PO.CL05.12 · 临床研究
一种多功能的 KY-HC-mouse™ 纳米抗体平台,可实现肿瘤锚定、条件性激活的 4-1BB 双特异性抗体
A versatile KY-HC-mouse™nanobody platform enabling tumor-anchored, conditionally active 4-1BB bispecific antibodies
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摘要 Abstract
中文摘要
4-1BB(CD137)是一种极具吸引力的共刺激受体,可用于增强抗肿瘤 T 细胞应答,但第一代全身性 4-1BB 激动型抗体因剂量限制性毒性而受到制约,这凸显了对具有更优获益-风险特征的肿瘤锚定、条件性激活激动剂的需求。我们建立了一个专有的仅重链小鼠(KY-HC-mouse™)平台,以生成相对低亲和力的抗 4-1BB 纳米抗体,这些纳米抗体可阻断 4-1BB/4-1BBL 结合,并需要交联才能产生强信号,从而赋予内在的条件性激动作用。这些纳米抗体被构建为 Fc 沉默型 IgG(LALA 突变)双特异性抗体,靶向 PSMA(PSMA×4-1BB,KA-2722)、CD19(CD19×4-1BB,KA-6859)和 CDH17(CDH17×4-1BB,KA-A3438),以及一种靶向 CDH17×CLDN18.2×4-1BB 的三特异性抗体(KA-A3601)。CDH17×CLDN18.2×4-1BB(KA-A3601)是基于 CDH17 与 CLDN18.2 在胃肠道肿瘤中频繁共表达而设计的,从而实现 4-1BB 共刺激的双抗原锚定。与基准激动剂相比,所有分子对 4-1BB 的结合相对减弱,但保留了对各自肿瘤抗原的强效、高亲合力结合,并驱动强效、抗原依赖性的 4-1BB 报告细胞激活。CD19×4-1BB(KA-6859)在与 CD20×CD3 T 细胞衔接器 Glofitamab 联用时,在 hu-PBMC 淋巴瘤模型中进一步展现出稳健的体内疗效,在 3 mg/kg KA-6859 加 0.15 mg/kg CD20×CD3(QW*3)时可见明显的肿瘤生长抑制,并在小鼠中表现出良好的药代动力学特征和持续的血清暴露。CDH17×4-1BB(KA-A3438)和 CDH17×CLDN18.2×4-1BB(KA-A3601)分别在 B-h4-1BB C57BL/6 人源化 4-1BB(h4-1BB)小鼠中建立的 MC38-CDH17 和 MC38-CDH17-CLDN18.2 肿瘤中显示出强效的肿瘤生长抑制,且无 ALT/AST 升高,表明未见可检测到的肝毒性。CD19×4-1BB(KA-6859)在 ExpiCHO-S 中的瞬时表达产量约为 393 mg/L,并在 C57BL/6 小鼠中表现出良好的药代动力学特征,静脉给药后终末半衰期约为 16-21 天,皮下给药后约为 10 天,皮下生物利用度约为 82%。KA-6859 还表现出高热稳定性和良好的整体稳定性,表明其具有良好的可开发性。综上所述,这些数据将 KY-HC-mouse™ 4-1BB 纳米抗体平台定位为下一代肿瘤锚定 4-1BB 双特异性抗体和多特异性抗体的多功能基础,并为未来在实体瘤和血液系统恶性肿瘤中与检查点抑制剂联用奠定了基础。
查看英文原文 English abstract
4-1BB (CD137) is an attractive co-stimulatory receptor for boosting anti-tumor T-cell responses, but first-generation systemic 4-1BB agonist antibodies have been limited by dose-limiting toxicity, highlighting the need for tumor-anchored, conditionally active agonists with an improved benefit-risk profile. We established a proprietary heavy-chain-only mouse (KY-HC-mouse™) platform to generate relatively low-affinity anti-4-1BB nanobodies that block 4-1BB/4-1BBL binding and require cross-linking for strong signaling, thereby conferring built-in conditional agonism. These nanobodies were formatted into Fc-silenced IgG (LALA mutation) bispecifics targeting PSMA (PSMA×4-1BB, KA-2722), CD19 (CD19×4-1BB, KA-6859) and CDH17 (CDH17×4-1BB, KA-A3438), as well as a trispecific antibody targeting CDH17×CLDN18.2×4-1BB (KA-A3601). CDH17×CLDN18.2×4-1BB (KA-A3601) was designed based on the frequent co-expression of CDH17 and CLDN18.2 in gastrointestinal tumors, enabling dual-antigen anchoring of 4-1BB co-stimulation. All molecules show relatively reduced 4-1BB binding compared with benchmark agonists but retain strong, high-avidity binding to their respective tumor antigens and drive potent, antigen-dependent activation of 4-1BB reporter cells. CD19×4-1BB (KA-6859) further demonstrates robust in vivo efficacy in hu-PBMC lymphoma models when combined with a CD20×CD3 T-cell engager Glofitamab, with clear tumor growth inhibition at 3 mg/kg KA-6859 plus 0.15mg/kg CD20×CD3 (QW*3), and exhibits favorable pharmacokinetics with sustained serum exposure in mice. CDH17×4-1BB (KA-A3438) and CDH17×CLDN18.2×4-1BB (KA-A3601) show strong tumor growth inhibition in MC38-CDH17 and MC38-CDH17-CLDN18.2 tumors established in B-h4-1BB C57BL/6 humanized 4-1BB (h4-1BB) mice, respectively, without ALT/AST elevation, indicating absence of detectable hepatotoxicity. CD19×4-1BB (KA-6859) exhibits a transient ExpiCHO-S expression yield of ~393 mg/L and a favorable pharmacokinetic profile in C57BL/6 mice, with terminal half-lives of approximately 16-21 days after i.v. dosing and ~10 days after s.c. dosing, and an s.c. bioavailability of ~82%. KA-6859 also displays high thermal stability and good overall stability, indicating favorable developability.Together, these data position the KY-HC-mouse™ 4-1BB nanobody platform as a versatile foundation for next-generation, tumor-anchored 4-1BB bispecifics and multispecifics, and for future combinations with checkpoint inhibitors in solid and hematologic malignancies.
利益披露 Disclosure
X. Liang,
Kyinno Biotechnology Co., LTD Employment.
S. Li,
Kyinno Biotechnology Co., LTD Employment.
J. Xu,
Kyinno Biotechnology Co., LTD Employment.
H. Peng,
Kyinno Biotechnology Co., LTD Employment.
F. Hao,
Kyinno Biotechnology Co., LTD Employment.
J. Ning,
Kyinno Biotechnology Co., LTD Employment.