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Abstract Book 2010 - CIMT Annual Meeting

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062 Ashfield | New targets & new leads<br />

ImmTACs: bi-functional reagents for redirected tumour<br />

cell killing<br />

Rebecca Ashfield 1 , Linda Hibbert 1 , Nathaniel Liddy 1 , Giovanna Bossi 1 , Katherine Adams 1 ,<br />

Anna Lissina 2 , Tara Mahon 1 , Namir Hassan 1 , Jessie Gavarret 1 Frayne Bianchi 1 , Nicholas<br />

Pumphrey 1 , Kristin Ladell 2 , Emma Gostick 2 , Andrew Sewell 2 , Nikolai Lissin 1 , Peter Molloy 1 ,<br />

Yi Li 1 , Brian Cameron 1 , Malkit Sami 1 Emma Baston 1 , Penio Todorov 1 , Samantha Paston 1 ,<br />

Rebecca Dennis 1 , Andy Johnson 1 , David Price 2 , Annelise Vuidepot 1 , Daniel Williams 1 , Bent<br />

Jakobsen 1<br />

1 Immunocore Ltd, 57C Milton Park, Abingdon, Oxfordshire, OX14 4RX UK<br />

2 Cardiff University School of Medicine, Heath Park, Cardiff, CF14 4XN, Wales, UK<br />

The human immune system can theoretically<br />

identify malignant cells by inspecting cell surface<br />

Class I HLA -peptide complexes for the presence of<br />

disease-associated epitopes. Indeed, many cancer<br />

patients generate CD8 cyto-toxic T cell responses<br />

to tumour-associated antigens; the majority of patients,<br />

however, fail to clear tumours since T cell<br />

avidity for self-antigens tends to be weak, and<br />

cancer cells employ escape mechanisms for avoiding<br />

destruction by T cells. To overcome these<br />

issues, we have engineered novel, bi-functional<br />

protein therapeutics termed ImmTACs (Immune<br />

Mobilising mTCR Against Cancer) which re-direct<br />

the immune system to target and destroy tumour<br />

cells with a high degree of potency and specificity.<br />

An ImmTAC comprises a high affinity ‘monoclonal’<br />

T cell Receptor (mTCR) targeting a cancer-associated<br />

HLA-peptide complex, fused to an anti-CD3<br />

scFv domain which activates an anti-tumour T cell<br />

response.<br />

We demonstrate that ImmTACs against a number<br />

of different cancer-associated antigens can target<br />

and kill tumour cells expressing as few as 5-20 epitopes<br />

per cell with pico-Molar potency. ImmTACs<br />

preferentially activate effector memory CD8 T cells,<br />

resulting in secretion of multiple cytokines and<br />

tumour cell killing; a single activated T cell can kill<br />

multiple antigen positive tumour cells. Furthermore,<br />

we demonstrate that the reagents are able to<br />

inhibit tumour growth in mouse xenograft models.<br />

In vitro ImmTAC potency translates to a dose of<br />

less than 1mg in humans, representing a significant<br />

advance over existing targeted anti-cancer therapies<br />

including monoclonal antibodies.<br />

107

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