ํšŒ์‚ฌ๋ณ„ Cleavable/Non-cleavable ํ•ญ์ฒด ํ”Œ๋žซํผ
2025. 5. 16. 18:59
๋ฐ˜์‘ํ˜•

๐Ÿงญ Cleavable / Non-cleavable ํ•ญ์ฒด ํ”Œ๋žซํผ ๋งต ๋ฐ ์ž„์ƒ ํŒŒ์ดํ”„๋ผ์ธ ๋„ํ‘œ

๊ตฌ๋ถ„ํšŒ์‚ฌํ”Œ๋žซํผ ์ด๋ฆ„๋Œ€ํ‘œ ์•ฝ๋ฌผ (ํƒ€๊นƒ)์ ์‘์ฆ์ž„์ƒ ๋‹จ๊ณ„ (2024๋…„ ๊ธฐ์ค€)ํŠน์ด์‚ฌํ•ญ
โœ… Cleavable CytomX Probody Therapeutics CX-072 (PD-L1)
CX-2009 (HER2-DM1)
๊ณ ํ˜•์•”
HER2 ์ €๋ฐœํ˜„ ์œ ๋ฐฉ์•” ๋“ฑ
CX-072: Ph1b/2
CX-2009: Ph2
protease-cleavable masking peptide ๊ธฐ์ˆ 
  Amgen Pro-BiTE AMG 509 (STEAP1×CD3)
AMG 340 (PSMA×CD3)
์ „๋ฆฝ์„ ์•” Ph1 cleavable BiTE ์„ค๊ณ„๋กœ CRS ๊ฐ์†Œ
  Merus - MCLA-145 (PD-L1×CD137) ๊ณ ํ˜•์•” Ph1/2 TME ํ™œ์„ฑํ™”ํ˜• bispecific
  Xencor XmAb + conditional activation XmAb819 (ENPP3×CD3) ๊ณ ํ˜•์•” (์‹ ์žฅ์•” ๋“ฑ) Ph1 protease-cleavable masked TCE
  Amunix (→ Sanofi ์ธ์ˆ˜) XPAT (XTENylated Prodrug) AMX-818 (HER2×CD3) ๊ณ ํ˜•์•” Ph1 protease-sensitive unmasking, long-acting TCE
 

๊ตฌ๋ถ„ํšŒ์‚ฌํ”Œ๋žซํผ ์ด๋ฆ„๋Œ€ํ‘œ ์•ฝ๋ฌผ (ํƒ€๊นƒ)์ ์‘์ฆ์ž„์ƒ ๋‹จ๊ณ„ (2024๋…„ ๊ธฐ์ค€)ํŠน์ด์‚ฌํ•ญ
๐Ÿงฑ Non-cleavable Genentech / Roche IgG-like BiTE Mosunetuzumab (CD20×CD3) B-cell ๋ฆผํ”„์ข… ์Šน์ธ (EU/CH), Ph3 subQ ์ œํ˜• ๊ฐœ๋ฐœ ์ค‘
  Genmab DuoBody Epcoritamab (CD20×CD3)
GEN1046 (PD-L1×4-1BB)
๋ฆผํ”„์ข…
๊ณ ํ˜•์•”
์Šน์ธ / Ph1-3 IgG ๊ธฐ๋ฐ˜ ์•ˆ์ •ํ˜•, AbbVie์™€ ๊ณต๋™
  MacroGenics DART-Fc MGD006 (CD123×CD3)
MGD007 (GP A33×CD3)
AML
๊ณ ํ˜•์•”
Ph2 / Ph1 ์ •๋งฅํˆฌ์—ฌํ˜•, half-life ์—ฐ์žฅํ˜•
  Amgen Classic BiTE Blinatumomab (CD19×CD3) ALL, NHL ์Šน์ธ ์ตœ์ดˆ BiTE, half-life ์งง์Œ
  Regeneron Veloci-Bi® REGN5458 (BCMA×CD3)
REGN7075 (EGFR×CD28)
๋‹ค๋ฐœ๊ณจ์ˆ˜์ข…
๊ณ ํ˜•์•”
Ph2 / Ph1 ๋ณ‘์šฉ ์ž„์ƒ ๋‹ค์ˆ˜ ์ง„ํ–‰ ์ค‘
 

๐Ÿ“Œ ํ•ด์„ค ์š”์•ฝ

โœ… Cleavable ํ”Œ๋žซํผ ํŠน์ง•

  • ๋Œ€๋ถ€๋ถ„ ๊ณ ํ˜•์•” ์ค‘์‹ฌ
  • prodrug ์„ค๊ณ„ + protease-cleavable masking
  • CRS ๋“ฑ systemic toxicity ๊ฐ์†Œ ๋ชฉํ‘œ
  • ์•„์ง์€ ์ดˆ๊ธฐ ์ž„์ƒ ๋งŽ์Œ (Ph1~2)

โœ… Non-cleavable ํ”Œ๋žซํผ ํŠน์ง•

  • ํ˜ˆ์•ก์•” + ์ผ๋ถ€ ๊ณ ํ˜•์•” ์ค‘์‹ฌ
  • Fc ํฌํ•จ ์•ˆ์ •ํ˜• ๊ตฌ์กฐ → ์ •๋งฅ/ํ”ผํ•˜ ์ฃผ์‚ฌ ๊ฐ€๋Šฅ
  • ๋‹ค๋ฐœ๊ณจ์ˆ˜์ข…, ๋ฆผํ”„์ข… ๋ถ„์•ผ์—์„œ ์ด๋ฏธ ์Šน์ธ ๋‹ค์ˆ˜

๐Ÿง  ์‘์šฉ ํŒ (ํˆฌ์ž/๊ธฐ์ˆ  ์ „๋žต ๊ด€์ )

  • ๊ณ ํ˜•์•” ํƒ€๊นƒ์ด๋ผ๋ฉด: Probody, XPAT, conditional BiTE ๊ธฐ์ˆ  ๋ณด์œ  ๊ธฐ์—…์— ์ฃผ๋ชฉ (CytomX, Xencor, Amunix ๋“ฑ)
  • ํ˜ˆ์•ก์•” ํƒ€๊นƒ์ด๋ผ๋ฉด: DuoBody, DART, IgG-like BiTE ๋“ฑ ์Šน์ธ๋œ ํ”Œ๋žซํผ ํ™œ์šฉ์ด ์‹ค๋ฆฌ์ 
  • TME ํ™œ์„ฑํ™” ์ „๋žต, CRS ๊ฐ์†Œ, ์ €๋ฐœํ˜„ ํƒ€๊นƒ ๊ทน๋ณต์ด cleavable ๊ธฐ์ˆ ์˜ ํ•ต์‹ฌ ๊ฒฝ์Ÿ๋ ฅ
๋ฐ˜์‘ํ˜•