Claims
- 1. A method of selectively inducing apoptosis in target cells expressing DR5, comprising the steps of (a) contacting the target cells with a therapeutic quantity of an antibody that specifically binds a TRAIL receptor DR5, wherein said antibody, in its soluble form, has in vivo and in vitro apoptosis-inducing activity in target cells expressing DR5 and (b) contacting the target cells with a therapeutic quantity of one or more therapeutic agents.
- 2. The method of claim 1, wherein at least one contacting step is performed in vivo.
- 3. The method of claim 1, wherein a least one contacting step is performed in vitro.
- 4. The method of claim 1, wherein the therapeutic agent or agents are chemotherapeutic agents.
- 5. The method of claim 4, wherein the chemotherapeutic agent or agents are selected from the group consisting of bleomycin, carboplatin, chlorambucil, cisplatin, colchicine, cyclophosphamide, daunorubicin, actinomycin, diethylstilbestrol, doxorubicin, etoposide, 5-fluorouracil, floxuridine, melphalan, methotrexate, mitomycin, 6-mercaptopurine, teniposide, 6-thioguanine, vincristine and vinblastine.
- 6. The method of claim 4, wherein the chemotherapeutic agent or agents are selected from the group consisting of leflunomide, dactinomycin, tamoxifen, interferon α-2b, glutamic acid, plicamycin, mercaptopurine, 6-thioguaninine, carmustine, BCNU, lomustine, CCNU, cytosine araboside, estramustine, hydroxyurea, procarbazine, busulfan, medroxyprogesterone, estramustine phosphate sodium, ethinyl estradiol, estradiol, megestrol acetate, methyltestosterone, diethylstilbestrol diphosphate, chlorotrianisene, testolactone, mephalen, chorambucil, mechlorethamine, thiotepa, bethamethasone sodium phosphate, dicarbazine, asparaginase, mitotane, vincristine sulfate, and vinblastine sulfate.
- 7. The method of claim 4, wherein the chemotherapeutic agents are cyclophosphamide, doxorubicin, vincristine, and predisone or a subset thereof.
- 8. The method of claim 7, further comprising administering rituximab.
- 9. The method of claim 1 wherein the therapeutic agent or agents are members of the TNF family.
- 10. The method of claim 9, wherein the member or members of the TNF family are CD40 ligands, or fragments or derivatives thereof.
- 11. The method of claim 9, wherein the member or members of the TNF family are Fas ligands, or a fragments or derivatives thereof.
- 12. The method of claim 1, wherein the therapeutic agent or agents are anti-inflammatory agents.
- 13. The method of claim 12, wherein the anti-inflammatory agent or agents are non-steroidal anti-inflammatory agents.
- 14. The method of claim 13, wherein non-steroidal anti-inflammatory agents are COX-1 inhibitors or COX-2 inhibitors.
- 15. The method of claim 12, wherein the anti-inflammatory agent or agents are steroidal anti-inflammatory agents.
- 16. The method of claim 1, wherein the therapeutic agent or agents are antiviral agents.
- 17. The method of claim 1, wherein the therapeutic agent or agents are anti-retroviral agents.
- 18. The method of claim 1, wherein the therapeutic agent or agents are anti-opportunistic agents.
- 19. The method of claim 1, wherein the therapeutic agent or agents are antibiotics.
- 20. The method of claim 1, wherein the therapeutic agent or agents are immunosuppressive agents.
- 21. The method of claim 1, wherein the therapeutic agent or agents are immunoglobulin preparations.
- 22. The method of claim 1, wherein the therapeutic agent or agents are antimalarial agents.
- 23. The method of claim 1, wherein the therapeutic agent or agents are disease modifying anti-rheumatic drugs.
- 24. The method of claim 1, wherein the therapeutic agent or agents are cytokines.
- 25. The method of claim 1, wherein the therapeutic agent or agents are chemokines.
- 26. The method of claim 1, wherein the therapeutic agent or agents are growth factors.
- 27. The method of claim 1, wherein the therapeutic agent is an apoptosis-inducing compound.
- 28. The method of claim 27, wherein the apoptosis-inducing compound is, bisindolylmaleimide VIII (BisVIII), SN-50 or LY294002.
- 29. The method of claim 1, wherein the therapeutic agent is a second antibody that promotes apoptosis or blocks proliferation of the target cells.
- 30. The method of claim 29, wherein the second antibody is selected from the group consisting of a DR4 antibody, a TNF antibody, a B7 antibody, a CD40 ligand antibody, a CD40 antibody, a CD20 antibody, and a Fas antibody.
- 31. The method of claim 1, wherein the therapeutic agent or agents are selected from the group consisting of chemotherapeutic agents, members of the TNF family, anti-inflammatory agents, anti-viral, anti-retroviral, anti-opportunistic agents, antibiotics, immunosuppressive agents, immunoglobulins, antimalarial agents, anti-rheumatoid arthritis agents, cytokines, chemokines, growth factors, and second antibody that promotes apoptosis or blocks proliferation of the target cells.
- 32. The method of claim 1, wherein the target cell is an abnormally proliferating synovial cell.
- 33. The method of claim 32, wherein the synovial cell is a rheumatoid arthritis synovial cell.
- 34. The method of claim 1, wherein the target cell is an activated immune cell.
- 35. The method of claim 34, wherein the activated immune cell is an activated lymphocyte.
- 36. The method of claim 1, wherein the target cell is a neutrophil.
- 37. The method of claim 1, wherein the target cell is a virally infected cell.
- 38. The method of claim 1, further comprising irradiating the target cells.
- 39. A method of inhibiting proliferation of target cells expressing DR5, comprising the steps of (a) contacting the target cells with a therapeutic quantity of an antibody that specifically binds a TRAIL receptor DR5, wherein said antibody, in its soluble form, has in vivo and in vitro apoptosis-inducing activity in cells expressing DR5 and (b) contacting the target cells with a therapeutic quantity of one or more therapeutic agents.
- 40. The method of claim 39, wherein at least one contacting step is performed in vivo.
- 41. The method of claim 39, wherein a least one contacting step is performed in vitro.
- 42. The method of claim 39, wherein the therapeutic agent or agents are chemotherapeutic agents.
- 43. The method of claim 42, wherein the chemotherapeutic agent or agents are selected from the group consisting of bleomycin, carboplatin, chlorambucil, cisplatin, colchicine, cyclophosphamide, daunorubicin, actinomycin, diethylstilbestrol, doxorubicin, etoposide, 5-fluorouracil, floxuridine, melphalan, methotrexate, mitomycin, 6-mercaptopurine, teniposide, 6-thioguanine, vincristine and vinblastine.
- 44. The method of claim 42, wherein the chemotherapeutic agent or agents are selected from the group consisting of dactinomycin, tamoxifen, interferon α-2b, glutamic acid, plicamycin, mercaptopurine, 6-thioguaninine, carmustine, BCNU, lomustine, CCNU, cytosine araboside, estramustine, hydroxyurea, procarbazine, busulfan, medroxyprogesterone, estramustine phosphate sodium, ethinyl estradiol, estradiol, megestrol acetate, methyltestosterone, diethylstilbestrol diphosphate, chlorotrianisene, testolactone, mephalen, chorambucil, mechlorethamine, thiotepa, bethamethasone sodium phosphate, dicarbazine, asparaginase, mitotane, vincristine sulfate, and vinblastine sulfate.
- 45. The method of claim 42, wherein the chemotherapeutic agents are cyclophosphamide, doxorubicin, vincristine, and predisone or a subset thereof.
- 46. The method of claim 45, further comprising administering rituximab.
- 47. The method of claim 39, wherein the therapeutic agent or agents are members of the TNF family.
- 48. The method of claim 47, wherein the member or members of the TNF family are CD40 ligands, or fragments or derivatives thereof.
- 49. The method of claim 47, wherein the member or members of the TNF family are Fas ligands, or a fragments or derivatives thereof.
- 50. The method of claim 39, wherein the therapeutic agent or agents are anti-inflammatory agents.
- 51. The method of claim 50, wherein the anti-inflammatory agent or agents are non-steroidal anti-inflammatory agents.
- 52. The method of claim 51, wherein non-steroidal anti-inflammatory agents are COX-1 inhibitors or COX-2 inhibitors.
- 53. The method of claim 50, wherein the anti-inflammatory agent or agents are steroidal anti-inflammatory agents.
- 54. The method of claim 39, wherein the therapeutic agent or agents are antiviral agents.
- 55. The method of claim 39, wherein the therapeutic agent or agents are anti-retroviral agents.
- 56. The method of claim 39, wherein the therapeutic agent or agents are anti-opportunistic agents.
- 57. The method of claim 39, wherein the therapeutic agent or agents are antibiotics.
- 58. The method of claim 39, wherein the therapeutic agent or agents are immunosuppressive agents.
- 59. The method of claim 39, wherein the therapeutic agent or agents are immunoglobulin preparations.
- 60. The method of claim 39, wherein the therapeutic agent or agents are antimalarial agents.
- 61. The method of claim 39, wherein the therapeutic agent or agents are anti-rheumatoid arthritis agents.
- 62. The method of claim 39, wherein the therapeutic agent or agents are cytokines
- 63. The method of claim 39, wherein the therapeutic agent or agents are chemokines.
- 64. The method of claim 39, wherein the therapeutic agent or agents are growth factors.
- 65. The method of claim 39, wherein the therapeutic agent is a second antibody that promotes apoptosis or blocks proliferation of the target cells.
- 66. The method of claim 65, wherein the second antibody is selected from the group consisting of a DR4 antibody, a TNF antibody, a B7 antibody, a CD40 ligand antibody, a CD40 antibody, a CD20 antibody, and a Fas antibody.
- 67. The method of claim 1, wherein the therapeutic agent is an apoptosis-inducing compound.
- 68. The method of claim 67, wherein the apoptosis-inducing compound is, bisindolylmaleimide VIII (BisVIII), SN-50 or LY294002.
- 69. The method of claim 39, wherein the therapeutic agent or agents are selected from the group consisting of chemotherapeutic agents, members of the TNF family, anti-inflammatory agents, anti-viral, anti-retroviral, anti-opportunistic agents, antibiotics, immunosuppressive agents, immunoglobulins, antimalarial agents, anti-rheumatoid arthritis agents, cytokines, chemokines, growth factors, and second antibody that promotes apoptosis or blocks proliferation of the target cells.
- 70. The method of claim 39, wherein the target cell is an abnormally proliferating synovial cell.
- 71. The method of claim 70, wherein the synovial cell is a rheumatoid arthritis synovial cell.
- 72. The method of claim 39, wherein the target cell is an activated immune cell.
- 73. The method of claim 39, wherein the target cell is an activated lymphocyte.
- 74. The method of claim 39, wherein the target cell is a neutrophil.
- 75. The method of claim 39, wherein the target cell is a virally infected cell.
- 76. The method of claim 39, further comprising irradiating the target cells.
- 77. A method of treating a subject having an inflammatory or autoimmune disease, comprising (a) administering to the subject a therapeutic amount of an antibody that specifically binds a TRAIL receptor DR5, wherein said antibody, in its soluble form, has in vivo and in vitro apoptosis-inducing activity in target cells expressing DR5 and (b) administering to the subject a therapeutic quantity of a therapeutic agent.
- 78. The method of claim 77, wherein the therapeutic agent or agents are chemotherapeutic agents.
- 79. The method of claim 78, wherein the chemotherapeutic agent or agents are selected from the group consisting of bleomycin, carboplatin, chlorambucil, cisplatin, colchicine, cyclophosphamide, daunorubicin, actinomycin, diethylstilbestrol, doxorubicin, etoposide, 5-fluorouracil, floxuridine, melphalan, methotrexate, mitomycin, 6-mercaptopurine, teniposide, 6-thioguanine, vincristine and vinblastine.
- 80. The method of claim 78, wherein the chemotherapeutic agent or agents are selected from the group consisting of dactinomycin, tamoxifen, interferon α-2b, glutamic acid, plicamycin, mercaptopurine, 6-thioguaninine, carmustine, BCNU, lomustine, CCNU, cytosine araboside, estramustine, hydroxyurea, procarbazine, busulfan, medroxyprogesterone, estramustine phosphate sodium, ethinyl estradiol, estradiol, megestrol acetate, methyltestosterone, diethylstilbestrol diphosphate, chlorotrianisene, testolactone, mephalen, chorambucil, mechlorethamine, thiotepa, bethamethasone sodium phosphate, dicarbazine, asparaginase, mitotane, vincristine sulfate, and vinblastine sulfate.
- 81. The method of claim 78, wherein the chemotherapeutic agents are cyclophosphamide, doxorubicin, vincristine, and predisone or a subset thereof.
- 82. The method of claim 81, further comprising administering rituximab.
- 83. The method of claim 77, wherein the therapeutic agent or agents are members of the TNF family.
- 84. The method of claim 83, wherein the member or members of the TNF family are CD40 ligands, or fragments or derivatives thereof.
- 85. The method of claim 83, wherein the member or members of the TNF family are Fas ligands, or a fragments or derivatives thereof.
- 86. The method of claim 77, wherein the therapeutic agent or agents are anti-inflammatory agents.
- 87. The method of claim 86, wherein the anti-inflammatory agent or agents are non-steroidal anti-inflammatory agents.
- 88. The method of claim 87, wherein non-steroidal anti-inflammatory agents are COX-1 inhibitors or COX-2 inhibitors.
- 89. The method of claim 86, wherein the anti-inflammatory agent or agents are steroidal anti-inflammatory agents.
- 90. The method of claim 77, wherein the therapeutic agent or agents are antiviral agents.
- 91. The method of claim 77, wherein the therapeutic agent or agents are anti-retroviral agents.
- 92. The method of claim 77, wherein the therapeutic agent or agents are anti-opportunistic agents.
- 93. The method of claim 77, wherein the therapeutic agent or agents are antibiotics.
- 94. The method of claim 77, wherein the therapeutic agent or agents are immunosuppressive agents.
- 95. The method of claim 77, wherein the therapeutic agent or agents are immunoglobulin preparations.
- 96. The method of claim 77, wherein the therapeutic agent or agents are antimalarial agents.
- 97. The method of claim 77, wherein the therapeutic agent or agents are anti-rheumatoid arthritis agents.
- 98. The method of claim 77, wherein the therapeutic agent or agents are cytokines
- 99. The method of claim 77, wherein the therapeutic agent or agents are chemokines.
- 100. The method of claim 77, wherein the therapeutic agent or agents are growth factors.
- 101. The method of claim 77, wherein the therapeutic agent is a second antibody that promotes apoptosis or blocks proliferation of the target cells.
- 102. The method of claim 101, wherein the second antibody is selected from the group consisting of a DR4 antibody, a TNF antibody, a B7 antibody, a CD40 ligand antibody, a CD40 antibody, a CD20 antibody, and a Fas antibody.
- 103. The method of claim 1, wherein the therapeutic agent is an apoptosis-inducing compound.
- 104. The method of claim 103, wherein the apoptosis-inducing compound is, bisindolylmaleimide VIII (BisVIII), SN-50 or LY294002.
- 105. The method of claim 77, wherein the therapeutic agent or agents are selected from the group consisting of chemotherapeutic agents, members of the TNF family, anti-inflammatory agents, anti-viral, anti-retroviral, anti-opportunistic agents, antibiotics, immunosuppressive agents, immunoglobulins, antimalarial agents, anti-rheumatoid arthritis agents, cytokines, chemokines, growth factors, and second antibody that promotes apoptosis or blocks proliferation of the target cells.
- 106. The method of claim 77, wherein the inflammatory or autoimmune disease is selected from the group consisting of systemic lupus erythematosus, Hashimoto's disease, rheumatoid arthritis, graft-versus-host disease, Sjögren's syndrome, pernicious anemia, Addison disease, scleroderma, Goodpasture's syndrome, Crohn's disease, autoimmune hemolytic anemia, sterility, myasthenia gravis, multiple sclerosis, Basedow's disease, thrombotic throbocytopenia, thrombopenia purpura, insulin-dependent diabetes mellitus, allergy; asthma, atopic disease; arteriosclerosis; myocarditis; cardiomyopathy; glomerular nephritis; hypoplastic anemia.
- 107. The method of claim 77, further comprising administering to the subject radiation therapy.
- 108. A composition comprising (a) an antibody that specifically binds a TRAIL receptor DR5, wherein said antibody, in its soluble form, has in vivo and in vitro apoptosis-inducing activity in target cells expressing DR5 and (b) one or more therapeutic agents.
- 109. The composition of claim 108, wherein the therapeutic agent or agents are selected from the group consisting of chemotherapeutic agents, members of the TNF family, anti-inflammatory agents, anti-viral, anti-retroviral, anti-opportunistic agents, antibiotics, immunosuppressive agents, immunoglobulins, antimalarial agents, disease modifying anti-rheumatic drug, cytokines, chemokines, growth factors, and second antibodies that promotes apoptosis or blocks proliferation of the target cells.
- 110. The composition of claim 108, further comprising a pharmaceutically acceptable carrier.
ACKNOWLEDGEMENTS
[0001] This application claims the benefit of U.S. Provisional Application No. 60/391,478, filed Jun. 24, 2002, and U.S. Provisional Application No. 60/346,402, filed on Nov. 1, 2001, and claims priority to PCT/US01/14151, filed May 2001, which is currently pending. PCT/US01/14151 claims the benefit of U.S. Provisional Application No. 60/201,344, filed May 2, 2000. The applications to which the present application claims benefit are herein incorporated by reference in their entirety.
Government Interests
[0002] This invention was made with government support under Grant NCI P50 CA 89019-01 awarded by the National Cancer Institute and under NIH R03-AR44982 awarded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases. The government has certain rights in the invention.
Provisional Applications (2)
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Number |
Date |
Country |
|
60391478 |
Jun 2002 |
US |
|
60346402 |
Nov 2001 |
US |