The neonatal Fc receptor (FcRn) plays a critical role in regulating IgG homeostasis in vivo. There are mixed reports on whether modification of the interaction with FcRn can be used as an engineering strategy to improve the pharmacokinetic and pharmacodynamic properties of monoclonal antibodies. We tested whether the T250Q/M428L mutations, which improved the pharmacokinetics of humanized IgGs in the rhesus monkey, would translate to a pharmacokinetic benefit in both cynomolgus monkeys and mice when constructed on a different humanized IgG framework (anti-tumor necrosis factor-␣ (TNF␣)). The T250Q/M428L anti-TNF␣ variant displayed an ϳ40-fold increase in binding affinity to cynomolgus monkey FcRn (C-FcRn) at pH 6.0, with maintenance of the pH binding dependence. We also constructed another anti-TNF␣ variant (P257I/Q311I) whose binding kinetics with the C-FcRn was similar to that of the T250Q/M428L variant. The binding affinity of the T250Q/M428L variant for murine FcRn was increased ϳ500-fold, with maintenance of pH dependence. In contrast to the interaction with C-FcRn, this interaction was driven mainly by a decrease in the rate of dissociation. Despite the improved in vitro binding properties of the anti-TNF␣ T250Q/M428L and P257I/Q311I variants to C-FcRn, the pharmacokinetic profiles of these molecules were not differentiated from the wild-type antibody in cynomolgus monkeys after intravenous administration. When administered intravenously to mice, the T250Q/ M428L anti-TNF␣ variant displayed improved pharmacokinetics, characterized by an ϳ2-fold slower clearance than the wildtype antibody. The discrepancy between these data and previously reported benefits in rhesus monkeys and the inability of these mutations to translate to improved kinetics across species may be related to a number of factors. We propose extending consideration to differences in the absolute IgG-FcRn affinity, the kinetics of the IgG/FcRn interaction, and differences in the relative involvement of this pathway in the context of other factors influencing the disposition or elimination of monoclonal antibodies.
Monoclonal antibodies (mAbs)2 and Fc fusion proteins have become important therapeutic options in numerous disease indications, including cancer, inflammation, and autoimmune diseases (1). The proven efficacy of these molecular entities in combination with advances in protein engineering and directed evolution strategies has led to efforts to optimize the functional activity of these biologic agents. The goal of many of these approaches is to improve patient convenience and safety by reducing dose and/or dose frequency and potentially to improve efficacy (1). Many reports have suggested that improvement in the pharmacokinetic and pharmacodynamic properties of humanized monoclonal antibodies may be gained through modification of the interaction of the Fc region of IgGs with FcRn (2-6). It has been proposed that optimizing the properties of the receptor interaction may alter the intracellular trafficking of IgGs resulting in reduced cl...