378 Development of a clinical candidate TCR for mutant KRAS using a high-precision cell-based platform

BackgroundTCR-modified T-cell therapy (TCR-T) is emerging as a treatment option for solid tumours containing mutant KRAS,1–4 an area of great unmet medical need. We have developed a high-precision cell-based analytical platform for scalable TCR-T product development. Herein, we describe use of the p...

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Published in:Journal for immunotherapy of cancer Vol. 11; no. Suppl 1; p. A427
Main Authors: Pase, Luke, Salter, Hugh, Brass, Anette, Casarrubea, Daniela, Dunst, Josefine, Horta, Sara, Masia-Balague, Miriam, Parrot, Tiphane, Totomi, Athina, Uchtenhagen, Hannes, Wang, Shenqiu, Hill, Ryan, Jarvis, Reagan
Format: Journal Article
Language:English
Published: London BMJ Publishing Group Ltd 01-11-2023
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Summary:BackgroundTCR-modified T-cell therapy (TCR-T) is emerging as a treatment option for solid tumours containing mutant KRAS,1–4 an area of great unmet medical need. We have developed a high-precision cell-based analytical platform for scalable TCR-T product development. Herein, we describe use of the platform to perform target quantification and to generate a clinical candidate TCR recognizing the 10mer peptide derived from the KRAS G12V mutant form presented in HLA-A*11:01.MethodsHLA-presented peptides were quantified using mass spectrometry in extracts from mono-allelic engineered antigen presenting cell lines (eAPC) ectopically expressing KRAS G12V and separately in cancer cell lines natively expressing KRAS G12V. TCRs were isolated via paired single cell sequencing following eAPC-stimulated outgrowth of HLA-matched naïve CD8 donor cells. TCRs were characterised in engineered TCR-presenting cells (eTPC) with TCR-linked reporters. Cross-reactivity and allo-reactivity was tested via contact assays using libraries of eAPCs containing epitope and/or HLA variants and eTPC reporters. TCR-T cells were constructed via gene editing of primary donor CD8 cells.ResultsA candidate TCR recognizing a 10mer peptide derived from G12V KRAS in HLA-A*11:01 was developed. This TCR recognizes the mutant epitope but not the corresponding wild-type epitope both via peptide loading (mutant EC501 nM; wild-type not recognised) and via ectopic KRAS-G12V in eAPCs as well as in cancer cell lines expressing KRAS G12V. Allo-reactivity was assessed via a panel of 82 different mono-allelic eAPCs, and cross-reactivity via a library of 200 KRAS G12V peptide variant eAPCs, showing no apparent cross-reactivity or allo-reactivity risk. Primary CD8 cells were transduced by insertional gene editing, generating a TCR-product with high levels of surface TCR and potent cytotoxic action.ConclusionsThe TCR-T product is now being advanced to clinical trial and is designed to be the first entry in a broader program covering multiple HLA restrictions and mutant KRAS epitopes.ReferencesLeidner R, Silva NS, Huang H, Sprott D, Zheng C, Shih Y-P, Leung A, Payne R, Sutcliffe K, Cramer J, Rosenberg S, Fox B, Urba W, Tran E. N Engl J Med 2022;386:2112–2119.Poole P, Karuppiah V, Hartt A, Haidar J, Moureau S, Dobrzycki T, Hayes C, Rowley C, Dias J, Harper H, Barnbrook K, Hock M, Coles C, Yang W, Aleksic M, Bence Lin A, Robinson R, Dukes J, Liddy N, Van der Kamp M, Plowman G, Vuidepot A, Cole D, Whale A, Chillakuri C. Nature Commun 2022;13:5333.Choi J, Goulding S, Conn B, McGann C, Dietze J, Kohler J, Lenkala D, Boudot A, Rothenberg D,Turcott P, Srouji J, Foley K, Rooney M, van Buuren M, Gaynor R, Abelin J, Addona A, Juneja V. Reports Methods 2021;1:100084.Bear A, Blanchard T, Cesare J, Ford M, Richman L, Xu C, Baroja M, McCuaig S, Costeas C, Gabunia K, Scholler J, Posey A, O’Hara M, Smole A, Powell D, Garcia B, Vonderheide R, Linette G, Carreno B. Nat Commun 2021;12:4365–4365.Ethics ApprovalCollection of healthy donor peripheral blood and leukapheresis products was undertaken with written informed consent, under ethical approvals 2019–02481/2020–03585 and 2019–02482 granted by the Swedish Ethical Review Authority
Bibliography:SITC 38th Annual Meeting (SITC 2023) Abstracts
Cellular Therapies
ISSN:2051-1426
DOI:10.1136/jitc-2023-SITC2023.0378