Interferon-alpha (IFN-alpha) has direct inhibitory effects on some
tumors and is a potent stimulator of both the innate and adaptive immune systems. A
tumor-targeting antibody-IFN-alpha conjugate (mAb-IFN-alpha) could kill by direct actions of the
monoclonal antibody (mAb) and IFN-alpha on
tumor cells and also potentiate a
tumor-directed immune response. The modular Dock-and-Lock method (DNL) was used to generate 20-2b, the first immunocytokine having 4
cytokine (IFN-alpha2b) groups that are fused to the humanized anti-CD20 mAb,
veltuzumab. Additional mAb-IFN-alpha constructs, each retaining potent
IFN-alpha2b biologic activity, also were produced by DNL. The 20-2b shows enhanced antibody-dependent cellular cytotoxicity compared with
veltuzumab but lacks
complement-dependent cytotoxicity. The 20-2b inhibits in vitro proliferation of
lymphoma cells and depletes them from whole human blood more potently than the combination of
veltuzumab and a nontargeting, irrelevant, mAb-IFN-alpha. The 20-2b demonstrated superior therapeutic efficacy compared with
veltuzumab or nontargeting mAb-IFN-alpha in 3 human
lymphoma xenograft models, even though mouse immune cells respond poorly to human
IFN-alpha2b. Targeting IFN-alpha with an anti-CD20 mAb makes the immunocytokine more potent than either agent alone. These findings suggest that 20-2b merits clinical evaluation as a new candidate antilymphoma therapeutic.