Engineering CD3/CD137 Dual Specificity into a DLL3-Targeted T-Cell Engager Enhances T-Cell Infiltration and Efficacy against Small-Cell Lung Cancer

Author:

Mikami Hirofumi1ORCID,Feng Shu2ORCID,Matsuda Yutaka3ORCID,Ishii Shinya1ORCID,Naoi Sotaro2ORCID,Azuma Yumiko1ORCID,Nagano Hiroaki2ORCID,Asanuma Kentaro1ORCID,Kayukawa Yoko1ORCID,Tsunenari Toshiaki1ORCID,Kamikawaji Shogo1ORCID,Iwabuchi Ryutaro1ORCID,Shinozuka Junko1ORCID,Yamazaki Masaki1ORCID,Kuroi Haruka1ORCID,Ho Samantha Shu Wen2ORCID,Gan Siok Wan2ORCID,Chichili Priyanka2ORCID,Pang Chai Ling2ORCID,Yeo Chiew Ying2ORCID,Shimizu Shun1ORCID,Hironiwa Naoka2ORCID,Kinoshita Yasuko1ORCID,Shimizu Yuichiro1ORCID,Sakamoto Akihisa1ORCID,Muraoka Masaru1ORCID,Takahashi Noriyuki2ORCID,Kawa Tatsuya1ORCID,Shiraiwa Hirotake1ORCID,Mimoto Futa2ORCID,Kashima Kenji1ORCID,Kamata-Sakurai Mika1ORCID,Ishikawa Shumpei4ORCID,Aburatani Hiroyuki5ORCID,Kitazawa Takehisa1ORCID,Igawa Tomoyuki6ORCID

Affiliation:

1. 1Research Division, Chugai Pharmaceutical, Yokohama, Kanagawa, Japan.

2. 2Research Division, Chugai Pharmabody Research, Singapore, Singapore.

3. 3Project & Lifecycle Management Unit, Chugai Pharmaceutical, Chuo-ku, Tokyo, Japan.

4. 4Department of Preventive Medicine, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.

5. 5Genome Science Division, Research Center for Advanced Science and Technology (RCAST), The University of Tokyo, Meguro-ku, Tokyo, Japan.

6. 6Translational Research Division, Chugai Pharmaceutical, Chuo-ku, Tokyo, Japan.

Abstract

Abstract Small-cell lung cancer (SCLC) is an aggressive cancer for which immune checkpoint inhibitors (ICI) have had only limited success. Bispecific T-cell engagers are promising therapeutic alternatives for ICI-resistant tumors, but not all patients with SCLC are responsive. Herein, to integrate CD137 costimulatory function into a T-cell engager format and thereby augment therapeutic efficacy, we generated a CD3/CD137 dual-specific Fab and engineered a DLL3-targeted trispecific antibody (DLL3 trispecific). The CD3/CD137 dual-specific Fab was generated to competitively bind to CD3 and CD137 to prevent DLL3-independent cross-linking of CD3 and CD137, which could lead to systemic T-cell activation. We demonstrated that DLL3 trispecific induced better tumor growth control and a marked increase in the number of intratumoral T cells compared with a conventional DLL3-targeted bispecific T-cell engager. These findings suggest that DLL3 trispecific can exert potent efficacy by inducing concurrent CD137 costimulation and provide a promising therapeutic option for SCLC.

Funder

n/a

Publisher

American Association for Cancer Research (AACR)

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