A novel Fc-engineered monoclonal antibody to CD37 with enhanced ADCC and high proapoptotic activity for treatment of B-cell malignancies

KH Heider, K Kiefer, T Zenz, M Volden… - Blood, The Journal …, 2011 - ashpublications.org
KH Heider, K Kiefer, T Zenz, M Volden, S Stilgenbauer, E Ostermann, A Baum, H Lamche…
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
The tetraspanin CD37 is widely expressed in B-cell malignancies and represents an
attractive target for immunotherapy with mAbs. We have chimerized a high-affinity mouse Ab
to CD37 and engineered the CH2 domain for improved binding to human Fcγ receptors. The
resulting mAb 37.1 showed high intrinsic proapoptotic activity on malignant B cells
accompanied by homotypic aggregation. Furthermore, the Ab-mediated high Ab-dependent
cell-mediated cytotoxicity (ADCC) on lymphoma and primary CLL cells. mAb 37.1 strongly …
Abstract
The tetraspanin CD37 is widely expressed in B-cell malignancies and represents an attractive target for immunotherapy with mAbs. We have chimerized a high-affinity mouse Ab to CD37 and engineered the CH2 domain for improved binding to human Fcγ receptors. The resulting mAb 37.1 showed high intrinsic proapoptotic activity on malignant B cells accompanied by homotypic aggregation. Furthermore, the Ab-mediated high Ab-dependent cell-mediated cytotoxicity (ADCC) on lymphoma and primary CLL cells. mAb 37.1 strongly depleted normal B cells as well as spiked B-lymphoma cells in blood samples from healthy donors as well as malignant B cells in blood from CLL patients. In all assays, mAb 37.1 was superior to rituximab in terms of potency and maximal cell lysis. A single dose of mAb CD37.1 administered to human CD37-transgenic mice resulted in a reversible, dose-dependent reduction of peripheral B cells. In a Ramos mouse model of human B-cell lymphoma, administration of mAb 37.1 strongly suppressed tumor growth. Finally, a surrogate Fc-engineered Ab to macaque CD37, with in vitro proapoptotic and ADCC activities very similar to those of mAb 37.1, induced dose-dependent, reversible B-cell depletion in cynomolgus monkeys. In conclusion, the remarkable preclinical pharmacodynamic and antitumor effects of mAb 37.1 warrant clinical development for B-cell malignancies.
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