Dosing optimization of CCR4 immunotoxin for improved depletion of CCR4+ Treg in nonhuman primates

Mol Oncol. 2018 Aug;12(8):1374-1382. doi: 10.1002/1878-0261.12331. Epub 2018 Jul 3.

Abstract

Recently, we have developed a diphtheria toxin-based recombinant anti-human CCR4 immunotoxin for targeting CCR4+ tumors and Tregs. In this study, we further optimized the dosing schedule for improved CCR4+ Treg depletion. We have demonstrated that up to a 90% depletion was achieved and the depletion extended to approximately 2 weeks in the peripheral blood and more than 48 days in the lymph node at 25 μg·kg-1 , BID for 8 consecutive days in cynomolgus monkeys. Expansion was observed including monocytes and NK cells. Antibody against the CCR4 immunotoxin was detected after approximately 2 weeks, affecting further depletion efficacy for multiple course treatment.

Keywords: CCR4; Treg; diphtheria toxin; immunotoxin.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Diphtheria Toxin / administration & dosage
  • Diphtheria Toxin / pharmacology*
  • Immunotoxins / administration & dosage
  • Immunotoxins / pharmacology*
  • Macaca fascicularis
  • Male
  • Receptors, CCR4 / antagonists & inhibitors*
  • Receptors, CCR4 / immunology
  • Recombinant Fusion Proteins / pharmacology
  • T-Lymphocytes, Regulatory / drug effects*
  • T-Lymphocytes, Regulatory / immunology

Substances

  • Diphtheria Toxin
  • Immunotoxins
  • Receptors, CCR4
  • Recombinant Fusion Proteins