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Development of tibulizumab, a tetravalent bispecific antibody targeting BAFF and IL-17A for the treatment of autoimmune disease

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Pages 1175-1190 | Received 24 Jan 2019, Accepted 22 May 2019, Published online: 10 Jun 2019
 

ABSTRACT

We describe a bispecific dual-antagonist antibody against human B cell activating factor (BAFF) and interleukin 17A (IL-17). An anti-IL-17 single-chain variable fragment (scFv) derived from ixekizumab (Taltz®) was fused via a glycine-rich linker to anti-BAFF tabalumab. The IgG-scFv bound both BAFF and IL-17 simultaneously with identical stoichiometry as the parental mAbs. Stability studies of the initial IgG-scFv revealed chemical degradation and aggregation not observed in either parental antibody. The anti-IL-17 scFv showed a high melting temperature (Tm) by differential scanning calorimetry (73.1°C), but also concentration-dependent, initially reversible, protein self-association. To engineer scFv stability, three parallel approaches were taken: labile complementary-determining region (CDR) residues were replaced by stable, affinity-neutral amino acids, CDR charge distribution was balanced, and a H44-L100 interface disulfide bond was introduced. The Tm of the disulfide-stabilized scFv was largely unperturbed, yet it remained monodispersed at high protein concentration. Fluorescent dye binding titrations indicated reduced solvent exposure of hydrophobic residues and decreased proteolytic susceptibility was observed, both indicative of enhanced conformational stability. Superimposition of the H44-L100 scFv (PDB id: 6NOU) and ixekizumab antigen-binding fragment (PDB id: 6NOV) crystal structures revealed nearly identical orientation of the frameworks and CDR loops. The stabilized bispecific molecule LY3090106 (tibulizumab) potently antagonized both BAFF and IL-17 in cell-based and in vivo mouse models. In cynomolgus monkey, it suppressed B cell development and survival and remained functionally intact in circulation, with a prolonged half-life. In summary, we engineered a potent bispecific antibody targeting two key cytokines involved in human autoimmunity amenable to clinical development.

Abbreviations

ANS=

1-Anilino-8-naphthalene sulfonate

aSEC=

analytical size exclusion chromatography

AUC=

area under the concentration curve

BAFF=

B cell activating factor

CDR=

complementarity-determining region

CL=

clearance rate

DSC=

differential scanning calorimetry

ELISA=

enzyme-linked immunosorbent assay

Fab=

antigen-binding fragment

HC=

heavy chain

HEK-293=

human embryonic kidney cells

Interleukin-17A=

IL-17

LC=

light chain

IV=

intravenous

LY2127399=

tabalumab, anti-BAFF IgG4

LY2439821=

ixekizumab, Taltz®, anti-IL-17 IgG4

LY3090106=

tibulizumab, stabilized IgG-scFv bispecific

LC-MS=

liquid chromatography–mass spectrometry

NHP=

non-human primate

PBS=

phosphate-buffered saline

PD=

pharmacodynamic

PK=

pharmacokinetic

pSS=

primary Sjögren’s syndrome

RA=

rheumatoid arthritis

RMSD=

root mean squared deviation

RT=

room temperature

SC=

subcutaneous

scFv=

single-chain variable fragment

SLE=

systemic lupus erythematosus

SPR=

surface plasmon resonance

T-helper cell 17=

Th17

VH=

variable heavy region

Vk=

variable kappa region

%HMW=

percentage of high molecular weight species

Disclosure of interest

During the execution of this work, all authors were employees and stockholders of Eli Lilly and Company. No other conflicts of interest are disclosed.

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