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

Cecile Geuijen, Paul Tacken, Liang-Chuan Wang, Rinse Klooster, Pieter Fokko Loo, Jing Zhou, Arpita Mondal, Yao-bin Liu, Arjen Kramer, Thomas Condamine, Alla Volgina, Linda J. A. Hendriks, Hans Maaden, Eric Rovers, Steef Engels, Floris Fransen, Renate Blanken-Smit, Vanessa Zondag- van der Zande, Abdul Basmeleh, Willem Bartelink, Ashwini Kulkarni, Wilfred Marissen, Cheng-Yen Huang, Leslie Hall, Shane Harvey, Soyeon Kim, Marina Martinez, Shaun O’Brien, Edmund Moon, Steven Albelda, Chrysi Kanellopoulou, Shaun Stewart, Horacio Nastri, Alexander B. H. Bakker, Peggy Scherle, Ton Logtenberg, Gregory Hollis, John Kruif, Reid Huber, Patrick A. Mayes () and Mark Throsby ()
Additional contact information
Cecile Geuijen: Merus NV
Paul Tacken: Merus NV
Liang-Chuan Wang: Incyte Corporation
Rinse Klooster: Merus NV
Pieter Fokko Loo: Merus NV
Jing Zhou: Incyte Corporation
Arpita Mondal: Incyte Corporation
Yao-bin Liu: Incyte Corporation
Arjen Kramer: Merus NV
Thomas Condamine: Incyte Corporation
Alla Volgina: Incyte Corporation
Linda J. A. Hendriks: Merus NV
Hans Maaden: Merus NV
Eric Rovers: Merus NV
Steef Engels: Merus NV
Floris Fransen: Merus NV
Renate Blanken-Smit: Merus NV
Vanessa Zondag- van der Zande: Merus NV
Abdul Basmeleh: Merus NV
Willem Bartelink: Merus NV
Ashwini Kulkarni: Incyte Corporation
Wilfred Marissen: Merus NV
Cheng-Yen Huang: Incyte Corporation
Leslie Hall: Incyte Corporation
Shane Harvey: Incyte Corporation
Soyeon Kim: University of Pennsylvania
Marina Martinez: University of Pennsylvania
Shaun O’Brien: University of Pennsylvania
Edmund Moon: University of Pennsylvania
Steven Albelda: University of Pennsylvania
Chrysi Kanellopoulou: Incyte Corporation
Shaun Stewart: Incyte Corporation
Horacio Nastri: Incyte Corporation
Alexander B. H. Bakker: Merus NV
Peggy Scherle: Incyte Corporation
Ton Logtenberg: Merus NV
Gregory Hollis: Incyte Corporation
John Kruif: Merus NV
Reid Huber: Incyte Corporation
Patrick A. Mayes: Incyte Corporation
Mark Throsby: Merus NV

Nature Communications, 2021, vol. 12, issue 1, 1-19

Abstract: 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.

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-021-24767-5

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DOI: 10.1038/s41467-021-24767-5

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