In this study, cynomolgus monkeys aged 3-4 years were repeatedly injected intravenously or intraperitoneally with recombinant anti-EPCAM (epithelial cell adhesion molecule) and CD3 chimeric bispecific antibody (M701), twice a week, for 4 weeks, 9 times in total, with a 4-week recovery period. To observe the toxic reaction and toxicokinetics, the main toxic target organs, the reversible degree of damage and the recovery of toxic reaction 4 weeks after administration, so as to provide reference for the design of clinical human dose and the monitoring of clinical toxic and side effects. Fifty cynomolgus monkeys, half male and half female, were used in the experiment. The animals were quarantined for 26 days, during which they were given weight measurement, body temperature, ECG, blood pressure, eye examination, urine examination, hematology, blood coagulation, serum biochemical examination and clinical symptom observation. After the quarantine period, they were randomly divided into five experimental groups, namely solvent control group (special solvent: 0 mg/kg), low-dose group (0.3 mg/kg), medium-dose group (1 mg/kg), high-dose group (3 mg/kg) and intraperitoneal injection group (1 mg/kg), with 10 rats in each group, half male and half female. The above-mentioned low, medium and high doses are about 91, 303 and 909 times of the maximum clinical dose (200μg/ 60 kg/ person, about 3.3μg/kg). The administration route was intravenous or intraperitoneal slow push injection, and the administration volume was 10 mL/kg. During the experiment, the clinical symptoms and injection sites of animals were observed, and the body weight, food intake, body temperature, ECG and blood pressure were measured. Urine examination, ophthalmological examination, hematology, blood coagulation and serum biochemical examination were carried out. In the experimental group, 6 animals (half male and half female) were dissected in each group on the 2nd day after the last administration, and the remaining 4 animals (half female and half male) were dissected in each group after 4 weeks of recovery period. Meanwhile, bone marrow smear and organ weighing were performed, and tissue samples were collected for histopathological examination. In addition, immunogenicity test and cytokine test are needed. No serious adverse reactions caused by M701 were found in the study.
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