(1) Azar F (2) Deforges J (3) Demeusoit C (4) Kleinpeter P (5) Remy C (6) Silvestre N (7) Foloppe J (8) Fend L (9) Spring-Giusti C (10) Qumneur E (11) Marchand JB
Azar et al. engineered TG6050, an oncolytic vaccinia virus encoding a single-chain human IL-12 p40/p35 fusion and a full-length, ADCC-competent anti-CTLA-4 Ab. In mouse models, i.t. and i.v. TG6050 injections induced proinflammatory cytokines and stable viral titers in tumors, strong antitumor activity (improved by anti-PD-1 therapy) against immunologically “cold” and “hot” tumors, and specific T cell memory and abscopal effects. The TME of TG6050-treated mice exhibited increased levels of IFNγ, CD8+ T cells, and M1 over M2 macrophages, and reductions of Treg cells. In cynomolgus monkey toxicology studies, four weekly i.v. injections of TG6050 were well tolerated.
Contributed by Paula Hochman
(1) Azar F (2) Deforges J (3) Demeusoit C (4) Kleinpeter P (5) Remy C (6) Silvestre N (7) Foloppe J (8) Fend L (9) Spring-Giusti C (10) Qumneur E (11) Marchand JB
Azar et al. engineered TG6050, an oncolytic vaccinia virus encoding a single-chain human IL-12 p40/p35 fusion and a full-length, ADCC-competent anti-CTLA-4 Ab. In mouse models, i.t. and i.v. TG6050 injections induced proinflammatory cytokines and stable viral titers in tumors, strong antitumor activity (improved by anti-PD-1 therapy) against immunologically “cold” and “hot” tumors, and specific T cell memory and abscopal effects. The TME of TG6050-treated mice exhibited increased levels of IFNγ, CD8+ T cells, and M1 over M2 macrophages, and reductions of Treg cells. In cynomolgus monkey toxicology studies, four weekly i.v. injections of TG6050 were well tolerated.
Contributed by Paula Hochman
BACKGROUND: TG6050 was designed as an improved oncolytic vector, combining the intrinsic properties of vaccinia virus to selectively replicate in tumors with the tumor-restricted expression of recombinant immune effectors to modify the tumor immune phenotype. These properties might be of particular interest for "cold" tumors, either poorly infiltrated or infiltrated with anergic T cells. METHODS: _TG6050, an oncolytic vaccinia virus encodes single-chain human interleukin-12 (hIL-12) and full-length anti-cytotoxic T-lymphocyte-associated antigen-4 (@CTLA-4) monoclonal antibody. The relevant properties of TG6050 (replication, cytopathy, transgenes expression and functionality) were extensively characterized in vitro. The biodistribution and pharmacokinetics of the viral vector, @CTLA-4 and IL-12, as well as antitumoral activities (alone or combined with immune checkpoint inhibitors) were investigated in several "hot" (highly infiltrated) and "cold" (poorly infiltrated) syngeneic murine tumor models. The mechanism of action was deciphered by monitoring both systemic and intratumoral immune responses, and by tumor transcriptome analysis. The safety of TG6050 after repeated intravenous administrations was evaluated in cynomolgus monkeys, with a focus on the level of circulating IL-12. RESULTS: Multiplication and propagation of TG6050 in tumor cells in vitro and in vivo were associated with local expression of functional IL-12 and @CTLA-4. This dual mechanism translated into a strong antitumoral activity in both "cold" and "hot" tumor models (B16F10, LLC1 or EMT6, CT26, respectively) that was further amplified when combined with anti-programmed cell death protein-1. Analysis of changes in the tumor microenvironment (TME) after treatment with TG6050 showed increases in interferon-gamma, of CD8+T cells, and of M1/M2 macrophages ratio, as well as a drastic decrease of regulatory T cells. These local modifications were observed alongside bolstering a systemic and specific antitumor adaptive immune response. In toxicology studies, TG6050 did not display any observable adverse effects in cynomolgus monkeys. CONCLUSIONS: TG6050 effectively delivers functional IL-12 and @CTLA-4 into the tumor, resulting in strong antitumor activity. The shift towards an inflamed TME correlated with a boost in systemic antitumor T cells. The solid preclinical data and favorable benefit/risk ratio paved the way for the clinical evaluation of TG6050 in metastatic non-small cell lung cancer (NCT05788926 trial in progress).
Author Info: (1) Transgene SA, Illkirch-Graffenstaden, France. (2) Transgene SA, Illkirch-Graffenstaden, France. (3) Transgene SA, Illkirch-Graffenstaden, France. (4) Transgene SA, Illkirch-Gra
Author Info: (1) Transgene SA, Illkirch-Graffenstaden, France. (2) Transgene SA, Illkirch-Graffenstaden, France. (3) Transgene SA, Illkirch-Graffenstaden, France. (4) Transgene SA, Illkirch-Graffenstaden, France. (5) Transgene SA, Illkirch-Graffenstaden, France. (6) Transgene SA, Illkirch-Graffenstaden, France. (7) Transgene SA, Illkirch-Graffenstaden, France. (8) Transgene SA, Illkirch-Graffenstaden, France. (9) Transgene SA, Illkirch-Graffenstaden, France. (10) Transgene SA, Illkirch-Graffenstaden, France. (11) Transgene SA, Illkirch-Graffenstaden, France jem@transgene.fr.
Citation: J Immunother Cancer 2024 Jul 25 12: Epub07/25/2024