Tobemstomig, a novel bispecific antibody, preferentially blocks PD-1 and LAG-3 on CD8 TILs to expand stem-like T-cells for sustained tumor control
Checkpoint inhibitors targeting PD-1 have shown unprecedented efficacy in some cancer patients; however, co-expression of the immune-checkpoint LAG-3 by tumor infiltrating lymphocytes (TILs) might hinder such efficacy. PD-1 and LAG-3 are established markers of T-cell exhaustion in cancer and are co-expressed by stem-like CD8 T cells, a population critical for the response to anti-PD1 therapy, providing the rationale for their dual-blockade. Yet, blocking LAG-3 can lead to the expansion of regulatory T cells, reducing the efficacy of anti-LAG-3 therapy on CD8 TILs. To address this limitation, we developed tobemstomig, a novel bispecific antibody to preferentially and simultaneously block PD-1 and LAG-3 in cis on tumor-specific CD8 TILs, while sparing Tregs. It provided superior tumor growth inhibition in mouse models by replenishing stem-like cells and cytotoxic effector CD8 TILs, resulting in durable responses compared to monospecific antibodies targeting PD-1 and LAG-3 separately, which eroded the stem-like T cell pool over time.
Authors
- António Peixoto (ORCID: https://orcid.org/0000-0001-9493-1954)
- Carina Hage (ORCID: https://orcid.org/0000-0002-5352-0742)
- Marina Bacac (ORCID: https://orcid.org/0000-0003-0581-9579)
- Sara Colombetti (ORCID: https://orcid.org/0000-0002-7375-8600)
- Stéphane Leclair
- Mario Perro (ORCID: https://orcid.org/0000-0003-1375-8155)
- Silvia Jenni
- Esther Bommer
- Pablo Umaña (ORCID: https://orcid.org/0000-0001-8206-2771)
- Tamara Hüsser (ORCID: https://orcid.org/0000-0003-1856-8852)
- Merlind Mücke
- Meher Majety (ORCID: https://orcid.org/0000-0002-1936-2277)
- Stanford Chen
- Laura Lauener
- Klas Hatje (ORCID: https://orcid.org/0000-0001-5425-8195)
- Christian Klein (ORCID: https://orcid.org/0000-0001-7594-7280)
- Stefanie Briner (ORCID: https://orcid.org/0000-0003-1266-4384)
- Valeria Nicolini (ORCID: https://orcid.org/0000-0003-4306-7849)
- Laura Codarri Deak (ORCID: https://orcid.org/0000-0002-9913-9285)
- Emilio Yángüez (ORCID: https://orcid.org/0000-0003-4271-2690)
- Stefan Seeber
- Sylvain Pilet
- Iryna Dekhtiarenko (ORCID: https://orcid.org/0009-0003-5254-1554)
- Sylvia Herter (ORCID: https://orcid.org/0000-0002-2446-696X)
- Patrick A.A. Weber (ORCID: https://orcid.org/0009-0003-8658-6590)
- Manuela Tanner (ORCID: https://orcid.org/0009-0005-0826-315X)
- Thomas Höfer (ORCID: https://orcid.org/0009-0007-8178-1556)
Institutions
- Roche (Switzerland) (CH)
- Université Fédérale de Toulouse Midi-Pyrénées (FR)
- German Cancer Research Center (DE)
- Vischer (Switzerland) (CH)
- Med Discovery (Switzerland) (CH)
Publication Details
- Journal
- Cancer Research Communications
- Published
- 2026-06-12
- DOI
- https://doi.org/10.1158/2767-9764.crc-26-0207
- Primary Topic
- Cancer Immunotherapy and Biomarkers
- Type
- article
- Field-Weighted Citation Impact
- 0.00