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- W4308385283 abstract "<h3>Background</h3> IL-2 is a critical cytokine driving immune mediated killing of tumor cells by stimulating both the innate and adaptive immune cells. High-dose IL-2 (aldesleukin) has been approved for the treatment of metastatic melanoma and metastatic renal cell carcinoma, however, the practical use of aldesleukin in the clinic is limited. The short half-life of aldesleukin necessitates a frequent and burdensome treatment schedule for patients. In addition, binding to IL-2Rα on endothelial cells and type 2 innate lymphoid cells is thought to induce severe adverse events associated with vascular leak syndrome. Furthermore, the efficacy of aldesleukin is compromised due to strong activation of immunosuppressive regulatory T cells (Treg) expressing the high-affinity IL-2Rαβγ. To overcome the major limitations of wild-type (WT) IL-2, Exenokine-2 (Exn-2), a fusion protein comprised of a no-α-IL-2 linked to a humanized anti-human serum albumin (HSA) single domain antibody (sdAb), was designed using Anwita’s discovery platform technology. <h3>Methods</h3> Binding affinities were determined using Bio-Layer Interferometry. <i>In vitro</i> potency was assessed using a human primary immune cell-based pSTAT5 assay. <i>In vivo</i> efficacies were assessed in MC38 and B16F10 syngeneic as well as N87 and Raji xenograft mouse models. <h3>Results</h3> The no-α-IL-2 in Exn-2 is a chimera between IL-2 and IL-15 cytokines. The lack of binding with IL-2Rα resulted in limited activation of Treg while retaining the high potency on NK cells and CD8<sup>+</sup> T cells. The addition of an anti-HSA sdAb in Exn-2 resulted in prolonged systemic exposure with a 30-fold longer half-life in mice as compared to WT IL-2. In syngeneic mouse tumor models, Exn-2 showed strong dose-dependent antitumor efficacy as a single agent with up to 95% reduction in tumor growth, as well as an enhanced efficacy with a high rate up to 66% of complete response when combined with an anti-PD-1 monoclonal antibody. In xenograft models of gastric cancer and lymphoma, Exn-2 significantly potentiated the antitumor activity of Trastuzumab and Rituximab, respectively, demonstrating clinical potential as a combination therapy with ADCC-competent antibodies. In cynomolgus monkeys, Exn-2 was well tolerated and induced robust and sustained expansions of lymphocytes and CD8<sup>+</sup> T cells while showing negligible effects on eosinophils and Tregs. <h3>Conclusions</h3> Collectively, <i>in vivo</i> efficacies from mouse tumor models as well as the desired pharmacodynamic effects and safety profile observed in cynomolgus monkeys support the first-in-human clinical development of Exn-2. IND-enabling studies for Exn-2 is nearing completion, with GMP lot production completed for the Phase 1 study. <h3>Ethics Approval</h3> The protocol of animal studies has been reviewed and approved by IACUC" @default.
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- W4308385283 date "2022-11-01" @default.
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- W4308385283 title "1081 Exenokine-2: a half-life extended no-α-IL-2 with improved preclinical pharmacological properties supports first-in-human clinical development" @default.
- W4308385283 doi "https://doi.org/10.1136/jitc-2022-sitc2022.1081" @default.
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