CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activity

Background Major histocompatibility complex class I-related protein A and B (MICA/B) are ligands for the natural killer group 2 member D (NKG2D) receptor and are broadly expressed on tumor cells but minimally on normal tissues. When cytotoxic NKG2D-expressing immune cells engage MICA/B, the ligand-e...

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Main Authors: Naveen K Mehta, Kristan Meetze, Patrick A Baeuerle, Jennifer S Michaelson, Kerry A Whalen, Kavya Rakhra, Catherine C Henry, Safak Yalcin, Neil W Gibson
Format: Article
Language:English
Published: BMJ Publishing Group 2025-04-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/13/4/e008987.full
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author Naveen K Mehta
Kristan Meetze
Patrick A Baeuerle
Jennifer S Michaelson
Kerry A Whalen
Kavya Rakhra
Catherine C Henry
Safak Yalcin
Neil W Gibson
author_facet Naveen K Mehta
Kristan Meetze
Patrick A Baeuerle
Jennifer S Michaelson
Kerry A Whalen
Kavya Rakhra
Catherine C Henry
Safak Yalcin
Neil W Gibson
author_sort Naveen K Mehta
collection DOAJ
description Background Major histocompatibility complex class I-related protein A and B (MICA/B) are ligands for the natural killer group 2 member D (NKG2D) receptor and are broadly expressed on tumor cells but minimally on normal tissues. When cytotoxic NKG2D-expressing immune cells engage MICA/B, the ligand-expressing cells are targeted for lysis. Cancer cells can evade NKG2D-mediated destruction by shedding MICA/B from their cell surface via proteases present in the tumor microenvironment. CLN-619 is a humanized IgG1 monoclonal antibody (mAb) which binds MICA/B and inhibits shedding resulting in accumulation of MICA/B on the tumor cell surface. CLN-619 may thereby have therapeutic effects in a broad range of malignancies by re-establishing the MICA/B-NKG2D axis to enable NKG2D-mediated, as well as Fc-gamma receptor-mediated, tumor cell lysis.Methods CLN-619 was characterized for binding epitope and affinity, effects on surface and soluble levels of MICA/B, and in vitro tumor cell killing. In mouse models, the mAb was tested for tumor growth inhibition. The contribution of the Fc-gamma (Fcγ) 1 domain to CLN-619 activity was also assessed.Results CLN-619 bound with high affinity to the alpha-3 domain of MICA/B without encumbering the interaction with NKG2D on natural killer cells. CLN-619 increased the level of cell surface expression of MICA/B and concomitantly decreased the levels of soluble MICA/B in cell culture assays. Treatment of cancer cell lines with CLN-619 induced antibody-dependent cellular cytotoxicity and antibody-dependent cellular phagocytosis. CLN-619 resulted in potent inhibition of tumor growth in multiple xenograft models and increased survival of mice in a disseminated cancer model.Conclusions CLN-619 inhibited the shedding of MICA/B to effectively restore cytotoxic signaling pathways in immune cells. Potent antitumor activity of CLN-619 as a monotherapy was observed in several preclinical models. Activity of CLN-619 required a functional Fcγ1 domain, suggesting the requirement of simultaneous engagement of NKG2D and cluster of differentiation 16A (CD16A) on immune cells for optimal cytotoxicity. The preclinical data reported here support the assessment of CLN-619 in patients with cancer.
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spelling doaj-art-8fbbe5a5010e44cb90597a51d06d1fe52025-08-20T01:47:32ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262025-04-0113410.1136/jitc-2024-008987CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activityNaveen K Mehta0Kristan Meetze1Patrick A Baeuerle2Jennifer S Michaelson3Kerry A Whalen4Kavya Rakhra5Catherine C Henry6Safak Yalcin7Neil W Gibson8Cullinan Florentine Corp, Cambridge, Massachusetts, USACullinan Oncology Inc, Cambridge, Massachusetts, USACullinan Oncology Inc, Cambridge, Massachusetts, USACullinan Oncology Inc, Cambridge, Massachusetts, USA1Cullinan Therapeutics, Inc., Cambridge, MA, USA1Cullinan Oncology, Inc., Cambridge, MA, USACullinan Therapeutics Inc, Cambridge, Massachusetts, USAPDI Therapeutics, San Diego, California, USAPDI Therapeutics, San Diego, California, USABackground Major histocompatibility complex class I-related protein A and B (MICA/B) are ligands for the natural killer group 2 member D (NKG2D) receptor and are broadly expressed on tumor cells but minimally on normal tissues. When cytotoxic NKG2D-expressing immune cells engage MICA/B, the ligand-expressing cells are targeted for lysis. Cancer cells can evade NKG2D-mediated destruction by shedding MICA/B from their cell surface via proteases present in the tumor microenvironment. CLN-619 is a humanized IgG1 monoclonal antibody (mAb) which binds MICA/B and inhibits shedding resulting in accumulation of MICA/B on the tumor cell surface. CLN-619 may thereby have therapeutic effects in a broad range of malignancies by re-establishing the MICA/B-NKG2D axis to enable NKG2D-mediated, as well as Fc-gamma receptor-mediated, tumor cell lysis.Methods CLN-619 was characterized for binding epitope and affinity, effects on surface and soluble levels of MICA/B, and in vitro tumor cell killing. In mouse models, the mAb was tested for tumor growth inhibition. The contribution of the Fc-gamma (Fcγ) 1 domain to CLN-619 activity was also assessed.Results CLN-619 bound with high affinity to the alpha-3 domain of MICA/B without encumbering the interaction with NKG2D on natural killer cells. CLN-619 increased the level of cell surface expression of MICA/B and concomitantly decreased the levels of soluble MICA/B in cell culture assays. Treatment of cancer cell lines with CLN-619 induced antibody-dependent cellular cytotoxicity and antibody-dependent cellular phagocytosis. CLN-619 resulted in potent inhibition of tumor growth in multiple xenograft models and increased survival of mice in a disseminated cancer model.Conclusions CLN-619 inhibited the shedding of MICA/B to effectively restore cytotoxic signaling pathways in immune cells. Potent antitumor activity of CLN-619 as a monotherapy was observed in several preclinical models. Activity of CLN-619 required a functional Fcγ1 domain, suggesting the requirement of simultaneous engagement of NKG2D and cluster of differentiation 16A (CD16A) on immune cells for optimal cytotoxicity. The preclinical data reported here support the assessment of CLN-619 in patients with cancer.https://jitc.bmj.com/content/13/4/e008987.full
spellingShingle Naveen K Mehta
Kristan Meetze
Patrick A Baeuerle
Jennifer S Michaelson
Kerry A Whalen
Kavya Rakhra
Catherine C Henry
Safak Yalcin
Neil W Gibson
CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activity
Journal for ImmunoTherapy of Cancer
title CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activity
title_full CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activity
title_fullStr CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activity
title_full_unstemmed CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activity
title_short CLN-619, a MICA/B monoclonal antibody that promotes innate immune cell-mediated antitumor activity
title_sort cln 619 a mica b monoclonal antibody that promotes innate immune cell mediated antitumor activity
url https://jitc.bmj.com/content/13/4/e008987.full
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