Nelmastobart
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BTN1A1
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BTN1A1:
A New Breakthrough in Immuno-oncology

We present an exciting alternative in areas where existing immune checkpoint inhibitors have not been effective.

01


BTN1A1 Recognized as a New Immune- Oncology Target

BTN1A1 is an immune checkpoint protein that disrupts the normal immune activity of T cells in the human body. While it is not expressed or is expressed only at extremely limited levels in normal cells, it is strongly expressed in cancer cells. Therefore, treatment targeting BTN1A1 exhibits minimal toxicity, effectively suppressing cancer cells while minimizing side effects on normal cells.

We are developing an immune checkpoint inhibitor known as ‘Nelmastobart’, an anti-BTN1A1-antibody that activates the immune function of suppressed T cells. Through various preclinical and human clinical studies, we have consistently observed that Nelmastobart is safe and effective.

02


Mutually
Exclusive Expression with PD-L1

BTN1A1 is expressed in mutually exclusive manner to PD-L1, the most prominent anti-cancer target for existing immune checkpoint inhibitors. The two proteins show different expression patterns in terms of location and timing within tumor tissues. Notably, high expression of BTN1A1 is observed in most solid tumors where the expression of PD-L1 is low, which is a key research finding confirmed through our preclinical studies.

This characteristic suggests that the BTN1A1-targeted therapy could be an exciting new treatment option to address the unmet needs of patients who are resistant to PD-(L)1-targeted immune checkpoint inhibitors.

[ Comparison of BTN1A1 and PD-L1 Expression by Cancer Type ]
Category Colon Lung H&N Bladder Breast Prostate Pancreas
BTN1A1
PD-L1
[ Results of the Mutually Exclusive Expression of BTN1A1 and PD-L1 ]
Opal multiplex staining (다중면역형광염색법) 검사
In cancer cells, BTN1A1 is expressed in mutually exclusive manner to PD-L1.

BTN1A1 does not overlap with PD-L1 and Ki-67, showing a distinct expression pattern.

Ki-67 is a cell proliferation-related protein expressed in proliferative tumor cells. It also shows an expression pattern mutually exclusive to BTN1A1.

This suggests that BTN1A1, unlike PD-L1, is expressed in non-proliferative tumor cells such as resistant/refractory and metastatic cancer cells, rather than rapidly growing early-stage cancer cells.

Therefore, treatments targeting BTN1A1 are posed to become useful therapeutic options for difficult-to-treat resistant/refractory and metastatic cancers.
Characteristics of BTN1A1 and Nelmastobart
BTN1A1
Normal Tissues

Limited expression in normal tissues

Cancer Cells

Robust expression in cancer cells

BTN1A1 expressed in dormant or chemo-resistant cancer cells

Mutually exclusive expression to PD-L1 spatially & temporally

Immune Cells

Proven Immune checkpoint

Expressed in B cells, M1 macrophage, and activated T cells

Biomarker

Ease of Evaluation and Rapid Results

Nelmastobart (hSTC810)
First-in-Class

Humanized monoclonal antibody fused to human lgG4

Dimer & Glyco-Specific Antibody

Specific antibody against human BTN1A1

Strong Affinity

Glycosylated BTN1A1 Kd = 3.3 X 10-10

Highly Specific to BTN1A1

Only binds to BTN1A1 among more than 4,500 membrane proteins tested