Evidence map›Paper›PMID 35833116›Full record

ArticleFrontiers in immunology2022

Penpulimab, an Fc-Engineered IgG1 Anti-PD-1 Antibody, With Improved Efficacy and Low Incidence of Immune-Related Adverse Events.

Zhaoliang Huang, Xinghua Pang, Tingting Zhong, Tailong Qu, Na Chen, Shun Ma, Xinrong He, Dennis Xia, Max Wang, Michelle Xia and 1 more

6 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT03352531 phase1completednot on this map

A Phase 1A/1B Multicenter, Open-label, Dose-escalation, and Dose-expansion Study to Evaluate the Safety, Pharmacokinetics, and Antitumor Activity of AK105 in Subjects With Advanced Solid Tumors

TypeinterventionalSponsorAkesobio Australia Pty LtdRan2018 to 2023Enrolled99ConditionsAdvanced CancerArmsAK-105
NCT03722147 phase1 / phase2completednot on this map

A Single-arm, Multicenter, Open-label, Phase I/II Study of AK105 as Monotherapy in Relapsed or Refractory Classic Hodgkin Lymphoma

TypeinterventionalSponsorAkesoRan2018 to 2021Enrolled94ConditionsHodgkin's LymphomaArmsAK105
NCT03866967 phase2completednot on this map

A Single-arm, Open-label, Multicenter Phase II Clinical Study of AK105 in Patients With Metastatic Nasopharyngeal Carcinoma After Failure of Second and Subsequent Lines of Chemotherapy

TypeinterventionalSponsorAkesoRan2019 to 2024Enrolled130ConditionsNasopharyngeal CarcinomaArmsAK105
NCT03866980 phase3terminatednot on this map

A Phase III, Randomized, Double-blinded, Multicenter Study of AK105 Combined With Carboplatin and Pemetrexed vs Placebo Combined With Carboplatin and Pemetrexed as First-line Therapy in Patients With Metastatic Nonsquamous Non-small Cell Lung Cancer

TypeinterventionalSponsorAkesoRan2018 to 2023Enrolled164ConditionsLung Cancer Non-small Cell Stage IVArmsAK105, carboplatin, pemetrexed, placebo, Anlotinib
NCT04172506 phase1 / phase2completednot on this map

A Multicenter, Open-label, Phase Ib/II Study to Evaluate the Efficacy and Safety of Anti-PD-1 Antibody AK105 in Patients With Selected Advanced Solid Tumors

TypeinterventionalSponsorAkesoRan2019 to 2022Enrolled65ConditionsSolid Tumor, Lung Cancer, HCCArmsAK105
NCT04172571 phase2completednot on this map

An Open-Label Multi-Center Phase Ib/II Study of the Combination of AK105 and Anlotinib Hydrochloride in the First-Line Treatment of Patients With Unresectable Hepatocellular Carcinoma

TypeinterventionalSponsorAkesoRan2018 to 2022Enrolled31ConditionsHepatocellular CarcinomaArmsAK105, Anlotinib Hydrochloride
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Comparison of efficacy and safety of PD-1/PD-L1 combination therapy in first-line treatment of advanced NSCLC: an updated systematic review and network meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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  8. Advances in Cancer Immunotherapy for Solid Tumors.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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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

11 authors.

Zhaoliang HuangResearch and Development Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Xinghua PangResearch and Development Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Tingting ZhongResearch and Development Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Tailong QuResearch and Development Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Na ChenResearch and Development Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Shun MaChemical Manufacturing and Control Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Xinrong HeChemical Manufacturing and Control Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Dennis XiaManufacturing and Quality Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Max WangProcurement and Sourcing Department and Clinical Operation Department, Akeso Biopharma Co., Ltd., Zhongshan, China.
Michelle XiaAkeso Biopharma Co., Ltd., Zhongshan, China.
Baiyong LiResearch and Development Department, Akeso Biopharma Co., Ltd., Zhongshan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: IgG4 anbibodies are deficient in stability and may contribute to tumor-associated escape from immune surveillance. We developed an IgG1 backbone anti-programmed cell death protein-1 (PD-1) antibody, penpulimab, which is designed to remove crystallizable fragment (Fc) gamma receptor (FcγR) binding that mediates antibody-dependent cell-mediated cytotoxicity (ADCC), antibody-dependent cellular phagocytosis (ADCP) and proinflammatory cytokine release. Methods: Aggregation of different anti-PD-1 antibodies was tested by size exclusion chromatography, and melting temperature midpoint (Tm) and aggregation temperature onset (Tagg) were also determined. The affinity constants of penpulimab for PD-1 and human FcγRs were measured by surface plasmon resonance and biolayer interferometry. ADCC and ADCP were determined in cellular assays and antibody-dependent cytokine release (ADCR) from human macrophages was detected by ELISA. Binding kinetics of penpulimab to human PD-1 was determined by Biacore, and epitope/paratope mapping of PD-1/penpulimab was investigated using x-ray crystallography. Additionally, patients from six ongoing trials were included for analysis of immune-related adverse events (irAEs). Results: Penpulimab demonstrated better stability and a lower level of host-cell protein residue compared with IgG4 backbone anti-PD-1 antibodies. As expected, penpulimab exhibited no apparent binding to FcγRIa, FcγRIIa_H131, FcγRIIIa_V158 and FcγRIIIa_F158, elicited no apparent ADCC and ADCP activities, and induced no remarkable IL-6 and IL-8 release by activated macrophages Conclusions: IgG1 backbone anti-PD1 antibody penpulimab has a good stability and reduced host cell protein residue, as well as potent binding to the antigen. Fc engineering has eliminated Fc-mediated effector functions of penpulimab including ADCC, ADCP and reduced ADCR, which may contribute to its more favorable safety profile. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: AK105-101: NCT03352531, AK105-201: NCT03722147, AK105-301: NCT03866980, AK105-202:NCT03866967, AK105-203: NCT04172571, AK105-204: NCT04172506.

Indexed as

Antibody-Dependent Cell CytotoxicityImmunoglobulin GAntibodies, MonoclonalClinical Trials as TopicCytokinesHumansIncidenceAntibodies, MonoclonalCytokinesImmunoglobulin Gbinding kineticsFc engineeringIgG1 anti-PD-1 antibodyimmune-related adverse eventspenpulimab

Identifiers

PMID35833116
PMCPMC9272907
OpenAlexW4283589822

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.