Patent Grant
10526400
The sequence listing that is contained in the file named “UTSBP1146USC1_ST25.txt”, which is 26 KB (as measured in Microsoft Windows®) and was created on Jun. 20, 2018, is filed herewith by electronic submission and is incorporated by reference herein.
The present invention relates, in part, to humanized antibodies which bind the pertussis toxin protein and their use as therapeutic agents. In particular, the present invention is directed to, in part, humanized antibodies derived from murine antibodies 1B7 and 11E6 which bind the pertussis toxin protein.
Bordetella pertussis (B. pertussis) is a gram-negative bacterium that infects the upper respiratory tract, causing uncontrollable, violent coughing. According to the World Health Organization, B. pertussis infection causes an estimated 300,000 deaths worldwide each year, primarily among young, unvaccinated infants. Infants with pertussis often require hospitalization in pediatric intensive care units, and their treatments frequently involve mechanical ventilation. Pertussis in adults generally leads to a chronic cough referred to as the “cough of 100 days.” The incidence of pertussis is increasing due to exposures of unvaccinated and under-vaccinated individuals including infants who are not yet fully vaccinated, individuals whose immunity has diminished over time, and asymptomatic carriers.
Recent news reports throughout the United States indicate that the pertussis vaccine introduced in the 1990s does not provide long-term protection. There is no approved treatment for pertussis. Antibiotic treatments do not have a major effect on the course of pertussis, because while the treatment can eliminate the B. pertussis bacteria from the respiratory tract, it does not neutralize the pertussis toxin protein. Accordingly, there remains a need for more effective therapies against pertussis.
Further, in the developing world, access to the existing pertussis vaccine, however flawed, is inconsistent and often difficult.
Naturally occurring antibodies are multimeric proteins that contain four polypeptide chains. Two of the polypeptide chains are called heavy chains (H chains), and two of the polypeptide chains are called light chains (L chains). The immunoglobulin heavy and light chains are connected by an interchain disulfide bond. The immunoglobulin heavy chains are connected by interchain disulfide bonds. A light chain consists of one variable region (VL) and one constant region (CL). The heavy chain consists of one variable region (VH) and at least three constant regions (CH1, CH2 and CH3). The variable regions determine the specificity of the antibody. Each variable region comprises three hypervariable regions also known as complementarity determining regions (CDRs) flanked by four relatively conserved framework regions (FRs). The three CDRs, referred to as CDR1, CDR2, and CDR3, contribute to the antibody binding specificity. Naturally occurring antibodies have been used as starting material for engineered antibodies, such as humanized antibodies.
Antibodies that bind the pertussis toxin protein have been developed, but the effectiveness of these antibodies in patients is either minimal or unclear. There remains a need for improved antibodies against the pertussis toxin protein with increased efficacy and reduced sides effects to be used as therapeutics.
Accordingly, in various aspects, the present invention is directed to one or more humanized antibodies that bind to and/or neutralize a pertussis toxin protein and the uses of the same in the treatment or prevention of pertussis.
In one aspect, the present invention is directed to a humanized 1B7 antibody that binds a pertussis toxin protein. The humanized 1B7 antibody includes an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region. In various embodiments, the humanized 1B7 antibody includes an immunoglobulin heavy chain variable region comprising an amino acid sequence selected from SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, and SEQ ID NO:6, and an immunoglobulin light chain variable region comprising an amino acid sequence selected from SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, and SEQ ID NO:12.
In another aspect, the present invention is directed to a humanized 11E6 antibody that binds a pertussis toxin protein. The humanized 11E6 antibody includes an immunoglobulin heavy chain variable region comprising an amino acid sequence selected from SEQ ID NO:13, SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:16, SEQ ID NO:17, and SEQ ID NO:18, and an immunoglobulin light chain variable region comprising an amino acid sequence selected from SEQ ID NO:19, SEQ ID NO:20, SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, and SEQ ID NO:24.
In various embodiments, the humanized 1B7 and 11E6 antibodies show improved properties. In an embodiment, the humanized 1B7 antibody binds the pertussis toxin protein with a KD of less than about 3 nM, or about 2 nM, or about 1 nM, or about 0.5 nM. In another embodiment, the humanized 11E6 antibody binds the pertussis toxin protein with a KD of less than about 12 nM, or about 10 nM, or about 8 nM, or about 6 nM, or 4 nM, or 2 nM, or about 1 nM, or about 0.5 nM.
In various embodiments, the present invention also provides nucleic acids, expression vectors, host cells, and methods for making the humanized 1B7 and 11E6 antibodies. The present invention also provides pharmaceutical compositions comprising the humanized 1B7 and/or 11E6 antibodies.
In one aspect, the method of the invention involves treating a patient with Bordetella pertussis, comprising administering to the patient the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies. In an embodiment, the humanized 1B7 antibody and the humanized 11E6 antibody are co-administered to the patient producing synergistic effects. In another embodiment, the method includes administering to the patient the humanized 1B7 antibody and/or the humanized 11E6 antibody, along with antimicrobial agents. In a further embodiment, the method of the invention is directed to preventing Bordetella pertussis infection in a subject by administering to the subject the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies.
In some embodiments, the method of the invention involves preventing the onset of pertussis by preventatively administering the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies for a patient, including an infant that has yet to be vaccinated.
In one embodiment, the method of the invention comprises reducing white blood cell count in the patient. In another embodiment, the method of the invention comprises reducing the duration and/or the frequency of cough in the patient. In a further embodiment, the method of the invention comprises reducing the levels of the Bordetella pertussis in the nasopharynx and the lung of the patient. In another embodiment, the method of the invention neutralizes the pertussis toxin protein.
In another aspect, the method of the invention involves treating a patient with Bordetella parapertussis, comprising administering to the patient the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies. In another aspect, the method of the invention is directed to preventing Bordetella parapertussis infection in a subject by administering to the subject the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies.
Other aspects and embodiments of the invention will be apparent from the following detailed description and examples.
The present invention is based, in part, on the discovery of humanized 1B7 and 11E6 antibodies that exhibit improved biological activities. Because of the binding and/or neutralizing activity of these antibodies against the pertussis toxin protein, they are useful for treating patients infected with the Bordetella pertussis bacteria. The disclosed antibodies are engineered to target the pertussis toxin protein with high specificity while causing minimal side effects in patients. Furthermore, the disclosed antibodies exhibit enhanced stability and long in vivo half-lives. Various features and aspects of the invention are discussed in more detail below.
As used herein, unless otherwise indicated, the term “antibody” means an intact antibody (e.g., an intact monoclonal antibody) or antigen-binding fragment of an antibody (e.g., an antigen-binding fragment of a monoclonal antibody), including an intact antibody or antigen-binding fragment that has been modified, engineered or chemically conjugated, or that is a human antibody. Examples of antibodies that have been modified or engineered are chimeric antibodies, humanized antibodies, and multispecific antibodies (e.g., bispecific antibodies). Examples of antigen-binding fragments include Fab, Fab′, F(ab′)2, Fv, single chain antibodies (e.g., scFv), minibodies and diabodies. An antibody conjugated to a toxin moiety is an example of a chemically conjugated antibody.
In one aspect, the present invention is directed to a humanized 1B7 antibody and a humanized 11E6 antibody that bind a pertussis toxin protein. In various embodiments, a humanized antibody is a non-human antibody that has been altered to increase its similarity to a human antibody. In some embodiments, a humanized antibody is a genetically engineered antibody in which at least one CDR (or functional fragment thereof) from a non-human, e.g. mouse, antibody (“donor antibody”, which can also be rat, hamster or other non-human species) is grafted onto a human antibody (“acceptor antibody”). In some embodiments, more than one mouse CDR is grafted (e.g., all six mouse CDRs are grafted). The sequence of the acceptor antibody can be, for example, a mature human antibody sequence (or fragment thereof), a consensus sequence of a human antibody sequence (or fragment thereof), or a germline region sequence (or fragment thereof). Thus, in some embodiments, a humanized antibody may be an antibody having one or more CDRs from a donor antibody and variable region framework (FR). The FR may form part of a constant region within a human antibody.
In addition, in order to retain high binding affinity, amino acids in the human acceptor sequence may be replaced by the corresponding amino acids from the donor sequence, for example where: (1) the amino acid is in a CDR; (2) the amino acid is in the human framework region (e.g., the amino acid is immediately adjacent to one of the CDR's). See, U.S. Pat. Nos. 5,530,101 and 5,585,089, incorporated herein by reference, which provide detailed instructions for construction of humanized antibodies. Indeed, this selection of residues in, for example, the human framework region is often central to a humanized antibodies desirability. Although humanized antibodies often incorporate all six CDRs (e.g., as defined by Kabat, but often also including hypervariable loop H1 as defined by Chothia) from a mouse antibody, they can also be made with fewer mouse CDRs and/or less than the complete mouse CDR sequence (e.g. a functional fragment of a CDR).
In various embodiments, the humanized light chain variable region is fused to a light chain constant region (e.g. human kappa or a lambda light chain). In various embodiments, the humanized heavy chain variable region is fused to a heavy chain constant region, including various allotypes and isotypes of each. For example, the heavy chain constant region can be derived from any immunoglobulin type (e.g. IgG, IgM, IgA, IgD, or IgE). In some embodiments, IgG is used. For IgG, the constant region can come from IgG1, IgG2, IgG3, or IgG4. In some embodiments, IgG1 is used. Moreover, there are many isotypes of each IgG that can be chosen, some are naturally occurring and some are derivatives of naturally occurring isotypes. The type of IgG that is chosen will determine the effector functions of the antibody (e.g. opsonophagocytosis, complement fixation, etc.).
In one aspect, the present invention is directed to a humanized 1B7 antibody that binds a pertussis toxin protein, and comprises an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region. The immunoglobulin heavy chain variable region comprises an amino acid sequence selected from:
The immunoglobulin light chain variable region comprises an amino acid sequence selected from:
Any one of the disclosed 1B7 heavy chains can be paired with any of the disclosed 1B7 light chains. By way of illustration, the following pairs can be incorporated into an antibody of the present compositions and methods: SEQ ID NO: 1/SEQ ID NO: 7; SEQ ID NO: 1/SEQ ID NO: 8; SEQ ID NO: 1/SEQ ID NO: 9; SEQ ID NO: 1/SEQ ID NO: 10; SEQ ID NO: 1/SEQ ID NO: 11; SEQ ID NO: 1/SEQ ID NO: 12; SEQ ID NO: 2/SEQ ID NO: 7; SEQ ID NO: 2/SEQ ID NO: 8; SEQ ID NO: 2/SEQ ID NO: 9; SEQ ID NO: 2/SEQ ID NO: 10; SEQ ID NO: 2/SEQ ID NO: 11; SEQ ID NO: 2/SEQ ID NO: 12; SEQ ID NO: 3/SEQ ID NO: 7; SEQ ID NO: 3/SEQ ID NO: 8; SEQ ID NO: 3/SEQ ID NO: 9; SEQ ID NO: 3/SEQ ID NO: 10; SEQ ID NO: 3/SEQ ID NO: 11; SEQ ID NO: 3/SEQ ID NO: 12; SEQ ID NO: 4/SEQ ID NO: 7; SEQ ID NO: 4/SEQ ID NO: 8; SEQ ID NO: 4/SEQ ID NO: 9; SEQ ID NO: 4/SEQ ID NO: 10; SEQ ID NO: 4/SEQ ID NO: 11; SEQ ID NO: 4/SEQ ID NO: 12; SEQ ID NO: 5/SEQ ID NO: 7; SEQ ID NO: 5/SEQ ID NO: 8; SEQ ID NO: 5/SEQ ID NO: 9; SEQ ID NO: 5/SEQ ID NO: 10; SEQ ID NO: 5/SEQ ID NO: 11; SEQ ID NO: 5/SEQ ID NO: 12; SEQ ID NO: 6/SEQ ID NO: 7; SEQ ID NO: 6/SEQ ID NO: 8; SEQ ID NO: 6/SEQ ID NO: 9; SEQ ID NO: 6/SEQ ID NO: 10; SEQ ID NO: 6/SEQ ID NO: 11; and SEQ ID NO: 6/SEQ ID NO: 12.
In one embodiment, the humanized 1B7 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 2, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:8.
In one embodiment, the humanized 1B7 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 3, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:9.
In one embodiment, the humanized 1B7 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 4, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:10.
In one embodiment, the humanized 1B7 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 5, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:11.
In one embodiment, the humanized 1B7 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 6, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:12.
In other embodiments, the humanized 1B7 antibody comprises an immunoglobulin heavy chain variable region comprising an amino acid sequence having at least about 50% identity, about 51% identity, about 52% identity, about 53% identity, about 54% identity, about 55% identity, about 56% identity, about 57% identity, about 58% identity, about 59% identity, about 60% identity, about 61% identity, about 62% identity, about 63% identity, about 64% identity, about 65% identity, about 66% identity, about 67% identity, about 68% identity, about 69% identity, about 70% identity, about 71% identity, about 72% identity, about 73% identity, about 74% identity, about 75% identity, about 76% identity, about 77% identity, about 78% identity, about 79% identity, about 80% identity, about 81% identity, about 82% identity, about 83% identity, about 84% identity, about 85% identity, about 86% identity, about 87% identity, about 88% identity, about 89% identity, or about 90% identity to the entire variable region, the complementarity determining regions, or the framework region sequence of SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, or SEQ ID NO:6.
In other embodiments, the humanized 1B7 antibody comprises an immunoglobulin light chain variable region comprising an amino acid sequence having at least about 50% identity, about 51% identity, about 52% identity, about 53% identity, about 54% identity, about 55% identity, about 56% identity, about 57% identity, about 58% identity, about 59% identity, about 60% identity, about 61% identity, about 62% identity, about 63% identity, about 64% identity, about 65% identity, about 66% identity, about 67% identity, about 68% identity, about 69% identity, about 70% identity, about 71% identity, about 72% identity, about 73% identity, about 74% identity, about 75% identity, about 76% identity, about 77% identity, about 78% identity, about 79% identity, about 80% identity, about 81% identity, about 82% identity, about 83% identity, about 84% identity, about 85% identity, about 86% identity, about 87% identity, about 88% identity, about 89% identity, or about 90% identity to the entire variable region, the complementarity determining regions, or the framework region sequence of SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, or SEQ ID NO:12.
In one aspect, the present invention is directed to a humanized 11E6 antibody that binds a pertussis toxin protein, and comprises an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region. The immunoglobulin heavy chain variable region comprises an amino acid sequence selected from:
The immunoglobulin light chain variable region comprises an amino acid sequence selected from:
Any one of the disclosed 11E6 heavy chains can be paired with any of the disclosed 11E6 light chains. By way of illustration, the following pairs can be incorporated into an antibody of the present compositions and methods: SEQ ID NO: 13/SEQ ID NO: 19; SEQ ID NO: 13/SEQ ID NO: 20; SEQ ID NO: 13/SEQ ID NO: 21; SEQ ID NO: 13/SEQ ID NO: 22; SEQ ID NO: 13/SEQ ID NO: 23; SEQ ID NO: 13/SEQ ID NO: 24; SEQ ID NO: 14/SEQ ID NO: 19; SEQ ID NO: 14/SEQ ID NO: 20; SEQ ID NO: 14/SEQ ID NO: 21; SEQ ID NO: 14/SEQ ID NO: 22; SEQ ID NO: 14/SEQ ID NO: 23; SEQ ID NO: 14/SEQ ID NO: 24; SEQ ID NO: 15/SEQ ID NO: 19; SEQ ID NO: 15/SEQ ID NO: 20; SEQ ID NO: 15/SEQ ID NO: 21; SEQ ID NO: 15/SEQ ID NO: 22; SEQ ID NO: 15/SEQ ID NO: 23; SEQ ID NO: 15/SEQ ID NO: 24; SEQ ID NO: 16/SEQ ID NO: 19; SEQ ID NO: 16/SEQ ID NO: 20; SEQ ID NO: 16/SEQ ID NO: 21; SEQ ID NO: 16/SEQ ID NO: 22; SEQ ID NO: 16/SEQ ID NO: 23; SEQ ID NO: 16/SEQ ID NO: 24; SEQ ID NO: 17/SEQ ID NO: 19; SEQ ID NO: 17/SEQ ID NO: 20; SEQ ID NO: 17/SEQ ID NO: 21; SEQ ID NO: 17/SEQ ID NO: 22; SEQ ID NO: 17/SEQ ID NO: 23; SEQ ID NO: 17/SEQ ID NO: 24; SEQ ID NO: 18/SEQ ID NO: 19; SEQ ID NO: 18/SEQ ID NO: 20; SEQ ID NO: 18/SEQ ID NO: 21; SEQ ID NO: 18/SEQ ID NO: 22; SEQ ID NO: 18/SEQ ID NO: 23; and SEQ ID NO: 18/SEQ ID NO: 24.
In one embodiment, the humanized 11E6 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 14, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:20.
In one embodiment, the humanized 11E6 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 15, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:21.
In one embodiment, the humanized 11E6 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 16, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:22.
In one embodiment, the humanized 11E6 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO:17, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:23.
In one embodiment, the humanized 11E6 antibody comprises an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO:18, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:24.
In other embodiments, the humanized 11E6 antibody comprises an immunoglobulin heavy chain variable region comprising an amino acid sequence having at least about 50% identity, about 51% identity, about 52% identity, about 53% identity, about 54% identity, about 55% identity, about 56% identity, about 57% identity, about 58% identity, about 59% identity, about 60% identity, about 61% identity, about 62% identity, about 63% identity, about 64% identity, about 65% identity, about 66% identity, about 67% identity, about 68% identity, about 69% identity, about 70% identity, about 71% identity, about 72% identity, about 73% identity, about 74% identity, about 75% identity, about 76% identity, about 77% identity, about 78% identity, about 79% identity, about 80% identity, about 81% identity, about 82% identity, about 83% identity, about 84% identity, about 85% identity, about 86% identity, about 87% identity, about 88% identity, about 89% identity, or about 90% identity to the entire variable region, the complementarity determining regions, or the framework region sequence of SEQ ID NO:13, SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:16, SEQ ID NO:17, and SEQ ID NO:18.
In other embodiments, the humanized 11E6 antibody comprises an immunoglobulin light chain variable region comprising an amino acid sequence having at least about 50% identity, about 51% identity, about 52% identity, about 53% identity, about 54% identity, about 55% identity, about 56% identity, about 57% identity, about 58% identity, about 59% identity, about 60% identity, about 61% identity, about 62% identity, about 63% identity, about 64% identity, about 65% identity, about 66% identity, about 67% identity, about 68% identity, about 69% identity, about 70% identity, about 71% identity, about 72% identity, about 73% identity, about 74% identity, about 75% identity, about 76% identity, about 77% identity, about 78% identity, about 79% identity, about 80% identity, about 81% identity, about 82% identity, about 83% identity, about 84% identity, about 85% identity, about 86% identity, about 87% identity, about 88% identity, about 89% identity, or about 90% identity to the entire variable region, the complementarity determining regions, or the framework region sequence of SEQ ID NO:19, SEQ ID NO:20, SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, and SEQ ID NO:24.
Homology or identity may be determined in various ways that are within the skill in the art, for instance, using publicly available computer software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR) software. BLAST (Basic Local Alignment Search Tool) analysis using the algorithm employed by the programs blastp, blastn, blastx, tblastn and tblastx (Karlin et al., (1990) P
In each of the foregoing embodiments, it is contemplated herein that the immunoglobulin heavy chain variable region sequences and/or light chain variable region sequences may contain amino acid alterations (e.g., amino acid substitutions, deletions, or insertions) relative to SEQ ID NOs:1-24. For example, the immunoglobulin heavy chain variable region sequences and/or light chain variable region sequences may contain from about 1 to about 50 mutations, from about 1 to about 40 mutations, from about 1 to about 35 mutations, from about 1 to about 30 mutations, about 1 to about 25 mutations, from about 1 to about 20 mutations, about 1 to about 15 mutations, or from about 1 to about 10 mutations independently selected from substitutions, deletions, or insertions with respect to SEQ ID NOs:1-24. In various embodiments, the immunoglobulin heavy chain variable region sequences and/or light chain variable region sequences have about 1 mutation, about 2 mutations, about 3 mutations, about 4 mutations, about 5 mutations, about 6 mutations, about 7 mutations, about 8 mutations, about 9 mutations, about 10 mutations, about 11 mutations, about 12 mutations, about 13 mutations, about 14 mutations, about 15 mutations, about 16 mutations, about 17 mutations, about 18 mutations, about 19 mutations, about 20 mutations, about 21 mutations, about 22 mutations, about 23 mutations, about 24 mutations, about 25 mutations, about 26 mutations, about 27 mutations, about 28 mutations, about 29 mutations, about 30 mutations, about 31 mutations, about 32 mutations, about 33 mutations, about 34 mutations, about 35 mutations, about 36 mutations, about 37 mutations, about 38 mutations, about 39 mutations, about 40 mutations, about 41 mutations, about 42 mutations, about 43 mutations, about 44 mutations, about 45 mutations, about 46 mutations, about 47 mutations, about 48 mutations, about 49 mutations, or about 50 mutations, relative to SEQ ID NOs:1-24. Illustrative amino acids that may be incorporated include a hydrophilic amino acid residue, which may include a polar and positively charged hydrophilic residue selected from arginine (R) and lysine (K), a polar and neutral of charge hydrophilic residue selected from asparagine (N), glutamine (Q), serine (S), threonine (T), proline (P), and cysteine (C), a polar and negatively charged hydrophilic residue selected from aspartate (D) and glutamate (E), or an aromatic, polar and positively charged hydrophilic including histidine (H); a hydrophobic amino acid residue which may include a hydrophobic, aliphatic amino acid selected from glycine (G), alanine (A), leucine (L), isoleucine (I), methionine (M), or valine (V) or a hydrophobic, aromatic amino acid selected from phenylalanine (F), tryptophan (W), or tyrosine (Y).
The ability of an antibody to bind a specific epitope can be described by the equilibrium dissociation constant (KD). In certain embodiments, the present invention provides a humanized 1B7 antibody that binds the pertussis toxin protein with a KD of about 20 nM or lower, or about 15 nM or lower, or about 10 nM or lower, or about 5 nM or lower. In an embodiment, the humanized 1B7 antibody binds the pertussis toxin protein with a KD of about 5 nM or lower or about 3 nM or lower. In illustrative embodiments, the humanized 1B7 antibody binds the pertussis toxin protein with a KD of about 5 nM, about 4.5 nM, about 4 nM, about 3.5 nM, about 3 nM, about 2.5 nM, about 2 nM, about 1.5 nM, about 1 nM, or about 0.5 nM.
In certain embodiments, the present invention provides a humanized 11E6 antibody that binds the pertussis toxin protein with a KD of about 20, about 19, or about 18, or about 17, or about 16, or about 15 nM or lower. In an embodiment, the humanized 11E6 antibody binds the pertussis toxin protein with a KD of 12 nM or lower. In illustrative embodiments, the humanized 1B7 antibody binds the pertussis toxin protein with a KD of about 15 nM, about 14.5 nM, about 14 nM, about 13.5 nM, about 13 nM, about 12.5 nM, about 12 nM, about 11.5 nM, about 11 nM, about 10.5 nM, about 10 nM, about 9.5 nM, about 9 nM, about 8.5 nM, about 8 nM, about 7.5 nM, about 7 nM, about 6.5 nM, about 6 nM, about 5.5 nM, about 5 nM, about 4.5 nM, about 4 nM, about 3.5 nM, about 3 nM, about 2.5 nM, about 2 nM, about 1.5 nM, about 1 nM, or about 0.5 nM.
In some embodiments, the humanized antibodies described herein compete with an antibody that is capable of binding a pertussis toxin protein. Where the humanized antibody competes with an antibody (competitor antibody) for binding a pertussis toxin protein, the humanized antibodies of the invention inhibit (completely or partially) binding of the competitor antibody to a measurable extent. The inhibition of binding may be measured by any of the methods known in the art. In general, a humanized antibody is considered to competitively inhibit binding of a competitor antibody (e.g., mouse 1B7 or 11E6 antibody as described by Sato et al., (1990), Infection and Immunity, 58(10): 3369-3374 or humanized 1B7 antibody as described by Maynard et al., U.S. Pat. No. 8,653,243, which are herein incorporated by reference in their entireties), if binding of the competitor antibody to the antigen is reduced by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, or at least about 90%, in the presence of the humanized antibody. Thus, in some embodiments, the antibody provided herein binds to a pertussis toxin protein competitively with a mouse 1B7 or 11E6 antibody as described by Sato et al., (1990), Infection and Immunity, 58(10): 3369-3374. In other embodiments, the antibody provided herein inhibits (completely or partially) the binding of a mouse 1B7 or 11E6 antibody. In some further embodiments, the antibody provided herein decreases the binding of a mouse 1B7 or 11E6 antibody in a competition assay by about 10%, about 20%, about 30%, about 40%, about 50%, about 60%, about 70%, about 80%, about 90% or about 100%.
Although the embodiments illustrated in the Examples may comprise pairs of variable regions, pairs of full length antibody chains, or pairs of CDR1, CDR2 and CDR3 regions, one from a heavy chain and one from a light chain, a skilled artisan will recognize that alternative embodiments may comprise single heavy chain variable regions or single light chain variable regions, single full length antibody chains, or CDR1, CDR2 and CDR3 regions from one antibody chain, either heavy or light.
Methods for producing antibodies of the invention are described herein. For example, DNA molecules encoding light chain variable regions and/or heavy chain variable regions can be chemically synthesized using the sequence information provided herein. Synthetic DNA molecules can be ligated to other appropriate nucleotide sequences, including, e.g., constant region coding sequences, and expression control sequences, to produce gene expression constructs encoding the desired antibodies. Alternatively, the sequences provided herein can be cloned out of hybridomas by hybridization techniques or polymerase chain reaction (PCR) techniques using synthetic nucleic acid probes.
Nucleic acids encoding desired antibodies can be incorporated (ligated) into expression vectors, which can be introduced into host cells through transfection, transformation, or transduction techniques. For example, nucleic acids encoding desired antibodies can be introduced into host cells by retroviral transduction. Illustrative host cells are E. coli cells, Chinese hamster ovary (CHO) cells, human embryonic kidney 293 (HEK 293) cells, HeLa cells, baby hamster kidney (BHK) cells, monkey kidney cells (COS), human hepatocellular carcinoma cells (e.g., Hep G2), and myeloma cells that do not otherwise produce IgG protein. Transformed host cells can be grown under conditions that permit the host cells to express the genes that encode the immunoglobulin light and/or heavy chain variable regions.
Specific expression and purification conditions will vary depending upon the expression system employed. For example, if a gene is to be expressed in E. coli, it is first cloned into an expression vector by positioning the engineered gene downstream from a suitable bacterial promoter, e.g., Trp or Tac, and a prokaryotic signal sequence. The expressed secreted protein accumulates in refractile or inclusion bodies, and can be harvested after disruption of the cells by French press or sonication. The refractile bodies then are solubilized, and the proteins refolded and cleaved by methods known in the art.
If the engineered gene is to be expressed in eukaryotic host cells, e.g., CHO cells, it is first inserted into an expression vector containing a suitable eukaryotic promoter, a secretion signal, IgG enhancers, and various introns. This expression vector optionally contains sequences encoding all or part of a constant region, enabling an entire, or a part of, a heavy or light chain to be expressed. The gene construct can be introduced into eukaryotic host cells using transfection, transformation, or transduction techniques. The host cells express VL or VH fragments, VL-VH heterodimers, VH-VL or VL-VH single chain polypeptides, complete heavy or light immunoglobulin chains, or portions thereof, each of which may be attached to a moiety having another function. In some embodiments, a host cell is transfected with a single vector expressing a polypeptide expressing an entire, or part of, a heavy chain (e.g., a heavy chain variable region) or a light chain (e.g., a light chain variable region). In other embodiments, a host cell is transfected with a single vector encoding (a) a polypeptide comprising a heavy chain variable region and a polypeptide comprising a light chain variable region, or (b) an entire immunoglobulin heavy chain and an entire immunoglobulin light chain. In still other embodiments, a host cell is co-transfected with more than one expression vector (e.g., one expression vector expressing a polypeptide comprising an entire, or part of, a heavy chain or heavy chain variable region, and another expression vector expressing a polypeptide comprising an entire, or part of, a light chain or light chain variable region).
A polypeptide comprising an immunoglobulin heavy chain variable region or light chain variable region can be produced by growing a host cell transfected with an expression vector encoding such variable region, under conditions that permit expression of the polypeptide. Following expression, the polypeptide can be harvested and purified using techniques well known in the art, e.g., affinity tags such as glutathione-S-transferase (GST) and histidine tags or by chromatography (by way of non-limiting example, based on size, charge, and/or specific binding).
A monoclonal antibody that binds the pertussis toxin protein, or an antigen-binding fragment of the antibody, can be produced by growing a host cell transfected, transformed or transduced with: (a) an expression vector that encodes a complete or partial immunoglobulin heavy chain, and a separate expression vector that encodes a complete or partial immunoglobulin light chain; or (b) a single expression vector that encodes both chains (e.g., complete or partial heavy and light chains), under conditions that permit expression of both chains. The intact antibody (or antigen-binding fragment) can be harvested and purified using techniques well known in the art, e.g., Protein A, Protein G, affinity tags such as glutathione-S-transferase (GST) and histidine tags or by chromatography. It is within ordinary skill in the art to express the heavy chain and the light chain from a single expression vector or from two separate expression vectors.
There are standard methods for reducing or eliminating the antigenicity of antibodies and antibody fragments that are known in the art. When the antibodies are to be administered to a human, the antibodies preferably are “humanized” to reduce or eliminate antigenicity in humans. It is contemplated that the humanized antibodies have at least the same or substantially the same affinity for the antigen as the non-humanized mouse antibody from which it was derived.
However, it is noted that while humanization approaches are known in the art, such humanization approaches are often hindered by reductions in affinity (e.g. relative to the original murine antibody). This may be, without wishing to be bound by theory, due to the fact that the CDRs are not maintained workable configuration by the human frameworks. In this case, a small number of changes to the human framework sequences are made. These individual amino acid changes improve the affinity without making significant deviations from the human antibody structure so that the antibodies continue to resemble human antibodies. In that way, the antibodies can be used as for therapeutic purposes in humans without inducing an immune response. The choice of amino acids to change and the specific changes to be made are part of the present invention.
In one humanization approach, chimeric proteins are created in which mouse immunoglobulin constant regions are replaced with human immunoglobulin constant regions. See, e.g., Morrison et al., 1984, P
In an approach known as CDR grafting, the CDRs of the light and heavy chain variable regions are grafted into frameworks from another species. For example, murine CDRs and non-CDR residues involved in antigen binding can be grafted into human sequences. Residues involved in maintaining the combining site structure and residues involved in maintaining VL:VH contact may also be grafted. CDR grafting is described in U.S. Pat. No. 7,022,500 (Queen); U.S. Pat. No. 6,982,321 (Winter); U.S. Pat. No. 6,180,370 (Queen); U.S. Pat. No. 6,054,297 (Carter); U.S. Pat. No. 5,693,762 (Queen); U.S. Pat. No. 5,859,205 (Adair); U.S. Pat. No. 5,693,761 (Queen); U.S. Pat. No. 5,565,332 (Hoogenboom); U.S. Pat. No. 5,585,089 (Queen); U.S. Pat. No. 5,530,101 (Queen); Jones et al. (1986) N
In an approach called grafting of abbreviated CDRs, abbreviated CDRs, as defined by Padlan et al., (1995) F
Other methods to reduce immunogenicity include “SDR-transfer,” “veneering,” and “Frankensteining.” See, e.g., Padlan et al., (1995) F
Any suitable approach, including any of the above approaches, can be used to reduce or eliminate human immunogenicity of an antibody.
In addition, it is possible to create fully human antibodies in mice. Fully human mAbs lacking any non-human sequences can be prepared from human immunoglobulin transgenic mice by techniques referenced in, e.g., Lonberg et al., N
If the antibody is for use as a therapeutic, it can be conjugated to an effector agent such as a small molecule or a radionuclide using standard in vitro conjugation chemistries. If the effector agent is a polypeptide, the antibody can be chemically conjugated to the effector or joined to the effector as a fusion protein. Construction of fusion proteins is within ordinary skill in the art.
In one aspect, the method of the invention involves treating a patient with Bordetella pertussis, comprising administering to the patient the humanized 1B7 antibody (e.g. in an effective amount) and/or the humanized 11E6 antibody (e.g. in an effective amount), or pharmaceutical compositions including the antibody or antibodies.
In another aspect, the method of the invention involves a method of preventing a Bordetella pertussis infection, comprising administering to a patient the humanized 1B7 antibody (e.g. in an effective amount) and/or the humanized 11E6 antibody (e.g. in an effective amount), or pharmaceutical compositions including the antibody or antibodies and, in some embodiments, the patient is at risk for a Bordetella pertussis infection (e.g. the patient is a pre-vaccination infant and/or the patient has been exposed to a pertussis toxin).
Leukocytosis or elevation in white blood cell count is characteristic of Bordetella pertussis infections. In one embodiment, the method of the invention comprises a reduction in white blood cell count in the patient. In an embodiment, the method of the invention results in an acceleration of the resolution of leukocytosis. In another embodiment, the method of the invention results in a reduction of the maximum white blood cell count during the course of the infection.
In various embodiments, the method of the invention results in an improvement of whooping cough in the patient. In one embodiment, the coughing symptoms of the patient are improved. For example, the method reduces the frequency of coughing or the number of coughs (or coughing episodes) in the patient. In various embodiments, the method reduces the number of coughs or coughing episodes by at least about 1 per hour, at least about 2 per hour, at least about 3 per hour, at least about 4 per hour, at least about 5 per hour, at least about 6 per hour, at least about 7 per hour, at least about 8 per hour, at least about 9 per hour, at least about 10 per hour, at least about 15 per hour, at least about 20 per hour, at least about 25 per hour, at least about 30 per hour, at least about 35 per hour, at least about 40 per hour, at least about 45 per hour, at least about 50 per hour, at least about 55 per hour, at least about 60 per hour, at least about 65 per hour, at least about 70 per hour, at least about 75 per hour, at least about 80 per hour, at least about 85 per hour, at least about 90 per hour, at least about 95 per hour, or at least about 100 per hour. In another example, the method reduces the duration of coughing in the patient. For example, the method reduces the duration of coughing during the course of the infection by at least about three months, about two months, about one month, about 4 weeks, about 3 weeks, about 2 weeks, about 1 week, about 5 days, about 4 days, about 3 days, about 2 days, or about 1 day. In a further embodiment, the number of whoops is reduced in the patient.
In another embodiment, the method of the invention reduces the level of the Bordetella pertussis bacteria in the nasopharynx of the patient. In a further embodiment, the method of the invention reduces the level of the Bordetella pertussis bacteria in the lung of the patient (e.g. bacterial lung colonization). For example, the method reduces the Bordetella pertussis levels in the nasopharynx and/or the lungs by about 95%, about 90%, about 80%, about 70%, about 60%, about 50%, about 40%, about 30%, about 20%, about 10%, or about 5%.
In one embodiment, the method of the invention results in neutralization (inhibition or antagonization) of the pertussis toxin protein. For example, antibodies of the invention can bind to the pertussis toxin protein so as to partially or completely inhibit one or more biological activities of the pertussis toxin protein. Among the biological activities of a pertussis toxin protein that a neutralizing antibody may inhibit or block is the ability of a pertussis toxin protein to bind cellular receptors. The receptor binding region of a pertussis toxin protein consists of four polypeptide subunits referred to as subunit S2, subunit S3, subunit S4 and subunit S5, respectively. Examples of cellular receptors that are bound by the subunits S2, S3, S4, and S5 of a pertussis toxin protein are members of the N-linked sialoglycoprotein family such as fetuin, haptoblobin, and transferrin. In an illustrative embodiment, the humanized antibodies of the invention prevent the pertussis toxin protein from binding to its cellular receptor. In another embodiment, the humanized antibodies of the invention alter the intracelluar trafficking steps of the pertussis toxin such that the toxin does not reach the cellular cytosol. Another important activity of a pertussis toxin protein that may be inhibited by antibodies of the invention is the enzymatic activity of the pertussis toxin protein as ADP ribosylase towards G proteins. The subunit conferring to the enzymatic activity as ADP-ribosylase in a pertussis toxin protein is subunit S1. In some embodiments, the pertussis toxin protein is a pertussis holotoxin. A pertussis holotoxin as referred to herein as a pertussis toxin protein that includes all five pertussis toxin protein subunits. In other embodiments, the pertussis toxin protein is a truncated pertussis toxin protein. A truncated pertussis protein as referred to herein includes at least one of the pertussis toxin protein subunits (i.e., S1, S2, S3, S4 and S5). Pertussis toxin proteins of various forms are described in, for example, U.S. Pat. No. 8,653,243, which is herein incorporated by reference in its entirety.
In various embodiments, the present compositions and methods are useful in the treatment or prevention of any of the stages of pertussis infections. For example, the incubation period of pertussis is commonly 7-10 days, with a range of 4-21 days, and rarely may be as long as 42 days. In various embodiments, the present compositions and methods increase the length of the incubation period by making the infection more difficult to come about. The clinical course of the illness is divided into three stages. The first stage, the catarrhal stage, is characterized by the insidious onset of coryza, sneezing, low-grade fever, and a mild, occasional cough, similar to the common cold. The cough gradually becomes more severe, and after 1-2 weeks, the second, or paroxysmal stage, begins. In various embodiments, the present compositions and methods, reduce the length of the catarrhal stage and, optionally, prevent it from advancing to the paroxysmal stage. In various embodiments, the present compositions and methods treat one or more of coryza, sneezing, low-grade fever, and cough. It is during the paroxysmal stage that the diagnosis of pertussis is usually suspected. Characteristically, a patient has bursts, or paroxysms, of numerous, rapid coughs, apparently due to difficulty expelling thick mucus from the tracheobronchial tree. At the end of the paroxysm, a long inspiratory effort is usually accompanied by a characteristic high-pitched whoop. During such an attack, the patient may become cyanotic. Children and young infants, especially, appear very ill and distressed. Vomiting and exhaustion commonly follow the episode. In various embodiments, the present compositions and methods reduce the quantity and/or frequency of paroxysms. In various embodiments, the present compositions and methods prevent a patient from becoming cyanotic. Paroxysmal attacks occur more frequently at night, with an average of 15 attacks per 24 hours. During the first 1 or 2 weeks of this stage, the attacks increase in frequency, remain at the same level for 2 to 3 weeks, and then gradually decrease. The paroxysmal stage usually lasts 1 to 6 weeks but may persist for up to 10 weeks. In various embodiments, the present compositions and methods reduce the length of this stage. In the convalescent stage, recovery is gradual. The cough becomes less paroxysmal and disappears in 2 to 3 weeks. In various embodiments, the present compositions and methods accelerate the onset of this stage and/or reduce its duration. Further, in various embodiments, the present compositions and methods prevent or reduce the recurrence of paroxysms, which may occur with subsequent respiratory infections. In various embodiments, the present compositions and methods prevent or reduce one or more of the onset of secondary bacterial pneumonia, neurologic complications such as seizures and encephalopathy, hypoxia, otitis media, dehydration, pneumothorax, epistaxis, subdural hematomas, hernias, rectal prolapsed, difficulty sleeping, urinary incontinence, pneumonia, and rib fracture. Further, in some embodiments, the present compositions and methods reduce or prevent necrotizing bronchiolitis, pneumonia (e.g. from Bordetella pertussis), pulmonary edema, pulmonary hypertension, and death.
In an embodiment, methods of the invention involve co-administration of the humanized 1B7 antibody and the humanized 11E6 antibody to the patient. In some embodiments, co-administration produces synergistic effects. Co-administration of the humanized 1B7 antibody and the humanized 11E6 antibody may be simultaneous or sequential.
In some embodiments, the humanized 1B7 antibody and the humanized 11E6 antibody are administered to a subject simultaneously. The term “simultaneously” as used herein, means that the humanized 1B7 antibody and the humanized 11E6 antibody are administered with a time separation of no more than about 60 minutes, such as no more than about 30 minutes, no more than about 20 minutes, no more than about 10 minutes, no more than about 5 minutes, or no more than about 1 minute. Administration of the humanized 1B7 antibody and the humanized 11E6 antibody can be by simultaneous administration of a single formulation (e.g., a formulation comprising the humanized 1B7 antibody and the humanized 11E6 antibody) or of separate formulations (e.g., a first formulation including the humanized 1B7 antibody and a second formulation including the humanized 11E6 antibody).
Co-administration does not require the therapeutic agents to be administered simultaneously, if the timing of their administration is such that the pharmacological activities of the humanized 1B7 antibody and the 11E6 antibody overlap in time, thereby exerting a combined therapeutic effect. For example, the humanized 1B7 antibody and the humanized 11E6 antibody can be administered sequentially. The term “sequentially” as used herein means that the humanized 1B7 antibody and the humanized 11E6 antibody are administered with a time separation of more than about 60 minutes. For example, the time between the sequential administration of the humanized 1B7 antibody and the humanized 11E6 antibody can be more than about 60 minutes, more than about 2 hours, more than about 5 hours, more than about 10 hours, more than about 1 day, more than about 2 days, more than about 3 days, or more than about 1 week apart. The optimal administration times will depend on the rates of metabolism, excretion, and/or the pharmacodynamic activity of the humanized 1B7 antibody and the humanized 11E6 antibody being administered.
For example, in some embodiments, the antibodies of the present invention have a peak in a serum concentration (e.g. a beta half-life) of at least about 30, or about 35, or about 40, or about 45, or about 50, or about 55, or about 60, or about 65, or about 70, or about 75, or about 80 hours post-administration or at least about 1 day, about 2 days, about 3 days, about 4 days, about 5 days, about 6 days, about 7 days, about 8 days, about 9 days, about 10 days, about 11 days, about 12 days, about 13 days, about 14 days, about 15 days, about 16 days, about 17 days, about 18 days, about 19 days, about 20 days, about 21 days, about 22 days, about 23 days, about 24 days, or about 25 days). In some embodiments, the antibodies of the present invention have prolonged half-lives. In some embodiments, the antibodies of the present invention have an in vivo half-life of about 200, or about 225, or about 250, or about 275, or about 300 hours or about 7 days, about 8 days, about 9 days, about 10 days, about 11 days, about 12 days, about 13 days, about 14 days, about 15 days, about 16 days, about 17 days, about 18 days, about 19 days, about 20 days, about 21 days, about 22 days, about 23 days, about 24 days, about 25 days, about 26 days, about 27 days, about 28 days, about 29 days, about 30 days, about 31 days, about 32 days, about 33 days, about 34 days, or about 35 days, e.g. about 1 or about 2 weeks, or about 3 weeks, about 4 weeks, or about 5 weeks).
Accordingly, in some embodiments, a patient may receive a first administration (e.g. infusion or intramuscular (IM) injection) of the inventive antibodies as part of a treatment method and may receive a further administration (e.g. infusion or intramuscular injection) after a peak in serum concentration and/or the in vivo half-life of the antibodies of the present invention (e.g. the dose of the further administration may be identical to the first administration or may be lower, e.g. a maintenance dose). In some embodiments, the further administration is about one day from the first administration, or about one week from the first administration. In some embodiments, the present methods provide for about 1-3 (e.g. about 1, or about 2, or about 3) doses (e.g. IV doses or IM doses) of the antibodies of the present invention per week (or about every 5, or 6, or 7, or 10 days). In some embodiments, the present methods maintain a therapeutic window of antibody levels in the blood serum of about 5 μg/mL, about 10 μg/mL, about 20 μg/mL, about 25 μg/mL, about 50 μg/mL, about 75 μg/mL, or about 100 μg/mL, or about 125 μg/mL, or about 150 μg/mL, or about 175 μg/mL, or about 200 μg/mL, or about 225 μg/mL, or about 250 μg/mL, or about 300 μg/mL. In some embodiments, the present methods allow for infrequent dosing and/or lower dosing (e.g. longer half-lives permitting lower and less frequent dosing).
Either the humanized 1B7 antibody or the humanized 11E6 antibody can be administered first. For example, the humanized 1B7 antibody can be administered to a subject after the time at which the humanized 11E6 antibody is administered. In this case, it is generally desirable to administer the humanized 1B7 antibody prior to the time at which about 50% (e.g., prior to the time at which about 40%, about 30%, about 20%, about 10%, or about 5%) of the humanized 11E6 antibody is metabolized or excreted by the subject, or the time at which the humanized 11E6 antibody has reached about 50%, about 60%, about 70%, about 80%, about 90%, or about 100% of its pharmacodynamic activity. In another example, the humanized 1B7 antibody can be administered to a subject before the administration of the humanized 11E6 antibody. In this case, it is generally desirable to administer the humanized 11E6 antibody prior to the time at which about 50% (e.g., prior to the time at which about 40%, about 30%, about 20%, about 10%, or about 5%) of the humanized 1B7 antibody is metabolized or excreted by the subject, or the time at which the humanized 1B7 antibody being administered has reached about 50%, about 60%, about 70%, about 80%, about 90%, or about 100% of its pharmacodynamic activity.
Co-administration also does not require the therapeutic agents to be administered to the patient by the same route of administration. Rather, each therapeutic agent can be administered by any appropriate route, for example, parenterally or non-parenterally. In an embodiment, the therapeutic agents may be administered orally to the subject. In another embodiment, the therapeutic agents may be administered parenterally, including for example, intravenous, intramuscular, intraperitoneal, subcutaneous and intra-articular injection and infusion, among others. In an embodiment, the therapeutic agents may be administered through intramuscular injection to the subject.
In another embodiment, the method includes administering to a patient the humanized 1B7 antibody and/or the 11E6 antibody, along with antimicrobial agents. It is contemplated that co-administration of the humanized 1B7 antibody and/or the 11E6 antibody along with antimicrobial agents produces synergistic effects. Illustrative antimicrobial agents that may be used for the invention include, but are not limited to azithromycin, clarithromycin, erythromycin, trimethoprimsulfamethoxasole, roxithromycin, ketolides (e.g., telithromycin) ampicillin, amoxicillin, tetracycline, chloramphenicol, fluoroquinolones (e.g., ciprofloxacin, levofloxacin, ofloxacin, moxifloxacin), and cephalosporins. In an embodiment, the antimicrobial agent is erythromycin.
In various embodiments, the method of the invention treats human patients. In an embodiment, the human patient is an infant. In an embodiment, the human patient is a newborn. In another embodiment, the human patient is a neonate who is less than four weeks old, less than three weeks old, less than two weeks old, less than one week old, less than six days old, less than five days old, less than four days old, less than three days old, less than two days old, or less than one day old. In some embodiments, the human is one month old, two months old, three months old, four months old, five months old, or six months old. In some embodiments, the human has an age in a range of from about 6 to about 18 months old, from about 18 to about 36 months old, from about 1 to about 5 years old, from about 5 to about 10 years old, from about 10 to about 15 years old, from about 15 to about 20 years old, from about 20 to about 25 years old, from about 25 to about 30 years old, from about 30 to about 35 years old, from about 35 to about 40 years old, from about 40 to about 45 years old, from about 45 to about 50 years old, from about 50 to about 55 years old, from about 55 to about 60 years old, from about 60 to about 65 years old, from about 65 to about 70 years old, from about 70 to about 75 years old, from about 75 to about 80 years old, from about 80 to about 85 years old, from about 85 to about 90 years old, from about 90 to about 95 years old or from about 95 to about 100 years old.
In a further aspect, the method of the invention prevents Bordetella pertussis infection in a subject previously exposed to the bacteria, comprising administering to the subject the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies. In various embodiments, the method provides an effective prophylactic treatment in preventing Bordetella pertussis infection in a subject exposed to the bacteria.
In some embodiments, the antibody of the invention (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) is utilized in prophylactic applications in a subject who has not been previously vaccinated against the bacteria. In an embodiment, the antibody of the invention is administered to a subject as a prophylactic treatment prior to the subject receiving a pertussis vaccination. In various embodiments, the antibody of the invention is utilized in prophylactic treatments of a subject who is less than one year old, less than eleven months old, less than ten months old, less than nine months old, less than eight months old, less than seven months old, less than six months old, less than five months old, less than four months old, less than three months old, less than two months old, less than one month old, less than four weeks old, less than three weeks old, less than two weeks old, less than one week old, less than six days old, less than five days old, less than four days old, less than three days old, less than two days old, or less than one day old. Accordingly, in some embodiments, the present methods involving bridging the time between birth and vaccination in an infant patient.
In various embodiments, the methods of the invention treat or prevent Bordetella pertussis infection in a subject previously vaccinated against the bacteria. In an embodiment, the subject is an infant or child vaccinated with DtaP (e.g., INFANRIX (with three antigens, mostly pertussis toxin (PT) and FHA), TRIPEDIA (which contains two components, FHA and PT, in equal amounts) and DAPTACEL (which contains five components, PT, FHA, pertactin, and fimbriae types 2 and 3)). In another embodiment, the subject is an adult vaccinated with the pertussis booster vaccine Tdap (e.g. BOOSTRRIX (with three pertussis antigens (PT, FHA, and pertactin) in a reduced quantity compared with INFANRIX) and ADACEL (with the same five pertussis components as DAPTACEL but with a reduced quantity of PT). In other embodiments, the patient of the present invention may or may not have received any one of the following pertussis combination vaccines: PEDIARIX, PENTACEL, or KINRIX.
It is contemplated that the humanized antibodies of the invention may further function as adjuvant for vaccinations such as DtaP or Tdap. Further, in various embodiments, the methods of the invention treat or prevent Bordetella pertussis infection in a subject that has not been previously vaccinated against the bacteria
In various embodiments, the present compositions and methods supplement or supplant treatment with palivizumab (SYNAGIS).
In various embodiments, the present compositions and methods can treat pertussis infections that have various strains as their etiology, including, by way of non-limiting example, pertactin-negative pertussis.
Furthermore, Bordetella parapertussis is a closely related species Bordetella pertussis. Both bacteria are linked to outbreaks of whooping cough in humans and produce similar virulence factors. Co-infection of Bordetella pertussis and Bordetella parapertussis is not unusual. Accordingly, in one aspect of the invention, the method of the invention involves treating a patient with Bordetella parapertussis, comprising administering to the patient the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies. In another aspect of the invention, the method of the invention prevents Bordetella parapertussis infection in a subject previously exposed to the bacteria, comprising administering to the subject the humanized 1B7 antibody and/or the humanized 11E6 antibody, or pharmaceutical compositions including the antibody or antibodies.
In various embodiments, the methods of the invention are effective in treating Bordetella pertussis infection and/or Bordetella parapertussis infection when the humanized 1B7 antibody and/or the humanized 11E6 antibody is administered to the patient at about 3 months after infection. In other embodiments, the methods of the invention are effective in treating Bordetella pertussis infection and/or Bordetella parapertussis infection when the humanized 1B7 antibody and/or the humanized 11E6 antibody is administered to the patient at about 2 months, about 1 month, about 4 weeks, about 3 weeks, about 2 weeks, about 7 days, about 6 days, about 5 days, about 4 days, about 3 days, about 2 days, or about 1 day after infection. In an embodiment, the humanized 1B7 antibody and/or the humanized 11E6 antibody is administered to the patient on the day of infection.
As used herein, “treat,” “treating” and “treatment” mean the treatment of a disease in a mammal, e.g., in a human. In various embodiments, this includes: (a) inhibiting the disease, i.e., arresting its development and/or (b) relieving the disease, i.e., causing regression of the disease state.
The pharmaceutical compositions of the invention can be administered for therapeutic or prophylactic treatment. For such uses, an antibody preferably is combined with a pharmaceutically acceptable carrier. As used herein, “pharmaceutically acceptable carrier” means buffers, carriers, and excipients suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication, commensurate with a reasonable benefit/risk ratio. The carrier(s) should be “acceptable” in the sense of being compatible with the other ingredients of the formulations and not deleterious to the recipient. Pharmaceutically acceptable carriers include buffers, solvents, dispersion media, coatings, isotonic and absorption delaying agents, and the like, that are compatible with pharmaceutical administration. The use of such media and agents for pharmaceutically active substances is known in the art.
Pharmaceutical compositions containing antibodies, such as those disclosed herein, can be presented in a dosage unit form and can be prepared by any suitable method. A pharmaceutical composition should be formulated to be compatible with its intended route of administration. Examples of routes of administration are oral, intranasal, pulmonary, intravenous (IV), intradermal, inhalation, transdermal, topical, transmucosal, subcutaneous, intramuscular (IM), intraperitoneal, and rectal administration. In an embodiment, the route of administration for antibodies of the invention is IV infusion. In another embodiment, the route of administration for antibodies of the invention is IM injection.
Useful formulations can be prepared by methods well known in the pharmaceutical art. For example, pharmaceutical compositions of the invention can be formulated as a colloidal dispersion system, macromolecular complex, nanocapsule, microsphere, bead, oil-in-water emulsion, micelle, mixed micelle, or liposome. For example, see Remington's Pharmaceutical Sciences, 18th ed. (Mack Publishing Company, 1990).
Formulation components suitable for parenteral administration include a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl paraben; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as EDTA; buffers such as acetates, citrates or phosphates; and agents for the adjustment of tonicity such as sodium chloride or dextrose.
For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor EL™ (BASF, Parsippany, N.J.) or phosphate buffered saline (PBS). The carrier should be stable under the conditions of manufacture and storage, and should be preserved against microorganisms. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyetheylene glycol), and suitable mixtures thereof.
The compositions provided herein, alone or in combination with other suitable components, can be made into aerosol formulations (i.e., “nebulized”) to be administered via inhalation. Aerosol formulations can be placed into pressurized acceptable propellants, such as dichlorodifluoromethane, propane, nitrogen, and the like.
Pharmaceutical formulations preferably are sterile. Sterilization can be accomplished, for example, by filtration through sterile filtration membranes. Where the composition is lyophilized, filter sterilization can be conducted prior to or following lyophilization and reconstitution.
The pharmaceutical preparation is preferably in unit dosage form. In such form the preparation is subdivided into unit doses containing appropriate quantities of the active component. The unit dosage form can be a packaged preparation, the package containing discrete quantities of preparation, such as packeted tablets, capsules, and powders in vials or ampoules. Also, the unit dosage form can be a capsule, tablet, cachet, or lozenge itself, or it can be the appropriate number of any of these in packaged form. The composition can also contain other compatible therapeutic agents. For example, the composition may additionally include antimicrobial agents described herein.
The combined administrations contemplates co-administration, using separate formulations or a single pharmaceutical formulation, and consecutive administration in either order, wherein preferably there is a time period while both (or all) active agents simultaneously exert their biological activities. In an embodiment, a pharmaceutical composition of the invention includes a formulation of the humanized 1B7 antibody. In another embodiment, a pharmaceutical composition of the invention includes a formulation of the humanized 11E6 antibody. In a further embodiment, a pharmaceutical composition of the invention includes a co-formulation of both the humanized 1B7 antibody and the humanized 11E6 antibody.
It will be appreciated that the actual dose of the antibodies (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) to be administered according to the present invention will vary according to, for example, the particular dosage form and the mode of administration. Many factors that may modify the action of the antibodies (e.g., body weight, gender, diet, time of administration, route of administration, rate of excretion, condition of the subject, drug combinations, genetic disposition and reaction sensitivities) can be taken into account by those skilled in the art. Administration can be carried out continuously or in one or more discrete doses within the maximum tolerated dose. Optimal administration rates for a given set of conditions can be ascertained by those skilled in the art using conventional dosage administration tests.
Individual doses of the antibody (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) can be administered in unit dosage forms containing, for example, from about 0.01 mg to about 1,000 mg, from about 0.01 mg to about 950 mg, from about 0.01 mg to about 900 mg, from about 0.01 mg to about 850 mg, from about 0.01 mg to about 800 mg, from about 0.01 mg to about 750 mg, from about 0.01 mg to about 700 mg, from about 0.01 mg to about 650 mg, from about 0.01 mg to about 600 mg, from about 0.01 mg to about 550 mg, from about 0.01 mg to about 500 mg, from about 0.01 mg to about 450 mg, from about 0.01 mg to about 400 mg, from about 0.01 mg to about 350 mg, from about 0.01 mg to about 300 mg, from about 0.01 mg to about 250 mg, from about 0.01 mg to about 200 mg, from about 0.01 mg to about 150 mg, from about 0.01 mg to about 100 mg, from about 0.1 mg to about 90 mg, from about 0.1 mg to about 80 mg, from about 0.1 mg to about 70 mg, from about 0.1 mg to about 60 mg, from about 0.1 mg to about 50 mg, from about 0.1 mg to about 40 mg active ingredient, from about 0.1 mg to about 30 mg, from about 0.1 mg to about 20 mg, from about 0.1 mg to about 10 mg, from about 0.1 mg to about 5 mg, from about 0.1 mg to about 3 mg, from about 0.1 mg to about 1 mg per unit dosage form, or from about 5 mg to about 80 mg per unit dosage form. For example, a unit dosage form can be about 0.01 mg, about 0.02 mg, about 0.03 mg, about 0.04 mg, about 0.05 mg, about 0.06 mg, about 0.07 mg, about 0.08 mg, about 0.09 mg, about 0.1 mg, about 0.2 mg, about 0.3 mg, about 0.4 mg, about 0.5 mg, about 0.6 mg, about 0.7 mg, about 0.8 mg, about 0.9 mg, about 1 mg, about 2 mg, about 3 mg, about 4 mg, about 5 mg, about 6 mg, about 7 mg, about 8 mg, about 9 mg about 10 mg, about 15 mg, about 20 mg, about 25 mg, about 30 mg, about 35 mg, about 40 mg, about 45 mg, about 50 mg, about 55 mg, about 60 mg, about 65 mg, about 70 mg, about 75 mg, about 80 mg, about 85 mg, about 90 mg, about 95 mg, about 100 mg, about 150 mg, about 200 mg, about 250 mg, about 300 mg, about 350 mg, about 400 mg, about 450 mg, about 500 mg, about 550 mg, about 600 mg, about 650 mg, about 700 mg, about 750 mg, about 800 mg, about 850 mg, about 900 mg, about 950 mg, or about 1,000 mg, inclusive of all values and ranges therebetween.
In one embodiment, the antibody (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) is administered at an amount of from about 0.01 mg to about 100 mg daily, an amount of from about 0.01 mg to about 1,000 mg daily from about 0.01 mg to about 950 mg daily, from about 0.01 mg to about 900 mg daily, from about 0.01 mg to about 850 mg daily, from about 0.01 mg to about 800 mg daily, from about 0.01 mg to about 750 mg daily, from about 0.01 mg to about 700 mg daily, from about 0.01 mg to about 650 mg daily, from about 0.01 mg to about 600 mg daily, from about 0.01 mg to about 550 mg daily, from about 0.01 mg to about 500 mg daily, from about 0.01 mg to about 450 mg daily, from about 0.01 mg to about 400 mg daily, from about 0.01 mg to about 350 mg daily, from about 0.01 mg to about 300 mg daily, from about 0.01 mg to about 250 mg daily, from about 0.01 mg to about 200 mg daily, from about 0.01 mg to about 150 mg daily, from about 0.1 mg to about 100 mg daily, from about 0.1 mg to about 95 mg daily, from about 0.1 mg to about 90 mg daily, from about 0.1 mg to about 85 mg daily, from about 0.1 mg to about 80 mg daily, from about 0.1 mg to about 75 mg daily, from about 0.1 mg to about 70 mg daily, from about 0.1 mg to about 65 mg daily, from about 0.1 mg to about 60 mg daily, from about 0.1 mg to about 55 mg daily, from about 0.1 mg to about 50 mg daily, from about 0.1 mg to about 45 mg daily, from about 0.1 mg to about 40 mg daily, from about 0.1 mg to about 35 mg daily, from about 0.1 mg to about 30 mg daily, from about 0.1 mg to about 25 mg daily, from about 0.1 mg to about 20 mg daily, from about 0.1 mg to about 15 mg daily, from about 0.1 mg to about 10 mg daily, from about 0.1 mg to about 5 mg daily, from about 0.1 mg to about 3 mg daily, from about 0.1 mg to about 1 mg daily, or from about 5 mg to about 80 mg daily. In various embodiments, the antibody is administered at a daily dose of about 0.01 mg, about 0.02 mg, about 0.03 mg, about 0.04 mg, about 0.05 mg, about 0.06 mg, about 0.07 mg, about 0.08 mg, about 0.09 mg, about 0.1 mg, about 0.2 mg, about 0.3 mg, about 0.4 mg, about 0.5 mg, about 0.6 mg, about 0.7 mg, about 0.8 mg, about 0.9 mg, about 1 mg, about 2 mg, about 3 mg, about 4 mg, about 5 mg, about 6 mg, about 7 mg, about 8 mg, about 9 mg about 10 mg, about 15 mg, about 20 mg, about 25 mg, about 30 mg, about 35 mg, about 40 mg, about 45 mg, about 50 mg, about 55 mg, about 60 mg, about 65 mg, about 70 mg, about 75 mg, about 80 mg, about 85 mg, about 90 mg, about 95 mg, about 100 mg, about 150 mg, about 200 mg, about 250 mg, about 300 mg, about 350 mg, about 400 mg, about 450 mg, about 500 mg, about 550 mg, about 600 mg, about 650 mg, about 700 mg, about 750 mg, about 800 mg, about 850 mg, about 900 mg, about 950 mg, or about 1,000 mg, inclusive of all values and ranges therebetween.
In some embodiments, a suitable dosage of the antibody (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) is in a range of about 0.01 mg/kg to about 100 mg/kg of body weight of the subject, for example, about 0.01 mg/kg, about 0.02 mg/kg, about 0.03 mg/kg, about 0.04 mg/kg, about 0.05 mg/kg, about 0.06 mg/kg, about 0.07 mg/kg, about 0.08 mg/kg, about 0.09 mg/kg, about 0.1 mg/kg, about 0.2 mg/kg, about 0.3 mg/kg, about 0.4 mg/kg, about 0.5 mg/kg, about 0.6 mg/kg, about 0.7 mg/kg, about 0.8 mg/kg, about 0.9 mg/kg, about 1 mg/kg, about 1.1 mg/kg, about 1.2 mg/kg, about 1.3 mg/kg, about 1.4 mg/kg, about 1.5 mg/kg, about 1.6 mg/kg, about 1.7 mg/kg, about 1.8 mg/kg, 1.9 mg/kg, about 2 mg/kg, about 3 mg/kg, about 4 mg/kg, about 5 mg/kg, about 6 mg/kg, about 7 mg/kg, about 8 mg/kg, about 9 mg/kg, about 10 mg/kg, about 15 mg/kg, about 20 mg/kg, about 25 mg/kg, about 30 mg/kg, about 35 mg/kg, about 40 mg/kg, about 45 mg/kg, about 50 mg/kg, about 55 mg/kg, about 60 mg/kg, about 65 mg/kg, about 70 mg/kg, about 75 mg/kg, about 80 mg/kg, about 85 mg/kg, about 90 mg/kg, or about 100 mg/kg body weight, inclusive of all values and ranges therebetween. In other embodiments, a suitable dosage of the antibody in a range of about 0.01 mg/kg to about 100 mg/kg of body weight, in a range of about 1 mg/kg to about 100 mg/kg of body weight, in a range of about 1 mg/kg to about 90 mg/kg of body weight, in a range of about 1 mg/kg to about 80 mg/kg of body weight, in a range of about 1 mg/kg to about 70 mg/kg of body weight, in a range of 1 mg/kg to about 60 mg/kg of body weight, in a range of 1 mg/kg to about 50 mg/kg of body weight, in a range of 1 mg/kg to about 40 mg/kg of body weight, in a range of 1 mg/kg to about 30 mg/kg of body weight, in a range of 1 mg/kg to about 20 mg/kg of body weight, in a range of about 5 mg/kg to about 50 mg/kg of body weight, in a range of about 5 mg/kg to about 40 mg/kg of body weight, in a range of about 5 mg/kg to about 30 mg/kg of body weight, in a range of about 5 mg/kg to about 20 mg/kg of body weight, inclusive of all values and ranges therebetween.
In accordance with certain embodiments of the invention, the antibody (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) may be administered, for example, more than once daily, about once per day, about every other day, about every third day, about once a week, about once every two weeks, about once every month, about once every two months, about once every three months, about once every six months, or about once every year.
Antibody can be administered on multiple occasions. Intervals between single dosages can be weekly, monthly or yearly. Intervals can also be irregular as indicated by measuring blood levels of the antibody in the subject. In some embodiments, the antibody can be administered as a sustained release formulation, in which case less frequent administration is required.
In some methods, the antibody of the invention is administered at a dosage to achieve a plasma or serum antibody concentration of 1-1000 μg/ml and in some methods 25-300 μg/ml. For example, the antibody of the invention can be administered at a dosage to achieve a plasma or serum level of about 1-1000 μg/ml, 1-900 μg/ml, 1-800 μg/ml, 1-700 μg/ml, 1-600 μg/ml, 1-500 μg/ml, 1-400 μg/ml, 1-300 μg/ml, 1-200 μg/ml, 1-100 μg/ml, 10-500 μg/ml, 10-400 μg/ml, 10-300 μg/ml, 10-200 μg/ml, 10-100 μg/ml, 100-400 μg/ml, 100-300 μg/ml, or 100-200 μg/ml, inclusive of all values and ranges therebetween. For example, the antibody of the invention can be administered at a dosage to achieve a plasma or serum level of about 1 μg/ml, about 5 μg/ml, about 10 μg/ml, about 15 μg/ml, about 20 μg/ml, about 25 μg/ml, about 30 μg/ml, about 35 μg/ml, about 40 μg/ml, about 45 μg/ml, about 50 μg/ml, about 55 μg/ml, about 60 μg/ml, about 65 μg/ml, about 70 μg/ml, about 75 μg/ml, about 80 μg/ml, about 85 μg/ml, about 90 μg/ml, about 95 μg/ml, about 100 μg/ml, about 105 μg/ml, about 110 μg/ml, about 115 μg/ml, about 120 mg μg/ml, about 125 μg/ml, about 130 μg/ml, about 135 μg/ml, about 140 μg/ml, about 145 μg/ml, about 150 μg/ml, about 155 μg/ml, about 160 μg/ml, about 165 μg/ml, about 170 μg/ml, about 175 μg/ml, about 180 μg/ml, about 185 μg/ml, about 190 μg/ml, about 195 μg/ml, about 200 μg/ml, about 205 μg/ml, about 210 μg/ml, about 215 μg/ml, about 220 mg μg/ml, about 225 μg/ml, about 230 μg/ml, about 235 μg/ml, about 240 μg/ml, about 245 μg/ml, about 250 μg/ml, about 255 μg/ml, about 260 μg/ml, about 265 μg/ml, about 270 μg/ml, about 275 μg/ml, about 280 μg/ml, about 285 μg/ml, about 290 μg/ml, about 295 μg/ml, or about 300 μg/ml.
In some methods, the antibody of the invention (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) achieves a potency of at least about 1 EU/ug, at least about 2 EU/ug, at least about 3 EU/ug, at least about 4 EU/ug, at least about 5 EU/ug, at least about 6 EU/ug, at least about 7 EU/ug, at least about 8 EU/ug, at least about 9 EU/ug, at least about 10 EU/ug, at least about 15 EU/ug, at least about 20 EU/ug, at least about 25 EU/ug, at least about 30 EU/ug, at least about 35 EU/ug, at least about 40 EU/ug, at least about 45 EU/ug, at least about 50 EU/ug, at least about 55 EU/ug, at least about 60 EU/ug, at least about 65 EU/ug, at least about 70 EU/ug, at least about 75 EU/ug, at least about 80 EU/ug, at least about 85 EU/ug, at least about 90 EU/ug, at least about 95 EU/ug, at least or about 100 EU/ug. In some methods, the antibody of the invention (e.g., humanized hu1B7 antibody and/or hu11E6 antibody) achieves a potency of at least about 1 EU/ml, at least about 2 EU/ml, at least about 3 EU/ml, at least about 4 EU/ml, at least about 5 EU/ml, at least about 6 EU/ml, at least about 7 EU/ml, at least about 8 EU/ml, at least about 9 EU/ml, at least about 10 EU/ml, at least about 15 EU/ml, at least about 20 EU/ml, at least about 25 EU/ml, at least about 30 EU/ml, at least about 35 EU/ml, at least about 40 EU/ml, at least about 45 EU/ml, at least about 50 EU/ml, at least about 55 EU/ml, at least about 60 EU/ml, at least about 65 EU/ml, at least about 70 EU/ml, at least about 75 EU/ml, at least about 80 EU/ml, at least about 85 EU/ml, at least about 90 EU/ml, at least about 95 EU/ml, at least or about 100 EU/ml. EU stands for equivalent units as defined by the WHO polyclonal serum standard. In various embodiments, the antibody of the invention is able to maintain potency after at least about 1 day, about 2 days, about 3 days, about 4 days, about 5 days, about 6 days, about 1 week, about 2 weeks, about 3 weeks, about 4 weeks, about 5 months, about 6 months, about 7 months, about 8 months, about 9 months, about 10 months, about 11 months, or about 12 months.
Dosage and frequency vary depending on factors such as route of administration, dosage amount, the disease being treated, and the half-life of the antibody in the patient. The dosage and frequency of administration can vary depending on whether the treatment is prophylactic or therapeutic. In prophylactic applications, a relatively low dosage is administered at relatively infrequent intervals over a long period of time. In therapeutic applications, a relatively high dosage at relatively short intervals is sometimes required until progression of the disease is reduced or terminated, and preferably until the patient shows partial or complete amelioration of symptoms of disease. Thereafter, the patient can be administered a prophylactic regime. Illustrative dosing frequencies are once per day, twice per day, three times per day, once per week and once every two weeks. In some embodiments, dosing is once every two weeks.
The invention also provides kits that can simplify the administration of any agent described herein (e.g. the humanized antibodies with or without various combination agents). An illustrative kit of the invention comprises any composition described herein in unit dosage form. In one embodiment, the unit dosage form is a container, such as a pre-filled syringe, which can be sterile, containing any agent described herein and a pharmaceutically acceptable carrier, diluent, excipient, or vehicle. The kit can further comprise a label or printed instructions instructing the use of any agent described herein. The kit may also include a lid speculum, topical anesthetic, and a cleaning agent for the administration location. The kit can also further comprise one or more additional agent described herein. In one embodiment, the kit comprises a container containing an effective amount of a composition of the invention and an effective amount of another composition, such those described herein.
In some embodiments, the kit ma comprises a pre-filled syringe in unit dose form (e.g. an injector pen). In various embodiments, the kits are suited for use away from a traditional medical center, e.g. in the field, e.g. in the third world.
The following Examples are merely illustrative and are not intended to limit the scope or content of the invention in any way.
An expression plasmid construct encoding a chimeric 11E6 heavy chain was generated. The construct encoded an antibody with the mouse variable region followed by a human constant region. Specifically, the construct encoded SEQ ID NO: 13 fused to a human IgG1 heavy chain constant region. Similarly, an expression plasmid construct encoding a chimeric 11E6 light chain was generated. The construct encoded SEQ ID NO: 19 fused to a human Kappa light chain constant region. The two expression constructs also encoded a promoter, 5′ untranslated sequence, and heterologous signal peptide for expression in, and secretion from CHO cells.
An expression plasmid construct encoding a chimeric 11E6 heavy chain was generated. The construct encoded an antibody with the mouse variable region followed by a human constant region. Specifically, the construct encoded SEQ ID NO: 13 fused to a human IgG1 heavy chain constant region. Similarly, an expression plasmid construct encoding a chimeric 11E6 light chain was generated. The construct encoded SEQ ID NO: 19 fused to a human Kappa light chain constant region. The two expression constructs also encoded a promoter, 5′ untranslated sequence, and heterologous signal peptide for expression in, and secretion from CHO cells.
In analogous fashion, four expression plasmids encoding humanized 11E6 heavy chains were constructed utilizing SEQ ID NOs: 14, 15, 17, and 18. These were designated H1, H2, H3, and H4 respectively. Three expression plasmids encoding humanized 11E6 light chains were constructed utilizing SEQ ID NOs: 20, 21, and 23. These were designated L1, L2, and L3, respectively.
The heavy and light chain chimeric expression plasmids were co-transfected into CHO cells, which then secreted bivalent chimeric antibodies into the tissue culture medium. Similarly, all 12 combinations for the humanized heavy and light chain constructs were co-transfected into CHO cells. Specifically, H1 was co-transfected with L1, L2, L3, and L4; H2 was co-transfected with L1, L2, L3, and L4; and H3 was co-transfected with L1, L2, L3, and L4. Media was collected from each transfection, antibody levels in the samples were quantified, and binding to pertussis toxin was determined by ELISA. Both the chimeric constructs and all of the 12 humanized combinations yielded antibodies that specifically bound pertussis toxin. H1 and H4 in combinations with L2 and L3 generated the highest ELISA signals. The combination of H4 and L3 was chosen for further evaluation.
The dissociation constants (Kd) for the parental murine antibody, the chimeric antibody, the H4/L3 antibody were determined with a pertussis toxin-binding competition assay. In this assay, increasing concentrations of pertussis toxin are exposed to a constant amount of antibody. The amount of unbound antibody remaining is then quantified by ELISA. The dissociation constants for the three antibodies were nearly identical.
Thus, the 11E6 antibody was humanized without any loss of affinity versus the parental murine antibody.
The same evaluation was performed with the 1B7 chimeric sequences as well as 20 combinations of humanized 1B7 heavy and light chains. Expression plasmids were generated encoding the 1B7 chimeric heavy and light chains, SEQ ID NOs: 1 and 7, respectively. Expression plasmids for four 1B7 humanized heavy chains were prepared encoding SEQ ID NOs: 2, 3, 5, and 6, which were designated H1, H2, H3, H4, respectively. Expression plasmids for five 1B7 humanized light chains were prepared encoding SEQ ID NOs: 8, 9, 11, 12, and 10, which were designated L1, L2, L3, L4, and L5 respectively. For each expression plasmid the promoter, 5′ untranslated region, signal peptide, and constant region (IgG1 and Kappa) were the same as was used for the 11E6 constructs in Example 1.
The chimeric heavy and light chain-encoding plasmids were co-transfected into CHO cells to generate a chimeric 1B7 antibody. Plasmids for each combination of humanized 1B7 heavy and light chain were also co-transfected into CHO cells to produce 20 different humanized 1B7 antibodies. The antibodies were then evaluated via the pertussis toxin binding ELISA as was done with 11E6 in Example 1. H1 and H2 in combinations with L3 and L4 produced the highest ELISA signals. H2/L3 was the combination chosen for further development. In the pertussis toxin competition assay, the dissociation constants for the parental murine 1B7 antibody and the H2/L3 humanized 1B7 antibody were 0.15 and 0.16 nM respectively.
Thus, the 1B7 antibody was humanized without any loss of affinity versus the parental murine antibody.
The two humanized antibodies identified in Examples 1 and 2, above, were produced in CHO cells. Specifically, for each antibody, two retroviral vectors were prepared, one encoding the heavy chain and the second encoding the light chain. For each antibody, the pair of retroviral vectors was used to repeatedly transduce and genetically modify a nonclonal pool of CHO cells. The recombinant CHO cells were then grown in shake flasks for two weeks. Each antibody was purified from the CHO cell tissue culture medium via a Protein A column. The humanized hu1B7 and hu11E6 antibodies were analyzed using SDS-PAGE gel (see
The humanized hu1B7 and hu11E6 antibodies were analyzed using SDS-PAGE gel (see
The following results were obtained for the humanized hu1B7 antibody: concentration: 5.78 mg/mL (using an A280 absorbance coefficient of 1.64 (mg/mL)−1); endotoxin of <0.25 EU/mL (<0.04 EU/mg); and bioburden of <0.2 CFU/mL (Pass).
The following results were obtained for the humanized hu11E6 antibody: concentration: 5.62 mg/mL (using an A280 absorbance coefficient of 1.56 (mg/mL)−1); endotoxin of <0.25 EU/mL (<0.04 EU/mg); and bioburden of <0.2 CFU/mL (Pass).
As shown in
Large-scale manufacturing of the humanized hu1B7 and hu11E6 antibodies was carried out. Specifically, the humanized hu1B7 and hu11E6 antibodies were expressed in CHO cells using retroviral transduction technology followed by a monoclonal antibody purification process. Clones and backup clones for producing each antibody were identified. Each clone was characterized for expression, and the quality of the resultant antibodies was verified. The upstream process was scaled to 100 L for production of the hu1B7 antibody and to 250 L for production of the hu11E6 antibody. The upstream process utilized serum-free, chemically defined, and commercially available cell culture medium and feeds. The downstream process utilized a three-step purification by sequential chromatography (i.e., protein-A, anion exchange, and cation exchange). The manufacturing process also included a detergent-based virus inactivation step and tangential flow filtration into a PBS formulation buffer (pH 7.0) at 10 mg/mL. The two antibody preparations were sterilized through a 0.2 um filter and bulk filled into high density polyethylene bottles. The purified preparations were stored long-term at <−35° C. Yields of the humanized hu1B7 and hu11E6 antibodies were 47 and 70 grams, respectively. This yield is more than an order of magnitude higher compared to CHO cell manufacturing lines generated by standard plasmid transfection methods.
A panel of bio-analytical assays was conducted for batch analysis and stability studies of the manufactured antibodies. These methods included product-related tests such as A280 absorption reading, SDS-PAGE, SE-HPLC, IEF, and ELISA activity assay, as well as process-related tests such as analysis of host cell DNA and protein, endotoxin, bioburden, and mycoplasma. Appearance, osmolality, and pH were also measured. Both monoclonal antibodies exhibited superior characteristics in these assays.
Thermal stability assays were used to assess the stability of the humanized hu11E6 and hu1B7 antibodies as well as their murine counterparts, as shown
An ELISA assay was performed to determine the ability of the humanized hu11E6 and hu1B7 antibodies to bind the pertussis toxin protein (see
The following Kd (nM) data were obtained:
The binding affinities of the humanized hu1B7 and hu11E6 antibodies were also measured by BIAcore, and the following Kd data were obtained as shown in Table 1.
A CHO cell in vitro protection assay was conducted to compare the neutralization activity of the humanized hu1B7 and hu11E6 antibodies. The assays was performed by two different technicians (see
A mixture of the humanized 11E6 and 1B7 antibodies was prepared by mixing the antibodies and storing at 4° C. for 1 minute, 1 hour, and 22 hours. The binding affinity of the mixture for the pertussis toxin protein was evaluated using an ELISA assay as previously described (see
Table 2 below summarizes a pharmacokinetic (PK) analysis of the humanized hu1B7 antibody as compared to the murine m1B7 antibody.
From the PK analysis, it was determined that 5 ug of the murine m1B7 antibody fully protected mice infected with B. pertussis and had an elimination half-life of about 210 hours. In comparison, 20 ug of the humanized hu1B7 had an elimination half-life of about 89 hours (see
An ELISA assay was conducted to determine whether heat affected the binding affinities of the humanized hu1B7A and hu11E6A antibodies for the pertussis toxin protein (see
An ELISA assay was conducted to compare the binding affinities of the individual humanized hu1B7A or hu11E6A antibody as compared to the mixture of the two antibodies (see
The efficacy of the humanized hu1B7 and hu11E6 antibodies in treating B. pertussis infections was evaluated in a mouse model.
Specifically, mice infected with the B. pertussis D420 strain were treated with the humanized hu1B7 antibody, the humanized hu11E6 antibody, and a mixture of the two antibodies. The infected mice were subsequently analyzed for their body weight and white blood cell count. As shown in
The effect of antibody treatments on bacterial lung colonization was also assessed. Specifically, mice were treated with either PBS, P-IVIG, the humanized hu1B7 antibody, the humanized hu11E6 antibody, or a mixture of the two antibodies. Bacterial lung colonization was evaluated at 10 days postinfection. Uninfected naive mice served as the baseline control. Infected mice were euthanized by CO2 inhalation on day 10 postinfections, and the respiratory tract was excised for enumeration by serial plating on Regan Lowe agar supplemented with 10% sheep's blood (Hemostat Resources) containing 40 ug/ml cephalexin. Colonies were counted after 5 days at 37° C. As shown in
Altogether, these data supports the in vivo efficacy of the humanized hu11E6 and hu1B7 antibodies in treating B. pertussis infection.
The efficacy of the humanized hu1B7 and hu11E6 antibodies in treating B. pertussis infections was evaluated in a baboon model.
Specifically, weanling (6-9 month old) male and female baboons (Papio anubus, olive baboons) of about 2-3 kg in weight were infected by intranasal administration of the B. pertussis D420 strain and treated intravenously with the humanized hu1B7 and the humanized hu11E6 antibodies. The infected baboons were analyzed for clinical signs of illness (for example, coughing, weight and temperature), white blood cell counts, and/or nasal carriage levels of B. pertussis.
For the B. pertussis infection, a B. pertussis strain, D420, was suspended in PBS at 109-1010 cfu/ml. One ml was delivered via endotracheal tube to the top of the baboon trachea. 0.5 ml was delivered via an intranasal catheter to the back of each naris. Baboons were then placed in a sitting position for 3 minutes. For the phlebotomy, <5 ml of blood was collected via venipuncture with a butterfly catheter and was aliquoted into tubes for white blood cell determination and serum separation. Throughout the study, the baboons were anesthetized with an intramuscular injection of ketamine for activities including antibody infusions, B. pertussis infection, blood draws, nasopharyngeal washes, and clinical observations. These activities were combined whenever possible to minimize the use of anesthesia.
Two studies were conducted. In one, three baboons were each infected with 6×109 CFU of B. pertussis. Three days later, two of the animals were treated with both the humanized hu1B7 and the humanized hu11E6 antibodies, and the third animal remained untreated. Three weeks after infection, the untreated animal became moribund and was euthanized. The other two treated animals were also euthanized. Histological evaluation of lung sections were performed. In the second study, four baboons were infected with 4×109 CFU of B. pertussis and three days later, two of the animals were treated with both the humanized hu1B7 and the humanized hu11E6 antibodies, and two animals remained untreated. The antibodies were administered via intravenous injection, and each was used at dose of 20 mg/kg.
As shown in
The lungs of the infected baboons were evaluated by histopathological examination (
The white blood cell counts and nasal bacterial counts of the infected baboons were assessed (
The serum concentration and half-life of the humanized hu1B7 and the humanized hu11E6 antibodies were also measured. To measure the amounts of the humanized 1B7 and 11E6 antibodies in the baboon serum following intravenous administration of 20 mg/kg of each antibody, blood samples were collected at various time points, serum isolated, and serum samples were used in the anti-pertussis toxin (PTx) ELISA as described previously in Example 4. Specifically, the pertussis toxin protein was used for coating while anti-human Fc-HRP were used as secondary antibodies. TMB (3, 3′, 5, 5′-Tetramethylbenzidine) was used as substrate for the assay. Two treated baboons were used for this analysis (i.e., baboon #12913 and 15913).
Serum Conc=a−αt+be−βt
In summary, both humanized antibodies, either individually or in combination, mitigated the weight loss, leukocytosis, and pulmonary bacterial burdens in a mouse pertussis model. Moreover, in the baboon model, the combination of antibodies reversed the course of the disease in both treated animals enabling them to rapidly recover with normal or near-normal lung histology. These data support the clinical application of the humanized antibodies of the invention as a means to diminish morbidity, long-term sequelae, and mortality in children with pertussis.
The humanized hu1B7 and hu11E6 antibodies are administered via intramuscular injection to newborns to provide prophylactic treatment against pertussis via passive immunization. Since pertussis during the first four months of life portends the highest risk for death or serious illness with long-term sequelae, treatment at birth can protect children during this high risk period and/or until they are old enough to receive a standard pertussis vaccine. This may be particularly important in the developing world where the risk of contracting pertussis is high, the disease kills 160,000 to 300,000 children annually, and newborns only see a physician once at birth.
A cocktail of humanized hu1B7 and hu11E6 antibodies (aka SYN-005) is expected to provide at least four months of prophylaxis due to its plasma half-life and potency.
The half-life of SYN-005 is estimated based on pharmacokinetic (PK) data obtained from baboon studies in conjunction with data available for other antibodies administered as prophylactic treatments to newborns. Specifically, SYN-005 was shown to have a beta half-life in baboons of 11 days.
The potency of SYN-005 was assessed vis-à-vis the World Health Organization's (WHO's) polyclonal serum standard routinely used to predict vaccine efficacy. The WHO potency is quantified in equivalent units (EU), and 5 EU/ml is considered a protective level in humans. See Storsaeter J. et al. (1998), Vaccine, 16(20):1907-16. Specifically, the potency of SYN-005 was determined to be 2 EU/ug. Moreover, in a CHO cell functional assay, an EU of SYN-005 was shown to be approximately seven-fold more potent than an EU of the WHO polyclonal standard. Particularly, the two humanized antibodies in SYN-005 were capable of neutralizing pertussis toxin, whereas many of the PTx-binding antibodies in a polyclonal setting did not interfere with pertussis toxin function.
Accordingly, the protective plasma level of the SYN-005 cocktail is expected to be greater than 5 EU/ml. Specifically, it is expected that a 40 mg/kg intramuscular dose of SYN-005 will provide a serum level of 100-130 ug/ml at one month and 5 ug/ml at four months. Since SYN-005 has a potency of 2 EU/ug, a serum level of 5 ug/ml is equivalent to 10 EU/ml, twice the level required by the WHO standard for prophylactic treatments. Further, the observation that one EU of SYN-005 is seven-fold more potent than one EU of the WHO polyclonal standard provides an additional margin to ensure ongoing prophylaxis at four months.
Altogether, these data suggest that a single dose of SYN-005 will maintain plasma levels above the threshold required to protect newborns from pertussis for at least four months.
The entire disclosure of each of the patent documents and scientific articles referred to herein is incorporated by reference for all purposes.
The publications discussed herein are provided solely for their disclosure prior to the filing date of the present application. Nothing herein is to be construed as an admission that the present invention is not entitled to antedate such publication by virtue of prior invention.
As used herein, all headings are simply for organization and are not intended to limit the disclosure in any manner. The content of any individual section may be equally applicable to all sections
The invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. The foregoing embodiments are therefore to be considered in all respects illustrative rather than limiting on the invention described herein.
A humanized 1B7 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region, wherein the immunoglobulin heavy chain variable region comprises an amino acid sequence selected from SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, and SEQ ID NO:6; and the immunoglobulin light chain variable region comprises an amino acid sequence selected from SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, and SEQ ID NO:12.
A humanized 1B7 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region selected from: (a) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 2, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:8; (b) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 3, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:9; (c) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 4, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:10; (d) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 5, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:11; and (e) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 6, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:12.
A humanized 11E6 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region, wherein the immunoglobulin heavy chain variable region comprises an amino acid sequence selected from SEQ ID NO:13, SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:16, SEQ ID NO:17, and SEQ ID NO:18; and the immunoglobulin light chain variable region comprises an amino acid sequence selected from SEQ ID NO:19, SEQ ID NO:20, SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, and SEQ ID NO:24.
A humanized 11E6 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region selected from: (a) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 14, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:20; (b) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 15, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:21; (c) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 16, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:22; (d) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO:17, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:23; and (e) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO:18, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:24.
The antibody of embodiment 1 or 2, wherein the antibody binds the pertussis toxin protein with a KD of 3 nM or lower.
The antibody of embodiment 3 or 4, wherein the antibody binds the pertussis toxin protein with a KD of 12 nM or lower.
A humanized 1B7 antibody that binds a pertussis toxin protein, wherein the antibody binds the pertussis toxin protein with a KD of 3 nM or lower.
The antibody of embodiment 7, wherein the KD is about 3 nM, or about 2 nM, or about 1 nM, or about 0.5 nM.
A humanized 11E6 antibody that binds a pertussis toxin protein, wherein the antibody binds the pertussis toxin protein with a KD of 12 nM or lower.
The antibody of embodiment 9, wherein the KD is about 12 nM, or about 10 nM, or about 8 nM, or about 6 nM, or 4 nM, or 2 nM, or about 1 nM, or about 0.5 nM.
An isolated nucleic acid comprising a nucleotide sequence encoding an immunoglobulin heavy chain variable region of any one of embodiments 1-10.
An isolated nucleic acid comprising a nucleotide sequence encoding an immunoglobulin light chain variable region of any one of embodiments 1-10.
An expression vector containing the nucleic acid of embodiment 11.
An expression vector containing the nucleic acid of embodiment 12.
The expression vector of embodiment 14, further comprising the nucleic acid of embodiment 11.
A host cell comprising the expression vector of embodiment 13.
A host cell comprising the expression vector of embodiment 14.
A host cell comprising the expression vector of embodiment 15.
The host cell of embodiment 17, further comprising the expression vector of embodiment 13.
A method of producing a polypeptide comprising an immunoglobulin heavy chain variable region or an immunoglobulin light chain variable region, the method comprising: (a) growing the host cell of embodiment 16 or 17 under conditions so that the host cell express the polypeptide comprising the immunoglobulin heavy chain variable region or the immunoglobulin light chain variable region; and (b) purifying the polypeptide comprising the immunoglobulin heavy chain variable region or the immunoglobulin light chain variable region.
A method of producing an antibody that binds a pertussis toxin protein, the method comprising: (a) growing the host cell of embodiment 18 or 19 under conditions so that the host cell expresses a polypeptide comprising the immunoglobulin heavy chain variable region and/or the immunoglobulin light chain variable region, thereby producing the antibody; and (b) purifying the antibody.
A pharmaceutical composition comprising one or more antibodies of any one of embodiments 1-10, and a pharmaceutically acceptable excipient.
The pharmaceutical composition of embodiment 22, comprising the humanized 1B7 antibody of any one of embodiment 1, 2, 5, 7, or 8 and the humanized 11E6 antibody of any one of embodiment 3, 4, 6, 9 or 10.
The pharmaceutical composition of embodiment 23, wherein the composition is formulated as a colloidal dispersion system, macromolecular complex, nanocapsule, microsphere, bead, oil-in-water emulsion, micelle, mixed micelle, or liposome.
The pharmaceutical composition of any one of embodiments 22-24, wherein the composition is formulated for oral, intranasal, pulmonary, intradermal, transdermal, subcutaneous, intramuscular, intraperitoneal, or intravenous delivery.
A method of treating a patient infected with Bordetella pertussis, comprising administering to the patient the antibody of any of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25.
A method of treating a patient infected with Bordetella pertussis, comprising co-administering to the patient an effective amount of the humanized 1B7 antibody of any one of embodiments 1, 2, 5, 7, or 8 and an effective amount of the humanized 11E6 antibody of any one of embodiment 3, 4, 6, 9 or 10.
The method of embodiment 27, wherein the humanized 1B7 antibody and the humanized 11E6 antibody are administered simultaneously to the patient.
The method of embodiment 27, wherein the humanized 1B7 antibody is administered to the patient prior to administering the humanized 11E6 antibody to the patient.
The method of embodiment 27, wherein the humanized 1B7 antibody is administered to the patient after administering the humanized 11E6 antibody to the patient.
The method of embodiment 27, wherein co-administration of the humanized 1B7 antibody and the humanized 11E6 antibody produces synergistic effects.
A method of treating a patient infected with Bordetella pertussis, comprising co-administering to the patient at least one antibody of any one of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25, and an antimicrobial agent.
The method of embodiment 33, wherein the antimicrobial agent is selected from azithromycin, clarithromycin, erythromycin, trimethoprim-sulfamethoxasole, roxithromycin, ketolides, ampicillin, amoxicillin, tetracycline, chloramphenicol, fluoroquinolones, and cephalosporins.
The method of any one of embodiments 26-33, wherein the patient is human.
The method of embodiment 34, wherein the human is an infant.
A method of preventing Bordetella pertussis infection in a subject previously exposed to Bordetella pertussis, comprising administering to the subject an effective amount of the antibody of any of embodiments 1-10 or an effective amount of the pharmaceutical composition of any one of embodiments 22-25.
The method of any one of embodiments 26-36, wherein the method comprises a reduction of white blood cell count.
The method of any one of embodiments 26-37, wherein the method comprises a reduction of the duration and/or the frequency of cough.
The method of any one of embodiments 26-38, wherein the method comprises a reduction of Bordetella pertussis level in the nasopharynx and/or the lung.
The method of any one of embodiments 26-39, wherein the pertussis toxin protein is neutralized.
The method of embodiment 40, wherein the pertussis toxin protein is prevented from binding to its cellular receptor.
The method of embodiment 40, wherein the pertussis toxin protein is prevented from reaching the cellular cytosol.
A method of treating a patient infected with Bordetella parapertussis, comprising administering to the patient an effective amount of the antibody of any of embodiments 1-10 or an effective amount of the pharmaceutical composition of any one of embodiments 22-25.
A method of treating a patient infected with Bordetella parapertussis, comprising co-administering to the patient an effective amount of the humanized 1B7 antibody of any one of embodiments 1, 2, 5, 7, or 8 and an effective amount of the humanized 11E6 antibody of any one of embodiment 3, 4, 6, 9 or 10.
A method of preventing Bordetella parapertussis infection in a subject previously exposed to Bordetella pertussis, comprising administering to the subject an effective amount of the antibody of any of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25.
A humanized 1B7 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region, wherein the immunoglobulin heavy chain variable region comprises an amino acid sequence selected from SEQ ID NO:1, SEQ ID NO:2, SEQ ID NO:3, SEQ ID NO:4, SEQ ID NO:5, and SEQ ID NO:6; and the immunoglobulin light chain variable region comprises an amino acid sequence selected from SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, and SEQ ID NO:12.
A humanized 1B7 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region selected from: (a) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 2, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:8; (b) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 3, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:9; (c) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 4, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:10; (d) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 5, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:11; and (e) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 6, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:12.
A humanized 11E6 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region, wherein the immunoglobulin heavy chain variable region comprises an amino acid sequence selected from SEQ ID NO:13, SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:16, SEQ ID NO:17, and SEQ ID NO:18; and the immunoglobulin light chain variable region comprises an amino acid sequence selected from SEQ ID NO:19, SEQ ID NO:20, SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, and SEQ ID NO:24.
A humanized 11E6 antibody that binds a pertussis toxin protein, comprising an immunoglobulin heavy chain variable region and an immunoglobulin light chain variable region selected from: (a) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 14, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:20; (b) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 15, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:21; (c) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 16, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:22; (d) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO:17, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:23; and (e) an immunoglobulin heavy chain variable region comprising the amino acid sequence of SEQ ID NO:18, and an immunoglobulin light chain variable region comprising the amino acid sequence of SEQ ID NO:24.
The antibody of embodiment 1 or 2, wherein the antibody binds the pertussis toxin protein with a KD of 3 nM or lower.
The antibody of embodiment 3 or 4, wherein the antibody binds the pertussis toxin protein with a KD of 12 nM or lower.
A humanized 1B7 antibody that binds a pertussis toxin protein, wherein the antibody binds the pertussis toxin protein with a KD of 3 nM or lower.
The antibody of embodiment 6, wherein the KD is about 3 nM, or about 2 nM, or about 1 nM, or about 0.5 nM.
A humanized 11E6 antibody that binds a pertussis toxin protein, wherein the antibody binds the pertussis toxin protein with a KD of 12 nM or lower.
The antibody of embodiment 9, wherein the KD is about 12 nM, or about 10 nM, or about 8 nM, or about 6 nM, or 4 nM, or 2 nM, or about 1 nM, or about 0.5 nM.
An isolated nucleic acid comprising a nucleotide sequence encoding an immunoglobulin heavy chain variable region of any one of embodiments 1-10.
An isolated nucleic acid comprising a nucleotide sequence encoding an immunoglobulin light chain variable region of any one of embodiments 1-10.
An expression vector containing the nucleic acid of embodiment 11.
An expression vector containing the nucleic acid of embodiment 12.
The expression vector of embodiment 14, further comprising the nucleic acid of embodiment 11.
A host cell comprising the expression vector of embodiment 13.
A host cell comprising the expression vector of embodiment 14.
A host cell comprising the expression vector of embodiment 15.
The host cell of embodiment 17, further comprising the expression vector of embodiment 13.
A method of producing a polypeptide comprising an immunoglobulin heavy chain variable region or an immunoglobulin light chain variable region, the method comprising: (a) growing the host cell of embodiment 16 or 17 under conditions so that the host cell express the polypeptide comprising the immunoglobulin heavy chain variable region or the immunoglobulin light chain variable region; and (b) purifying the polypeptide comprising the immunoglobulin heavy chain variable region or the immunoglobulin light chain variable region.
A method of producing an antibody that binds a pertussis toxin protein, the method comprising: (a) growing the host cell of embodiment 18 or 19 under conditions so that the host cell expresses a polypeptide comprising the immunoglobulin heavy chain variable region and/or the immunoglobulin light chain variable region, thereby producing the antibody; and (b) purifying the antibody.
A pharmaceutical composition comprising the antibody of any one of embodiments 1-10, and a pharmaceutically acceptable excipient.
The pharmaceutical composition of embodiment 22, comprising the humanized 1B7 antibody of any one of embodiment 1, 2, 5, 7, or 8 and the humanized 11E6 antibody of any one of embodiment 3, 4, 6, 9 or 10.
The pharmaceutical composition of embodiment 23, wherein the composition is formulated as a colloidal dispersion system, macromolecular complex, nanocapsule, microsphere, bead, oil-in-water emulsion, micelle, mixed micelle, or liposome.
The pharmaceutical composition of any one of embodiments 22-24, wherein the composition is formulated for oral, intranasal, pulmonary, intradermal, transdermal, subcutaneous, intramuscular, intraperitoneal, or intravenous delivery.
A method of treating a patient infected with Bordetella pertussis, comprising administering to the patient the antibody of any of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25.
A method of treating a patient infected with Bordetella pertussis, comprising co-administering to the patient the humanized 1B7 antibody of any one of embodiments 1, 2, 5, 7, or 8 and the humanized 11E6 antibody of any one of embodiment 3, 4, 6, 9 or 10.
The method of embodiment 27, wherein the humanized 1B7 antibody and the humanized 11E6 antibody are administered simultaneous to the patient.
The method of embodiment 27, wherein the humanized 1B7 antibody is administered to the patient prior to administering the humanized 11E6 antibody to the patient.
The method of embodiment 27, wherein the humanized 1B7 antibody is administered to the patient after administering the humanized 11E6 antibody to the patient.
The method of embodiment 27, wherein co-administration of the humanized 1B7 antibody and the humanized 11E6 antibody produces synergistic effects.
A method of treating a patient infected with Bordetella pertussis, comprising co-administering to the patient at least one antibody of any one of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25, and an antimicrobial agent.
The method of embodiment 33, wherein the antimicrobial agent is selected from azithromycin, clarithromycin, erythromycin, trimethoprim-sulfamethoxasole, roxithromycin, ketolides, ampicillin, amoxicillin, tetracycline, chloramphenicol, fluoroquinolones, and cephalosporins.
The method of any one of embodiments 26-33, wherein the patient is human.
The method of embodiment 34, wherein the human is an infant.
A method of preventing Bordetella pertussis infection in a subject previously exposed to Bordetella pertussis, comprising administering to the subject the antibody of any of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25.
The method of any one of embodiments 26-36, wherein the method comprises a reduction of white blood cell count.
The method of any one of embodiments 26-37, wherein the method comprises a reduction of the duration and/or the frequency of cough.
The method of any one of embodiments 26-38, wherein the method comprises a reduction of Bordetella pertussis level in the nasopharynx and/or the lung.
The method of any one of embodiments 26-39, wherein the pertussis toxin protein is neutralized.
The method of embodiment 40, wherein the pertussis toxin protein is prevented from binding to its cellular receptor.
The method of embodiment 40, wherein the pertussis toxin protein is prevented from reaching the cellular cytosol.
A method of treating a patient infected with Bordetella parapertussis, comprising administering to the patient the antibody of any of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25.
A method of treating a patient infected with Bordetella parapertussis, comprising co-administering to the patient the humanized 1B7 antibody of any one of embodiments 1, 2, 5, 7, or 8 and the humanized 11E6 antibody of any one of embodiment 3, 4, 6, 9 or 10.
A method of preventing Bordetella parapertussis infection in a subject previously exposed to Bordetella pertussis, comprising administering to the subject the antibody of any of embodiments 1-10 or the pharmaceutical composition of any one of embodiments 22-25.
A composition as disclosed herein.
The use of any composition described herein one or more of: treatment of pertussis and manufacture of a medicament for the treatment of pertussis
This application is a continuation of application of U.S. application Ser. No. 15/356,217, filed Nov. 18, 2016, which is a divisional application of U.S. application Ser. No. 14/675,514, filed Mar. 31, 2015, which claims the benefit of U.S. Provisional Appl. No. 61/973,141, filed Mar. 31, 2014, and U.S. Provisional Appl. No. 62/046,403, filed Sep. 5, 2014, the content of each of which is incorporated herein by reference in its entirety and for all purposes.
This invention was made with government support under Grant No. R21 AI066239 awarded by the National Institutes of Health. The Government has certain rights in the invention.
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| 20180362621 A1 | Dec 2018 | US |
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| 62046403 | Sep 2014 | US | |
| 61973141 | Mar 2014 | US |
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| Parent | 14675514 | Mar 2015 | US |
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| Parent | 15356217 | Nov 2016 | US |
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