Monoclonal antibodies (mAb) against variant III of epidermal growth factor receptor (EGFRvIII) hold promise for improving tumor selectivity of EGFR-targeted therapy. Here, we compared Fcmediated effector functions of three mAb against EGFRvIII (MR1-1, ch806, 13.1.2) with those of zalutumumab, a high affinity EGFR mAb in advanced clinical trials. MR1-1 and ch806 demonstrated preferential and 13.1.2 exclusive binding to EGFRvIII, in contrast to zalutumumab, which bound both wild-type and EGFRvIII. All four human IgG1j mAb mediated antibody-dependent cellular cytotoxicity (ADCC) of EGFRvIII-expressing cells with mononuclear cells and isolated monocytes, while only zalutumumab in addition triggered ADCC by polymorphonuclear cells. Interestingly, combinations of zalutumumab and EGFRvIII mAb specifically mediated complement-dependent cytotoxicity (CDC) of EGFRvIII-transfected but not wild-type cells. Moreover, EGFRvIII-specific CDC was significantly enhanced when zalutumumab was combined with a Fc-engineered variant of MR1-1 (K326A ⁄ E333A). These observations confirm the immunotherapeutic potential of antibody combinations against EGFR, and demonstrate that tumor selectivity can be improved by combining therapeutic EGFR mAb with an antibody against EGFRvIII. (Cancer Sci 2011; 102: 1761-1768 A berrant expression of epidermal growth factor receptor (EGFR) has been observed in different epithelial tumors and gliomas, and often correlates with a worse clinical outcome for patients. These features make EGFR an attractive target for cancer therapeutics,(1) like monoclonal antibodies (mAb) and tyrosine kinase inhibitors (TKI).(2,3) At present, two EGFR mAb are FDA approved for the treatment of cancer: cetuximab (C225, Erbitux) -a chimeric antibody of IgG1 isotype -and panitumumab (E7.6.3, Vectibix) -a human IgG2 antibody. Zalutumumab (2F8, HuMax-EGFr) is another human IgG1 EGFR antibody in advanced clinical trials.(4) By binding to domain III of EGFR, these antibodies mediate direct effector mechanisms, resulting in blockade of ligand binding, receptor downmodulation, cell cycle arrest and induction of apoptosis, but also recruitment of immunological activity against cancer cells, such as ADCC and CDC, which have been documented.(5) Their clinical activity was associated with certain Fcc receptor polymorphisms, which are known to affect IgG binding and functional activity.(6,7) Furthermore, EGFR antibody combinations were demonstrated to mediate improved CDC (8) and receptor downmodulation. (9) Although EGFR is overexpressed to various degrees on cancer cells, EGFR antibodies also target EGFR on normal tissue, such as the liver, skin and gastrointestinal tract. This normal tissue expression can cause dose-limiting side-effects and characteristic toxicities.(2,3) Attempts to improve the effector functions of EGFR antibodies might even increase the severity of these reactions.(10) Therefore, EGFR antibodies recognizing tumorspecific EGFR epitopes, such as the common EGFR variant III (EGFRvIII), offer the potential to enhance ...