CD137 co-stimulation and blocking PD-1 enhances NK cell-mediated target cell lysis by CD30/CD16A TandAb AFM13.

Authors

null

Xing Zhao

Tissue Engineering and Stem Cells Research Center, Department of Immunology, Guiyang Medical University, Guiyang, China

Xing Zhao , Narendiran Rajasekaran , Uwe Reusch , Jens-Peter Marschner , Martin Treder , Holbrook Edwin Kohrt

Organizations

Tissue Engineering and Stem Cells Research Center, Department of Immunology, Guiyang Medical University, Guiyang, China, Center for Clinical Sciences Research Stanford, Stanford, CA, Affimed GmbH, Heidelberg, Germany

Research Funding

No funding sources reported

Background: The CD30/CD16A bispecific tetravalent TandAb antibody AFM13 recruits and activates NK cells by specific binding to CD16A for targeted lysis of CD30+ tumor cells. Given promising clinical activity and safety profile of AFM13 and proof-of-mechanism demonstrating dependence on the immune response, potential synergy of AFM13 and checkpoint inhibitors was evaluated. Methods: Efficacy was assessed by in vitro cytotoxicity with human PBMCs, enriched NKs, and CD30+ target cells as well as cell line and patient-derived xenograft in vivo models with AFM13, anti-CTLA-4, anti-PD-1, or anti-CD137 antibodies. Results: AFM13 demonstrated higher potency and efficacy toward target and effector cells relative to other CD30+ antibody formats (EC50 = 15pM). These favorable properties resulted in superior cytotoxicity when AFM13 was incubated with CD30+ tumor cells and enriched NK cells. Single treatment with AFM13 at suboptimal concentrations (1 pM) induced effector-to-target cell-dependent lysis of CD30+ lymphoma cells up to 40% using enriched NK cells. Immune-modulating antibodies alone mediated substantially lower lysis ( < 25%). However, the addition of anti-PD-1 or anti-CD137 to AFM13 strongly enhanced specific lysis up to 70%, whereas the addition of anti-CTLA-4 to AFM13 showed no beneficial effect. The most impressive increase of efficacy was observed when AFM13 was applied together with a combination of anti-PD-1 and anti-CD137. In vivo, synergy of AFM13 and CPI combination was observed with each CPI tested and augmented with anti-PD1 (regression in 9/10 tumors), ant-CTLA-4 (3/10), and anti-CD137 mAb (3/10) and influenced by presence of regulatory T cells, NK cells, and Th1 cytokines. Conclusions: Our findings support engagement of NK cells using CD30/CD16A TandAbs by binding to CD16A does not completely exploit the efficacy of NK cells. Therefore combination trials performed with companion intratumoral assessment may personalize dual-Ab therapy and augment the efficacy of AFM13 and CPIs.

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Abstract Details

Meeting

2015 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Therapeutics—Immunotherapy

Track

Developmental Therapeutics and Translational Research

Sub Track

Immunotherapy and Biologic Therapy

Citation

J Clin Oncol 33, 2015 (suppl; abstr 3050)

DOI

10.1200/jco.2015.33.15_suppl.3050

Abstract #

3050

Poster Bd #

376

Abstract Disclosures

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