title: Preclinical studies in rats and squirrel monkeys for safety evaluation of the bivalent anti-human T cell immunotoxin, A-dmDT390-bisFv(UCHT1).
abstract: The bivalent anti-human T cell immunotoxin A-dmDT390-bisFv(UCHT1) for treatment of patients with T cell malignancies is a single chain fusion protein composed of the catalytic domain and translocation domains of diphtheria toxin fused to two tandem sFv molecules reactive with human CD3 epsilon. This immunotoxin selectively kills CD3 epsilon positive T cells. To determine the maximum tolerated dose (MTD), pharmacokinetics and immunogenicity of A-dmDT390-bisFv(UCHT1), rat and squirrel monkey studies were performed. In both animal studies, animals received either 0, 2.5 (low), 25 (medium), or 56.25 microg/kg (high) of A-dmDT390-bisFv(UCHT1) intravenously twice daily for four consecutive days. Although transient elevation of liver transaminases in the high groups was observed, the A-dmDT390-bisFv(UCHT1) administration did not affect liver function, renal function, the hemogram, or produce serious organ histopathology. Adverse events included transient lethargy, inappetence and weight loss in high groups. A-dmDT390-bisFv(UCHT1) plasma half life was 26.95 min in rats and 18.33 min in squirrel monkeys. Immune responses to A-dmDT390-bisFv(UCHT1) were minimal in squirrel monkeys and mild in rats. In vitro cytokine release, T cell activation and CD3 epsilon receptor occupancy assays using human PBMC were further performed since rat and squirrel monkey T cells do not react with A-dmDT390-bisFv(UCHT1). A-dmDT390-bisFv(UCHT1) did not induce cytokine release or T cell activation. The A-dmDT390-bisFv(UCHT1) concentration for 50% CD3 epsilon receptor occupancy was 7.4 nM. The MTD of 200 microg/kg total provides a dose level sufficient for anti-tumor activity in vitro and in a rodent model. Therefore, we propose that this agent is a promising drug for patients with surface CD3+ T cell malignancies.
authors.affiliation: Scott and White Cancer Research Institute, 5701 South Airport Road, Temple, TX 76502, USA. jwoo@swmail.sw.org
authors.forename: Jung Hee
authors.initials: JH
authors.lastname: Woo
authors.forename: Sarah H
authors.initials: SH
authors.lastname: Bour
authors.forename: Tony
authors.initials: T
authors.lastname: Dang
authors.forename: Yu-Jen
authors.initials: YJ
authors.lastname: Lee
authors.forename: Seong Kyu
authors.initials: SK
authors.lastname: Park
authors.forename: Elissa
authors.initials: E
authors.lastname: Andreas
authors.forename: Soo Hyun
authors.initials: SH
authors.lastname: Kang
authors.forename: Jen-Sing
authors.initials: JS
authors.lastname: Liu
authors.forename: David M
authors.initials: DM
authors.lastname: Neville
authors.forename: Arthur E
authors.initials: AE
authors.lastname: Frankel
mesh_terms: D000328:Adult; D000818:Animals; D049109:Cell Proliferation / Q000187:drug effects; D004305:Dose-Response Relationship, Drug; D004353:Drug Evaluation, Preclinical; D064420:Drug-Related Side Effects and Adverse Reactions; D005260:Female; D006801:Humans; D000922:Immunotoxins / Q000276:immunology / Q000493:pharmacokinetics / Q000633:toxicity*; D007963:Leukocytes, Mononuclear / Q000187:drug effects / Q000276:immunology; D008297:Male; D020714:Maximum Tolerated Dose; D051381:Rats; D017207:Rats, Sprague-Dawley; D011993:Recombinant Fusion Proteins / Q000276:immunology / Q000493:pharmacokinetics / Q000633:toxicity*; D012453:Saimiri; D013601:T-Lymphocytes / Q000276:immunology*
chemical_list: C531351:A-dmDT390-bisFv(UCHT1) protein; D000922:Immunotoxins; D011993:Recombinant Fusion Proteins