Oral 9th Venoms to Drugs 2026

PD-L1:CD3 Bispecific Eliminates Brain Tumors in Preclinical Models of Intractable Primary and Metastatic CNS Cancer (145505)

Emily J Girard 1 , Kristina Pilat 1 , Shelli M Morris 1 , Alison M Williams 1 , Heather Conti 1 , Hailey Hentschel 1 , Kenneth Brasel 1 , Parvathi Muthuraman 1 , Lisa Ang 1 , Rayond Ruff 1 , Steven Chen 1 , Chunfeng Yin 1 , Akinsola Oyelakin 1 , Zachary R Crook 1 , Jason P Pricee 1 , Andrew J Mhyre 1 , James M Olson 1
  1. Seattle Children's Research Institute, Seattle, WASHINGTON, United States

Primary brain tumors and peripheral cancers with central nervous system (CNS) metastases are often fatal despite best available therapies. Recognizing PD-L1 as a shared target across high-risk primary and metastatic CNS tumors, we explored whether our PD-L1:CD3 T-cell engager (TCE) could effectively eliminate brain cancers or metastases despite the presence of PD-L1 on some non-neoplastic cells (e.g., pancreatic islet cells, lung epithelial cells, leukocytes). We evaluated anti-tumor activity against 14 intracranial xenograft models and observed extended survival in 13, including models with both high and low initial PD-L1 expression. Across individual xenografts monitored by bioluminescence, 92% responded to TCE treatment. In a model of treatment-refractory lung intracranial metastases, TCE was efficacious at 0.03-1.5 mg/kg and had superior activity to osimertinib and atezolizumab. In PD-L1 humanized mice, TCE was tolerated at all tested doses with only grade 1-2 toxicities observed. Dose range finding in non-human primates revealed pharmacodynamic responses at all doses and grade 2-4 toxicities observed at the highest 0.3mg/kg dose. TCE administration did not adversely affect function or morphology of PD-L1-positive lung or pancreatic cells and effect on leukocytes was limited. This PD-L1:CD3 TCE presents a therapeutic candidate for patients with fatal tumors.