Pipeline

ABL503

HomePipelineABL503

  • Pipeline
    ABL503 (Ragistomig)
  • Program Target
    PD-L1 x 4-1BB
  • Disease Indication
    Solid Tumor
  • Development Stage
    Clinical Development
    (Phase 1)
Summary
ABL503 is a bispecific antibody combining PD-L1 checkpoint pathway with 4-1BB agonistic activity to overcome the current limitation of PD-(L)1 therapy and 4-1BB related toxicity. ABL503 is full length anti-PD-L1 mAb (Fc-silenced human IgG1) fused with scFv of anti-4-1BB engaging mAb. ABL503 possesses unique properties that 4-1BB activation signal is only induced in the presence of PD-L1 expressing tumors. ABL503 shows superior anti-tumor activity in an animal model system than PD-L1 alone, 4-1BB alone or combination of both with immunological memory resistant to rechallenge with same tumors.

Structure and Mechanism of Action

Structure and Mechanism of Action
좌우스크롤 Structure and Mechanism of Action

Encouraging anti-tumor activity at potential efficacious dose level (3 mg/kg and 5 mg/kg)

All responses were observed at the potential efficacious dose level. (7 out of 26 efficacy-evaluable patients at 3 and 5 mg/kg): 1 complete response (CR) and 6 partial responses (PRs)

Best percent change from baseline in tumor size

Best percent change from baseline in tumor size
Best percent change from baseline in tumor size

Promising response in prior checkpoint inhibitor (CPI) refractory/relapsed patients

5 out of 7 responders had received prior anti-PD-(L)1 inhibitors and all were relapsed or refractory to anti-PD-(L)1 inhibitors

Dose-limiting toxicities (DLT-evaluable set)

좌우스크롤
Dose-limiting toxicities (DLT-evaluable set) - Tumor type, BoR, Response to prior CPI
Tumor type BoR Response to prior CPI
Ovarian cancer CR CPI relapsed
Ovarian Cancer PR Naïve
Head and Neck PR CPI relapsed
Gastric PR Naïve
Melanoma PR CPI relapsed
Esophageal PR CPI relapsed
Hepatocellular PR CPI relapsed

Induced effector memory T cells by ragistomig

A representative case is that one patient achieved sustained tumor regression over 6 months, even after treatment discontinuation. It might be linked to the observed activation and expansion of effector memory T cell induced by ragistomig (Duration of response: 39 weeks)

Induced effector memory T cells by ragistomig
Induced effector memory T cells by ragistomig

Tolerable safety profiles

좌우스크롤
Tolerable safety profiles - Preferred Term, All Grades, ≥ Grade 3
Preferred Term All Grades ≥ Grade 3
n % n %
Any TRAE 40 75.5 22 41.5
ALT increased 17 32.1 12 22.6
AST increased 16 30.2 11 20.8
Nausea 7 13.2 - -
Rash 7 13.2 2 3.8
Fatigue 6 11.3 1 1.9
Pyrexia 8 15.1 1 1.9
Platelet count decreased 6 11.3 1 1.9

Some treatment related adverse event related to PD-L1 or 4-1BB targeting antibody occurred, but improved and manageable with corticosteroid once applied or ABL503 interruption

Pharmacokinetics(PK): Dose proportional PK was observed

Pharmacokinetics(PK): Dose proportional PK was observed
Pharmacokinetics(PK): Dose proportional PK was observed

Pharmacodynamic biomarker

Dose-dependent increase of PD biomarker, s4-1BB was observed, demonstrating target engagement, and sustained at optimal dose level

Pharmacodynamic biomarker
Pharmacodynamic biomarker