Investigative Ophthalmology & Visual Science Cover Image for Volume 65, Issue 7
June 2024
Volume 65, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2024
The EC50 binding characteristics of novel trispecific protein, RO-104
Author Affiliations & Notes
  • Parth Patel
    Southern Illinois University School of Medicine, Springfield, Illinois, United States
  • Li Xu
    RevOpsis Therapeutics, Delaware, United States
  • Peter K Kaiser
    Cleveland Clinic Cole Eye Institute, Cleveland, Ohio, United States
  • Arshad M. Khanani
    Sierra Eye Institute, Nevada, United States
    University of Nevada Reno, Reno, Nevada, United States
  • Jeffrey S Heier
    OCB, Boston, Massachusetts, United States
  • Alina K Sinha
    University of Missouri-Kansas City, Kansas City, Missouri, United States
  • Nikhil Gupta
    Case Western Reserve University, Cleveland, Ohio, United States
  • Ashwin Gupta
    Vanderbilt University, Nashville, Tennessee, United States
  • Megana Paidela
    Washington University in St Louis, St Louis, Missouri, United States
  • Isabel Ray
    Francis I. Proctor Foundation for Research in Ophthalmo, UCSF, University of California San Francisco, San Francisco, CA, US, academic, San Francisco, California, United States
  • Yixuan Ma
    Southern Illinois University School of Medicine, Springfield, Illinois, United States
  • Jessi Prentice
    Springfield Clinic LLP, Springfield, Illinois, United States
  • Ramanath Bhandari
    Springfield Clinic LLP, Springfield, Illinois, United States
  • Ramesh Bhatt
    RevOpsis Therapeutics, Delaware, United States
  • Footnotes
    Commercial Relationships   Parth Patel None; Li Xu RevOpsis Therapeutics, Code C (Consultant/Contractor), RevOpsis Therapeutics, Code O (Owner); Peter Kaiser AffaMed, Allergan, Bayer, Regeneron, Novartis, Kanghong, RevOpsis, Boerenger Ingelheim, Kodiak, Regeneron, RegenxBio; equity, Code C (Consultant/Contractor), RevOpsis, Code O (Owner); Arshad Khanani 4DMT, Adverum, Allergan, Genentech, Regeneron, Novartis, Kanghong, RevOpsis, Kodiak, Regeneron, RegenxBio; equity, Code C (Consultant/Contractor), RevOpsis, Code O (Owner); Jeffrey Heier 2020 Onsite, 4DMT, Abpro, Adverum, Allegro, Allergan, Annexon, Apellis, Asclepix, Aviceda, BVT, DTx, Gemini, Genentech/Roche, Graybug, Gyroscope, iRenix, Iveric, Johnson & Johnson, Kanghong, NGM, Notal Vision, Novartis, Ocular Therapeutix, Ocuphire, OcuTerra, Oriole, Oxurion, Regeneron, Regenxbio, Relay Therapeutics, RetinAI, Retrotope, Roche, Stealth Biotherapeutics, Surrozen, Thea, Unity Bio, Verseon, Code C (Consultant/Contractor), Ocular Therapeutix, Code E (Employment), Aldeyra, Apellis, Asclepix, Bayer, Genentech, Gyroscope, Iveric, Janssen R&D, Kanghong, Kodiak, NGM, Notal Vision, Novartis, Regeneron, Regenxbio, Stealth, Code F (Financial Support), Adverum, Aldeyra, Allegro, Aviceda, DTx Pharma, jCyte, Ocular Therapeutix, Vinci, Vitranu, Code I (Personal Financial Interest); Alina Sinha None; Nikhil Gupta None; Ashwin Gupta None; Megana Paidela None; Isabel Ray None; Yixuan Ma None; Jessi Prentice Regeneron, Kodiak Biosciences, Code C (Consultant/Contractor), RevOpsis Therapeutics , Code O (Owner); Ramanath Bhandari Regeneron, Kodiak Biosciences, Code C (Consultant/Contractor), RevOpsis Therapeutics , Code O (Owner); Ramesh Bhatt RevOpsis, Code C (Consultant/Contractor), RevOpsis, Code O (Owner)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2024, Vol.65, 5088. doi:
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    • Get Citation

      Parth Patel, Li Xu, Peter K Kaiser, Arshad M. Khanani, Jeffrey S Heier, Alina K Sinha, Nikhil Gupta, Ashwin Gupta, Megana Paidela, Isabel Ray, Yixuan Ma, Jessi Prentice, Ramanath Bhandari, Ramesh Bhatt; The EC50 binding characteristics of novel trispecific protein, RO-104. Invest. Ophthalmol. Vis. Sci. 2024;65(7):5088.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : This study investigated the binding characteristics of novel trispecific Surrobody, RO-104 that binds Vascular Endothelial Growth Factor A and C (VEGF-A, VEGF-C), and Angiopoietin 2 (Ang-2). The benefits of bispecific inhibition of VEGF-A and Ang-2 have been established clinically with the approved use of faricimab. Recent clinical studies suggest VEGF-C as a third significant contributor to retinal neovascularization. The study was designed to compare binding affinity EC50 analysis of RO-104 to faricimab for both VEGF-A and Ang-2. Additionally, we designed experiments to determine EC50 binding affinity of RO-104 to VEGF-C.

Methods : Individual target-based binding Enzyme-linked Immunoassays (ELISA) were used to determine the EC50 of RO-104 to recombinant human VEGF-A, Ang-2, and VEGF-C. Each target was separately coated onto ELISA plates and specific binding of RO-104 was detected by biotinylated anti-VpreB antibody and HRP-conjugated streptavidin. Faricimab ELISAs were similar except binding was detected by anti-IgG Fc-HRP. In each case dose response analysis was performed in duplicates starting at 10 nM using 3-fold dilutions.

Results : The EC50 of RO-104 binding to VEGF-A was determined to be 5.0 pM, compared to Faricimab that was 22.8 pM. The EC50 of RO-104 binding to Ang-2 was 10.7 pM and compared favorably to the EC50 of faricimab of 676.4 pM. Lastly, the EC50 of RO-104 uniquely binds to VEGF-C with 19.2 pM potency compared to faricimab.

Conclusions : RO-104 binds with higher affinity to VEGF-A and Ang-2 than faricimab providing potential for greater efficacy. Additionally, RO-104 is more versatile than faricimab as it can potently bind VEGF-C that has shown significant implications to neovascular disease. These data suggest that RO-104 has collectively desirable characteristics compared to faricimab warranting further therapeutic development.

This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.

 

Comparison of RO-104 binding to VEGF-A, Ang-2, and VEGF-C to faricimab binding to VEGF-A and Ang-2. <div id="accel-snackbar" style="left: 50%; transform: translate(-50%, 0px); top: 50px;"> </div>

Comparison of RO-104 binding to VEGF-A, Ang-2, and VEGF-C to faricimab binding to VEGF-A and Ang-2. <div id="accel-snackbar" style="left: 50%; transform: translate(-50%, 0px); top: 50px;"> </div>

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