A Multicenter, Open-label, Phase I/II Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of LBL-015 in Patients With Advanced Malignant Tumors.

开始日期2021-11-08

申办/合作机构

南京维立志博生物科技股份有限公司

[+6]

CTR20212249 / Completed临床1/2期

评价 LBL-015 治疗晚期恶性肿瘤患者安全性、耐受性、药物代谢动力学及疗效的多中心、开放性 I/II 期临床研究

主要目的：评价LBL-015在晚期恶性肿瘤受试者中的安全性及耐受性，为后续临床研究提供推荐剂量。次要目的: 评价LBL-015在晚期恶性肿瘤患者中的药物代谢动力学（PK）特征；评价LBL-015在晚期恶性肿瘤患者中的免疫原性；评价LBL-015的受体占有率；评价LBL-015在晚期恶性肿瘤患者中的初步有效性；探索性目的：评价肿瘤组织中PD-L1及TGF-β1的表达与药效相关性；评价外周血淋巴细胞亚群、细胞因子（IL-2、IL-6、IL-10、IFN-γ、TNF-α和TGF-β1）变化

开始日期2021-11-08

申办/合作机构

南京维立志博生物科技股份有限公司

100 项与 LBL-015 相关的临床结果

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100 项与 LBL-015 相关的转化医学

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100 项与 LBL-015 相关的专利（医药）

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项与 LBL-015 相关的文献（医药）

1994-08-01·American journal of respiratory cell and molecular biology1区 · 医学

Synthesis of type II cell lamellar body lysozyme-15 kD protein (lbl-15) by perfused rat lung.

1区 · 医学

Article

作者: Fisher, Aron B. ; Beers, Michael F. ; Kim, Chi Y. ; Dodia, Chandra

Isolated alveolar type II pneumocytes of the rat have been shown to secrete a 14 to 15 kD protein that has some sequence homology and immunoreactivity with lysozyme. Using immunochemical analyses of rat lung subcellular fractions and 35S metabolic labeling of isolated perfused lung preparations, we studied the subcellular distribution and synthetic pathway for this protein. SDS-PAGE and Western blotting of lamellar bodies (LB) using a polyclonal anti-human lysozyme (anti-HLZ) demonstrated a single band at 15 kD that was significantly enriched over rat lung homogenates, isolated lysosomes, and type II cell lysates. This 15 kD protein isolated from LB by immunoprecipitation with anti-HLZ also demonstrated functional lysozyme activity and was termed lamellar body lysozyme (lbl-15). Analysis of LB and surfactant (SF) isolated from 12 separate perfused lung preparations labeled for 6 h with 35S-labeled amino acids demonstrated that lbl-15 represented a significant portion of the radiolabeled LB proteins (5.9% of total LB radioactivity). Lamellar bodies and an extracellular fraction (surfactant) obtained from rat lungs perfused with 35S-methionine-cysteine for varying times both showed time-dependent appearance of lbl-15. At all time points, the specific activity of lbl-15 was greater in LB than in SF. The kinetics for appearance of lbl-15 in LB and SF was similar to that for surfactant protein A. These results indicate that in the rat lung, type II cells synthesize a 15 kD protein (lbl-15) that is secreted into the alveolar space via an organellar pathway involving LB.(ABSTRACT TRUNCATED AT 250 WORDS)

项与 LBL-015 相关的新闻（医药）

2024-05-13

·PRNewswire

Leads Biolabs is Proud to Announce its Participation in the 2024 ASCO Annual Meeting with One Oral Presentation and Two Posters.

NANJING, China, May 13, 2024 /PRNewswire/ -- The 2024 American Society of Clinical Oncology (ASCO) Annual Meeting will be held in Chicago from May 31 to June 4, 2024. As the largest and most academically prestigious international oncology conference in the world, the ASCO Annual Meeting gathers the latest and most cutting-edge research findings in the field of oncology. Leads Biolabs will present the exciting clinical data on its four innovative clinical programs at the ASCO meeting. These presentations will include one oral presentation, two posters, and one online publication, showcasing advancements in various cancer indications such as nasopharyngeal cancer (NPC), extrapulmonary neuroendocrine carcinoma (EP-NEC), hepatocellular carcinoma (HCC), and renal cell carcinoma (RCC). Oral Presentation ：A novel and uniquely designed bispecific antibody (LBL-024) against PD-L1 and 4-1BB in patients with advanced malignant tumors and neuroendocrine carcinoma: A report of safety and robust efficacy of LBL-024 monotherapy in phase Ⅰ/Ⅱ first in human, open-label, multicenter, dose escalation/expansion Study Date and Time：2024.06.02 4:30 PM-6:00 PM CDT Abstract Number：4010 LBL-024, a bispecific antibody composed of an anti-Programmed Cell Death Ligand-1 (PD-L1) and an anti-4-1BB (CD137) antibody. LBL-024 blocks the immunosuppressive pathway of tumor cells by targeting PD-L1 and effectively localizes 4-1BB co-stimulation to the tumor microenvironment, to improve the anti-tumor immune response. LBL-024 received IND approvals from FDA and NMPA on July 30, 2021 and September 9, 2021 respectively to conduct phase Ⅰ/Ⅱ clinical research. Subsequently, the therapy has achieved outstanding results. On April 30, 2024, it received approval from China's Center for Drug Evaluation (CDE) of the National Medical Products Administration (NMPA) to conduct a single-arm pivotal study for registration and market authorization. According to the results in the oral presentation, LBL-024 demonstrated good safety profile and very promising antitumor effects in patients with advanced malignant tumors, particularly extrapulmonary neuroendocrine carcinomas (EP-NEC) patients who failed at least one line of chemotherapy. Notably, the efficacy observed in EP-NEC surpassed historic reports with immunotherapy and chemotherapy. The extremely robust efficacy and good safety profiles support the advancement to a pivotal study to accelerate the development of LBL-024 in EP-NEC, a deadly disease of high unmet medical need. Poster ：Anti-LAG-3 antibody LBL-007 in combination with anti-PD-1 antibody Tislelizumab with or without chemotherapy, in patients with advanced nasopharyngeal cancer and other malignant tumors A phase Ⅰb/Ⅱ dose escalation/expansion Study Date and Time：2024.06.02 9:00 AM-12:00 PM CDT Abstract Number：6033 LBL-007 is a fully humanized monoclonal antibody against Lymphocyte Activation Gene-3 (LAG-3). By specifically binding to human LAG-3, it relieves the inhibitory effect of LAG-3 on T cells, restores the immune function, and inhibits tumor growth. Dual inhibition of programmed cell death receptor-1 (PD-1) and LAG-3 is expected to synergistically increase immune response against tumor growth while chemotherapy can enhance the efficacy of immunotherapy through various mechanisms. This phase Ⅰb/Ⅱ study indicates that the combination of LBL-007 and tislelizumab is well-tolerated in patients with advanced malignant tumors. Additionally, the combination of LBL-007, tislelizumab, and gemcitabine and cisplatin had demonstrated a good safety profile and robust antitumor activity in previously untreated and advanced NPC patients. These promising clinical data support a pivotal study to evaluate the combination of LBL-007, tislelizumab, and gemcitabine and cisplatin for the treatment of NPC. Poster：Anti-PD-1/TGF-βRII Bispecific Antibody Fusion Protein LBL-015 in patients with advanced malignant tumors：A phase Ⅰ, first-in-human, open-label, multicenter, dose-escalation Study Date and Time：2024.06.01 9:00 AM-12:00 PM CDT Abstract Number：2592 LBL-015 is a bifunctional antibody fusion protein targeting PD-1 and Transforming Growth Factor Beta Receptor 2 (TGF-βR2). LBL-015 blocks both PD-1/PD-L1 and TGF-β/TGF-βR2 signaling pathways to reverse immunosuppression and boost immune responses. In addition, LBL-015 can boost immune cell response and inhibit tumor metastasis by blocking TGF-β in the tumor microenvironment. In a Phase 1 clinical study, LBL-015 has demonstrated a good safety profile and encouraging preliminary efficacy signals in patients with advanced solid tumors. Online Publication ：Anti-TNFR2 monoclonal antibody LBL-019 in patients with advanced malignant tumors: A phase Ⅰ, first-in-human, open-label, multicenter, dose escalation Study Date and Time：2024.05.23 5:00 PM EDT Abstract Number：e14580 LBL-019 is a humanized IgG1 monoclonal antibody against Tumor Necrosis Factor Receptor 2 (TNFR2). LBL-019 binds specifically to TNFR2 with high affinity and co-stimulates TNFR2 in an Fc crosslinking-dependent manner. This leads to the activation of NF-κB signaling, T cell activation and expansion, thereby promoting antitumor immunity. The data from the Phase 1 study indicate that LBL-019 is well tolerable and has demonstrated preliminary efficacy in patients with advanced malignant tumors. Dr. Charles Cai, Chief Medical Officer of Leads Biolabs, said "Leads Biolabs will be presenting four clinical projects at 2024 ASCO. Among them, the efficacy of LBL-024 is significantly higher than the historic reports with immunotherapy and chemotherapy, providing tremendous support for the approval and accelerated development of our pivotal study. The encouraging efficacy and safety profile of LBL-007 is impressive, which is conducive to advancing the pivotal study of LBL-007 in combination with tislelizumab, gemcitabine and cisplatin for NPC. We have adopted a differentiated, innovative, and efficient clinical development strategy, aiming to bring more effective therapies to market sooner. This is a manifestation of Leads Biolabs' unwavering commitment to addressing patient needs and delivering clinical value, aligning with the company's mission of 'care for life'." SOURCE Leads Biolabs

临床1期免疫疗法ASCO会议临床结果临床申请

2023-08-03

·药时代

亦正亦邪的“双面”靶点：TGF-β

从2014年Keytruda和Opdivo两款PD-1单抗获批以来，肿瘤免疫疗法（Tumor immunotherapy，IO）已成为肿瘤治疗领域的基石。然而即便如此，IO疗法也只能让部分患者从中获益（单药有效率仅20%-30%），其余大量患者无法产生应答。为了克服检查点抑制剂的耐药性，研究者们做了很多研究，其中转化生长因子（TGF-β）被认为具有克服检查点抑制剂耐药性的潜力。PART.01历久弥新的“双面”靶点——TGF-β事实上，TGF-β于1978年就被发现，是抗体药物领域的老靶点。几十年来，对于TGF-β作用机制的研究不断有新进展，研究人员希望在TGF-β身上，找到肿瘤免疫疗法的新突破口，不过这并不容易。TGF-β信号通路包含多种功能细胞因子，其共有3个亚型，分别为TGF-β1、TGF-β2和TGF-β3。TGF-β通过TGF-β/SMAD（一些转录激活因子）信号通路在细胞增殖、分化、迁移、凋亡、上皮-间质转化（EMT）、细胞外基质沉积以及炎性反应调节等方面发挥重要作用，并参与介导组织与器官的正常生长和发育、机体的免疫反应等生物过程。图1. TGF-β的信号传导机制，来源：参考1值得注意的是，TGF-β信号通路在肿瘤发生过程中表现出双重作用，能够分别扮演着促进肿瘤转移或抑制肿瘤生长的角色。在正常细胞中，TGF-β会诱导如自噬相关蛋白（4EBP1）、细胞周期蛋白依赖性激酶（CDK）等抑制剂的表达，来抑制肿瘤细胞的增殖。也可以通过促进Bcl-2（细胞凋亡蛋白家族成员之一）、DAPK（细胞死亡相关蛋白激酶）、GADD45b（生长停滞与DNA损伤诱导蛋白）等因子的表达，来诱导肿瘤细胞凋亡；以及抑制血管内皮细胞的生长和血管的成熟，从而阻断肿瘤营养的供给。这些作用维持了正常组织内的动态平衡，在早期阶段防止肿瘤形成。不过，TGF-β对恶变前癌细胞施加的压力，会迫使肿瘤细胞通过突变等手段避开TGF-β的抑制作用。这时候，TGF-β就变成了协助肿瘤细胞进行免疫逃逸的“叛军”。TGF-β首先会影响肿瘤微环境，即肿瘤在发生和发展过程中所处的内环境。TGF-β对于肿瘤微环境中所有免疫细胞，如T细胞、巨噬细胞、中性粒细胞等都表现出了免疫抑制，宿主抵抗肿瘤的能力也因此受到影响。另外，TGF-β可以通过诱导HMGA2（高迁移率族蛋白A2）、Snail1/2（肿瘤相关成纤维细胞活化相关蛋白）等转录因子的表达，诱发EMT，通过EMT肿瘤细胞得以实现扩散，侵入淋巴管和血管。不仅如此，TGF-β表达上调会促使VEGF-A（血管内皮生长因子A）等因子分泌，刺激血管生成，新生成的血管将为癌细胞的生长提供营养物质，助力癌细胞的生长和转移。研究还发现，TGF-β信号通路还与肿瘤细胞的耐药性相关。它可以通过上调PKCα（蛋白激酶Cα）表达增强肿瘤细胞的耐药性。总之，“叛变”后的TGF-β变成了肿瘤细胞的得力助手。PART.02靶向TGF-β的药物研发针对TGF-β促进肿瘤转移的机制，研究者们展开了TGF-β抑制剂的开发。其中，抗体药物因为拥有更好的靶向特异性和更好的药代动力学性质而备受关注。从正在开发的TGF-β靶向候选药来看，主要包括TGF-β单抗、双抗靶向药以及细胞治疗产品三大类。 01 TGF-β单抗靶向药NIS793是诺华旗下一款潜在的FIC（同类首创）全人源抗TGF-β IgG2单克隆抗体，可抑制肿瘤细胞的TGF-β通路，并调控肿瘤微环境，逆转免疫抑制和纤维化。目前，诺华正在全球范围内开展多项NIS793的临床试验，涉及的适应症包括转移性胰腺导管腺癌、转移性结直肠癌、肺癌等。其中，NIS793治疗胰腺导管腺癌的研究已进入到III期临床阶段。图2. NIS793（尼斯奇塔单抗）知识图谱，来源：药渡数据Galunisertib由礼来公司研发，是礼来在TGF-β领域抑制剂开发的先导，临床适应症主要指向骨髓增生异常综合征（MDS）、肝细胞癌（HCC），2014年即启动了MDS的II/III期临床，并于2017年完成；2011年启动的转移性胰腺癌Ib/IIa期试验，也于2016年完成；2017年8月发起的一项子宫/卵巢癌肉瘤患者的Ib期试验，目前暂未完成。图3. Galunisertib知识图谱，来源：药渡数据GFH018是劲方医药研发的一款口服小分子TGF-β抑制剂，于2019年进入临床试验，其在多种人体细胞系和疾病动物模型中显示出了良好的抗肿瘤药效和成药性，并显示了与免疫检查点抑制剂协同增效的作用。目前GFH018联合PD-1抑制剂（特瑞普利单抗）的全球多中心试验在中国大陆、中国台湾、澳大利亚进行，GFH018联合PD-1抑制剂及同步放化疗的联合疗法也在中国大陆进行。图4. GFH018（GF-101）知识图谱，来源：药渡数据YL-13027由璎黎药业研发，主要用于肝细胞癌等实体瘤适应症以及多发性骨髓瘤和MDS的治疗。临床前研究表明，YL-13027具有很高的体内外活性，优良的动物体内药代特性，显著的抗肿瘤效果和很高的安全性。在多种肿瘤模型药效试验中，YL-13027显示出了作为免疫抗肿瘤药物的能力，它通过显著增加肿瘤中肿瘤浸润淋巴细胞的数量来抑制肿瘤的生长，且和抗PD-L1抗体有很好的协同效果。YL-13027目前正在开展I期临床试验。图5. YL-13027知识图谱，来源：药渡数据 02 TGF-β双抗靶向药除了单抗药物，靶向TGF-β的双抗药物也是一个重要研发方向，其中以PD-L1/TGF-β双抗居多，它可通过同时阻断PD-L1和TGF-β这两个免疫抑制信号通路，从而恢复和增强机体的抗肿瘤反应。表1. 处于临床阶段的TGF-β双抗药物，来源：公开资料整理M7824在众多正在研发的TGF-β双抗药物中，默克/GSK的PD-L1/TGF-β双抗M7824（bintrafusp alfa）本来是进展最快的，但是在后续研发中却遭遇了一连串打击。M7824曾被认为是“PD-1 2.0”潜力选手，这是因为在2018年的ASCO大会上，M7824的I期临床数据非常优秀。研究显示，在使用1200mg剂量组的40例非小细胞肺癌（NSCLC）患者中，PD-L1阳性患者的客观缓解率（ORR）达到了惊人的40.7%，PD-L1高表达患者的ORR则高达71.4%，而在使用PD-1患者群体中，这个数值则为29-44%，有效率明显高于PD-1。图6. M7824作用机制示意图，来源：药渡数据在后面的ESMO大会上，M7824在含铂化疗一线治疗后病情进展的亚洲胆管癌患者中，ORR为23%。FDA因此授予M7824治疗胆管癌的孤儿药资格认定。2019年2月，GSK与默克宣布，双方达成全球战略合作联盟，共同负责M7824在全球范围内的临床开发及商业推广，交易总额高达37亿欧元。M7824凭一己之力使PD-L1/TGF-β成为医药界的新星。国内药企也抓住这一机会纷纷入局，其中恒瑞医药遥遥领先。不过好景不长，2021年，M7824接连遭遇多次失败。2021年1月份，M7824在微卫星高度不稳定（MSI-H）/错配修复缺陷（dMMR）实体瘤II期临床以及NSCLC III期临床研究中失败；2021年3月，M7824单药二线治疗局部晚期或转移性胆道癌（BTC）的II期临床试验失败：ORR为10.1%，未达到预先设置的阈值；2021年8月，M7824联合吉西他滨和顺铂一线治疗BTC患者的研究也宣告失败。2021年9月，默克宣布与GSK达成协议，终止M7824相关的合作。至此，默克对M7824的研发热情大大下降。从默克发布的2022年年报中，已经看不到M7824的身影。PD-LI/TGF-β的未来充满阴霾。表2. 默克公司的肿瘤研发管线，来源：默克2022年年报SHR-1701不过，国内研发进度靠前的恒瑞医药并未选择放弃，其自主研发的抗PD-L1/TGF-β双抗SHR-1701于2018年7月获得国家药监局的I期临床试验批件，成为国内第一个进入临床阶段的PD-L1/TGF-β双抗。根据恒瑞医药2022年年报显示，目前仍有12项关于SHR-1701的临床试验在推进，其中绝大多数为与其他药物的联用。PM8001、TQB2858 & LBL-015除恒瑞外，国内还有普米斯生物的PM8001、正大天晴的TQB2858以及维立志博的LBL-015，临床进度靠前。其中PM8001以分子量小、稳定性好的单域抗体为基础，同时靶向包括PD-L1的两个肿瘤相关靶点，从而提高抗肿瘤活性及疗效。目前，PM8001正处于临床II期阶段。 03 靶向TGF-β的细胞治疗产品除了单抗和双抗产品外，也有公司针对TGF-β开发细胞治疗产品。迪诺仑赛注射液永泰生物的迪诺仑赛注射液（原称CAR-T-19-D2、CART-19-DNR）即为靶向CD19抗原且拮抗TGF-β下游信号通路的一款CAR-T产品。在这款产品中，经过改造的T细胞可以直接识别CD19分子并杀伤携带靶标的细胞，从而达成治疗肿瘤的目的。此外，同步转录翻译表达细胞内部拮抗TGF-β下游信号通路的蛋白，具有阻遏肿瘤微环境中存在TGF-β所导致的免疫抑制效应的潜力，防止CAR-T细胞免疫杀伤能力的削弱与耗竭，从而进一步提高治疗效果。迪诺仑赛注射液旨在于解决CAR-T细胞对实体瘤治疗持久性不够、治疗效果欠佳的痛点。PART.03小结总的来说，由于TGF-β作用机制相对复杂，靶向TGF-β产品的开发仍有很多问题待解决。目前在最有前景的双抗领域，默克减缓M7824的研发进展到底是对是错？恒瑞医药能否“弯道超车”？都值得我们期待……参考资料：1. Rik Derynck et al. TGFβ biology in cancer progression and immunotherapy. Nature Reviews Clinical Oncology (2020).2. Zhai T, Wang C, Xu Y, et alGeneration of a safe and efficacious llama single-domain antibody fragment (vHH) targeting the membrane-proximal region of 4-1BB for engineering therapeutic bispecific antibodies for cancer. Journal for ImmunoTherapy of Cancer 2021;9:e002131. doi: 10.1136/jitc-2020-002131.3. Biomarkers and overall survival in patients with advanced hepatocellular carcinoma treated with TGF-βRI inhibitor galunisertib.4. http://www.cninfo.com.cn/new/disclosure/detail?stockCode= 06978& announcementId= 1216181462& orgId=9900044697&announcementTime =2023-03-21.封面图来源：123rf精彩推荐FDA亲自帮忙修改临床终点，结果还是没打过安慰剂...药时代路演第三期 | 抗体领域龙头企业优质系列双抗对外授权7月“裁报季”，15家药企宣布裁员！73亿美元并购，刚宣布裁员节流的Biogen，就把手里的现金全花了......点击这里，与药时代一起快乐学习！

免疫疗法临床研究临床结果

2023-07-31

·Pharmaceutical Technology

FDA approves IND application for Nanjing Leads Biolabs’ bispecific antibody

Phalguni Deswal The single-arm, multicentre, open-label, dose expansion Phase I clinical trial would aim to evaluate the safety and efficacy of LBL-034 in patients with r/r multiple myeloma who have received prior treatment. Image Credit: Nemes Laszlo / Shutterstock. US Food and Drug Administration (FDA) and China’s National Medical Products Administration (NMPA) have approved the Investigational New Drug (IND) applications for Nanjing Leads Biolabs’ LBL-034 bispecific antibody for treating relapsed/refractory (R/R) multiple myeloma. LBL-034 is an IgG1 bispecific antibody that targets G protein-coupled receptor, class C, group 5, member D (GPRC5D) transmembrane receptor protein and cluster of differentiation 3 (CD3) T cell co-receptor protein. It induces T-cell-mediated cell lysis of GPRC5D expressing myeloma cells by redirecting CD3+ T-cells. Nanjing Leads Biolabs chief medical officer Dr Charles Cai said in a press release : “LBL-034 adopts a unique molecular design, which enables the drug to specifically bind to GPRC5D-expressing tumour cells with high affinity and reduces the risk of non-specific activation of T-cells, thereby enhancing anti-tumour efficacy and reducing the potential risk of immunotoxicity.” “LBL-034 demonstrated robust anti-tumour activities and good safety profile in pre-clinical studies.” The single-arm, multicentre, open-label, dose-expansion Phase I clinical trial would aim to evaluate the safety and efficacy of LBL-034 in patients with R/R multiple myeloma who have received prior treatment. The additional aim of the first-in-human study is to determine the Phase II recommended dose. In May 2023, AstraZeneca and LaNova Medicines signed a licence deal for a GPRC5D monoclonal antibody (LM-305) for R/R multiple myeloma. LM-305 has IND approval from UD FDA and China’s NMPA. Johnson & Johnson is also developing an anti-GPRC5D/CD3 bispecific antibody , talquetamab, for R/R multiple myeloma, with positive overall response data from the Phase I trial (NCT03399799). Other drugs in the Leads Biolabs’ pipeline include LBL-007, a monoclonal antibody developed in partnership with Chime Biologics and BeiGene to treat solid tumours, LBL-015, a bispecific antibody for treating solid tumours, and LBL-003, a monoclonal antibody in Phase I for the treatment of haematological and solid tumours. Three antibody drugs are in Phase I/II – LBL-019 (tumour necrosis factor receptor-2 targeting monoclonal antibody) for treating haematological and solid tumours, LBL-033 (bispecific antibody for anti-mucin 16 and CD3) for solid tumours especially ovarian cancer, and LBL-024 (bispecific antibody for PDL1 and CD137) for treating haematological and solid tumours.

临床1期临床申请免疫疗法引进/卖出抗体药物偶联物

100 项与 LBL-015 相关的药物交易

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适应症	最高研发状态	国家/地区	公司	日期
晚期癌症	临床2期	中国	南京维立志博生物科技股份有限公司	2021-11-08
晚期恶性实体瘤	临床2期	中国	南京维立志博生物科技股份有限公司	2021-11-08

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


NCT05107011 (ASCO2024) 人工标引	临床1期	肿瘤 PD-1 \| TGF-βRII	25	LBL-015	艱鏇膚糧膚糧簾廠膚簾(餘遞膚選鑰繭艱範醖壓) = 顧製餘醖糧積製製壓築鏇鹹繭選觸蓋糧築築膚 (選憲網憲齋憲壓窪鹽鑰 ) 更多	积极	2024-05-24