Gaspar et al. created a human bispecific antibody (Ab) with OX40 binding domains at the base of each heavy chain, CD137-binding Fab arms, and mutated Fc to disable FcγR binding and enable Ab crosslinking, and showed that its concurrent binding to these two TNF family receptors induced TCR-stimulated human CD4+ and CD8+ T cell activation in vitro. A surrogate murine bispecific Ab mediated antitumor activity in syngeneic mouse tumor models without requiring FcγR interaction or inducing changes in the frequency or proliferation of intratumoral CD8+ or CD4+ T cells (including Tregs), although it transiently and modestly increased T cell liver infiltration.  

Contributed by Paula Hochman

Following the success of immune checkpoint blockade (ICB) therapy against cancer, agonistic antibodies targeting T cell co-stimulatory pathways, are in clinical trials. The tumor necrosis factor superfamily of receptors (TNFRSF) members CD137 and OX40 are co-stimulatory receptors that stimulate T cell proliferation and activation upon interaction with their cognate ligands. Activating CD137 and OX40 with agonistic monoclonal antibodies stimulates the immune system due to their broad expression on CD4+ and CD8+ T cells and NK cells and has antitumor effects in pre-clinical models. Most TNFRSF agonist antibodies require crosslinking via Fcgamma receptors (FcgammaRs), which can limit their clinical activity. FS120 mAb2, a dual agonist bispecific antibody targeting CD137 and OX40, activated both CD4+ and CD8+ T cells in a FcgammaR-independent mechanism, dependent on concurrent binding. A mouse surrogate version of the bispecific antibody displayed antitumor activity in syngeneic tumor models, independent of T regulatory cell (Treg) depletion and of FcgammaR-interaction, but associated with peripheral T cell activation and proliferation. When compared to a crosslink-independent CD137 agonist monoclonal antibody, the FS120 surrogate induced lower liver T cell infiltration. These data support initiation of clinical development of FS120, a first-in-class dual agonist bispecific antibody for the treatment of human cancer.

Author Info: (1) Immunology, F-star Biotechnology Ltd. (2) Research, F-star Biotechnology Ltd. (3) F-star Biotechnology Ltd. (4) Research, F-star Biotechnology Ltd. (5) Research, F-star Biotech

Author Info: (1) Immunology, F-star Biotechnology Ltd. (2) Research, F-star Biotechnology Ltd. (3) F-star Biotechnology Ltd. (4) Research, F-star Biotechnology Ltd. (5) Research, F-star Biotechnology Ltd. (6) Research, F-star Biotechnology Ltd. (7) Research, F-star Therapeutics Ltd. (8) Research, Adaptate Biotherapeutics. (9) Research, F-star Biotechnology neil.brewis@f-star.com.