For researchers developing T-cell engagers (TCE), one of the biggest unanswered questions is surprisingly simple: how to quantify productive connections are actually formed between T cells and tumor cells?
In collaboration with AMGEN, LUMICKS profiled cell avidity across five T-cell engager variants whose CD3 arm (T-cell binding) and TAA arm (tumor-binding) were independently tuned from low --> medium --> high.
Five T-cell engager variants with different combinations of CD3 and tumor-target (TAA) affinities showed a clear trend:
These findings suggest that affinity does not translate linearly into cellular engagement. Instead, avidity captures how both binding arms work together to drive productive T cell–tumor interactions.

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First-generation bispecific T cell engagers (BTEs) have shown promise in preclinical models but often suffer from a short plasma half-life due to their small size and absence of an Fc domain. Additionally, limited tumor retention can lower local therapeutic concentrations and impede efficacy. Cancer cells can even adapt and evade immune targeting through antigen heterogeneity and loss, threatening sustained responses. The immunosuppressive tumor microenvironment further hinders T cell function and promotes therapeutic resistance. To develop an effective strategy, any cell engager must overcome these barriers to achieve robust, consistent targeting and immune activation.
A team led by David Weiner, PhD have examined how format-tuning bispecific T cell engagers (BTEs) boosts therapeutic efficacy against clear cell renal cell carcinoma (ccRCC). Using a novel persistent multivalent T cell engager (PMTE) to enhance cell avidity and tumor targeting, they tackle challenges like low plasma half-life, poor tumor retention, and antigen escape. Optimizing cell interactions through avidity-driven design offers a pathway to more effective, durable cancer therapies and renewed hope for advanced ccRCC patients.

Cell avidity curves represent the % of target cells bound with rising detachment force measured at 30 nM, 3 nM and 300 pM antibody concentration. Area-under-curve quantifications indicate the significant differences in cell avidity between PBTE and PMTE at relevant concentrations. Adapted from: O’Connell et al. (CC-BY-NC)
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