Safety and Efficacy of Bispecific and Multispecific Antibodies
Enhancing Safety and Creating Synergies with Novel Therapeutic Modalities
17 November 2026 ALL TIMES WET (GMT/UTC)
The evolution of bispecific antibodies is rapidly expanding the therapeutic landscape, moving beyond simple dual-targeting to complex architectures. As new candidates enter the clinic, balancing potent anti-tumour activity with manageable safety profiles remains the central challenge for drug developers. At PEGS Europe, Cambridge Healthtech Institute's Fourth Annual Safety and Efficacy of Bispecific and Multispecific Antibodies program focuses on the performance and clinical risk mitigation of sophisticated molecules. This year's program will highlight emerging clinical-stage candidates and strategies to overcome barriers in the solid tumour microenvironment. Furthermore, the program will explore the safety and synergy of combination regimens, addressing the unique considerations of pairing multispecifics with ADCs and checkpoint inhibitors. This meeting provides a critical forum for bridging the gap between innovative drug development and successful clinical outcomes. The program will complement topics in bispecific antibody discovery and engineering.
Preliminary Agenda

ENGINEERING STRATEGIES TO ENHANCE SAFETY AND EFFICACY

Next-Generation Tumour-Targeted Masked Cytokines for Enhanced Tolerability and Localised Anti-Tumour Activity

Photo of Alexey Berezhnoy, PhD, Director, Immunology, Zymeworks , Sr Director , Immunology , Zymeworks
Alexey Berezhnoy, PhD, Director, Immunology, Zymeworks , Sr Director , Immunology , Zymeworks

This presentation will review how combination of potency attenuation and masking increases preferential activity of cytokines on target cell populations; demonstrate activation of conditional cytokine by the combination of cis-engagement and tumor-derived products enriched in the TME; and show that combined strategies of masking, potency attenuation and tumor targeting can be incorporated to widen the therapeutic index.

Targeting Alternative T Cell Effector Pathways to Enhance the Anti-Tumour Activity of CD3-Engaging Bispecific Antibodies

Photo of David J. DiLillo, PhD, Executive Director, Immuno-Oncology, Regeneron Pharmaceuticals , Executive Director , Immuno-Oncology , Regeneron Pharmaceuticals Inc
David J. DiLillo, PhD, Executive Director, Immuno-Oncology, Regeneron Pharmaceuticals , Executive Director , Immuno-Oncology , Regeneron Pharmaceuticals Inc

T Cell Engagers Targeting KRAS Mutations

Photo of Vipin Suri, PhD, CSO, Clasp Therapeutics , CSO , Clasp Therapeutics
Vipin Suri, PhD, CSO, Clasp Therapeutics , CSO , Clasp Therapeutics

ENA101: A First-in-Class Bispecific T-Cell Engager Targeting a Peptide Derived From Darkfoxtm, a Novel Tumour-Specific Dark Antigen® With Pan-Cancer Expression

Photo of Hope Adamson, PhD, Senior Scientist, Protein Engineering, Assay Development, Enara Bio , Senior Scientist , Protein Engineering, Assay Development , Enara Bio
Hope Adamson, PhD, Senior Scientist, Protein Engineering, Assay Development, Enara Bio , Senior Scientist , Protein Engineering, Assay Development , Enara Bio

The safety and efficacy of T cell engagers for solid tumour therapy is limited by the availability of tumour-specific antigens that share expression in defined patient populations. To address this, we discovered and validated DARKFOX, an alternative-ORF of FOXM1, which is expressed with high-prevalence, tumour specificity, and homogeneity in major tumour types. A peptide derived from DARKFOX is robustly presented by HLA-A3 (DARKFOX-A3), to which we have developed highly specific, pM-affinity TCR-mimic antibodies. When engineered in our EnTiCE T cell engager platform, ENA101 achieves robust in vitro and in vivo efficacy alongside a strong CMC profile. IND-enabling studies are in progress.

Safety and Efficacy of T Cell Engagers for the Treatment of Refractory Autoimmune Diseases

Joerg Distler, MD, Director of Rheumatology, Hiller-Research Center, University Hospital Düsseldorf, Heinrich-Heine-University Duesseldorf , Director , Rheumatology , Heinrich-Heine-University Duesseldorf

Autoimmune-mediated connective tissue diseases have a high unmet medical need as they remain diseases with high morbidity and mortality. Here, we review recent experiences on the treatment of severe, previously refractory patients with systemic autoimmune rheumatic disease with T Cell Engagers (TCEs) targeting different B-cell antigens (CD19, CD20, and BCMA) in compassionate use programmes and provide an update on ongoing and planned clinical trials.


TOXICITY MITIGATION AND TRANSLATIONAL MODELING

Elucidating the Structure-PK Relationship of Complex Antibody Formats and Understanding the Underlying Mechanisms for Improved Drug Design

Photo of Thomas Kraft, PhD, Subchapter Lead, ADME, Senior Principal Scientist, F. Hoffmann La Roche AG , Subchapter Lead, Senior Principal Scientist , ADME , F Hoffmann La Roche AG
Thomas Kraft, PhD, Subchapter Lead, ADME, Senior Principal Scientist, F. Hoffmann La Roche AG , Subchapter Lead, Senior Principal Scientist , ADME , F Hoffmann La Roche AG

Complex antibody formats, such as CrossMab and KiH, enable innovative Fab arrangements like 2+1 and 2+2 configurations, yet their impact on pharmacokinetics remains underexplored. By comparing 16 distinct, rationally designed formats, we identified significant differences in nonspecific clearance. Mechanistic studies revealed that these variations are primarily driven by format-dependent FcRn-mediated recycling efficiency, rather than cellular uptake. Notably, C-terminal Fab positioning improves recycling by reducing steric hindrance compared to N-terminal designs. These Fv-independent properties provide a robust framework to optimise therapeutic half-life through structural engineering, ensuring more predictable pharmacokinetic profiles during the development of next-generation antibody therapies.

3D Tumor Microenvironments Enable Mechanistic Profiling of ADCs and Immunomodulatory Antibodies

Photo of Giacomo Domenici, PhD, Scientist, Advanced Cell Models for Drug Discovery and Translational Research, iBET Instituto de Biologia Experimental Tecnologica , Scientist , Advanced Cell Models for Drug Discovery and Translational Research , iBET Instituto de Biologia Experimental Tecnologica
Giacomo Domenici, PhD, Scientist, Advanced Cell Models for Drug Discovery and Translational Research, iBET Instituto de Biologia Experimental Tecnologica , Scientist , Advanced Cell Models for Drug Discovery and Translational Research , iBET Instituto de Biologia Experimental Tecnologica

The development of next‑generation antibody-based therapeutics requires human-relevant platforms capable of capturing the complexity of tumor–immune and tumor–stroma interactions. Here, we combine advanced 3D microencapsulated tumor microenvironment (TME) models to evaluate both cytotoxic and immunomodulatory antibody modalities. Using heterotypic breast cancer spheroids incorporating stromal fibroblasts, monocytes, and NK cells, we demonstrate that antibody–drug conjugates (ADCs) preserve target specificity and elicit robust, HER2‑dependent cytotoxicity, with stromal components modulating the magnitude of response. Complementary immune‑competent 3D models reveal that dual HER2 blockade enhances NK‑cell activation, accelerates tumor apoptosis, and reduces immunosuppressive PD‑L1⁺ myeloid populations, recapitulating clinically observed immune mechanisms of action. Together, these human 3D TME platforms provide a powerful testbed to de-risk antibody-based strategies, illuminate safety and efficacy determinants, and support the development of next‑generation bispecific, multispecific, and immunomodulatory therapeutic antibodies.


For more details on the conference, please contact:

Iris Goldman
Conference Producer
Cambridge Healthtech Institute
Email: igoldman@healthtech.com

For sponsorship information, please contact:

Companies A-K
Jason Gerardi
Sr. Manager, Business Development
Cambridge Healthtech Institute
Phone: (+1) 781-972-5452
Email: jgerardi@healthtech.com

Companies L-Z
Ashley Parsons
Manager, Business Development
Cambridge Healthtech Institute
Phone: (+1) 781-972-1340
Email: ashleyparsons@healthtech.com