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TTI-621 is a recombinant fusion protein that combines the N-terminal CD47-binding domain of human signal regulatory protein alpha (SIRPα) with the Fc region of human IgG1. It acts as a decoy receptor for CD47, blocking the "do not eat" antiphagocytic signal delivered to macrophages by tumor cells, thereby promoting macrophage-mediated phagocytosis and activation of natural killer (NK) cells. Pegylated interferon-alpha 2a is a modified form of interferon-alpha with polyethylene glycol attached to improve its pharmacokinetics and tolerability; it acts as an immunomodulatory cytokine. The combination aims to enhance innate and adaptive immune responses against tumors, leveraging both checkpoint blockade (via TTI-621) and immune stimulation (via pegylated IFN). TTI-621 was developed by Trillium Therapeutics for use in hematologic malignancies and solid tumors[3][5][6][8].
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