have already
been approved, for example for treating metastat-
ic malignant melanoma. The post-diagnosis life expectancy of
patients with this type of cancer used to be about six months.
With immunotherapeutic drugs, survival can increase to about
two years – with the prospect of more. However, the drugs are
not effective in all patients. “About 20 to 30 percent of patients
in clinical studies respond to treatment,” Kreft states. Why that
number is so low is still a subject of debate among researchers.
“But we are talking about 20 to 30 percent here, as opposed to
zero percent before,” Aswad adds.
So one therapeutic approach per form of cancer is not sufficient.
“We need a selection of treatment methods in the future, which
target different structures in the body. This is the only way that
more and more cancer patients can benefit. We want to help
achieve this goal,” says Kreft. The researchers are collaborating
with prominent partners worldwide at research institutes and
other pharmaceutical companies to discover as many therapeutic
targets as possible and develop the corresponding antibodies.
“The Israeli firm Compugen, for instance, uses highly innova-
tive bioinformatics methods to identify previously unknown
immune checkpoints,” Röse explains. The scientists have discov-
ered two new targets for immunotherapeutic approaches. Röse’s
colleagues are now working with the researchers in Tel Aviv to
develop specific antibodies. “We are concentrating on both the
Scrupulous and sterile: antibody-based active ingredients are manufactured in conditions of absolute cleanliness. Dr. Volker Müller carries out his work
at the clean bench (photo left). Dr. Heiner Apeler and Tanja Wesarg (photo right, left to right) ensure that the antibodies are purified from other proteins.
Extended action
In the treatment of cancer, checkpoint blockade activates the body’s
own immune system, which then specifically targets only tumor cells.
As such it has a systemic action, i.e. it affects the entire organism.
Furthermore, unlike conventional cancer treatments such as radiation
therapy, chemotherapy and surgery, the immunotherapeutic approach
continues to work even after treatment has been concluded.
Hope for particularly severe
forms of cancer
Start of
treatment
End of
treatment
Therapeutic time frame and duration of action
Cancer treatments
Immunotherapy
still effective
after the end of
treatment
Bayer research 28 July 2015
17
www.research.bayer.com/
immunotherapies
More information on this subject
antigen structure on the cancer cells and on the immune cell recep-
tors,” says Dr. Zurit Levine, Vice President of Research and Discovery
at Compugen. The efficacy of the most promising candidates is cur-
rently being tested in cell cultures and animal models.
While the Bayer researchers and their colleagues are most hope-
ful about the checkpoint blockade, they are also researching vari-
ous other options such as “bispecific antibodies” or BiTEs (see also
research 24, “Systematic biotechnology”). BiTEs establish direct
contact between cancer cells and special killer cells in the immune
system. The BiTE bridge comprises two fragments, each of which
specifically recognizes a molecule on the surface of the respective
cell. The killer cells are thus able to dock onto a tumor, where they
then release substances that destroy the cancerous tissue. At present,
Bayer researchers are working together with the biotech firm Am-
gen on two projects. “We are currently testing a first BiTE antibody
against prostate cancer in a Phase I clinical trial,” Kreft explains. His
colleagues, meanwhile, are working on developing a second BiTE an-
tibody for treating different types of cancer.
Although all new drug candidates are initially developed to treat
one type of tumor, they are also tested in the early clinical phase for
their efficacy against other cancers as well. In other words, immu-
notherapy should be capable of treating more than just melanoma
in the future. “A dozen more indications are currently being explored
and may be added along the way,” Kreft predicts. Kreft and his team
are confident that immunotherapies will become an important part
of cancer treatment. “The opportunities are immense,” concludes the
Bayer researcher.
Colorful array of samples: biological lab technician Claudia Kamfenkel examines
tissue samples in the automatic scanner.
INTERVIEW WITH KEMAL MALIK
“ Even more room
for life science
research”
Mr. Malik, Bayer is going to be a pure life science company
in the future. What does this mean for Bayer’s research?
At first glance, there are enormous differences between
people and plants, for example, but in fact significant
parts of their DNA are surprisingly similar. We want to take
greater advantage of this fact and pool our life science
expertise. After all, the commonalities in the molecular
details of various species offer new approaches for in-
terdisciplinary research projects and joint technology
platforms from which all areas of research can benefit –
particular in the early phase. We will therefore encourage
our life science researchers from various disciplines such
as chemistry, biology, physics, engineering and information
technology to work closer together in future projects so as
to leverage expertise in an interdisciplinary manner.
What form will this interdisciplinary cooperation actually
take?
An important element here is that we are giving our new
ideas more room. Take metabolomics, for example: through
the analysis of molecular fragments, this field of research
can enable the development of diagnostic procedures
for diseases or the identification of targets for new crop
protection products. The aim here is to more intensively
exchange acquired knowledge and further improve the
quality of research – all within a framework that promotes
innovation and new ideas, fully in keeping with our slogan
“passion to innovate, power to change.”
In some cases, promising developments emerge from
start-up companies. How do you account for this in your
innovation strategy?
That’s right, even if our research and development
department were three times its current size, we still
wouldn’t be able to generate as many ideas as the global
academic and start-up scene produces. It is simply no
longer possible today for a company to cover all areas of
innovation itself. We are therefore also focusing closely
on promoting a culture of entrepreneurship and partner-
ing. After all, the entrepreneurial culture at universities
and start-ups around the world is unique and cannot be
replicated within a company. It is exactly because start-
ups are different that we wish to find a way of accessing
their innovations. Good cooperation is an art, and that is
MEDICINE
Cover story
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Bayer research 28 July 2015