Lorukafusp alfa
Also known as: Anti-CD8/IL-2 immunocytokine, CD8-IL2, RG6279
Summary
Lorukafusp alfa (also known as RG6279 or cergutuzumab amunaleukin-related compound) is an investigational IL-2-based immunocytokine being developed by Roche/Genentech. It is designed to selectively activate and expand CD8+ T cells and NK cells for anti-tumor immunity while reducing the systemic toxicity profile seen with conventional recombinant IL-2 (aldesleukin). It is under clinical investigation for solid tumors and hematologic malignancies.
Mechanism of Action
Lorukafusp alfa is a CD8-targeted IL-2 immunocytokine that selectively delivers interleukin-2 (IL-2) signaling to CD8+ T cells and NK cells via a bispecific fusion with an anti-CD8 antibody fragment, promoting selective expansion and activation of cytotoxic T lymphocytes while minimizing IL-2-related toxicities associated with non-targeted IL-2 receptor stimulation.
Routes of Administration
Goals & Uses
- T cell memory expansionImmunologyLow
- Combination immunotherapyOncologyLow
- Reduction of IL-2 systemic toxicitySafety / TolerabilityModerate
- Anti-tumor immunity enhancementOncologyModerate
Contraindications
- Severe autoimmune diseaseImmunologicalHigh
- Severe organ dysfunctionOrgan FunctionModerate
- Active severe infectionInfectiousHigh
Adverse Effects
- Flu-like symptomsSystemic/ImmunologicalCommon
- Lymphopenia / lymphocyte count changesHematologicalUncommon
- Injection site reactionsLocalCommon
- Cytokine release syndrome (CRS)ImmunologicalUncommon
- Immune-related adverse events (irAEs)ImmunologicalUncommon
- FatigueGeneralCommonLow energy or tiredness
Drug Interactions
- Immunosuppressive agentsModerate
- CorticosteroidsModerate
- Anti-PD-1 / Anti-PD-L1 agentsModerate
Population Constraints
- Transplant recipients on immunosuppressionMedical HistoryRelative
- Pediatric patientsAgeRelative
- Pregnant or breastfeeding womenReproductiveRelative
- Patients with prior severe cytokine-mediated toxicityMedical HistoryRelative
Regulatory Status
- European UnionInvestigationalClinical trials ongoing under EMA oversight; not approved.
- United StatesInvestigationalUnder IND-enabled clinical trials; no FDA approval as of early 2025.
- United KingdomInvestigationalNo MHRA approval; clinical investigation stage only.
Not approved by any regulatory authority as of early 2025. Under active clinical investigation (Phase I/II trials). Designated as investigational in the US, EU, and other jurisdictions.
Evidence & Sources
No sources recorded yet.