The instant application contains a Sequence Listing which has been filed electronically in ASCII format and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Oct. 23, 2020, is named 022548_D1012_SL.txt and is 74,271 bytes in size.
The invention relates to antibodies modified with bone-targeting peptides and methods of their use for treating pathophysiological bone degeneration.
Proper bone development and maintenance are important factors for normal health. In the average human, bone development occurs until the age of about 20 years old, where bone density is typically at its maximum. Thereafter, bone density can diminish without proper diet and physical exertion. Normal bone maintenance, however, requires homeostatic bone turnover, where old bone is removed and replaced with new bone.
Yet, there are numerous diseases and conditions that can affect bone development and maintenance. For example, bone development is affected in diseases such as osteogenesis imperfecta, where bone strength is compromised, which leads to children with fragile bones that can easily break. Moreover, lack of homeostatic bone turnover can occur in otherwise healthy individuals as they age, leading to osteoporosis, where bone density is compromised over time, and ultimately to fragile bones and bone fractures.
Still further, there are certain diseases wherein bone health is affected collaterally to the primary disease and involved in other comorbid sequelae, such as in chronic kidney disease (CKD). CKD is a progressive disease in which kidney function declines over time, often leading to cardiovascular diseases linked to poor bone health and altered bone turnover rates. It has been shown that treatments that improve bone health concomitantly alleviate the associated cardiovascular diseases. Such reports suggest that normal bone turnover rates could be influential on, if not causative of, other diseases. Therefore, improved methodologies for regulating bone development and/or maintenance could have a widespread direct or indirect effect on improving the health of individuals suffering from numerous disparate diseases and conditions.
TGFβ is a member of the transforming growth factor-beta (TGFβ) superfamily and is important in bone formation during mammalian development (see Chen et al., Int. J. Biol. Sci. 8(2): 272-88 (2012)). TGFβ appears to be equally important for homeostatic bone maintenance. Interestingly, TGFβ has been shown to be expressed at higher levels in individuals with CKD, suggesting that it is a viable target for therapeutic intervention. Systemic treatment of a jck mouse model of CKD with anti-TGFβ antibodies demonstrated a reduction in high bone turnover rates (Liu et al., J. Bone Miner Res. 29(5): 1141-57 (2014)). However, this study did not investigate the degree to which localization of the anti-TGFβ antibodies in bone may improve treatment efficacy. Given that TGFβ is involved in a multitude of cellular processes including DNA damage response, allergic immune responses, and wound epithelialization, just to name a few, a more targeted approach for controlling TGFβ activity is desirable to minimize potential undesired side-effects. Therefore, a more precise approach for regulating TGFβ activity is needed to provide improved treatments for regulating bone development and/or maintenance.
Provided herein are antibodies, such as anti-TGFβ antibodies, that are effectively targeted to bone. In a first aspect, the present disclosure provides an antibody, or an antigen-binding fragment thereof, comprising a heavy chain, a light chain, and one or more poly-aspartate (poly-D) peptides. In one particular embodiment, the antibody or antigen-binding fragment comprises a heavy chain, a light chain, and one or more poly-aspartate (poly-D) peptides connected to the heavy chain and/or the C-terminus of the light chain.
In one embodiment, the antibody or antigen-binding fragment thereof exhibits at least a 2-fold increase in localization to bone compared to an antibody with the same heavy chain and light chain but lacking the one or more poly-D peptides.
In one embodiment, the one or more poly-D peptides are connected to the antibody or antigen-binding fragment thereof by chemical conjugation. In another embodiment, the one or more poly-D peptides are connected at the hinge region of the heavy chain. In a further embodiment, the one or more poly-D peptides are connected to the N-terminus or C-terminus of the light chain. In a still further embodiment, the one or more poly-D peptides are connected to the antibody or antigen-binding fragment thereof by one or more spacers/linkers (e.g., polyethylene glycol (PEG) spacers and peptide linkers).
In one embodiment, one or more poly-D peptides are integral with an amino acid sequence of the heavy chain and/or one or more poly-D peptides are integral with an amino acid sequence of the light chain. A poly-D peptide that is “integral” with an amino acid sequence is included in the same polypeptide chain. For example the integral poly-D peptide can be translated from the same RNA chain as the heavy or light chain sequence, which may be encoded from a recombinant DNA plasmid. In one embodiment, one or more poly-D peptides are integral with the N-terminus and/or one or more poly-D peptides are integral with the C-terminus of the heavy chain. Two or more poly-D peptides can be linked in tandem, separated by zero, one or more other amino acid residues (i.e., non-aspartate amino acids) or a peptide linker to the N-terminus or the C-terminus of the heavy chain. In a further embodiment, one or more poly-D peptides are integral with the N-terminus and/or one or more poly-D peptides are integral with the C-terminus of the light chain. For example, two or more poly-D peptides can be linked in tandem being separated by zero, one or more other amino acid residues (i.e., non-aspartate amino acids) or a peptide linker to the N-terminus or the C-terminus of the light chain. In one embodiment, a poly-D peptide is integral with the C-terminus of the heavy chain. In another embodiment, a poly-D peptide is integral with the C-terminus of the heavy chain and a poly-D peptide is integral with the N-terminus of the heavy chain.
In one embodiment, the light chain does not comprise a poly-D peptide. In another embodiment, the heavy chain does not comprise a poly-D peptide.
In one embodiment, the one or more poly-D peptides each independently comprise 2-30 aspartic acid residues. For example, a poly-D peptide can include 2, or 3, or 4, or 5, or 6, or 7, or 8, or 9, or 10, or 11, or 12, or 13, or 14, or 15, or 16, or 17, or 18, or 19, or 20, or 21, or 22, or 23, or 24, or 25, or 26, or 27, or 28, or 29, or 30 aspartic acid residues. In another embodiment, the one or more poly-D peptides each independently comprise 6, 7, 8, 9, 10 or 11 aspartic acid residues. In another embodiment, the one or more poly-D peptides each comprise 10 aspartic acid residues, such peptides are called “D10” (SEQ ID NO: 1) herein. In some embodiments, the antibody or fragment may include 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or more than 12 poly-D peptides.
In another embodiment, the antibody is any of isotypes IgG1, IgG2, IgG3, IgG4, IgA1, IgA2, IgM, IgE, or IgD. In another embodiment, the antibody is an IgG1 or IgG4 isotype. In another embodiment, the antibody or antigen-binding fragment thereof specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3, such as one or more of human TGFβ1, TGFβ2, and TGFβ3.
In one embodiment, an antibody fragment is contemplated having one or more poly-aspartate (poly-D) peptides. It is envisioned that the antibody fragment would exhibit at least a 2-fold increase in localization to bone compared to the same antibody fragment but lacking the one or more poly-D peptides. The antibody fragment can, for example, be any or a combination of the following: Fab, F(ab′)2, monospecific Fab2, bispecific Fab2, trispecific Fab, monovalent IgG, scFv, bispecific diabody, trispecific triabody, scFv-sc, a minibody, IgNAR, V-NAR, hcIgG, or VhH. In one embodiment, the antibody fragment binds one or more of TGFβ1, TGFβ2, and TGFβ3, such as one or more of human TGFβ1, TGFβ2, and TGFβ3. The antibody or antibody fragment herein may be fully human, humanized, or chimeric.
In a second aspect, the present disclosure provides a method of producing an antibody or an antigen-binding fragment thereof targeted to bone that includes the steps of providing an antibody heavy chain, providing an antibody light chain, providing one or more poly-D peptides attached to the heavy chain and/or one or more poly-D peptides attached to the light chain, and combining the heavy chain and the light chain to produce an antibody or antigen-binding fragment thereof targeted to bone.
In one embodiment, the one or more poly-D peptides attached to the heavy chain and/or the one or more poly-D peptides attached to the light chain are attached by chemical conjugation. In another embodiment, the one or more poly-D peptides attached to the heavy chain and/or the one or more poly-D peptides attached to the light chain are attached by recombination.
In a third aspect, the present disclosure provides an anti-TGFβ antibody targeted to bone that includes a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 2, 3 4, and 5 (with or without the heavy chain C-terminal lysine), and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 6, 7, 8, 11, and 12, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 2 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 6.
In a fourth aspect, the present disclosure provides an anti-TGFβ antibody targeted to bone that includes a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17 (with or without the heavy chain C-terminal lysine), and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 20, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 15.
In a fifth aspect, the present disclosure provides a human IgG4 antibody that includes a heavy chain comprising the amino acid sequence of SEQ ID NO: 14 (with or without the heavy chain C-terminal lysine) and a light chain comprising the amino acid sequence of SEQ ID NO: 15 (e.g., mAb2 F6). The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In one embodiment, the antibody specifically binds TGFβ1.
In a sixth aspect, the present disclosure provides a human IgG4 antibody that includes a heavy chain comprising the amino acid sequence of SEQ ID NO: 17 (with or without the heavy chain C-terminal lysine), and a light chain comprising the amino acid sequence of SEQ ID NO: 15 (e.g., mAb2 F16). The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In one embodiment, the antibody specifically binds TGFβ1.
In a seventh aspect, the present disclosure provides a human IgG4 antibody that includes a heavy chain comprising the amino acid sequence of SEQ ID NO: 16 (with or without the heavy chain C-terminal lysine), and a light chain comprising the amino acid sequence of SEQ ID NO: 15 (e.g., mAb2 F11). The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In one embodiment, the antibody specifically binds TGFβ1.
In an eighth aspect, the present disclosure provides a human IgG4 antibody that includes a heavy chain comprising the amino acid sequence of SEQ ID NO: 17 (with or without the heavy chain C-terminal lysine), and a light chain comprising the amino acid sequence of SEQ ID NO: 18 (e.g., mAb2 F17). The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In one embodiment, the antibody specifically binds TGFβ1.
In a ninth aspect, the present disclosure provides a human IgG4 antibody that includes a heavy chain comprising the amino acid sequence of SEQ ID NO: 16 (with or without the heavy chain C-terminal lysine), and a light chain comprising the amino acid sequence of SEQ ID NO: 18 (e.g., mAb2 F12). The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In one embodiment, the antibody specifically binds TGFβ1.
In a tenth aspect, the present disclosure provides a human IgG4 antibody that includes a heavy chain comprising the amino acid sequence of SEQ ID NO: 14 (with or without the heavy chain C-terminal lysine), and a light chain comprising the amino acid sequence of SEQ ID NO: 18 (e.g., mAb2 F7). The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In one embodiment, the antibody specifically binds TGFβ1.
In an eleventh aspect, the present disclosure provides a human IgG4 antibody that includes a heavy chain comprising the amino acid sequence of SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine), and a light chain comprising the amino acid sequence of SEQ ID NO: 18 (e.g., mAb2 F2). The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In one embodiment, the antibody specifically binds TGFβ1.
In a twelfth aspect, the present disclosure provides an anti-TGFβ antibody targeted to bone including a heavy chain comprising an amino acid sequence encoded by a nucleic acid sequence in set forth in any of SEQ ID NOS: 23, 24, 25, and 26 (with or without the codon for the heavy chain C-terminal lysine) and a light chain comprising an amino acid sequence encoded by a nucleic acid sequence in set forth in any of SEQ ID NOS: 27, 28, 29, 30, 31, and 32, with the proviso that the heavy chain amino acid sequence is not encoded by the nucleic acid sequence set forth in SEQ ID NO: 23 (with or without the codon for the heavy chain C-terminal lysine) when the light chain amino acid sequence is encoded by the nucleic acid sequence in set forth in SEQ ID NO: 27.
In a thirteenth aspect, the present disclosure provides a human IgG4 antibody including a heavy chain comprising an amino acid sequence encoded by the nucleic acid sequence set forth in SEQ ID NO: 25 (with or without the codon for the heavy chain C-terminal lysine) and a light chain comprising an amino acid sequence encoded by the nucleic acid sequence set forth in SEQ ID NO: 27. The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3.
In a fourteenth aspect, the present disclosure provides a human IgG4 antibody including a heavy chain comprising an amino acid sequence encoded by the nucleic acid sequence set forth in SEQ ID NO: 26 (with or without the codon for the heavy chain C-terminal lysine) and a light chain comprising an amino acid sequence encoded by the nucleic acid sequence set forth in SEQ ID NO: 27. The antibody specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3.
In a fifteenth aspect, the present disclosure provides a method for treating an individual for bone loss including administering to the individual an effective amount of an anti-TGFβ antibody or an antigen-binding fragment thereof targeted to bone and detecting at least one of a reduction in TGFβ levels, a reduction in TGFβ activity, a reduction in bone loss, a reduction in rate of bone loss, an increase in bone density, an increase in bone strength, and a reduction in IL-11 levels.
In one embodiment, the individual is a human. In another embodiment, the anti-TGFβ antibody or antibody fragment specifically binds one or more of TGFβ1, TGFβ2, and TGFβ3. In a further embodiment, the anti-TGFβ antibody includes a heavy chain, a light chain, and one or more poly-aspartate (poly-D) peptides. The antibody exhibits at least a 2-fold increase in localization to bone compared to an antibody with the same heavy chain and light chain but lacking the one or more poly-D peptides. In one embodiment, the antibody is any of isotypes IgG1, IgG2, IgG3, IgG4, IgA1, IgA2, IgM, IgE, and IgD. In another embodiment, the antibody is an IgG1 or IgG4 isotype. In one embodiment, the individual has chronic kidney disease and/or a bone disease, including metastasis of cancer to bone. The bone disease can be osteogenesis imperfecta or osteoporosis. In one embodiment, the effective amount of the anti-TGFβ antibody or antibody fragment targeted to bone is administered subcutaneously, intravenously, or intramuscularly.
In a sixteenth aspect, the present disclosure provides a pharmaceutical composition comprising an antibody or antigen-binding fragment of the present invention and a pharmaceutically acceptable carrier. For example, the antibody may include a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 2, 3, 4, and 5 (with or without the heavy chain C-terminal lysine) and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 6, 7, 8, 11, and 12, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 2 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 6. In another embodiment, the antibody may include a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17 (with or without the heavy chain C-terminal lysine); and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 29, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 15.
In an seventeenth aspect, the present disclosure provides an isolated nucleic acid molecule including a nucleic acid sequence encoding the heavy chain, the light chain, or both, of an anti-TGFβ antibody targeted to bone, wherein the heavy chain of the anti-TGFβ antibody comprises an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17 (with or without the heavy chain C-terminal lysine) and the light chain of the anti-TGFβ antibody comprises an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 20, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 15.
In an eighteenth aspect, the present disclosure provides an expression vector including a nucleic acid sequence encoding the heavy chain, the light chain, or both, of an anti-TGFβ antibody targeted to bone, wherein the heavy chain of the anti-TGFβ antibody comprises an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17 (with or without the heavy chain C-terminal lysine); and the light chain of the anti-TGFβ antibody comprises an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 20, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 15.
In a nineteenth aspect, the present disclosure provides a host cell comprising one or more expression vectors including nucleic acid sequences encoding an anti-TGFβ antibody targeted to bone, wherein the heavy chain of the anti-TGFβ antibody comprises a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17 (with or without the heavy chain C-terminal lysine); and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 29, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 15. In one embodiment, the host cell is a mammalian cell or a prokaryotic cell. In another embodiment, the host cell is a Chinese Hamster Ovary (CHO) cell or an Escherichia coli (E. coli) cell.
In a twentieth aspect, the present disclosure provides a method of producing an anti-TGFβ antibody or an antigen-binding fragment thereof targeting bone. The method includes growing a host cell under conditions permitting production of the antibody or antigen-binding fragment thereof. The host cell comprises (i) a nucleic acid sequence encoding a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17 (with or without the heavy chain C-terminal lysine); and (ii) a nucleic acid sequence encoding a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 29, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 15. In one embodiment, the method further includes formulating the antibody or antigen-binding fragment thereof as a pharmaceutical composition comprising an acceptable carrier.
In a twenty-first aspect, the present disclosure provides a pharmaceutical composition comprising an anti-TGFβ antibody targeted to bone. The anti-TGFβ antibody targeted to bone includes a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 2, 3, 4, and 5 (with or without the heavy chain C-terminal lysine) and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 6, 7, 8, 11, and 12, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 2 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 6, or the anti-TGFβ antibody targeted to bone includes a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17 (with or without the heavy chain C-terminal lysine); and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 29, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 (with or without the heavy chain C-terminal lysine) when the light chain amino acid sequence is SEQ ID NO: 15. In one embodiment, the pharmaceutical composition is formulated as a liquid drug product. In another embodiment, the pharmaceutical composition is formulated as a lyophilized drug product.
In a twenty-second aspect, the present disclosure provides an anti-TGFβ antibody targeted to bone. The heavy chain of the antibody comprises: a heavy chain complementarity-determining region 1 (HCDR1) comprising the amino acid sequence of SEQ ID NO: 33, an HCDR2 comprising the amino acid sequence of SEQ ID NO:34, and an HCDR3 comprising the amino acid sequence of SEQ ID NO: 35. The light chain of the antibody comprises: a light chain complementarity-determining region 1 (LCDR1) comprising the amino acid sequence of SEQ ID NO: 36, an LCDR2 comprising the amino acid sequence of SEQ ID NO: 37, and an LCDR3 comprising the amino acid sequence of SEQ ID NO: 38. And, the antibody further comprises a D10 polypeptide at one of more of the N terminus of the heavy chain, the C terminus of the heavy chain, the N terminus of the light chain, and the C terminus of the light chain.
In a twenty-third aspect, the present disclosure provides an anti-TGFβ antibody targeted to bone, wherein the heavy chain of the antibody comprises the heavy chain complementarity-determining regions (CDR) 1-3 in SEQ ID NO: 39 and the light chain CDR1-3 in SEQ ID NO: 40, wherein the antibody further comprises a D10 polypeptide at one of more of the N terminus of the heavy chain, the C terminus of the heavy chain, the N terminus of the light chain, and the C terminus of the light chain. In some embodiments, the antibody comprises a heavy chain variable domain (VH or HCVD) comprising the amino acid sequence of SEQ ID NO: 39 and a light chain variable domain (VL or LCVD) comprising the amino acid sequence of SEQ ID NO: 40.
In a twenty-fourth aspect, the present disclosure provides a polynucleotide sequence encoding: an anti-TGFβ antibody targeted to bone, wherein the heavy chain of the antibody comprises an HCDR1 comprising the amino acid sequence of SEQ ID NO: 33, an HCDR2 comprising the amino acid sequence of SEQ ID NO: 34, and an HCDR3 comprising the amino acid sequence of SEQ ID NO: 35, the light chain of the antibody comprises an LCDR1 comprising the amino acid sequence of SEQ ID NO: 36, an LCDR2 comprising the amino acid sequence of SEQ ID NO: 37, and an LCDR3 comprising the amino acid sequence of SEQ ID NO: 38, and the antibody further comprises a D10 polypeptide at one of more of the N terminus of the heavy chain, the C terminus of the heavy chain, the N terminus of the light chain, and the C terminus of the light chain; or an anti-TGFβ antibody targeted to bone, wherein the heavy chain of the antibody comprises the heavy chain complementarity-determining regions (CDR) 1-3 in SEQ ID NO: 39 and the light chain CDR1-3 in SEQ ID NO: 40, wherein the antibody further comprises a D10 polypeptide at one of more of the N terminus of the heavy chain, the C terminus of the heavy chain, the N terminus of the light chain, and the C terminus of the light chain.
In a twenty-fifth aspect, the present disclosure provides a bone-targeting antibody, such as a bone-targeting anti-TGFβ antibody or antigen-binding fragment, of the present invention for use in a treatment method described herein.
In a twenty-sixth aspect, the disclosure provides the use of a bone-targeting antibody, such as a bone targeting anti-TGFβ antibody or antigen-binding fragment, of the present invention, for the manufacture of a medicament for a treatment method described herein.
Particular embodiments contemplated herein are further described below. The above-described and other features and advantages of the present invention will be more fully understood from the following detailed description of the invention taken together with the accompanying claims. It is noted that the scope of the claims is defined by the recitations therein and not by the specific discussion of features and advantages set forth in the present description.
The present invention provides antibodies and antigen-binding fragments thereof that are connected to one or more bone-targeting poly-D peptides such that the antibodies and fragments preferentially home to the bones in a patient in need thereof. The bone-targeting feature of such an antibody or fragment allows the antibody and fragment to target bone tissues specifically and reduces the patient's systemic exposure to the antibody or fragment, thereby enhancing the efficacy of the drug while minimizing undesired adverse side effects.
As used herein, the term “poly-D peptide” refers to a peptide sequence having a plurality of aspartic acid or aspartate or “D” amino acids, such as about 2, 3, 4, 5, 6, 7, 8, 9, 10, 20, 30, or more aspartic acid amino acids (residues). In one embodiment, a poly-D peptide can include about 2 to about 30, or about 3 to about 15, or about 4 to about 12, or about 5 to about 10, or about 6 to about 8, or about 7 to about 9, or about 8 to about 10, or about 9 to about 11, or about 12 to about 14 aspartic acid residues. In one embodiment, poly-D peptides include only aspartate residues. In another embodiment, poly-D peptides may include one or more other amino acids or similar compounds. As used herein, the term “D10” refers to a contiguous sequence of ten aspartic acid amino acids, as seen in SEQ ID NO: 1. In some embodiments, an antibody or antibody fragment of the invention may include 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or more than 12 poly-D peptides.
The poly-D peptide can be connected to an antibody or antigen-binding fragment of interest via recombinant technology or chemical conjugation. As used herein, the term “fusion variant” or “variant” refers to an assembled antibody construct (see
As used herein, the term “chemical conjugate” refers to an assembled antibody that includes at least one of a heavy chain or a light chain or antibody fragment or subpart to which one or more poly-D peptides are connected by chemical reaction with, for example, the cysteine residues present in the amino acid sequence of the heavy chain, light chain, antibody fragment, or subpart. Exemplary cysteine residues that can be used for conjugation are those in the heavy chain hinge region. Cysteine residues or other residues appropriate for conjugation can also be introduced to the antibody chain by mutagenesis. A spacer/linker such as a peptide linker or a chemical moiety (e.g., a maleimide function group and a polyethylene glycol (PEG)) may be used between the poly-D peptide and the antibody component in the conjugation. Methods for chemical conjugation of desired moieties to antibodies are well known in the art. See, e.g., Behrens and Liu, mAbs 6:1, 46-53 (2014).
As used herein, the term “integral” refers to the integration of a poly-D peptide with an antibody chain via recombinant technology such that the poly-D peptide is transcribed from the same RNA transcript as the antibody chain and resides in the same polypeptide sequence as the antibody chain. In such cases, the poly-D peptide can be connected to the antibody chain, with or without any peptide linker or amino acid spacer, at the antibody chain's either or both termini, or integrated internally to the antibody chain, without affecting the antibody chain's proper folding, the antibody molecule's assembly, or the antibody's binding to its antigen.
Exemplary formats of the bone-targeting antibodies of the present invention are shown in
Any suitable spacer or linker can be used herein to attach the bone-targeting peptide by, e.g., recombinant technology or chemical conjugation, to an antibody of interest. For example, a peptide linker having one, two, three, or more repeats of the G4S peptide (SEQ ID NO: 9) may be used. Other suitable peptide linkers can also be used. See, e.g., Chen et al., Adv Drug Deliv Rev 65(10):1357-1369 (2013).
Exemplary Bone-Targeting Antibodies and Antigen-Binding Fragments Thereof
The present invention discloses antibodies and antigen-binding fragments having one or more poly-D (poly-aspartate or poly-Asp) peptides (e.g., a D10 sequence) attached thereto. These modified antibodies and fragments have improved localization to bone. In one particular embodiment, these antibodies are anti-TGFβ antibodies, as described herein. While not wishing to be bound by theory, it is believed that effectively targeting anti-TGFβ antibodies to bone with one or more poly-D peptides may provide a new therapy for individuals with diseases characterized by pathophysiological bone degeneration associated with TGFβ.
However, while numerous embodiments and examples herein are expressed in the context of using α-TGFβ antibodies and D10 sequences, it is contemplated that other antibodies or proteins suitable for treating an abnormal bone condition or a bone disease can be modified with bone-targeting moieties as described herein. For example, therapeutic antibodies for treating bone loss, stimulating bone growth, or targeting abnormal cells (e.g., cancer cells) in bone can be linked to one or more bone-targeting peptides as described herein. The therapeutic antibodies may bind to proteins or peptides involved in bone formation or maintenance. Further, other bone localization or targeting peptides may be used.
As used herein, the terms “α-TGFβ antibody” and “anti-TGFβ antibody” can be used interchangeably and refer to an antibody, or an antigen-binding fragment thereof, that is specific for TGFβ1, TGFβ2, and/or TGFβ3. For example, at least one antigen-binding site (or paratope) of an α-TGFβ antibody, or an antigen-binding fragment thereof, binds to an epitope found on human TGFβ1, TGFβ2, and/or TGFβ3.
In one embodiment, a contemplated α-TGFβ antibody-D10 construct may be created by chemical conjugation. For example, chemical conjugation may be performed by methods known in the art such as those disclosed in U.S. Pat. Nos. 7,763,712, 4,671,958, and 4,867,973, each of which is incorporated by reference. In another example, a peptide or other linker can be used to attach a D10 peptide to an antibody (see
In another embodiment, a contemplated α-TGFβ antibody-D10 construct may be created by recombinant expression, where the D10 sequence is added to the amino acid sequence of the heavy chain and/or light chain of the α-TGFβ antibody. For example, the nucleic acid sequences encoding the amino acid sequences of the heavy and/or light chains can be modified to encode a D10 sequence that would be expressed either at the N-terminus, the C-terminus, or both N-terminus and C-terminus of the heavy and/or light chains of the α-TGFβ antibody. Similarly, one or more D10 sequences could be added to an amino acid sequence of an antibody heavy chain at or near the hinge region and/or within the amino acid sequence of an antibody light chain. Each nucleic acid sequence for the D10 harboring-heavy and/or light chain may be incorporated into an expression vector and subsequently transfected into a host cell capable of expressing and translating the nucleic acid sequence into the corresponding amino acid sequence. Moreover, the host cell is capable of assembling the expressed amino acid sequences into the functional protein by combining each of the heavy chain and light chain with its complementary sequence to form an α-TGFβ antibody-D10 construct. Examples of contemplated recombinant α-TGFβ antibody-D10 fusion variants are illustrated in
While a poly-D peptide is discussed herein, other similar peptides may also be used to enable targeting of an antibody, another protein, or a peptide to bone. For example, aspartic acid repeat sequences may have more or fewer residues than a D10 sequence, such as about 2, or about 4, or about 6, or about 8, or about 12, or about 14, or about 16, or, about 18, or about 20, or about 30, or 6, 7, 8, 9, 10 or 11 residues, and the like. Further, other natural amino acids with similar chemical properties, such as glutamate, or non-natural amino acids and/or other chemically equivalent compounds may be substituted for or used in combination with aspartic acid, as well.
In one embodiment, it is contemplated that an antibody with one or more poly-D peptides attached thereto will exhibit at least about a 2-fold, or about a 3-fold, or about at 5-fold, or about a 10-fold, or about a 20-fold increase in localization to bone compared to the same antibody without the one or more poly-D peptides.
Moreover, while an α-TGFβ antibody is described herein, any antibody that binds other proteins involved in bone formation or bone maintenance may be similarly modified to target the antibody to bone, as desired. Antibodies or antigen-binding fragments thereof contemplated herein may be from any species or represent hybrid antibodies combining heavy chains and light chains from different species, and may be specific for any desired epitope. In addition, antibodies that may be used herein are not limited by isotype, and may be any of IgG1, IgG2, IgG3, IgG4, IgA1, IgA2, IgM, IgE, or IgD. Antibody fragments may also be used. For example, D10 sequences or other bone-targeting compounds may be attached to Fab and/or Fc fragments or any other antibody fragment to achieve a desired result as described herein. Further, D10 sequences can be attached to scFv fragments and other similar fusion proteins. In another embodiment, D10 sequences can be attached to antibodies having a S228P core-hinge mutation (numbered according to the EU numbering system; or alternatively S241P according to the Kabat system; see Kabat et al., Sequences of Proteins of Immunological Interest, 4th ed., United States Government Printing Office, 165-492 (1987); and Silva et al. Jour. Biol. Chem. 290:5462-5469 (2015)).
In a further embodiment, antibodies and/or other proteins contemplated herein may be conjugated with additional molecules. For example, antibodies or other proteins contemplated herein may be conjugated with chemical labels that allow tracking of the antibodies/proteins when injected or otherwise introduced into a subject. For example, radiolabels, fluorescent compounds, and the like may be attached to the antibodies/proteins to aid their tracking in vivo. Further, antibodies and/or other proteins contemplated herein may also be conjugated with additional compounds having a therapeutic effect, such as small molecules, pharmaceuticals, antineoplastic agents, growth hormones, vitamins, etc., such that the antibodies and/or other proteins may serve as a vehicle for one or more of such compounds.
In some embodiments, the bone-targeting anti-TGFβ antibody comprises a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 2, 3, 4, and 5, and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 6, 7, 8, 11, and 12, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 2 when the light chain amino acid sequence is SEQ ID NO: 6. Exemplary antibodies are mAb1 F3, mAb1 F4, mAb1 F5, mAb1 F6, mAb1 F8, mAb1 F9, mAb1 F10, mAb1 F11, mAb1 F13, mAb1 F14, mAb1 F15, mAb1 F16, mAb1 F18, mAb1 F19, and mAb1 F20 (Table 1).
In other embodiments, the bone-targeting anti-TGFβ antibody comprises a heavy chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 13, 14, 16, and 17, and a light chain comprising an amino acid sequence set forth in any of SEQ ID NOS: 15, 18, 19, 20, 21, and 22, with the proviso that the heavy chain amino acid sequence is not SEQ ID NO: 13 when the light chain amino acid sequence is SEQ ID NO: 15. Exemplary antibodies are mAb2 F3, mAb2 F4, mAb2 F5, mAb2 F6, mAb2 F8, mAb2 F9, mAb2 F10, mAb2 F11, mAb2 F13, mAb2 F14, mAb2 F15, mAb2 F16, mAb2 F18, mAb2 F19, and mAb2 F20 (Table 7).
In some embodiments, the antibodies of the present invention, such as the anti-TGFβ antibodies, do not have the C-terminal lysine in the heavy chain. The C-terminal lysine may be removed during manufacture or by recombinant technology (i.e., the coding sequence of the heavy chain does not include a codon for the C-terminal terminal lysine). Thus, contemplated within the invention also are antibodies comprising the heavy chain amino acid sequence of SEQ ID NO: 2 or 13 without the C-terminal lysine. A poly-D peptide may be attached to the C-terminus of a heavy chain with or without the C-terminal lysine.
Treatment Methods
In one particular embodiment, a method of treating an individual such as a human patient for bone loss associated with TGFβ includes administering an effective amount of an anti-TGFβ antibody targeted to bone to the individual. The method can further include a step of measuring or detecting a reduction in TGFβ levels or activity, a reduction in bone loss or the rate of bone loss, an increase in bone density, and/or an increase in bone strength.
An “effective amount,” as used herein, refers to an amount of a therapeutic agent, such as an α-TGFβ antibody or antibody fragment, that when administered to an individual in need thereof improves an individual's health, such as, for example, by reducing TGFβ levels or activity associated with bone, reducing bone loss or the rate of bone loss, increasing bone density, and/or increasing bone strength.
As used herein, the term “individual” refers to an animal. Examples of individuals include humans, domesticated animals, household pets, and other animals without limitation. Further examples of individuals include animals having a bone disease associated with TGFβ.
In another embodiment, pharmaceutical antibody formulations or compositions including aqueous liquid drug product formulations and lyophilized drug product formulations containing one or more bone-targeting anti-TGFβ antibodies such as chemical conjugates or recombinant fusion variants are contemplated. Pharmaceutical compositions including bone-targeting anti-TGFβ antibody and/or antibody fragments can be formulated as described in U.S. Patent Application Publication No. US 2014/0286933 A9, which is incorporated herein by reference, or otherwise as is known in the art.
In one particular embodiment, a method for treating bone disease includes administering an effective amount of an anti-TGFβ antibody targeted to bone to an individual with a bone disease, such as bone diseases associated with chronic kidney disease, cancer metastasis to bone, or abnormal metabolic conditions. In another particular embodiment, a method for treating osteogenesis imperfecta includes administering an effective amount of an anti-TGFβ antibody targeted to bone to an individual with osteogenesis imperfecta. In a further particular embodiment, a method for treating osteoporosis includes administering an effective amount of an anti-TGFβ antibody targeted to bone to an individual with osteoporosis.
In some embodiments, the patients are treated with a combination of a bone-targeting antibody or antibody fragment of the present invention and another therapeutic agent, such as a therapeutic agent for a bone loss condition (e.g., bisphosphonates). The antibody or antibody fragment and the other therapeutic agent can be administered to the patient simultaneously or sequentially.
Methods of Making Antibodies
The antibodies or fragments of the present invention can be made by methods well established in the art. DNA sequences encoding the heavy and light chains of the antibodies can be inserted into expression vectors such that the genes are operatively linked to necessary expression control sequences such as transcriptional and translational control sequences. Expression vectors include plasmids, retroviruses, adenoviruses, adeno-associated viruses (AAV), plant viruses such as cauliflower mosaic virus, tobacco mosaic virus, cosmids, YACs, EBV derived episomes, and the like. The antibody light chain coding sequence and the antibody heavy chain coding sequence can be inserted into separate vectors, and may be operatively linked to the same or different expression control sequences (e.g., promoters). In one embodiment, both coding sequences are inserted into the same expression vector and may be operatively linked to the same expression control sequences (e.g., a common promoter), to separate identical expression control sequences (e.g., promoters), or to different expression control sequences (e.g., promoters). The antibody coding sequences may be inserted into the expression vector by standard methods (e.g., ligation of complementary restriction sites on the antibody gene fragment and vector, or blunt end ligation if no restriction sites are present).
In addition to the antibody chain genes, the recombinant expression vectors may carry regulatory sequences that control the expression of the antibody chain genes in a host cell. Examples of regulatory sequences for mammalian host cell expression include viral elements that direct high levels of protein expression in mammalian cells, such as promoters and/or enhancers derived from retroviral LTRs, cytomegalovirus (CMV) (such as the CMV promoter/enhancer), Simian Virus 40 (SV40) (such as the SV40 promoter/enhancer), adenovirus, (e.g., the adenovirus major late promoter (AdMLP)), polyoma and strong mammalian promoters such as native immunoglobulin and actin promoters.
In addition to the antibody chain genes and regulatory sequences, the recombinant expression vectors of the invention may carry additional sequences, such as sequences that regulate replication of the vector in host cells (e.g., origins of replication) and selectable marker genes. For example, the selectable marker gene confers resistance to drugs, such as G418, hygromycin or methotrexate, on a host cell into which the vector has been introduced. Selectable marker genes may include the dihydrofolate reductase (DHFR) gene (for use in dhfr-host cells with methotrexate selection/amplification), the neo gene (for G418 selection), and the glutamate synthetase gene.
The expression vectors encoding the antibodies of the present invention are introduced to host cells for expression. The host cells are cultured under conditions suitable for expression of the antibody, which is then harvested and isolated. Host cells include mammalian, plant, bacterial or yeast host cell. Mammalian cell lines available as hosts for expression are well known in the art and include many immortalized cell lines available from the American Type Culture Collection (ATCC). These include, inter alia, Chinese hamster ovary (CHO) cells, NS0 cells, SP2 cells, HEK-293T cells, 293 Freestyle cells (Invitrogen), NIH-3T3 cells, HeLa cells, baby hamster kidney (BHK) cells, African green monkey kidney cells (COS), human hepatocellular carcinoma cells (e.g., Hep G2), A549 cells, and a number of other cell lines. Cell lines may be selected based on their expression levels. Other cell lines that may be used are insect cell lines, such as Sf9 or Sf21 cells.
Further, expression of antibodies can be enhanced using a number of known techniques. For example, the glutamine synthetase gene expression system (the GS system) is a common approach for enhancing expression under certain conditions.
Tissue culture media for the host cells may include, or be free of, animal-derived components (ADC), such as bovine serum albumin. In some embodiments, ADC-free culture media is preferred for human safety. Tissue culture can be performed using the fed-batch method, a continuous perfusion method, or any other method appropriate for the host cells and the desired yield.
Pharmaceutical Compositions
The antibody of the invention can be formulated for suitable storage stability. For example, the antibody can be lyophilized or stored or reconstituted for use using pharmaceutically acceptable excipients. For a combination therapy, the two or more therapeutic agents such as antibodies can be co-formulated, e.g., mixed and provided in a single composition.
The term “excipient” or “carrier” is used herein to describe any ingredient other than the compound(s) of the invention. The choice of excipient(s) will to a large extent depend on factors such as the particular mode of administration, the effect of the excipient on solubility and stability, and the nature of the dosage form. “Pharmaceutically acceptable excipient” includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like that are physiologically compatible. Some examples of pharmaceutically acceptable excipients are water, saline, phosphate buffered saline, dextrose, glycerol, ethanol and the like, as well as combinations thereof. In some cases, isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, or sodium chloride will be included in the composition. Additional examples of pharmaceutically acceptable substances are wetting agents or minor amounts of auxiliary substances such as wetting or emulsifying agents, preservatives or buffers, which enhance the shelf life or effectiveness of the antibody.
A pharmaceutical composition of the invention may be prepared, packaged, or sold in bulk, as a single unit dose, or as a plurality of single unit doses. As used herein, a “unit dose” is a discrete amount of the pharmaceutical composition comprising a predetermined amount of the active ingredient. The amount of the active ingredient is generally equal to the dosage of the active ingredient which would be administered to a subject or a convenient fraction of such a dosage such as, for example, one-half or one-third of such a dosage.
The pharmaceutical compositions of the invention are typically suitable for parenteral administration. As used herein, “parenteral administration” of a pharmaceutical composition includes any route of administration characterized by physical breaching of a tissue of a subject and administration of the pharmaceutical composition through the breach in the tissue, thus generally resulting in the direct administration into the blood stream, into muscle, or into an internal organ. Parenteral administration thus includes, but is not limited to, administration of a pharmaceutical composition by injection of the composition, by application of the composition through a surgical incision, by application of the composition through a tissue-penetrating non-surgical wound, and the like. In particular, parenteral administration is contemplated to include, but is not limited to, subcutaneous, intraperitoneal, intramuscular, intrasternal, intravenous, intraarterial, intrathecal, intraventricular, intraurethral, intracranial, intratumoral, and intrasynovial injection or infusions; and kidney dialytic infusion techniques. Regional perfusion is also contemplated. Preferred embodiments may include the intravenous and subcutaneous routes.
Formulations of a pharmaceutical composition suitable for parenteral administration typically comprise the active ingredient combined with a pharmaceutically acceptable carrier, such as sterile water or sterile isotonic saline. Such formulations may be prepared, packaged, or sold in a form suitable for bolus administration or for continuous administration. Injectable formulations may be prepared, packaged, or sold in unit dosage form, such as in ampoules or in multi-dose containers containing a preservative. Formulations for parenteral administration include, but are not limited to, suspensions, solutions, emulsions in oily or aqueous vehicles, pastes, and the like. Such formulations may further comprise one or more additional ingredients including, but not limited to, suspending, stabilizing, or dispersing agents. In one embodiment of a formulation for parenteral administration, the active ingredient is provided in dry (i.e., powder or granular) form for reconstitution with a suitable vehicle (e.g., sterile pyrogen free water) prior to parenteral administration of the reconstituted composition. Parenteral formulations also include aqueous solutions which may contain excipients such as salts, carbohydrates and buffering agents (e.g., a pH of from 3 to 9), but, for some applications, they may be more suitably formulated as a sterile non-aqueous solution or as a dried form to be used in conjunction with a suitable vehicle such as sterile, pyrogen-free water. Exemplary parenteral administration forms include solutions or suspensions in sterile aqueous solutions, for example, aqueous propylene glycol or dextrose solutions. Such dosage forms can be suitably buffered, if desired. Other parentally-administrable formulations which are useful include those which comprise the active ingredient in microcrystalline form, or in a liposomal preparation. Formulations for parenteral administration may be formulated to be immediate and/or modified release. Modified release formulations include delayed-, sustained-, pulsed-, controlled-, targeted and programmed release.
In some embodiments, the antibody or antigen-binding fragment of the present invention may be administered at 40, 20, or 15 mg/kg or less (such as 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2, or 1 mg/kg). In some further embodiments, the doses may be 0.01, 0.02, 0.03, 0.04, 0.05, 0.1, 0.2, 0.3, 0.4, or 0.5 mg/kg. The dosing frequency may be, for example, daily, every two, three, four, or five days, weekly, biweekly, or triweekly, monthly, bimonthly, every three months, every six months, or every twelve months, or as needed. The antibody may be administered by intravenous (e.g., intravenous infusion over 0.5-8 hours), subcutaneously, intramuscularly, or any other route of administration that is appropriate for the condition and the drug formulation.
Further particular embodiments of the present invention are described as follows.
1. An antibody, or an antigen-binding fragment thereof, comprising a heavy chain, a light chain, and one or more poly-aspartate (poly-D) peptides connected to (i) the heavy chain, (ii) the C-terminus of the light chain, or (iii) both (i) and (ii).
2. The antibody or antigen-binding fragment of embodiment 1, wherein the one or more poly-D peptides are connected to the antibody or antigen-binding fragment by chemical conjugation.
3. The antibody or antigen-binding fragment of embodiment 2, wherein the one or more poly-D peptides are conjugated to the heavy chain at the hinge region.
4. The antibody or antigen-binding fragment of embodiment 2 or 3, wherein the one or more poly-D peptides are conjugated to the antibody or antigen-binding fragment by a polyethylene glycol (PEG) spacer.
5. The antibody or antigen-binding fragment of embodiment 1, comprising a poly-D peptide integral with an amino acid sequence of the heavy chain or the light chain.
6. The antibody or antigen-binding fragment of embodiment 5, comprising a poly-D peptide integral with the N-terminus of the heavy chain.
7. The antibody or antigen-binding fragment of embodiment 5, comprising a poly-D peptide integral with the C-terminus of the heavy chain.
8. The antibody or antigen-binding fragment of embodiment 5, comprising a first poly-D peptide integral with the N-terminus of the heavy chain and a second poly-D peptide integral with the C-terminus of the heavy chain.
9. The antibody or antigen-binding fragment of any one of embodiments 5-8, comprising a poly-D peptide integral with the C-terminus of the light chain.
10. The antibody or antigen-binding fragment of any one of embodiments 5-9, wherein the poly-D peptide(s) are fused to the heavy or light chain via a peptide linker.
11. The antibody or antigen-binding fragment of embodiment 10, wherein the peptide linker comprises 1-3 repeats of the amino acid sequence GGGGS (SEQ ID NO: 9).
12. The antibody or antigen-binding fragment of any one of the preceding embodiments, wherein the one or more poly-D peptides each independently comprise 2-30 aspartic acid residues.
13. The antibody or antigen-binding fragment of embodiment 12, wherein the one or more poly-D peptides each comprise 10 aspartic acid residues (SEQ ID NO: 1).
14. The antibody or antigen-binding fragment of any one of the preceding embodiments, wherein the antibody is an IgG.
15. The antibody or antigen-binding fragment of embodiment 15, wherein the antibody is an IgG1 or IgG4.
16. The antibody or antigen-binding fragment of any one of the preceding embodiments, wherein the antibody or antigen-binding fragment specifically binds to one or more of TGFβ1, TGFβ2, and TGFβ3.
17. The antibody or antigen-binding fragment of embodiment 16, wherein the antibody comprises the heavy chain complementarity-determining regions (CDR) 1-3 in SEQ ID NO: 13 and the light chain CDR1-3 in SEQ ID NO: 15.
18. The antibody or antigen-binding fragment of embodiment 17, wherein the antibody comprises a heavy chain variable domain (VH) amino acid sequence corresponding to residues 1-120 of SED ID NO: 13 and a light chain variable domain (VL) amino acid sequence corresponding to residues 1-108 of SEQ ID NO:15.
19. The antibody or antigen-binding fragment of embodiment 17 or 18, wherein the antibody comprises a human IgG4 constant region having a proline at position 228 (EU numbering).
20. The antibody or antigen-binding fragment of embodiment 19, wherein the heavy chain of the antibody comprises the amino acid sequence of SEQ ID NO: 13 with or without the heavy chain C-terminal lysine, and the light chain of the antibody comprises the amino acid sequence of SEQ ID NO: 15.
21. The antibody of embodiment 17, wherein the heavy chain comprises the amino acid sequence of SEQ ID NO: 13 with or without the heavy chain C-terminal lysine, SEQ ID NO: 14 with or without the lysine immediately preceding the C-terminal D10 sequence, SEQ ID NO: 16 with or without the heavy chain C-terminal lysine, or SEQ ID NO: 17 with or without the lysine immediately preceding the C-terminal D10 sequence, and the light chain comprises the amino acid sequence of SEQ ID NO: 15, 19, 21, or 22.
22. The antibody or antigen-binding fragment of embodiment 16, wherein the antibody is mouse antibody 1D11 having the heavy and light chain amino acid sequences of SEQ ID NO: 2 with or without the C-terminal lysine and SEQ ID NO: 6, respectively.
23. An IgG4 antibody that binds human TGFβ1, TGFβ2, and TGFβ3, wherein the heavy chain of the antibody comprises the amino acid sequence of SEQ ID NO: 14 (with or without the lysine immediately preceding the C-terminal D10 sequence), and the light chain comprises the amino acid sequence of SEQ ID NO: 15.
24. An IgG4 antibody that binds human TGFβ1, TGFβ2, and TGFβ3, wherein the heavy chain of the antibody comprises the amino acid sequence of SEQ ID NO: 17 (with or without the lysine immediately preceding the C-terminal D10 sequence), and the light chain comprises the amino acid sequence of SEQ ID NO: 15.
25. The antibody or antigen-binding fragment of any one of the preceding embodiments, wherein the antibody or antigen-binding fragment exhibits at least a 2-fold increase in localization to bone compared to an antibody with the same heavy chain and light chain but lacking the poly-D peptide(s).
26. A pharmaceutical composition comprising an antibody or antigen-binding fragment of any one of the preceding embodiments and a pharmaceutically acceptable excipient.
27. A method for treating an individual with a bone condition that benefits from inhibition of TGFβ, comprising administering to the individual an effective amount of an anti-TGFβ antibody or antigen-binding fragment of any one of embodiments 16-25.
28. The method of embodiment 27, further comprising detecting at least one of (1) a reduction in TGFβ levels, (2) a reduction in TGFβ activity, (3) a reduction in bone loss, (4) a reduction in rate of bone loss, (5) an increase in bone density, (6) an increase in bone strength, and (7) a reduction in IL-11 levels.
29. An antibody or antigen-binding fragment of any one of embodiments 16-25 for use in treating an individual with a bone condition that benefits from inhibition of TGFβ.
30. Use of an antibody or antigen-binding fragment of any one of embodiment 16-25 for the manufacture of a medicament for treating an individual with a bone condition that benefits from inhibition of TGFβ.
31. The method of embodiment 27, the antibody or antigen-binding fragment for use of embodiment 29, or the use of embodiment 30, wherein the individual is a human.
32. The method, antibody or antigen-binding fragment for use, or use of embodiment 31, wherein the human has osteogenesis imperfecta.
33. The method, antibody or antigen-binding fragment for use, or use of embodiment 31, wherein the human has bone loss or osteoporosis.
34. The method, antibody or antigen-binding fragment for use, or use of embodiment 31, wherein the human has chronic kidney disease.
35. The method, antibody or antigen-binding fragment for use, or use of embodiment 31, wherein the human is a cancer patient with bone metastasis.
36. An isolated nucleic acid molecule, comprising a nucleotide sequence encoding the heavy chain, the light chain, or both, of the antibody or antigen-binding fragment of any one of embodiments 1-25.
37. An expression vector comprising the isolated nucleic acid molecule of embodiment 36.
38. A host cell comprising the expression vector of embodiment 37.
39. The host cell of embodiment 38, wherein the host cell is a mammalian cell.
40. A method of producing an antibody or antigen-binding fragment of any one of embodiments 1-25, the method comprising:
41. The method of embodiment 40, wherein the first nucleotide sequence comprises SEQ ID NO: 23, 24, 25, or 26 (with or without the codon for the heavy chain C-terminal lysine), and the second nucleotide sequence comprises SEQ ID NO: 27, 29, 31, or 32.
42. A method of producing a bone-targeting antibody or antigen-binding fragment, comprising:
43. The method of any one of embodiments 40-42, further comprising formulating the antibody or antigen-binding fragment as a pharmaceutical composition comprising a pharmaceutically acceptable carrier.
44. A method of producing a bone-targeting pharmaceutical composition, comprising:
The invention will be further described in the following examples, which do not limit the scope of the invention described in the claims.
The Examples that follow are illustrative of specific embodiments of the invention, and various uses thereof. They are set forth for explanatory purposes only and are not to be taken as limiting of the invention.
TGFβ Antibody
A first anti-TGFβ antibody, referred to herein as mAb1, is a mouse IgG1 monoclonal antibody specific for human TGF-β1, TGF-β2, and TGF-β3 (“pan-specific”) and is available from R&D Systems (Clone #1D11, Minneapolis, MN). The mAb1 antibody served as a template in the examples.
A second anti-TGFβ antibody, referred to herein as mAb2, used in the examples is a human anti-TGFβ IgG4 antibody with a hinge mutation S228P (EU numbering). The mAb2 antibody is similar to antibodies disclosed in U.S. Pat. No. 9,090,685, which is incorporated by reference. Antibody mAb2 has an estimated molecular weight of 144 KD when un-glycosylated. Its heavy and light chain amino acid sequences are SEQ ID NOS: 13 and 15, respectively. These two sequences are shown below. Variable domains are italicized, and are designated herein as heavy chain variable domain (HCVD, SEQ ID NO: 39) and light chain variable domain (LCVD, SEQ ID NO: 40). CDRs are shown in boxes and are designated heavy chain complementarity-determining region 1 (HCDR1, SEQ ID NO: 33); HCDR2 (SEQ ID NO: 34); and HCDR3 (SEQ ID NO: 35), and light chain complementarity-determining region 1 (LCDR1, SEQ ID NO: 36); LCDR2 (SEQ ID NO: 37); and LCDR3 (SEQ ID NO: 38). The glycosylation site in the constant domain of the heavy chain is in boldface (N297).
As described herein, other antibodies, antibody fragments, proteins, or peptides that bind proteins involved in bone formation or bone maintenance may be used.
D10 peptide chemical conjugates of the α-TGFβ antibody mAb1 were prepared in the manner depicted in
In this example, a set of chemical conjugates of varying PAR was prepared in the same fashion as described in Example 1 except that the ratio of DTT was varied from 8-10 mol:mol and the maleimide-peptide:mAb was either 3 or 15 mol:mol. As a control, a human IgG1 (Herceptin®) chemical conjugate was prepared by reduction of its hinge disulfides by 3 mol:mol tris(2-carboxyethylphosphine) (TCEP) for 2 hr 37° C. under argon followed by reaction with 15 mol:mol maleimide-peptide overnight at 25° C. and purified by desalting using ultrafiltration.
To assess their ability to bind TGF-β1, the chemical conjugates were mixed with TGF-β1 in a 1:1 molar ratio followed by size exclusion chromatography on Superdex 200 (G.E. Healthcare) in phosphate buffered saline (PBS) pH 7.2. The mAb1-D10 chemical conjugate alone yielded a somewhat heterogeneous peak eluting earlier than unmodified mAb1 as shown in
In this example, a chemical conjugate of D10 with mAb1, such as shown in
In this example, a series of D10 peptide chemical conjugates with varying numbers of peptides described in Example 1 was chromatographed on a CHT type II column as described in Example 3. The A280 profiles and a plot of the fraction of conjugate bound and the peak retention times are shown in
In this example, a set of three mAb1-D10 conjugates, such as shown in
A D10-mAb1 chemical conjugate was prepared in a similar fashion as described in Example 1, such as shown in
The conjugate and mAb1 antibody control were separately labeled with AlexaFluor®750 (Thermo Fisher) using conditions as described by the manufacturer. The fluorescent test articles were administered to SKH-1 hairless mice which were imaged with an IVIS instrument (Perkin Elmer) immediately following administration (0.3-1 hr), and after 4 hr, and 1, 2, 3, 4, 7, 8, and 9 days. The images of mice injected with 1 mg/kg labeled mAb1 and conjugate are depicted in
A set of recombinant anti-TGFβ-D10 peptide fusion variants as depicted in
Heavy and Light Chain Expression Vector Constructs
A panel of plasmids for expressing mAb1 heavy and light chains with D10 peptides at various positions was generated. In addition, two plasmids were also generated for wild type mAb1 heavy and light chain without D10 peptides. All codon-optimized sequences were generated synthetically (GeneArt), flanked with appropriate restriction enzyme sites designed in-frame for the cloning purpose. Three gene fragments, encoding mouse IgG1 constant regions with or without C-terminal D10 peptides and mAb1 wild type complete light chain, were cloned into an empty episomal mammalian expression vector pFF, an analog of the pTT vector described by Durocher et al., (2002, Nucl. Acids Res. 30(2): E9) to create “mIgG1_CH123_pFF”, “mIgG1_CH123D10_pFF,” and “mAb1_VLCL_pFF” using ApaL/HindIII restriction enzymes and subsequent ligation. Gene fragments encoding variable regions with or without N-terminal D10 peptide were cloned into the vectors using ApaLI/EagI for heavy chains and ApaLI/MfeI for the light chain. Gene fragments encoding the constant region of the mouse Ig kappa light chain with C-terminal D10 and different lengths of G4S (SEQ ID NO: 9) spacer were cloned into “mAb1_VLCL_pFF,” using MfeI/HindIII to replace the wild type constant region. Expected correct DNA sequence of each construct was confirmed by DNA sequencing (ACGT, Inc.).
Fusion Variant Assembly and Expression
The fusion variants were produced by selecting one of each of the heavy and light chain vectors for co-transfection in order to yield the fusion variants and a no-peptide control as described in Table 1. “PAR” (peptide-to-antibody ratio) reflects the total number of peptides expected to be appended to the final expressed antibody on both its heavy and light chains. Fusion variant ID “mAb1 F1” represents a “wildtype” (“wt”) construct that is substantially identical to the mAb sequence without modification. “HC” indicates the heavy chain of mAb1, “LC” indicates the light chain of mAb1, “D10” indicates the D10 peptide (SEQ ID NO: 1), and “G4S” indicates a spacer sequence consisting of gly-gly-gly-gly-ser (SEQ ID NO: 9) incorporated in some constructs.
To assess the ability of the desired recombinant fusion variants to be expressed, sixteen variants from Table 1 were evaluated by cotransfection into Expi293F™ cells (Life Technologies) using conditions as described by the manufacturer. After 4 days, expression was determined by SDS-PAGE of conditioned medium. All of the variants were expressed at levels estimated to be between 10-30 μg/mL. Slightly higher levels were observed after 5 and 7 days but expression levels were dependent on the variant. WT (mAb1 F1), HC-D10:LC-D10 (mAb1 F8), and HC-D10: LC-G4S-D10 (mAb1 F9) showed particularly high expression, while D10-HC:D10-LC (mAb1 F12) expressed poorly.
Larger-Scale Expression
All twenty recombinant mAb1-D10 fusion variants were expressed in Expi293-F cells at 30 mL scale. Conditioned media (CM) were harvested on day 6 and expression levels assessed by non-reducing SDS-PAGE. Somewhat higher levels of expression (30-150 μg/ml) were observed compared to the initial assessment, but the relative expression levels were consistent with the smaller scale transfections.
Expression Level and TGF-β1 Binding
Quantitation of the expression level and the capability of recombinant mAb1-D10 fusion variants to bind TGF-β1 were assessed using an Octet® QK384. Octet® biosensors for murine IgG were dipped into conditioned medium diluted 1:10 in sample diluent (PBS, pH 7.4 containing 0.01% BSA and 0.02% Tween 20) or 2-fold serial dilutions of a purified mAb1 standard over the range of 1.25 to 100 μg/mL. Binding data were collected for 2 min while shaking the samples at 500 rpm. Titers were calculated using a 4-parameter fit of the initial binding rates and comparison to those obtained from the standards. The biosensors were then washed with diluent for 1 min to remove any medium and reestablish a baseline and then dipped into wells containing 40 nM TGF-β1 for 3 min at 1000 rpm to follow binding. This was followed by a dissociation step by transfer of the sensors to diluent for 3 min at 1000 rpm. As seen in Table 2, the concentrations for the fusion variants in the media ranged from 11 to 178 μg/mL (“Octet Conc.”) and generally matched trends observed by SDS-PAGE (“Expression Level”). In addition, all of the fusion variants were capable of binding TGF-β1, suggesting the presence of D10 peptide at any of the positions indicated did not seriously affect antigen binding.
Mouse FcRn Binding
Mouse FcRn binding by the recombinant mAb1-D10 fusion variants was assessed using an Octet QK384. All steps were performed at 1000 rpm. Conditioned medium diluted to achieve an antibody concentration of 10 μg/mL was contacted by anti-murine IgG Fv biosensors for 5 minutes. The biosensors were then dipped into PBSP pH 6.0 (50 mM sodium phosphate pH 6.0, 150 mM sodium chloride, 0.005% surfactant P20) to establish a baseline. The sensors were then transferred to wells containing soluble mouse FcRn diluted to 1 μM in PBSP pH 6.0 for 3 min followed by 3 min dissociation in wells containing PBSP pH 6.0. As indicated in Table 2, all variants bound mouse FcRn.
Protein G Binding
Binding by the recombinant mAb1-D10 fusion variants to protein G was assessed using an Octet QK384. Protein G biosensors were dipped into wells containing conditioned medium diluted to 10 μg/mL antibody in sample diluent and signal followed for 3 min at 1000 rpm. As indicated in Table 2, all of the variants bound protein G.
SDS-Page
Purified WT construct and recombinant fusion variants mAb1 F2, mAb1 F6, mAb1 F7, mAb1 F11, mAb1 F12, mAb1 F16, and mAb1 F17 were analyzed on 4-20% Tris-Glycine SDS-PAGE gels (Novex, Life Sciences) under reducing and non-reducing conditions and stained with Coomassie Blue. A visible light image collected by a ProteinSimple® imager is depicted in
Thermal Stability by Differential Scanning Fluorimetry (DSF)
Thermal stabilities of several recombinant mAb1-D10 fusion variants representing all possible combinations of D10 peptides at the termini on the heavy and light chains were determined by differential scanning fluorimetry using SYPRO® Orange (Thermo Scientific) as a reporter dye. It is generally accepted that the stability of proteins at higher temperature is predictive of their stability under typical storage conditions and thus can be used to assess their suitability for manufacture and use as therapeutics. Thermal stability can be assessed with dyes which exhibit an increase in fluorescence upon binding hydrophobic regions exposed by unfolding of protein structure on real-time PCR instruments (Lo et al., 2004, Anal. Biochem. 332(1): 153-9). The fluorescence of samples (10 μL at 0.5 mg/ml protein) containing a 1:1000 dilution of SYPRO® Orange was followed while raising the temperature on a CFX96 Real-time PCR Detection System. Data were analyzed using CFX Manager 3.0 (Bio-Rad Laboratories).
Asee Table 2; BmAb1 F1 is a recombinant version of mAb1.
The potency of recombinant mAb1-D10 fusion variants in neutralizing TGF-β1 activity was determined by inhibition of the secretion of IL-11 by A549 tumor cells in vitro in response to TGF-β1 added to the medium. The procedure was performed as described in Example 3. Several representative fusion variants from Example 7 were selected on the basis of their affinity for protein G (as an indicator of their ease of purification). The TGF-β1 inhibition profiles for eight variants (mAb1 F1, mAb1 F2, mAb1 F6, mAb1 F7, mAb1 F11, mAb1 F12, mAb1 F16, and mAb1 F17) are depicted in
Recombinant mAb1-D10 fusion variants of Example 7 were also quantitatively assessed for TGF-β1 binding using surface plasmon resonance (SPR) as detected by Biacore. Samples containing purified variants were passed over a sensor chip with amine-coupled TGF-β1 to determine the equilibrium constant, KD. A target immobilization level of less than 100 response units (RU) of TGF-β1 was chosen to minimize the potential for avidity effects arising from binding adjacent TGF-β1 molecules on the chip. The level of immobilization was determined by the change in response units after NHS/EDC activation of the chip surface, but before quenching with ethanolamine. The fusion variants, WT fusion variant F1, and mAb1 control were diluted to 30, 10, 3, 1 and 0.37 nM in HBS-EP buffer and passed over the TGF-β1 chip at 30 μL/min for 3 min, followed by 5 min dissociation in the same buffer. Between runs, the chip surface was regenerated to remove any bound antibody by passing two 30 sec injections of 40 mM HCl over the chip at a flow rate of 75 μL/min. As shown in Table 4, the equilibrium constants (KD) for all of the fusion variants and the WT construct (F1) were within 2.4-fold of the mAb1 control. Unexpectedly, the maximum signal (RU) elicited by the fusion variants decreased with increasing number of peptides, with variant F17 (D10-HC-D10/D10-LC, PAR=6) showing the lowest signal. This is in contrast to the A549 cell potency assay as described in Example 9 which showed all the tested fusion variants to be comparable to or more potent than either mAb1 or the WT construct in neutralizing TGF-β1. A possible explanation of this decline may reflect electrostatic repulsion between the chip matrix (carboxymethyl dextran) and the negatively charged D10 peptides.
Asee Table 2
Recombinant mAb1-D10 fusion variants from Example 7 were also tested for binding ceramic hydroxyapatite (CHT) columns as described in Example 3 to assess their potential for binding to the mineral structure of bone. Recombinant mAb1-D10 fusion variants (25 μg each in 5 mM Na phosphate pH 7.4) were applied to a 100 μL column of hydroxyapatite (CHT type II, BioRad) and eluted using a gradient from 0.005 to 0.5 M Na+ phosphate pH 7.4. Protein in the mobile phase eluting from the column was followed by A280. A standard (usually a mAb1-D10 chemical conjugate) was run at the beginning and end of each set of runs to insure consistency in column performance.
The biodistributions of a selected subset of the recombinant mAb1-D10 fusion variants (F6, F16, and F17) and the mAb1-D10 chemical conjugate produced as described in Example 6 were determined following tail vein injection into CD-1 mice. The recombinant variants were selected on the basis of several factors including expression and purification yield, TGF-β1 binding affinity, cell-based potency, and binding to hydroxyapatite. These variants included examples containing two, four, or six D10 peptides to assess whether targeting recapitulates binding to hydroxyapatite or if it is a function of peptide number. The proteins were expressed in HEK293 cells and purified over protein A. Three recombinant mAb1 fusion variants were characterized in detail in vitro and in vivo. In these, D10 peptides were recombinantly added either solely to the C-terminus of the heavy chain (mAb1 F6), both the N- and C-termini of the heavy chain (mAb1 F16), or to the N- and C-termini of the heavy chain and C-terminus of the light chains (mAb1 F17). The mAb1 F6, F16 and F17 recombinant variants have peptide to antibody ratios (PAR) of 2, 4, and 6, respectively. The mAb1-D10 peptide chemical conjugate (˜4.8 PAR), which showed targeting to bone in the study in Example 6, was chosen as a positive control.
The recombinant fusion variants and chemical conjugate were labeled by reaction with Dylight® 800-4×PEG NHS ester (Thermo Scientific) in 50 mM sodium borate pH 8.65 and a dye:protein molar ratio of approximately 5:1. The degree of labeling (DOL) was maintained within 20% (˜1.2 mol:mol) by adjustment of the dye:protein ratio. The labelled proteins were then administered at 1 mg/kg to CD-1 mice by tail vein injection. Anesthetized animals were subsequently imaged on an IVIS small animal near-infrared imager (Perkin Elmer) at 24, 48, 168, and 504 hours (3 weeks) following administration. Femurs and spine were recovered from an animal from each group at 240 and 504 hr to verify delivery to bone.
As shown in the dorsal view images in
Spines and femurs from representative animals in each cohort were isolated after 240 and 504 hr, separated from surrounding tissue and imaged (
AMean ± SEM, adjusted for DOL and normalized to mAb1;
BmAb1-D10 chemical conjugate
An expression vector for preparing mAb2 (a human anti-TGFβ IgG4 antibody with a hinge mutation S228P) bearing a C-terminal D10 sequence on the heavy chain (i.e., mAb2 HC-D10/mAb2 wt LC (SEQ ID NO: 14/SEQ ID NO: 15), which has corresponding configuration as in variant F6 (see
The recombinant mAb2 variant F6 (mAb2 F6) and mAb2 control antibodies were labeled with AlexaFluor® 647 (Thermo Scientific) and administered intraperitoneally to C57BL/6 mice at a dose of 1 mg/kg. After 24 and 96 hours, some mice were sacrificed and spines and femurs resected and imaged on an IVIS instrument. A sample of serum (10 μL) obtained at sacrifice was imaged in parallel. The average total radiant efficiency for the distal femur (trabecular) ROI and lumbar spine is shown in
In this example, the pharmacokinetics of murine anti-TGFβ-D10 antibody fusion proteins was measured in mice.
A single dose of mAb1 or recombinant mAb1 F6 (see Table 2) was administered intraperitoneally to G610C mice (an osteogenesis imperfecta animal model; n=12 per time point) and blood samples were collected at 4 hr or 2, 7, 15, 22, and 43 days post-dose. An ELISA optimized for detecting and quantifying serum concentrations of relevant antibodies was utilized.
For bone imaging, a single dose of fluorophore-labeled mAb1, recombinant mAb1 F6 or various other D10 alternatives was administered intravenously to nude CD-1 mice (n=3 per time point) and in vivo optical imaging performed at 4 hr or 1, 2, 4, 7, 10, and 21 days post-dose. Fluorescent images of mouse spinal column were generated which allowed for relative test article comparisons between mAb1 and mAb1 F6 in the bone (not shown).
Pharmacokinetic profiles in the serum and bone, respectively, can be seen in
The results demonstrated fundamental contrasts in pharmacokinetics between mAb1 and mAb1 F6 in the serum and bone following a single dose. mAb1 F6 exhibited 13-fold less AUC (exposure) in the serum and 22-fold higher exposure in the bone compared to mAb1. Additionally, mAb1 F6 exhibited a 14-fold shorter t1/2 in serum than mAb1 and commensurately 13-fold faster clearance. And lastly for bone, mAb1 F6 exhibited an 11-fold longer t1/2 than mAb1 and commensurately 17-fold slower clearance. These attributes may be advantageous for a human form of mAb1-D10 in the clinical realm where peripheral (serum) inhibition of TGFβ may not be desired from a safety standpoint, while higher exposure in the bone may enhance efficacy.
In this example, a multiple dose peak-trough pharmacokinetic study was performed in an animal model of osteogenesis imperfecta.
mAb1 and mAb1 F6 (see Table 2) were dosed intraperitoneally at a concentration of 0.3 mg/kg and 1 mg/kg, 3× weekly for 8 weeks (24 total doses) to G610C mice (n=10) and blood samples were collected at 24 and 48 hr post dose following dose 1 and 23 (beginning and end of study). Results are shown only for the 1 mg/kg dose (see
Results are quantified in Table 10 below. The results demonstrated fundamental contrasts in pharmacokinetics between mAb1 and mAb1 F6 in the serum following both dose 1 and 23. Significantly lower serum concentrations were observed for mAb1 F6 compared to mAb1 at both 24 and 48 hr post dose on both dose 1 and 23. Additionally, the slope between 24 and 48 hr post dose for mAb1 F6 was steeper compared to mAb1 at both dose 1 and 23, suggesting that mAb1 F6 is leaving the serum (systemic circulation) at a faster rate than mAb1, likely due to its high affinity for bone (hydroxyapatite). Lastly, both mAb1 F6 and mAb1 appear to be accumulating in the serum from dose 1 to 23, but mAb1 F6 appears to accumulate at a decreased concentration compared to mAb1 (mAb1 F6: 2.5- to 3.5-fold accumulation and mAb1: 4 to 5.5 fold accumulation from dose 1 to 23). These attributes may be advantageous for a human form of mAb1 F6 in the clinical realm where peripheral (serum) inhibition of TGFβ may not be desired from a safety standpoint.
In this example, a multiple dose efficacy study was performed in an animal model of osteogenesis imperfecta to determine effectiveness of bone targeted (mAb1 F6) versus untargeted mAb1 on bone density and strength.
mAb1 and mAb1 F6 were dosed intraperitoneally 3× weekly at 0.3, 1, and 5 mg/kg for 8 weeks to G610C mice. Following the final dose, mice were necropsied and the 6th lumbar bone was imaged via μCT to determine bone volume over total volume (BV/TV) and subjected to biomechanical testing to ascertain maximum force to failure (bone strength).
Results are shown in
In this example, a dosing frequency study was performed in an animal model of osteogenesis imperfecta to determine the appropriate frequency of dosing for mAb1 F6 to achieve its optimal effectiveness of bone targeted antibodies.
mAb1 and mAb1 F6 were dosed intraperitoneally at various frequencies (3× weekly, 1× weekly, 1× every 2 weeks, or 1× every 4 weeks) at 5 mg/kg for 12 weeks to G610C mice. Pharmacokinetic (PK) serum samples were taken at the beginning and end of study to ascertain Peak and Trough values for both mAb1 and mAb1 F6. Following the final dose, mice were necropsied and the 6th lumbar bone was imaged via μCT to determine bone volume over total volume (BV/TV) and subjected to biomechanical testing to ascertain maximum force to failure (bone strength).
Results are shown in
These results demonstrate that both mAb1 and mAb1 F6 can induce similar maximum effects in BV/TV and maximum force to failure in the G610C mice. mAb1 appears to have an advantage in durability of efficacy compared to mAb1 F6, maintaining significant efficacy when dosed once every 4 weeks for BV/TV and once every 2 weeks for maximum force to failure. However, PK serum sample averages at equivalently efficacious dosing regimens (mAb1, 1× every 2 weeks and mAb1 F6, 1× weekly) resulted in approximately 38 μg/mL and 8 μg/mL for mAb1 and mAb1 F6, respectively. This suggests that serum exposure may be less with mAb 1 F6, which may offer safety advantages to OI patients.
In this example, a dosing frequency study was performed in an animal model of osteogenesis imperfecta to determine the appropriate dosing frequency for mAb1 F16 to achieve its optimal impact on bone density.
mAb1 and mAb1 F16 were dosed intraperitoneally 3× weekly at 5 mg/kg for 8 weeks in G610C mice. Following the final dose, mice were necropsied and the 6th lumbar bone was imaged via μCT to determine bone volume over total volume (BV/TV).
Results are shown in
In this example, a dosing frequency study was performed in wild type mice to determine the appropriate frequency of dosing for mAb1 F11 to achieve its optimal impact on bone density.
mAb1 and mAb1 F11 were dosed intraperitoneally 3× weekly at 5 mg/kg for 11 weeks in wild type mice. Several in vivo μCT time points were taken during the in life portion of the study. Data is shown only at 9 weeks post dose for bone volume over total volume (BV/TV %).
Results are shown in
In this example, a study was conducted to compare the biodistribution of fluorescently labeled mAb1, mAb1 F6, mAb2, and mAb2 D10 (D10 conjugated to the heavy chain C-terminus of mAb2; mAb2 F6) in wild type mice. A single intraperitoneal dose of each test article and vehicle was administered to the mice, which were euthanized at various time points for tissue collection. Among other tissues harvested (data not shown), lumbar vertebrae, heart, liver, and intestines were collected at 1, 4, 10, 20, 43, and 98 days post dosing with mAb1 and mAb1 F6. Tissues were also sampled following dosing with mAb2 and mAb2 D10 at 24 and 96 hrs.
Results are shown in
These results demonstrate that mAb1 F6 is characterized by high bone affinity that conversely leads to lower exposure in other tissues (e.g., heart and liver) The results also indicate the safety advantage of targeting the site of TGF-β inhibition in the bone while limiting systemic TGF-β inhibition and reducing adverse side effects. The lack of any TRE relative to vehicle in the intestines demonstrates that the fluorophore maintained its labeling on the respective antibodies. Previous data have shown if the flourophore did not maintain its label on the antibodies, it would be detected in the intestines.
Having described the invention in detail and by reference to specific embodiments thereof, it will be apparent that modifications and variations are possible without departing from the scope of the invention defined in the appended claims. More specifically, although some aspects of the present invention are identified herein as particularly advantageous, it is contemplated that the present invention is not necessarily limited to these particular aspects of the invention. In some embodiments, values disclosed herein may alternatively vary in amount by ±10, 20, or 30% from values disclosed and remain within the scope of the contemplated invention.
Unless otherwise defined herein, scientific and technical terms used in connection with the present invention shall have the meanings that are commonly understood by those of ordinary skill in the art. Exemplary methods and materials are described below, although methods and materials similar or equivalent to those described herein can also be used in the practice or testing of the present invention. All publications and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control. Although a number of documents are cited herein, this citation does not constitute an admission that any of these documents forms part of the common general knowledge in the art. Further, unless otherwise required by context, singular terms shall include pluralities and plural terms shall include the singular. Generally, nomenclature used in connection with, and techniques of, cell and tissue culture, molecular biology, immunology, microbiology, genetics, analytical chemistry, synthetic organic chemistry, medicinal and pharmaceutical chemistry, and protein and nucleic acid chemistry and hybridization described herein are those well-known and commonly used in the art. Enzymatic reactions and purification techniques are performed according to manufacturer's specifications, as commonly accomplished in the art or as described herein. Throughout this specification and embodiments, the words “have” and “comprise,” or variations such as “has,” “having,” “comprises,” or “comprising,” will be understood to imply the inclusion of a stated integer or group of integers but not the exclusion of any other integer or group of integers. Further, the singular forms “a,” “an,” and “the” include plural referents unless the context clearly dictates otherwise. For example, reference to “an antibody” means one or more antibodies.
For the purposes of describing and defining the present invention it is noted that the term “substantially” is utilized herein to represent the inherent degree of uncertainty that can be attributed to any quantitative comparison, value, measurement, or other representation. The term “substantially” is also utilized herein to represent the degree by which a quantitative representation can vary from a stated reference without resulting in a change in the basic function of the subject matter at issue.
As used herein, the term “about” refers to ±10% of a given quantity, however whenever the quantity in question refers to an indivisible object, such as an amino acid or other object that would lose its identity is subdivided, then “about” refers to ±1 of the indivisible object. For example, about 2% water refers to 1.8% to 2.2% water, whereas about 6 amino acid residues refers to 5-7 amino acid residues.
As used herein, the terms “or” and “and/or” are utilized to describe multiple components in combination or exclusive of one another. For example, “x, y, and/or z” can refer to ‘Y’alone, “y” alone, “z” alone, “x, y, and z,” “(x and y) or z,” “x or (y and z),” or “x or y or z.”
Sequences referred to in the specification are provided in Table 11 below as well as in the Sequence Listing.
This application is a division of U.S. application Ser. No. 15/875,125, filed on Jan. 19, 2018, now U.S. Pat. No. 10,844,115, which claims priority from U.S. Provisional Application No. 62/448,763, filed on Jan. 20, 2017. The contents of the aforementioned priority applications are incorporated by reference herein in their entirety.
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Number | Date | Country | |
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20210163584 A1 | Jun 2021 | US |
Number | Date | Country | |
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62448763 | Jan 2017 | US |
Number | Date | Country | |
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Parent | 15875125 | Jan 2018 | US |
Child | 17079285 | US |