Article ; Online: Improved therapeutic index of an acidic pH-selective antibody.
2022 Volume 14, Issue 1, Page(s) 2024642
Abstract: Although therapeutically efficacious, ipilimumab can exhibit dose-limiting toxicity that prevents maximal efficacious clinical outcomes and can lead to discontinuation of treatment. We hypothesized that an acidic pH-selective ipilimumab (pH Ipi), which ... ...
Abstract | Although therapeutically efficacious, ipilimumab can exhibit dose-limiting toxicity that prevents maximal efficacious clinical outcomes and can lead to discontinuation of treatment. We hypothesized that an acidic pH-selective ipilimumab (pH Ipi), which preferentially and reversibly targets the acidic tumor microenvironment over the neutral periphery, may have a more favorable therapeutic index. While ipilimumab has pH-independent CTLA-4 affinity, pH Ipi variants have been engineered to have up to 50-fold enhanced affinity to CTLA-4 at pH 6.0 compared to pH 7.4. In hCTLA-4 knock-in mice, these variants have maintained anti-tumor activity and reduced peripheral activation, a surrogate marker for toxicity. pH-sensitive therapeutic antibodies may be a differentiating paradigm and a novel modality for enhanced tumor targeting and improved safety profiles. |
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MeSH term(s) | Animals ; Hydrogen-Ion Concentration ; Ipilimumab/therapeutic use ; Mice ; Neoplasms ; Therapeutic Index ; Tumor Microenvironment |
Chemical Substances | Ipilimumab |
Language | English |
Publishing date | 2022-02-23 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2537838-7 |
ISSN | 1942-0870 ; 1942-0870 |
ISSN (online) | 1942-0870 |
ISSN | 1942-0870 |
DOI | 10.1080/19420862.2021.2024642 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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