CTLA-4 × OX40 Bispecific Antibody (YH006)

Asset ID: YH006
Targets: CTLA-4 × OX40
  • Aliases:
  • CTLA-4: ALPS5, CD152, CELIAC3, GRD4, GSE, IDDM12; OX40: TNFRSF4, ACT35, CD134, IMD16, TXGP1L
  • Modality:
  • Fully human bispecific antibody (bsAb)
  • Development Stage:
  • Preclinical
  • Indications:
  • Colorectal cancer (CRC), non-small cell lung cancer (NSCLC)
  • Key Differentiation:
  • Fc-enhanced, avidity-driven selective intratumoral Treg depletion, with superior low-dose antitumor activity, enhanced PD-1 synergy, and favorable manufacturability
  • Partnership Opportunity:
  • Available for licensing and co-development
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  • CTLA-4 × OX40 Bispecific Antibody Asset Highlights
  • Preclinical Data
  • Partnership Opportunities
  • FAQs

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    YH006: A Next-Generation CTLA-4 × OX40 Bispecific Antibody for Solid Tumors

    Dual-Target Strategy for Selective Treg Depletion

    • Clinically validated checkpoint combination: CTLA-4 and PD-1 combination therapy is FDA-approved across multiple tumor indications, providing clinical validation for YH006 as a “golden combination partner” for PD-1 antagonists.
    • Address CTLA-4-associated irAEs: Simultaneous engagement of CTLA-4 and OX40 is designed to concentrate binding on double-positive tumor-infiltrating Tregs, potentially mitigating the dose-dependent immune-related adverse events (irAEs) associated with conventional CTLA-4 antibodies.
    • Address limited response rates: YH006 incorporates an effector-enhanced Fc to promote depletion of CTLA-4/OX40 double-positive intratumoral Tregs, increase the CD8/Treg ratio, and strengthen antitumor immune activity.
    • Competitive differentiation: YH006 combines avidity-driven preferential intratumoral Treg depletion with differentiated low-dose antitumor activity, PD-1 combination enhancement, and favorable manufacturability, positioning it as a next-generation CTLA-4 × OX40 bispecific antibody for solid tumors.

    RenLite® Fully Human Common Light Chain Antibody Backbone

    Built on the RenLite® platform, YH006 utilizes common light chain technology to eliminate heavy/light chain mispairing, ensure seamless assembly, simplify manufacturing, and provide a developable backbone for the bispecific CTLA-4 × OX40 antibody drug development.

    Excellent Preclinical Performance

    • YH006 demonstrated high-avidity binding to CTLA-4/OX40 double-positive cells with weak binding activity to cells expressing either target alone, supporting preferential tumor-infiltrating Treg engagement (Figure 1).
    • YH006 more effectively depleted intratumoral Tregs and increased the CD8+/Treg ratio compared with parental and benchmark CTLA-4 antibodies, demonstrating selective remodeling of the tumor immune microenvironment (Figure 2).
    • In MC38 tumor models, YH006 demonstrated superior antitumor efficacy at low doses and further enhanced tumor control in combination with PD-1 blockade, supporting its potential as a combination partner for checkpoint inhibitor therapy (Figures 3).
    • YH006 achieved expression titers above 6 g/L, an overall purification yield above 80%, and stable formulation at 40 mg/mL, supporting favorable manufacturability and developability (Figure 4).

    Potential Indications

    YH006 is being developed as a potential "golden combination partner" for PD-1 antagonists in patients with ICI-resistant colorectal cancer (CRC) and non-small cell lung cancer (NSCLC), supported by its selective intratumoral Treg-depleting mechanism and enhanced preclinical activity in combination therapy.

    Preclinical Data Highlights Supporting YH006 CTLA-4 × OX40 Bispecific Antibody Development

    The preclinical data package supporting YH006, generated from Biocytogen’s internal studies, demonstrates dual-target-dependent binding selectivity, preferential depletion of tumor-infiltrating CTLA-4/OX40 double-positive Tregs, differentiated antitumor efficacy at low doses, and enhanced activity in combination with PD-1 blockade. YH006 also showed favorable expression, purification, and formulation characteristics, supporting continued development as a CTLA-4 × OX40 bispecific antibody for solid tumors.

    YH006 Shows Dual-Target-Dependent Binding Selectivity

    Binding curve showing weak YH006 binding to CTLA-4- or OX40-single-positive cells and high-avidity binding to CTLA-4/OX40 double-positive cells.

    Figure 1. Dual-target-dependent binding profile of YH006. YH006 showed weak binding to cells expressing CTLA-4 or OX40 alone, whereas substantially stronger binding was observed when both targets were co-expressed. This profile supports preferential engagement of CTLA-4/OX40 double-positive cells and greater selectivity than monoclonal antibodies.

    YH006 Preferentially Depletes Tumor-Infiltrating CTLA-4/OX40 Double-Positive Tregs

    Flow cytometry and immune-cell analyses showing reduced tumor-infiltrating Tregs, reduced CTLA-4/OX40 double-positive Tregs, and an increased CD8/Treg ratio after YH006 treatment.

    Figure 2. Tumor-infiltrating lymphocyte analysis following YH006 treatment. In CTLA-4/hOX40 humanized mice bearing MC38 tumors, YH006 administered intraperitoneally at 1 mg/kg reduced intratumoral Treg frequency, with a pronounced effect on CTLA-4/OX40 double-positive Tregs. YH006 also increased the intratumoral CD8+/Treg ratio compared with the parental CTLA-4 antibody, ipilimumab, and CTLA-4 antibody benchmark, supporting selective remodeling of the tumor immune microenvironment toward greater antitumor immune activity.
    (Note: Data was shown as Mean±SEM, and analyzed using One-way ANOVA followed by Dunnett's test compared with YH006. (*p<0.05, **p<0.01, ***p<0.001, ****p<0.0001). NG: Next generation.)

    YH006 Demonstrates Superior Antitumor Efficacy and Enhances PD-1 Blockade

    MC38 tumor growth curves showing stronger low-dose antitumor efficacy of YH006 than ipilimumab and next-generation CTLA-4 benchmark antibodies in CTLA-4/OX40 humanized mice.

    Figure 3A. Superior antitumor efficacy of YH006 in an MC38 tumor model. In CTLA-4/OX40 humanized mice (n=6) bearing MC38 tumors, a low dose of YH006 demonstrated stronger antitumor activity than first- and next-generation CTLA-4 antibody benchmarks, supporting the functional advantage of simultaneous CTLA-4 and OX40 engagement.

    MC38 tumor growth curves showing enhanced antitumor activity of YH006 in combination with PD-1 blockade compared with either treatment alone.

    (mousePD-1 mAb: RMP1-14 clone with hIgG1-LALA isotype)
    Figure 3B. Combination efficacy of YH006 with PD-1 blockade in an MC38 tumor model. In CTLA-4/OX40 humanized mice (n=7) bearing MC38 tumors, YH006 enhanced the antitumor activity of PD-1 blockade, supporting its potential as a combination partner for tumors with limited response to checkpoint inhibitor monotherapy.

    YH006 Shows Favorable Manufacturability and Developability

    Upstream and downstream process data showing YH006 expression above 6 grams per liter, purification yield above 80 percent, and stability of a 40 milligram-per-milliliter drug-product formulation.

    Figure 4. Manufacturability and formulation assessment of YH006. YH006 achieved a titer exceeding 6 g/L in bench-scale bioreactors, with an overall purification yield above 80%. A 40 mg/mL drug product remained stable under the evaluated conditions, including 40℃ stress testing, supporting robust production, formulation feasibility, and continued process development.

    Explore YH006 Partnership Opportunities

    Biocytogen welcomes partnership discussions to further evaluate this CTLA-4 × OX40 bispecific antibody asset.

    Frequently Asked Questions (FAQs) About YH006 CTLA-4 × OX40 Bispecific Antibody

    1. What makes YH006 different from conventional CTLA-4 antibodies?

    Conventional CTLA-4 antibodies bind broadly to peripheral Tregs, contributing to dose-limiting immune-related adverse events (irAEs). YH006 is designed to bind with high avidity only when CTLA-4 and OX40 are co-expressed. This dual-target-dependent selectivity is designed to concentrate Treg depletion within the tumor microenvironment. In preclinical models, YH006 more effectively depleted intratumoral Tregs and increased the CD8+/Treg ratio compared with ipilimumab and next-generation CTLA-4 benchmark antibodies.

    2. Why does YH006 target both CTLA-4 and OX40?

    CTLA-4 and OX40 are co-expressed at elevated levels on activated tumor-infiltrating Tregs but rarely co-expressed at high levels on peripheral T cells. By requiring engagement of both targets for strong binding, YH006 uses this biological difference to distinguish intratumoral Tregs from peripheral T-cell populations. The dual-target design also enhances binding avidity, supporting more potent Fc-mediated depletion of the cells that suppress antitumor immunity within the tumor.

    3. How does the RenLite® platform support YH006 manufacturing?

    RenLite® provides a fully human common light chain architecture that helps reduce heavy- and light-chain pairing complexity and supports consistent bispecific antibody assembly. YH006 achieved titers above 6 g/L and an overall purification yield above 80% in the evaluated process. A stable 40 mg/mL drug product was also developed, supporting continued manufacturing and formulation development.

    4. Which indications is YH006 targeting?

    YH006 is being prioritized for ICI-resistant colorectal cancer (CRC) and non-small cell lung cancer (NSCLC), where FDA-approved CTLA-4 plus PD-1 combination regimens have established clinical precedent in defined patient populations. Its selective intratumoral Treg-depleting mechanism and enhanced preclinical activity with PD-1 blockade support its positioning as a potential “golden combination partner” for PD-1 antagonists.