7 th Annual World Bispecific Summit
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1 7 th Annual World Bispecific Summit September 28-30, 2016 Janine Schuurman
2 The Antibody Landscape Cut off date: March 2016 Schuurman and Parren. Curr Opin Immunol 40:vii xiii. March 2016 Data were made available by Janice Reichert,
3 Many different bispecific formats three major classes Impact on bispecific discovery & development strategies
4 Asymmetric bispecifics: regular IgG structure
5 n u m b e r o f b is p e c ific p ro d u c ts Bispecific antibodies in the clinic Format O th e r S y m m e tric F ra g m e n ts fra g m e n ts a s y m m e tric s y m m e tric A s y m m e tric o th e r Therapeutic area Im m u n e d is o rd e rs O th e r O n c o lo g y 0 P h a s e 1 P h a s e 1 /2 P h a s e 2 P h a s e 3 A p p r o v e d Bispecific MoA h a lf-life e x te n s io n o th e r A D C T -c e ll re c ru itm e n t D u a l ta rg e tin g As of July 2016 Data were made available by Janice Reichert,
6 Bispecific antibody formats in the clinic SYMMETRIC Tetravalent bsab DVD DAF ASYMMETRIC Knob-into-hole BEAT DuoBody Structure-based design bimab OTHER Peptibody Nanocell FRAGMENTS BiTE DART Nanobody TandAb Dock-and-Lock Adaptir Fc Adp Crossmab Biclonics Azymetric scaffold XmAb As of July 2016 Data were made available by Janice Reichert,
7 Bispecific platform & product partnering Company Technology Note Partner(s) Genmab DuoBody Platform Whole IgG, assymmetric Undisclosed, Novartis, Janssen, Kyowa Hakko Kirin, Lilly, Cormorant, Agenus, Aduro Biotech Europe, Humabs BioMed, BioNTech, Novo Nordisk, Pierre Fabre, Gilead Zymeworks Azymetric Scaffold Whole IgG, assymmetric Merck, Lilly, Celgene, GSK Merus Biclonics Whole IgG, assymmetric Novartis, Ono Pharmaceutical Macrogenics DART Fragment Boehringer Ingelheim, Pfizer, Gilead, Servier SA, Takeda, Janssen F-Star mab2 Engineered IgG, symmetric Boehringer Ingelheim, Merck Serono, Denali, Abbvie Xencor Bispecific Fc domain Engineered IgG, asymmetric Amgen, Novartis Disclaimer: this is what I could find on the internet. My apologies if I missed a deal or made a mistake.
8 Topics Day 1 Discovery bsab lead selection: how to select the best targets and target pairs? Abbvie, Roche, Bayer, Merus, Immunomedics, Immunomedics Novel bsab formats Sanofi, Abbvie, University of Pennsylvania, Complix Development Bispecifics: consequences for in vitro development and analytical assays Pfizer, ImmTAC, Janssen Translational research: testing efficacy in vivo F-Star, Pieris
9 7 th Annual World Bispecific Summit September 28-30, 2016
10 Innovative applications of bispecific antibodies Crossing the blood-brain barrier (Genentech) Factor VIII replacement (Chugai) Dual targeting Block macrophage-suppressive signal (CD47 X CD19 - NovImmune) Co targeting resistance factors (cmet x EGFR Genmab/Janssen) Two epitopes on one target: HER2XHER2 Induction of receptor clustering (Fap x DR5 - Roche / Genentech) Efficient payload delivery (Her2xCD63) Trojan horse : broadly neutralising Ebola bispecific
11 Innovative applications of bispecific antibodies (1): Crossing the blood-brain barrier Proof of principle with TfR x BACE bispecific antibody for potential treatment of Alzheimer s disease preclinical Y. Joy Yu et al., Sci Transl Med 6:261ra154 (2014)
12 Innovative applications of bispecific antibodies (2): bispecific antibody mimics the cofactor function of factor VIII Phase 3 Asymmetric bispecific, Nonactive Fc (IgG4) Kitazawa et al. Nature Medicine 18, (2012) Emicizumab (ACE910)
13 Innovative applications of bispecific antibodies (3): Block macrophage-suppressive signal CD47 CD47 x CD19 BsAb (NI-1701) preclinical κλ-body (NovImmune) - asymmetric Cancer cell Disrupts CD47-SIRPα don t eat me signal Not tumor specific Low affinity Tumor targeting High affinity CD47 CD19 Inhibitory don t eat me signal Fc-mediated effector functions IgG pharmacokinetics/half-life Kosco-Vilbois, World Bispecific Summit, September 2015
14 Innovative applications of bispecific antibodies (4): Dual targeting of oncogenic pathways DuoBody cmet x EGFR (JNJ ) Overcome acquired resistance Monovalent targeting of cmet prevent agonism Synergy: enhanced efficacy by dual targeting Phase I c-met EGFR Moores et al. Cancer Res. 76: (2016)
15 Innovative applications of bispecific antibodies (5): Dual targeting of oncogenic pathways preclinical Crystal structures of the DARPin:target complexes reveal that bivalent binding crosslinks HER2-monomeres in a signaling-incompetent state Bispecific DARPin-bound state prevents HER2 kinases from forming any complex Jost et al. Structure 21: (2013)
16 Innovative applications of bispecific antibodies (6): Induction of receptor clustering Phase I DR5 x FAP bsab (RG7386) Tetravalent - symmetric Inert Fc-domain (P329G LALA) Bivalent binding to both FAP and DR5 leads to avidity-driven hyperclustering of DR5 Strong induction of apoptosis in tumor cells but not in normal cells Brünker et al. Mol Cancer Ther 15: (2016)
17 Innovative applications of bispecific antibodies (7): Efficient payload delivery by a bispecific antibody-drug conjugate enhancing lysosomal ADC delivery: tumor specificity combined with facilitating targeting to the lysosomal compartment preclinical De Goeij et al. Mol, Mol. Cancer Ther. 2016, in press
18 Innovative applications of bispecific antibodies (8): Trojan horse bispecific antibody strategy: broad protection against Ebola preclinical DVD-Ig, not patent IgG or mixtures: Broad neutralizing activity against Ebola viruses Wec et al., Science 2016, in press
19 Topics Day 2 Discovery bsab lead selection: how to select the best targets and target pairs? MedImmune, OncoMed Novel bsab formats BioMunex, Celgene Development Challenges in testing the nonclinical safety and efficacy of T-cell bsabs Genentech, Pfizer, Amgen Translation to the clinic and back Merrimack Novel applications Macrogenics, Bristol-Myers Squibb, KTH Royal Institute of Technology Perspectives on future bsab development Jounce Therapeutics, Bristol-Myers Squibb
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