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- W2316508538 abstract "Purpose: Current induction agents are well known for their broad immune modulating activity. TOL101 is a novel monoclonal antibody that is specific for the ab TCR. It is currently in Phase 2 testing in the United States. This interim analysis describes the kinetics of peripheral blood leukocytes in 20 subjects undergoing an initial kidney transplant from a living donor. Methods: Six cohorts (ranging from 0.28, 1.4, 7, 14, 28, and 42 mg) received TOL101 daily for atleast 6 doses at successively higher dose levels. Maintenance therapy was tacrolimus, mycophenolate, and steroids. Multi-parametric flow cytometry was performed on blood samples, and the presence of pro-inflammatory cytokines IFNg, TNF, IL-1b, IL-6, and IL-10 was determined by multiplex ELISA (Luminex). Pharmacokinetics and HAMA formation were assessed via standard ELISAs. All assessments were made at pre-determined timepoints using validated assays at a central laboratory. The target pharmacodynamic marker CD3 as well peripheral leukocyte subsets were tracked daily and at day 7 and 14. CD3 counts exhibited dose dependent reductions. Results: TOL101 downmodulated the CD3 receptor complex on ab-TCR+ T cells in a dose related fashion while gd-TCR+ T cells, B cells, NK cells, granulocytes, and monocytes in the peripheral blood remained at baseline levels or increased slightly in number. TOL101 appears to act by binding reversibly to the ab-TCR receptor, with the presence of CD2+ T cells supporting a downmodulation of the TCR as opposed to depletion of peripheral blood alpha beta T-lymphocytes. Furthermore, memory and naive T cell populations were equally susceptible to TOL101 modulation. The pharmacokinetic profile of TOL101 correlated with the kinetics of the CD3+ pharmacodynamic marker. The ratio of CD4 to CD8 T cells as well as Memory to Naïve T cells appeared to return to base line 14 days after treatment commencement. Inflammatory cytokine and nitric oxide production was minimal following TOL101 infusion at all of the dose levels tested and no HAMA was detected. Conclusions: TOL101 is capable of specifically modulating ab-TCR+ T cells, having little effect on other immune cell subsets and no clinically significant cytokine release or HAMA formation at the dose ranges tested." @default.
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- W2316508538 date "2012-11-01" @default.
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- W2316508538 title "TOL101- Anti-αβTCR Monoclonal Antibody Immune Monitoring During Initial Phase 2 Renal Transplant Trials" @default.
- W2316508538 doi "https://doi.org/10.1097/00007890-201211271-02301" @default.
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