About mAbs

In January 2009 mAbs, the first international peer-reviewed journal of its kind to focus exclusively on monoclonal antibodies, was launched. We believe that this is an excellent time to start the journal because of the increasing focus on mAbs as therapeutics. There has been a rapid increase in mAb R&D by academia, government and industry located world wide. Novel mAb therapeutics are entering clinical study by commercial sponsors at a record pace (Figure 1) that is predicted to continue well into the future. MAbs have proven successful in the clinic (Table 1). In addition, a global market has emerged for the products - several novel mAbs not yet available in the US or EU are now approved in Asia and South America.
mAbs is a multi-disciplinary journal dedicated to the art and science of mAb research and development. mAbs publishs three general types of papers, i) Original research, ii) Reviews, iii) Commentaries and perspectives. Original research papers cover all topics important in the mAb field. Reviews, commentaries and perspectives on any aspect of mAb R&D are welcome.

Journal topics include (but are not be limited to):

1. Antibody engineering, e.g., immunoconjugates, antibody fragments
2. MAb targets in the therapeutic areas of cancer, immunology, and infectious diseases
3. Preclinical studies and evaluation of mAbs, e.g., mechanism of action studies, safety and efficacy studies in animals
4. Manufacturing
5. Clinical studies
6. Regulatory review of mAbs
7. Post-approval topics, e.g., pricing, reimbursement and markets
8. Patents
9. Emerging markets for mAbs, including China and India

mAbs is currently published bimonthly, and will incrementally increase in frequency to monthly issues over several years. Each issue appears in print and online. Submissions and peer review are rapid and handled online. The average time from submission to final decision (acceptance or rejection) for the current Landes Bioscience journals is one month. Once accepted, a paper is published online within three weeks.

Mission Statement

mAbs provides a forum for communication on the topic of monoclonal antibody research and development, with a focus on therapeutics. Within the last decade, these versatile molecules have attracted significant attention from academic, government, and industrial organizations world-wide. mAbs publishes relevant and timely original research, as well as authoritative overviews, commentary and perspectives providing context for the work presented in mAbs and for key results published elsewhere. The journal has a strong scientific and medical focus, but also strives to serve a broader readership. All topics related to monoclonal antibody R&D are included. The journal's content is of interest to scientists, clinical researchers, and physicians, as well as the wider mAb community including readers concerned with technology transfer, legal issues, investment, regulatory requirements and strategic planning.

Background: Monoclonal antibody therapeutics

October 29, 2009

Therapeutic monoclonal antibodies (mAbs) have recently attracted significant attention from the pharmaceutical and biotechnology industries. There are multiple reasons for this interest. Innovative protein engineering can be used to design antibody molecules with decreased immunogenicity, enhanced effector functions, and improved pharmacokinetic properties. Pathways to demonstrate safety, efficacy and quality to regulatory agencies have been established. Marketed products [Table 1] currently have global sales of over $20 billion. From the business perspective, mAbs represent potential solutions to challenges facing the industry, including the dearth of innovative candidates in the pipeline and low approval success rates for new therapeutics. As a consequence of these factors, novel mAb therapeutics are now entering clinical study at a record pace.



Table 1. Therapeutic monoclonal antibodies in FDA review or approved.

Generic name

Trade name

Type

Indication first approved

FDA approval year

Muromonab-CD3

Orthoclone Okt3

Anti-CD3; Murine IgG2a

Reversal of kidney transplant rejection

1986#

Abciximab

Reopro

Anti-GPIIb/IIIa; Chimeric IgG1 Fab

Prevention of blood clots in angioplasty

1994

Rituximab

Rituxan

Anti-CD20; Chimeric IgG1

Non-Hodgkin's lymphoma

1997

Daclizumab

Zenapax

Anti-IL2R; Humanized IgG1

Prevention of kidney transplant rejection

1997#

Basiliximab

Simulect

Anti-IL2R; Chimeric IgG1

Prevention of kidney transplant rejection

1998

Palivizumab

Synagis

Anti-RSV; Humanized IgG1

Prevention of respiratory syncytial virus infection

1998

Infliximab

Remicade

Anti-TNFa; Chimeric IgG1

Crohn disease

1998

Trastuzumab

Herceptin

Anti-HER2; Humanized IgG1

Breast cancer

1998

Gemtuzumab ozogamicin

Mylotarg

Anti-CD33; Humanized IgG4

Acute myeloid leukemia

2000

Alemtuzumab

Campath-1H

Anti-CD52; Humanized IgG1

Chronic myeloid leukemia

2001

Ibritumomab tiuxetan

Zevalin

Anti-CD20; Murine IgG1

Non-Hodgkin's lymphoma

2002

Adalimumab

Humira

Anti-TNFa; Human IgG1

Rheumatoid arthritis

2002

Omalizumab

Xolair

Anti-IgE; Humanized IgG1

Asthma

2003

Tositumomab-I131

Bexxar

Anti-CD20; Murine IgG2a

Non-Hodgkin lymphoma

2003

Efalizumab

Raptiva

Anti-CD11a; Humanized IgG1

Psoriasis

2003 #

Cetuximab

Erbitux

Anti-EGFR; Chimeric IgG1

Colorectal cancer

2004

Bevacizumab

Avastin

Anti-VEGF; Humanized IgG1

Colorectal cancer

2004

Natalizumab

Tysabri

Anti-a4 integrin; Humanized IgG4

Multiple sclerosis

2004

Ranibizumab

Lucentis

Anti-VEGF; Humanized IgG1 Fab

Macular degeneration

2006

Panitumumab

Vectibix

Anti-EGFR; Human IgG2

Colorectal cancer

2006

Eculizumab

Soliris

Anti-C5; Humanized IgG2/4

Paroxysmal nocturnal hemoglobinuria

2007

Certolizumab pegol

Cimzia

Anti-TNFa;Humanized Fab, pegylated

Crohn disease

2008

Golimumab

Simponi

Anti-TNFa; Human IgG1

Rheumatoid and psoriatic arthritis, ankylosing spondylitis

2009

Canakinumab

Ilaris

Anti-IL1b; Human IgG1

Muckle-Wells syndrome

2009

Ustekinumab

Stelara Anti-IL12/23; Human IgG1 Psoriasis 2009
Ofatumumab Arzerra Anti-CD20; Human IgG1 Chronic lymphocytic leukemia 2009
Denosumab Prolia* Anti-RANK-L; Human IgG2 Bone Loss Pending
Motavizumab Numax* Anti-RSV; Humanized IgG1 Prevention of respiratory syncytial virus infection Pending
Tocilizumab Actemra* Anti-IL6R; Humanized IgG1 Rheumatoid arthritis 2010
Raxibacumab ABThrax* Anti-B. anthrasis PA; Human IfG1 Anthrax infection Pending

Note: Information current as of January 21, 2010.
*Proposed trade name; #Voluntarily withdrawn from market.

C5, complement 5; CD, cluster of differentiation; EGFR, epidermal growth factor receptor; FDA, US Food and Drug Administration; GP glycoprotein; IL, interleukin; PA, protective antigen; RANK-L, receptor activator of NFkb ligand; RSV, respiratory syncytial virus; TNF, tumor necrosis factor; VEGF, vascular endothelial growth factor.

Source: Tufts Center for the Study of Drug Development.

 

A key feature of mAbs is the malleability of their structure and function. Most therapeutic mAbs are immunoglobulin (Ig) G, which is derived from B-cells and is the most abundant type of Ig produced by the human body. IgG has two main functions: to bind antigen, and eliminate or inactivate the antigen. IgG is a complex molecule composed of a total of four protein chains with attached carbohydrates [Figure 1]. An IgG molecule is a homodimer of two light chains, each with a variable and constant domain, and two heavy chains, each with one variable and three constant domains.

Figure 1


Source of Figure 1: Stefan Dübel, Technical University of Braunschweig.

The characteristic "Y" shape of antibodies is visible in atomic force microscopy (AFM) images [Figure 2]. The technique is commonly used to visualize shape, domain orientation and determine molecular dimensions. AFM imaging is also used to visualize self association of mAbs and formation of antibody-antigen complexes. To acquire the image, monoclonal human IgG antibodies were diluted in phosphate-buffered saline (PBS) and incubated on mica for 5 minutes, allowing adsorption to the surface. The excess solution was removed and replaced with PBS buffer. The sample was immediately imaged using a Digital Instruments Nanoscope III atomic force microscope.

Figure 2

Source of Figure 2: Dan Anafi, Thomas M. Dillon and Pavel V. Bondarenko, Amgen.

Using genetic engineering techniques, domains of the light and heavy chains can be combined in various ways to form antibody fragments capable of binding antigen [Figure 2]. The canonical antigen-binding fragments (Fab) are composed of variable heavy (VH), variable light (VL) and constant regions of the light (CL) and heavy chains (CH). Single chain variable fragments (scFv) are produced by linking VH and VL domains together. These fragments are extremely versatile. scFv can be dimerized via a 'zipper', but will also form dimers (diabodies) when short linkers are used. In addition, scFv can be combined with other antibody fragments, including CH and crystalizable fragments (Fc). The fragments will differ from the full-size IgG molecule in characteristics such as affinity, immunogenicity, and circulating half-life.

Figure 3

Source of Figure 3: Michael Hust, Technical University of Braunschweig.

All of the currently marketed mAbs are composed of protein chains derived from either mouse or human sources, or from a combination of both. MAbs that are derived from only mouse antibody genes are referred to as murine. Chimeric mAbs are constructed from variable regions derived from a murine source and constant regions derived from a human source. Humanized mAbs are constructed with only antigen-binding regions (also called complementarity-determining regions, or CDRs) derived from a mouse, with the remainder of the variable regions, and constant regions, derived from a human source. MAbs derived from only human antibody genes are called human [Figure 3]. Generic names for mAbs reveal their genetic origins. MAb generic names end with the suffix -mab, but the preceding one or two letters indicate the animal genetic source: o = mouse, xi = chimeric, zu = humanized, u = human. For example, tositumomab is murine, rituximab is chimeric, bevacizumab is humanized, and panitumumab is human. In general, the immunogenicity of mAbs decreases with an increase in the amount of human-derived protein sequence.

Figure 4

Source of Figure 4: Joost Bakker, Genmab.

MAbs can be designed to fulfill a variety of functions. With a cell-based target, mAbs can used to target a toxin or radiolabel to a specific location. Alternatively, they can block targeted receptors or induce apoptosis. Depending on the properties of the molecules, mAbs can also work in conjunction with other immune system components and affect a target through antibody-dependent cell cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC). In addition, mAbs can sequester soluble targets.

Since 1980, over 500 mAb candidates have entered clinical study by commercial sponsors. More than 200 are in clinical study, and new candidates are currently entering clinical study at an average rate of 35 per year. Approximately 50% of the candidates have been studied as cancer treatments, 25% have been studied as immunological agents and 12% have been studied for either prophylaxis or treatment of infectious diseases. Of the US-approved mAbs, nine are cancer treatments, ten are indicated for immunological diseases and one is an anti-infective agent.

In the future, the versatility of mAbs will continue to serve as a strong driver of research and development (R&D) of these molecules by the pharmaceutical and biotechnology industries. The established production methods and approval pathways, along with relatively high (approximately 20%) approval success rates and competitive R&D times, have served to attract much attention. The potentially large markets will ensure continued focus on therapeutic mAbs.

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