Yumanity Therapeutics - 1554161
VISTA expression in tumor blocks the anti-tumor T-cell response. By blocking VISTA with KVA12.1, this effect is reversed as shown at the bottom. Immunosuppressive innate immune cells are blocked by the antibody and the tumor microenvironment becomes repopulated with inflammatory, innate immune cells. The inflammatory innate environment promotes the development of an antitumor adaptive immune response promoting tumor cell killing. KVA 12.1 has demonstrated several important changes in the innate immune response, as shown in this slide. First, KVA 12.1 treatment activates monocytes and converts them into a pro-inflammatory phenotype. This is shown by increased HLA-DR expression on the monocyte surface. Next, KVA 12.1 blocks MDSC mediated inhibition of T-cells. T-cells become activated and proliferate secreting interferon gamma. KVA 12.1 also directly interacts with T-cells to enhance their activation to suboptimal stimulation like low dose antigen. This is also measured by interferon gamma gene expression.
Finally, KVA 12.1 enhances NK cell activation. These beneficial in vitro effects are replicated in tumor. KVA 12.1 was tested as a single agent in the cold MB49 bladder cancer model, as shown in the left panel. In this immunosuppressed model, KVA 12.1 alone reduced tumor growth by 75%. KVA 12.1 was also effective as a single agent in the EG7 lymphoma model, as shown in the second panel. Here KVA 12.1 treatment alone reduced tumor growth by 66%. In the right panels, we evaluated suboptimal doses of KVA 12.1 together with an anti-PD-1 antibody. Anti-PD one is the most commonly administered clinical immunotherapy. In a difficult to treat MC-38 colon carcinoma model, which is the third panel, both agents administered as monotherapy resulted in similar tumor growth inhibition.
Importantly, when KVA 12.1 was combined with anti-PD-1 therapy, enhanced antitumor effects were observed. Finally, in the fourth panel, combinations of suboptimal doses of PD-1 and KVA 12.1 antibodies were also synergistic in the MB49 model. The tolerability, safety and pharmacokinetics of KVA 12.1 have been evaluated in five primate toxicology studies following the
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Page | 8 | | EVENT ID 1554161 | | 03.06.2022 |