The present disclosure provides modified bispecific molecules that target (a) tumor-specific
mutant peptides or
mutant-associated neoantigens (MANAs) presented by human leukocyte antigens (HLAs) on the surface of target
cancer cells; and (b) surface proteins (e.g., CD3) expressed on
effector immune cells (e.g., T cells), and methods of using the same for
cell therapy to diagnose, prevent, and / or treat human diseases, including
cancer. The bispecific molecules are modified to additionally comprise domain orientation modifications,
linker modifications, and functional moieties, including, for example, Fc fragments,
serum albumin, and / or
polyethylene glycol (PEG) groups, that can improve their
potency,
therapeutic index, half-life, and manufacturability, while maintaining functionality and specificity in the treatment of diseases, such as
cancer.