Treatment of b-cell mediated immune disorders by t-cell mediated depletion of b cells, plasmablasts and plasma cells

A bispecific T-cell engaging protein effectively addresses the limitations of CAR-T therapy by using T-cells to selectively eliminate B-cells, providing a safer and more efficient treatment for autoimmune disorders.

WO2025207816A9 Publication Date: 2026-01-29CUE BIOPHARMA INC
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Patent Information

Application Number
PCT/US2025/021625
Authority / Receiving Office
WO · WO
Patent Type
Applications
Current Assignee / Owner
Priority Date
2024-05-14
Filing Date
2025-03-26
Publication Date
2026-01-29

AI Technical Summary

Technical Problem

Current CAR-T therapy for autoimmune disorders is expensive, complex, and poses risks such as cytokine release syndrome and cancer, necessitating a safer and more efficient method for B-cell depletion.

Method used

Administering a bispecific T-cell engaging protein (TEP) that binds to B cells, utilizing peptide-major histocompatibility complexes and B-cell targeting components to activate T-cells for selective B-cell elimination, leveraging the patient's existing T-cell repertoire to reduce or eliminate B cells.

Benefits of technology

The T-cell mediated approach achieves a more complete B-cell depletion with reduced inflammatory responses, offering a safer and off-the-shelf solution for autoimmune and immune-mediated disorders.

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Abstract

This disclosure provides compositions and methods for T-cell mediated depletion of B cells. The compositions and methods may be used, for example, for the treatment of autoimmune disorders, immune-mediated inflammation disorders and other B-cell mediated immune disorders. In embodiments, the depletion is effected by methods comprising administering to an individual a T cell engaging protein ("TEP"), wherein the TEP comprises: (i) a peptide-major histocompatibility complex ("pMHC") comprising a peptide epitope, a β2-microglobulin ("β2M") polypeptide, and an MHC class I heavy chain polypeptide; (ii) an immunoglobulin ("Ig") Fc polypeptide; (iii) at least one B-cell targeting component; and (iv) optionally one or more activating immunomodulatory polypeptides, wherein each of the at least one B-cell targeting components of the TEP binds to a B cell binding partner on a B cell, a plasmablast, and / or a plasma cell.
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