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Varlilumab Overview

Introduction of Varlilumab

Varlilumab (CDX-1127), a human IgG1κ monoclonal antibody, targets CD27 receptor through reacting with the ligand binding site of CD27. CD27 is a member of the tumor necrosis factor receptor superfamily and expressed on unstimulated T lymphocytes, serving as a potent costimulatory molecule. It has been found that CD27 induces a series of T-cell reactions including T-cell activation, proliferation, survival, and maturation of effector capacity and T-cell memory together with its ligand CD70, which is transiently expressed on antigen-presenting cells. Besides, the interaction of CD27 and CD70 also stimulate B-cell proliferation, generation of plasma cells, production of immunoglobulin and B-cell memory, and induction of the cytolytic activity of natural killer (NK) cells. Moreover, CD27 is considered to function on tumor expansion and activation as it also expressed by regulatory T cells (Tregs), a cell that is associated with the suppression of antitumor immunity. The drug, developed by Celldex Therapeutics, is designed for immunotherapy for patients with solid tumors and hematologic malignancies. Varlilumab is currently conducted with two trails. One is the phase 1B clinical trial for advanced breast or ovarian cancer in combination with ONT-10. Another is the phase 1/2 trial for advanced refractory solid tumors together with anti-PD-1 nivolumab.

Mechanism of Action of Varlilumab

CD27 is known as a co-stimulatory molecule on T cells and exerts biological functions through binding with its ligand CD70. However, the interaction of CD27 and CD70 also can induce some refractory autoimmune diseases. Varlilumab is designed as an anti-CD27 antibody that inhibits the binding of CD27 to CD70, helping activate the T-cells. Varlilumab is also shown direct therapeutic effects against tumors as CD27 is often highly expressed in Human B and T cell lymphomas. Thus, varlilumab may exert its function via two independent mechanisms. On the one hand, Varlilumab serves as a substitution for CD70 and activates T cells by binding to CD27, which results in a weak immune response becoming a strong response that can last for a long time. On the other hand, Varlilumab exerts direct anti-tumor effect on tumors that expressed high level of CD27. When Varlilumab directly binds to CD27 on the surface of tumor cells, the mechanism known as antibody dependent cellular cytotoxicity (ADCC) will be initiated, triggering the destruction of tumor cells.

Mechanism of action of VarlilumabFig.1 Mechanism of action of Varlilumab

Table 1. Clinical Projects of Varlilumab*

NCT ID Status Conditions Lead Sponsor Update Time
NCT03307746 Recruiting B Cell Lymphoma University Hospital Southampton NHS Foundation Trust September 7, 2018
NCT02335918 Active, not recruiting Squamous Cell Carcinoma of the Head and Neck (SCCHN); Ovarian Carcinoma-Enrollment Completed; Colorectal Cancer (CRC)-Enrollment Completed; Renal Cell Carcinoma (RCC) (Phase ll Only); Glioblastoma (GBM) (Phase ll Only)-Enrollment Completed Celldex Therapeutics August 31, 2018
NCT03688178 Not yet recruiting Glioblastoma Gary Archer Ph.D. September 28, 2018
NCT02924038 Recruiting Glioma; Malignant Glioma; Astrocytoma, Grade II; Oligodendroglioma; Glioma, Astrocytic; Oligoastrocytoma, Mixed Nicholas Butowski August 14, 2018
NCT03038672 Recruiting ALK-Positive Large B-Cell Lymphoma; Atypical Burkitt/Burkitt-Like Lymphoma; Burkitt-Like Lymphoma With 11q Aberration; Diffuse Large B-Cell Lymphoma Activated B-Cell Type; Diffuse Large B-Cell Lymphoma Associated With Chronic Inflammation; Diffuse Large B-Cell Lymphoma Germinal Center B-Cell Type; Diffuse Large B-Cell Lymphoma, Not Otherwise Specified; EBV-Positive Diffuse Large B-Cell Lymphoma, Not Otherwise Specified; EBV-Positive Mucocutaneous Ulcer; High-Grade B-Cell Lymphoma With MYC, BCL2, and BCL6 Rearrangements; Human Herpesvirus 8-Positive Neoplastic Cells Present; Intravascular Large B-Cell Lymphoma; Large B-Cell Lymphoma With IRF4 Rearrangement; Plasmablastic Lymphoma; Primary Cutaneous Diffuse Large B-Cell Lymphoma; Primary Cutaneous Diffuse Large B-Cell Lymphoma, Leg Type; Primary Diffuse Large B-Cell Lymphoma of the Central Nervous System; Primary Effusion Lymphoma; Recurrent B-Cell Lymphoma, Unclassifiable, With Features Intermediate Between Diffuse Large B-Cell Lymphoma and Classic Hodgkin Lymphoma; Recurrent Burkitt Lymphoma; Recurrent Diffuse Large B-Cell Lymphoma; Recurrent Lymphomatoid Granulomatosis; Recurrent Primary Mediastinal (Thymic) Large B-Cell Cell Lymphoma; Refractory B-Cell Lymphoma, Unclassifiable, With Features Intermediate Between Diffuse Large B-Cell Lymphoma and Classic Hodgkin Lymphoma; Refractory Burkitt Lymphoma; Refractory Diffuse Large B-Cell Lymphoma; Refractory Primary Mediastinal (Thymic) Large B-Cell Cell Lymphoma;  Refractory Primary Mediastinal (Thymic) Large B-Cell Cell Lymphoma; Refractory Primary Mediastinal (Thymic) Large B-Cell Cell Lymphoma; Small Intestinal High Grade B-Cell Lymphoma, Not Otherwise Specified; T-Cell/Histiocyte-Rich Large B-Cell Lymphoma National Cancer Institute (NCI) August 23, 2018
NCT03617328 Not yet recruiting Melanoma Craig L Slingluff, Jr August 6, 2018
NCT02302339 Active, not recruiting Melanoma Celldex Therapeutics September 7, 2018

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Varlilumab
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We provide high-quality Varlilumab for use in WB, FC, IP, ELISA, Neut, FuncS, IF and most other immunological methods. For lab research use only, not for diagnostic, therapeutic or any in vivo human use.

Reference
* The table was excerpted from the following website
https://clinicaltrials.gov/ct2/results?term=Varlilumab


For research use only. Not intended for any clinical use.

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