Pharma Update
Englumafusp alfa (CD19-4-1BBL) in r/r NHL
First-in-class B cell-targeted costimulatory T cell agonist
Englumafusp alfa + Columvi
Pharmacodynamic biomarker data support novel MoA
Signal 2
(costimulation)
CD19-4-1BBL
T cell
Tumor cell lysis
CD3-
CD20
Signal 1 (T cell activation)
Glofitamab
CD19
CD20
Effector function ↑
Tumor cell killingt
Duration of responset
Tumor cell
(malignant B cell)
Modified from Johannes Sam, Roche PRED
CD8 T-cell Expansion
Change from baseline (C2D8 pre-dose)
8.000-
2.000
0.500
0.125
Pre-dose
C2D8 post-dose
C2D9
C3D1 pre-dose
C3D1 post-dose
C3D2
C3D8*
C4D1 pre-dose
C5D1 pre-dose*
RG6076 dose group
• Low
• Medium
• High
Glofitamab
RG6076
•
•
Signal 1: NK or T cell activation delivered by Columvi
Signal 2: CD19-4-1BBL leads to enhanced NK and T cell
activation and promotes a durable immune response
First-in-class 4-1BB agonist with B cell targeted co-
stimulation of T cells
• A dose relationship with reversal of PD1+ terminally differentiated CD8 T-cell expansion in blood
is emerging at the C3D8, C4D1, and C5D1 timepoints
•
Data indicate that CD19-4-1BBL costimulation may lead to a more durable response to Columvi
and potentially prevent disease escape
Ph I studies for Columvi + CD19-4-1BBL or costimulatory bispecific CD19 x CD28 in r/r NHL ongoing
Hutchings et al. ASH 2022; TCB-T cell bispecific; NK-natural killer; R/R=relapsed refractory; NHL-non-Hodgkin's lymphoma; MoA-Mode of action
93
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