ANTI-CD123 AFFINITY REAGENTS AND RELATED METHODS FOR TARGETED RADIOIMMUNOTHERAPY FOR THE TREATMENT OF ACUTE LEUKEMIA AND OTHER CD123+ NEOPLASMS

Abstract

Humanized, chimeric, murine, and human antibody or antigen binding derivatives thereof that bind to an extracellular domain of interleukin-3 (IL-3) receptor α-chain (CD123) anti-CD123 monoclonal antibodies are provided. Nucleic acids encoding the antibody or antigen binding derivative thereof that binds to an extracellular domain of interleukin-3 (IL-3) receptor α-chain (CD123) and expression vectors comprising the nucleic acid are also provided. Bispecific affinity reagents comprising a first binding domain that specifically binds to an extracellular domain of interleukin-3 (IL-3) receptor α-chain (CD123); and a second binding domain that specifically binds to a therapeutic payload and uses thereof are provided. Embodiments of the invention include isolated antibodies and derivatives and fragments thereof, pharmaceutical formulations comprising one or more of the humanized, chimeric, or human anti-CD123 monoclonal antibodies; and cell lines that produce these monoclonal antibodies.

Description

Claims

1. An antibody or antigen binding derivative thereof that binds to an extracellular domain of interleukin-3 (IL-3) receptor α-chain (CD123), and comprises a light chain variable (VL) domain and a heavy chain variable (VH) domain, wherein: a) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:3, a VL-CDR2 having a sequence set forth in SEQ ID NO:4, and a VL-CDR3 having a sequence set forth in SEQ ID NO:5; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:8, a VH-CDR2 having a sequence set forth in SEQ ID NO:9, and a VH-CDR3 having a sequence set forth in SEQ ID NO:10;b) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:13, a VL-CDR2 having a sequence set forth in SEQ ID NO:14, and a VL-CDR3 having a sequence set forth in SEQ ID NO:15; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:18, a VH-CDR2 having a sequence set forth in SEQ ID NO:19, and a VH-CDR3 having a sequence set forth in SEQ ID NO:20;c) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:23, a VL-CDR2 having a sequence set forth in SEQ ID NO:24, and a VL-CDR3 having a sequence set forth in SEQ ID NO:25; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:28, a VH-CDR2 having a sequence set forth in SEQ ID NO:29, and a VH-CDR3 having a sequence set forth in SEQ ID NO:30;d) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:33, a VL-CDR2 having a sequence set forth in SEQ ID NO:34, and a VL-CDR3 having a sequence set forth in SEQ ID NO:35; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:38, a VH-CDR2 having a sequence set forth in SEQ ID NO:39, and a VH-CDR3 having a sequence set forth in SEQ ID NO:40;e) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:43, a VL-CDR2 having a sequence set forth in SEQ ID NO:44, and a VL-CDR3 having a sequence set forth in SEQ ID NO:45; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:48, a VH-CDR2 having a sequence set forth in SEQ ID NO:49, and a VH-CDR3 having a sequence set forth in SEQ ID NO:50;f) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:53, a VL-CDR2 having a sequence set forth in SEQ ID NO:54, and a VL-CDR3 having a sequence set forth in SEQ ID NO:55; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:58, a VH-CDR2 having a sequence set forth in SEQ ID NO:59, and a VH-CDR3 having a sequence set forth in SEQ ID NO:60;g) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:63, a VL-CDR2 having a sequence set forth in SEQ ID NO:64, and a VL-CDR3 having a sequence set forth in SEQ ID NO:65; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:68, a VH-CDR2 having a sequence set forth in SEQ ID NO:69, and a VH-CDR3 having a sequence set forth in SEQ ID NO:70;h) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:73, a VL-CDR2 having a sequence set forth in SEQ ID NO:74, and a VL-CDR3 having a sequence set forth in SEQ ID NO:75; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:78, a VH-CDR2 having a sequence set forth in SEQ ID NO:79, and a VH-CDR3 having a sequence set forth in SEQ ID NO:80;i) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:83, a VL-CDR2 having a sequence set forth in SEQ ID NO:84, and a VL-CDR3 having a sequence set forth in SEQ ID NO:85; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:88, a VH-CDR2 having a sequence set forth in SEQ ID NO:89, and a VH-CDR3 having a sequence set forth in SEQ ID NO:90;j) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:93, a VL-CDR2 having a sequence set forth in SEQ ID NO:94, and a VL-CDR3 having a sequence set forth in SEQ ID NO:95; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:98, a VH-CDR2 having a sequence set forth in SEQ ID NO:99, and a VH-CDR3 having a sequence set forth in SEQ ID NO:100;k) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO: 103, a VL-CDR2 having a sequence set forth in SEQ ID NO:104, and a VL-CDR3 having a sequence set forth in SEQ ID NO:105; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:108, a VH-CDR2 having a sequence set forth in SEQ ID NO:109, and a VH-CDR3 having a sequence set forth in SEQ ID NO:110;1) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:113, a VL-CDR2 having a sequence set forth in SEQ ID NO:114, and a VL-CDR3 having a sequence set forth in SEQ ID NO:115; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:118, a VH-CDR2 having a sequence set forth in SEQ ID NO:119, and a VH-CDR3 having a sequence set forth in SEQ ID NO:120;m) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:123, a VL-CDR2 having a sequence set forth in SEQ ID NO:124, and a VL-CDR3 having a sequence set forth in SEQ ID NO:125; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:128, a VH-CDR2 having a sequence set forth in SEQ ID NO:129, and a VH-CDR3 having a sequence set forth in SEQ ID NO:130;n) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:133, a VL-CDR2 having a sequence set forth in SEQ ID NO:134, and a VL-CDR3 having a sequence set forth in SEQ ID NO:135; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:13 8, a VH-CDR2 having a sequence set forth in SEQ ID NO:139, and a VH-CDR3 having a sequence set forth in SEQ ID NO:140;o) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:143, a VL-CDR2 having a sequence set forth in SEQ ID NO:144, and a VL-CDR3 having a sequence set forth in SEQ ID NO:145; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:148, a VH-CDR2 having a sequence set forth in SEQ ID NO:149, and a VH-CDR3 having a sequence set forth in SEQ ID NO:150;(p) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:172, a VL-CDR2 having a sequence set forth in SEQ ID NO:173, and a VL-CDR3 having a sequence set forth in SEQ ID NO:174; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:176, a VH-CDR2 having a sequence set forth in SEQ ID NO:177, and a VH-CDR3 having a sequence set forth in SEQ ID NO:178; or(q) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:176, a VL-CDR2 having a sequence set forth in SEQ ID NO:177, and a VL-CDR3 having a sequence set forth in SEQ ID NO:178; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:184, a VH-CDR2 having a sequence set forth in SEQ ID NO:185, and a VH-CDR3 having a sequence set forth in SEQ ID NO:186.

2. The antibody or antigen binding derivative thereof of claim 1, comprising: (i) a VL domain comprising an amino acid sequence with at least about 80% identity to the sequence set forth in one of SEQ ID NOS: 2, 12, 22, 32, 42, 52, 62, 72, 82, 92, 102, 112, 122, 132, 142, 171, and 179; and(ii) a VH domain comprising an amino acid sequence with at least about 80% identity to the sequence set forth in one of SEQ ID NOS: 7, 17, 27, 37, 47, 57, 67, 77, 87, 97, 107, 117, 127, 137, 147, 175, and 183.

3. The antibody or antigen binding derivative thereof of claim 1, wherein the antibody is a monoclonal antibody, and wherein the monoclonal antibody is a chimeric antibody, a humanized antibody, or a human antibody.

4. The antibody or antigen binding derivative thereof of claim 1, wherein the antigen binding derivative comprises an antigen binding antibody fragment, a single-chain antibody, a minibody, a diabody, a triabody, scTCR, or an scFv-Fc construct.

5. (canceled)

6. (canceled)

7. The antibody or antigen binding derivative thereof of claim 1, further comprising a therapeutic payload.

8. (canceled)

9. A nucleic acid encoding the antibody or antigen binding derivative thereof as recited in claim 1.

10. (canceled)

11. A host cell comprising the vector of claim 10, wherein the cell expresses the antibody or antigen binding derivative thereof.

12. (canceled)

13. (canceled)

14. A bispecific affinity reagent, comprising: a first binding domain that specifically binds to an extracellular domain of interleukin-3 (IL-3) receptor α-chain (CD123); anda second binding domain that specifically binds to a radioactive ligand.

15. The bispecific affinity reagent of claim 14, wherein the affinity reagent is a fusion protein and the first binding domain and the second binding domain are separated by a hinge domain, and wherein optionally, the hinge domain consists of a construct selected from an IgG1 Fc fragment, an IgG2 Fc fragment, an IgG3 Fc fragment, and an IgG4 Fc fragment.

16. The bispecific affinity reagent of claim 14, wherein the radioactive ligand comprises yttrium-DOTA, Lutetium-DOTA or astatine-DOTA.

17. The bispecific affinity reagent of claim 14, wherein one or both of the first binding domain and the second binding domain comprise(s) an antibody or an antigen binding derivative thereof, and wherein the antibody or the antigen binding derivative thereof consists of a light chain variable (VL) domain and a heavy chain variable (VH) domain, and/or separated by a linker domain.

18. (canceled)

19. (canceled)

20. The bispecific affinity reagent of claim 14, wherein the first binding domain comprises a light chain variable (VL) domain and a heavy chain variable (VH) domain, wherein: (a) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:3, a VL-CDR2 having a sequence set forth in SEQ ID NO:4, and a VL-CDR3 having a sequence set forth in SEQ ID NO:5; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:8, a VH-CDR2 having a sequence set forth in SEQ ID NO:9, and a VH-CDR3 having a sequence set forth in SEQ ID NO:10;(b) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:13, a VL-CDR2 having a sequence set forth in SEQ ID NO:14, and a VL-CDR3 having a sequence set forth in SEQ ID NO:15; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:18, a VH-CDR2 having a sequence set forth in SEQ ID NO:19, and a VH-CDR3 having a sequence set forth in SEQ ID NO:20;(c) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:23, a VL-CDR2 having a sequence set forth in SEQ ID NO:24, and a VL-CDR3 having a sequence set forth in SEQ ID NO:25; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:28, a VH-CDR2 having a sequence set forth in SEQ ID NO:29, and a VH-CDR3 having a sequence set forth in SEQ ID NO:30;(d) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:33, a VL-CDR2 having a sequence set forth in SEQ ID NO:34, and a VL-CDR3 having a sequence set forth in SEQ ID NO:35; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:38, a VH-CDR2 having a sequence set forth in SEQ ID NO:39, and a VH-CDR3 having a sequence set forth in SEQ ID NO:40;(e) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:43, a VL-CDR2 having a sequence set forth in SEQ ID NO:44, and a VL-CDR3 having a sequence set forth in SEQ ID NO:45; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:48, a VH-CDR2 having a sequence set forth in SEQ ID NO:49, and a VH-CDR3 having a sequence set forth in SEQ ID NO:50;(f) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:53, a VL-CDR2 having a sequence set forth in SEQ ID NO:54, and a VL-CDR3 having a sequence set forth in SEQ ID NO:55; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:58, a VH-CDR2 having a sequence set forth in SEQ ID NO:59, and a VH-CDR3 having a sequence set forth in SEQ ID NO:60;(g) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:63, a VL-CDR2 having a sequence set forth in SEQ ID NO:64, and a VL-CDR3 having a sequence set forth in SEQ ID NO:65; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:68, a VH-CDR2 having a sequence set forth in SEQ ID NO:69, and a VH-CDR3 having a sequence set forth in SEQ ID NO:70;(h) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:73, a VL-CDR2 having a sequence set forth in SEQ ID NO:74, and a VL-CDR3 having a sequence set forth in SEQ ID NO:75; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:78, a VH-CDR2 having a sequence set forth in SEQ ID NO:79, and a VH-CDR3 having a sequence set forth in SEQ ID NO:80;(i) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:83, a VL-CDR2 having a sequence set forth in SEQ ID NO:84, and a VL-CDR3 having a sequence set forth in SEQ ID NO:85; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:88, a VH-CDR2 having a sequence set forth in SEQ ID NO:89, and a VH-CDR3 having a sequence set forth in SEQ ID NO:90;(j) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:93, a VL-CDR2 having a sequence set forth in SEQ ID NO:94, and a VL-CDR3 having a sequence set forth in SEQ ID NO:95; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:98, a VH-CDR2 having a sequence set forth in SEQ ID NO:99, and a VH-CDR3 having a sequence set forth in SEQ ID NO:100;(k) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:103, a VL-CDR2 having a sequence set forth in SEQ ID NO:104, and a VL-CDR3 having a sequence set forth in SEQ ID NO:105; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:108, a VH-CDR2 having a sequence set forth in SEQ ID NO:109, and a VH-CDR3 having a sequence set forth in SEQ ID NO:110;(1) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:113, a VL-CDR2 having a sequence set forth in SEQ ID NO:114, and a VL-CDR3 having a sequence set forth in SEQ ID NO:115; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:118, a VH-CDR2 having a sequence set forth in SEQ ID NO:119, and a VH-CDR3 having a sequence set forth in SEQ ID NO:120;(m) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:123, a VL-CDR2 having a sequence set forth in SEQ ID NO:124, and a VL-CDR3 having a sequence set forth in SEQ ID NO:125; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:128, a VH-CDR2 having a sequence set forth in SEQ ID NO:129, and a VH-CDR3 having a sequence set forth in SEQ ID NO:130;(n) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:133, a VL-CDR2 having a sequence set forth in SEQ ID NO:134, and a VL-CDR3 having a sequence set forth in SEQ ID NO:135; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:13 8, a VH-CDR2 having a sequence set forth in SEQ ID NO: 139, and a VH-CDR3 having a sequence set forth in SEQ ID NO:140;(o) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:143, a VL-CDR2 having a sequence set forth in SEQ ID NO:144, and a VL-CDR3 having a sequence set forth in SEQ ID NO:145; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO: 148, a VH-CDR2 having a sequence set forth in SEQ ID NO: 149, and a VH-CDR3 having a sequence set forth in SEQ ID NO:150;(p) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:172, a VL-CDR2 having a sequence set forth in SEQ ID NO:173, and a VL-CDR3 having a sequence set forth in SEQ ID NO:174; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:176, a VH-CDR2 having a sequence set forth in SEQ ID NO:177, and a VH-CDR3 having a sequence set forth in SEQ ID NO:178; or(q) the VL domain comprises a VL-CDR1 having a sequence set forth in SEQ ID NO:176, a VL-CDR2 having a sequence set forth in SEQ ID NO:177, and a VL-CDR3 having a sequence set forth in SEQ ID NO:178; and the VH domain comprises a VH-CDR1 having a sequence set forth in SEQ ID NO:184, a VH-CDR2 having a sequence set forth in SEQ ID NO: 185, and a VH-CDR3 having a sequence set forth in SEQ ID NO:186.

21. The bispecific affinity reagent of claim 19, wherein the second binding domain comprises an amino acid sequence with at least 90% sequence identity to a DOTA binding domain comprising or included in an amino acid sequence selected from SEQ ID NOS:152-168, exclusive of a linker domain corresponding to positions 120-134 of SEQ ID NO:152.

22. The bispecific affinity reagent of claim 14, wherein the bispecific affinity reagent is monomeric or dimeric.

23. The bispecific affinity reagent of claim 22, wherein the bispecific affinity reagent comprises an amino acid sequence with at least about 90% identity to the sequence set forth in SEQ ID NO: 264 or SEQ ID NO: 266.

24. A method of treating a neoplastic condition in a subject characterized by elevated expression of interleukin-3 (IL-3) receptor α-chain (CD123), comprising administering to the subject the host cell of claim 11.

25. A method of treating a neoplastic condition in a subject characterized by elevated expression of interleukin-3 (IL-3) receptor α-chain (CD123), comprising administering to the subject a therapeutically effective amount of a composition comprising the bispecific affinity reagent of claim 14.

26. The method of claim 24, further comprising administering to the subject a therapeutically effective amount of a radioactive ligand.

27. The method of claim 26, further comprising administering an effective amount of a clearing agent (CA) after administering the bispecific affinity reagent and before administering the radioactive ligand, wherein the CA is DOTAY-Dextran.

28. The method of claim 26, wherein the radioactive ligand comprises yttrium-DOTA, Lutetium-DOTA or astatine-DOTA.