Title |
The preclinical pharmacology of the high affinity anti-IL-6R Nanobody® ALX-0061 supports its clinical development in rheumatoid arthritis
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Published in |
Arthritis Research & Therapy, May 2015
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DOI | 10.1186/s13075-015-0651-0 |
Pubmed ID | |
Authors |
Maarten Van Roy, Cedric Ververken, Els Beirnaert, Sven Hoefman, Joost Kolkman, Michel Vierboom, Elia Breedveld, Bert ‘t Hart, Sofie Poelmans, Lieselot Bontinck, Alex Hemeryck, Sandy Jacobs, Judith Baumeister, Hans Ulrichts |
Abstract |
The pleiotropic cytokine interleukin-6 (IL-6) plays an important role in the pathogenesis of different diseases, including rheumatoid arthritis (RA). ALX-0061 is a bispecific Nanobody with a high affinity and potency for IL-6 receptor (IL-6R), combined with an extended half-life by targeting human serum albumin. We describe here relevant aspects of its in vitro and in vivo pharmacology. ALX-0061 is composed of an affinity-matured IL-6R-targeting domain fused to an albumin-binding domain representing a minimized two-domain structure. A panel of different in vitro assays was used to characterize the biological activities of ALX-0061. The pharmacological properties of ALX-0061 were examined in cynomolgus monkeys using plasma levels of total soluble (s)IL-6R as pharmacodynamic marker. Therapeutic effect was evaluated in a human IL-6-induced acute phase response model in the same species and in a collagen-induced arthritis (CIA) model in rhesus monkey, using tocilizumab as positive control. ALX-0061 was designed to confer the desired pharmacological properties. A 200-fold increase of target affinity was obtained through affinity maturation of the parental domain. The high affinity for sIL-6R (0.19 pM) translated to a concentration-dependent and complete neutralization of sIL-6R in vitro. In cynomolgus monkey, ALX-0061 showed a dose-dependent and complete inhibition of hIL-6-induced inflammatory parameters, including plasma levels of C-reactive protein (CRP), fibrinogen and platelets. An apparent plasma half-life of 6.6 days was observed after single intravenous administration of 10 mg/kg ALX-0061 in cynomolgus monkey, similar to the estimated expected half-life of serum albumin. ALX-0061 and tocilizumab demonstrated a marked decrease in serum CRP levels in a non-human primate CIA model. Clinical effect was confirmed in animals with active drug exposure throughout the course of the study. ALX-0061 represents a minimized bispecific biotherapeutic of 26 kDa, nearly 6 times smaller than monoclonal antibodies. High in vitro affinity and potency was demonstrated. Albumin binding as a half-life extension technology resulted in describable and expected pharmacokinetics. Strong IL-6R engagement was shown to translate to in vivo effect in non-human primates, demonstrated via biomarker deregulation as well as clinical effect. Presented results on preclinical pharmacological properties of ALX-0061 are supportive of clinical development in RA. |
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Spain | 1 | <1% |
Germany | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 201 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 40 | 20% |
Student > Master | 31 | 15% |
Researcher | 26 | 13% |
Student > Bachelor | 19 | 9% |
Other | 14 | 7% |
Other | 25 | 12% |
Unknown | 49 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Biochemistry, Genetics and Molecular Biology | 51 | 25% |
Agricultural and Biological Sciences | 32 | 16% |
Pharmacology, Toxicology and Pharmaceutical Science | 18 | 9% |
Medicine and Dentistry | 15 | 7% |
Immunology and Microbiology | 12 | 6% |
Other | 25 | 12% |
Unknown | 51 | 25% |