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Human & Experimental Toxicology
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Preclinical development of keliximab, a PrimatizedTM anti-CD4 monoclonal antibody, in human CD4 transgenic mice: characterization of the model and safety studies

P J Bugelskil

D J Herzykl

S Rehm

Department of Safety Assessment, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania 19406, USA

A G Harmsen

Trudeau Institute, Saranac Lake, New York 12938, USA

E V Gore

D M Williams

B E Maleeff

Department of Safety Assessment, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania 19406, USA

A M Badger

Department of Bone Biology, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania 19406, USA

A Truneh

Department of Immunology, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania 19406, USA

S R O'Brien

R A Macial

P J Wier

D G Morgan

Department of Safety Assessment, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania 19406, USA

T K Hart

Department of Safety Assessment, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania 19406, USA; Safety Assessment, Mail StopUE0462, 709 Swedeland Road, King of Prussia, Pennsylvania 19406, USA

The preclinical safety assessment of biopharmaceuticals necessitates that studies be conducted in species in which the products are pharmacologically active. Monoclonal anti-bodies are a promising class ofbiopharmaceuticals for many disease indications; however, by design, these agents tend to have limited species cross-reactivity and tend to only be active in primates. Keliximab is a human-cynomolgus monkey chimeric (Primatized&) monoclonal antibody with specificity for human and chimpanzee CD4. In order to conduct a comprehensive preclinical safety assessment of this antibody to support chronic treatment of rheumatoid arthritis in patients, a human CD4 transgenic mouse was used for chronic and reproductive toxicity studies and for genotoxic studies. In addition, immunotoxicity studies were conducted in these mice with Candida albicans, Pneumo- cystis carinii and B16 melanoma cells to assess the effects of keliximab on host resistance to infection and immunosur-veillance to neoplasia. The results of these studies found keliximab to be well tolerated with the only effects observed being related to its pharmacologic activity on CD4 + T lymphocytes. The use of transgenic mice expressing human proteins provides a useful alternative to studies in chimpan-zees with biopharmaceutical agents having limited species cross-reactivity.

Key Words: anti-CD4monoclonalantibody • transgenicmice • biopharmaceutical • preclinicalsafetyassessment • hostdefense

Human & Experimental Toxicology, Vol. 19, No. 4, 230-243 (2000)
DOI: 10.1191/096032700678815783


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