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Imdelltra: animal efficacy model or human cells?

tarlatamab · DLL3 x CD3
Efficacy evidence
Xenograft models in NSG mice injected with activated, expanded human T cells
“As tarlatamab does not cross-react to mouse CD3, the xenograft models used in the nonclinical pharmacology studies were conducted in immunocompromised mice (non-obese diabetic/severe combined immunodeficiency, interleukin 2 receptor gamma [NSG]) that were injected with activated, expanded human T cells before treatment with tarlatamab.”
✓ VerifiedFDA multi-discipline review, p. 56Source ↗
Why that model
Tarlatamab does not bind mouse CD3, so human T cells were engrafted into immunodeficient mice
“Because tarlatamab does not bind mouse CD3, the in vivo anti-tumor activity of tarlatamab was evaluated using immunodeficient mice administered human PBMCs or T cells by IV infusion prior to treatment with tarlatamab.”
✓ VerifiedFDA multi-discipline review, p. 49Source ↗
Reviewer's view of the efficacy data
FDA: no outstanding pharmacology/toxicology issues preventing approval
“Recommendation: There are no outstanding issues from a pharmacology/toxicology perspective that would prevent the approval of IMDELLTRA.”
✓ VerifiedFDA multi-discipline review, p. 51Source ↗

Same question, other bispecifics

Bizengri

zenocutuzumab · HER2 x HER3
Mouse xenografts: HER2+ breast cancer (JIMT-1) and NRG1 fusion-positive lung and pancreatic patient-derived xenografts

Blincyto

blinatumomab · CD19 x CD3
Blinatumomab in NOD/SCID mouse tumor xenograft models

Columvi

glofitamab · CD20 x CD3
Human HSC-engrafted NOG/NSG mice, non-tumor-bearing and tumor-bearing

Elrexfio

elranatamab · BCMA x CD3
Multiple myeloma xenograft models (MM.1S, OPM2, MOLP8) with varying BCMA expression

Epkinly

epcoritamab · CD20 x CD3
Human lymphoma cell line-derived xenograft (CDX) mouse models and one patient-derived xenograft (PDX) model

Hemlibra

emicizumab · FIXa x FX
Cynomolgus monkey models of acute and chronic hemophilia A

Kimmtrak

tebentafusp · CD3 x gp100 (TCR fusion)
Mice engrafted with HLA-A*02:01/gp100+ Mel526 human melanoma cells plus human PBMCs; tumor growth inhibition

Korjuny

catumaxomab · EpCAM x CD3
SCID mouse i.p. human ovarian carcinoma ascites xenograft treated with human PBMCs plus catumaxomab

Lunsumio

mosunetuzumab · CD20 x CD3
Human CD20/CD3 double-transgenic mice: peripheral and tissue B-cell depletion and T-cell activation (comparable to analogue 2H7v16/40G5c)

Lynozyfic

linvoseltamab · BCMA x CD3
NSG mice co-implanted with human PBMC and NCI-H929 or MOLP-8 myeloma xenografts

Ordspono

odronextamab · CD20 x CD3
Lymphoma tumour models in humanized (BRG) mice and immunodeficient NSG mice

Removab

catumaxomab · EpCAM x CD3
Human ovarian carcinoma xenograft (catumaxomab); syngeneic human-EpCAM mouse tumour model with surrogate BiLu

Rybrevant

amivantamab · EGFR x MET
Patient-derived tumor xenografts with EGFR exon 20 insertion mutations in mice

Talvey

talquetamab · GPRC5D x CD3
Myeloma cell line xenografts (H929 prophylactic; MM.1S, RPMI 8226 established) in humanized immunodeficient mice

Tecvayli

teclistamab · BCMA x CD3
Human MM xenografts (H929, RPMI-8226) in human PBMC/T-cell-engrafted NSG mice

Vabysmo

faricimab · VEGF-A x Ang-2
Laser-induced choroidal neovascularization (nAMD model) in cynomolgus monkeys, IVT faricimab vs ranibizumab

Ziihera

zanidatamab · HER2 x HER2 (biparatopic)
HER2 3+ xenografts in nude mice (SKOV-3, NCI-N87, patient-derived GXA 3054); no effect in HER2-negative model

Summary across all 18 bispecifics →