hpn424, a half-life extended, psma/cd3 -specific tritac ... · cd3. anti-psma sdab. anti-alb sdab....
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VehicleHPN424, 2 µg/kgHPN424, 10 µg/kgHPN424, 50 µg/kgHPN424, 250 µg/kg
HPN424, a half-life extended, PSMA/CD3-specific TriTAC for the treatment of metastatic prostate cancerBryan Lemon, Wade Aaron, Richard Austin, Patrick A. Baeuerle, Manasi Barath, Adrie Jones, Susan D. Jones, Kathryn Kwant, Che-Leung Law, Anna Muchnik, Kenneth Sexton, Laurie Tatalick, Holger Wesche, Timothy Yu. Harpoon Therapeutics, South San Francisco, CA.
PEGS Boston 2018 www.harpoontx.com
• Metastatic castration-resistant prostate cancer(mCRPC) kills 27,000 patients in the US each year
• Once mCRPC has metastasized beyond regionallymph nodes the 5-year survival rate is 30%
• Abiraterone and Enzalutamide have improvedthe treatment options for mCRPC but newcurative therapies are urgently needed
• PSMA is expressed in >90% of malignant lesionsof mCRPC patients
• In normal tissues outside the central nervoussystem PSMA expression is largely restricted tothe prostate
• HPN424 is a Tri-specific T cell ActivatingConstruct designed to direct T cells to killprostate cancer cells
HPN424 is a PSMA-targeting TriTAC
HPN424 has a half-life of ~ 3.3 days in cynomolgus monkeys
HPN424 dosing qd x 10, d5 to d14
Admixture model, d05 x 106 human PBMC
+ 22Rv1 prostate cancer cells
HPN424 potently inhibits growth of 22Rv1 xenografts
• Single dose pharmacokinetic study with two subjects per dose level• PK results suggest once or twice weekly dosing in humans
HPN424 potently directs T cell killing of PSMA expressing cells
No observed adverse effect level was 3 mg/kg, qw x 4• Similar results observed with 1 mg/kg and 0.1 mg/kg doses• CD3 and albumin binding domains cross-react with cyno
targets, modest binding of HPN424 to recombinant cyno PSMA• Pharmacodynamic effects consistent with T cell engagement
- Transient reduction in circulating T cells, NK cells, and monocytes- Upregulation of activation markers (CD25 & CD69) in the
remaining circulating T cells- Mild and transient increase in cytokines (IFNγ, IL-6, IL-10) with
first dose, changes after fourth dose much less pronounced
No adverse histopathology findings
• Rapid decline of circulating T cells within 8 hrs post dose• Much less lymphocyte margination after 4th and final dose
HPN424 induces transient T lymphocyte margination and activation
HPN424 induces limited cytokines,no evidence of cytokine release syndrome
HPN424 is highly tolerated with repeat dosing in cynomolgus monkeys
PSMA-dependent activation of T cells by HPN424
Dose(mg/kg)
Terminal t1/2 (h)
Cmax(nM)
AUC0-168 hr(hr*nM)
AUC0-inf(hr*nM)
CL (mL/hr/kg)
Vss(mL/kg)
0.1 79.9 65.5 3530 3570 0.533 51.10.03 80.9 25.4 1260 1270 0.450 46.7
• HPN424 induced CD69 expression on T cells in the presence of LNCaP cells not observed with an αGFP-TriTAC as measured by FACS
• HPN424 induced TNFαexpression by T cells in the presence of LNCaP cells but not with PSMA-negative HCT116 cells as measured by ELISA
CD45+/CD3+/CD4+/CD69+
CD45+/CD3+/CD4+/CD69+
Vehicle 8 h post first dose 3 mg/kg 8 h post first dose
Side
scat
ter
CD45+/CD3+/CD4+/CD69+ CD45+/CD3+/CD4+/CD69+
Side
scat
ter
CD69
Cancer cell killing
Cytolyticsynapse
Prostate cancer cell
PSMA/FOLH1
T cell
CD3
anti-PSMA sdAb
anti-ALB sdAb
anti-CD3ε scFv
RATIONALE
TriTAC~50 kDa
Solid Tumor
Activity
Safety
Small size for diffusion-controlled solid tumor penetration
Optimized CD3 binding to address T cell-mediated clearance
No potential for Fc receptor binding
Monovalent CD3 binding minimizes non-specific T cell activation
Albumin binding for extended serum half-life
Single polypeptide Protein A purification Very stable
Manufacturing
Convenience
TriTAC platform optimized for treatment of solid tumors
BIOPHYSICAL CHARACTERIZATION
Concentration Normalized DSCThermograms
Process
T0
5x F/T
40°C 2wk4°C 2wk
Bfr
GFstds
StabilityPurity
SDS - PAGE4 - 20% TRIS Glycine
1 Non-Reduced2 x3 MW Standards4 Reduced
Coomassie stain2.5ug / lane
-- 200
-- 116-- 97
-- 66
-- 45
-- 31
-- 21
-- 14-- 6
1 2 3 4
Differential Scanning CalorimetryHPN424 Tm1 (°C) Tm2 (°C)
Replicate 1 58.78 61.12Replicate 2 59.18 61.02
Average 58.98 61.07
HPN424 Analytical SEC
Condition%
HMW%
Main%
LMWT0 1.6 94 4.4
5x F/T 1.9 94.4 3.740˚C 2 wk 2 93.4 4.64˚C 2 wk 1.8 94.5 3.8
Sedimentation VelocityDistribution
Analytical Ultra Centrifugation
HPN424
Main Peak HMW Peak Frictional Ratio (ffo)
s-value
% Area
MW (kDa)
s-value
% Area
MW (kDa)
Average 2.63 98.5 45.3 4.43 2.5 102 1.73
Depthfiltration
Protein Aaffinity
Low pH viralinactivation
Ion exchangestep 1
Ion exchangestep 2
Viralfiltration
Ultrafiltrationdiafiltration
HPN424 binds to cells expressing PSMA and to T cells
HPN424
Control
Biolayer Interferometry PSMA* ALB CD3ε*
Human KD (nM) 0.5 8 12
Cyno KD (nM) indeterminate 7.7 10
0.3
0.2
0.1
0
nm
0 200 400 600Time (sec)
Binding to human PSMA
HPN424 affinity for human and cyno PSMA, ALB, and CD3ε
Binding to MDAPCa2b cells
Rela
tive
Cell
Num
ber
FACS FITC
Binding to human T cells
Rela
tive
Cell
Num
ber
FACS Alexa fluor 647
1
0.5
00 100 200 400
Time (sec)300
Binding to human albumin
0.5
1
00 100 200 400
Time (sec)300
Binding to human CD3ε
* Binding measured in the presence of 15 mg/ml human serum albumin
IN VITRO BINDING
IN VITRO PHARMACOLOGY
• Prostate cancer cell lines incubated with human T cells and HPN424 or control • Viability of cancer cells assessed by measuring luciferase activity at 48 hours
HPN424 directed killing of four prostate cancer cell linespotencies determined with four T cell donors
Cell LinePSMA
Expression
EC50 Values (pM)Donor
24Donor 8144
Donor 72
Donor 41
LNCaP Positive 1.5 0.22 0.36 0.43MDAPCa2b Positive 4.8 0.41 0.49 0.65
VCaP Positive 0.64 0.16 0.2 0.3522Rv1 Positive n/a 0.72 1.4 1.3
HCT116 Negative >10,000 >10,000 >10,000 >10,000NCI-1563 Negative >10,000 >10,000 >10,000 >10,000
-16 -14 -12 -10 -8 -60
50
100
TriTAC Concentration log(M)N
orm
aliz
ed V
iabi
lity
(%) Donor 24 HPN424
Donor 24 αGFP TriTAC
Donor 8144 HPN424
Donor 8144 αGFP TriTAC
Donor 72 HPN424
Donor 72 αGFP TriTAC
Donor 41 HPN424
Donor 41 αGFP TriTAC
Killing of VCaP cells with T cells from four different donors
IN VIVO PHARMACOLOGY
PHARMACOKINETICS SUMMARY
SAFETY
• HPN424 TriTAC is a stable, manufacturable, single chain moleculethat binds with high affinity and specificity to PSMA, CD3 andserum albumin
• HPN424 potently activates and redirects T cells to kill PSMAexpressing cells in both in vitro and in vivo prostate cancermodels
• HPN424 has a long serum half life and was very well tolerated,even at high doses, in cynomolgus monkeys
• With its small size, HPN424 is anticipated to be more able topenetrate solid tumors than antibodies
• HPN424 is expected to be a safe, effective, and convenienttreatment for patients with metastatic castration resistantprostate cancer
• HPN424 is anticipated to enter the clinic in 2018
CD69
• Transient, dose-dependent increases in IL-6 and IL-10 as similarly reported with other bispecific T cell engagers; no observable trend of increase in IL-2, -4, -5, TNFα, or IFNγ
• First dose effect; no cytokine increase after the fourth and last dose
-16 -14 -12 -10 -80
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TriTAC log(M)
%CD
69P o
siti v
eC e
ll s
HPN424 Donor 24
HPN424 Donor 41
HPN424 Donor 72
HPN424 Donor 8144
αGFP TriTAC Donor 24
αGFP TriTAC Donor 41
αGFP TriTAC Donor 72
αGFP TriTAC Donor 8144
-15 -14 -13 -12 -11 -10 -9 -8 -70
40000
80000
120000
TriTAC log(M)
TNFα
( RLU
) LNCaP Donor 41
LNCaP Donor 72
HCT116 Donor 72
HCT116 Donor 41
0 7 14 210.01
0.1
1
10
100
Time (days)
Seru
mH
PN42
4(n
M)
0.03 mg/kg0.1 mg/kg
0
4 0 0 0
8 0 0 0
1 2 0 0 0
v e h i c l e
0 . 1 m g / k g
1 m g / k g
3 m g / k g
Vehicle
0.1 mg/kg
1 mg/kg
3 mg/kg
CD45
+/CD
3+ T
lym
phoc
ytes
(cel
ls/µ
l)
Day 1Pre-dose
Day 18 h
Postdose
Day 124 hPostdose
Day 22Pre-dose
Day 228 h
Postdose
Day 2224 hPostdose
0
1 0 0 0
2 0 0 0
3 0 0 0
4 0 0 0
5 0 0 0
LLOQ
Pre-dose
4 hPostdose
8 hPostdose
24 hPostdose
48 hPostdose
168 hPostdose
IL10
(pg/
ml)
0
2 0 0
4 0 0
6 0 0
8 0 0
1 0 0 0
V e h i c l e
0 . 1 m g / k g
1 m g / k g
3 m g / k g
Vehicle
0.1 mg/kg
1 mg/kg
3 mg/kg
LLOQ
Pre-dose
4 hPostdose
8 hPostdose
24 hPostdose
48 hPostdose
168 hPostdose
IL6
(pg/
ml)