CLYM116 and APRIL

CLYM116 is a novel anti-APRIL mAb with a novel mechanism designed to promote potent degradation of APRIL and extend half-life

APRIL (A PRoliferation Inducing Ligand) plays a key role in B cell regulation, making it an attractive target for multiple B cell-mediated diseases.

APRIL signaling, through BCMA and TACI, impacts B cells in key ways:

  • Promotes differentiation and survival of plasma cells, the source of many pathogenic autoantibodies
  • Regulates Ig class switching, the process in which mature B cells acquire expression of IgA

Targeting of APRIL has been clinically validated in registrational studies in IgA nephropathy (IgAN), a progressive renal disease. In IgAN, APRIL inhibition is a potentially disease-modifying approach, preventing the production of pathogenic IgA and the consequent immune complex formation that leads to glomerular injury, proteinuria, and loss of kidney function.

APRIL blockade & the pathogenesis of IgAN
Adapted from Mathur J Clin Med 2023

The Kidney Disease | Improving Global Outcomes (KDIGO) 2025 Guidelines reinforce the need for disease-modifying treatments that control proteinuria. The magnitude of proteinuria predicts development of kidney failure, and proteinuria improvement correlates with long-term kidney function stabilization.

Proteinuria is associated with eGFR decline and kidney failure/death (UK RaDaR study)
eGFR = estimated glomerular filtration rate, IgAN = IgA nephropathy, RaDaR = UK National Registry of Rare Kidney Diseases; Pitcher CJASN 2023

CLYM116 is the only known 'sweeper' anti-APRIL antibody in development

CLYM116 is designed for strong efficacy, less frequent dosing, and favorable safety

Novel ‘Sweeper’ mechanism

What is a sweeper?
The sweeper mechanism is a pH dependent bind-and-release design to promote APRIL blockade and degradation, coupled with Fc-engineering to promote antibody recycling.

The CLYM116 Variable Region exhibits pH-dependent binding to APRIL, resulting in both potent blocking of APRIL to its receptors and promotion of lysosomal APRIL degradation.

The CLYM116 Fc Region is engineered to promote recycling and reduced clearance of CLYM116, resulting in longer half-life.

CLYM116 Showed a Differentiated PK/PD Profile in NHPs

In a head-to-head study in NHPs, CLYM116 SC demonstrated:

  • ~2-3x longer serum half-life vs. sibeprenlimab
  • Deeper IgA suppression with a longer duration of effect vs. sibeprenlimab
  • Favorable tolerability
CLYM116 demonstrated deep and durable IgA suppression
Confirmed ADA+ animals were excluded from the analysis; ADA = anti-drug antibody, NHPs = nonhuman primates, SC = subcutaneous; *Data from a head-to-head study in nonhuman primates, 4-6 animals per cohort, single SC administration; †Toxicity study in nonhuman primates, 10-14 animals per cohort, SC administration on days 1, 15, 29. A subset were observed through an 8-week recovery; 4 in the control and 100 mg/kg cohort were observed through an extended 6-month recovery; Luo ERA 2026; Beeck ASN 2025

Our CLYM116 development strategy

CLYM116 is being developed for the treatment of IgAN and may also have broader utility across other B cell-mediated diseases where APRIL plays a critical role.

IgA Nephropathy (IgAN)

Autoantibody-mediated progressive renal disease caused by the APRIL-mediated production of Gd-IgA1 and deposition of immune complexes in the glomeruli.

Clinical Trials

CLYM116 is currently being evaluated in Phase 1 studies in healthy volunteers and a Phase 2 study in IgAN patients.