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A human CD137×PD-L1 bispecific antibody promotes anti-tumor immunity via context-dependent T cell costimulation and checkpoint blockade.


ABSTRACT: Immune checkpoint inhibitors demonstrate clinical activity in many tumor types, however, only a fraction of patients benefit. Combining CD137 agonists with these inhibitors increases anti-tumor activity preclinically, but attempts to translate these observations to the clinic have been hampered by systemic toxicity. Here we describe a human CD137xPD-L1 bispecific antibody, MCLA-145, identified through functional screening of agonist- and immune checkpoint inhibitor arm combinations. MCLA-145 potently activates T cells at sub-nanomolar concentrations, even under suppressive conditions, and enhances T cell priming, differentiation and memory recall responses. In vivo, MCLA-145 anti-tumor activity is superior to immune checkpoint inhibitor comparators and linked to recruitment and intra-tumor expansion of CD8 + T cells. No graft-versus-host-disease is observed in contrast to other antibodies inhibiting the PD-1 and PD-L1 pathway. Non-human primates treated with 100 mg/kg/week of MCLA-145 show no adverse effects. The conditional activation of CD137 signaling by MCLA-145, triggered by neighboring cells expressing >5000 copies of PD-L1, may provide both safety and potency advantages.

SUBMITTER: Geuijen C 

PROVIDER: S-EPMC8295259 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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A human CD137×PD-L1 bispecific antibody promotes anti-tumor immunity via context-dependent T cell costimulation and checkpoint blockade.

Geuijen Cecile C   Tacken Paul P   Wang Liang-Chuan LC   Klooster Rinse R   van Loo Pieter Fokko PF   Zhou Jing J   Mondal Arpita A   Liu Yao-Bin YB   Kramer Arjen A   Condamine Thomas T   Volgina Alla A   Hendriks Linda J A LJA   van der Maaden Hans H   Rovers Eric E   Engels Steef S   Fransen Floris F   den Blanken-Smit Renate R   Zondag-van der Zande Vanessa V   Basmeleh Abdul A   Bartelink Willem W   Kulkarni Ashwini A   Marissen Wilfred W   Huang Cheng-Yen CY   Hall Leslie L   Harvey Shane S   Kim Soyeon S   Martinez Marina M   O'Brien Shaun S   Moon Edmund E   Albelda Steven S   Kanellopoulou Chrysi C   Stewart Shaun S   Nastri Horacio H   Bakker Alexander B H ABH   Scherle Peggy P   Logtenberg Ton T   Hollis Gregory G   de Kruif John J   Huber Reid R   Mayes Patrick A PA   Throsby Mark M  

Nature communications 20210721 1


Immune checkpoint inhibitors demonstrate clinical activity in many tumor types, however, only a fraction of patients benefit. Combining CD137 agonists with these inhibitors increases anti-tumor activity preclinically, but attempts to translate these observations to the clinic have been hampered by systemic toxicity. Here we describe a human CD137xPD-L1 bispecific antibody, MCLA-145, identified through functional screening of agonist- and immune checkpoint inhibitor arm combinations. MCLA-145 pot  ...[more]

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