PO.ET02.09 · 实验与分子治疗
JZP898,一种条件性激活的干扰素 α,在同基因小鼠模型中产生疗效并实现强劲的 TME 参与
JZP898, a conditionally activated interferon alpha, generates efficacy and robust TME engagement in syngeneic mouse models
该海报暂无可下载的资料
AACR 官方页面
作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
干扰素 α(IFNalpha)是一种属于 I 型 IFN 的细胞因子,对细胞功能发挥多效性作用。IFNalpha 诱导抗肿瘤活性,并已广泛应用于临床肿瘤学。然而,与目前已获批的免疫疗法相比,IFNalpha 的应用在临床实践中历来受限,主要原因是全身毒性和有限的临床活性。JZP898 是一种条件性激活的 IFNalpha,有潜力将全身 IFNalpha 治疗相关的毒性降至最低,优先将 IFNalpha 释放到肿瘤,从而扩大其在癌症治疗中的临床应用。肿瘤相关蛋白酶对专有连接子的切割控制活性 IFNalpha 释放到肿瘤微环境中。在此,我们使用 JZP898 的小鼠特异性类似物(JZP898S)描述了 JZP898 的临床前肿瘤活性、药代动力学(PK)和药效学(PD)特征。JZP898S 在同基因小鼠肿瘤模型中对 IFNalpha 的靶向释放增加了肿瘤暴露量(相对于外周循环),转化为更高的可实现疗效,无论是作为单药还是与 CPI 联合。JZP898S 诱导的抗肿瘤活性与 TME 中免疫细胞的激活和外周细胞因子水平的升高相关;外周细胞因子水平的升高与 JZP898S 暴露量的增加相关。我们观察到 TME 内激活的细胞毒性 T 细胞数量增加、调节性细胞数量减少。这种对 TME 内免疫细胞的效应延续至末次给药后一周,提示由于 IFNalpha 随时间条件性释放而产生的 IFNalpha 效应增强且持续。可以预见,在治疗后的肿瘤中以时间和剂量依赖的方式检测到 IFNalpha 基因表达谱,并显示出 PK/PD 关系。基于这些数据,我们在经 JZP898S 处理的肿瘤中衍生出一个 JZP898 特异性基因表达特征。这些数据支持 JZP898 作为一种在 TME 中驱动 IFNalpha 暴露并影响肿瘤生长、同时可能减轻 IFNalpha 相关耐受性的新颖机制的实用性和有效性,并支持探索其与检查点抑制剂(CPI)的联合效应。
查看英文原文 English abstract
Interferon alpha (IFNalpha) is a cytokine belonging to type I IFNs that exert pleiotropic effects on cell functions. IFNalpha induces antitumor activity and has been extensively applied in clinical oncology. However, use of IFNalpha has historically been restricted in clinical practice largely due to systemic toxicity and limited clinical activity compared to currently approved immunotherapies. JZP898, a conditionally activated IFNalpha, has the potential to minimize the toxicity associated with systemic IFNalpha therapy, preferentially releasing IFNalpha to tumors and thereby expanding its clinical utility in treating cancer. Cleavage of a proprietary linker by tumor associated proteases controls the release of active IFNalpha into the tumor microenvironment. Here we describe the preclinical tumor activity, pharmacokinetic (PK) and pharmacodynamic (PD) profiles of JZP898 using a mouse specific analog of JZP898 (JZP898S). Targeted release of IFNalpha by JZP898S in syngeneic mouse tumor models increased tumor exposure relative to peripheral circulation, translating into greater achievable efficacy, both as a single agent and in combination with CPIs. JZP898S-induced antitumor activity correlated with immune cell activation in the TME and increased cytokine levels in the periphery; elevated peripheral cytokine levels correlated with increased JZP898S exposure. We observed increased number of activated cytotoxic T-cells and decreased number of regulatory cells within the TME. This effect on immune cells in the TME was extended a week beyond the last dose suggesting increased and sustained IFNalpha effects due to the conditional release of IFNalpha over time. Predictably, an IFNalpha gene expression profile was detected in treated tumors in a time and dose dependent manner and demonstrated a PK/PD relationship. From this data, we derived a JZP898-specific gene expression signature in tumors treated with JZP898S. These data support the utility and effectiveness of JZP898 as a novel mechanism to drive IFNalpha exposure in the TME and impact tumor growth while potentially attenuating IFNalpha associated tolerability and supports exploring the combinatorial effects with checkpoint inhibitors (CPIs).
利益披露 Disclosure
A. Karmokar,
Jazz Pharmaceuticals Employment, Stock.
E. Loro,
Jazz Pharmaceuticals Employment.
Z. Zhang,
Jazz Pharmaceuticals Employment, Stock.
R. Mukavilli,
Jazz Pharmaceuticals Employment, Stock.
A. Gupta,
Jazz Pharmaceuticals Employment, Stock.
K. Trouba,
Jazz Pharmaceuticals Employment.
V. Amber,
Jazz Pharmaceuticals Employment.
R. C. Humphreys,
Jazz Pharmaceuticals Employment, Stock.