1
The Variant Immunoglobulin Domain (vIgD) platform Directed evolution: yeast maturation of individual IgSF domains Selection performed by flow cytometry Screening of mammalian cell-expressed domains performed via binding and functional assays Iterative process yields unique vIgDs evolved to modulate multiple counter-receptors Novel immunomodulatory proteins generated via directed evolution of variant IgSF domains Katherine E. Lewis, Lawrence S. Evans, Steven D. Levin, Erika Rickel, Martin F. Wolfson, Susan Bort, Stacey R. Dillon, Sherri Mudri, Michael G. Kornacker, Ryan M. Swanson, Stanford L. Peng Alpine Immune Sciences, Inc., 201 Elliott Avenue West, Seattle, Washington USA Abstract The immunoglobulin superfamily (IgSF) is a large, diverse family of proteins expressed on immune cells extensively targeted for treatment of cancers and autoimmune diseases. Most of the therapeutic strategies targeting this family have focused on high affinity antibodies binding a single receptor. Moreover, wild-type IgSF receptors typically exhibit low affinities for their counter-structures, limiting their utility in therapeutic modulation of immune responses. We have developed a novel variant Ig domain (vIgD™) platform using directed evolution and yeast display to affinity mature human IgSF extracellular domains. In this platform, libraries of mutagenized IgSF domains are selected for enhanced or altered affinity to specific recombinant proteins. Fc fusion proteins incorporating these evolved immunomodulatory IgSF domains are then tested in vitro for their ability to either agonize or antagonize T cell responses. Multiple novel vIgD™ fusion proteins have been generated which significantly attenuate or accentuate T cell activation in vitro as assessed by proliferation and cytokine production. Lead molecules also exhibited in vivo efficacy in the human PBMC-NSG™ GVHD mouse model. Efficacy in vitro and in vivo was superior to wild-type IgSF domains due to the induced alterations in affinity for cognate ligand and through specifically-directed changes in their ability to bind additional counter-structures. Our results demonstrate that vIgDs™ evolved to acquire unique biochemical properties significantly enhance therapeutic utility as immunomodulatory agents. This vIgD™ therapeutic platform has broad potential to enhance the activity of biologics in treatment of autoimmune diseases, cancer, and other disorders. The Immunoglobulin Superfamily (IgSF) The vIgD Platform vIgDs may be used in multiple therapeutic formats Fusion proteins (Fc or mAb) with inhibitory and/or tumor-localizing agonistic activity Cell-displayed for enhancement of adoptive therapies IgV/IgC Yeast Display Flow Cytometric Selection Fc Fusion Protein Generation Counter- structure Binding Functional Assays IgSF Protein Limited counterstructure(s) Low/modest affinity vIgD Multiple and/or tailored counter- structure(s) Improved/high affinity Oncology Immunology and Autoimmunity The immunoglobulin superfamily (IgSF): Is the largest protein superfamily Includes cell surface and soluble members/forms involved in cellular recognition, binding, and adhesion Each IgSF member consists of at least one Ig domain of 70-110 aa each Variable (IgV), constant (IgC1, IgC2), or intermediate (IgI) Has been most well studied in immunology and immuno-oncology, but members are also relevant to other therapy areas, including endocrinology and neuroscience Key examples of IgSF that play critical roles in immunoregulation : 1immune cell receptors: Igs, TCRs, KIRs, LILRs (Fig. 1) Co-receptors: CD4, CD8, CD19, MHC, b2m Costimulatory and checkpoint molecules: CD28, CD80, CD86, CTLA-4, PD-1, LAG-3, TIM-3, BTLA CAMs: NCAMs, CD2 family Cytokine receptors: IL-1R, CSF-1R Growth factor receptors: PDGF-R, c-kit Figure 1. Model of the Immunological Synapse Including PD-1 Proc Natl Acad Sci USA 105:10483, 2008 Poster W.83 Conclusions and Summary A variant Ig domain (vIgD) platform has been developed to generate a novel dual immunomodulatory IgSF-based biologic with higher affinity for and increased multiplicity of ligand binding, translating into superior preclinical efficacy in vitro & in vivo in these analyses. ICOSL vIgDs repeatedly demonstrate superior efficacy to belatacept in these analyses for inhibition of cytokine secretion, including IL2, IFN-γ, and several TH2 cytokines, in MLR assays. Cellular proliferation and intracellular cytokine staining are also reduced to a greater extent. 1 st gen ICOSL vIgDs are as effective as approved CTLA-4 based therapeutics (abatacept and belatacept) in these DTH and humanized GVHD in vivo models. 2 nd gen ICOSL vIgD-Fc molecules are currently in a follow-up preclinical GVHD study with data to be reported in a future scientific forum. ICOSL vIgDs domains may provide novel therapeutics for the treatment of multiple inflammatory conditions; preclinical development is underway to support clinical trials. Development of ICOSL vIgDs for immuno-oncology applications has also been initiated, with potentially promising data for the various therapeutic formats generated to date. Tailored High-Affinity Dual CD28/ICOS Binding of ICOSL vIgD Domains Figure 4. Structure of vIgD Fc Fusion Proteins with Improved Binding to Counter Receptors. Yeast outputs were batch cloned into an Fc expression vector, inserts sequenced, and unique clones of interest chosen for transient expression in Expi293 cells (left). HEK293 cells were transiently transfected with three distinct IgSF receptors. Cells were stained with titrated WT or mutant vIgD hits. Binding was detected with PE-conjugated anti-human Fc(each binding curve). MFI, mean fluorescence intensity. Table 1. Improved Ligand Affinity of vIgD-Fc Proteins. Example dissociation constant (KD) determinations on recombinant ICOSL vIgD-Fc proteins using 3 counter receptors on a ForteBio Octet. FI, fold increase in affinity vs. wild-type (WT). Note: this is an avidity-driven system due to the bivalent nature of both the receptors and the vIgDs. 1 2 3 4 0 30000 60000 90000 120000 150000 CD28 Binding vIgD log[ pM ] MFI 1 2 3 4 0 75000 150000 225000 300000 CTLA-4 Binding vIgD log[ pM ] MFI 1 2 3 4 0 30000 60000 90000 120000 ICOS Binding vIgD log[ pM ] MFI - - - WT ICOSL 1 st Gen vIgDs 2 nd Gen vIgDs 3 rd Gen vigDs KD [pM] FI KD [pM] FI KD [pM] FI WT ICOSL 13880 - 77120 - 883 - 525 26 678 114 332 2.7 1163 12 1522 51 338 2.6 783 18 833 93 769 1.1 436 32 647 119 382 2.3 896 15 1466 53 1294 0.7 447 31 645 120 492 1.8 401 35 592 130 373 2.4 390 36 576 134 472 1.9 293 47 536 144 420 2.1 368 38 719 107 369 2.4 1042 13 2518 31 337 2.6 503 28 1059 73 543 1.6 553 25 648 119 362 2.4 563 25 1066 72 477 1.9 366 38 864 89 477 1.9 969 14 1122 69 340 2.6 1947 7 2812 27 371 2.4 910 15 1200 64 311 2.8 3 rd Gen ICOSL vIgDs Sensor Load CD28 CTLA-4 ICOS Sample ID 1 st Gen ICOSL vIgDs 2 nd Gen ICOSL vIgDs ICOSL ECD IgV and IgC Domains Fc Enhanced in vitro Activity of Inhibitory vIgD Above that of Belatacept (CTLA-4 Ig) Figure 5. Inhibitory Activity of Antagonistic ICOSL vIgDs in Mixed Lymphocyte Responses. vIgD-Fc fusion proteins were evaluated for their ability to attenuate cytokine levels and T cell proliferation in a mixed lymphocyte reaction (MLR). Purified T cells were CFSE- labeled and incubated with allogeneic monocyte-derived dendritic cells for 4 days in the presence or absence of various Fc-fusion proteins and belatacept (CTLA-4 Ig). Supernatants were collected and cytokine concentrations determined by cytokine bead array (top 2 panels). Proliferation was determined by quantifying the percentage of cells that had diluted the CFSE. Effects on CD8+ T cells and CD4+ T cells are presented (center panel). Intracellular cytokine staining was performed on cells stimulated with PMA/ionomycin in the presence of brefeldin A and monensin (bottom panel). 0.01 0.1 1 10 100 100 200 300 400 500 IL-13 Fc Protein [ nM ] Cytokine [ pg/mL] 0.01 0.1 1 10 100 0 500 1000 1500 IL-2 Cytokine [ pg/mL] 0.01 0.1 1 10 100 1000 3500 6000 8500 11000 IFN- Cytokine [ pg/mL] 0.01 0.1 1 10 100 0 100 200 300 IL-6 Cytokine [ pg/mL] 0.01 0.1 1 10 100 50 150 250 IL-9 Fc Protein [ nM ] Cytokine [ pg/mL] 0.01 0.1 1 10 100 25 75 125 175 225 IL-5 Fc protein [ nM ] Cytokine [ pg/mL] 0.01 0.1 1 10 100 0 50 100 150 TNF- Cytokine [ pg/mL] 0.01 0.1 1 10 100 50 150 250 350 450 550 IL-22 Fc Protein [ nM ] Cytokine [ pg/mL] 0.01 0.1 1 10 100 15 25 35 45 CD8+ T-cells % Divided Cells 0.01 0.1 1 10 100 15 25 35 CD4+ T-cells % Divided Cells 0.01 0.1 1 10 100 5 10 15 20 25 IL-21+ CD4+ Protein [ nM ] % Positive 0.01 0.1 1 10 100 15 20 25 30 IFN- + CD4+ Protein [ nM ] % Positive Enhanced in vivo Activity With Inhibitory vIgD GVHD % Body Weight Loss (Mean + SEM) PBS Abatacept 0 5 10 15 20 Change in Ear Thickness (in. x 10 -2 ) 2 nd Gen ICOSL vIgDs p < 0.001 vs. PBS by 1-way ANOVA Figure 7. Efficacy of 1 st Generation ICOSL vIgD Fc in Graft-Versus-Host Disease (GVHD) Competitive vs. Belatacept. Human PBMC-engrafted NSG™ mice were treated with saline, belatacept (CTLA-4 Ig), or wild-type (WT) or 1 st generation ICOSL vIgD-Fc fusion proteins (n=10/group). Mice were assessed for body weight (BW) loss and a disease activity score (overall health and activity, skin and hair changes, and BW loss) (right panel). 2 nd generation ICOSL vIgD-Fc molecules are currently being evaluated in a follow-up huPBMC-NSG GVHD model to be reported at a later date. Model performed at The Jackson Laboratory. Figure 6. Greater Activity of ICOSL vIgD- Fc than Abatacept in Mouse Delayed Type Hypersensitivity (DTH) Model. Female BALB/cN mice were primed with ovalbumin emulsified in adjuvant (Sigma) at the base of the tail. On D7, mice were dosed with PBS, abatacept (CTLA-4 Ig), or ICOSL vIgD-Fc fusion proteins. Baseline ear measurements were taken, followed by 2challenge with intradermal injection of ova. Change in ear thickness determined 24 hours later. Delayed-Type Hypersensitivity (Ear Edema) Model Dual Roles of ICOS and CD28 in Costimulation Figure 3. ICOSL and Potential Therapeutic Applications. Inducible costimulator ligand (ICOSL) provides a positive secondary signal to T cells upon binding to its high affinity receptor, ICOS. ICOSL also has a natural, low affinity for a second costimulator, CD28 (left panel). Using the vIgD TM platform, we have created ICOSL vIgDs with increased affinity for both ICOS and CD28, of interest given the important and non-redundant role of each molecule in costimulation. ICOSL vIgDs provide increased costimulatory axis blockade compared to CTLA-4 based therapeutics and may act at multiple stages of organ transplant rejection (below) and other inflammatory disorders. Web: www.alpineimmunesciences.com Twitter: @AlpineImmuneSci mAb vIgD V-mAb e.g., mAb-vIgD vIgD Fc Soluble Fc Fusion e.g., vIgD-Fc TIP (Transmembrane Immunomodulatory Protein) vIgD Fc Tumor Binding Domain Tumor- Localizing Fc Checkpoint Inhibitor 1/2 vIgD Multi- Checkpoint Antagonist Checkpoint Inhibitor 3/4 The vIgD Platform: Multiple Therapeutic Formats Figure 2. Multiple Therapeutic Formats for Alpine Immune Sciences vIgDs Saline WT ICOSL-Fc 1st Gen ICOSL vIgD Belatacept GVHD Disease Activity Index (DAI) (Mean + SEM) 0 5 10 15 20 25 30 35 0 1 2 3 4 5 6 7 Study Days Mean DAI Score -1 2 7 12 14 19 23 28 33 -40 -30 -20 -10 0 Study Days Mean % Body Weight Loss

Katherine E. Lewis, Lawrence S. Evans, Steven D. Levin ... Variant Immunoglobulin Domain (vIgD ) platform • Directed evolution: yeast maturation of individual IgSF domains • Selection

  • Upload
    lyduong

  • View
    216

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Katherine E. Lewis, Lawrence S. Evans, Steven D. Levin ... Variant Immunoglobulin Domain (vIgD ) platform • Directed evolution: yeast maturation of individual IgSF domains • Selection

The Variant Immunoglobulin Domain (vIgD) platform• Directed evolution: yeast maturation of individual IgSF domains

• Selection performed by flow cytometry

• Screening of mammalian cell-expressed domains performed via

binding and functional assays

• Iterative process yields unique vIgDs evolved to modulate multiple

counter-receptors

Novel immunomodulatory proteins generated via directed

evolution of variant IgSF domainsKatherine E. Lewis, Lawrence S. Evans, Steven D. Levin, Erika Rickel, Martin F. Wolfson, Susan Bort, Stacey R. Dillon, Sherri Mudri, Michael G.

Kornacker, Ryan M. Swanson, Stanford L. Peng

Alpine Immune Sciences, Inc., 201 Elliott Avenue West, Seattle, Washington USA

Abstract

The immunoglobulin superfamily (IgSF) is a large, diverse family of proteins expressed

on immune cells extensively targeted for treatment of cancers and autoimmune

diseases. Most of the therapeutic strategies targeting this family have focused on high

affinity antibodies binding a single receptor. Moreover, wild-type IgSF receptors typically

exhibit low affinities for their counter-structures, limiting their utility in therapeutic

modulation of immune responses.

We have developed a novel variant Ig domain (vIgD™) platform using directed

evolution and yeast display to affinity mature human IgSF extracellular domains. In this

platform, libraries of mutagenized IgSF domains are selected for enhanced or altered

affinity to specific recombinant proteins. Fc fusion proteins incorporating these evolved

immunomodulatory IgSF domains are then tested in vitro for their ability to either

agonize or antagonize T cell responses.

Multiple novel vIgD™ fusion proteins have been generated which significantly

attenuate or accentuate T cell activation in vitro as assessed by proliferation and

cytokine production. Lead molecules also exhibited in vivo efficacy in the human

PBMC-NSG™ GVHD mouse model. Efficacy in vitro and in vivo was superior to wild-type

IgSF domains due to the induced alterations in affinity for cognate ligand and through

specifically-directed changes in their ability to bind additional counter-structures.

Our results demonstrate that vIgDs™ evolved to acquire unique biochemical

properties significantly enhance therapeutic utility as immunomodulatory agents. This

vIgD™ therapeutic platform has broad potential to enhance the activity of biologics in

treatment of autoimmune diseases, cancer, and other disorders.

The Immunoglobulin Superfamily (IgSF)

The vIgD Platform

vIgDs may be used in multiple therapeutic formats• Fusion proteins (Fc or mAb) with inhibitory and/or tumor-localizing agonistic activity

• Cell-displayed for enhancement of adoptive therapies

IgV/IgC Yeast Display

Flow Cytometric Selection

Fc Fusion Protein

Generation

Counter-structure Binding

Functional Assays

IgSF Protein

•Limited

counterstructure(s)

•Low/modest affinity

vIgD

•Multiple and/or

tailored counter-

structure(s)

•Improved/high affinity

Oncology

Immunology and

Autoimmunity

• The immunoglobulin superfamily (IgSF):• Is the largest protein superfamily

• Includes cell surface and soluble members/forms involved in cellular

recognition, binding, and adhesion

• Each IgSF member consists of at least one Ig domain of 70-110 aa each

• Variable (IgV), constant (IgC1, IgC2), or intermediate (IgI)

• Has been most well studied in immunology and immuno-oncology, but

members are also relevant to other therapy areas, including

endocrinology and neuroscience

• Key examples of IgSF that play critical roles in immunoregulation :• 1⁰ immune cell receptors: Igs, TCRs, KIRs, LILRs (Fig. 1)

• Co-receptors: CD4, CD8, CD19, MHC, b2m

• Costimulatory and checkpoint molecules: CD28, CD80, CD86, CTLA-4,

PD-1, LAG-3, TIM-3, BTLA

• CAMs: NCAMs, CD2 family

• Cytokine receptors: IL-1R, CSF-1R

• Growth factor receptors: PDGF-R, c-kit

Figure 1. Model of the Immunological Synapse Including PD-1Proc Natl Acad Sci USA 105:10483, 2008

Poster W.83

Conclusions and Summary

• A variant Ig domain (vIgD) platform has been developed to generate a novel dual

immunomodulatory IgSF-based biologic with higher affinity for and increased multiplicity of

ligand binding, translating into superior preclinical efficacy in vitro & in vivo in these analyses.

• ICOSL vIgDs repeatedly demonstrate superior efficacy to belatacept in these analyses for

inhibition of cytokine secretion, including IL2, IFN-γ, and several TH2 cytokines, in MLR assays.

Cellular proliferation and intracellular cytokine staining are also reduced to a greater extent.

• 1st gen ICOSL vIgDs are as effective as approved CTLA-4 based therapeutics (abatacept and

belatacept) in these DTH and humanized GVHD in vivo models. 2nd gen ICOSL vIgD-Fc

molecules are currently in a follow-up preclinical GVHD study with data to be reported in a

future scientific forum.

• ICOSL vIgDs domains may provide novel therapeutics for the treatment of multiple

inflammatory conditions; preclinical development is underway to support clinical trials.

• Development of ICOSL vIgDs for immuno-oncology applications has also been initiated, with

potentially promising data for the various therapeutic formats generated to date.

Tailored High-Affinity Dual CD28/ICOS Binding of

ICOSL vIgD Domains

Figure 4. Structure of vIgD Fc Fusion Proteins with Improved Binding to Counter Receptors. Yeast

outputs were batch cloned into an Fc expression vector, inserts sequenced, and unique clones of

interest chosen for transient expression in Expi293 cells (left). HEK293 cells were transiently transfected with three distinct IgSF receptors. Cells were stained with titrated WT or mutant vIgD hits. Binding

was detected with PE-conjugated anti-human Fc(each binding curve). MFI, mean fluorescence intensity.

Table 1. Improved Ligand Affinity of vIgD-Fc Proteins. Example dissociation constant (KD) determinations on recombinant ICOSL

vIgD-Fc proteins using 3 counter receptors on a ForteBio Octet. FI, fold increase in affinity vs. wild-type (WT). Note: this is an

avidity-driven system due to the bivalent nature of both the receptors and the vIgDs.

1 2 3 4

0

3 0 0 0 0

6 0 0 0 0

9 0 0 0 0

1 2 0 0 0 0

1 5 0 0 0 0

C D 2 8 B in d in g

v Ig D lo g [ p M ]

MF

I

1 2 3 4

0

7 5 0 0 0

1 5 0 0 0 0

2 2 5 0 0 0

3 0 0 0 0 0

C T L A -4 B in d in g

v Ig D lo g [ p M ]

MF

I

1 2 3 4

0

3 0 0 0 0

6 0 0 0 0

9 0 0 0 0

1 2 0 0 0 0

IC O S B in d in g

v Ig D lo g [ p M ]

MF

I

- - - W T IC O S L

1st

G e n v Ig D s

2n d

G e n v Ig D s

3r d

G e n v ig D s

KD [pM] FI KD [pM] FI KD [pM] FI

WT ICOSL 13880 - 77120 - 883 -

525 26 678 114 332 2.7

1163 12 1522 51 338 2.6

783 18 833 93 769 1.1

436 32 647 119 382 2.3

896 15 1466 53 1294 0.7

447 31 645 120 492 1.8

401 35 592 130 373 2.4

390 36 576 134 472 1.9

293 47 536 144 420 2.1

368 38 719 107 369 2.4

1042 13 2518 31 337 2.6

503 28 1059 73 543 1.6

553 25 648 119 362 2.4

563 25 1066 72 477 1.9

366 38 864 89 477 1.9

969 14 1122 69 340 2.6

1947 7 2812 27 371 2.4

910 15 1200 64 311 2.8

3rd Gen

ICOSL

vIgDs

Sensor Load

CD28 CTLA-4 ICOSSample ID

1st Gen

ICOSL

vIgDs

2nd Gen

ICOSL

vIgDs

ICOSL ECD

IgV and IgC

Domains

Fc

Enhanced in vitro Activity of Inhibitory vIgD

Above that of Belatacept (CTLA-4 Ig)

Figure 5. Inhibitory Activity of Antagonistic

ICOSL vIgDs in Mixed Lymphocyte Responses.

vIgD-Fc fusion proteins were evaluated for

their ability to attenuate cytokine levels and T

cell proliferation in a mixed lymphocyte

reaction (MLR). Purified T cells were CFSE-

labeled and incubated with allogeneic

monocyte-derived dendritic cells for 4 days in

the presence or absence of various Fc-fusion

proteins and belatacept (CTLA-4 Ig).

Supernatants were collected and cytokine

concentrations determined by cytokine

bead array (top 2 panels). Proliferation was

determined by quantifying the percentage

of cells that had diluted the CFSE. Effects on

CD8+ T cells and CD4+ T cells are presented

(center panel). Intracellular cytokine staining

was performed on cells stimulated with

PMA/ionomycin in the presence of brefeldin

A and monensin (bottom panel).

0 .0 1 0 .1 1 1 0 1 0 0

1 0 0

2 0 0

3 0 0

4 0 0

5 0 0

IL -1 3

F c P ro te in [ n M ]

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

0

5 0 0

1 0 0 0

1 5 0 0

IL -2

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

1 0 0 0

3 5 0 0

6 0 0 0

8 5 0 0

1 1 0 0 0

IF N -

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

0

1 0 0

2 0 0

3 0 0

IL -6

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

5 0

1 5 0

2 5 0

IL -9

F c P ro te in [ n M ]

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

2 5

7 5

1 2 5

1 7 5

2 2 5

IL -5

F c p ro te in [ n M ]

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

0

5 0

1 0 0

1 5 0

T N F -

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

5 0

1 5 0

2 5 0

3 5 0

4 5 0

5 5 0

IL -2 2

F c P ro te in [ n M ]

Cy

tok

ine

[ p

g/m

L]

0 .0 1 0 .1 1 1 0 1 0 0

1 5

2 5

3 5

4 5

C D 8 + T -c e lls

% D

ivid

ed

Ce

lls

0 .0 1 0 .1 1 1 0 1 0 0

1 5

2 5

3 5

C D 4 + T -c e lls

% D

ivid

ed

Ce

lls

0 .0 1 0 .1 1 1 0 1 0 0

5

1 0

1 5

2 0

2 5

IL -2 1 + C D 4 +

P ro te in [ n M ]

% P

os

itiv

e

0 .0 1 0 .1 1 1 0 1 0 0

1 5

2 0

2 5

3 0

IF N - + C D 4 +

P ro te in [ n M ]

% P

os

itiv

e

Enhanced in vivo Activity With Inhibitory vIgD

GVHD % Body Weight Loss(Mean + SEM)

PB

S

Ab

ata

cep

t

0

5

1 0

1 5

2 0

Ch

an

ge

in

Ea

r T

hic

kn

es

s

(in

. x

10

-2

)

2n d

G e n IC O S L

v Ig D s

p < 0 .0 0 1 v s . P B S b y 1 -w a y A N O V A

Figure 7. Efficacy of 1st Generation ICOSL vIgD Fc in Graft-Versus-Host Disease (GVHD) Competitive vs. Belatacept. Human PBMC-engrafted NSG™ mice were treated with saline, belatacept (CTLA-4 Ig), or wild-type (WT) or 1st generation ICOSL vIgD-Fc fusion proteins (n=10/group). Mice were

assessed for body weight (BW) loss and a disease activity score (overall health and activity, skin and hair changes, and BW loss) (right panel). 2nd generation ICOSL vIgD-Fc molecules are currently being evaluated in a follow-up huPBMC-NSG GVHD model to be reported at a later date.Model performed at The Jackson Laboratory.

Figure 6. Greater Activity of ICOSL vIgD-Fc than Abatacept in Mouse Delayed

Type Hypersensitivity (DTH) Model. Female BALB/cN mice were primed with ovalbumin emulsified in adjuvant (Sigma) at the base of the tail. On D7,

mice were dosed with PBS, abatacept (CTLA-4 Ig), or ICOSL vIgD-Fc fusion

proteins. Baseline ear measurements were taken, followed by 2⁰ challenge

with intradermal injection of ova.

Change in ear thickness determined 24 hours later.

Delayed-Type Hypersensitivity (Ear Edema) Model

Dual Roles of ICOS and CD28 in Costimulation

Figure 3. ICOSL and Potential Therapeutic Applications. Inducible

costimulator ligand (ICOSL) provides a positive secondary signal to

T cells upon binding to its high affinity receptor, ICOS. ICOSL also

has a natural, low affinity for a second costimulator, CD28 (left

panel). Using the vIgDTM platform, we have created ICOSL vIgDs

with increased affinity for both ICOS and CD28, of interest given the

important and non-redundant role of each molecule in

costimulation. ICOSL vIgDs provide increased costimulatory axis

blockade compared to CTLA-4 based therapeutics and may act at

multiple stages of organ transplant rejection (below) and other

inflammatory disorders.

• Web: www.alpineimmunesciences.com

• Twitter: @AlpineImmuneSci

mAb

vIgD

V-mAb

e.g., mAb-vIgD

vIgD

Fc

Soluble Fc Fusion

e.g., vIgD-Fc

TIP (Transmembrane Immunomodulatory Protein)

vIgD

Fc

Tumor

Binding

Domain

Tumor-

Localizing

Fc

Checkpoint

Inhibitor

1/2

vIgD Multi-

Checkpoint

Antagonist

CheckpointInhibitor 3/4

The vIgD Platform: Multiple Therapeutic Formats

Figure 2. Multiple Therapeutic Formats for Alpine Immune Sciences vIgDs

0 5 1 0 1 5 2 0 2 5 3 0 3 5

0

2 0

4 0

6 0

8 0

1 0 0

S tu d y D a y s

% S

urv

iva

l

S a line

W T IC O S L -F c

1 s t G e n IC O S L v Ig D

B e la ta c e p t

GVHD Disease Activity Index (DAI)

(Mean + SEM)

0 5 1 0 1 5 2 0 2 5 3 0 3 5

0

1

2

3

4

5

6

7

S tu d y D a y s

Me

an

DA

I S

co

re

-1 2 7 1 2 1 4 1 9 2 3 2 8 3 3

-4 0

-3 0

-2 0

-1 0

0

G v H D S tu d y # 1 : % B o d y W e ig h t L o s s

S tu d y D a y s

Me

an

% B

od

y W

eig

ht

Lo

ss

S a lin e

W T IC O S L -F c

1 s t G e n IC O S L v Ig D

B e la ta c e p t