Allakos is a leader in the fields of mast cell and eosinophil biology, and is focused on the central role these immune cells play in the pathogenesis of acute and chronic inflammatory conditions
The company’s lead drug candidate, lirentelimab (AK002), is an investigational therapeutic antibody that targets Siglec-8, an inhibitory receptor found on the surface of mast cells and eosinophils. By targeting Siglec-8, lirentelimab offers the potential to treat a broad range of serious, complex inflammatory diseases, some of which are shown on the graphic below.
Mast cells and eosinophils are key drivers of inflammatory disease
Tissue mast cells and eosinophils are found at the internal/external interfaces of the body, in particular at mucosal surfaces, surrounding blood vessels, and peripheral nerves. They produce a broad range of inflammatory mediators including vasoactive amines, bioactive lipids, proteases, cytokines and chemokines. As a result, they are involved in both innate and adaptive immune responses, and participate in both acute and chronic inflammation. Because of the inflammatory mediators they release, and their ability to recruit and activate other immune cells through expression of chemokines and cytokines, mast cells and eosinophils are key drivers in a number of diseases, including gastrointestinal, ophthalmic, dermatologic, respiratory, and proliferative diseases.
Siglec-8
Siglec-8 is a member of the family of cell surface receptors called Sialic acid-binding immunoglobulin-type lectins (Siglecs). Siglec-8 is found selectively on the surface of mast cells and eosinophils. Siglec-8 is an inhibitory receptor and studies have shown that engagement of the receptor results in inhibition of mast cells and apoptosis of eosinophils. Siglec-8 may provide an important inhibitory mechanism used by the body to regulate mast cell and eosinophil mediated inflammation.
Lirentelimab (AK002)
Lirentelimab is an investigational, non-fucosylated IgG1 monoclonal antibody targeting Siglec-8. By targeting Siglec-8, an inhibitory receptor, lirentelimab blocks multiple inflammatory pathways. In clinical and preclinical studies, binding of lirentelimab to Siglec-8 induces inhibition of mast cells, apoptosis of tissue eosinophils, and depletion of blood eosinophils by antibody dependent cellular cytotoxicity (ADCC). Lirentelimab is being developed in several mast cell and eosinophil driven diseases, and has demonstrated positive clinical activity in eosinophilic gastrointestinal diseases (EGIDs), chronic urticaria, severe allergic conjunctivitis, and indolent systemic mastocytosis (see Clinical).
Publications & Presentations
| Date | Focus | Title of Publication |
|---|---|---|
| June 2022 | Disease State |
The Economic Burden of Eosinophilic Gastritis and Eosinophilic Enteritis in the United States Advances in Therapy |
| May 2022 | Clinical |
Digestive Disease Week (DDW) |
| April 2022 | Clinical |
Lirentelimab for Severe and Chronic Forms of Allergic Conjunctivitis Journal of Allergy and Clinical Immunology (JACI) |
| February 2022 | Preclinical |
American Academy of Allergy Asthma & Immunology (AAAAI) Annual Meeting |
| January 2022 | Preclinical |
Frontiers in Immunology |
| January 2022 | Clinical |
Journal of Allergy and Clinical Immunology (JACI) |
| November 2021 | Preclinical |
Mast Cell Activation is Associated With Post-Acute COVID-19 Syndrome Allergy |
| October 2021 | Disease State |
American College of Allergy, Asthma, & Immunology (ACAAI) |
| October 2021 | Disease State |
American College of Gastroenterology (ACG) |
| October 2021 | Clinical |
American College of Gastroenterology (ACG) |
| October 2021 | Clinical |
American College of Gastroenterology (ACG) |
| October 2021 | Clinical |
American College of Gastroenterology (ACG) |
| October 2021 | Clinical |
American College of Gastroenterology (ACG) |
| October 2021 | Clinical |
General Pathologists Did Not Routinely Evaluate Gastric or Duodenal Eosinophilia American College of Gastroenterology (ACG) |