Stadler et al. showed that BNT142, a lipid nanoparticle RNA formulation encoding a bispecific Ab that binds CD3 monovalently and (tumor-expressed) oncofetal antigen claudin 6 bivalently was translated, self-assembled, and secreted as active Ab RiboMab02.1 in cell cultures, mice, and cynomolgus monkeys. BNT142 mediated claudin 6+cell-dependent activation of T cell functions in vitro, and in mice, induced target cell-dependent T cell tumor infiltration, claudin 6+ cell depletion, and regression of claudin 6+ human tumor s.c. xenografts. BNT142 i.v. injection of mice and cynomolgus monkeys led to high, persistent RiboMab02.1 serum levels, and was well tolerated.
Contributed by Paula Hochman
ABSTRACT: We present the preclinical pharmacology of BNT142, a lipid nanoparticle (LNP)-formulated RNA (RNA-LNP) encoding a T cell-engaging bispecific antibody that monovalently binds the T cell marker CD3 and bivalently binds claudin 6 (CLDN6), an oncofetal antigen that is absent from normal adult tissue but expressed on various solid tumors. Upon BNT142 RNA-LNP delivery in cell culture, mice, and cynomolgus monkeys, RNA is translated, followed by self-assembly into and secretion of the functional bispecific antibody RiboMab02.1. In vitro, RiboMab02.1 mediated CLDN6 target cell-specific activation and proliferation of T cells, and potent target cell killing. In mice and cynomolgus monkeys, intravenously administered BNT142 RNA-LNP maintained therapeutic serum concentrations of the encoded antibody. Concentrations of RNA-encoded RiboMab02.1 were maintained longer in circulation in mice than concentrations of directly injected, sequence-identical protein. Weekly injections of mice with BNT142 RNA-LNP in the 0.1- to 1-_g dose range were sufficient to eliminate CLDN6-positive subcutaneous human xenograft tumors and increase survival over controls. Tumor regression was associated with an influx of T cells and depletion of CLDN6-positive cells. BNT142 induced only transient and low cytokine production in CLDN6-positive tumor-bearing mice humanized with peripheral blood mononuclear cells (PBMCs). No signs of adverse effects from BNT142 RNA-LNP administration were observed in mice or cynomolgus monkeys. On the basis of these and other findings, a phase 1/2 first-in-human clinical trial has been initiated to assess the safety and preliminary efficacy of BNT142 RNA-LNP in patients with CLDN6-positive advanced solid tumors (NCT05262530).