed against LYPD1 have compelling efficacy and safety profiles supportive of consideration for treatment of high-grade serous ovarian cancers.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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