
Immunomedics, Inc. at the 51st annual meeting of the American Society of Hematology announced results from 3 preclinical studies aimed at understanding the mechanism of action of its proprietary humanized anti-CD74 antibody, milatuzumab, which is currently in clinical development for multiple myeloma (MM), non-Hodgkin's lymphoma (NHL) and chronic lymphocytic leukemia (CLL).
The first study was on CLL, a progressive disease for which most patients require treatment. A team of researchers at the Ohio State University, Columbus, OH, led by Dr. John Byrd, demonstrated expression of CD74 on the surface of CLL cells, but no expression was found on T cells. Milatuzumab-induced cell death occurred very rapidly, with 57% cell survival at 4 hours and only 30% at 24 hours, which was superior to that observed with rituximab.
The mode of cell death induced by milatuzumab was found to be mediated directly through interaction with CD74 and its ensuing effects on signal transduction. Milatuzumab, when crosslinked, promotes the maintenance of CD74 on the cell surface and thereby prevents receptor internalization and subsequent signaling. Retention of the CD74 receptor on the surface of B cells can also be induced, without the presence of a crosslinking antibody, the investigators found, by incorporating milatuzumab into liposomes. The subject of the second study was mantle cell lymphoma (MCL), an incurable B-cell malignancy with limited therapeutic options. Despite the success of rituximab in treating B-cell lymphoma, its use as a single agent or in combination with chemotherapy in MCL has demonstrated modest activity. Since rituximab and milatuzumab target distinct antigens lacking known association, Dr. Byrd and his team at the Ohio State University, explored a combination strategy with these antibodies in MCL cell lines, patient samples, and in a preclinical model.

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