PMID- 34711645 OWN - NLM STAT- MEDLINE DCOM- 20220325 LR - 20231006 IS - 1538-8514 (Electronic) IS - 1535-7163 (Print) IS - 1535-7163 (Linking) VI - 20 IP - 12 DP - 2021 Dec TI - Multimeric Anti-DR5 IgM Agonist Antibody IGM-8444 Is a Potent Inducer of Cancer Cell Apoptosis and Synergizes with Chemotherapy and BCL-2 Inhibitor ABT-199. PG - 2483-2494 LID - 10.1158/1535-7163.MCT-20-1132 [doi] AB - Death receptor 5 (DR5) is an attractive target for cancer therapy due to its broad upregulated expression in multiple cancers and ability to directly induce apoptosis. Though anti-DR5 IgG antibodies have been evaluated in clinical trials, limited efficacy has been attributed to insufficient receptor crosslinking. IGM-8444 is an engineered, multivalent agonistic IgM antibody with 10 binding sites to DR5 that induces cancer cell apoptosis through efficient DR5 multimerization. IGM-8444 bound to DR5 with high avidity and was substantially more potent than an IgG with the same binding domains. IGM-8444 induced cytotoxicity in a broad panel of solid and hematologic cancer cell lines but did not kill primary human hepatocytes in vitro, a potential toxicity of DR5 agonists. In multiple xenograft tumor models, IGM-8444 monotherapy inhibited tumor growth, with strong and sustained tumor regression observed in a gastric PDX model. When combined with chemotherapy or the BCL-2 inhibitor ABT-199, IGM-8444 exhibited synergistic in vitro tumor cytotoxicity and enhanced in vivo efficacy, without augmenting in vitro hepatotoxicity. These results support the clinical development of IGM-8444 in solid and hematologic malignancies as a monotherapy and in combination with chemotherapy or BCL-2 inhibition. CI - (c)2021 The Authors; Published by the American Association for Cancer Research. FAU - Wang, Beatrice T AU - Wang BT AUID- ORCID: 0000-0002-5857-8097 AD - IGM Biosciences Inc., Mountain View, California. FAU - Kothambawala, Tasnim AU - Kothambawala T AUID- ORCID: 0000-0001-8865-4241 AD - IGM Biosciences Inc., Mountain View, California. FAU - Wang, Ling AU - Wang L AD - IGM Biosciences Inc., Mountain View, California. FAU - Matthew, Thomas J AU - Matthew TJ AD - IGM Biosciences Inc., Mountain View, California. FAU - Calhoun, Susan E AU - Calhoun SE AD - IGM Biosciences Inc., Mountain View, California. FAU - Saini, Avneesh K AU - Saini AK AD - IGM Biosciences Inc., Mountain View, California. FAU - Kotturi, Maya F AU - Kotturi MF AUID- ORCID: 0000-0002-9387-860X AD - IGM Biosciences Inc., Mountain View, California. FAU - Hernandez, Genevive AU - Hernandez G AUID- ORCID: 0000-0001-9226-1889 AD - IGM Biosciences Inc., Mountain View, California. FAU - Humke, Eric W AU - Humke EW AUID- ORCID: 0000-0002-1137-8557 AD - IGM Biosciences Inc., Mountain View, California. FAU - Peterson, Marvin S AU - Peterson MS AD - IGM Biosciences Inc., Mountain View, California. FAU - Sinclair, Angus M AU - Sinclair AM AUID- ORCID: 0000-0002-2467-3301 AD - IGM Biosciences Inc., Mountain View, California. FAU - Keyt, Bruce A AU - Keyt BA AD - IGM Biosciences Inc., Mountain View, California. bkeyt@igmbio.com. LA - eng PT - Journal Article DEP - 20211028 PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (Antineoplastic Agents) RN - 0 (Bridged Bicyclo Compounds, Heterocyclic) RN - 0 (Immunoglobulin M) RN - 0 (Receptors, TNF-Related Apoptosis-Inducing Ligand) RN - 0 (Sulfonamides) RN - N54AIC43PW (venetoclax) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology/*therapeutic use MH - Apoptosis MH - Bridged Bicyclo Compounds, Heterocyclic/pharmacology/*therapeutic use MH - Cell Line, Tumor MH - Disease Models, Animal MH - Female MH - Genes, bcl-2/*genetics MH - Humans MH - Immunoglobulin M/pharmacology/*therapeutic use MH - Mice MH - Mice, Nude MH - Receptors, TNF-Related Apoptosis-Inducing Ligand/*antagonists & inhibitors MH - Sulfonamides/pharmacology/*therapeutic use PMC - PMC9398157 EDAT- 2021/10/30 06:00 MHDA- 2022/03/26 06:00 PMCR- 2022/08/23 CRDT- 2021/10/29 05:49 PHST- 2020/12/31 00:00 [received] PHST- 2021/07/07 00:00 [revised] PHST- 2021/09/15 00:00 [accepted] PHST- 2021/10/30 06:00 [pubmed] PHST- 2022/03/26 06:00 [medline] PHST- 2021/10/29 05:49 [entrez] PHST- 2022/08/23 00:00 [pmc-release] AID - 1535-7163.MCT-20-1132 [pii] AID - MCT-20-1132 [pii] AID - 10.1158/1535-7163.MCT-20-1132 [doi] PST - ppublish SO - Mol Cancer Ther. 2021 Dec;20(12):2483-2494. doi: 10.1158/1535-7163.MCT-20-1132. Epub 2021 Oct 28.