“In in vitro studies, cemiplimab (REGN2810) bound to human and cynomolgus monkey PD-1 with similar affinity, but did not bind rodent PD-1, supporting the use of cynomolgus monkeys as the single pharmacologically relevant species for toxicity assessment.”
✓ VerifiedFDA multi-discipline review, p. 29Source ↗
Why that species
Similar binding affinity to human and cynomolgus PD-1; no binding to mouse or rat PD-1
“REGN2810 exhibited similar binding affinity for human and cynomolgus monkey PD-1 (see Table 2), but did not bind mouse or rat PD-1, supporting the use of cynomolgus monkeys as a pharmacologically relevant species for toxicity assessment.”
✓ VerifiedFDA multi-discipline review, p. 32Source ↗
Surrogate molecule
No surrogate; the clinical antibody was tested in cynomolgus monkey (huPD-1 knock-in mice used only for efficacy pharmacology)
“Since REGN2810 does not bind mouse PD-1, mice were genetically engineered to express a human/mouse PD-1 chimeric receptor (huPD-1 mice); these mice have a functional human PD-1 with expression regulated by the mouse PD-1 promoter.”
✓ VerifiedFDA multi-discipline review, p. 37Source ↗