Anti-drug antibodies in 83% (25 mg/kg) and 58% (50 mg/kg) of cynomolgus monkeys
“However, throughout the study, antibodies against ibalizumab were observed in 83% (10/12) and 58% (7/12) of the animals at the low and high dose (25 and 50 mg/kg), respectively.”
CD4 binding: reversible CD4+ T- and B-cell lymphocytopenia and immunosuppression in infants exposed in utero
“Based on animal data, ibalizumab-uiyk use during pregnancy may cause reversible immunosuppression (CD4+ T cell and B cell lymphocytopenia) in infants exposed to ibalizumab-uiyk in utero.”
Cynomolgus: ADA in 83% (25 mg/kg) and 58% (50 mg/kg); severe ADA in 7 low-dose and 1 high-dose animal caused loss of exposure and euthanasia
“However, throughout the study, antibodies against ibalizumab were observed in 83% (10/12) and 58% (7/12) of the animals at the low and high dose (25 and 50 mg/kg), respectively. In total, 7 animals at the low dose and 1 animal at the high dose developed a severe anti-drug-antibody response, resulting in lack of exposure, after which these animals were euthanized and necropsied around 6.5 months.”
One sample positive (low titer); no adverse reaction or reduced efficacy attributed
“One sample tested positive with low titer anti-ibalizumab antibodies. No adverse reaction or reduced efficacy was attributed to the positive sample reported in this subject.”
In vitro whole-blood cytokine release far below alemtuzumab/TGN1412 controls; no effects on monkey TDAR, lymphocyte subsets or serum cytokines; ADA in some monkeys