We developed a strategy to combine conventional targeted
therapy with
immune checkpoint blockade using a
tumor-targeting bispecific antibody (BsAb) to treat solid
tumors. The BsAb was designed to simultaneously engage a
tumor-associated
antigen,
epidermal growth factor receptor (EGFR), and programed cell death
protein 1 (PD1). In addition to its direct anti-
tumor activity via EGFR inhibition, the BsAb mediated efficient antibody-dependent cellular cytotoxicity (ADCC) and activated T cell antitumor im munity through blockade of PD1 from interacting with its counterpart, programed cell death
ligand 1 (PDL1). Further, the BsAb exhibited a potent direct
tumor cell killing activity in the presence of PBMC, most likely, via activating and, at the same time, physically engaging T cells with
tumor cells. Taken together, we here illustrate a new strategy in the design and production of novel BsAbs with enhanced therapeutic efficacy through both direct
tumor growth inhibition and T cell activation via
tumor-targeted
immune checkpoint blockade.