Page 156 - Binder2
P. 156

In a tolerance-first biotech, immune modeling is present
               at the beginning:

                   •  Antigen selection incorporates predictive ADA risk
                       and self-similarity screening
                   •  Platforms are chosen based not just on expression
                       yield, but on immune signal minimization
                   •  Protein engineering focuses as much on
                       acceptability as on potency—glycosylation
                       profiles, epitope shielding, Fc region design

               From Day 1, every decision is run through a single lens:
               Will the immune system allow this to stay?




               2. Preclinical Development That Trains, Not Just
               Tests

               The standard preclinical flow asks:


                   •  Does the drug bind the target?
                   •  Does it show efficacy in disease models?
                   •  Is it safe at escalating doses?


               A tolerance-focused pipeline asks:

                   •  Does the drug engage tolerogenic pathways?
                   •  Does it induce or preserve regulatory T cells in
                       early exposure windows?
                   •  Does it avoid activation of dendritic cells in danger-
                       associated contexts?






                                          154
   151   152   153   154   155   156   157   158   159   160   161