Design and Efficacy of a Monovalent Bispecific PD-1/CTLA4 Antibody That Enhances CTLA4 Blockade on PD-1 + Activated T Cells

Simon J. Dovedi
AstraZeneca
December 9, 2020
Cancer Discov
https://pubmed.ncbi.nlm.nih.gov/33419761

This article is currently being updated. View its version on PubMed.

https://pubmed.ncbi.nlm.nih.gov/33419761

Research summary

This study presents the development and preclinical evaluation of MEDI5752, a monovalent bispecific antibody targeting PD-1 and CTLA-4. MEDI5752 is designed to preferentially inhibit CTLA-4 on PD-1+ activated T cells, enhancing antitumor immunity while potentially reducing immune-related adverse events associated with combination checkpoint blockade. The antibody demonstrated preferential binding to PD-1+ T cells, induced rapid internalization and degradation of PD-1, and showed superior antitumor activity compared to the combination of anti-PD-1 and anti-CTLA-4 monoclonal antibodies in humanized mouse models.

Key outcome of the study

MEDI5752 preferentially targets PD-1+ T cells, enhances CTLA-4 blockade, induces PD-1 degradation, and exhibits superior antitumor efficacy with potentially reduced toxicity compared to combination therapy.

Mouse model

Human PD-1 and CTLA-4 double Knockin mouse model expressing human PD-1 and CTLA-4 proteins, used to evaluate the in vivo efficacy and pharmacodynamics of MEDI5752.

TARGET:
PDCD1, CTLA4
PD-1, CTLA-4

Keywords

Cancer immunotherapy, Immune checkpoint blockade, Bispecific antibody, PD-1, CTLA-4

Technical specifications

Humanized Knockin model, PD-1 and CTLA-4 gene replacement, Bispecific antibody evaluation

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genO-hPD‑1/hCTLA‑4

The genO‑hPD-1/hCTLA-4 mouse enables the in vivo efficacy assessment and profiling of immuno-oncology agents targeting the human immune checkpoint PD-1 and/or CTLA-4 in fully immunocompetent mice.

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