Engineering Bispecific and Multispecific Antibodies
Achieving Unprecedented Efficacy
5/14/2026 - May 15, 2026 ALL TIMES EDT
Incredible progress has led to the proliferation of bispecific and multispecific antibodies that are engineered to combine multiple antigen-binding sites into a single molecule and enable the targeting of two or more antigens to allow new biological activities and greater therapeutic power. Cambridge Healthtech Institute’s Seventeenth Annual Engineering Bispecific and Multispecific Antibodies: Achieving Unprecedented Efficacy Conference will highlight the latest efforts in this exciting area to create increasingly complex molecules including trispecifics and beyond that are leading to significant improvements in specificity and selectivity while introducing novel functionalities. The field is poised for significant advances and is leading the way for novel breakthroughs in biologics.

Sunday, May 10

Recommended Pre-Conference Short Course

SC2: AI-Driven Predictive Preclinical Models: Rethinking the Role of Animal Testing

*Separate registration required. See short course page for details.

Tuesday, May 12

Recommended Dinner Short Course

SC6: Developability of Bispecific Antibodies

*Separate registration required. See short course page for details.

Thursday, May 14

Registration Open

Entrepeneur Breakfast

Panel Moderator:

From Scientist to Start-Up: An Interactive Entrepreneurship Breakfast

Photo of Catharine Smith, Executive Director, Termeer Foundation , Executive Director , Termeer Foundation
Catharine Smith, Executive Director, Termeer Foundation , Executive Director , Termeer Foundation

Join us for an interactive breakfast conversation on the journey from scientist to entrepreneur, featuring founder, CSO, CEO, and investor perspectives. Panelists will share how they navigated the leap from postdoc to scientist to startup leadership, from securing initial funding and building teams to cultivating networks of mentors and advisors.

Transition to Sessions

Organizer's Remarks

ENGINEERING TRISPECIFIC ANTIBODIES FOR SOLID-TUMOR AND AUTOIMMUNE INDICATIONS

Chairperson's Remarks

Photo of Shelley Force Aldred, PhD, Co-Founder and CEO, Rondo Therapeutics , Co-founder & CEO , Rondo Therapeutics
Shelley Force Aldred, PhD, Co-Founder and CEO, Rondo Therapeutics , Co-founder & CEO , Rondo Therapeutics

TriTCE Co-Stim: A Differentiated T Cell Engager Platform with Conditional cis CD28 Co-Stimulation and Transferability to Diverse Targeting Strategies

Photo of Nina E. Weisser, PhD, Director, Multispecific Antibody Therapeutics, Zymeworks, Inc. , Director , Multispecific Antibody Therapeutics , Zymeworks Inc
Nina E. Weisser, PhD, Director, Multispecific Antibody Therapeutics, Zymeworks, Inc. , Director , Multispecific Antibody Therapeutics , Zymeworks Inc

The design and optimization of a trispecific with conditional CD28 engagement and obligate cis T cell binding will be discussed, including enhanced and sustained T cell functionality and antitumor activity compared to bispecific cell engagers and safety in in vitro and in vivo models. The transferability to diverse targeting applications including 2+1+1, pMHC targets, and logic-gated designs will be shared, along with highlights from the ZW209 program, a DLL3, CD3 and CD28 targeting trispecific.

Trispecific NK and T Cell Engagers: How Target Selection and Format Impact Potency, Safety, and Developability

Photo of Harald Kolmar, PhD, Professor and Head, Institute for Organic Chemistry and Biochemistry, Technische Universität Darmstadt , Professor and Head , Institute for Organic Chemistry and Biochemistry , TU Darmstadt Biochemie
Harald Kolmar, PhD, Professor and Head, Institute for Organic Chemistry and Biochemistry, Technische Universität Darmstadt , Professor and Head , Institute for Organic Chemistry and Biochemistry , TU Darmstadt Biochemie

We established several routes for the design of trispecific engagers with desired biophysical and functional properties. The strategy to discover and design heavy chain only binders paired with a common light chain will be highlighted. Alternatively, two-in-one antibodies were established, where two different targets are recognized individually by the VL and the VH domain followed by amendment of additional binding modules to obtain symmetric trispecifics. Design examples for different formats and applications will be presented.

From Bi- to Trispecific Antibodies: Reimagining the Next Generation of ADCs

Photo of Bonnie J. Hammer, PhD, Executive Vice President, Research & Development, Invenra , EVP R&D , R&D , Invenra Inc
Bonnie J. Hammer, PhD, Executive Vice President, Research & Development, Invenra , EVP R&D , R&D , Invenra Inc

Multispecific antibodies open new avenues of exploration within the ADC field. By targeting multiple tumor antigens, one common route of tumor escape through antigen loss can be avoided. Multispecifics also allow targeting of tumor matrix components alongside tumor antigens to assist in addressing tumors where the ECM prevents access to the tumor. Furthermore, biparatopics as well as conditional binding and internalization strategies can be utilized to enhance safety and efficacy.

Coffee Break in the Exhibit Hall with Poster Viewing

PLENARY FIRESIDE CHAT

Plenary Fireside Chat Introduction

Photo of Eric Smith, PhD, Executive Director, Bispecifics, Regeneron Pharmaceuticals, Inc. , Executive Director , Bispecifics , Regeneron Pharmaceuticals, Inc.
Eric Smith, PhD, Executive Director, Bispecifics, Regeneron Pharmaceuticals, Inc. , Executive Director , Bispecifics , Regeneron Pharmaceuticals, Inc.

Panel Moderator:

PANEL DISCUSSION:
How to Think about Designing Smart Biologics in the Age of GenAI: Integrating Biology, Technology, and Experience

Photo of Christopher J. Langmead, PhD, AI-Driven Molecular Design, Danaher Corporation , Vice President , AI-Driven Molecular Design , Danaher
Christopher J. Langmead, PhD, AI-Driven Molecular Design, Danaher Corporation , Vice President , AI-Driven Molecular Design , Danaher

Panelists:

Photo of Surge Biswas, PhD, Founder & CEO, Nabla Bio, Inc. , Founder & CEO , Nabla Bio Inc
Surge Biswas, PhD, Founder & CEO, Nabla Bio, Inc. , Founder & CEO , Nabla Bio Inc
Photo of Rebecca Croasdale-Wood, PhD, Senior Director, Augmented Biologics Discovery & Design, Biologics Engineering, Oncology, AstraZeneca , Senior Director Augmented Biologics Discovery & Design , Augmented Biologics Discovery & Design , AstraZeneca
Rebecca Croasdale-Wood, PhD, Senior Director, Augmented Biologics Discovery & Design, Biologics Engineering, Oncology, AstraZeneca , Senior Director Augmented Biologics Discovery & Design , Augmented Biologics Discovery & Design , AstraZeneca
Photo of Joshua Meier, Co-Founder & CEO, Chai Discovery , Cofounder & CEO , Chai Discovery
Joshua Meier, Co-Founder & CEO, Chai Discovery , Cofounder & CEO , Chai Discovery
Photo of Maria Wendt, PhD, Global Head (Vice President) of Digital and Biologics Strategy and Innovation, Large Molecule Research, Novel Modalities, Synthetic Biology and AI, Sanofi , Global Head and Vice President , Digital and Biologics Strategy and Innovation , Sanofi
Maria Wendt, PhD, Global Head (Vice President) of Digital and Biologics Strategy and Innovation, Large Molecule Research, Novel Modalities, Synthetic Biology and AI, Sanofi , Global Head and Vice President , Digital and Biologics Strategy and Innovation , Sanofi

Networking Luncheon in the Exhibit Hall and Last Chance for Poster Viewing

BISPECIFICS WITH NEW MECHANISMS OF ACTION

Chairperson's Remarks

Photo of Christian Klein, CSO, Biotech Start-Up , CSO , Biotech startup
Christian Klein, CSO, Biotech Start-Up , CSO , Biotech startup

Developing Induced-Proximity Strategies to Modulate Receptor Signaling in Inflammation and Cancer

Photo of Ricardo A. Fernandes, PhD, Group Lead, CAMS Oxford Institute, University of Oxford , Grp Lead , CAMS Oxford Institute , University of Oxford
Ricardo A. Fernandes, PhD, Group Lead, CAMS Oxford Institute, University of Oxford , Grp Lead , CAMS Oxford Institute , University of Oxford

We have developed induced-proximity platforms to modulate surface receptor activity by recruiting endogenous enzymes. Our approach selectively inhibits immune checkpoint and oncogenic receptor signalling through targeted phosphatase recruitment, while conversely enhancing inhibitory receptor function via kinase recruitment. Additionally, we are mapping general principles that drive effective receptor dimerization at the cell surface, enabling modulation of receptor complexes not naturally associated. These novel strategies offer new insights into receptor signal control, opening opportunities to therapeutically rewire cellular communication in cancer and inflammation therapeutically.

Discovery and Development of an ALK1-BMPRII Agonistic Clustering Antibody to Treat Hereditary Hemorrhagic Telangiectasia

Photo of Melissa Geddie, PhD, Vice President Drug Discovery, Diagonal Therapeutics , Vice President , Drug Discovery , Diagonal Therapeutics
Melissa Geddie, PhD, Vice President Drug Discovery, Diagonal Therapeutics , Vice President , Drug Discovery , Diagonal Therapeutics

Clustering antibodies present a compelling approach to treat diseases driven by defective signaling pathways, but their discovery has been limited by the difficulty of identifying epitopes that successfully trigger receptor signaling. Using a combination of physics-aware deep learning and experimental approaches, we successfully generated bispecific agonist antibodies against ALK1 and BMPRII that activate the signaling complex and treated HHT pathologies in various mouse models. Our approach has shown to be applicable across diseases and targets.

Bispecific Antibody Mixtures as a Strategy to Selectively Harness T Cell Cytokine Receptors and Co-Stimulation in Cancer Therapy

Photo of Walter G. Ferlin, PhD, CSO, Light Chain Bioscience a brand of Novimmune SA , CSO , Light Chain Bioscience A brand of Novimmune SA
Walter G. Ferlin, PhD, CSO, Light Chain Bioscience a brand of Novimmune SA , CSO , Light Chain Bioscience A brand of Novimmune SA

Bispecific antibody mixtures provide a novel means to achieve controlled receptor agonism of T cell cytokine and co-stimulatory pathways. In contrast to native cytokines or monoclonal antibodies, which are constrained by systemic toxicity, this approach enables localized and selective pathway engagement to drive potent anti-tumor immunity. These findings demonstrate how bispecific antibodies can safely unlock immune mechanisms that have previously been inaccessible for therapeutic intervention.

Networking Refreshment Break

Panel Moderator:

PANEL DISCUSSION:
Engineering CAR Ts and Bispecifics to Achieve Better Outcomes: B Cell Depletion and Beyond

Photo of G. Jonah Rainey, PhD, Associate Vice President, Eli Lilly and Company , Associate Vice President , Eli Lilly & Co.
G. Jonah Rainey, PhD, Associate Vice President, Eli Lilly and Company , Associate Vice President , Eli Lilly & Co.

Panelists:

Photo of Yvonne Y. Chen, PhD, Professor, Microbiology & Immunology & Molecular Genetics, University of California, Los Angeles , Professor , Microbiology & Immunology & Molecular Genetics , University of California, Los Angeles
Yvonne Y. Chen, PhD, Professor, Microbiology & Immunology & Molecular Genetics, University of California, Los Angeles , Professor , Microbiology & Immunology & Molecular Genetics , University of California, Los Angeles
Photo of Laszlo G. Radvanyi, PhD, Professor, Department of Biochemistry, Microbiology and Immunology, University of Ottawa; Senior Scientist, Ottawa Hospital Research Institute , Professor , Biochemistry, Microbiology and Immunology , University of Ottawa
Laszlo G. Radvanyi, PhD, Professor, Department of Biochemistry, Microbiology and Immunology, University of Ottawa; Senior Scientist, Ottawa Hospital Research Institute , Professor , Biochemistry, Microbiology and Immunology , University of Ottawa

Close of Day

Friday, May 15

Registration Open

INTERACTIVE ROUNDTABLE DISCUSSIONS

Interactive Roundtable Discussions with Continental Breakfast

Interactive Roundtable Discussions are informal, moderated discussions, allowing participants to exchange ideas and experiences and develop future collaborations around a focused topic. Each discussion will be led by a facilitator who keeps the discussion on track and the group engaged. To get the most out of this format, please come prepared to share examples from your work, be a part of a collective, problem-solving session, and participate in active idea sharing. Please visit the Interactive Roundtable Discussions page on the conference website for a complete listing of topics and descriptions.

Presentation to be Announced

BISPECIFIC CHECKPOINT INHIBITORS

Chairperson's Remarks

Photo of Eugene A. Zhukovsky, PhD, Vice President and Site Head, Biologics R&D, Orion Pharma , CSO , ZM Scientific Consulting SNC
Eugene A. Zhukovsky, PhD, Vice President and Site Head, Biologics R&D, Orion Pharma , CSO , ZM Scientific Consulting SNC

KEYNOTE PRESENTATION: Engineering Multi-Pronged CAR T Cell Therapy for Cancer

Photo of Yvonne Y. Chen, PhD, Professor, Microbiology & Immunology & Molecular Genetics, University of California, Los Angeles , Professor , Microbiology & Immunology & Molecular Genetics , University of California, Los Angeles
Yvonne Y. Chen, PhD, Professor, Microbiology & Immunology & Molecular Genetics, University of California, Los Angeles , Professor , Microbiology & Immunology & Molecular Genetics , University of California, Los Angeles

The adoptive transfer of T cells expressing chimeric antigen receptors (CARs) has demonstrated robust efficacy in the treatment of advanced hematological malignancies. However, challenges such as antigen escape and immunosuppression limit the long-term efficacy of adoptive T-cell therapy, particularly for solid tumors. Here, I will discuss the development of next-generation T cells that can target multiple cancer antigens, modify the tumor microenvironment, and/or engage endogenous immunity to overcome tumor-defense mechanisms. This presentation will highlight the potential of synthetic biology in generating novel mammalian cell systems with multifunctional outputs for therapeutic applications.

Enhancing Antitumor Immunity through Simultaneous Blockade of Two Immune Checkpoints Using a Tetravalent Bispecific Antibody

Photo of Anil K. Thotakura, PhD, Immuno Oncology Head, R&D, Orion Corp. , Immuno Oncology Head , R&D , Orion Corp
Anil K. Thotakura, PhD, Immuno Oncology Head, R&D, Orion Corp. , Immuno Oncology Head , R&D , Orion Corp

Tetravalent bispecific antibodies (BsAbs) represent an emerging class of immunotherapeutics designed to enhance functional avidity and dual-target engagement compared with conventional bivalent formats.

Leveraging T Cell Co-Stimulation for Enhanced Therapeutic Efficacy of Trispecific Antibodies

Photo of Liqiang Pan PhD, Associate Dean and Qiushi Distinguished Professor/Full Professor, School of Pharmaceutical Sciences, Zhejiang University; Adjunct Professor, The Second Affiliated Hospital of Medical School, Zhejiang University Laboratory of Precision Medicine and Biopharmaceuticals, College of Pharmaceutical Sciences, Zhejiang University , Professor, Vice Dean , Zhejiang University
Liqiang Pan PhD, Associate Dean and Qiushi Distinguished Professor/Full Professor, School of Pharmaceutical Sciences, Zhejiang University; Adjunct Professor, The Second Affiliated Hospital of Medical School, Zhejiang University Laboratory of Precision Medicine and Biopharmaceuticals, College of Pharmaceutical Sciences, Zhejiang University , Professor, Vice Dean , Zhejiang University

We conducted a rigorous, side-by-side comparison of T-cell engager antibodies incorporating distinct co-stimulatory signals (4-1BB, CD28, and OX40) using a consistent structural framework and affinity profile. We highlight that distinct T-cell costimulation signals exert diverse effects on T-cell response dynamics. Specifically, we observed that TriTCE-4-1BB and TriTCE-CD28 costimulation preferentially expanded effector memory T cells and increased the presence of CD4+ T cells more than TriTCE-OX40. Additionally, this finding underscores the critical role of co-stimulatory signals in enhancing T-cell metabolic fitness, equipping them to withstand the demands of repeated antigen exposure in the tumor microenvironment.

Networking Coffee Break

NOVEL CONDITIONALLY ACTIVE FORMATS

Chairperson's Remarks

Photo of Mahiuddin Ahmed, PhD, President and CSO, VITRUVIAE , President and CSO , VITRUVIAE
Mahiuddin Ahmed, PhD, President and CSO, VITRUVIAE , President and CSO , VITRUVIAE

Single-Chain Fab-Based Prodrug Approaches for Chain-Exchange Conditional Activation of T Cell Engager Functionality 

Photo of Ulrich Brinkmann, PhD, Expert Scientist, Pharma Research & Early Development, Roche Innovation Center, Munich , Expert Scientist , Pharma Research & Early Dev , Roche Innovation Ctr Munich
Ulrich Brinkmann, PhD, Expert Scientist, Pharma Research & Early Development, Roche Innovation Center, Munich , Expert Scientist , Pharma Research & Early Dev , Roche Innovation Ctr Munich

Prodrug-activating chain exchange (PACE) approaches apply two inactive antibody derivatives that, upon co-accumulation on tumor cells, reconstitute prodrug functionality. Single-chain Fab PACE harbors functional Fc domains to improve pharmacokinetic properties, and places the effector prodrug domains into linker-connected Fab arms which reduces the risk of nonspecific prodrug activation. Examples for this approach include Her2-targeted proTCBs that activate CD3-binding functionalities, as well as dual prodrug approaches that conditionally engage CD3 and CD28 on target cells.

Conditionally Active CD28xVISTA Bispecific Antibodies Promote Myeloid-Driven T Cell Activation

Photo of Edward van der Horst, PhD, CSO, Sensei Bio , Chief Scientific Officer , Sensei Bio
Edward van der Horst, PhD, CSO, Sensei Bio , Chief Scientific Officer , Sensei Bio

We developed pH-selective CD28xVISTA bispecific antibodies that conditionally co-stimulate T cells within the acidic, myeloid-rich tumor microenvironment. By engaging VISTA on tumor-associated myeloid cells, our lead bispecific drives localized CD28 activation and enhances anti-tumor immunity. Functional studies demonstrated potent, VISTA-dependent T cell activation and proliferation without systemic cytokine release, indicating a favorable safety profile. This conditional activation approach broadens the immunotherapy toolbox, providing a tumor-selective co-stimulatory mechanism that may synergize with PD-1 blockade or T cell–redirecting biologics. Our findings highlight a novel therapeutic platform enabling safe, localized immune modulation for solid tumors.

Conditional by Design: Engineering Synapse-Gated Trispecific T Cell Engagers for Improved Therapeutic Index

Photo of Yariv Mazor, PhD, Executive Director, Head of Protein Engineering & Novel Modalities, Biologics Engineering, AstraZeneca R&D , Senior Director , Biologics Engineering , AstraZeneca
Yariv Mazor, PhD, Executive Director, Head of Protein Engineering & Novel Modalities, Biologics Engineering, AstraZeneca R&D , Senior Director , Biologics Engineering , AstraZeneca

T cell engagers (TCEs) are highly potent immunotherapeutic drug modalities. However, their broad application is constrained by on-target, off-tumor toxicity and cytokine release syndrome (CRS), resulting in a narrow therapeutic index. We present here the development of a conditional, dual-antigen targeting trispecific TCE (TriMab) that integrates a synapse-gated design with affinity-tuned binding arms to achieve AND-gated tumor selectivity. This approach enhances target discrimination and mitigates off-tumor activation while maintaining potent anti-tumor activity. Collectively, our work establishes synapse-gated, dual-targeting trispecifics as a next-generation framework for engineering safer and more precise T cell therapeutics.

Close of Summit


For more details on the conference, please contact:

Christina Lingham

Executive Director, Conferences and Fellow

Cambridge Healthtech Institute

Phone: 508-813-7570

Email: clingham@healthtech.com

 

For sponsorship information, please contact:

Companies A-K

Jason Gerardi

Sr. Manager, Business Development

Cambridge Healthtech Institute

Phone: 781-972-5452

Email: jgerardi@healthtech.com

 

Companies L-Z

Ashley Parsons

Manager, Business Development

Cambridge Healthtech Institute

Phone: 781-972-1340

Email: ashleyparsons@healthtech.com


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