Phase 1 trial of IL-15 trans presentation blockade using humanized Mikβ1 mAb in patients with T-cell large granular lymphocytic leukemia
Thomas A Waldmann, Kevin C Conlon, Donn M Stewart, TatYana A Worthy, John E Janik, Thomas A Fleisher, Paul S Albert, William D Figg, Shawn D Spencer, Mark Raffeld, Jean R Decker, Carolyn K Goldman, Bonita R Bryant, Michael N Petrus, Stephen P Creekmore, John C Morris, Thomas A Waldmann, Kevin C Conlon, Donn M Stewart, TatYana A Worthy, John E Janik, Thomas A Fleisher, Paul S Albert, William D Figg, Shawn D Spencer, Mark Raffeld, Jean R Decker, Carolyn K Goldman, Bonita R Bryant, Michael N Petrus, Stephen P Creekmore, John C Morris
Abstract
In the present study, Hu-Mikβ1, a humanized mAb directed at the shared IL-2/IL-15Rβ subunit (CD122) was evaluated in patients with T-cell large granular lymphocytic (T-LGL) leukemia. Hu-Mikβ1 blocked the trans presentation of IL-15 to T cells expressing IL-2/IL-15Rβ and the common γ-chain (CD132), but did not block IL-15 action in cells that expressed the heterotrimeric IL-15 receptor in cis. There was no significant toxicity associated with Hu-Mikβ1 administration in patients with T-LGL leukemia, but no major clinical responses were observed. One patient who had previously received murine Mikβ1 developed a measurable Ab response to the infused Ab. Nevertheless, the safety profile of this first in-human study of the humanized mAb to IL-2/IL-15Rβ (CD122) supports its evaluation in disorders such as refractory celiac disease, in which IL-15 and its receptor have been proposed to play a critical role in the pathogenesis and maintenance of disease activity.
Trial registration: ClinicalTrials.gov NCT00076180.
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Source: PubMed