Innovating Antibodies, Improving Lives

Total Page:16

File Type:pdf, Size:1020Kb

Innovating Antibodies, Improving Lives Innovating Antibodies, Improving Lives Investor Presentation February 2021 © Genmab For Investor audience only. Not for public information or use. Not for promotional use. Forward looking This presentation contains forward looking outcome of clinical trials, slower than expected statements. The words “believe”, “expect”, rates of patient recruitment, unforeseen safety statement “anticipate”, “intend” and “plan” and similar issues resulting from the administration of our expressions identify forward looking statements. products in patients, uncertainties related to All statements other than statements of historical product manufacturing, the lack of market facts included in this presentation, including, acceptance of our products, our inability to without limitation, those regarding our financial manage growth, the competitive environment in position, business strategy, plans and objectives relation to our business area and markets, our of management for future operations (including inability to attract and retain suitably qualified development plans and objectives relating to our personnel, the unenforceability or lack of products), are forward looking statements. Such protection of our patents and proprietary rights, forward looking statements involve known and our relationships with affiliated entities, changes unknown risks, uncertainties and other factors and developments in technology which may which may cause our actual results, render our products obsolete, and other factors. performance or achievements to be materially Further, certain forward looking statements are different from any future results, performance or based upon assumptions of future events which achievements expressed or implied by such may not prove to be accurate. The forward forward looking statements. Such forward looking statements in this document speak only looking statements are based on numerous as at the date of this presentation. Genmab does assumptions regarding our present and future not undertake any obligation to update or revise business strategies and the environment in forward looking statements in this presentation which we will operate in the future. The nor to confirm such statements to reflect important factors that could cause our actual subsequent events or circumstances after the results, performance or achievements to differ date made or in relation to actual results, unless materially from those in the forward looking required by law. statements include, among others, risks associated with product discovery and development, uncertainties related to the © Genmab 2 For Investor audience only. Not for public information or use. Not for promotional use. Our Core Purpose, Strategy & Vision On the Road to 2025: Guide Our Work Evolving Into a Fully Integrated Biotech Core Purpose To improve the lives of patients by creating & developing innovative antibody products Our Strategy Focus on core competence Turn science into medicine Build a profitable & successful biotech Vision By 2025, our own product has transformed cancer treatment and we have a pipeline of knock-your-socks off antibodies © Genmab 3 For Investor audience only. Not for public information or use. Not for promotional use. Well Positioned for Future Growth Consistent and solid World-class pipeline & Partnerships Strong Financials track record innovation with two with innovators and to invest in growth potential near-term industry leaders opportunities launches © Genmab 4 For Investor audience only. Not for public information or use. Not for promotional use. Consistent, Solid Track Record Fuels Our Growth: Over 20 Years of Achievements 38 Cumulative INDs Multiple Genmab-created Experienced, international since 1999 products approved management team 22 clinical-stage product 8 Years of profitability & Dual-listed in US & DK with candidates based on Genmab’s expanding top line 2019 US IPO innovation Investing in our capabilities First BLA submission © Genmab 5 For Investor audience only. Not for public information or use. Not for promotional use. The Genmab Difference Strong pipeline of 1st-in-class / best-in-class products Deep insight into Proprietary technologies antibody biology allow us to build a & disease targets world-class pipeline Match in-house expertise with strategic partnerships © Genmab 6 For Investor audience only. Not for public information or use. Not for promotional use. Innovative Clinical Pipeline: Genmab Proprietary* and Partnered Products - Most Advanced Development Phase Phase 1 Phase 1/2 Phase 2 Phase 3 Approved‡ 1 2 Genmab DuoBody-CD40x4-1BB1 DuoBody-PD-L1x4-1BB Epcoritamab 9 owned DuoHexaBody-CD372 Tisotumab vedotin products (BLA submitted) 2 ≥50% DuoBody-CD3x5T4 HexaBody-DR5/DR5 3 3 3 JNJ-637091783 Teclistamab Amivantamab Daratumumab (BLA submitted) Talquetamab3 Ofatumumab10 Products JNJ-638980813 6 11 owned by JNJ-675712443 Mim8 Teprotumumab 3rd party 7 JNJ-702189023 Camidanlumab tesirine 8 HuMax-IL84 PRV-015 Lu AF824225 *Products where Genmab has ownership of at least 50% ‡See local prescribing information for full indications / safety information 150:50 partnership with BioNTech 250:50 partnership with AbbVie; 3Development by Janssen Biotech, Inc; 4Development by BMS; 5Development by Lundbeck; 6Development by Novo Nordisk, approved in the US; 7Development by ADC Therapeutics; 8Development by Provention Bio; 950:50 partnership with Seagen; 10Development by Novartis; © Genmab 7 11Development by Horizon Therapeutics, approved in the US For Investor audience only. Not for public information or use. Not for promotional use. Investing in the Breadth & Depth of our Pipeline Expanding & maturing trials for our proprietary* assets R&D Engine: Our Technology Platforms • DuoBody® Clinical Trials Clinical • HexaBody® • DuoHexaBody® • HexElect® 2016 2018 2020 2021e Phase 1/2 Phase 2 Phase 3 © Genmab 8 For Investor audience only. Not for public information or use. Not for promotional use. *Genmab owned ≥50%; number of active clinical trials >20 expected in 2021 In Phase 2 innovaTV 204 study: Tisotumab vedotin Tisotumab Vedotin demonstrated very favorable, durable responses and a manageable safety profile in 2L+ r/m cervical in Collaboration with Seagen cancer patients First-in-class • Antibody–drug conjugate (ADC) directed against Tissue Factor (TF) • Phase 3 study in Recurrent or Metastatic Cervical Cancer (innovaTV 301) recruiting • BLA submitted, recurrent or metastatic cervical cancer Very favorable efficacy with manageable safety profile • Very favorable overall response in Phase 2 innovaTV 204 study vs. prior reported SoC, with manageable safety profile Broad population in innovaTV 204 study • Not restricted to biomarker selection • Pre-treated as per current SoC • Regardless of histology © Genmab 9 For Investor audience only. Not for public information or use. Not for promotional use. Currently investigated in several clinical trials across Epcoritamab B-cell NHL histologies / in various combinations: Phase 3 DLBCL; Phase 2 expansion part ongoing; in Collaboration with AbbVie Phase 1b exploring combinations with multiple SoC treatments Novel MoA • Bispecific T cell engager [DuoBody] Potential best-in-class • Potential for Improved efficacy & safety Subcutaneous administration • Enhanced convenience & ease of administration for HCPs & patients compared to IV infusion Comprehensive development plan • Trials in several B-cell malignancies • Trials across multiple lines of therapy • Exploration as both monotherapy and in combination © Genmab 10 For Investor audience only. Not for public information or use. Not for promotional use. Epcoritamab: Potential Best-in-Class Updated Dose-escalation Data Presented at ASH 2020* Novel, off-the-shelf therapy with Favorable safety profile convenient SubQ administration • Supports potential for • Phase 1/2 study (NCT03625037) in combination therapies / future patients with relapsed, progressive or outpatient administration refractory B-cell lymphoma • CRS events were Grade 1 and 2 • RP2D: 48 mg reached with no DLTs; MTD not reached Demonstrated substantial single-agent activity Binds to distinct epitope in heavily pre-treated patients with B-NHL • Different from that of rituximab and obinutuzumab: • Patients with DLBCL receiving ≥48 mg: • Has potential to be partner of • Responses achieved in 10 of 11 evaluable choice in combinations with SoC patients, including CR in 6 patients therapies containing rituximab • All patients receiving ≥12 mg who achieved CR remain in remission • Patients with FL receiving ≥12 mg: ORR was 80%, with 60% CR • Encouraging responses, including CR, observed in 2 of 4 evaluable patients with MCL 11 *”Subcutaneous Epcoritamab Induces Complete Responses with an Encouraging Safety Profile Across Relapsed/Refractory B-cell © Genmab Non-Hodgkin Lymphoma Subtypes, Including Patients with Prior CAR-T Therapy: Updated Dose-escalation Data” Hutchings, et al. For Investor audience only. Not for public information or use. Not for promotional use. DuoBody-PD-L1x4-1BB (GEN1046) & DuoBody-CD40x4-1BB (GEN1042) in Collaboration with BioNTech GEN1046 GEN1042 • First-in-class bispecific next • First-in-class bispecific generation checkpoint antibody immunotherapy • Designed to conditionally • Designed to enhance T-cell activate both CD40- and NK cell function through expressing antigen- conditional 4-1BB co-stimulation presenting cells (APC) and • Simultaneously blocking the 4-1BB-expressing T cells PD-L1 axis • Conditionally activates T cells • Enhances proliferation and APC in the presence
Recommended publications
  • Activity of Rituximab and Ofatumumab Against Mantle
    ACTIVITY OF RITUXIMAB AND OFATUMUMAB AGAINST MANTLE CELL LYMPHOMA(MCL) IN VITRO IN MCL CELL LINES BY COMPLEMENT DEPENDENT CYTOTOXICITY (CDC)AND ANTIBODY-DEPENDENT CELL MEDIATED CYTOTOXICITY ASSAYS(ADCC) Dr. Gopichand Pendurti M.B.B.S Mentor: Dr. Francisco J. Hernandez-Ilizaliturri MD Overview of presentation •Introduction to mantle cell lymphoma. •Concept of minimal residual disease. •Anti CD 20 antibodies. •51Cr release assays. •Flow cytometry on cell lines. •Results. •Future. MANTLE CELL LYMPHOMA •Mantle cell lymphoma is characterized by abnormal proliferation of mature B lymphocytes derived from naïve B cells. •Constitutes about 5% of all patients with Non Hodgkin's lymphoma. •Predominantly in males with M:F ratio 2.7:1 with onset at advanced age (median age 60yrs). •It is an aggressive lymphoma with median survival of patients being 3-4 years. •Often presents as stage III-IV with lymphadenopathy, hepatosplenomegaly, gastrointestinal involvement, peripheral blood involvement. Pedro Jares, Dolors Colomer and Elias Campo Genetic and molecular pathogenesis of mantle cell lymphoma: perspectives for new targeted therapeutics Nature revision of cancer 2007 October:7(10):750-62 •Genetic hallmark is t(11:14)(q13:q32) translocation leading to over expression of cyclin D1 which has one of the important pathogenetic role in deregulating the cell cycle. •Other pathogentic mechanisms include molecular and chromosomal alterations that Target proteins that regulate the cell cycle and senecense (BMI1,INK4a,ARF,CDK4 AND RB1). Interfere with cellular
    [Show full text]
  • Alemtuzumab Comparison with Rituximab and Leukemia Whole
    Mechanism of Action of Type II, Glycoengineered, Anti-CD20 Monoclonal Antibody GA101 in B-Chronic Lymphocytic Leukemia Whole Blood Assays in This information is current as Comparison with Rituximab and of September 29, 2021. Alemtuzumab Luca Bologna, Elisa Gotti, Massimiliano Manganini, Alessandro Rambaldi, Tamara Intermesoli, Martino Introna and Josée Golay Downloaded from J Immunol 2011; 186:3762-3769; Prepublished online 4 February 2011; doi: 10.4049/jimmunol.1000303 http://www.jimmunol.org/content/186/6/3762 http://www.jimmunol.org/ Supplementary http://www.jimmunol.org/content/suppl/2011/02/04/jimmunol.100030 Material 3.DC1 References This article cites 44 articles, 24 of which you can access for free at: http://www.jimmunol.org/content/186/6/3762.full#ref-list-1 by guest on September 29, 2021 Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2011 by The American
    [Show full text]
  • Monoclonal Antibodies
    MONOCLONAL ANTIBODIES ALEMTUZUMAB ® (CAMPATH 1H ) I. MECHANISM OF ACTION Antibody-dependent lysis of leukemic cells following cell surface binding. Alemtuzumab is a recombinant DNA-derived humanized monoclonal antibody that is directed against surface glycoprotein CD52. CD52 is expressed on the surface of normal and malignant B and T lymphocytes, NK cells, monocytes, macrophages, a subpopulation of granulocytes, and tissues of the male reproductive system (CD 52 is not expressed on erythrocytes or hematopoietic stem cells). The alemtuzumab antibody is an IgG1 kappa with human variable framework and constant regions, and complementarity-determining regions from a murine monoclonal antibody (campath 1G). II. PHARMACOKINETICS Cmax and AUC show dose proportionality over increasing dose ranges. The overall average half-life is 12 days. Peak and trough levels of Campath rise during the first weeks of Campath therapy, and approach steady state by week 6. The rise in serum Campath concentration corresponds with the reduction in malignant lymphocytes. III. DOSAGE AND ADMINISTRATION Campath can be administered intravenously or subcutaneously. Intravenous: Alemtuzumab therapy should be initiated at a dose of 3 mg administered as a 2-hour IV infusion daily. When the 3 mg dose is tolerated (i.e., ≤ Grade 2 infusion related side effects), the daily dose should be escalated to 10mg and continued until tolerated (i.e., ≤ Grade 2 infusion related side effects). When the 10 mg dose is tolerated, the maintenance dose of 30 mg may be initiated. The maintenance dose of alemtuzumab is 30 mg/day administered three times a week on alternate days (i.e. Monday, Wednesday, and Friday), for up to 12 weeks.
    [Show full text]
  • Role of Intrathecal Rituximab and Trastuzumab in the Management of Leptomeningeal Carcinomatosis
    Butler University Digital Commons @ Butler University Scholarship and Professional Work – COPHS College of Pharmacy & Health Sciences 2010 Role of Intrathecal Rituximab and Trastuzumab in the Management of Leptomeningeal Carcinomatosis Anthony J. Perissinotti David J. Reeves Butler University, [email protected] Follow this and additional works at: https://digitalcommons.butler.edu/cophs_papers Part of the Oncology Commons, and the Pharmacy and Pharmaceutical Sciences Commons Recommended Citation Perissinotti, Anthony J. and Reeves, David J., "Role of Intrathecal Rituximab and Trastuzumab in the Management of Leptomeningeal Carcinomatosis" (2010). Scholarship and Professional Work – COPHS. 208. https://digitalcommons.butler.edu/cophs_papers/208 This Article is brought to you for free and open access by the College of Pharmacy & Health Sciences at Digital Commons @ Butler University. It has been accepted for inclusion in Scholarship and Professional Work – COPHS by an authorized administrator of Digital Commons @ Butler University. For more information, please contact [email protected]. Role of Intrathecal Rituximab and Trastuzumab in the Management of Leptomeningeal Carcinomatosis Anthony J Perissinotti David J Reeves Abstract OBJECTIVE: To review evidence for the use of intrathecal rituximab and trastuzumab in the management of leptomeningeal carcinomatosis. DATA SOURCES: A search of MEDLINE (1966-July 2010) and International Pharmaceutical Abstracts (1970-July 2010) was performed using search terms intrathecal, trastuzumab, rituximab, and monoclonal antibody. Additionally, American Society of Clinical Oncology, San Antonio Breast Conference, American Association for Cancer Research, and American Society of Hematology meeting abstracts were searched. STUDY SELECTION AND DATA EXTRACTION: Publications were reviewed for inclusion. Those reporting use of rituximab and trastuzumab intrathecally are reviewed and include 1 Phase 1 trial, 2 small prospective studies, 1 case series, and 15 case reports.
    [Show full text]
  • Mabthera, INN-Rituximab
    ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT MabThera 100 mg concentrate for solution for infusion MabThera 500 mg concentrate for solution for infusion 2. QUALITATIVE AND QUANTITATIVE COMPOSITION MabThera 100 mg concentrate for solution for infusion Each mL contains 10 mg of rituximab. Each 10 mL vial contains 100 mg of rituximab. MabThera 500 mg concentrate for solution for infusion Each mL contains 10 mg of rituximab. Each 50 mL vial contains 500 mg of rituximab. Rituximab is a genetically engineered chimeric mouse/human monoclonal antibody representing a glycosylated immunoglobulin with human IgG1 constant regions and murine light-chain and heavy-chain variable region sequences. The antibody is produced by mammalian (Chinese hamster ovary) cell suspension culture and purified by affinity chromatography and ion exchange, including specific viral inactivation and removal procedures. Excipients with known effects Each 10 mL vial contains 2.3 mmol (52.6 mg) sodium. Each 50 mL vial contains 11.5 mmol (263.2 mg) sodium. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Concentrate for solution for infusion. Clear, colourless liquid with pH of 6.2 – 6.8 and osmolality of 324 - 396 mOsmol/kg . 4. CLINICAL PARTICULARS 4.1 Therapeutic indications MabThera is indicated in adults for the following indications: Non-Hodgkin’s lymphoma (NHL) MabThera is indicated for the treatment of previously untreated adult patients with stage III-IV follicular lymphoma in combination with chemotherapy. MabThera maintenance therapy is indicated for the treatment of adult follicular lymphoma patients responding to induction therapy.
    [Show full text]
  • Cetuximab Promotes Anticancer Drug Toxicity in Rhabdomyosarcomas with EGFR Amplificationin Vitro
    ONCOLOGY REPORTS 30: 1081-1086, 2013 Cetuximab promotes anticancer drug toxicity in rhabdomyosarcomas with EGFR amplificationin vitro YUKI YAMAMOTO1*, KAZUMASA FUKUDA2*, YASUSHI FUCHIMOTO4*, YUMI MATSUZAKI3, YOSHIRO SAIKAWA2, YUKO KITAGAWA2, YASUHIDE MORIKAWA1 and TATSUO KURODA1 Departments of 1Pediatric Surgery, 2Surgery and 3Physiology, Keio University School of Medicine, Tokyo 160-858; 4Division of Surgery, Department of Surgical Subspecialities, National Center for Child Health and Development, Tokyo 157-8535, Japan Received January 15, 2013; Accepted April 2, 2013 DOI: 10.3892/or.2013.2588 Abstract. Overexpression of human epidermal growth factor i.e., t(2;13) (q35;q14) in 55% of cases and t(1;13) (p36;q14) in receptor (EGFR) has been detected in various tumors and is 22% of cases (1). Current treatment options include chemo- associated with poor outcomes. Combination treatment regi- therapy, complete surgical resection and radiotherapy (3). mens with EGFR-targeting and cytotoxic agents are a potential However, the prognosis for patients with advanced-stage RMS therapeutic option for rhabdomyosarcoma (RMS) with EGFR is quite poor (4). The main problems with clinical treatments amplification. We investigated the effects of combination include metastatic invasion, local tumor recurrence and multi- treatment with actinomycin D and the EGFR-targeting agent drug resistance. Therefore, more specific, effective and less cetuximab in 4 RMS cell lines. All 4 RMS cell lines expressed toxic therapies are required. wild-type K-ras, and 2 of the 4 overexpressed EGFR, as Numerous novel anticancer agents are currently in early determined by flow cytometry, real-time PCR and direct phase clinical trials. Of these, immunotherapy with specific sequencing.
    [Show full text]
  • Oncogenic RAS Simultaneously Protects Against Anti-EGFR Antibody-Dependent Cellular Cytotoxicity and EGFR Signaling Blockade
    Oncogene (2013) 32, 2873–2881 & 2013 Macmillan Publishers Limited All rights reserved 0950-9232/13 www.nature.com/onc ORIGINAL ARTICLE Oncogenic RAS simultaneously protects against anti-EGFR antibody-dependent cellular cytotoxicity and EGFR signaling blockade S Kasper1, F Breitenbuecher1, H Reis2, S Brandau3, K Worm2,JKo¨ hler1, A Paul4, T Trarbach1, KW Schmid2 and M Schuler1 Monoclonal antibodies against the epidermal growth factor receptor (EGFR) are effective cancer therapeutics, but tumors harboring RAS mutations are resistant. To functionally dissect RAS-mediated resistance, we have studied clinically approved anti-EGFR antibodies, cetuximab and panitumumab, in cancer models. Both antibodies were equally cytotoxic in vitro. However, cetuximab, which also triggers antibody-dependent cellular cytotoxicity (ADCC), was more effective than panitumumab in vivo. Oncogenic RAS neutralized the activity of both antibodies in vivo. Mechanistically, RAS upregulated BCL-XL in cancer cell lines and in primary colorectal cancers. Suppression of BCL-XL by short hairpin RNA or treatment with a BH3 mimetic overcame RAS-mediated antibody resistance. In conclusion, RAS-mutant tumors escape anti-EGFR antibody-mediated receptor blockade as well as ADCC in vivo. Pharmacological targeting of RAS effectors can restore sensitivity to antibody therapy. Oncogene (2013) 32, 2873–2881; doi:10.1038/onc.2012.302; published online 16 July 2012 Keywords: cetuximab; colorectal cancer; RAS; ADCC; anti-EGFR antibodies; BCL-XL INTRODUCTION products are involved in activating
    [Show full text]
  • Ibritumomab Tiuxetan)
    Zevalin Y-90® (ibritumomab tiuxetan) Last Review Date: July 15, 2019 Number: MG.MM.PH.181 Medical Guideline Disclaimer C All rights reserved. The treating physician or primary care provider must submit to EmblemHealth the clinical evidence that the patient meets the criteria for the treatment or surgical procedure. Without this documentation and information, EmblemHealth will not be able to properly review the request for prior authorization. The clinical review criteria expressed below reflects how EmblemHealth determines whether certain services or supplies are medically necessary. EmblemHealth established the clinical review criteria based upon a review of currently available clinical information (including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leading national health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). EmblemHealth expressly reserves the right to revise these conclusions as clinical information changes, and welcomes further relevant information. Each benefit program defines which services are covered. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered and/or paid for by EmblemHealth, as some programs exclude coverage for services or supplies that EmblemHealth considers medically necessary. If there is a discrepancy between this guideline and a member's benefits program, the benefits program will govern. In addition, coverage may be mandated by applicable legal requirements of a state, the Federal Government or the Centers for Medicare & Medicaid Services (CMS) for Medicare and Medicaid members.
    [Show full text]
  • Radioimmunotherapy for Non-Hodgkin's Lymphoma
    Vol. 10, 7789–7791, December 1, 2004 Clinical Cancer Research 7789 Editorial Radioimmunotherapy for Non-Hodgkin’s Lymphoma Jonathan W. Friedberg Tositumomab is an IgG murine monoclonal antibody that University of Rochester, Rochester, New York also binds to the CD20 antigen and may be linked covalently with iodine-131 to produce the radioimmunoconjugate 131I tosi- tumomab (Bexxar, Corixa, Seattle, WA; and Glaxo SmithKline, The survival of patients with follicular non-Hodgkin’s lym- Philadelphia, PA). As with 90Y ibritumomab tiuxetan, 131I tosi- phoma has not significantly changed in the past 30 years, and tumomab is administered over an 8 to 15-day period. To prevent the disease remains essentially incurable (1). The recent intro- 131I from concentrating in the thyroid gland, blockade (SSKI, duction of monoclonal antibody-based therapies may change Lugol solution, or potassium iodide tablets) is given for ϳ30 this sobering statistic. Rituximab, an anti-CD20–chimeric days beginning the day before commencing therapy. An unla- monoclonal antibody, was approved by the Food and Drug beled dose of tositumomab is delivered over 1 hour to block Administration in 1997 for use in patients with refractory or circulating B lymphocytes, optimizing the biodistribution of the relapsed low-grade or follicular non-Hodgkin’s lymphoma and radiolabeled antibody. This is immediately followed by a dosi- compares favorably to single-agent chemotherapy (2). However, 131 metric dose (5 mCi) of I tositumomab to determine the the vast majority of responses to rituximab are incomplete: at whole-body clearance of the radioimmunoconjugate. A total of least 50% of patients do not respond, and all patients with three whole-body gamma counts, one immediately after dosi- follicular non-Hodgkin’s lymphoma will experience disease metric dosing, one 2 to 4 days later, and one 6 to 7 days later, progression at some point after rituximab therapy.
    [Show full text]
  • Overcoming Challenges for CD3-Bispecific Antibody Therapy In
    cancers Review Overcoming Challenges for CD3-Bispecific Antibody Therapy in Solid Tumors Jim Middelburg 1 , Kristel Kemper 2, Patrick Engelberts 2 , Aran F. Labrijn 2 , Janine Schuurman 2 and Thorbald van Hall 1,* 1 Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands; [email protected] 2 Genmab, 3584 CT Utrecht, The Netherlands; [email protected] (K.K.); [email protected] (P.E.); [email protected] (A.F.L.); [email protected] (J.S.) * Correspondence: [email protected]; Tel.: +31-71-5266945 Simple Summary: CD3-bispecific antibody therapy is a form of immunotherapy that enables soldier cells of the immune system to recognize and kill tumor cells. This type of therapy is currently successfully used in the clinic to treat tumors in the blood and is under investigation for tumors in our organs. The treatment of these solid tumors faces more pronounced hurdles, which affect the safety and efficacy of CD3-bispecific antibody therapy. In this review, we provide a brief status update of this field and identify intrinsic hurdles for solid cancers. Furthermore, we describe potential solutions and combinatorial approaches to overcome these challenges in order to generate safer and more effective therapies. Abstract: Immunotherapy of cancer with CD3-bispecific antibodies is an approved therapeutic option for some hematological malignancies and is under clinical investigation for solid cancers. However, the treatment of solid tumors faces more pronounced hurdles, such as increased on-target off-tumor toxicities, sparse T-cell infiltration and impaired T-cell quality due to the presence of an Citation: Middelburg, J.; Kemper, K.; immunosuppressive tumor microenvironment, which affect the safety and limit efficacy of CD3- Engelberts, P.; Labrijn, A.F.; bispecific antibody therapy.
    [Show full text]
  • Antibody–Drug Conjugates for Cancer Therapy
    molecules Review Antibody–Drug Conjugates for Cancer Therapy Umbreen Hafeez 1,2,3, Sagun Parakh 1,2,3 , Hui K. Gan 1,2,3,4 and Andrew M. Scott 1,3,4,5,* 1 Tumour Targeting Laboratory, Olivia Newton-John Cancer Research Institute, Melbourne, VIC 3084, Australia; [email protected] (U.H.); [email protected] (S.P.); [email protected] (H.K.G.) 2 Department of Medical Oncology, Olivia Newton-John Cancer and Wellness Centre, Austin Health, Melbourne, VIC 3084, Australia 3 School of Cancer Medicine, La Trobe University, Melbourne, VIC 3084, Australia 4 Department of Medicine, University of Melbourne, Melbourne, VIC 3084, Australia 5 Department of Molecular Imaging and Therapy, Austin Health, Melbourne, VIC 3084, Australia * Correspondence: [email protected]; Tel.: +61-39496-5000 Academic Editor: João Paulo C. Tomé Received: 14 August 2020; Accepted: 13 October 2020; Published: 16 October 2020 Abstract: Antibody–drug conjugates (ADCs) are novel drugs that exploit the specificity of a monoclonal antibody (mAb) to reach target antigens expressed on cancer cells for the delivery of a potent cytotoxic payload. ADCs provide a unique opportunity to deliver drugs to tumor cells while minimizing toxicity to normal tissue, achieving wider therapeutic windows and enhanced pharmacokinetic/pharmacodynamic properties. To date, nine ADCs have been approved by the FDA and more than 80 ADCs are under clinical development worldwide. In this paper, we provide an overview of the biology and chemistry of each component of ADC design. We briefly discuss the clinical experience with approved ADCs and the various pathways involved in ADC resistance.
    [Show full text]
  • Rituximab for Paediatric NHL Atezolizumab Improves Outcomes
    RESEARCH HIGHLIGHTS UROLOGICAL CANCER HAEMATOLOGICAL CANCER Atezolizumab improves outcomes Rituximab for in mUC paediatric NHL Platinum-based combination chemotherapy P = 0.007). When compared to group C Children and adolescents with mature B cell is currently the preferred first-line treatment (median overall survival (OS) 13.4 months), non-Hodgkin lymphomas (NHL) generally for patients with metastatic urothelial cancer median OS durations were significantly have good treatment outcomes. Nonetheless, (mUC); however, this standard of care has not longer in group A (16.0 months; HR 0.83, those with high-risk disease continue to have changed dramatically for the past 30 years. 95% CI 0.69–1.00; P = 0.027), but not in worse outcomes, indicating a need for treat- Now, data from the phase III IMvigor130 group B (15.7 months; HR 1.02, CI 0.83–1.24). ment intensification in this poor-prognosis trial show that the addition of the anti-PD-L1 The objective response rate was 47%, 23% and subgroup. Now, data from a phase III trial antibody atezolizumab improves outcomes of 44% in groups A, B and C, respectively, with demonstrate that adding the anti-CD20 anti- patients with mUC receiving platinum-based complete responses in 13%, 6% and 7%. body rituximab to the standard-of-care lym- chemotherapy. The safety profiles were comparable to those phomes malins B (LMB) regimen improves In IMvigor130, patients with locally of each individual agent. The rate of grade 3–4 event-free survival (EFS) in this setting. advanced or mUC were randomly allocated adverse events (AEs) was 85%, 42% and 86% A total of 328 patients between 6 months to receive atezolizumab plus chemotherapy in groups A, B and C, respectively, and that and 18 years of age with newly diagnosed high- (group A; n = 451), atezolizumab only (group B; of grade 5 AEs was 6%, 8% and 5%.
    [Show full text]