Tumor Regression in Cancer Patients by Very Low Doses of a T Cell–Engaging Antibody

Author:

Bargou Ralf12345,Leo Eugen12345,Zugmaier Gerhard12345,Klinger Matthias12345,Goebeler Mariele12345,Knop Stefan12345,Noppeney Richard12345,Viardot Andreas12345,Hess Georg12345,Schuler Martin12345,Einsele Hermann12345,Brandl Christian12345,Wolf Andreas12345,Kirchinger Petra12345,Klappers Petra12345,Schmidt Margit12345,Riethmüller Gert12345,Reinhardt Carsten12345,Baeuerle Patrick A.12345,Kufer Peter12345

Affiliation:

1. Interdisciplinary Phase I/II Unit of the University of Würzburg, Klinikstraße 6-8, 97070 Würzburg, Germany.

2. Universitätsklinikum Würzburg, Medizinische Klinik und Poliklinik II, Klinikstraße 6-8, 97070 Würzburg, Germany.

3. Micromet AG, Staffelseestraße 2, 81477 Munich, Germany; and Micromet, Incorporated, 6707 Democracy Boulevard, Bethesda, MD 20817, USA.

4. Universitätsklinikum Essen, Klinik für Hämatologie, Medizinische Klinik und Poliklinik, Hufelandstraße 55, 45147 Essen, Germany.

5. Universitätsklinikum Ulm, Innere Medizin III, Robert-Koch-Straße 8, 89081 Ulm, Germany.

Abstract

Previous attempts have shown the potential of T cells in immunotherapy of cancer. Here, we report on the clinical activity of a bispecific antibody construct called blinatumomab, which has the potential to engage all cytotoxic T cells in patients for lysis of cancer cells. Doses as low as 0.005 milligrams per square meter per day in non–Hodgkin's lymphoma patients led to an elimination of target cells in blood. Partial and complete tumor regressions were first observed at a dose level of 0.015 milligrams, and all seven patients treated at a dose level of 0.06 milligrams experienced a tumor regression. Blinatumomab also led to clearance of tumor cells from bone marrow and liver. T cell–engaging antibodies appear to have therapeutic potential for the treatment of malignant diseases.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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