Modular antibody engineering to overcome the blood brain barrier - Abstract. Immunotherapy is one of the most promising approaches for treatment of various human diseases
including cancers, autoimmune and infectious diseases. However, systemic immunotherapies have been ineffective
for central nervous system (CNS) disorders because the blood-brain barrier (BBB) limits their delivery to the brain.
Development of new antibody agents able to overcome the BBB is a new frontier of immunotherapy. One strategy
is to use receptor-mediated transport to deliver biologics across the BBB. Abzyme proposes to use its proprietary
SDALib platform for rapid generation of antibodies to receptors present in the CNS, and its Abz2 technology for
reformatting traditional antibodies to create bispecific antibodies that can overcome the BBB via receptor-mediated
transcytosis and binding its specific target in the brain.
Using Abzyme's SDALib platform, camelid single domain antibodies against human transferrin receptor (TfR) have
already been developed and generation of VHH antibodies to leptin receptor (LepR) is in progress. In addition, a set
of 15 murine monoclonal antibodies against human protein targets of diagnostic and therapeutic significance is in
our possession. The focus of Phase I is to demonstrate the feasibility of rapidly transforming disease-specific
traditional antibodies into IgG-like bispecific antibodies, preserving antibody Fc effector functions and antibody
binding affinity, and the ability of the newly obtained bispecifics to cross the BBB. Specifically, bispecific
recombinant antibodies with one arm targeting HER2 or EGFR and another arm against TfR or LepR will be
developed. Demonstration of the robustness of bispecific antibody production and BBB penetration in cell-based
BBB models and small animals will be the basis for Phase II application submission.
Phase II work focus includes: (i) obtaining the preclinical in vivo therapeutic efficacy, pharmacodynamics,
pharmacokinetics and toxicity data for antibodies developed in Phase I that are necessary for submission of an IND;
(ii) using the SDALib antibody generation platform and Abz2 bispecific approach to produce of a suite of BBB-
penetrating antibodies relevant to CNS disorders.
2