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Research ArticleDrug Discovery and Translational Medicine
Open Access

Pharmacokinetics and Pharmacodynamic Effects of Nemvaleukin Alfa, a Selective Agonist of the Intermediate-Affinity IL-2 Receptor, in Cynomolgus Monkeys

Jared E. Lopes, Lei Sun, Heather L. Flick, Erin A. Murphy and Heather C. Losey
Journal of Pharmacology and Experimental Therapeutics November 2021, 379 (2) 203-210; DOI: https://doi.org/10.1124/jpet.121.000612
Jared E. Lopes
Alkermes, Inc., Waltham, Massachusetts
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Lei Sun
Alkermes, Inc., Waltham, Massachusetts
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Heather L. Flick
Alkermes, Inc., Waltham, Massachusetts
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Erin A. Murphy
Alkermes, Inc., Waltham, Massachusetts
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Heather C. Losey
Alkermes, Inc., Waltham, Massachusetts
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  • Fig. 1.
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    Fig. 1.

    Mechanism of action of nemvaleukin. (A) Visualization of spatial distance between unfused IL-2 and IL-2R (with native N-termini and C termini labeled). (B) Nemvaleukin selectively engages the intermediate-affinity IL-2R complex that is expressed on subsets of CD8+ T cells and NK cells and is sterically occluded from binding to the high-affinity IL-2R complex that is expressed on CD4+ Tregs.

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    Fig. 2.

    Mean (+ S.D.) serum concentrations (ng/ml) of nemvaleukin in male cynomolgus monkeys after (A) single intravenous (0.3 mg/kg) or subcutaneous doses (0.3, 1.0 mg/kg) and (B) repeated intravenous (0.1 mg/kg for 5 consecutive days, on days 1–5) or subcutaneous doses (0.5 mg/kg on days 1 and 4). N = 3 per treatment group.

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    Fig. 3.

    Effect of repeated intravenous (0.1 mg/kg for 5 consecutive days) or subcutaneous (0.5 mg/kg on days 1 and 4) administration of nemvaleukin on (A) total CD8+ T cells and CD56+ NK cells and (B) CD4+ Tregs, and (C) the proportion of cells expressing the cell proliferation marker Ki-67. Data shown are the mean ± S.E. of the mean (S.E.M.) with N = 3 per treatment group. Fold changes were calculated relative to predose levels for individual monkeys.

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    Fig. 4.

    Effect of repeated intravenous (0.1 mg/kg for 5 consecutive days) or subcutaneous (0.5 mg/kg on days 1 and 4) administration of nemvaleukin on CD8+ T cell subsets in terms of (A) cell numbers and (B) fold change relative to predose levels. Data shown are the mean ± S.E.M. with N = 3 per treatment group.

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    TABLE 1

    Potency of nemvaleukin on selected lymphocyte subsets from cynomolgus monkey and human samples (Lopes et al., 2020)

    Lymphocyte PopulationMonkey
    EC50
    Mean ± S.D.
    Humana
    EC50
    Mean ± S.D.
    nMnM
    NK cells0.47 ± 0.220.45 ± 0.09
    Naïve CD8+ T cells1.4 ± 0.32.2 ± 1.0
    Central/transitional memory CD8+
    T cells
    1.3 ± 0.41.1 ± 0.1
    Effector memory CD8+ T cells2.0 ± 1.01.25 ± 0.4
    Terminal effector CD8+ T cells1.7 ± 0.80.93 ± 0.3
    Tregs0.50 ± 0.140.59 ± 0.2
    • ↵aData generated from three separate experiments, each performed in triplicate, and the error represents S.D.

    • View popup
    TABLE 2

    PK parameters of nemvaleukin in male cynomolgus monkeys after a single intravenous (0.3 mg/kg) or subcutaneous (0.3 or 1.0 mg/kg) dose

    Dose RouteDoseCmaxTmaxAUC∞t1/2MRTCLVdss
    mg/kgng/mlhng·h/mlhhml/h/kgml/kg
    Intravenous0.36119 ± 11880.083(0.083, 0.083)28,460 ± 123049.5 ± 5.612.8 ± 1.910.6 ± 0.46135 ± 16.6
    Subcutaneous0.3549 ± 2088 (8, 8)12,931 ± 389361.9 ± 4.631.6 ± 4.0——
    Subcutaneous1.01035 ± 1338 (8, 8)26,878 ± 210637.3 ± 19.421.7 ± 2.8——
    • N = 3 per treatment group.

    • Mean (± S.D.) for all parameters except Tmax [median (min, max)].

    • View popup
    TABLE 3

    PK parameters of nemvaleukin in male cynomolgus monkeys after repeated intravenous (0.1 mg/kg for 5 consecutive days, on days 1–5) or subcutaneous (0.5 mg/kg on days 1 and 4) doses

    Dose routeDoseDayCmaxTmaxCtroughAUCτaAUCtAUCtotal
    mg/kgng/mlhng/mlng·h/mlng·h/mlng·h/ml
    Intravenous0.112575 ± 1760.083 (0.083, 0.083)<LLOQ9035 ± 6029035 ± 60241,753 ± 2213b
    52096 ± 800.083 (0.083, 0.083)9.62 ± 1.395159 ± 3015611 ± 42930,124 ± 1112c
    Subcutaneous0.51911 ± 4328 (8, 8)<LLOQ17,656 ± 670017,656 ± 670033,402 ± 9204
    41006 ± 1192 (2, 8)10.0 ± 1.2515,214 ± 252915,746 ± 2601
    • N = 3 per treatment group, LLOQ = 1.00 ng/ml.

    • Mean (± S.D.) for all parameters except Tmax [median (min, max)].

    • ↵aτ = 24 hours for intravenous dosing regimen and 72 hours for subcutaneous dosing regimen.

    • ↵bCalculated based on AUC24h,day 1 × 4 + AUCt,day 5.

    • ↵cCalculated based on AUC24h,day 1 + AUC24h,day 5 × 3 + AUCt,day 5.

Additional Files

  • Figures
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    • Supplemental Data -

      Supplemental Methods

      Supplemental Table 1: Antibodies and fluorescent dyes used for determination of pSTAT5 levels in white blood cells from cynomolgus monkeys by flow cytometry

      Supplemental Table 2: Markers used to identify immune cell subtypes for pSTAT5 analyses from cynomolgus monkeys

      Supplemental Table 3: Antibodies and fluorescent dyes used for phenotyping of white blood cells by flow cytometry in peripheral blood of cynomolgus monkeys

      Supplemental Table 4:  Markers used to identify immune cell subsets in the peripheral blood of cynomolgus monkeys

      Supplemental Fig. 1. Study design and dosing schedules for the (A) single- and (B) repeat-dose studies. Blood samples taken prior to dosing on each day of dose administration.

      Supplemental Fig. 2. Effect of repeated i.v. (0.1 mg/kg for 5 consecutive days) or s.c.

      Supplemental Fig. 3. Effect of repeated i.v. (0.1 mg/kg for 5 consecutive days) or s.c.


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Journal of Pharmacology and Experimental Therapeutics: 379 (2)
Journal of Pharmacology and Experimental Therapeutics
Vol. 379, Issue 2
1 Nov 2021
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Research ArticleDrug Discovery and Translational Medicine

Pharmacology of Nemvaleukin Alfa in Cynomolgus Monkeys

Jared E. Lopes, Lei Sun, Heather L. Flick, Erin A. Murphy and Heather C. Losey
Journal of Pharmacology and Experimental Therapeutics November 1, 2021, 379 (2) 203-210; DOI: https://doi.org/10.1124/jpet.121.000612

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Research ArticleDrug Discovery and Translational Medicine

Pharmacology of Nemvaleukin Alfa in Cynomolgus Monkeys

Jared E. Lopes, Lei Sun, Heather L. Flick, Erin A. Murphy and Heather C. Losey
Journal of Pharmacology and Experimental Therapeutics November 1, 2021, 379 (2) 203-210; DOI: https://doi.org/10.1124/jpet.121.000612
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