Tumor Models for Cancer Immunotherapy - Part 2

We are witnessing the renaissance of the concept of immune-mediated cancer therapy, and the demand for predictive and robust preclinical models to minimize translational failures in immuno-oncology is at an all-time high. The need for leveraging phenotypic features of models and stimulating the response of immune system adds to the complexity of preclinical models and their applications. Special emphasis is being currently placed on development and preclinical assessment of combination therapies and their rational preclinical design. Cambridge Healthtech Institute’s Fourth Annual Tumor Models for Cancer Immunotherapy is designed to feature and discuss cutting-edge complex immunocompetent models for cancer immunotherapy research as well as to present case studies of their successful applications.

Final Agenda

Wednesday, June 14

11:00 am Registration

12:00 pm Bridging Luncheon Presentation: Combination Immune Checkpoint Inhibitors for the Treatment of Solid Tumors in Humanized Mouse Models

Paula_Miliani_de_MarvalPaula Miliani de Marval, Ph.D., Research Associate Director, Charles River

The increasing success and interest in cancer immunotherapy, there is a growing need for relevant preclinical models. Our studies with syngeneic tumors, using immune checkpoint inhibitors targeting CTLA-4 and PD-1, showed differential responses across tumor types. We have evaluated the efficacy of these inhibitors on human tumor xenograft models implanted in CD34+ and PBMC humanized mice. Results from these studies shows significant tumor growth inhibition associated with T cell activation.

12:30 Session Break

1:00 Coffee and Dessert in the Exhibit Hall with Poster Viewing

1:30 PLENARY KEYNOTE SESSION

3:30 Refreshment Break in the Exhibit Hall with Poster Viewing

PRECLINICAL STRATEGIES TO ADVANCE COMBINATION THERAPY

4:15 Chairperson’s Opening Remarks

Gary C. Starling, Ph.D., Associate Vice President, MRL Biologics and Vaccines Discovery, Merck

4:25 KEYNOTE PRESENTATION: Increasing the Efficacy of Immunotherapy with Combinatorial Approaches

Gary_StarlingGary C. Starling, Ph.D., Associate Vice President, MRL Biologics and Vaccines Discovery, Merck

Immunotherapy using monoclonal antibodies against the checkpoint inhibitors CTLA-4 and PD-1 have shown dramatic clinical success. To increase therapeutic efficacy in sensitive tumor types or to treat tumors that are resistant to targeting single immune check point inhibitors, combinations of agents are being evaluated. The rationale behind the selection of combination agents will be discussed along with examples of the impact of these combinations.

4:55 Augmented Response to Anti-PD1 Therapy by Co-Blockade of LAG3 in Immune Competent Mouse Models of Cancer

Brian_HainesBrian B. Haines, Ph.D., Principal Scientist, Pharmacology, Merck


5:25 Novel Humanized Mouse Models in Immuno-Oncology: Applications and Production Consistency

Azusa_TanakaAzusa Tanaka, Ph.D., Product Manager, Precision Research Model, Taconic Biosciences

Humanized mice reconstituted with human hematopoietic stem cells (HSC) mimic human immune responses, supporting translatable research into pathophysiology, immuno-oncology, and novel therapeutic methodologies. Reservations remain regarding reproducibility, HSC sourcing, and the stability of chimeric cells in humanized mice. To address these concerns, Taconic presents data supporting the consistency, reliability, and chimeric ratios for over 1500 production huNOG (humanized NOG) and over 800 huNOG-EXL (humanized hGM-CSF/hIL-3 NOG) from Taconic production colonies.

5:55 Is Translation Even Necessary? Dose Prediction in the Absence of Validated Preclinical Models

Arijit_ChakravartyArijit Chakravarty, Ph.D., CEO, Fractal Therapeutics

This talk will discuss the problem of dose prediction for IO, with broader applicability beyond that.


6:25 Close of Day

6:30 Dinner Short Course Registration

Thursday, June 15

7:00 am Registration Open and Morning Coffee

7:30 Interactive Breakout Discussion Groups with Continental Breakfast

This session features various discussion groups that are led by a moderator/s who ensures focused conversations around the key issues listed. Attendees choose to join a specific group and the small, informal setting facilitates sharing of ideas and active networking. Continental breakfast is available for all participants.

Modeling Innate and Adaptive Immunity in Murine Models

Moderator: Marcus Bosenberg, M.D., Ph.D., Associate Professor of Dermatology and Pathology, Yale University, Co-Leader, Genomics, Genetics and Epigenetics Program, Yale Cancer Center

  • Can animal models of cancer immunology predict human responses?
  • How should pre-clinical models be used to guide drug development in immunology?
  • How can existing models be improved?

Preclinical Strategies for Combination Strategies

Moderator:
Zhao_ChenZhao Chen, Ph.D., Investigator III, Exploratory Immuno-Oncology, Novartis Institute of Biomedical Research

  • Key factors to consider when selecting combination strategy
  • Immunomodulatory effects of small molecules
  • Translating preclinical models to the clinic-the expected and unexpected

T Cell Therapy

Moderators:
Simrit_ParmarSimrit Parmar, M.D., Assistant Professor, Department of Stem Cell Transplantation, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center


Ian_McNieceIan McNiece, Consultant, CellMED Consulting (CMC)

  • The use of small animal models for preclinical studies of immune effector cells
  • The advantages and disadvantages of small animal models vs large animal models for studies of T cell products
  • The use of immune suppressed animals versus immune deficient animals


LEVERAGING IMMUNOPHENOTYPIC FEATURES OF PRECLINICAL MODELS

8:35 Chairperson’s Remarks

Zhao Chen, Ph.D., Investigator III, Exploratory Immuno-Oncology, Novartis Institute of Biomedical Research

8:45 Leveraging Immunophenotypic Features of Preclinical Models to Minimize Translational Failures

Mithun Khattar, Ph.D., Immuno-Oncology Lead, Cancer Pharmacology, Takeda Pharmaceuticals

Syngeneic model systems that provide a wide array of B-cell, Myeloid cell and NK cell mediated tumor-immune milieus with a varying degree of T-cell involvement can help researchers to hone in on the MoA questions. Such a preclinical exploration can then help us with patient selection hypotheses and also potential combination scenarios. The future for IO therapy most likely is going to be targeting multiple facets of immune suppression which could be decided based on prior chemotherapies.

9:15 Genotype, Tissue Type and Tumor Microenvironment

Zhao_ChenZhao Chen, Ph.D., Investigator III, Exploratory Immuno-Oncology, Novartis Institute of Biomedical Research

Cancer cells play key roles in shaping up the tumor microenvironment. Cancer genetic studies also tell us that much of the behavior of the tumor is dictated by genetic alterations and tissue origin. However, the link is missing between these tumor cell autonomous traits and their corresponding influence on tumor microenvironment. We are interested in charactering genotype and tissue type dependency of tumor microenvironment, and its relevance to treatment responses.

9:45 3D Spheroid Models of Fresh Patient Tumors: Ex vivo Analysis of Immune Microenvironment and Rational Combination Therapy

Soner Altiok, MD, Ph.D., CSO, Nilogen Oncosystems

Nilogen’s 3D-EX℠ immuno-oncology platform utilizes fresh patient tumor tissue with intact tumor immune microenvironment. With the capability to analyze the intimate interactions between the immune system and components of cancer tissue we can accurately assess the therapeutic efficacy of drugs, identify rational drug combinations and develop companion diagnostics to facilitate biomarker-driven drug development efforts and personalized medicine while reducing the cost and risk of bringing a new drug to market.

Isoplexis10:00 Predictive Single-Cell Response Applied to Immuno-Oncology

Sean_MackaySean Mackay, CEO, IsoPlexis

IsoPlexis' technology enables improved targeting of complex immunotherapy treatments to cancer patients. Predictive biomarker data on TCR Engineered T-cell, CAR-T cell, and Checkpoint Inhibitor based therapeutics to detect a multiplexed range of functions from individual patient cells using proprietary bioinformatics will be discussed. These biomarkers indicate which patients will be responders and non-responders providing breakthrough insights for biopharma and translational centers in highly urgent areas of oncology today.

10:15 Coffee Break in the Exhibit Hall with Poster Viewing

MODELING INNATE AND ADAPTIVE IMMUNITY

11:00 Pre-Clinical Models for the Evaluation of Novel Therapies and Anti-Tumor Immune Reponses

Marcus_BosenbergMarcus Bosenberg, M.D., Ph.D., Associate Professor of Dermatology and Pathology, Yale University, Co-Leader, Genomics, Genetics and Epigenetics Program, Yale Cancer Center

The success of immune therapies in cancer has underscored the need for accurate pre-clinical models for the evaluation of novel therapies. We have generated a series of genetically diverse syngeneic melanoma cells lines that form tumors following injection into immune competent C57Bl/6J mice. These models represent an ideal set of models for the study of cancer immunology and response to immune therapies.

11:30 Understanding the Biology and Clinical Translation of Syngeneic Mouse Models: What Do They Really Represent?

Elaine_HurtElaine Hurt, Ph.D., Senior Scientist, MedImmune

Immune check-point inhibitors are changing the landscape of cancer patient care. While clinical efficacy is apparent, complete understanding of who benefits from IO therapy is still emerging. Preclinical models and the understanding of when these models are predictive of patient responses are evolving as well. I will present the work that MedImmune has conducted to characterize syngeneic models to understand where these particular models fit into the preclinical tool kit.

12:00 pm Preclinical Assessment of Combination of Erdafitinib and αPD-1 Antibody in FGFR2-Driven Genetically Engineered Mouse Model of Lung Cancer

Sangeetha_PalakurthiSangeetha Palakurthi, Ph.D., Head of Cancer Biology and Pharmacology, Belfer Center for Applied Cancer Science, Dana-Farber Cancer Institute

RTK inhibitors have significantly prolonged non-small cell lung cancer patient survival, but the development of resistance limits the durability of clinical response. One potential strategy to enhance the durability of response to targeted therapies, is to couple them with immunotherapy. We hypothesized that the small molecule inhibitor of FGFR, Erdafitinib- mediated tumor cell death and antigen release could prime and activate T-cell responses, and that combination with T-cell directed checkpoint blockade would further enhance antitumor immunity and enhance the durability of response. To test this hypothesis, we evaluated Erdafitinib in combination with αPD-1 antibody in an autochthonous FGFR2K660N/p53 mutant GEMM of lung cancer, in which tumors develop within the context of an intact immune microenvironment. Tumor bearing FGFR2K660N/p53 mutant mice treated with Erdafitinib with or without αPD-1 antibody showed significant tumor regressions compared to control and αPD-1 antibody monotherapy arms. We observed significant survival benefit in the combination group over Erdafitinib monotherapy. Further, immune profiling and biomarker studies suggested that the survival benefit with combination treatment in FGFR-driven lung cancer GEMM may be driven through simultaneous mechanisms of blocking tumor intrinsic FGFR pathway enhancement of anti-tumor immunity. Thus, data presented here provided a rationale for the combined clinical testing of JNJ-493 and PD-1 blockade in patients with FGFR-altered lung cancers.

12:30 Luncheon Presentation: Development of a Novel Phenotypic Platform for Therapy Selection and Understanding Biology of Tumor Immune Response

Pradip Majumder, CSO, Mitra Biotech

1:00 Session Break

IMPLEMENTING TRANSLATIONAL APPROACHES

1:30 Chairperson’s Remarks

Elaine Hurt, Ph.D., Senior Scientist, MedImmune

1:35 Co-Presentation: Translational Cancer Imaging for Drug Development and Precision Medicine

Quang-Dé Nguyen, Ph.D., Director, Lurie Family Imaging Center, Senior Scientist, Center for Biomedical Imaging in Oncology, Research Associate in Radiology, Harvard Medical School

Annick_Van_den_AbbeeleAnnick D. Van Den Abbeele, M.D., Associate Professor, Radiology, Harvard Medical School; Chief, Department of Imaging, Dana-Farber Cancer Institute; Founding Director, Center for Biomedical Imaging in Oncology (CBIO), Imaging, Dana-Farber Cancer Institute

This presentation will discuss several important issues in translational imaging such as Imaging probe developments for immune-oncology applications, imaging co-clinical trials, bidirectional interactions between the mouse hospital and the cancer center, interactions with pharmaceutical companies.

2:05 PANEL DISCUSSION: Mouse Models as a Driver for Translational Immuno-Oncology

Moderator: Elaine Hurt, Ph.D., Senior Scientist, MedImmune

Modelling toxicity
The tumour microenvironment
Immune competency (immunocompromised versus competent models)

Panelists: Zhao Chen, Ph.D., Investigator III, Exploratory Immuno-Oncology, Novartis Institute of Biomedical Research

Sangeetha Palakurthi, Ph.D., Head of Cancer Biology and Pharmacology, Belfer Center for Applied Cancer Science, Dana-Farber Cancer Institute

Quang-Dé Nguyen, Ph.D., Director, Lurie Family Imaging Center, Senior Scientist, Center for Biomedical Imaging in Oncology, Research Associate in Radiology, Harvard Medical School

Annick D. Van Den Abbeele, M.D., Associate Professor, Radiology, Harvard Medical School; Chief, Department of Imaging, Dana-Farber Cancer Institute; Founding Director, Center for Biomedical Imaging in Oncology (CBIO), Imaging, Dana-Farber Cancer Institute

2:35 Refreshment Break in the Exhibit Hall (Last Chance for Poster Viewing)

T CELL THERAPY DEVELOPMENT AND PRECLINICAL ASSESSMENT

3:10 Chairperson’s Remarks

Ian McNiece, Ph.D., Executive Consultant, CellMed Consulting

3:20 Preclinical Tumor Models for Evaluating Bispecific Redirected T-Cell Therapeutics

Divya Mathur, Ph.D., Principal Scientist, Pfizer Oncology

Strong evidence exists supporting the important role T-cells play in the immune response against tumors. Still, the ability to initiate tumor-specific immune responses remains a challenge. We have developed a bispecific protein engineered with enhanced pharmacokinetic properties to extend in vivo half-life, and designed to engage and activate endogenous polyclonal T cell populations via the CD3 complex in the presence of solid tumors expressing target antigens.

3:50 Modeling for Preclinical Assessment of Treg Adoptive Therapy

Simrit_ParmarSimrit Parmar, M.D., Assistant Professor, Department of Stem Cell Transplantation, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center

Tregs are essential for immune homeostasis by maintaining peripheral tolerance and inhibiting autoimmune responses and pathogenic tissue damage. Adoptive therapy with Tregs has been shown to be safe and effective in diseases such as graft vs. host disease, inflammatory bowel disease. The application of Treg adoptive therapy has tremendous promise to combat autoimmune diseases and inflammatory disorders.

4:20 Preclinical Tumor Models to Assess Efficacy of Cellular Immunotherapy Products that Include a Safety or Activation Molecular Switch

Eric_YvonEric Yvon, Ph.D., Director, CAR Program, Research and Development, Bellicum Pharmaceuticals, Inc.

The CID technology platform was designed to address the challenges of current cellular immunotherapies by enabling control over cellular activities and functions. Our CID platform consists of molecular switches triggered inside the patient by infusion of small molecule rimiducid. The “safety switch” is designed to lead to apoptosis, and the “activation switch” is designed to lead to activation and proliferation of immune cells.

4:50 Close of Conference

5:00 Symposia Registration


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