In a groundbreaking move, Novartis AG has cemented its commitment to revolutionizing autoimmune therapies by acquiring Calypso Biotech BV, a trailblazer in Interleukin-15 (IL-15) targeted therapies. The deal, valued at an upfront payment of $250 million with additional development milestones potentially reaching $175 million, underscores Novartis’ strategic focus on advancing innovative treatments for autoimmune conditions.

Calypso, initially a spin-out from Merck, has earned its reputation as a leader in the research and development of monoclonal antibodies tailored for various autoimmune indications, with a particular emphasis on IL-15 biology. IL-15, a 14–15 kDa glycoprotein, plays a pivotal role in regulating barrier function and downstream immune cascades across various chronic autoimmune diseases. Calypso’s flagship product, CALY-002, stands out as a potential best-in-class therapeutic antibody designed to bind to and neutralize IL-15.


IL-15’s Function as an Immune Regulatory Checkpoint.
IL-15, a key cytokine, maintains tissue balance and regulates inflammation. It is secreted by non-immune epithelial cells in response to interactions with microbes, food antigens, and allergens, as well as by myeloid and dendritic cells in deeper tissues. Acting as a crucial immune regulator, IL-15 orchestrates the activation and survival of various innate and adaptive components. Dysregulated IL-15 expression can lead to tissue inflammation and damage through the activation of cellular mediators. Additionally, IL-15 is essential for the survival of tissue-resident memory T cells, contributing to the perpetuation of diseases. Sources: Jabri & Abadie Nat.Rev.Immunol 2015; Waldmann et al. J. Exp. Med 2019; Created with BioRender. © Calypso Biotech 2024.

Decoding the Intricacies of IL-15: A Master Regulator Unveiled

Understanding IL-15’s intricate regulatory mechanisms is fundamental to appreciating its therapeutic potential. While IL-15 mRNA is expressed in various cell types and tissues, its protein secretion is remarkably restricted. Structural nuances, such as inefficient translation and alternative splicing, contribute to the scarcity of detectable IL-15 proteins. Moreover, the unconventional trans-presentation mechanism adds a layer of complexity to IL-15’s delivery to responsive cells.

IL-15’s biological effects are orchestrated through a well-coordinated signaling cascade. Binding to IL-15Rα initiates downstream events, recruiting Janus kinase (JAK) JAK1 and activating JAK3, leading to the phosphorylation of signal transducer and activator of transcription (STAT) proteins STAT3 and STAT5. Notably, IL-15 shares signaling components with other cytokines, contributing to its distinct immunomodulatory properties compared to IL-2.

Therapeutic approaches on Interleukin-15 signaling. Navigating the intricacies of Interleukin-15 (IL-15) signaling unveils therapeutic strategies designed to modulate its pivotal role in immune responses. The conventional pathway involves IL-15 production by dendritic cells, binding to IL-15Rα, and subsequent trans-presentation to T- and NK-cells. This interaction activates cascades like JAK1/JAK3, STAT3/5, PI3K/Akt, and Ras/Raf/MAPK, orchestrating a transcriptional program for heightened inflammatory and anti-tumoral responses. However, IL-15 overexpression can lead to hematological malignancies. Inhibiting IL-15 signaling employs interventions like anti-IL-15 antibodies, peptide antagonists, and fusion proteins. Conversely, IL-15 enhancing therapies leverage recombinant agonists, fusion proteins, and unique delivery systems to potentiate anti-tumoral effector cells, offering promising avenues for bolstering immunotherapy and adoptive cell therapy. The figure, generated with biorender.com, illustrates these diverse therapeutic approaches. Sindaco, P., Pandey, H., Isabelle, C., Chakravarti, N., Brammer, J. E., Porcu, P. & Mishra, A. (2023). The role of interleukin-15 in the development and treatment of hematological malignancies. Frontiers in Immunology 2023, 14; doi: 10.3389/fimmu.2023.1141208.

The IL-15 receptor, IL-15Rα, adds another layer of complexity to IL-15 regulation. Widely expressed in various cell types and tissues, IL-15Rα mRNA levels can be modulated by external stimuli. Proteolytic cleavage of membrane-bound IL-15Rα results in a soluble form that may act antagonistically or agonistically, influencing the availability and release kinetics of IL-15.

Pleiotropic effects of IL-15. The cytokine IL-15 is generated by various cell types, including activated dendritic cells, monocytes/macrophages, epithelial cells, and bone marrow (BM) stromal cells. Its significance lies in its essential role in the development, survival, and proliferation of natural killer (NK) cell lineages. Additionally, IL-15 exhibits crucial modulatory effects on the expansion and survival of CD8+ T cells, influencing memory formation and lymphocyte cytotoxic function. Beyond that, IL-15 exerts pleiotropic effects on both peripheral innate and adaptive immunity. Lui, G., Minnar, C., Soon-Shiong, P., Schlom, J. & Gameiro, S. (2023). Exploiting an Interleukin-15 Heterodimeric Agonist (N803) for Effective Immunotherapy of Solid Malignancies. Cells 2023, 12(12), 1611; doi: 10.3390/cells12121611.

Novartis’ Strategic Vision: CALY-002’s Promising Journey Ahead

Novartis, with the acquisition of Calypso, gains exclusive rights to CALY-002, Calypso’s lead product candidate. The pharmaceutical giant envisions an expansive exploration of CALY-002 across a spectrum of autoimmune indications with high unmet medical needs. Currently undergoing evaluation in a Phase 1b trial for Celiac Disease and Eosinophilic Esophagitis, CALY-002 is a potential game-changer in autoimmune therapies.

Summary of applications for the anti-IL-15 antibody CALY-002. Tissue-resident memory cells and other cell types regulated by IL-15 play a significant role in the initiation and perpetuation of numerous autoimmune, inflammatory, and immune-metabolic diseases, as illustrated in the figure above. © Calypso Biotech 2024.

Leadership voices from both Calypso and Novartis express enthusiasm for this transformative transaction. Alain Vicari, Chief Executive Officer & Co-Founder of Calypso, emphasizes the alignment of goals with Novartis’ commitment to innovation. Bernard Coulie, Chairman of Calypso, hails the acquisition as a pinnacle achievement, showcasing CALY-002’s de-risked profile as a therapeutic anti-IL-15 antibody. Richard Siegel, Head of Immunology Research at Novartis, underscores the strategic fit of CALY-002 in Novartis’ Immunology pipeline, promising a new era in autoimmune treatment options.

The Novartis-Calypso collaboration signifies a quantum leap in autoimmune therapies, propelled by a deep understanding of IL-15 biology and the strategic potential of CALY-002. As this promising journey unfolds, patients with autoimmune conditions may anticipate a new dawn in therapeutic possibilities.

About Calypso Biotech BV

Learn more about the company via its website www.calypsobiotech.com.

About Novartis AG

Visit Novartis AG’s Official Website to learn more.

Engr. Dex Marco Tiu Guibelondo, B.Sc. Pharm, R.Ph., B.Sc. CpE

Editor-in-Chief, PharmaFEATURES

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