Preprint Article Version 1 This version is not peer-reviewed

A Novel Glycoengineered Humanized Antibody Targeting DLK1 Exhibits Potent Anti-Tumor Activity in DLK1-Expressing Liver Cancer Cell Xenograft Models

Version 1 : Received: 7 November 2024 / Approved: 7 November 2024 / Online: 7 November 2024 (08:51:32 CET)

How to cite: Nakamura, K.; Takahashi, K.; Sakaguchi, I.; Satoh, T.; Lingyi, Z.; Yanai, H.; Tsukumo, Y. A Novel Glycoengineered Humanized Antibody Targeting DLK1 Exhibits Potent Anti-Tumor Activity in DLK1-Expressing Liver Cancer Cell Xenograft Models. Preprints 2024, 2024110499. https://doi.org/10.20944/preprints202411.0499.v1 Nakamura, K.; Takahashi, K.; Sakaguchi, I.; Satoh, T.; Lingyi, Z.; Yanai, H.; Tsukumo, Y. A Novel Glycoengineered Humanized Antibody Targeting DLK1 Exhibits Potent Anti-Tumor Activity in DLK1-Expressing Liver Cancer Cell Xenograft Models. Preprints 2024, 2024110499. https://doi.org/10.20944/preprints202411.0499.v1

Abstract

Abstract: Delta-like 1 homolog (DLK1), a non-canonical Notch ligand, is highly expressed in various malignant tumors, especially in hepatocellular carcinoma (HCC). CBA-1205 is an afucosylated humanized antibody against DLK1 with enhanced antibody-dependent cellular cytotoxicity (ADCC). The binding characteristics of CBA-1205 were analyzed by enzyme-linked immunosorbent assay and fluorescence-activated cell sorting assay. The ADCC activity of CBA-1205 was assessed. The anti-tumor efficacy of CBA-1205 was evaluated in xenograft mouse models, and toxicity and toxicokinetic profiles of CBA-1205 were evaluated in cynomolgus monkeys. CBA-1205 selectively bound to DLK1 among the Notch ligands and only to monkey and human DLK1. The binding epitope was between epidermal growth factor-like domains 1 and 2 of DLK1, which are not involved in any known physiological functions. The ADCC activity of CBA-1205 was confirmed using human peripheral blood mononuclear cells as effector cells. CBA-1205 as a single-agent and in combination with lenvatinib demonstrated long-lasting anti-tumor efficacy, including tumor regression, in two liver cancer xenograft models. The toxicity and toxicokinetic profiles of CBA-1205 in cynomolgus monkeys were favorable. These findings suggest that CBA-1205 has the potential to be a useful therapeutic option for drug treatment in HCC. A phase 1 study is ongoing in patients with advanced cancers (jRCT2080225288).

Keywords

DLK1; CBA-1205; antibody-dependent cellular cytotoxicity; afucosylated antibody; hepatocellular carcinoma

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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