The therapeutic efficacy of recombinant antibodies such as single-chain Fv fragments and small bispecific or bifunctional molecules is often limited by rapid elimination from the circulation because of their small size. Here, we have investigated the effects of N-glycosylation on the activity and pharmacokinetics of a small bispecific single-chain diabody (scDb CEACD3) developed for the retargeting of cytotoxic T cells to CEA-expressing tumor cells. We could show that the introduction of N-glycosylation sequons into the flanking linker and a C-terminal extension results in the production of N-glycosylated molecules after expression in transfected HEK293 cells. N-Glycosylated scDb variants possessing 3, 6, or 9 N-glycosylation sites, respectively, retained antigen binding activity and bispecificity for target and effector cells as shown in a target cell-dependent IL-2 release assay, although activity was reduced ϳ3-5-fold compared with the unmodified scDb. All N-glycosylated scDb variants exhibited a prolonged circulation time compared with scDb, leading to a 2-3-fold increase of the area under curve (AUC). In comparison, conjugation of a branched 40-kDa PEG chain increased AUC by a factor of 10.6, while a chimeric anti-CEA IgG1 molecule had the longest circulation time with a 17-fold increase in AUC. Thus, N-glycosylation complements the repertoire of strategies to modulate pharmacokinetics of small recombinant antibody molecules by an approach that moderately prolongs circulation time.Whole antibodies, especially chimeric, humanized or fully human IgG molecules, exhibit a long circulation time in the human body that can reach a half-life of 27 days (1, 2). In contrast, antibody fragments, e.g. Fab fragments, or recombinant formats, such as single-chain Fv fragments (scFv) 3 or bispecific derivatives thereof (tandem scFv, diabodies, single-chain diabodies), are rapidly cleared from circulation (2-4). This is mainly due to the small size leading to rapid renal clearance and the lack of recycling processes mediated by the neonatal Fc receptor (FcRn). Thus, repeated injections or infusions are required to maintain a therapeutically effective dose in the body (5). Several strategies to improve pharmacokinetic properties and thus dosing and therapeutic efficacy of recombinant antibodies have been developed in recent years. These strategies can be divided into: 1) those based on reducing renal clearance by increasing the apparent size of the therapeutic molecule, and 2) those that in addition implement FcRn-mediated recycling processes (6 -8).PEGylation of proteins is a well-established strategy to improve pharmacokinetic properties by increasing the molecular mass and the hydrodynamic radius (9 -11). Several PEGylated proteins are in clinical use, e.g. PEGylated interferon ␣-2a (PegIntron, PEGASYS) and PEGylated granulocyte-colony stimulating factor (Neulasta), or are under clinical development, e.g. a PEGylated anti-TNF Fab fragment (certolizumab pegol) (9, 12) Furthermore, direct fusion to albumin or an albumin bin...