HFB200603: BTLA Agonist

Phase I, Recruiting

Targeting the BTLA/HVEM immunosuppressive axis to activate anti-tumor immunity

BTLA (B and T lymphocyte attenuator) is a co-inhibitory immune checkpoint structurally related to PD-1 and CTLA-4. BTLA’s expression is restricted to immune cells, including B cells, CD4+ and CD8+ T cells, and dendritic cells. Upon interaction with its ligand HVEM, BTLA induces the recruitment of SHP1 and SHP2 to suppress the proliferation and activation of B and T cells. BTLA blockade represents a promising therapeutic avenue for the treatment of cancer.

Our DIS® Approach

Anti-PD-1 immunotherapy has demonstrated efficacy across many cancers; however, many patients develop resistance to treatment, revealing a large unmet need for new immune modulators that can overcome this resistance. DIS® driven single cell immune profiling of tumors has identified high BTLA expression in exhausted CD8+ T cells in patients non- responsive to PD-1 blockade, supporting dual BTLA/PD-1 blockade as an approach to overcome anti-PD-1 resistance.

Drug Info

HFB200603
Mechanism of Action

HFB200603 is a best-in-class BTLA antagonist monoclonal antibody that has been shown to reverse HVEM-mediated immune suppression. HFB200603 shows a synergistic effect with anti-PD-1 antibodies to enhance IFN-γ production and demonstrates favorable developability and pharmacokinetic profiles. HFB200603 has shown promising clinical monotherapy activity, with the desired mechanism of action on T cells and an excellent safety profile.

Clinical Trial Info

The first-in-human dose escalation and expansion study (NCT05789069)  is actively enrolling patients with DIS®-selected advanced cancers for treatment with HFB200603 monotherapy or combination with anti-PD-1 tislelizumab. Identification of biomarkers predictive of response is ongoing.