AFM26 is a bispecific tetravalent antibody engineered to target BCMA (B-cell maturation antigen) on multiple myeloma (MM) cells and CD16A (FcγRIIIa) on natural killer (NK) cells. Developed by Affimed GmbH, it is designed to bridge NK cells with tumor cells, enhancing cytotoxicity against BCMA-positive malignancies .
Structure: Bispecific format with two binding domains for BCMA and two for CD16A, enabling high-avidity interactions.
Mechanism: Redirects NK cells to lyse MM cells via antibody-dependent cellular cytotoxicity (ADCC) without depleting NK cells .
Differentiation: Unlike BCMA-targeting T-cell engagers (e.g., bispecific T-cell engagers), AFM26 avoids cytokine release syndrome risks by focusing on NK cells .
AFM26 demonstrated potent lysis of MM cells, including those with low BCMA expression, and retained activity in high-serum IgG environments . It also showed no NK cell depletion, a critical safety advantage .
Primate Studies: AFM26 reduced tumor burden in MM xenograft models at doses as low as 0.25 mg/kg .
Combination Potential: Synergized with adoptive NK cell therapies to eliminate minimal residual disease post-stem cell transplantation .
AFM26 addresses unmet needs in MM treatment by:
Overcoming Resistance: Targets BCMA-independent pathways via NK cell activation.
Safety Profile: Avoids T-cell-related toxicities (e.g., neurotoxicity) common with CD3-targeting bispecifics .
Broad Applicability: Effective against heterogeneous BCMA expression, a limitation of CAR-T therapies .
| Antibody | Target(s) | Effector Cells | Clinical Stage | Key Limitation |
|---|---|---|---|---|
| AFM26 | BCMA × CD16A | NK cells | Preclinical | Limited data in solid tumors |
| Teclistamab | BCMA × CD3 | T cells | Approved | Cytokine release syndrome |
| Belantamab | BCMA (ADC) | N/A | Approved | Ocular toxicity |
AFM26’s NK cell focus positions it as a safer alternative to T-cell-centric therapies .
Based on a comprehensive review of available literature and emerging technologies in antibody research, here's a curated FAQ addressing key methodological considerations for working with novel antibodies like APUM26:
3. Resolving contradictory binding data between ELISA and SPR
When surface-based (ELISA) and solution-phase (SPR) assays disagree:
Check epitope accessibility: Immobilization may mask conformational epitopes
Test buffer ionic strength: High salt (>150mM NaCl) can disrupt weak interactions
Perform temperature gradient analysis (4-37°C) to assess entropic contributions
4. Optimizing antibodies for multiplexed detection systems
For integration with platforms like AIMDx :
Engineer biotinylation tags using BirA ligase system
Validate thermal stability (Tm ≥65°C via DSF)
Test cross-talk thresholds in multiplex panels:
| Multiplex Tier | Allowable Cross-Reactivity | Validation Method |
|---|---|---|
| 10-plex | ≤0.1% | Luminex bead array |
| 50-plex | ≤0.01% | DNA-barcoded SomaScan |
5. Implementing AI-driven antibody optimization
The JAM framework demonstrates successful de novo design through:
Epitope-focused libraries with RosettaAntibodyDesign
In silico maturation using molecular dynamics (≥100ns simulations)
Developability prediction via SCORCH metrics (aggregation score <20%)
6. Advanced epitope mapping techniques
Beyond traditional peptide arrays:
Hydrogen-deuterium exchange MS: Resolution <5Å
Cryo-EM single-particle analysis: Achieves 3-4Å localization
Deep mutational scanning: Profile all single AA variants in parallel
For conflicting functional data (e.g., neutralization vs enhancement):
Perform FcγR binding profiling to identify effector function biases
Key statistical considerations:
Apply Benjamini-Hochberg correction for high-throughput screens
Report effect sizes with 95% confidence intervals
Archive raw flow cytometry files in FCS 3.1 format