T-cell stimulating vaccines empower CD3 bispecific antibody therapy in solid tumors

T-cell stimulating vaccines empower CD3 bispecific antibody therapy in solid tumors

02 January 2024 | Jim Middelburg, Marjolein Sluijter, Gaby Schaap, Büşra Göynük, Katy Lloyd, Vitalijs Ovcinnikovs, Gijs G. Zom, Renoud J. Marijnissen, Christianne Groeneveldt, Lisa Griffioen, Gerwin G. W. Sandker, Sandra Heskamp, Sjoerd H. van der Burg, Tsolere Arakelian, Ferry Ossendorp, Ramon Arens, Janine Schuurman, Kristel Kemper & Thorbald van Hall
A study published in Nature Communications highlights that pre-treatment vaccination can significantly enhance the effectiveness of CD3 bispecific antibody (bsAb) therapy in solid tumors. CD3 bsAbs are already approved for certain hematological malignancies but have shown limited success in solid tumors due to insufficient T-cell infiltration. The study demonstrates that vaccination, even with tumor-unrelated antigens, can induce CXCR3-mediated T-cell infiltration into immunologically "cold" tumors. When combined with CD3 bsAb, this leads to the infiltration of activated CD8 T cells into the tumor, creating a broadly inflamed Th1-type tumor microenvironment that results in effective tumor eradication. The study used immunologically "cold" syngeneic mouse tumor models and a fully murine CD3xTRP1 bsAb to investigate how vaccination can improve CD3 bsAb therapy. Vaccination with synthetic long peptides and viruses was shown to enhance the efficacy of CD3 bsAbs. The results suggest that eliciting tumor infiltration with vaccine-induced T cells can greatly improve the efficacy of CD3 bsAbs in solid tumors. The study also found that vaccination prior to CD3 bsAb therapy can induce a broad pro-inflammatory adaptive and innate immune response. This includes increased infiltration of CD8 T cells, activation of NK cells, and polarization towards a pro-inflammatory TME. The combination of vaccination with CD3 bsAb was shown to significantly improve survival and tumor control in multiple tumor models. The study further demonstrated that various vaccine formulations, including tumor-specific and non-specific antigens, can enhance the anti-tumor activity of CD3 bsAb therapy. The results suggest that CD3 bsAb therapy for solid cancers can be transformed into an effective treatment by recruiting activated CD8 T cells via multiple tumor-specific and non-specific vaccine modalities. The study also discusses the importance of T-cell infiltration and the role of adjuvants in enhancing CD3 bsAb therapy. The findings suggest that combining CD3 bsAbs with vaccine modalities capable of eliciting potent T-cell responses could soon lead to a successful clinical translation of this combination therapy for solid tumor indications.A study published in Nature Communications highlights that pre-treatment vaccination can significantly enhance the effectiveness of CD3 bispecific antibody (bsAb) therapy in solid tumors. CD3 bsAbs are already approved for certain hematological malignancies but have shown limited success in solid tumors due to insufficient T-cell infiltration. The study demonstrates that vaccination, even with tumor-unrelated antigens, can induce CXCR3-mediated T-cell infiltration into immunologically "cold" tumors. When combined with CD3 bsAb, this leads to the infiltration of activated CD8 T cells into the tumor, creating a broadly inflamed Th1-type tumor microenvironment that results in effective tumor eradication. The study used immunologically "cold" syngeneic mouse tumor models and a fully murine CD3xTRP1 bsAb to investigate how vaccination can improve CD3 bsAb therapy. Vaccination with synthetic long peptides and viruses was shown to enhance the efficacy of CD3 bsAbs. The results suggest that eliciting tumor infiltration with vaccine-induced T cells can greatly improve the efficacy of CD3 bsAbs in solid tumors. The study also found that vaccination prior to CD3 bsAb therapy can induce a broad pro-inflammatory adaptive and innate immune response. This includes increased infiltration of CD8 T cells, activation of NK cells, and polarization towards a pro-inflammatory TME. The combination of vaccination with CD3 bsAb was shown to significantly improve survival and tumor control in multiple tumor models. The study further demonstrated that various vaccine formulations, including tumor-specific and non-specific antigens, can enhance the anti-tumor activity of CD3 bsAb therapy. The results suggest that CD3 bsAb therapy for solid cancers can be transformed into an effective treatment by recruiting activated CD8 T cells via multiple tumor-specific and non-specific vaccine modalities. The study also discusses the importance of T-cell infiltration and the role of adjuvants in enhancing CD3 bsAb therapy. The findings suggest that combining CD3 bsAbs with vaccine modalities capable of eliciting potent T-cell responses could soon lead to a successful clinical translation of this combination therapy for solid tumor indications.
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