Affimer fimer Biother therapeut apeutics: ics: Th The precl eclinical inical develo velopment pment and valida lidation tion of a PD PD-L1 1 anta tagonist onist in mouse use th Jun NGP GPT San an Diego, go, 6 th une 2017 Amrik Basran Chief Scientific Officer
Avacta Life Sciences • Avacta Life Sciences (AIM listed) established in 2012 to exploit Affimer IP • Sites in Cambridge (~23 staff) and Wetherby (~40 staff) • Raised £22m ($34m) in July 2015 for Affimer biotherapeutics with a focus on immuno-oncology and immuno- inflammation • Research collaboration and license deal with Moderna Therapeutics 2
Therapeutic Protein Scaffolds V H C H 1 • Most successful class of protein therapeutics V L C L ScFv fAb • But IgGs are large and limited routes of C H 2 24 kDa 48 kDa administration C H 3 • Difficult manufacturing/disulphides/fragment stability IgG V H dAb V L dAb 150 kDa 12 kDa IgG based scaffolds • Smaller size • Mono- or multivalency • +/- Fc effector function • Microbial manufacturing options Anticalins DARPins Adnectins • Can be delivered by different routes of administration (e.g. topical) Non- IgG based scaffolds 3
Affimer Technology Based on Stefin A, a human • intracellular protein 1/10 th size of a mAb • No disulphide bonds or post • translational modifications Expressed at high levels • We have freedom to operate • Engineered to create large Affimer • libraries (1x10 10 ) Utilise phage display to identify binders • 4
Library Generation: Phage Display Loop 4 Loop 2 Affimer Gene Protein “displayed” on the tip of the virus Loop 2 Loop 4 9 aa 9 aa Affimer library containing over 10 Microbial host billion different gene ( E. coli ) sequences is then packaged with viral DNA DNA encoding the Affimer gene and the virus. Affimer gene and 5 protein now “linked”
Lead Identification: Phage Selections Selection Pressure Wash Binding Step Step Target Antigen Repeat Acid elution of the phage DNA Infect and amplify in E. +Antigen -Antigen coli
The Process: Lead Characterisation ~5-7 weeks Expression ELISA BIAcore Antigen Screening: Assay Phage Screening Sub-clone DNA SEC-MALLS biotinylation BIAcore Development (cross reactivity) binders Sequencing Solubility and QC ELISA etc Tm Cell assay Cross reactivity Affinity Maturation Lead Clones Formatting Immunogenicity testing Developability assessment PK & efficacy 7
Immuno-oncology Strategy Combination Therapies and Agonists T-cell Recruitment CAR-T T-cell Tumour Drug Conjugates Intratumoral Expression 8
Pharmacokinetics 100 Therapeutic window %ID/ml Serum 10 1 Short serum half-life ~0.5hrs, due to renal clearance (~<60kDa) - acute indications - in vivo imaging reagents 0.1 0 5 10 15 20 25 30 Time (h) 9
Serum Half-life Extension Technologies -S- Human Serum PEGylation Fc Fusions Albumin Utilising IgG-FcRn recycling Increased hydrodynamic size Affimer biotherapeutic binds to maintain high serum of the protein to prevent to HuSA in the circulation levels clearance via the kidneys 10
PD PD-L1 L1 Pr Prog ogram am
Immune Checkpoint Inhibitors: PD-L1 • PD-L1 plays a major role in immune suppression • Tumour cells that express PD-L1 on their surface appear “normal” and therefore invisible to the immune system • Blockade of the PD-L1/T-cell (PD-1) interaction reactivates the immune system • Numerous immune check-point proteins are now being targeted • Multiple anti-PD-1 and PD-L1 mAbs are in clinical development/approved • Hundreds of clinical trials with PD-1/PD-L1 blockade and combination therapies Ott, et al., Clinical Cancer Research, 2013 12
Anti-PD-L1 Binders: Production in E. coli • Identified a range of unique sequences • Ni-NTA purified (>95%) and expression levels ~200-350 mg/L at 15 ml scale • Affimer binders compete for human PD-1/CD80 epitopes on PD-L1 13
Multimer Formatting: PoC With PDL1-141 14
Fc Formatting of PDL1-251 PDL1-251 Fc SEC-HPLC PDL1-251 Fc • Formatted as IgG1 Fc fusion PDL1-251 and expressed transiently in Expi293F cells • Purified using PrA sepharose followed by prep-SEC (yield ~200 mg/L) PDL1-251 Fc Biacore • PDL1-251 Fc K D of ~40 pM by Biacore K D = ~40 pM 15 15
PD-1/PD-L1 Cell Based Assay • Engineered Jurkat cell based signalling assay involving binding between two cells (Promega) • PDL1-251 monomer has an EC 50 ~1.1 μ M • PDL1-251 Fc has an EC 50 ~40-50 6 nM (~25 fold improvement with Fold of induction formatting) 4 mAb 29E.2A3 • Lead Affimers binders are now PDL1-251 Fc undergoing affinity maturation, 2 PDL1-251 linker optimisation etc 0 0.01 0.1 1 10 100 1000 10000 16 nM
Mouse PD-L1 Program mPD-L1 Biacore • Human PD-L1 Affimer App K D = 316 pM antagonists do not bind mouse antigen • Initiated a mouse surrogate program for validation work mPD-L1 Competition ELISA • Affimer phage selections identified a potent tool molecule, PDL1-182 • Molecule is a competitive inhibitor of mouse PD-1 IC 50 = 20 nM 17
PDL1-182 Fc Production • Formatted PDL1-182 as a human IgG1 Fc fusion (182 Fc1) • Expressed transiently in Expi293F cells • Purified by Pr-A affinity 182 Fc1 SEC-HPLC chromatography followed by preparative SEC • Final purified yield >100mg/L yield, purity >95% (SEC-HPLC) > 95% purity 18
Characterisation of 182 Fc1 (I) • Formatting of the Affimer protein significantly increase binding affinity K D = 36 pM • Improvements most likely due to avidity effects • Biacore binding improved 1 5 0 1 0 0 -(X (OD 450-630)nm / M a x (OD 450-630)nm ) A n ti m u P D -L 1 (1 0 F 9 .G 2 ) ~10 fold 1 8 2 F c 1 % In h ib itio n 1 0 0 • Competition against PD-1 182 Fc1 EC 50 178pM increased ~100 fold 5 0 0 0 .0 0 0 0 0 1 0 .0 0 0 1 0 .0 1 1 1 0 0 1 0 0 0 0 19 n M
Characterisation of 182 Fc1 (II) • No functional mouse PD-L1 cell assay is available • Binding of 182 Fc1 to mouse cells was confirmed using flow cytometry before progressing to in vivo work 20
Pharmacokinetics of 182 Fc1 1 0 0 0 5 m g /K g • 182 Fc1 given as single [182 Fc1] ( μ g/ml) 1 0 m g /K g 1 0 0 bolus IV injection at 5,10 2 0 m g /K g 1 0 and 20 mg/kg 1 • 3 animals per time point 0 .1 • Followed PK out to 7 days 0 .0 1 0 5 0 1 0 0 1 5 0 2 0 0 • 182 Fc1 well tolerated T im e (h ) with no adverse effects Dose (mg/kg) Half-life (h) 5 20.9±1.3 10 19.2 20 59.9±5.3 21
CT26 Syngeneic Tumour Model • Syngeneic mouse model utilizes immunocompetent mice bearing tumours derived from the strain of origin. • 5 groups with 10 animals per group (Balb/c) • Positive control 10F9.G2 (rat anti-mPD-L1 mAb) • Dosing each protein at 10 mg/kg every other day via IP route Grp 1 = PBS Grp 2 = hFc1 Grp 3 = 182 Fc1 Grp 4 = 10F9G2 Grp 5 = rat IgG2b 22 DR= Day of randomization. 50 out of 70 tumours reached a mean volume of 91 ± 22 mm 3
CT26 Syngeneic Model: Results • Moderate anti-tumor effect seen with both 10F9G2 and 182 Fc1 Affimer • No macroscopic sign of toxicity or disease dissemination was recorded at the autopsy of mice • No significant body weight difference between groups • Repeat high dosing of 182 Fc1 was well tolerated 23 **** p<0.0001, α =0.05, multiple comparison 2-ways ANOVA
Im Immunogenicity munogenicity Tes esti ting ng
Affimer Scaffold Immunogenicity Testing • Therapeutic proteins have the potential to induce an immune response in vivo and generate anti-drug antibodies (ADA) • ADA can affect the PK and efficacy of the biological drugs by: Increasing rates of clearance Neutralising the molecule Potentially inducing adverse events • Several stages in assessing the immunogenicity of biologics: In silico (identify T-cell epitopes) In vitro T-cell assays (e.g. human PBMCs, DC:T-cells) Humanised mice models 25
Immunogenicity Assessment: Human PBMC Assay Test therapeutic protein e.g. Affimer Collect immune cells from human blood 50 μ g/ml Analyse immune cell 50 healthy donors activation and Incubate for representing a broad proliferation by flow 1 week population mix cytometry 26
Human PBMC Testing Results • In silico immunogenicity of the Affimer scaffold was determined Positive Responses to be low 50 100 40 80 • Affimer scaffold immunogenicity 30 60 % Positive Donors # Positive Donors compared to Avastin (50 μ g/ml) 20 40 20 40 • KLH positive control 15 30 • Positive response: SI>2 with 10 20 p<0.05 5 10 • Core Affimer scaffold has a low 0 0 immunogenicity potential • Will be repeated on lead molecules 27
Summary Affimer therapeutics are an alternative to therapeutic antibodies with key • benefits: o Generation of single digit/double digit nM binders from naïve libraries o Easily formatted e.g. multimers and Fc fusions with high expression levels o The Affimer scaffold is well tolerated in vivo with repeated high dosing 182 Fc1 demonstrated a statistically significant moderate anti-tumour effect in • the CT-26 syngeneic model, slowing tumour growth The parental scaffold shows a “low” immunogenicity risk comparable to a • therapeutic mAb in human PBMC assays We have demonstrated that the Affimer technology has the properties • necessary to generate therapeutic drugs 28
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