Evidence map›Paper›PMID 34239776›Full record

ArticleOncoimmunology2021

PD-L1/LAG-3 bispecific antibody enhances tumor-specific immunity.

Haiping Jiang, Haiqing Ni, Pan Zhang, Xiaoli Guo, Min Wu, Haoran Shen, Jie Wang, Weiwei Wu, Zhihai Wu, Jiazheng Ding and 6 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 99 citations in OpenAlex.

  1. Trial
  2. Review
  3. Molecular imaging and biology · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Exploring new frontiers in LAG-3 biology and therapeutics.Trends in pharmacological sciences · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 2 countries.

Haiping JiangDepartment of Medical Oncology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Haiqing NiDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Pan ZhangDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Xiaoli GuoDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Min WuDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Haoran ShenDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Jie WangDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Weiwei WuDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.ORCID 0000-0001-5605-6837
Zhihai WuDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.ORCID 0000-0001-7293-9250
Jiazheng DingDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Rong TangDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Shuaixiang ZhouDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Bingliang ChenDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Michael YuDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.ORCID 0000-0003-0563-3248
Hua JingDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Junjian LiuDepartment of Drug Discovery, Innovent Biologics (Suzhou) Co, Suzhou, China.
Innovative Biologics (United States) · USZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-programmed cell death-1 (PD-1)/PD-ligand-1 (PD-L1) treatments are effective in a fraction of patients with advanced malignancies. However, the majority of patients do not respond to it. Resistance to cancer immunotherapy can be mediated by additional immune checkpoints. We hypothesized that co-targeting of PD-L1 and lymphocyte-activation gene 3 (LAG-3) could provide an alternative therapeutic approach. Here, we developed IBI323, a dual blockade bispecific antibody targeting PD-L1 and LAG-3. We assessed the binding affinity, blocking activity, cell bridging effect, and immunomodulation function of IBI323 using in vitro assays. We also evaluated, in two humanized mouse models, anti-tumor effects and antitumor T cell immunity induced by IBI323. IBI323 bound to PD-L1 and LAG-3 with similar potency as its parental antibodies and blocked the interaction of PD-1/PD-L1, CD80/PD-L1, and LAG-3/MHC-II. Moreover, IBI323 mediated the bridging of PD-L1+ cells and LAG-3+ cells and demonstrated superior immune stimulatory activity compared to each parent antibody in mixed leukocyte reaction. In PD-L1/LAG-3 double knock-in mice bearing human PD-L1 knock-in MC38 tumors, IBI323 showed stronger anti-tumor activity compared to each parental antibody. The better antitumor response correlated with increased tumor-specific CD8+ and CD4+ T cells. IBI323 also induced stronger anti-tumor effect against established A375 tumors compared with combination in mice reconstituted with human immune cells. Collectively, these data demonstrated that IBI323 preserved the blockade activities of parental antibodies while processing a novel cell bridging function. Based on the encouraging preclinical results, IBI323 has significant value in further clinical development.

Indexed as

Antibodies, BispecificNeoplasmsAnimalsB7-H1 AntigenHumansImmunotherapyMiceProgrammed Cell Death 1 ReceptorAntibodies, BispecificB7-H1 AntigenProgrammed Cell Death 1 Receptorbispecificcancer immunotherapyLAG-3PD-L1

Identifiers

PMID34239776
PMCPMC8237984
OpenAlexW3177496545

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.