A novel monoclonal antibody with improved FcγR blocking ability demonstrated non-inferior efficacy compared to IVIG in cynomolgus monkey ITP model at considerably lower dose

© The Author(s) 2022. Published by Oxford University Press on behalf of the British Society for Immunology..

Intravenous immunoglobulin (IVIG) is a well-established treatment for various autoimmune and inflammatory diseases. However, the standard dose prescribed for autoimmune diseases, including immune thrombocytopenic purpura (ITP), is 2 g/kg, which is markedly high and leads to a high treatment burden. In this study, we generated fragment crystallizable (Fc)-modified anti-haptoglobin (Hp) monoclonal antibodies with non-inferior efficacy compared to IVIG at considerably lower doses than IVIG, as shown by in vitro experiments. We evaluated binding activity of anti-Hp antibodies to Fc gamma receptors (FcγRs) with ELISA and inhibitory activity against the ADCC reaction. Furthermore, we successfully established a novel cynomolgus monkey ITP model and demonstrated that the anti-Hp antibody exerted its effect in this model with only a single dose. This Fc-modified anti-Hp monoclonal antibody could be a valuable therapeutic replacement for IVIG for the treatment of ITP.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:211

Enthalten in:

Clinical and experimental immunology - 211(2023), 1 vom: 08. März, Seite 23-30

Sprache:

Englisch

Beteiligte Personen:

Nakajima-Kato, Yuko [VerfasserIn]
Komai, Masato [VerfasserIn]
Yoshida, Tadashi [VerfasserIn]
Kanai, Akiko [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Monoclonal
Cynomolgus monkey model
FcγRs
ITP
IVIG
Immunoglobulins, Intravenous
Journal Article
Platelets
Receptors, IgG

Anmerkungen:

Date Completed 09.03.2023

Date Revised 20.03.2023

published: Print

Citation Status MEDLINE

doi:

10.1093/cei/uxac112

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM349926743