1. Academic Validation
  2. ISB 2001 trispecific T cell engager shows strong tumor cytotoxicity and overcomes immune escape mechanisms of multiple myeloma cells

ISB 2001 trispecific T cell engager shows strong tumor cytotoxicity and overcomes immune escape mechanisms of multiple myeloma cells

  • Nat Cancer. 2024 Oct;5(10):1494-1514. doi: 10.1038/s43018-024-00821-1.
Laura Carretero-Iglesia 1 Olivia J Hall 1 Jérémy Berret 1 Daniela Pais 1 Carole Estoppey 1 Myriam Chimen 1 Thierry Monney 1 Jeremy Loyau 1 Cyrille Dreyfus 1 Julie Macoin 1 Cynthia Perez 1 Vinu Menon 1 Isabelle Gruber 1 Amélie Laurendon 1 Lydia N Caro 1 Girish S Gudi 1 Tomomi Matsuura 2 Piet H van der Graaf 2 Stanislas Blein 1 M Lamine Mbow 1 Rebecca Croasdale-Wood 1 Ankita Srivastava 1 Michael R Dyson 1 Thomas Matthes 3 Zeynep Kaya 4 Claire M Edwards 4 James R Edwards 4 Sophie Maiga 5 6 Catherine Pellat-Deceunynck 5 6 Cyrille Touzeau 5 6 7 Philippe Moreau 5 6 7 Cyril Konto 1 Adam Drake 1 Eugene A Zhukovsky 1 Mario Perro # 8 Maria Pihlgren # 1
Affiliations

Affiliations

  • 1 Ichnos Glenmark Innovation, New York, NY, USA.
  • 2 Certara UK Limited, Canterbury Innovation Centre, University Road, Canterbury, United Kingdom.
  • 3 Hematology Service, Department of Oncology and Clinical Pathology Service, Department of Diagnostics, University Hospital Geneva, Geneva, Switzerland.
  • 4 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Botnar Institute, University of Oxford, Oxford, United Kingdom.
  • 5 Nantes Université, Inserm, CNRS, Université d'Angers, Nantes, France.
  • 6 SIRIC ILIAD, Angers, Nantes, France.
  • 7 Service d'Hématologie Clinique, Unité d'Investigation Clinique, CHU, Nantes, France.
  • 8 Ichnos Glenmark Innovation, New York, NY, USA. [email protected].
  • # Contributed equally.
Abstract

Despite recent advances in immunotherapies targeting single tumor-associated antigens, patients with multiple myeloma eventually relapse. ISB 2001 is a CD3+ T cell engager (TCE) co-targeting BCMA and CD38 designed to improve cytotoxicity against multiple myeloma. Targeting of two tumor-associated antigens by a single TCE resulted in superior cytotoxic potency across a variable range of BCMA and CD38 tumor expression profiles mimicking natural tumor heterogeneity, improved resistance to competing soluble factors and exhibited superior cytotoxic potency on patient-derived samples and in mouse models. Despite the broad expression of CD38 across human tissues, ISB 2001 demonstrated a reduced T cell activation profile in the absence of tumor cells when compared to TCEs targeting CD38 only. To determine an optimal first-in-human dose for the ongoing clinical trial ( NCT05862012 ), we developed an innovative quantitative systems pharmacology model leveraging preclinical data, using a minimum pharmacologically active dose approach, therefore reducing patient exposure to subefficacious doses of therapies.

Figures
Products