MULTIVALENT AND MONOVALENT MULTISPECIFIC COMPLEXES AND THEIR USES

Abstract
Compositions containing multivalent and monovalent multispecific complexes having scaffolds such as antibodies that support such binding functionalities are described. The use of and methods of compositions containing multivalent and monovalent multispecific complexes having scaffolds, such as antibodies, that support such binding functionalities are also described.
Description
BACKGROUND OF THE INVENTION

1. Field of the Invention


This invention relates generally to compositions containing multivalent multispecific complexes and to compositions containing multivalent and monovalent multispecific complexes having scaffolds, such as antibodies, that support such binding functionalities. The invention also generally relates to methods of making these multispecific compositions and the diagnostic and therapeutic uses of these compositions.


2. Background


In recent years, drug discovery efforts have primarily focused on identifying agents that modulate preselected individual targets. However, agents directed to individual targets frequently show limited efficacies and poor safety and resistance profiles, as a result of the robustness, redundancy, crosstalk, compensatory signaling networks and anti- or counter-signaling network activities associated with the therapeutic target. Consequently, drug discovery efforts have increasingly been directed toward the discovery of new multicomponent based therapies.


The development of bispecific or multi-specific molecules that target two or more targets simultaneously offers a novel and promising solution for discovering new systems-oriented multitargeted agents demonstrating improved efficacy and pharmacological properties over conventional monotherapies. Numerous attempts to develop multispecific molecules have been based on immunoglobulin-like domains or subdomains. For example, traditionally, bispecific antibodies have been prepared by chemically linking two different monoclonal antibodies or by fusing two hybridoma cell lines to produce a hybrid-hybridoma. Other immunoglobulin-like domain-based technologies that have created multispecific, and/or multivalent molecules include dAbs, diabodies, TandAbs, nanobodies, BiTEs, SMIPs, DNLs, Affibodies, Fynomers, Kunitz Domains, Albu-dabs, DARTs, DVD-IG, Covx-bodies, peptibodies, scFv-Igs, SVD-Igs, dAb-Igs, Knobs-in-Holes, DuoBodies™ and triomAbs. Although each of these molecules may bind one or more targets, they each present challenges with respect to retention of typical Ig function (e.g., half-life, effector function), production (e.g., yield, purity), valency, simultaneous target recognition, and bioavailability.


Other attempts to generate multispecific and multivalent molecules have relied on alternative scaffolds, based VASP polypeptides, Avian pancreatic polypeptide (aPP), Tctrancctin (based on CTLD3), Affilin (based on γB-crystallin/ubiquitin), knottins, SH3 domains, PDZ domains, Tendamistat, Transferrin, an ankyrin consensus repeat domain (e.g., DARPins), lipocalin protein folds (e.g., Duocalins), fibronectin (see for example, US Application Publ. Nos. 2003/0170753 and 20090155275 which are herein incorporated by reference), a domain of protein A (e.g., Affibodies), thioredoxin. Other attempts have relied on alternative scaffolds fuse or associate polypeptides of interest with albumin (e.g., ALBUdAb (Domantis/GSK) and ALB-Kunitz (Dyax)), unstructured repeat sequences of 3 or 6 amino acids (e.g., PASylation® technology and XTEN® technology), and sequences containing elastin-like repeat domains (see for example, U.S. Pat. Appl. No. 61/442,106, which is herein incorporated by reference). To date, these technologies have demonstrated limited clinical potential as robust platforms for developing diverse multispecific and multivalent therapeutic compositions.


The genetic complexity of most human malignancies and other disorders strongly suggest that interfering with a single target or pathway associated with these disorders is unlikely to produce optimal or sustained therapeutic benefit. There is, therefore, a great need for developing multispecific and multivalent therapeutics such as multispecific antibodies that are capable of interfering with the activity of multiple targets and/or signaling mechanisms in or to optimize the therapeutic benefits of treatments directed towards these disorders.


BRIEF SUMMARY OF THE INVENTION

The invention relates to compositions containing multivalent as well as multivalent and monovalent, multispecific complexes having scaffolds, such as antibodies, that support such binding functionalities. The invention is based in part on the surprising discovery that multispecific and multivalent binding compositions, such as those generated using the ZYBODY™ platform (Zyngenia, Inc.; see, e.g., Intl. Pub. No. WO 2009/088805 which is herein incorporated by reference) demonstrate dramatic synergistic biological activity compared to conventional monotherapy combinations. This synergistic activity is expected to extend to novel therapies, for treating or preventing cancer, diseases or disorders of the immune system (e.g., autoimmune diseases such as, rheumatoid arthritis, and IBD), skeletal system (e.g., osteoporosis), cardiovascular system (e.g., stroke, heart disease), nervous system (e.g., Alzheimer's), infectious disease (e.g., HIV), and other diseases or disorders described herein or otherwise known in the art.


In one embodiment, the invention is directed to treating a disease or disorder by administering a therapeutically effective amount of a multivalent and monovalent multispecific composition to a patient in need thereof. In a further embodiment, the invention is directed to treating a disease or disorder by administering a therapeutically effective amount of a multivalent and multispecific MRD-containing antibody to a patient in need thereof.


In one embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for three or more targets. In an additional embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for four or more targets. In another embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for five or more targets. According to some embodiments, at least 1, 2, 3, 4 or more of the targets are located on a cell surface. According to some embodiments, at least 1, 2, 3, 4 or more of the targets are soluble targets (e.g., chemokines, cytokines, and growth factors). In additional embodiments, the multivalent and monovalent multispecific composition binds 1, 2, 3, 4 or more of the targets described herein.


In additional embodiments, the targets bound by the multivalent and monovalent multispecific composition are associated with cancer. In a further embodiment the targets bound by the multivalent and monovalent multispecific composition are associated with 1, 2, 3, 4 or more different signaling pathways or modes of action associated with cancer.


In additional embodiments, the targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the immune system. In a further embodiment the targets bound by the multivalent and monovalent multispecific composition are associated with 1, 2, 3, 4 or more different signaling pathways or modes of action associated with a disease or disorder of the immune system.


In additional embodiments, the targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease. In a further embodiment the targets bound by the multivalent and monovalent multispecific composition are associated with 1, 2, 3, 4, 5 or more different signaling pathways or modes of action associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease. In a further embodiment, the multivalent and monovalent multispecific composition binds at least 1, 2, 3, 4, 5 or more of the targets described herein.


In one embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for three or more targets. In an additional embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for four or more targets. In an additional embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for five or more targets.


In one embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for three or more targets. In an additional embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for four or more targets. In another embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for five or more targets. According to some embodiments, at least 1, 2, 3, 4, or more of the targets are associated with the cell membrane. According to some embodiments, at least 1, 2, 3, 4, or more of the targets are soluble targets (e.g., chemokines, cytokines, and growth factors). In additional embodiments, the multivalent and monovalent multispecific composition binds 1, 2, 3, 4, or more of the targets described herein.


In additional embodiments, the targets bound by the multivalent and monovalent multispecific composition are associated with cancer. In a further embodiment the targets bound by the multivalent and monovalent multispecific composition are associated with 1, 2, 3, 4, or more different signaling pathways or modes of action associated with cancer.


In additional embodiments, the targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the immune system. In a further embodiment the targets bound by the—multivalent and monovalent multispecific composition are associated with 1, 2, 3, 4, or more different signaling pathways or modes of action associated with a disease or disorder of the immune system.


In additional embodiments, the multivalent and monovalent multispecific composition binds (1) a target on a cell or tissue of interest (e.g., a tumor associated antigen on a tumor cell, an immune cell, a diseased cell or an infectious agent) and (2) a target on an effector cell. According to one embodiment, the binding of one or more targets by the multivalent and monovalent multispecific composition directs an immune response to a cell, tissue, infectious agent, or other location of interest in a patient. In some embodiments the effector cell is a leukocyte, such as a T cell or natural killer cell. In other embodiments, the effector cell is an accessory cell, such as a myeloid cell or a dendritic cell.


In additional embodiments, the multivalent and monovalent multispecific composition binds (1) a target on a cell or tissue of interest (e.g., a tumor associated antigen on a tumor cell, an immune cell, a diseased cell or an infectious agent) and (2) a target on a leukocyte, such as a T-cell receptor molecule. According to one embodiment, the binding of one or more targets by the multivalent and monovalent multispecific composition directs an immune response to an infectious agent, cell, tissue, or other location of interest in a patient. For example, in some embodiments the multivalent and monovalent multispecific composition binds a target on the surface of a T cell. In particular embodiments, the composition binds a CD3 target selected from CD3 delta, CD3 epsilon, CD3 gamma, CD3 zeta, TCR alpha, TCR beta, and multimers of proteins in the CD3 (TCR) complex. In specific embodiments the multivalent and monovalent multispecific composition binds CD3. In other embodiments, the multivalent and monovalent multispecific composition binds CD2. In additional embodiments, the multivalent and monovalent multispecific composition binds a target expressed on a natural killer cell. Thus, in some embodiments, the multivalent and monovalent multispecific composition binds a target selected from: CD2, CD56, and CD161.


In additional embodiments, the multivalent and monovalent multispecific composition binds a target expressed on an accessory (e.g., myeloid) cell. In some embodiments, the multivalent and monovalent multispecific composition binds a target selected from: CD64 (i.e., Fc gamma RI), an MHC class 2 and its invariant chain, TLR1, TLR2, TLR4, TLR5, and TLR6.


In further embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD containing antibody) has a single binding site (i.e., is monovalent) for a target. In some embodiments, the multivalent and monovalent multispeci c composition has a single binding site for a target on a leukocyte, such as a T-cell (e.g., CD3), and multiple binding sites (i.e., is multivalent) for a target on a cell or tissue of interest (e.g., a tumor associated antigen on a tumor cell, such as a target disclosed herein). In further embodiments, the multispecific composition contains single binding sites for 2 different targets (i.e., monovalently binds more than one different target). In particular embodiments, the cell or tissue of interested is a cancer cell, immune cell, diseased cell, or an infectious agent.


In some embodiments, a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) has a single binding site for CD3. In further embodiments, the multivalent and monovalent multispecific composition has a single binding site for CD3 and multiple binding sites for 1, 2, 3, 4, 5 or more different targets (e.g., a tumor antigen or other target disclosed herein). In additional embodiments, the multispecific composition has a single binding site for CD3 and a single binding site for a different target (i.e., monovalently binds CD3 and a different target). In other embodiments, a multivalent and monovalent multispecific composition has a single binding site for CD3 epsilon. In further embodiments, the multivalent and monovalent multispecific composition has a single binding site for CD3 epsilon and multiple binding sites for 1, 2, 3, 4, 5 or more different targets (e.g., a tumor antigen or other target disclosed herein). In further embodiments, the multispecific composition has a single binding site for CD3 epsilon and a single binding site for a different target (i.e., monovalently binds CD3 epsilon and a different target). In some embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for a target on a cancer cell selected from breast cancer, colorectal cancer, endometrial cancer, kidney (renal cell) cancer, lung cancer, melanoma, Non-Hodgkin Lymphoma, leukemia, prostate cancer, bladder cancer, pancreatic cancer, and thyroid cancer.


In further embodiments, the invention is directed to treating a disease or disorder by administering a therapeutically effective amount of a multivalent and monovalent multispecific composition that has a single binding site for a target (i.e., that monovalently binds a target) to a patient in need thereof. In some embodiments, the administered multivalent and monovalent multispecific composition has a single binding site for a target on a leukocyte such as a T-cell (e.g., CD3). In further embodiments, the administered multivalent and monovalent multispecific composition has a single binding site for a target on a leukocyte such as a T-cell (e.g., CD3) and multiple binding sites for (i.e., is capable of multivalently binding) a target located on a cell or tissue of interest (e.g., a tumor antigen on a tumor cell). In further embodiments, the multispecific composition has a single binding site for a target on a leukocyte (e.g., CD3) and a single binding site for a different target. In some embodiments, the cell of interest is a tumor cell from a cancer selected from breast cancer, colorectal cancer, endometrial cancer, kidney (renal cell) cancer, lung cancer, melanoma, Non-Hodgkin Lymphoma, leukemia, prostate cancer, bladder cancer, pancreatic cancer, and thyroid cancer. In additional embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for a target on a neurological tumor. In particular embodiments, the neurological tumor is a glioma (e.g., a glioblastoma, glioblastoma multiforme (GSM), and astrocytoma), ependymoma, oligodendroglioma, neurofibroma, sarcoma, medulloblastoma, primitive neuroectodermal tumor, pituitary adenoma, neuroblastoma or cancer of the meninges (e.g., meningioma, meningiosarcoma and gliomatosis).


In further embodiments, the invention is directed to treating a disease or disorder by administering to a patient in need thereof, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that has a single binding site for a target (i.e., that monovalently binds a target) and multiple binding sites for 1, 2, 3, 4, 5 or more different targets. In further embodiments, the multivalent and monovalent multispecific composition has single binding sites for 2 different targets. In some embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for a target on a cancer cell selected from breast cancer, colorectal cancer, endometrial cancer, kidney (renal cell) cancer, lung cancer, melanoma, Non-Hodgkin Lymphoma, leukemia, prostate cancer, bladder cancer, pancreatic cancer, and thyroid cancer.


In additional embodiments, the invention is directed to treating a disease or disorder by administering to a patient in need thereof, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that has a single binding site for CD3 (e.g., CD3 epsilon) that monovalently binds CD3 and multiple binding sites for 1, 2, 3, 4, 5 or more different targets located on a cell or tissue of interest (e.g., a tumor antigen on a tumor cell). In some embodiments, the administered multivalent and monovalent multispecific composition has a single binding site for CD3 (e.g., CD3 epsilon) and a single binding site for a different target and also has multiple binding sites for a target located on a cell or tissue of interest (e.g., a tumor antigen on a tumor cell). In some embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for a target on a cancer cell selected from breast cancer, colorectal cancer, endometrial cancer, kidney (renal cell) cancer, lung cancer, melanoma, Non-Hodgkin Lymphoma, leukemia, prostate cancer, bladder cancer, pancreatic cancer, and thyroid cancer.


In further embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) has a single binding site for (i.e., monovalently binds) a cell surface target that requires multimerization for signaling. In some embodiments, the multivalent and monovalent multispecific composition has a single binding site for a growth factor receptor. In other embodiments, the multivalent and monovalent multispecific composition has a single binding site for a TNF receptor superfamily member. In additional embodiments, the multispecific composition additionally has a single binding site for a different target (i.e., monovalently binds more than one different target).


In additional embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) binds a target associated with an endogenous blood brain barrier (BBB) receptor mediated transport system and is capable of crossing to the brain (cerebrospinal fluid) side of the BBB. In some embodiments, the multivalent and monovalent multispecific composition has two or more binding sites for a target antigen associated with an endogenous BBB receptor mediated transport system. In additional embodiments, the multivalent and monovalent multispecific composition has a single binding site for a target associated with an endogenous BBB receptor mediated transport system (e.g., the insulin receptor, transferrin receptor, leptin receptor, lipoprotein receptor, and the IGF receptor mediated transport systems). In further embodiments, the multivalent and monovalent multispecific composition additionally binds 1, 2, 3, 4, 5, or more targets located on the brain side of the BBB. In particular embodiments, the MRD-containing antibody binds 1, 2, 3, 4, 5, or more targets associated with a neurological disease or disorder. In another embodiment, the multivalent and monovalent multispecific composition is administered to a patient to treat a brain cancer, metastatic cancer of the brain, or primary cancer of the brain. In a further embodiment, the multivalent and monovalent multispecific composition is administered to a patient to treat brain injury, stroke, spinal cord injury, or to manage pain.


In additional embodiments, targets bound by the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease. In a further embodiment a targets bound by the multivalent and monovalent multispecific composition are associated with 1, 2, 3, 4, 5 or more different signaling pathways or modes of action associated with one or more of the above diseases or disorders. In a further embodiment, the multivalent and monovalent multispecific composition binds 1, 2, 3, 4, 5 or more of the targets described herein.


In one embodiment, the multivalent and monovalent multispecific composition is a ZYBODY™ (referred to herein as an “MRD-containing antibody,” or the like). In a further embodiment, the MRD-containing antibody contains binding sites for three or more targets. In an additional embodiment, the MRD-containing antibody contains 2 binding sites for four or more targets. In an additional embodiment, the MRD-containing antibody contains 2 binding sites for five or more targets.


In one embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains 2 binding sites for three or more targets. In an additional embodiment, the multispecific composition (e.g., MRD-containing antibody) contains 2 binding sites for four or more targets. In another embodiment, the multispecific composition (e.g., MRD-containing antibody) contains 2 binding sites for five or more targets. According to some embodiments, at least 1, 2, 3, 4 or more of the targets are located on a cell surface. According to some embodiments, at least 1, 2, 3, 4 or more of the targets are soluble targets (e.g., chemokines, cytokines, and growth factors). In additional embodiments, the MRD-containing antibody binds at least 1, 2, 3, 4, 5 or more of the targets described herein.


In additional embodiments, the targets bound by the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) are associated with cancer. In a further embodiment the targets bound by MRD-containing antibody are associated with 1, 2, 3, 4 or more different signaling pathways or modes of action associated with cancer.


In additional embodiments, a target bound by the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is associated with a disease or disorder of the immune system. In a further embodiment the targets bound by the MRD-containing antibody arc associated with 1, 2, 3, 4, 5 or more different signaling pathways or modes of action associated with a disease or disorder of the immune system.


In additional embodiments, a target bound by the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is associated with a disease or disorder of the skeletal system, cardiovascular system, nervous system, or an infectious disease. In a further embodiment a target bound by the MRD-containing antibody is associated with 1, 2, 3, 4 or more different signaling pathways or modes of action associated with one or more of the above diseases or disorders. In another embodiment, the MRD-containing antibody binds 1, 2, 3, 4 or more of the targets described herein.


The multivalent and multispecific compositions of the invention (e.g., MRD-containing antibodies) provide the ability to selectively target multiple targets (e.g., receptors and microenvironment associated targets) having for example, different, overlapping, or redundant mechanisms of action associated with the etiology or pathophysiology of a disease or disorder.


In additional embodiments, the invention encompasses a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that is covalently or otherwise associated with a cytotoxic agent. According to some embodiments, the cytoxic agent is covalently attached to an MRD-containing antibody by a linker. According to some embodiments, the cytotoxic agent is a chemotherapeutic agent, growth inhibitory agent, toxin (e.g., an enzymatically active toxin of bacterial, fungal, plant, or animal origin, or fragments thereof), radioactive isotope (i.e., a radioconjugate), or prodrug. The compositions of the invention are optionally linked to the cytotoxic agent by a linker. In particular embodiments, a linker attaching the multivalent and monovalent multispecific composition and the cytotoxic agent is cleavable by a protease. In particular embodiments, a linker attaching the multivalent and monovalent multispecific composition and the cytotoxic agent is cleavable under low pH or reducing conditions. Methods of using composition-cytoxic agent compositions of the invention (e.g., MRD-containing antibody drug conjugates) are also encompassed by the invention.


In additional embodiments, the multivalent and multispecific compositions is covalently or otherwise associated with a cytotoxic agent selected from, for example, a toxin, enterotoxin, neurotoxin, leukocidin or hemolysin, a chemotherapeutic agent, a drug moiety (e.g., a chemotherapeutic agent or prodrug), an antibiotic, a radioactive isotope, a chelating ligand (e.g., DOTA, DOTP, DOTMA, DTPA and TETA), and a nucleolytic enzyme. In particular embodiments, the cytotoxic agent is selected from auristatin and dolostantin, MMAE, MMAF, and a maytansinoid derivative (e.g., the DM1 (N(2′)-deacetyl-N(2′)-(3-mercapto-1-oxopropyl)-maytansine), DM3 (N(2′)-d eacetyl-N2-(4-mercapto-1-oxopentyl)-maytansine), and DM4 (N(2)-deacetyl-N2-(4-mercapto-4-methyl-1-oxopentyl)-maytansine). In additional embodiments, the multivalent and multispecific composition is covalently or otherwise associated with a cytostatic agent.


In further embodiments, a multivalent and monovalent multispecific composition of the invention (e.g., an MRD-containing antibody) is administered in combination with a multitargeting therapeutic. In one embodiment, a multivalent and monovalent multispecific composition is administered in combination with a multitargeting protein kinasc inhibitor. In another embodiment, a multivalent and monovalent multispecific composition is administered in combination with an NFKB inhibitor. In an additional embodiment, a multivalent and monovalent multispecific composition is administered in combination with an HDAC inhibitor. In a further embodiment, a multivalent and monovalent multispecific composition is administered in combination with an HSP70 or HSP90 inhibitor. In a further embodiment, a multivalent and monovalent multispecific composition is administered in combination with chemotherapy.


In some embodiments, a multivalent and monovalent multispecific composition of the invention (e.g., an MRD-containing antibody) is administered in combination with a monospecific therapeutic (e.g., a monoclonal antibody).


In some embodiments, a multivalent and monovalent multispecific composition of the invention is a full-length antibody comprising at least one modular recognition domain (MRD). In some embodiments, the full-length antibody comprises multiple MRDs. In additional embodiments, the full-length antibody comprises more than one type of MRD (i.e., multiple MRDs having the same or different specificities). Also embodied in the present invention are variants and derivatives of such antibody complexes.


The MRDs of the MRD containing antibodies can be operably attached to the antibodies at any location on the antibody (e.g., the amino terminus of the heavy chain or light chain or the carboxyl terminus of the heavy chain or light chain), can be linked at the same or different termini, and are optionally operably linked to one another or to the antibody by a linker.


The antibodies of the MRD containing antibodies can be any immunoglobulin molecule that binds to an antigen and can be of any type, class, or subclass. In some embodiments, the antibody is humanized or human. In other embodiments, the antibodies also include modifications that do not interfere with their ability to bind antigen. In particular embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) include modifications that increase ADCC, decrease ADCC, increase CDC, or decrease CDC, that increase antibody half-life, or decrease antibody half-life compared to the antibody without the modification.


The antibodies of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the invention can be any antibody that binds to a target of therapeutic or diagnostic value. In preferred embodiments, the antibody of the MRD-containing antibody binds to a validated target. In some embodiments, the antibodies corresponding to the MRD containing antibodies are in clinical trials for regulatory approval. In some embodiments, the antibodies corresponding to the MRD containing antibodies are marketed.


In one embodiment, the antibody binds to a cell surface antigen. In another embodiment, the antibody binds to an angiogenic factor. In a further embodiment, the antibody binds to an angiogenic receptor.


In some embodiments, the antibody of the MRD-containing antibody binds to a target selected from: EGFR, ErbB2, ErbB3, ErbB4, CD20, insulin-like growth factor-I receptor, VEGF, VEGF-R and prostate specific membrane antigen. In additional embodiments the antibody of the MRD-containing antibody binds to VEGF, VEGFR1, EGFR, ErbB2, IGF-IR, cMET, FGFR1, FGFR2, and CD20.


In one embodiment, the antibody of the MRD-containing antibody binds to EGFR. In another specific embodiment, the antibody is Erbitux®, nimotuzumab, or zalutumumab (e.g., Genmab). In another embodiment, the antibody binds to the same epitope as Erbitux® antibody or competitively inhibits binding of the Erbitux® antibody to EGFR. In a further specific embodiment, the antibody is the Erbitux® antibody. In one specific embodiment, the antibody binds to the same epitope as Erbitux®, nimotuzumab, zalutumumab (e.g., Genmab) antibody. In another specific embodiment, the antibody component, MRD component, and/or MRD-containing antibody competitively inhibits binding of Erbitux®, nimotuzumab, zalutumumab antibody to EGFR.


In one embodiment, an MRD-containing antibody binds EGFR and a target selected from: HGF, CD64, CDCP1, RON, cMET, ErbB2, ErbB3, IGF1R, PLGF, RGMa, PDGFRa, PDGFRb, VEGFR1, VEGFR2, TNFRSFIOA (DR4), TNFRSFIOB (DR5), TNFRSF21 (DR6), IGF1,2, IGF2, CD3, CD4, and NKG2D. In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibodies) binds at least 1, 2, 3, 4, 5 or more of these targets. In specific embodiments, the antibody component of the MRD-containing antibody binds EGFR. In further embodiments, the antibody component of the MRD-containing antibody is nimotuzumab, zalutumumab. In specific embodiments, the antibody component of the MRD-containing antibody is Erbitux®.


In a specific embodiment, the antibody of the MRD-containing antibody binds to ErbB2. In one embodiment, the antibody is HERCEPTIN® (trastuzumab) antibody or competitively inhibits HERCEPTIN® (trastuzumab) antibody binding to ErbB2.


In another specific embodiment, the antibody binds to VEGF. In another specific embodiment, the antibody binds to the same epitope as AVASTIN® (bevacizumab) antibody or competitively inhibits AVASTIN® antibody. In a further specific embodiment, the antibody is the AVASTIN® antibody.


In some embodiments, the antibody binds to a target that is associated with a disease or disorder of the immune system. In one embodiment, the antibody binds to TNF. In another specific embodiment, the antibody binds to the same epitope as HUMIRA® (adalimumab) antibody or competitively inhibits HUMIRA® antibody. In a further specific embodiment, the antibody is the HUMIRA® antibody. In one embodiment, the antibody binds to TNF. In another specific embodiment, the antibody binds to the same epitope as SIMPONI™ (golimumab) antibody or competitively inhibits SIMPONI™ antibody. In a further specific embodiment, the antibody is the SIMPONI™ antibody.


In some embodiments, the antibody component of the MRD containing antibody binds to a target that is associated with a disease or disorder of the metabolic, cardiovascular, musculoskeletal, neurological, or skeletal system. In other embodiments, the antibody component of the MRD containing antibody binds to a target that is associated with yeast, fungal, viral or bacterial infection or disease.


The invention also encompasses, MRDs, compositions comprising MRDs (e.g., 0 antibodies and/or other compositions), polynucleotides encoding MRDs, methods of manufacturing MRDs, and methods of using the MRDs of the invention. In one embodiment, the MRD is about 2 to 150 amino acids. In another embodiment, the MRD is about 2 to 60 amino acids. MRDs can be linked to an antibody or other MRDs directly or through a linker. The MRDs can be any target binding peptide. In some embodiments, the MRD target is a soluble factor. In other embodiments, the MRD target is a transmembrane protein such as a cell surface receptor. In another embodiment, the target of the MRD is a cellular antigen. In a specific embodiment, the target of the MRD is CD20.


In another embodiment, the target of the MRD is an integrin. In one aspect, the peptide sequence of the integrin targeting MRD is YCRGDCT (SEQ ID NO:3). In another aspect, the peptide sequence of the integrin targeting MRD is PCRGDCL (SEQ ID NO:4). In yet another aspect, the peptide sequence of the integrin targeting MRD is TCRGDCY (SEQ ID NO:5). In another aspect, the peptide sequence of the integrin targeting MRD is LCRGDCF (SEQ ID NO:6).


In an additional embodiment, the target of the MRD is an angiogenic cytokine. In one aspect, the peptide sequence of the angiogenic cytokine targeting (i.e., binding) MRD is MGAQTNFMPMDDLEQRLYEQFILQQGLE (SEQ ID NO:7).


In one embodiment, the target of the MRD is ErbB2. In another embodiment, the target to which the MRD binds is ErbB3. In an additional embodiment, the target to which the MRD binds is tumor-associated surface antigen or an epithelial cell adhesion molecule (Ep-CAM).


In one embodiment, the target to which the MRD binds is VEGF. In one aspect, the peptide sequence of the VEGF targeting MRD is VEPNCDIHVMWEWECFERL (SEQ ID NO:13).


In one embodiment, the target to which the MRD binds is an insulin-like growth factor-I receptor (IGF1R). An illustrative IGF1R targeting MRD includes, for example, a peptide sequence having the formula: NFYQCIDLLMAYPAEKSRGQWQECRTGG (SEQ ID NO:37);


In one embodiment, the target of the MRD is a tumor antigen. The “tumor antigen” as used herein may be understood as both those antigens (including mutations) exclusively expressed on tumor cells (i.e., tumor-specific antigens) and those antigens expressed on tumor cells and normal cells (e.g., antigens overexpressed on tumor cells).


In one embodiment, the target of the MRD is an epidermal growth factor receptor (EGFR). In another embodiment of the present invention, the target of the MRD is an angiogenic factor. In an additional embodiment, the target of the MRD is an angiogenic receptor.


In another embodiment, the MRD is a vascular homing peptide.


In one embodiment, the target of the MRD is a nerve growth factor.


In another embodiment, the antibody and/or MRD binds to EGFR, ErbB2, ErbB3, ErbB4, CD20, insulin-like growth factor-I receptor, or prostate specific membrane antigen.


The present invention also relates to an isolated polynucleotide comprising a nucleotide sequence encoding an MRD-containing antibody. In one aspect, a vector comprises a polynucleotide sequence encoding an MRD-containing antibody. In another aspect, the polynucleotide sequence encoding an MRD-containing antibody is operatively linked with a regulatory sequence that controls expression on the polynucleotide. In an additional aspect, a host cell comprises the polynucleotide sequence encoding an MRD-containing antibody.


Methods of making multivalent and multispecific compositions (e.g., MRD-containing antibodies) are also provided, as are the use of these MRD-antibody fusions in diagnostic and therapeutic applications. The present invention also relates to methods of designing and making multivalent and multispecific compositions (e.g., MRD-containing antibodies) having a full-length antibody comprising a MRD. In one aspect, the MRD is derived from a phage display library. In another aspect, the MRD is derived from natural ligands. In another aspect, the MRD is derived from yeast display or RNA display technology.


The present invention also relates to a method of treating or preventing a disease or disorder in a subject (patient) in need thereof, comprising administering an antibody comprising an MRD to the subject (patient). In one aspect, the disease is cancer. In another aspect, undesired angiogenesis in inhibited. In another aspect, angiogenesis is modulated. In yet another aspect, tumor growth is inhibited.


Certain embodiments provide for methods of treating or preventing a disease, disorder, or injury comprising administering to a patient in need thereof, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) to a patient in need thereof. In some embodiments, the disease, disorder or injury is cancer. In other embodiments, the disease, disorder or injury is a disorder of the immune system. In one embodiment, the disorder of the immune system is inflammation. In another embodiment, the disorder of the immune system is an autoimmune disease. In an additional embodiment, the disorder of the immune system is selected from the group consisting of: rheumatoid arthritis, Crohn's disease, systemic lupus erythematous, inflammatory bowel disease, psoriasis, diabetes, ulcerative colitis, and multiple sclerosis. In one embodiment, the disease, disorder or injury is a metabolic disease. In another embodiment, the disease, disorder, or injury is an infectious disease. In specific embodiments, the infectious disease is human immunodeficiency virus (HIV) infection or AIDS, botulism, anthrax, or clostridium difficile. In other embodiments, the disease, disorder, or injury is neurological. In a specific embodiment, the neurological disease, disorder or injury is pain. In a more specific embodiment, the pain is, acute pain or chronic pain.


In another embodiment, a method of treatment or prevention comprising administering an additional therapeutic agent along with an antibody comprising an MRD is provided. In other embodiments, the methods of treatment or prevention comprise administering an antibody comprising more than one type of MRD.





BRIEF DESCRIPTION OF THE DRAWINGS/FIGURES


FIG. 1 shows the schematic representation of different designs of multi-specific and multivalent molecules. MRDs are depicted as triangles, circles, diamonds, and squares.



FIG. 2A shows a typical peptibody as a C-terminal fusion with the heavy chain of Fc.



FIG. 2B shows an MRD containing antibody with a C-terminal MRD fusion with the light chain of the antibody.



FIG. 2C shows an MRD containing antibody with an N-terminal MRD fusion with the light chain of the antibody.



FIG. 2D shows an MRD containing antibody with unique MRD peptides fused to each terminus of the antibody.



FIG. 3 depicts the results of an enzyme linked immunosorbent assay (ELISA) in which integrin and Ang2 were bound by an anti-integrin antibody (JC7U) fused to an Ang2 targeting MRD (2xCon4).



FIG. 4 depicts the results of an ELISA in which integrin and Ang2 were bound by an anti-integrin antibody (JC7U) fused to an Ang2 targeting MRD (2xCon4).



FIG. 5 depicts the results of an ELISA in which an anti-ErbB2 antibody was fused to an MRD which targets Ang2.



FIG. 6 depicts the results of an ELISA in which an Ang2 targeting MRD was fused to a hepatocyte growth factor receptor (cMET) binding antibody.



FIG. 7 depicts the results of an ELISA in which an integrin targeting MRD was fused to an ErbB2-binding antibody.



FIG. 8 depicts the results of an ELISA in which an integrin targeting MRD was fused to a hepatocyte growth factor receptor binding antibody.



FIG. 9 depicts the results of an ELISA in which an insulin-like growth factor-I receptor targeting MRD was fused to an ErbB2-binding antibody.



FIG. 10 depicts the results of an ELISA in which a VEGF-targeting MRD was fused to an ErbB2-binding antibody.



FIG. 11 depicts the results of an ELISA in which an integrin targeting MRD was fused to a catalytic antibody.



FIG. 12 depicts the results of an ELISA in which an Ang2-targeting MRD was fused to a catalytic antibody.



FIG. 13 depicts the results of an ELISA in which an integrin targeting MRD and an Ang2 targeting MRD were fused to an ErbB2-binding antibody.



FIG. 14 depicts the results of an ELISA in which an integrin targeting MRD was fused to an ErbB2-binding antibody.



FIG. 15 depicts the results of an ELISA in which an integrin, Ang2, or insulin-like growth factor-I receptor-targeting MRD was fused to an ErbB2 or hepatocyte growth factor receptor-binding antibody with a short linker peptide.



FIG. 16 depicts the results of an ELISA in which an integrin, Ang2, or insulin-like growth factor-I receptor-targeting MRD was fused to an ErbB2 or hepatocyte growth factor receptor-binding antibody with a long linker peptide.



FIG. 17A depicts the dose response curves of MRD-maltose binding protein (MBP) fusions assayed for direct binding to Ang2.



FIG. 17B indicates MRD-MBP fusion proteins tested, the amino acid sequence of the MRD, and the EC50 values (calculated using a 4 parameter fit). The MXD sequence motif in the MRD components of the MRD-MBP fusions is underlined and mutated residues are in bold and italics.



FIG. 18A depicts the results of an assay for direct binding of a HERCEPTIN® based zybody (i.e. an MRD containing HERCEPTIN® antibody sequences) antibody-MRDs and a HERCEPTIN® antibody to Her2 (ErbB2) Fc in the presence of biotinylated Ang2. Binding was detected with HRP-conjugated anti-human kappa chain mAb.



FIG. 18B depicts the results of an assay for direct binding of a HERCEPTIN® based zybody (i.e., an MRD containing HERCEPTIN® antibody sequences) and a HERCEPTIN® antibody to Her2 Fc in the presence of biotinylated Ang2. Binding was detected with horseradish peroxidase (HRP)-conjugated streptavidin.



FIG. 19A depicts the results of an assay for direct binding of antibody-MRDs and an AVASTIN® antibody to VEGF in the presence of biotinylated Ang2. Binding was detected with HRP-conjugated anti-human kappa chain mAb.



FIG. 19B depicts the results of an assay for direct binding of antibody-MRDs and an AVASTIN® antibody to VEGF in the presence of biotinylated Ang2. Binding was detected with HRP-conjugated streptavidin.



FIG. 20A depicts the results of a flow cytometry assay which demonstrates that antibody-MRDs simultaneously bind Her2 and Ang2 on BT-474 breast cancer cells.



FIG. 20B depicts binding of antibody-MRDs to HER2 on BT-474 breast cancer cells.



FIG. 21 depicts the results of an ELISA assay that demonstrates the inhibitory effect of antibody-MRDs on TIE-2 binding to plate immobilized Ang2.



FIG. 22 depicts the results of a competitive binding assay that demonstrates the inhibition of binding of biotinylated antibody by antibody-MRD and unlabeled antibody.



FIG. 23 depicts the results of a competitive binding assay that illustrates the inhibition of labeled antibody binding to BT-474 cells by antibody-MRDs and unlabeled antibody.



FIG. 24A depicts the fitted dose curves illustrating the inhibition of BT-474 cell proliferation by HERCEPTIN® with the lm32 MRD (SEQ ID NO:8) fused to the heavy chain and HERCEPTIN®.



FIG. 24B depicts the fitted dose curves illustrating the inhibition of BT-474 cell proliferation by HERCEPTIN® with the lm32 MRD fused to the light chain and HERCEPTIN®.



FIG. 24C depicts the fitted dose curves illustrating the inhibition of BT-474 cell proliferation by HERCEPTIN® with the 2xcon4 MRD fused to the heavy chain and HERCEPTIN®.



FIG. 25A depicts the results of a cytotoxicity assay illustrating ADCC-mediated killing of BT-474 cells by HERCEPTIN® with the lm32 MRD fused to the heavy chain, HERCEPTIN® with the lm32 MRD fused to the light chain, and HERCEPTIN®.



FIG. 25B depicts the results of a cytotoxicity assay illustrating ADCC-mediated killing of BT-474 cells by HERCEPTIN® with the 2xcon4 MRD fused to the heavy chain, and HERCEPTIN®.



FIG. 26A depicts the inhibition of HUVEC proliferation by AVASTIN® with the lm32 MRD fused to the heavy chain and AVASTIN® using HUVECs obtained from GlycoTech (Gaithersburg, Md.).



FIG. 26B depicts the inhibition of HUVEC proliferation by AVASTIN® with the lm32 MRD fused to the heavy chain and AVASTIN® using HUVECs obtained from Lonza.



FIG. 27 depicts the effect of RITUXIMAB®, HERCEPTIN®, and an MRD-containing antibody on tumor volume in vivo.



FIG. 28 depicts the increased effect of an antibody-containing MRD on receptor phosphorylation and AKT activation compared to the effect of an antibody in combination with the MRD.



FIG. 29A depicts the increased effect of a bispecific MRD-containing antibody on cell proliferation compared to the effect of the antibody or the antibody in combination with the MRD.



FIG. 29B depicts the increased effect of a pentaspecific MRD-containing antibody on cell proliferation compared to the effect of the antibody or the antibody in combination with the MRD.



FIG. 30 depicts the increased efficacy of a HUMIRA antibody containing an Ang2-binding MRD in an arthritis model compared to HUMIRA.



FIG. 31 shows inhibition of EGF-induced signaling in SK-BR3 cells by zybodies.



FIG. 32 shows inhibition of Heregulin-induced signaling in SK-BR3 zybodies.



FIG. 33 shows inhibition of EGF and Heregulin-induced signaling in SK-BR3 cells by zybodies.



FIG. 34 shows a bar-graph (A) and flow-cytometry results (B) depicting the down-regulation of EGFR expression on SK-BR3 cells by zybodies.



FIG. 35 shows down-regulation of EGFR in SKBR3 cells by zybodies.



FIG. 36 shows the cytotoxic effects of MRD-containing antibodies expressing different valencies of a DR5 agonizing MRD on three different mAb scaffolds using a cell viability assay. FIG. 36A, demonstrates that a tetravalent trastuzumab scaffold-based zybody demonstrates higher cytotoxic activity compared to corresponding bivalent zybodics. FIGS. 36B-C demonstrate that octavalent trastuzumab and palivizumab antibody scaffold-based zybodies containing eight copies of the DR5 MRD, demonstrate higher cytotoxic activity compared to their respective corresponding tetravalent zybodies. FIG. 36D and demonstrates that the multi-epitopic targeting of non-DR5 receptors (her2 and EGFR, respectively) enhances the cytotoxic activity of a tetra-valent DR5 targeting MRD. FIG. 36F demonstrates that the mab scaffold of the zybody (e.g., cetuximab (CET), trastuzumab (TRA), and palivizumab (PAL)) can influence the apparent cytotoxic potency of DR5 targeting MRDs.



FIG. 37 demonstrates that Ang-binding peptides bind may differ in the relative binding to Ang1 and Ang4. The assayed peptpides are ANG100 (SEQ ID NO:621), ANG126 (SEQ ID NO:232); ANG129 (SEQ ID NO:234); ANG156 (SEQ ID NO:255); ANG157 (SEQ ID NO:256); ANG163 (SEQ ID NO:261); ANG179 (SEQ ID NO:270); ANG200 (SEQ ID NO:628); ANG303 (SEQ ID NO:331); ANG318 (SEQ ID NO:625); ANG335 (SEQ ID NO:332); and ANG599 (SEQ ID NO:367).





DETAILED DESCRIPTION OF THE INVENTION

The following provides a description of multivalent and monovalent multispeci c compositions (e.g., MRD-containing antibodies containing at least one modular recognition domain (MRD)). The linkage of one or more MRDs to an antibody results in a multi-specific molecule of the invention that retains structural and functional properties of traditional antibodies or Fc optimized antibodies and can readily be synthesized using conventional antibody expression systems and techniques. The antibody can be any suitable antigen-binding immunoglobulin, and the MRDs can be any suitable target-binding peptide. The MRDs can be operably linked to any location on the antibody, and the attachment can be direct or indirect (e.g., through a chemical or polypeptide linker). Compositions of antibodies comprising an MRD, methods of manufacturing antibodies comprising an MRD, and methods of using antibodies comprising MRDs arc also described in the sections below.


The invention also encompasses MRDs, compositions comprising MRDs, polynucleotides encoding MRDs, methods of manufacturing MRDs, and methods of using the MRDs of the invention.


The section headings used herein are for organizational purposes only and are not to be construed as in any way limiting the subject matter described.


Standard techniques may be used for recombinant DNA molecule, protein, and antibody production, as well as for tissue culture and cell transformation. Enzymatic reactions and purification techniques are typically performed according to the manufacturer's specifications or as commonly accomplished in the art using conventional procedures such as those set forth in Harlow et al., Antibodies: A Laboratory Manual, (Cold Spring Harbor Laboratory Press, 2nd ed. 1988) and Sambrook et al., (Molecular Cloning: A Laboratory Manual. Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y. (1989)) (both herein incorporated by reference), or as described herein. Unless specific definitions are provided, the nomenclature utilized in connection with, and the laboratory procedures and techniques of analytical chemistry, synthetic organic chemistry, and medicinal and pharmaceutical chemistry described herein, are those known and used in the art. Standard techniques may be used for chemical syntheses, chemical analyses, pharmaceutical preparation, formulation, delivery, and treatment of patients.


I. DEFINITIONS

The terms “multivalent and monovalent multispecific complexes”, “multivalent and multispecific complexes”, “MRD-containing antibodies,” “antibody-MRD molecules,” “MRD-antibody molecules,” “antibodies comprising an MRD” and “Zybodies” are used interchangeably herein and do not encompass a peptibody. Each of these terms may also be used herein to refer to a “complex” of the invention. Multivalent and monovalent multispecific complexes can contain MRDs, antibodies, cytoxic agents, and binding motifs in addition to MRDs that bind to one or more targets. For example, a multivalent and monovalent multispecific complex (e.g., an MRD-containing antibody) can contain a portion of, or a derivative of, a binding sequence contained in antibody (e.g., a single binding domain, a ScFv, a CDR region) and/or can also include a cytotoxic agent (e.g., a therapeutic agent). Such molecules are also described in U.S. Provisional Application No. 61/481,063, which is herein incorporated by reference in its entirety. The terms “multivalent and monovalent multispecific complex(es)” and “multivalent and monovalent multispecific complexes” as used herein therefore refer to compositions that are able to bind 2 or more targets and that contain one binding site and/or multiple binding sites for different epitopes. Thus, this term is intended to include complexes containing multiple binding sites for each different epitope bound by the complex, or alternatively, complexes that contain at least one single binding site for a different epitope. The different epitopes can be on the same or different targets. The targets of the multivalent and multi-specific complexes can be on the same or different cells. Multivalent and monovalent multispecific complexes can be multivalent and multispecific and can therefore bind two or more targets and have two or more binding sites for each of the targets bound by the complex. Multivalent and monovalent multispecific complexes can also have one (or more) single binding sites for one (or more) target(s) and multiple binding sites for other targets and accordingly, these complexes are monovalent (with respect to the single binding site(s)), multivalent and multispecific. Moreover, multivalent and monovalent multispecific complexes can be monovalent and multispecific and thus, only contain single binding sites for two or more different targets.


The term “multivalent and monovalent multispecific complex-drug complex” or “MRD-containing antibody-cytotoxic agent” as used herein, refers to a multivalent and monovalent multispecific complex containing one or more cytotoxic agents.


The term “cytotoxic agent” as used herein, includes any agent that is detrimental to cells including for example, substance that inhibits or prevents the function of cells and/or causes destruction of cells. The term is intended to include a chemotherapeutic agent, a drug moiety (e.g., a cytokine or prodrug), an antibiotic, a radioactive isotope, a chelating ligand (e.g., DOTA, DOTP, DOTMA, DTPA and TETA), a nucleolytic enzyme, a toxins such as a small molecule toxin or enzymatically active toxin of bacterial, fungal, plant or animal origin, including fragments and/or variants of these toxins. In particular embodiments, the cytotoxic agent is a member selected from: auristatin, dolostantin, MMAE, MMAF, a maytansinoid derivative (e.g., the DM1 (N(2′)-deacetyl-N(2′)-(3-mercapto-1-oxopropyl)-maytansine), DM3 (N(2′)-deacetyl-N2-(4-mercapto-1-oxopentyl)-maytansine) and DM4 (N(2)-deacetyl-N2-(4-mercapto-4-methyl-1-oxopentyl)-maytansine).


The term “antibody” is used herein to refer to immunoglobulin molecules that are able to bind antigens through an antigen binding domain (i.e., antibody combining site). The term “antibody” includes polyclonal, oligoclonal (mixtures of antibodies), and monoclonal antibodies, chimeric, single chain, and humanized antibodies. The term “antibody” also includes human antibodies. In some embodiments, an antibody comprises at least two heavy (H) chains and two light (L) chains inter-connected by disulfide bonds. Each heavy chain is comprised of a heavy chain variable region (abbreviated herein as VH) and a heavy chain constant region. The heavy chain constant region is comprised of three domains: CH1, CH2, and CH3. Each light chain is comprised of a light chain variable region (abbreviated herein as VL) and a light chain constant region. The light chain constant region is comprised of one domain, CL. The VH and VL regions can be further subdivided into regions of hypervariability, termed complementarity determining regions (CDR), interspersed with regions that are more conserved, termed framework regions (FR). Each VH and VL is composed of three CDRs and four FRs, arranged from amino-terminus to carboxyl-terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4. In other embodiments, the antibody is a homomeric heavy chain antibody (e.g., camelid antibodies) which lacks the first constant region domain (CH1) but retains an otherwise intact heavy chain and is able to bind antigens through an antigen binding domain. The variable regions of the heavy and light chains in the antibody-MRD fusions of the invention contain a functional binding domain that interacts with an antigen.


The term “monoclonal antibody” typically refers to a population of antibody molecules that contain only one species of antibody combining site capable of immunoreacting with a particular epitope. A monoclonal antibody thus typically displays a single binding affinity for any epitope with which it immunoreacts. As used herein, a “monoclonal antibody” may also contain an antibody molecule having a plurality of antibody combining sites (i.e., a plurality of variable domains), each immunospecific for a different epitope, e.g., a bispecific monoclonal antibody. Thus, as used herein, a “monoclonal antibody” refers to a homogeneous antibody population involved in the highly specific recognition and binding of one or two (in the case of a bispecific monoclonal antibody) antigenic determinants, or epitopes. This is in contrast to polyclonal antibodies that typically include different antibodies directed against different antigenic determinants. The term “monoclonal antibody” refers to such antibodies made in any number of manners including but not limited to by hybridoma, phage selection, recombinant expression, yeast, and transgenic animals.


A “dual-specific antibody” is used herein to refer to an immunoglobulin molecule that contains dual-variable-domain immunoglobulins, where the dual-variable-domain can be engineered from any two monoclonal antibodies.


The term “chimeric antibodies” refers to antibodies wherein the amino acid sequence of the immunoglobulin molecule is derived from two or more species. Typically, the variable region of both light and heavy chains corresponds to the variable region of antibodies derived from one species of mammals (e.g., mouse, rat, rabbit, etc.) with the desired specificity and/or affinity while the constant regions are homologous to the sequences in antibodies derived from another species (usually human) to avoid eliciting an immune response in that species.


The term “humanized antibody” refers to forms of non-human (e.g., murine) antibodies that are specific immunoglobulin chains, chimeric immunoglobulins, or fragments thereof that contain minimal non-human (e.g., murinc) sequences. Typically, humanized antibodies are human immunoglobulins in which residues from the complementarity determining region (CDR) are replaced by residues from the CDR of a non-human species (e.g., mouse, rat, rabbit, hamster) that have the desired specificity and/or affinity (Jones et al., Nature, 321:522-525 (1986); Riechmann et al., Nature 332:323-327 (1988); Verhoeyen et al., Science 239:1534-1536 (1988)). In some instances, the Fv framework region (FR) residues of a human immunoglobulin are replaced with the corresponding residues in an antibody from a non-human species that has the desired specificity and/or affinity. The humanized antibody can be further modified by the substitution of additional residues either in the Fv framework region and/or within the replaced non-human residues to refine and optimize antibody specificity, affinity, and/or capability. In general, the humanized antibody will comprise substantially all of at least one, and typically two or three, variable domains containing all or substantially all of the CDR regions that correspond to the non-human immunoglobulin whereas all or substantially all of the FR regions are those of a human immunoglobulin consensus sequence. The humanized antibody can also comprise an immunoglobulin constant region or domain (Fc), typically that of a human immunoglobulin. Examples of methods used to generate humanized antibodies are described in U.S. Pat. No. 5,225,539, U.S. Pat. No. 4,816,567, Morrison, Science 229:1202 (1985); Oi et al., BioTechniques 4:214 (1986); Cabilly et al., Taniguchi et al., EP 171496; Morrison et al., EP 173494, WO86/01533; WO8702671; Boulianne et al., Nature 312:643 (1984); and Neuberger et al., Nature 314:268 (1985), each of which is herein incorporated by reference in its entirety.


As used herein, “human” antibodies include antibodies having the amino acid sequence of a human immunoglobulin or one or more human germlines and include antibodies isolated from human immunoglobulin libraries or from animals transgenic for one or more human immunoglobulins and that do not express endogenous immunoglobulins, as described infra and, for example in, U.S. Pat. No. 5,939,598 by Kucherlapati et al., A human antibody may still be considered “human” even if amino acid substitutions are made in the antibody. Examples of methods used to generate human antibodies are described in: Int. Appl. Publ. Nos. WO98/24893, WO92/01047, WO96/34096, and WO96/33735; European Pat. No. 0 598 877; U.S. Pat. Nos. 5,413,923, 5,625,126, 5,633,425, 5,569,825, 5,661,016, 5,545,806, 5,814,318, 5,885,793, 5,916,771, and 5,939,598; and Lonbcrg and Huszar, Int. Rev. Immunol. 13:65-93 (1995), which arc herein incorporated by reference.


An “antibody combining site” is that structural portion of an antibody molecule comprised of heavy and light chain variable and hypervariable regions that specifically binds (immunoreacts with) an antigen. The term “immunoreact” in its various forms means specific binding between an antigenic determinant-containing molecule and a molecule containing an antibody combining site such as a whole antibody molecule or a portion thereof.


In naturally occurring antibodies, the six “complementarity determining regions” or “CDRs” present in each antigen binding domain are short, non-contiguous sequences of amino acids that are specifically positioned to form the antigen binding domain as the antibody assumes its three dimensional configuration in an aqueous environment. The remainder of the amino acids in the antigen binding domains, referred to as “framework” regions, show less inter-molecular variability. The framework regions largely adopt a β-sheet conformation and the CDRs form loops which connect, and in some cases form part of, the β-sheet structure. Thus, framework regions act to form a scaffold that provides for positioning the CDRs in correct orientation by inter-chain, non-covalent interactions. The antigen binding domain (i.e., antibody combining site) formed by the positioned CDRs defines a surface complementary to the epitope on the immunoreactive antigen. This complementary surface promotes the non-covalent binding of the antibody to its cognate epitope. The amino acids comprising the CDRs and the framework regions, respectively, can be readily identified for any given heavy or light chain variable region by one of ordinary skill in the art, since they have been precisely defined (see, “Sequences of Proteins of Immunological Interest,” Kabat, E., et al., U.S. Department of Health and Human Services, (1983); and Chothia and Lesk, J. Mol. Biol. 196:901-917 (1987), which are herein incorporated by reference). “Humanized antibody” or “chimeric antibody” includes antibodies in which CDR sequences derived from the germline of another mammalian species, such as a mouse, have been grafted onto human framework sequences.


The terms “T lymphocyte,” “T cell,” “T cells,” and “T cell population,” are used interchangeably herein to refer to a cell or cells which display on their surface one or more antigens characteristic of T cells, for example, CD3 and CD11b. The term includes progeny of a T cell or T cell population. A “T lymphocyte” or “T cell” includes a cell which expresses CD3 on its cell surface and a T cell antigen receptor (TCR) capable of recognizing antigen when displayed on the surface of autologous cells, or any antigen-presenting matrix, together with one or more MHC molecules or, one or more non-classical MHC molecules. The term “T cells” may refer to any T cells, including for example, lymphocytes that are phenotypically CD3+ i.e., express CD3 on the cell surface.


As used herein, CD3, is used to refer individually or collectively to a molecule expressed as part of the T cell receptor and having a meaning as typically ascribed to it in the art. In humans, the term CD3 encompasses all known CD3 subunits, for example CD3 delta, CD3 epsilon, CD3 gamma, and CD3 zeta (TCR zeta), as well as CD3 alpha (TCR alpha), and CD3 beta (TCR beta) in individual or independently combined form.


The term “peptibody” refers to a peptide or polypeptide which comprises less than a complete, intact antibody. A peptibody can be an antibody Fc domain attached to at least one peptide. A peptibody does not include antibody variable regions, an antibody combining site, CH1 domains, or Ig light chain constant region domains.


The term “naturally occurring” when used in connection with biological materials such as a nucleic acid molecules, polypeptides, host cells, and the like refers to those which are found in nature and not modified by a human being.


The term “domain” as used herein refers to a part of a molecule or structure that shares common physical or chemical features, for example hydrophobic, polar, globular, helical domains or properties, e.g., a protein binding domain, a DNA binding domain or an ATP binding domain. Domains can be identified by their homology to conserved structural or functional motifs.


A “conservative amino acid substitution” is one in which one amino acid residue is replaced with another amino acid residue having a similar side chain. Families of amino acid residues having similar side chains have been defined in the art, including basic side chains (e.g., lysine, arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine), nonpolar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine). For example, substitution of a phenylalanine for a tyrosine is a conservative substitution. In some embodiments, conservative substitutions in the sequences of the polypeptides and antibodies of the invention do not abrogate the binding of the polypeptide or antibody containing the amino acid sequence to the antigen(s) to which the polypeptide or antibody binds. Methods of identifying nucleotide and amino acid conservative substitutions and non-conservative substitutions which do not eliminate polypeptide or antigen binding are well-known in the art (see, e.g., Brummell et al., Biochem. 32:1180-1187 (1993); Kobayashi et al., Protein Eng. 12(10):879-884 (1999); and Burks et al., Proc. Natl. Acad. Sci. USA 94:412-417 (1997)).


A “modular recognition domain” (MRD) or “target binding peptide” is a molecule, such as a protein, glycoprotein and the like, that can specifically (non-randomly) bind to a target molecule. The amino acid sequence of a MRD can typically tolerate some degree of variability and still retain a degree of capacity to bind the target molecule. Furthermore, changes in the sequence can result in changes in the binding specificity and in the binding constant between a preselected target molecule and the binding site. In one embodiment, the MRD is an agonist of the target it binds. An MRD agonist refers to a MRD that in some way increases or enhances the biological activity of the MRD's target protein or has biological activity comparable to a known agonist of the MRD's target protein. In another embodiment, the MRD is an antagonist of the target it binds. An MRD antagonist refers to an MRD that blocks or in some way interferes with the biological activity of the MRD's target protein or has biological activity comparable to a known antagonist or inhibitor of the MRD's target protein.


“Cell surface receptor” refers to molecules and complexes of molecules capable of receiving a signal and the transmission of such a signal across the plasma membrane of a cell. An example of a cell surface receptor of the present invention is an activated integrin receptor, for example, an activated αvβ3 integrin receptor on a metastatic cell. As used herein, “cell surface receptor” also includes a molecule expressed on a cell surface that is capable of being bound by an MRD containing antibody of the invention.


As used herein, a “target binding site” or “target site” is any known, or yet to be defined, amino acid sequence having the ability to selectively bind a preselected agent. Exemplary reference target sites are derived from the RGD-dependent integrin ligands, namely fibronectin, fibrinogen, vitronectin, von Willebrand factor and the like, from cellular receptors such as ErbB2, VEGF, vascular homing peptide or angiogenic cytokines, from protein hormones receptors such as insulin-like growth factor-I receptor, epidermal growth factor receptor and the like, and from tumor antigens.


The term “epitope” or “antigenic determinant” are used interchangeably herein and refer to that portion of any molecule capable of being recognized and specifically bound by a particular binding agent (e.g., an antibody or an MRD). When the recognized molecule is a polypeptide, epitopes can be formed from contiguous amino acids and noncontiguous amino acids and/or other chemically active surface groups of molecules (such as carbohydrates) juxtaposed by tertiary folding of a protein. Epitopes formed from contiguous amino acids are typically retained upon protein denaturing, whereas epitopes formed by tertiary folding are typically lost upon protein denaturing. An epitope typically includes at least 3, and more usually, at least 5 or 8-10 amino acids in a unique spatial conformation.


An antibody, MRD, antibody-containing MRD, or other molecule is said to “competitively inhibit” binding of a reference molecule to a given epitope if it binds to that epitope to the extent that it blocks, to some degree, binding of the reference molecule to the epitope. Competitive inhibition may be determined by any method known in the art, for example, competition ELISA assays. As used herein, an antibody, MRD, antibody-containing MRD, or other molecule may be said to competitively inhibit binding of the reference molecule to a given epitope, for example, by at least 90%, at least 80%, at least 70%, at least 60%, or at least 50%.


The term “protein” is defined as a biological polymer comprising units derived from amino acids linked via peptide bonds; a protein can be composed of two or more chains.


A “fusion polypeptide” is a polypeptide comprised of at least two polypeptides and optionally a linking sequence to operatively link the two polypeptides into one continuous polypeptide. The two polypeptides linked in a fusion polypeptide are typically derived from two independent sources, and therefore a fusion polypeptide comprises two linked polypeptides not normally found linked in nature. The two polypeptides may be operably attached directly by a peptide bond or may be linked indirectly through a linker described herein or otherwise known in the art.


The term “operably linked,” as used herein, indicates that two molecules are attached so as to each retain functional activity. Two molecules are “operably linked” whether they are attached directly (e.g., a fusion protein) or indirectly (e.g., via a linker).


The term “linker” refers to a peptide located between the antibody and the MRD or between two MRDs. Linkers can have from about 1 to 20 amino acids, about 2 to 20 amino acids, or about 4 to 15 amino acids. One or more of these amino acids may be glycosylated, as is well understood by those in the art. In one embodiment, the 1 to 20 amino acids are selected from glycine, alanine, proline, asparagine, glutamine, and lysine. In another embodiment, a linker is made up of a majority of amino acids that are sterically unhindered, such as glycine and alanine Thus, in some embodiments, the linker is selected from polyglycines (such as (Gly)5, and (Gly)8), poly(Gly-Ala), and polyalanines The linker can also be a non-peptide linker such as an alkyl linker, or a PEG linker. For example, alkyl linkers such as —NH—(CH2)s-C(O)—, wherein s=2-20 can be used. These alkyl linkers may further be substituted by any non-sterically hindering group such as lower alkyl (e.g., C1-C6) lower acyl, halogen (e.g., Cl, Br), CN, NH2, phenyl, etc. An exemplary non-peptide linker is a PEG linker. In certain embodiments, the PEG linker has a molecular weight of about 100 to 5000 kDa, or about 100 to 500 kDa. The peptide linkers may be altered to form derivatives. In some embodiments, the linker is a non-peptide linker such as an alkyl linker, or a PEG linker. In further embodiments, the linker is a “cleavable linker” facilitating release of an MRD or cytotoxic agent within a cell or in the proximity of the cell.


“Target cell” refers to any cell in a subject (e.g., a human or animal) that can be targeted by a multispecific and multivalent composition (e.g., an antibody-containing MRD) or MRD of the invention. The target cell can be a cell expressing or overexpressing the target binding site, such as an activated integrin receptor.


The term “immune response” refers to the action of, for example, lymphocytes, antigen presenting cells, phagocytic cells, granulocytes, and soluble macromolecules produced by the above cells or the liver (including antibodies, cytokines, and complement) that results in selective damage to, destruction of, or elimination from the human body of invading pathogens, cells, or tissues infected with pathogens, cancerous cells, or, in cases of autoimmunity or pathological inflammation, normal human cells or tissues.


As used herein, the term “effector cell” refers to an immune cell which is involved in the effector phase of an immune response, as opposed to the cognitive and activation phases of an immune response. Exemplary immune cells include a cell of a myeloid or lymphoid origin, e.g., lymphocytes (e.g., B cells and T cells including cytolytic T cells (CTLs)), killer cells, natural killer cells, macrophages, monocytes, cosinophils, neutrophils, polymorphonuclear cells, granulocytes, mast cells, and basophils). Some effector cells express specific Fc receptors and carry out specific immune functions. In certain embodiments, an effector cell is capable of inducing antibody-dependent cell-mediated cytotoxicity (ADCC), e.g., a neutrophil capable of inducing ADCC. For example, monocytes and macrophages, which express FcR, are involved in specific killing of target cells and presenting antigens to other components of the immune system, or binding to cells that present antigens. In other embodiments, an effector cell can phagocytose a target antigen or target cell. The expression of a particular FcR on an effector cell can be regulated by humoral factors such as cytokines. For example, expression of Fc alpha RI has been found to be up-regulated by G-CSF or GM-CSF. This enhanced expression increases the effector function of Fc alpha RI-bearing cells against targets. Exemplary functions of an effector cell include the phagocytosing or lysing of a target antigen or a target cell.


“Target cell” refers to any cell or pathogen whose elimination would be beneficial in a patient (e.g., a human or animal) and that can be targeted by a composition (e.g., antibody) of the invention.


“Patient,” “subject,” “animal” or “mammal” are used interchangeably and refer to mammals such as human patients and non-human primates, as well as experimental animals such as rabbits, rats, and mice, and other animals. Animals include all vertebrates, e.g., mammals and non-mammals, such as sheep, dogs, cows, chickens, amphibians, and reptiles. In some embodiments, the patient is a human.


“Treating” or “treatment” includes the administration of the antibody comprising an MRD of the present invention to prevent or delay the onset of the symptoms, complications, or biochemical indicia of a disease, condition, or disorder, alleviating the symptoms or arresting or inhibiting further development of the disease, condition, or disorder. Treatment can be prophylactic (to prevent or delay the onset of the disease, or to prevent the manifestation of clinical or subclinical symptoms thereof) or therapeutic suppression or alleviation of symptoms after the manifestation of the disease, condition, or disorder. Treatment can be with the antibody-MRD composition alone, the MRD alone, or in combination of either with one or more additional therapeutic agents.


As used herein, the terms “pharmaceutically acceptable,” or “physiologically tolerable” and grammatical variations thereof, as they refer to compositions, carriers, diluents and reagents, are used interchangeably and represent that the materials are capable of administration to or upon a human without the production of therapeutically prohibitive undesirable physiological effects such as nausea, dizziness, gastric upset and the like.


“Modulate” or “modulates” means adjustment or regulation of amplitude, frequency, degree, or activity. In another related aspect, such modulation may be positively modulated (e.g., an increase in frequency, degree, or activity) or negatively modulated (e.g., a decrease in frequency, degree, or activity).


“Cancer,” “tumor,” or “malignancy” are used as synonymous terms and refer to any of a number of diseases that are characterized by uncontrolled, abnormal proliferation of cells, the ability of affected cells to spread locally or through the bloodstream and lymphatic system to other parts of the body (metastasize) as well as any of a number of characteristic structural and/or molecular features. A “cancerous tumor,” or “malignant cell” is understood as a cell having specific structural properties, lacking differentiation and being capable of invasion and metastasis. Examples of cancers that may be treated using the antibody-MRD fusions of the invention include solid tumors and hematologic cancers. Additional, examples of cancers that may be treated using the antibody-MRD fusions of the invention include breast, lung, brain, bone, liver, kidney, colon, head and neck, ovarian, hematopoietic (e.g., leukemia), and prostate cancer. Further examples of cancer that may be treated using the multivalent and multispecific compositions (e.g., MRD-containing antibodies) include, but are not limited to, carcinoma, lymphoma, blastoma, sarcoma, and leukemia. More particular examples of such cancers include squamous cell cancer, small-cell lung cancer, non-small cell lung cancer, adenocarcinoma of the lung, squamous carcinoma of the lung, cancer of the peritoneum, hepatocellular cancer, gastrointestinal cancer, pancreatic cancer, glioblastoma, cervical cancer, ovarian cancer, liver cancer, bladder cancer, hepatoma, breast cancer, colon cancer, colorectal cancer, endometrial or uterine carcinoma, salivary gland carcinoma, kidney cancer, liver cancer, prostate cancer, vulval cancer, thyroid cancer, hepatic carcinoma and various types of head and neck cancers. Other types of cancer and tumors that may be treated using multivalent and multispecific compositions (e.g., MRD-containing antibodies) are described herein or otherwise known in the art.


An “effective amount” of an antibody, MRD, or MRD-containing antibody as disclosed herein is an amount sufficient to carry out a specifically stated purpose such as to bring about an observable change in the level of one or more biological activities related to the target to which the antibody, MRD, or MRD-containing antibody binds. In certain embodiments, the change increases the level of target activity. In other embodiments, the change decreases the level of target activity. An “effective amount” can be determined empirically and in a routine manner, in relation to the stated purpose.


The term “therapeutically effective amount” refers to an amount of an antibody, MRD, MRD-containing antibody, other multivalent and multispecific drug of the invention, or other drug effective to “treat” a disease or disorder in a patient or mammal. In the case of cancer, the therapeutically effective amount of the drug can reduce angiogenesis and neovascularization; reduce the number of cancer cells; reduce the tumor size; inhibit (i.e., slow to some extent or stop) cancer cell infiltration into peripheral organs; inhibit (i.e., slow to some extent or stop) tumor metastasis; inhibit, to some extent, tumor growth or tumor incidence; stimulate immune responses against cancer cells and/or relieve to some extent one or more of the symptoms associated with the cancer. See the definition herein of “treating”. A “therapeutically effective amount” also may refer to an amount effective, at dosages and for periods of time necessary, to achieve a desired therapeutic result. A therapeutically effective amount of a composition of the invention may vary according to factors such as the disease state, age, sex, and weight of the individual, and the ability of the composition to elicit a desired response in the individual. A therapeutically effective amount is also one in which any toxic or detrimental effects of the therapeutic composition are outweighed by the therapeutically beneficial effects.


To the extent the drug can prevent growth and/or kill existing cancer cells, it can be cytostatic and/or cytotoxic. A “prophylactically effective amount” refers to an amount effective, at dosages and for periods of time necessary, to achieve the desired prophylactic result. Typically, but not necessarily, since a prophylactic dose is used in subjects (patients) prior to or at an earlier stage of disease, the prophylactically effective amount will be less than the therapeutically effective amount.


Where embodiments of the invention are described in terms of a Markush group or other grouping of alternatives, the present invention encompasses not only the entire group listed as a whole, but also each member of the group individually and all possible subgroups of the main group, and also the main group absent one or more of the group members. The present invention also envisages the explicit exclusion of one or more of any of the group members in the disclosed and/or claimed invention.


II. MODULAR RECOGNITION DOMAINS (MRDS)

The present invention describes an approach based on the adaptation of target binding peptides or modular recognition domains (MRDs) as fusions to catalytic or non-catalytic antibodies.


In certain embodiments, where the antibody component of the MRD-antibody fusion is a catalytic antibody, the MRD-antibody fusions provide for effective targeting to tumor cells or soluble molecules while leaving the prodrug activation capability of the catalytic antibody intact. MRDs can also extend the binding capacity of non-catalytic antibodies providing for an effective approach to extend the binding functionality of antibodies, particularly for therapeutic purposes.


One aspect of the present invention relates to development of a full-length antibody comprising at least one modular recognition domain (MRD). In another non-exclusive embodiment, the full-length antibody comprises more than one MRD, wherein the MRDs have the same or different specificities. In addition, a single MRD may be comprised of a tandem repeat of the same or different amino acid sequence that can allow for the binding of a single MRD to multiple targets and/or to a repeating epitope on a given target.


The interaction between a protein ligand and its target receptor site often takes place at a relatively large interface. However, only a few key residues at the interface contribute to most of the binding. The MRDs can mimic ligand binding. In certain embodiments, the MRD can mimic the biological activity of a ligand (an agonist MRD) or through competitive binding inhibit the bioactivity of the ligand (an antagonist MRD). MRDs in multivalent and multispecific compositions (e.g., MRD-containing antibodies) can also affect targets in other ways, e.g., by neutralizing, blocking, stabilizing, aggregating, or crosslinking the MRD target.


It is contemplated that MRDs of the present invention will generally contain a peptide sequence that binds to target sites of interests and have a length of about 2 to 150 amino acids, about 2 to 125 amino acids, about 2 to 100 amino acids, about 2 to 90 amino acids, about 2 to 80 amino acids, about 2 to 70 amino acids, about 2 to 60 amino acids, about 2 to 50 amino acids, about 2 to 40 amino acids, about 2 to 30 amino acids, or about 2 to 20 amino acids. It is also contemplated that MRDs have a length of about 10 to 150 amino acids, about 10 to 125 amino acids, about 10 to 100 amino acids, about 10 to 90 amino acids, about 10 to 80 amino acids, about 10 to 70 amino acids, about 10 to 60 amino acids, about 10 to 50 amino acids, about 10 to 40 amino acids, about 10 to 30 amino acids, or about 10 to 20 amino acids. It is further contemplated that MRDs have a length of about 20 to 150 amino acids, about 20 to 125 amino acids, about 20 to 100 amino acids, about 20 to 90 amino acids, about 20 to 80 amino acids, about 20 to 70 amino acids, about 20 to 60 amino acids, about 20 to 50 amino acids, about 20 to 40 amino acids, or about 20 to 30 amino acids. In certain embodiments, the MRDs have a length of about 2 to 60 amino acids. In other embodiments, the MRDs have a length of about 10 to 60 amino acids. In other embodiments, the MRDs have a length of about 10 to 50 amino acids. In additional embodiments, the MRDs have a length of about 10 to 40 amino acids. In additional embodiments, the MRDs have a length of about 10 to 30 amino acids.


In some embodiments, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd of less than 5×10−3 M, 10−3 M, 5×10−4 M, 10−4 M, 5×10−5 M, 10−5 M, 5×10−6 M, 10−6 M, 5×10−7 M, 10−7 M, 5×10−8 M, 10−8 M, 5×10−9 M, 10−9 M, 5×10−1° M, 10−10 M, 5×10−11 M, 10−11 M, 5×10−12 M, 10−12 M, 5×10−13 M, 10−13 M, 5×10−14 M, 10−14 M, 5×10−15 M, or 10−15 M. In one embodiment, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd less than 5×10−5 M. In another embodiment, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd less than 5×10−8 M. In another embodiment, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd less than 5×10−9 M. In another embodiment, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd less than 5×10−10 M. In another embodiment, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd less than 5×10−11 M. In another embodiment, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd less than 5×10−12 M.


In specific embodiments, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind their targets with an off rate (koff) of less than 5×10−2 sec−1, 10−2 sec−1, 5×10−3 sec−1, or 10−3 sec−1. More preferably, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind their targets with an off rate (koff) of less than 5×10−4 sec−1, 10−4 sec−1, 5×10−5 sec−1, or 10−5 sec−1, 5×10−6 sec−1, 10−6 sec−1, 5×10−7 sec−1, or 10−7 sec−1.


In other specific embodiments, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind their targets with an on rate (kon) of greater than 103 M−1 sec−1, 5×103 M−1 sec−1, 104 M−1 sec−1, or 5×104 M−1 sec−1. More preferably, one or more of the MRD components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind their targets with an on rate (kon) of greater than 105 M−1 sec−1, 5×105 M−1 sec−1, 106 M−1 sec−1, or 5×106 M−1 sec−1, or 107 M−1 sec−1.


In some embodiments, the MRDs are affibodies. Affibodies represent a class of affinity proteins based on a 58-amino acid residue protein domain derived from one of the IgG-binding domains of staphylococcal protein A. This three helix bundle domain has been used as a scaffold for the construction of combinatorial phagemid libraries, from which affibody variants that bind a desired target molecule, such as one or more of the targets disclosed herein, can routinely be selected using phage display technology (see, e.g., Nord et al., Nat. Biotechnol. 15:772-7 (1997), and Ronmark et al., A, Eur. J. Biochem. 2002; 269:2647-55). Further details of Affibodies and methods of production thereof are provided by reference to U.S. Pat. No. 5,831,012, which is herein incorporated by reference in its entirety.


In other embodiments, an MRD of the invention (e.g., an MRD on an MRD-containing antibody) contains one or more amino acid residues or sequences of amino acid residues (including derivatives, analogs, and mimetics thereof) that are preferentially targeted by chemistries or other processes that covalently or non-covalently link a molecular entity to the MRD, as compared to, the MRD without the preferentially targeted sequences or the antibody component of the MRD-containing antibody. For example, in some embodiments, the amino acid sequence of the MRD contains one or more residues having a reactive side chain (e.g., cysteinc or lysine) that allows for selective or preferential linkage of the MRD to cytotoxic agents (e.g., drug and prodrug conjugates, toxins, and bioactive ligands) or imaging agents.


The use of these “linking” MRDs to arm an MRD-comprising antibody with a “payload” overcomes many of the issues associated with antibody destabilization and reduction in antibody activity that have frequently been observed using conventional methods for generating immunotoxins. The “payload” component of an MRD-comprising antibody complex of the invention can be any composition that confers a beneficial therapeutic, diagnostic, or prognostic effect, or that provide an advantage in manufacturing, purifying or formulating an MRD-containing antibody. In some embodiments, the payload is a chemotherapeutic drug, or a prodrug, such as, doxorubicin or a maytansinoid-like drug. In additional embodiments, the payload is another MRD, a toxin, a chemotherapeutic drug, a catalytic enzyme, a prodrug, a radioactive nuclide, a chelator (e.g., for the attachment of lanthanides) or another component of the multivalent and multispecific compositions of the invention as described herein.


In nonexclusive embodiments, the MRD does not contain an antigen binding domain, or another antibody domain such as a constant region, a variable region, a complementarity determining region (CDR), a framework region, an Fc domain, or a hinge region. In one non-exclusive embodiment, the MRD does not contain an antigen binding domain. In another non-exclusive embodiment, the MRD does not contain three CDRs. In another non-exclusive embodiment, the MRD does not contain CDR1 and CDR2. In yet another non-exclusive embodiment, the MRD does not contain CDR1. In one nonexclusive embodiment, the MRD is not derived from a natural cellular ligand. In another nonexclusive embodiment, the MRD is not a radioisotope. In another nonexclusive embodiment, the MRD is not a protein expression marker such as glutathione S-transferase (GST), His-tag, Flag, hemagglutinin (HA), MYC or a fluorescent protein (e.g., GFP or RFP). In another nonexclusive embodiment, the MRD does not bind serum albumin. In an additional nonexclusive embodiment, the MRD is not a small molecule that is a cytotoxin. It yet another nonexclusive embodiment, the MRD does not have enzymatic activity. In another non-exclusive embodiment, the MRD has a therapeutic effect when administered alone and/or when fused to an Fc in a patient or animal model. In another non-exclusive embodiment, the MRD has a therapeutic effect when repeatedly administered alone and/or when fused to an Fc in a patient or animal model (e.g., 3 or more times over the course of at least six months).


In some embodiments, the MRD is conformationally constrained. In other embodiments, the MRD is not conformationally constrained. In some embodiments, the MRD contains one cysteine residue. The cysteine residue in the MRD can form an interchain bond (e.g., between cysteines within the same MRD, different peptide linked MRDs, and an MRD and a peptide linked immunoglobulin). In some embodiments, the MRD(s) participating in the interchain bond is/are associated with a single core target-binding domain. In other embodiments, the MRD(s) participating in the interchain bond is/are associated with multiple core target-binding domains. In an alternative embodiment, the cysteine residue in the MRD can form an interchain bond (e.g., between cysteines of non-peptide linked MRDs or an MRD and an immunoglobulin that are not linked by a peptide bind). In some embodiments, the MRD(s) associated with the interchain bond is/are associated with a single core target-binding domain (i.e., 2 MRDs located on different polypeptide chains form one or more interchain bonds and collectively form one target binding site). Thus, for example, the invention encompasses MRD-containing antibodies wherein MRDs located on the carboxyl terminus of the heavy chain interact (e.g., via disulfide bond) so as to form a single target binding site. In other embodiments, the MRD(s) associated with the interchain bond is/are associated with multiple core target-binding domains. Alternatively, as discussed herein, the MRD can contain one or more cysteine residues (or other residue having a reactive side chain (e.g., lysine)) that allows for selective or preferential linkage of the MRD to a cytotoxic agent.


In some embodiments, the MRD contains two cysteine residues outside the core target-binding domain. In some embodiments, the MRD contains two cysteine residues located within the core target-binding domain at each end of the target-binding domain. In some embodiments, a first cysteine is located near the terminus of the molecule (i.e. at the C-terminus of an MRD on the C-terminus of a linker or antibody chain or at the N-terminus of an MRD on the N-terminus of a linker or antibody chain). Thus, in some embodiments, a first cysteine is located within one amino acid, within two amino acids, within three amino acids, within four amino acids, within five amino acids, or within six amino acids of the terminus of the molecule. In some embodiments, a second cysteine is located near the MRD fusion location (i.e. at the N-terminus of an MRD on the C-terminus of a linker or antibody chain or at the C-terminus of an MRD on the N-terminus of a linker or antibody chain). Thus, in some embodiments, a second cysteine is located within one amino acid, within two amino acids, within three amino acids, within four amino acids, within five amino acids, within 10 amino acids, or within 15 amino acids from the MRD fusion.


In some embodiments, the MRD is capped with stable residues. In some embodiments, the MRD is disulfide capped. In some embodiments, the MRD does not contain cleavage sites.


In some embodiments, the MRD has been selected to not contain known potential human T-cell epitopes.


In some particular embodiments, the MRD has a particular hydrophobicity. For example, the hydrophobicity of MRDs can be compared on the basis of retention times determined using hydrophobic interaction chromatography or reverse phase liquid chromatography.


The MRD target can be any molecule that it is desirable for an MRD-containing antibody to interact with. For example, the MRD target can be a soluble factor or a transmembrane protein, such as a cell surface receptor. The MRD target can also be an extracellular component or an intracellular component. In certain non-exclusive embodiments, the MRD target is a factor that regulates cell proliferation, differentiation, or survival. In other nonexclusive embodiments, the MRD target is a cytokine. In another nonexclusive embodiment, the MRD target is a factor that regulates angiogenesis. In another nonexclusive embodiment, the MRD target is a factor that regulates cellular adhesion and/or cell-cell interaction. In certain non-exclusive embodiments, the MRD target is a cell signaling molecule. In another nonexclusive embodiment, the MRD target is a factor that regulates one or more immune responses, such as, autoimmunity, inflammation and immune responses against cancer cells. In another nonexclusive embodiment, the MRD target is a factor that regulates cellular adhesion and/or cell-cell interaction. In an additional nonexclusive embodiment, the MRD target is a cell signaling molecule. In another embodiment, an MRD can bind a target that is itself an MRD. The ability of MRDs to bind a target and block, increase, or interfere with the biological activity of the MRD target can be determined using or routinely modifying assays, bioassays, and/or animal models known in the art for evaluating such activity.


The MRDs are able to bind their respective target when the MRDs are attached to an antibody. In some embodiments, the MRD is able to bind its target when not attached to an antibody. In some embodiments, the MRD is a target agonist. In other embodiments, the MRD is a target antagonist. In certain embodiments, the MRD can be used to localize an MRD-containing antibody to an area where the MRD target is located.


The sequence of the MRD can be determined several ways. For example, MRD sequences can be derived from natural ligands or known sequences that bind to a specific target binding site. Additionally, phage display technologies have emerged as a powerful method in identifying peptides which bind to target receptors and ligands. In peptide phage display libraries, naturally occurring and non-naturally occurring (e.g., random peptide) sequences can be displayed by fusion with coat proteins of filamentous phage. The methods for elucidating binding sites on polypeptides using phage display vectors has been previously described, in particular in WO94/18221, which is herein incorporated by reference. The methods generally involve the use of a filamentous phage (phagemid) surface expression vector system for cloning and expressing polypeptides that bind to the pre-selected target site of interest.


The methods of the present invention for preparing MRDs include the use of phage display vectors for their particular advantage of providing a means to screen a very large population of expressed display proteins and thereby locate one or more specific clones that code for a desired target binding reactivity. The ability of the polypeptides encoded by the clones to bind a target and/or alter the biological activity of the target can be determined using or routinely modifying assays and other methodologies described herein or otherwise known in the art. For example, phage display technology can be used to identify and improve the binding properties of MRDs. See, e.g., Scott et al., Science 249:386 (1990); Devlin et al., Science 249:404 (1990); U.S. Pat. Nos. 5,223,409, 5,733,731, 5,498,530, 5,432,018, 5,338,665, 5,922,545; and Int. Appl. Publ. Nos. WO96/40987 and WO98/15833; which are herein incorporated by reference. In peptide phage display libraries, natural and/or non-naturally occurring peptide sequences can be displayed by fusion with coat proteins of filamentous phage. The displayed peptides can be affinity-eluted against a target of interest if desired. The retained phage may be enriched by successive rounds of affinity purification and repropagation. The best binding peptides may be sequenced to identify key residues within one or more structurally related families of peptides. See, e.g., Cwirla et al., Science 276:1696-9 (1997), in which two distinct families were identified. The peptide sequences may also suggest which residues may be safely replaced by alanine scanning or by mutagenesis at the DNA level. Mutagenesis libraries may be created and screened to further optimize the sequence of the best binders. Lowman, Ann. Rev. Biophys. Biomol. Struct. 26:401-424 (1997).


Structural analysis of protein-protein interaction may also be used to suggest peptides that mimic the binding activity of large protein ligands. In such an analysis, the crystal structure may suggest the identity and relative orientation of critical residues of the large protein ligand, from which a peptide such as an MRD may be designed. See, e.g., Takasaki et al., Nature Biotech. 15:1266-1270 (1997). These analytical methods may also be used to investigate the interaction between a target and an MRD selected by phage display, which can suggest further modification of the MRDs to increase binding affinity.


Other methods known in the art can be used to identify MRDs. For example, a peptide library can be fused to the carboxyl terminus of the lac repressor and expressed in E. coli. Another E. coli-based method allows display on the cell's outer membrane by fusion with a peptidoglycan-associated lipoprotein (PAL). These and related methods are collectively referred to as “E. coli display.” In another method, translation of random RNA is halted prior to ribosome release, resulting in a library of polypeptides with their associated RNA still attached. This and related methods are collectively referred to as “ribosome display.” Other known methods employ chemical linkage of peptides to RNA. See, for example, Roberts and Szostak, Proc. Natl. Acad. Sci. USA 94:12297-12303 (1997). This and related methods are collectively referred to as “RNA-peptide screening, RNA display and mRNA display.” Chemically derived peptide libraries have been developed in which peptides are immobilized on stable, non-biological materials, such as polyethylene rods or solvent-permeable resins. Another chemically derived peptide library uses photolithography to scan peptides immobilized on glass slides. These and related methods are collectively referred to as “chemical-peptide screening.” Chemical-peptide screening may be advantageous in that it allows use of D-amino acids and other unnatural analogues, as well as non-peptide elements. Both biological and chemical methods are reviewed in Wells and Lowman, Curr. Opin. Biotechnol. 3:355-362 (1992). Furthermore, constrained libraries, linear libraries, and/or focused libraries (comprised of structurally related domains that share significant primary sequence homology) can be used to identify, characterize, and modify MRDs


An improved MRD that specifically binds a desired target can also be prepared based on a known MRD sequence. For example, at least one, two, three, four, five, or more amino acid mutations (e.g., conservative or non-conservative substitutions), deletions or insertions can be introduced into a known MRD sequence and the resulting MRD can be screened for binding to the desired target and biological activity, such as the ability to antagonize target biological activity or to agonize target biological activity. In another embodiment, the sites selected for modification are affinity matured using phage display techniques known in the art. See, e.g., Lowman, Ann Rev. Biophys. Biomol. Struct. 26:401-4 24 (1997).


Any technique for mutagenesis known in the art can be used to modify individual nucleotides in a DNA sequence, for purposes of making amino acid addition(s), substitution(s) or deletion(s) in the antibody sequence, or for creating/deleting restriction sites and sequences coding for desired amino acids (e.g., cysteine) to facilitate further manipulations. Such techniques include, but are not limited to, chemical mutagenesis, in vitro site-directed mutagenesis (Kunkel, Proc. Natl. Acad. Sci. USA 82:488 (1985); Hutchinson et al., J. Biol. Chem. 253:6551 (1978)), oligonucleotide-directed mutagenesis (Smith, Ann Rev. Genet. 19:423-463 (1985); Hill et al., Methods Enzymol. 155:558-568 (1987)), PCR-based overlap extension (Ho et al., Gene 77:51-59 (1989)), PCR-based megaprimer mutagenesis (Sarkar et al., Biotechniques 8:404-407 (1990)), etc. Modifications can be confirmed by DNA sequencing.


Additional fusion proteins can be generated through the techniques of gene-shuffling, motif-shuffling, exon-shuffling, and/or codon-shuffling (collectively referred to as “DNA shuffling”). DNA shuffling can be employed to alter the activities of SYNAGIS® or fragments thereof (e.g., an antibody or a fragment thereof with higher affinities and lower dissociation rates). See, generally, U.S. Pat. Nos. 5,605,793, 5,811,238, 5,830,721, 5,834,252, and 5,837,458, and Patten et al., Curr. Opinion Biotechnol. 8:724-33 (1997); Harayama et al., Trends Biotechnol. 16(2):76-82 (1998); Hansson et al., J. Mol. Biol. 287:265-76 (1999); Lorenzo et al., Biotechniques 24(2):308-313 (1998); U.S. Appl. Publ. Nos. 20030118592 and 200330133939; and Int. Appl. Publ. No. WO02/056910; each of which is herein incorporated by reference in its entirety.


Additionally, MRDs can be identified based on their effects in assays that measure particular pathways or activities. For example, assays that measure signaling pathways (e.g., phosphorylation studies or multimerization), ion channel fluxes, intracellular cAMP levels, cellular activities such as migration, adherence, proliferation, or apoptosis, and viral entry, replication, budding, or integration can be used to identify, characterize, and improve MRDs.


Variants and derivatives of the MRDs that retain the ability to bind the target antigen are included within the scope of the present invention. Included within variants are insertional, deletional, and substitutional variants, as well as variants that include MRDs presented herein with additional amino acids at the N- and/or C-terminus, including from about 0 to 50, 0 to 40, 0 to 30, 0 to 20 amino acids and the like. It is understood that a particular MRD of the present invention may be modified to contain one, two, or all three types of variants. Insertional and substitutional variants may contain natural amino acids, unconventional amino acids, or both. In some embodiments, the MRD contains a sequence with no more than 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, or 20 amino acid differences when compared to an MRD sequence described herein. In some embodiments, the amino acid differences are substitutions. These substitutions can be conservative or non-conservative in nature and can include unconventional or non-natural amino acids. In other embodiments the MRD contains a sequence that competitively inhibits the ability of an MRD-containing sequence described herein to bind with a target molecule. The ability of an MRD to competitively inhibit another MRD-containing sequence can be determined using techniques known in the art, including ELISA and BIAcore analysis.


The ability of an MRD to bind its target can be assessed using any technique that assesses molecular interaction. For example, MRD-target interaction can be assayed as described in the Examples below or alternatively, using in vitro or in vivo binding assays such as western blots, radioimmunoassays, ELISA (enzyme linked immunosorbent assay), “sandwich” immunoassays, immunoprecipitation assays, fluorescent immunoassays, protein A immunoassays, and immunohistochemistry (IHC). Assays evaluating the ability of an MRD to functionally affect its target (e.g., assays to measure signaling, proliferation, migration etc.) can also be used to indirectly assess MRD-target interaction.


An improved MRD that has a particular half-life in vivo can also be prepared based on a known MRD sequence. For example, at least one, two, three, four, five, or more amino acid mutations (e.g., conservative or non-conservative substitutions), deletions or insertions can be introduced into a known MRD sequence and the resulting MRD can be screened for increased half-life. Thus, variants and derivatives of the MRDs that retain the ability to bind the target and have an increased half-life can be included in multivalent and multispecific compositions (e.g., MRD-containing antibodies). Thus, in some embodiments, an MRD in an MRD-containing antibody has a half-life of at least about 5, at least about 10, at least about 15, at least about 20, at least about 25, at least about 30, at least about 35, at least about 40, at least about 45, at least about 50, at least about 55, at least about 60, at least about 65, at least about 70, at least about 75, at least about 80, at least about 85, at least about 90, at least about 95, at least about 100, at least about 110, at least about 120, at least about 130, at least about 140, or at least about 150 hours. In some embodiments, an MRD in an MRD-containing antibody has a half-life of at least about 5, at least about 10, at least about 15, at least about 20, at least about 25, at least about 30, at least about 35, at least about 40, at least about 45, at least about 50, at least about 55, at least about 60, at least about 65, at least about 70, at least about 75, at least about 80, at least about 85, at least about 90, at least about 95, at least about 100, at least about 110, at least about 120, at least about 130, at least about 140, or at least about 150 hours.


Once the sequence of the MRD has been elucidated, the peptides may be prepared by any of the methods known in the art. For example, the MRD peptides can be chemically synthesized and operably attached to the antibody or can be synthesized using recombinant technology. For example, MRDs can be synthesized in solution or on a solid support using known techniques. Various automatic synthesizers are commercially available and can be used in accordance with known protocols. See, for example, Tam et al., J. Am. Chem. Soc. 105:6442 (1983); Merrifield, Science 232:341-347 (1986); Barany and Merrifield, The Peptides, Gross and Mcienhofer, eds, Academic Press, New York, 1-284; Barany et al., Int. J. Pep. Protein Res., 30:705-739 (1987); and U.S. Pat. No. 5,424,398, each of which is incorporated herein by reference in its entirety.


MRDs can be synthesized with covalently attached molecules that are not amino acids but aid in the purification, identification, and/or tracking of an MRD in vitro or in vivo. (e.g., biotin for reacting with avidin or avidin-labeled molecules).


The following MRD targets are described in more detail by way of example only.


In some embodiments described herein, the MRD targets an integrin. The role of integrins such as αvβ3 and αvβ5 as tumor-associated markers has been well documented. A recent study of 25 permanent human cell lines established from advanced ovarian cancer demonstrated that all lines were positive for αvβ5 expression and many were positive for αvβ3 expression. Studies have also shown that αvβ3 and αvβ5 is highly expressed on malignant human cervical tumor tissues. Integrins have also demonstrated therapeutic effects in animal models of Kaposi's sarcoma, melanoma, and breast cancer.


A number of integrin αvβ3 and αvβ5 antagonists are in clinical development. These include cyclic RGD peptides and synthetic small molecule RGD mimetics. Two antibody-based integrin antagonists are currently in clinical trials for the treatment of cancer. The first is VITAXIN® (MEDI-522, Abegrein), the humanized form of the murine anti-human αvβ3 antibody LM609. A dose-escalating phase I study in cancer patients demonstrated that VITAXIN® is safe for use in humans. Another antibody in clinical trials is CNT095, a fully human Ab that recognizes αv integrins. A Phase I study of CNT095 in patients with a variety of solid tumors has shown that it is well tolerated. Cliengitide (EMD 121974), a peptide antagonist of αvβ3 and αvβ5, has also proven safe in phase I trials. Furthermore, there have been numerous drug targeting and imaging studies based on the use of ligands for these receptors. These preclinical and clinical observations demonstrate the importance of targeting αvβ3 and αvβ5 and studies involving the use of antibodies in this strategy have consistently reported that targeting through these integrins is safe.


Clinical trials are also ongoing for antagonists targeting α5vβ1 for treating metastatic melanoma, renal cell carcinoma, and non-small cell lung cancer (M200 (volociximab) and malignant glioma (ATN-161).


Integrin-binding MRDs containing one or more RGD tripeptide sequence motifs represent an example of MRDs of the invention. Ligands having the RGD motif as a minimum recognition domain and from which MRDs of the invention can be derived are well known, a partial list of which includes, with the corresponding integrin target in parenthesis, fibronectin (α3β1, α5β1, αvβ1, α11β3, αvβ3, and α3β1) fibrinogen (αMβ2 and α11bβ1) von Willebrand factor (α11bβ3 and αvβ3), and vitronectin (α11bβ3, αvβ3 and αvβ5).


In one embodiment, the RGD containing targeting MRD is a member selected from the group consisting of: YCRGDCT (SEQ ID NO:3); PCRGDCL (SEQ ID NO:4); TCRGDCY (SEQ ID NO:5); and LCRGDCF (SEQ ID NO:6).


A MRD that mimics a non-RGD-dependent binding site on an integrin receptor and having the target binding specificity of a high affinity ligand that recognizes the selected integrin is also contemplated in the present invention. MRDs that bind to an integrin receptor and disrupt binding and/or signaling activity of the integrin are also contemplated.


In some embodiments, the MRD targets an angiogenic molecule. Angiogenesis is essential to many physiological and pathological processes. Ang2 has been shown to act as a proangiogenic molecule. Administration of Ang2-selective inhibitors is sufficient to suppress both tumor angiogenesis and corneal angiogenesis. Therefore, Ang2 inhibition alone or in combination with inhibition of other angio genic factors, such as VEGF, can represent an effective antiangiogenic strategy for treating patients with solid tumors.


It is contemplated that MRDs useful in the present invention include those that bind to angiogenic receptors, angiogenic factors, and/or Ang2. In a specific embodiment, an MRD of the invention binds Ang2. In further embodiments, the TIE2 binding component comprises a fragment of ANG2 that binds TIE2. In particular embodiments, compositions of the invention bind TIE2 and comprise amino acids 283-449 of the human ANG2 disclosed in NCBI Ref. Seq. No. NP 001138.1.


In one embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds Ang2 and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:136-619 and 620, as set forth in Table 10. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for Ang2 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 136-619 and 620. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of Ang2 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:136-619 and 620.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds Ang2 and contains an amino acid sequence selected from the group consisting of: DCFWYPNPEWCY (ANG100; SEQ ID NO:621); KCPLLPDWASCH (ANG99; SEQ ID NO:622); TCQDYPFWRYCH (ANG53; SEQ ID NO:623); DCYF YPNPPHCY (ANG57; SEQ ID NO:624); PHEECYFYPNPPHCYTMS (ANG318; SEQ ID NO:625); DCAVYPNPPWCYKMEFGK (ANG202; SEQ ID NO: 626); RPILCPLLPDW ISCHEWL (ANG205; SEQ ID NO:627); and LWDDCYFFPNPPHCYNSP (ANG200; SEQ ID NO:628). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for Ang2 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 621-627 and 628. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of Ang2 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:621-627 and 628.


In one embodiment, an MRD and/or MRD-containing antibody binds Ang2 and contains a sequence selected from the group consisting of: GAQTNFMPMDDLEQRLYEQFI LQQGLE (SEQ ID NO:9) (ANGa); LWDDCYFFP NPPHCYNSP (SEQ ID NO:11) (ANGb); LWDDCYSYPNPPHCYNSP (SEQ ID NO:12) (ANGc); LWDDCYSFPNPPHCYNSP (SEQ ID NO:15) (ANGd); DCAVYPNPPWCYKME FGK (SEQ ID NO:16) (ANGe); PHEECYFY PNPPHCYTMS (SEQ ID NO:17) (ANGf); and PHEECYSYPNPPHCYTMS (SEQ ID NO:18) (ANGg).


In another embodiment, an MRD-containing antibody comprises an ANG-2 binding peptide disclosed in U.S. Pat. Nos. 7,309,483, 7,205,275, 7,138,370 7,063,965, 7,063,840, 7,045,302, 7,008,781, 6,825,008, 6,645,484, 6,627,415, 6,455,035, 6,441,137, 6,433,143, 6,265,564, 6,166,185, 5,879,672, 5,814,464, 5,681,714, 5,650,490, 5,643,755 and 5,521,073; and U.S. Appl. Publ. Nos. 2007/0225221, 2007/0093419, 2007/0093418, 2007/0072801, 2007/0025993, 2006/0122370, 2005/0186665, 2005/0175617, 2005/0106099, 2005/0100906, 2003/0236193, 2003/0229023, 2003/0166858, 2003/0166857, 2003/0162712, 2003/0109677, 2003/0092891, 2003/0040463, 2002/0173627 and 2002/0039992, and Intl. Appl. Publ. Nos. WO2006/005361, WO/2006/002854, WO2004/092215, WO/2004/076650, WO2003/057134, WO/2000/075323, WO2000/065085, WO/1998/018914 or WO1995/021866, the disclosures of each of which is herein incorporated by reference in its entirety.


In one embodiment, an MRD-containing antibody contains an MRD that preferentially binds ANG2 over ANG1 and ANG4. In a further embodiment, the MRD-containing antibody contains an MRD having a sequence selected from the group consisting of: ANG100 (SEQ ID NO:621), ANG156 (SEQ ID NO:255), ANG318 (SEQ ID NO:625) and ANG599 (SEQ ID NO:367). In an additional embodiment, an MRD-containing antibody contains an MRD that preferentially binds ANG1 and ANG2 over ANG4. In a further embodiment, the MRD-containing antibody contains an MRD having a sequence selected from the group consisting of: ANG126 (SEQ ID NO:232), ANG129 (SEQ ID NO:234), ANG179 (SEQ ID NO:270), ANG200 (SEQ ID NO:628), ANG303 (SEQ ID NO:331) and ANG335 (SEQ ID NO:332). In another embodiment, an MRD-containing antibody contains an MRD that binds ANG1, ANG2 and ANG4. In a further embodiment, the MRD-containing antibody contains an MRD having the sequence of ANG335 (SEQ ID NO:332). MRD-containing antibodies that compete for ANG1, ANG2 and/or ANG4 binding with one or more of the above MRDs and/or MRD-containing antibodies are also encompassed by the invention.


In some embodiments, the MRD targets vascular endothelial growth factor (VEGF). In one embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds VEGF and contains an amino acid sequence selected from the group consisting of: SEQ ID NOs:629-691 and 692, as set forth in Table 11. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for VEGF binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NOs:629-691 and 692. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of VEGF as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NOs:629-691 and 692.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds VEGF and contains an amino acid sequence selected from the group consisting of: ACVKQVPWWLCI (VGF5; SEQ ID NO:693); TCWKPTPWWLCD (VGF26; SEQ ID NO:694); WCNGFPPNYPCY (VGF57; SEQ ID NO:695); GCVKEAPWWLCV (VGF61; SEQ ID NO:696); and WCNGFPANYPCY (VGF50; SEQ ID NO:697). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for VEGF binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NOs:693-696 and 697. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of VEGF as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NOs:693-696 and 697.


In one embodiment, the antibody-MRD fusion comprises an MRD with the sequence ATWLPPP (SEQ ID NO:71), which inhibits VEGF-mediated angiogenesis. Binetruy-Tournaire et al., EMBO J. 19:1525-1533 (2000). In additional embodiments, an anti-VEGF antibody containing an MRD that targets VEGF is contemplated in the present invention. Anti-VEGF antibodies can be found for example in Presta et al., Cancer Research 57:4593-4599 (1997); and Fuh et al., J. Biol. Chem. 281:10 6625 (2006), each of which is herein incorporated by reference in its entirety.


Insulin-like growth factor-I receptor (IGF1R)-specific MRDs can also be used in the present invention. In one embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds IGF1R and contains an amino acid sequence selected from the group consisting of: SEQ ID NOs:698-1149 and 1150, as set forth in Table 12. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IGF1R binding with a polypeptide having an amino acid sequence selected from the group consisting of: NO:698-1149 and 1150. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IGF1R as a polypeptide having an amino acid sequence selected from the group consisting of: NO:698-1149 and 1150.


In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IGF1R binding with a polypeptide having an amino acid sequence selected from the group consisting of: LCKEFPELCF (IGF252; SEQ ID NO:1151); QPWEGYSWLY (IGF71; SEQ ID NO:1152); RITPSDLCKEFPELCF (IGF550; SEQ ID NO:1153); GFHHAYYKY RGQAGQGSATGGSSRITPSDLCKEFP ELCF (IGF2044; SEQ ID NO:1154); LCHGYPWYGPCQGQAGQGSATGGSGSTAS SRITPSDLCKEFPELCF (IGF2037: SEQ ID NO:1155); GSWCDHYPQPVMCLGQAG QGSATGGSSRITPSDLCKEFPELCF (IGF2039 SEQ ID NO:1156); and TFENAL YCLAYGICDKITLI (IGF2045; SEQ ID NO:1157). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IGF binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1151-1156 and 1157. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IGF1R as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: SEQ ID NO:1151-1156 and 1157.


Vascular homing-specific MRDs are also contemplated for use in the present invention. A number of studies have characterized the efficacy of linking the vascular homing peptide to other proteins like IL12 or drugs to direct their delivery in live animals.


Numerous other target binding sites are contemplated as being the target of the antibody-MRD fusions of the present invention, including for example, FGFR1, FGFR2, EGFR, ErbB2, ErbB3, ErbB4, CD20, insulin-like growth factor-1 receptor, and hepatocyte growth factor receptor. MRDs can be directed towards these target binding sites or the corresponding ligands.


In one embodiment, the MRD binds to IL6. In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds IL6 and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:1158-1731 and 1732, as set forth in Table 13. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IL6 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 1158-1731 and 1732. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IL6 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 1158-1731 and 1732.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds IL6 and contains an amino acid sequence selected from the group consisting of: YCPWDPIMMQCA (ILB394; SEQ ID NO:1733); LSNSCAW DPLLMNCIDTH (ILB227; SEQ ID NO:1734); FNEDCMWDPLLMDCAYSP (ILB915; SEQ ID NO:1735); INNLSPVCYWDPLLMDCI (ILB235; SEQ ID NO:1736); VQY WEFETWEGQAGQGSFNEDCMWDPLLMDCAYSP (ILB914; SEQ ID NO:1737); HQADDPFGQWGQAGQGSFNEDCMWDPLLMDCAYSP (ILB910; SEQ ID NO:1738); PLWEQTKWQYGQAGQGSFNEDCMWDPLLMDCAYSP (ILB916; SEQ ID NO:1739); FNEDC MWDPLLMDCAYSPGQGSATGGSAAGGGSMCLTYEEICS (ILB790; SEQ ID NO:1740); ISMPCH SWEHCLSLL (ILB754; SEQ ID NO:1741); GWGRVCDADYCCWVVC (ILB753; SEQ ID NO:1742); EYDWCMWEVK MFEEACWSLS (ILB909; SEQ ID NO:1743); VLSECFEAYRVVCQALT (ILB913; SEQ ID NO:1744); MGIRCQTWDHCLSIL (ILB911; SEQ ID NO:1745); and QRYPCTTWEDCLVVL (ILB912; SEQ ID NO:1746). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IL6 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 1733-1745 and 1746 In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IL6 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1733-1745 and 1746.


In one embodiment, the MRD binds to IL6R. In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds IL6R and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:1747-1908 and 1909, as set forth in Table 14. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IL6R binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1747-1908 and 1909. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IL6R as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1747-1908 and 1909.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds IL6R and contains an amino acid sequence selected from the group consisting of: DLLYCEWEMVVRECHGTI (ILC111; SEQ ID NO:1910); EFVLCELAM VFRECHGAV (ILC82; SEQ ID NO:1911); ELIFCDLEMVFNECHGAI (ILC85; SEQ ID NO:1912); DYILCDLEMVFRECHGVL (ILC289; SEQ ID NO:1913); EFILCELEMVIRECHGTT (ILC92; SEQ ID NO:1914); PCE EAFAAYLE (ILC110; SEQ ID NO:1915); PCEEAFAAYLEEAYN (ILC134; SEQ ID NO:1916); ACEEAFASYLEENVM (ILC100; SEQ ID NO:1917); DCNALFTGDLAW (ILC145; SEQ ID NO:1918); DEEWTCFP TLCSLWSE (ILC51; SEQ ID NO:1919); EEEWTCFPSLCTIWSQ (ILC163; SEQ ID NO:1920); EEEWTCFPYLCSDWLQ (ILC168; SEQ ID NO:1921); EEEWTCFPYLCSEWVH (ILC235; SEQ ID NO:1922); QEEWTCFPYLCSYWAQ (ILC217; SEQ ID NO:1923); GQDDCWPYYCDELEY (ILC54 SEQ ID NO:1924); SCWTCIPEMVNCEAAH (ILC293; SEQ ID NO:1925); YWAKCDYHEGWHHCELHP (ILC296; SEQ ID NO:1926); VFWDCWYYGT WIECENTG (ILC295; SEQ ID NO:1927); GDTPCQEWPYWCLPPY (ILC290; SEQ ID NO:1928); HLISCEFHEKYVECVEVA (ILC291; SEQ ID NO:1929); STDYC EVLEIQWVCYRPP (ILC294; SEQ ID NO:1930); and QIVECWTEMDWHHCVLFF (ILC292 SEQ ID NO:1931). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IL6R binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1910-1930 and 1931. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IL6R as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1910-1930 and 1931.


In one embodiment, the MRD binds to IL17a. In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds IL17a and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:1932-1989 and 1990, as set forth in Table 15. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IL17a binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1932-1989 and 1990. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IL17a as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1932-1989 and 1990.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds IL17a and contains the amino acid sequence LSLWCWLINDVNCSEPV (ILA72; SEQ ID NO:1991) or NPLWCWMFPADDPC VHPG (ILA20; SEQ ID NO:1992). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for IL17a binding with a polypeptide having the amino acid sequence of SEQ ID NO:1991 or SEQ ID NO:1992. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of IL17a as a polypeptide having the amino acid sequence of SEQ ID NO:1991 or SEQ ID NO:1992.


In one embodiment, the MRD binds to TNFSF15 (TL1A). In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds TL1A and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:1993-2234 and 2235, as set forth in Table 16. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for TL1A binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1993-2234 and 2235. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of TL1A as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:1993-2234 and 2235.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds TL1A and contains an amino acid sequence selected from the group consisting of: QDRVCWDFHQKLQFCELSM (TLA525; SEQ ID NO:2236); YSSVCWDDTRE ALFYCETTV (TLA27; SEQ ID NO:2237); EYALCWVEAQEK LEWCKGLN (TLA522; SEQ ID NO:2238); DYEVCWDVHVDRLVYCDAPM (TLA523; SEQ ID NO:2239); STEVCWDFIEQKLIWCSTFR (TLA35; SEQ ID NO:2240); QSDVCW NQSHQLLQFCWESN (TLA54; SEQ ID NO:2241); and DYAVCWDPDYG NLVWCNVLS (TLA524; SEQ ID NO:2242). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for TL1A binding with a polypeptide having an amino acid sequence selected from the group consisting of: 2236-2241 and 2242. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of TL1A as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:2236-2241 and 2242.


In one embodiment, the MRD binds to TNFSF13B (BLyS). In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds BLyS and contains an amino acid sequence selected from the group consisting of: GDMGCWDWLTRTQVKCSLLV (BLY50; SEQ ID NO:2243); PRGTCWADPLT GQCVQVM (BLY47; SEQ ID NO:2244); PAGMCFDNLTLQMVQCTSLK (BLY35 SEQ ID NO:2245); GPWACYETPTRQMCVPVF (BLY69 SEQ ID NO:2246); ERKA CYFDPLVK QCLFVR (BLY60; SEQ ID NO:2247); TMPTCFMDPLTHQCWPSV (BLY34; SEQ ID NO:2248); HPGRCYDQLTYEWVTCWHLW (BLY31; SEQ ID NO:2249); RADLCYHEHH NNECFFGM (BLY73; SEQ ID NO:2250); and TGSSC WDILTKQMVPC LTAW (BLY27; SEQ ID NO:2251). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for BLyS binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 2243-2250 and 2251. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of BLyS as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:2243-2250 and 2251.


In one embodiment, the MRD binds to HER2/3.


In another embodiment, the MRD binds EGFR. In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds EGFR and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:2252-3090 and 3091, as set forth in Table 17. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for EGFR binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:2252-3090 and 3091. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of EGFR as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:2252-3090 and 3091.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds EGFR and contains an amino acid sequence selected from the group consisting of: LTAPCYWTTWGKECLMLR (EGA79; SEQ ID NO:3092); LNDNCYWTTWGRECYLLR (EGA191; SEQ ID NO:3093); FSDPCYWTTWGR ECFLLP (EGA214; SEQ ID NO:3094); LPEGCYWTTWGKECLLLP (EGA234; SEQ ID NO:3095); LPQGCVWTNWGKECYLPL (EGA626; SEQ ID NO:3096); LPEGCW WSQWGKECLLLP (EGA623; SEQ ID NO:3097); LPQECYWAHWGKECYLPP (EGA625; SEQ ID NO:3098); LPEGCWWAPWGKECLLHP (EGA673 SEQ ID NO:3099); LPEDCWWSTWGRECLLPP (EGA990; SEQ ID NO:3100); ADSWCHTL YWQLHHCASWE (EGA349; SEQ ID NO:3101); EESLCHTLYRQLHNCRSLE (EGA406; SEQ ID NO:3102); ADSLCLTEYLELLQCERWE (EGA466; SEQ ID NO:3103); ADSLCQTRHQQLLDCERQE (EGA467; SEQ ID NO:3104); PESWCHTLY WNLQHCLSQE (EGA433; SEQ ID NO:3105); YAEHCWQFPTDWICTLMT (EGA518; SEQ ID NO:3106); YAEHCLMFPGDWICTLLP (EGA771; SEQ ID NO:3107); YASHCSQFPGDWICSLMT (EGA772; SEQ ID NO:3108); YAEHCRQ FPSDWICTLLP (EGA797; SEQ ID NO:3109); YADHCSQFPNDWICTLLS (EGA926; SEQ ID NO:3110); YAEHCSLFPTDWICTLMS (EGA958; SEQ ID NO:3111); and YAEHCSQFPSDWICSLLS (EGA917; SEQ ID NO:3112). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for EGFR binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:3092-3111 and 3112. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of EGFR as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:3092-3111 and 3112.


In another embodiment, the MRD binds ErbB2. In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds ErbB2 and contains an amino acid sequence selected from the group consisting of: SEQ ID NO: 3113-3494 and 3495 as set forth in Table 18. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for ErbB2 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 3113-3494 and 3495. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of ErbB2 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO: 3113-3494 and 3495.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds ErbB2 and contains an amino acid sequence selected from the group consisting of: SAISCYVYQQHRHCDWDH (EGB417; SEQ ID NO:3496); WSGYCEMKDHWAHCGHSE (EGB390; SEQ ID NO:3497); and WSGYCETPSGWK ACRGNI (EGB858; SEQ ID NO:3498). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for ErbB2 binding with a polypeptide having the amino acid sequence of SEQ ID NO:3496, SEQ ID NO:3497 or SEQ ID NO:3498. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of ErbB2 as a polypeptide having the amino acid sequence of SEQ ID NO:3496, SEQ ID NO:3497 or SEQ ID NO:3498.


In another embodiment, the MRD binds ErbB3. In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds ErbB3 contains an amino acid sequence selected from the group consisting of: SEQ ID NO:3499-4086 and 4087, as set forth in Table 19. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for ErbB3 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:3499-4086 and 4087. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of ErbB3 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:3499-4086 and 4087.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds ErbB3 and contains an amino acid sequence selected from the group consisting of: SSETYCPFLNPYWYDQCMSRT (EGC1077; SEQ ID NO:4088); SEPYCPFLNPTWKSQCIART (EGC180; SEQ ID NO:4089); SQVSCP FQNPIWWSHCMELM (EGC42; SEQ ID NO:4090); GSKPYCPFTNPIWYDECIKRS (EGC593; SEQ ID NO:4091); ATEPYCPFLNPIWKAECLARS (EGC503; SEQ ID NO:4092); KFLMCQVYPSEKWHVCVETL (EGC41 SEQ ID NO:4093); and SKPYC PFTNPIWYDECIKRSGGGSGGGSQAAAGGSYMHEPHMQVLEIMN (EGC1086; SEQ ID NO:4094). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for ErbB3 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4088-4093 and 4094. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of ErbB3 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4088-4093 and 4094.


Insulin-like growth factor-I receptor (ErbB4)-specific MRDs can also be used in the present invention. In one embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds ErbB4 and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:4095-4123 and 4124, as set forth in Table 20. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for ErbB4 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4095-4123 and 4124. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of ErbB4 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4095-4123 and 4124.


In another embodiment, the MRD binds TNFRSF10B (DR5). In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds DR5 and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:4125-4319 and 4320, as set forth in Table 21. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for DR5 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4125-4319 and 4320. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of DR5 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4125-4319 and 4320.


In a particular embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds DR5 and contains the amino acid sequence of WDCLGKLGQR QCVKL (DR5218; SEQ ID NO:4321) or FPRPCAEEDVIMTCRWRV (DR53; SEQ ID NO:4322). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for DR5 binding with a polypeptide having the amino acid sequence of SEQ ID NO:4321 or SEQ ID NO:4322. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of DR5 as a polypeptide having the amino acid sequence of SEQ ID NO:4321 or SEQ ID NO:4322. As demonstrated herein, increasing the valency of DR5 MRDs in an MRD-containing antibody results in a corresponding increase in DR-5 mediated cell cytotoxicity (see, Example 46). Thus, in additional embodiments, the invention encompasses an MRD-containing antibody that contains at least 4, at least 6, at least 8 or at least 10 MRDs that bind DR5. Additionally, as demonstrated herein, increasing the multi-epitopic targeting for a target other than DR5 (e.g., ErbB2 and EGFR) in a DR5-binding MRD-containing antibody correlates with increased DR5 mediated cell cytotoxicity Thus, in additional embodiments, the invention encompasses an MRD-containing antibody that binds DR5 and at least two distinct epitopes of a target other than DR5. Moreover, as demonstrated herein, the antibody scaffold of a DR5-binding MRD containing antibody influences the level of DR5 mediated cell cytotoxicity of the MRD-containing antibody. In some embodiments, the antibody combining site of the DR5-binding MRD-containing antibody binds a molecule on the surface of a targeted cell expressing DR5. In a further embodiment, the antibody combining site of the MRD-containing antibody binds a molecule on the surface of a cell and MRDs of the MRD-containing antibody binds DR5 through one or more epitopes with a valency of 2, 3, 4, 5, 6, 7, 8, 9, 10, or more. In alternative embodiments, the antibody combining site of a DR5-binding MRD-containing antibody does not bind to a molecule on the surface of a targeted cell that expresses DR5 on its surface. In a further embodiment, the antibody combining site of the MRD-containing antibody does not bind a molecule on the surface of a targeted cell and MRDs of the MRD-containing antibody binds DR5 through one or more epitopes with a valency of 2, 3, 4, 5, 6, 7, 8, 9, 10, or more.


In additional embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds DR4 (TNFRSF10A/TRAIL R1). In further embodiments, the MRD-containing antibody contains at least 4, at least 6, at least 8 or at least 10 MRDs that bind DR4 (TNFRSF10A/(TRAIL R1). In additional embodiments, the invention encompasses an MRD-containing antibody that binds DR4 and at least two distinct epitopes of a target other than DR4. In some embodiments, the antibody combining site of the DR4-binding MRD-containing antibody binds a molecule on the surface of a targeted cell expressing DR4. In a further embodiment, the antibody of the MRD-containing antibody binds a molecule on the surface of a cell and MRDs of the MRD-containing antibody binds DR4 through one or more epitopes with a valency of 2, 3, 4, 5, 6, 7, 8, 9, 10, or more. In alternative embodiments, the antibody combining site of a DR4-binding MRD-containing antibody does not bind to a molecule on the surface of a targeted cell that expresses DR4 on its surface. In a further embodiment, the antibody combining site of the MRD-containing antibody does not bind a molecule on the surface of a targeted cell and MRDs of the MRD-containing antibody binds DR4 through one or more epitopes with a valency of 2, 3, 4, 5, 6, 7, 8, 9, 10, or more.


In further embodiments, the invention encompasses an MRD-containing antibody that binds a cell surface signaling molecule. In further embodiments, the MRD-containing antibody contains at least 4, at least 6, at least 8 or at least 10 MRDs that bind the cell surface signaling molecule. In particular embodiments, the cell surface signaling molecule is a member selected from: c-Met, EGFR, ErbB2, VEGFR1, VEGFR2, VEGFR3, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, PDGFRA, PDGFRB, netrin, CD28, TNFRSF1A (TNFR1, p55, p60), TNFRSF1B (TNFR2), TNFRSF6 (Fas, CD95), TNFRSF21 or TNFRSF25, TNFRSF7 (CD27), TNFRSF8 (CD30), TNFRSF11A (RANK), TNFRSF21 (DR6), TNFRSF25 (DR3) and LRP6. In additional embodiments, the invention encompasses an MRD-containing antibody that binds the cell surface signaling molecule and at least two distinct epitopes of a target other than the cell surface signaling molecule. In some embodiments, the antibody combining site of the MRD-containing antibody binds a molecule on the surface of a targeted cell expressing the cell surface signaling molecule. In a further embodiment, the antibody of the MRD-containing antibody binds a molecule on the surface of a cell and MRDs of the MRD-containing antibody binds the cell surface signaling molecule through one or more epitopes with a valency of 2, 3, 4, 5, 6, 7, 8, 9, 10, or more. In alternative embodiments, the antibody combining site of a cell surface signaling molecule-binding MRD-containing antibody does not bind to a molecule on the surface of a targeted cell that expresses the cell surface signaling molecule. In a further embodiment, the antibody combining site of the MRD-containing antibody does not bind a molecule on the surface of a targeted cell and MRDs of the MRD-containing antibody binds the cell surface signaling molecule through one or more epitopes with a valency of 2, 3, 4, 5, 6, 7, 8, 9, 10, or more.


In another embodiment, the MRD binds CD19. In some embodiments, the invention encompasses an MRD and/or MRD-containing antibody that binds CD19 and contains an amino acid sequence selected from the group consisting of: STLTCQVWLEDWYECIEVD (CDA1; SEQ ID NO:4323); PNWVCWET PWTYECLEIE (CDA16; SEQ ID NO:4324); VLLH CFGEPQWMECVPYV (CDA26; SEQ ID NO:4325); FSPFCQYFQEFGECHYLS (CDA33; SEQ ID NO:4326); LLLRCM YEPYYWELQCVEVE (CDA48; SEQ ID NO:4327); and YIYTCSFIWDYQEIYCSPEL (CDA53; SEQ ID NO:4328). In an additional embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for CD19 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4323-4327 and 4328. In a further embodiment, the invention encompasses an MRD and/or MRD-containing antibody that binds to the same epitope of CD19 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4323-4327 and 4328.


In some embodiments, the MRD binds to a human protein. In some embodiments, the MRD binds to both a human protein and its ortholog in mouse, rat, rabbit, or hamster.


III. ANTIBODIES

The antibody in the multivalent and multispecific compositions (e.g., MRD-containing antibodies) described herein can be any suitable antigen-binding immunoglobulin. In certain embodiments, the MRD-containing antibody molecules described herein retain the structural and functional properties of traditional monoclonal antibodies. Thus, the antibodies retain their epitope binding properties, but advantageously also incorporate one or more additional target-binding specificities.


Antibodies that can be used in the multivalent and multispecific compositions (e.g., MRD-containing antibodies) include, but are not limited to, monoclonal, multispecific, human, humanized, primatized, and chimeric antibodies. Immunoglobulin or antibody molecules of the invention can be of any type (e.g., IgG, IgE, IgM, IgD, IgA, and IgY), class (e.g., IgG1, IgG2, IgG3, IgG4, IgA1 and IgA2) or subclass of immunoglobulin molecule. In specific embodiments, the antibodies are IgG1. In other specific embodiments, the antibodies are IgG3.


Antibodies that can be used as part of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be naturally derived or the result of recombinant engineering (e.g., phage display, xenomouse, and synthetic). The antibodies can include modifications, for example, to enhance half-life or to increase or decrease antibody dependent cellular cytotoxicity (ADCC) and/or complement dependent cytotoxicity (CDC) activity. Antibodies can be from or derived from any animal origin including birds and mammals or generated synthetically. In some embodiments, the antibodies are human, murine, donkey, rabbit, goat, guinea pig, camel, llama, horse, or chicken antibodies. In specific embodiments, the antibodies are human.


In certain embodiments, the heavy chain portions of one polypeptide chain of a multimer are identical to those on a second polypeptide chain of the multimer. In alternative embodiments, the heavy chain portion-containing monomers of the invention are not identical. For example, each monomer may comprise a different target binding site, forming, for example, a bispecific antibody.


Bispecific, bivalent antibodies, and methods of making them, are described, for instance in U.S. Pat. Nos. 5,731,168, 5,807,706, 5,821,333, and U.S. Appl. Publ. Nos. 2003/020734 and 2002/0155537; each of which is herein incorporated by reference in its entirety. Bispecific tetravalent antibodies, and methods of making them are described, for instance, in Int. Appl. Publ. Nos. WO02/096948 and WO00/44788, the disclosures of both of which are herein incorporated by reference in its entirety. See generally, Int. Appl. Publ. Nos. WO93/17715, WO92/08802, WO91/00360, and WO92/05793; Tutt et al., J. Immunol. 147:60-69 (1991); U.S. Pat. Nos. 4,474,893; 4,714,681; 4,925,648; 5,573,920; and 5,601,819; and Kostelny et al., J. Immunol. 148:1547-1553 (1992).


The heavy chain portions of the antibody component of the MRD-antibody fusions for use in the methods disclosed herein may be derived from different immunoglobulin molecules. For example, a heavy chain portion of a polypeptide may comprise a CH1 domain derived from an IgG1 molecule and a hinge region derived from an IgG3 molecule. In another example, a heavy chain portion can comprise a hinge region derived, in part, from an IgG1 molecule and, in part, from an IgG3 molecule. In another example, a heavy chain portion can comprise a chimeric hinge region derived, in part, from an IgG1 molecule and, in part, from an IgG4 molecule.


In some embodiments, the antigen binding domains of the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind to their target with a dissociation constant or Kd of less than 5×10−3 M, 10−3 M, 5×10−4 M, 10−4 M, 5×10−5 M, 10−5 M, 5×10−6 M, 10−6 M, 5×10−7 M, 10-7 M, 5×10−8 M, 10−8 M, 5×10−9 M, 10−9 M, 5×10−10, M, 10−10 M, 4×10−11 M, 10−11 M, 5×10−12 M, 10−12 M, 5×10−13 M, 10−13 M, 5×10−14 M, 10−14 M, 5×10−15 M, or 10−15 M. In one embodiment, the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd of less than 5×10−5 M. In another embodiment, antigen binding of the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) has a dissociation constant or Kd of less than 5×10−8 M. In another embodiment, antigen binding of the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) has a dissociation constant or Kd of less than less than 5×10−9 M. In another embodiment, the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd of less than 5×10−10 M. In another embodiment, the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd of less than 5×10−11 M. In another embodiment, the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have a dissociation constant or Kd of less than 5×10−12 M.


In specific embodiments, the antibody component of the MRD-containing antibody binds its target with an off rate (koff) of less than 5×10−2 sec−1, 10−2 sec−1, 5×10−3 sec−1, or 10−3 sec−1. More preferably, the antibody component of the MRD-containing antibody binds its target with an off rate (koff) of less than 5×104 sec−1, 10−4 sec−1, 5×10−5 sec−1, or 10−5 sec−1, 5×10−6 sec−1, 10−6 sec−1, 5×10−7 sec−1, or 10−7 sec−1.


In other specific embodiments, the antibody component of the MRD-containing antibody binds its target with an on rate (kon) of greater than 103 M−1 sec−1, 5×103 M−1 sec−1, 104 M−1sec−1, or 5×104 M−1 sec−1. More preferably, the antibody component of the MRD-containing antibody binds its target with an on rate (kon) of greater than 105 M−1 sec−1, 5×105 M−1 sec−1, 106 M−1 sec−1, or 5×106 M−1 sec−1, or 107 M−1 sec−1.


Affinity maturation strategies and chain shuffling strategies (e.g., gene-shuffling, motif-shuffling, exon-shuffling, and/or codon-shuffling (collectively referred to as “DNA shuffling”) are known in the art and can be employed to generate high affinity and/or to alter the activities (e.g., ADCC and CDC) of multivalent and multispecific compositions (e.g., multivalent and multispecific compositions (e.g., MRD-containing antibodies)). See, e.g., U.S. Pat. Nos. 5,605,793, 5,811,238, 5,830,721, 5,834,252 and 5,837,458; and Patten et al., Curr. Opinion Biotechnol. 8:724-733 (1997), Harayama, Trends Biotechnol. 16(2):76-82 (1998), Hansson et al., J. Mol. Biol. 287:265-276 (1999) and Lorenzo and Blasco, Biotechniques 24(2):308-313 (1998); each of which is herein incorporated by reference in its entirety. Advantageously, affinity maturation strategies and chain shuffling strategies can routinely be applied to generate multivalent and multispecific compositions (e.g., MRD-containing antibodies) can also include variants and derivatives that improve antibody function and/or desirable pharmacodynamic properties.


Accordingly, certain embodiments of the invention include an antibody-MRD fusion, in which at least a fraction of one or more of the constant region domains has been altered so as to provide desired biochemical characteristics such as reduced or increased effector functions, the ability to non-covalently dimerize, increased ability to localize at the site of a tumor, reduced serum half-life, or increased serum half-life when compared with an unaltered antibody of approximately the same immunoreactivity. The alterations of the constant region domains can be amino acid substitutions, insertions, or deletions.


“Antibody-dependent cell-mediated cytotoxicity” or “ADCC” refers to a form of cytotoxicity in which secreted Ig bound onto Fc receptors (FcRs) expressed on certain cytotoxic cells (e.g., Natural Killer (NK) cells, neutrophils, and macrophages) enables these cytotoxic effector cells to localize to an antigen-bearing target cell and subsequently kill the target cell with cytotoxins. Specific high-affinity IgG antibodies directed to the surface of target cells “arm” the cytotoxic cells and are required for such killing. Lysis of the target cell is extracellular, requires contact or close proximity between the cytotoxic cells and target cells, and does not involve complement.


As used herein, the term “enhances ADCC” (e.g., referring to cells) is intended to include any measurable increase in cell lysis when contacted with a variant MRD-containing antibody as compared to the cell killing of the same cell in contact with a MRD-containing antibody that has not been so modified in a way that alters ADCC in the presence of effector cells (for example, at a ratio of target cells:effector cells of 1:50), e.g., an increase in cell lysis by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 150%, 200%, 250%, 300%, or 325%.


In certain embodiments, the antibody component of the antibody-MRD fusion has been modified to increase antibody dependent cellular cytotoxicity (ADCC) (see, e.g., Bruhns et al., Blood 113:3716-3725 (2009); Shields et al., J. Biol. Chem. 276:6591-6604 (2001); Lazar et al., Proc. Natl. Acad. Sci. USA 103:4005-4010 (2006); Stavenhagen et al., Cancer Res., 67:8882-8890 (2007); Horton et al., Cancer Res. 68:8049-8057 (2008); Zalevsky et al., Blood 113:3735-3743 (2009); Bruckheimer et al., Neoplasia 11:509-517 (2009); Allan et al., WO2006/020114; Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Watkins et al., WO2004/074455, each of which is herein incorporated by reference in its entirety). Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that increases ADCC include one or more modifications corresponding to: IgG1-S298A, E333A, K334A; IgG1-S239D, I332E; IgG1-S239D, A330L, I332E; IgG1-P2471, A339D or Q; IgG1-D280H, K290S with or without S298D or V; IgG1-F243L, R292P, Y300L; IgG1-F243L, R292P, Y300L, P396L; and IgG1-F243L, R292P, Y300L, V3051, P396L; wherein the numbering of the residues in the Fc region is that of the EU index as in Kabat.


In one embodiment, an Fc variant protein has enhanced ADCC activity relative to a comparable molecule. In a specific embodiment, an Fc variant protein has ADCC activity that is at least 2 fold, or at least 3 fold, or at least 5 fold or at least 10 fold or at least 50 fold or at least 100 fold greater than that of a comparable molecule. In another specific embodiment, an Fc variant protein has enhanced binding to the Fc receptor Fc gamma RIIIA and has enhanced ADCC activity relative to a comparable molecule. In other embodiments, the Fc variant protein has both enhanced ADCC activity and enhanced serum half-life relative to a comparable molecule.


The ability of any particular Fc variant protein to mediate lysis of the target cell by ADCC can be assayed using techniques known in the art. For example, to assess ADCC activity a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) can be added to target cells in combination with immune effector cells, which can be activated by the antigen antibody complexes resulting in cytolysis of the target cell. Cytolysis is generally detected by the release of label (e.g., radioactive substrates, fluorescent dyes or natural intracellular proteins) from the lysed cells. Useful effector cells for such assays include peripheral blood mononuclear cells (PBMC) and Natural Killer (NK) cells. Specific examples of in vitro ADCC assays are described in Wisecarver et al., J Immunol Methods 79:277-282 (1985); Bruggemann et al., J. Exp. Med. 166:1351-1361 (1987); Wilkinson et al., J. Immunol. Methods 258:183-191 (2001); Patel et al., J. Immunol. Methods 184:29-38 (1995). Alternatively, or additionally, ADCC activity of the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) can be assessed in vivo, e.g., in an animal model such as that disclosed in Clynes et al., PNAS USA 95:652-656 (1998), and U.S. Pat. No. 7,662,925.


In certain embodiments, the antibody component of the antibody-MRD fusion has been modified to decrease ADCC (see, e.g., Idusogie et al., J. Immunol. 166:2571-2575 (2001); Sazinsky et al., Proc. Natl. Acad. Sci. USA 105:20167-20172 (2008); Davis et al., J. Rheumatol. 34:2204-2210 (2007); Bolt et al., Eur. J. Immunol. 23:403-411 (1993); Alegre et al., Transplantation 57:1537-1543 (1994); Xu et al., Cell Immunol. 200:16-26 (2000); Cole et al., Transplantation 68:563-571 (1999); Hutchins et al., Proc. Natl. Acad. Sci. USA 92:11980-11984 (1995); Reddy et al., J. Immunol. 164:1925-1933 (2000); Int. Appl. Publ. No. W01997/11971, and WO2007/106585; U.S. Appl. Publ. 2007/0148167A1; McEarchern et al., Blood 109:1185-1192 (2007); Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Kumagai et al., J. Clin. Pharmacol. 47:1489-1497 (2007), each of which is herein incorporated by reference in its entirety). Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that decreases ADCC include one or more modifications corresponding to: IgG1-K326W, E333S; IgG2-E333S; IgG1-N297A; IgG1-L234A, L235A; IgG2-V234A, G237A; IgG4-L235A, G237A, E318A; IgG4-S228P, L236E; IgG2-EU sequence 118-260; IgG4-EU sequence 261-447; IgG2-H268Q, V309L, A330S, A331S; IgG1-C220S, C226S, C229S, P238S; IgG1-C226S, C229S, E233P, L234V, L235A; and IgG1-L234F, L235E, P331 S.


In certain embodiments, the antibody component of the antibody-MRD fusion has been modified to increase antibody-dependent cell phagocytosis (ADCP); (see, e.g., Shields et al., J. Biol. Chem. 276:6591-6604 (2001); Lazar et al., Proc. Natl. Acad. Sci. USA 103:4005-4010 (2006); Stavenhagen et al., Cancer Res., 67:8882-8890 (2007); Richards et al., Mol. Cancer Ther. 7:2517-2527 (2008); Horton et al., Cancer Res. 68:8049-8057 (2008), Zalevsky et al., Blood 113:3735-3743 (2009); Bruckheimer et al., Neoplasia 11:509-517 (2009); Allan et al., WO2006/020114; Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Watkins et al., WO2004/074455, each of which is herein incorporated by reference in its entirety.). Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that increases ADCP include one or more modifications corresponding to: IgG1-S298A, E333A, K334A; IgG1-S239D, I332E; IgG1-S239D, A330L, I332E; IgG1-P2471, A339D or Q; IgG1-D280H, K290S with or without S298D or V; IgG1-F243L, R292P, Y300L; IgG1-F243L, R292P, Y300L, P396L; IgG1-F243L, R292P, Y300L, V3051, P396L; IgG1-G236A, S239D, I332E.


In certain embodiments, the antibody component of the antibody-MRD fusion has been modified to decrease ADCP (see, e.g., Sazinsky et al., Proc. Natl. Acad. Sci. USA 105:20167-20172 (2008); Davis et al., J. Rheumatol. 34:2204-2210 (2007); Bolt et al., Eur. J. Immunol. 23:403-411 (1993); Alegre et al., Transplantation 57:1537-1543 (1994); Xu et al., Cell Immunol. 200:16-20 (2000); Cole et al., Transplantation 68:563-571 (1999); Hutchins et al., Proc. Natl. Acad. Sci. USA 92:11980-11984 (1995); Reddy et al., J. Immunol. 164:1925-1933 (2000); Intl. Appl. Publ. Nos. W01997/11971 and WO2007/106585; U.S. Appl. Publ. 2007/0148167; McEarchern et al., Blood 109:1185-1192 (2007); Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Kumagai et al., J. Clin. Pharmacol. 47:1489-1497 (2007), each of which is herein incorporated by reference in its entirety). Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that decreases ADCC include one or more modifications corresponding to: IgG1-N297A; IgG1-L234A, L235A; IgG2-V234A, G237A; IgG4-L235A, G237A, E318A; IgG4-S228P, L236E; IgG2 EU sequence 118-260; IgG4-EU sequence 261-447; IgG2-H268Q, V309L, A330S, A331S; IgG1-C220S, C226S, C229S, P238S; IgG1-C226S, C229S, E233P, L234V, L235A; and IgG1-L234F, L235E, P331 S.


“Complement dependent cytotoxicity” and “CDC” refer to the lysing of a target cell in the presence of complement. The complement activation pathway is initiated by the binding of the first component of the complement system (Clq) to a molecule, an antibody for example, complexed with a cognate antigen. To assess complement activation, a CDC assay, e.g., as described in Gazzano-Santoro et al., J. Immunol. Methods 202:163 (1996), can be performed. In one embodiment, an Fc variant protein has enhanced CDC activity relative to a comparable molecule. In a specific embodiment, an Fc variant protein has CDC activity that is at least 2 fold, or at least 3 fold, or at least 5 fold, or at least 10 fold, or at least 50 fold, or at least 100 fold greater than that of a comparable molecule. In other embodiments, the Fc variant protein has both enhanced CDC activity and enhanced serum half-life relative to a comparable molecule.


In certain embodiments, the antibody component of the antibody-MRD fusions have been modified to increase complement-dependent cytotoxicity (CDC) (see, e.g., (see, e.g., Idusogic et al., J. Immunol. 166:2571-2575 (2001); Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Natsume et al., Cancer Res. 68:3863-3872 (2008), each of which is herein incorporated by reference in its entirety). Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that increases CDC include one or more modifications corresponding to: IgG1-K326A, E333A; and IgG1-K326W, E333S, IgG2-E333S.


In one embodiment, the present invention provides formulations, wherein the Fc region comprises a non-naturally occurring amino acid residue at one or more positions selected from the group consisting of 234, 235, 236, 239, 240, 241, 243, 244, 245, 247, 252, 254, 256, 262, 263, 264, 265, 266, 267, 269, 296, 297, 298, 299, 313, 325, 326, 327, 328, 329, 330, 332, 333, and 334 as numbered by the EU index as set forth in Kabat. Optionally, the Fc region can comprise a non-naturally occurring amino acid residue at additional and/or alternative positions known to one skilled in the art (see, e.g., U.S. Pat. Nos. 5,624,821, 6,277,375, and 6,737,056; and Int. Appl. Publ. Nos. WO01/58957, WO02/06919, WO04/016750, WO04/029207, WO04/035752 and WO05/040217).


In specific embodiments MRD-containing antibodies of the invention contain an Fc variant comprising at least one non naturally occurring amino acid residue selected from the group consisting of 234D, 234E, 234N, 234Q, 234T, 234H, 234Y, 2341, 234V, 234F, 235A, 235D, 235R, 235W, 235P, 235S, 235N, 235Q, 235T, 235H, 235Y, 2351, 235V, 235F, 236E, 239D, 239E, 239N, 239Q, 239F, 239T, 239H, 239Y, 2401, 240A, 240T, 240M, 241W, 241L, 241Y, 241E, 241R. 243W, 243L 243Y, 243R, 243Q, 244H, 245A, 247V, 247G, 252Y, 254T, 256E, 2621, 262A, 262T, 262E, 2631, 263A, 263T, 263M, 264L, 2641, 264W, 264T, 264R, 264F, 264M, 264Y, 264E, 265G, 265N, 265Q, 265Y, 265F, 265V, 2651, 265L, 265H, 265T, 2661, 266A, 266T, 266M, 267Q, 267L, 269H, 269Y, 269F, 269R, 296E, 296Q, 296D, 296N, 296S, 296T, 296L, 2961, 296H, 269G, 297S, 297D, 297E, 298H, 298I, 298T, 298F, 299I, 299L, 299A, 299S, 299V, 200H, 299F, 299E, 313F, 325Q, 325L, 3251, 325D, 325E, 325A, 325T, 325V, 325H, 327G, 327W, 327N, 327L, 328S, 328M, 328D, 328E, 328N, 328Q, 328F, 328I, 328V, 328T, 328H, 328A, 329F, 329H, 329Q, 330K, 330G, 330T, 330C, 330L, 330Y, 330V, 330I, 330F, 330R, 330H, 332D, 332S, 332W, 332F, 332E, 332N, 332Q, 332T, 332H, 332Y, and 332A as numbered by the EU index as set forth in Kabat. Optionally, the Fc region can comprise additional and/or alternative non-naturally occurring amino acid residues known to one skilled in the art (see, e.g., U.S. Pat. Nos. 5,624,821, 6,277,375, and 6,737,056; and Int. Appl. Publ. Nos. WO01/58957, WO02/06919, WO04/016750, WO04/029207, WO04/035752 and WO05/040217).


In certain embodiments, the multivalent and monovalent multispecific composition is an antibody-MRD fusions wherein the antibody component has been modified to increase inhibitory binding to Fc gamma RIIb receptor (see, e.g., Chu et al., Mol. Immunol. 45:3926-3933 (2008)). An example of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that increases binding to inhibitory Fc gamma RIIb receptor is IgG1-S267E, L328F.


In certain embodiments, the antibody component of the antibody-MRD fusions have been modified to decrease CDC (see, e.g., Int. Appl. Publ. Nos. W01997/11971 and WO2007/106585; U.S. Appl. Publ. No 2007/0148167A1; McEarchern et al., Blood 109:1185-1192 (2007); Hayden-Ledbetter et al., Clin. Cancer 15:2739-2746 (2009); Lazar et al., Proc. Natl. Acad. Sci. USA 103:4005-4010 (2006); Bruckheimer et al., Neoplasia 11:509-517 (2009); Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Sazinsky et al., Proc. Natl. Acad. Sci. USA 105:20167-20172 (2008); each of which is herein incorporated by reference in its entirety). Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that decreases CDC include one or more modifications corresponding to: IgG1-S239D, A330L, I332E; IgG2 EU sequence 118-260; IgG4-EU sequence 261-447; IgG2-H268Q, V309L, A330S, A331S; IgG1-C226S, C229S, E233P, L234V, L235A; IgG1-L234F, L235E, P331 S; and IgG1-C226S, P230S.


The half-life on an IgG is mediated by its pH-dependent binding to the neonatal receptor FcRn. In certain embodiments the antibody component of the antibody-MRD fusion has been modified to enhance binding to FcRn (see, e.g., Petkova et al., Int. Immunol. 18:1759-1769 (2006); Dall′Acqua et al., J. Tmmunol. 169:5171-5180 (2002); Oganesyan et al., Mol. Immunol. 46:1750-1755 (2009); Dall′Acqua et al., J. Biol. Chem. 281:23514-23524 (2006), Hinton et al., J. Immunol. 176:346-356 (2006); Datta-Mannan et al., Drug Metab. Dispos. 35:86-94 (2007); Datta-Mannan et al., J. Biol. Chem. 282:1709-1717 (2007); Int. Appl. Publ. No. WO2006/130834; Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Yeung et al., J. Immunol. 182:7663-7671 (2009); each of which is herein incorporated by reference in its entirety).


In additional embodiments, the antibody of the antibody-MRD fusion has been modified to selectively bind FoRn at pH6.0, but not pH 7.4. Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that increases half-life include one or more modifications corresponding to: IgG1-M252Y, S254T, T256E; IgG1-T250Q, M428L; IgG1-H433K, N434Y; IgG1-N434A; and IgG1-T307A, E380A, N434A.


In other embodiments the antibody component of the antibody-MRD fusion has been modified to decrease binding to FcRn (see, e.g., Petkova et al., Int. Immunol. 18:1759-1769 (2006); Datta-Mannan et al., Drug Metab. Dispos. 35:86-94 (2007); Datta-Mannan et al., J. Biol. Chem. 282:1709-1717 (2007); Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Vaccaro et al., Nat. Biotechnol. 23:1283-1288 (2005), each of which is herein incorporated by reference in its entirety). Examples of Fc sequence engineering modifications contained in the antibody component of the antibody-MRD fusions that decrease half-life include one or more modifications corresponding to: IgG1-M252Y, S254T, T256E; H433K, N434F, 436H; IgG1-1253A; and IgG1-P2571, N434H or D376V, N434H.


In some embodiments, the antibody-MRD fusions have been glyocoengineered or the Fc portion of the MRD-containing antibody has been mutated to increase effector function using techniques known in the art. For example, the inactivation (through point mutations or other means) of a constant region domain may reduce Fc receptor binding of the circulating modified antibody thereby increasing tumor localization. In other cases it may be that constant region modifications consistent with the instant invention moderate complement binding and thus reduce the serum half-life and nonspecific association of a conjugated cytotoxin. Yet other modifications of the constant region may be used to modify disulfide linkages or oligosaccharide moieties that allow for enhanced localization due to increased antigen specificity or antibody flexibility. The resulting physiological profile, bioavailability and other biochemical effects of the modifications, such as tumor localization, biodistribution and serum half-life, can easily be measured and quantified using well know immunological techniques without undue experimentation.


Methods for generating antibodies containing non-naturally occurring Fc regions are known in the art. For example, amino acid substitutions and/or deletions can be generated by mutagenesis methods, including, but not limited to, site-directed mutagenesis (Kunkel, Proc. Natl. Acad. Sci. USA 82:488-492 (1985)), PCR mutagenesis (Higuchi, in “PCR Protocols: A Guide to Methods and Applications”, Academic Press, San Diego, pp. 177-183 (1990)), and cassette mutagenesis (Wells et al., Gene 34:315-323 (1985)). Site-directed mutagenesis can be performed by the overlap-extension PCR method (Higuchi, in “PCR Technology: Principles and Applications for DNA Amplification”, Stockton Press, New York, pp. 61-70 (1989)). Alternatively, the technique of overlap-extension PCR (Higuchi, ibid.) can be used to introduce any desired mutation(s) into a target sequence (the starting DNA). Other methods useful for the generation of antibodies containing non-naturally occurring Fc regions are known in the art (see, e.g., U.S. Pat. Nos. 5,624,821, 5,885,573, 5,677,425, 6,165,745, 6,277,375, 5,869,046, 6,121,022, 5,624,821, 5,648,260, 6,528,624, 6,194,551, 6,737,056, 6,821,505 and 6,277,375; U.S. Appl. Publ. No. 2004/0002587 and Int Appl. Publ. Nos. WO94/29351, WO99/58572, WO00/42072, WO02/060919, WO04/029207, WO04/099249 and WO04/063351).


Multivalent and multispecific compositions (e.g., MRD-containing antibodies) used according to the methods of the invention also include derivatives that are modified, e.g., by the covalent attachment of any type of molecule to the antibody such that covalent attachment does not prevent the antibody from specifically binding to its cognate epitope. For example, but not by way of limitation, the antibody derivatives include antibodies that have been modified, e.g., by glycosylation, acetylation, pegylation, phosphorylation, amidation, or derivatization by known protecting/blocking groups. Any of numerous chemical modifications may be carried out by known techniques, including, but not limited to acetylation, formylation, etc. Additionally, the derivative may contain one or more non-classical amino acids.


According to some embodiments the antibody component of compositions of the invention is engineered to contain one or more free cysteine amino acids having a thiol reactivity within a desirable range (e.g., 0.6 to 1.0), wherein the cysteine engineered antibody is prepared by a process comprising replacing one or more amino acid residues of a parent antibody by cysteine. In some embodiments one or more free cysteine amino acid residues are located in a light chain. In additional embodiments one or more free cysteine amino acid residues are located in a heavy chain. In additional embodiments one or more free cysteine amino acid residues are located in a both the heavy and light chain. In some embodiments, the cysteine engineered MRD-containing antibody contains a free cysteine amino acid having a thiol reactivity value in the range of 0.6 to 1.0, and a sequence modification in the light chain or the heavy chain that is disclosed in U.S. Pat. No. 7,855,275. In other embodiments, the cysteine engineered antibody contains a free cysteine amino acid having a thiol reactivity value in the range of 0.6 to 1.0, and a sequence modification in the light chain or the heavy chain that is not disclosed in U.S. Pat. No. 7,855,275, the contents of which are herein incorporated by reference in its entirety.


In additional embodiments, the MRD-containing antibody is engineered to contain one or more free selenocysteine amino acids or another non-natural amino acid capable of forming disulfide bonds. Antibodies containing the same and methods for making such antibodies are known in the art. See, e.g., Hofer et al., Proc. Natl. Acad. Sci. 105(34):12451-12456 (2008); and Hofer et al., Biochem. 48(50):12047-12057 (2009), each of which is herein incorporated by reference in its entirety. In some embodiments one or more free selenocysteine amino acid residues are located in a light chain. In additional embodiments one or more free selenocysteine amino acid residues are located in a heavy chain. In additional embodiments one or more free selenocysteine amino acid residues are located in a both the heavy and light chain.


In certain embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have been modified so as to not elicit a deleterious immune response in the animal to be treated, e.g., in a human. In one embodiment, the antibody is modified to reduce immunogenicity using art-recognized techniques. For example, antibody components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be humanized, primatized, deimmunized, or chimerized. These types of antibodies are derived from a non-human antibody, typically a murine or primate antibody, that retains or substantially retains the antigen-binding properties of the parent antibody, but which is less immunogenic in humans. This may be achieved by various methods, including (a) grafting the entire non-human variable domains onto human constant regions to generate chimeric antibodies; (b) grafting at least a part of one or more of the non-human complementarity determining regions (CDRs) into human frameworks and constant regions with or without retention of critical framework residues; or (c) transplanting the entire non-human variable domains, but “cloaking” them with human-like sections by replacement of surface residues. Such methods are disclosed in Morrison et al., Proc. Natl. Acad. Sci. 81:6851-6855 (1984); Morrison et al., Adv. Immunol. 44:65-92 (1988); Verhoeyen et al., Science 239:1534-1536 (1988); Padlan, Molec. Immun. 28:489-498 (1991); Padlan, Molec. Immun. 31:169-217 (1994), and U.S. Pat. Nos. 5,585,089, 5,693,761, 5,693,762, and 6,190,370, each of which is herein incorporated by reference in its entirety.


De-immunization can also be used to decrease the immunogenicity of an MRD-containing antibody. As used herein, the term “de-immunization” includes alteration of an MRD-containing antibody to modify T cell epitopes (see, e.g., Int. Appl. Pub. W09852976A1, and W00034317A2, each if which is herein incorporated by reference in its entirety). For example, VH and VL sequences from the starting antibody are analyzed and a human T cell epitope “map” is generated from each V region showing the location of epitopes in relation to complementarity-determining regions (CDRs) and other key residues within the sequence. Individual T cell epitopes from the T cell epitope map are analyzed in order to identify alternative amino acid substitutions with a low risk of altering activity of the final antibody. A range of alternative VH and VL sequences are designed comprising combinations of amino acid substitutions and these sequences are subsequently incorporated into a range of antibodies for use in the diagnostic and treatment methods disclosed herein, which are then tested for function. Typically, between 12 and 24 variant antibodies are generated and tested. Complete heavy and light chain genes comprising modified V and human C regions are then cloned into expression vectors and the subsequent plasmids introduced into cell lines for the production of whole antibody. The antibodies are then compared in appropriate biochemical and biological assays, and the optimal variant is identified.


Many different antibody components of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be used in the methods described herein. It is contemplated that catalytic and non-catalytic antibodies can be used in the present invention. For example, Antibody 38C2 is an antibody-secreting hybridoma and has been previously described in Int. Appl. Pub. WO97/21803. 38C2 contains an antibody combining site that catalyzes the aldol addition reaction between an aliphatic donor and an aldehyde acceptor. In a syngeneic mouse model of neuroblastoma, systemic administration of an etoposide prodrug and intra-tumor injection of Ab 38C2 inhibited tumor growth.


The antibody target of the MRD-containing antibody (i.e., the target of the antigenic binding domain) can be any molecule that it is desirable for a MRD-antibody fusion to interact with. For example, the antibody target can be a soluble factor or the antibody target can be a transmembrane protein, such as a cell surface receptor. The antibody target can also be an extracellular component or an intracellular component. In certain embodiments, the antibody target is a factor that regulates cell proliferation, differentiation, or survival. In other embodiments, the antibody target is a cytokine. In another nonexclusive embodiment, the antibody target is a factor that regulates angiogenesis. In another nonexclusive embodiment, the antibody target is a factor that regulates one or more immune responses, such as, autoimmunity, inflammation and immune responses against cancer cells. In another nonexclusive embodiment, the antibody target is a factor that regulates cellular adhesion and/or cell-cell interaction. In certain nonexclusive embodiments, the antibody target is a cell signaling molecule. The ability of an antibody to bind to a target and to block, increase, or interfere with the biological activity of the antibody target can be determined using or routinely modifying assays, bioassays, and/or animal models known in the art for evaluating such activity.


In some embodiments the antibody target of the MRD-containing antibody is a disease-related antigen. The antigen can be an antigen characteristic of a particular cancer, and/or of a particular cell type (e.g., a hyperproliferative cell), and/or of a particular pathogen (e.g., a bacterial cell (e.g., tuberculosis, smallpox, anthrax)), a virus (e.g., HIV), a parasite (e.g., malaria, leichmaniasis), a fungal infection, a mold, a mycoplasm, a prion antigen, or an antigen associated with a disorder of the immune system.


In some embodiments, the antibody target of the MRD-containing antibody is a target that has been validated in an animal model or clinical setting.


In other embodiments, the antibody target of the MRD-containing antibody is a cancer antigen.


In one embodiment, the antibody target of the MRD-containing antibody is: PDGFRA, PDGFRB, PDGF-A, PDGF-B, PDGF-CC, PDGF-C, PDGF-D, VEGFR1, VEGFR2, VEGFR3, VEGFC, VEGFD, neuropilin 2 (NRP2), betacellulin, PLGF, RET (rearranged during transfection), TIE1, TIE2 (TEK), CAl25, CD3, CD4, CD7, CD10, CD13, CD25, CD32, CD32b, CD44, Cal-% (integrin alpha 5), CD55, CD64, CD90 (THY1), CD133 (prominin 1), CD147, CD166, CD200, ALDH1, ESA, SHH, DHH, IHH, patched1 (PTCH1), smoothened (SMO), WNT1, WNT2B, WNT3A, WNT4, WNT4A, WNT5A, WNT5B, WNT7B, WNT8A, WNT10A, WNT10B, WNT16B, LRP5, LRP6, FZD1, FZD2, FZD4, FZD5, FZD6, FZD7, FZD8, Notch, Notch1, Notch3, Notch4, DLL4, Jagged, Jagged1, Jagged2, Jagged3, TNFSF1 (TNFb, LTa), TNFRSF1A (TNFR1, p55, p60), TNFRSF1B (TNFR2), TNFSF6 (Fas Ligand), TNFRSF6 (Fas, CD95), TNFRSF6B (DcR3), TNFSF7 (CD27 Ligand, CD70), TNFRSF7 (CD27), TNFSF8 (CD30 Ligand), TNFRSF8 (CD30), TNFSF11 (RANKL), TNFRSF11A (RANK), TNFSF12 (TWEAK), TNFRSF12 (TWEAKR), TNFSF13 (APRIL), TNFSF13B (BLYS), TNFRSF13B (TACI), TNFRSF13C (BAFFR), TNFSF15 (TL1A), TNFRSF17 (BCMA), TNFRSF19L (RELT), TNFRSF19 (TROY), TNFRSF21 (DR6), TNFRSF25 (DR3), ANG1 (ANGPT1), ANG3 (ANGPTL1), ANG4 (ANGPT4), IL1 alpha, IL1 beta, IL1R1, IL1R2, IL2, IL2R, IL5, IL5R, IL6, IL6R, IL8, IL8R, IL10, IL10R, IL12, IL12R, IL13, IL13R, IL15, IL15R, IL18, IL18R, IL19, IL19R, IL21R, IL23, IL23R, mif, XAG1, XAG3, REGIV, FGF1, FGF2, FGF3, FGF4, FGFR1, FGFR2, FGFR3, ALK, ALK1, ALK7, ALCAM, Artemin, Axl, TGFb, TGFb2, TGFb3, TGFBR1, IGFIIR, BMP2, BMP5, BMP6, BMPRI, GDF3, GDF8, GDF9, N-cadherin, E-cadherin, VE-cadherin, NCAM, LICAM (CD171), ganglioside GM2, ganglioside GD2, calcitonin, PSGR, DCC, CDCP1, CXCR2, CXCR7, CCR3, CCR5, CCR7, CCR10, CXCL1, CXCL5, CXCL6, CXCL8, CXCL12, CCL3, CCL4, CCL5, CCL11, Claudinl, Claudin2, Claudin3, Claudin4, TMEFF2, neuregulin, MCSF, CSF, CSFR (fins), GCSF, GCSFR, BCAM, HPV, hCG, SRIF, PSA, FOLR2 (folate receptor beta), BRCA1, BRCA2, HLA-DR, ABCC3, ABCB5, HM1.24, LFA1, LYNX, S100A8, S100A9, SCF, Von Willebrand factor, Lewis Y6 receptor, Lewis Y, CA G250 (CA9), integrin avb3 (CNTO95), integrin avb5, activin B1 alpha, leukotriene B4 receptor (LTB4R), neurotensin NT receptor (NTR), 5T4 oncofetal antigen, Tenascin C, MMP, MMP2, MMP7, MMP9, MMP12, MMP14, MMP26, cathepsin G, cathepsin H, cathepsin L, SULF1, SULF2, MET, UPA, MHC1, MN (CA9), TAG-72, TM4SFI, Heparanase (HPSE), syndecan (SDC1), Ephrin B2, Ephrin 134, or relaxin2. In another embodiment, the antibody target of the MRD-containing antibody is CD137, CD137L, CD152, CD160, CD272, CD273, CD274, CD275 (ICOSL). CD276, CD276 receptor, CD278 (ICOS), CD279, B7-H4, B7H4 receptor, CXCL9, CXCL10, CXCL11, CCL17, CCL21, CCL22, IL35, TNFRSF10b (DR5), or GUC2c (MECIL). An MRD that binds to one of the above targets is encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention. The above antibody and MRD targets and those otherwise described herein are intended to be illustrative and not limiting.


In another embodiment, the antibody target of the MRD-containing antibody is CD19, CD22, CD30, CD33, CD38, CD44v6, TNFSF5 (CD40 Ligand), TNFRSF5 (CD40), CD52, CD54 (ICAM), CD74, CD80, CD200 EPCAM (EGP2), neuropilin 1 (NRP1), TEM1, mesothelin, TGFbeta 1, TGFBRII, phosphatidlyserine, folate receptor alpha (FOLR1), TNFRSF10A (TRAIL R1 DR4), TNFRSF10B (TRAIL R2 DR5), CXCR4, CCR4, CCL2, HGF, CRYPTO, VLA5, TNFSF9 (41BB Ligand), TNFRSF9 (41BB), CTLA4, HLA-DR, IL6, TNFSF4 (OX40 Ligand), TNFRSF4 (OX40), MUC1, MUC18, mucin CanAg, ganglioside GD3, EGFL7, PDGFRa, IL21, IGF1, IGF2, CD117 (cKit), PSMA, SLAMF7, carcinoembryonic antigen (CEA), FAP, integrin avb3, or integrin α5β3. In an additional embodiment, the antibody target of the MRD-containing antibody is CD70, LAG3 or KIR. An MRD that binds to one of the above targets are encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention.


In particular embodiments, the antibody of the MRD-containing antibody competes for target binding with an antibody selected from: siplizumab CD2 (e.g., MEDI-507, Medlmmune), blinatumomab CD19 CD3 (e.g., MT103, Micromet/Medlmmune); XMAB®5574 CD19 (Xencor), SGN-19A CD19 (Seattle Genetics), ASG-5ME (Agenesys and Seattle Genetics), MEDI-551 CD19 (Medlmmune), epratuzumab CD22 (e.g., hLL2, Immunomedics/UCB), inotuzumab ozogamicin CD22 (Pfizer), iratumumab CD30 (e.g., SGN-30 (Seattle Genetics) and MDX-060 (Medarex)), XMAB®2513 CD30 (Xencor), brentuximab vedotin CD30 (e.g., SGN-35, Seattle Genetics), gemtuzumab ozogamicin CD33 (e.g., MYLOTARG®, Pfizer), lintuzumab CD33 (e.g., antibody of Seattle Genetics), MOR202, CD38 (MorphoSys), daraturnamab CD38 (e.g., Genmab antibody), CP870893 CD40 (Pfizer), dacetuzumab CD40 (e.g., SGN40, Seattle Genetics), ANTOVA® CD40 (Biogen Idec), lucaturnumab CD40 HCD122, Novartis) XMAB®5485 CD40 (Xencor), teneliximub, ruplizumab CD40L (e.g., ANTOVA®) bivatuzumab mertansine CD44v6, alemtuzumab CD52 (e.g., CAMPATH®/MABCAMPATH®, Genzyme/Bayer), BI505 ICAM1 (Bioinvent), milatuzumab CD74 (e.g., antibody of Immunomedics), galiximab CD80 (Biogen Idec), BMS663513 4-1BB (Bristol-Myers Squibb), Alexion CD200 antibody (Alexion), edrecolomab EPCAM (e.g., MAb17-1A, PANOREX® (Glaxo SmithKline), AT003 EPCAM (Affitech)), adecatumumab EPCAM (e.g., MT201, Micromet), oportuzumab monatox EPCAM, Genentech anti-NRP1 antibody, MORABO04 TEM1 (Morphotek), MORABOO9 mesothelin (Morphotek), lerdelimumab TGFb1 (e.g., CAT-152, Cambridge Antibody Technology), metelimumab TGFb1 (e.g., CAT-192, Cambridge Antibody Technology), ImClone anti-TGFBRII antibody, bavituximab phosphatidylserine (e.g., antibody of Peregrine (Peregrine Pharmaceuticals)), AT004 phosphatidylserine (Affitech), AT005 phosphatidylserine (Affitech), MORABO3 folate receptor alpha (Morphotek), farletuzumab folate receptor alpha cancer (e.g., MORAB003, Morphotek), CS1008 DR4 (Sankyo), mapatumumab DR4 (e.g., HGS-ETR1, Human Genome Sciences), LBY135 DR5 (Novartis), AMG66 DR5 (Amgen), Apomab DR5 (Genentech), PRO95780 (Genentech), lexatumumab DR5 (e.g., HGS-ETR2, Human Genome Sciences), conatumumab DR5 (e.g., AMG655, Amgen), tigatuzumab DR5 (e.g., CS-1008), AT009 CXCR4 (Affitech), AT008 CCR4 (Affitech), CNTO-888 CCL2 (Centocor), AMG102 HGF (Amgen), CRYPTO antibody (Biogen ldec), M200 antibody VLA5 (Biogen Idec), ipilimumab CTLA4 (e.g., MDX-010, Bristol-Myers Squibb/Medarex), belatacept CTLA4 ECD (e.g., CP-675,206, Pfizer), IMMU114 HLA-DR (Immunomedics), apolizumab HLA-DR, to clizumab IL6R (e.g., ACTEMR®A/ROACTREMRA®, Hoffman-La Roche), OX86 OX40, pemtumomab PEM/MUC1 (Theragyn), ABX-MA1 MUC-18 (Abgenix), clivatuzumab MUC-18 (e.g., hPAM4, Immunomedics), cantuzumab mertansine mucin CanAg, ecromeximab (Ludwig Institute), Genentech anti-EGFL7 antibody, AMG820 CSFR (Amgen), olaratumab PDGFRa (e.g., antibody of Imclone (Imclone)), IL21 antibody Zymogenetics (Zymogenetics), MEDI-573 IGF1/IGF2 (Medlmmune), AMG191 cKit (Amgen), etaracizumab (e.g., MEDI-522, Medlmune), and MLN591 PSMA (Millennium Pharmaceuticals), elotuzumab SLAMF7 (e.g., HuLuc63, BMS), labctuzumab CEA (CEA-CIDE®, Immunomedics), sibrotuzumab FAP, CNTO95 integrin avb3 (Centocor), VITAXIN® integrin avb3 (Medimmune), and voloximab α5β1 (antibody targets are italicized). MRDs that compete for target binding with one of the above antibodies are encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention.


In additional embodiments, the antibody of the MRD-containing antibody competes for target binding with an antibody selected from: MDX-1342 CD19 (BMS), SGN-CD19A CD19 (Seattle Genetics), an anti-CD20 antibody described in U.S. Pat. No. 5,500,362, ofatumumab CD20 (e.g., ARZERRA®, GENMAB), veltuzumab CD20 (hA20, Takeda and Nycomed), PRO70769 CD20 (Genentech; see e.g., Intl. Appl. No. PCT/US2003/040426), AMG780 Tie2/Ang1 (Amgen), REGN910 ANG2 (Regeneron), and anti-CD22 antibody described in U.S. Pat. No. 5,789,554 (Immunomedics), lumiliximab CD23 (e.g., IDEC152, Biogen), IDEC-152 CD23 (Biogen), MDX-1401 CD30 (BMS), HeFi-1 CD30 (NCI), daratumumab CD38, an anti CD-40 antibody described in Intl. Appl. Publ. No. WO2007124299 (Novartis), IDEC-131 CD40L (Biogen), MDX-1411 CD70 (BMS), SGN-75 CD70 ADC (Seattle Genetics), HuMax-CD74TM CD74 ADC (Genmab), IDEC-114 CD80 (Biogen), TRC105 CD105/endoglin (Tracon), ABX-CBL CD147(Amgen), RG1HuMax-TF™ Tissue Factor (TF)(Genmab), HuMax-Her2TM ErbB2 (Genmab), Trastuzumab-DM1 ErbB2-DM1 (Genentech), AMG888 HER3 (Amgen and Daiichi Sankyo), HuMV833 VEGF (Tsukuba Research Lab, see, e.g., Intl. Appl. Publ. No. WO/2000/034337), IMC-18F1 VEGFR1 (Imclone), IMC-1C11 VEGFR (Imclone), DC101 VEGFR2 (Imclone), KSB-102 EGFR (KS Biomedix), mAb-806 EGFR (Ludwig Institute for Cancer Research), MR1-1 EGFRvIII toxin (IVAX, National Cancer Institute), HuMax-EGFR EGFR (Genmab, see, e.g., U.S. application Ser. No. 10/172,317), IMC-11F8 EGFR (Imclone), CDX-110 EGFRvIII (AVANT Immunotherapeutics), zalumumab EGFR (Genmab), 425, EMD55900 and EMD62000 EGFR (Merck KGaA, see, e.g., U.S. Pat. No. 5,558,864), ICR62 EGFR (Institute of Cancer Research, see, e.g., Intl. Appl. Publ. No. WO95/20045), SC100 EGFR (Scancell and ISU Chemical), MOR201 FGFR-3 (Morphosys), ARGX-111 c-Met (arGEN-X), HuMax-cMet™ cMet (Genmab), GC-1008 TGEb1 (Genzyme), MDX-070 PMSA (BMS), huJ59l PSMA (Cornell Research Foundation), muJ59l PSMA (Cornell Research Foundation), GC1008 TGFh (Genzyme), NG-1 Ep-CAM (Xoma), MOR101 ICAM-1 (CD54) (Morphosys), MOR102 ICAM-1 (CD54)(Morphosys), ABX-MA1 MUC18 (Abgenix), HumaLYM (Intracel), HumaRAD-HN (Intracel), HumaRAD-OV (Intracel), ARGX-110 and ARGX-111 (arGEN-X), HuMax-Lymphoma (Genmab and Amgen), Milatuzumab CD74 (e.g., IMMU-115, IMMU-110; Immunomedics), HuMax-Cancer Heparanase I (Genmab), Hu3S193 Lewis (y) (Wyeth, Ludwig Institute of Cancer Research), RAV12 N-linked carbohydrate epitope (Raven), nimotuzumab (TheraCIM, hR3; YM Biosciences, see, e.g., U.S. Pat. Nos. 5,891,996 and 6,506,883), BEC2 GD3(Imclone), 90Ytacatuzumab tetraxetan alpha fetoprotein (e.g., FP-CIDE®, Immunomedics), KRN330 (Kirin), huA33 A33 (Ludwig Institute for Cancer Research), mAb 216 B cell glycosylated epitope (NCI), REGN421 DLL4 (Regeneron), ASG-5ME SLC44A4 ADC (AGS-5), ASG-22ME Nectin-4 ADC, CDX-1307 (MDX-1307), hCGb (Celldex), parathyroid hormone-related protein (PTH-rP)(UCB), MT293 cleaved collagen (TRC093/D93, Tracon), KW-2871 GD3 (Kyowa), KIR (1-7F9) KIR (Novo), A27.15 transferrin receptor (Salk Institute, see, e.g., Intl. Appl. Publ. No. WO2005/111082) and E2.3 transferrin receptor (Salk Institute). MRDs that compete for target binding with one of the above antibodies are encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention. In additional embodiments, one of the above-described antibodies is the antibody of the MRD-containing antibody.


In particular embodiments, the antibody of the MRD-containing antibody is an antibody selected from: siplizumab CD2 (e.g., MEDI-507, MedImmune), blinatumomab CD19 CD3 (e.g., MT103, Micromet/MedImmune); XMAB®5574 CD19, (Xencor), SGN-19A CD19 (Seattle Genetics), ASG-5ME (Agenesys and Seattle Genetics), MEDI-551 CD19 (MedImmune), epratuzumab CD22 (e.g., hLL2, Immunomedics/UCB), inotuzumab ozogamicin CD22, iratumumab CD30 (e.g., SGN-30 (Seattle Genetics) and MDX-060 (Medarex)), XMAB®2513 CD30 (Xencor), brentuximab vedotin CD30 (e.g., SGN-35, Seattle Genetics), gemtuzumab ozogamicin CD33 (e.g., MYLOTARG®, Pfizer), lintuzurnab CD33 (e.g., antibody of Seattle Genetics), MOR202 CD38 MorphoSys), daraturnumab CD33 (e.g., Genmab antibody), CP870893 CD40 (Pfizer), dacctuzumab CD40 (e.g., SGN40, Seattle Genetics), ANTOVA® CD40 (Biogcn Idec), lucaturnumab CD40 (e.g., FWD 122, Novartis) XMAB®5485 CD40 (Xencor), teneliximab, ruplizumab CD40L (e.g., ANTOVA®), bivatuzumab mertansine CD44v6, alemtuzumab CD52 (e.g., CAMPATH®/MABCAMPATH®, Genzyme/Bayer), BI505 ICAM1 (Bioinvent), milatuzumab CD74 (e.g., antibody of Immunomedics), galiximab CD80 (Biogen Idec), BMS663513 4-1BB (Bristol-Myers Squibb), Alexion CD200 antibody (Alexion), edrecolomab EPCAM (e.g., MAb17-1A, PANOREX® (GlaxoSmithKline), AT003 EPCAM (Affitech)), adecatumumab EPCAM (e.g., MT201, Micromet), oportuzumab monatox EPCAM, Genentech anti-NRP1 antibody, MORABOO4 TEM1 (Morphotek), MORABOO9 mesothelin (Morphotek), lerdelimumab TGFb1 (e.g., CAT-152, Cambridge Antibody Technology), mctclimumab TGFb1 (e.g., CAT-192, Cambridge Antibody Technology), ImClone anti-TGFBRII antibody, bavituximab phosphatidylserine (e.g., antibody of Peregrine (Peregrine Pharmaceuticals)), AT004 phosphatidylserine (Affitech), AT005 phosphatidylserine (Affitech), MORAB03 folate receptor alpha (Morphotek), farletuzumab folate receptor alpha cancer (e.g., MORAB003, Morphotek), CS1008 DR4 (Sankyo), mapatumumab DR4 (e.g., HGS-ETR1, Human Genome Sciences), LBY135 DR5 (Novartis), AMG66 DR5 (Amgen), Apomab DR5 (Genentech), PRO95780 (Genentech), lexatumumab DR5 (e.g., HGS-ETR2, Human Genome Sciences), conaturnumab DR5 (e.g., AMG655, Amgen), tigatuzumab (e.g., CS-1008), AT009 CXCR4 (Affitech), AT008 CCR4 (Affitech), CNTO-888 CCL2 (Centocor), AMG102 HGF (Amgen), CRYPTO antibody (Biogen Idec), M200 antibody VLA5 (Biogen Idec), ipilimumab CTLA4 (e.g., MDX-010, Bristol-Myers Squibb/Medarex), belatacept CTLA4 ECD (e.g., CP-675,206, Pfizer), IMMU114 HLA-DR (Immunomedics), apolizumab HLA-DR, toclizumab IL6R (e.g., ACTEMR®A/ROACTREMRA®, Hoffman-La Roche) OX86 OX40, pemtumomab PEM/MUC1 (Theragyn), ABX-MA1 MUC-18 (Abgenix), cantuzumab mertansine mucin. CanAg, ecromeximab (Ludwig Institute), Genentech anti-EGFL7 antibody, AMG 820 CSFR (Amgen), olaratumab PDGFRa (e.g., antibody of Imclone (Imclone)), IL21 antibody Zymogenetics (Zymogenetics), MEDI-573 IGF1/IGF2 (Medlmmune), AMG191 cKit (Amgen), etaracizumab (e.g., MEDI-522, Medlmmuune), MLN591 PSMA (Millennium Pharmaceuticals), elotuzumab SLAMF7 (e.g., HuLuc63, PDL), labetuzumab CEA (CEA-CIDE®, Immunomedics), sibrotuzumab FAP, CNTO95 integrin avb3 (Centocor), VITAXIN® integrin avb3 (Medlmmune), and voloximab a5β1 (e.g., M200, PDL and Biogen Idec).


In an additional embodiment, the antibody target of the MRD-containing antibody is ALK1. In one embodiment, the antibody is PF-3,446,962 (Pfizer). In another embodiment, the antibody binds to the same epitope as PF-3,446,962. In a further embodiment, the antibody competitively inhibits binding of PF-3,446,962 to ALK1. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for ALK1 binding with PF-3,446,962 are also encompassed by the invention.


In an additional embodiment, the antibody target of the MRD-containing antibody is CD22. In one embodiment, the antibody is inotuzumab (e.g., inotuzumab ozogamicin CMC-544, PF-5,208,773; Pfizer). In one embodiment, the antibody binds to the same epitope as inotuzumab. In another embodiment, the antibody competitively inhibits binding of inotuzumab to CD22. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for CD22 binding with inotuzumab are also encompassed by the invention.


In an additional embodiment, the antibody target of the MRD-containing antibody is CRYPTO. In one embodiment, the antibody is the Biogen CRYPTO antibody that has advanced to phase I clinical trials (Biogen Idec). In another embodiment, the antibody binds to the same epitope as the Biogen CRYPTO antibody. In a further embodiment, the antibody competitively inhibits binding of the Biogen CRYPTO antibody to CRYPTO. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for CRYPTO binding with the Biogen CRYPTO antibody are also encompassed by the invention.


In an additional embodiment, the antibody target of the MRD-containing antibody is TNFSF5 (CD40 LIGAND). In one embodiment, the antibody is the Biogen CD40L antibody that has advanced to phase I clinical trials (Biogen Idec). In another embodiment, the antibody binds to the same epitope as the Biogen CD40L antibody. In a further embodiment, the antibody competitively inhibits binding of the Biogen CD40L antibody to CD40L. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for CD40L binding with the Biogen CD40L antibody are also encompassed by the invention.


In an additional embodiment, the antibody target of the MRD-containing antibody is CD80. In one embodiment, the antibody is galiximab (Biogen Idec). In another embodiment, the antibody binds to the same epitope as galiximab. In a further embodiment, the antibody competitively inhibits binding of galiximab to CD80. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for CD80 binding with galiximab are also encompassed by the invention.


In additional embodiments, an MRD-containing antibody binds CD80 and a target selected from: CD2, CD3, CD4, CD19, CD20, CD22, CD23, CD30, CD33, TNFRSF5 (CD40), CD52, CD74, TNFRSF10A (DR4), TNFRSF10B (DR5), VEGFR1, VEGFR2 and VEGF. In additional embodiments, an MRD-containing antibody binds CD80 and a target selected from: CD3, CD4 and NKG2D. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CD80 and also at least bind 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD80. In further embodiments, the antibody component of the MRD-containing antibody is galiximab. In a further embodiment, the antibody of the MRD-containing antibody binds a molecule on the surface of a cell and MRDs of the MRD-containing antibody binds TNFRSF10B (DR5) through one or more epitopes with a valency of 2, 3, 4, 5, 6, 7, 8, 9, 10, or more.


In an additional embodiment, the antibody target of the MRD-containing antibody is MCSF. In one embodiment, the antibody is PD-360,324 (Pfizer). In another embodiment, the antibody binds to the same epitope as PD-360,324. In a further embodiment, the antibody competitively inhibits binding of PD-360,324 to MCSF. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for MCSF binding with PD-360,324 are also encompassed by the invention.


In an additional embodiment, the antibody target of the MRD-containing antibody is CD44. In one embodiment, the antibody is PF-3,475,952 (Pfizer). In another embodiment, the antibody binds to the same epitope as PF-3,475,952. In a further embodiment, the antibody competitively inhibits binding of PF-3,475,952 to CD44. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for CD44 binding with PF-3,475,952 are also encompassed by the invention.


In an additional embodiment, the antibody target of the MRD-containing antibody is p-cadherin (CDH3). In one embodiment, the antibody is PF-3,732,010 (Pfizer). In another embodiment, the antibody binds to the same epitope as PF-3,732,010. In a further embodiment, the antibody competitively inhibits binding of PF-3,732,010 to p-cadherin. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for p-cadherin binding with PF-3,732,010 are also encompassed by the invention.


In another embodiment, the antibody target of the MRD-containing antibody is ANG2 (ANGPT2). In one embodiment, the antibody is MEDI3617 (MedImmune). In one embodiment, the antibody binds to the same epitope as MEDI3617. In another embodiment, the antibody competitively inhibits binding of MED13617 to ANG2. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for ANG2 binding with MEDI3617 are also encompassed by the invention.


In other embodiments, the antibody component of the MRD-containing antibody is an ANG-2 binding antibody disclosed in U.S. Pat. Nos. 7,063,965, 7,063,840, 6,645,484, 6,627,415, 6,455,035, 6,433,143, 6,376,653, 6,166,185, 5,879,672, 5,814,464, 5,650,490, 5,643,755, 5,521,073; U.S. Appl. Publ. Nos. 2011/0158978 (e.g., H4L4), 2006/0246071, 2006/0057138, 2006/0024297, 2006/0018909, 2005/0100906, 2003/0166858, 2003/0166857, 2003/0124129, 2003/0109677, 2003/0040463 and 2002/0173627; or Intl. Appl. Publ. Nos. WO2006/020706, WO2006/045049, WO2006/068953, or WO2003/030833 (the disclosure of each of which is herein incorporated by reference in its entirety). Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for ANG2 binding with these antibodies are also encompassed by the invention.


In another embodiment, an MRD-containing antibody binds ANG2 and additionally binds a target selected from: VEGF (i.e., VEGFA), VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNF, FGFR3, EFNa1, EFNa2, ANG1, ANG2, IL1, IL1beta, IL6, IL8, IL18, HGF, PDGFA, PLGF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR1, VEGFR2, VEGFR3, Notch 1, DLL4, EGFL7, α2β1 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, PDGFRA, and PDGFRB. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind ANG2 and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In further embodiments, the antibody component of the MRD-containing antibody is MEDI3617, AMG780 or REGN910. In further embodiments, the antibody component of the MRD-containing antibody is H4L4.


In particular embodiments, the MRD-containing antibody binds ANG2 and TNF. In additional embodiments, the MRD-containing antibody binds ANG2 and IL6. In other embodiments, the MRD-containing antibody binds ANG2 and ILL In further embodiments, the administered MRD-containing antibody binds ANG2, IL6 and TNF. In further embodiments, the administered MRD-containing antibody binds ANG2, IL1 and TNF. In further embodiments, the MRD-containing antibody binds ANG2, IL1, 1L6 and TNF.


In particular embodiments, the MRD-containing antibody binds ANG2 and TNF and the antibody component of the MRD-containing antibody is adalimumab. In another embodiment, the MRD-containing antibody competes with adalimumab for binding to TNF.


In additional embodiments, the antibody component of the MRD-containing antibody binds ANG2. In further embodiments, the antibody component of the MRD-containing antibody is an ANG2 binding antibody selected from SAITAng-2-1, SAITAng-2-2, SAITAng-2-3, SAITAng-2-4 or another antibody disclosed in Intl. Appl. Publ. No. WO2009/142460. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having an antibody and/or 1, 2, 3, 4, 5, 6, or more MRDs that compete for ANG2 binding with one or more of these antibodies are also encompassed by the invention.


In additional embodiments, the antibody component of the MRD-containing antibody binds TIE2. In further embodiments, the antibody component of the MRD-containing antibody is a TIE2 binding antibody disclosed in U.S. Pat. Nos. 6,365,154 and 6,376,653; U.S. Appl. Publ. Nos. 2007/0025993, 2006/0057138 and 2006/0024297; or Intl. Appl. Publ. Nos. WO2006/020706, WO2000/018437 and WO2000/018804 (the disclosure of each of which is herein incorporated by reference in its entirety). Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having an antibody and/or 1, 2, 3, 4, 5, 6, or more MRDs that compete for TIE binding with one or more these antibodies are also encompassed by the invention.


In certain embodiments, the antibody target of the MRD-containing antibody is EGFR(ErbB1), ErbB2, ErbB3, ErbB4, CD20, insulin-like growth factor-I receptor, prostate specific membrane antigen, an integrin, or cMet.


In one embodiment, the antibody in the MRD-containing antibody specifically binds EGFR(ErbB1). In a specific embodiment, the antibody is ERBITUX® (IMC-C225). In one embodiment, the antibody binds to the same epitope as ERBITUX®. In another embodiment, the antibody competitively inhibits binding of ERBITUX® to EGFR. In another embodiment, the antibody in the MRD-containing antibody inhibits EGFR dimerization. In another specific embodiment, the antibody is matuzumab (e.g., EMD 72000, Merck Scrono) or panitumumab (e.g., VECTIBIX®, Amgen). In another embodiment, the antibody binds to the same epitope as matuzumab or panitumumab. In another embodiment, the antibody competitively inhibits binding of matuzumab or panitumumab to EGFR. In another embodiment, the antibody is ABX-EGF (Immunex) or MEDX-214 (Medarex). In another embodiment, the antibody binds to the same epitope as ABX-EGF or MEDX-214. In another embodiment, the antibody competitively inhibits binding of ABX-EGF or MEDX-214 to EGFR. In another specific embodiment, the antibody is zalutumumab (Genmab) or nimotuzumab (Biocon). In an additional embodiment, the antibody binds to the same epitope as zalutumumab (Genmab) or nimotuzumab (Biocon). In another embodiment, the antibody competitively inhibits binding of zalutumumab (Genmab) or nimotuzumab (Biocon) to EGFR.


In one embodiment, an MRD-containing antibody binds EGFR(ErbB1) and a target selected from: HGF, CD64, CDCP1, RON, cMET, ErbB2, ErbB3, IGF1R, PLGF, RGMa, PDGFRa, PDGFRb, VEGFR1, VEGFR2, TNFRSF10A (DR4), TNFRSF10B (DR5), IGF1,2, IGF2, CD3, CD4, NKG2D and tetanus toxoid. In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibodies) binds at least 1, 2, 3, 4, 5 or more of these targets. In specific embodiments, the antibody component of the MRD-containing antibody binds EGFR. In further embodiments, the antibody component of the MRD-containing antibody is matuzumab, panitumumab, MEDX-214, or ABX-EGF. In further embodiments, the antibody component of the MRD-containing antibody is nimotuzumab (Biocon) or zalutumumab. In specific embodiments, the antibody component of the MRD-containing antibody is Erbitux®.


In specific embodiments, the MRD containing antibody binds ErbB1 and additionally binds ErbB3. In some embodiments, the antibody component of the MRD-containing antibody binds ErbB1 and an MRD of the MRD-containing antibody binds ErbB3. In a particular embodiment, the antibody component of the MRD-containing antibody is cetuximab. In additional embodiments, the antibody component of the MRD-containing antibody competes for ErbB1-binding with cetuximab. In another embodiment, the antibody in the MRD-containing antibody is an ErbB1-binding antibody selected from: nimotuzumab (Biocon), matuzumab (Merck KGaA), panitumumab (Amgen), zalutumumab (Genmab), MEDX-214, and ABX-EGF. In additional embodiments, the antibody component, MRD component and/or MRD-containing antibody competes for ErbB1-binding with an antibody selected from: nimotuzumab, matuzumab, panitumumab, and zalutumumab. In other embodiments, the antibody component of the MRD-containing antibody binds ErbB3 and an MRD of the MRD-containing antibody binds ErbB1 In additional embodiments, the antibody component of the MRD-containing antibody is an ErbB3-binding antibody selected from MM121 (Merrimack), 8B8 (Genentech), AV203 (Aveo), and AMG888 (Amgen). In additional embodiments, the antibody component, MRD component and/or MRD-containing antibody competes for ErbB3 binding with an antibody selected from MM121, 8B8, AV203, and AMG888.


In one embodiment the MRD-containing antibody specifically binds ErbB2


(Her2). In a specific embodiment, the antibody is trastuzumab (e.g., HERCEPTIN®, Genentech/Roche). In one embodiment, the antibody binds to the same epitope as trastuzumab. In another embodiment, the antibody competitively inhibits binding of trastuzumab to ErbB2. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with at least 1, 2, 3, 4, 5, 6 of the above antibodies.


In other embodiments, the antibody in the MRD-containing antibody specifically binds to ErbB2. In one embodiment, the antibody in the MRD-containing antibody is an antibody that specifically binds to the same epitope as the anti-ErbB2 antibody trastuzumab (e.g., HERCEPTIN®, Genentech). In another embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits ErbB2-binding by the anti-ErbB2 antibody trastuzumab. In yet another embodiment, the antibody in the MRD-containing antibody is the anti-ErbB2 antibody trastuzumab. In another embodiment, the antibody in the MRD-containing antibody inhibits HER2 dimerization. In another embodiment, the antibody in the MRD-containing antibody inhibits HER2 heterodimerization with HER3 (ErbB3). In a specific embodiment, the antibody is pertuzumab (e.g., OMNITARG® and phrMab2C4, Genentech). In another embodiment, the antibody specifically binds to the same epitope as pertuzumab. In another embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits binding of ErbB2 by pertuzumab. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention. Accordingly, in one embodiment the antibody in the MRD-containing antibody is trastuzumab and 1, 2, 3, 4, 5, 6, or more MRDs in the MRD-containing antibody competitively inhibit binding of ErbB2 by pertuzumab.


In another embodiment, the antibody in the MRD-containing antibody is an ErbB2-binding antibody selected from the group: MDX-210 (Medarex), tgDCC-E1A (Targeted Genetics), MGAH22 (MacroGenics), and pertuzumab (OMNITARG™, 2C4; Genentech). An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, or 4 of the above antibodies are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with at least 1, 2, 3 or 4 of the above antibodies.


In specific embodiments, the MRD containing antibody binds ErbB2 and additionally binds ErbB3. In some embodiments, the antibody component of the MRD-containing antibody binds ErbB2 and an MRD of the MRD-containing antibody binds ErbB3. In a particular embodiment, the antibody component of the MRD-containing antibody is trastuzumab. In additional embodiments, the antibody component, MRD component and/or MRD-containing antibody competes for ErbB2-binding with trastuzumab. In another embodiment, the antibody in the MRD-containing antibody is an ErbB2-binding antibody selected from: MDX-210 (Medarex), tgDCC-E1 A (Targeted Genetics), MGAH22 (MacroGenics), and pertuzumab (OMNITARG™). In additional embodiments, the antibody component, MRD component and/or MRD-containing antibody competes for ErbB2-binding with an antibody selected from: MDX-210, tgDCC-E1A, MGAH22, and pertuzumab. In other embodiments, the antibody component of the MRD-containing antibody binds ErbB3 and an MRD of the MRD-containing antibody binds ErbB2.


In some embodiments, the antibody in the MRD-containing antibody comprises the CDRs of the anti-ErbB2 antibody trastuzumab. The CDR, VH, and VL sequences of trastuzumab are provided in Table 1.










TABLE 1





CDR
Sequence







VL-CDR1
RASQDVNTAVAW (SEQ ID NO: 59)





VL-CDR2
SASFLYS (SEQ ID NO: 60)





VL-CDR3
QQHYTTPPT (SEQ ID NO: 61)





VH-CDR1
GRNIKDTYIH (SEQ ID NO: 62)





VH-CDR2
RIYPTNGYTRYADSVKG (SEQ ID NO: 63)





VH-CDR3
WGGDGFYAMDY (SEQ ID NO: 64)





VL
DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGK



APKLLIYSASFLYSGVPSRFSGSRSGTDFTLTISSLQPEDF



ATYYCQQHYTTPPTFGQGTKVEIKRT (SEQ ID NO: 65)





VH
EVQLVESGGGLVQPGGSLRLSCAASGFNIKDTYIHWVRQAPG



KGLEWVARTYPTNGYTRYADSVKGRFTISADTSKNTAYLQMN



SLRAEDTAVYYCSRWGGDGFYAMDYWGQGTLVTVSS



(SEQ ID NO: 66)









In one embodiment the MRD-containing antibody specifically binds ErbB3 (Her3). In a specific embodiment, the antibody is MM121 (Merrimack Pharmaceuticals) or AMG888 (Amgen). In one embodiment, the antibody binds to the same epitope as MM121 or AMG888. In another embodiment, the antibody competitively inhibits binding of MM121 or AMG888 to ErbB3. In another specific embodiment, the antibody is AV-203 (AVEO). In one embodiment, the antibody binds to the same epitope as AV-203. In another embodiment, the antibody competitively inhibits binding of AV-203. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1 or both of the above antibodies are also encompassed by the invention


In one embodiment the MRD-containing antibody specifically binds VEGF (VEGFA). In a specific embodiment, the antibody is bevacizumab (e.g., AVASTIN®, Genentech/Roche). In one embodiment, the antibody binds to the same epitope as bevacizumab. In another embodiment, the antibody competitively inhibits binding of bevacizumab to VEGFA. In another embodiment the MRD-containing antibody is AT001 (Affitech). In one embodiment, the antibody binds to the same epitope as AT001. In another embodiment, the antibody competitively inhibits binding of AT001 to VEGFA. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1 or both of the above antibodies are also encompassed by the invention.


In some embodiments, the antibody in the MRD-containing antibody comprises the CDRs of the anti-VEGF antibody bevacizumab. The CDR, VH, and VL sequences of bevacizumab are provided in Table 2.










TABLE 2





CDR
Sequence







VL-CDR1
SASQDISNYLN (SEQ ID NO: 72)





VL-CDR2
FTSSLHS (SEQ ID NO: 73)





VL-CDR3
QQYSTVPWT (SEQ ID NO: 74)





VH-CDR1
GYTFTNYGMN (SEQ ID NO: 75)





VH-CDR2
WINTYTGEPTYAADFKR (SEQ ID NO: 76)





VH-CDR3
YPHYYGSSHWYFDV (SEQ ID NO: 77)





VL
DIQMTQSPSSLSASVGDRVTITCSASQDISNYLNWYQQKPGK



APKVLIYFTSSLHSGVPSRFSGSGSGTDFTLTISSLQPEDFA



TYYCQQYSTVPWTFGQGTKVEIKR (SEQ ID NO: 78)





VH
EVQLVESGGGLVQPGGSLRLSCAASGYTFTNYGMNWVRQAPG



KGLEWVGWINTYTGEPTYAADFKRRFTFSLDTSKSTAYLQMN



SLRAEDTAVYYCAKYPHYYGSSHWYFDVWGQGTLVTVSS



(SEQ ID NO: 79)









In other specific embodiments, the antibody in the MRD-containing antibody specifically binds VEGF. In a specific embodiment, the antibody is bevacizumab (e.g., AVASTIN®, Genentech). In one embodiment, the antibody binds to the same epitope as bevacizumab. In another embodiment, the antibody competitively inhibits binding of bevacizumab to VEGF. In another specific embodiment, the antibody is r84 (Peregrine) or 2C3 (Peregrine). In another embodiment, the antibody binds to the same epitope as r84 or 2C3. In another embodiment, the antibody competitively inhibits VEGF binding by r84 or 2C3. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, or 3 of the above antibodies are also encompassed by the invention.


In one embodiment, an MRD-containing antibody binds VEGF and additionally binds an angiogenic target selected from: VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNFSF2 (TNFa), FGFR3, EFNa1, EFNa2, ANG1, ANG2, IL6, IL8, IL18, HGF, TIE2, PDGFA, PLGF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR1, VEGFR2, VEGFR3, Notch 1, DLL4, EGFL7, α2β1 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, PDGFRA, and PDGFRB. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind VEGF and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGF. In further embodiments, the antibody component of the MRD-containing antibody is r85, 2C3 or AT001. In a specific embodiment, the antibody component of the MRD-containing antibody is bevacizumab.


In one embodiment, an MRD-containing antibody binds VEGF and additionally binds a target selected from: IL1 beta, phosphatidylserine, TNFSF11 (RANKL), TNFSF12 (TWEAK), IGF1,2, IGF2, IGF1, DKK1, SDF2, CXC3CL1 (fractalkine), sclerostin and tetanus toxoid and HGF. In another embodiment, an MRD-containing antibody binds VEGF and additionally binds a target selected from: ErbB3, EGFR, cMet, VEGF, RON (MST1R), DLL4, CDCP1 CD318), NRP1, ROBO4, CD13, CTLA4 (CD152), ICOS (CD278), CD20, CD22, CD30, CD33, CD80 and IL6R. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind VEGF and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGF. In further embodiments, the antibody component of the MRD-containing antibody is r85, 2C3 or AT001. In a specific embodiment, the antibody component of the MRD-containing antibody is bevacizumab.


In another embodiment, the MRD-containing antibody specifically binds VEGFR1. In one embodiment, the antibody competitively inhibits binding of Afliberccpt (Regeneron) to VEGFR1. In another embodiment, the antibody in the MRD-containing antibody inhibits VEGFR1 dimerization. An MRD that competes for target binding with Aflibercept is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with Aflibercept are also encompassed by the invention.


In another embodiment, the MRD-containing antibody specifically binds VEGFR2. In a specific embodiment, the antibody is ramucirumab (e.g., IMC1121B and IMC1C11, ImClone). In another embodiment, the antibody in the MRD-containing antibody inhibits VEGFR2 dimerization. In one embodiment, the antibody binds to the same epitope as ramucirumab. In another embodiment, the antibody competitively inhibits binding of ramucirumab to VEGFR2. In another embodiment, the antibody competitively inhibits binding of Aflibercept to VEGFR2. An MRD that competes for target binding with ramucirumab is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with ramucirumab or Aflibercept are also encompassed by the invention.


In other embodiments, the antibody in the MRD-containing antibody specifically binds to an FGF receptor (e.g., FGFR1, FGFR2, FGFR3, or FGFR4). In one embodiment, the antibody in the MRD-containing antibody is an antibody that specifically binds to FGFR1 (e.g., FGFR1-IIIC). In a specific embodiment, the antibody is IMC-A1 (Imclone). In one embodiment, the antibody binds to the same epitope as IMC-A1. In another embodiment, the antibody competitively inhibits binding of IMC-A1 to FGFR1. In an additional embodiment, the antibody competitively inhibits binding of FP-1039 (Five Prime) to an FGF ligand of FGFR1. In another embodiment, the antibody in the MRD-containing antibody is an antibody that specifically binds to FGFR2 (e.g., FGFR2-IIIB and FGFR2-IIIC). In a further embodiment, the antibody in the MRD-containing antibody is an antibody that specifically binds to FGFR3. In a specific embodiment, the antibody is IMC-A1 (Imclone). In one embodiment, the antibody binds to the same epitope as PRO-001 (ProChon Biotech), R3Mab (Genentech), or 1A6 (Genentech). In another embodiment, the antibody competitively inhibits binding of PRO-001 (ProChon Biotech), R3Mab (Genentech), or 1A6 (Genentech). An MRD that competes for target binding with one of the above antibodies or ligand traps is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1 or more of the above antibodies or ligand traps are also encompassed by the invention.


In one embodiment, the antibody in the MRD-containing antibody specifically binds CD20. In a specific embodiment the antibody is rituximab (e.g., RITUXAN®/MABTHERA®, Genentech/Roche/Biogen Idec). In one embodiment, the antibody binds to the same epitope as rituximab. In another embodiment, the antibody competitively inhibits binding of rituximab to CD20. In an additional embodiment, the antibody is GA101 (Biogen Idec/Roche/Glycart). In one embodiment, the antibody binds to the same epitope as GA101. In another embodiment, the antibody competitively inhibits binding of GA101 to CD20. In an additional embodiment, the antibody is PF-5,230,895 (SB1-087; Pfizer). In one embodiment, the antibody binds to the same epitope as PF-5,230,895. In another embodiment, the antibody competitively inhibits binding of PF-5,230,895 to CD20. In another specific embodiment, the antibody is ocrelizumab (e.g., 2H7; Genentech/Roche/Biogen Idec). In one embodiment, the antibody binds to the same epitope as ocrelizumab. In another embodiment, the antibody competitively inhibits binding of ocrelizumab to CD20. In another specific embodiment, the MRD-containing antibody is selected from: obinutuzumab (e.g., GA101; Biogen Idec/Roche/Glycart), ofatumumab (e.g., ARZERRAO and HuMax-CD20 Genmab), veltuzumab (e.g., IMMU-160, Immunomedics), AME-133 (Applied Molecular Evolution), SGN35 (Millennium), TG-20 (GTC Biotherapeutics), afutuzumab (Hoffman-La Roche) and PRO131921 (Genentech). In another embodiment, the antibody binds to the same epitope as an antibody selected from: obinutuzumab, ofatumumab, veltuzumab, AME-133, SGN35, TG-20 and PRO131921. In another embodiment, the antibody competitively inhibits CD20 binding by an antibody selected from: obinutuzumab, ofatumumab, veltuzumab, AME-133, SGN35, TG-20, afutuzumab, and PRO131921. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with at least 1, 2, 3, 4, 5, 6 of the above antibodies.


In additional embodiments, an MRD-containing antibody binds CD20 and a target selected from: CD19, CD22, CD30, TNFRSF5 (CD40), CD52, CD74, CD80, CD138, VEGFR1, VEGFR2, EGFR, TNFRSFIOA (DR4), TNFRSF10B (DR5), TNF, NGF, VEGF, IGF1,2, IGF2, IGF1 and RANKL. In additional embodiments, an MRD-containing antibody binds CD20 and a target selected from: CD3, CD4 and NKG2D. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CD20 and also bind 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD20. In further embodiments, the antibody component of the MRD-containing antibody is an antibody selected from: rituximab, GA101, PF-5,230,895, ocrelizumab obinutuzumab, ofatumumab, veltuzumab, AME-133, SGN35, TG-20, afutuzumab and PRO131921.


In one embodiment the MRD-containing antibody specifically binds IGF1R. In a specific embodiment, the antibody is selected from: cixutumumab (e.g., IMC-A12, Imclone), figitumumab (e.g., CP-751,871, Pfizer), AMG479 (ganitumab, Amgen/Millennium), BIIB022 (Biogen Idec), SCH 717454 (Schering-Plough), and R1507 (Hoffman La-Roche). In one embodiment, the antibody binds to the same epitope as an antibody selected from: cixutumumab, figitumumab, AMG479, BIIB022, SCH 717454, and R1507. In another embodiment, the antibody competitively inhibits IGF1R binding by an antibody selected from: cixutumumab, figitumumab, AMG479, BIIB022, SCH 717454, and R1507. In a specific embodiment, the antibody is figitumumab. In another specific embodiment, the antibody binds to the same epitope as figitumumab. In a further specific embodiment, the antibody competitively inhibits IGF1R binding by figitumumab. In an additional specific embodiment, the antibody is BI1B022. In another specific embodiment, the antibody binds to the same epitope as BIIB022. In a further specific embodiment, the antibody competitively inhibits IGF1R binding by BIIB022. In another embodiment, the antibody in the MRD-containing antibody inhibits IGF1R dimerization. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for IGF1R binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that compete for IGF1R binding with at least 1, 2, 3, 4, 5, 6 of the above antibodies.


In additional embodiments, an MRD-containing antibody binds IGF1R and a target selected from: EGFR, ErbB2, ErbB3, PDGFRa, PDGFRb, cMet, TNFRSF10A (DR4), TNFRSF10B (DR5), CD20, NKG2D, VEGF, PGE2, IGF1, IGF2 and IGF1,2. In additional embodiments, an MRD-containing antibody binds IGF1R and a target selected from: CD3, CD4 and NKG2D. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind IGF1R and bind at 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds IGF1R. In further embodiments, the antibody component of the MRD-containing antibody is selected from: cixutumumab, figitumumab, AMG479, BIIB022, SCH 717454, and R1507.


In additional embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) binds a target (e.g., ligand, receptor, or accessory protein) associated with an endogenous blood brain barrier (BBB) receptor mediated transport system (e.g., the insulin receptor, transferrin receptor, leptin receptor, lipoprotein receptor, and the IGF receptor mediated transport systems) and is capable of crossing to the brain side of the BBB. In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has 2, 3, 4, 5, or more binding sites (i.e., is capable of multivalently binding) a target antigen (e.g., ligand, receptor, or accessory protein) associated with an endogenous BBB receptor mediated transport system (e.g., the insulin receptor, transferrin receptor, leptin receptor, lipoprotein receptor, and the IGF receptor mediated transport systems). In additional embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has a single binding site for a target associated with an endogenous BBB receptor mediated transport system. In further embodiments, the multivalent and monovalent multispecific composition has 2, 3, 4, 5, or more single binding sites for a target associated with an endogenous BBB receptor mediated transport system. In further embodiments, the MRD-containing antibody binds 1, 2, 3, 4, 5, or more targets located on the brain (cerebrospinal fluid) side of the BBB. In further embodiments, the MRD-containing antibody additionally binds 1, 2, 3, 4, 5, or more targets located on the brain (cerebrospinal fluid) side of the BBB. In particular embodiments, the MRD-containing antibody binds 1, 2, 3, 4, 5, or more targets associated with a neurological disease or disorder. In particular embodiments, the neurological disease or disorder is selected from brain cancer, a neurodegenerative disease, schizophrenia, epilepsy, Alzheimer's disease, Parkinson's disease, Huntington's disease, ALS, multiple sclerosis, Neuromyelitis optica and Neuro-AIDS (e.g., HIV-associated dementia). Accordingly, the invention encompasses methods of treating a patient by administering a therapeutically effective amount of a multivalent and monovalent multispecific composition to treat a neurological disease or disorder selected from brain cancer, a neurodegenerative disease, schizophrenia, epilepsy, Alzheimer's disease, Parkinson's disease, Huntington's disease, ALS, multiple sclerosis, Neuromyelitis optica and Neuro-AIDS (e.g., HIV-associated dementia). In another embodiment, the multivalent and monovalent multispecific composition is administered to a patient to treat a brain cancer, metastatic cancer of the brain, or primary cancer of the brain. In additional embodiments, the multivalent and monovalent multispecific composition is administered to a patient to treat a neurological tumor such as, a glioma (e.g., a glioblastoma, glioblastoma multiforme (GBM), and astrocytoma), ependymoma, oligodendroglioma, neurofibroma, sarcoma, medulloblastoma, primitive neuroectodermal tumor, pituitary adenoma, neuroblastoma or cancer of the meninges (e.g., meningioma, meningiosarcoma and gliomatosis). In particular embodiments the invention encompasses methods of treating a patient by administering a therapeutically effective amount of a multivalent and monovalent multispecific composition to treat a neurodegenerative disease.


In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) binds an endogenous BBB receptor mediated transport system selected from the insulin receptor, transferrin receptor, leptin receptor, lipoprotein receptor, and the IGF receptor mediated transport systems.


In some embodiments, the multivalent and multispecific composition (e.g., MRD-containing antibody) binds transferrin receptor. In additional embodiments, the MRD-containing antibody binds a target selected from: low-density lipoprotein receptor 1 (LRP-1), a LRP-1 ligand or a functional fragment or variant thereof that binds LRP-1, Low-density lipoprotein receptor 2 (LRP-2), a LRP-2 ligand or a functional fragment or variant thereof that binds LRP-1, a transferrin protein or a functional fragment or variant thereof, insulin receptor, TMEM30A, leptin receptor, IGF receptor, an IGFR ligand or a functional fragment or variant thereof, diphtheria receptor, a diphtheria receptor ligand or a functional fragment or variant thereof, choline transporter, a complex that binds choline receptor, an amino acid transporter (e.g., LAT1/CD98, SLC3A2, and SLC7A5), an amino acid transporter ligand or a functional fragment or variant thereof, RAGE, a RAGE ligand or a functional fragment or variant thereof, SLC2A1 and a SLC2A1 ligand or a functional fragment or variant thereof.


In additional embodiments, the multivalent and multispecific composition (e.g., MRD-containing antibody) binds RAGE. In further embodiments, the multivalent and multispecific composition (e.g., MRD-containing antibody) binds RAGE and a target selected from: Abeta, endothelin1, TNF, IL6, MCSF, an AGE, a 5100 member, HMGB1, LPS and TLR2. Multivalent and multispecific compositions that bind RAGE and also bind 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds RAGE.


In additional embodiments, the multivalent and multispecific composition (e.g., MRD-containing antibody) binds a target antigen associated with an endogenous blood brain barrier (BBB) receptor mediated transport system and also binds a target antigen selected from alpha-synuclein, RGM A, NOGO A, NgR, OMGp MAG, CSPG, neurite inhibiting semaphorins (e.g., Semaphorin 3A and Semaphorin 4) an ephrin, A-beta, AGE (S100 A, amphoterin), NGF, soluble A-B, aggrecan, midkine, neurocan, versican, phosphacan, Te38, and PGE2, IL1, IL1R, IL6, IL6R, IL12, IL18, IL23, TNFSF12 (TWEAK), TNFRSF5 (CD40), TNFSF5 (CD40 LIGAND), CD45RB, CD52, CD200, VEGF, VLA4, TNF alpha, Interferon gamma, GMCSF, FGF, C5, CXCL13, CCR2, CB2, MIP la and MCP-1. In a further embodiment, the MRD-containing antibody has a single binding site for a target associated with an endogenous blood brain barrier (BBB) receptor mediated transport system and further binds a target selected from alpha-synuclein, RGM A, NOGO A, NgR, OMGp MAG, CSPG, neurite inhibiting semaphorins (e.g., Semaphorin 3A and Semaphorin 4) an ephrin, A-beta, AGE (S100 A, amphoterin), NGF, soluble A-B, aggrecan, midkine, neurocan, versican, phosphacan, Te38, PGE2, IL1R, IL6, IL6R, IL12, IL18, IL23, TNFSF12 (TWEAK), TNFRSF5 (CD40), TNFSF5 (CD40 LIGAND), CD45RB, CD52, CD200, VEGF, VLA4, TNF alpha, Interferon gamma, GMCSF, FGF, C5, CXCL13, CCR2, CB2, MIP la and MCP-1.


In additional embodiments, the MRD-containing antibody is administered to a patient to treat a neurological disease or disorder selected from brain cancer, a neurodegenerative disease, schizophrenia, epilepsy, Alzheimer's disease, Parkinson's disease, Huntington's disease, ALS, multiple sclerosis, Neuromyelitis optica and Neuro-AIDS (e.g., HIV-associated dementia). In one embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for 2 or more of the above targets. In a further embodiment, the multivalent and monovalent multispecific composition contains 2 binding sites for 3 or more targets. In additional embodiments, the targets bound by the multivalent and monovalent multispecific composition are associated with cancer. In a further embodiment the targets bound by the multivalent and monovalent multispecific composition are associated with 1, 2, 3, 4, 5 or more different signaling pathways or modes of action associated with cancer.


In one embodiment, the antibody in the MRD-containing antibody specifically binds integrin. In a specific embodiment, the antibody is selected from: MEDI-522 avb3 (VITAXIN®, MedImmune), CNTO 95 a5b3 (Centocor), JC7U αvβ3, and volociximab a5b1 (e.g., M200, PDL and Biogen Idec). In another embodiment, the antibody binds to the same epitope as an antibody selected from: MEDI-522, CNTO 95, JC7U av133, and volociximab. In another embodiment, the antibody competitively inhibits integrin binding by an antibody selected from: MEDI-522, CNTO 95, JC7U, and M200. In a specific embodiment, the antibody is natalizumab (e.g., TSABRI®, Biogen Idec). In one embodiment, the antibody binds to the same epitope as natalizumab. In another embodiment, the antibody competitively inhibits integrin binding by natalizumab. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention.


In one embodiment, the antibody in the MRD-containing antibody specifically binds cMet. In a specific embodiment, the antibody is selected from: MetMab (OA-5D5, Genentech), AMG-102 (Amgen) and DN30. In another embodiment, the antibody binds to the same epitope as an antibody selected from: MetMab), AMG-102 and DN30. In another embodiment, the antibody competitively inhibits cMET binding by an antibody selected from: MetMab (OA-5D5), AMG-102 and DN30. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, or 3 of the above antibodies are also encompassed by the invention.


In one embodiment, the antibody in the MRD-containing antibody specifically binds cMet and the antibody is selected from: 11E1, CE-355621, LA480 and LMH87. In another embodiment, the antibody binds to the same epitope as an antibody selected from: MetMab), AMG-102 and DN30. In another embodiment, the antibody competitively inhibits cMET binding by an antibody selected from: 11E1, CE-355621, LA480 and LMH87. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3 or 4 of the above antibodies are also encompassed by the invention.


In additional embodiments, an MRD-containing antibody binds cMET and a target selected from: ErbB2, ErbB3, EGFR, IGF1R, NRP1, RON, PDGFRa, PDGFRb, VEGF, VEGFR1, VEGFR2, TGF beta, TGF beta R2, CD82, CD152, NGF, BMP2, BMP4, BMP5, BMP9, BMP10, BMPR-IA, ALK1, a3b1 integrin and HGF. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind cMET and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds cMET. In further embodiments, the antibody component of the MRD-containing antibody is an antibody selected from: MetMab, AMG-102 and DN30. In other embodiments, the antibody component of the MRD-containing antibody is an antibody selected from: 11E1, CE-355621, LA480 and LMH87.


In additional embodiments, an MRD-containing antibody binds MST1R (RON). In a specific embodiment, an MRD-containing antibody binds RON and a target selected from: EGFR, ErbB2, ErbB3, VEGFR1, VEGFR2, cMET, CXCR4, VEGF, MST, MTSP1, CDCP1, EPHB2, NGF, CXCL12 and HGF (SF). Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind MST1R and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds MST1R.


In one embodiment, the antibody in the MRD-containing antibody specifically binds HGF (SF). In a specific embodiment, the antibody is AMG-102 (Amgen) or SCH 900105 (AV-229, AVEO). In another embodiment, the antibody binds to the same epitope as AMG-102 (Amgen) or SCH 900105 (AV-229, AVEO). In another embodiment, the antibody competitively inhibits HGF binding by AMG-102 (Amgen) or SCH 900105 (AV-229, AVEO). An MRD that competes for target binding with AMG-102 (Amgen) or SCH 900105 (AV-229, AVEO) is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, or 3 of the above antibodies are also encompassed by the invention.


In a specific embodiment, an MRD-containing antibody binds HGF and a target selected from: ErbB2, ErbB3, EGFR, IGF1R, NRP1, RON, PDGFRa, PDGFRb, VEGF, VEGFR1, VEGFR2, TGF beta, TGF beta R2, CD82, CD152, NGF, BMP2, BMP4, BMP5, BMP9, BMP10, BMPR-Lk, ALK1, a3b1 integrin, cMET, MST1R (RON), CXCR4, MST, MTSP1, CDCP1, EPHB2, NGF, CXCL12 NRP1 and phosphatidylserine. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind HGF and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds HGF. In further embodiments, the antibody component of the MRD-containing antibody is AMG-102 or SCH 900105.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds a5b1 integrin (VLA5). In a specific embodiment, the antibody is volociximab (e.g., M200 Biogen Idec). In another embodiment, the antibody binds to the same epitope as volociximab. In a further embodiment, the antibody competitively inhibits a5b1 integrin binding by volociximab. An MRD that competes for a5b1 integrin binding with volociximab is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for a5b1 integrin binding with volociximab are also encompassed by the invention.


In another embodiment, the antibody target of the MRD-containing antibody is an antigen associated with an autoimmune disorder, inflammatory or other disorder of the immune system or is associated with regulating an immune response.


In another embodiment the MRD-containing antibody improves the performance of antigen presenting cells (e.g., dendritic cells). In one embodiment the antibody target of the MRD-containing antibody is a member selecting from: CD19, CD20, CD21, CD22, CD23, CD27, CD28, CD30, CD30L, TNFSF14 (LIGHT, HVEM Ligand), CD70, ICOS, ICOSL (B7-H2), CTLA4, PD-1, PDLL (B7-H1), B7-H4, B7-H3, PDL2 (B7-DC), BTLA, CD46, CD80 (B7-1), CD86 (B7-2), HLA-DR, CD74, PD1, TNFRSF4 (OX40), TNFRSF9 (41BB), TNFSF4 (OX40 Ligand), TNFSF9 (41BB Ligand), TNFRSF1A (TNFR1, p55, p60), TNFRSFIB (TNFR2), TNFRSF13B (TACI), TNFRSF13C (BAFFR), TNFRSF17 (BCMA), TNFRSF18 (GITR), MHC-1, TNFRSF5 (CD40), TLR4, TNFRSF14 (HVEM), FcgammaRllB, and IL4R.


In one embodiment the antibody target of the MRD-containing antibody is an immunoinhibitory target selected from: IL1, IL1 beta, IL1Ra, L-5, IL6, IL6R, CD26L, CD28, CD80, FcRn, and Fc Gamma RIIB. An MRD that binds to one of the above targets is encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention.


In one embodiment, an MRD-containing antibody binds prostaglandin E2 (PGE2). In a specific embodiment, an MRD-containing antibody binds IL6R and a target selected from: EGFR, IGF1R, IL6R, TNF, NGF, IL1 beta, IL6, IL17A, VEGF, IL15, IL18, S1P and Abeta. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind PGE2 and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds PGE2.


In an additional embodiment, the MRD-containing antibody modulates immune responses, immune cell homeostasis, or maintenance of immune tolerance through multi-specific and multi-valent binding of soluble, cell surface or extra-cellular matrix associated molecules.


In one embodiment, the MRD-containing antibody binds one or more cytokines or chemokines that modulate immune responses, immune cell homeostasis, or maintenance of immune tolerance. In a further embodiment, the MRD-containing antibody binds one or more cytokines or chemokines selected from: IL1, IL2, IL6, IL7, IL9, IL10, IL12, IL15, IL17, IL18, IL23, IL35, IFNgamma, IFNalpha, IFNbeta, CCL17, CCL21, CCL22, CXCL9, CXCL10, CXCL11, TGFbeta, LIGHT, and TL1a. In one embodiment, the MRD-containing antibody binds a chemokine that modulates immune responses through immune cell migration. In a further embodiment, the MRD-containing antibody binds a chemokine selected from CCL17, CCL22 and CCL21. In another embodiment, the MRD-containing antibody binds a combination of soluble factors that modulate the activity of T lymphocytes. In a further embodiment, the MRD-containing antibody binds a combination of soluble factors selected from: IL2 and IFNgamma; IL2 and IFNalpha; IL2 and TGFbeta1; IFNgamma and TGFbeta1; and IFNalpha and TGFbeta1. In an additional embodiment, the MRD-containing antibody binds a soluble factor that modulates CD25 expression or the intracellular expression of FOXP3 in T lymphocytes. In some embodiments, the MRD-containing antibody binds two, three, four, five or six cytokines or chemokines that modulate immune responses, immune cell homeostasis, or maintenance of immune tolerance factors.


In an additional embodiment, the MRD-containing antibody binds one or more cell surface associated molecules that modulate immune responses, immune cell homeostasis, or maintenance of immune tolerance. In a further embodiment, the MRD-containing antibody binds one or more cell surface associated molecules selected from: PDL1, PDL2, PD1, CD80, CD86, CTLA4, B7-H2, ICOS, B7-H3, B7-H4, HVEM, BTLA, MHC classl, MHC class II, KIR, TCRalpha, TCRbeta, TCRgamma, LAG3, CD137, C137L, OX40, OX40L, CD70, CD27, CD40, CD40L, GAL9, TIM3, TLR1, TLR2, TLR3, TLR4, TLR5, TLR6, TLR7, TLR8, TLR9, TLR10 and A2aR. In one embodiment, the MRD-containing antibody binds one or more cell surface molecules that influence immune cell migration. In a further embodiment, the MRD-containing antibody binds a molecule selected from CCR4, CCR7, and CXCR3. In another embodiment, the MRD-containing antibody binds a combination of cell surface molecules that modulate T lymphocyte function including. In a further embodiment, the MRD-containing antibody binds a combination of soluble factors selected from: CD25 and CTLA4; PD1 and CTLA4; B7-H3 and B7-H3R; B7-H4 and B7H4R; BTLA and HVEM; KIR and LAG3; A2aR and TIM3; TIM3 and CTLA4; PDL1 and PD1; PDL2 and PD1; and CD80 and CD86. In another embodiment, the MRD-containing antibody antagonizes two or more of the inhibitory signals delivered to T lymphocytes through inhibitory receptors. In a further embodiment, the MRD-containing antibody antagonizes two or more inhibitory signals delivered to T lymphocytes including a signal delivered through an inhibitory receptor selected from: PD1, CTLA4, BTLA, HVEM, KIR, LAG3, TIM3, and A2aR. In another embodiment, the MRD-containing antibody enhances the co-stimulatory signals delivered to T lymphocytes through one or more of the co-stimulatory receptors. In a further embodiment, the MRD-containing antibody enhances two or more co-stimulatory signals delivered to T lymphocytes including a signal delivered through a co-stimulatory receptor selected from: CD28, ICOS, OX40 and CD27. In one embodiment, the MRD-containing antibody binds a molecule that modulates CD25 or FOXP3 expression in T lymphocytes. In another embodiment, the MRD-containing antibody binds a molecule that modulates CD39 expression on T lymphocytes. In some embodiments, the MRD-containing antibody binds two, three, four, five or six cell surface associated molecules that modulate immune responses, immune cell homeostasis, or maintenance of immune tolerance.


In an additional embodiment, the MRD-containing antibody binds one or more cell surface molecules expressed on antigen-presenting cells. In a further embodiment, the MRD-containing antibody binds one or more cell surface molecules selected from PDL1, PDL2, CD80, CD86, B7RP1, B7-H3, B7-H4, HVEM, CD137L, OX40, CD70, and GAL3. In one embodiment, the MRD-containing antibody binds a molecule on antigen-presenting cells that modulates CD25 or FOXP3 expression in human T lymphocytes. In another embodiment, the MRD-containing antibody binds a combination of molecules on the surface of an accessory cell. In a further embodiment, the MRD-containing antibody binds a combination of molecules selected from: CD80 and CD86; B7-H3 and B7-H4; PDL1 and PDL2; HVEM and B7-H2; CD137L and HVEM; GAL9 and OX40L; HVEM, PDL1 and PDL2; CD80, CD86 and HVEM; and B7-H3, B7-H4 and B7-H2. The MRD-containing antibody may bind one, two, three, four, five six, seven, eight or more cell surface molecules expressed on antigen-presenting cells.


In another embodiment, the MRD-containing antibody binds one or more cell-surface molecules on the surface of antigen-presenting cells and one or more cell surface molecules expressed on the surface of T lymphocytes. The MRD-containing antibody may bind a combination of one, two, three, or four cell surface molecules expressed on the surface of human antigen-presenting cells and one, two, three, or four cell surface molecules expressed on the surface of human T lymphocytes. In a preferred embodiment, the combination of molecules bound by the MRD-containing antibody share co-stimulatory or inhibitory effects on T lymphocytes. In another preferred embodiment, the combination of molecules bound by the MRD-containing antibody, stabilize cell-cell contact between immune cells.


In an additional embodiment, the MRD-containing antibody antagonizes regulatory T lymphocyte (Treg) function through antagonism of soluble molecules and/or cell surface receptors. In one embodiment, the MRD-containing antibody binds one or more soluble molecules and/or one or more cell surface receptors that coordinately enhance Treg function. In one embodiment, the MRD-containing antibody binds Treg cells and inhibits their function. In another embodiment, the MRD-containing antibody binds Treg cells and enhances their function. In a further embodiment, the MRD-containing antibody binds one or more molecules selected from: PDL1, PDL2, PD1, CD80, CD86, CTLA4, B7-H2, TCOS, B7-H3, B7-H4, HVEM, BTLA, MHC class1, MHC class II, KIR, TCRalpha, TCRbeta, TCRgamma, LAG3, CD137, C137L, OX40, OX40L, CD70, CD27, CD40, CD40L, GAL9, TIM3, TLR1, TLR2, TLR3, TLR4, TLR5, TLR6, TLR7, TLR8, TLR9, TLR10 and A2aR. In an additional embodiment, the MRD-containing antibody binds Treg cells and antagonizes the activity of a soluble factor that acts on Treg cells.


The multivalent and multispecific binding properties of MRD-containing antibodies of the invention allow for the rational design of therapeutics that preferentially direct the in vivo localization of the MRD-containing antibody to specific anatomical sites in which the target of the antibody and/or MRD components of the MRD-containing antibodies is present. In one embodiment, the MRD-containing antibody localizes to a site of inflammation by binding of the antibody combining site to a molecule characterized by increased expression in the site of inflammation. In further embodiments, the antibody combining site binds a molecule selected from: an adhesion molecule, an integrin, madCam, CD44 and CD45. In further embodiments, the MRD-containing antibody further comprises a MRD that binds to a cell surface molecule on a Treg that enhances Treg activity. In a further embodiment, the MRD-containing antibody binds a co-stimulatory receptor selected from: CD28, ICOS, OX40 and CD27. In particular embodiments the binding affinity of the MRD-containing antibody for the target in the site of inflammation in vivo is at least 3×, at least 10×, at least 30× or at least 100× that of the MRD-containing antibody for the Treg cell surface molecule.


In another embodiment, the invention provides for a method of preferentially directing the in vivo localization of an MRD-containing antibody to a tumor site. In some embodiments, the antibody combining site of the MRD-containing antibody binds a tumor-associated antigen and an MRD of the MRD-containing antibody binds a cell surface molecule on a Treg that suppresses Treg function. In a further embodiment, the MRD-containing antibody binds a co-stimulatory receptor selected from: PD1, CTLA4, BTLA, HVEM, KIR, LAG3, TIM3, and A2aR. In another embodiment, the antibody combining site of the MRD-containing antibody binds a tumor-associated antigen and an MRD binds a cell surface molecule on a Treg that suppresses Treg function. In an additional embodiment, the antibody combining site binds a tumor associated antigen and an MRD of the MRD-containing antibody binds a cell surface molecule on effector T lymphocytes that enhances the activity of T effector cells. In a further embodiment, the MRD-containing antibody binds a co-stimulatory receptor selected from: CD28, ICOS, OX40 and CD27. In particular embodiments the binding affinity of the MRD-containing antibody for the tumor associated antigen in vivo is at least 3×, at least 10×, at least 30× or at least 100× that of the MRD-containing antibody for the Treg cell surface molecule.


In a further embodiment, the antibody combining site and/or an MRD of an MRD-containing antibody binds a tumor-associated antigen that delivers an inhibitory signal to a T lymphocyte. In particular embodiments, MRD-containing antibody binds CD80 or CD86. In further embodiments, MRD-containing antibody binds B7H1, B7H3 or B7H4.


In another embodiment the antibody target of the MRD-containing antibody is an immunostimulatory target (e.g., an agonist of a target associated immune cell activation (such as, TNFRSF9 (41 BB) or TNFRSF5 (CD40)) or an antagonist of an inhibitory immune checkpoint (such as CTLA-4)). In one embodiment, the antibody target of the MRD-containing antibody is an immunostimulatory target selected from: CD25, CD28, CTLA-4, PD1, PDLL, B7-H1, B7-H4, IL10, TGFbeta, TNFSF4 (OX40 Ligand), TNFRSF4 (OX40), TNFSF5 (CD40 Ligand), TNFRSF5 (CD40), TNFSF9 (41BB Ligand), TNFRSF9 (41BB), TNFSF14 (LIGHT, HVEM Ligand), TNFRSF14 (HVEM), TNFSF15 (TL1A), TNFRSF25 (DR3), TNFSF18 (GITR Ligand), and TNFRSF18 (GITR). In another embodiment, the antibody target of the MRD-containing antibody is an immunostimulatory target selected from: CD272 (BTLA), TIM3, GALS, B7-DC (PDL2), and PDL2 receptor. An MRD that binds to one of the above targets is encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention. In specific embodiments, the MRD-containing antibody binds 2, 3 or all 4 targets selected from CTLA-4, TNFRSF18 (GITR), 4-1BB, and TNFRSF5 (CD40). In one embodiment, the MRD-containing antibody binds CTLA-4 and TNFRSF9 (41BB). In another embodiment, the MRD-containing antibody binds CTLA-4 and TNFRSF18 (GITR). In another embodiment, the MRD-containing antibody binds CTLA-4 and TNFRSF5 (CD40). In another embodiment, the MRD-containing antibody binds TNFRSF5 (CD40) and TNFRSF9 (41BB). In another embodiment, the MRD-containing antibody binds TNFRSF4 (OX40) and TNFRSF9 (41BB). In another embodiment, the MRD-containing antibody binds PD1 and B7-H1. In an additional embodiment the MRD-containing antibody enhances an immune response, such as the immune system's anti-tumor response or an immune response to a vaccine.


In another embodiment the antibody target of the MRD-containing antibody is a cytokine selected from: IL1 alpha, IL1 beta, IL18, TNFSF2 (TNFa), LTalpha, LT beta, TNFSF11 (RANKL), TNFSF13B (BLYS), TNFSF13 (APRIL), IL6, IL7, IL10, IL12, IL15, IL17A, IL23, OncoStatinM, TGFbeta, BMP2-15, PDGF (e.g., PDGF-A, PDGF-B, PDGF-CC, PDGF-C, PDGF-D), an FGF family member (e.g., FGF1, FGF2, FGF4, FGF7, FGF8b and FGF19), VEGF (e.g., VEGFA and VEGFB), MIF, and a type I interferon. MRD that binds to one of the above targets is encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that bind to at least 1, 2, 3, 4, 5, 6 of the above targets.


In another embodiment the antibody target of the MRD-containing antibody is a cytokine selected from: TNF, CD25, CD28, CTLA-4, PD1, PDL1, B7-H1, B7-H4, IL10, TGFbeta, TNFSF4 (OX40 Ligand), TNFRSF4 (OX40), TNFSF5 (CD40 Ligand), TNFRSF5 (CD40), TNFSF9 (41BB Ligand), TNFRSF9 (41BB), TNFSF14 (LIGHT, HVEM Ligand), TNFRSF14 (HVEM), TNFSF15 (TL1A), TNFRSF25 (DR3), TNFSF18 (GITR Ligand), and TNFRSF18 (GITR). An MRD that binds to one of the above targets is encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that bind to at least 1, 2, 3, 4, 5, 6 of the above targets.


In one embodiment the antibody target of the MRD-containing antibody is IL1Ra, IL1Rb, IL2, IL3, IL7, IL10, IL11, IL15, IL16, IL17, IL17A, IL17F, IL18, IL19, IL25, IL32, IL33, interferon beta, SCF, BCA1/CXCL13, CXCL1, CXCL2, CXCL6, CXCL13, CXCL16, C3AR, C5AR, CXCR1, CXCR2, CXCR3 CCR1, CCR3, CCR4, CCR7, CCR8, CCR9, CCR10, ChemR23, CCL3, CCL5, CCL11, CCL13, CCL17, CCL18, CCL19, CCL20, CCL21, CCL22, CCL24, CCL25, CCL26, CCL27, MPL, GP130, TLR2, TLR3, TLR4, TLR5, TLR7, TLR8, TLR9, TREM1, TREM2, FcRn, FcGamma RIIB, oncostatin M, lymphotoxin alpha (LTa), integrin beta 7 subunit, CD49a (integrin alpha 1), integrin a5b3, MIF, ESM1, WIF1, cathepsin B, cathepsin D, cathepsin K, cathepsin S, TNFSF2 (TNFa), TNFSF3 (LTb), TNFRSF3 (LTBR), TNFSF6 (Fas Ligand), TNFRSF6 (Fas, CD95), TNFRSF6B (DcR3), TNFSF8 (CD30 Ligand), TNFRSF8 (CD30), TNFSF9 (41BB Ligand), TNFRSF9 (41BB), TNFSF11 (RANKL), TNFRSF11A (RANK), TNFSF14 (LIGHT, HVEM Ligand), TNFRSF14 (HVEM), TNFRSF16 (NGFR), TNFSF18 (GITR Ligand), TNFRSF18 (GITR), TNFRSF19L (RELT), TNFRSF19 (TROY), TNFRSF21 (DR6), CD14, CD23 CD25, CD28, CD36, CD36L, CD39, CD52, CD91, CD153, CD164, CD200, CD200R, BTLA, CD80 (B7-1), CD86 (B7-2), B7h, ICOS, ICOSL (B7-H2), MHC, CD, B7-H3, B7H4, B7x, SLAM, KIM-1, SLAMF2, SLAMF3, SLAMF4, SLAMF5, SLAMF6, or SLAMF7. An MRD that binds to one of the above targets is encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that bind to at least 1, 2, 3, 4, 5, 6 of the above targets. The above antibody and MRD targets and those otherwise described herein are intended to be illustrative and not limiting.


In another embodiment, the antibody target of the MRD-containing antibody is TNFSF1A (TNF/TNF-alpha), TNFRSF1A (TNFR1, p55, p60), TNFRSF1B (TNFR2), TNFSF7 (CD27 Ligand, CD70), TNFRSF7 (CD27), TNFSF13B (BLYS), TNFSF13 (APRIL), TNFRSF13B (TACI), TNFRSF13C (BAFFR), TNFRSF17 (BCMA), TNFSF15 (TL1A), TNFRSF25 (DR3), TNFSF12 (TWEAK), TNFRSF12 (TWEAKR), TNFSF4 (OX40 Ligand), TNFRSF4 (OX40), TNFSF5 (CD40 Ligand), TNFRSF5 (CD40), IL1 beta, IL1R, IL2R, IL4-Ra, IL5, IL5R, IL6, IL6R, IL9, IL12, IL13, IL14, IL15, IL15R, IL17f, IL17R, IL17Rb, IL17RC, IL20, IL21, IL22RA, IL23, IL23R, IL31, P, TSLPR, interferon alpha, interferon gamma, B7RP-1, cKit, GMCSF, GMCSFR, CTLA-4, CD2, CD3, CD4, CD11a, CD18, CD20, CD22, CD26L, CD30, TNFRSF5 (CD40), CD80, CD86, CXCR3, CXCR4, CCR2, CCR4, CCR5, CCR8, CCL2, CXCL10, PLGF, PD1, B7-DC (PDL2), B7-H1 (PDL1), alpha4 integrin, A4B7 integrin, C5, RhD, IgE, or Rh. An MRD that binds to one of the above targets is encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that bind to 1, 2, 3, 4, 5, 6, or more of the above targets are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that bind to at least 1, 2, 3, 4, 5, 6 of the above targets.


In particular embodiments, the antibody target of the MRD-containing antibody competes for target binding with: SGN-70 CD70 (Seattle Genetics), SGN-75 CD70 (Seattle Genetics), Belimumab BLYS (e.g., BENLYSTA®, Human Genome Sciences/GlaxoSmithKline), Atacicept BLYS/APRIL (Merck/Serono), TWEAK (e.g., Biogen mAb), TL1A antibodies of CoGenesys/Teva (e.g., hum11D8, hum25B9, and hum1B4 (U.S. Appl. Publ. No. 2009/0280116), OX40 mAb, humAb OX40L (Genentech), rilonacept IL1 trap (e.g., ARCALYST®, Regeneron), catumaxomab IL1beta (e.g., REMOVAB®, Fresenius Biotech GmbH), Xoma052 IL1beta (Lilly), canakinumab IL1beta (e.g., ILARIS® (Novartis) and ACZS85 (Novartis)), AMG108 IL1R (Amgen), daclizumab IL2Ra (e.g., ZENAPAX®, Hoffman-La Roche), basiliximab IL2Ra (e.g., SIMULECT®, Novartis), AMGN-317 IL4a (Amgen), pascolizumab IL4 (PDL), mepolizumab IL5 (e.g., BOSATRIA®, GlaxoSmithKline), reslizumab IL5 (e.g., SCH55700, Ception Therapeutics), benralizumab IL5R (e.g., MEDI-563 Medlmmune), BIW-8405, IL5R (BioWa), etanercept TNFR2-fc (e.g., ENBREL®, Amgen), siltuximab IL6 (e.g., CNT0328, Centocor), CNTO136 IL6 (Centocor), CDP-6038 IL6 (UCB), AMGN-220 IL6 (Amgen), REGN-88 IL6R (Regeneron), tocilizumab IL6R (e.g., ACTEMRA™/ROACTEMRA™, Chugai/Roche), MEDI-528 IL9 (Medlmmune), briakinumab IL12/13 (e.g., ABT-874, Abbott), ustekinumab IL12, IL23 (e.g., STELARA® and CNTO 1275, Centocor), TNX-650 IL13 (Tanox), lebrikizumab IL13 (Genentech), tralokinumab IL13 (e.g., CAT354, e.g., Cambridge Antibody Technology), AMG714 IL15 (Amgen), CRB-15 IL15R (Hoffman La-Roche), A MG827 IL17R (Amgen), IL17RC antibody of Zymogenetics/Merck Serono, IL20 antibody of Zymogenetics, IL20 antibody of Novo Nordisk, IL21 antibody of Novo Nordisk (e.g., NCT01038674), IL21 antibody Zymogenetics (Zymogenetics), IL22RA antibody of Zymogenetics, IL31 antibody of Zymogenetics, AMG157 TSLP (Amgen), MEDI-545 interferon alpha (MedImmune), MEDI-546 n n alpha receptor (MedImmune), AMG811 inteterferon gamma (Amgen), INNO202 interferon gamma (Innogenetics/Advanced Biotherapy), HuZAF interferon-gamma (PDL), AMG557 B7RP1 (Amgen), AMG191 cKit (Amgen), MOR103 GMCSF (MorphoSys), mavrilimumab G MCS FR (e.g., CAM-3001, Medlmmune), tremelimumab CTLA4 (e.g., CP-675,206, Pfizer), iplimumab CTLA4 (e.g., MDX-010, BMS/Mcdarcx), alcfacept CD2 (e.g., AMEVIVE®, Astellas), siplizumab CD2 (e.g., MEDI-507, MedImmune), otelixizumab CD3 (e.g., TRX4, Tolerx/GlaxoSmithKline), teplizumab CD3 (e.g., MGA031, MacroGenics/Eli Lilly), visilizumab CD3 (e.g., NUVION®, PDL), muromonab-CD3 CD3 (Ortho), ibalizumab (e.g., TMB-355 and TNX-355, TaiMed Biologics), zanolimumab CD4 (e.g., HUMAX-CD4®, Genmab), cedelizumab CD4 (Euroasian Chemicals), keliximab CD4, priliximab CD4 (e.g., cMT412, Centocor), BT-061 CD4 (BioTest AG), efalizumab CD11a (e.g., RAPTIVA®/XANELIM™, Genentech/Roche/Merck-Serono), MLN01 CD18 (Millennium Pharmaceuticals), epratuzumab CD22 (e.g., Amgen antibody) and hLL2; (Immunomedics/UCB)), asclizumab CD26L, iratumumab CD30 (e.g., SGN30 (Seattle Genetics) and MDX-060 (Medarex), SGN40 CD40 (Seattle Genetics), ANTOVA® CD40 ligand (Biogen ldec), abatacept CD80 CD86 (e.g., ORENCIA®, Bristol-Myers Squibb), CT-011 PD1 (Cure Tech), GITR (e.g., TRX518, (Tolerx), AT010 CXCR3 (Affitech), MLN1202 CCR2 (Millennium Pharmaceuticals), AMG-761 CCR4 (Amgen), HGS004 CCR5 (Human Genome Sciences), PRO 140 (Progenies), MDX-1338 CXCR4 (Medarex), CNTO-888 CCL2 (Centocor), ABN912 CCL2 (Novartis), MDX-1100 CXCL10 (Medarex), TB-403 PLGF (Biolnvent), natalizumab integrin Alpha4 subunit (e.g., TYSABRI®, Biogen Idec/Elan), vedolizumab integrin A4B7 (e.g., MLN2, Millennium Pharmaceuticals/Takeda), eculizumab C5 Compliment (e.g., SOLIRIS®, Alexion), pexelizumab C5 Compliment (Alexion), omalizumab IgE (e.g., XOLAIR®, Genentech/Roche/Novartis), talizumab (e.g., TNX-901, Tanox), toralizumab (IDEC 131, 1DEC), bertilimumab eotaxin (e.g., iCo-008, iCos Therapeutics Inc.), ozrolimupab RhD (e.g., Sym001, Symphogen A/S), atorolimumab or morolimumab (Rh factor). An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with at least 1, 2, 3, 4, 5 or 6 of the above antibodies.


In particular embodiments, the antibody of the MRD-containing antibody is:


SGN-70 CD70 (Seattle Genetics), SGN-75 CD70 (Seattle Genetics), Belimumab BLYS (e.g., BENLYSTA®, Human Genome Sciences/GlaxoSmithKlinc), BIIB023 TWEAK (Biogen Idec), TL1 A antibodies of CoGenesys/Teva (e.g., 11 D8, 25B9, and 1B4 (U.S. Appl. Publ. No. 2009/0280116), OX40 niAb, huniAb OX40L (Genentech), catumaxomab IL1beta (e.g., REMOVAB®, Fresenius Biotech GmbH), canakinumab IL1beta (e.g., ILARIS® (Novartis) and ACZ885 (Novartis)), AMG108 IL1R (Amgen), daclizumab IL2Ra (e.g., ZENAPAX®, Hoffman-La Roche), basiliximab IL2Ra (e.g., SIMULECT®, Novartis), AMGN-317 IL4a (Amgen), pascolizumab IL4 (PDL), mepolizumab IL5 (e.g., BOSATRIA®, Glaxo SmithKline), reslizumab IL5 (e.g., SCH55700, Ception Therapeutics), benralizumab IL5R (e.g., MEDI-563, Medlmmune), BIW-8405, IL5R (BioWa), siltuximab IL6 (e.g., CNT0328, Centocor), CNTO-136 IL6 (Centocor), CDP-6038 IL6 (UCB), AMGN-220 IL6 (Amgen), REGN-88 IL6R (Regeneron), tocilizumab IL6R (e.g., ACTEMRA™/ROACTEMRA™, Chugai/Roche), MEDI-528 IL9 (MedImmune), briakinumab IL12/13 (e.g., ABT-874, Abbott), ustekinumab IL12, IL23 (e.g., CNTO 1275, Centocor), lebrikizumab IL13 (Genentech), TNX-650 IL13 (Tanox), CAT354 IL13 (Cambridge Antibody Technology), AMG714 IL15 (Amgen), CRB-15 IL15R (Hoffman La-Roche), AMG827 IL17R (Amgen), IL17RC antibody of Zymogenetics/Merck Serono, IL20 antibody of Zymogenetics, IL20 antibody of Novo Nordisk, IL21 antibody of Novo Nordisk, IL21 antibody Zymogenetics (Zymogenetics), IL22RA antibody of Zymogenetics, IL31 antibody of Zymogenetics, AMG157 TSLP (Amgen), MEDI-545 interferon alpha (MedImmune), MEDI-546 interferon alpha receptor (MedImmune), AMG811 interferon gamma (Amgen), INNO202 interferon gamma (Innogenetics/Advanced Biotherapy), HuZAF interferon-gamma (PDL), AMG557B7RP1 (Amgen), AMG191 cKit (Amgen), MOR103 GMCSF (MorphoSys), CAM-3001 GMCSFR (MedImmune), tremelimumab CTLA4 (e.g., CP-675,206, Pfizer), iplimumab CTLA4 (e.g., MDX-010, BMS/Medarex), siplizumab CD2 (e.g., MEDI-507, Medlmmune), otelixizumab CD3 (e.g., TRX4, Tolerx/GlaxoSmithKline), muromonab-CD3 CD3 (Ortho), teplizumab CD3 (e.g., MGA031, MacroGenics/Eli Lilly), visilizumab CD3 (e.g., NUVION®, PDL), zanolimumab CD4 (e.g., HUMAX-CD4®, Genmab), cedelizumab CD4 (Euroasian Chemicals), keliximab CD4, priliximab CD4 (e.g., cMT412, Centocor), BT-061 CD4 (BioTest AG), ibalizumab (e.g., TMB-355 and TNX-355, TaiMed Biologics), efalizumab CD11a (e.g., RAPTIVA®/XANELIM™, Genentech/Roche/Merck-Serono), MLNO1 CD18 (Millennium Pharmaceuticals), epratuzumab CD22 (e.g., Amgen antibody) and hLL2 (Immunomedics/UCB)), asclizumab CD26L iratumumab CD30 (e.g., SGN30 (Seattle Genetics) and MDX-060 (Medarex), SGN40 CD40 (Seattle Genetics), ANTOVA® CD40 ligand (Biogen Idec), CT-011 PD1 (Cure Tech), AT010 CXCR3 (Affitech), MLN3897 CCR1 (Millennium Pharmaceuticals), MLN1202 CCR2 (Millennium Pharmaceuticals), AMG-761 CCR4 (Amgen), HGS004 CCR5 (Human Genome Sciences), PRO 140 (Progenies), MDX-1338 CXCR4 (Medarex), CNTO-888 CCL2 (Centocor), ABN912 CCL2 (Novartis), MDX-1100 CXCL10 (Medarex), TB-403 PLGF (Biolnvent), natalizumab integrin Alpha4 subunit (e.g., TYSABRIO, Biogen Idec/Elan), vedolizumab integrin A4B7 (e.g., MLNO2, Millennium Pharmaceuticals/Takeda), eculizumab C5 Compliment (e.g., SOLIRIS®, Alexion pharmaceuticals), omalizumab IgE (e.g., XOLAIR®, Genentech/Roche/Novartis), talizumab (e.g., TNX-901, Tanox), toralizumab (IDEC 131, 1DEC), bertilimumab eotaxin (e.g., iCo-008, iCo Therapeutics Inc.), ozrolimupab RhD (e.g., Sym001, Symphogen A/S), atorolimumab or morolimumab (Rh factor).


In additional embodiments, the antibody target of the MRD-containing antibody competes for target binding with an antibody selected from: oxelumab (e.g., RG4930; Genmab), AMG139 (Amgen), AMG181 (Amgen), CNTO 148 TNF (Medarex), an anti-TNF antibody described in U.S. Pat. No. 6,258,562 (BASF), Humicade® TNF (Celltech), HuM291 CD3 fc receptor (PDL), Mik-beta-1 IL-2Rb (CD122) (Hoffman LaRoche), REGN668 IL-4R (Regeneron), sarilumab IL-6R (e.g., REGN88, Regeneron), HuMax-Inflam IL-8 (e.g., HuMax-Inflam™/MDX-018; Genmab and Medarex), anti-IL-12 and/or anti-IL-12p40 antibody disclosed in U.S. Pat. No. 6,914,128 (Abbott), HuMax-IL15 IL15 (Medarex and Genmab), ABX-IL8 IL8 (Abgenix), an anti-IL-18 antibody disclosed in US Appl. Pub. No. 2005/0147610 (Abbott), hCBE-11 LTBR (Biogen), HuMax-TAC IL-2Ra (CD25) (Genmab, see, e.g., Intl. Appl. Publ. No. WO2004045512, MLNO1 Beta2 integrin (Xoma), D3H44 ATF(Genentech), MT203 GMCSF (e.g., namilumab, Micromet and Takeda), IFX1/CaCP29 (InflaRx GmbH), CAT-213 Eotaxin 1 (Cambridge Antibody Technologies), MDX-018 IL-8 (e.g., HuMax-Inflam™; Medarex), REGN846 IL-4R (Regeneron, see, e.g., US Appl. Pub. No. 20100291107), REGN728 (Regeneron), RGN846 (Regeneron), T2-18C3 ILIA (MABp1; XBiotech), RA-18C3 ILIA (XBiotech) and CV-18C3 ILIA (XBiotech). An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, 5, 6, or more of the above antibodies are also encompassed by the invention. Thus, the invention encompasses MRD-containing antibodies comprising at least 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with at least 1, 2, 3, 4, 5, or 6 of the above antibodies.


In additional embodiments, one of the above-described antibodies is the antibody of the MRD-containing antibody.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds CTLA4. In a specific embodiment, the antibody is tremelimumab (e.g., CP-675,206, Pfizer). In another embodiment, the antibody binds to the same epitope as tremelimumab. In a further embodiment, the antibody competitively inhibits binding of tremelimumab to CTLA4. In an additional specific embodiment, the antibody is ipilimumab (e.g., MDX-010, Bristol-Myers Squibb/Medarex). In one embodiment, the antibody binds to the same epitope as ipilimumab. In a further embodiment, the antibody competitively inhibits binding of ipilimumab to CTLA4. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for CTLA4 binding with tremelimumab or ipilimumab are also encompassed by the invention.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds TNFSF12 (TWEAK). In a specific embodiment, the antibody is the TWEAK antibody of Biogen that has advanced to Phase I clinical trials. In another embodiment, the antibody binds to the same epitope as the Biogen TWEAK antibody. In a further embodiment, the antibody competitively inhibits binding of the Biogen TWEAK antibody to TWEAK. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for TWEAK binding with the Biogen TWEAK antibody are also encompassed by the invention.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds IL2Ra (CD25). In a specific embodiment, the antibody is daclizumab (e.g., ZENAPAX®). In another embodiment, the antibody binds to the same epitope as daclizumab. In a further embodiment, the antibody competitively inhibits binding of daclizumab to IL2Ra (CD25). Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for IL2Ra (CD25) binding with daclizumab are also encompassed by the invention.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds CD40 (TNFRSF5). In a specific embodiment, the antibody is CP-870893 CD40 (Pfizer). In another embodiment, the antibody binds to the same epitope as CP-870893. In a further embodiment, the antibody competitively inhibits binding of CP-870893 to CD40. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for CD40 binding with CP-870893 are also encompassed by the invention.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds Alpha4 integrin. In a specific embodiment, the antibody is natalizumab (e.g., TYSABRI®; Biogen Idec/Elan). In one embodiment, the antibody binds to the same epitope as natalizumab. In a further embodiment, the antibody competitively inhibits binding of natalizumab to Alpha4 integrin. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for Alpha4 integrin binding with natalizumab are also encompassed by the invention.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds IL22. In a specific embodiment, the antibody is PF-5,212,367 (ILV-094) (Pfizer). In another embodiment, the antibody binds to the same epitope as PF-5,212,367. In a further embodiment, the antibody competitively inhibits binding of PF-5,212,367 to IL22. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for IL22 binding with PF-5,212,367 are also encompassed by the invention.


In an additional embodiment, the antibody in the MRD-containing antibody specifically binds MAdCAM. In a specific embodiment, the antibody is PF-547,659 (Pfizer). In another embodiment, the antibody binds to the same epitope as PF-547,659. In a further embodiment, the antibody competitively inhibits binding of PF-547,659 to MAdCAM. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for MAdCAM binding with PF-547,659 are also encompassed by the invention.


In one embodiment, the antibody in the MRD-containing antibody specifically binds TNF. In a specific embodiment, the antibody is adalimumab (e.g., HUMIRA®/TRUDEXA®, Abbott). In one embodiment, the antibody binds to the same epitope as adalimumab. In another embodiment, the antibody competitively inhibits binding of adalimumab to TNF. In another specific embodiment, the antibody is ATN-103 (Pfizer). In one embodiment, the antibody binds to the same epitope as ATN-103. In another embodiment, the antibody competitively inhibits binding of ATN-103 to TNF. In another specific embodiment, the antibody is infliximab. In one embodiment, the antibody binds to the same epitope as infliximab. In another embodiment, the antibody competitively inhibits binding of infliximab to TNF. In another specific embodiment, the antibody is selected from: certolizumab (e.g., CIMZIA®, UCB), golimumab (e.g., SIMPONI™, Centocor), and AME-527 (Applied Molecular Evolution). In one embodiment, the antibody binds to the same epitope as certolizumab, golimumab, or AME-527. In another embodiment, the antibody competitively inhibits binding of certolizumab, golimumab, or AME-527, to TNF. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, 3, 4, or 5, of the above antibodies are also encompassed by the invention.


In some embodiments, the antibody in the MRD-containing antibody comprises the CDRs of the anti-TNF antibody adalimumab. The CDR, VH, and VL sequences of adalimumab are provided in Table 3.










TABLE 3





CDR
Sequence







VL-CDR1
RASQGIRNYLA (SEQ ID NO: 80)





VL-CDR2
AASTLQS (SEQ ID NO: 81)





VL-CDR3
QRYNRAPYT (SEQ ID NO: 82)





VH-CDR1
DYAMH (SEQ ID NO: 83)





VH-CDR2
AITWNSGHIDYADSVEG (SEQ ID NO: 84)





VH-CDR3
VSYLSTASSLDY (SEQ ID NO: 85)





VL
DIQMTQSPSSLSASVGDRVTITCRASQGIRNYLAWYQQKPGK



APKLLIYAASTLQSGVPSRFSGSGSGTDFTLTISSLQPEDVA



TYYCQRYNRAPYTFGQGTKVEIKR (SEQ ID NO: 86)





VH
EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQAPG



KGLEWVSAITWNSGHIDYADSVEGRFTISRDNAKNSLYLQMN



SLRAEDTAVYYCAKVSYLSTASSLDYWGQGTLVTVSS



(SEQ ID NO: 87)









In one embodiment, an MRD-containing antibody binds TNF (i.e., TNF alpha) and additionally binds a target selected from: Te38, IL12, IL12p40, IL13, TL15, IL17, IL18, IL1beta, IL23, MIF, PGE2, PGE4, VEGF, TNFSF11 (RANKL), TNFSF13B (BLYS), GP130, CD22 and CTLA-4. In another embodiment, an MRD-containing antibody binds TNF alpha, IL6, and TNFSF13B (BLYS). In another embodiment, an MRD-containing antibody binds TNF alpha and TNFSF12 (TWEAK). In additional embodiments, the MRD-containing antibody binds TNF and TNFSF15 (TL1A). In another embodiment, an MRD-containing antibody binds TNF and additionally binds a target selected from NGF, SOST (sclerostin), LPA, IL17A, DKK, alpha Vbeta3, IL23p19, IL2, IL2RA (CD25), IL6, IL6R, IL12p40, IL6, IL10, IL21, IL22 and CD20 binds TNF. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TNF alpha and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TNF alpha. In further embodiments, the antibody component of the MRD-containing antibody is adalimumab, infliximab certolizumab golimumab, CNTO 148, AME-527 or ATN-103.


In other embodiments, the target of the antibody of the MRD-containing antibody is IL6. In some embodiments, the antibody of the MRD-containing antibody is siltuximab (CNT0328, Centocor), CNTO-136 (Centocor), CDP-6038 (UCB), or AMGN-220 (Amgen). In other embodiments, the antibody of the MRD-containing antibody competes with siltuximab (CNT0328, Centocor), CNTO-136 (Centocor), CDP-6038 (UCB), or AMGN-220 (Amgen) for binding to IL6. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2, or more of the above antibodies are also encompassed by the invention.


In one embodiment, an MRD-containing antibody binds IL6. In a specific embodiment, an MRD-containing antibody binds IL6 and a target selected from: IL1, IL1beta, IL1Ra, IL5, CD8, TNFRSF5 (CD40), PDL1, IL6R, IL17A, TNF, VEGF, TNFSF11 (RANKL) and PGE2. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind IL6 and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds IL6. In further embodiments, the antibody component of the MRD-containing antibody is siltuximab, CNTO136, CDP-6038 or AMGN-220.


In other embodiments, the target of the antibody of the MRD-containing antibody is IL6R. In some embodiments, the antibody of the MRD-containing antibody is REGN-88 (Regeneron) or tocilizumab (ACTEMRA™/ROACTEMRA™, Chugai/Roche). In other embodiments, the antibody of the MRD-containing antibody competes with siltuximab, REGN-88 (Regeneron) or tocilizumab (ACTEMRA™/ROACTEMRA™, Chugai/Roche) for binding to IL6R. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1 or both of the above antibodies are also encompassed by the invention.


In one embodiment, an MRD-containing antibody binds IL6R. In a specific embodiment, an MRD-containing antibody binds IL6R and a target selected from: CD8, TNFRSF5 (CD40), PDLL, IL6, IL17A, TNF, VEGF, TNFSF11 (RANKL) and PGE2. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind IL6R and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds IL6R. In further embodiments, the antibody component of the MRD-containing antibody is REGN-88 or tocilizumab.


In some embodiments, an MRD-containing antibody binds TNFSF15 (TL1A). In further embodiments, the MRD-containing antibody binds TL1A and a target selected from: TNF, IFN alpha, IFN gamma, IL1, IL1beta, IL6, IL8, IL12, IL15, IL17, IL18, IL23 and IL32. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TL1A and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. These compositions have applications in treating diseases and disorders including inflammatory bowel disease and autoimmune diseases such as rheumatoid arthritis. In specific embodiments, the antibody component of the MRD-containing antibody binds TL1a.


In some embodiments, an MRD-containing antibody binds interferon alpha. In further embodiments, the MRD-containing antibody binds interferon alpha and TNFSF13B (BLYS). In further embodiments, the MRD-containing antibody binds interferon alpha, TNFSF13B (BLYS), and a neutrophil extracellular trap (NET). These compositions have applications in treating diseases and disorders including autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematous. In specific embodiments, the antibody component of the MRD-containing antibody binds interferon alpha.


The multivalent and multispecific compositions of the invention also have applications in treating neurologic diseases or disorders including neurodegenerative diseases, pain and neural injury or trauma. In particular embodiments, the target of the antibody of the MRD-containing antibody is: amyloid beta (Abeta), beta amyloid, complement factor D, PLP, ROBO4, ROBO, GDNF, NGF, LINGO, or myostatin. In specific embodiments, the antibody in the MRD-containing antibody is gantenerumab (e.g., R1450, Hoffman La-Roche), bapineuzumab beta amyloid 9 (Elan and Pfizer), solanezumab beta amyloid 9 (Eli Lilly), tanezumab NGF (e.g., RN624, Pfizer), BIIB033 LINGO (Biogen Idec), PF-3,446,879 myostatin (Pfizer), or stamulumab myostatin (Wyeth). In a particular embodiment, the antibody in the MRD-containing antibody is fulranumab (e.g., AMG-403; Amgen/Millennium. In another embodiment, the antibody specifically binds to the same epitope as gantenerumab, bapineuzumab, solarezumab, tanezumab, the Biogcn LINGO antibody, or stamulumab. In a further embodiment, the antibody specifically binds to the same epitope as fulranumab. In another embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits target binding by gantenerumab, bapineuzumab, solarezumab, tanezumab, BIIB033, or stamulumab. In another embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits NGF binding by fulranumab. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention.


In an additional embodiment, the target of the antibody of the MRD-containing antibody is beta amyloid. In a specific embodiment, the antibody in the MRD-containing antibody is RN1219 (PF-4,360,365; Pfizer). In another embodiment, the antibody specifically binds to the same epitope as RN1219. In a further embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits beta amyloid binding by RN1219. An MRD that competes for beta amyloid binding with RN1219 is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for beta amyloid binding with RN1219 are also encompassed by the invention.


In an additional embodiment, the target of the antibody of the MRD-containing antibody is NGF. In a specific embodiment, the antibody in the MRD-containing antibody is tanezumab (e.g., RN624, Pfizer). In another embodiment, the antibody specifically binds to the same epitope as tanezumab. In a further embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits NGF binding by tanezumab. An MRD that competes for NGF binding with tanezumab is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for NGF binding with tanezumab are also encompassed by the invention.


In a specific embodiment, an MRD-containing antibody binds NGF and a target selected from: MTX, NKG2D, RON, IL6R, ErbB3, TNFRSF21 (DR6), CD3, IGFR, DLL4, P1GF, CD20, EGFR, HER2, CD19, CD22, TNFRSF5 (CD40), CD80, cMET, NRP1, TNF, LINGO, HGF, IGF1, IGF1,2, IGF2, NGF, Te38, NogoA, RGM A, MAG, OMGp, NgR, TNFSF12 (TWEAK), PGE2, IL1 beta, Semaphorin 3A and Semaphorin 4. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind NGF and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds NGF. In further embodiments, the antibody component of the MRD-containing antibody is tanezumab. In additional embodiments, the antibody component of the MRD-containing antibody competes for NGF binding with tanezumab. In further embodiments, the antibody component of the MRD-containing antibody is MEDI-578. In additional embodiments, the antibody component of the MRD-containing antibody competes for NGF binding with MEDI-578.


In an additional embodiment, the target of the antibody of the MRD-containing antibody is LINGO (e.g., LINGO1). In a specific embodiment, the antibody in the MRD-containing antibody is BIIB033 (Biogen ldec). In another embodiment, the antibody specifically binds to the same epitope as BIIB033. In a further embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits LINGO binding by BIIB033. An MRD that competes for LINGO binding with BIIB033 is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for LINGO binding with BIIB033 are also encompassed by the invention.


In a specific embodiment, an MRD-containing antibody binds LINGO and a target selected from: MTX, NKG2D, RON, IL6R, ErbB3, TNFRSF21 (DR6), CD3, IGFR, DLL4, P1GF, CD20, EGFR, HER2, CD19, CD22, TNFRSF5 (CD40), CD80, cMET, NRP1, TNF, TNFSF12 (TWEAK), HGF, IGF1, IGF1,2, IGF2, NGF, Te38, NogoA, RGM A, MAG, OMGp, NgR, NGF, PGE2, IL1 beta, Semaphorin 3A and Semaphorin 4. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind LINGO and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds LINGO. In further embodiments, the antibody component of the MRD-containing antibody is BIIB033.


In a specific embodiment, the target of an antibody of an MRD-containing antibody is TNFSF12 (TWEAK). In another embodiment, the antibody in the MRD-containing antibody binds TNFSF12 (TWEAK) and a target selected from: MTX, NKG2D, RON, IL6R, ErbB3, TNFRSF21 (DR6), CD3, IGFR, DLL4, P1GF, CD20, EGFR, HER2, CD19, CD22, TNFRSF5 (CD40), CD80, cMET, NRP1, TNF, LINGO, HGF, IGF1, 1GF1,2, 1GF2, NGF, Te38, NogoA, RGM A, MAG, OMGp, NgR, NGF, PGE2, IL1 beta, Semaphorin 3A and Semaphorin 4. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TNFSF12 (TWEAK) and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TNFSF12 (TWEAK). In further embodiments, the antibody component of the MRD-containing antibody is BIIB023.


In another embodiment, the target of the antibody of the MRD-containing antibody is: oxidized LDL, gpIIB, gplIla, PCSK9, Factor VIII, integrin a2bB3, AOC3, or mesothelin. In specific embodiments, the antibody in the MRD-containing antibody is BI-204 oxidized LDL (Biolnvent), abciximab gpIIB, gpIIIa (e.g., REOPRO, Eli Lilly), AMG-145 PCSK9 (Amgen), TB-402 Factor VIII (Biolnvent), vapaliximab, or tadocizumab integrin a2bB3 (Yamonochi Pharma). In another embodiment, the antibody specifically binds to the same epitope as BI-204, abciximab, AMG-145, TB-402, or tadocizumab. In another embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits binding of BI-204, abciximab, AMG-145, TB-402, vapaliximab, or tadocizumab. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention.


In other embodiments, the antibody of the MRD-containing antibody is associated with bone growth and/or metabolism. In certain embodiments the antibody target of the MRD-containing antibody is TNFSF11 (RANKL). In other embodiments the antibody target of the MRD-containing antibody is: DKK1, osteopontin, cathepsin K, TNFRSF19L (RELT), TNFRSF19 (TROY), or sclerostin (CDP-7851 UCB Celltech). In another embodiment antibody target of the MRD-containing antibody is TNFSF11 (RANKL). In a specific embodiment, the antibody in the MRD-containing antibody is denosumab (e.g., AMG-162, Amgen). In another embodiment, the antibody specifically binds to the same epitope as denosumab. In another embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits binding of TNFSF11 (RANKL) by denosumab. In another specific embodiment, the antibody is AMG617 or AMG785 (e.g., CDP7851, Amgen). In another embodiment, the antibody specifically binds to the same epitope as AMG617 or AMG785. In another embodiment, the antibody in the MRD-containing antibody is an antibody that competitively inhibits binding of sclerostin by AMG617 or AMG785. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention.


In one embodiment, an MRD-containing antibody binds TNFSF11 (RANKL). In a specific embodiment, an MRD-containing antibody binds TNFSF11 and a target selected from: sclerostin (SOST), endothelin-1, DKK1, IL1, IL6, IL7, IL8, IL11, IL17A, MCSF, IGF1, IGF2, IGF1,2 IGF1R, TNF, FGF1, FGF2, FGF4, FGF7, FGF8a, FGF8b, FGF18, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TGF beta, TGF beta R2, BMP2, BMP4, BMP5, BMP9, BMP10, BMPR-IA, PDGF, PDGFRa, PDGFRb PTH, PTH related protein (PTHrP), and PGE2. In a particular embodiment, the MRD-containing antibody binds TNFSF11 and DKK1. In a further embodiment the antibody of the MRD-containing antibody binds DKK1. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TNFSF11 and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TNFSF11. In further embodiments, the antibody component of the MRD-containing antibody is denosumab, AMG617 or AMG785.


In additional embodiments, the antibody target of the MRD-containing antibody is a bacterial antigen, a viral antigen, a mycoplasm antigen, a prion antigen, or a parasite antigen (e.g., one infecting a mammal).


In other embodiments, the target of the antibody of the MRD-containing antibody is a viral antigen. In one embodiment, the target of the antibody of the MRD-containing antibody is anthrax, hepatitis b, rabies, Nipah virus, west nile virus, a mengititis virus, or CMV. In other embodiments, the antibody of the MRD-containing antibody competes with antigen binding with ABTHRAX® (Human Genome Sciences), exbivirumab, foravirumab, libivirumab, rafivirumab, regavirumab, sevirumab (e.g., MSL-109, Protovir), tuvirumab, raxibacumab, Nipah virus M102.4, or MGAWN1® (MacroGenics) for target binding. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention.


In other embodiments, the target of the antibody of the MRD-containing antibody is RSV. In other embodiments, the antibody of the MRD-containing antibody is motavizumab (e.g., NUMAX®, MEDI-577; Medlmmune) or palivizumab RSV fusion f protein (e.g., SYNAGIS®, Medlmmune). In other embodiments, the antibody of the MRD-containing antibody competes with motavizumab or palivizumab RSV fusion f protein, for target binding. In other embodiments, the antibody of the MRD-containing antibody is felvizumab. In other embodiments, the antibody of the MRD-containing antibody competes with felvizumab for target binding. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention.


In other embodiments, the target of the antibody of the MRD-containing antibody is a bacterial or fungal antigen. In other embodiments, the antibody of the MRD-containing antibody competes for antigen binding with nebacumab, edobacomab (e.g., E5), tefibazumab (Inhibitex), panobacumab (e.g., KBPA101, Kcnta), pagibaximab (e.g., BSYX-A110, Biosynexus), urtoxazumab, or efungumab (e.g., MYCOGRAB®, Novartis). In other embodiments, the antibody of the MRD-containing antibody is nebacumab, edobacomab, tefibazumab (Inhibitex), panobacumab, pagibaximab, urtoxazumab, or efungumab. An MRD that competes for target binding with one of the above antibodies is also encompassed by the invention. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) having 1, 2, 3, 4, 5, 6, or more MRDs that compete for target binding with 1, 2 or more of the above antibodies are also encompassed by the invention.


In another specific embodiment, the antibody in the MRD-containing antibody is the catalytic antibody 38C2. In another embodiment, the antibody binds to the same epitope as 38C2. In another embodiment, the antibody competitively inhibits 38C2.


Other antibodies of interest include A33 binding antibodies. Human A33 antigen is a transmembrane glycoprotein of the Ig superfamily. The function of the human A33 antigen in normal and malignant colon tissue is not yet known. However, several properties of the A33 antigen suggest that it is a promising target for immunotherapy of colon cancer. These properties include (i) the highly restricted expression pattern of the A33 antigen, (ii) the expression of large amounts of the A33 antigen on colon cancer cells, (iii) the absence of secreted or shed A33 antigen, (iv) the fact that upon binding of antibody A33 to the A33 antigen, antibody A33 is internalized and sequestered in vesicles, and (v) the targeting of antibody A33 to A33 antigen expressing colon cancer in preliminary clinical studies. Fusion of a MRD directed toward A33 to a catalytic or non-catalytic antibody would increase the therapeutic efficacy of A33 targeting antibodies.


In some embodiments, the antibody in the MRD-containing antibody binds to a human target protein. In some embodiments, the MRD binds to both a human protein and its ortholog in mouse, rat, rabbit, or hamster.


The antibodies in the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are able to bind their respective targets when the MRDs are attached to the antibody. In certain embodiments, the antibody binds its target independently. In some embodiments, the antibody is a target agonist. In other embodiments, the antibody is a target antagonist. In certain embodiments, the antibody can be used to localize an MRD-containing antibody to an area where the antibody target is located.


It is contemplated that the antibodies used in the present invention may be prepared by any method known in the art. For example, antibody molecules and multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be “recombinantly produced,” i.e., produced using recombinant DNA technology.


Monoclonal antibodies that can be used as the antibody component of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be prepared using hybridoma methods, such as those described by Kohler and Milstein, Nature 256:495 (1975). Using the hybridoma method, a mouse, hamster, or other appropriate host animal, is immunized as described above to elicit the production by lymphocytes of antibodies that will specifically bind to an immunizing antigen. Lymphocytes can also be immunized in vitro. Following immunization, the lymphocytes are isolated and fused with a suitable myeloma cell line using, for example, polyethylene glycol, to form hybridoma cells that can then be selected away from unfused lymphocytes and myeloma cells. Hybridomas that produce monoclonal antibodies directed specifically against a chosen antigen as determined by immunoprecipitation, immunoblotting, or by an in vitro binding assay (e.g., radioimmunoassay (RIA); enzyme-linked immunosorbent assay (ELISA)) can then be propagated either in vitro, for example, using known methods (see, e.g., Goding, Monoclonal Antibodies: Principles and Practice, Academic Press, 1986) or in vivo, for example, as ascites tumors in an animal. The monoclonal antibodies can then be purified from the culture medium or ascites fluid as described for polyclonal antibodies above.


Alternatively monoclonal antibodies can also be made using recombinant DNA methods, for example, as described in U.S. Pat. No. 4,816,567. For example, in one approach polynucleotides encoding a monoclonal antibody are isolated from mature B-cells or hybridoma cell, such as by RT-PCR using oligonucleotide primers that specifically amplify the genes encoding the heavy and light chains of the antibody, and their sequence is determined using conventional procedures. The isolated polynucleotides encoding the heavy and light chains are then cloned into suitable expression vectors, which when transfected into host cells such as E. coli cells, simian COS cells, Chinese hamster ovary (CHO) cells, or myeloma cells that do not otherwise produce immunoglobulin protein, monoclonal antibodies are generated by the host cells. In other approaches, recombinant monoclonal antibodies or antibody fragments having the desired immunoreactivity can be isolated from phage display libraries expressing CDRs of the desired species using techniques known in the art (McCafferty et al., Nature 348:552-554 (1990); Clackson et al., Nature 352:624-628 (1991); and Marks et al., J. Mol. Biol. 222:581-597 (1991)).


The polynucleotide(s) encoding a monoclonal antibody can further be modified in a number of different ways, using recombinant DNA technology to generate alternative antibodies. For example, polynucleotide sequences that encode one or more MRDs and optionally linkers, can be operably fused, for example, to the 5′ or 3′ end of sequence encoding monoclonal antibody sequences. In some embodiments, the constant domains of the light and heavy chains of, for example, a mouse monoclonal antibody can be substituted (1) for those regions of for example, a human antibody to generate a chimeric antibody or (2) for a non-immunoglobulin polypeptide to generate a fusion antibody. Techniques for site-directed and high-density mutagenesis of the variable region are known in the art and can be used to optimize specificity, affinity, etc. of a monoclonal antibody.


In certain embodiments, the antibody of the MRD-containing antibody is a human antibody. For example, human antibodies can be directly prepared using various techniques known in the art. Immortalized human B lymphocytes immunized in vitro or isolated from an immunized individual that produce an antibody directed against a target antigen can be generated (See, e.g., Cole et al., Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, p. 77 (1985); Boemer et al., J. Immunol. 147 (1):86-95 (1991); and U.S. Pat. Nos. 5,750,373 and 6,787,637). In one embodiment, the human antibody can be derived from the “minilocus approach” in which an exogenous Ig locus is mimicked through inclusion of individual genes from the Ig locus (see e.g., U.S. Pat. No. 5,545,807). Methods of preparing a human antibody from a phage library, and optionally optimizing binding affinity are known in the art and described, for example, in Vaughan et al., Nat. Biotech. 14:309-314 (1996); Sheets et al., Proc. Nat'l. Acad. Sci. 95:6157-6162 (1998); Hoogenboom et al., Nat. Biotechnology 23:1105-1116 (2005); Hoogenboom et al., J. Mol. Biol. 227:381 (1991); Persic et al., Gene 187:9-18 (1997); Jostock et al., J. Immunol. Methods 289:65-80 (2004); Marks et al., J. Mol. Biol., 222:581 (1991)); et al., Proc. Natl. Acad. Sci. USA, 88:7978-7982 (1991); et al., Proc. Natl. Acad. Sci. USA 91:3809-3813 (1994); Yang et al., J. Mol. Biol. 254:392-403 (1995); and Barbas et al., Proc. Natl. Acad. Sci. USA 89:4457-4461 (1992). Techniques for the generation and use of antibody phage libraries are also described in: U.S. Pat. Nos. 5,545,807, 5,969,108, 6,172,197, 5,885,793, 6,521,404, 6,544,731, 6,555,313, 6,582,915, 6,593,081, 6,300,064, 6,653,068, 6,706,484, and 7,264,963; and Rothe et al., J. Mol. Bio. 130:448-54 (2007) (each of which is herein incorporated by reference in its entirety). Affinity maturation strategies and chain shuffling strategies (Marks et al., Bio/Technology 10:779-783 (1992) (which is herein incorporated by reference in its entirety) are known in the art and can be employed to generate high affinity human antibodies.


Antibodies can also be made in mice that are transgenic for human immunoglobulin genes or fragments of these genes and that are capable, upon immunization, of producing a broad repertoire of human antibodies in the absence of endogenous immunoglobulin production. This approach is described in: Lonberg, Nat. Biotechnol 23:1117-1125 (2005), Green et al., Nature Genet. 7:13-21 (1994), and Lonberg et al., Nature 368:856-859 (1994); U.S. Pat. Nos. 5,545,807, 5,545,806, 5,569,825, 5,625,126, 5,633,425, 5,661,016, 6,596,541, 7,105,348, and 7,368,334 (each of which is herein incorporated by reference in its entirety).


IV. LINKERS

Multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the invention can contain a single linker, multiple linkers, or no linker. Thus, a MRD may be operably attached (linked) to the antibody directly, or operably attached through an optional linker peptide. Similarly, a MRD may be operably attached to one or more MRD(s) directly, or operably attached to one or more MRD(s) through one or more optional linker peptide(s). Linkers can be of any size or composition so long as they are able to operably attach an MRD and an antibody such that the MRD enables the MRD containing antibody to bind the MRD target.


In some embodiments, linkers have about 1 to 20 amino acids, about 1 to 15 amino acids, about 1 to 10 amino acids, about 1 to 5 amino acids, about 2 to 20 amino acids, about 2 to 15 amino acids, about 2 to 10 amino acids, or about 2 to 5 amino acids. The linker can also have about 4 to 15 amino acids. In certain embodiments, the linker peptide contains a short linker peptide with the sequence GGGS (SEQ ID NO:1), a medium linker peptide with the sequence SSGGGGSGGGGGGSS (SEQ ID NO:2), or a long linker peptide with the sequence SSGGGG SGGGGGGSSRSS (SEQ ID NO:19). In another embodiment, the MRD is inserted into the fourth loop in the light chain constant region. For example, the MRD can be inserted between the underlined letters in the following amino acid sequence: RTVAAPSVFIFP PSDEQLKSGTASVVCLLNNFYPREAKVQWKVDKLGTNSQESVTEQDSKDSTYSL SS TLTLSKADYEKHKVYACEVTHQGLSLPVTKSFNRGEC (SEQ ID NO:102).


The linker can also be a non-peptide linker such as an alkyl linker, or a PEG linker. For example, alkyl linkers such as —NH—(CH2)s-C(O)—, wherein s=2-20 can be used. These alkyl linkers may further be substituted by any non-sterically hindering group such as lower alkyl (e.g., C1-C6) lower acyl, halogen (e.g., Cl, Br), CN, NH2, phenyl, etc. An exemplary non-peptide linker is a PEG linker. In certain embodiments, the PEG linker has a molecular weight of about 100 to 5000 kDa, or about 100 to 500 kDa.


In some embodiments, the linker is a “cleavable linker” facilitating release of an MRD or cytotoxic agent in the cell. For example, an acid-labile linker (e.g., hydrazone), protease-sensitive (e.g., peptidase-sensitive) linker, photolabile linker, dimethyl linker or disulfide-containing linker (Chari et al., Cancer Research 52:127-131 (1992); U.S. Pat. No. 5,208,020; U.S. Appl. Pub. No. 20090110753) can be used wherein it is desirable that the covalent attachment between an MRD or a cytoxic agent and the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is intracellularly cleaved when the composition is internalized into the cell. The terms “intracellularly cleaved” and “intracellular cleavage” refer to a metabolic process or reaction inside a cell on an antibody-drug conjugate (ADC) whereby the covalent attachment, i.e., linked via a linker between the MRD and cytotoxic agent, MRD and antibody, antibody and cytotoxic agent, or between two MRDs is broken, resulting in the free MRD and/or cytotoxic agent dissociated from the antibody inside the cell. The cleaved moieties of the zybody-ADC are thus intracellular metabolites.


Linker optimization can be evaluated using the techniques described in Examples 1-18 and techniques otherwise known in the art. Linkers preferably should not disrupt the ability of an MRD and/or an antibody to bind target molecules.


V. ANTIBODIES CONTAINING MRDS

Using the methods described herein, multi-specificity and greater multi-valency can be achieved through the fusion of MRDs to antibodies.


The MRDs of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) prepared according to the present invention, may be operably linked to an antibody through the peptide's N-terminus or C-terminus. The MRD may be operably linked to the antibody at the C-terminal end of the heavy chain of the antibody, the N-terminal end of the heavy chain of the antibody, the C-terminal end of the light chain of the antibody, or the N-terminal end of the light chain of the antibody. Optimization of the MRD composition, MRD-antibody attachment location and linker composition can be performed using the binding assays described in Examples 1-18 and bioassays and other assays known in the art for the appropriate target related biological activity.


In one embodiment, an MRD-containing antibody is an MRD-containing antibody described in U.S. Application No. 61/489,249, filed May 24, 2011, which is herein incorporated by reference in its entirety.


In one embodiment, multivalent and multispecific compositions (e.g., MRD-containing antibodies) contain an MRD operably linked to either the antibody heavy chain, the antibody light chain, or both the heavy and the light chain. In one embodiment, an MRD-containing antibody contains at least one MRD linked to one of the antibody chain terminals. In another embodiment, an MRD-containing antibody of the invention contains at least one MRD operably linked to two of the antibody chain terminals. In another embodiment, an MRD-containing antibody contains at least one MRD operably linked to three of the antibody chain terminals. In another embodiment, an MRD-containing antibody contains at least one MRD operably attached to each of the four antibody chain terminals (i.e., the N and C terminals of the light chain and the N and C terminals of the heavy chain).


In certain specific embodiments, the MRD-containing antibody has at least one MRD operably attached to the N-terminus of the light chain. In another specific embodiment, the MRD-containing antibody has at least one MRD operably attached to the N-terminus of the heavy chain. In another specific embodiment, the MRD-containing antibody has at least one MRD operably attached to the C-terminus of the light chain. In another specific embodiment, the MRD-containing antibody has at least one MRD operably attached to the C-terminus of the heavy chain.


An MRD-containing antibody can be “multispecific” (e.g., bispecific, trispecific tetraspecific, pentaspecific or of greater multispecificity), meaning that it recognizes and binds to two or more different epitopes present on one or more different antigens (e.g., proteins). Thus, whether an MRD-containing antibody is “monospecific” or “multispecific,” (e.g., bispecific, trispecific, and tetraspecific) refers to the number of different epitopes that the MRD-containing antibody binds. Multispecific antibodies may be specific for different epitopes of a target polypeptide (e.g., as described herein) or may be specific for a target polypeptide as well as for a heterologous epitope, such as a heterologous polypeptide target or solid support material. The present invention contemplates the preparation of mono-, bi-, tri-, tetra-, and penta-specific antibodies as well as antibodies of greater multispecificity. In one embodiment, the MRD-containing antibody binds two different epitopes. In an additional embodiment the MRD-containing antibody binds two different epitopes simultaneously. In another embodiment, the MRD-containing antibody binds three different epitopes. In an additional embodiment the MRD-containing antibody binds three different epitopes simultaneously. In another embodiment, the MRD-containing antibody binds four different epitopes. In an additional embodiment the MRD-containing antibody binds four different epitopes simultaneously. In another embodiment, the MRD-containing antibody binds five different epitopes (see, e.g., FIG. 2D). In an additional embodiment the MRD-containing antibody binds five different epitopes simultaneously.


In other embodiments two MRDs of the MRD-containing antibody bind the same antigen. In other embodiments three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same antigen. In other embodiments at least two MRDs of the MRD-containing antibody bind the same antigen. In other embodiments at least three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same antigen. In other embodiments two MRDs of the MRD-containing antibody bind the same epitope. In other embodiments three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same epitope. In other embodiments at least two MRDs of the MRD-containing antibody bind the same epitope. In other embodiments at least three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same epitope.


In other embodiments, the antibody and one MRD of the MRD-containing antibody bind the same antigen. In other embodiments the antibody and two, three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same antigen. In other embodiments, the antibody and at least one MRD of the MRD-containing antibody bind the same antigen. In other embodiments the antibody and at least two, three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same antigen. In other embodiments, the antibody and one MRD of the MRD-containing antibody bind the same epitope. In other embodiments the antibody and two, three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same epitope. In other embodiments, the antibody and at least one MRD of the MRD-containing antibody bind the same epitope. In other embodiments the antibody and at least two, three, four, five, six, seven, eight, nine or ten MRDs of the MRD-containing antibody bind the same epitope.


The present invention also provides for two or more MRDs which are linked to any terminal end of the antibody. Thus, in one non-exclusive embodiment, two, three, four, or more MRDs are operably linked to the N-terminal of the heavy chain. In another non-exclusive embodiment, two, three, four, or more MRDs are operably linked to the N-terminal of the light chain. In another non-exclusive embodiment, two, three, four, or more MRDs are operably linked to the C-terminal of the heavy chain. In another non-exclusive embodiment, two, three, four, or more MRDs are operably linked to the C-terminal of the light chain. It is envisioned that these MRDs can be the same or different. In addition, any combination of MRD number and linkages can be used. For example, two MRDs can be operably linked to the N-terminal of the heavy chain of an antibody which contains one MRD linked to the C-terminal of the light chain. Similarly, three MRDs can be operably linked to the C-terminal of the light chain and two MRDs can be operably linked to the N-terminal of the light chain.


Multivalent and multispecific compositions (e.g., MRD-containing antibodies) can contain one, two, three, four, five, six, seven, eight, nine, ten or more than ten MRDs.


In one embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains one MRD (see, e.g., FIGS. 2B and 2C). In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains two MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains three MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains four MRDs (see, e.g., FIGS. 2B and 2C). In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains five MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains six MRDs. In an additional embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains between two and ten MRDs.


In one embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least one MRD. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least two MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least three MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least four MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least five MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least six MRDs.


In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains two different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains three different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains four different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains five different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains six different MRDs. In an additional embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains between two and ten different MRDs.


In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least two different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least three different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least four different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least five different MRDs. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least six different MRDs.


Thus, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be MRD monomeric (i.e., containing one MRD at the terminus of a peptide chain optionally connected by a linker) or MRD multimeric (i.e., containing more than one MRD in tandem optionally connected by a linker). The multimeric multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be homo-multimeric (i.e., containing more than one of the same MRD in tandem optionally connected by linker(s) (e.g., homodimers, homotrimers, homotetramers etc.)) or hetero-multimeric (i.e., containing two or more MRDs in which there are at least two different MRDs optionally connected by linker(s) where all or some of the MRDs linked to a particular terminus are different (e.g., heterodimer, heterotrimer, heterotetramer etc.)). In one embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains two different monomeric MRDs located at different immunoglobulin termini. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains three different monomeric MRDs located at different immunoglobulin termini. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains four different monomeric MRDs located at different immunoglobulin termini. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains five different monomeric MRDs located at different immunoglobulin termini. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains six different monomeric MRDs located at different immunoglobulin termini.


In an alternative embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least one dimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least one homodimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least one heterodimeric and one monomeric MRD located at different immunoglobulin termini.


In an alternative embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least one multimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least one homomultimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains at least one heteromultimeric and one monomeric MRD located at different immunoglobulin termini.


In an alternative embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) contains MRDs operably linked to at least two different immunoglobulin termini. In a specific embodiment, the MRDs fused to at least one of the immunoglobulins are a multimer. In one embodiment, the MRDs fused to a least one of the immunoglobulins are a homomultimeric (i.e., more than one of the same MRD operably linked in tandem, optionally linked via a linker). In another embodiment, the MRDs fused to at least one of the immunoglobulins are a heteromultimeric (i.e., two or more different MRDs operably linked in tandem, optionally linked via a linker). In an additional embodiment, the MRDs fused to at least one of the immunoglobulins are a dimer. In another embodiment, the MRDs fused to a least one of the immunoglobulins are a homodimer. In another embodiment, the MRDs fused to at least one of the immunoglobulins are a heterodimer.


The multiple MRDs can target the same target binding site, or two or more different target binding sites. Where the MRDs bind to different target binding sites, the binding sites may be on the same or different target molecules.


Similarly, the antibody and the MRD in a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) may bind to the same target molecule or to different target molecules.


In some embodiments, at least one MRD and the antibody in the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) can bind to their targets simultaneously. In one embodiment, each MRD in the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) and the antibody can bind to its target simultaneously. Therefore, in some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) binds two, three, four, five, six, seven, eight, nine, ten or more targets simultaneously.


The ability of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) to bind to multiple targets simultaneously can be assayed using methods known in the art, including, for example, those methods described in the examples below.


Multivalent and Multispecific Compositions Having Monovalent Specificity

In additional embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the invention have a single binding site for (i.e., monovalently bind) a target.


In some embodiments, the antigen binding domains of an antibody component of a multivalent and monovalent multispecific composition of the invention binds to different target epitopes (i.e., the antibody is bispecific). The term “bispecific antibody” is intended to include any antibody, which has two different binding specificities, i.e. the antibody binds two different epitopes, which may be located on the same target antigen or, more commonly, on different target antigens. Methods for making bispecific antibodies are known in the art. (See, for example, Millstein et al., Nature, 305:537-539 (1983); Traunecker et al., EMBO J. 10:3655-3659 (1991); Suresh et al., Methods in Enzymology 121:210 (1986); Kostelny et al., J. Immunol. 148(5):1547-1553 (1992); Hollinger et al., Proc. Natl. Acad. Sci. USA 90:6444-6448 (1993); Gruber et al., J. Immunol. 152:5368 (1994); Tutt et al., J. Immunol. 147:60-69 (1991); U.S. Pat. Nos. 4,474,893, 4,676,980, 4,714,681, 4,925,648, 5,573,920, 5,601,819, 5,731,168, 5,807,706, and 5,821,333; Intl. Appl. Publ. Nos. WO94/04690, WO91/00360, WO92/05793, WO92/08802, WO92/200373, WO93/17715, WO00/44788, and WO02/096948; EP 1870459A1 and EP 03089, the contents of each of which is herein incorporated by reference in its entirety).


One method for generating bispecific antibodies has been termed the “knobs-into-holes” strategy (see, e.g., Intl. Publ. WO2006/028936). The mispairing of Ig heavy chains is reduced in this technology by mutating selected amino acids forming the interface of the CH3 domains in IgG. At positions within the CH3 domain at which the two heavy chains interact directly, an amino acid with a small side chain (hole) is introduced into the sequence of one heavy chain and an amino acid with a large side chain (knob) into the counterpart interacting residue location on the other heavy chain. In some embodiments, compositions of the invention have immunoglobulin chains in which the CH3 domains have been modified by mutating selected amino acids that interact at the interface between two polypeptides so as to preferentially form a bispecific antibody. The bispecific antibodies can be composed of immunoglobulin chains of the same subclass (e.g., IgG1 or IgG3) or different subclasses (e.g., IgG1 and IgG3, or IgG3 and IgG4)


In one embodiment, a bispecific antibody component of a multispecific and multivalent composition (e.g., MRD-containing antibody) comprises a T366W mutation in the “knobs chain” and T366S, L368A, Y407V mutations in the “hole chain,” and optionally an additional interchain disulfide bridge between the CH3 domains by, e.g., introducing a Y349C mutation into the “knobs chain” and a E356C mutation or a S354C mutation into the “hole chain;” R409D, K370E mutations in the “knobs chain” and D399K, E357K mutations in the “hole chain;” R409D, K370E mutations in the “knobs chain” and D399K, E357K mutations in the “hole chain;” a T366W mutation in the “knobs chain” and T366S, L368A, Y407V mutations in the “hole chain;” R409D, K370E mutations in the “knobs chain” and D399K, E357K mutations in the “hole chain;” Y349C, T366W mutations in one of the chains and E356C, T366S, L368A, Y407V mutations in the counterpart chain; Y349C, T366W mutations in one chain and S354C, T366S, L368A, Y407V mutations in the counterpart chain; Y349C, T366W mutations in one chain and S354C, T366S, L368A, Y407V mutations in the counterpart chain; and Y349C, T366W mutations in one chain and S354C, T366S, L368A, Y407V mutations in the counterpart chain (numbering according to the EU index of Kabat).


In some embodiments, a bispecific antibody component of a composition of the invention (e.g., MRD-containing antibody) is an IgG4 antibody or a modified IgG4 antibody, or contains an IgG4 heavy chain or a modified IgG4 heavy chain. IgG4 antibodies are dynamic molecules that undergo Fab arm exchange by swapping an IgG4 heavy chain and attached light chain for a heavy-light chain pair from another IgG4 molecule, thus resulting in bispecific antibodies. Accordingly, Fab arm exchange by swapping of MRD-containing-IgG4 antibodies whether caused in vivo or in vitro under physiologic conditions will lead to bispecific antibody compositions. In particular embodiments, an IgG4 heavy chain of a composition of the invention contains an S228P substitution. This substitution has been shown to significantly inhibit Fab arm exchange in the resulting mutant IgG4 antibodies, and to thereby reduce the likelihood of Fab-arm-exchange between a recombinant antibodies and endogenous IgG4. (See, e.g., Labrijn et al., Nat. Biotechnol. 27(8):767-71 (2009)). In additional embodiments, an IgG4 heavy chain of a composition of the invention contains a substitution of the Arg at position 409 (e.g., with Lys, Ala, Thr, Met or Leu), the Phe at position 405 (e.g., with Lys, Ala, Thr, Met or Leu) or the Lys at position 370. In other embodiments, the CH3 region of an IgG4 heavy chain of a composition of the invention has been replaced with the CHH3 region of IgG1, IgG2 or IgG3. In additional embodiments, interactions between one or more MRDs located at the C-termini of distinct heavy chains (e.g., IgG4 or IgG4 and IgG3) favor and/or stabilize heterodimers between the heavy chains, or otherwise reduces Fab arm exchange by the heterodimer.


Exemplary bispccific antibody components of multivalent and multispccific compositions of the invention include, IgG4 and IgG1, IgG4 and IgG2, IgG4 and IgG2, IgG4 and IgG3, IgG1 and IgG3 chain heterodimers. Such heterodimeric heavy chain antibodies, can routinely be engineered by, for example, modifying selected amino acids forming the interface of the CH3 domains in human IgG4 and the IgG1 or IgG3 so as to favor heterodimeric heavy chain formation. In additional embodiments, interactions between one or more MRDs located at the C-termini of heteromeric heavy chains favors or stabilizes heteromultimeric formation or structure, respectively.


IgG4 antibodies are known to have decreased ADCC activity and half-life compared to other immunoglobulins subclasses such as, IgG1 and IgG3. Accordingly, IgG4 subclass-based formats provide an attractive format for developing therapeutics that bind to and block cell receptors, but do not deplete the target cell. Alternatively, in those embodiments for which increased effector activity is desired, an IgG4 heavy chain of a composition of the invention can be modified as described herein or otherwise known in the art, so as to increase effector function (e.g., modification of the residues at positions 327, 330 and 331; numbering according to EU index of Kabat). Similarly, where increased half-life is desired, an IgG4 heavy chain of a composition of the invention can be engineered as described herein, or otherwise known in the art to more selectively bind the FcRn at pH 6.0, but not pH 7.4, by for example, incorporating mutations located at the interface between the CH2 and CH3 domains, such as substitutions at T250Q/M428L as well as M252Y/S254T/T256E and H433K/N434F (numbering according to the EU index of Kabat).


As exemplified above, it is envisioned that in some embodiments, the multivalent and multispccific compositions (e.g., MRD-containing antibodies) of the invention have a single binding site for (i.e., monovalently bind) a target. In some embodiments, the single binding site (i.e., monovalent binding site) is an antibody antigen binding domain. In other embodiments, the single binding site is an MRD. Thus, the multivalent and multispecific compositions of the invention encompass (and can be routinely engineered to include) MRD-containing antibodies that that contain 1, 2, 3, 4 or more single binding sites for a target. The single binding site(s) may be provided by one or more MRDs located at any one or more of the 4 immunoglobulin heavy chain termini or 4 immunoglobulin light chain termini. Moreover, single binding site may be provided by one of the antigen binding domains of the antibody (wherein an MRD of the MRD-containing antibody binds the same target epitope of the other antigen binding domain of the antibody. Moreover, in a specific embodiment, the compositions of the invention encompass (and can be routinely engineered to include) MRD-containing antibodies that contain 1, 2, 3, 4 or more single binding sites for a target and do not bivalently bind another target


In further embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibodies) has a single binding site for (i.e., monovalently binds) a cell surface target that forms multimers (e.g., homomers or heteromers). In some embodiments, the single binding site binds a cell surface target that requires multimerization for signaling. In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) has a single binding site that binds a cell surface target and inhibits binding of another molecule (such as a ligand) to the cell surface target. In other embodiments, binding of the single binding site inhibits multimerization of the target (e.g., homomeric and heteromeric multimerization). In additional embodiments, the composition has single binding sites for different targets (i.e., monovalently binds more than one different target). In some embodiments, the multiple single binding sites of the composition bind targets on the same cell. In additional embodiments, the multiple single binding sites of the composition bind targets on different cells. Numerous receptors are known in the art that require multimerization for affecting their normal function. Such receptors are envisioned to be targets of single binding sites in the multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the invention. In some embodiments, the composition has a single binding site for a receptor tyrosine kinase. In some embodiments, the composition has a single binding site for a growth factor receptor. In additional embodiments the composition has a single binding site for a G protein coupled receptor. In additional embodiments the composition has a single binding site for a chemokine receptor. In other embodiments, the composition has a single binding site for a TNF receptor superfamily member. In particular embodiments, the composition has a single binding site for a receptor selected from: RAGE, c-Met, ErbB2, VEGFR1, VEGFR2, VEGFR3, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, PDGFRA, PDGFRB, netrin, CD28, TNFRSF1A (TNFR1, p55, p60), TNFRSF1B (TNFR2), TNFSF6 (Fas Ligand), TNFRSF6 (Fas, CD95), TNFRSF21 or TNFRSF25, TNFRSF7 (CD27), TNFSF8 (CD30 Ligand), TNFRSF8 (CD30), TNFSF11 (RANKL), TNFRSF11A (RANK), TNFRSF21 (DR6), TNFRSF25 (DR3), and LRP6.


In additional embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) has a single binding site for (i.e., monovalently binds) a cell surface target that forms a multimer and multiple sites (i.e., multivalently binds) for two or more different targets. In other embodiments, the multivalent and monovalent multispecific composition has a single binding site for a cell surface target and multiple binding sites for 1, 2, 3, 4, 5 or more different targets. In further embodiments, at least 1, 2, 3, 4, 5 or more of the targets bound by the multivalent and monovalent multispecific composition are located on a cell surface. In other embodiments, at least 1, 2, 3, 4, 5 or more of the targets bound by the multivalent and monovalent multispecific composition are soluble targets (e.g., chemokines, cytokines, and growth factors). In additional embodiments, the composition binds 1, 2, 3, 4, 5 or more of the targets described herein. In further embodiments, the targets bound by the composition are tumor antigens (including tumor antigens and tumor associated antigens). In additional embodiments, a target bound by the composition is associated with a disease or disorder of the immune system. In further embodiments, a targets bound by the composition is associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease.


In some embodiments, an MRD-containing antibody has a single binding site for TNFRSF21 (DR6). In further embodiments, the MRD-containing antibody has a single binding site for DR6 and binds a target selected from: AGE (S100 A, amphoterin), IL1, IL6, IL18, IL12, IL23, TNFSF12 (TWEAK), TNF alpha, VEGF, TNFRSF5 (CD40), TNFSF5 (CD40 LIGAND), interferon gamma, GMCSF, an FGF, CXCL13, MCP 1, CCR2, NogoA, RGM A, OMgp MAG, a CPSG, LINGO, alpha-synuclein, a semaphorin (e.g., Semaphorin 3A, Semaphorin 4), an ephrin, VLA4, CD45, RB, C5, CD52 and CD200. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind DR6 and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. These compositions have applications in treating diseases and disorders including neurological diseases and disorders such as multiple sclerosis and other neurodegenerative diseases. In specific embodiments, the antibody component of the MRD-containing antibody binds DR6.


In some embodiments, an MRD-containing antibody has a single binding site for TNFRSF25 (DR3). In further embodiments, the MRD-containing antibody has a single binding site for DR3 and binds a target selected from: TNF, 1FN alpha, 1FN gamma, IL1, IL1beta, IL6, IL8, IL12, IL15, IL17, IL18, IL23 and IL32. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind DR3 and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. These compositions have applications in treating diseases and disorders including inflammatory bowel disease and autoimmune diseases such as rheumatoid arthritis. In specific embodiments, the antibody component of the MRD-containing antibody binds DR3.


In further embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibodies) has multiple binding site for (i.e., multivalently binds) a cell surface target that forms multimers (e.g., homomers or heteromers). In some embodiments, the multiple binding sites bind a cell surface target that requires multimerization for signaling. In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) has multiple binding sites for a cell surface target. In further embodiments, binding of the multiple binding sites result in multimerization of the target (e.g., homomeric and heteromeric multimerization). In additional embodiments, the composition has multiple binding sites for different targets (i.e., multivalently binds more than one different target). In some embodiments, the multiple single binding sites of the composition bind targets on the same cell. In additional embodiments, the multiple single binding sites of the composition bind targets on different cells. Numerous receptors are known in the art that require multimerization for affecting their normal function. Such receptors are envisioned to be targets of the multivalent and multispecific compositions (e.g., MRD-containing antibodies). In some embodiments, the composition has multiple binding sites for a receptor tyrosine kinase. In some embodiments, the composition has a multiple binding site for a growth factor receptor. In additional embodiments the composition has multiple binding sites for a G protein coupled receptor. In additional embodiments the composition has multiple binding sites for a chemokine receptor. In other embodiments, the composition has multiple binding sites for a TNF receptor superfamily member.


In some embodiments, an MRD-containing antibody binds TNFRSF10A (DR4). In further embodiments, the MRD-containing antibody binds DR4 and a target selected from: ErbB2, EGFR, IGF1R, TNFRSF10b (DR5), CD19, CD20, CD22, CD30, CD33, TNFRSF5 (CD40), TNFRSF9 (41BB), IL6, and IGF1,2. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind DR4 and also bind at least 2, 3, 4, 5 or more of these targets are also encompassed by the invention. These compositions have applications in treating diseases and disorders including cancers such as breast cancer, colorectal cancer, head and neck cancer, B-cell lymphomas, hairy cell leukemia, B-cell chronic lymphocytic leukemia and melanoma. In specific embodiments, the antibody component of the MRD-containing antibody binds DR4. In further embodiments, the antibody component of the MRD-containing antibody is CS1008 or mapatumumab.


In some embodiments, an MRD-containing antibody binds TNFRSF10B (DR5). In some embodiments, an MRD-containing antibody binds DR5 and a target selected from: ErbB2, EGFR, IGF1R, TNFRSF10A (DR4), CD19, CD20, CD22, CD25, CD30, CD33, CD138, syndecan, CD39, TNFRSF5 (CD40), TNFRSF9 (41BB), IL6, and IGF1,2. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind DR5 and also bind at least 2, 3, 4, 5 or more of these targets are also encompassed by the invention. These compositions have applications in treating diseases and disorders including cancers such as breast cancer, colorectal cancer, head and neck cancer, B-cell lymphomas, hairy cell leukemia, B-cell chronic lymphocytic leukemia, and melanoma. In specific embodiments, the antibody component of the MRD-containing antibody binds DR5. In further embodiments, the antibody component of the MRD-containing antibody is LBY135, AMG66, Apomab, PRO95780, lexatumumab, conatumumab or tigatuzumab.


Compositions that Redirect Effector Cell Function


The invention also encompasses multivalent and multispecific compositions such as, multivalent and multispecific compositions (e.g., MRD-containing antibodies) that are capable of juxtaposing host effector cells with cells that are desired to be eliminated (e.g., immune cells, cancer cells, diseased cells, infectious agents, and cells infected with infectious agents). The multivalent and multispecific functionalities of the compositions of the invention are particularly well suited for redirecting host immune responses and provide numerous advantages over alternative multispecific composition platforms under development. In one embodiment, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds (1) a target on a cell, tissue, or infectious agent of interest (e.g., an immune cell or a tumor antigen on a tumor cell) and (2) a target on an effector cell so as to direct an immune response to the cell, tissue, or infectious agent of interest. The target(s) to which the multivalent and monovalent multispecific composition binds can be monomeric or multimeric. Moreover, the mulitimeric target to which a multivalent and monovalent multispecific composition binds can be homomultimeric or heteromultimeric. In additional embodiments, the multivalent and monovalent multispecific composition binds at least 2, 3, 4, or 5 targets on the cell, tissue, or infectious agent of interest. In additional embodiments, one or more targets bound by the multivalent and monovalent multispecific composition is a tumor antigen (e.g., tumor antigens and tumor/cancer associated antigens). The multivalent and multispecific compositions also have applications in treating diseases and disorders including, but not limited to, diseases of the immune system, skeletal system, cardiovascular system, and nervous system, as well as infectious disease. Thus, in some embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition is associated with a disease or disorder of the immune system (for example, a disease or disorder of the immune system disclosed herein, such as inflammation or an autoimmune disease (e.g., rheumatoid arthritis)). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition is associated with a disease or disorder of the skeletal system (e.g., osteoporosis or another disease or disorder of the skeletal system as disclosed herein). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition is associated with a disease or disorder of the cardiovascular system (e.g., a disease or disorder of the cardiovascular system disclosed herein). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition is associated with a disease or disorder of the nervous system (e.g., a disease or disorder of the nervous system disclosed herein). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition is associated with an infectious agent or disease (e.g., an infectious disease or agent disclosed herein).


Effector cells that can be bound by a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) of the invention include, but are not limited to, T cells, monocytes/macrophages, and natural killer cells.


In one embodiment, the target on a cell to which a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) directs an immune response is a tumor antigen. The multivalent and multispecific compositions of the invention (e.g., MRD-containing antibodies) are envisioned to be capable of binding virtually any type of tumor and any type of tumor antigen. Exemplary types of tumors that can be targeted include, but are not limited to, one or more cancers selected from the group: colorectal cancer, esophageal, gastric, head and neck cancer, thyroid cancer, multiple myeloma, renal cancer, pancreatic cancer, lung cancer, biliary cancer, glioma, melanoma, liver cancer, prostate cancer, and urinary bladder cancer breast cancer, ovarian cancer, cervical cancer, and endometrial cancer. Exemplary types of tumors that may be targeted include hematological cancers. Hematological cancers that may be targeted include, but are not limited to, one or more cancers selected from the group Hodgkin's lymphoma, medullary non-Hodgkin's lymphoma, acute lymphoblastic leukemia, lymphocytic leukemia, and chronic myelogenous leukemia, acute myelogenous leukemia.


Exemplary tumor antigens include ErbB1, ErbB2, ErbB3, VEGFR1, VEGFR2, EGFRvIII, CD16, CD19, CD20, oncostatin M, PSA, PSMA, integrin avb6, ADAM9, CD22, CD23, CD25, CD28, CD36, CD45, CD46, CD56, CD79a/CD79b, CD103, JAM-3, gp100, ALCAM, PIPA, A33, carboxypeptidease M, E-cadherin, CAl25, CDK4, CEA, CTLA-4, RAAG10, transferrin receptor, p-15, GD2, MUM-1, MAGE-1, MAGE-3, KSA, MOC31, MIC-1, EphA2, GAGE-1, GAGE-2, MART, KID31, CD44v3, CD44v6, and ROR1. Additional exemplary tumor antigens are described herein and/or known in the art.


In one embodiment, the target on a cell to which a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) directs an immune response is an immune cell or an inflammatory cell.


In some embodiments, the invention encompasses a multivalent and monovalent multispecific composition that binds a tumor antigen that is not expressed on tumor cells themselves, but rather on the surrounding reactive and tumor supporting, non-malignant cells comprising the tumor stroma (i.e., tumor associated antigens). The tumor stroma comprises endothelial cells forming new blood vessels and stromal fibroblasts surrounding the tumor vasculature. In one embodiment, a multivalent and monovalent multispecific composition binds a tumor associated antigen on an endothelial cell. In an additional embodiment, a multivalent and monovalent multispecific composition binds a tumor antigen and also binds a tumor associated antigen on a fibroblast cell. In a further embodiment, a multivalent and monovalent multispecific composition binds a tumor antigen and also binds fibroblast activation protein (FAP).


Infectious agents to which a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) can direct an immune response include, but are not limited to, prokaryotic and eukaryotic cells, viruses (including bacteriophage), foreign objects (e.g., toxins), and infectious organisms such as funghi, and parasites (e.g., mammalian parasites), as described herein and infectious agents associated with infectious diseases described herein. The term infectious agents is also intended to encompass other prokaryotic and eukaryotic cells, viruses (including bacteriophage), foreign objects (e.g., toxins), and infectious organisms such as funghi, and parasites otherwise known in the art.


In further embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds (1) a target on a cell, tissue, or infectious agent of interest (e.g., a tumor antigen on a tumor cell) and (2) has a single binding site for a target on an effector cell so as to direct an immune response to the cell, tissue, or infectious agent of interest. In some embodiments the single binding site is an MRD. In other embodiments, the single binding site is an antibody antigen binding domain. In further embodiments, binding of the multivalent and monovalent multispecific composition does not elicit a signal when the composition binds a target on an effector cell. In additional embodiments, the multivalent and monovalent multispecific composition binds at least 2, 3, 4, or 5 targets on the cell, tissue, or infectious agent of interest. According to some embodiments, at least 1, 2, 3, 4, 5 or more of the targets of the multivalent and monovalent multispecific composition are located on a cell surface. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition is a tumor antigen (e.g., tumor antigens and tumor/cancer associated antigens). In additional embodiments, one or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the immune system. In additional embodiments, one or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease.


In additional embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds (1) a target on a cell, tissue, or infectious agent of interest (e.g., a tumor antigen on a tumor cell) and (2) a target on a leukocyte so as to direct an immune response to the cell, tissue, or infectious agent of interest. In additional embodiments, the multivalent and monovalent multispecific composition binds at least 2, 3, 4, or 5 targets on the cell, tissue, or infectious agent of interest. According to some embodiments, at least 1, 2, 3, 4, 5 or more of the targets of the multivalent and monovalent multispecific composition are located on a cell surface. In additional embodiments the multivalent and monovalent multispecific composition binds 1, 2, 3, 4, 5 or more targets described herein. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are a tumor antigen (e.g., tumor antigens and tumor/cancer associated antigens). In additional embodiments, one or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the immune system. In additional embodiments, one or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease.


The invention also encompasses multivalent and multispecific compositions that bind a target expressed on a leukocyte. In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds (1) a target on a cell, tissue, or infectious agent of interest (e.g., a tumor antigen on a tumor cell) and (2) has a single binding site for a target on a leukocyte so as to direct an immune response to the cell, tissue, or infectious agent of interest. In additional embodiments, the multivalent and monovalent multispecific composition binds at least 2, 3, 4, or 5 targets on the cell, tissue, or infectious agent of interest. According to some embodiments, at least 1, 2, 3, 4, 5 or more of the targets of the multivalent and monovalent multispecific composition are located on a cell surface. In additional embodiments, 1, 2, 3, 4, 5 or more antigens and tumor/cancer associated antigens). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the immune system. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease.


In one embodiment, the multivalent and monovalent multispecific composition binds a target expressed on a T cell. In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds (1) a target on a cell, tissue, or infectious agent of interest (e.g., a tumor antigen on a tumor cell) and (2) a target on a T cell so as to juxtapose myeloid cells with the cell, tissue, or infectious agent of interest. In some embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for (i.e., multivalently binds) a target on a T cell. In other embodiments, the multivalent and monovalent multispecific composition has a single binding site for (i.e., monovalently binds) a target on a T cell. In some embodiments the single binding site is an MRD. In other embodiments, the single binding site is an antibody antigen binding domain. In further embodiments, binding of the multivalent and monovalent multispecific composition does not elicit a signal when the composition binds a target on a T cell. In other embodiments, the binding of the multivalent and monovalent multispecific composition does not result in lysis of the T cell expressing the target. In some embodiments, the multivalent and monovalent multispecific composition binds a target selected from: CD2, CD3, CD4, CD8, CD161, a chemokine receptor, CD95, and CCR5. In additional embodiments, the multivalent and monovalent multispecific composition binds at least 2, 3, 4, or 5 targets on the cell, tissue, or infectious agent of interest. According to some embodiments, at least 1, 2, 3, 4, 5 or more of the targets of the multivalent and monovalent multispecific composition are located on a cell surface. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition is a tumor antigen (e.g., tumor antigens and tumor/cancer associated antigens). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the immune system. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease.


In further embodiments, the multivalent and monovalent multispecific composition contains a fusion protein containing one or more peptides that bind to a protein on the surface of a cell, such as a T cell. In additional embodiments, the multivalent and monovalent multispecific composition bind target membrane proximal protein sequences on a cell and inhibit the cross-linking (e.g., multimerization) of the target protein or its associated proteins. In a particular embodiment, the multivalent and monovalent multispecific composition binds to a T cell and inhibits the cross-linking of the cell protein or its associated proteins. For example, in one embodiment, the multivalent and multispecific antibody comprises the amino terminal 27 amino acids of mature CD3 epsilon. In another embodiment, the multivalent and monovalent multispecific composition comprises a fusion protein containing one or more proteins corresponding to the G Domain of a CD3 protein (e.g., CD3 epsilon, CD3 gamma, CD3 alpha (TCRA) or CD3 beta (TCRB). Thus, in some embodiments, the fusion protein comprises a polypeptide having an amino acid sequence selected from: GYYVCYPRGSKPEDANFYLYLR ARVC (SEQ ID NO:21), YLYLRAR (SEQ ID NO:22), YRCNGTDIYKDKESTVQ VHYRMC (SEQ ID NO:23), and DKESTVQVH (SEQ ID NO:24). In additional embodiments, the composition comprises a fusion protein containing one or more proteins corresponding to a portion of the extracellular domain of a CD3 protein (e.g., CD3 epsilon, CD3 gamma, CD3 alpha (TCRA) or CD3 beta (TCRB)) that is able to bind CD3, or a CD3 multimer. Thus, in some embodiments, the fusion protein comprises a portion of a CD3 protein that is able to bind CD3 or a CD3 multimer wherein the portion comprises a CD3 binding fragment of a polypeptide having an amino acid sequence selected from: KIPIEELEDRVFVNCNTSITWVEG TVGTLLSDITRLDLGKRILDPRGIYRCNGTDIY KDKESTVQVHYRMCQSCVELD (human CD3 delta mature ECD, SEQ ID NO:25), QSIKGNHLVKVYDYQEDGSVLLTCDAEAK NITWFKDGKMIGFLTEDKKKWNLGSNAKDPRGMYQCKGSQNKSKPLQVYYRM CQNCIELN (human CD3 gamma mature ECD, Ig-like domain highlighted; SEQ ID NO:26), GNEEMGGITQTPYKVSISGTTVILTCPQYPGSEILWQHNDKNIGGDEDDKNIGS DEDHL SLKEFSELEQSGYYVCYPRGSKPEDANFYLYLRARVCENCMEMDVM (human CD3 epsilon mature ECD, Ig-like domain highlighted, SEQ ID NO:27), and QSFGLLDPK (human CD3 zeta mature ECD, SEQ ID NO:28), In alternative embodiments, the fusion protein comprises a chemokine fragment that binds a target on the cell surface. In some embodiments, the chemokine fragment is a portion of a chemokine selected from: CCL20 (LARC/Ckβ4), CCL25 (TECK/Ckβ15), CXCL12 (SDF-1), CXCL13 (BCA-1), CXCL16 (SRPSOX), and CX3CL1 (Fractalkine) In some embodiments, the chemokine fragment is a portion of a chemokine selected from: CCL5 (RANTES), CCL8 (MCP-2), CXCL9 (MIG/CRG-10), CXCL10 (IP-10/CRG-2) and CXCL11 (TAC/IP-9). In some embodiments, the chemokine fragment is a portion of a chemokine selected from CCL3 (MIP-la) and CCL4 (MIP-113).


In some embodiments, the invention comprises an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that binds CD3 and contains an amino acid sequence selected from the group consisting of: SEQ ID NO:4329-4492 and 4493, as set forth in Table 22. In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for CD3 binding with a polyp eptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4329-4492 and 4493. In a further embodiment, the invention encompasses an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that binds to the same epitope of CD3 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4329-4492 and 4493.


In particular embodiments, the invention encompasses an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that binds CD3 and contains an amino acid sequence selected from the group consisting of: IALMCSMHFDEVVWCSPYY (CD31916; SEQ ID NO:4494); PLMLCRHMKHFEYYC WPLA (CD3437; SEQ ID NO:4495); PVICQWTLELQCSPWT (CD3914; SEQ ID NO:4496); ILLECYWEDWRLVCSSLA (CD3434; SEQ ID NO:4497); KGTICWWHLEATCFATS (CD3702; SEQ ID NO:4498); and LREICVKVPYGVVCQRLP (CD31913; SEQ ID NO:4499). In an additional embodiment, the invention encompasses an MRD and/or multivalent and monovalent multispecific composition that competes for CD3 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4494-4498 and 4499. In a further embodiment, the invention encompasses an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) MRD-containing antibody that binds to the same epitope of CD3 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4494-4498 and 4499.


In particular embodiments, the composition binds a CD3 target selected from CD3 delta, CD3 epsilon, CD3 gamma, CD3 zeta, TCR alpha, TCR beta, the TCR complex, or a heteromeric or homomultimeric combination thereof. In a further embodiment, the composition binds CD3 epsilon. In additional embodiments, the multivalent and monovalent multispecific composition binds CD3 and multiple binding sites for 1, 2, 3, 4, 5 or more different targets (e.g., a tumor antigen as disclosed herein or otherwise known in the art). In additional embodiments, the multivalent and monovalent multispecific composition has a single binding site for (i.e., monovalently binds) CD3. In further embodiments, the multivalent and monovalent multispecific composition has a single MRD that binds CD3 and multiple binding sites for 1, 2, 3, 4, 5 or more different targets (e.g., a tumor antigen as disclosed herein or otherwise known in the art). In further embodiments, the multivalent and monovalent multispecific composition has a single antibody antigen binding domain that binds CD3 and multiple binding sites for 1, 2, 3, 4, 5 or more different targets (e.g., a tumor antigen as disclosed herein or otherwise known in the art). In particular embodiments, the CD3 binding compositions of the invention are not single chain antibodies.


In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD3 and a CD3 ortholog from another organism. In additional embodiments, the multivalent and monovalent multispecific composition binds human CD3 and a CD3 ortholog from another primate. In further embodiments, the multivalent and monovalent multispecific composition binds human CD3 and a CD3 ortholog from cynomolgus Monkey or rhesus Monkey. In other embodiments, the multivalent and monovalent multispecific composition binds human CD3 and a CD3 ortholog from a primate selected from Saguinus Oedipus and Callithrix jacchus). In an additional embodiment, the multivalent and monovalent multispecific composition binds human CD3 and a CD3 ortholog from cynomolgus monkey, and a CD3 ortholog from mouse or rat. In particular embodiments, the human CD3 epsilon binding compositions of the invention arc not single chain antibodies. In additional particular embodiments, the CD3 binding compositions of the invention are not single chain antibodies.


According to one embodiment, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD3 epsilon. In a particular embodiment, the, multivalent and monovalent multispecific composition binds human CD3 epsilon protein having the sequence of amino acids 23-207 set forth in NCBI Ref Seq. No. NP000724. In another embodiment, the multivalent and monovalent multispecific composition binds a polypeptide having the amino acid sequence of QDGNEEMGGITQTPYKVSISGTT VILT (SEQ ID NO:29). In an additional embodiment, the multivalent and monovalent multispecific composition binds a polypeptide having the amino acid sequence of QDGNEEMGGI (SEQ ID NO:30). In a further embodiment, the multivalent and monovalent multispecific composition binds a polypeptide having the amino acid sequence of QDGNEEMGG (SEQ ID NO:31). In particular embodiments, the human CD3 epsilon binding compositions of the invention are not single chain antibodies.


In some embodiments, a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) has a single binding site for CD3 epsilon (i.e., monovalently binds CD3 epsilon) and multiple binding sites for 1, 2, 3, 4, 5 or more different targets (e.g., a B cell or other target disclosed herein). In further embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) competes for binding to CD3 with an antibody selected from: OKT-3, otelixizumab, teplizumab, visilizumab, muromonab, X35-3, VIT3, BMA030 (BW264/56), CLB-T3/3, CRIS7, YTH12.5, F111409, CLB-T3.4.2, TR-66, WT31, WT32, SPv-T3b, 11D8, XIII-141, XIII46, XIII-87, 12F6, T3/RW2-8C8, T3/RW24B6, OKT3D, M-T301, SMC2 and F101.01. In additional embodiments, an MRD of an MRD-containing antibody competes for binding to CD3 with an antibody selected from: OKT-3, otelixizumab, teplizumab, visilizumab, muromonab X35-3, VIT3, BMA030 (BW264/56), CLB-T3/3, CRIS7, YTH12.5, F111409, CLB-T3.4.2, TR-66, WT31, WT32, SPv-T3b, 11D8, XIII-141, XIII46, XIII-87, 12F6, T3/RW2-8C8, T3/RW24B6, OKT3D, M-T301, SMC2 and F101.01. In further embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) competes for binding to CD3 with a CD3 binding composition disclosed in Int. Appl. Pub Nos. WO2004/106380 and WO99/54440; Tunnacliffc et al., Int. Immunol. 1:546-550 (1989); Kjer-Nielsen, PNAS 101:7675-7680 (2004); or Salmeron et al., J. Immunol. 147: 3047-3052 (1991).


In additional embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD3 epsilon and a CD3 epsilon ortholog from another organism. In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD3 epsilon and a CD3 epsilon ortholog from another primate. In additional embodiments, the multivalent and monovalent multispecific composition binds human CD3 epsilon and a CD3 epsilon ortholog from cynomolgus monkey or rhesus monkey. In additional embodiments, the multivalent and monovalent multispecific composition binds human CD3 epsilon and a CD3 epsilon ortholog from a primate selected from Saguinus Oedipus and Callithrix jacchus. In an additional embodiment, the multivalent and monovalent multispecific composition binds human CD3 epsilon and a CD3 epsilon ortholog from cynomolgus monkey, and a CD3 epsilon ortholog from mouse or rat. In particular embodiments, an MRD of the multivalent and monovalent multispecific composition binds CD3 epsilon.


In another embodiment the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD3 delta. In a particular embodiment, the, multivalent and monovalent multispecific composition binds human CD3 delta having the sequence of amino acids 22-171 set forth in NCBI Ref. Seq. No. NP000723. In particular embodiments, an MRD of the multivalent and monovalent multispecific composition binds CD3 delta. In other embodiments, an antibody antigen binding domain of the multivalent and monovalent multispecific composition binds CD3 delta. In particular embodiments, the human CD3 epsilon binding compositions of the invention are not single chain antibodies.


In an additional embodiment, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD3 gamma protein having the sequence of amino acids 23-182 set forth in NCBI Ref. Seq. No. NP 000064. In particular embodiments, an MRD of the multivalent and monovalent multispecific composition binds gamma. In particular embodiments, an MRD of the multivalent and monovalent multispecific composition binds CD3 gamma. In other embodiments, an antibody antigen binding domain of the multivalent and monovalent multispecific composition binds CD3 gamma. In particular embodiments, the human CD3 gamma binding compositions of the invention are not single chain antibodies.


In an additional embodiment, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD3 zeta protein having the sequence of amino acids 22-164 set forth in NCBI Ref. Seq. No. NP932170. In particular embodiments, an MRD of the multivalent and monovalent multispecific composition binds CD3 zeta. In other embodiments, an antibody antigen binding domain of the multivalent and monovalent multispecific composition binds CD3 zeta. In particular embodiments, the human CD3 zeta binding compositions of the invention are not single chain antibodies.


The invention also encompasses multivalent and multispecific compositions that bind a target expressed on a natural killer cell. In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds (1) a target on a cell, tissue, or infectious agent of interest (e.g., a tumor antigen on a tumor cell) and (2) a target on a natural killer cell. In some embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for (i.e., multivalently binds) a target on a natural killer cell. In other embodiments, the multivalent and monovalent multispecific composition has a single binding site for (i.e., monovalently binds) a target on a natural killer cell. In some embodiments the single binding site is an MRD. In other embodiments, the single binding site is an antibody antigen binding domain. In further embodiments, binding of the multivalent and monovalent multispecific composition does not elicit a signal when the composition binds a target on a natural killer cell. In some embodiments, the multivalent and monovalent multispecific composition binds a target selected from: KLRD1, KLRK1, KLRB1, 2B4 (CD244), KIR2D4, KIR2D5, and KIR3DL1. In other embodiments, the multivalent and monovalent multispecific composition binds a target selected from: CD56, CD2, and CD161. In additional embodiments, the multivalent and monovalent multispecific composition binds at least 2, 3, 4, or 5 targets on the cell, tissue, or infectious agent of interest. According to some embodiments, at least 1, 2, 3, 4, 5 or more of the targets of the multivalent and monovalent multispecific composition are located on a cell surface. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are a tumor antigen (e.g., tumor antigens and tumor/cancer associated antigens). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition arc associated with a disease or disorder of the immune system. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease.


In a particular embodiment, the invention encompasses an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that binds NKGD2 and contains an amino acid sequence selected from the group consisting of: FSLFCYNVHGWWECFPVY (NKG1; SEQ ID NO:4500); SLTWCMVEKLHYWVICDRVA (NKG4; SEQ ID NO:4501); ILISCQEQWPVFQCYAVR (NKG7; SEQ ID NO:4502); HEEDCYWILYQHCPRAT (NKG9; SEQ ID NO:4503); LEHLCTTYPMWFHCPEGA (NKG12 SEQ ID NO:4504); SGLVCFSRFDWWECVWTS (NKG14; SEQ ID NO:4505); SLTRSRYQRFHYWVICDRVA (NKG15; SEQ ID NO:4506); and YTVACYYGVDQY WMCFSNS (NKG17; SEQ ID NO:4507). In an additional embodiment, the invention encompasses an MRD and/or multivalent and monovalent multispecific composition that competes for NKGD2 binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4500-4506 and 4507. In a further embodiment, the invention encompasses an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) MRD-containing antibody that binds to the same epitope of NKGD2 as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4500-4506 and 4507.


In some embodiments, the invention comprises an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that binds CD319 (CRACC) and contains an amino acid sequence selected from the group consisting of: WRLDCWEHHEWDFWCWAHG (SEQ ID NO:4508); SLYECWRVFVSFPRCPDGS (SEQ ID NO:4509); LYLLCEHVHDKHWECGSWL (SEQ ID NO:4510); IHLRCTYVEPLYML CSPYA (SEQ ID NO:4511); TMMVECYMGYCYPTVF (SEQ ID NO:4512); VLLRCQYVGV SHIKCKSVD (SEQ ID NO:4513); LVLECFLIDAWYMKCHTTG (SEQ ID NO:4514); LRL YCIPVDHTFFKCTLYG (SEQ ID NO:4515); YCIYRCQVQQCWMFPA (SEQ ID NO:4516); WHIACWEMRDVHWYVCEFFV (SEQ ID NO:4517); RVLQCKWVSSEYFQCVETS (SEQ ID NO:4518); VVVECFQVKEMYWSCRPAV (SEQ ID NO:4519); and YLMYCTALEYPYF QCRQMV (SEQ ID NO:4520). In another embodiment, the invention encompasses an MRD and/or MRD-containing antibody that competes for CRACC binding with a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4508-4519 and 4520. In a further embodiment, the invention encompasses an MRD and/or a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that binds to the same epitope of CRACC as a polypeptide having an amino acid sequence selected from the group consisting of: SEQ ID NO:4508-4519 and 4520.


In specific embodiments, the multivalent and monovalent multispecific composition binds CD2. According to one embodiment, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD2. In a particular embodiment, the multivalent and monovalent multispecific composition binds human CD2 protein having the sequence of amino acids 25-209 set forth in NCBI Ref. Seq. No. NP001758. In some embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for CD2. In some embodiments the single binding site is an MRD. In other embodiments, the single binding site is an antibody antigen binding domain. In other embodiments, the multivalent and monovalent multispecific composition has a single binding site for CD2. In further embodiments, binding of the multivalent and monovalent multispecific composition to CD2 does not elicit a signal by the cell on which CD2 is expressed. In additional embodiments, the multivalent and monovalent multispecific composition binds CD2 and 1, 2, 3, 4, 5 or more different targets (e.g., a tumor antigen as disclosed herein or otherwise known in the art). In particular embodiments, the CD2 binding compositions of the invention are not single chain antibodies.


In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds human CD2 and a CD2 ortholog from another organism. In additional embodiments, the multivalent and monovalent multispecific composition binds human CD2 and a CD2 ortholog from another primate. In further embodiments, the multivalent and monovalent multispecific composition binds human CD2 and a CD2 ortholog from cynomolgus monkey or rhesus monkey.


In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds a target on a myeloid cell. In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds (1) a target on a cell, tissue, or infectious agent of interest (e.g., a tumor antigen on a tumor cell) and (2) a target on an immune accessory cell (e.g., myeloid cell) so as to juxtapose myeloid cells with the cell, tissue, or infectious agent of interest. In some embodiments, the multivalent and monovalent multispecific composition has multiple binding sites for (i.e., multivalently binds) a target on a myeloid cell. In other embodiments, the multivalent and monovalent multispecific composition has a single binding site for (i.e., monovalently binds) a target on an accessory cell (e.g., myeloid cell). In some embodiments the single binding site is an MRD. In other embodiments, the single binding site is an antibody antigen binding domain. In further embodiments, binding of the multivalent and monovalent multispecific composition does not elicit a signal when the composition binds a target on a myeloid cell. In some embodiments, the multivalent and monovalent multispecific composition binds an Fc gamma receptor selected from CD16 (i.e., Fc gamma Rill), CD64 (i.e., Fc gamma RI), and CD32 (i.e., Fc gamma RII). In particular embodiments, the multivalent and monovalent multispecific composition binds CD64 (i.e., Fc gamma RI). In some embodiments, the multivalent and monovalent multispecific composition binds a target selected from, MHC class 2 and its invariant chain, TLR1, TLR2, TLR4, TLR5 and TLR6. In additional embodiments, the multivalent and monovalent multispecific composition binds at least 2, 3, 4, or 5 targets on the cell, tissue, or infectious agent of interest. According to some embodiments, at least 1, 2, 3, 4, 5 or more of the targets of the multivalent and monovalent multispecific composition are located on a cell surface. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are a tumor antigen (e.g., tumor antigens and tumor/cancer associated antigens). In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the immune system. In additional embodiments, 1, 2, 3, 4, 5 or more targets bound by the multivalent and monovalent multispecific composition are associated with a disease or disorder of the skeletal system (e.g., osteoporosis), cardiovascular system, nervous system, or an infectious disease.


In some embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds a target of interest on a cancer cell. In additional embodiments, the multivalent and monovalent multispecific composition binds a target of interest on an immune cell. In further embodiments, the multivalent and monovalent multispecific composition binds a target of interest on a diseased cell. In other embodiments, the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds a target of interest on an infectious agent (e.g., a bacterial cell or a virus).


In further embodiments, the invention encompasses a method of treating a disease or disorder by administering to a patient in need thereof, a therapeutically effective amount of a multivalent and monovalent multispecific composition of the invention. Particular embodiments are directed to a method of treating a disease or disorder by administering to a patient in need thereof, a therapeutically effective amount a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that has a single binding site for a target (i.e., that monovalently binds a target). In some embodiments, the administered multivalent and monovalent multispecific composition has a single binding site for a target on a leukocyte, such as a T-cell (e.g., CD3). In additional embodiments, the administered multivalent and monovalent multispecific composition has a single binding site for a target on a leukocyte, such as a T-cell (e.g., CD3) and multiple binding sites for (i.e., is capable of multivalently binding) a target located on a cell or tissue of interest (e.g., a tumor antigen on a tumor cell).


In further embodiments, the invention is directed to treating a disease or disorder by administering to a patient a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that has a single binding site for a target (i.e., that monovalently binds a target) and multiple binding sites for 1, 2, 3, 4, 5 or more different targets.


In additional embodiments, the invention is directed to treating a disease or disorder by administering to a patient in need thereof, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that has a single binding site for CD3 (e.g., CD3 epsilon) that monovalently binds CD3 and multiple binding sites for 1, 2, 3, 4, 5 or more different targets.


According to some embodiments, the tumor cell is from a cancer selected from breast cancer, colorectal cancer, endometrial cancer, kidney (renal cell) cancer, lung cancer, melanoma, Non-Hodgkin Lymphoma, leukemia, prostate cancer, bladder cancer, pancreatic cancer, and thyroid cancer.


In some embodiments, the MRD(s) and the antibody in the MRD-containing antibody are antagonists of their respective targets. In other embodiments, the MRD(s) and the antibody in the MRD-containing antibody are agonists of their respective target. In yet other embodiments, at least one of the MRDs in the MRD-containing antibody is an antagonist of its target molecule and the antibody is an agonist of its target molecule. In yet another embodiment, at least one of the MRDs in the MRD-containing antibody is an agonist of its target molecule, and the antibody is an antagonist of its target molecule.


In some embodiments, both the MRD(s) and the antibody in the MRD-containing antibody bind to soluble factors. In some embodiments, both the MRD(s) and the antibody in the MRD-containing antibody bind to cell surface molecules. In some embodiments, at least one MRD in the MRD-containing antibody binds to a cell surface molecule and the antibody in the MRD-containing antibody binds to a soluble factor. In some embodiments, at least one MRD in the MRD-containing antibody binds to a soluble factor and the antibody in the MRD-containing antibody binds to a cell surface molecule.


An improved multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) that specifically binds a desired target or targets can also be prepared based on a previously known MRD or multivalent and monovalent multispecific composition (e.g., MRD-containing antibody). For example, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 10-20, 20-30, 30-50, 50-100, 100-150 or more than 150 amino acid substitutions, deletions or insertions can be introduced into an MRD or multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) sequence and the resulting MRD or multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) can be screened for binding to the desired target or targets, for antagonizing target activity, or for agonizing target activity as described in the examples or using techniques known in the art.


Additional peptide sequences may be added, for example, to enhance the in vivo stability of the MRD or affinity of the MRD for its target.


In certain embodiments, the binding of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) to its target (e.g., a cell) is enhanced compared to the binding of the MRD alone, the antibody alone, and/or a combination of the MRD and antibody. In some embodiments, the binding is at least about 2-fold, at least about 5-fold, at least about 10-fold, at least about 20-fold, at least about 50-fold, at least about 75-fold, at least about 100-fold, at least about 500-fold, or at least about 1000-fold improved.


In addition, in some embodiments, the binding of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) to a target (e.g., a cell or a molecule containing multiple epitopes) expressing both the MRD target and the antibody target is enhanced compared to the binding of the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) to a target (e.g., a cell or a molecule containing multiple epitopes) expressing only the MRD target or only the antibody target. In some embodiments, the binding is at least about 2-fold, at least about 5-fold, at least about 10-fold, at least about 20-fold, at least about 50-fold, at least about 75-fold, at least about 100-fold, at least about 500-fold, or at least about 1000-fold improved. This increased avidity can enable multivalent and multispecific compositions (e.g., MRD-containing antibodies) to bind to targets that have previously been difficult to target, e.g., G-protein coupled receptors and carbohydrate molecules.


In addition, in some embodiments, the binding of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) to an MRD target is enhanced in a region (e.g., of the body) where the antibody target is localized compared to a region where the antibody target is not expressed or is expressed at a lower level. In some embodiments, the binding of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) to an antibody target is enhanced in a region (e.g., of the body) where the MRD target is localized compared to a region where the MRD target is not expressed or is expressed at a lower level. In some embodiments, the binding is at least about 2-fold, at least about 5-fold, at least about 10-fold, at least about 20-fold, at least about 50-fold, at least about 75-fold, at least about 100-fold, at least about 500-fold, or at least about 1000-fold improved.


In preferred embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) retains particular activities of the parent antibody. Thus, in certain embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is capable of inducing complement dependent cytotoxicity. In certain embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is capable of inducing antibody dependent cell mediated cytotoxicity (ADCC). In additional embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is capable of inducing apoptosis. In additional embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is capable of reducing tumor volume. In additional embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are capable of inhibiting tumor growth.


In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) shows improved activity or pharmacodynamic properties compared to the corresponding antibody without the attached MRD. Thus, in certain embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has greater avidity than the corresponding antibody without the attached MRD. In other embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) results in increased receptor aggregation compared to the corresponding antibody without the attached MRD. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) antagonizes target activity to a greater extent than the corresponding antibody without the attached MRD. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) agonizes target activity to a greater extent than the corresponding antibody without the attached MRD. In another embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has an improved pharmacodymamic profile than the corresponding antibody without the attached MRD.


In another embodiment, the MRD-containing antibody has a greater therapeutic efficacy than the corresponding antibody without the attached MRD.


In other embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) have one or more of the following effects: inhibit proliferation of tumor cells, reduce the tumorigenicity of a tumor, inhibit tumor growth, increase patient survival, trigger cell death of tumor cells, differentiate tumorigenic cells to a non-tumorigenic state, or prevent metastasis of tumor cells.


In certain embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is at least as stable as the corresponding antibody without the attached MRD. In certain embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is more stable than the corresponding antibody without the attached MRD. MRD-antibody stability can be measured using methods known to those in the art, including, for example, ELISA techniques. In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is stable in whole blood at 37° C. for at least about 10 hours, at least about 15 hours, at least about 20 hours, at least about 24 hours, at least about 25 hours, at least about 30 hours, at least about 35 hours, at least about 40 hours, at least about 45 hours, at least about 48 hours, at least about 50 hours, at least about 55 hours, at least about 60 hours, at least about 65 hours, at least about 70 hours, at least about 72 hours, at least about 75 hours, at least about 80 hours, at least about 85 hours, at least about 90 hours, at least about 95 hours, or at least about 100 hours.


In certain embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has at least the same affinity for Fc receptors as the corresponding parent antibody. In other nonexclusive embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has at least the same affinity for complement receptors as the corresponding parent antibody. In other nonexclusive embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has at least the same half-life as the corresponding parent antibody. In other embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) can be expressed at levels commensurate with the corresponding parent antibody.


In additional embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has an increased affinity for Fc receptors compared to the corresponding parent antibody. In other nonexclusive embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has an increased affinity for complement receptors compared to the corresponding parent antibody. In other nonexclusive embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) has an increased half-life compared to the corresponding parent antibody. In other embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) can be expressed at increased levels compared to that of the corresponding parent antibody.


Immunoconjugates (MRD-Containing Antibody Drug Conjugates)

The use of antibody-drug conjugates for the local delivery of cytotoxic agents, allows targeted delivery of the drug to tumors, and intracellular accumulation therein, where systemic administration of these unconjugated drug agents may result in unacceptable levels of toxicity to normal cells as well as the tumor cells sought to be eliminated (Baldwin et al., Lancet pages 603-05 (1986); Thorpe, “Antibody Carriers Of Cytotoxic Agents In Cancer Therapy: A Review,” in Monoclonal Antibodies '84: Biological And Clinical Applications, A. Pinchera et al., (ed.$), pp. 475-506) (1985)).


In additional embodiments, the invention encompasses a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) that is covalently or otherwise associated with a cytotoxic agent (payload) (i.e., as multivalent and monovalent multispecific-cytoxic agent complexes (e.g., MRD-containing antibody-cytoxic agent complexes). According to some embodiments, the cytoxic agent is covalently attached to a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) by a linker. According to some embodiments, the linker attaching the multivalent and monovalent multispecific composition and the cytotoxic agent is cleavable by a protease. In additional embodiments, the cytotoxic agent is a chemotherapeutic agent, growth inhibitory agent, toxin (e.g., an enzymatically active toxin of bacterial, fungal, plant, or animal origin, or fragments thereof), a radioactive isotope (i.e., a radioconjugate) or a prodrug. Methods of using immunoconjugates (MRD-containing Antibody drug conjugates) are also encompassed by the invention.


Cytotoxic agents that may be covalently or otherwise associated with multivalent and multispecific compositions (e.g., an MRD-containing antibody) include, but are not limited to any agent that is detrimental to (e.g., kills) cells. Cytotoxins useful in the compositions and methods of the invention include, inter alia, alkylating agents, intercalating agents, antiproliferative agents, anti-mititotic agents, tubulin binding agents, vinca alkaloids, enediynes, trichothecenes, podophyllotoxins or podophyllotoxin derivatives, the pteridine family of drugs, taxanes, anthracyclines (e.g., daunorubicin (formerly daunomycin) and doxorubicin), antibiotics (e.g., dactinomycin (formerly actinomycin, dolastatins (e.g., dolastatin 10, dolastatin 11, and dolastatin 15)), topoiosomerase inhibitors, and platinum complex chemotherapeutic agents (e.g., cis-platinum).


In some embodiments, compositions of the invention include a cytoxic agent that is a tubulin depolymerizing agent. Thus, in some embodiments, compositions of the invention include an auristatin or an auristatin derivative or analog. In one embodiment, compositions of the invention contain monomethyl auristatin E (MMAE). In another embodiment, compositions of the invention contain monomethyl auristatin F (MMAF). In additional embodiments, an immunoconjugate composition of the invention contains dolastatin or a dolastatin peptidic analog or derivative, e.g., an auristatin (see, e.g., U.S. Pat. Nos. 5,635,483, 5,780,588, and 5,663,149).


In additional embodiments, compositions of the invention include a maytansinoid molecule. Maytansinoids are mitototic inhibitors which act by inhibiting tubulin polymerization. Methods of making maytansinoids and their therapeutic use are disclosed, for example, in U.S. Pat. Nos. 5,208,020; 5,416,064, 6,441,163 and European Pat. EP 0 425 235 B1; each of which is herein incorporated by reference in its entirety.


Thus, in some embodiments, the cytotoxin is a maytansinoid or a maytansinoid derivative or analog. Maytansinoid drug moieties are attractive drug moieties in antibody-drug conjugates because they are: (i) relatively accessible to prepare by fermentation or chemical modification or derivatization of fermentation products, (ii) amenable to derivatization with functional groups suitable for conjugation through non-disulfide linkers to antibodies, (iii) stable in plasma, and (iv) effective against a variety of tumor cell lines. Maytansine compounds suitable for use as maytansinoid drug moieties are well known in the art, and can be isolated from natural sources according to known methods, produced using genetic engineering techniques (see Yu et al PNAS 99:7968-7973 (2002)), or maytansinol and maytansinol analogues can be prepared synthetically according to known methods.


In particular embodiments compositions of the invention include the maytansinoid DM1 (N(2′)-deacetyl-N(2′)-(3-mercapto-1-oxopropyl)-maytansine). In other particular embodiments compositions of the invention include the maytansinoid DM2. In additional embodiments, compositions of the invention include the maytansinoid DM3 (N(2′)-deacetyl-N2-(4-mercapto-1-oxopentyl)-maytansine) or DM4 (N(2′)-deacetyl-N2-(4-mercapto-4-methyl-1-oxopentyl)-maytansine).


In some embodiments, compositions of the invention include a cytoxic agent that is an alkylating agent. In particular embodiments, the cytotoxic agent is selected from mechlorethamine, thiotepa, thioepa chlorambucil, melphalan, carmustine (BSNU), BCNU lomustine (CCNU), cyclothosphamide, busulfan, dibromomannitol, and streptozoicin.


In other embodiments, compositions of the invention include a cytoxic agent that is an antimetabolite. In particular embodiments, the cytotoxic agent is selected from methotrexate, dichloromethotrexate, 6-mercaptopurine, 6-thioguanine, cytarabine, 5-fluorouracil and 5-fluorouracil decarbazine.


In additional embodiments, the multivalent and mulitspecific composition-drug conjugate (e.g., MRD-containing antibody-drug conjugate) is capable of producing double-stranded DNA breaks. In further embodiments, the MRD-containing antibody-drug conjugate contains a member of the calicheamicin family of antibiotics capable of producing double-stranded DNA breaks at sub-picomolar concentrations. In further embodiments, a multivalent and mulitspecific composition-drug conjugate (e.g., MRD-containing antibody-drug conjugate) contains calicheamycin. For the preparation of conjugates of the calichcamicin family, see e.g., U.S. Pat. Nos. 5,712,374, 5,714,586, 5,739,116, 5,767,285, 5,770,701, 5,770,710, 5,773,001, and 5,877,296 (all to American Cyanamid Company). Structural analogues of calicheamicin which can be contained in the multivalent and mulitspecific composition-drug conjugate (e.g., MRD-containing antibody-drug conjugate) of the invention include, but are not limited to, gamma1I, alpha2I, alpha3I, N-acetylamma1I, PSAG and theta1I (Hinman et al., Cancer Research 53:3336-3342 (1993), and Lode et al., Cancer Research 58:2925-2928 (1998).


In other embodiments, multivalent and mulitspecific composition-drug conjugate (e.g., MRD-containing antibody-drug conjugate) compositions of the invention include a cytoxic agent selected from adriamicin, doxorubicin, mitomycin C, busulfan, cytoxin, chlorambucil, etoposide, etoposide phosphate, CC-1065, duocarmycin, KW-2189, CC1065, taxotere (docetaxel), methopterin, aminopterin, topotecan, camptothecin, porfiromycin, bleomycin, teniposide, esperamicins, mithramycin, anthramycin (AMC), fludarabine, tamoxifen, taxotere (docetaxel), cytosine arabinoside (Ara-C), adenosine arabinoside, cisplatin, carboplatin, cis-dichlorodiamine platinum (II) (DDP) cisplatin, chloroquine, cyclosporin A, docetaxel, paclitaxel, taxol, vinorelbine, vindesine, cytochalasin B, gramicidin D, ethidium bromide, emetine, mitomycin, ifosfamide, cyclophosphamide, tenoposide, carminomycin, porfiromycin, dihydroxy anthracin dione, mitoxantrone, mithramycin, dactinomycin, actinomycin D, puromycin 1-dehydrotestosterone, adriamycin, glucocorticoids, procaine, tetracaine, lidocaine, propranolol, epithiolone, QFA, combretastatin, combretastatin A4 phosphate, vinblastine, vincristine, colchicine, geldanamycin, doxorubicinchlorambucil, Auristatin F phenylene diamine (AFP)), monomethylauristatin, the family of agents known collectively LL-E33288 complex described in U.S. Pat. Nos. 5,053,394, 5,770,710, as well as esperamicins (U.S. Pat. No. 5,877,296) or a derivative or analog thereof and derivatives and analog thereof.


Additional suitable toxins and chemotherapeutic agents are described in Remington's Pharmaceutical Sciences, 19th Ed. (Mack Publishing Co. 1995), and in Goodman and Gilman's The Pharmacological Basis of Therapeutics, 7th Ed. (MacMillan Publishing Co. 1985). Moreover, for further discussion of types of cytotoxins, linkers and other methods that can be use or routinely adapted to conjugate therapeutic agents to the MRD-comprising antibody complex, see e.g., Intl. Appl. Publ. WO2007/059404; Saito et al., Adv. Drug Deliv. Rev. 55:199-215 (2003); Trail et al., Cancer Immunol Immunother. 52:328-337 (2003); Payne, Cancer Cell 3:207-212 (2003); Allen, Nat. Rev. Cancer 2:750-763(2002); Pastan et al., Curr. Opin. Investig. Drugs 3:1089-1091 (2002); and Senter et al., Adv. Drug Deliv. Rev. 53:247-264 (2001), each of which is hereby incorporated by reference in its entirety.


Cytotoxin chemotherapeutic agents that can be used in the immunoconjugates of the invention (e.g., multivalent and mulitspecific composition-drug conjugates such as MRD-containing antibody-drug conjugates) include poisonous lectins and plant or other toxins (e.g., ricin, abrin, modeccin, botulina, and diphtheria toxins). It is envisioned that multiple copies of a toxin or combinations of various toxins can optionally be coupled to a multispecific and multivalent composition of the invention (e.g., an MRD-containing antibody) thereby providing additional cytotoxicity. Enzymatically active toxins and fragments thereof that can be used in compositions of the invention include, but are not limited to diphtheria A chain, nonbinding active fragments of diphtheria toxin, exotoxin A chain (from Pseudomonas aeruginosa), Pseudomonas exotoxin, Pseudomonas endotoxin, ricin A chain, abrin A chain, modeccin A chain, alpha-sarcin, Aleurites fordii proteins, ribonuclease, DNase I, Staphylococcal enterotoxin-A, dianthin proteins, Phytolaca americana proteins (PAPI, PAPII, and PAP-S), momordica charantia inhibitor, curcin, crotin, sapaonaria officinalis inhibitor, gelonin, mitogellin, restrictocin, phenomycin, enomycin, and the tricothecenes. See, for example, Pastan et al., Cell 47:641 (1986), Goldenberg et al., Cancer Journal for Clinicians 44:43 (1994) and Intl Appl. Publ. Nos. WO93/21232 and WO93/21232, each of which is herein incorporated by reference in its entirety.


Typically, peptide-based drug moieties can be prepared by forming a peptide bond between two or more amino acids and/or peptide fragments. Such peptide bonds can be prepared, for example, according to the liquid phase synthesis method (see E. Schroder and K. Lubke, “The Peptides”, volume 1, pp. 76-136, 1965, Academic Press) that is well known in the field of peptide chemistry. The auristatin/dolastatin drug moieties may be prepared according to the methods of: U.S. Pat. Nos. 5,635,483 and 5,780,588; Pettit et al., J. Am. Chem. Soc. 111:5463-5465 (1989); Pettit et al., Anti-Cancer Drug Design 13:243-277 (1998); Pettit et al., Synthesis 719-725 (1996); Pettit et al., J. Chem. Soc. Perkin Trans. 15:859-863 (1996); and Doronina et al., Nat. Biotechnol 21(7):778-784 (2003).


According to some embodiments, the compositions of the invention comprise a highly radioactive atom. A variety of radioactive isotopes are available for the production of radioconjugated multivalent and multispecific compositions (e.g., MRD-containing antibodies). Examples include At211, I131, I125, Y.90, Re186, Re188, sm153, Bi212, P32, Pb212 and radioactive isotopes of Lu. When the conjugate is used for detection, it may comprise a radioactive atom for scintiographic studies, for example tc99m or I123, or a spin label for nuclear magnetic resonance (NMR) imaging (also known as magnetic resonance imaging, mri), such as iodine-123 again, iodine-131, indium-111, fluorine-19, carbon-13, nitrogen-15, oxygen-17, gadolinium, manganese or iron.


The radio- or other labels can be incorporated in the conjugate using techniques known in the art. For example, the peptide can be biosynthesized or can be synthesized by chemical amino acid synthesis using suitable amino acid precursors involving, for example, fluorine-19 in place of hydrogen. Labels such as tc99m or I123, Re186, Re188 and In111 can be attached via a cysteine residue in the peptide. Yttrium-90 can be attached via a lysine residue. The IODOGEN method (Fraker et al Biochem. Biophys. Res. Commun. 80: 49-57 (1978)) can be used to incorporate iodine-123. “Monoclonal Antibodies in Immunoscintigraphy” (Chatal, CRC Press 1989) describes in detail other methods that can be routinely applied to label the compositions of the invention.


A linker can be a “cleavable linker,” facilitating release of a drug in the cell. For example, an acid-labile linker (e.g., hydrazone), protease-sensitive (e.g., peptidase-sensitive) linker, photolabile linker, dimethyl linker or disulfide-containing linker (Chari et al., Cancer Research 52:127-131 (1992); U.S. Pat. No. 5,208,020, U.S. Pat. Appl. Publ. No. 20110293513) can be used. Thus, the invention encompasses multivalent and multispecific compositions containing one or more linkers that can contain any of a variety of groups as part of its chain that will cleave in vivo, e.g., in a cell, at a rate which is enhanced relative to that of constructs that lack such groups. Also provided are conjugates of the linker arms with therapeutic and diagnostic agents. The linkers are useful to form prodrug analogs of therapeutic agents and to reversibly link a therapeutic or diagnostic agent (e.g., a cytotoxin or MRD) to a targeting agent, a detectable label, or a solid support. The linkers can be stable in plasma so as not to release an MRD or cytotoxic agent. In the case of cytotoxins the linkers can be stable in plasma and labile once internalized so as to release the cytotoxin in an active form.


MRDs and/or cytotoxic agents are optionally attached to one another or to the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) of the invention with a linker as described herein or otherwise known in the art. Conjugates of the MRD-containing antibody with an MRD or a cytotoxic agent can be made using a variety of bifunctional protein coupling agents known in the art, including, but not limited to, coupling agents containing a group selected from: 6-maleimidocaproyl (MC), maleimidocaproyl-polyethylene glycol (“MC(PEG)6-OH” (amenable to attachment to antibody cysteines)), maleimidopropanoyl (MP), MPBH, valine-citrulline (val-cit (exemplary dipeptide in a protease cleavable linker)), methyl-valine-citrulline (“Me-Val-CitN,” a linker in which a peptide bond has been modified to prevent its cleavage by cathepsin B) alanine-phenylalanine (ala-phe), p-aminobenzyloxycarbonyl (PAB (an example of a “self immolative” linker component)), valine-citrullin-p-aminobenzyloxycaronyl (“vc-PAB”), N-Succinimidyl 4-(2-pyridylthio) pentanoate (SPP), N-succinimidyl 4-(N-maleimidomethyl) cyclohexane-1 carboxylate (SMCC), LC-SMCC, N-Succinimidyl (4-iodo-acetyl) aminobenzoate (SIAB), IT (iminothiolane), SPDP (N-succinimidyl-3-(2-pyridyldithio) propionate), 6-maleimidocaproyl-valine-citrulline-p-aminobenzyloxycarbonyl (MC-vc-PAB), ethyleneoxy-CH2CH2O— as one or more repeating units (“EO” or “PEO”), BMPS, EMCS, GMBS, HBVS, MBS, SBAP, SIA, SMPB, SMPH, sulfo-EMCS, sulfo-GMBS, sulfo-KMUS, sulfo-MBS, sulfo-SMCC, sulfo-SIAB, sulfo-SMPB, SVSB (succinimidyl-(4-vinylsulfone) benzoate), bifunctional derivatives of imidoesters (such as dimethyl adipimidate HCl), active esters (such as disuccinimidyl suberate), aldehydes (such as glutaraldehyde), bis-azido compounds (such as bis (p-azidobenzoyl) hexanediamine), bis-diazonium derivatives (such as bis-(p-diazoniumbenzoyl)-ethylenediamine), diisocyanates (such as toluene 2,6-diisocyanate), and bis-active fluorine compounds (such as 1,5-difluoro-2,4-dinitrobenzene). Additional linker components are known in the art and some arc described herein.


In some embodiments, the multivalent and monovalent multispecific composition is covalently attached to a cytotoxic agent via a linker at 1-5, 5-10, 1-10, or 1-20 sites on the multivalent and multispecific composition. According to additional embodiments, the multivalent and monovalent multispecific composition is covalently attached to a cytotoxic agent via a linker at more than 2, 5 or 10 sites on the multivalent and multispecific composition.


In additional embodiments, the multivalent and monovalent multispecific composition (e.g., MRD containing antibody) complex is associated with a prodrug. Prodrug synthesis, chemical linkage to antibodies, and pharmacodynamic properties are known in the art and can routinely be applied to make and use multivalent and multivalent compositions of the invention that contain prodrugs, such as, MRD-containing antibody-prodrug compositions. See, e.g., Intl. Publ. No. WO96/05863 and in U.S. Pat. No. 5,962,216, each of which is herein incorporated by reference in its entirety.


Alternatively, a fusion protein comprising an antibody and a cytotoxic agent can be made, e.g., by recombinant techniques or peptide synthesis. A recombinant DNA molecule can comprise regions encoding the antibody and cytotoxic portions of the conjugate either adjacent to one another or separated by a region encoding a linker peptide which does not destroy the desired properties of the conjugate.


The multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) composition of the invention also can be conjugated to a radioactive isotope to generate cytotoxic radiopharmaceuticals, also referred to as radioimmunoconjugates. Examples of radioactive isotopes that can be conjugated to multivalent and monovalent multispecific compositions (e.g., MRD containing antibodies) for use diagnostically or therapeutically include, but are not limited to, iodine131 indium111, yttrium90, and lutetium177. Methods for preparing radioimmunconjugates are established in the art. Examples of radioimmunoconjugates are commercially available, including Zevalin™. (IDEC Pharmaceuticals) and Bexxar™ (Corixa Pharmaceuticals), and similar methods can be used to prepare radioimmunoconjugates using the MRD-containing antibodies of the invention.


Methods for the conjugation of linker-drug moieties to cell-targeted proteins such as antibodies are known in the art and include those described for example, in U.S. Pat. Nos. 5,208,020 and 6,441,163; Intl. Appl. Publ. Nos. WO2005037992, WO2005081711, and WO2006/034488, each of which is herein incorporated by reference in its entirety. See, also e.g., Arnon et al., “Monoclonal Antibodies For Immunotargeting Of Drugs In Cancer Therapy”, in Monoclonal Antibodies And Cancer Therapy, Reisfeld et al., (eds.), pp. 243-56 (Alan R. Liss, Inc. 1985); Hellstrom et al., “Antibodies For Drug Delivery”, in Controlled Drug Delivery (2nd Ed.), Robinson et al., (eds.), pp. 623-53 (Marcel Dekker, Inc. 1987); Saito et al., Adv. Drug Deliv. Rev. 55:199-215 (2003); Trail et al., Cancer Immunol. Immunother. 52:328-337 (2003); Payne, Cancer Cell 3:207-212 (2003); Allen et al., Nat. Rev. Cancer 2:750-763 (2002); Pastan et al., Curr. Opin. Investig. Drugs 3:1089-1091 (2002); and Senter et al., Adv. Drug Deliv. Rev. 53:247-264 (2001), the contents of each of which is herein incorporated by reference in its entirety.


In some embodiments, a multivalent and monovalent multispecific composition of the invention comprising a cytotoxic agent (e.g., an MRD-containing antibody-cytotoxic agent conjugate) and may generally be referred to herein as an immunoconjugate. In some embodiments, an immunoconjugate of the invention binds a cell surface target that is internalized into the cell. In further embodiments, the binding of an immunoconjugate of the invention (e.g., an MRD-containing antibody-cytotoxic agent conjugate) to a cell surface target results in the internalization of the immunoconjugate into the cell in vitro. In further embodiments, the binding of immunoconjugate to a cell surface target results in the internalization of the composition into the cell in vivo. Methods for treating a patient described herein can comprise: administering to the patient a therapeutically effective amount of an immunoconjugate (e.g., a multivalent and monovalent multispecific composition of the invention comprising a cytotoxic agent, such as an MRD-containing antibody-cytotoxic agent conjugate) that comprises a cytotoxic agent and binds a target that is internalized into a cell. In some embodiments, the immunoconjugate comprises a cytotoxic agent disclosed herein. In additional embodiments, the immunoconjugate comprises a cytotoxic agent selected from an alkylating agent, antiproliferative agent, tubulin binding agent, vinca alkaloid, enediyne, podophyllotoxin, podophyllotoxin derivative, a member of the pteridine family of drugs, taxane, a dolastatin, topoiosomerase inhibitor, or a platinum complex chemotherapeutic agent. In further embodiments, the cytoxic agent is a maytansinoid or a maytansinoid derivative or analog. In specific embodiments the cytoxic agent is the maytansinoid DM1, DM2, or DM3. In additional embodiments, the cytotoxic agent is auristatin or an auristatin derivative or analog. In specific embodiments the cytoxic agent is MMAE or MMAF. The cytotoxic agents are optionally attached to the other components of the immunoconjugate by a linker. In some embodiments the cytotoxic agent is attached to the other components of the immunoconjugate by an enzyme cleavable linker. In additional embodiments, the cytotoxic agent is attached to the other components of the immunoconjugate by an acid-labile linker.


In further embodiments, the cytoxic agent of an immunoconjugate of the invention has a free drug potency of less than 10−7M, 10−8M, or 10−9M. In additional embodiments, the cytoxin has a free drug potency of 10−8 to 10−11 M.


In some embodiments, a target bound by the immunoconjugate is selected from CD19, CD22, CD30, CD33, CD56, CD70, CD79a, CD80, CD83, CD95, CD126, CD133, CD138, PSMA, EphA2, ErbB2 (CD340), SLC44A4, MN (carbonic anhydrase IX), GPNMB (glycoprotein non-metastatic melanoma protein), Cripto, and aV integrin. In additional embodiments, a target bound by the immunoconjugate is selected from CD1, CD1a, CD2, CD3, CD4, CD5, CD8, CD11A, CD14, CD15, CD16, CD18, CD19, CD20, CD25, TNFRSF5 (CD40), CD64, CD74, CD79, CD105, CD174, CD205, CD227, CD326, CD340, MUC16, EGP-1, EGP-2, EGF receptor (ErbB1), ErbB2, ErbB3, Factor H, FHL-1, Flt-3, folate receptor, Ga 733, GROB, HMGB-1, hypoxia inducible factor (HIF), HM1.24, HER-2/neu, insulin-like growth factor (ILGF), IFN-gamma, IFN-alpha, IFN-beta, IL2R, IL4R, IL6R, IL13R, IL15R, IL17R, IL18R, IL2, IL6, IL8, IL12, IL15, IL17, IL18, IL25, IP-10, IGF-1R, Ia, HM1.24, HCG, HLA-DR, ED-B, TMEFF2, EphB2, FAP (fibroblast activation protein), mesothelin, EGFR, TAG-72, GD2 (encoded by the B4GALNT1 gene), and 5T4.


In additional embodiments, a target bound by the immunoconjugate is a myeloid and hematopoietic target selected from CD33, CD64, TNFRSF5 (CD40), CD56, and CD138. In further embodiments, a target bound by the immunoconjugate is a carcinoma target selected from EpCam, GD2, EGFR, CD74, CD227, CD340, MUC16, GD2, GPNMB, PSMA, crypto, TMEFF2, EphB2, 5t4, mesothelin, TAG-72, and MN.


In other embodiments, a target bound by the immunoconjugate is a B cell target selected from CD19/CD21, CD20, CD22, TNFRSF5 (CD40), CD70, CD79a, CD79b, and CD205. In additional embodiments, a target bound by the immunoconjugate is a T cell target selected from CD25, CD30, TNFRSF5 (CD40), CD70, and CD205. In further embodiments, a target bound by an endothelial cell target selected from CD105, the stromal cell target FAP, and the vascular target ED-B.


In additional embodiments, an immunoconjugate of the invention binds to a cell surface tumor antigen and a second target that is associated with an escape pathway for resisting chemotherapy. In some embodiments, the cell surface tumor antigen is a member selected from EGFR, ErbB2, ErbB3, ErbB4, FGFR, VEGFR1, VEGFR2, VEGFR3, PDGFR1, CD3, CD19, CD20, CD22, CD25, CD30, CD33, CD37, CD56, CD70, CD133, CD138, FOLR1, IGF1-R, Cripto, SLC44A4 and GCC.


In further embodiments, an immunoconjugate binds P-glycoprotein (encoded by MDR1) and a cell surface antigen. In particular embodiments, the cell surface antigen is a tumor antigen. In further embodiments, the tumor antigen is a member selected from: EGFR, ErbB2, ErbB3, ErbB4, FGFR, VEGFR1, VEGFR2, VEGFR3, PDGFR1, CD3, CD19, CD20, CD22, CD25, CD30, CD33, CD37, CD56, CD70, CD133, CD138, FOLR1, IGF1-R, Cripto, SLC44A4 and GCC. In particular embodiments, the immunoconjugate competes for CD30 binding with SGN-35 (brentuximab). In additional embodiments, the immunoconjugate competes for ErbB2 binding with trastuzumab.


In further embodiments, an immunoconjugate binds MRP (Multidrug-Resistance associated Protein) and a cell surface antigen. In particular embodiments, the cell surface antigen is a tumor antigen. In further embodiments, the tumor antigen is a member selected from: EGFR, ErbB2, ErbB3, ErbB4, FGFR, VEGFR1, VEGFR2, VEGFR3, PDGFR1, CD3, CD19, CD20, CD22, CD25, CD30, CD33, CD37, CD56, CD70, CD133, CD138, FOLR1, IGF1-R, Cripto, SLC44A4 and GCC. In particular embodiments, the immunoconjugate competes for CD30 binding with SGN-35 (brentuximab). In additional embodiments the immunoconjugate competes for ErbB2 binding with trastuzumab.


Alternatively, a fusion protein comprising the antibody and cytotoxic agent may be made, e.g., by recombinant techniques or peptide synthesis. The length of DNA may comprise respective regions encoding the two portions of the conjugate either adjacent one another or separated by a region encoding a linker peptide which does not destroy the desired properties of the conjugate.


The following embodiments are further provided for any of the above immunoconjugates. In one embodiment, an immunoconjugate has in vitro or in vivo cell killing activity. In one embodiment, the linker is attached to the antibody through a thiol group on the antibody. In one embodiment, the linker is cleavable by a protease. In one embodiment, the linker comprises a val-cit dipeptide. In one embodiment, the linker comprises a p-aminobenzyl unit. In one embodiment, the p-aminobenzyl unit is disposed between the drug and a protease cleavage site in the linker. In one embodiment, the p-aminobenzyl unit is p-aminobenzyloxycarbonyl (PAB). In one embodiment, the linker comprises 6-maleimidocaproyl. In one embodiment, the 6-maleimidocaproyl is disposed between the antibody and a protease cleavage site in the linker. The above embodiments may occur singly or in any combination with one another.


The MRD-containing antibody of the present invention may also be conjugating to a prodrug-activating enzyme which converts a prodrug (e.g., a peptidyl chemotherapeutic agent, see e.g., WO81/01145) to an active anti-cancer drug. See, for example, WO88/07378 and U.S. Pat. No. 4,975,278 the contents of which are herein incorporated by reference in its entirety. The enzyme component of the immunoconjugate is preferably capable of acting on a prodrug in such a way so as to convert it into its more active, cytotoxic form. See, for example, Pastan et al., Cell, 47:641 (1986), and Goldenberg et al., Cancer Journal for Clinicians, 44:43 (1994). Enzymatically active toxins and fragments thereof which can be used include diphtheria A chain, non-binding active fragments of diphtheria toxin, exotoxin A chain (from Pseudomonas aeruginosa), ricin A chain, abrin A chain, modeccin A chain, alpha-sarcin, Aleurites fordii proteins, dianthin proteins, Phytolaca americana proteins (PAPI, PAPII, and PAP-S), momordica charantia inhibitor, curcin, crotin, sapaonaria officinalis inhibitor, gelonin, mitogellin, restrictocin, phenomycin, enomycin and the tricothecenes. See, for example, WO93/21232.


In some embodiments, the multivalent and multispecific compositions of the invention (e.g., MRD-containing antibodies) are conjugated to a radioisotope, such as, 90Y, 125I, 131I, 123I, 111In, 105Rh, 153Sm, 67Cu, 67Ga, 166Ho, 177Lu, 186Re and 188Re using anyone of a number of well-known chelators or direct labeling. In other embodiments, the MRD-containing antibody is coupled to drugs, prodrugs or lymphokines such as, interferon. Compositions of the invention can be labeled with ligand reagents that bind, chelate or otherwise complex a radioisotope metal where the reagent is reactive with the engineered cysteine thiol of the antibody, using techniques known in the art such as, those described in Current Protocols in Immunology, Volumes 1 and 2, Coligen et al, Ed. Wiley-Interscience, New York, N.Y., Pubs. (1991). Chelating ligands which may complex a metal ion and that may have use in the compositions and methods of the invention include DOTA, DOTP, DOTMA, DTPA and TETA (Macrocyclics, Dallas, Tex.). Radionuclides can be targeted via complexation with the antibody-drug conjugates of the invention (Wu et al Nature Biotechnology 23(9): 1137-1146 (2005)). Linker reagents such as, DOTA-maleimide (4-maleimidobutyramidobenzyl-DOTA) can be prepared by the reaction of aminobenzyl-DOTA with 4-maleimidobutyric acid (Fluka) activated with isopropylchloroformate (Aldrich), following the procedure of Axworthy et al., Proc. Natl. Acad. Sci. USA 97(4):1802-1807 (2000)). DOTA-maleimide reagents react with the free cysteine amino acids of the cysteine engineered antibodies and provide a metal complexing ligand on the antibody (Lewis et al., Bioconj. Chem. 9:72-86 (1998)). Chelating linker labeling reagents such as, DOTA-NHS (1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid mono (N-hydroxysuccinimide ester) are commercially available (Macrocyclics, Dallas, Tex.).


Conjugates of the multivalent and multispecific compositions of the invention (e.g., MRD-containing antibodies) and cytotoxin can routinely be made using a variety of bifunctional protein-coupling agents such as, N-succinimidyl-3-(2-pyridyidithiol) propionate (SPDP), iminothiolane (IT), bifunctional derivatives of imidoesters (such as, dimethyl adipimidate HCL), active esters (such as, disuccinimidyl suberate), aldehydes (such as, glutareldehyde), bis-azido compounds (such as, bis(p-azidobenzoyl) hexanediamine), bis-diazonium derivatives (such as, bis-(p-diazoniumbenzoyl)-ethylenediamine), diisocyanates (such as, tolyene 2,6-diisocyanate), and bis-active fluorine compounds (such as, 1,5-difluoro-2,4-dinitrobenzene). In specific embodiments, the toxin is conjugate to an MRD-containing antibody through an enzyme-cleavable linker system (e.g., such as, that present in SGN-35). Conjugates of an MRD-containing antibody and one or more small molecule toxins, such as, a calicheamicin, maytansinoids, a trichothene, and CC1065, and the derivatives of these toxins that have toxin activity, can also be used.


In some embodiments, the MRD-containing antibody can be complexed, or have MRDs that bind with other immunologically active ligands (e.g., chemokines, cytokines, and antibodies or fragments thereof) wherein the resulting molecule binds to the neoplastic cell or other target as well as the chemokine, cytokine, or an effector cell such as, a T cell. In certain embodiments, these conjugates can be generated as fusion proteins. The enzymes of this invention can be covalently bound to the antibody by techniques well-known in the art such as, the use of the heterobifunctional crosslinking reagents discussed above. Alternatively, fusion proteins comprising at least the antigen-binding region of an antibody of the invention linked to at least a functionally active portion of an enzyme of the invention can be constructed using recombinant DNA techniques known in the art.


In some embodiments, the N-terminus or C-terminus of the antibody to which an MRD is operably linked in the MRD-antibody fusions is truncated. In preferred embodiments, this truncation does not prevent or reduce the ability of the antibody to bind to its target antigen via its antigen binding domain. In other embodiments, the truncation does not prevent or reduce Fc effector function, half-life and/or ADCC activity. In other embodiments, MRDs are attached in the terminal region of the antibody chain. More particularly, in certain embodiments, the MRD is attached within 1, 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50 residues of the C-terminal amino acid of the heavy chain. In other embodiments, the MRD is attached within 1, 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50 residues of the C-terminal amino acid of the light chain. In additional embodiments, the MRD is attached within 1, 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50 residues of the N-terminal amino acid of the heavy chain. In other embodiments, the MRD is attached within 1, 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50 residues of the N-terminal amino acid of the light chain. Thus, for example, a MRD that is linked to the N-terminal end of the heavy chain can be linked to the first, second, third, fourth, fifth, or tenth amino acid of the N-terminal chain of the heavy chain. For example, an MRD-antibody fusion containing an MRD linked to the N-terminal of the heavy chain may contain amino acids 1-3 of the heavy chain sequence linked to the MRD, which is linked to amino acid 4 of the heavy chain sequence.


In certain embodiments, one or more MRDs are attached to an antibody at locations other than the termini of the antibody light and heavy chains. The MRD can be attached to any portion of the antibody that does not prevent the ability of the antibody to bind its target. Thus, in some embodiments, the MRD is located outside the antibody combining site. For example, the MRD can be located within a heavy chain sequence or within a light chain sequence. By way of example only, the MRD can be located between the Fc domain and the hinge region, between the hinge region and the CH1 domain of the heavy chain, between the CH1 domain and the variable region of the heavy chain, or between the constant region and the variable region of the light chain.


Angiogenesis inhibitors targeting the vascular endothelial growth factor (VEGF) signaling pathways have been observed to provide at best transitory therapeutic benefits followed by restoration of tumor growth and progression due to an apparent ability of angiogenic tumors to adapt to the presence of these inhibitors. Without being bound by theory, it is believed that the multivalent and multispecific properties of multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind an angiogenesis target provide these compounds with an ability to extend anti-angiogenic therapeutic benefits beyond those observed from for example, conventional monoclonal antibody therapies by binding multiple distinct angiogenesis related targets and thereby disrupting resistance mechanisms available to the angiogcnic tumor.


In one embodiment, an MRD-containing antibody binds 2 or more targets selected from: VEGF (i.e., VEGFA), VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIc, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TIE2, TNFSF2 (TNFa), FGFR3, EFNa1, EFNa2, ANG1, ANG2, IL6, IL8, IL18, HGF, PDGFA, PLGF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR1, VEGFR2, VEGFR3, Notch 1, DLL4, EGFL7, a2131 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, PDGFRA, and PDGFRB. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind VEGF and 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGF. In further embodiments, the antibody component of the MRD-containing antibody is bevacizumab. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind VEGF and 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGF. In further embodiments, the antibody component of the MRD-containing antibody is bevacizumab.


In one embodiment, an MRD-containing antibody binds VEGF (i.e., VEGFA) and additionally binds an angiogenic target selected from: VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNFSF2 (TNFa), FGFR3, EFNa1, EFNa2, ANG1, ANG2, IL-6, IL-8, IL-18, HGF, TIE2, PDGFA, P1GF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR1, VEGFR2, VEGFR3, Notch 1, DLL4, EGFL7, a2131 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, PDGFRA, and PDGFRB. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind VEGF and 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGF. In further embodiments, the antibody component of the MRD-containing antibody is bevacizumab. In additional embodiments, the antibody component of the MRD-containing antibody competes for VEGF binding with bevacizumab.


In one embodiment, an MRD-containing antibody binds TNF alpha and additionally binds a target selected from: Te38, IL-12, IL-12p40, IL-13, IL-15, IL-17, IL-18, IL-lbcta, IL-23, MIF, PEG2, PGE4, VEGF, TNFSF11 (RANKL), TNFSF13B (BLYS), GP130, CD-22, and CTLA-4. In another embodiment, an MRD-containing antibody binds TNF alpha, IL6, and TNFSF13B (BLYS). Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TNF and 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TNF. In further embodiments, the antibody component of the MRD-containing antibody is adalimumab, certolizumab, golimumab or AME-527. In additional embodiments, the antibody component of the MRD-containing antibody competes for TNF binding with adalimumab, certolizumab, golimumab or AME-527.


In one embodiment, an MRD-containing antibody binds IL1 alpha and IL1 beta. In another embodiment, an MRD-containing antibody binds IL1 beta and TNFSF11 (RANKL). In an additional embodiment, an MRD-containing antibody binds IL1 beta and a target selected from IL13, IL17A, TNF, VEGF, PGE2, VEGFR1, VEGFR2, TNFSF12 (TWEAK) and TNF. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind IL1 beta and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds IL1 beta. In further embodiments, the antibody component of the MRD-containing antibody is catumaxomab, Xoma052, canakinumab or ACZ885. In additional embodiments, the antibody component of the MRD-containing antibody competes for IL1 alpha or IL1 beta binding with catumaxomab, Xoma052, canakinumab or ACZ885.


In another embodiment, an MRD-containing antibody binds IL12. In a further embodiment, an MRD-containing antibody binds IL12 and additionally binds IL18 or TNFSF12 (TWEAK). Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CTLA-4and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CTLA-4. In further embodiments, the antibody component of the MRD-containing antibody is briakinumab or ustekinumab. In additional embodiments, the antibody component of the MRD-containing antibody competes for IL12 binding with briakinumab or ustekinumab.


In another embodiment, an MRD-containing antibody binds CTLA-4. In a further embodiment, an MRD-containing antibody binds CTLA4 and additionally binds PDL-1 or BTNO2. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CTLA-4 and one or both of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CTLA-4. In further embodiments, the antibody component of the MRD-containing antibody is tremelimumab or iplimumab. In additional embodiments, the antibody component of the MRD-containing antibody competes for CTLA-4 binding with tremelimumab or iplimumab.


In an additional embodiment, an MRD-containing binds IL13. In a further embodiment, an MRD-containing antibody binds IL13 and additionally binds a target selected from: IL1beta, IL4, IL9, IL13, IL25, a LHR agonist, MDC, MIF, PED2, SPRR2a, SPRR2b; TARC, TGF-beta and IL25. In another embodiment, an MRD-containing antibody binds IL13 and a target selected from IL5, ADAM8, a LHR (agonist), IL23p19 and IgE. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind IL13 and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds IL13. In further embodiments, the antibody component of the MRD-containing antibody is TNX-650, lebrikizumab or CAT354. In additional embodiments, the antibody component of the MRD-containing antibody competes for IL13 binding with TNX-650, lebrikizumab or CAT354.


In a further embodiment, an MRD-containing antibody binds RGM A. In a further embodiment, an MRD-containing antibody binds RGM A and additionally binds a target selected from: RGM B, MAG, NgR, NogoA, OMGp and CSPGs. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind RGM A and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds RGM A.


In another embodiment, an MRD-containing antibody binds CD38 and additionally binds a target selected from CD20, TNFRSF5 (CD40) ALK1, TNF, VEGF, VEGFA, VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNFSF2 (TNFa), FGFR3, VEGFR1, VEGFR2 and CD138. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CD38 and at least 1, 2 or all 3 of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD38. In further embodiments, the antibody component of the MRD-containing antibody binds MOR202 or daratumumab. In additional embodiments, the antibody component of the MRD-containing antibody competes for CD38 binding with MOR202 or daratumumab.


In some embodiments an MRD-containing antibody binds ErbB1 (EGFR) and additionally binds ErbB3. In specific embodiments, the antibody component of the MRD-containing antibody binds ErbB1. In additional embodiments, the antibody component of the MRD-containing antibody is ERBITUX®. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for ErbB1-binding with ERBITUX®. In another embodiment, the antibody component of the MRD-containing antibody is an ErbB1-binding antibody selected from: nimotuzumab, zalutumumab, matuzumab, panitumumab, MEDX-214, and ABX-EGF. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for ErbB1-binding with an antibody selected from: nimotuzumab, zalutumumab, matuzumab, panitumumab, MEDX-214, and ABX-EGF.


In one embodiment, an MRD-containing antibody binds ErbB2 and IGF1R. In another embodiment, an MRD-containing antibody binds ErbB2, Ang2, and IGF1R. In specific embodiments, the antibody component of the MRD-containing antibody binds ErbB2. In additional embodiments, the antibody component of the MRD-containing antibody is HuMax-Her2™ or trastuzumab-DM1. In further embodiments, the antibody component of the MRD-containing antibody is trastuzumab. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for ErbB2-binding with trastuzumab.


In one embodiment, an MRD-containing antibody binds ErbB2 and additionally binds a target selected from: ErbB3, EGFR, IGF1R, cMet, VEGF, RON (MST1R), DLL4, PLGF, CDCP1 (CD318), NRP1, TNFRSF10A (DR4) and TNFRSF10B (DR5). In another embodiment, an MRD-containing antibody binds ErbB2 and additionally binds a target selected from: CD2, CD3, CD4 and NKG2D. In an additional embodiment, an MRD-containing antibody binds ErbB2 and IGF1, IGF2 or IGF1,2. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind ErbB2 and additionally bind 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds ErbB2. In additional embodiments, the antibody component of the MRD-containing antibody is HuMax-Her2Tm or trastuzumab-DM1. In further embodiments, the antibody component of the MRD-containing antibody is trastuzumab. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for ErbB2-binding with trastuzumab.


In some embodiments an MRD-containing antibody binds ErbB2 and additionally binds ErbB3. In specific embodiments, the antibody component of the MRD-containing antibody binds ErbB2. In additional embodiments, the antibody component of the MRD-containing antibody is HuMax-Her2Tm or trastuzumab-DM1. In further embodiments, the antibody component of the MRD-containing antibody is trastuzumab. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for ErbB2-binding with trastuzumab. In another embodiment, the antibody component of the MRD-containing antibody is an ErbB2-binding antibody selected from: MDX-210 (Medarex), tgDCC-E1A (Targeted Genetics), MGAH22 (MacroGenics), and pertuzumab (OMNITARG™). In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for ErbB2-binding with an antibody selected from: MDX-210, tgDCC-E1A, MGAH22, and pertuzumab.


In some embodiments, an MRD-containing antibody binds ErbB2 and HER2/3. In further embodiments, an MRD-containing antibody binds ErbB2 and HER2/3 simultaneously.


Angiogenesis inhibitors targeting the vascular endothelial growth factor (VEGF) signaling pathways have been observed to provide at best transitory therapeutic benefits followed by restoration of tumor growth and progression due to an apparent ability of angiogenic tumors to adapt the presence of these inhibitors. Without being bound by theory, it is believed that the multivalent and multispecific properties of MRD-containing antibodies that bind an angiogenesis target provide these compounds with an ability to extend anti-angiogenic therapeutic benefits beyond those observed from for example, conventional monoclonal antibody therapies by binding multiple distinct angiogenesis related targets and thereby disrupting resistance mechanisms available to the angiogenic tumor.


In another embodiment, an MRD-containing antibody binds PDGFRA and additionally binds an target selected from: VEGFA, VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNFSF2 (TNFa), FGFR3, EFNa1, EFNa2, ANG1, ANG2, IL6, IL8, IL18, IGF1, IGF2, IGF1,2, HGF, TIE2, PDGFA, PLGF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR1, VEGFR2, VEGFR3, EGFR, cMET, Notch 1, DLL4, EGFL7, α2β1 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, and PDGFRB. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind PDGFRA and binds at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds PDGFRA. In further embodiments, the antibody component of the MRD-containing antibody is olaratumab. In further embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for PDGFRA binding with olaratumab. In further embodiments, the antibody component of the MRD-containing antibody is MEDI-575. In further embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for PDGFRA binding with MEDI-575.


In another embodiment, an MRD-containing antibody binds PDGFRB and additionally binds an target selected from: VEGFA, VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNFSF2 (TNFa), FGFR3, EFNa1, EFNa2, ANG1, ANG2, IL6, IL8, IL18, IGF1, IGF2, IGF1,2, HGF, TIE2, PDGFA, PLGF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR1, VEGFR2, VEGFR3, EGFR, cMET, Notch 1, DLL4, EGFL7, α2β1 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, and PDGFRA. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind PDGFRB and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds PDGFRB.


In another embodiment, an MRD-containing antibody binds VEGFR1 and additionally binds an angiogenic target selected from: VEGF (i.e., VEGFA), VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNFSF2 (TNFa), FGFR3, EFNa1, EFNa2, ANG1, ANG2, IL6, IL8, IL18, HGF, PDGFA, PLGF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR2, VEGFR3, Notch 1, DLL4, EGFL7, α2β1 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, PDGFRA, and PDGFRB. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind VEGFR1 and additionally bind 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGFR1. In further embodiments, the antibody component of the MRD-containing antibody is IMC-18F1. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for VEGFR1 binding with IMC-18F1.


In another embodiment, an MRD-containing antibody binds VEGFR2 and additionally binds a target selected from: VEGF (i.e., VEGFA), VEGFB, FGF1, FGF2, FGF4, FGF7, FGF8b, FGF19, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIc), FGFR3, TNFSF2 (TNFa), FGFR3, NRP1, ROBO4, CD30, CD33, CD55 CD80, KIT, CXCL12, Notch1EFNa1, EFNa2, ANG1, ANG2, IL6, IL8, 1L18, HGF, PDGFA, PLGF, PDGFB, CXCL12, KIT, GCSF, CXCR4, PTPRC, TIE2, VEGFR1, VEGFR3, Notch 1, DLL4, EGFL7, α2β1 integrin, α4β1 integrin, α5β1 integrin, αvβ3 integrin, TGFb, MMP2, MMP7, MMP9, MMP12, PLAU, VCAM1, PDGFRA, and PDGFRB. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind VEGFR2 and additionally bind 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGFR2. In further embodiments, the antibody component of the MRD-containing antibody is IMC-1C11 or DC101. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for VEGFR2 binding with IMC-1C11 or DC101.


In another embodiment, an MRD-containing antibody binds VEGFR2 and additionally binds ANG2 or TIE2. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGFR2. In further embodiments, the antibody component of the MRD-containing antibody is IMC-1C11, DC101 or TTAC-0001. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for VEGFR2 binding with IMC-1C11, DC101 or TTAC-0001. In further embodiments, the TIE2 binding component comprises a fragment of ANG2 that binds TIE2. In particular embodiments, the TIE2 binding component comprises amino acids 283-449 of the human ANG2 disclosed in NCBI Ref Seq. No. NP001138.1.


In another embodiment, an MRD-containing antibody binds DLL4 and additionally binds a target selected from: EGFR, PLGF, VEGFR1, VEGFR2 and VEGF. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind DLL4 and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In further embodiments, the antibody component of the MRD-containing antibody is REGN421. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for DLL4 binding with REGN421.


In additional embodiments, an MRD-containing antibody binds to an anti-angiogenic and a metastatic or invasive cancer target. In one embodiment, an MRD-containing antibody binds to an angiogenic target and also binds a metastatic or invasive cancer target selected from: CXCL12, CXCR4 (e.g., CXCR4b), CCR7 (e.g., CXCR7b), CD44 (e.g., CD44v3 and CD44v6), α2β1 integrin, α4β1 integrin, α5β1 integrin, αvβ1 integrin, αvβ3 integrin, TGFb, αvβ5 integrin, α9β1 integrin, α6β4 integrin, αMβ2 integrin, PD-1, HGF, cMET, MMP2, MMP-7, MMP-9, MMP-12, VEGFA, VEGFB, and IGF1. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind an angiogenic target and also bind 2, 3, 4, 5 or more of these metastatic or invasive cancer targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds VEGF. In further embodiments, the antibody component of the MRD-containing antibody is bevacizumab. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for VEGF binding with bevacizumab.


In one embodiment, an MRD-containing antibody binds to 2 or more targets associated with distinct cell signaling pathways. In additional embodiments, an MRD-containing antibody binds to 2 or more targets associated with redundant, overlapping or cross-talking signaling pathways. For example, in one embodiment, an MRD-containing antibody binds to 2 or more targets associated with PI3K/AKT/mTOR signaling (e.g., ErbB2, EGFR, IGF1R, Notch, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIb), FGFR3, FGFR4, GPCR, and/or c-MET). In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) binds 2, 3, 4, 5 or more of these targets.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with receptor tyrosine Raf/MEK/MAPK signaling (e.g., VEGFR1, VEGFR2, VEGFR3, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-111b), FGFR3, FGFR4, CD28, RET, cMET, EGFR, ErbB2, Notch, Notch1, Notch3, Notch4, DLL1, DLL4, Jagged, Jagged1, Jagged2, and Jagged3. In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 1, 2, 3, 4, 5 or more of these targets.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with SMAD signaling (e.g., Notch, TGFβ, TGFβR1, TGFβR2, and a BMP). In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 2, 3, 4, 5 or more of these targets.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with JAK/STAT signaling (e.g., IFNgR1, IFNgR3, IFNG, IFN-AR2, IFN-AR1, IFN alpha, IFN beta, IL6a receptor (GP130), IL6, IL12RB1, IL12, and EGFR). Thus, the invention encompasses an MRD-containing antibody that binds to 2 or more targets selected from WNT1, WNT2, WNT2b, WNT3, WNT3A, WNT4, WNT5A, WNT5B, WNT6, WNT7A, WNT7B, WNT8A, WNT8B, WNT9A, WNT9B, WNT10A, WNT10B, WNT11, WNT16, FZD1, FZD2, FZD4, FZD5, FZD6, FZD7, FZD8, Notch, Notch1, Notch3, Notch4, DLL1, DLL4, Jagged, Jagged1, Jagged2, and Jagged3. In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 2, 3, 4, 5 or more of these targets.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with NFkB signaling (e.g., BCR, TCR, IL1R, ILL FZD1, FZD2, FZD4, FZD5, FZD6, FZD7, FZD8, Notch, Notch1, Notch3, Notch4, DLL4, Jagged, Jagged1, Jagged2, Jagged3, TNFSF1 (TNFb, LTa), TNFRSFIA (TNFR1, p55, p60), TNFRSFIB (TNFR2), TNFSF6 (Fas Ligand), TNFRSF6 (Fas, CD95), TNFRSF6B (DcR3), TNFSF7 (CD27 Ligand, CD70), TNFRSF7 (CD27), TNFSF8 (CD30 Ligand), TNFRSF8 (CD30), TNFSF11 (RANKL), TNFRSF11A (RANK), TNFSF12 (TWEAK), TNFRSF12 (TWEAKR), TNFSF13 (APRIL), TNFSF13B (BLYS), TNFRSF13B (TACI), TNFRSF13C (BAFFR), TNFSF15 (TL1A), TNFRSF17 (BCMA), TNFRSF19L (RELT), TNFRSF19 (TROY), TNFRSF21 (DR6), TNFRSF25 (DR3), TNFSF5 (CD40 Ligand), TNFRSF5 (CD40), TNFSF2 (TNFa), TNFSF3 (LTb), TNFRSF3 (LTBR), TNFSF14 (LIGHT, HVEM Ligand), TNFRSF14 (HVEM), TNFSF18 (GITR Ligand), TNFRSF18 (GITR), TNFSF4 (OX40 Ligand), TNFRSF4 (OX40), TNFSF9 (41BB Ligand), TNFRSF9 (41BB), a BMP, NGF, and TGF alpha). In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 2, 3, 4, 5 or more of these targets.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with cell proliferation (e.g., FGF1, FGF2, FGF7, FGF4, FGF10, FGF18b, FGF19, FGF23, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFRIIIB and FGFR-IIIC), FGFR3, FGFR4, TCR, TNFRSF5 (CD40), TLR1, TLR2, TLR3, TLR 4, TLR5, and TLR6). In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 2, 3, 4, 5 or more of these targets.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with toll-like receptor signaling (e.g., TLR1, TLR2, TLR3, TLR 4, TLR5, and TLR6).


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with B cell signaling (e.g., mlg, Igα/Igβ (CD79a/CD79b) heterodimers (α/β), CD19, CD20, CD21, CD22, CD23, CD27, CD30, CD46, CD80, CD86, ICOSL (B7-H2), HLA-DR (CD74), PD1, PDL1, TNFRSF1A (TNFR1, p55, p60), TNFRSF1B (TNFR2), TNFRSF13B (TACI), TNFRSF13C (BAFFR), TNFRSF17 (BCMA), BTLA, TNFRSF5 (CD40), TLR4, TNFRSF14 (HVEM), Fc gamma RIIB, IL4R and CRAC. In a particular embodiment, the MRD-containing antibody binds to CD19 and CD20. In an additional embodiment, the MRD-containing antibody binds CD19, CD20, and CD22. In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibodies) binds 2, 3, 4, 5 or more of these targets.


In a further embodiment, an MRD-containing antibody binds to 1 or more B cell surface markers selected from: CD10, CD24, CD37, CD53, CD72, CD75, CD77, CD79a, CD79b, CD81, CD82, CD83, CD84 (SLAMS) and CD85. In a further embodiment, an MRD-containing antibody binds to 1 or more B cell surface markers selected from: CD10, CD24, CD37, CD53, CD72, CD75, CD77, CD79a, CD79b, CD81, CD82, CD83, CD84 (SLAMS) and CD85. In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 2, 3, 4, 5 or more of these B cell surface markers.


In additional embodiments, an MRD-containing antibody binds CD19 and a target selected from: CD20, CD22, CD30, CD33, TNFRSF5 (CD40), CD52, CD74, CD80, CD138, VEGFR1, VEGFR2, EGFR, TNFRSF10A (DR4), TNFRSF10B (DR5), TNF, NGF, VEGF, IGF1,2, IGF2, IGF1 and TNFSF11 (RANKL). In additional embodiments, an MRD-containing antibody binds CD20 and a target selected from: CD3, CD4 and NKG2D. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CD19 and also bind at least 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD19. In further embodiments, the antibody component of the MRD-containing antibody is MDX-1342, SGN-CD19A, XMAB®5574, SGN-19A, ASG-5ME or MEDI-551. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for CD19 binding with MDX-1342, SGN-CD19A, XMAB®5574, SGN-19A, ASG-5ME or MEDI-551.


In additional embodiments, an MRD-containing antibody binds CD22 and a target selected from: CD19, CD20, CD23, CD30, CD33, TNFRSF5 (CD40), CD52, CD74, CD80, TNFRSF10A (DR4), TNFRSF10B (DR5), VEGF, TNF and NGF. In additional embodiments, an MRD-containing antibody binds CD22 and a target selected from: CD3, CD4 and NKG2D. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CD22 and also bind 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD22. In further embodiments, the antibody component of the MRD-containing antibody is epratuzumab or inotuzumab. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for CD22 binding with epratuzumab or inotuzumab.


In additional embodiments, the antibody component of the MRD-containing antibody is moxetumomab (CAT-8015, Cambridge Antibody Technologies). In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for CD22 binding with moxetumomab.


In additional embodiments, an MRD-containing antibody binds TNFRSF5 (CD40) and a target selected from: BCMA, TNFSF11 (RANKL), VEGFR1, VEGFR2, TNFRSF10A (DR4), TNFRSF10B (DR5), CD22, CD30, CD38, CD56 (NCAM), CD70, CD80, CD138, IL6, IGF1, IGF2, IGF1,2, BLyS, APRIL and NGF. In additional embodiments, an MRD-containing antibody binds CD40 and a target selected from: CD3, CD4 and NKG2D. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CD40 and also bind 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD40. In further embodiments, the antibody component of the MRD-containing antibody is CP870893, dacctuzumab, ANTOVA®, lucatumumab, XMAB®5485 or teneliximab. In additional embodiments, the antibody component, MRD component, and/or MRD-containing antibody competes for CD40 binding with CP870893, dacetuzumab, ANTOVA®, lucatumumab, XMAB®5485 or teneliximab.


In some embodiments, an MRD-containing antibody binds CD33 and a target selected from: FLT3, CD44, TNFRSF10A (DR4), TNFRSF10B (DR5), CD80, MGC, VEGFR1, VEGFR2, IL1, IL6, TNF and VEGF. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TNFRSF10B and also bind at least 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD33. In further embodiments, the antibody component of the MRD-containing antibody is gemtuzumab or lintuzumab. In additional embodiments the antibody component, MRD component, and/or MRD-containing antibody competes for CD33 binding with gemtuzumab or lintuzumab.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with antigen presentation cell signaling (e.g., mIg, Igα/Igβ (CD79a/CD79b) heterodimers (α/β), CD19, CD20, CD21, CD22, CD23, CD27, CD28, CD30, CD30L, TNFSF14 (LIGHT, HVEM Ligand), CD70, ICOS, ICOSL (B7-H2), CTLA4, PD-1, PDL1 (B7-H1), B7-H4, B7-H3, PDL2 (B7-DC), BTLA, CD46, CD80 (B7-1), CD86 (B7-2), HLA-DR, CD74, PD1, TNFRSF4 (OX40), TNFRSF9 (41BB), TNFSF4 (OX40 Ligand), TNFSF9 (41BB Ligand), TNFRSF9 (41BB), TNFRSF1A (TNFR1, p55, p60), TNFRSF1B (TNFR2), TNFRSF13B (TACI), TNFRSF13C (BAFFR), TNFRSF17 (BCMA), BTLA, TNFRSF18 (GITR), MHC-1, TNFRSF5 (CD40), TLR4, TNFRSF14 (HVEM), Fcgamma RIIB, IL4R and CRAC). In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 2, 3, 4, 5 or more of these targets.


In another embodiment, an MRD-containing antibody binds to 2 or more targets associated with T cell receptor signaling (e.g., CD3, CD4, CD27, CD28, CD70, IL2R, LFA-1, C4, ICOS, CTLA-4, CD45, CD80, CD86, PG-1, TIMI, TIM2, TIM3, TIM4, galectin 9, TNFRSF1A (TNFR1, p55, p60), TNFRSF1B (TNFR2), TNFRSF21 (DR6), TNFRSF6 (Fas, CD95), TNFRSF25 (DR3), TNFRSF14 (HVEM), TNFSF18, TNFRSF18 (GITR), TNFRSF4 (OX40), TNFSF4 (OX40 Ligand), PD1, PDLL, CTLA4, TNFSF9 (41BB Ligand), TNFRSF9 (41BB), TNFSF14 (LIGHT, HVEM Ligand), TNFSF5 (CD40 Ligand), BTLA, and CRAC). In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind 2, 3, 4, 5 or more of these targets.


In additional embodiments, an MRD-containing antibody binds to a cell surface tumor antigen and a second target that is associated with an escape pathway for resisting chemotherapy. In some embodiments, the cell surface tumor antigen is a member selected from EGFR, ErbB2, ErbB3, ErbB4, FGFR, VEGFR1, VEGFR2, VEGFR3, PDGFR1, CD3, CD19, CD20, CD22, CD25, CD30, CD33, CD37, CD56, CD70, CD133, CD138, FOLR1, IGF1-R, Cripto, SLC44A4 and GCC.


In further embodiments, an MRD-containing antibody binds P-glycoprotein (encoded by MDR1) and a cell surface antigen. In particular embodiments, the cell surface antigen is a tumor antigen. In further embodiments, the cell surface tumor antigen is a member selected from EGFR, ErbB2, ErbB3, ErbB4, FGFR, VEGFR1, VEGFR2, VEGFR3, PDGFR1, CD3, CD19, CD20, CD22, CD25, CD30, CD33, CD37, CD56, CD70, CD133, CD138, FOLR1, IGF1-R, Cripto, SLC44A4 and GCC. In particular embodiments the MRD-containing antibody competes for CD30 binding with SGN-35 (brentuximab). In additional particular embodiments the MRD-containing antibody competes for ErbB2 binding with trastuzumab.


In further embodiments, an MRD-containing antibody binds MRP (Multidrug-Resistance associated Protein) and a cell surface antigen. In particular embodiments, the cell surface antigen is a tumor antigen. In further embodiments, the cell surface tumor antigen is a member selected from EGFR, ErbB2, ErbB3, ErbB4, FGFR, VEGFR1, VEGFR2, VEGFR3, PDGFR1, CD3, CD19, CD20, CD22, CD25, CD30, CD33, CD37, CD56, CD70, CD133, CD138, FOLR1, IGF1-R, Cripto, SLC44A4 and GCC. In particular embodiments the MRD-containing antibody competes for CD30 binding with SGN-35 (brentuximab). In additional particular embodiments the MRD-containing antibody competes for ErbB2 binding with trastuzumab.


In another embodiments an MRD-containing antibody binds to a therapeutic target and a second target that is associated with an escape pathway for resisting the therapeutic effect resulting from targeting the therapeutic target. For example, in one embodiment, an MRD-containing antibody binds to EGFR and a target selected from MDR1, cMET, Notch, Notch1, Notch3, Notch4, DLL1, DLL4, Jagged, Jagged1, Jagged2, and Jagged3. In some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibodies) binds 2, 3, 4, 5 or more of these targets.


In specific embodiments, the MRD-containing antibody targets ErbB2 and an angiogenic factor. In specific embodiments, the MRD-containing antibody targets ErbB2 and IGF1R. In another embodiment, the antibody targets ErbB2 and at least one MRD targets an angiogenic factor and/or IGF1R. In one embodiment, an antibody that binds to the same ErbB2 epitope as trastuzumab is operably linked to at least one MRD that targets an angiogenic factor and/or IGF1R. In an additional embodiment, an antibody that competitively inhibits trastuzumab binding is operably linked to at least one MRD that targets an angio genic factor and/or IGF1R. In additional embodiments, an antibody that comprises the sequences of SEQ ID NOs:59-64 is operably linked to at least one MRD that targets an angiogenic factor and/or IGF1R. In additional embodiments, the trastuzumab antibody is operably linked to at least one MRD that targets an angiogenic factor and/or IGF1R.


In some embodiments, an antibody that binds to ErbB2 is operably linked to an MRD that targets Ang2. In some embodiments, the antibody that binds to ErbB2 is linked to an Ang2 binding MRD that binds to the same Ang2 epitope as an MRD comprising the sequence of MGAQTNFMPMDNDELLLYEQFILQQGLE SEQ ID NO:8. In some embodiments, the antibody that binds to ErbB2 is linked to an Ang2 binding MRD that competitively inhibits an MRD comprising the sequence of SEQ ID NO:8. In some embodiments, the antibody that binds to ErbB2 is linked to an MRD comprising the sequence of SEQ ID NO:8.


In some embodiments, at least one Ang2 binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds to ErbB2. In some embodiments, at least one Ang2 binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to ErbB2. In some embodiments, at least one Ang2 binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to ErbB2. In some embodiments, at least one Ang2 binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to ErbB2.


In some embodiments, at least one Ang2 binding MRD is operably linked directly to an antibody that binds to ErbB2. In additional embodiments, at least one Ang2 binding MRD is operably linked to an antibody that binds to ErbB2 via a linker.


In some embodiments, an antibody that binds to ErbB2 is operably linked to an MRD that targets IGF1R. In some embodiments, the antibody that binds to ErbB2 is linked to an IGF1R binding MRD that binds to the same IGF1R epitope as an MRD comprising the sequence of SEQ ID NO:14. In some embodiments, the antibody that binds to ErbB2 is linked to an IGF1R binding MRD that competitively inhibits an MRD comprising the sequence of SEQ ID NO:14. In some embodiments, the antibody that binds to ErbB2 is linked to an MRD comprising the sequence of SEQ ID NO:14. In some embodiments, the antibody that binds ErbB2 is linked to an MRD encoding the sequence SLFVPRPERK (SEQ ID NO:103). In some embodiments, the antibody that binds ErbB2 is linked to an MRD encoding the sequence ESDVLHFTST (SEQ ID NO:104). In some embodiments, the antibody that binds ErbB2 is linked to an MRD encoding the sequence LRKYADGTL (SEQ ID NO:105).


In some embodiments, at least one IGF1R binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds to ErbB2. In some embodiments, at least one IGF1R binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to ErbB2. In some embodiments, at least one IGF1R binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to ErbB2. In some embodiments, at least one IGF1R binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to ErbB2.


In some embodiments, at least one IGF1R binding MRD is operably linked directly to an antibody that binds to ErbB2. In additional embodiments, at least one IGF1R binding MRD is operably linked to an antibody that binds to ErbB2 via a linker.


In some embodiments, an MRD-containing antibody targets ErbB2 and HER2/3. In some embodiments, an MRD-containing antibody can bind to ErbB2 and HER2/3 simultaneously. In some embodiments, an antibody that binds to ErbB2 is operably linked to an MRD that targets HER2/3. In additional embodiments, at least one HER2/3-binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds to ErbB2. In further embodiments, at least one HER2/3-binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to ErbB2. In additional embodiments, at least one HER2/3-binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to ErbB2. In additional embodiments, at least one HER2/3-binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to ErbB2.


In some embodiments, at least one HER2/3-binding MRD is operably linked directly to an antibody that binds to ErbB2. In additional embodiments, at least one HER2/3-binding MRD is operably linked to an antibody that binds to ErbB2 via a linker.


In some embodiments, an MRD-containing antibody targets ErbB2 and HER2/3. In some embodiments, an MRD-containing antibody can bind to ErbB2 and HER2/3 simultaneously. In some embodiments, an antibody that binds to HER2/3 is operably linked to an MRD that targets ErbB2. In additional embodiments, at least one ErbB2-binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds to HER2/3. In further embodiments, at least one ErbB2-binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to HER2/3. In additional embodiments, at least one ErbB2-binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to HER2/3. In additional embodiments, at least one ErbB2-binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to HER2/3.


In some embodiments, at least one ErbB2-binding MRD is operably linked directly to an antibody that binds to HER2/3. In additional embodiments, at least one ErbB2-binding MRD is operably linked to an antibody that binds to HER2/3 via a linker.


In some embodiments, the MRD-containing antibody targets ErbB2, Ang2, and IGF1R. In some embodiments, the MRD-containing antibody comprises an antibody that targets ErbB2, an MRD that targets Ang2, and an MRD that targets IGF1R. In some embodiments, the Ang2 and IGF1R MRDs are attached to the same location on the anti-ErbB2 antibody. In some embodiments, the Ang2 and IGF1R MRDs are attached to different locations on the anti-ErbB2 antibody. In some embodiments, the Ang2 and IGF1R MRDs are on the light chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 and IGF1R MRDs arc on the heavy chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 MRD is on the light chain of the ErbB2 antibody, and the IGF1R MRD is on the heavy chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 MRD is on the heavy chain of the ErbB2 antibody, and the IGF1R MRD is on the light chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 MRD is on the N-terminus of the heavy chain of the ErbB2 antibody, and the IGF1R MRD is on the C-terminus of the light chain of the anti-ErbB2 antibody. In some embodiments, the IGF1R MRD is on the N-terminus of the heavy chain of the ErbB2 antibody, and the Ang2 MRD is on the C-terminus of the light chain of the anti-ErbB2 antibody. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets Ang2, an MRD that targets ErbB2, and an MRD that targets IGF1R; and multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets IGF1R, an MRD that targets ErbB2, and an MRD that targets Ang2 are also encompassed by the invention.


In some embodiments, the MRD-containing antibody targets ErbB2, Ang2, and HER2/3. In some embodiments, the MRD-containing antibody comprises an antibody that targets ErbB2, an MRD that targets Ang2, and an MRD that targets HER2/3. In some embodiments, the Ang2 and HER2/3 MRDs are attached to the same location on the anti-ErbB2 antibody. In some embodiments, the Ang2 and HER2/3 MRDs are attached to different locations on the anti-ErbB2 antibody. In some embodiments, the Ang2 and HER2/3 MRDs are on the light chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 and HER2/3 MRDs are on the heavy chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 MRD is on the light chain of the ErbB2 antibody, and the HER2/3 MRD is on the heavy chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 MRD is on the heavy chain of the ErbB2 antibody, and the HER2/3 MRD is on the light chain of the anti-ErbB2 antibody. In some embodiments, the Ang2 MRD is on the N-terminus of the heavy chain of the ErbB2 antibody, and the HER2/3 MRD is on the C-terminus of the light chain of the anti-ErbB2 antibody. In some embodiments, the HER2/3 MRD is on the N-terminus of the heavy chain of the ErbB2 antibody, and the Ang2 MRD is on the C-terminus of the light chain of the anti-ErbB2 antibody. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets HER2/3, an MRD that targets ErbB2, and an MRD that targets Ang2; and multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets Ang2, an MRD that targets ErbB2, and an MRD that targets HER2/3 are also encompassed by the invention.


In some embodiments, the MRD-containing antibody targets ErbB2, HER2/3, and IGF1R. In some embodiments, the MRD-containing antibody comprises an antibody that targets ErbB2, an MRD that targets HER2/3, and an MRD that targets IGF1R. In some embodiments, the HER2/3 and IGF1R MRDs are attached to the same location on the anti-ErbB2 antibody. In some embodiments, the HER2/3 and IGF1R MRDs are attached to different locations on the anti-ErbB2 antibody. In some embodiments, the HER2/3 and IGF1R MRDs are on the light chain of the anti-ErbB2 antibody. In some embodiments, the HER2/3 and IGF1R MRDs are on the heavy chain of the anti-ErbB2 antibody. In some embodiments, the HER2/3 MRD is on the light chain of the ErbB2 antibody, and the 1GF1R MRD is on the heavy chain of the anti-ErbB2 antibody. In some embodiments, the HER2/3 MRD is on the heavy chain of the ErbB2 antibody, and the IGF1R MRD is on the light chain of the anti-ErbB2 antibody. In some embodiments, the HER2/3 MRD is on the N-terminus of the heavy chain of the ErbB2 antibody, and the IGF1R MRD is on the C-terminus of the light chain of the anti-ErbB2 antibody. In some embodiments, the IGF1R MRD is on the N-terminus of the heavy chain of the ErbB2 antibody, and the HER2/3 MRD is on the C-terminus of the light chain of the anti-ErbB2 antibody. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets HER2/3, an MRD that targets ErbB2, and an MRD that targets IGF1R; and multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets IGF1R, an MRD that targets ErbB2, and an MRD that targets HER2/3 are also encompassed by the invention.


In some embodiments, the MRD-containing antibody targets ErbB2, Ang2, HER2/3, and IGF1R. In some embodiments, the MRD-containing antibody comprises an antibody that targets ErbB2, an MRD that targets Ang2, an MRD that targets HER2/3, and an MRD that targets IGF1R. In some embodiments, the Ang2, HER2/3, and IGF1R MRDs are attached to the same chain of the anti-ErbB2 antibody. In some embodiments, the Ang2, HER2/3, and IGF1R MRDs are attached to different chains of the anti-ErbB2 antibody. In some embodiments, the Ang2, HER2/3, and IGF1R MRDs are on the light chain of the anti-ErbB2 antibody. In some embodiments, the Ang2, HER2/3, and IGF1R MRDs are on the heavy chain of the anti-ErbB2 antibody. In some embodiments, the Ang2, HER2/3, and IGF1R MRDs are attached to the same terminus of the anti-ErbB2 antibody. In some embodiments, the Ang2, HER2/3, and IGF1R MRDs are attached to different termini of the anti-ErbB2 antibody. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising: an antibody that targets HER2/3, an MRD that targets ErbB2, an MRD that targets Ang2, and an MRD that targets IGF1R; multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets Ang2, an MRD that targets ErbB2, an MRD that targets HER2/3, and an MRD that targets IGF1R; and multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising an antibody that targets IGF1R, an MRD that targets ErbB2, an MRD that targets HER2/3, and an MRD that targets Ang2 are also encompassed by the invention.


In some embodiments, the anti-ErbB2 antibody operably linked to an Ang2 binding MRD binds to both ErbB2 and Ang2 simultaneously. In some embodiments, the anti-ErbB2 antibody operably linked to an IGF1R binding MRD binds to both ErbB2 and IGF1R simultaneously. In some embodiments, the anti-ErbB2 antibody operably linked to a HER2/3 binding MRD binds to both ErbB2 and HER2/3 simultaneously. In some embodiments, the anti-ErbB2 antibody operably linked to an Ang2 MRD, an IGF1R MRD, and/or a HER2/3 MRD binds to ErbB2, Ang2, IGF1R, and/or HER2/3 simultaneously. In some embodiments, the anti-ErbB2 antibody operably linked to an Ang2, IGF1R and/or HER2/3 binding MRD(s) exhibits ADCC activity. In additional embodiments, the anti-ErbB2 antibody operably linked to an Ang2, IGF1R, and/or HER2/3 binding MRD(s) down-regulates Akt signaling. In additional embodiments, the anti-ErbB2 antibody operably linked to an Ang2 binding MRD inhibits Ang2 binding to TIE2. In additional embodiments, the anti-ErbB2 antibody operably linked to an IGF1R binding MRD(s) down-regulates IGF1R signaling. In additional embodiments, the anti-ErbB2 antibody operably linked to an Ang2, IGF1R and/or HER2/3 binding MRD(s) inhibits cell proliferation. In additional embodiments, the anti-ErbB2 antibody operably linked to an Ang2, IGF1R, and/or HER2/3 binding MRD(s) inhibits tumor growth.


In specific embodiments, the MRD-containing antibody targets VEGF and an angiogenic factor. In specific embodiments, the MRD-containing antibody targets VEGF and IGF1R. In another embodiment, the antibody targets VEGF and at least one MRD targets an angiogenic factor and/or IGF1R. In one embodiment, an antibody that binds to the same VEGF epitope as bevacizumab is operably linked to at least one MRD that targets an angiogenic factor and/or IGF1R. In an additional embodiment, an antibody that competitively inhibits bevacizumab binding is operably linked to at least one MRD that targets an angiogenic factor and/or IGF1R. In additional embodiments, an antibody that comprises the sequences of SEQ ID NOs:78-79 is operably linked to at least one MRD that targets an angiogenic factor and/or IGF1R. In additional embodiments, the bevacizumab antibody is operably linked to at least one MRD that targets an angiogenic factor and/or IGF1R.


In some embodiments, an antibody that binds to VEGF is operably linked to an MRD that targets Ang2. In some embodiments, the antibody that binds to VEGF is linked to an Ang2 binding MRD that binds to the same Ang2 epitope as an MRD comprising the sequence of SEQ ID NO:8. In some embodiments, the antibody that binds to VEGF is linked to an Ang2 binding MRD that competitively inhibits an MRD comprising the sequence of SEQ ID NO:8. In some embodiments, the antibody that binds to VEGF is linked to an MRD comprising the sequence of SEQ ID NO:8.


In some embodiments, at least one Ang2 binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds to VEGF. In some embodiments, at least one Ang2 binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to VEGF. In some embodiments, at least one Ang2 binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to VEGF. In some embodiments, at least one Ang2 binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to VEGF.


In some embodiments, at least one Ang2 binding MRD is operably linked directly to an antibody that binds to VEGF. In additional embodiments, at least one Ang2 binding MRD is operably linked to an antibody that binds to VEGF via a linker.


In some embodiments, an antibody that binds to VEGF is operably linked to an MRD that targets IGF1R. In some embodiments, the antibody that binds to VEGF is linked to an IGF binding MRD that binds to the same IGF epitope as an MRD comprising the sequence of SEQ ID NO:14. In some embodiments, the antibody that binds to VEGF is linked to an IGF1R binding MRD that competitively inhibits an MRD comprising the sequence of SEQ ID NO:14. In some embodiments, the antibody that binds to VEGF is linked to an MRD comprising the sequence of SEQ ID NO:14. In some embodiments, the antibody that binds ErbB2 is linked to an MRD encoding the sequence SLFVPRPERK (SEQ ID NO:103). In some embodiments, the antibody that binds ErbB2 is linked to an MRD encoding the sequence ESDVLHFTST (SEQ ID NO:104). In some embodiments, the antibody that binds ErbB2 is linked to an MRD encoding the sequence LRKYADGTL (SEQ ID NO:105).


In some embodiments, at least one IGF1R binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds to VEGF. In some embodiments, at least one IGF1R binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to VEGF. In some embodiments, at least one IGF1R binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to VEGF. In some embodiments, at least one IGF1R binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to VEGF.


In some embodiments, at least one IGF1R binding MRD is operably linked directly to an antibody that binds to VEGF. In additional embodiments, at least one IGF1R binding MRD is operably linked to an antibody that binds to VEGF via a linker.


In some embodiments, the MRD-containing antibody targets VEGF, Ang2, and IGF1R. In some embodiments, the MRD-containing antibody comprises an antibody that targets VEGF, an MRD that targets Ang2, and an MRD that targets IGF1R. In some embodiments, the Ang2 and IGF1R MRDs are attached to the same location on the anti-VEGF antibody. In some embodiments, the Ang2 and IGF1R MRDs are attached to different locations on the anti-VEGF antibody. In some embodiments, the Ang2 and IGF1R MRDs are on the light chain of the anti-VEGF antibody. In some embodiments, the Ang2 and IGF1R MRDs are on the heavy chain of the anti-VEGF antibody. In some embodiments, the Ang2 MRD is on the light chain of the anti-VEGF antibody, and the IGF1R MRD is on the heavy chain of the anti-VEGF antibody. In some embodiments, the Ang2 MRD is on the heavy chain of the anti-VEGF antibody, and the IGF1R MRD is on the light chain of the anti-VEGF antibody. In some embodiments, the Ang2 MRD is on the N-terminus of the heavy chain of the anti-VEGF antibody, and the IGF1R MRD is on the C-terminus of the light chain of the anti-VEGF antibody. In some embodiments, the IGF1R MRD is on the N-terminus of the heavy chain of the anti-VEGF antibody, and the Ang2 MRD is on the C-terminus of the light chain of the anti-VEGF antibody.


In some embodiments, the anti-VEGF antibody operably linked to an Ang2 binding MRD binds to both anti-VEGF and Ang2 simultaneously. In some embodiments, the anti-VEGF antibody operably linked to an IGF1R binding MRD binds to both anti-VEGF and IGFR1 simultaneously. In some embodiments, the anti-VEGF antibody operably linked to an Ang2 binding MRD and an IGF1R binding MRD binds to VEGF, Ang2, and IGF1R simultaneously. In some embodiments, the anti-VEGF antibody operably linked to an Ang2 and/or IGF1R binding MRD(s) exhibits ADCC activity. In additional embodiments, the anti-VEGF antibody operably linked to an Ang2 and/or IGF1R binding MRD(s) down-regulates VEGF signaling. In additional embodiments, the anti-VEGF antibody operably linked to an Ang2 binding MRD inhibits Ang2 binding to TIE2. In additional embodiments, the anti-VEGF antibody operably linked to an IGF1R binding MRD inhibits IGF1R signaling. In additional embodiments, the anti-VEGF antibody operably linked to an Ang2 and/or IGF1R binding MRD(s) inhibits cell proliferation. In additional embodiments, the anti-VEGF antibody operably linked to an Ang2 and/or IGF binding MRD(s) inhibits tumor growth.


In some embodiments, the anti-ErbB2 antibody or the VEGF antibody contains and MRD that inhibits the binding of pertuzumab to ErbB2. In some embodiments, an anti-ErbB2 antibody contains at least one MRD that binds to Ang2 or IGF1R and one MRD that inhibits the binding of pertuzumab to ErbB2. In some embodiments, an anti-VEGF antibody contains at least one MRD that binds to Ang2 or IGF1R and one MRD that inhibits the binding of pertuzumab to ErbB2. In some embodiments, an anti-ErbB2 antibody contains an MRD that binds Ang2, an MRD that binds IGF1R, and an MRD that inhibits the binding of pertuzumab to ErbB2. In some embodiments, an anti-VEGF antibody contains an MRD that binds Ang2, an MRD that binds IGF1R, and an MRD that inhibits the binding of pertuzumab to ErbB2.


In specific embodiments, the MRD-containing antibody targets TNF and an angiogenic factor. In another embodiment, the antibody targets TNF, and at least one MRD targets an angiogenic factor. In one embodiment, an antibody that binds to the same TNF epitope as adalimumab is operably linked to at least one MRD that targets an angiogenic factor. In an additional embodiment, an antibody that competitively inhibits adalimumab binding is operably linked to at least one MRD that targets an angiogenic factor. In additional embodiments, an antibody that comprises the sequences of SEQ ID NOs:80-85 is operably linked to at least one MRD that targets an angiogenic factor. In additional embodiments, the adalimumab antibody is operably linked to at least one MRD that targets an angiogenic factor. In one embodiment, an antibody that binds to the same TNF epitope as golimumab is operably linked to at least one MRD that targets an angiogenic factor. In an additional embodiment, an antibody that competitively inhibits golimumab binding is operably linked to at least one MRD that targets an angiogenic factor. In additional embodiments, the golimumab antibody is operably linked to at least one MRD that targets an angiogenic factor.


In some embodiments, an antibody that binds to TNF is operably linked to an MRD that targets Ang2. In some embodiments, the antibody that binds to TNF is linked to an Ang2 binding MRD that binds to the same Ang2 epitope as an MRD comprising the sequence of SEQ ID NO:8. In some embodiments, the antibody that binds to TNF is linked to an Ang2 binding MRD that competitively inhibits an MRD comprising the sequence of SEQ ID NO:8. In some embodiments, the antibody that binds to TNF is linked to an MRD comprising the sequence of SEQ ID NO:8.


In some embodiments, at least one Ang2 binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds to TNF. In some embodiments, at least one Ang2 binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to TNF. In some embodiments, at least one Ang2 binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to TNF. In some embodiments, at least one Ang2 binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to TNF.


In some embodiments, at least one Ang2 binding MRD is operably linked directly to an antibody that binds to TNF. In additional embodiments, at least one Ang2 binding MRD is operably linked to an antibody that binds to TNF via a linker.


In some embodiments, the anti-TNF antibody operably linked to an Ang2 binding MRD binds to both TNF and Ang2 simultaneously. In some embodiments, the anti-TNF antibody operably linked to an Ang2 binding MRD exhibits ADCC activity. In additional embodiments, the anti-TNF antibody operably linked to an Ang2 binding MRD inhibits binding of TNF to the p55 and p75 cell surface TNF receptors. In additional embodiments, the anti-TNF antibody operably linked to an Ang2 binding MRD lyses surface TNF-expressing cells in vitro in the presence of complement. In additional embodiments, the anti-TNF antibody operably linked to an Ang2 binding MRD inhibits Ang2 binding to TIE2. In additional embodiments, the anti-TNF antibody operably linked to an Ang2 binding MRD reduces the signs and symptoms of arthritis.


In some embodiments, the MRD-containing antibody targets TNF and IL6. In some embodiments, the MRD-containing antibody is capable of binding TNF and IL6 simultaneously. Thus, in some embodiments, an antibody that binds to TNF is operably linked to an MRD that targets IL6. In other embodiments, an antibody that binds to IL6 is operably linked to an MRD that targets TNF.


In some embodiments, at least one IL6-binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds TNF. In some embodiments, at least one IL6-binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to TNF. In some embodiments, at least one IL6-binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to TNF. In some embodiments, at least one IL6-binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to TNF.


In some embodiments, at least one TNF-binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds IL6. In some embodiments, at least one TNF-binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to IL6. In some embodiments, at least one TNF-binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to IL6. In some embodiments, at least one TNF-binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to IL6.


In some embodiments, at least one IL6-binding MRD is operably linked directly to an antibody that binds to TNF. In additional embodiments, at least one IL6-binding MRD is operably linked to an antibody that binds to TNF via a linker.


In some embodiments, at least one TNF-binding MRD is operably linked directly to an antibody that binds to IL6. In additional embodiments, at least one TNF-binding MRD is operably linked to an antibody that binds to IL6 via a linker.


In some embodiments, the MRD-containing antibody targets TNF and BLyS. In some embodiments, the MRD-containing antibody is capable of binding TNF and BLyS simultaneously. In some embodiments, an antibody that binds to TNF is operably linked to an MRD that targets BLyS. In other embodiments, an antibody that binds to BLyS is operably linked to an MRD that targets TNF.


In some embodiments, at least one BLyS-binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds TNF. In some embodiments, at least one BLyS-binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to TNF. In some embodiments, at least one BLyS-binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to TNF. In some embodiments, at least one BLyS-binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to TNF.


In some embodiments, at least one TNF-binding MRD is operably linked to the C-terminus of the heavy chain of an antibody that binds BLyS. In some embodiments, at least one TNF-binding MRD is operably linked to the N-terminus of the heavy chain of an antibody that binds to BLyS. In some embodiments, at least one TNF-binding MRD is operably linked to the C-terminus of the light chain of an antibody that binds to BLyS. In some embodiments, at least one TNF-binding MRD is operably linked to the N-terminus of the light chain of an antibody that binds to BLyS.


In some embodiments, at least one BLyS-binding MRD is operably linked directly to an antibody that binds to TNF. In additional embodiments, at least one BLyS-binding MRD is operably linked to an antibody that binds to TNF via a linker.


In other embodiments, at least one TNF-binding MRD is operably linked directly to an antibody that binds to BLyS. In additional embodiments, at least one TNF-binding MRD is operably linked to an antibody that binds to BLyS via a linker.


In some embodiments, the MRD-containing antibody targets Ang2, TNF, and IL6. In some embodiments, the MRD-containing antibody is capable of binding Ang2, TNF, and IL6 simultaneously. In some embodiments, an antibody that binds to TNF is operably linked to an MRD that targets Ang2 and an MRD that targets IL6. In some embodiments, the Ang2 and IL6-binding MRDs are located on the same antibody chain. In some embodiments, the Ang2 and IL6-binding MRDs are located on the same antibody terminus. In some embodiments, the Ang2 and IL6-binding MRDs are located on different antibody chains. In some embodiments, the Ang2 and IL6-binding MRDs are located on different antibody termini.


In some embodiments, an antibody that binds to Ang2 is operably linked to an MRD that targets TNF and an MRD that targets IL6. In some embodiments, the TNF and IL6-binding MRDs are located on the same antibody chain. In some embodiments, the TNF and IL6-binding MRDs are located on the same antibody terminus. In some embodiments, the TNF and IL6-binding MRDs are located on different antibody chains. In some embodiments, the TNF and IL6-binding MRDs are located on different antibody termini.


In some embodiments, an antibody that binds to IL6 is operably linked to an MRD that targets Ang2 and an MRD that targets TNF. In some embodiments, the Ang2 and TNF-binding MRDs are located on the same antibody chain. In some embodiments, the Ang2 and TNF-binding MRDs are located on the same antibody terminus. In some embodiments, the Ang2 and TNF-binding MRDs are located on different antibody chains. In some embodiments, the Ang2 and TNF-binding MRDs are located on different antibody termini.


In some embodiments, the MRD-containing antibody targets Ang2, TNF, and BLyS. In some embodiments, the MRD-containing antibody is capable of binding Ang2, TNF, and BLyS simultaneously. In some embodiments, an antibody that binds to TNF is operably linked to an MRD that targets Ang2 and an MRD that targets BLyS. In other embodiments, an antibody that binds to BLyS is operably linked to an MRD that targets TNF and an MRD that targets Ang2. In other embodiments, an antibody that binds to Ang2 is operably linked to an MRD that targets TNF and an MRD that targets BLyS. In some embodiments, the Ang2, BLyS, and/or TNF-binding MRDs are located on the same antibody chain. In some embodiments, Ang2, BLyS, and/or TNF-binding MRDs are located on the same antibody terminus. In some embodiments, the Ang2, BLyS, and/or TNF-binding MRDs are located on different antibody chains. In some embodiments, the Ang2, BLyS, and/or TNF-binding MRDs are located on different antibody termini.


In some embodiments, the MRD-containing antibody targets Ang2, TNF, IL6, and BLyS. In some embodiments, the MRD-containing antibody is capable of binding Ang2, TNF, IL6 and BLyS simultaneously. In some embodiments, an antibody that binds to TNF is operably linked to an MRD that targets Ang2, an MRD that targets IL6, and an MRD that targets BLyS. In some embodiments, an antibody that binds to Ang2 is operably linked to an MRD that targets TNF, an MRD that targets IL6, and an MRD that targets BLyS. In some embodiments, an antibody that binds to IL6 is operably linked to an MRD that targets Ang2, an MRD that targets TNF, and an MRD that targets BLyS. In some embodiments, an antibody that binds to BLyS is operably linked to an MRD that targets Ang2, an MRD that targets IL6, and an MRD that targets TNF. In some embodiments, the TNF, Ang2, IL6, and/or BLyS-binding MRDs are located on the same antibody chain. In some embodiments, the TNF, Ang2, IL6 and/or BLyS-binding MRDs are located on the same antibody terminus. In some embodiments, the TNF, Ang2, IL6, and/or BLyS-binding MRDs are located on different antibody chains. In some embodiments, the TNF, Ang2, IL6 and/or BLyS-binding MRDs are located on different antibody termini.


VI. METHODS OF MAKING ANTIBODY-MRD FUSIONS

The multivalent and multispecific compositions of the invention (e.g., MRD-containing antibodies) and MRDs can be produced by any method known in the art for the synthesis of antibodies, polypeptides, immunoconjugates, and cytotoxins, in particular, by chemical synthesis or by recombinant expression techniques. An advantage of multivalent and multispecific compositions (e.g., MRD-containing antibodies) is that they can be produced using protocols that are known in the art for producing antibodies. The antibody-MRD fusion molecules can be encoded by a polynucleotide comprising a nucleotide sequence. Thus, the polynucleotides described herein can encode an MRD, an antibody heavy chain, an antibody light chain, a fusion protein comprising an antibody heavy chain and at least one MRD, and/or a fusion protein comprising an antibody light chain and at least one MRD.


Accordingly, the invention provides vector constructs comprising a polynucleotide sequence(s) encoding multivalent and multispecific compositions (e.g., MRD-containing antibodies) and a host cell comprising these vector constructs. Standard techniques for cloning and transformation may be used in the preparation of cell lines expressing the multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the invention.


Recombinant expression vectors containing a polynucleotide sequence(s) encoding multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the invention can be prepared using well known techniques. The expression vectors include a polynucleotide coding sequence operably linked to suitable transcriptional or translational regulatory nucleotide sequences such as, those derived from mammalian, microbial, viral, or insect genes. Exemplary regulatory sequences present in the expression vector constructs include transcriptional promoters, operators, enhancers, mRNA ribosomal binding sites, and/or other appropriate sequences which control transcription and translation initiation and termination. Nucleotide sequences are “operably linked” when the regulatory sequence functionally relates to the nucleotide sequence for the appropriate polypeptide. Thus, a promoter sequence is operably linked to, for example, an antibody heavy chain-MRD sequence if the promoter nucleotide sequence controls the transcription of the appropriate nucleotide sequence.


The polynucleotide coding sequence in the expression vector can include additional heterologous sequences encoding polypeptides such as, signal peptides that are not naturally associated with antibody heavy and/or light chain sequences. For example, a nucleotide sequence for a signal peptide (secretory leader) can be fused in-frame to the polypeptide sequence so that the MRD-containing antibody is secreted to the periplasmic space or into the medium. A signal peptide that is functional in the intended host cells enhances extracellular secretion of the appropriate antibody. The signal peptide can be cleaved from the polypeptide upon secretion of antibody from the cell. Examples of sequences encoding secretory signals that can be included in the expression vectors include those described in for example, U.S. Pat. Nos. 5,698,435, 5,698,417, and 6,204,023.


A variety of host-expression vector systems can be utilized to express the coding sequence an MRD-containing antibody.


Host cells useful in the present invention include but are not limited to microorganisms such as, bacteria (e.g., E. coli, B. subtilis) transformed with recombinant bacteriophage DNA, plasmid DNA or cosmid DNA expression vectors containing antibody coding sequences; yeast (e.g., Saccharomyces, Pichia) transformed with recombinant yeast expression vectors containing antibody coding sequences; insect cell systems infected with recombinant virus expression vectors (e.g., Baculovirus) containing antibody coding sequences; plant cell systems infected with recombinant virus expression vectors (e.g., cauliflower mosaic virus, CaMV; tobacco mosaic virus, TMV) or transformed with recombinant plasmid expression vectors (e.g., Ti plasmid) containing MRD-containing antibody coding sequences. In particular embodiments, the mammalian cell systems are used to produce the multivalent and multispecific compositions of the invention (e.g., MRD-containing antibodies). Mammalian cell systems typically utilize recombinant expression constructs containing promoters derived from the genome of mammalian cells (e.g., metallothionein promoter) or from mammalian viruses (e.g., the adenovirus late promoter; the vaccinia virus 7.5K promoter). Examples of mammalian host cells useful for producing the multivalent and multispecific compositions of the invention include, CHO cells, BHK cells, NSO cells, SP2/0 cells, YO myeloma cells, P3X63 mouse myeloma cells, PER cells, PER.C6 cells, COS cells, 293 cells, 3T3 cells and hybridoma cells.


Vectors containing the polynucleotides encoding the multivalent and multispecific compositions of the invention (e.g., MRD containing antibodies) or portions or fragments thereof, include plasmid vectors, a single and double-stranded phage vectors, as well as single and double-stranded RNA or DNA viral vectors. The vectors can be routinely introduced into host cells using known techniques for introducing DNA and RNA into cells. Phage and viral vectors may also be introduced into host cells in the form of packaged or encapsulated virus using known techniques for infection and transduction. Moreover, viral vectors may be replication competent or alternatively, replication defective. Alternatively, cell-free translation systems may also be used to produce the protein using RNAs derived from the DNA expression constructs of the invention (see, e.g., Intl. Appl. Publ. WO86/05807 and WO89/01036; and U.S. Pat. No. 5,122,464).


Also provided herein, are methods of producing an MRD-containing antibody, the method comprising: culturing a host cell comprising one or more polynucleotides or an expression vector comprising one or more isolated polynucleotides in a medium under conditions allowing the expression of said one or more polynucleotide, wherein said one or more polynucleotides encodes one or more polypeptides that form part of MRD-containing antibody; and recovering said MRD-containing antibody.


Prokaryotes useful as host cells in producing the compositions of the invention (e.g., MRDs) include gram negative or gram positive organisms such as, E. coli and B. subtilis. Expression vectors for use in prokaryotic host cells generally contain one or more phenotypic selectable marker genes (e.g., genes encoding proteins that confer antibiotic resistance or that supply an autotrophic requirement). Examples of useful prokaryotic host expression vectors include the pKK223-3 (Pharmacia, Uppsala, Sweden), pGEM1 (Promega, Wis., USA), pET (Novagen, Wis., USA) and pRSET (Invitrogen, Calif., USA) series of vectors (see, e.g., Studier, J. Mol. Biol. 219:37 (1991) and Schoepfer, Gene 124:83 (1993)). Exemplary promoter sequences frequently used in prokaryotic host cell expression vectors include T7, (Rosenberg et al., Gene 56: 125-135 (1987)), beta-lactamase (penicillinase), lactose promoter system (Chang et al., Nature 275:615 (1978)); and Goeddel et al., Nature 281:544 (1979)), tryptophan (trp) promoter system (Goeddel et al., Nucl. Acids Res. 8:4057, (1980)), and tac promoter (Sambrook et al., 1990, Molecular Cloning, A Laboratory Manual, 2d Ed., Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y.).


In alternative embodiments, eukaryotic host cell systems can be used, including yeast cells transformed with recombinant yeast expression vectors containing the coding sequence of an MRD-containing antibody of the present invention, such as, the expression systems taught in U.S. Pat. Appl. No. 60/344,169 and WO03/056914 (methods for producing human-like glycoprotein in a non-human eukaryotic host cell) (the contents of each of which are incorporated by reference in their entirety). Exemplary yeast that can be used to produce compositions of the invention, such as, MRDs, include yeast from the genus Saccharomyces, Pichia, Actinomycetes and Kluyveromyces. Yeast vectors typically contain an origin of replication sequence from a 2 mu yeast plasmid, an autonomously replicating sequence (ARS), a promoter region, sequences for polyadenylation, sequences for transcription termination, and a selectable marker gene. Examples of promoter sequences in yeast expression constructs include, promoters from metallothionein, 3-phosphoglycerate kinase (Hitzeman et al., J. Biol. Chem. 255:2073, (1980)) and other glycolytic enzymes, such as, enolase, glyceraldehyde-3-phosphate dehydrogenase, hexokinase, pyruvatc decarboxylase, phosphofructokinasc, glucose-6-phosphate isomerase, 3-phosphoglycerate mutase, pyruvate kinase, triosephosphate isomerase, phosphoglucose isomerase, and glucokinase. Additional suitable vectors and promoters for use in yeast expression as well as yeast transformation protocols are known in the art. See, e.g., Fleer et al., Gene, 107:285-195 (1991) and Hinnen et al., Proc. Natl. Acad. Sci., 75:1929 (1978).


Insect and plant host cell culture systems are also useful for producing the compositions of the invention. Such host cell systems include for example, insect cell systems infected with recombinant virus expression vectors (e.g., baculovirus) containing the coding sequence of an MRD-containing antibody; plant cell systems infected with recombinant virus expression vectors (e.g., cauliflower mosaic virus, CaMV; tobacco mosaic virus, TMV) or transformed with recombinant plasmid expression vectors (e.g., Ti plasmid) containing the coding sequence of an MRD-containing antibody, including, but not limited to, the expression systems taught in U.S. Pat. No. 6,815,184, WO2004/057002, WO2004/024927, U.S. Pat. Appl. Nos. 60/365,769, 60/368,047, and WO2003/078614, the contents of each of which is herein incorporated by reference in its entirety.


In alternate embodiments, other eukaryotic host cell systems may be used, including animal cell systems infected with recombinant virus expression vectors (e.g., adenovirus, vaccinia virus) including cell lines engineered to contain multiple copies of the DNA encoding an MRD-containing antibody either stably amplified (CHO/dhfr) or unstably amplified in double-minute chromosomes (e.g., murine cell lines). In one embodiment, the vector comprising the polynucleotide(s) encoding the MRD-containing antibody of the invention is polycistronic.


Exemplary mammalian cells useful for producing these compositions include 293 cells (e.g., 293T and 293F), CHO cells, BHK cells, NSO cells, SP2/0 cells, YO myeloma cells, P3X63 mouse myeloma cells, PER cells, PER.C6 (Crucell, Netherlands) cells or hybridoma cells, other mammalian cells. Additional exemplary mammalian host cells that are useful in practicing the invention include but are not limited, to VERY, Hela, COS, MDCK, 3T3, W138, BT483, Hs578T, HTB2, BT20 and T47D, CRL7O3O and HsS78Bst cells. Some examples of expression systems and selection methods are described in the following references and references cited therein: Borth et al., Biotechnol. Bioen. 71(4):266-73 (2000-2001), in Werner et al., Arzneimittelforschung/Drug Res. 48(8):870-80 (1998), in Andersen and Krummcn, Curr. Op. Biotechnol. 13:117-123 (2002), in Chadd and Chamow, Curr. Op. Biotechnol. 12:188-194 (2001), and in Giddings, Curr. Op. Biotechnol. 12: 450-454 (2001). Additional examples of expression systems and selection methods are described in Logan & Shenk, Proc. Natl. Acad. Sci. USA, 81:355-359 (1984), Bittner et al., Methods in Enzymol. 153:51-544(1987)). Transcriptional and translational control sequences for mammalian host cell expression vectors are frequently derived from viral genomes. Commonly used promoter sequences and enhancer sequences in mammalian expression vectors include, sequences derived from Polyoma virus, Adenovirus 2, Simian Virus 40 (SV40), and human cytomegalovirus (CMV). Exemplary commercially available expression vectors for use in mammalian host cells include pCEP4 (Invitrogen®) and pcDNA3 (Invitrogen®).


A number of selection systems can be used in mammalian host-vector expression systems, including, but not limited to, the herpes simplex virus thymidine kinase, hypoxanthine-guanine phosphoribosyltransferase and adenine phosphoribosyltransferase (Lowy et al., Cell 22:817 (1980)) genes, which can be employed in tk, hgprt or aprt cells, respectively. Additionally, antimetabolite resistance can be used as the basis of selection for e.g., dhfr, gpt, neo, hygro, trpB, hisD, ODC (ornithine decarboxylase), and the glutamine synthase system.


Methods which are well known to those skilled in the art can be used to construct expression vectors containing the coding sequence of an MRD-containing antibody along with appropriate transcriptional/translational control signals. These methods include in vitro recombinant DNA techniques, synthetic techniques and in vivo recombination/genetic recombination. See, for example, the techniques described in Maniatis et al., MOLECULAR CLONING: A LABORATORY MANUAL, Cold Spring Harbor Laboratory, N.Y. (1989) and Ausubel et al., CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, Greene Publishing Associates and Wiley Interscience, N.Y (1989).


A variety of host-expression vector systems may be utilized to express the coding sequence an MRD-containing antibody. A host cell strain can be chosen which modulates the expression of inserted antibody sequences, or modifies and processes the antibody gene product in the specific fashion desired. Such modifications (e.g., glycosylation) and processing (e.g., cleavage) of protein products can be important for the function of the protein. Different host cells have characteristic and specific mechanisms for the post-translational processing and modification of proteins and gene products. Appropriate cell lines or host systems can be chosen to ensure the correct modification and processing of the antibody or portion thereof expressed. To this end, eukaryotic host cells which possess the cellular machinery for proper processing of the primary transcript, glycosylation, and phosphorylation of the gene product may be used.


Stable expression typically achieves more reproducible results than transient expression and also is more amenable to large-scale production; however, it is within the skill of one in the art to determine whether transient expression is better for a particular situation. Rather than using expression vectors which contain viral origins of replication, host cells can be transformed with the respective coding nucleic acids controlled by appropriate expression control elements (e.g., promoter, enhancer, sequences, transcription terminators, polyadenylation sites, etc.), and a selectable marker. Following the introduction of foreign DNA, engineered cells may be allowed to grow for 1-2 days in an enriched media, and then are switched to a selective media. The selectable marker in the recombinant plasmid confers resistance to the selection and allows selection of cells which have stably integrated the plasmid into their chromosomes and grow to form foci which in turn can be cloned and expanded into cell lines.


In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are expressed at levels (titers) comparable to those of antibodies. In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are expressed at least about 10 μg/ml, at least about 20 μg/ml, or at least about 30 μg/ml. In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are expressed at least about 40 μg/ml or at least about 50 μg/ml. In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are expressed at least about 60 μg/ml, at least about 70 μg/ml, at least about 80 μg/ml, at least about 90 μg/ml, at least about 95 μg/ml, at least about 100 μg/ml, at least about 110 μg/ml, at least about 120 μg/ml, at least about 130 μg/ml, at least about 140 μg/ml, at least about 150 μg/ml, at least about 160 μg/ml, at least about 170 μg/ml, at least about 180 μg/ml, at least about 190 μg/ml, or at least about 200 μg/ml. The expression levels of an antibody molecule can be increased by vector amplification and the use recombinant methods and tools known in the art, including chromatin remodeling strategies to enhance transgene expression.


The present invention is further directed to a method for modifying the glycosylation profile of an MRD-containing antibody that is produced by a host cell, comprising expressing in said host cell a nucleic acid encoding an MRD-containing antibody and a nucleic acid encoding a polypeptide with a glycosyltransferase activity, or a vector comprising such nucleic acids. Genes with glycosyltransferase activity include β(1,4)-N-acetylglucosaminyltransferase III (GnTII), α-mannosidase II (ManII), β(1,4)-galactosyltransferase (GalT), β(1,2)-N-acetylglucos aminyltransferase I (GnTI), and β(1,2)-N-acetylglucosaminyltransferase II (GnTII). In one embodiment, a combination of genes with glycosyltransferase activity are expressed in the host cell (e.g., GnTIII and Man II). Likewise, the method also encompasses expression of one or more polynucleotide(s) encoding the MRD-containing antibody in a host cell in which a glycosyltransferase gene has been disrupted or otherwise deactivated (e.g., a host cell in which the activity of the gene encoding α1-6 core fucosyltransferase has been knocked out). In another embodiment, the MRD-containing antibody can be produced in a host cell that further expresses a polynucleotide encoding a polypeptide having GnTIII activity to modify the glycosylation pattern. In a specific embodiment, the polypeptide having GnTIII activity is a fusion polypeptide comprising the Golgi localization domain of a Golgi resident polypeptide. In another embodiment, the expression of the MRD-containing antibody in a host cell that expresses a polynucleotide encoding a polypeptide having GnTIII activity results in an MRD-containing antibody with increased Fc receptor binding affinity and increased effector function. Accordingly, in one embodiment, the present invention is directed to a host cell comprising (a) an isolated nucleic acid comprising a sequence encoding a polypeptide having GnTIII activity; and (b) an isolated polynucleotide encoding an MRD-containing antibody of the present invention, such as, a chimeric, primatized or humanized antibody. In another embodiment, the polypeptide having GnTIII activity is a fusion polypeptide comprising the catalytic domain of GnTIII and the Golgi localization domain is the localization domain of mannosidase II. Methods for generating such fusion polypeptides and using them to produce antibodies with increased effector functions are disclosed in U.S. Provisional Pat. Appl. No. 60/495,142 and U.S. Pat. Appl. Publ. No. 2004/0241817, each of which is herein incorporated by reference.


The multivalent and multispecific compositions (e.g., MRD-containing antibodies) with altered glycosylation produced by the host cells of the invention typically exhibit increased Fc receptor binding affinity and/or increased effector function as a result of the modification of the host cell (e.g., by expression of a glycosyltransferase gene). The increased Fc receptor binding affinity can be increased binding to an Fcγ activating receptor, such as, the FcγRIIIa receptor. The increased effector function can be an increase in one or more of the following: increased antibody-dependent cellular cytotoxicity, increased antibody-dependent cellular phagocytosis (ADCP), increased cytokine secretion, increased immune-complex-mediated antigen uptake by antigen-presenting cells, increased Fc-mediated cellular cytotoxicity, increased binding to NK cells, increased binding to macrophages, increased binding to polymorphonuclear cells (PMNs), increased binding to monocytes, increased crosslinking of target-bound antibodies, increased direct signaling inducing apoptosis, increased dendritic cell maturation, and increased T cell priming.


Once a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) of the invention has been produced by recombinant expression, it can be purified by any method known in the art for purification of an immunoglobulin molecule, for example, by chromatography (e.g., ion exchange, affinity, particularly by affinity for the specific antigen after Protein A, and sizing column chromatography), centrifugation, differential solubility, or by any other standard technique for the purification of proteins. In additional embodiments, the multivalent and multispecific compositions of the present invention or fragments thereof are optionally fused to heterologous polypeptide sequences described herein or otherwise known in the art to facilitate purification. In additional embodiments, the multivalent and multispecific compositions or fragments thereof are optionally fused to heterologous polypeptide sequences described herein or otherwise known in the art to facilitate purification. More particularly, it is envisioned that ligands (e.g., antibodies and other affinity matrices) for MRDs or other components of the multivalent and multispecific compositions can be used in affinity columns for affinity purification and that optionally, the MRDs or other components of the multivalent and monovalent multispecific composition that are bound by these ligands are removed from the composition prior to final preparation of the multivalent and multispecific compositions using techniques known in the art.


VII. USES OF ANTIBODY-MRD FUSIONS

The multivalent and multispecific compositions (e.g., MRD-containing antibodies) described herein are useful in a variety of applications including, but not limited to, therapeutic treatment methods, such as, the treatment of cancer. In certain embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are useful for inhibiting tumor growth, reducing neovascularization, reducing angiogenesis, inducing differentiation, reducing tumor volume, and/or reducing the tumorigenicity of a tumor. The methods of use may be in vitro, ex vivo, or in vivo methods. Cancer therapies and their dosages, routes of administration and recommended usage are known in the art and have been described in such literature as the


Physician's Desk Reference (PDR). The PDR discloses dosages of the agents that have been used in treatment of various cancers. The dosing regimen and dosages of these aforementioned chemotherapeutic drugs that are therapeutically effective will depend on the particular cancer being treated, the extent of the disease and other factors familiar to the physician of skill in the art and can be determined by the physician. The contents of the PDR are expressly incorporated herein in its entirety by reference. The 2006 edition of the Physician's Desk Reference (PDR) discloses the mechanism of action and preferred doses of treatment and dosing schedules for thalidomide (p 979-983), VELCADE® (p 2102-2106) and melphalan (p 976-979).


The multivalent and multispecific compositions (e.g., MRD-containing antibodies) are formulated, dosed, and administered in a fashion consistent with good medical practice. Factors for consideration in this context include the particular disorder being treated, the particular mammal being treated, the clinical condition of the individual patient, the cause of the disorder, the site of delivery of the agent, the method of administration, the scheduling of administration, and other factors known to medical practitioners. The dosage ranges for the administration of the multivalent and multispecific compositions of the invention are those large enough to produce the desired effect in which the disease symptoms mediated by the target molecule are ameliorated. The dosage should not be so large as to cause adverse side effects, such as, hyperviscosity syndromes, pulmonary edema, congestive heart failure, and the like. Generally, the dosage will vary with the age, condition, sex and extent of the disease in the patient and can be determined by one of skill in the art. The dosage can be adjusted by the individual physician in the event of any complication.


The preparation of a pharmacological composition that contains active ingredients dissolved or dispersed therein is well understood in the art. Typically such compositions are prepared as sterile injectables either as liquid solutions or suspensions, aqueous or nonaqueous. However, solid forms suitable for solution, or suspensions, in liquid prior to use can also be prepared. The preparation can also be emulsified. Thus, an antibody-MRD containing composition can take the form of solutions, suspensions, tablets, capsules, sustained release formulations or powders, or other compositional forms.


In some embodiments, the compositions of the invention (e.g., multivalent and multispecific compositions (e.g., MRD-containing antibodies)) are formulated to ensure or optimize distribution in vivo. For example, the blood-brain barrier (BBB) excludes many highly hydrophilic compounds and if so desired, the compositions are prepared so as to increase transfer across the BBB, by for example, formulation in liposomes. For methods of manufacturing liposomes, see, e.g., U.S. Pat. Nos. 4,522,811; 5,374,548; and 5,399,331. The liposomes may comprise one or more moieties which are selectively transported into specific cells or organs, thus enhance targeted drug delivery (see, e.g., Ranade Clin. Pharmacol. 29:685 (1989)).


The multivalent and multispecific binding properties of the compositions of the invention provide for the rational design of therapeutics preferentially directed to particular anatomical sites of interest in vivo. For example, in some embodiments, the MRD-containing antibody localizes to a site of inflammation or to a tumor site by binding of the antibody combining site to a molecule characterized by increased expression in the inflammation or tumor site, respectively. In particular embodiments, the binding affinity of the antibody combining site in an MRD-containing antibody for the target in vivo is at least 3×, at least 10×, at least 30× or at least 100× that of one or more MRD targets bound by the MRD-containing antibody (e.g., a surface antigen that is not otherwise considered a viable antibody target in view of for example, non-specific surface expression, or low target binding affinity associated with conventional antibody technologies).


Therapeutic formulations of the invention optionally contain pharmaceutically acceptable carriers, excipients or stabilizers (Remington's Pharmaceutical Sciences 18th edition, Mack Publishing Co., Easton, Pa. 18042 [1990]). Acceptable carriers, excipients, or stabilizers are nontoxic to recipients at the dosages and concentrations employed, and include buffers, antioxidants including ascorbic acid, methionine, Vitamin E, sodium metabisulfite, preservatives, isotonicifiers, stabilizers, metal complexes (e.g., Zn-protein complexes), and/or chclating agents such as EDTA. Physiologically tolerable carriers are well known in the art. Likewise, multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the present invention can include pharmaceutically acceptable salts of the components therein. Pharmaceutically acceptable salts include the acid addition salts (formed with the free amino groups of the polypeptide) that are formed with inorganic acids for example, hydrochloric or phosphoric acids, or such organic acids as acetic, tartaric, mandelic and the like. Salts formed with the free carboxyl groups can also be derived from inorganic bases for example, sodium, potassium, ammonium, calcium or ferric hydroxides, and such organic bases as isopropylamine, trimethylamine, 2-ethylamino ethanol, histidine, procaine and the like.


Suitable excipients include, for example, water, saline, dextrose, glycerol, ethanol or the like and combinations thereof. Additional excipients useful in formulation the compositions of the invention include an agent which can act as: (1) a bulking agent, (2) a solubility enhancer, and (3) a stabilizer. Such excipients include, but are not limited to: polyhydric sugar alcohols (enumerated above); amino acids such as alanine, glycine, glutamine, asparagine, histidine, arginine, lysine, ornithine, leucine, 2-phenylalanine, glutamic acid, threonine, etc.; organic sugars or sugar alcohols such as sucrose, lactose, lactitol, trehalose, stachyose, mannose, sorbose, xylose, ribose, ribitol, myoinisitose, myoinisitol, galactose, galactitol, glycerol, cyclitols (e.g., inositol), polyethylene glycol; sulfur containing reducing agents, such as urea, glutathione, thioctic acid, sodium thioglycolate, thioglycerol, .alpha.-monothioglycerol and sodium thio sulfate; low molecular weight proteins such as human serum albumin, bovine serum albumin, gelatin or other immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; monosaccharides (e.g., xylosc, mannose, fructose, glucose; disaccharides (e.g., lactose, maltose, sucrose); trisaccharides such as raffinose; and polysaccharides such as dextrin or dextran.


Buffers are used to control the pH in a range which optimizes the therapeutic effectiveness, especially if stability is pH dependent. In some embodiments buffers are present at a concentrations ranging from about 1 mM to about 200 mM, about 1 mM to about 100 mM or about 1 mM to about 50 mM. Suitable buffering agents for use in the formulations of the invention include both organic and inorganic acids and salts thereof. For example, citrate, phosphate, succinate, tartrate, fumarate, gluconate, oxalate, lactate, acetate. Additionally, buffers may comprise histidine and trimethylamine salts such, as Tris.


Stabilizers, referred to as tonicity modifiers, are present to adjust or maintain the tonicity of a liquid composition. When used with large, charged biomolecules such as proteins and antibodies, stabilizers interact with the charged groups of the amino acid side chains, to reduce the potential for inter and intra-molecular interactions. Examples of tonicity agents useful in preparing the formulations of the invention include polyhydric sugar alcohols, preferably trihydric or higher sugar alcohols, such as glycerin, erythritol, arabitol, xylitol, sorbitol and mannitol.


Liquid compositions can also contain liquid phases in addition to and to the exclusion of water. Exemplary of such additional liquid phases are glycerin, vegetable oils such as, cottonseed oil, organic esters such as, ethyl oleate, and water-oil emulsions.


In one embodiment, a therapeutic composition contains a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) in an amount of at least 0.1 weight percent of MRD-containing antibody fusion per weight of total therapeutic composition. A weight percent is a ratio by weight of MRD-containing antibody per total composition. Thus, for example, 0.1 weight percent is 0.1 grams of MRD-containing antibody per 100 grams of total composition.


Preparations for parenteral administration include sterile aqueous or non-aqueous solutions, suspensions, and emulsions. Examples of non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils such as olive oil, and injectable organic esters such as ethyl oleate. Aqueous carriers include water, alcoholic/aqueous solutions, emulsions or suspensions, including saline and buffered media. In the subject invention, pharmaceutically acceptable carriers include, but are not limited to, 0.01-0.1M and preferably 0.05M phosphate buffer or 0.8% saline. Other common parenteral vehicles include sodium phosphate solutions, Ringer's dextrose, dextrose and sodium chloride, lactated Ringer's, or fixed oils. Intravenous vehicles include fluid and nutrient replenishers, electrolyte replenishers, such as those based on Ringer's dextrose, and the like. Preservatives and other additives may also be present such as for example, antimicrobials, antioxidants, chelating agents, and inert gases and the like.


More particularly, pharmaceutical compositions suitable for injectable typically use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. In such cases, the composition must be sterile and should be fluid to the extent that easy syringability exists. It should be stable under the conditions of manufacture and storage and will preferably be preserved against the contaminating action of microorganisms, such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (e.g., glycerol, propylene glycol, and liquid polyethylene glycol, and the like), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. Suitable formulations for use in the therapeutic methods disclosed herein are described in Remington's Pharmaceutical Sciences, Mack Publishing Co., 16th ed. (1980).


Prevention of the action of microorganisms can be achieved by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, ascorbic acid, thimerosal and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols, such as mannitol, sorbitol, or sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.


In one embodiment, the pharmaceutical composition formulations of the invention comprise a compound that is capable of reducing the viscosity of an aqueous formulation comprising multivalent and monovalent multispecific compositions. In one embodiment, the multivalent and monovalent multispecific composition is an MRD-containing antibody. In a further embodiment, the compound that is capable of reducing the viscosity of the formulation is selected from the group consisting of: methionine, arginine (e.g., arginine succinate), arginine dipeptide, arginine tripeptide, polyarginine, homoarginine, N-hydroxy-L-nor-arginine, nitroargininc methyl ester, argininamidc, argininc methyl ester, arginine ethyl ester, lysine, lysinamide, lysine methyl ester, histidine, histidine methyl ester, histamine, alanine, alaninamide, alanine methyl ester, 2-amino-3-guanidino-propionic acid, guanidine, ornithine, agmatine, guanidobutyric acid, citrulline, putrescine, cadaverine, spermidine, spermine and urea. In some embodiments, the compound is present in the formulation at a concentration of at least 10 mM, at least 20 mM, at least 50 mM or at least 100 mM. In additional embodiments, the compound is present in the formulation at a concentration of between about 10 mM and 1 M. In further embodiments, the total protein concentration present in the formulation is at least 50 mg/ml, at least 75 mg/ml, at least 100 mg/ml, at least 150 mg/ml, at least 200 mg/ml or at least 250 mg/ml.


The dosage schedule and amounts effective for therapeutic and prophylactic uses, i.e., the “dosing regimen”, will depend upon a variety of factors, including the cause, stage and severity of the disease or disorder, the health, physical status, age of the mammal being treated, and the site and mode of the delivery of the MRD-containing antibody. Therapeutic efficacy and toxicity of the complex and formation can be determined by standard pharmaceutical, pharmacological, and toxicological procedures in cell cultures or experimental animals. Data obtained from these procedures can likewise be used in formulating a range of dosages for human use. Moreover, therapeutic index (i.e., the dose therapeutically effective in 50 percent of the population divided by the dose lethal to 50 percent of the population (ED50/LD50)) can readily be determined using known procedures. The dosage is preferably within a range of concentrations that includes the ED50 with little or no toxicity, and may vary within this range depending on the dosage form employed, sensitivity of the patient, and the route of administration.


The dosage regimen also takes into consideration pharmacokinetics parameters known in the art, such as, drug absorption rate, bioavailability, metabolism and clearance (see, e.g., Hidalgo-Aragones, J. Steroid Biochem. Mol. Biol. 58:611-617 (1996); Groning et al., Pharmazie 51:337-341 (1996); Fotherby Contraception 54:59-69 (1996); and Johnson et al., J. Pharm. Sci. 84:1144-1146 (1995)). It is well within the state of the art for the clinician to determine the dosage regimen for each subject being treated. Moreover, single or multiple administrations of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) containing compositions can be administered depending on the dosage and frequency as required and tolerated by the subject. The duration of prophylactic and therapeutic treatment will vary depending on the particular disease or condition being treated. Some diseases are amenable to acute treatment whereas others require long-term, chronic therapy. When treating with an additional therapeutic agent, MRD-containing antibody) can be administered serially, or simultaneously with the additional therapeutic agent.


Therapeutically effective amounts of MRD-containing antibody of the invention vary according to, for example, the targets of the MRD-containing antibody and the potency of conjugated cytotoxic agents encompassed by various embodiments of the invention Thus, for example therapeutically effective dose of an a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) that “mops up” a soluble ligand, such as, TNF alpha, is expected to be higher than that for an a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) that redirects T cell effector function to a target on a hematological malignancy. Likewise, therapeutically effective amounts of a multivalent and multispecific compositions (e.g., MRD-containing antibodies) comprising a maytansinoid cytotoxic agent are likely to be lower than the dosage of an a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) comprising a less potent chemotherapeutic, such as, taxol, or the counterpart a multivalent and monovalent multispecific composition does not contain a cytotoxic agent.


According to one embodiment, a therapeutically effective dose of an a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is an amount selected from about 0.00001 mg/kg to about 20 mg/kg, from about 0.00001 mg/kg to about 10 mg/kg, from about 0.00001 mg/kg to about 5 mg/kg, from about 0.0001 mg/kg to about 20 mg/kg, from about 0.0001 mg/kg to about 10 mg/kg, from about 0.0001 mg/kg to about 5 mg/kg, from about 0.001 mg/kg to about 20 mg/kg, from about 0.001 mg/kg to about 10 mg/kg, and from about 0.001 mg/kg to about 5 mg/kg of the patient's body weight, in one or more dose administrations daily, for one or several days.


According to another embodiment, a therapeutically effective amount of an a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is an amount such that when administered in a physiologically tolerable composition is sufficient to achieve a plasma concentration of from about 0.1 microgram (Lig) per milliliter (ml) to about 100 μg/ml, from about 1 μg/ml to about 5 μg/ml, and usually about 5 μg/ml. Stated differently, in another embodiment, the dosage can vary from about 0.1 mg/kg to about 300 mg/kg, from about 0.2 mg/kg to about 200 mg/kg, from about 0.5 mg/kg to about 20 mg/kg, in one or more dose administrations daily, for one or several days.


In some embodiments, the a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is administered at about 1 mg/kg to about 50 mg/kg, about 1 mg/kg to about 25 mg/kg, about 1 mg/kg to about 20 mg/kg, about 1 mg/kg to about 15 mg/kg, about 1 mg/kg to about 10 mg/kg, or about 1 mg/kg to about 5 mg/kg.


In additional embodiments, the interval between dose administration of the multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) is about daily, about twice a week, about every week, about every other week, or about every three weeks. In some embodiments, the multivalent and monovalent multispecific composition is administered first at a higher loading dose and subsequently at a lower maintenance dose.


In further embodiments, therapeutic compositions of the invention comprise multivalent and multispecific compositions (e.g., MRD-containing antibodies) in an amount of at least 0.1 weight percent of antibody per weight of total therapeutic composition. A weight percent is a ratio by weight of antibody/total composition. Thus, for example, 0.1 weight percent is 0.1 grams of antibody-MRD per 100 grams of total composition. According to some embodiments, a therapeutic composition comprising a multivalent and monovalent multispecific composition contains about 10 micrograms (μg) per milliliter (ml) to about 100 milligrams (mg) per ml of antibody as active ingredient per volume of composition. In additional embodiments, a therapeutic composition comprising a multivalent and monovalent multispecific composition contains about 1 mg/ml to about 10 mg/ml (i.e., about 0.1 to 1 weight percent) of antibody as active ingredient per volume of composition.


As shown in the examples herein, a multivalent and multispecific composition (e.g., an MRD containing antibody) can have a similar PK profile to a corresponding antibody. Thus, in some embodiments, an antibody-MRD is administered in a dosing concentration and regimen that is the same as the antibody component of the antibody-MRD molecule alone (e.g., a commercial antibody, or a so-called “biosimilar” or a “biobetter” thereof). Likewise, the multivalent and multispecific composition can have a different PK profile from a corresponding antibody. For example, in in embodiments where the multivalent and multispecific compositions redirect a T cell response and/or include a cytotoxic agent, the dosing concentration is expected to be less than that of the corresponding antibody. In these instances, therapeutically effective dosing concentrations and regimens for these compositions can routinely be determined using factors and criteria known in the art.


The multivalent and multispecific compositions (e.g., MRD-containing antibodies) need not be, but optionally are, formulated with one or more agents currently used to prevent or treat the disorder in question. The effective amount of such other agents depends on the amount of multivalent and monovalent multispecific composition present in the formulation, the type of disorder or treatment, and other factors discussed above.


As discussed above, the appropriate dosage of the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) will depend on the type of disease to be treated, as defined above, the severity and course of the disease, previous therapy, the patient's clinical history, and the discretion of the attending physician. The multivalent and monovalent multispecific composition is suitably administered to the patient at one time or over a series of treatments. Preferably, the multivalent and monovalent multispecific composition is administered by intravenous infusion or by subcutaneous injections. According to some embodiments, the multivalent and monovalent multispecific composition is administered parenterally by injection or by gradual infusion over time. Although the target molecule can typically be accessed in the body by systemic administration and therefore most often treated by intravenous administration of therapeutic compositions, other tissues and delivery means are contemplated where there is likelihood that the tissue targeted contains the target molecule. Thus, the multivalent and monovalent multispecific composition can be administered intravenously, intraperitoneally, intramuscularly, subcutaneously, intracavity, transdermally, and can be delivered by peristaltic means. Multivalent and multispecific compositions can also be delivered by aerosol to airways and lungs. In some embodiments, the antibody-MRD molecule is administered by intravenous infusion. In some embodiments, the antibody-MRD molecule is administered by subcutaneous injection.


The therapeutic compositions containing a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) can conventionally be administered intravenously, as by injection of a unit dose, for example. The term “unit dose” when used in reference to a therapeutic composition of the present invention refers to physically discrete units suitable as unitary dosage for the patient, each unit containing a predetermined quantity of active material calculated to produce the desired therapeutic effect in association with the required diluent; i.e., carrier, or vehicle. In a specific embodiment, the therapeutic compositions containing a human monoclonal antibody or a polypeptide are administered subcutaneously.


The compositions of the invention are administered in a manner compatible with the dosage formulation, and in a therapeutically effective amount. The quantity to be administered depends on the patient to be treated, capacity of the patient's system to utilize the active ingredient, and degree of therapeutic effect desired. Precise amounts of active ingredient required to be administered depend on the judgment of the practitioner and are peculiar to each individual. However, suitable dosage ranges for systemic application are disclosed herein and depend on the route of administration. Suitable regimes for administration are also variable, but are typified by an initial administration followed by repeated doses at one or more hour intervals by a subsequent injection or other administration. Alternatively, continuous intravenous infusion sufficient to maintain concentrations in the blood in the ranges specified for in vivo therapies are contemplated.


In other embodiments, the invention provides a method for treating or preventing a disease, disorder, or injury comprising administering a therapeutically effective amount or prophylactically effective amount of antibody-MRD molecule to a patient in need thereof. In some embodiments, the disease, disorder or injury is cancer. In other embodiments, the disease, disorder or injury is a disease or disorder of the immune system, such as, inflammation or an autoimmune disease.


Multivalent and multispecific compositions (e.g., MRD-containing antibodies) are expected to have at least the same therapeutic efficacy as the antibody contained in the MRD antibody containing antibody when administered alone. Accordingly, it is envisioned that the multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be administered to a patient to treat or prevent a disease, disorder, or injury for which the antibody contained in the MRD-containing antibody, or an antibody that functions in the same way as the antibody contained in the MRD-containing antibody, demonstrates a reasonably correlated beneficial activity in treating or preventing such disease, disorder or injury. This beneficial activity can be demonstrated in vitro, in an in vivo animal model, or in human clinical trials. In one embodiment, an MRD-containing antibody is administered to a patient to treat or prevent a disease, disorder or injury for which the antibody component of the MRD-containing antibody, or an antibody that functions in the same way as the antibody contained in the MRD-containing antibody, demonstrates therapeutic or prophylactic efficacy in vitro or in an animal model. In another embodiment, an MRD-containing antibody is administered to a patient to treat or prevent a disease, disorder or injury for which the antibody component of the MRD-containing antibody, or an antibody that functions in the same way as the antibody contained in the MRD-containing antibody, demonstrates therapeutic or prophylactic efficacy in humans. In another embodiment, an MRD-containing antibody is administered to a patient to treat or prevent a disease, disorder or injury for which the antibody component of the MRD-containing antibody, or an antibody that functions in the same way as the antibody contained in the MRD-containing antibody, has been approved by a regulatory authority for use in such treatment or prevention.


In another embodiment, an MRD-containing antibody is administered in combination with another therapeutic to treat or prevent a disease, disorder or injury for which the antibody component of the MRD-containing antibody, or an antibody that functions in the same way as the antibody contained in the MRD antibody, in combination with the therapeutic, or a different therapeutic that functions in the same way as the therapeutic in the combination, demonstrates therapeutic or prophylactic efficacy in vitro or in an animal model. In another embodiment, an MRD-containing antibody is administered in combination with another therapeutic to treat or prevent a disease, disorder or injury for which the antibody component of the MRD-containing antibody, or an antibody that functions in the same way as the antibody contained in the MRD antibody, in combination with the therapeutic, or a different therapeutic that functions in the same way as the therapeutic in the combination, demonstrates therapeutic or prophylactic efficacy in humans. In another embodiment, an MRD-containing antibody, is administered in combination with another therapeutic to treat or prevent a disease, disorder or injury for which the antibody component of the MRD-containing antibody, or an antibody that functions in the same way as the antibody contained in the MRD antibody, in combination with the therapeutic, or a different therapeutic that functions in the same way as the therapeutic in the combination, has been approved by a regulatory authority for use in such treatment or prevention. The administration of an MRD-containing antibody in combination with more than one therapeutic as described above is also encompassed by the invention.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that promotes apoptosis, inhibits apoptosis, promotes cell survival, inhibits cell survival, promotes senescence of diseased or aberrant cells, inhibits cell senescence, promotes cell proliferation, inhibits cell proliferation, promotes cell differentiation, inhibits cell differentiation, promotes cell activation, inhibits cell activation, promotes cell metabolism, inhibits cell metabolism, promotes cell adhesion, inhibits cell adhesion, promotes cell cycling or cell division, inhibits cell cycling or cell division, promotes DNA replication or repair, inhibits DNA replication or repair, promotes transcription or translation, or inhibits transcription or translation.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that promotes apoptosis or senescence of diseased or aberrant cells. In some embodiments, the MRD-containing antibody is administered in combination with a compound that agonizes, antagonizes or reduces the activity of: EGFR, ErbB2, cMET, TNFa, TGFb, integrin αvβ3, TLR2, TLR3, TLR4, TLR5, TLR7, TLR8, TLR9, TNFR1, TNFRSF10A (TRAIL R1 DR4), TNFRSF10B (TRAIL R2 DR5), TNF, TRAIL, IFN beta, MYC, Ras, BCR, ABL, JNK, CKH2, CHK1, CDK1, RAC1, MEK, MOS, mTOR, AKT, NFkB, Ikk, IAP1, IAP2, XIAP, b-catenin, survivin, HDAC, HSP70, HSP90, proteasome 20S, topoisomerase 1, MDM2, E2F, or E2F1.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that inhibits cell survival. In some embodiments, the MRD-containing antibody is administered in combination with a compound that antagonizes or reduces the activity of: VEGF, VEGFR1, VEGFR2, IGF1R, IGF1, IGF2, PDGF-A, PDGF-B, PDGF-CC, PDGF-C, PDGF-D, PDGFRA, PDGFRB, TFGa, TGFB3, PI3K, TNFSF13B (BLYS), TNFRSF13C (BAFFR), JNK, NFKB, SIP, integrin αvβ3, or survivin.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates cell proliferation. In some embodiments, the MRD-containing antibody is administered in combination with a compound that antagonizes or reduces the activity of: VEGF, VEGFR, EGFR, ErbB2, NFKB, HIF, MUC1, MUC2, or HDAC.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates cell adhesion. In some embodiments, the MRD-containing antibody is administered in combination with a compound that inhibits or reduces the activity of: MMP1, MMP2, MMP7, MMP9, MMP12, PLAU, αvβ1 integrin, αvβ3 integrin, αvβ5 integrin, TGFb, EPCAM, α1β1 integrin, α2β1 integrin, α4β1 integrin, α2β1 integrin, α5β1 integrin, α9β1 integrin, α6β4 integrin, αMβ2 integrin, CEA, L1, Mel-CAM, or HIF1. In one embodiment the MRD-containing antibody is administered in combination with a compound that inhibits or reduces the activity of αvβ3 integrin, αvβ5 integrin, or α5β1 integrin. In specific embodiments the MRD-containing antibody is administered in combination with: MEDI-522 (VITAXIN, Abegrin; Mcdlmmunc), ATN-161 (Attcnuon), EMD 121974 (Merck KGaA), CNTO 95 (Cenotocor), or velociximab (M200, Protein Design Labs).


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates cell activation. In some embodiments, the MRD-containing antibody is administered in combination with a compound that promotes, inhibits or reduces the activity of: CD80, CD86, MHC, PDL2 (B7-DC), B7-H1, B7-H2 (ICOSL), B7-H3, B7-H4, CD28, CTLA4, TCR, PD1, CD80, or ICOS.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates cell cycling, cell division or mitosis. In some embodiments, the MRD-containing antibody is administered in combination with a compound that antagonizes or reduces the activity of: PI3K, SMO, Ptch, HH, SHH, plk1, plk2, plk3, plk4, aurora A, aurora B, aurora C, CDK1, CDK2, CDK4, CHK1, CHK2, GSK3B, PAK, NEK2A, ROCK 2, MDM2, EGF (KSP), proteasome 20S, HDAC, or survivin.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates DNA replication or repair. In some embodiments, the MRD-containing antibody is administered in combination with a compound that antagonizes or reduces the activity of: BRCA1, CHK1, CHK2, E2F, E2FL, MDM2, MDM4, or PARP1.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates transcription or translation. In some embodiments, the MRD-containing antibody is administered in combination with a compound that antagonizes or reduces the activity of: IGF1R, IGF1, IGF2, PDGFRA, PDGFRB, PDGF-A, PDGF-B, PDGF-CC, PDGF-C, PDGF-D, KIT, MYC, CD28, CDK4, CDK6, mTOR, MDM2, HDAC, E2F, E2F1, or HIF1.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates migration, invasion or metastasis. In some embodiments, the MRD-containing antibody is administered in combination with a compound that inhibits or reduces the activity of: c-MET, RON, CXCR4, PI3K, AKT, MMP2, FN1, CATHD, AMF, αvβ1 integrin, αvβ3 integrin, αvβ5 integrin, TGFb, α1β1 integrin, α2β1 integrin, α4β1 integrin, α2β1 integrin, α5β1 integrin, α9β1 integrin, α6β4 integrin, αMβ2 integrin, or HIF1.


According to one embodiment, an MRD-containing antibody is administered in combination with a compound that regulates cell metabolism. In some embodiments, the MRD-containing antibody is administered in combination with a compound that inhibits or reduces the activity of: ErbB2, EGFR, IGF1R, IGF1, IGF2, TGFa, ICOS, PI3K, VEGFR1, VEGFR2, mTOR, HIF1, or HDAC.


According to one embodiment, an MRD-containing antibody is administered in combination with an inhibitor of one or more protein kinases. In one embodiment, the protein kinase inhibitor inhibits a target of the MRD containing antibody (e.g., by either one or more MRDs or the antibody of the MRD containing antibody). In an alternative embodiment, the protein kinase inhibitor inhibits a protein kinase that is not a target of the MRD containing antibody. In some embodiments, the protein kinase inhibitor inhibits one protein kinase. In other embodiments, the protein kinase inhibitor inhibits more than one protein kinase.


In some embodiments, an MRD containing antibody is administered in combination with an inhibitor (e.g., small molecule, antibody, etc.,) of a protein kinase selected from: EGFR, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIb), FGFR3, ErbB2, VEGFR1, VEGFR2, VEGFR3, Tie-2, PDGFR, PDGFRB, RON, and c-Met. In other embodiments, the inhibitor inhibits a protein kinase that is not targeted by the MRD containing antibody. In an additional embodiment, an MRD-containing antibody is administered in combination with an inhibitor of one or more protein kinases selected from: EGFR, FGFR1 (e.g., FGFR1-IIIC), FGFR2 (e.g., FGFR2-IIIa, FGFR2-IIIb, and FGFR2-IIIb), FGFR3, ErbB2, VEGFR1, VEGFR2, VEGFR3, Tie-2, PDGFRA, PDGFRB, FIT3, ALK, RET, Kit, raf, p38, RON, c-Met, PI3K, ERK, FAK, AKT, SYK, JAK1, JAK2, JAK3, TYK2, SIP, FAK, PTK7, PKD1, PKA, PKC, PKG, PRKDC, Pim, CDK, p1k, p38MAPK, SRC, ABL, FGR, FYN, HCK, LCK, LYN, YES, EPH4, BMK1, ERK5, mTOR, CHK1, CHK2, CSNK1G1, CSNK1G2, CSNK1G3, GSK3, BTK, JNK, Aurora Kinase, Aurora Kinase A, Aurora Kinase B, and Aurora Kinase C.


In an additional embodiment, an MRD-containing antibody is administered in combination with a protein kinase inhibitor selected from: imatinib mesylate (e.g., GLEEVEC™), gefitinib (e.g., IRESSA™, Astra Zeneca), vandetanib (e.g., ZACTIMA™, Astra Zeneca), erlotinib (e.g., TARCEVA™, Genentech/OSI), sunitinib (e.g., SUTENT™, Pfizer), lapatanib (GSK), and sorafenib (e.g., NEXAVAR™, Bayer).


In a further embodiment, an MRD-containing antibody is administered in combination with a protein kinase inhibitor selected from: nilotinib (e.g., AMN107, Novartis), dasatinib (e.g., BMS 354825, BMS), ABT-869, botsutinib (e.g., SK1-606, Wyeth), cediranib, recentib, captastatin, AEE788 (Novartis), AZD0530 (AstraZeneca) Exel 7646/Exel 0999 Exelixis), cabozantinib (e.g., XL184; Exelixis), XL880/GSK1363089 (Exelixis/GSK), ARQ-197 (Arqule and Daiichi Sankyo), Inno-406 (Innovive), SGS523 (SGX), PF-2341066 (Pfizer), CI-1033 (Pfizer), motesanib (e.g., AMG-706, Amgen), AG-013736 (Axitinib), AMG-705 (Amgen), pegaptanib (OSI/Pfizer), lestaurtinib, ruxolitinib, SB1518, CYT387, LY3009104, TG101348 JANEX-1, tofacitinib (Pfizer), INCB18424, LFM-A13, pazopanib (e.g., GW786034B, GlaxoSmithKline), GW-572016, EKB-569 (Wyeth-Ayerst), vatalanib (e.g., PTK787/ZK), AZD2171, MK-0457 (VX-680, Merck), PHA 739358 (Nerviano), mubritinib (Takeda), E7080 (Eisai), fostamatinib (Rigel/AstraZeneca), SGX523, SNS-032 (Sunesis), XL143, SNS-314 (Sunesis), SU6668 (Pfizer), AV-951 (AVEO), AV-412 (AVEO), tivizanib (AVEO), PX-866 (Oncothyreon), canertinib (CI-1033), NSC 109555, VRX0466617, UCN-01, CHK2 inhibitor II, EXEL-9844, XL844, CBP501, PF-004777736, debromohymerialdisine, Go6976, AEG3482, cediranib (e.g., RECENTIN™, AstraZeneca), semaxanib (SU5416), SU5616, CGP, 53716, mastinib, and ZD6474 (AstraZeneca).


In a further embodiment, an MRD-containing antibody is administered in combination with a FGFR protein kinase inhibitor selected from: sunitinib, SU5402, PD173074, TKI258 (Novartis), BIBF 1120 (Boehringer Ingelheim), brivanib (BMS-582,664), E7080 (Eisai), and TSU-68 (Taiho).


In an additional embodiment, an MRD-containing antibody is administered in combination with a protein kinase inhibitor of JAK1, JAK2, JAK3, or SYK. In a further embodiment the protein kinase inhibitor is selected from: lestaurtinib, tofacitinib, ruxolitinib, SB1518, CYT387, LY3009104, TG101348, fostamatinib, BAY 61-3606, and sunitinib.


In one embodiment, an ErbB2 (HER2) binding MRD-containing antibody (e.g., an MRD-binding antibody that binds ErbB2 by either one or more MRDs or the antibody of the MRD containing antibody) is administered in combination with a protein kinase inhibitor of ErbB2. In another specific embodiment a trastuzumab antibody-based MRD-containing antibody is administered in combination with a protein kinase inhibitor of ErbB2. In one embodiment, an ErbB2-binding MRD-containing antibody is administered in combination with lapatinib. In a specific embodiment a trastuzumab antibody-based MRD-containing antibody is administered in combination with lapatinib. In one embodiment, an ErbB2-binding MRD-containing antibody is administered in combination with sunitinib. In a specific embodiment a trastuzumab antibody-based MRD-containing antibody is administered in combination with sunitinib. In one embodiment, an ErbB2-binding MRD-containing antibody is administered in combination with neratinib. In a specific embodiment a trastuzumab antibody-based MRD-containing antibody is administered in combination with neratanib. In one embodiment, an ErbB2-binding MRD-containing antibody is administered in combination with iapatinib. In a specific embodiment a trastuzumab antibody-based MRD-containing antibody is administered in combination with iapatinib. In an additional embodiment, an ErbB2 (HER2) binding MRD-containing antibody is administered in combination with a protein kinase inhibitor selected from: canertinib (GW-572016), AV-412 (AVEO), tivozanib (AVEO), vandetanib (e.g., ZACTIMA™, AstraZeneca), AEE788 (Novartis), Exel 7646/Exel 0999 (Exelixis), CI-1033 (Pfizer), and EKB-569 (Wyeth-Ayerst). In a specific embodiment a trastuzumab antibody-based MRD-containing antibody is administered in combination with a protein kinase inhibitor selected from: canertinib (GW-572016), AV-412 (AVEO), tivozanib (AVEO), vandetanib (e.g., ZACTIMA™, AstraZeneca), AEE788 (Novartis), Exel 7646/Exel 0999 (Exelixis), CI-1033 (Pfizer), PX-866 (Oncothyreon), and EKB-569 (Wyeth-Ayerst).


In another embodiment, an EGFR binding MRD-containing antibody (e.g., an MRD-binding antibody that binds EGFR by either one or more MRDs or the antibody of the MRD containing antibody) is administered in combination with a protein kinase inhibitor of EGFR. In a specific embodiment a cetuximab antibody-based MRD-containing antibody is administered in combination with a protein kinase inhibitor of EGFR. In one embodiment, an EGFR binding MRD-containing antibody is administered in combination with gefitinib (e.g., IRESSA™, AstraZeneca). In a specific embodiment a cetuximab antibody-based MRD-containing antibody is administered in combination with gefitinib (e.g., IRESSA™, AstraZeneca). In one embodiment, an EGFR binding MRD-containing antibody is administered in combination with erlotinib (e.g., TARCEVA™, Genentech/OSI). In a specific embodiment a cetuximab antibody-based MRD-containing antibody is administered in combination with erlotinib (e.g., TARCEVA™, Genentech/OSI). In one embodiment, an EGFR binding MRD-containing antibody is administered in combination with lapatinib. In a specific embodiment a cetuximab antibody-based MRD-containing antibody is administered in combination with lapatinib. In one embodiment, an EGFR binding MRD-containing antibody is administered in combination with sorafenib (e.g., NEXAVAR™, Bayer). In a specific embodiment a cetuximab antibody-based MRD-containing antibody is administered in combination with sorafenib (e.g., NEXAVAR™, Bayer). In another embodiment, an EGFR binding MRD-containing antibody is administered in combination with a protein kinase inhibitor selected from: canertinib (GW-572016), ZD6474, AV-412 (AVEO), tivozanib (AVEO), vandetanib (ZACTIMA, AstraZeneca), AEE788 (Novartis), Exel 7646/Exel 0999 (Exelixis), CI-1033 (Pfizer), and EKB-569 (Wyeth-Ayerst). In a specific embodiment a cetuximab antibody-based MRD-containing antibody is administered in combination with a protein kinase inhibitor selected from: canertinib (GW-572016), ZD6474, AV-412 (AVEO), tivozanib (AVEO), vandetanib (ZACTIMA, AstraZeneca), AEE788 (Novartis), Exel 7646/Exel 0999 (Exelixis), CI-1033 (Pfizer), PX-866 (Oncothyreon), and EKB-569 (Wyeth-Ayerst).


In one embodiment, a VEGFA, VEGFR1, or VEGFR2 binding MRD-containing antibody (e.g., an MRD-binding antibody that binds VEGFR1 by either one or more MRDs or the antibody of the MRD containing antibody) is administered in combination with a protein kinase inhibitor of VEGR1, VEGFR2, or VEGFR3. In one embodiment, the VEGFA, VEGFR1 or VEGFRr2 binding MRD-containing antibody is administered in combination with: sunitinib, sorafenib, pazopanib (e.g., GW786034B), AZD2171, vatalanib, ZD6474, AMG-706, or AC013736.


In a further embodiment, an MRD-containing antibody is administered in combination with a proteasome inhibitor. In a specific embodiment, the inhibitor is bortezomib (e.g., VELCADE™). In another specific embodiment, the inhibitor is PR-171 (Proteolix).


In a further embodiment, an MRD-containing antibody is administered in combination with a HDAC inhibitor.


In a further embodiment, an MRD-containing antibody is administered in combination with a mTOR inhibitor.


In a further embodiment, an MRD-containing antibody is administered in combination with a NFKB inhibitor.


In one embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of a VEGFA or VEGFR binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating colorectal cancer by administering a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient having colorectal cancer. In another embodiment, the invention provides a method of treating breast cancer by administering a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient having breast cancer. In another embodiment, the invention provides a method of treating non-small cell lung carcinoma by administering a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient having non-small cell lung carcinoma. In other embodiments, therapeutic effective amounts of bevacizumab comprising at least one MRD are administered to a patient to treat metastatic colorectal cancer, metastatic breast cancer, metastatic pancreatic cancer, or metastatic non-small cell lung carcinoma. In another embodiment, the invention provides a method of treating cancer by administering to a patient a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient having renal cell carcinoma, glioblastoma multiforme, ovarian cancer, prostate cancer, liver cancer or pancreatic cancer.


Combination therapy and compositions including multivalent and multispecific compositions (e.g., MRD-containing antibodies) of the invention and another therapeutic are also encompassed by the invention, as are methods of treatment using these compositions. In other embodiments, compositions of the invention are administered alone or in combination with one or more additional therapeutic agents. Combinations may be administered either concomitantly, e.g., as an admixture, separately but simultaneously or concurrently; or sequentially. This includes presentations in which the combined agents are administered together as a therapeutic mixture, and also procedures in which the combined agents are administered separately but simultaneously, e.g., as through separate intravenous lines into the same individual. Administration “in combination” further includes the separate administration of one of the therapeutic compounds or agents given first, followed by the second. Accordingly, in one embodiment, a VEGFA or VEGFR binding MRD-containing antibody is administered in combination with 5-fluorouracil, carboplatin, paclitaxcl, or interferon alpha. In another embodiment, bevacizumab comprising at least one MRD is administered in combination with 5-fluorouracil, carboplatin, paclitaxel, or interferon alpha.


In another embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of a VEGFA or VEGFR binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient in need thereof. In a specific embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of ranibizumab comprising at least one MRD to a patient in need thereof.


In some embodiments, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of an ErbB2 (HER2) binding MRD-containing antibody to a patient in need thereof. In various embodiments, the ErbB2-binding multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to patients who have been previously shown to respond to another ErbB2-based therapy (e.g., HERCEPTIN, chemotherapy and/or radiation) or are predicted to respond to another ErbB2-based therapy. In other embodiments, the ErbB2-binding multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to patients who have previously failed to respond to another ErbB2-based therapy or are predicted to fail to respond to another ErbB2-based therapy.


In a specific embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of trastuzumab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating breast cancer by administering a therapeutically effective amount of trastuzumab comprising at least one MRD to a patient having breast cancer. In other embodiments, therapeutic effective amounts of trastuzumab comprising at least one MRD are administered to a patient to treat metastatic breast cancer.


In another embodiment, an ErbB2 (HER2) binding MRD-containing antibody is administered in combination with cyclophosphamide, paclitaxel, docetaxel, carboplatin, anthracycline, or a maytansinoid. In a specific embodiment, trastuzumab comprising at least one MRD is administered in combination with cyclophosphamide, paclitaxel, docetaxel, carboplatin, anthracyclinc, or a maytansinoid.


In another embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of a CD20-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating a hematologic cancer comprising administering a therapeutically effective amount of rituximab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating CD20 positive NHL by administering a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient having CD20 positive NHL. In one embodiment, the invention provides a method of treating CD20 positive CLL by administering a therapeutically effective amount of bevacizumab comprising at least one MRD to a patient having CD20 positive CLL.


In another embodiments, a therapeutically effective amount of a CD20-binding MRD-containing antibody is administered in combination with: ludarabine, cyclophosphamide, FC (fludarabine and cyclophosphamide), anthracycline based chemotherapy regimen (e.g., CHOP (cyclophosphamide, adriamycin, vincristine and prednisone)), or CVP (cyclophosphamide, prednisone, and vincristine) chemotherapy. In a specific embodiment, a therapeutically effective amount of bevacizumab comprising at least one MRD is administered in combination with: ludarabine, cyclophosphamide, FC (fludarabine and cyclophosphamide), anthracycline based chemotherapy regimen (e.g., CHOP (cyclophosphamide, adriamycin, vincristine and prednisone)), or CVP (cyclophosphamide, prednisone, and vincristine) chemotherapy.


Any of the antibody-MRD fusions containing antibodies and/or MRDs that bind CD20 can be used according to the methods of treating a disorder associated with CD20, or that can be treated by targeting cells that express CD20 (e.g., hematological cancers and autoimmune disease). In some embodiments, the antibody component of the antibody-MRD-fusion is selected from rituximab, ocrelizumab, GA101, and PF-5,230,895.


The invention also provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of an MRD-containing antibody. In some embodiments, the administered MRD-containing antibody binds a target selected from: CD20, TNFRSF5 (CD40), CD45RB, CD52, CD200, CCR2, PAFR, IL6R, TNFRSF1A, VLA4, CSF2, TNFSF5 (CD40 LIGAND), TLR2, TLR4, GPR44, FASL, TREM1, IL1, IL1 beta, IL1RN, tissue factor, MIF, M1P2, 1L6, 1L8, IL10, 1L12, IL13, IL15, IL17, IL18, IL23, TNF, TNFSF12 (TWEAK), LPS, CXCL13, VEGF, IFN alpha, IFN gamma, GMCSF, FGF, TGFb, C5, and CCR3. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind 2, 3, 4, 5 or more of these targets are also encompassed by the invention.


In particular embodiments, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of an MRD-containing antibody that binds TNF and ANG2.


In additional embodiments, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of an MRD-containing antibody that binds IL1, IL12, and TNF. In further embodiments, the MRD-containing antibody binds IL1, IL12, TNF and ANG2.


In additional embodiments, the administered MRD-containing antibody binds IL1, IL6 and TNF. In further embodiments, the MRD-containing antibody binds IL1, IL6, TNF and ANG2.


target selected from: CD20, TNFRSF5 (CD40), CD45RB, CD52, CD200, CCR2, PAFR, IL6R, TNFRSF1A, VLA4, CSF2, TNFSF5 (CD40 LIGAND), TLR2, TLR4, GPR44, FASL, TREM1, IL1, IL1 beta, IL1RN, tissue factor, MIF, MIP2, IL6, IL8, IL10, IL12, IL13, IL15, IL17, IL18, IL23, TNF, TNFSF12 (TWEAK), LPS, CXCL13, VEGF, IFN alpha, IFN gamma, GMCSF, FGF, TGFb, C5, and CCR3. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind 2, 3, 4, 5 or more of these targets are also encompassed by the invention.


In additional embodiments, the invention provides a method of treating an autoimmune disease comprising administering a therapeutically effective amount of an MRD-containing antibody. In a specific embodiment, the administered MRD-containing antibody binds a target selected from: CD1C, CD3, CD4, CD19, CD20, CD21, CD22, CD23, CD24, CD28, CD37, CD38, CD45RB, CD52, CD69, CD72, CD74, CD75, CD79A, CD79B, CD80, CD81, CD83, CD86, CD200, IL2RA, IL1R2, IL6R, VLA4, HLA-DRA, HLA-A, ITGA2, ITGA3, CSF2, TLR2, TLR4, GPR44, TREM1, TIE2, TNF, FASL, tissue factor, MIF, MIP2, IL1, IL1 beta, IL1RN, IL2, IL4, IL6, IL8, IL10, IL11, IL12, IL13, IL15, IL17, IL18, IL23, TNFRSF1A, TNFRSF5 (CD40), TNFRSF6 (Fas, CD95), TNFRSF7 (CD27), TNFRSF8 (CD30), TNFRSF13C (BAFFR), TNFSF5 (CD40 Ligand), TNFSF6 (Fas Ligand), TNFSF8 (CD30 Ligand), TNFSF12 (TWEAK), TNFSF13B (BLyS), ANG2, 1COSL (B7-H2), MS4A1, 1FN alpha, IFN beta1, IFN gamma, TNFSF7 (CD27 Ligand, CD70), PAFR, INHA, INHBA, DPP4, NT5E, CTLA4, B7.1/B7.2, LPS, VEGF, GMCSF, FGF, C5, CXCL13, CXCR4, CCR2 and CCR3. In further embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to treat rheumatoid arthritis and the multivalent and multispecific compositions bind a target selected from: CD19, CD20, CD45RB, CD52CD200, IL1, IL6, IL12, IL15, IL17, IL18, IL23, TNF, TNFSF12 (TWEAK), TNFRSF5 (CD40), TNFSF5 (CD40 Ligand), TNFSF13B (BLyS), VEGF, VLA4, IFN gamma, IFN alpha, GMCSF, FGF, C5, CXCL13 and CCR2. In additional embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to treat systemic lupus erythematous and the multivalent and multispecific compositions bind 1FN alpha and TNFSF13B (BLyS). In further embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to treat multiple sclerosis and the multivalent and multispecific compositions bind a target selected from: ANG2, IL1, IL12, IL18, IL23, CXCL13, TNF, TNFRSF5 (CD40), TNFSF5 (CD40 Ligand), VEGF, VLA4, TNF, CD45RB, CD200, IFN gamma, GM-CSF, FGF, C5, CD52, TNFRSF1A, TNFRSF5 (CD40), TNFRSF6 (Fas, CD95), TNFRSF7 (CD27), TNFRSF8 (CD30), TNFSF12 (TWEAK), TNFRSF13C (BAFFR), TNFSF5 (CD40 Ligand), TNFSF6 (Fas Ligand), TNFSF8 (CD30 Ligand), TNFRSF21 (DR6), TNFSF12 (TWEAK), TNFSF13B (BLyS), ANG2, AGE (S100 A, amphoterin), ICOSL (B7-H2), MS4A 1, IFN alpha, IFN beta1, IFN gamma, TNFSF7 (CD27 Ligand, CD70), MCP1, CCR2 and CXCL13. Multivalent and multispecific compositions that bind at least 2, 3, 4, 5 or more of these targets arc also encompassed by the invention.


In a further embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of a CD20-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating an autoimmune disease comprising administering a therapeutically effective amount of a CD20-binding MRD-containing antibody to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease comprising administering a therapeutically effective amount of a rituximab-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating rheumatoid arthritis comprising administering a therapeutically effective amount of a rituximab-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating systemic lupus erythematous comprising administering a therapeutically effective amount of a rituximab-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis comprising administering a therapeutically effective amount of a rituximab-MRD-containing antibody to a patient in need thereof.


In an additional embodiment, the invention provides a method of treating an autoimmune disease comprising administering a therapeutically effective amount of an ocrelizumab-MRD-containing antibody to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis comprising administering a therapeutically effective amount of an ocrelizumab-MRD-containing antibody to a patient in need thereof. In a further embodiment, the invention provides a method of treating systemic lupus erythematous comprising administering a therapeutically effective amount of a ocrelizumab-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis comprising administering a therapeutically effective amount of an ocrelizumab-MRD-containing antibody to a patient in need thereof.


In another embodiment, the invention provides a method of treating an autoimmune disease comprising administering a therapeutically effective amount of a PF5,230,895-MRD-containing antibody to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis comprising administering a therapeutically effective amount of a PF5,230,895-MRD-containing antibody to a patient in need thereof. In a further embodiment, the invention provides a method of treating systemic lupus erythematous comprising administering a therapeutically effective amount of a PF5,230,895-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis comprising administering a therapeutically effective amount of an PF5,230,895-MRD-containing antibody to a patient in need thereof.


In some embodiments, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of an MRD-containing antibody that binds CD20. In further embodiments, the administered MRD-containing antibody binds CD20 and a target selected from: TNF, TNFRSF5 (CD40), TNFSF5 (CD40 LIGAND), TNFSF12 (TWEAK), TNFRSF1A, CD45, RB, CD52, CD200, CCR2, PAFR, IL6R, VLA4, CSF2, RAGE, TLR2, TLR4, GPR44, FASL, TREM1, TIE2, tissue factor, MIF, MIP2, LPS, IL1, IL1 beta, IL1RN, IL6, IL6R, IL8, IL10, IL12, IL13, IL15, IL17, IL18, IL23, CXCL13, VEGF, IFN alpha, IFN gamma, GMCSF, FGF, C5, and CCR3. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind CD20 and also bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD20. In further embodiments, the antibody component of the MRD-containing antibody is a rituximab, ocrelizumab, GA101 or PF-5,230,895.


In some embodiments, the invention provides a method of treating an autoimmune disease comprising administering a therapeutically effective amount of an MRD-containing antibody that binds CD20. In a specific embodiment, the administered MRD-containing antibody binds CD20 and a target selected from: CD1C, CD3, CD4, CD19, CD21, CD22, CD23, CD24, CD28, CD37, CD38, CD45RB, CD52, CD69, CD72, CD74, CD75, CD79A, CD79B, CD80, CD81, CD83, CD86, CD200, IL2RA, IL1R2, IL6R, VLA4, HLA-DRA, HLA-A, ITGA2, ITGA3, CSF2, TLR2, TLR4, GPR44, TREM1, TIE2, TNF, FASL, tissue factor, MIF, MIP2, IL1, IL1 beta, IL1RN, IL2, IL4, IL6, IL8, IL10, IL11, IL12, IL13, IL15, IL17, IL18, IL23, TIE2, TNFRSF1A, TNFRSF5 (CD40), TNFRSF6 (Fas, CD95), TNFRSF7 (CD27), TNFRSF8 (CD30), TNFRSF13C (BAFFR), TNFSF5 (CD40 Ligand), TNFSF6 (Fas Ligand), TNFSF8 (CD30 Ligand), TNFSF12 (TWEAK), TNFSF13B (BLyS), ANG2, ICOSL (B7-H2), MS4A1, IFN alpha, IFN IFN gamma, TNFSF7 (CD27 Ligand, CD70), PAFR, INHA, INHBA, DPP4, NT5E, CTLA4, B7.1/B7.2, LPS, VEGF, GMCSF, FGF, C5, CXCL13, CXCR4, CCR2 and CCR3. In further embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to treat rheumatoid arthritis and the multivalent and multispecific compositions bind CD20 and a target selected from: CD19, CD45RB, CD52, CD200, IL12, IL15, IL17, IL18, IL23, TNF, TNFSF12 (TWEAK), TNFRSF5 (CD40), TNFSF5 (CD40 Ligand), VEGF, VLA4, IFN gamma, interferon alpha, GMCSF, FGF, C5, CXCL13 and CCR2. In further embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to treat multiple sclerosis and the multivalent and multispecific compositions bind CD20 and a target selected from: ANG2, 1L12, 1L18, 1L23, CXCL13, TNFRSF5 (CD40), TNFSF5 (CD40 Ligand), VEGF, VLA4, TNF, CD45RB, CD200, IFN gamma, GM-CSF, FGF, C5, CD52, TIE2, TNFRSF1A, TNFRSF5 (CD40), TNFRSF6 (Fas, CD95), TNFRSF7 (CD27), TNFRSF8 (CD30), TNFSF12 (TWEAK), TNFRSF13C (BAFFR), TNFSF5 (CD40 Ligand), TNFSF6 (Fas Ligand), TNFSF8 (CD30 Ligand), TNFRSF21 (DR6), TNFSF12 (TWEAK), TNFSF13B (BLyS), ICOSL (B7-H2), MS4A 1, IFN alpha, IFN beta1, IFN gamma, TNFSF7 (CD27 Ligand, CD70), CCR2 and CXCL13.


Multivalent and multispecific compositions that bind a least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TNF. In further embodiments, the antibody component of the MRD-containing antibody is selected from rituximab, ocrelizumab, GA101 and PF-5,230,895.


In some embodiments, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of a TNF-binding MRD-containing antibody to a patient in need thereof. In various embodiments, the TNF-binding multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to patients who have been previously shown to respond to another TNF-based therapy or are predicted to respond to another TNF-based therapy (e.g., TNF antagonists such as, anti-TNFs (e.g., HUMIRA), EMBREL, CD28 antagonists, CD20 antagonists, and IL6/1L6R antagonists). In other embodiments, the TNF-binding multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to patients who have previously failed to respond to another TNF-based therapy or are predicted to fail to respond to another TNF-based therapy.


In some embodiments, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of an MRD-containing antibody that binds TNF.


In further embodiments, the administered MRD-containing antibody binds TNF and a target selected from: CD20, TNFRSF5 (CD40), CD45RB, CD52, CD200, CCR2, PAFR, IL6R, TNFRSF1A, VLA4, CSF2, TNFSF5 (CD40 LIGAND), TLR2, TLR4, GPR44, FASL, TREM1, IL1, IL1 beta, IL1RN, tissue factor, MIF, MIP2, IL6, IL8, IL10, IL12, IL13, IL15, IL17, IL18, IL23, TNFSF12 (TWEAK), LPS, CXCL13, VEGF, IFN gamma, GMCSF, FGF, C5, and CCR3. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TNF and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TNF. In further embodiments, the antibody component of the MRD-containing antibody is selected from adalimumab, certolizumab, golimumab and AME-527.


In some embodiments, the invention provides a method of treating an autoimmune disease comprising administering a therapeutically effective amount of an MRD-containing antibody that binds TNF. In a specific embodiment, the administered MRD-containing antibody binds TNF and a target selected from: CD1C, CD3, CD4, CD19, CD20, CD21, CD22, CD23, CD24, CD28, CD37, CD38, CD45RB, CD52, CD69, CD72, CD74, CD75, CD79A, CD79B, CD80, CD81, CD83, CD86, CD200, IL2RA, IL1R2, IL6R, VLA4, HLA-DRA, HLA-A, ITGA2, ITGA3, CSF2, TLR2, TLR4, GPR44, TREM1, TIE2, FASL, tissue factor, MIF, MIP2, IL1, IL1 beta, IL1RN, IL2, 1L4, IL6, IL8, IL10, IL11, IL12, IL13, IL15, IL17, IL18, IL23, TIE2, TNFRSF1A, TNFRSF5 (CD40), TNFRSF6 (Fas, CD95), TNFRSF7 (CD27), TNFRSF8 (CD30), TNFRSF13C (BAFFR), TNFSF5 (CD40 Ligand), TNFSF6 (Fas Ligand), TNFSF8 (CD30 Ligand), TNFSF12 (TWEAK), TNFSF13B (BLyS), ANG2, ICOSL (B7-H2), MS4A1, IFN alpha, IFN beta1, IFN gamma, TNFSF7 (CD27 Ligand, CD70), PAFR, INHA, INHBA, DPP4, NT5E, CTLA4, B7.1/B7.2, LPS, VEGF, GMCSF, FGF, C5, CXCL13, CXCR4, CCR2 and CCR3. In further embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to treat rheumatoid arthritis and the multivalent and multispecific compositions bind TNF and a target selected from: CD19, CD20, CD45RB, CD52CD200, IL12, IL15, IL17, IL18, IL23, TNFSF12 (TWEAK), TNFRSF5 (CD40), TNFSF5 (CD40 Ligand), TNFSF13B (BLyS), VEGF, VLA4, IFN gamma, interferon alpha, GMCSF, FGF, C5, CXCL13 and CCR2. In further embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to treat multiple sclerosis and the multivalent and multispecific compositions bind TNF and a target selected from: ANG2, IL12, IL18, IL23, CXCL13, TNFRSF5 (CD40), TNFSF5 (CD40 Ligand), VEGF, VLA4, TNF, CD45RB, CD200, IFN gamma, GM-CSF, FGF, C5, CD52, TNFRSF1A, TNFRSF5 (CD40), TIE2, TNFRSF6 (Fas, CD95), TNFRSF7 (CD27), TNFRSF8 (CD30), TNFSF12 (TWEAK), TNFRSF13C (BAFFR), TNFSF5 (CD40 Ligand), TNFSF6 (Fas Ligand), TNFSF8 (CD30 Ligand), TNFRSF21 (DR6), TNFSF12 (TWEAK), TNFSF13B (BLyS), ICOSL (B7-H2), MS4A 1, IFN alpha, IFN bctal, IFN gamma, TNFSF7 (CD27 Ligand, CD70), CCR2 and CXCL13. Multivalent and multispecific compositions that bind a least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TNF. In further embodiments, the antibody component of the MRD-containing antibody selected from adalimumab, certolizumab, golimumab and AME-527.


In other embodiments, the TNF-binding multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to patients who have been previously shown to respond to an autoimmune disease based therapy or are predicted to respond to other autoimmune disease based therapies (e.g., TNF antagonists such as, Anti-TNFs (e.g., HUMIRA®), ENBREL®, CD28 antagonists, CD20 antagonists, BLyS antagonists, and IL6/IL6R antagonists). In other embodiments, the TNF-binding multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to patients who have previously failed to respond to another autoimmune disease based therapy or are predicted to fail to respond to another autoimmune disease based therapy.


In a specific embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of adalimumab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of adalimumab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of adalimumab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of adalimumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of adalimumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of adalimumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of adalimumab comprising at least one MRD to a patient in need thereof.


In an additional embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of ATN-103 comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of ATN-103 comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating an autoimmune disease, by administering a therapeutically effective amount of ATN-103 comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of ATN-103 comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of ATN-103 comprising at least one MRD to a patient in need thereof. In an additional embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of ATN-103 comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of ATN-103 comprising at least one MRD to a patient in need thereof.


In a specific embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of infliximab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of infliximab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease, by administering a therapeutically effective amount of infliximab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of infliximab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of infliximab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of infliximab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of infliximab comprising at least one MRD to a patient in need thereof.


In some embodiments, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of an MRD-containing antibody that binds TNFSF15 (TL1A).


In further embodiments, the administered MRD-containing antibody binds TL1A and a target selected from: TNF, IFN gamma, IL1, IL1beta, IL6, IL8, IL12, IL15, IL17, IL18, 1L23 and IL32. Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind TL1A and at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds TL1A.


In an additional embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of a IL22-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of PF5,212,367 (ILV-094) comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of PF5,212,367 comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of PF5,212,367 comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of PF5,212,367 comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of PF5,212,367 comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of PF5,212,367 comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of PF5,212,367 comprising at least one MRD to a patient in need thereof.


In an additional embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of a alpha4 integrin-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating systemic lupus erythematous comprising administering a therapeutically effective amount of a natalizumab-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis comprising administering a therapeutically effective amount of a natalizumab-MRD-containing antibody to a patient in need thereof. In a further embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof. In an additional embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis, by administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof. In an additional embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of natalizumab comprising at least one MRD to a patient in need thereof


In an additional embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of a TNFSF5 (CD40 LIGAND)-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of CDP7657 comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of CDP7657 comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of CDP7657 comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating systemic lupus erythematous comprising administering a therapeutically effective amount of a CDP7657-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis comprising administering a therapeutically effective amount of a CDP7657-MRD-containing antibody to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of CDP7657 comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of CDP7657 comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of CDP7657 comprising at least one MRD to a patient in need thereof. In an additional embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of CDP7657 comprising at least one MRD to a patient in need thereof.


In another embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of a TNFSF12 (TWEAK)-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody (that has entered phase 1 clinical trials) comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating systemic lupus erythematous comprising administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis comprising administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof. In an additional embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of the Biogen TNFSF12 (TWEAK) antibody comprising at least one MRD to a patient in need thereof


In an additional embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of a CD25-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating a disorder of the immune system comprising administering a therapeutically effective amount of daclizumab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmunc disease by administering a therapeutically effective amount of daclizumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of daclizumab comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating systemic lupus erythematous comprising administering a therapeutically effective amount of a daclizumab-MRD-containing antibody to a patient in need thereof. In another embodiment, the invention provides a method of treating multiple sclerosis comprising administering a therapeutically effective amount of a daclizumab-MRD-containing antibody to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of daclizumab comprising at least one MRD to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of daclizumab comprising at least one MRD to a patient in need thereof. In a further embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of daclizumab comprising at least one MRD to a patient in need thereof. In an additional embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of daclizumab comprising at least one MRD to a patient in need thereof.


Antibody-MRD fusion proteins having antibodies and/or MRDs that bind cancer antigens or other targets associated with cancer establishment, progression, and/or metastasis are described herein or otherwise known in the art and may be used according to the methods of the invention to treat cancer. In specific embodiments the antibody-MRD fusion proteins comprise an antibody and/or MRD that bind to a target identified herein.


In another embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of an EGFR-binding MRD-containing antibody to a patient in need thereof. In a specific embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of cetuximab comprising at least one MRD to a patient in need thereof. In one embodiment, the invention provides a method of treating cancer by administering a therapeutically effective amount of cctuximab comprising at least one MRD to a patient having colorectal cancer. In another embodiment, therapeutic effective amounts of cetuximab comprising at least one MRD are administered to a patient to treat metastatic colorectal cancer, metastatic breast cancer, metastatic pancreatic cancer, or metastatic non-small cell lung carcinoma. In one embodiment, the invention provides a method of treating cancer by administering a therapeutically effective amount of cetuximab comprising at least one MRD to a patient having squamous cell carcinoma of the head and neck.


In another embodiment, a therapeutically effective amount of an EGFR-binding MRD-containing antibody is administered in combination with irinotecan, FOLFIRI, platinum-based chemotherapy, or radiation therapy. In a specific embodiment, a therapeutically effective amount of cetuximab comprising at least one MRD is administered in combination with irinotecan, FOLFIRI, platinum-based chemotherapy, or radiation therapy.


In certain embodiments, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of an MRD-antibody described herein to a patient in need thereof.


In one embodiment, the invention provides a method of treating a solid cancer by administering a therapeutically effective amount of a solid cancer binding MRD-antibody described herein (e.g., an MRD-antibody that binds a validated solid tumor associated target as described herein to a patient in need thereof.


In some embodiments, the invention provides a method of treating a solid cancer by administering a therapeutically effective amount of an MRD-antibody that binds to a member selected from the group consisting of: IGFR1, ALK1, p-cadherin, CRYPTO, and alpha5 b1 integrin. In other embodiments, the antibody component of the administered MRD-antibody is a member selected from: figitumumab, CP-870893, PF-3,732,010, PF-3,446,962, volociximab, BIIB022, and the Biogen CRYPTO antibody.


In some embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) described herein are useful for treating cancer. Thus, in some embodiments, the invention provides methods of treating cancer comprise administering a therapeutically effective amount of a MRD-containing antibody to a patient (e.g., a patient (subject) in need of treatment). In certain embodiments, the cancer is a cancer selected from the group consisting of colorectal cancer, pancreatic cancer, lung cancer, ovarian cancer, liver cancer, breast cancer, brain cancer, kidney cancer, prostate cancer, gastrointestinal cancer, melanoma, cervical cancer, bladder cancer, glioblastoma, and head and neck cancer. In certain embodiments, the cancer is breast cancer. In certain embodiments, the patient is a human.


Other examples of cancers or malignancies that may be treated with MRD containing antibodies and MRDs include, but are not limited to: Acute Childhood Lymphoblastic Leukemia, Acute Lymphoblastic Leukemia, Acute Lymphocytic Leukemia, Acute Myeloid Leukemia, Adrenocortical Carcinoma, Adult (Primary) Hepatocellular Cancer, Adult (Primary) Liver Cancer, Adult Acute Lymphocytic Leukemia, Adult Acute Myeloid Leukemia, Adult Hodgkin's Disease, Adult Hodgkin's Lymphoma, Adult Lymphocytic Leukemia, Adult Non-Hodgkin's Lymphoma, Adult Primary Liver Cancer, Adult Soft Tissue Sarcoma, AIDS-Related Lymphoma, AIDS-Related Malignancies, Anal Cancer, Astrocytoma, Bile Duct Cancer, Bladder Cancer, Bone Cancer, Brain Stem Glioma, Brain Tumors, Breast Cancer, Cancer of the Renal Pelvis and Ureter, Central Nervous System (Primary) Lymphoma, Central Nervous System Lymphoma, Cerebellar Astrocytoma, Cerebral Astrocytoma, Cervical Cancer, Childhood (Primary) Hepatocellular Cancer, Childhood (Primary) Liver Cancer, Childhood Acute Lymphoblastic Leukemia, Childhood Acute Myeloid Leukemia, Childhood Brain Stem Glioma, Childhood Cerebellar Astrocytoma, Childhood Cerebral Astrocytoma, Childhood Extra cranial Germ Cell Tumors, Childhood Hodgkin's Disease, Childhood Hodgkin's Lymphoma, Childhood Hypothalamic and Visual Pathway Glioma, Childhood Lymphoblastic Leukemia, Childhood Medulloblastoma, Childhood Non-Hodgkin's Lymphoma, Childhood Pineal and Supratentorial Primitive Neuroectodermal Tumors, Childhood Primary Liver Cancer, Childhood Rhabdomyosarcoma, Childhood Soft Tissue Sarcoma, Childhood Visual Pathway and Hypothalamic Glioma, Chronic Lymphocytic Leukemia, Chronic Myelogenous Leukemia, Colon Cancer, Cutaneous T-Cell Lymphoma, Endocrine Pancreas Islet Cell Carcinoma, Endometrial Cancer, Ependymoma, Epithelial Cancer, Esophageal Cancer, Ewing's Sarcoma and Related Tumors, Exocrine Pancreatic Cancer, Extra cranial Germ Cell Tumor, Extra gonadal Germ Cell Tumor, Extra hepatic Bile Duct Cancer, Eye Cancer, Female Breast Cancer, Gaucher's Disease, Gallbladder Cancer, Gastric Cancer, Gastrointestinal Carcinoid Tumor, Gastrointestinal Tumors, Germ Cell Tumors, Gestational Trophoblastic Tumor, Hairy Cell Leukemia, Head and Neck Cancer, Hepatocellular Cancer, Hodgkin's Disease, Hodgkin's Lymphoma, Hypergammaglobulincmia, Hypopharyngeal Cancer, Intestinal Cancers, Intraocular Melanoma, Islet Cell Carcinoma, Islet Cell Pancreatic Cancer, Kaposi's Sarcoma, Kidney Cancer, Laryngeal Cancer, Lip and Oral Cavity Cancer, Liver Cancer, Lung Cancer, Lymphoproliferative Disorders, Macroglobulinemia, Male Breast Cancer, Malignant Mesothelioma, Malignant Thymoma, Medulloblastoma, Melanoma, Mesothelioma, Metastatic Occult Primary Squamous Neck Cancer, Metastatic Primary Squamous Neck Cancer, Metastatic Squamous Neck Cancer, Multiple Myeloma, Multiple Myeloma/Plasma Cell Neoplasm, Myelodysplastic Syndrome, Myelogenous Leukemia, Myeloid Leukemia, Myeloproliferative Disorders, Nasal Cavity and Paranasal Sinus Cancer, Nasopharyngeal Cancer, Neuroblastoma, Non-Hodgkin's Lymphoma During Pregnancy, Nonmelanoma Skin Cancer, Non-Small Cell Lung Cancer, Occult Primary Metastatic Squamous Neck Cancer, Oropharyngeal Cancer, Osteo-/Malignant Fibrous Sarcoma, Osteosarcoma/Malignant Fibrous Histiocytoma, Osteosarcoma/Malignant Fibrous Histiocytoma of Bone, Ovarian Epithelial Cancer, Ovarian Germ Cell Tumor, Ovarian Low Malignant Potential Tumor, Pancreatic Cancer, Paraproteinemias, Purpura, Parathyroid Cancer, Penile Cancer, Pheochromocytoma, Pituitary Tumor, Plasma Cell Neoplasm/Multiple Myeloma, Primary Central Nervous System Lymphoma, Primary Liver Cancer, Prostate Cancer, Rectal Cancer, Renal Cell Cancer, Renal Pelvis and Ureter Cancer, Retinoblastoma, Rhabdomyosarcoma, Salivary Gland Cancer, Sarcoidosis Sarcomas, Sezary Syndrome, Skin Cancer, Small Cell Lung Cancer, Small Intestine Cancer, Soft Tissue Sarcoma, Squamous Neck Cancer, Stomach Cancer, Supratentorial Primitive Neuroectodermal and Pineal Tumors, T-Cell Lymphoma, Testicular Cancer, Thymoma, Thyroid Cancer, Transitional Cell Cancer of the Renal Pelvis and Ureter, Transitional Renal Pelvis and Ureter Cancer, Trophoblastic Tumors, Ureter and Renal Pelvis Cell Cancer, Urethral Cancer, Uterine Cancer, Uterine Sarcoma, Vaginal Cancer, Visual Pathway and Hypothalamic Glioma, Vulvar Cancer, Waldenstrom's Macroglobulinemia, and Wilms' Tumor.


In some embodiments, multivalent and multispecific compositions (e.g., MRD-containing antibodies) are useful for inhibiting tumor growth. In certain embodiments, the method of inhibiting the tumor growth comprises contacting the cell with a MRD-containing antibody in vitro. For example, an immortalized cell line or a cancer cell line that expresses an MRD target and/or an antibody target is cultured in medium to which is added the MRD-containing antibody to inhibit tumor growth. In some embodiments, tumor cells arc isolated from a patient sample for example, a tissue biopsy, pleural effusion, or blood sample and cultured in medium to which is added a MRD-containing antibody to inhibit tumor growth.


In some embodiments, the method of inhibiting tumor growth comprises contacting the tumor or tumor cells with a therapeutically effective amount of the MRD-containing antibody in vivo. In certain embodiments, contacting a tumor or tumor cell is undertaken in an animal model. For example, multivalent and multispecific compositions (e.g., MRD-containing antibodies) can be administered to xenografts in immunocompromised mice (e.g., NOD/SCID mice) to inhibit tumor growth. In some embodiments, cancer stem cells are isolated from a patient sample for example, a tissue biopsy, pleural effusion, or blood sample and injected into immunocompromised mice that are then administered a MRD-containing antibody to inhibit tumor cell growth. In some embodiments, the MRD-containing antibody is administered at the same time or shortly after introduction of tumorigenic cells into the animal to prevent tumor growth. In some embodiments, the MRD-containing antibody is administered as a therapeutic after the tumorigenic cells have grown to a specified size.


In certain embodiments, the method of inhibiting tumor growth comprises administering to a patient (subject) a therapeutically effective amount of a MRD-containing antibody. In certain embodiments, the patient is a human. In certain embodiments, the patient has a tumor or has had a tumor removed. In certain embodiments, the tumor expresses an antibody target. In certain embodiments, the tumor overexpresses the MRD target and/or the antibody target.


In certain embodiments, the inhibited tumor growth is selected from the group consisting of brain tumor, colorectal tumor, pancreatic tumor, lung tumor, ovarian tumor, liver tumor, breast tumor, kidney tumor, prostate tumor, gastrointestinal tumor, melanoma, cervical tumor, bladder tumor, glioblastoma, and head and neck tumor. In certain embodiments, the tumor is a breast tumor.


In additional embodiments, multivalent and multispecific compositions (e.g., MRD-containing antibodies) are useful for reducing tumorigenicity. Thus, in some embodiments, the method of reducing the tumorigenicity of a tumor in a patient, comprises administering a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) to the patient. In certain embodiments, the tumor comprises cancer stem cells. In certain embodiments, the frequency of cancer stem cells in the tumor is reduced by administration of the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody).


In other embodiments, multivalent and multispecific compositions (e.g., MRD-containing antibodies) are useful for diagnosing, treating or preventing a disorder of the immune system. In one embodiment, the disorder of the immune system is inflammation or an inflammatory disorder. In a more specific embodiment, the inflammatory disorder is selected from the group consisting of asthma, allergic disorders, and rheumatoid arthritis. In further embodiment, the disorder of the immune system is an autoimmune disease. Autoimmune disorders, diseases, or conditions that may be diagnosed, treated or prevented using multivalent and multispecific compositions (e.g., MRD-containing antibodies) include, but are not limited to, autoimmune hemolytic anemia, autoimmune neonatal thrombocytopenia, idiopathic thrombocytopenia purpura, autoimmune neutropenia, autoimmunocytopenia, hemolytic anemia, antiphospholipid syndrome, dermatitis, gluten-sensitive enteropathy, allergic encephalomyelitis, myocarditis, relapsing polychondritis, rheumatic heart disease, glomerulonephritis (e.g., IgA nephropathy), multiple sclerosis, neuritis, uveitis ophthalmia, polyendocrinopathies, purpura (e.g., Henloch-scoenlein purpura), Reiter's Disease, Stiff-Man Syndrome, autoimmune pulmonary inflammation, myocarditis, IgA glomerulonephritis, dense deposit disease, rheumatic heart disease, Guillain-Barre Syndrome, insulin dependent diabetes mellitus, and autoimmune inflammatory eye, autoimmune thyroiditis, hypothyroidism (i.e., Hashimoto's thyroiditis, systemic lupus erythematous, discoid lupus, Goodpasture's syndrome, Pemphigus, Receptor autoimmunities for example, (a) Graves' Disease, (b) Myasthenia Gravis, and (c) insulin resistance, autoimmune hemolytic anemia, autoimmune thrombocytopenic purpura, rheumatoid arthritis, scleroderma with anti-collagen antibodies, mixed connective tissue disease, polymyositis/dermatomyositis, pernicious anemia, idiopathic Addison's disease, infertility, glomerulonephritis such as, primary glomerulonephritis and IgA nephropathy, bullous pemphigoid, Sjogren's syndrome, diabetes mellitus, and adrenergic drug resistance (including adrenergic drug resistance with asthma or cystic fibrosis), chronic active hepatitis, primary biliary cirrhosis, other endocrine gland failure, vitiligo, vasculitis, post-MI, cardiotomy syndrome, urticaria, atopic dermatitis, asthma, inflammatory myopathies, and other inflammatory, granulomatous, degenerative, and atrophic disorders.


In another embodiment the disorder of the immune system diagnosed, treated or prevented using multivalent and multispecific compositions (e.g., MRD-containing antibodies) is selected from the group consisting of: Crohn's disease, Systemic lupus erythematous (SLE), inflammatory bowel disease, psoriasis, diabetes, ulcerative colitis, multiple sclerosis, and rheumatoid arthritis. In a preferred embodiment, the autoimmune disease is rheumatoid arthritis.


In other embodiments, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is administered to a patient to treat a metabolic disease or disorder.


In other embodiments, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is administered to a patient to treat a cardiovascular disease or disorder. In one embodiment, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) is administered to a patient to treat thrombosis, atherosclerosis, heart attack, or stroke.


In another embodiments, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibodies) is administered to a patient to treat a musculoskeletal disease or disorder.


In further embodiments, a therapeutically effective amount of a multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is administered to a patient to treat a skeletal disease or disorder. In one embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is administered to a patient to treat osteoporosis.


In additional embodiments, the multivalent and monovalent multispecific composition binds (1) a target on a cell or tissue of interest (e.g., a tumor antigen on a tumor cell) and (2) a target on a leukocyte, such as, a T-cell receptor molecule. According to one embodiment, the binding of one or more targets by the multivalent and monovalent multispecific composition is used to direct an immune response to an infectious agent, cell, tissue, or other location of interest in a patient. For example, in some embodiments an MRD of the multivalent and monovalent multispecific composition binds a target on the surface of an effector cell. Thus, in some embodiments, an MRD of the multivalent and monovalent multispecific composition binds a target on the surface of a T cell. In specific embodiments an MRD of the multivalent and monovalent multispecific composition binds CD3. In other embodiments, an MRD of the multivalent and monovalent multispecific composition binds CD2. In further embodiments, an MRD of the multivalent and monovalent multispecific composition binds the T-cell receptor (TCR). According to additional embodiments, an MRD of the multivalent and monovalent multispecific composition binds a target on the surface of a Natural Killer Cell. Thus, in some embodiments, an MRD of the multivalent and monovalent multispecific composition binds a NKG2D (Natural Killer Group 2D) receptor. In additional embodiments an MRD of the multivalent and monovalent multispecific composition binds CD16 (i.e., Fc gamma RIII) CD64 (i.e., Fc gamma RI), or CD32 (i.e., Fc gamma RII). In additional embodiments, the multispecific composition contains more than one monospecific binding site for different targets.


Thus, in some embodiments, a multivalent and monovalent multispecific composition (e.g., an MRD-containing antibody) binds a target on a leukocyte and a tumor antigen on a tumor cell. In some embodiments, the MRD-containing antibody binds NKG2D. In further embodiments, an MRD-containing antibody binds NKG2D and a target selected from ErbB2, EGFR, IGF1R, CD19, CD20, CD80 and EPCAM. In some embodiments, the MRD-containing antibody binds CD3. In particular embodiments, the MRD-containing antibody binds CD3 epsilon. In further embodiments, an MRD-containing antibody binds CD3 and a target selected from ErbB2, EGFR, IGF1R, CD19, CD20, CD80 and EPCAM. In some embodiments, the MRD-containing antibody binds CD4. In further embodiments, an MRD-containing antibody binds CD4 and a target selected from ErbB2, EGFR, IGF1R, CD19, CD20, CD80 and EPCAM.


In further embodiments, the multivalent and monovalent multispecific composition has a single binding site (i.e., is monospecific) for a target. In some embodiments, the multivalent and monovalent multispecific composition has a single binding site (i.e., is monospecific) for a target on a leukocyte, such as, a T-cell (e.g., CD3) and binds a target on a cell or tissue of interest (e.g., a tumor antigen on a tumor cell, such as, a target disclosed herein).


In further embodiments, the invention is directed to treating a disease or disorder by administering a therapeutically effective amount of a multivalent and monovalent multispecific composition that has a single binding site (i.e., is monospecific) for a target. In some embodiments, the administered multivalent and monovalent multispecific composition has a single binding site (i.e., is monospecific) for a target on a leukocyte, such as, a T-cell (e.g., CD3) and binds a target on a cell or tissue of interest (e.g., a tumor associated antigen on a tumor cell). In some embodiments, the tumor cell is from a cancer selected from breast cancer, colorectal cancer, endometrial cancer, kidney (renal cell) cancer, lung cancer, melanoma, Non-Hodgkin Lymphoma, leukemia, prostate cancer, bladder cancer, pancreatic cancer, and thyroid cancer.


Additional embodiments are directed to administering a therapeutically effective amount of a multivalent and monovalent multispecific composition to treat a neurological disease or disorder selected from brain cancer, a neurodegenerative disease, schizophrenia, epilepsy, Alzheimer's disease, Parkinson's disease, Huntington's disease, ALS, multiple sclerosis, Neuromyelitis optica and Neuro-AIDS (e.g., HIV-associated dementia). In another embodiment, the multivalent and monovalent multispecific composition is administered to a patient to treat a brain cancer, metastatic cancer of the brain, or primary cancer of the brain. In a further embodiment, the multivalent and monovalent multispecific composition is administered to a patient to treat brain injury, stroke, spinal cord injury, or pain management. In further embodiments, the multivalent and monovalent multispecific composition is administered to a patient to treat brain injury, stroke, or spinal cord injury, or for pain management.


In one embodiment, a therapeutically effect amount of the multivalent and monovalent multispecific composition is administered to a patient to treat an infection or a symptom associated with an infection caused by an infectious agent. In some embodiments, the infection is caused by a member selected from apovavirus (e.g., JC polyomavirus), trypanosomes, West Nile virus, HIV, Streptococcus pneumoniae and Haemophilus influenzae, bovine spongiform encephalopathy, meningitis, Progressive multifocal leukoencephalopathy (PML), Late-stage neurological trypanosomiasis, Encephalitis, and rabies.


According to some embodiments, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) is able to cross the blood brain barrier (BBB) and bind a target located on the brain side of the BBB. In additional embodiments, the multivalent and monovalent multispecific composition has a single binding site that binds a target (e.g., ligand, receptor, or accessory protein) associated with an endogenous BBB receptor mediated transport system. In some embodiments, a single binding site of the composition is an MRD. In other embodiments, a single binding site of the composition is an antibody antigen binding domain. In some embodiments, the multivalent and monovalent multispecific composition contains 1, 2, 3, 4, 5, or more single binding sites (i.e., monovalently binds) for a target associated with an endogenous BBB receptor mediated transport system and the composition is able to cross to the cerebrospinal fluid side of the BBB. In additional embodiments, the multivalent and monovalent multispecific composition contains 1, 2, 3, 4, 5, or more multiple binding sites (i.e., multivalently binds) for a target associated with an endogenous BBB receptor mediated transport system and the composition is able to cross to the cerebrospinal fluid side of the BBB. In additional embodiments, a therapeutically effective amount of an MRD-containing antibody is administered to a patient to treat a neurological disease or disorder selected from brain cancer, a neurodegenerative disease, schizophrenia, epilepsy, Alzheimer's disease, Parkinson's disease, Huntington's disease, ALS, multiple sclerosis, neuromyelitis optica and beuro-AIDS (e.g., HIV-associated dementia). In some embodiments, the multivalent and monovalent multispecific composition has a single binding site (i.e., is monovalent for binding a particular target (antigen)) or two or more binding sites (i.e., is monovalent for binding a particular target) for a target selected from alpha-synuclein, RGM A, NOGO A, NgR, OMGp MAG, CSPG, neurite inhibiting semaphorins (e.g., Semaphorin 3A and Semaphorin 4) an ephrin, A-beta, AGE (S100 A, amphoterin), NGF, soluble A-B, aggrecan, midkine, neurocan, versican, phosphacan, Te38 and PGE2. In some embodiments, the multivalent and monovalent multispecific composition additionally has a single binding site or multiple binding sites for a target selected from IL1, IL1R, IL6, IL6R, IL12, IL18, IL23, TNFSF12 (TWEAK), TNFRSF5 (CD40), TNFSF5 (CD40 LIGAND), CD45RB, CD52, CD200, VEGF, VLA4, TNF alpha, Interferon gamma, GMCSF, FGF, C5, CXCL13, CCR2, CB2, MIP 1a, and MCP-1.


In additional embodiments, the multivalent and monovalent multispecific composition is capable of transferring to the cerebrospinal fluid side of the BBB and is administered to a patient to treat a neurological disease or disorder selected from: brain cancer, a neurodegenerative disease, schizophrenia, epilepsy, Alzheimer's disease, Parkinson's disease, Huntington's disease, ALS, multiple sclerosis, neuromyelitis optica and neuro-AIDS (e.g., HIV-associated dementia). In further embodiments, the invention is directed to treating a disease or disorder by administering an MRD-containing antibody that has a single binding site (i.e., is monospecific) for a target to a patient in need thereof. In some embodiments, the administered MRD-containing antibody has a single binding site (i.e., is monospecific) for a target on a leukocyte, such as, a T-cell (e.g., CD3) and binds a target on a cell or tissue of interest (e.g., a tumor associated antigen on a tumor cell).


In some embodiments, the multivalent and monovalent multispecific composition is administered to a patient to treat a neurological disease or disorder selected from brain cancer, a neurodegenerative disease, schizophrenia, epilepsy, Alzheimer's disease, Parkinson's disease, Huntington's disease, ALS, multiple sclerosis, Neuromyelitis optica and Neuro-AIDS (e.g., HIV-associated dementia). In additional embodiments, the multivalent and monovalent multispecific composition is administered to a patient to treat a brain cancer, metastatic cancer of the brain, or primary cancer of the brain. In additional embodiments, the multivalent and monovalent multispecific composition is administered to a patient to treat brain injury, stroke, spinal cord injury, or pain. Thus, according to some embodiments, the disease, disorder, or injury treated or prevented with an MRD-containing antibody or MRD of the invention is neurological. In one embodiment, the neurological disease, disorder or injury is associated with pain such as, acute pain or chronic pain.


In some embodiments the multivalent and monovalent multispecific composition binds at least 1, 2, 3, 4, or 5 targets associated with a neurological disease or disorder. In one embodiment, the multivalent and monovalent multispecific composition (e.g., MRD-containing antibody) binds 1, 2, or all 3 of the targets RGM A; NgR, and NogoA. In another embodiment, the multivalent and monovalent multispecific composition binds 1, 2, 3, or all 4 of RGM A, RGM B, and Semaphorin 3A or Semaphorin 4. In a further embodiment, the multivalent and monovalent multispecific composition binds at least 1, 2, 3, 4 or 5 targets selected from aggrecan, midkine, neurocan, versican, phosphacan, Te38, TNF alpha, NogoA, RGM A, MAG, and OMGp. In another embodiment, the multivalent and monovalent multispecific composition binds at least 1, 2, 3, 4 or 5 targets selected from aggrecan, midkinc, neurocan, versican, phosphacan, Tc38 and TNF alpha. In an alternative embodiment, the multivalent and monovalent multispecific composition binds at least 1, 2, 3, 4 or 5 targets selected from NgR-p75, NgR-Troy, NgR-Nogo66 (Nogo), NgR-Lingo, Lingo-Troy, Lingo-p75, MAG and Omgp. In another embodiment, the multivalent and monovalent multispecific composition binds at least 1, 2, 3, 4 or 5 targets selected from NGF, prostaglandin E2 (PGE2), TNF-alpha, IL1 beta, and IL6R.


In an additional embodiment, the multivalent and monovalent multispecific composition binds at least 1, 2, 3, 4 or 5 targets selected from alpha-synuclein, RGM A and one or more pro-inflammatory mediators (e.g., TNF alpha, IL1, and MCP-1). Such compositions have applications in, for example, treating neurodegenerative diseases such as, Parkinson's.


In another embodiment, the multivalent and monovalent multispecific composition binds and antagonizes (i.e., is an antagonist of e g., inhibits the activity of) 1, 2, 3, 4 or 5 targets selected from RGM A, NOGO A, neurite inhibiting semaphorins (e.g., Semaphorin 3A and Semaphorin 4), ephrins and pro-inflammatory targets (e.g., IL12, TNFSF12 (TWEAK), IL23, CXCL13, TNFRSF5 (CD40), TNFSF5 (CD40 LIGAND), IL18, VEGF, VLA4, TNF alpha, CD45RB, CD200, interferon gamma, GMCSF, FGF, C5, CD52, and CCR2). In an additional embodiment, the multivalent and monovalent multispecific composition binds and antagonizes 1, 2, 3, 4 or 5 targets selected from CD3, IL2, IL2R, IL6, IL6R, IL10, IL12p40, IL23, TGF beta, TNFRSF21 (DR6), fnl4, CD20, LINGO, CXCL13 and CCL2. The compositions have applications in treating for example, inflammation, neuroregeneration and neurodegenerative disorders, such as MS). Multivalent and multispecific compositions (e.g., MRD-containing antibodies) that bind at least 1, 2, 3, 4, 5 or more of these targets are also encompassed by the invention. In specific embodiments, the antibody component of the MRD-containing antibody binds CD3, CD20, CD52, VLA4, TNF, TNFRSF21 (DR6), LINGO, CD3, interferon gamma or IL6.


In another embodiment, the multivalent and monovalent multispecific composition binds and antagonizes (i.e., is an antagonist of) 1, 2, 3, 4 or 5 targets selected from AGE (S100 A, amphoterin), pro-inflammatory cytokines (e.g., IL1, IL6, and TNF), chemokines (e.g., MCP 1), and molecules that inhibit neural regeneration (e.g., Nogo and RGM A). These compositions have applications in treating, for example, chronic neurodegenerative diseases such as, Alzheimer's. In an additional embodiment, the composition of the invention binds at least 1, 2, 3, 4 or 5 targets that influence neural generation and survival including, for example, NGF agonists, IL1 or IL1R antagonists, and A-beta. These compositions have applications in treating, for example, chronic neurodegenerative diseases such as, Alzheimer's.


In an additional embodiment, the composition of the invention binds to and antagonizes 1, 2, 3, 4, or 5 targets that targets that interfere with neural regeneration or recovery, including NogoA, OMgp MAG, RGM A, CSPG, one or more astrocyte inhibiting semaphorins (e.g., Semaphorin 3A and Semaphorin 4), ephrins, and pro-inflammatory cytokines (e.g., IL1, IL6, and TNF). These compositions have applications in treating neurodegenerative diseases and neural injury or trauma.


In additional embodiment, the multivalent and monovalent multispecific composition binds and antagonize (i.e., is an antagonist of) 1, 2, 3, 4, or 5 targets associated with pain, including, but not limited to, NGF and SCN9A/NAV1.7. Such compositions have applications in for example, treating or alleviating pain and pain associated conditions.


In additional embodiments, the targets bound by the compositions of the invention binds and antagonizes 1, 2, 3, 4, 5 or more mediators and or soluble or cell surface targets implicated in the inhibition of neurite growth or recovery. In specific embodiments, compositions of the invention bind to and antagonizes 1, 2, 3, 4, 5 or more targets selected from Nogo, Ompg, MAG, RGM A, semaphorins, ephrins, soluble A-b, pro-inflammatory cytokines (e.g., IL1 and TNF alpha), chemokines (e.g., MIP 1a).


In some embodiments, the invention provides a method of treating or ameliorating pain by administering a therapeutically effective amount of a pain target binding MRD-antibody, to a patient in need thereof. In additional embodiments, the invention provides a method of treating or ameliorating pain by administering a therapeutically effective amount of an NGF binding MRD-antibody, to a patient in need thereof. In further embodiments, the invention provides a method of treating or ameliorating pain by administering a therapeutically effective amount of tanezumumab (e.g., Pfizer) comprising an MRD, to a patient in need thereof.


In additional embodiments, the invention provides a method of treating or ameliorating Alzheimer's by administering a therapeutically effective amount of an Alzheimer's target binding MRD-antibody, to a patient in need thereof. In additional embodiments, the invention provides a method of treating or ameliorating Alzheimer's by administering a therapeutically effective amount of a beta amyloid binding MRD-antibody, to a patient in need thereof. In additional embodiments, the invention provides a method of treating or ameliorating Alzheimer's by administering a therapeutically effective amount of RN1219 (PF-4,360,365; Pfizer) comprising an MRD, to a patient in need thereof.


In additional embodiments, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of a multiple sclerosis target binding MRD-antibody, to a patient in need thereof. In additional embodiments, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of a LINGO binding MRD-antibody, to a patient in need thereof. In another embodiment, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of an MRD-antibody that binds LINGO and TNFRSF21 (DR6) to a patient in need thereof. In additional embodiments, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of the Biogen LINGO antibody comprising an MRD, to a patient in need thereof. In further embodiments, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of the natalizumab (e.g., TYSABRI®; Biogen) comprising an MRD, to a patient in need thereof. In an additional embodiment, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of the Biogen LINGO antibody comprising an MRD, to a patient in need thereof.


In an additional embodiment, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of a CD20 binding MRD-antibody, to a patient in need thereof. In one embodiment, the invention provides a method of treating or ameliorating multiple sclerosis by administering a therapeutically effective amount of the ocrelizumab (Biogen Idec) comprising an MRD, to a patient in need thereof


In other embodiments, the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are useful for treating or preventing an infectious disease. Infectious diseases that may be treated or prevented with multivalent and multispecific compositions (e.g., MRD-containing antibodies) include, but are not limited to, diseases associated with yeast, fungal, viral and bacterial infections. Viruses causing viral infections which can be treated or prevented with multivalent and multispecific compositions (e.g., MRD-containing antibodies) include, but are not limited to, retroviruses (e.g., human T-cell lymphotrophic virus (HTLV) types I and II and human immunodeficiency virus (HIV)), herpes viruses (e.g., herpes simplex virus (HSV) types I and II, Epstein-Barr virus, HHV6-HHV8, and cytomegalovirus), adenoviruses (e.g., lassa fever virus), paramyxoviruses (e.g., morbilbivirus virus, human respiratory syncytial virus, mumps, and pneumovirus), adrenoviruses, bunyaviruses (e.g., hantavirus), cornaviruses, filoviruses (e.g., Ebola virus), flaviviruses (e.g., hepatitis C virus (HCV), yellow fever virus, and Japanese encephalitis virus), hepadnaviruses (e.g., hepatitis B viruses (HBV)), orthomyoviruscs (e.g., influenza viruses A, B and C (including avian influenza, e.g., H5N1 subtype)), papovaviruses (e.g., papillomaviruses), picomaviruses (e.g., rhinoviruses, enteroviruses and hepatitis A viruses), poxviruses, reoviruses (e.g., rotaviruses), togaviruses (e.g., rubella virus), rhabdoviruses (e.g., rabies virus). Microbial pathogens causing bacterial infections include, but are not limited to, Streptococcus pyogenes, Streptococcus pneumoniae, Neisseria gonorrhoea, Neissetia meningitidis, Corynebacterium diphtheriae, Clostridium botulinum, Clostridium pefringens, Clostridium tetani, Haemophilus influenzae, Klebsiella pneumoniae, Klebsiella ozaenae, Klebsiella rhinoscleromotis, Staphylococcus aureus, Vibrio cholerae, Escherichia coli, Pseudomonas aeruginosa, Campylobacter (Vibrio) fetus, Campylobacter jejuni, Aeromonas hydrophila, Bacillus cereus, Edwardsiella tarda, Yersinia enterocolitica, Yersinia pestis, Yersinia pseudotuberculosis, Shigella dysenteriae, Shigellaflexneri, Shigella sonnei, Salmonella typhimurium, Treponema pallidum, Treponema pertenue, Treponema carateneum, Borrelia vincentii, Borrelia burgdorferi, Leptospira icterohemorrhagiae, Mycobacterium tuberculosis, Toxoplasma gondii, Pneumocystis carinii, Francisella tularensis, Brucella abortus, Brucella suis, Brucella melitensis, Mycoplasma spp., Rickettsia prowazeki, Rickettsia Lsutsugumushi, Chlamydia spp., and Helicobacter pylori.


In a preferred embodiment, the he multivalent and multispecific compositions (e.g., MRD-containing antibodies) are administered to a patient to treat or prevent human immunodeficiency virus (HIV) infection or AIDS, botulism, anthrax, or clostridium difficile.


VIII MRD LINKED COMPOUNDS THAT ARE NOT ANTIBODIES

In a distinct group of embodiments, one or more MRDs of the invention are operably linked to the amino and/or carboxy terminus of an immunoglobulin fragment, such as Fab, Fab′, F(ab′)2, pFc′, or Fc. In some embodiments, the MRDs are operably linked to a Fab or Fc polypeptide containing an additional Ig domain. In some embodiments, the MRDs are operably linked to the amino and/or carboxy terminus of an immunoglobulin fragment that is also operably linked to an scFv. In other embodiments, the MRDs of the invention are operably linked to an Fc-fusion protein.


According to this group of embodiments, one two, three, four, five, six, seven to ten, or more than ten MRDs are operably linked to the amino terminus and/or carboxy terminus of the immunoglobulin fragment. These MRDs arc optionally linked to one another or to the immunoglobulin fragment via a linker. In one embodiment, one, two, three, four, five, six, seven to ten, or more than ten, of the MRDs operably linked to the amino terminus and/or carboxy terminus of the immunoglobulin fragment are the same. In another embodiment, one, two, three, four, five, six, seven to ten, or more than ten, of the MRDs operably linked to the amino terminus and/or carboxy terminus of the immunoglobulin fragment are different.


The MRDs operably linked to the immunoglobulin fragment can be monomeric (i.e., containing one MRD at the terminus of a peptide chain optionally connected by a linker) or multimeric (i.e., containing more than one MRD in tandem optionally connected by a linker). The MRDs can be homo-multimeric (i.e., containing more than one of the same MRD in tandem optionally connected by linker(s) (e.g., homodimers, homotrimers, homotetramers etc.)) or hetero-multimeric (i.e., containing two or more MRDs in which there are at least two different MRDs optionally connected by linker(s) where all or some of the MRDs linked to a particular terminus are different (e.g., heterodimer)). In one embodiment, two different monomeric MRDs are located at different termini of the immunoglobulin fragment. In another embodiment, three, four, five, six, or more different monomeric MRDs are located at different termini of the immunoglobulin fragment.


In an alternative embodiment, the MRD-containing antibody contains at least one dimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the MRD-containing antibody contains at least one homodimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the MRD-containing antibody contains at least one heterodimeric and one monomeric MRD located at different immunoglobulin termini.


In an alternative embodiment, the MRD-containing antibody contains at least one multimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the MRD-containing antibody contains at least one homomultimeric and one monomeric MRD located at different immunoglobulin termini. In another alternative embodiment, the MRD-containing antibody contains at least one heteromultimeric and one monomeric MRD located at different immunoglobulin termini.


Multiple MRDs that are operably linked to the immunoglobulin fragment can target the same target binding site, or two or more different target binding sites. Where the MRDs bind to different target binding sites, the binding sites may be on the same or different targets. Similarly, one or more of the MRDs may bind to the same target as the immunoglobulin fragment.


In some embodiments, at least one of the MRDs and if applicable, the immunoglobulin fragment (e.g., where the immunoglobulin fragment is an Fab), bind to their targets simultaneously. In additional embodiments, two, three, four, five, six, seven, eight, nine, ten, or more than ten MRDs, and if applicable the immunoglobulin fragment, bind to their targets simultaneously.


The synthesis of MRDs operably linked to an immunoglobulin fragment and the assay of these MRDs and immunoglobulin fragment for their ability to bind, or compete for binding with one or more targets simultaneously can be routinely accomplished using methods disclosed herein or otherwise known in the art.


In a specific embodiment, one or more of the operably linked MRDs or the immunoglobulin fragment, binds to VEGF. In another specific embodiment, one or more of the operably linked MRDs or the immunoglobulin fragment, binds to the same epitope as ranibizumab (LUCENTIS®, Genentech). In another specific embodiment, one or more of the operably linked MRDs or the immunoglobulin fragment, competitively inhibits ranibizumab binding to VEGF. In an additional embodiment, the immunoglobulin fragment is a Fab. In a further specific embodiment, the immunoglobulin fragment is ranibizumab.


In another embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of a VEGFA or VEGFR binding MRD-immunoglobulin fragment fusion to a patient in need thereof. In a specific embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of a VEGFA or VEGFR binding MRD-Fab fusion to a patient in need thereof. In a specific embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of MRD-ranibizumab to a patient in need thereof.


In other embodiments the one or more MRDs of the invention are operably linked to the amino and/or carboxyl terminus of an Fc fusion protein. The Fc fusion protein can contain fusions to any protein or polypeptide sequence of therapeutic value, for example, any of the targets or receptors of the targets described herein. For example, the fusions can contain the extracellular domain of receptors or ligands that typically function or display improved cognate-partner binding in multimeric form, including for example, receptors corresponding to the TNF-R superfamily (e.g., TNFR2, TACI, BCMA, HVEM, etc.), IL receptor superfamily (e.g., IL1-R-IL6R), VEGFR superfamily (e.g., VEGFR1-VEGR3), FGRFR superfamily (e.g., FGFR1-FGFR4), and B7 superfamily (e.g., CTLA)).


In a specific embodiment, one, two, three, four, five, six, or more MRDs are operably linked to a VEGR1/VEGFR2-Fc fusion protein. In another specific embodiment, one or more of the operably linked MRDs bind to the same epitope as aflibercept (Regeneron). In another specific embodiment, one or more of the operably linked MRDs competitively inhibit aflibercept binding to VEGFA or PLGF. In a further specific embodiment, the MRDs are operably linked to aflibercept.


In another embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of an MRD-VEGFR1/VEGFR2-Fc fusion protein to a patient in need thereof. In a specific embodiment, the invention provides a method of treating colorectal cancer, prostate cancer, or non-small cell lung cancer comprising administering a therapeutically effective amount of a VEGFA or PLGF binding MRD-Fc fusion protein to a patient in need thereof. In a specific embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of a VEGFA or PLGF binding MRD-Fc fusion protein and irinotecan, 5FU, oxaliplatin, doxetaxel, or FOLFOX6, to a patient in need thereof.


In another embodiment, the invention provides a method of treating cancer comprising administering a therapeutically effective amount of MRD-aflibercept to a patient in need thereof. In a specific embodiment, the invention provides a method of treating colorectal cancer, prostate cancer, or non-small cell lung cancer comprising administering a therapeutically effective amount of MRD-aflibercept to a patient in need thereof. In a specific embodiment, the invention provides a method of treating macular degeneration comprising administering a therapeutically effective amount of MRD-aflibercept and irinotecan, 5FU, oxaliplatin, doxetaxel, or FOLFOX6, to a patient in need thereof.


In a specific embodiment, one, two, three, four, five, six, or more MRDs are operably linked to a CTLA4-Fc fusion protein. In another specific embodiment, one or more of the operably linked MRDs bind to the same epitope as abatacept (ORENCIA®). In another specific embodiment, one or more of the operably linked MRDs competitively inhibits abatacept binding to CD80 (B7-1) or CD86 (B7-2). In a further specific embodiment, the MRDs are operably linked to abatacept. In another specific embodiment, one or more of the operably linked MRDs bind to the same epitope as belatacept (Bristol Myers Squibb). In another specific embodiment, one or more of the operably linked MRDs competitively inhibits belatacept binding to CD80 (B7-1) or CD86 (B7-2). In an additional embodiment, the immunoglobulin fragment is a Fab. In a further specific embodiment, the MRDs are operably linked to belatacept.


In another embodiment, the invention provides a method of suppressing an immune response comprising administering a therapeutically effective amount of an MRD-CTLA4-Fc fusion protein to a patient in need thereof. In a specific embodiment, the invention provides a method suppressing an immune response comprising administering a therapeutically effective amount of MRD-abatacept to a patient in need thereof. In another specific embodiment, the invention provides a method of treating rheumatoid arthritis comprising administering a therapeutically effective amount of MRD-abatacept to a patient in need thereof. In another specific embodiment, the invention provides a method of suppressing an immune response to a graft rejection comprising administering a therapeutically effective amount of MRD-abatacept to a patient in need thereof.


In a specific embodiment, the invention provides a method of suppressing an immune response comprising administering a therapeutically effective amount of MRD-belatacept to a patient in need thereof. In another specific embodiment, the invention provides a method of suppressing an immune response to a graft rejection comprising administering a therapeutically effective amount of MRD-belatacept to a patient in need thereof.


In another specific embodiment, one, two, three, four, five, six, or more MRDs are operably linked to a TNFR2-Fc fusion protein. In another specific embodiment, one or more of the operably linked MRDs bind to the same epitope as etanercept (ENBREL®). In another specific embodiment, one or more of the operably linked MRDs competitively inhibits etanercept binding to TNF alpha. In another embodiment, one or more of the operably linked MRDs binds ANG2. In a further specific embodiment, the MRDs are operably linked to etanercept.


In another embodiment, the invention provides a method of suppressing an immune response comprising administering a therapeutically effective amount of a MRD-TNFR2-Fc fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of a MRD-TNFR2-Fc fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of an MRD-TNFR2-Fc fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of an MRD-TNFR2-Fc fusion protein to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of an MRD-TNFR2-Fc fusion protein to a patient in need thereof. In another embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of an MRD-TNFR2-Fc fusion protein to a patient in need thereof. In another embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of an MRD-TNFR2-Fc fusion protein to a patient in need thereof.


In another embodiment, the invention provides a method of suppressing an immune response comprising administering a therapeutically effective amount of a MRD-etanercept-Fc fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of MRD-etanercept to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of MRD-etanercept to a patient in need thereof. In one embodiment, the invention provides a method of treating an inflammatory disorder, by administering a therapeutically effective amount of MRD-etanercept to a patient in need thereof. In another embodiment, the invention provides a method of treating Crohn's disease, by administering a therapeutically effective amount of MRD-etanercept to a patient in need thereof. In another embodiment, the invention provides a method of treating ulcerative colitis, by administering a therapeutically effective amount of MRD-etanercept to a patient in need thereof. In another embodiment, the invention provides a method of treating psoriatic arthritis, ankylosing spondylitis, psoriasis, or juvenile idiopathic arthritis by administering a therapeutically effective amount of MRD-etanercept to a patient in need thereof


In another specific embodiment, one, two, three, four, five, six, or more MRDs are operably linked to a TACI-Fc fusion protein. In another specific embodiment, one or more of the operably linked MRDs bind to the same epitope as atacicept (Merck/Serono). In another specific embodiment, one or more of the operably linked MRDs competitively inhibits atacicept binding to BLyS or APRIL. In a further specific embodiment, the MRDs are operably linked to atacicept.


In another embodiment, the invention provides a method of suppressing an immune response comprising administering a therapeutically effective amount of a MRD-TACI-Fc fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of a MRD-TACI-Fc fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of a MRD-TACI-Fc fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating systemic lupus erythematous by administering a therapeutically effective amount of a MRD-TACI-Fc fusion protein to a patient in need thereof. In another embodiment, the invention provides a method of suppressing an immune response comprising administering a therapeutically effective amount of an MRD-atacicept fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating an autoimmune disease by administering a therapeutically effective amount of an MRD-atacicept fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating rheumatoid arthritis, by administering a therapeutically effective amount of an MRD-atacicept protein fusion protein to a patient in need thereof. In one embodiment, the invention provides a method of treating systemic lupus erythematous, by administering a therapeutically effective amount of an MRD-atacicept fusion protein to a patient in need thereof.


In another specific embodiment, one, two, three, four, five, six, or more MRDs are operably linked to an IL1R-Fc fusion protein. In another specific embodiment, one or more of the operably linked MRDs bind to the same epitope as rilonacept (Regeneron). In another specific embodiment, one or more of the operably linked MRDs competitively inhibits rilonacept binding to IL1R. In a further specific embodiment, the MRDs are operably linked to rilonacept.


In another embodiment, the invention provides a method of preventing gout comprising administering a therapeutically effective amount of a MRD-IL1R-Fc fusion protein to a patient in need thereof. In a specific embodiment, the invention provides a method of preventing gout comprising administering a therapeutically effective amount of an MRD-rilonacept-Fc fusion protein to a patient in need thereof


In some embodiments, the invention encompasses a complex comprising an antibody and at least one modular recognition domain (MRD), wherein the MRD comprises at least two cysteines, wherein a first cysteine is located within the first ten amino acids of the MRD, a second cysteine is located within the last ten amino acids of the MRD, and wherein the MRD comprises at least five amino acids between said first cysteine and said second cysteine. In additional embodiments, the MRD comprises at least 10, 15, 20, or 25 amino acids between the first cysteine and the second cysteine. In some embodiments, the MRD comprises at least one proline between the first cysteine and the second cysteine. In other embodiments, the MRD comprises at least two proline between the first cysteine and the second cysteine. In some embodiments, the first cysteine is no more than 5, 3, 3, 2, or 1 amino acids away from the N-terminus of the complex. In some embodiments, the second cysteine is no more than 5, 3, 3, 2, or 1 amino acids away from the C-terminus of the complex. In some embodiments, the in vivo half-life of an MRD in a complex of the invention is increased compared to the half-life of an MRD in a corresponding complex wherein at least one of the cysteines is mutated or deleted. In some embodiments, the binding affinity of the MRD is at least equal to the binding affinity of an MRD in a corresponding complex wherein at least one of the cysteines is mutated or deleted.


In some embodiments, the invention encompasses a complex comprising an antibody and at least one modular recognition domain (MRD), wherein the antibody and the MRD bind to different targets or epitopes on the same cell or molecule, wherein the MRD binding agonizes or antagonizes the MRD target under physiological conditions, and wherein said MRD does not bind to and agonize or antagonize said MRD target under physiological conditions in the absence of said antibody. In some embodiments, an MRD in the complex of the invention binds the MRD target in the absence of the antibody with an EC50 of greater than 0.01 nM, 0.1 nM, 0.5 nM, or 0.7 nM under physiological conditions.


In some embodiments, the invention encompasses a complex comprising an antibody and at least one MRD, wherein the antibody and the MRD bind to different targets or epitopes on a heteromeric or homomeric protein, wherein the MRD binding agonizes or antagonizes the MRD target under physiological conditions, and wherein said MRD does not bind to and agonize or antagonize said MRD target under physiological conditions in the absence of the antibody. In some embodiments, an MRD in the complex of the invention binds the MRD target with an EC50 of greater than 0.01 nM, 0.1 nM, 0.5 nM, or 0.7 nM under physiological conditions.


In some embodiments, the invention encompasses a method for inhibiting the growth of a cell comprising contacting the cell with a multispecific and multivalent complex comprising an antibody and at least one modular recognition domain (MRD), and a protein kinase inhibitor. In some embodiments, the antibody binds to a target selected from: VEGF, VEGFR1, EGFR, ErbB2, IGF-IR, cMET, FGFR1, and FGFR2. In some embodiments, the protein kinase inhibitor inhibits a target of the MRD containing antibody. In some embodiments, the protein kinase inhibitor inhibits a different target than the MRD containing antibody. In some embodiments, the protein kinase inhibitor inhibits more than one protein kinase. In some embodiments, the protein kinase inhibitor is a member selected from: imatinib, gefitinib, vandetanib, erlotinib, sunitinib, lapatinib, and sorafenib.


In some embodiments, the invention encompasses a method for inhibiting angiogenesis in a patient comprising administering to said patient a therapeutically effective amount of a multispecific and multivalent complex comprising an antibody and at least one modular recognition domain (MRD), and a protein kinase inhibitor. In some embodiments, the antibody binds to a target selected from: VEGF, VEGFR1, EGFR, ErbB2, IGF-IR, cMET, FGFR1, and FGFR2. In some embodiments, the protein kinase inhibitor inhibits a target of the MRD containing antibody. In some embodiments, the protein kinase inhibitor inhibits a different target than the MRD containing antibody. In some embodiments, the protein kinase inhibitor inhibits more than one protein kinase. In some embodiments, the protein kinase inhibitor is a member selected from: imatinib, gefitinib, vandetanib, erlotinib, sunitinib, lapatinib, and sorafenib.


In some embodiments, the invention encompasses a method for treating a patient having cancer comprising administering to said patient a therapeutically effective amount of a multispecific and multivalent complex comprising an antibody and at least one modular recognition domain (MRD), and a protein kinase inhibitor. In some embodiments, the antibody binds to a target selected from: VEGF, VEGFR1, EGFR, ErbB2, IGF-IR, cMET, FGFR1, and FGFR2. In some embodiments, the protein kinase inhibitor inhibits a target of the MRD containing antibody. In some embodiments, the protein kinase inhibitor inhibits a different target than the MRD containing antibody. In some embodiments, the protein kinase inhibitor inhibits more than one protein kinase. In some embodiments, the protein kinase inhibitor is a member selected from: imatinib, gefitinib, vandetanib, erlotinib, sunitinib, lapatinib, and sorafenib.


In some embodiments, the invention encompasses a method for treating a patient having a disease or disorder of the immune system comprising administering to said patient a therapeutically effective amount of a multispecific and multivalent complex comprising an antibody and at least one modular recognition domain (MRD), and a protein kinase inhibitor. In some embodiments, the disease or disorder of the immune system is inflammation or an autoimmune disease. In further embodiments, the autoimmune disease is rheumatoid arthritis, Crohn's disease, systemic lupus erythematous, inflammatory bowel disease, psoriasis, diabetes, ulcerative colitis, or multiple sclerosis. In additional embodiments, the antibody binds TNF. In some embodiments, the protein kinase inhibitor inhibits a target that is not a target of the MRD-containing antibody. In some embodiments, the protein kinase inhibitor inhibits more than one protein kinase. In further embodiments, the protein kinase inhibitor is a member selected from: lestaurtinib, tofacitinib, ruxolitinib, SB1518, CYT387, LY3009104, TG101348, fostamatinib, BAY 61-3606, and sunitinib.


In some embodiments, the invention encompasses a multivalent and multispecific complex comprising an antibody and at least one modular recognition domain (MRD), wherein the complex has a single binding site for a cell surface target. In some embodiments, the multivalent and multispecific complex comprises 2 single binding sites for different epitopes on the same target. In some embodiments, the multivalent and multispecific complex has 2, 3, 4, 5 or more single binding sites for different targets. In some embodiments, the multivalent and multispecific complex has a single binding site for a target on a leukocyte. In some embodiments, the multivalent and multispecific complex has a single binding site for a target on a T-cell. In some embodiments, the multivalent and multispecific complex has a single binding site for CD3. In further embodiments, complex has a single binding site for CD3 epsilon. In additional embodiments, the complex has a single binding site for a target on a natural killer cell. In additional embodiments, the complex has multiple binding sites for a target on a diseased cell. In some embodiments, the complex has multiple binding sites for 2, 3, 4, 5 or more targets on a diseased cell. In additional embodiments, the complex has multiple binding sites for a target on a tumor cell. In further embodiments, the complex has multiple binding sites for 2, 3, 4, 5 or more targets on a tumor cell. In some embodiments, the complex has multiple binding sites for a target on an immune cell. In further embodiments, the complex has multiple binding sites for 2, 3, 4, 5 or more targets on an immune cell. In some embodiments, the complex has a single binding site for a target on a natural killer cell. In some embodiments, the complex binds a target on a leukocyte and a target on a tumor cell. In some embodiments, the complex binds CD3 and CD19. In further embodiments, the complex has multiple binding sites for a target on an infectious agent or a cell infected with an infectious agent. In further embodiments, the complex has multiple binding sites for 2, 3, 4, 5 or more targets on an infectious agent or a cell infected with an infectious agent. In some embodiments, the complex has a single binding site for a target associated with an endogenous blood brain barrier (BBB) receptor mediated transport system. In further embodiments, the complex has multiple binding sites for a target associated with an endogenous BBB receptor mediated transport system. In some embodiments, the complex has multiple binding sites for 2, 3, 4, 5 or more targets associated with an endogenous BBB receptor mediated transport system. In some embodiments, the single binding site is an MRD. In some embodiments, the single binding site is an antigen binding domain.


In some embodiments, the complexes of the invention comprise a cytotoxic agent.


Polynucleotide encoding a heavy chain or light chain of the MRD containing antibody of the invention, vectors comprising these polynucleotides and host cells containing these vectors and/or polynucleotides are also encompassed by the invention


The following examples are intended to illustrate but not limit the invention.


EXAMPLES
Example 1
Integrin Targeting Antibody-MRD Molecules

Novel antibody-MRD fusion molecules were prepared by fusion of an integrin αvβ3-targeting peptides to catalytic antibody 38C2. Fusions at the N-termini and C-termini of the light chain and the C-termini of the heavy chain were most effective. Using flow cytometry, the antibody conjugates were shown to bind efficiently to integrin αvβ3-expressing human breast cancer cells. The antibody conjugates also retained the retro-aldol activity of their parental catalytic antibody 38C2, as measured by methodol and doxorubicin prodrug activation. This demonstrates that cell targeting and catalytic antibody capability can be efficiently combined for selective chemotherapy.


Example 2
Angiogenic Cytokine Targeting Antibody-MRD Molecules

Angiogenic cytokine targeting antibody-MRD fusion molecules were constructed. The antibody used was 38C2, which was fused with a MRD containing the 2xCon4 peptide (AQQEECEWDPWTCEHMGSGSATGGSGSTASSGSGSATHQEEC EWDPWTC EHMLE (SEQ ID NO:10)). The MRD-containing peptide was fused to either the N- or C-terminus of the light chain and the C-terminus of the heavy chain. Similar results were found with the other Ang2 MRD peptides. Additional Ang2 MRD peptides include: MGAQTNFMPMDNDELLLYEQFILQQGLEGGSGSTASSGSGSSLGAQT NFMPMDNDELLLY (SEQ ID NO:20) (LM-2x-32); and AQQEECEWDPWTCEHM GSGSATGGSGSTASSGSGSATHQEECEWDPWTCEHMLE (SEQ ID NO:10) (2xCon4).


One of skill in the art, given the teachings herein, will appreciate that other such combinations will create functional Ang2 binding MRDs as described herein.


Example 3
Antibody-MRD Fusions with Non-Catalytic Antibodies

A humanized mouse monoclonal antibody, LM609, directed towards human integrin αvβ3 has been previously described (Rader, C. et. al., PNAS 95:8910-5 (1998)).


A human non-catalytic monoclonal Ab, JC7U was fused to an anti-Ang2 MRD containing 2xCon4 (AQQEECEWDPWTCEHMGSGSATGGSGSTASSGSGSATHQEEC EWDPWTCEH MLE (SEQ ID NO:10)) at either the N- or C-terminus of the light chain. 2xCon4 (AQQEECEWDPWTCEHMGSGSATGGSGSTASSGSGSATHQEECEWDPWT CEHMLE (SEQ ID NO:10)) was studied as an N-terminal fusion to the Kappa chain of the antibody (2xCon4-JC7U) and as a C-terminal fusion (JC7U-2xCon4). Both fusions maintained integrin and Ang2 binding. As shown in the left panel of FIG. 3, both antibody constructs (2xCon4-JC7U and JC7U-2xCon4) specifically bound to recombinant Ang2 as demonstrated by ELISA studies. Binding to Ang2, however, is significantly higher with JC7U-2xCon4, which has the 2xCon4 (SEQ ID NO:10) fusion at the C-terminus of the light chain of the antibody. The right panel of FIG. 3 depicts the binding of Ang2-JC7U and JC7U-Ang2 to integrin αvβ3. The results show that fusion of 2xCon4 (SEQ ID NO:10) to either the N- or the C-light chain terminus does not affect mAb JC7U binding to integrin αvβ3. FIG. 4 depicts another ELISA study using the same antibody-MRD fusion constructs.


Example 4
HERCEPTIN®-MRD Fusion Molecules

Another example of MRD fusions to a non-catalytic antibody are HERCEPTIN®-MRD fusion constructs. The HERCEPTIN®-MRD fusions are multifunctional, both small molecule av integrin antagonists and the chemically programmed integrin-targeting antibody show remarkable efficacy in preventing the breast cancer metastasis by interfering with av-mediated cell adhesion and proliferation. MRD fusions containing HERCEPTIN®-2xCon4 (which targets ErbB2 and Ang2) and HERCEPTIN®-V114 (which targets ErbB2 and VEGF targeting) and HERCEPTIN®-RGD-4C-2xCon4 (which targets ErbB2, ang2, and integrin targeting) are effective.


Example 5
VEGF Targeting Antibody-MRD Molecules

An antibody containing an MRD that targets VEGF was constructed. A MRD which targets vl 14 (SEQ ID NO:13) was fused at the N-terminus of the kappa chain of 38C2 and HERCEPTINO using a linker. Expression and testing of the resulting antibody-MRD fusion constructs demonstrated strong VEGF binding.


Example 6
IGF1R Targeting Antibody-MRD Molecules

Fusion of an MRD which targets IGF1R (SFYSCLESLVNGPAEKSRG QWDGCRKK (SEQ ID NO:14)) to the N-terminus of the kappa chain of 38C2 and HERCEPTIN® using the long linker sequence as a connector was studied. Expression and testing of the resulting antibody-MRD fusion constructs demonstrated strong IGF1R binding. Additional clones showing high binding to IGR1R were identified after several rounds of mutagenesis and screening of the regions described in Table 4. The preferred sequences listed in Table 5 bind IGF1R and show no significant or no binding affinity to the insulin receptor, thereby suggesting specificity for IGF1R.









TABLE 4







Template for further mutagenesis.









Name
DNA
AA





Rm2-2-218
GTGGAGTGCAGGGCGCCG
VECRAP (SEQ ID NO: 51)



(SEQ ID NO: 50)





Rm2-2-316
GCTGAGTGCAGGGCTGGG
AECRAG (SEQ ID NO: 53)



(SEQ ID NO: 52)





Rm2-2-319
CAGGAGTGCAGGACGGGG
QECRTG (SEQ ID NO: 55)



(SEQ ID NO: 54)



















TABLE 5








SEQ





ID


Mutant
Amino acid sequence
Template
NO







Rm4-31
NFYQCIEMLASHPAEKSRGQWQECRTGG
Rm2-2-319
35





Rm4-33
NFYQCIEQLALRPAEKSRGQWQECRTGG
Rm2-2-319
36





Rm4-39
NFYQCIDLLMAYPAEKSRGQWQECRTGG
Rm2-2-319
37





Rm4-310
NFYQCIERLVTGPAEKSRGQWQECRTGG
Rm2-2-319
38





Rm4-314
NFYQCIEYLAMKPAEKSRGQWQECRTGG
Rm2-2-319
39





Rm4-316
NFYQCIEALQSRPAEKSRGQWQECRTGG
Rm2-2-319
40





Rm4-319
NFYQCIEALSRSPAEKSRGQWQECRTGG
Rm2-2-319
41





Rm4-44
NFYQCIEHLSGSPAEKSRGQWQECRTG
Rm2-2-319
42





Rm4-45
NFYQCIESLAGGPAEKSRGQWQECRTG
Rm2-2-319
43





Rm4-46
NFYQCIEALVGVPAEKSRGQWQECRTG
Rm2-2-319
44





Rm4-49
NFYQCIEMLSLPPAEKSRGQWQECRTG
Rm2-2-319
45





Rm4-410
NFYQCIEVFWGRPAEKSRGQWQECRTG
Rm2-2-319
46





Rm4-411
NFYQCIEQLSSGPAEKSRGQWQECRTG
Rm2-2-319
47





Rm4-415
NFYQCIELLSARPAEKSRGQ WAECRAG
Rm2-2-316
48





Rm4-417
NFYQCIEALARTPAEKSRGQWVECRAP
Rm2-2-218
49









Example 7
ErbB2 Binding, Ang2-Targeting Antibody-MRD Molecules

An antibody was constructed which contains an MRD that targets Ang2 (L17) (SEQ ID NO:7) fused to the light chain of an antibody which binds to ErbB2. Either the short linker sequence, the long linker sequence, or the 4th loop in the light chain constant region was used as a linker. FIG. 5 depicts the results of an ELISA using constructs containing an N-terminal fusion of an Ang2 targeting MRD with the ErbB2 antibody with the short linker peptide (GGGS (SEQ ID NO:1)) (L17-sL-Her), a C-terminal fusion of Ang2 targeting MRD with the ErbB2 antibody with the short linker peptide (Her-sL-L17), a C-terminal fusion of Ang2 targeting MRD with the ErbB2 antibody with the 4th loop in the light chain constant region (Her-lo-L17), or an N-terminal fusion of Ang2 targeting MRD with the ErbB2 antibody with the long linker peptide (SSGGGGSGGGGGGSSRSS (SEQ ID NO:19)) (L17-1L-Her). ErbB2 was bound with varying degrees by all of the constructs. However, Ang2 was bound only by Her-sL-L17 and L17-1L-Her.


Example 8
Hepatocyte Growth Factor Receptor Binding, Ang2-Targeting Antibody-MRD Molecules

Fusion of an MRD which targets Ang2 (L17) (SEQ ID NO:7) was made to either the N-terminus or C-terminus of the light chain of the Met antibody, which binds to hepatocyte growth factor receptor. Either the short linker sequence or the long linker sequence were used as a connector. FIG. 6 depicts the results of an ELISA using constructs containing N-terminal fusion of Ang2 targeting MRD with the Met antibody with the short linker peptide (GGGS (SEQ ID NO:1)) (L17-sL-Met), N-terminal fusion of Ang2 targeting MRD with the Met antibody with the long linker peptide (SSGGGGSGGGGGGSSRSS (SEQ ID NO:19)) (L17-1L-Met), and C-terminal fusion of Ang2 targeting MRD with the Met antibody with the long linker peptide (Met-ILL17). Expression and testing of the resulting antibody-MRD fusion constructs demonstrated strong Ang2 binding when the long linker peptide was used. Fusion of the Ang2 targeting MRD to the C-light chain terminus of the antibody resulted in slightly higher binding to Ang2 then fusion of the Ang2 targeting to the N-light chain terminus of the antibody.


Example 9
ErbB2 Binding, Integrin-Targeting Antibody-MRD Molecules

An antibody was constructed which contains an MRD that targets integrin αvβ3 (RGD4C) with the sequence CDCRGDCFC (SEQ ID NO:106) fused to the light chain of an antibody HERCEPTIN® which binds to ErbB2 (Her). Either the short linker sequence, the long linker sequence, or the 4th loop in the light chain constant region was used as a linker. FIG. 7 depicts the results of an ELISA using constructs containing an N-terminal fusion of integrin αvβ3 targeting MRD with the ErbB2 antibody with the short linker peptide (GGGS (SEQ ID NO:1)) (RGD4C-sL-Her), a C-terminal fusion of integrin αvβ3 targeting MRD with the ErbB2 antibody with the short linker peptide (Her-sL-RGD4C), a C-terminal fusion of integrin αvβ3 targeting MRD with the ErbB2 antibody with the 4th loop in the light chain constant region (Her-lo-RGD4C), or an N-terminal fusion of integrin αvβ3 targeting MRD with the ErbB2 antibody with the long linker peptide (SSGGGGSGGGGGGSSRSS (SEQ ID NO:19)) (RGD4C-1L-Her). ErbB2 was bound with varying degrees by all of the constructs. However, integrin αvβ3 was bound only by RGD4C-1L-Her.


Example 10
Hepatocyte Growth Factor Receptor Binding, Integrin-Targeting Antibody-MRD Molecules

An antibody was constructed which contains an MRD that targets integrin αvβ3 (RGD4C) (SEQ ID NO:106) fused to the light chain of an antibody which binds to the hepatocyte growth factor receptor (Met). Antibody-MRD constructs containing the long linker sequence were used. FIG. 8 depicts the results of an ELISA using constructs containing an N-terminal fusion of integrin αvβ3 targeting MRD with the hepatocyte growth factor receptor antibody (RGD4C-1L-Met), or a C-terminal fusion of integrin αvβ3 targeting MRD with the hepatocyte growth factor receptor antibody (Met-1L-RGD4C). The RGD4C-1L-Met demonstrated strong integrin αvβ3 binding.


Example 11
ErbB2 Binding, Insulin-Like Growth Factor-I Receptor-Targeting Antibody-MRD Molecules

Antibodies were constructed which contains an MRD that targets insulin-like growth factor-I receptor (RP) (SEQ ID NO:14) fused to the light chain of an antibody which binds to ErbB2 (Her). Either the short linker peptide, the long linker peptide, or the 4th loop in the light chain constant region was used as a linker (Carter et al., Proc. Natl. Acad. Sci. USA 89:4285-4289 (1992); U.S. Pat. No. 5,677,171; and ATCC Deposit 10463, each of which is herein incorporated by reference). FIG. 9 depicts the results of an ELISA using constructs containing an N-terminal fusion of insulin-like growth factor-I receptor targeting MRD with the ErbB2 antibody with the short linker peptide (RP-sL-Her), a C-terminal fusion of insulin-like growth factor-I receptor targeting MRD with the ErbB2 antibody and the short linker peptide (Her-sL-RP), a C-terminal fusion of insulin-like growth factor-I receptor targeting MRD with the ErbB2 antibody with the 4th loop in the light chain constant region (Her-lo-RP), an N-terminal fusion of insulin-like growth factor-I receptor targeting MRD with the ErbB2 antibody with the long linker peptide (RP-1L-Her), or a C-terminal fusion of insulin-like growth factor-1 receptor targeting MRD with the ErbB2 antibody with the long linker peptide (Her-1L-RP). ErbB2 was bound with varying degrees by all of the constructs. Insulin-like growth factor-I receptor was bound by RP-1L-Her.


Example 12
ErbB2 Binding. VEGF-Targeting Antibody-MRD Molecules

Fusion of an MRD which targets VEGF (Vl 14) (SEQ ID NO:13) (Fairbrother W. J., et al., Biochemistry 37:177754-177764 (1998)) was made to the N-terminus of the light chain of a ErbB2-binding antibody (Her). A medium linker peptide (SSGGGGSGGGGGGSS (SEQ ID NO:2)) was used as a connector. FIG. 10 depicts the results of an ELISA using a construct containing an N-terminal fusion of VEGF targeting MRD with the ErbB2-binding antibody with the medium linker peptide (Vl 14-mL-Her). Expression and testing of the resulting antibody-MRD fusion construct demonstrated strong VEGF and ErbB2 binding.


Example 13
Integrin Targeting Antibody-MRD Molecules

Fusion of an MRD which targets integrin αvβ3 (RGD) (SEQ ID NO:106) to the N-terminus of the light chain of 38C2 using the medium linker peptide as a connector was studied. FIG. 11 demonstrates that expression and testing of the resulting antibody-MRD fusion construct had strong integrin αvβ3 binding.


Example 14
Ang2 Targeting Antibody-MRD Molecules

Fusion of an MRD which targets Ang2 (L 17) (SEQ ID NO:7) to the C-terminus of the light chain of 38C2 using the short linker sequence as a connector was studied. FIG. 12 demonstrates that expression and testing of the resulting antibody-MRD fusion construct had strong Ang2 binding.


Example 15
ErbB2 Binding, Integrin and Ang2 Targeting Antibody-MRD Molecules

An MRD which targets integrin αvβ3 (RGD4C) was connected to the N-terminus of the light chain of an ErbB2 targeting antibody (Her) with a medium linker, and an Ang2 (L17) targeting MRD was connected by a short linker to the C-terminus of the same ErbB2 targeting antibody (RGD4C-mL-Her-sL-L17). FIG. 13 demonstrates that the resulting antibody-MRD fusion construct bound to integrin, Ang2, and ErbB2.


Similarly, ErbB2 targeting antibodies (e.g., Her) with an IGF-1R MRD fused to the C-terminus of the heavy chain or the N-terminus of the light chain bound to immobilized IGF-1R at comparable rates. In addition, ErbB2 targeting antibodies containing an IGF-1R MRD fused to the N-terminus of the light chain and an Ang2 MRD fused to the C-terminus of the heavy chain bound to immobilized IGF-1R at comparable rates. Each of these three multivalent and multispecific compositions (e.g., MRD-containing antibodies) also inhibited the binding of IGF-1 to immobilized IGF-IR. The trispecific molecule (HERCEPTIN with 1GF-1R and Ang2 MRDs) bound to both cell surface ErbB2 and soluble Ang2.


Example 16
ErbB2 Binding, Integrin-Targeting Antibody-MRD Molecules

An antibody was constructed which contains an MRD that targets integrin αvβ3 (RGD4C) fused to the N-terminus of the heavy chain of an antibody which binds to ErbB2 (Her) using the medium linker as a connector (RGD4C-mL-her-heavy). FIG. 14 depicts the results of an ELISA using the construct. Both integrin and ErbB2 were bound by the construct.


Example 17
ErbB2 or Hepatocyte Growth Factor Receptor Binding, and Integrin, Ang2 or Insulin-Like Growth Factor-I Receptor-Targeting Antibody-MRD Molecules with the Short Linker Peptide

Antibody-MRD molecules were constructed which contain ErbB2 or hepatocyte growth factor receptor binding antibodies, and integrin αvβ3, Ang2 or insulin-like growth factor-I receptor-targeting MRD regions were linked with the short linker peptide to the light chain of the antibody. FIG. 15 depicts the results of an ELISA using constructs containing an N-terminal fusion of Ang2 targeting MRD fused to the ErbB2 antibody (L17-sL-Her), an N-terminal fusion of integrin-targeting MRD with the ErbB2 antibody (RGD4C-sL-Her), an N-terminal fusion of insulin-like growth factor-I receptor targeting MRD with the ErbB2-binding antibody (RP-sL-Her), a C-terminal fusion of Ang2 targeting MRD with the hepatocyte growth factor receptor binding antibody (L17-sL-Met), a C-terminal fusion of Ang2 targeting MRD with the ErbB2-binding antibody (Her-sL-L17), a C-terminal fusion of integrin targeting MRD with the ErbB2-binding antibody (Her-sL-RGD4C), or a C-terminal fusion of insulin-like growth factor-I receptor targeting MRD with the ErbB2-binding antibody (Her-sL-RP). ErbB2 was bound with varying degrees by the antibody-MRD constructs, with the exception of the construct containing the hepatocyte growth factor receptor-binding antibody. Antigen was bound only by the Her-sL-L17 construct.


Example 18
ErbB2 or Hepatocyte Growth Factor Receptor Binding, and Integrin, Ang2 or Insulin-Like Growth Factor-I Receptor-Targeting Antibody-MRD Molecules with the Long Linker Peptide

Antibody-MRD molecules were constructed which contain ErbB2 or hepatocyte growth factor receptor binding antibodies, and integrin αvβ3, Ang2 or insulin-like growth factor-I receptor-targeting MRD regions linked with the long linker peptide to the light chain of the antibody. FIG. 16 depicts the results of an ELISA using constructs containing an N-terminal fusion of Ang2 targeting MRD fused to the ErbB2 antibody (L17-1L-Her), an N-terminal fusion of integrin-targeting MRD with the ErbB2 antibody (RGD4C-1L-Her), an N-terminal fusion of insulin-like growth factor-I receptor-targeting MRD with the ErbB2-binding antibody (RP-1L-Her), a C-terminal fusion of Ang2 targeting MRD with the hepatocyte growth factor receptor binding antibody (L17-1L-Met), a C-terminal fusion of integrin targeting MRD with the hepatocyte growth factor receptor binding antibody (RGD4C-1L-Met), a C-terminal fusion of Ang2 targeting MRD with the insulin-like growth factor-I receptor binding antibody (Her-1L-RP), a C-terminal fusion of Ang2 targeting MRD with the hepatocyte growth factor receptor binding antibody (Met-1L-L17), or a C-terminal fusion of integrin targeting MRD with the hepatocyte growth factor receptor binding antibody (Met-1L-RGD4C). As shown in FIG. 16, antibody-MRD fusions are effective to bind antigen and ErbB2. Lu et al., J. Biol. Chem. 20:280(20):19665-19672 (2005); Lu et al., J. Biol. Chem.: 279(4):2856-65 (2004).


Example 19
Cloning and Expression of Ang2 MRDs Fused to Maltose Binding Protein
A. Cloning of MBP Fusions

Monomer and dimer peptides were expressed as protein fusions to maltose binding protein (MBP) using a modified form of the pMAL-p2 vector and expression system from New England Biolabs (NEB; Beverly, Mass.) The PCR-generated MRD sequence was inserted into a pMAL vector down-stream from the malE gene, which encodes MBP. This results in a vector that encodes an MRD-MBP-fusion protein. The pMAL vector contains a strong Ptac promoter and is inducible by IPTG. The pMAL-p2 series contains the normal malE signal sequence, which directs the fusion protein through the cytoplasmic membrane. pMAL-p2 fusion proteins capable of being exported can be purified from the periplasm through osmotic shock. Further purification can be performed, for example by binding to amylose resin.


B. Expression of MBP Fusion Proteins and Osmotic Shock Fractionation

For expression of fusion proteins, bacterial cultures grown overnight were back-diluted into fresh media to an OD A600 of approximately 0.1. Cultures were grown to an OD of approximately 0.8 and induced with IPTG at a concentration of 0.3 mM. Cultures were incubated with shaking for approximately 4 hours, after which bacteria were centrifuged for 15 minutes at 4700g. Pelleted bacteria were resuspended in 30 mM Tris-HCL pH 7.4, 20% sucrose, 1 mM EDTA. Cells were incubated for 20 minutes at room temperature (RT) prior to centrifugation for 15 minutes at 4700 g. Pelleted bacteria were then resuspended in ice cold MgSO4, and incubated for 20 minutes on ice, with periodic mixing. Cell suspensions were sonicated (Misonix XL2020) for 90 seconds. Cells were centrifuged at 4° C. for 20 minutes at 4700g. The supernatant (“osmotic shock fraction”) was adjusted to 1XPBS using 10×PBS (Quality Biologics, cat #119-069-131) and filtered through 0.2 micron filter. These osmotic shock fractions were assayed directly for binding to Ang2.


C. Direct Binding of MBP Fusion Proteins

For detection of direct binding of MRD-MBP fusions to Ang2, the following ELISA was performed. Ninety-six-well plates were coated overnight with rhAng2 (R&D cat#623-AN) at 320 ng/ml (100W/well). Wells were blocked for 3.25 hours with 2500 Blocking buffer (Thermo Cat# N502), followed by 4 washes with 300 μl wash buffer (PBS, 0.1% tween). MBP fusion proteins were serially diluted in Blocking buffer and added to wells for 2 hours at RT. After washing (8×300 μl wash buffer), samples were treated with HRP-mouse anti MBP mAb (NEB, cat # E8038S), diluted 1:4000 in Blocking buffer. After incubation for 1 hour at RT, wells were washed (8×300 μl wash buffer) prior to receiving 100 μl of TMB substrate (KPL Laboratories). Color development was stopped with 100 μl of H2SO4, and absorbance was read at 450 nm.


D. Results

MRD-MBP fusions were assayed for direct binding to Ang2. Osmotic shock fractions of induced bacterial cultures were serially diluted and added to Ang2 coated wells. Bound fusion proteins were detected with anti-MBP mAb. The dose response curves are presented in FIG. 17A. Assayed proteins represent mutational variants of the sequence MGAQTNFMPMDDDE LLLYEQFILQQGLE (L17D) (SEQ ID NO:107). In this series, the motif MDD within L17D was mutated at the first D to all other possible amino acids (except cysteine). Other MRDs tested were “Lm32 KtoS” and a dimer of Lm32 (2xLm32). As presented in FIG. 17B, several MXD mutants exhibit binding in the 0.1 to 100 nm range. The Lm32 dimer (2XLm32) exhibits greater than 10 fold higher affinity for Ang2 than either L17D or “Lm32 KtoS”.


Example 21
Expression and Purification of Antibodies Containing MRDs

Molecular recognition domains were constructed and expressed in a pcDNA 3.3 vector as fusion proteins with either the heavy or light chains of antibodies. For protein production, plasmid DNAs encoding the heavy and light chains of the antibodies containing MRDs were first transformed into chemically competent bacteria in order to produce large amounts of DNA for transient transfection. Single transformants were propagated in LB media and purified using Qiagen's Endotoxin Free Plasmid Kits. Briefly, cells from an overnight culture were lysed; lysates were clarified and applied to an anion-exchange column, and then subjected to a wash step and eluted with high salt. Plasmids were precipitated, washed, and resuspended in sterile water.


HEK293T cells were expanded to the desired final batch size (about 5 L) prior to transfection. The purified plasmid (lmg per liter of production) was complexed with the polyethylenimine (PEI) transfection reagent, added to the shake flask culture, and incubated at 37° C. The culture was monitored daily for cell count, cell diameter, and viability. The conditioned medium was harvested and stored at −80° C. until purification.


Antibodies containing MRDs were purified from the conditioned medium using affinity chromatography. Culture supernatant was filter clarified and applied directly to a chromatography column containing recombinant Protein A Sepharose (GE Healthcare). The column was washed, and bound antibodies containing MRDs were eluted by lowering buffer pH. Following elution, eluate fractions were immediately adjusted to physiologic pH. Following Protein A affinity purification, an additional optional polishing chromatographic step can be performed as needed.


Purified proteins were dialyzed into PBS, concentrated to ˜1-4 mg/ml, sterile filtered, aliquoted aseptically, and stored frozen at −80° C. All steps of the purification were monitored by SDS-PAGE-Coomassie, and precautions were taken during the purification to keep endotoxin levels as minimal as possible.


The final product was analyzed for endotoxin levels (EndoSafe), purity (SDS-PAGE-coomassie, analytical SEC-HPLC), protein identity (Western blot), and yield (Bradford assay). An additional size exclusion HPLC analysis was performed to assess the level of aggregates.


The data presented in Table 6 indicate that the antibodies containing MRDs can be expressed and purified using conventional techniques.













TABLE 6





Zybody
Yield (mg)
Purity
Aggregates (%)
Endotoxin (EU/ml)



















HER2xCon4(H)
36
>90%
4.6
<1


HER-lm32(H)
57
>90%
1
2.02


HER-lm32(L)
98
>90%
2
3.26


AVA-lm32(H)
12
>90%
0
<1









Example 22
Simultaneous Binding of HER Lm32(H) and HER Lm32 (L) to Her2 and Ang2
A. Methods

Ninety-six-well plates were coated overnight with rHER2-Fc (R&D cat#1129-ER-050) at 20 ng/ml (100 μl/well). Wells are blocked for 3.25 hours with 250 μl Blocking buffer (Thermo Cat# N502), followed by 4 washes with 300 μl wash buffer (PBS, 0.1% tween). Antibodies containing MRDs (HER-lm32(H), HER-lm32(L), and AVA-lm32(H)) and antibodies (HERCEPTIN®) were serially diluted in Blocking buffer, containing 1.94 μg/ml biotinylated Ang2 (R&D cat#BT633) and added to wells for 2 hours at RT. After washing (8×300 μl wash buffer), parallel samples received either HRP-conjugated anti-human kappa chain mAb-(Abcam, cat # ab79115-1) diluted 1:1000 in Blocking buffer or HRP-conjugated streptavidin (Thermo Scientific cat#N100) diluted 1:4000 diluted in Blocking buffer. After incubation for 1 hour at RT, wells were washed (8×300 μl wash buffer) prior to receiving 100 μl of TMB substrate (KPL Laboratories). Color development was stopped with 100 μl of H2SO4, and absorbance was read at 450 nm.


B. Results

As detected with anti-human kappa chain mAb, both a HERCEPTIN®-based antibody or HERCEPTIN®-based antibodies containing MRDs bind to Her2 Fc in the presence of Ang2 in a dose dependent manner (FIG. 18A). Only the HERCEPTIN®-based antibodies containing MRDs (HER-lm32(H) and HER-lm32(L)) exhibit simultaneous binding to Her2 Fc and Ang2, as detected by HRP-conjugated streptavidin (FIG. 18B).


Example 23
Simultaneous Binding of AVA-lm32(H) to VEGF and Ang2
A. Methods:

Ninety-six-well plates were coated overnight with human VEGF (PeproTech, Inc. cat#100-20) at 30 ng/ml (100 μl/well). Wells were blocked for 3.25 hours with 250 μl Blocking buffer (Thermo Cat# N502), followed by 4 washes with 300 μl wash buffer (PBS, 0.1% tween). Antibodies containing MRDs (HER-lm32(H) and AVA-lm32(H)) and antibodies (AVASTIN®) were serially diluted in Blocking buffer, containing 3.876 μg/ml biotinylated Ang2 (R&D cat#BT633) and added to wells for 2 hours at RT. After washing (8×300 μl wash buffer), parallel samples received either HRP-conjugated anti-human kappa chain mAb (Abcam, cat # ab79115) diluted 1:1000 in Blocking buffer or HRP-conjugated streptavidin (Thermo Scientific cat#N100) diluted 1:4000 diluted in Blocking buffer. After incubation for 1 hour at RT, wells were washed (8×300 μl wash buffer) prior to receiving 100 of TMB substrate (KPL Laboratories). Color development was stopped with 100 μl of H2SO4, and absorbance was read at 450 nm.


B. Results

As detected with anti-human kappa chain mAb, both AVASTIN® and AVASTIN®-based antibodies containing MRDs bind to VEGF in the presence of Ang2 in a dose dependent manner (FIG. 19A). Only the AVASTIN®-based antibodies containing MRDs (AVA-lm32(H)) exhibited simultaneous binding to VEGF and Ang2, as detected by HRP-conjugated streptavidin (FIG. 19B).


Example 24
Simultaneous Binding of HER-lm32 (H) and HER-lm32 (L) to HER2 and Angiopoietin-2

The ability of HER-lm32 (H) and HER-lm32 (L) simultaneously bind to Her2 expressed on the surface of breast carcinoma cells BT-474, and to Ang2 in solution, was determined by flow cytometry. Mouse anti-human Ig-FITC was used for detection of the heavy chain of the antibodies containing MRDs, and Ang2-biotin/streptavidin-PE was used for detection of the lm32 MRD. Cells that bind Her2 and Ang2 simultaneously are expected to be detected as double positive for FITC and PE fluorescence.


One million HER2 positive breast carcinoma cells BT-474 were incubated with 1 μg HER-lm32(H) or HER-lm32(L) for 25 minutes at RT. After washing, cells were incubated with 200 ng/mL Ang2 biotin (R&D systems) for 25 minutes at RT and then with 20 μL of mouse anti-human Ig-FITC and Streptavidin-PE for 15 minutes. After washing with 2 mL buffer, cells were analyzed by flow cytometry (FACS Canto 11, BD).


In order to confirm the specificity of binding of HER-lm32(H) and HER-lm32(L) to HER2 on BT-474 cells, binding was determined in the presence of 10-fold excess of HERCEPTIN®. In these experiments, antibodies containing MRDs (1 μg) were incubated with one million BT-474 cells in the absence or presence of 10 μg HERCEPTIN® for 25 minutes at RT. Binding of antibodies containing MRDs to HER2 was determined by incubating with 200 ng/mL Ang2 biotin followed by detection with streptavidin-PE.


The data presented in FIG. 20A demonstrate that both HER-lm32(H) and HER-lm32(L), bind simultaneously to HER2 and Ang2. In both cases, the cells exhibited bright dual fluorescence in the FITC and PE fluorescence channels. The fact that HER-lm32(H) and HER-lm32(L) binding to HER2 is completely inhibited by HERCEPTIN® (FIG. 20B) indicates that the binding is specific.


In addition, tri-specific binding was demonstrated using an antibody containing two distinct MRDs. An EGFR-binding affibody and an Ang2-binding peptide (LM32) were fused to the C-terminus of the light and heavy chains of HERCEPTIN, respectively. The MRD-containing antibody was incubated with the EGFR+, Her2-A431 human epithelial cell line. Cell-bound MRD-containing antibody was detected with biotinylatcd Ang2/strepavidin-PE, alexafluor labeled ErbB2-Fc, or the combination of Ang2/strepavidin-PE and alexafluor labeled ErbB2-Fc. The results demonstrated that the MRD-containing antibody simultaneously bound EGFR cell surface receptor and two soluble ligands (ErbB2 and Ang2).


Additional experiments demonstrated that a fusion of lm32 to the C-terminus of the heavy chain of HERCEPTIN retained the binding specificity and Fc function of HERCEPTIN. HERCEPTIN and the HERCEPTIN-lm32 fusion bound to FcRn with similar affinities (EC50s for HERCEPTIN and HERCEPTIN lm-32 were 2.17 and 2.84 μg/ml, respectively). The HERCEPTIN and the HERCEPTIN-lm32 fusion displayed comparable ADCC activity on SK-BR-3 cells. The HERCEPTIN-lm32 fusion and HERCEPTIN bound to Fcγ-RI and Fcγ-RIII with similar affinities. The HERCEPTIN-lm32 fusion and HERCEPTIN bound to complement receptor Clq with similar affinities. In addition, the HERCEPTIN-lm32 fusion bound Ang2 with subnanomolar affinity and antagonized Ang2 binding to the Tie-2 receptor. The HERCEPTIN-lm32 fusion bound the extracellular domain of ErbB2 and also inhibited Ang2-induced proliferation of primary bovine lymphoendothelial cells. The HERCEPTIN-lm32 fusion and HERCEPTIN bound to the extracellular domain of Her2 with similar kinetic parameters. Additional experiments demonstrated that the HERCEPTIN-lm32 fusion was as effective as HERCEPTIN in inhibiting the proliferation of several cultured breast cancer cell lines (BT-474, MDA-MB-361 and SK-BR-3). The anti-proliferative effect of the HERCEPTIN-lm32 fusion on SK-BR-3 cells was not affected by the presence of Ang2 (2 μg/ml) in the culture.


Simultaneous target binding has been observed for other multivalent and multispecific compositions (e.g., multivalent and multispecific compositions (e.g., MRD-containing antibodies)). For example, a fusion of lm32 to the C-terminus of HUMIRA heavy chain (HUM-lm32(H)) was able to simultaneously bind to Ang2 and TNFα. The same fusion was able to bind 293 cells transiently transfected with full length human TNFα with similar affinity to the HUMIRA antibody. HUM-lm32(H) was also able to inhibit the interaction of TNF with its receptors. HUM-lm32(H) also bound to cell surface expressed and plate bound FcRn as well as to Fcγ-RI and Fcγ-RIII.


Example 25
Antibody-MRDs Containing Heavy Chain Fusions Bind to Targets

To assess the ability of lm32-containing antibodies to block the interaction of Ang2 with its receptor TIE2, their effect on the binding of soluble TIE2 to plate-bound Ang2 was determined by ELISA.


Ang2 (R&D Systems, catalog#623-AN) was coated on a 96-well plate (Thermo Electron, cat#3855) at 200 ng/mL in PBS overnight at 4° C. The plate was then incubated with 100 μl, of blocking solution (Thermo Scientific, cat#N502) for 1 hour at RT. After washing the plate 4 times with 0.1% Tween-20 in PBS, the plate bound Ang2 was incubated with 0.5 μg/mL soluble TIE2 (R&D Systems, cat#313-TI,) in the absence or presence of various concentrations of serially diluted antibodies containing MRDs for 1 hour at RT. After washing 4 times, 100 μL of 0.5 μg/mL anti TIE2 antibody (cat#BAM3313, R&D Systems) was added and incubated at RT for 1 hour. TIE2 binding to Ang2 was detected by incubation with 1:1000 diluted goat anti-mouse-HRP (BD Pharmingen, cat#554002) for 1 hour at RT. The plate was washed 4 times and incubated with 100 μL TMB reagent for 10 minutes at RT. After stopping the reaction with 100 μL of 0.36N H2SO4, the plate was read at 450 nm using a spectrophotometer.


As presented in FIG. 21A, HER-lm32(H), HER-lm32(L), and AVA-lm32(H) inhibited TIE2 binding to plate-bound Ang2 in a dose-dependent fashion. All tested lm32-containing antibodies demonstrated comparable inhibitory effects with IC-50 values of 4 nM for HER-lm32 (H), 8 nM for HER-lm32(L) and 3.3 nM for AVA-lm32(H).


Example 26
Antibody-MRDs Containing Heavy Chain Fusions Bind to Targets

To determine the specificity and relative affinity of AVA-lm32 (H) binding to VEGF, a competitive binding assay was performed using biotin labeled AVASTIN®.


AVASTIN® was labeled with biotin using EZ-Link NHS-LC-Biotin (Pierce, cat#21336). VEGF (Peprotech, cat#100-20) was coated on a 96-well plate (Thermo Electron, cat#3855) at 100 ng/mL in PBS overnight at 4° C. The plate was then incubated with 100 μL of blocking solution (Thermo Scientific, cat#N502) for 1 hour at RT. After washing the plate 4 times with 0.1% Tween 20 in PBS, 50 μL of AVASTIN®-biotin at 150 ng/mL and 50 μL of various concentrations of AVA-lm32(H) or unlabeled AVASTIN® were added and incubated at RT for 1 hour. The plate was washed 4 times and incubated with Streptavidin-HRP (Thermo, cat#N100) at 1:1000 dilution for 1 hour at RT. The plate was washed 4 times and 100 μL of TMB reagent was added. After 10 minutes incubation at RT, 100 μL of 0.36N H2SO4 was added to stop the reaction and the plate was read at 450 nm.


The data presented in FIG. 22 demonstrate that AVA-lm32(H) specifically binds to VEGF-2. It inhibits binding of biotinylated AVASTIN® to VEGF in a dose dependent manner. The dose response curves generated by AVA-lm32(H) and unlabeled AVASTIN® are superimposable and indicate similar binding affinities.


Example 27
Binding of HER-lm32(H) and HER-lm32(L) to HER2 Expressed on Breast Cancer Cells

To determine the relative binding affinity of HERCEPTIN®-based antibodies containing MRDs to cell surface HER2 compared to HERCEPTIN®, a competitive binding assay was performed with Eu-labeled HERCEPTIN®.


HERCEPTIN® was labeled with Eu3+ using a dissociation-enhanced lanthanide fluorescence immunoassay (DELFIA) Europium-labeling kit (Perkin Elmer Life Sciences, cat#1244-302) following the manufacturer's instructions. The labeling agent is the Eu-chelate of N1-(p-isothiocynateobenzyl) diethylenetriamine N1,N2,N3,N3-tetraacetic acid (DTTA). The DTTA group forms a stable complex with Eu3+, and the isothiocynate group reacts with amino groups on the protein at alkaline pH to form a stable, covalent thio-urea bond. HERCEPTINER) (0.2 mg in 200 mL sodium bicarbonate buffer pH 9.3) was labeled with 0.2 mg of labeling agent at 4° C. overnight. Eu-labeled HERCEPTIN® was purified by spin column using 50 mmol/L tris-HCl pH 7.5 and 0.9% NaCl elution buffer.


The Eu-HERCEPTIN® binding assay was performed by incubating 0.5-1 million BT-474 or SK-BR3 breast cancer cells per well in a 96-well plate with 2-5 nM Eu-HERCEPTIN® in the presence of various concentrations of unlabeled HERCEPTIN®-based antibodies containing MRDs or HERCEPTIN® for 1 hour at RT. Unbound Eu-HERCEPTIN® was removed by washing using 200 μL complete medium. Cells were then resuspended in 100 μL complete medium and 80 μL of cell suspension transferred to a 96-well isoplate. Cells were incubated with 100 μL Delfia enhancer solution at RT for 10 minutes and cell bound Eu-HERCEPTIN® was detected by Envison (Perkin Elmer).


The inhibition of binding curves obtained using BT-474 cells are presented in FIG. 23. Eu-HERCEPTIN® binding to BT-474 was inhibited by HERCEPTIN® and HERCEPTIN®-based antibodies containing MRDs in a dose-dependent fashion. Comparable IC-50 values were observed: 4.7 nM for HER-lm32(H), 5.7 nM for HER-lm32(L), and 3.7 nM for unlabeled HERCEPTIN®.


Example 28
Inhibition of Breast Cancer Cells Proliferation by HERCEPTIN®-Based Antibodies Containing MRDs

HERCEPTIN sensitive breast cancer cells SK-BR-3 expressing HER2neo receptor were also tested in a bioassay. SK-BR-3 cells (2000 cell/well) were plated in 96 well plates (Costar) in complete McCoy's growth medium containing 2 mM glutamine, pen/strep (Invitrogen) and 10% FBS (HyClone). The cells were cultured for 24 hours at 37° C., 5% CO2, 85% humidity. On the following day, the growth medium was replaced with starvation medium (McCoy's medium containing 2 mM glutamine, pen/strep, 0.5% FBS). Nine serial dilutions (concentration range 5000-7.8 ng/ml) of HERCEPTIN® and HERCEPTIN®-based antibodies containing MRDs were prepared in complete growth medium. After 24 hours of incubation, the starvation medium was removed, and the serial dilutions of HERCEPTIN® and HERCEPTIN®-based antibodies containing MRDs were transferred to the plates in triplicates. The cells were cultured for 6 days. The proliferation was quantified using the CcllTitcr Glo luminescence method.


The IC50 values determined using a four-parameter logistic model were as follows: 0.49+/−0.17 nm for HER-lm32(H), 0.81+/−0.19 nm for HER-lm32(L), and 0.67+/−0.15 nm for HER-con4(H). All tested HERCEPTIN®-based antibodies containing MRDs were able to inhibit the proliferation of the SK-BR-3 breast carcinoma cells with subnanomolar IC-50 values. The representative fitted dose response curves shown in FIGS. 24A-C demonstrate that HERCEPTIN®-based antibodies containing MRDs inhibit cell proliferation with similar potency to HERCEPTIN®.


Example 29
Antibody Dependent Cytotoxicity of HERCEPTIN®-Based Antibodies Containing MRDs

To assess the ability of antibodies containing MRDs to mediate ADCC in vitro, a cytotoxicity assay based on the “DELFIA EUTDA Cytotoxicity reagents AD0116” kit (PerkinElmer) was used. In this assay, the target cells were labeled with a hydrophobic fluorescence enhancing ligand (BADTA, bis (acetoxymethyl) 2,2′:6′,2″-terpyridine-6,6″-dicarboxylate). Upon entering the cells, BADTA is converted to a hydrophilic compound (TDA, 2,2′:6′,2″-terpyridine-6,6″-dicarboxylic acid) by cytoplasmic esterases mediated cleavage and no longer can cross the membrane. After cell lysis, TDA is released into a medium containing Eu3+ solution to form a fluorescent chelate (EuTDA). The fluorescence intensity is directly proportional to the number of lysed cells.


HERCEPTIN® and HERCEPTIN®-based antibodies containing MRDs can mediate ADCC on Her2 positive breast cancer cells by binding to the HER2 receptor on the surface of the target cells and activating the effector cells present in human PBMCs by interacting with their FcγRIII receptors. A HER2 positive human breast cancer cell line SK-BR-3 was used as a target cell line in the ADCC assay to demonstrate this.


SK-BR-3 cells were detached with 0.05% trypsin-versene and resuspended at 1×106 cells/mL in RPMI1640 medium containing 2 mM glutamine, pen/strep and 10% FBS (complete growth medium). 2×106 cells in 2 mL of media were transferred into 15 mL tube and 10 μl of BADTA reagent was added. The cell suspension was mixed gently and placed in the incubator at 37° C., 5% CO2 and 85% humidity for 15 minutes. Seven 10× serial dilutions starting with 5 μg/mL of HERCEPTIN® or HERCEPTIN®-based antibodies containing MRDs were prepared during cell labeling.


After incubation with BADTA, cells were washed 4 times in complete growth medium containing 2.5 mM Probenecid. Between washes, cells were spun down by centrifugation at 1000 rpm for 3 minutes. After the last wash, labeled SK-BR-3 cells were resuspended in 10 mL complete growth medium and 50 μl of cells were added to each well of 96 well plate, except background wells. 50 μl of serial dilutions of HERCEPTIN® or HERCEPTIN®-based antibodies containing MRDs were added to the designated wells. The plates were transferred to the incubator at 37° C., 5% CO2 and 85% humidity for 30 minutes.


PBMCs that were purified from human peripheral blood one day prior the ADCC assay, were washed once in RPMI1640 with 2 mM glutamine, pen/strep, 10% FBS. 10 mL of the PBMCs suspension with 2.5×106 cells/mL was prepared. 100 μl of PBMC suspension was transferred into wells containing target cells and HERCEPTIN® or HERCEPTIN®-based antibodies containing MRDs in triplicate. The following controls were placed in designated wells: Spontaneous release (target cells without effector cells), Maximum release (lysed target cells) and Background (media without cells). The plates were incubated for 2.5 hours an incubator with 37° C., 5% CO2 and 85% humidity.


After incubation 20 μl of the supernatant was transferred to another plate and 200 μl of Europium solution was added. The plates were incubated on a plate shaker at RT for 15 minutes. The time resolved fluorescence was measured using PerkinElmer EnVision 2104 Multilabel Reader.


The following formula was used to calculate percentage of Specific release: Experimental release (counts)−Spontaneous release (counts)×100 Maximum release (counts)−Spontaneous release (counts)


The IC50 values calculated by a four-parameter logistic model were as follows: 0.213+/−0.077 nM for HER-lm32(H), 0.204+/−0.036 nM for HER-lm32(L), and 0.067+/−0.015 nM for HER-con4(H). All tested antibodies containing MRDs demonstrated robust ADCC activity with subnanomolar IC-50 values. The representative fitted dose response curves shown in FIGS. 25A and 25B demonstrate that antibodies containing MRDs are able to mediate cell dependent cytotoxicity with comparable potency to HERCEPTIN®.


A similar experiment was conducted in the presence of Ang2. Human PBMCs were activated with 20 ng/ml of IL2 overnight and added to freshly plated (10,000 cells/well) BADTA labeled SK-BR-3 cells. The effector/target ratio was 25/1. After a 4-hour incubation with serial dilutions of HER-lm32(H) or HUMIRA in the presence of 2 μg/ml Ang2, Eu was added to the medium and TRFI measured on Envision reader (Perkin-Elmer). HER-lm32 was more potent in mediating ADCC in the presence of Ang2.


Example 30
Inhibition of Endothelial Cell Proliferation by AVA-Lm32(H)

The biological activities of the AVASTIN®-based antibodies containing MRDs AVA-lm32(H) were tested to determine if they could inhibit VEGF-induced proliferation of Human Umbilical Vein Endothelial Cells (HUVEC) assay.


HUVEC were obtained from GlycoTech (Gaithersburg, Md.) and Lonza on passage 1 and passage 3 respectively. Cells were grown on Endothelial cell basal medium (EBM-2) with addition of 2% fetal bovine serum (FBS) and single quotes (Lonza) at 37° C., 5% CO2, 85% humidity. For inhibition of proliferation experiments, cells were plated in 96-well plates (Costar) at 2000 cells per well in EBM-2 medium with 2% FBS and cultivated for 24 hours. Nine serial dilutions of AVASTIN® or AVA-lm32(H) were prepared starting with 5 μg/mL on EBM-2 medium with 2% FBS. VEGF (R & D Systems) was added at a final concentration of 10 ng/mL to all serial dilutions. After incubation for 15 minutes at 37° C., 5% CO2, 85% humidity, serial dilutions were added to the cells. After 96 hours, CellTiter Glo was added to the cells. After incubation at RT for 15 minutes, the cell suspension was transferred into 96 well white opaque plates, and luminescence was measured using PerkinElmer EnVision 2104 Multilabel Reader.


As shown in FIGS. 26A and 26B, AVA-lm32(H) exhibited dose dependent anti-proliferative activity on HUVECs from both sources. IC50 values calculated from 4 PL fitted curves indicate similar potency for AVA-lm32(H) and AVASTIN® (IC50 values 0.36+/−0.42 nM and 0.33+/−0.38 nM, respectively).


Example 31
MRD-Containing Antibodies Inhibit Tumor Proliferation In Vivo

In order to determine the effectiveness of multivalent and multispecific compositions (e.g., MRD-containing antibodies) in vivo, their efficacy in a mouse Colo5 tumor model was assessed. In these experiments, tumors were implanted into the right flank of six-week old female athymic nude mice by injecting 5×106 Colo205 cells suspended in 100 μL PBS. Three groups of eight animals each received intraperitoneal injections of 5 mg/kg of antibody (HERCEPTIN, Rituxan) or an MRD-containing antibody (HER-2xCon4; “H2xCon4”) in 100 μL PBS every third day starting at day 6 after tumor implantation. The results, shown in FIG. 27, demonstrate that the MRD-containing antibody was more efficient at inhibiting tumor growth than either Rituximab® or HERCEPTIN®.


HERCEPTIN with lm32 fused to the C-terminus of the heavy chain also inhibited tumor growth in both Her2 dependent and angiogenesis dependent xenograft tumor models. The HERCEPTIN-lm32 fusion had a similar PK to HERCEPTIN in both mice and monkeys after single dose injections. Furthermore, the HERCEPTIN-lm32 fusion was stable in whole blood at 37° C. for up to 72 hours.


Example 32
Molecular Assays to Evaluate MRD-Containing Antibodies

Novel multivalent and multispecific compositions (e.g., MRD-containing antibodies) are generated by altering the sequence of the MRD and/or the antibody, by altering the location at which the antibody is linked to the MRD, and/or by altering the linker through which the MRD is connected to the antibody. The binding potential, structure, and functional properties of the multivalent and multispecific compositions (e.g., MRD-containing antibodies) are evaluated using known techniques to measure protein binding and function. The multivalent and multispecific compositions (e.g., MRD-containing antibodies) are compared to the MRD alone, the antibody alone, and to other multivalent and multispecific compositions (e.g., MRD-containing antibodies).


An MRD-containing antibody is tested using a solid phase assay in which a target of the MRD and/or antibody is immobilized on a solid surface and then exposed to increasing concentrations of a flourescently labeled MRD-containing antibody. The solid surface is washed to remove unbound MRD-containing antibody and the amount of target-bound MRD-containing antibody is determined directly by quantitating fluorescence. In another experiment, the immobilized target is exposed to increasing concentrations of an unlabeled MRD-containing antibody and the amount of target-bound MRD-containing antibody is determined indirectly by use of a labeled reagent that binds to the MRD-containing antibody


An MRD-containing antibody is tested using a liquid phase assay in which a target of the MRD and/or antibody is added to various concentrations of an MRD-containing antibody is a solution. The interaction of the target with the MRD-containing antibody is detected by the appearance of a molecular complex comprised of a target and MRD-containing antibody that differs in molecular mass (and mobility) from unbound target and unbound MRD-containing antibody.


An MRD-containing antibody is also assayed in a cell based assay in which target-expressing cells are incubated in the presence of increasing concentrations of MRD-containing antibody. The binding of the MRD-containing antibody is detected by fluorescence activated cell sorting. In addition, cellular proliferation, cellular differentiation, protein phosphorylation, protein expression, mRNA expression, membrane composition, signaling pathway activity, and cellular viability are assessed.


Useful multivalent and multispecific compositions (e.g., MRD-containing antibodies) bind to both the MRD target and to the antibody target. In addition, useful multivalent and multispecific compositions (e.g., MRD-containing antibodies) affect at least one cellular process.


Example 33
Identification of MRDs with Improved Characteristics

Two potential T cell epitopes were identified in LM32. In order to identify LM32 variants that did not contain T cell epitopes, and therefore, were less likely to produce immunogenic responses, mutational and deletional variants of the LM32 peptide were created. The LM32 variants listed in Table 7 MRDs were expressed as MBP fusion proteins and tested for the ability to bind Ang2.











TABLE 7







SEQ



EC50
ID


MRD expressed as a MBP fusion protein
(nM)
NO

















KSLSLSPGSGGGSMGAQTNFMPMDNDELLLYEQFI
1.080
32





KSLSLSPGSGGGSMGAQTNFMPMDNEELLLYEQFI
20.700
33





KSLSLSPGSGGGSMGAQTNFMPMDNDEGLLYEQFILQQGLE
1.040
88





KSLSLSPGSGGGSMGAQTNFMPMDNDELGLYEQFILQQGLE
na
89





KSLSLSPGSGGGSMGAQTNFMPMDNDEALLYEQFILQQGLE
0.182
90





KSLSLSPGSGGGSMGAQTNFMPMDNDELTLYEQFILQQGLE
1.420
91





KSLSLSPGSGGGSMGAQTNFMPMDNDELLLYEQFIYQQGLE
na
92





KSLSLSPGSGGGSMGAQTNFMPMDNDEGLLYEQFIYQQGLE
0.902
93





KSLSLSPGSGGGSMGAQTNFMPMDNDEALLYEQFIYQQGLE
0.392
94





KSLSLSPGSGGGSMGAQTNFMPMDNEELTLYEQFIFQQG
na
95





KSLSLSPGSGGGSMGAQTNFMPMDNDEGLLYEEFILQQGLE
0.922
96





KSLSLSPGSGGGSMGAQTNFMPMDNDEALLYEEFILQQGLE
0.426
97





KSLSLSPGSGGGSMGAQTNFMPMDNEELTLYEEFILQQGLE
na
98





KSLSLSPGSGGGSMGAQTNFMPMDQDELLLYEQFILQQGLE
0.383
99





KSLSLSPGSGGGSMGAQTNFMPMDDDELLLYEQFILQQGLE
0.240
100









The LM32 variants are then tested for their ability to induce proliferation and/or cytokine release. LM32 variants that are functionally active and have reduced immunogenic potential are identified. An MRD-containing antibody comprising the LM32 variant fused to the light chain of HERCEPTIN®, an MRD-containing antibody comprising the LM32 variant fused to the heavy chain of HERCEPTIN®, an MRD-containing antibody comprising the LM32 variant fused to the light chain of HUMIRA®, an MRD-containing antibody comprising the LM32 variant fused to the heavy chain of HUMIRA®, MRD-containing antibody comprising the LM32 variant fused to the light chain of AVASTIN®, and an MRD-containing antibody comprising the LM32 variant fused to the heavy chain of AVASTIN® are created. The LM32-variant containing antibodies are administered to animal models and the plasma protein representation and plasma and tissue residence are measured and compared to those of HERCEPTIN®, HUMIRA®, and AVASTIN®. In addition, the effects of the LM32-variant containing antibodies on cellular proliferation, angiogenesis, tumorigenicity, arthritic indicators are compared to the effects of HERCEPTIN®, HUMIRA®, and AVASTIN®.


Example 34
In Vivo Assays to Evaluate MRD-Containing Antibodies

In order to determine the efficacy of multivalent and multispecific compositions (e.g., MRD-containing antibodies) in vivo, animal models are treated with an antibody and an MRD-containing antibody and the results are compared.


MRD-containing anti-HER2 antibodies are tested in the following in vivo model. NIH 3T3 cells transfected with a HER2 expression plasmid are injected into nu/nu athymic mice subcutaneously at a dose of 106 cells in 0.1 ml of phosphate-buffered saline as described in U.S. Pat. No. 6,399,063, which is herein incorporated by reference in its entirety. On days, 0, 1, 5, and every 4 days thereafter 100 μg of a HER2 antibody, an ang2-containing HER2 antibody, an igflr-containing HER2 antibody and an ang2-igf1r-containing HER2 antibody are injected intraperitoneally. Tumor occurrence and size are monitored for one month. Increases in efficacy of multivalent and multispecific compositions (e.g., MRD-containing antibodies) compared to antibodies are observed.


MRD-containing anti-VEGF antibodies arc tested in the following in vivo model. RIP-TβAg mice are provided with high-sugar chow and 5% sugar water as described in U.S. Published Application No. 2008/0248033, which is herein incorporated by reference in its entirety. At 9-9.5 or 11-12 weeks of age, the mice are treated twice-weekly with intra-peritoneal injections of 5 mg/kg of an anti-VEGF antibody, ang2-containing VEGF antibody, ifglr-containing VEGF antibody or ang2- and igflr-containing antibody. The 9-9.5 week mice are treating for 14 days and then examined. The 11-12 week mice are examined after 7, 14, and 21 days of treatment. The pancreas and spleen of the mice are removed and analyzed. Tumor number is determined by dissecting out each spherical tumor and counting. Tumor burden is determined by calculating the sum of the volume of all tumors within the pancreas of a mouse. The effect on angiogenesis is determined by calculating the mean number of angiogenic islets observed. Increases in efficacy of multivalent and multispecific compositions (e.g., MRD-containing antibodies) compared to antibodies are observed.


MRD-containing anti-TNF antibodies are tested in the following in vivo model. Transgenic mice (Tg197) are treated with three intra-peritoneal injections of anti-TNF antibody or ang2-containing TNF antibody at 1.5 μg/g, 15 μg/g, or 30 μg/g as in U.S. Pat. No. 6,258,562, which is incorporated herein by reference in its entirety. Injections continue for about 10 weeks and macroscopic changes in joint morphology are recorded each week. At 10 weeks, mice are sacrificed and microscopic examination of tissue is performed. Joint size is established as an average measurement on the hind right ankle using a micrometer device and arthritic scores are recorded as follows: 1=no arthritis; +/−=mild (joint distortion); ++=moderate arthritis (swelling, joint deformation); and +++=heavy arthritis (ankylosis detected on flexion and severely impaired movement). Histopathological scoring based on haematoxylinleosin staining of joint sections is based as follows; 0=No detectable disease; 1=proliferation of the synovial membrane; 2=heavy synovial thickening 3=cartilage destruction and bone erosion. Increases in efficacy of multivalent and multispecific compositions (e.g., MRD-containing antibodies) compared to antibodies are observed.


Example 35
MRD-Containing Antibodies are Superior to Combinations of Antibodies and MRDs

In order to compare the efficacy of multivalent and multispecific compositions (e.g., MRD-containing antibodies) to combinations of antibodies and MRDs, their effect on SK-BR-3 cells treated with EGF was studied.


SK-BR-3 cells were treated with HERCEPTIN, HERCEPTIN containing an EGFR-MRD, HUMIRA containing an EGFR-MRD (“MRD alone”), or HERCEPTIN in combination with HUMIRA containing an EGFR-MRD (“antibody plus MRD alone”) for 10 minutes or 3 hours and stimulated with EGF for 5 minutes. Cell lysates were collected and western blots were used to determine phosphotyrosinc or phospho-Akt levels. The results are shown in FIG. 28. The HERCEPTIN containing an EGFR-MRD completely inhibited EGF-induced receptor phosphorylation and Akt activation, whereas HERCEPTIN, the MRD alone, and the HERCEPTIN antibody plus MRD alone had little or no effect.


In addition, the effect of multivalent and multispecific compositions (e.g., MRD-containing antibodies) on cellular proliferation was compared to the effect of the combination of antibodies and MRDs. In these experiments, MCF-7 derived breast carcinoma cells were treated with a HERCEPTIN antibody containing an igflr-targeting MRD fused to the C-terminus of the light chain, HERCEPTIN alone, or a HUMIRA antibody containing the same igflr-targeting MRD (“MRD alone”). As shown in FIG. 29A, the MRD-containing antibody inhibited cell proliferation better than HERCEPTIN alone or the MRD alone.


MCF-7 cells were also treated with a penta-specific MRD-containing antibody. First, these penta-specific multivalent and multispecific compositions (e.g., MRD-containing antibodies) were shown to bind to five targets. An Ang2-targeting MRD (lm32), and an EGFR-targeting MRD were fused to the N- and C-termini, respectively of a HERCEPTIN antibody. In addition, a αvβ3-targeting MRD (eeti) and an igflr-targeting MRD were fused to the N- and C-termini, respectively of the same HERCEPTIN antibody. Ang2, ErbB2, EGFR, IGF1R and αvβ3 were coated on separate wells of a 96-well plate and incubated with serial dilutions of the MRD-containing antibody. Bound MRD-containing antibody was detected using anti-human IgG-kappa detector. The results demonstrated that the MRD-containing antibody bound to Ang2, ErbB2, EGFR, IGF1R and αvβ3 with low nanomolar or sub-nanomolar affinities that arc comparable to the binding-affinities of the MRDs or antibodies individually.


Then, the ability of these penta-specific multivalent and multispecific compositions (e.g., MRD-containing antibodies) to inhibit proliferation of MCF-7 cells was tested as described above. The results, shown in FIG. 29B, demonstrate that the HERCEPTIN penta-specific multivalent and multispecific compositions (e.g., MRD-containing antibodies) decrease proliferation more efficiently than the HERCEPTIN antibody.


Example 36
MRD-Containing Anti-TNF Antibodies

An MRD-containing antibody that targets TNF was created by fusing an Ang2-binding MRD (lm32) to the C-terminus of HUMIRA heavy chain and was expressed in both transient and stable expression systems. The MRD-containing antibody bound simultaneously to TNFa and Ang2. The MRD-containing antibody bound soluble and cell surface TNFa and retained the binding specificity and Fc functions of HUMIRA (e.g., FcRn, FcgammaR1 and FcgammaR3 binding) and also inhibited Ang2 mediated signaling through Tie-2 receptor in a dose dependent manner with sub-nanomolar affinities.


The HUMIRA-lm32 fusion also inhibited TNFa mediated cytotoxicity in L929 cells. The cells were cultured in 96-well plates overnight and treated with 1 ng/mL TNF plus 1 μg/ml of Actinomycin D in the presence of HUMIRA or HUMIRA-lm32 for 24 hours at 37° C. After incubation, 100 μL of cell Titer-Glow reagent was added, and luminescence was measured using InVision (Perkin-Elmer) after 15 minutes at room temperature. The results demonstrated that HUMIRA and HUMIRA-lm32 displayed equal potency in inhibiting TNFa-mediated cytotoxicity in L929 cells (HUMIRA IC50=19.0 ng/ml; HUMIRA-lm32 IC50=18.9 ng/ml).


Furthermore, the HUMIRA-lm32 fusion displayed a dose-dependent protection of hTNF-transgenic mice from clinical signs of arthritis in a well-established mouse model. See, e.g., Keffer et al., EMBO J. 10:4025-4031 (1991). A single-dose PK study in mice demonstrated that the HUMIRA-lm32 fusion and HUMIRA have similar PK and immunogenicity profiles. However, the HUMIRA-lm32 fusion showed increased efficacy in this model compared to that of HUMIRA alone both when measured by clinical symptoms or by histology. See FIG. 30.


Example 37
Zybodies Inhibit EGF-Induced Signaling

SK-BR3 cells were plated at 0.5×106 cells/well in 6-well plates and incubated (37° C., 5% CO2) for 24 hours at which time cells were treated with 10 μg/mL bi- and tri-specific zybodies or Herceptin in 1 mL complete DMEM medium with 10% FBS for 24 hr. at 37° C. Cells were then stimulated with 100 ng/mL EGF for 5 minutes. After stimulation, cells were was disrupted in 200 μL cell lysis buffer (10 mM Tris-HCl (pH 7.5), 1% Triton X-100, 150 mM NaCl, 10% Glycerol, 1 mM sodium vanadate, 5 mM EDTA and protease inhibitors). The cell lysates were centrifuged at 14000 RPM for 10 minutes at 4° C. to remove cell debris. Equal volume of 2× sample buffer and cell lysates were mixed and boiled at 100° C. for 5 minutes, proteins were resolved on a 10% SDS-PAGE and transferred to PVDF (catalog#LC2005, Invitrogen) membranes. Membranes were block with 3% BSA, 0.1% Tween 20 overnight and incubated with antibodies to phospho-AKT (catalog#AF887, R&D systems), phospho-ERK (Catalog#AF1018, R&D systems), and total ERK (MAB1576, R&D system). Horseradish or AP conjugated anti-rabbit and anti-mouse secondary antibodies (Invitrogen) were used to visualize immune-reactive proteins using chemiluminescence or AP detection reagents respectively.


One bispecific antibody used in this example comprised Herceptin and an EGFR-binding MRD (Her-egfr). Another bispecific antibody comprised Herceptin with a Pertuzumab-scfv (which targets a different HER2 epitope than the Herceptin antibody) on the C-terminus of the heavy chain (Her-Pertuzumab(H)). One trispecific antibody comprised Herceptin with an EGFR-binding MRD on the C-terminus of the heavy chain and a Pertuzumab-scfv on the C-terminus of the light chain. Another trispecific antibody comprised Herceptin with an EGFR-binding MRD on the C-terminus of the light chain and a Pertuzumab-scfv on the C-terminus of the heavy chain (Her-zEGFR(L)-Pert(H)). Another trispecific antibody comprised an EGFR-binding MRD, and a Pertuzumab-scfv which targets a different HER2 epitope than the Herceptin antibody (Her-Pert(L)zEGFR(H) and Her-zEGFR(L)-Pert(H).


SK-BR3 cells express very high levels of HER2 and are sensitive to anti-proliferative effects of Herceptin. Inhibition of constitutively activated AKT is one of the mechanisms for the anti-proliferative effects of Herceptin in HER2 over-expressing cells. Such inhibition can be overcome by the addition of growth factors such as EGF, IGF-1 and Heregulin (HRG) through the induction of intracellular pro-mitogenic signaling. As shown in FIG. 31, EGF-induced activation of AKT and ERK pathways in SK-BR3 cells as shown by increase in phoshorylated AKT and ERK levels. Herceptin had no effect on EGF-induced activation of signaling pathways in SK-BR3 cells whereas Her-egfr and the two tri-specific zybodies with an EGFR targeting peptide inhibited EGF effects. Compared to the bi-specific antibody which inhibited only EGF-induced signaling, tri-specific antibodies also inhibited constitutively active levels of Akt and ERK in SK-BR3 cells.


Example 38
Zybodies Inhibit Heregulin-Induced Signaling

SK-BR3 cells were plated at 0.5×106 cells/well in 6-well plates and cultured overnight. The next day, cells were treated with 10 μg/mL bi- and tri-specific zybodies or Herceptin in 1 mL complete DMEM medium with 10% FBS for 24 hr. at 37° C. Cells were then stimulated with 200 ng/mL Heregulin for 10 minutes. Western blot analysis was performed to detect phosphorylated and total Aid and ERK levels as described in Example 37.


Heregulin binds to HER3 and induces activation of signaling pathways via HER2-HER3 heterodimer formation. As shown in FIG. 32, Heregulin induced activation of Akt and ERK in SK-BR3 cells. Herceptin and HER-egfr had no effect on Heregulin-induced Akt activation. Pertuzumab, but not Herceptin, blocks Heregulin mediated HER2-HER3 heterodimer formation and signaling. FIG. 32 shows that bi- and tri-specific zybodies comprising a Pertuzumab-scfv completely inhibited Heregulin-induced Akt activation in SK-BR3 cells.


Example 39
Zybodies Inhibit EGF- and Heregulin-Induced Signaling

SK-BR3 cells were plated at 0.5×106 cells/well in 6-well plates and cultured overnight. The next day, cells were treated with 10 μg/mL bi and tri-specific zybodies or Herceptin in 1 mL complete DMEM medium with 10% FBS for 24 hr. at 37° C. Cells were then stimulated with 100 ng/mL EGF and 200 ng/mL Heregulin for 10 minutes. Western blot analysis was performed to detect phosphorylated and total Akt and ERK levels as described in Example 37.


Combined stimulation of SK-BR3 cells with EGF and Heregulin resulted in both AKT and ERK activation (FIG. 33). Herceptin, HER-efgr and HER-pertuzuScfv were ineffective in blocking the combined effects of EGF and Heregulin. Tri-specific zybodies that contained both an EGFR targeting peptide and a Pertuzumab-scfv completely inhibited EGF and Heregulin induced Akt and ERK activation in SK-BR3 cells.


Example 40
Zybodies Down-Regulate Cell-Surface EGFR

SK-BR3 cells were plated at 0.5×106 cells/well in 6-well plates and cultured overnight. The next day, cells were treated with 10 μg/mL bi- and tri-specific zybodies, Herceptin, Erbitux, EGF, and combinations thereof in 1 mL complete DMEM medium with 10% FBS for 24 hr. at 37° C. as indicated. Cells were detached and the levels of EGFR on the cells were determined by Flow cytometry using PE conjugated anti-EGFR antibody.


The zybodies used in this experiment were a Herceptin antibody with an EGFR-binding MRD on the C-terminal of the heavy chain (HER-egfr(H)); a Humira antibody with an EGFR-binding MRD on the C-terminal of the heavy chain (HUM-egfr(H)); Herceptin with a Pertuzumab-scfv on the C-terminal of the heavy chain (HER-perscfv(H)); Humira with a Pertuzumab-scfv on the C-terminal of the heavy chain (HUM-perscfv(H)); Herceptin with a Pertuzumab-scfv on the C-terminal of the light chain and an EGFR-binding MRD on the C-terminal of the heavy chain (HER-perscfv(L)-egfr(H)); Herceptin with a Pertuzumab-scfv on the C-terminal of the heavy chain and an EGFR-binding MRD on the C-terminal of the light chain (HER-perscfv(H)-egfr(L)); and a Humira antibody with an EGFR-binding MRD (HUM-egfr).


Erbitux, EGF, and bi- and tri-specific zybodies containing egfr-targeting peptides down regulated EGFR receptor levels on the cell surface. FIGS. 34A and B. Treatment with HER-egfr for 24 hr. was more effective (61%) than HUM-egfr alone (27%) or in combination of HUM-egfr plus Herceptin (41%) and Erbitux plus Herceptin (51%) (FIGS. 34A and B). This indicates that simultaneous targeting of EGFR and HER2 in zybody format was more effective in down regulating EGFR than a combination of two individual antibodies. Also, treatment with tri-specific antibodies that target EGFR and two different epitopes of HER2 completely down regulated (99%) EGFR levels on SK-BR3 cells.


Example 41
Zybodies Down-Regulate EGFR Expression

SK-BR3 cells were plated at 0.5×106 cells/well in 6-well plates and cultured overnight. The next day, cells were treated with 10 μg/mL bi and tri-specific zybodies or Herceptin in 1 mL complete DMEM medium with 10% FBS for 24 hr. at 37° C. Cell lysates were prepared and Western blot analysis was performed to detect EGFR using EGFR antibody (catalog# MAB10951, R&D system) and total ERK levels as described in Example 37.


Treatment with Herceptin and Her-Pertuzumab scfv had no effect on EGFR levels in SK-BR3 cells. HER-egfr partially down regulated EGFR protein and almost complete degradation of EGFR was observed in cells treated with tri-specific zybodics.


Example 42
Zybodies Increase MRD Potency

The following experiments were performed to examine the effect that antibody fusion has on MRD potency. Individual wells of a 96-well plate were coated with IGF1R and ErbB2-Fc (HER2) (1 ug/ml) at varying ratios. Wells were washed, and then serial dilutions of zybodies were added in the presence of biotin-labeled IGF-1. The zybodies used were a Herceptin antibody containing an IGFR-targeting MRD on the C-terminus of the heavy chain (HER-igfr(H)) and a Humira antibody containing an IGFR-targeting MRD on the C-terminus of the heavy chain (HUM-igfr(H)). Bound IGF-1 was quantitated by addition of streptavidin-HRP. The results are shown in the table below.









TABLE 8







Inhibition of IGF-1 Binding, IC50 (nM)











Ratio of IGF1R:HER2













Zybody
1:0
3:1
1:1
1:3

















HER-igfr(H)
220
20.91
1.44
0.14



HUM-igfr(H)
240
189.9
186
111










The inhibition of IGF-1 binding was similar for both zybodies tested when the plates did not contain ErbB2-Fc (HER2) (IC50 HER-igfr(H)=220 nM; IC50 HUM-igfr(H)=240 nM). When the plates contained both the antibody target and the MRD target, binding to MRD target drastically decreased. For example, using the HER-igfr(H) zybody, inhibition of IGF-1 binding dropped from IC50=220 nm when the antibody target was not on the plates (ratio of IGFR1R:HER2=1:0) to IC50=1.44 when the antibody target and MRD target were present on the plates in equivalent amounts (ratio of IGFR1R:HER2=1:1). The data indicate that engagement of both antibody and MRD targets by HER-igflr(H) enhances the potency of the low affinity IGF-1R MRD>1000-fold. In contrast, this drastic effect was not observed when the same experiment was performed using a zybody containing the Humira antibody, which does not bind to HER2 even though the zybody contained the same IGF1R-targeting MRD. Thus, bi-specific zybodies display enhanced MRD potency through heterotypic avidity-driven binding.


Example 43
Conformational Constraints can Increase MRD Binding and Stability

In order to determine the effect of conformational constraints on MRDs in the context of an MRD-containing antibody, several modified MRD constructs containing cysteines at various locations were developed. The cysteines form intermolecular disulfide bonds and therefore contain the three-dimensional conformation of the proteins. The MRD that was altered in this experiment was MPM. The sequence of MPM, which is shown in the table below, is similar to the sequence of lm32 (described above), but contains four amino acid changes: MSG, N16Q, L19A, and Q24E. The G at position five in MPM minimizes potential oxidation of the methionine residue, and L19A and Q24E remove potentially immunogenic sequences. In these experiments, all MRDs were fused to the C-terminus of the Herceptin heavy chain.


The resulting multivalent and multispecific compositions (e.g., MRD-containing antibodies) were then tested for target binding and stability. Stability was determined by administering the MRD-containing antibody by IV injection to mice and comparing the levels of MRD in the plasma 15 minutes post-injection to the levels of MRD in the plasma 2, 3, or 4 days post-injection. The results are shown below in Table 9.









TABLE 9







Binding and Stability of Constrained MRDs












EC50
MRD %


Construct
Sequence
nm
48 hrs













HER-2x-con4
AQQEECEWDPWTCEHMGSGSATGGS
0.018
70



GSTASSGSGSATHQEECEWDPWTCEH



MLE (SEQ ID NO: 136)





HER-lm32(H)

KSLSLSPGKGGGSMGAQTNFMPMDND

0.033
23



ELLLYEQFILQQGLE (SEQ ID NO: 34)





HER-mpm(H)

KSLSLSPGSGGGSGGAQTNFMPMDQD


19



EALLYEEFILQQGLE (SEQ ID NO: 56)





HER-lm32 (MPM

KSLSLSPGSGGGSGGACTNFMPMDQD

4.06


Q8C G30C) (H)
EALLYEEFILQQCLE (SEQ ID NO: 57)





HER-lm32 (MPM

KSLSLSPGSGGGSGGAQCNFMPMDQD

0.598
38


T9C G30C) (H)
EALLYEEFILQQCLE (SEQ ID NO: 58)





HER-lm32 (MPM

KSLSLSPGSGGGSGGAQTCFMPMDQD

0.177
9


N10C G30C) (H)
EALLYEEFILQQCLE (SEQ ID NO: 67)





HER-lm32 (MPM

KSLSLSPGSGGGSGGAQTNCMPMDQD

5.91


F11C G30C) (H)
EALLYEEFILQQCLE (SEQ ID NO: 68)





HER-lm32 (MPM

KSLSLSPGSGGGSGGAQTCFMPMDQD

0.403
33


N10C L28C) (H)
EALLYEEFICQQGLE (SEQ ID NO: 69)





HER-lm32 (MPM

KSLSLSPGSGGGSCGAQTNFMPMDQD

0.0641
60


M5C G30C) (H)
EALLYEEFILQQCLE (SEQ ID NO: 70)





HER-lm32 (MPM

KSLSLSPGSGGGSCGAQTNFMPMDQD

0.109
14


M5C L28C) (H)
EALLYEEFICQQGLE (SEQ ID NO: 101)





HER-lm32 MPM

KSLSLSPGSGGGSGGCQTNFMPMDQD

0.174
82


A7C G30C) (H)
EALLYEEFILQQCLE (SEQ ID NO: 108)





HER-lm32 (MPM

KSLSLSPGSGGGSGGAQTNFMCMDQD



P13C G30C) (H)
EALLYEEFILQQCLE (SEQ ID NO: 109)





HER-lm32 (MPM

KSLSLSPGSGGGSCGAQTCFMPMDQD

0.2
13


M5C N10C) (H)
EALLYEEFILQQGLE (SEQ ID NO: 110)





HER-lm32 (MPM

KSLSLSPGSGGGSCGAQTNCMPMDQD



M5C F11C) (H)
EALLYEEFILQQGLE (SEQ ID NO: 111)





HER-lm32 (MPM

KSLSLSPGSGGGSCFMPMDQDEALLYE

0.751
3


D5 N10C G30C) (H)
EFILQQCLE (SEQ ID NO: 112)





HER-lm32 (MPM

KSLSLSPGSGGGSCFMPMDQDEALLYE

0.697
36


D5 N10C L28C) (H)
EFICQQGLE (SEQ ID NO: 113)









The results demonstrated that adding two cysteine residues outside the core target-binding domain (e.g., PMDQDEALLY in MPM) of an MRD can increase the MRD half-life without substantially decreasing the binding affinity.


Constructs containing one cysteine located near the terminus of the molecule (e.g., about two amino acids away from the terminus) and one cysteine located on the opposite end of the target-binding domain (e.g., at least about 3 or about 4-7 amino acids outside of the core binding domain) and near the protein fusion (e.g., about 4-6 amino acids away from the linker or antibody sequence) can show increased MRD half-life without substantially decreasing the binding affinity. Furthermore, MRDs that include cysteines within the target-binding site, in particular on either end of the target-binding site can be MRDs that have both high stability and efficient target binding.


Novel multivalent and multispecific compositions (e.g., MRD-containing antibodies) in which the MRDs have a long half-life in vivo and efficient target-binding can be identified by altering the sequence of the MRD to include at least two cysteines. The cysteines can be at least about 6, about 7, about 8, about 9, about 10, about 11, about 12, about 13, about 14, about 15, about 16, about 17, about 18, about 19, or about 20 amino acids away from each other. The binding potential and half-life of the MRD in the MRD-containing antibody is evaluated using known techniques and the methods described herein. MRD-containing antibodies are administered to mice intravenously. Plasma is collected from mice shortly after administration (e.g., 15 minutes after administration) and at a later time point (e.g., 2, 3, or 4 days after administration). Useful multivalent and multispecific compositions (e.g., MRD-containing antibodies) that both bind efficiently to the MRD target and are stable in vivo (e.g., at least about 50% of the MRD is present 48 hours after administration) are identified.


Example 44
MRD-Containing Antibodies for Redirected T-Cell Killing

Antibody MRD-fusion molecules were prepared by fusion of a CD3-targeting peptide to an anti-CD19 antibody and by fusion of a CD19-targeting peptide to an anti-CD3 antibody. The resulting MRD-containing antibodies are analyzed by flow cytometric analysis on CD3-positive Jurkat cells, human PBMCs and a number of different CD19-positive B cell lymphoma cell lines (e.g., SKW6.4, Blin I, BJAB, Daudi and Raji) to determine their specific binding affinities to each target. Since BL60 and the plasmacytoma cell lines NCI and L363 are negative for both CD3 and CD19, they are used as negative control cells to determine the specificity MRD-containing antibodies. CD3-negative Jurkat cells can also be used as a negative control cell population. Cell lines are cultured in complete RPMI 1640 (Invitrogen) with 10% FCS (GIBCO).


Cells are washed with PBS and blocked by resuspension in PBS with 10% human IgG (Innovative Research) and 0.1% NaN1 (blocking buffer) for 30 min at 4° C. Cells are then pelleted by centrifugation (100×g for 5 min) followed by incubation with the MRD-containing antibodies in blocking buffer for 30 min at 4° C. The cells are washed three times with PBS, and cell-surface bound MRD-containing antibodies are detected. Flow cytometry can be performed with a BD FACScan.


Example 45
In Vitro Cytotoxicity of MRD-Containing Antibodies for Redirected T-Cell Killing

The bispecific CD19/CD3 MRD-containing antibodies are assayed with respect to their abilities to induce redirected T-cell killing of CD19-positive lymphoma cells. Human peripheral blood mononuclear cells (PBMCs) are isolated as effector cells from fresh buffy coats of random donors using Lymphoprep™ (Nycomed/Axis-Shield PoC) gradient centrifugation with subsequent centrifugation at 100×g to remove platelets. CD19-positive B cells are depleted using Dynabeads® CD19 Pan B (Life Technologies). The PBMC populations are analyzed by flow cytometry before and after CD19-positive B cell depletion by labeling with FITC-conjugated mouse antibody against human CD19 and counter-labeled with a PE-conjugated anti-CD45 antibody. The PBMCs are incubated overnight at 37° C. under 5% CO2. CD19-positive B cell lines (e.g., SKW6.4, Blin I, BJAB, Daudi and Raji) were used as target cells.


Target cells are incubated in 96-well plates using RPMI 1640 complete medium (Invitrogen) with 10% FCS (GIBCO) at different densities, such that addition of the same number of unstimulated PBMCs resulted in different effector-to-target cell (E:T) ratios. Various concentrations of bispecific CD19/CD3 MRD-containing antibodies are then added to each well followed by the addition of unstimulated PBMCs. Plates are incubated at 37° C. under 5% CO2 for 3 hrs. Cytotoxicity can be measured using the DELFIA® EuTDA cytotoxicity assay (PerkinElmer) in round-bottom 96-well-plates following manufacturer's instructions. Spontaneous cell death is measured by incubating the target cells without effector cells or MRD-containing antibodies, and maximal cell death is determined by incubating the target cells with 10% Triton X-100. The fraction of specific cell lysis is calculated as the ratio between effector mediated cytotoxicity ([experimental cell death]−[spontaneous cell death]) and the maximum expected cytotoxicity ([maximal cell death]−[spontaneous cell death]).


Example 45
In Viva Efficacy of MRD-Containing Antibodies for Redirected T-Cell Killing

Raji B lymphoma cells are removed from routine cell culture, washed in PBS, and prepared as 1×107 cells/ml. NOD/SCID mice are then inoculated subcutaneously with 1×106 Raji cells with or without 5×106 PBMCs (as prepared above) in a 50% Matrigel solution. Bispecific CD19/CD3 MRD-containing antibodies are administered intravenously 1 hr after lymphoma cell inoculation. As negative controls, bispecific MRD-containing antibodies directed to HER2 and CD3 (i.e., a CD3-binding MRD fused to an anti-HER2 antibody and a HER2-binding MRD fused to an anti-CD3 antibody) and HER2 and CD19 (i.e., a CD19-binding MRD fused to an anti-HER2 antibody and a HER2-binding MRD fused to an anti-CD19 antibody) and PBS are also administered intravenously 1 hr after lymphoma cell inoculation. MRD-containing antibodies or PBS are administered once per day for four days after the initial dose. Subcutaneous tumors are measured by caliper to determine growth rate for each treatment group. Body weight of mice is also determined twice per week as an indicator of treatment tolerability.


Example 46
Zybodies Displaying DR5 Agonizing MRDs on Distinct mAb Scaffolds

The cytotoxic effects of several zybodies (i.e., MRD-containing antibodies) expressing different valencies of a DR5 (TNFRSF10B/TRAILR2) agonizing MRD were assessed on three different mAb scaffolds using a cell viability assay. Briefly, eight serial dilutions of Zybodies (5-fold, starting at 30 mg/mL) were incubated with 104 COLO-205 cells in 96-well plate wells, containing 100 ml of RPMI medium supplemented with 10% FBS. After 48 hrs cell viability was measured by Cell TitcrGlo® (Promega). The results depicted in FIG. 36A, demonstrate that a tetravalent 2xdr51m(H)-TRA zybody, containing four copies of the DR5 MRD fused to the trastuzumab mAb scaffold, demonstrated higher cytotoxic activity compared to bivalent Zybodies dr51m(H)-TRA, dr51m(L)-TRA and TRA-dr51m(H). These results demonstrate that increased valency of the DR5 agonistic MRDs correlates with increased cell killing through the DR5 death-domain receptor.


To further investigate the role of valency on DR5-mediated cell cytotoxicity, two octa-valent zybodies (2xdr51m(L)2xdr51m(H)-HER and 2xdr51m(L)2xdr51m(H)-PAL comprising a trastuzumab and palivizumab mAb scaffold, respectively) were assayed for their ability to kill COL0205 tumor cells compared to a similarly constructed tetra-valent zybody of the same specificities.


The octavalent zybodies 2xdr51m(L)2xdr51m(H)-HER and 2xdr51m(L)2xdr51 m(H)-PAL, containing eight copies of the DR5 MRD, demonstrated higher cytotoxic activity compared to tetravalent zybodies 2xdr51m(H)-HER and 2xdr51m(H)-PAL (FIGS. 36B-C). These results further establish the correlation between increase DR5-binding valency and increased cytotoxic activity (i.e., cell death).


To explore the effect of additional non-DR5 binding specificities on the cytotoxicity of DR5-based zybodies, the Her2-targeting MRD (ebl8) was fused to the C-terminus of the heavy chain of trastuzumab to yield a tri-specific, tetra-valent DR5 zybody, 2xDR5(H)-TRA-ebl8(H). The ebl8 MRD was chosen because it binds her2 through an epitope that is distinct from that recognized by trastuzumab. The multi-epitopic targeting of her2 enhanced the cytotoxicity of the zybody (FIG. 36D). These results demonstrate that a zybody capable of multi-epitopic targeting of non-DR5 receptors (her2) enhances the cytotoxic activity of a tetra-valent DR5 targeting MRDs.


To further explore the effect of multi-specificity on the cytotoxic activity of DR5-based zybodies, the EGFR-targeting MRD (eb13) was fused to the C-terminus of the heavy chain of cetuximab (anti-EGFR) to yield a tri-specific, tetra-valent DR5 zybody, 2xDR5(H)-CET-eb13(H). The ebl3 MRD was chosen because it binds EGFR through an epitope that is distinct from that recognized by cetuximab. The multi-epitopic targeting of EGFR enhanced the cytotoxicity of the zybody (FIG. 36E). These results demonstrate that a zybody capable of multi-epitopic targeting of non-DR5 receptors (EGFR) enhances the cytotoxic activity of a tetra-valent DR5 targeting MRDs.


To investigate the effect of mAB scaffold specificity on the activity of DR5-based zybodics, the cytotoxic potency of three zybodics was compared where each zybody was constructed with the same DR5-targeting MRDs on a different scaffold; cetuximab (CET), trastuzumab (TRA), and palivizumab (PAL). The results demonstrate that the mab scaffold of the zybody can influence the apparent cytotoxic potency of DR5 targeting MRDs (FIG. 36F).


Example 47
Specificity of Ang-Binding MRDs to Ang1, Ang2, and Ang4

The specificity of a select group of Ang2-binding pcptidcs displayed on phage for Ang1, Ang2 and Ang4 was assessed in a direct binding ELISA. Briefly, ELISA plates were coated with the indicated protein at 0.1 ug/ml in PBS. Plates were blocked and phage supernatants added at a dilution of 1:10 in blocking buffer. Unbound phage were removed by washing with PBS 0.1% Tween and bound phage detected using an HRP conjugated anti-M13 monoclonal antibody. The assayed peptides were as follows: ANG100 (SEQ ID NO:621), ANG126 (SEQ ID NO:232); ANG129 (SEQ ID NO:234); ANG156 (SEQ ID NO:255); ANG157 (SEQ ID NO:256); ANG163 (SEQ ID NO:261); ANG179 (SEQ ID NO:270); ANG200 (SEQ ID NO:628); ANG303 (SEQ ID NO:331); ANG318 (SEQ ID NO:625); ANG335 (SEQ ID NO:332); and ANG599 (SEQ ID NO:367).


The data demonstrate that all Ang-binding peptides bind Ang2 but they differ in the relative binding to Ang1 and Ang4 (FIG. 37). These data demonstrate that the fine specificity of Ang binding peptides can differ from one peptide to another. The cross-reactivity of MRDs with members of the Ang family can be exploited in diseases characterized by differential Ang-family member expression.


Example 48
Identification of Exemplary Target Binding MRDs

The following exemplary target-binding MRDs were identified using procedures essentially as descried herein.









TABLE 10







ANG2 binding MRDs









SEQ ID:
Ref. No.
Peptide Sequence





136
ANG2
SACDHPMNNKCG





137
ANG4
SACGTFTHPQCG





138
ANG6
SACHPMAPKSCG





139
ANG7
SACGSYNHPMCG





140
ANG8
SACGSYEHPMCG





141
ANG10
SACQSSVCFFVRWRF





142
ANG12
SACHPLIHNRCG





143
ANG18
TCIFNFPACI





144
ANG19
FCDEYTPAWCW





145
ANG20
MCPDFGMFIYCI





146
ANG22
QCQEVISACFGQAGQGGGSGGS




QCWLMELVCL





147
ANG23
KCPDMWPQCW





148
ANG24
KCPDMWPMCW





149
ANG25
QCEWIWVACDGQAGPAGFCYE




HMLMCA





150
ANG26
RCYEVWWDCA





151
ANG27
ACIPDLFLCM





152
ANG28
QCMWMWYQCR





153
ANG29
KCPDMWPECW





154
ANG30
PCQYWWVLCP





155
ANG31
LCWNHWWMCE





156
ANG32
FCHEYTPACCW





157
ANG33
KCPDFWPECW





158
ANG34
ECYHHWPECM





159
ANG35
RCPDMWFPACW





160
ANG37
ICIYWKDPWCY





161
ANG38
KCPDLWPQCY





162
ANG40
YCWVIAKSCVGQAGQGGGGGG




SICRHYVWRCE





163
ANG41
LCWNHWWMCD





164
ANG42
MCTWQFMVCPGQAGQGGGSG




GSYCWEYVYRCD





165
ANG43
MCWNHWWMCE





166
ANG46
HCIFNFPACI





167
ANG47
LCFNHWWMCP





168
ANG49
MCIYWKEPWCY





169
ANG50
WCDHTEAWPECF





170
ANG51
ECYWYPNPMWCY





171
ANG52
HCPWGTTMNCV





172
ANG54
ECTDYPEWRYCQ





173
ANG55
ECFFFPNPWHCY





174
ANG56
PCAWFPNPSFCY





175
ANG58
MCPWWYDHLHCY





176
ANG59
MCPIWYDHQWCH





177
ANG61
ECWWYYNHFWCH





178
ANG62
ECAWFPNPWCCY





179
ANG63
GCWHDGFMCF





180
ANG64
WCDHWIVWPECW





181
ANG65
QCNDYPNWRYCF





182
ANG66
PCAWYPNPEFCY





183
ANG67
LQYEEFYDHV





184
ANG68
QCPYRINHQRCS





185
ANG69
DCVWFPNPDWCY





186
ANG70
FCALFPYMFPCE





187
ANG71
DGSPCAWFPNPSFCY





188
ANG72
VCPWWYDHWLCS





189
ANG73
ECDGWEYHYFCW





190
ANG74
YCPLCQYHYGCF





191
ANG75
SCWWYPNPQWCY





192
ANG76
ECYFLVNMEWCQ





193
ANG77
TCWFWELEFFCI





194
ANG78
KCYWFPNPIECY





195
ANG79
DCAWFPNPAWCH





196
ANG80
HCPYWYDHELCH





197
ANG81
YCPQWYDHWLCT





198
ANG82
NCWEYPNPAWCY





199
ANG83
ECDGWEYHYVCW





200
ANG84
ECYWYPNPWFCY





201
ANG85
DCVDYPGWEYCV





202
ANG86
ECYMLHACYDEGH





203
ANG87
WCDRGTYVMFCD





204
ANG88
TCPVWWDDYWCG





205
ANG89
WCDYGTYVVQCE





206
ANG90
HCYWHPSPSWCY





207
ANG91
QCYWFPNPLECY





208
ANG93
QCKWFPNPKECY





209
ANG94
PCPYYFNRQHCV





210
ANG95
ICYVYGLEEWCI





211
ANG98
HCPLWYDHYFCA





212
ANG101
ACAWYPNPVECY





213
ANG102
ECAIYPNPQWCY





214
ANG103
DCYYYPNPSWCW





215
ANG104
DCYYPPNPQWCF





216
ANG106
QCPWWYDHYWCN





217
ANG107
FCDFYDYHYVCF





218
ANG108
VCPYWWDHWLCL





219
ANG109
MCPFWYDHELCV





220
ANG110
ICPWWYDHYTCF





221
ANG111
ACDWFQNPYVCW





222
ANG112
PCAWYPNPAECY





223
ANG113
ECPFWYDHYMCM





224
ANG114
PCHWFPNPTECY





225
ANG116
ECYTFPNPQFCY





226
ANG118
SCYSYPNPAWCY





227
ANG119
ECYWYPNPHWCR





228
ANG120
IICYWIIPSPNWCR





229
ANG121
HCPDWYNHQLCP





230
ANG122
ACVWFPNPDWCY





231
ANG123
LGPVLLECYFYPNPQHCY





232
ANG126
VPIDCYFYPNPPECYLHN





233
ANG128
GYRDCYFYPNPRHCYGSH





234
ANG129
VVVEFWECYVYPNPPHCY





235
ANG130
LVNDCFFFPNPPHCYVSS





236
ANG131
RMADCYFYPNPQHCYTEG





237
ANG132
DEQACYFYPNPAHCYQRD





238
ANG133
FLGAMMDCYFFPNPPHCY





239
ANG134
VYQDCYNFPNPVIICYRTT





240
ANG135
LVDYSMDCYFFPNPPHCY





241
ANG136
HSLIYHDCYFYPNPPHCY





242
ANG137
LLSVLLECYFYPNPPHCY





243
ANG138
PTDVLLECYLYPNPPHCY





244
ANG139
SLPLRAFCYFPPNWPHCY





245
ANG142
TDTDCYFFPNPPHCYSPG





246
ANG143
IYDDCYIFPNPHHCYVGF





247
ANG144
PWHECYWYPNPPHCYGIL





248
ANG145
MPLIFSECYSYPNPPHCY





249
ANG148
GNFAHEECYFYPNPAHCY





250
ANG149
QPRLLHDCYFYPNPSHCY





251
ANG150
NPTDCYFYPNPQHCYNWG





252
ANG151
YPFFLVDCYFFPNPLHCY





253
ANG153
SVAHVHGLLLLPESDALL





254
ANG154
GEYDCYFYPNPPHCYDRN





255
ANG156
LHVDCYFYPNPPHCYIDE





256
ANG157
QDHDCYFYPNPPHCYLEG





257
ANG158
HFSDCFFYPNPQHCYHMM





258
ANG159
PIEDCYFYPNPRHCYLQP





259
ANG160
ECCYCYNYDTWSHCCQKG





260
ANG161
VVLPSYDCYFYPNPPIICY





261
ANG163
VPWDCYFYPNPPHCYEDA





262
ANG164
FVSSAFDCYFYPNPAHCY





263
ANG165
ALVECYFYPNPLHCYNTS





264
ANG166
FWYSLDDCYFYPNPSHCY





265
ANG169
RSNLMTDCYYYPNPPHCY





266
ANG172
QLVDCLYYPNPPHCYESM





267
ANG174
WDVDCGFFPNPAYCYELG





268
ANG175
LQGRMIDCYSYPNPPHCY





269
ANG176
QRDPLAACYIYPNPPHCY





270
ANG179
ELWECYFYPNPSHCYTDR





271
ANG180
QDIDCYFYPNPPHCYHVT





272
ANG182
RLHDCYFYPNPPHCYLWQ





273
ANG183
SLTTFTDCYFYPNPPHCY





274
ANG186
SSGPDIDCYFYPNPPIICY





275
ANG187
DCYFYPNPLYCYEDWDYT





276
ANG188
IWLDCYFYPNPPHCSLNS





277
ANG189
QWNDCYFYPNPPHCYGRQ





278
ANG190
GHMDCYYYPNPSHCYQQL





279
ANG192
WLSQCYSYPNPPHCYTLF





280
ANG193
SSLHMLDCYYYPNPPHCY





281
ANG194
QSLSFLDCYFYPNPLHCY





282
ANG197
NYYYCYLSPNPPHCYLSF





283
ANG198
HFSDCYYFPNPPHCYESI





284
ANG199
EVLDCFFYPNPPHCYKAL





285
ANG201
RDTDCYFYPNPAIICYLGT





286
ANG203
KCPMEPDWVSCDEWMLQK





287
ANG210
LSLKCPLLPDWISCDEYY





288
ANG211
KCPLLPDWLSCLEWQLME





289
ANG215
KCPLLPDWVPCHEWLNVW





290
ANG217
AMSLCPLLPDWASCNDYL





291
ANG218
LCPRLPDWVSCHTWLERY





292
ANG219
LSTKCPLLPDWVSCHEWL





293
ANG220
LGWTELKCPLLPDWATCN





294
ANG222
KCPLLPDWVSCHEWNVWL





295
ANG223
KCPLLPDWISCAQWQRAV





296
ANG224
VGSLCPLLPDWASCHEWL





297
ANG225
RCPFLPDWLSCNEWLMIE





298
ANG228
WYRKCPLLPDWVSCHEWY





299
ANG229
TTLNCPLLPDWLTCQEFL





300
ANG231
KCPLLPDWASCESWLEVR





301
ANG232
HLDKCPLLPDWISCTDWL





302
ANG233
KCPELPDWVTCDEFQGMQ





303
ANG239
ATSKCPLLPDWVSCDEHL





304
ANG241
SSGKCPLLPDWKSCDEWL





305
ANG242
KCPLLPDWVSCHEWNIRE





306
ANG245
KCPLLPDWFSCIIEYQEMF





307
ANG246
KCPLLPDWVSCHTYLEES





308
ANG247
EPPKCPMLPDWVSCDTWL





309
ANG248
DVPHQLNCPLLPDWAACL





310
ANG249
ETSKCPLLPDWVSCYQWL





311
ANG250
MNVKCPLLPDWVSCLDYL





312
ANG252
MLMKCPLLPDWASCDVWL





313
ANG256
LMHECPLLPDWVSCHTFL





314
ANG257
KCPLLPDWVSCETYLNGD





315
ANG258
KCPLLPDWVSCDMYLERQ





316
ANG259
KCPLLPDWASCDQWNEWN





317
ANG263
YVSKCPFLPDWVSCHGWL





318
ANG266
KCPFLPDWVSCHDYSQKY





319
ANG267
FPPKCPLRPDWVSCHERH





320
ANG269
ECPLLPDWVSCIIEWNRLII





321
ANG270
SPVKCPFLPDWISCDLYL





322
ANG272
TAFKCPPLPDWVSCLDWL





323
ANG274
KCPLLPDWVSCQEWLSSK





324
ANG275
HYDKCPLLPDWVSCHEFL





325
ANG277
GLRKCPVLPDWVSCDNWL





326
ANG278
SGFKCPLLPDWVSCTDCT





327
ANG279
LASKCPLLPDWISCQTWL





328
ANG280
KCPLLPDWVSCDQWRLLE





329
ANG281
YFDKCPLLPDWLTCHEWM





330
ANG284
LPSKCPLLPDWTSCDEYL





331
ANG303
KSVSMKTCQDYPGWRYCQ





332
ANG335
VNVFLKTCQDYPGWRYCH





333
ANG339
PWPDCPVYRYCRHCHHKT





334
ANG355
TGSTAKYCQDYPGWRYCH





335
ANG358
LPMECYFYPNPEHCYLVP





336
ANG370
TYTKCMTYPNPQYCFKHS





337
ANG371
RFLECAWFPTPYFCHESE





338
ANG374
QYDPCEYYIPCVKWG





339
ANG375
GFHRCSTFPNPHYCYKTH





340
ANG376
RWSYCEETMIGYPYCFTRP





341
ANG377
AAFMLSCHSTDGQSWACMESH





342
ANG378
RSFECRWQPEHPICAKGV





343
ANG380
ILLRCAWYPAPPWCNIET





344
ANG381
PHVICHYWKHPWCFQNS





345
ANG382
VFYRCMKWPNPWWCYSQP





346
ANG383
GFQRCKTFPNPHYCYKTH





347
ANG384
DWSKCPKYPNPEWCYHPS





348
ANG385
TYTKCMTYPNPQYCFKHN





349
ANG387
SMWGCHMQPNYRECSLWI





350
ANG388
PHVICHYCPHPWCFLNS





351
ANG389
LELPCGKYPNMWFCYKVA





352
ANG390
KERPCVWWKQPWCFQAS





353
ANG391
QWFRCYEPPEPDWCRVRS





354
ANG393
EWAFCYSYPNPDYCHEAV





355
ANG394
TYRKCMTYPNPHYCFKHS





356
ANG395
RYSLCMTYPNPYQCYKSN





357
ANG396
PHVICHYWKHPWCFHNS





358
ANG397
PWFSCYYFPNPSHCMDVV





359
ANG398
LYDRCVCFPNLFWCEMTT





360
ANG399
RSLACEFHPQKYHVQCALPH





361
ANG400
NTLRCYSGVLVDAMVCFTSG





362
ANG403
QYDPCEYDIPCVKWG





363
ANG404
SWAQCYAYPNPDFCNRSG





364
ANG405
PYEKCMTYPNPWYCFLTD





365
ANG406
PYERCTKHPNPTYCWKNL





366
ANG407
MYAMCQWIIPSPEQCRSPS





367
ANG599
KCPLLPDWASCR





368
ANG637
TYLQIIECYFYPNPPHCY





369
ANG638
LTPSGSDCYFYPNPLHCY





370
ANG639
GAYDCYFYPNPPHCYGTT





371
ANG640
YLNHNYECYFFPNPTHCY





372
ANG641
GFLTFYDCYFFPNPPHCF





373
ANG642
TFIDCYFYPNPPHCYALW





374
ANG643
ASDILLDCYFFPNPPHCR





375
ANG644
LPLSWSDCYFYPNPPHCY





376
ANG645
ALLDCYFYPNPAHCYITM





377
ANG646
GMLDCYFYPNPPIICYLDR





378
ANG647
SGTECYPYPNPPHCYSSD





379
ANG648
SLEDCFFYPNPTLCYNNG





380
ANG649
AFSRFLDCYFYPNPQHCY





381
ANG650
GVYSFLECSFFPNPPYCY





382
ANG651
EEGSSSDCYFYPNPRHCY





383
ANG652
LTLLLDDCYFYPNPPHCY





384
ANG653
LFHSMTDCYFYPNPRHCY





385
ANG654
REQDCFFYPNPPHCYVDN





386
ANG655
ASLGLYDCYYFPNPPNCY





387
ANG657
RTGTLGDCYFYPNPRHCY





388
ANG658
SPLDCYFYPNPPHCYYAH





389
ANG659
IEGDCYFYPNPPHCYEQN





390
ANG660
FNYSMYDCYFYPNPAHCY





391
ANG661
LVLPLFDCYFYPNPPHCY





392
ANG662
FHFVLYDCYFYPNPPYCF





393
ANG663
HRADCYFFPNPMDCYQWR





394
ANG664
STNLALDCYFYPNPPHCY





395
ANG665
SPNDCYFYPNPPECYTHR





396
ANG666
IVITSLACYFYPNPLHCY





397
ANG667
GGVPMTDCYFYPNPRHCY





398
ANG668
DFRDCYSFPNPTQCYINT





399
ANG670
WPTDCFFFPNPPHCYHDG





400
ANG671
HILDCYFYPNPPHCYLVT





401
ANG672
DEADCYYYPNPPHCYSGH





402
ANG673
TLVSMMDCYYYPNPPHCY





403
ANG674
QSVRYMDCYFYPNPSHCY





404
ANG675
WYDPYYACYFYPNPTYCY





405
ANG676
LSGPFLDCYFYPNPTHCY





406
ANG677
VMLDCYFYPNPLDCYWLT





407
ANG679
SSLEHNDCYFYPNPMHCY





408
ANG680
RHVDCYFYPNPPHCYLVL





409
ANG681
IYPECYFYPNPKSCYSDQ





410
ANG682
PPTSLADCYFFPNPLHCY





411
ANG683
LLAACYFYPNPPLCFTST





412
ANG684
GEEDCYFYPNPPIICYSEL





413
ANG685
ECYFYPNPPHCYMEHRST





414
ANG686
TEIECYFYPNPPQCYAIH





415
ANG687
PRMDCYFYPNPPHCYNGQ





416
ANG688
MSLPHQNCYFFPNPTYCY





417
ANG689
YGDECYFFPNPPHCFSWD





418
ANG691
FFESSFDCYFFPNPNHCY





419
ANG692
MLVVPSDCYFYPNPSHCY





420
ANG693
LQVDSLDCYFYPNPPHCY





421
ANG694
QLMDCYFFPNPHHCFESK





422
ANG695
DCYFYPNPPHCYNERYEA





423
ANG696
SDMDCYFYPNPPIICFTPP





424
ANG697
GADTMQWNDCYFFPNPTHCY





425
ANG698
HIKDCYFFPNPPHCYKST





426
ANG699
PHQRHLECYFYPNPPECY





427
ANG700
SYLDFTDCYFYPNPPHCY





428
ANG701
APGYTQDCYWFPNPPHCY





429
ANG702
RFSSFHDCYFYPNPSHCY





430
ANG703
HSHHLTDCYYFPNPLHCY





431
ANG704
AQVDCYFFPNPTHCYFDR





432
ANG705
MGDDCYFYPNPPRCYVKP





433
ANG706
FLADCYLFPNPPHCYLDY





434
ANG707
LGEDCYWYPNPPHCYGML





435
ANG708
NDSVVSECYFFPNPPHCY





436
ANG709
DCYFYPNPPSCYEVQGAS





437
ANG710
GPWECFFYPNPLHCFKEP





438
ANG711
PSADFAECFFYPNPPQCY





439
ANG712
ASNDIHDCYFYPNPPHCY





440
ANG713
SDTDCYFYPNPPHCYWDT





441
ANG714
AFVHCYFFPNPQHCYHRL





442
ANG715
MIFDCYFFPNPRHCYHEG





443
ANG716
SYFLTWDCYTYPNPPHCY





444
ANG718
TGFECYFYPNPRIICYNDI





445
ANG719
LYPSLLDCYFYPNPTHCY





446
ANG721
MVDECYFYPNPPHCYSNT





447
ANG722
PLRSYMDCYWYPNPPHCY





448
ANG723
WLGRLSDCYFYPNPPHCY





449
ANG724
FHIDCYFYPNPPHCYTGA





450
ANG726
NFRECVFYPNPPHCYDFG





451
ANG727
KEIDCYFYPNPPHCYGKW





452
ANG728
TNQDCYFYPNPPHCFRDH





453
ANG730
SNAQCYFYPNPLHCYKNA





454
ANG731
DCYFYPNPPHCYTVEGGK





455
ANG732
QPMDCFFYPNPPHCYAEE





456
ANG733
IVSREYDCYFYPNPTHCY





457
ANG734
SMHDCYYYPNPTHCYRGT





458
ANG736
DETECYWFPSPAIICYKDS





459
ANG740
LGLDCYFYPNPPDCYHDA





460
ANG741
FDEDCYFYPNPPHCYLLS





461
ANG742
EHEACYFYPNPPHCYESS





462
ANG743
PSYNIFECFFFPNPPHCY





463
ANG744
SESDCYFYPNPPHCYAVV





464
ANG745
HPFDCYFYPNPPHCYTRS





465
ANG746
LILDCYFYPNPPHCYTST





466
ANG747
YEFRWTDCYFYPNPPHCF





467
ANG748
QSQNVVECYFYPNPPHCY





468
ANG749
YRLDLSECYYYPNPLHCY





469
ANG751
IPLDCYFYPNPPSCYIISY





470
ANG752
AASQTSDCYFYPNPPSCY





471
ANG755
THLDCYFYPNPPHCYSST





472
ANG756
NTNDPFDCFFYPNPPHCY





473
ANG757
IHKLDLDCYYYPNPPHCY





474
ANG762
FSHPFTDCFFYPNPQHCY





475
ANG763
TVYDCYFYPNPGHCYLQL





476
ANG765
MVFHELDCYFYPNPPHCY





477
ANG766
HSLLHWDCYFYPNPSHCY





478
ANG767
QLRECYWFPNPSHCYIES





479
ANG769
GLVDCYFYPNPPHCYWPH





480
ANG771
LFENSLGCYFFPNPPHCY





481
ANG773
FPPWFQDCFFYPNPPVCY





482
ANG774
HALECYFYPNPLHCYTQP





483
ANG775
DPVDCYFYPNPAHCYSTV





484
ANG776
IVVYSADCFFYPNPRHCY





485
ANG777
RMFDCYFYPNPPLCYNHI





486
ANG781
LWYTTVNCYPCPNPLHCY





487
ANG782
DYLSMLECYFYPNPSHCY





488
ANG783
FMTSGVECYFYPNPPHCY





489
ANG784
LFLNPYDCYFYPNPPQCY





490
ANG785
IIQMTQIECYFFPNPQIICY





491
ANG786
PWSPCYWYPNPRFCYEAS





492
ANG787
LLVDCYYYPNPTHCSKNS





493
ANG788
DCYFYPNPPHCYHDNEIE





494
ANG790
PLLPFYDCYFYPNPSHCY





495
ANG791
LVVDCYFYPNPPHCYDYS





496
ANG793
RPSMHMECYFYPNPPYCY





497
ANG795
GFLTSLDCYFYPNPPHCY





498
ANG797
EVPDCYYYPNPPHCYEAN





499
ANG798
RISSMVECYFYPNPPHCY





500
ANG799
PFSVITECYFYPNPPHCY





501
ANG800
PSADLLDCYFFPNPPHCS





502
ANG801
QQADHIDCYFYPNPPYCY





503
ANG802
STHDCFLYPNPPHCYWPQ





504
ANG803
VASWKYDCYFYPNPLIICY





505
ANG804
VDIDCYFYPNPPNCYNKA





506
ANG805
LLDRFLDCYFYPNPSHCS





507
ANG806
ECYFYPNPAHCYTGTNKE





508
ANG807
LPHPHLDCYFYPNPAFCY





509
ANG808
SYVDTTDCYFYPNPQHCY





510
ANG809
PPLDCYFYPNPPNCYLGQ





511
ANG810
WINDCYFYPNPSHCFVGD





512
ANG811
YGTDCYFFPNPRNCYKIN





513
ANG812
YSTDCYFYPNPPHCYGPH





514
ANG813
PFSSFFDCYFYPNPHHCY





515
ANG814
YVGIIMLDCYFYPNPPIICY





516
ANG815
SMYDCLYFPNPPHCYIQN





517
ANG816
FTQPMVDCYFYPNPPHCY





518
ANG817
FNSTLFDCFFYPNPMHCY





519
ANG820
RSLPIYECYFYPNPPHCY





520
ANG822
VSLYYSACYFYPNPPWCN





521
ANG823
SVLDCYFYPNPAHCYENV





522
ANG824
VSTDCYFYPNPPHCYSVL





523
ANG825
QGTHMLDCYFYPNPPNCY





524
ANG826
TPSDCFFYPNPPHCYLMN





525
ANG827
TWGVCYFYPNPPHCYEQL





526
ANG829
VEEACYFYPNPPHCYEAV





527
ANG832
DDSDCFFYPNPPRCYETY





528
ANG834
YYYSYTHCYYYPNPTHCY





529
ANG835
MTWFPNDCYFYPNPPYCY





530
ANG836
LQLECYYYPNPTHCYETR





531
ANG837
MGISFLDCYFFPNPQHCY





532
ANG838
PSPYYSDCAWYPNPPYCY





533
ANG840
SMSVYIDCFSYPNPPRCY





534
ANG841
DCYFYPNPTHCYLKGGFV





535
ANG844
DHSACYAFPNPSSCYNSR





536
ANG845
PLNACYFYPNPPHCYFLK





537
ANG846
LLSVMQDCYFYPNPSHCY





538
ANG847
PPPSSYECYFYPNPAHCY





539
ANG848
SHTDCYYYPNPPHCYLEN





540
ANG849
AGHECYFYPNPPHCYSEQ





541
ANG850
AGMNDFDCYFFPNPPHCF





542
ANG853
GSRDCYFYPNPKYCYIQD





543
ANG854
SDSFLRDCYFYPNPPHCY





544
ANG855
AWKDCFFYPNPSFCSYSS





545
ANG856
PSLYELDCYFYPNPPHCY





546
ANG857
YLHSFEDCYFYPNPAHCY





547
ANG858
LTIEHQDCYFYPNPPHCY





548
ANG861
YVMGGDDCYFYPNPPECY





549
ANG862
GNIACYFYPNPPHCYNVH





550
ANG863
SGMECYFFPNPPHCYDLK





551
ANG866
LGLRHYACYLYPNPPHCY





552
ANG867
ARSSQFECYFYPNPPHCY





553
ANG869
YPGPFTGCYFYPNPLQCY





554
ANG871
NERDCYFYPNPPHCYQNG





555
ANG872
LDSECFFYPNPPHCYNTL





556
ANG873
PYLDCAEYPNPLYCYESE





557
ANG874
IGYPFSDCYFYPNPPHCY





558
ANG875
WNFDCYFYPNPPLCYNME





559
ANG877
AAVECLFYPNPPHCYERA





560
ANG879
SNVDCYFYPNPPNCFVIID





561
ANG880
VLSFFQDCYFYPNPANCY





562
ANG881
SPPVFWECYFYPNPTHCY





563
ANG882
PNQSNYDCYFYPNPPHCY





564
ANG883
LAFDLSDCYFYPNPPHCS





565
ANG884
FNEECYFYPNPPHCYGEY





566
ANG885
LVVTAFDCYFYPNPPYCY





567
ANG886
SLNPSVDCYFYPNPAHCY





568
ANG887
ALHDCYFYPNPQHCYQA





569
ANG889
FSPGEVDCYFYPNPPHCK





570
ANG890
ADTDCYFYPNPPHCYDIT





571
ANG891
LSLELSECYFFPNPPHCY





572
ANG894
AVLEHFDCYFYPNPPHCY





573
ANG895
MLWDMSGCYFYPNPPHCY





574
ANG896
SKQDCYFYPNPSHCYLDQ





575
ANG897
YDLLLHDCYVFPNPPHCY





576
ANG898
ECYFYPNPPDCFYLIIQRR





577
ANG899
DHVECYFYPNPLHCYKDR





578
ANG901
PRPLVIDCYFFPNPPHCY





579
ANG902
DCYFYPNPPHCYIEHKPS





580
ANG903
SHFSFKDCYFYPNPAHCY





581
ANG904
SLRDCYFYPNPAHCRNNM





582
ANG906
YGNECYFFPNPPHCYHRD





583
ANG907
DTLDCYYFPNPPHCYSSQ





584
ANG909
QWNPHYHCFFYPNPPHCY





585
ANG911
TSLDCYFYPNPPHCYETP





586
ANG912
KWARGMECFFYPNPPDCY





587
ANG913
RLVDCYYYPNPLHCYDRS





588
ANG914
THKDCYFFPNPPHCYTKT





589
ANG915
PLKDCYFYPNPLHCYLVS





590
ANG916
APHILQDCYFYPNPRHCY





591
ANG917
LSILYPSCYFYPNPEHCQ





592
ANG918
ECYFYPNPPECYNVDDQA





593
ANG919
ECYFYPNPPHCYVLKQQI





594
ANG920
ISTRNTDCYFYPNPPHCY





595
ANG923
FYYDCFFYPNPPNCYNSF





596
ANG924
FSHLEQDCYFYPNPPHCY





597
ANG925
SPVDCYFYPNPPHCYDWD





598
ANG926
PYQLMTDCYFFPNPPHCY





599
ANG929
ESFQNMDCYFYPNPPYCY





600
ANG930
PRKSFHDCYFYPNPPHCY





601
ANG932
SWPNHMECYFFPNPPHCY





602
ANG934
KSVGNTDCYFFPNPPHCY





603
ANG935
TIYDCYIYPNPRHCYKLN





604
ANG936
ECYFYPNPPHCYHALTSK





605
ANG937
FYQSWVDCYFYPNPPHCS





606
ANG939
YALDLGGCYWFPNPPIICY





607
ANG940
SIFLSLDCYFFPNPSNSL





608
ANG942
GVYSFDQCYVFPNPPDCY





609
ANG943
VVLHYGDCYYYPNPPYCY





610
ANG944
RALDCYFYPNPQHCYQGT





611
ANG945
SPHECYFYPNPPHCYADR





612
ANG946
DVQIEFDCYFYPNPPYCY





613
ANG947
YPMNSHDCYFYPNPPQCY





614
ANG948
SPAHCSYCPFPPNSCFCY





615
ANG949
LRLDLEECYWYPNPPYCK





616
ANG951
GSALLSDCYFYPNPPHCY





617
ANG952
SVLALEDCYFYPNPHHCY





618
ANG954
PTAVLMECYFYPNPDYCY





619
ANG955
YGTECYFYPNPAHCYSNE





620
ANG956
HWYFCPNPPNPPQCHLKW
















TABLE 11







VEGF binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





629
VGF1
WCWVPGPIQCY





630
VGF2
CMWEMPWWFCQ





631
VGF3
TCTWVMPWWFCE





632
VGF4
ICLWQMPWWFCE





633
VGF6
GDWEWVWDWCF





634
VGF8
ECRWVMPWWFCE





635
VGF9
ACWKAMPWWFCT





636
VGF10
FCMVQVPWWLCK





637
VGF11
FYQWFEEQLM





638
VGF13
MCWLVPGPMICH





639
VGF14
FCMYKPLMFLCP





640
VGF15
HCWWLYTWDPCI





641
VGF16
HCYVYVPWWLCP





642
VGF17
MCWTPVPWWLCL





643
VGF18
TCWKPTPWWLCD





644
VGF19
SCWFKIPWWLCP





645
VGF20
YCQPMWWNMACW





646
VGF21
YCFWIPPEWYCV





647
VGF23
GCWEWRPHWLCV





648
VGF24
ECTWTMPWWFC





649
VGF25
TCWKPAPWWLCA





650
VGF27
TCWKPTPWWLCA





651
VGF29
KCNFNPWKAACG





652
VGF30
TCWKPAPWWLCD





653
VGF31
TSWKAAAWGLCA





654
VGF32
ACWKATPWWLCD





655
VGF34
TCWKATPWWLCA





656
VGF35
ACWKAAPWWLCD





657
VGF36
TCWKAAPWWLCD





658
VGF37
ACWKPAPWWLCD





659
VGF38
TCWKATPWWLCD





660
VGF39
TCWKAAPWWLCA





661
VGF40
ACWKAAPWWLCA





662
VGF47
WCAGFPPNYPCY





663
VGF48
WCNGFPPNYPCS





664
VGF49
WCNGFPPNYPCY





665
VGF53
WCNGFPPNYPCA





666
VGF57
GCVKEVPWWLCI





667
VGF59
GCVKQVPWWLCV





668
VGF60
GCVTQVPWWLCI





669
VGF62
ACVKEVPWWLCI





670
VGF63
GCVKQVPWWLCI





671
VGF65
ACVAEVPWWLCI





672
VGF67
GCVKAAPWWLCV





673
VGF69
GCVKEVPWWLCV





674
VGF70
GCVKPAPWWLCI





675
VGF71
GCVTEVPWWLCI





676
VGF72
GCVAQVPWWLCI





677
VGF76
ACVKEAPWWLCI





678
VGF82
GCVAEVPWWLCI





679
VGF83
ACVKQVPWWLCI





680
VGF85
GCVKPAPWWLCV





681
VGF95
GCVAEVPWWLCT





682
VGF99
GGVKQVASWLGT





683
VGF100
GAVTEAAWWLAI





684
VGF101
GGVEAAAWWVGI





685
VGF104
GCVKQVPWGLCI





686
VGF107
VEPNCDIHVMWEWECFERL





687
VGF131
WCAGFPPTSAGY





688
VGF140
TAWEAAASWLCA





689
VGF146
TCGKAAAAWLAA





690
VGF152
TGWKPTAWGVGD





691
VGF156
ASWKPAPWWLCA





692
VGF162
TSGKATPGGACD
















TABLE 12







IGF1R binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence












698
IGF3
DSGFYMGLHK





699
IGF10
MDQFHWALLG





700
IGF21
LCQEFHELCF





701
IGF22
LCDEFVELCF





702
IGF23
LCEEFHELCF





703
IGF24
LCDEFKELCF





704
IGF25
LCAEFPELCF





705
IGF27
ICIIIFWQTCNGQAGQGGGSGGS




KCDILEMMCN





706
IGF28
LCMEFPELCF





707
IGF29
LCMEFKELCF





708
IGF30
LCEEFPVLCF





709
IGF31
LCQEFIELCF





710
IGF32
LCLEFIIELCF





711
IGF33
LCQEFSELCF





712
IGF34
LCEEFAELCF





713
IGF35
LCFEFVELCF





714
IGF36
LCSEFQVLCF





715
IGF38
LCLEFVELCF





716
IGF39
LCWEFPVLCF





717
IGF40
LCEEFIELCF





718
IGF42
WCEISTTFCNGQAGQGGGGGG




SQCQLLHMFCH





719
IGF43
LCMEFEQLCF





720
IGF44
LCLEFRELCF





721
IGF45
LCQEFAELCF





722
IGF46
LCQEFKELCF





723
IGF48
LCLEFEELCF





724
IGF49
LCYEFEELCF





725
IGF50
LCMEFQELCF





726
IGF51
LCIIEFEELCF





727
IGF52
LCYEFHELCF





728
IGF53
LCDEFQELCF





729
IGF54
WCQIQAFHCRGQAGQGGGSAG




GGSSCNILQLMCS





730
IGF55
FECVLWNFVCK





731
IGF56
LCAEFPVLCF





732
IGF57
LCTEFKELCF





733
IGF59
LCQEFNELCF





734
IGF60
AMTLDEWIRMRGQAGGSWVD




PAFWGDF





735
IGF61
FYGWFEEQIL





736
IGF64
FYEQLEKLVY





737
IGF66
FYEWFEEQLI





738
IGF67
FYEWFEAQIM





739
IGF68
FYDWFDMHVK





740
IGF69
SFYDMIELLIGQAGQGGGSGGG




GGGSTIHFAQEEHP





741
IGF72
FYEWFEAQVM





742
IGF73
FYDWFAEQVI





743
IGF74
FYEWFTEQVN





744
IGF75
FYEWFIIEQVI





745
IGF76
QFYEWFEAQT





746
IGF77
FYEWFQLQMD





747
IGF78
VHWEGYQWVY





748
IGF79
FYETLFELAY





749
IGF82
FYEWFEAALI





750
IGF83
FYDWFDMQVQ





751
IGF84
FYEWFEPQVT





752
IGF85
EFYYWFFDQY





753
IGF91
FYEWFDMQVK





754
IGF92
ADFYQWFQNQV





755
IGF93
SFYAWFDEQV





756
IGF95
EVWEGYDWLY





757
IGF196
SHPLCTEFIELCFGFE





758
IGF253
VPFLCLEFSELCFTDP





759
IGF254
ADLLCAEFTELCFDVI





760
IGF255
AIIPLCLEFSELCFEAV





761
IGF256
PHPLCQEFEELCFETV





762
IGF257
ASQLCGEFPELCFDKV





763
IGF258
IPLLCFEFVELCFDLT





764
IGF259
DDALCKEFPELCFQNV





765
IGF260
IPYLCLEFPVLCFQDT





766
IGF261
PHILCLEFAELCFDHL





767
IGF263
VPALCLEFKELCFHDR





768
IGF264
TPALCLEFWELCFDEA





769
IGF265
VPPLCMEFTELCFHDP





770
IGF266
AHPLCVEFSELCFNED





771
IGF267
IPMLCWEFTELCFDLN





772
IGF268
VPQLCLEFQELCFGEH





773
IGF269
VPSLCLEFPELCFNEA





774
IGF270
PHPLCLEFIELCFGTH





775
IGF271
IPFLCLEFEELCFHLD





776
IGF272
EHPLCLEFPELCFSHP





777
IGF273
PHYLCLEFSELCFDER





778
IGF274
TPFLCLEFHELCFGEH





779
IGF275
PQLLCLEFAELCFWDI





780
IGF276
PHALCREFHELCFEKS





781
IGF277
RLPLCVEFSELCFDLR





782
IGF278
VPALCWEFPELCFHYQ





783
IGF279
TPSLCLEFSELCFADG





784
IGF280
VHWLCAEFEELCFDQT





785
IGF281
LHFLCLEFQELCFDSN





786
IGF282
VPPLCLEFPELCFTDS





787
IGF283
DHWLCIEFSELCFGKS





788
IGF284
EHPLCEEFKELCFGTN





789
IGF285
DWRLCQEFTELCFMDG





790
IGF286
YLSLCAEFTELCFIITE





791
IGF287
PPLLCFEFPELCFGYE





792
IGF288
DHKLCNEFPELCFHDV





793
IGF289
AHALCLEFLELCFEER





794
IGF290
IPFLCYEFQELCFGTL





795
IGF291
AELLCREFTELCFLRD





796
IGF292
APGLCIEFRELCFDEK





797
IGF293
YYALCAEFQELCFDEH





798
IGF294
VPLLCFEFPELCFGYQ





799
IGF295
VPSLCIEFSELCFDSP





800
IGF296
DYALCLEFRELCFGMN





801
IGF297
AIIRLCQEFVELCFGET





802
IGF298
PHFLCMEFPVLCFNDS





803
IGF299
IPQLCLEFSELCFGMT





804
IGF300
RTDLCMEFYELCFHSD





805
IGF301
KPPLCEEFHELCFDLT





806
IGF303
PHKLCLEFRELCFDEL





807
IGF304
LHFLCVEFVELCFDEA





808
IGF305
VPRLCYEFPELCFHKQ





809
IGF306
PHPLCLEFEELCFTER





810
IGF307
AARLCSEFPELCFHAS





811
IGF308
RHSLCIEFPELCFDEY





812
IGF309
AGRLCAEFHELCFGTN





813
IGF310
ASRLCMEFPELCFDRK





814
IGF311
HPALCVEFVELCFGHE





815
IGF312
IPPLCLEFQELCFGWD





816
IGF313
DDALCAEFNELCFEVT





817
IGF314
APPLCIEFEELCFGFL





818
IGF315
SHPLCLEFHELCFTDA





819
IGF316
IHPLCLEFTELCFHEV





820
IGF317
QEPLCVEFRELCFNED





821
IGF318
IPDLCREFEELCFGSK





822
IGF319
IIIPLCKEFPELCFDVD





823
IGF320
GPLLCAEFVELCFGDD





824
IGF321
YPPLCLEFPELCFWNH





825
IGF322
SHNLCLEFVELCFGDV





826
IGF323
PPLLCLEFHELCFHIE





827
IGF324
AHVLCLEFHELCFDMG





828
IGF325
RPLLCYEFSELCFDIT





829
IGF326
HPRLCLEFSELCFDEM





830
IGF327
IPALCLEFSELCFSTS





831
IGF328
APSLCLEFIELCFDNM





832
IGF329
PHPLCREFPVLCFDDT





833
IGF330
VHPLCLEFAELCFVNY





834
IGF331
VPSLCMEFPELCFTTE





835
IGF332
VPLLCLEFAELCFHVE





836
IGF334
AMRLCNEFIIELCFGVV





837
IGF335
EERLCKEFPELCFMMT





838
IGF336
TPSLCREFTELCFDSD





839
IGF337
VHPLCMEFTELCFHLR





840
IGF338
AGALCKEFPILCFTME





841
IGF339
EHPLCREFSELCFGMG





842
IGF340
SSSLCLEFSELCFHDD





843
IGF341
ALRLCNEFPELCFGGT





844
IGF343
IPLLCLEFPVLCFENE





845
IGF344
APLLCLEFPELCFGWD





846
IGF345
PALLCQEFAELCFDMP





847
IGF346
YLIILCREFTELCFDEG





848
IGF347
AHWLCLEFKELCFGND





849
IGF348
VPSLCFEFEELCFDWS





850
IGF349
VPSLCLEFQELCFTTE





851
IGF350
PHPLCLEFPELCFGAE





852
IGF351
DSRLCAEFPELCFEDV





853
IGF352
AATLCLEFSELCFDMS





854
IGF353
IPHLCKEFPELCFEQR





855
IGF354
SYLLCREFSELCFDKT





856
IGF355
VPYLCLEFAELCFQVD





857
IGF356
VPPLCVEFSELCFDAP





858
IGF357
MELLCFEFSELCFGSH





859
IGF358
TVALCKEFPELCFDIV





860
IGF359
DPYLCLEFEELCFRFV





861
IGF360
TPALCLEFAELCFEDS





862
IGF361
RHPLCVEFPELCFVDY





863
IGF362
VHPLCIEFPALCFDTR





864
IGF363
YLALCYEFRELCFGDQ





865
IGF364
APLLCLEFPELCFEDI





866
IGF365
VHYLCLEFQELCFDEL





867
IGF366
RPSLCLEFRELCFDTL





868
IGF367
APSLCWEFKELCFDSE





869
IGF369
AHALCLEFSELCFDVT





870
IGF370
TQYLCIEFAELCFDTI





871
IGF371
AGALCREFAELCFHNH





872
IGF372
TPPLCFEFPELCFHLS





873
IGF373
SERLCLEFAELCFGHG





874
IGF374
AHWLCLEFPELCFDKL





875
IGF375
DLHLCREFSELCFSSP





876
IGF376
TPSLCLEFPELCFHGT





877
IGF377
APSLCLEFRELCFEDY





878
IGF378
VPSECLEFADLCFHDI





879
IGF379
MPALCLEFRELCFEDP





880
IGF380
YMRLCYEFSELCFHAS





881
IGF381
APSLCTEFRELCFDII





882
IGF382
VPPLCLEFAELCFYAD





883
IGF384
TPSLCVEFRELCFDDL





884
IGF385
QEALCIEFHELCFEEY





885
IGF386
ADRLCREFSELCFDVV





886
IGF387
AHPLCLEFPVLCFDDE





887
IGF388
RPVLCIEFPELCFNET





888
IGF389
DVKLCQEFPELCFESY





889
IGF390
VPALCFEFAELCFHIE





890
IGF391
AYALCHEFQELCFETT





891
IGF392
AALLCHEFTELCFLEA





892
IGF393
QHLLCIEFNELCFNDV





893
IGF394
IPPLCLEFWELCFDAP





894
IGF395
AHRLCMEFAELCFGNA





895
IGF396
RPSLCQEFVELCFEEA





896
IGF397
PHRLCIEFPELCFDVV





897
IGF398
AQALCLEFMELCFDVR





898
IGF399
ADALCAEFKELCFNIK





899
IGF400
GHKLCTEFIELCFDVN





900
IGF401
DEQLCLEFVELCFEQT





901
IGF402
VYALCREFSELCFYGN





902
IGF404
AGALCAEFPELCFGGT





903
IGF405
PPSLCLEFPELCFHRS





904
IGF406
IPALCIEFSELCFWPS





905
IGF407
VQPLCLEFSELCFDSA





906
IGF408
EHILCQEFSELCFNRD





907
IGF409
VPPLCLEFTELCFIID





908
IGF410
IPPLCLEFWELCFDER





909
IGF411
PHPLCREFPDLCFDHS





910
IGF412
PHWLCEEFEELCFEAI





911
IGF413
DRLLCSEFYELCFDDN





912
IGF414
PAALCLEFSELCFTQQ





913
IGF416
YSSLCLEFSELCFDQM





914
IGF417
RPALCGEFKELCFDGA





915
IGF419
YNALCNEFIELCFHVN





916
IGF420
PHWLCLEFAELCFGSG





917
IGF421
APPLCLEFRELCFGEQ





918
IGF423
TPQLCLEFTDLCFEDT





919
IGF424
VPHLCIEFAELCFEGT





920
IGF425
RMDLCREFTELCFTDS





921
IGF426
AHQLCIEFAELCFNDG





922
IGF427
PPLLCLEFPVLCFDSP





923
IGF428
PHALCLEFSELCFWSL





924
IGF429
VHQLCMEFEELCFGGA





925
IGF430
PHALCLEFHELCFDSN





926
IGF431
YRALCFEFAELCFDEN





927
IGF485
EFYQGLERLV





928
IGF498
YFYWFQEMVM





929
IGF500
FYQWFEKQLM





930
IGF503
QEFYTMWFALQI





931
IGF504
ECDFYCGIYTL





932
IGF507
LCREFQELCF





933
IGF511
GFYEWFEMQL





934
IGF512
FYEWFQAQLT





935
IGF514
GFYEWFEMQM





936
IGF515
YLSPDDMCYEFPELCF





937
IGF516
KTSQDMLCWEFEELCF





938
IGF517
QTTPHILCLEFPELCF





939
IGF518
LTSWELLCFEFEELCF





940
IGF519
EVSPEDLCQEFVELCF





941
IGF520
WYVDPPLCFEFPELCF





942
IGF521
LCAEFAELCFEDTVRY





943
IGF522
PGLEIPQLCKEFPELCFTMDDDF





944
IGF523
LCAEFRELCFHLPAQA





945
IGF524
MRVESLQLCKEFPELCFFSHGWT





946
IGF526
RLTPQDLCFEFSELCF





947
IGF527
LSSYDVLCQEFSELCF





948
IGF532
GPMEVHDLCKEFSELCF





949
IGF533
LRPESIALCKEFPELCFEGWKSA





950
IGF534
QSLDIPGLCKEFPELCFEMTGMR





951
IGF535
LCSEFIELCFDQVPLR





952
IGF536
TSSALKLCQEFPELCF





953
IGF537
LSSYMLLCMEFSELCF





954
IGF538
YVIPHPLCLEFSELCF





955
IGF539
DPSVPALCHEFPELCF





956
IGF540
QGWTHPLCLEFQELCF





957
IGF541
FALVPSLCLEFNELCF





958
IGF542
MSSNSIKLCKEFPELCFHIHGKD





959
IGF543
LCLEFRELCFDLSEPH





960
IGF544
MRLESLELCKEFPELCFSTDLTL





961
IGF545
TMLEIPQLCKEFPELCFHDTTVW





962
IGF546
LCQEFKELCFEAEFQA





963
IGF547
KVTPFMLCQEFPELCF





964
IGF548
APGEHWLCLEFQELCF





965
IGF549
VFQMIIPLCLEFPELCF





966
IGF551
YEPPHSLCLEFVELCF





967
IGF552
PPIMHPLCLEFAELCF





968
IGF553
LCAEFIELCFDLEPGI





969
IGF554
LSPEFPDLCLYFGLDC





970
IGF555
GSLSVPKLCKEFPELCFDKKMSG





971
IGF556
QRFEPDDLCKEFPELCFNLNMNV





972
IGF557
LCLEFAELCFGWDDNS





973
IGF559
RIYPSELCLEFAELCF





974
IGF560
QSYEHWLCQEFHELCF





975
IGF561
SSPPHWLCLEFEELCF





976
IGF562
RMSEMDLCAEFFELCF





977
IGF563
LCAEFHELCFDISNQE





978
IGF564
LCFEFAELCFDTEFYN





979
IGF565
PRLCKEFPELCFEVPVIGNEEHY




SL





980
IGF566
QGSKVLELCKEFPELCFDRANRL





981
IGF567
TLSPHPLCVEFPELCF





982
IGF568
SEWYHPLCVEFSELCF





983
IGF569
SAGEIIWLCVEFQELCF





984
IGF570
LSPAELLCLDFPELCF





985
IGF571
LTPAERLCDEFPVLCF





986
IGF572
LCKEFPELCFDERDKK





987
IGF573
LTSADLLCSEFRELCF





988
IGF574
RITPNDLCQEFQELCF





989
IGF575
FAPPHPLCIEFQELCF





990
IGF577
VGKEVFRLCKEFPELCFYPAISQ





991
IGF578
LRFESPQLCKEFPELCFFESNGW





992
IGF579
YRAERPELCKEFPELCFFENDWW





993
IGF580
LCREFIELCFDIETEV





994
IGF581
RTVVPPLCLEFPELCF





995
IGF582
LYTPQSMCAEFTELCF





996
IGF583
GLVQHNLCLEFVELCF





997
IGF584
IDRPPDLCKEFPELCF





998
IGF585
VFLDAPELCKEFSELCFGYSDSL





999
IGF586
RFSESPPLCKEFPELCFWSPPFP





1000
IGF589
RDFTYDTDWEGYSWLY





1001
IGF592
IPGLCLEFPELCFHQW





1002
IGF596
EPWEGYSWLY





1003
IGF600
PLWEGYSWLYSQEAGN





1004
IGF602
FASGEYPPWEGYRWLY





1005
IGF603
WGDDHWEGYDWLYAQT





1006
IGF604
RDEAEWEGYNWLYSQM





1007
IGF605
DTWEGYLWLYAQTADA





1008
IGF607
YTRSLGDPWEGYSWLY





1009
IGF611
SAWEGYAWFDLQVESG





1010
IGF612
YSIQDHGAWPGYDWLY





1011
IGF613
QWGHKSEQWEGYSWLY





1012
IGF614
QQPNTWEGYSWLYSQV





1013
IGF616
DLWEGYLWFDSQVLGD





1014
IGF617
IPLLCLEFPVLCFENE





1015
IGF618
SYDYSQGEWEGYQWLY





1016
IGF619
HDSALMAEWEGYNWLY





1017
IGF623
QPWEGYKWLYEAA





1018
IGF625
PAASAWEGYKWLYDQV





1019
IGF630
LSTDWSGDWEGYAWLY





1020
IGF633
LLASEWEGYEWLYGQI





1021
IGF1270
ALPECQDLMFYECLFTL





1022
IGF1271
FYNTCQFVGMEFYQCLDWL





1023
IGF1272
RDPVCETKDVFYQMLCTVAF





1024
IGF1273
RSLVCSEEEPFYLALCRLTH





1025
IGF1275
SVLGCDDVGFYQCLEFL





1026
IGF1276
LEHLCQTRDGFYELMCTLAL





1027
IGF1277
AARWCDMQQHSFYECLQVL





1028
IGF1278
NALGCQEEWETLDQCLMRL





1029
IGF1279
AVPKCPGWDFYTALECLSRT





1030
IGF1280
EPRLCHNYPDFYQCMSFL





1031
IGF1281
ASQTCIGMDFYSGLECLLGW





1032
IGF1282
WVEECHNLHWDLKHCLMHQ





1033
IGF1283
SVPSCIDYYGDWFLCLAAP





1034
IGF1284
NNTLCRGVPTFEECVFIL





1035
IGF1285
SNGSCHIVDFYGWFQCQTSA





1036
IGF1286
LTEPCSQHSMFYSMLCELAF





1037
IGF1287
RDRVCHNKTFFHCLFSIFPDG





1038
IGF1290
YGLGCSQMDFYQCLDML





1039
IGF1291
DVSHCHIMFWDFQQCLEYL





1040
IGF1292
NPATCYQKSYQFEQCLMYL





1041
IGF1328
VDVLCHHVDFYECMDRL





1042
IGF1329
WLSQCEAKEIDFYMCLAGQAG





1043
IGF1330
GPKECIGVPNFDLCMAML





1044
IGF1331
LEDWCLHLDFYQCLEAV





1045
IGF1332
TMPTCEKLNFYECMNLL





1046
IGF1333
SLSICTYADFYECMDLL





1047
IGF1334
YIRECHELQNFTEGIHCLVTR





1048
IGF1335
TFKDCAHIPGIDFCLWRL





1049
IGF1336
SWDPCFESDEFIIMKLCVLMD





1050
IGF1337
LLSECYDKDFYECLGLE





1051
IGF1338
YQDMCEDMSFYECLEVL





1052
IGF1339
AAANCHWPDEALQELCRYFA





1053
IGF1340
TGICENPDEFYRQLCLLVE





1054
IGF1341
WEHHCRRSHLDFYGCLSSI





1055
IGF1347
AAGSPLDDCYGYTGFYQGMCL




LEL





1056
IGF1348
PSYHCSNMDYTFYECLMYL





1057
IGF1349
EQSYCSQNDMFYDWFCALVS





1058
IGF1354
GEEVCWVQEPFYSTLCILAF





1059
IGF1355
NPFWCSWGHQFDNECDSMV





1060
IGF1356
WASTCQQTFYSMNRCLSQW





1061
IGF1360
LMELCAMDEDYYLWFCRAVE





1062
IGF1364
SAVQCDLRLMCWQLRGPSRP





1063
IGF1365
PSEICITEGLGFYQCLLKL





1064
IGF1366
WVDKCHQEMMEFHECLKYV





1065
IGF1370
ARCECWESQFYWDLCSLAL





1066
IGF1371
CTATCLEDQGFYWNMCKLVF





1067
IGF1373
AYDCRKHHMNFYECLTYL





1068
IGF1376
VGQMCSMGLELDRMKCNPCY





1069
IGF1378
LVDICQRQELDFYSCLRSV





1070
IGF1379
TGSDCYFYKHLYSLCVEVE





1071
IGF1380
ESGDCPWLGHVSFEECLMWL





1072
IGF1383
LHSVCFEAPEWQQCLMQR





1073
IGF1386
PGVSAHALCYEFPVLCFYDVG





1074
IGF1387
AGVSADALCYEFPVLCFYDVG





1075
IGF1390
DGESYFYVCLEHLLNVPGYHCV




MTNG





1076
IGF1392
SYGTRWNPSFESNQFHMKLCVL




MDGK





1077
IGF1395
PGVSADALCYEFPVLCFYDV





1078
IGF1396
HALCYEFPVLCFYDV





1079
IGF1401
TSRRCEEYQDPLKEVCRYFL





1080
IGF1405
AHALCYEFPVLCFYDVG





1081
IGF1406
AHALCYEFPVLCFYDV





1082
IGF1408
DFYICLEHLLNVPGYHCVMTNG





1083
IGF1409
DALCYEFPVLCFYDV





1084
IGF1411
NLMECIIALDFNQGMQCLQAY





1085
IGF1413
NLMECHALDFYQGMQCLQPYR




HP





1086
IGF1414
DLMECHGLDFYKGMECLQAYG





1087
IGF1421
AHALCYEFPVLCFYDV





1088
IGF1422
NLMECHALDFNQGMQCVQAY





1089
IGF1430
AIIALCYEFPVLCFYDVG





1090
IGF1432
AYVCSNLNHCPALDFNQGMQC




LQAYG





1091
IGF1437
VTEARTNDCNTTTFYHWFDCQ




LGTG





1092
IGF1443
NLMHCHGLDFYQGMQCLQAY





1093
IGF1445
EAECRYPDTDLMWLCTYFSG





1094
IGF1446
DALCYEFPVLCFYDVG





1095
IGF1895
MAVGCTWVESCHWA





1096
IGF1896
ALPECQDLMFYECLFT





1097
IGF1897
FYNTCQFVGMEFYQCLDW





1098
IGF1899
SVLGCDDVGFYQCLEF





1099
IGF1900
AARWCDMQQHSFYECLQV





1100
IGF1904
EPRLCHNYPDFYQCMSF





1101
IGF1905
ASQTCIGMDFYSGLECLLG





1102
IGF1906
SNGSCHIVDFYGWFQCQTS





1103
IGF1987
ALAECIFEPTFEDCMWIL





1104
IGF1988
VDMQCQVHGMTFYECLMRL





1105
IGF1989
TLPECLYAPTFEICVEYL





1106
IGF1990
WEERCVDSDFYTQLCMLAW





1107
IGF1991
GTVLCPEDMDFYECMTFI





1108
IGF1992
REELCSVSPFDYHCRLFS





1109
IGF1993
LSYTCQHFDLPWELCLSLH





1110
IGF1994
VISECEGLTFYQCMASL





1111
IGF1995
WEEWCVDSDFYTQLCMLAW





1112
IGF1996
REPLCIQDDPIMYLHCYFSV





1113
IGF1997
MSYTCEDFDLPWELCLSLH





1114
IGF1998
DDLDCKCLTFYECMAAL





1115
IGF1999
WSNVCQARNMAFQECLEYL





1116
IGF2000
EDLGCLYLTFNQCMMWL





1117
IGF2001
FAHECSFHKLNFYQCLSFE





1118
IGF2002
LMDFCYVYPNICGCSN





1119
IGF2004
SRFVCQHDWGFYECLSML





1120
IGF2005
ASHICHLIPTIEQCLFSL





1121
IGF2006
VISECEGLTFYECMAAL





1122
IGF2009
VDMLCQVHGMTFYECLMLL





1123
IGF2010
WEEWCVDSDFYTQLCLLAW





1124
IGF2011
WDRWCVTEELPEQLCFLDG





1125
IGF2012
MSYTCEDFDLPCELCLSLH





1126
IGF2013
GLDSCQQAYFYQFFCEVFR





1127
IGF2014
VDMQCQVHGMTFYQCLMRL





1128
IGF2015
EDLGCMYLTFYECMIWL





1129
IGF2016
VSALCEDLEFYECILAL





1130
IGF2017
DVRECEGLTFYECMAAL





1131
IGF2019
TAWCHAAGLTFTQCLLWL





1132
IGF2020
CEEWCVDSDFYTQLCMLAW





1133
IGF2021
GISECEGLTFYECMAAL





1134
IGF2022
EYKVCTSNDTFHWGICALLK





1135
IGF2023
EDLGCMYLTFDECMMWL





1136
IGF2025
WKEWCVDSDFYTQLCMLAW





1137
IGF2026
FGQLCDQQVETMIECFERL





1138
IGF2027
DLFDCQGLTFYQCLAAL





1139
IGF2029
LQQICDPEIIVTFYQCMTLL





1140
IGF2030
QSLTCNDFTDWQSLCRC





1141
IGF2031
PREACHDYDVVLHQLCMYFV





1142
IGF2033
EDLGCVCLTFYECMIAL





1143
IGF2034
IPGLCLE FPELCFHQW





1144
IGF2035
LCWEGYKWFYDQIKPD





1145
IGF2036
GFHHAYY KYRGQAGQGS




ATGGSSRITP SDLCKEFPEL CF





1146
IGF2038
RCLANSY HCSGQAGQGS




ATGGSSRITP SDLCKEFPEL CF





1147
IGF2040
GSYCAPDWHN CFGQAGQGSR




ITPSDLCKEF PELCF





1148
IGF2041
IPLLCLE FPVLCFENE





1149
IGF2042
SLEHLCQTRDGFYELMCTLA L





1150
IGF2043
SKDPVCKTKHQFYQMLCTLA F
















TABLE 13







IL6 binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





1158
ILB59
QRMEKFMHGS





1159
ILB60
MLDWVGRRPF





1160
ILB65
YFWHSLKTMM





1161
ILB69
DEIPLWEFQF





1162
ILB71
FQESWSTWVEGQAG





1163
ILB73
VWTAFIQMNS





1164
ILB75
ECTHPVFVRPCWGQAG





1165
ILB76
MWMYGWWWAG





1166
ILB77
FCIYYHNHMIWGQACQAGRCG




SYCWWQDYAYKVGQAG





1167
ILB82
ICVASICGLVC





1168
ILB84
RWHYWHQHWWGQAG





1169
ILB87
VCKWKQEYCKGQAG





1170
ILB88
WYIIWMKEIIMWGQAG





1171
ILB89
HHHKMWPQNKSADSHAYTMM





1172
ILB91
WPSWTYWYHF





1173
ILB92
PWTYNWPWFM





1174
ILB94
IWHVFYMVQAGQAG





1175
ILB96
RYMHMVWQHI





1176
ILB98
PMTMWWFFWKGQAG





1177
ILB99
HSFVYMHWFL





1178
ILB100
WPMITWLGWYGQAG





1179
ILB101
YMFHWPLFWLGQAG





1180
ILB102
MQGWLWAKWW





1181
ILB104
IYAWWKWHWFGQAG





1182
ILB105
TMQPHHIYGYGQAG





1183
ILB106
SLFMPQHNVHGQAG





1184
ILB107
YWPSLEWDWS





1185
ILB114
GCWWVATECWGQAG





1186
ILB122
GCTWLIDICTGQAG





1187
ILB128
HQLQPYIQDL





1188
ILB130
WCLAGHVYCQGQAG





1189
ILB135
GVLKSGFRSLRCMARP





1190
ILB139
PCPGFPPPMLCMGQAG





1191
ILB140
PCMRDWWMCGGQAG





1192
ILB142
KCTHLPFQRNCSGQAG





1193
ILB143
FCHHWRPVCLGQAG





1194
ILB146
ACMLKTHRCKGPGR





1195
ILB148
RCSIWKVYAMCM





1196
ILB151
ECLWTSLECEGQAG





1197
ILB158
VCIPMATMCIGQAG





1198
ILB226
SVSWCFWDPLVMQCKDHT





1199
ILB228
VHFNCAWDPLMMRCNYDL





1200
ILB229
RMSTCLWDPLLMNCKSLW





1201
ILB230
TSEPCFWDPLLMTCDYGS





1202
ILB231
QNVNCLWDPLRMNCVEYK





1203
ILB232
SYIGYTYCPWDPLTMRCV





1204
ILB233
LRHFVQYCPWDPLLMACI





1205
ILB234
FTIGGPICGWDPLLMRCV





1206
ILB236
LLCSENWCRWDPLMMSCR





1207
ILB237
FSQMCGWDPLLMMCRSVN





1208
ILB238
VGSDCMWDPLMMNCRYSY





1209
ILB239
LSLLCHWDPLIMRCSYDS





1210
ILB240
YIPPCHWDPLLMDCAQIQ





1211
ILB241
MMMECHWDPLLMRCQNPK





1212
ILB242
LPSSCYWDPLLMECSHRN





1213
ILB243
LVPPLFACFWDPLLMNCS





1214
ILB244
WSYFNRSCAWDPLLMKCA





1215
ILB245
SSFTVVSCMWDPLLMSCM





1216
ILB246
LLTKYRTCHWDPLLMLCR





1217
ILB247
MVFWDEFCSWDPLLMACR





1218
ILB248
NQLSSIMCHWDPLLMTCQ





1219
ILB249
TFTSCSWDPLLMDCTDFV





1220
ILB250
MVFYCYWDPLLMLCHDQT





1221
ILB252
QVSLCFWDPLMMTCSVPF





1222
ILB253
ISMPCSWDPLLMNCAKWP





1223
ILB254
FEAWCVWDPLLMNCVTYT





1224
ILB255
NRYERFMCFWDPLLMMCS





1225
ILB256
VIMNQFFCFWDPLLMRCM





1226
ILB257
FSSAYSGCYWDPLLMECI





1227
ILB258
WSSGLYGCYWDPLLMLCK





1228
ILB259
RSSADWSCLWDPLLMQCM





1229
ILB260
ITSLERSCMWDPLLMLCS





1230
ILB261
MHGYCTWDPLLMRCSNYI





1231
ILB262
STVGCFWDPLLMDCRSMV





1232
ILB263
WLSTCLWDPLLMQCIESE





1233
ILB264
SGVSCFWDPLRMICYILP





1234
ILB265
YLSSCLWDPLLMRCTKLM





1235
ILB266
APQQCNWDPLLMNCVKYV





1236
ILB267
SYVTFLSCHWDPLRMQCI





1237
ILB268
FSSVTSACAWDPLIMRCI





1238
ILB269
ALALVASVTGTRYQCRV





1239
ILB270
TKNVTYECMWDPLLMVCT





1240
ILB271
PFYEYTCCPWDPLLMNCL





1241
ILB272
KDYFHQYCIWDPLTMNCA





1242
ILB273
HYTNCVWDPLLMRCYEFA





1243
ILB274
AVGWCPWDPLLMNCMGRN





1244
ILB275
VASVCLWDPLLMQCWSHY





1245
ILB276
DGMICLWDPIRMDCYYTE





1246
ILB277
DFTFCAWDPLLMACNDQF





1247
ILB278
DWEECVWDPLLMMCGISY





1248
ILB279
QRNYSEECHWDPLLMLCQ





1249
ILB280
ALVNRVECSWDPLLMKCS





1250
ILB281
NLDVTPYCYWDPLRMVCY





1251
ILB282
PRFLIYFCNWDPLLMMCK





1252
ILB283
YYPITLDCIIWDPLLMRCL





1253
ILB284
YIEINHPCHWDPLLMDCT





1254
ILB285
LVDVCSWDPLLMNCRLAN





1255
ILB286
FDTFCFWDPLLMDCAAPT





1256
ILB287
QSNDCAWDPLLMQCLNSL





1257
ILB288
MTSHCLWDPLLMVCVNHE





1258
ILB289
HFTFCAWDPLLMQCGIDS





1259
ILB290
KSTALITCIWDPLLMQCR





1260
ILB291
YTNNMETCAWDPLLMMCY





1261
ILB292
FSGKQMMCAWDPLMMQCA





1262
ILB293
LHLGEWDCYWDPLLMICR





1263
ILB294
WLFNGVDCLWDPLLMDCI





1264
ILB295
FHESLLPCFWDPLLMTCQ





1265
ILB296
LYMICTWDPLLMDCREDR





1266
ILB297
LNLLCAWDPLLMSCIETL





1267
ILB298
WEHGCMWDPLLMQCINRS





1268
ILB299
GSTCCVWDPLLMKCMSPV





1269
ILB300
GLYNCTWDPLLMRCSESI





1270
ILB302
DNWSISSCYWDPLLMNCP





1271
ILB303
WFLFPWTCPWDPLLMECI





1272
ILB304
SVQYETPCYWDPLRMQCQ





1273
ILB305
LDFSFFDCSWDPLLMRCS





1274
ILB306
FRMKKVDCCWDPLLMNCR





1275
ILB307
NAPVWVECMWDPLLMSCV





1276
ILB308
GYAWCFWDPLLMKCTWQV





1277
ILB309
DDFLCSWDPLLMDCMVYP





1278
ILB310
FEDSCAWDPLLMACSNPI





1279
ILB311
LAGSVSGTLLQQTVQRT





1280
ILB312
LVSFCAWDPLLMNCMWPM





1281
ILB313
LYGECAWDPLLMRCQPYY





1282
ILB314
GSKRFGICFWDPLLMDCA





1283
ILB315
YVAVGPSCLWDPLLMMCA





1284
ILB316
GFGSSWFCSWDPLLMQCQ





1285
ILB317
SISRAFSCVWDPLLMNCS





1286
ILB319
MTQSLSFCHWDPLLMYCV





1287
ILB320
LVPYSWYCVWDPLLMDCV





1288
ILB321
SDNLYFDCHWDPLLMMCR





1289
ILB323
LFTMCHWDPLLMDCATVP





1290
ILB324
FCSWDPMLMDCSTITFDM





1291
ILB329
TQMYCWWDPLLMNCTEMS





1292
ILB330
LTGYCYWDPLLMNCLEQG





1293
ILB331
NHPMCWWDPLMMDCMYFE





1294
ILB332
PDTLCIWDPLLMQCRWMP





1295
ILB333
VNVSFWGCVWDPLLMVCS





1296
ILB334
KAVLSNYCYWDPLLMICS





1297
ILB335
LGRLVPYCRWDPLSMVCL





1298
ILB337
RWKIDVICKVEILQRRCT





1299
ILB339
SHIACGWDPLMMMCTQEM





1300
ILB340
ICWWDPLLMDCISTVEPY





1301
ILB341
MFLSVVDCFWDPLLMECV





1302
ILB342
HCYWDPLLMTCYDSGPWV





1303
ILB343
IFEYCVWDPLLLRCSLNS





1304
ILB344
FVDDCVWDPLMMDCHRYS





1305
ILB347
KLALLDDCIWDPLLMSCR





1306
ILB348
WTNWCGWVLPTMLCMYWI





1307
ILB349
DWSTLYFCSWDPLLMLCS





1308
ILB350
GQNHCFWDPLMMICLNGH





1309
ILB351
TLLTCVWDPLLMQCRDLE





1310
ILB352
YVSPCVWDPLLMLCNESW





1311
ILB353
LCFWDPLYMECSTHLYID





1312
ILB357
LLAWCFWDPLLMDCVWDS





1313
ILB358
YHYLSVNCHWDPLLMECT





1314
ILB359
FHHFCFWDPLLMGCMNYN





1315
ILB360
FCVWDPLLMLCQWLEDSS





1316
ILB361
FNTQSTDCWWDPLLMLCA





1317
ILB362
VQLTCFWDPLMMWCSEQS





1318
ILB365
LRAICIWDPLMMLCGTMG





1319
ILB367
ISFPHFICPWDPLLMQCS





1320
ILB368
RSFVCNWDPLMMTCTSDL





1321
ILB369
PLWSCFWDPLLMDCQWTL





1322
ILB370
SHSSNMGCYWDPLMMMCH





1323
ILB371
RVYECYWDPLIMDCTWDL





1324
ILB377
FSVNYTPCVWDPLLMRCS





1325
ILB378
LVALPNSCFWDPLLMTCR





1326
ILB379
FWVGCPWDPLLMKCTSYN





1327
ILB380
KLALMSSCLWDPLLMDCM





1328
ILB381
HCYWDPLLMDCKYLILEG





1329
ILB382
GSIICWWDPLLMSCADLK





1330
ILB383
QLFTCIIWDPLLMDCTWDS





1331
ILB387
WLEQCVWDPLLMSCTSYV





1332
ILB388
SSPGIDACWWDPLLMDCA





1333
ILB389
LHFVCFWDPLIMDCSPQM





1334
ILB390
SYAYCYWDPLLMECADPM





1335
ILB393
VWLVFWPCFLDPISSICN





1336
ILB395
SLLECFWDPLMMNCSNGL





1337
ILB397
SDDWTMECYWDPLLMTCI





1338
ILB398
ALMFCFWDPLLMRCNANV





1339
ILB399
NRLMCFWDPLLMVCQSDL





1340
ILB402
LMQRPVHCVWDPLLMNCR





1341
ILB403
WQCYYRLCMGYPLGILCS





1342
ILB404
FRFATFFCYWDPLLMSCR





1343
ILB405
LTFLFYRCSWESVTPGCI





1344
ILB406
LLLSTYWCSWDPLLMDCN





1345
ILB407
SLWLTVLCPWDPLLMACI





1346
ILB408
TSGLCVWDPLMMSCASLL





1347
ILB409
LIMGCPWDPLLMLCQERR





1348
ILB410
SNPICIWDPLLMRCIWYQ





1349
ILB412
QSFLMRGCAWDPLLMQCI





1350
ILB414
LVVNCPWDPLLMACAVNV





1351
ILB418
STRDCYWDPLLMTCINYI





1352
ILB419
SYQVCCWDPLLMTCQRAR





1353
ILB421
YHWQLNGCVWHPLMINCL





1354
ILB423
LCLWDALLMECRIHSFDS





1355
ILB425
FCVWDPLLMIICRFTIIDRM





1356
ILB426
SMTMCGWNPLGMWCHSLG





1357
ILB428
TLVSLGLCAWDPLLMSCA





1358
ILB429
SFLFYSSCVWDPLLMQCG





1359
ILB430
TLDNCAWDPLLMRCWGQW





1360
ILB431
SSIYCLWDPLLMRCATPL





1361
ILB432
RCPWDPLMMMCIEEMYTD





1362
ILB436
LCSWDPLMMRCVVMDSLD





1363
ILB437
FFCLWHFCTGDPLKIHCM





1364
ILB439
QLFLTLNCSWDPLLMQCL





1365
ILB440
SYLGGLACAWDPLLMQCI





1366
ILB441
GFPECFWDPLLMDCTYWF





1367
ILB445
VFPWCYWDPLMMDCAIQN





1368
ILB450
FCVWDPLLMDCSGNTFYF





1369
ILB451
TCAWDPLLMVCRYPCPAF





1370
ILB452
AALECPWDPLMMSCIKTS





1371
ILB453
YLPSWLSCSWDPLLMICS





1372
ILB454
HLSLLMDCCWDPLTMQCT





1373
ILB455
RWPFCHWDPLLMMCSVSY





1374
ILB457
LPLLRFPCDGKQLWKFCL





1375
ILB461
QVSYCPWDPLLMQCQLSG





1376
ILB463
RSIECFWDPLMMECMGYV





1377
ILB464
LGMTFYVCPWDPLLMLCI





1378
ILB465
YYYSWPMCYWDPHMLFCL





1379
ILB467
PCYWDPLLMRCMLQVDNW





1380
ILB469
FFSDCNWDPLLMHCANKL





1381
ILB470
RPSLVPICYWDPLLMICI





1382
ILB471
NYFNCVWDPLRMDCQYFM





1383
ILB473
DWQYYSSKTYGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1384
ILB474
PDWITWQPAWGQAGQGSFNED




CMWDPLLMDCAYSP





1385
ILB475
NMYHEHAAWGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1386
ILB476
EVNHVEDFPAGQAGQGSFNED




CMWDPLLMDCAYSP





1387
ILB477
WYTHSLQMWGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1388
ILB478
GPDVTQYVKFGQAGQGSFNED




CMWDPLLMDCAYSP





1389
ILB479
QSPSASHIMGGQAGQGSFNEDC




MWDPLLMDCAYSP





1390
ILB480
GPVEESAPQYGQAGQGSATGGS




SFNEDCMWDPLLMDCAYSP





1391
ILB481
WIMSLSWPMAGQAGQGSATGG




SGSTASSFNEDCMWDPLLMDC




AYSP





1392
ILB482
HVGWHAMNPWGQAGQGSFNE




DCMWDPLLMDCAYSP





1393
ILB483
VWTAFIQMNSGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1394
ILB485
PDWITWQPAWGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1395
ILB486
VMWQWEEGHWGQAGQGSFNE




DCMWDPLLMDCAYSP





1396
ILB487
TQEMWFTGINGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1397
ILB488
DNWWRIWDKQGQAGQGSFNE




DCMWDPLLMDCAYSP





1398
ILB489
VTWFMYQDRAGQAGQGSFNE




DCMWDPLLMDCAYSP





1399
ILB490
LPPPCYWTTWGKECQMFD





1400
ILB491
VEPIPYTMMRGQAGQGSFNEDC




MWDPLLMDCAYSP





1401
ILB492
RIVVMEQMQIGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1402
ILB493
MCNPMESECHGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1403
ILB494
VYWYDVKWTWGQAGQGSFNE




DCMWDPLLMDCAYSP





1404
ILB495
DCEQNQTYCVGQAGQGSFNED




CMWDPLLMDCAYSP





1405
ILB497
WWPNYTWDHPQGSATGGSSFN




EDCMWDPLLMDCAYSP





1406
ILB498
DGSPGYRAYIISQFGQAGQGSA




TGGSGSTASSGSGSSFNEDCMW




DPLLMDCAYSP





1407
ILB499
WPWFEQEHFWGQAGQGSFNED




CMWDPLLMDCAYSP





1408
ILB500
WCRPTDLKLVKGQAGQGSFNE




DCMWDPLLMDCAYSP





1409
ILB501
DKSGGLVAIQGQAGQGSFNEDC




MWDPLLMDCAYSP





1410
ILB502
DRWGWQKEPSGQAGQGSFNED




CMWDPLLMDCAYSP





1411
ILB503
LAWKQSWIDTGQAGQGSATGG




SGSTASSGSGSSFNEDCMWDPL




LMDCAYSP





1412
ILB504
VMLEQMPMMRGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1413
ILB505
ATRMWPMSISGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1414
ILB506
MYVMKWQNWTGQAGQGSFNE




DCMWDPLLMDCAYSP





1415
ILB508
ISDVYQWHSYGQAGQGSFNED




CMWDPLLMDCAYSP





1416
ILB509
MVKLWEIYSWGQAGQGSFNED




CMWDPLLMDCAYSP





1417
ILB511
QWGWSMWQEVGQAGQGSFNE




DCMWDPLLMDCAYSP





1418
ILB512
MWSAVFQPYQGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP




GGSFNEDCMWDPLLMDCAYSP





1419
ILB513
AMHNVMWRAMGQAGQGSFNE




DCMWDPLLMDCAYSP





1420
ILB514
HEDKFIVWMWGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1421
ILB516
QWWWTNSPWLGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1422
ILB517
QHQTAFTEMVGQAGQGSFNED




CMWDPLLMDCAYSP





1423
ILB518
QTMWTRWMHDGQAGQGSFNE




DCMWDPLLMDCAYSP





1424
ILB519
YAWHHHVLNTGQAGQGSFNED




CMWDPLLMDCAYSP





1425
ILB520
YCPFMPALCVGQAGQGSATGG




SGSTASSGSGSSFNEDCMWDPL




LMDCAYSP





1426
ILB522
RTYSTPYWGWGQAGQGSFNED




CMWDPLLMDCAYSP





1427
ILB523
EIFWWLLQWEGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1428
ILB524
QIDFKYMMWTGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1429
ILB525
QMQWLDDEFYGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1430
ILB526
PVQQEWMQWYGQAGQGSFNE




DCMWDPLLMDCAYSP





1431
ILB527
QAWKLMWFAWGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1432
ILB528
MPSTQINQWVGQAGQGSFNED




CMWDPLLMDCAYSP





1433
ILB529
TEKDPAQDWWGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1434
ILB531
EYTNTSWKGIIGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1435
ILB532
QMEVAHVVDLGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1436
ILB533
IKPSSHWWWQGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1437
ILB534
YEEQQVDEFGGQAGQGSATGG




SGSTASSFNEDCMWDPLLMDC




AYSP





1438
ILB535
AWWQGQRPYNGQAGQGSFNE




DCMWDPLLMDCAYSP





1439
ILB536
PPLWMSQMVPQGSATGGSSFN




EDCMWDPLLMDCAYSP





1440
ILB537
VEHLSHSYVLGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1441
ILB538
DCSPDVHDCHGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1442
ILB539
TYLQLWYFIQGQAGQGSFNEDC




MWDPLLMDCAYSP





1443
ILB540
GRWWMVQWVEGQAGQGSFNE




DCMWDPLLMDCAYSP





1444
ILB541
VMEGHQFAQFGQAGQGSFNED




CMWDPLLMDCAYSP





1445
ILB542
WWSPSYAWVMGQAGQGSFNE




DCMWDPLLMDCAYSP





1446
ILB543
MEMVSAAWQEGQAGQGSFNE




DCMWDPLLMDCAYSP





1447
ILB544
YWWTIDYWPYGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1448
ILB545
YPMYYYQDISGQAGQGSFNED




CMWDPLLMDCAYSP





1449
ILB546
IMWAGPIFPNGQAGQGSFNEDC




MWDPLLMDCAYSP





1450
ILB547
IMGMYEGFRTGQAGQGSFNED




CMWDPLLMDCAYSP





1451
ILB548
IERAYIISTRWGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1452
ILB549
ETELKKPAMQGQAGQGSFNED




CMWDPLLMDCAYSP





1453
ILB550
QDWHYPWVYQGQAGQGSFNE




DCMWDPLLMDCAYSP





1454
ILB551
PLQKWEHIVNGQAGQGSFNED




CMWDPLLMDCAYSP





1455
ILB552
TDSWCHTLYWALQHCVAQE





1456
ILB553
WQNPWPVRFWGQAGQGSATG




GSGSTASSFNEDCMWDPLLMD




CAYSP





1457
ILB554
APGVAMWMFIGQAGQGSFNED




CMWDPLLMDCAYSP





1458
ILB555
QSNGAHAWVWGQAGQGSATG




GSGSTASSFNEDCMWDPLLMD




CAYSP





1459
ILB556
PDSSCHTLYWQLHHCARRE





1460
ILB557
KWNQQWTIARGQAGQGSFNED




CMWDPLLMDCAYSP





1461
ILB558
ECSCAKSRYANGQAGQGSFNE




DCMWDPLLMDCAYSP





1462
ILB559
SCQFLEEYKDCRGQAGQGSAT




GGSSFNEDCMWDPLLMDCAYSP





1463
ILB560
VPSLIYHTYYGQAGQGSATGGS




SFNEDCMWDPLLMDCAYSP





1464
ILB561
SIYISYRQNHGQAGQGSATGGS




GSTASSFNEDCMWDPLLMDCA




YSP





1465
ILB562
TYYTHTAWDRGQAGQGSFNED




CMWDPLLMDCAYSP





1466
ILB563
LLVEFFKIITYGQAGQGSFNEDC




MWDPLLMDCAYSP





1467
ILB564
FQGHWHIKKQGQAGQGSATGG




SGSTASSGSGSSFNEDCMWDPL




LMDCAYSP





1468
ILB565
FHLPIHWHYQGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1469
ILB566
LIVLQPKNMVGQAGQGSFNED




CMWDPLLMDCAYSP





1470
ILB567
TYSWRDWGMYGQAGQGSFNE




DCMWDPLLMDCAYSP





1471
ILB568
DGSHPIVVVTEWFGQAGQGSFN




EDCMWDPLLMDCAYSP





1472
ILB569
VYWQAMNQDYGQAGQGSFNE




DCMWDPLLMDCAYSP





1473
ILB570
PDSWCHTLYWDLLYCVNQE





1474
ILB572
DCAMWFMFKDQGQAGQGSAT




GGSSFNEDCMWDPLLMDCAYSP





1475
ILB573
NNMHPLWPISGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1476
ILB574
FWYSWNPQWDGQAGQGSFNE




DCMWDPLLMDCAYSP





1477
ILB576
EGYWRGPHWEGQAGQGSFNED




CMWDPLLMDCAYSP





1478
ILB577
YRMKWDFMLHGQAGQGSFNE




DCMWDPLLMDCAYSP





1479
ILB578
WWWDQHMLENGQAGQGSAT




GGSGSTASSFNEDCMWDPLLM




DCAYSP





1480
ILB579
PCHWAQQPCAGQAGQGSFNED




CMWDPLLMDCAYSP





1481
ILB580
FFDFFSFSNSGQAGQGSATGGSS




FNEDCMWDPLLMDCAYSP





1482
ILB581
VWTAFIQMNSGQAGQGSFNED




CMWDPLLMDCAYSP





1483
ILB582
QIQQFSFWVQGQAGQGSFNEDC




MWDPLLMDCAYSP





1484
ILB583
LFIPYMAQIWGQAGQGSFNEDC




MWDPLLMDCAYSP





1485
ILB584
MTTMYHIIVLGQAGQGSATGGS




GSTASSFNEDCMWDPLLMDCA




YSP





1486
ILB585
GCSMCHMMMVKWHRGQAGQ




GSFNEDCMWDPLLMDCAYSP





1487
ILB586
EQHVDWYWVPQGSFNEDCMW




DPLLMDCAYSP





1488
ILB587
NQTQPKRPTDGQAGQGSFNED




CMWDPLLMDCAYSP





1489
ILB588
ELGGRKSMLIGQAGQGSFNEDC




MWDPLLMDCAYSP





1490
ILB589
EAWRELRWWNGQAGQGSFNE




DCMWDPLLMDCAYSP





1491
ILB590
YCTDRVDICMGQAGQGSATGG




SGSTASSFNEDCMWDPLLMDC




AYSP





1492
ILB591
LIVPAPLTWWGQAGQGSFNED




CMWDPLLMDCAYSP





1493
ILB592
WVPDMWMHEWGQAGQGSFNE




DCMWDPLLMDCAYSP





1494
ILB593
YQDSWITGMQGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1495
ILB594
YEEIICRLFPADWICSLLQ





1496
ILB595
VCQDEVYMWCEGQAGQGSAT




GGSSFNEDCMWDPLLMDCAYSP





1497
ILB596
ADSWCHTLYWNLRHCEIQE





1498
ILB597
HHQQSMYWLEGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1499
ILB598
AEIITFALQYVGQAGQGSFNED




CMWDPLLMDCAYSP





1500
ILB599
YTTYNWKPWQGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1501
ILB600
ACDTQHHGCMGQAGQGSATG




GSGSTASSFNEDCMWDPLLMD




CAYSP





1502
ILB601
EVVGVGWFLNGQAGQGSFNED




CMWDPLLMDCAYSP





1503
ILB602
PESWCHTLYWNLQHCLSQE





1504
ILB603
IDNKYEGMVLGQAGQGSFNED




CMWDPLLMDCAYSP





1505
ILB604
HWMTYQFWIQGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1506
ILB605
TCELMQAWTHLGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1507
ILB606
YYPQHIDHIMGQAGQGSATGGS




SFNEDCMWDPLLMDCAYSP





1508
ILB607
MPLDDQPFLEGQAGQGSFNEDC




MWDPLLMDCAYSP





1509
ILB608
HTEFQRLEWPQGSATGGSSFNE




DCMWDPLLMDCAYSP





1510
ILB609
IQWPSMMEIHGQAGQGSFNEDC




MWDPLLMDCAYSP





1511
ILB610
QTGWGPKYMWGQAGQGSFNE




DCMWDPLLMDCAYSP





1512
ILB611
QSHIHLEKWLGQAGQGSFNEDC




MWDPLLMDCAYSP





1513
ILB612
QCWIYPYDGLCNGQAGQGSAT




GGSSFNEDCMWDPLLMDCAYSP





1514
ILB613
TCTHLVKTVLIGQAGQGSFNED




CMWDPLLMDCAYSP





1515
ILB614
PLYTVWKWSGGQAGQGSATG




GSGSTASSFNEDCMWDPLLMD




CAYSP





1516
ILB615
FNFERWEQKPQGSFNEDCMWD




PLLMDCAYSP





1517
ILB616
YVLQQVEMQEGQAGQGSFNED




CMWDPLLMDCAYSP





1518
ILB617
SMTKYKALYHGQAGQGSFNED




CMWDPLLMDCAYSP





1519
ILB618
QDNIAYQGWWGQAGQGSFNE




DCMWDPLLMDCAYSP





1520
ILB619
MDHIWQHGQLGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1521
ILB620
SCFGDLQICWGQAGQGSATGGS




GSTASSGSGSSFNEDCMWDPLL




MDCAYSP





1522
ILB621
HCKDMHWAIQFGQAGQGSFNE




DCMWDPLLMDCAYSP





1523
ILB622
WLFVAEQSQYGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1524
ILB623
ANSWCIITLYWDLMYCVWQE





1525
ILB624
DGSGFYPNKWFHGGQAGQGSA




TGGSSFNEDCMWDPLLMDCAY




SP





1526
ILB625
MVYRWVMQADGQAGQGSATG




GSGSTASSGSGSSFNEDCMWDP




LLMDCAYSP





1527
ILB627
HPMEIKTMMKGQAGQGSFNED




CMWDPLLMDCAYSP





1528
ILB629
LQAWMWQVNQGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1529
ILB630
GCNYFPTQWECYGQAGQGSFN




EDCMWDPLLMDCAYSP





1530
ILB631
LQAWMWQVNQGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP




QGSATGGSSFNEDCMWDPLLM




DCAYSP





1531
ILB632
QFPYESPPSIGQAGQGSFNEDC




MWDPLLMDCAYSP





1532
ILB633
IYLSWDMPALGQAGQGSATGG




SGSTASSFNEDCMWDPLLMDC




AYSP





1533
ILB634
QYTEMVALVYGQAGQGSATGG




SGSTASSFNEDCMWDPLLMDC




AYSP





1534
ILB635
PDSWCHTLYWHLQHCLSQE





1535
ILB636
PAKDPFVMRHGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1536
ILB637
WQVSSVQLPYGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1537
ILB638
QQTQTYWGTWGQAGQGSFNE




DCMWDPLLMDCAYSP





1538
ILB639
DQLWRQNWMQGQAGQGSFNE




DCMWDPLLMDCAYSP





1539
ILB640
QYYNVYWQNQGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1540
ILB641
QTYSNKPMGPQGSFNEDCMWD




PLLMDCAYSP





1541
ILB642
EEEWSWYDRRGQAGQGSFNED




CMWDPLLMDCAYSP





1542
ILB643
AYYWKEWMKMGQAGQGSAT




GGSSFNEDCMWDPLLMDCAYS




PG





1543
ILB644
AIAHLDVFPPQGSFNEDCMWDP




LLMDCAYSP





1544
ILB645
QYQSRQTFQIGQAGQGSFNEDC




MWDPLLMDCAYSPQGSFNEDC




MWDPLLMDCAYSP





1545
ILB646
YWAWQQEFQWGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP




GSYWAWQQEFQWGQAGQGSA




TGGSSFNEDCMWDPLLMDCAY




SP





1546
ILB647
YYQGFPWFQIGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1547
ILB648
FFYQWSYGWSGQAGQGSFNED




CMWDPLLMDCAYSP





1548
ILB649
YEEIICALFPTDWICTLII





1549
ILB650
WRWHAEWDWYGQAGQGSAT




GGSSFNEDCMWDPLLMDCAYSP





1550
ILB652
WRWEFGYYYHGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1551
ILB653
MFYEYQWWIHGQAGQGSFNED




CMWDPLLMDCAYSP





1552
ILB654
PDWITWQPAWGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSPQ




GSATGGSSFNEDCMWDPLLMD




CAYSP





1553
ILB655
WPFYEYIIHMGQAGQGSATGGS




SFNEDCMWDPLLMDCAYSP





1554
ILB656
RPYYYQWHIWGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1555
ILB657
TGFFWSWSFGGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1556
ILB659
SKMEQYPWNMGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP




QGSATGGSSFNEDCMWDPLLM




DCAYSP





1557
ILB660
YHWQQQHQYHGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP




QGSATGGSSFNEDCMWDPLLM




DCAYSP





1558
ILB661
DWQVYYKTWIGQAGQGSATG




GSGSTASSGSGSSFNEDCMWDP




LLMDCAYSPQGSATGGSGSTAS




SGSGSSFNEDCMWDPLLMDCA




YSP





1559
ILB662
YRYTTYWWYSGQAGQGSATG




GSGSTASSFNEDCMWDPLLMD




CAYSP





1560
ILB664
QCCMSQVSWYVGQAGQGSAT




GGSSFNEDCMWDPLLMDCAYS




PQGSATGGSSFNEDCMWDPLL




MDCAYSPQGSATGGSSFNEDC




MWDPLLMDCAYSP





1561
ILB665
YYQGFPWFQIGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSPG




GGSYYQGFPWFQIGQAGQGSA




TGGSSFNEDCMWDPLLMDCAY




SP





1562
ILB666
QWSFHWWSHTGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1563
ILB667
WTFEWWIYTKGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1564
ILB669
ADRFFVWNPYGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSPQ




GSATGGSSFNEDCMWDPLLMD




CAYSP





1565
ILB670
QRYMMQTMLIGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSPQ




GSATGGSSFNEDCMWDPLLMD




CAYSP





1566
ILB671
PWSKATQPGWGQAGQGSATGG




SGSTASSFNEDCMWDPLLMDC




AYSPQGSATGGSGSTASSFNED




CMWDPLLMDCAYSPQGSATGG




SGSTASSFNEDCMWDPLLMDC




AYSP





1567
ILB672
IWWGYSWDHYGQAGQGSATG




GSSFNEDCMWDPLLMDCAYSP





1568
ILB673
IVNFTWNFLSGQAGQGSFNEDC




MWDPLLMDCAYSP





1569
ILB675
MQFSWTQHFFGQAGQGSATGG




SGSTASSGSGSSFNEDCMWDPL




LMDCAYSPGMQFSWTQHFFGQ




AGQGSATGGSGSTASSGSGSSF




NEDCMWDPLLMDCAYSP





1570
ILB676
LHANSIATNWGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSP





1571
ILB677
PDSWCHTLYWQLIHCERQE





1572
ILB678
QFPYESPPSIGQAGQGSATGGSS




FNEDCMWDPLLMDCAYSP





1573
ILB680
YYQGFPWFQIGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSPG




GGSYYQGFPWFQTGQAGQGSA




TGGSSFNEDCMWDPLLMDCAY




SPGGGSYYQGFPWFQIGQAGQG




SATGGSSFNEDCMWDPLLMDC




AYSP





1574
ILB681
YYQGFPWFQIGQAGQGSATGG




SSFNEDCMWDPLLMDCAYSPG




GGSYYQGFPWFQIGQAGQGSA




TGGSSFNEDCMWDPLLMDCAY




SP





1575
ILB739
GEAWCWDPIRMDVRVCSVFI





1576
ILB740
GPYSCPWDPMKMECAYSP





1577
ILB741
EYSSCNWDPLLMQCQRVV





1578
ILB742
FHSTCFWDPLLMRCVSAP





1579
ILB743
SVSPCIWDPLLMMCGNYS





1580
ILB744
VGVDCPWDPLMMECAGRN





1581
ILB745
VSAECYWDPLMMQCSTDM





1582
ILB747
FGDTCFWHPFNEDMCESKP





1583
ILB748
QWLHCFWDPLMMKCVTVS





1584
ILB749
TPHPCHWDPMIMYCMLEM





1585
ILB750
HEEDCWWDPLIMQCFNRT





1586
ILB751
HTANCPWDPLIMNCSFQS





1587
ILB752
YTKHCQRLPTYKICNLFM





1588
ILB755
ADSWCHTLYWQLQHCLSQE





1589
ILB756
HSRWCYWEPIRMIEMCMGDK





1590
ILB757
PGVACFWDPLLMSCSYDE





1591
ILB758
RAFTCPWDPLIMDCAGAS





1592
ILB759
GDDWCAWDPIRMQCSYTK





1593
ILB760
EIEQCWWDPMLMEGVCWPSI





1594
ILB761
HGRSCAWDPLKMDCVWYH





1595
ILB762
RLGACVWDPLMMQCAWIS





1596
ILB763
LYPSCPWDPILMQCSALK





1597
ILB764
PTPLCHWDPLLMHCTASD





1598
ILB765
TDSWCHTLYWQLHHCAILE





1599
ILB766
RWNVCAWDPLLMQCASAP





1600
ILB767
MSVSCNWDPLLMTCRLPT





1601
ILB768
PGLRCPWDPLMMTCVAHP





1602
ILB769
QIAFCLWDPLLMDCTVQT





1603
ILB770
SPQECPWDPIAMKCAFVR





1604
ILB771
TSHPCWWDPIMMSCWLEE





1605
ILB772
VQLYCIWDPLMMDCGQRS





1606
ILB773
CRNSCHWDPLIMDCMQEM





1607
ILB774
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSIVQHQPSRMY





1608
ILB775
FNEDCMWDPLLMDCAYSPAGG




GSICQATPYSPWCR





1609
ILB776
HRAPCFSCTACRQPCFSLT





1610
ILB778
FNEDCMWDPLLMDCAYSPAGG




SALRMCDSWVENRCLG





1611
ILB779
FNEDCMWDPLLMDCAYSPGQG




SAAGGSAQWQCHFNPTGMACV




DMLQG





1612
ILB780
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSIIPWRIINMQKI





1613
ILB781
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSQFPYESPPSI





1614
ILB782
FNEDCMWDPLLMDCAYSPAGG




GSVCPTQPANCQ





1615
ILB783
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPCRFWPGRAFCH





1616
ILB784
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSECELDYHMV




WCK





1617
ILB785
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSFWMQQAQQHK





1618
ILB786
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSKCDWQPWFCP





1619
ILB787
FNEDCMWDPLLMDCAYSPAGG




GSFVGESQYMQTK





1620
ILB788
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSQPWR




HNMQKI





1621
ILB789
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSQFPYE




SPPSI





1622
ILB791
FNEDCMWDPLLMDCAYSPGRG




SSLGGVSPPTVSGRASA





1623
ILB792
ANSWCHTLYWQLHHCEILE





1624
ILB793
FNEDCMWDPLLMDCAYSPAGG




GSIWQTEVIVPD





1625
ILB794
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSRVRLD




HWEQV





1626
ILB797
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGDGSIEHHGAWSAQ





1627
ILB798
FNEDCMWDPLLMDCAYSPGQG




SAAGGSPVLGCRNVHNTQCRL




WFQG





1628
ILB799
GLHGCQYVQMFFHFCAPKT





1629
ILB800
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSHWERCVPHSD




PDYNCSFDS





1630
ILB801
FNEDCMWDPLLMDCAYSPAGG




SGWVFRCKNMPCAKAEH





1631
ILB802
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPPHPSNSIWR





1632
ILB803
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSRLSLHCPEHPC




GSSWTQG





1633
ILB804
FNEDCMWDPLLMDCAYSPAGG




GSPDWITWQPAW





1634
ILB806
FQGHCALFPTDWICTLKS





1635
ILB807
FNEDCMWDPLLMDCAYSPGQG




SAAGGSVGLLCQDFAYGQTHC




DVLQQG





1636
ILB808
FNEDCMWDPLLMDCAYSPGQG




SAAGDGSMCYQEPHFTYCP





1637
ILB809
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSECMSSWHGCT





1638
ILB810
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGSDAWGC




LDDFFMKVAGCKTLF





1639
ILB811
FNEDCMWDPLLMDCAYSPGQG




SAAGGSQFLLCNGSEWCPANR




QG





1640
ILB812
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSFCMWPFCIPPR





1641
ILB813
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSMGGEDDIWHQ





1642
ILB814
PDSRCHTLYWALRYCAYQE





1643
ILB815
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSWHSYTAMYAD





1644
ILB816
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSGMVSHWKKVQ





1645
ILB817
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGSQGMPC




QYHAMQLCPPSR





1646
ILB818
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSHQHNF




QLRYT





1647
ILB819
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSLCDQWQSARYCV





1648
ILB820
FNEDCMWDPLLMDCAYSP





1649
ILB821
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSYCHEDPRSLDCR





1650
ILB822
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSHPWRHNMHKI





1651
ILB823
FNEDCMWDPLLMDCAYSPGQG




SAAGGSPLVDCLTYPEWVNCPR




TIQG





1652
ILB824
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSDCNFAPKETNCW





1653
ILB825
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGSKTLFCG




YDGYDMCDLSA





1654
ILB826
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSWNRHPPPSGQ





1655
ILB827
FNEDCMWDPLLMDCAYSPAGG




GSMQYHPWQDMW





1656
ILB828
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSSCNITDQMGVCL





1657
ILB829
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSWDDTCNAEVY




QQGLMCDTRVQG





1658
ILB831
FNEDCMWDPLLMDCAYSPGQG




SAAGGSARRGCVMLNECSSVS




QG





1659
ILB832
FNEDCMWDPLLMDCAYSPGQG




SAAGGSRMRSVCPHHVCWRGV




PQG





1660
ILB833
FNEDCMWDPLLMDCAYSPAGG




SPKSECVAPLEMIECPSLW





1661
ILB834
FNEDCMWDPLLMDCAYSPGQG




SAAGGSSVFWCYSQHGCALTS




QG





1662
ILB835
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPRAWQFPVSS





1663
ILB836
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSICMEYPIIRPCT





1664
ILB837
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPCLSWYVAPMF





1665
ILB838
FNEDCMWDPLLMDCAYSPGQG




SAAGGSADDCCVSHLPFIGYCG




FVRQG





1666
ILB840
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGSGEDQCK




LFGSGLDTCIPYV





1667
ILB842
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPCVKAPEFDWCT





1668
ILB843
FNEDCMWDPLLMDCAYSPGQG




SAAGGSHESCAVHYQHGCPYA




SQG





1669
ILB844
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGNCSCFIKPV




GPDCWAVS





1670
ILB845
QAASAPASEPPGSLCLPDQFRC




GNGQCIPLDWVCDGVNDCPDD




SDEEGCPPRTCAPSQFQCGSGY




CISQRWVCDGENDCEDGSDEA




NCAGSVPTCPSDEFR





1671
ILB846
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSEEQPTEWHVY





1672
ILB847
FNEDCMWDPLLMDCAYSPAGG




SETFDCNTPWEHECYGRF





1673
ILB848
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSETLPCQYWGQ




SWCSQSAQG





1674
ILB849
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSPCTPW




TEWQQCP





1675
ILB850
FNEDCMWDPLLMDCAYSPGQG




SAAGGSHSMLCQPWHLCPPAQ




QG





1676
ILB851
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSKCSID




VQQCM





1677
ILB852
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSQPWRHNMQKI





1678
ILB853
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSHHKNNGTIYQ





1679
ILB854
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPAERMKMHMF





1680
ILB855
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSREFTQNWSIY





1681
ILB856
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSAYTM




WQYHKF





1682
ILB857
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSYMGQIPAHNI





1683
ILB858
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSKCWSFSGNRP




CP





1684
ILB860
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPDWITWQPAW





1685
ILB861
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSYQPGCAQWW




DMERGCFITQ





1686
ILB862
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSSYWEHGWPWQ





1687
ILB863
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSWPSPPWKQMV





1688
ILB864
FNEDCMWDPLLMDCAYSPAGG




GSDEFQFGSEMM





1689
ILB865
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSINALGVAVQH





1690
ILB866
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSQWQWKIHPAE





1691
ILB867
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSLCERPLHTPWA





1692
ILB868
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPWAKNRHEAV





1693
ILB869
FNEDCMWDPLLMDCAYSPAGG




GSQPWRHNMQKI





1694
ILB870
FNEDCMWDPLLMDCAYSPAGG




SIRGLSCWPQDCGLEEL





1695
ILB871
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSLNFGSYSTPH





1696
ILB872
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSHYLWQEKTYK





1697
ILB873
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSDCGA




NHEHCS





1698
ILB874
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSRVQIIV




PEKW





1699
ILB875
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSEHHWEHPTNF





1700
ILB876
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSSAIIDCTEESWC




WMEVQG





1701
ILB877
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSYSFRCDVEPHQ




PGCFDLIQG





1702
ILB878
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSLMYMWEPRTQ





1703
ILB879
FNEDCMWDPLLMDCAYSPGQG




SAAGGSLEASCAQSDQCFRQSQG





1704
ILB880
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSLCFSN




WDEMKCF





1705
ILB881
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSICNWEEVDPH




CA





1706
ILB882
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSPWLDPQWDIW





1707
ILB883
FNEDCMWDPLLMDCAYSPAGG




SRNSWICMEWHCSDLTR





1708
ILB884
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSWGYQQSWV




QQ





1709
ILB885
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSLTVSNCQEEIC




MQDEYQG





1710
ILB886
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSQCKAYMPQCA





1711
ILB887
FNEDCMWDPLLMDCAYSPAGG




GSSWQRHDGHQI





1712
ILB888
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSTREMLVHPRH





1713
ILB889
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSQQKER




ISPWP





1714
ILB890
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSFNINNIYVGN





1715
ILB891
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSVSSYNPWIIY





1716
ILB892
FNEDCMWDPLLMDCAYSPGQG




SAAGGSMQTSCEFHEKYERHG




CQQLSQG





1717
ILB893
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSNCLIAEWECE





1718
ILB894
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSWEVPRSLWGQGQAG




PGGGSG





1719
ILB895
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGSMSLECE




SYGIGWCSLLII





1720
ILB896
FNEDCMWDPLLMDCAYSPGQG




SAAGGSHISTCKLIMGAYAHCQ




TPSQG





1721
ILB897
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSLQQGRRHHMR





1722
ILB898
FNEDCMWDPLLMDCAYSPGQG




SAAGGSNIDFQCYPFKCGVLFS




QG





1723
ILB899
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSGCSSTPFAWSCS





1724
ILB900
FNEDCMWDPLLMDCAYSPGQG




SATGGSGSTASAAGGGSPCQNQ




PSYQVCT





1725
ILB901
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSLRQSCYPIPESE




KCSFSNQG





1726
ILB902
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSFFHWPTKAKE





1727
ILB903
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSQCEFEQEECW





1728
ILB904
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGSGVTGCSGFPTT




GTCSQHEQG





1729
ILB905
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSLDYHDIPRHA





1730
ILB906
FNEDCMWDPLLMDCAYSPGQG




SATGGSAAGGGSSGWEHSSIVF





1731
ILB907
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSWWSPAYGWQN





1732
ILB908
FNEDCMWDPLLMDCAYSPGQG




SAAGGGSQCALKSFTVPCN
















TABLE 14







IL6R binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





1747
ILC19
GDWEWVWDWCF





1748
ILC20
PCQWVIYHCF





1749
ILC21
WEIEWSWYWD





1750
ILC23
FYMEFIIWSP





1751
ILC24
WYWMLEWEWD





1752
ILC25
PCEEAFAAYLE





1753
ILC27
QCFAWEFVWHCD





1754
ILC28
YTWDLYIYQA





1755
ILC31
MYTEWQMWWIGQAGQGGGSG




GGGSFYDQWEVELH





1756
ILC33
AEFDWMQYGYGQAGQGGGSG




GGGSYEFNWKYQEW





1757
ILC34
YMQWKVEWWG





1758
ILC35
WEITWDWEYY





1759
ILC39
WCLITPWEVQCY





1760
ILC40
TTMVFQASLG





1761
ILC41
LCFCYEYEWVH





1762
ILC42
HWEFYYEFGI





1763
ILC43
LCYWEVWFTWE





1764
ILC44
PCYLVMMEWECM





1765
ILC46
GCDFYMNLCK





1766
ILC50
WQEQWWYKQH





1767
ILC52
SELSCYWEMKWECSWVT





1768
ILC53
FCWSCEVFQMEICDELG





1769
ILC55
HALHCANEERIFVQCLESS





1770
ILC56
VYLECNVYEWPEAWCVVMP





1771
ILC57
TQHLCAWDVRSQADMCIYWT





1772
ILC58
QVYVCYVLAEQHEAICTSWA





1773
ILC59
LTWVCTVMQHMNHMECLLDL





1774
ILC60
MLLHCPAMWKCQSDL





1775
ILC61
LTWDCYQVFEEWYDCTMSII





1776
ILC62
VWGGCWYHFTIQHWCPTLS





1777
ILC63
MTILCYEQREDMWDCWNVF





1778
ILC64
LDCACHFEEHVRTIFCSIGH





1779
ILC65
WLVDCWVVEDMNMICRLYE





1780
ILC66
LDFLCYENIHNNFDCFRVM





1781
ILC67
VASHCIQMPHWLLCQTLI





1782
ILC70
WTVWCEWENEYGGWCDVSL





1783
ILC71
LQCKCDEPYPSYYTCRVYF





1784
ILC74
GPFMCMMDLHRDELLHCWASD





1785
ILC75
VAVDCFWVTPYEPWYCTVMS





1786
ILC77
MTDRCYTYEWQYTVCYGRN





1787
ILC80
RDWRCYLMAHWVHVCGPFIGQ




AGQGGPGWAGGSDMDLCQDW




VYESKYCVPLA





1788
ILC83
SRYVICDLDMVFRECHGAF





1789
ILC84
SALVLCELEMVFRECHGVL





1790
ILC86
SEFILCDLAMVFAECHGAA





1791
ILC89
SELLLCAFDMVISECHGTT





1792
ILC90
DSFGCTWEVWGRECHPQL





1793
ILC93
SEFIFCDLEMVFRECIIGTT





1794
ILC95
SEFVYCMLDMVFRECHGTA





1795
ILC96
SELILCALEMVFNECHGAV





1796
ILC97
SDLVLCEWDMVVRECHGVF





1797
ILC99
SDLIWCELDMVFRECHGAA





1798
ILC102
SSFVFCDLEMVFRECHGVF





1799
ILC103
SDLILCNLEMVFKECHGVI





1800
ILC106
SSLILCDLEMVFKECHGVL





1801
ILC108
SEIVLCEWAMVLAECHGAA





1802
ILC144
SRCDRVLGTHINL





1803
ILC164
SHEEWTCFPYLCTFWAE





1804
ILC165
SEEEWTCFPYLCSIWLE





1805
ILC166
SQEEWTCFPYLCSYWLE





1806
ILC167
SQEEWTCFPYLCSFWSE





1807
ILC169
SHEEWTCFPYLCKYWLH





1808
ILC170
SHEDWTCFPYLCKVLLH





1809
ILC171
SHEEWTCFPYLCENWLH





1810
ILC172
SEEEWTCFPYLCTDWVH





1811
ILC173
SEEEWTCFPYLCTILLQ





1812
ILC174
SDEEWTCFPYLCSVWVE





1813
ILC175
SEEEWTCFPYLCSYLLH





1814
ILC176
SHEDWTCFPYLCKYLLD





1815
ILC177
SQEEWTCFPYLCREWVE





1816
ILC178
SDEEWTCFPYLCSQWVE





1817
ILC179
SEEEWTCFPYLCREWAH





1818
ILC180
SEEEWTCFPYLCSYWLD





1819
ILC181
SEEEWTCFPYLCSQWLE





1820
ILC182
SEEEWTCFPYLCTNWLH





1821
ILC183
SHEDWTCPPYLCRILVE





1822
ILC184
SDEEWTCFPSLCTQLLQ





1823
ILC185
SEEDWTCFPYLCRILVE





1824
ILC186
SHEEWTCFPYLCGKWAE





1825
ILC187
SIIEDWTCFPYLCSILLQ





1826
ILC189
SHEDWTCPPYLCRVLLE





1827
ILC190
SDEEWTCFPYLCTFWLQ





1828
ILC191
SEEEWTCFPYLCRNWLD





1829
ILC192
SEEEWTCFPYLCGLWVE





1830
ILC193
SEEDWTCFPYLCRILLD





1831
ILC194
SHEDWTCFPYLCRILSH





1832
ILC195
SEEEWTCFPYLCTNWLD





1833
ILC196
SEEEWTCFPYLCSDWLE





1834
ILC197
SEEEWTCFPYLCTHWLH





1835
ILC198
SEEEWTCFPSLCNFWSQ





1836
ILC199
SQEEWTCFPYLCTYWLQ





1837
ILC200
SHEEWTCFPYLCTYWSH





1838
ILC201
SDEEWTCFPYLCSIWAQ





1839
ILC202
SDEEWTCFPYLCSYWVD





1840
ILC203
SHEEWTCFPYLCRILLD





1841
ILC204
SQEEWTCFPYLCTDWLH





1842
ILC205
SEEEWTCFPYLCSFWLE





1843
ILC206
SHEDWTCFPYLCTLLLQ





1844
ILC207
SHEDWTCFPYLCNILLQ





1845
ILC208
SEEEWTCFPYLCSHWAE





1846
ILC209
SHEEWTCFPYLCKILLE





1847
ILC210
SQEEWTCFPYLCSYWLQ





1848
ILC211
SEEEWTCFPYLCSIWLD





1849
ILC212
SHEEWTCFPTLCTDWLQ





1850
ILC213
SEEEWTCFPSLCTIWLQ





1851
ILC214
SHEEWTCFPYLCSDWLQ





1852
ILC215
SEEEWTCFPYLCSLWVD





1853
ILC216
SHEEWTCFPYLCSVWAQ





1854
ILC218
SHEEWTCFPYLCSLWAQ





1855
ILC219
SDEEWTCFPTLCTDWLQ





1856
ILC220
SQEEWTCFPYLCSHWLD





1857
ILC221
SEAEWTCFPYLCSDWLH





1858
ILC222
SEEEWTCFPYLCGQWVE





1859
ILC223
SDEEWTCFPSLCSFWLE





1860
ILC224
SEEEWTCFPYLCTLWSQ





1861
ILC225
SDEEWTCFPTLCSLWSE





1862
ILC226
SDEEWTCFPSLCSFWLD





1863
ILC227
SQEEWTCFPYLCTDWVQ





1864
ILC228
SEEEWTCFPYLCSILVD





1865
ILC229
SEEEWTCFPYLCSKLLH





1866
ILC230
SEEEWTCFPYLCGKWLQ





1867
ILC231
SEEEWTCFPYLCTQLLH





1868
ILC232
SDEDWTCFPYLCRILLE





1869
ILC233
SQEEWTCFPSLCSDWVQ





1870
ILC234
SDEEWTCFPYLCSFWAQ





1871
ILC236
SEEEWTCFPYLCRELLE





1872
ILC237
SEEEWTCFPSLCGVWAE





1873
ILC238
SHEEWTCFPYLCTVWAE





1874
ILC239
SEEEWTCFPYLCTNLVE





1875
ILC240
SQEEWTCFPYLCSKWVD





1876
ILC241
SQEEWTCFPYLCSDWLQ





1877
ILC242
SDEEWTCFPYLCSYWLQ





1878
ILC243
SDEEWTCVPSLCAKLADGQAG




QAAAGGSHEEWTCFAYLCGLL




AD





1879
ILC244
SHEEWTCFPYLCTYWLQ





1880
ILC247
SEEEWTCFPYLCSEWAQ





1881
ILC248
SEEEWTCFPYLCSQWLH





1882
ILC249
SDEEWTCFPYLCSEWLQ





1883
ILC250
SACEEAFAAYLEDSAV





1884
ILC253
SDEEWTCFPYLCEYWLQ





1885
ILC254
SQEEWTCFPYLCRILVD





1886
ILC257
SHEEWTCFPYLCSYLLE





1887
ILC258
SEEEWTCFPSLCKILLQ





1888
ILC259
SEEEWTCFPYLCSKWVE





1889
ILC260
SACEEAFAAYLEDGLM





1890
ILC262
SEEEWTCFPSLCSNLVQ





1891
ILC263
SHEEWTCFPYLCSFWAE





1892
ILC264
SHEEWTCFPSLCTLWSH





1893
ILC265
SEEEWTCFPYLCSKWLD





1894
ILC269
SEEEWTCFPYLCTYWVD





1895
ILC270
SDEEWTCFPYLCDYWLII





1896
ILC274
SHEEWTCFPYLCSFWLE





1897
ILC275
SDEEWTCFPYLCTDWLH





1898
ILC276
SHEEWTCFPYLCNLLSH





1899
ILC277
SQDEWTCFPSLCSDLSE





1900
ILC280
SEEEWTCFPYLCSFWLQ





1901
ILC281
SEEEWTCFPYLCSLWLE





1902
ILC282
SHEEWTCFPYLCSYWLE





1903
ILC283
FMV HCTWYDVTID CVGPT





1904
ILC284
SDI SCSYIDGWYQ CLLHL





1905
ILC285
WGC LCQQQGHFME CEITW





1906
ILC286
ESL LCIQHDVWVD CYIVE





1907
ILC287
NSS FCYIHAIEWV CESSS





1908
ILC288
DLL YCEWEMVVRE CHGTIGQ





1909
ILC292
QIVECWTEMDWHHCVLFF
















TABLE 15







IL17a binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





1932
ILA1
LSLWCWHDQAEFCVESN





1933
ILA2
SKYDCFWEHEWLYCAPRM





1934
ILA3
FDLYCWVWPDMMECTAGT





1935
ILA4
GTWDCWVEGEWVYCTPWS





1936
ILA5
STEGCHQDWYDLCAFLA





1937
ILA6
LSLWCWMFPEHNACLSPV





1938
ILA7
ESLWCWMFPNEQTCLVQH





1939
ILA8
VSYLCDEYQGLLYCMVQR





1940
ILA9
LDLWCWFPNDTKCMRLT





1941
ILA10
LGLWCFVYPDDQMCIRSW





1942
ILA11
MGELCEFFGFHDCPMQI





1943
ILA12
SETLCWDGWDIWICQDPQ





1944
ILA13
DWATCWEFNELWYCIPYN





1945
ILA16
IDPGCWLTPWSFQCPGYM





1946
ILA19
LGLWCWMFPIDSFCYPAV





1947
ILA23
LHLWCWMFPLDDACADFF





1948
ILA24
LDLWCWFPNDDWCMTHL





1949
ILA25
MVLDCYIIEELDEYWCDWYS





1950
ILA26
LGLWCWMFPIDSFCYPAI





1951
ILA27
YDVWCFFFPDEIMCNETQ





1952
ILA28
VEIDCEYDWMNEYLYCAPRV





1953
ILA29
KCNFNPWKAACG





1954
ILA30
DWLHCEIKPPFYHCWNMT





1955
ILA31
LSLWCWINDVNCSEPV





1956
ILA33
LSLWCFIDETSEQCSILS





1957
ILA34
MDLSCWMTDPTLEWWFCEYRP





1958
ILA35
LNLWCWMFPAAAECEFDQ





1959
ILA36
WCFGCVIPPFWYECMCPT





1960
ILA37
LTLWCWIFPQDEICWTML





1961
ILA38
IFFDCTFSDWQLDCVELD





1962
ILA39
LALWCWMFPMSDECPPKH





1963
ILA40
GHIGCWGPEWYCHWYG





1964
ILA43
VDELCVFMFGQSDCRNLF





1965
ILA44
LSLWCWAFPSDTVCLARL





1966
ILA45
STWECWEVNNETYECARLL





1967
ILA46
SNPWCHIAEYELWCWMGH





1968
ILA47
TSWECHETGDDYFYCWHLK





1969
ILA48
LDLVCWMYPTEKACWSMR





1970
ILA50
LGLWCWMFPWEQVCSVRL





1971
ILA51
TWYLCWESQWWDVYYCEEEG





1972
ILA52
MSLWCWMFPWDNMCFKFS





1973
ILA53
IRDDCQENWQSELVCFLLG





1974
ILA55
LGLWCWMFPMDPDCHRGY





1975
ILA56
LAYECWVLEDLEYVICEQGM





1976
ILA57
LFFICYETPEEYMYCLPKG





1977
ILA58
QSPWCFMFPQEEHCNHYN





1978
ILA59
LSLWCWIFPTEETCKHGL





1979
ILA61
HSAWCWFPEDNICLDRR





1980
ILA62
LTMWCEEMIKDEWWCVPAI





1981
ILA63
NALWCWFPEASECGLME





1982
ILA64
YTYYCVETEYNMVCELDY





1983
ILA65
IGWQCEYLPWDECQWQF





1984
ILA66
DDLFCWMFPSAYVCLPPV





1985
ILA67
QDELCNFIFNDHCASAF





1986
ILA68
LQELCHYLGFEECVGQQ





1987
ILA69
ASLWCWMYPNDISCFMES





1988
ILA71
TADLCMFLWHQDCGRIF





1989
ILA73
LSLWCWLHDQAEFCVESN





1990
ILA74
WPLECYTDEE LYDIWCLMDL
















TABLE 16







TL1A binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





1993
TLA26
LLGDCFAGFDNIWCEFLD





1994
TLA29
KCNFNPWKAACG





1995
TLA30
QTFWCYDDWHECSGKP





1996
TLA34
LNHSCWWWDEWEECPHNV





1997
TLA37
KVEYCYDDWHQCKQVQ





1998
TLA38
DDSMCAWWDEWHECEHHS





1999
TLA39
EYMYCYDDWYDC





2000
TLA43
DNTDCYYQGYWVYCTDLN





2001
TLA44
RSDVCWDMAAQHLFYCGEWI





2002
TLA46
RYDVCWDQKLQELYYCSYYH





2003
TLA47
LSSVCWNNSAEKLEYCGPLE





2004
TLA49
HITICDYQEYFYMCTILY





2005
TLA50
DMAGCHWDPVYINFDCRASM





2006
TLA56
KFNECFVGYDYIWCNSSV





2007
TLA58
GEDTCHWVHFIDDWYCLAPM





2008
TLA62
EVTICQYTEDFTYYYCTRPN





2009
TLA70
EVCWDSESESIQWCDMEW





2010
TLA72
PFVVCYTQWQGEREFHNCWKLQ





2011
TLA77
QTVRVCFYDRCQDVKF





2012
TLA81
QKAICWNTEHITYYYCSRPN





2013
TLA85
SSWDCMGGPIVWVCPEGR





2014
TLA88
RVEECSYEFRQCLANY





2015
TLA89
DYDVCWDVLADRLYYCDEPI





2016
TLA90
DSFGCTWEVWGRECHPQL





2017
TLA91
DYDVCWDLEVDRLYYCDDPL





2018
TLA92
DYDVCWDVQLDRLYYCDVPM





2019
TLA93
DYDVCWDIHADRLYYCNAPF





2020
TLA94
DIDVCWDIAADRLFYCHAPM





2021
TLA95
DIIDVCWDIDIDRLYYCEGPW





2022
TLA97
MYDVCWDLQVDKLYFCGDDL





2023
TLA98
DWDVCWDVEVDRLFYCEAPT





2024
TLA99
DFDVCWDLDLDRLVYCDAPM





2025
TLA101
DYDVCWDVHLDRLYYCNSPI





2026
TLA102
DYDVCWDIDEDRLYYCDAFL





2027
TLA103
DYDVCWDLLVDRLYYCDGPT





2028
TLA104
DYDVCWDIYDDRLYYCDTPV





2029
TLA105
ALDVCWDIEEDRLYYCDAPL





2030
TLA106
DYDVCWDVYHDRLFYCEDHL





2031
TLA107
DYDVCWDFEVDRLYYCDGPG





2032
TLA108
EYDVCWDIDVDRLYYCASPM





2033
TLA109
DYDVCWDIELDRLYYCDASI





2034
TLA110
DYDVCWDVELDRLYYCEAPL





2035
TLA111
YYDVCWDLDLDILYYCDAPG





2036
TLA113
DYEVCWDLQMDRLYYCEASI





2037
TLA114
IFDVCWDVDEDRLYYCQAET





2038
TLA115
YTDVCWDIDVDRLYYCDADV





2039
TLA117
EDAVCWDPAHEKLVWCNRFE





2040
TLA118
DYDVCWDVNADRLFYCDDAI





2041
TLA119
DYDVCWDVDEDRLYYCNVPI





2042
TLA120
DYDVCWDLDFDRLYYCHPAE





2043
TLA121
RWDVCWDYHADKLFFCNEDL





2044
TLA122
DYDVCWDVDLDRLYYCEAPM





2045
TLA123
EYEVCWDVHVHRLVFCNVPV





2046
TLA125
KTDVCWDLLLDKLYFCDIDT





2047
TLA126
RDDVCWDYNTDKLYFCGSNI





2048
TLA127
DYDVCWDYDVDRLYYCDFPV





2049
TLA128
NYDVCWDVSEDRLYYCDAPR





2050
TLA129
DWDVCWDLLEDRLYYCEDPM





2051
TLA130
EYDHCWDVSRAKLELCWEHN





2052
TLA131
EYAVCWDEAQQKLVWCKDLN





2053
TLA133
DYDVCWDIYEDRLFYCEMHV





2054
TLA134
KLDVCWDLDVDRLYFCDAPM





2055
TLA135
DYDVCWDVLVDRLYYCDVPM





2056
TLA136
DYDVCWDLHLDRLYYCHAYC





2057
TLA138
DYDVCWDIDLDRLYYCDAGS





2058
TLA139
DYDVCWDIDADRLYYCHAAM





2059
TLA140
KYDVCWDDYLDILYYCNGPL





2060
TLA141
HLDVCWDIDLDHLYYCDLGM





2061
TLA142
MYDVCWDLEVDRLYYCEAPM





2062
TLA143
EYDVCWDIDSDRLYLCVGLM





2063
TLA144
DYDVCWDVHADRLYYCKEDI





2064
TLA145
DYDVCWDLNLDRLYYCDSPM





2065
TLA146
EYDVCWDVQNDRLYYCDAPE





2066
TLA147
DYDVCWDYDVDRLYYCNFQS





2067
TLA148
DYDVCWDYKIDHLYYCDGPV





2068
TLA149
GYDVCWDYEEDRLFYCESPL





2069
TLA150
DYDVCWDLDNDRLFYCDSAM





2070
TLA290
KFHVCWDSHQDKLVYCSLKV





2071
TLA291
LEFVCWDDDRGKLVFCAGHM





2072
TLA293
GHEVCWDMHNEKLVFCRTHI





2073
TLA294
NKAVCWNYIIQEKLEFCNSTM





2074
TLA295
TYAVCWDFNAHKLVFCDDMM





2075
TLA296
EYALCWVEAQEKLVWCKDLI





2076
TLA297
DYAVCWVEDQGKLVWCNGVN





2077
TLA298
DYAVCWDEAQEKLVWCNGLS





2078
TLA299
EYAVCWVHSQEKLDWCTGSK





2079
TLA300
EYAVCWNEARGKLEYCTALK





2080
TLA301
DYAVCWDEHKQKLEFCRTFI





2081
TLA302
EYTVCWDASNEKLYFCHYPL





2082
TLA303
SLDVCWDHHLDKLTFCNLNM





2083
TLA304
QLDVCWDDHYQKLYFCYARI





2084
TLA306
SYDVCWDSRLTKLVYCNASN





2085
TLA307
QYAVCWDEALEKLLWCKELH





2086
TLA308
DYAVCWSEAQDKLEWCTGHN





2087
TLA309
EYAVCWVEEIIEKLLWCEGLN





2088
TLA310
EYSVCWVVDQEKLVWCRSLH





2089
TLA311
EYAVCWSEAQGKLEWCQGSN





2090
TLA312
DYAVCWDVGLEKLVWCKGSL





2091
TLA313
PPAVCWDNNSSKLVFCHSFI





2092
TLA314
SSNVCWDDVLETLRFCHTHM





2093
TLA315
LDQVCWDLYANKLIFCADVI





2094
TLA316
NLDVCWDNNRGKLMFCRNHD





2095
TLA317
SYAVCWNALEEKLVFCTDEI





2096
TLA318
PNEVCWDSHKEKLVFCTHQM





2097
TLA319
EYALCWLEAQEKLDWCTELN





2098
TLA321
ENAVCWDESQEKLVWCNGIR





2099
TLA323
ESDVCWNENVEQLEFCNGRF





2100
TLA324
EYAVCWDEAPEKLIWCEGLN





2101
TLA325
RWAVCWDTDRQKLLFCGPML





2102
TLA326
LDLVCWDENSQKLLFCTKPG





2103
TLA327
QSSVCWDYNSQKLRFCDMSL





2104
TLA328
RLDVCWDEHASKLVFCRSYM





2105
TLA329
ISAVCWDTQLQKLVFCNASM





2106
TLA330
LDTVCWDIHSGRLVFCASLL





2107
TLA331
EYALCWDDPLEKLQWCKDIS





2108
TLA332
EYALCWNEVQEKLVWCKELN





2109
TLA333
EYAVCWDEVQDKLVWCNGVN





2110
TLA334
EYAVCWDEVQERLEWCTRPN





2111
TLA335
EFAVCWDDGQEKLVWCNRLH





2112
TLA336
EYALCWNEVHEQLEFCIGRN





2113
TLA337
RSEVCWDTHLFKLVYCQDWF





2114
TLA338
QSYVCWDEHQSRLRFCSETI





2115
TLA339
PDTVCWDDHLGKLMFCSSIM





2116
TLA340
RNHVCWDEYTEKLRFCGDGA





2117
TLA341
HSDVCWDDHMDKLAFCWHMI





2118
TLA342
FTAVCWDYHSNKLQFCSTLM





2119
TLA343
DYAVCWDDVRGKLVWCKGLK





2120
TLA344
EYDLCWDEIRQKLEWCQGLT





2121
TLA345
EYAVCWDAENEKLEWCEGLN





2122
TLA346
KHFVCWDELNEKLVWCKGLI





2123
TLA347
EYAVCWNEDHAKLEWCQELN





2124
TLA349
LSMVCWDQHQERLVFCINRM





2125
TLA350
AQYVCWDDKEQKLKFCEDQM





2126
TLA351
RYAVCWDESTEKLVYCQNQM





2127
TLA352
NEFVCWDEYKNKLVFCVPTL





2128
TLA353
RFFVCWDHDNSKLVFCSQNM





2129
TLA356
RYAVCWDEAQEKLVWCGRVN





2130
TLA357
AFDVCWVEALEKLEWCLGHN





2131
TLA358
SSDVCWEAHSEKLYFCDPAR





2132
TLA359
KLYVCWDKYKEKLVFCQALM





2133
TLA360
KSEVCWDYDMNKLMFCFYDM





2134
TLA361
LDAVCWDTQQQKLRFCHTHM





2135
TLA362
RSDVCWDAHLDKLIFCAGVM





2136
TLA364
DHAVCWNEFQEKLDWCTGLN





2137
TLA366
QNDVCWDYHRGKLAFCEALI





2138
TLA367
DTDVCWDHVQGKLYFCTKSL





2139
TLA368
TSDVCWNYHYSKLQFCQQSM





2140
TLA369
LQDVCWDLYYQKLYFCHQPM





2141
TLA370
STDVCWDRDHDKLMFCMSVR





2142
TLA371
DYAVCWDEAQGKLGWCIGMN





2143
TLA372
EYAVCWDDAQERLEWCKEPL





2144
TLA373
EYAVCWDESLEKLEWCTGLY





2145
TLA374
EYAVCWDEAQQRLIWCKGLY





2146
TLA375
EYALCWDQDKEILHWCVEFY





2147
TLA376
DNEVCWDGHVDRLVFCDSTM





2148
TLA377
NHDVCWDFHVDRLVYCDTPI





2149
TLA378
DYAVCWDAHMDHLVYCDAIA





2150
TLA379
DYEVCWDDYADRLVYCDLSL





2151
TLA380
SYEVCWDVHLDRLVYCNSVM





2152
TLA381
HYAVCWDFHLDRLVYCDRPS





2153
TLA382
DYEVCWDVIRGRLVYCETPM





2154
TLA383
AYEVCWDVNLDRLVYCEALM





2155
TLA384
GYEVCWDLKWDRLVFCDAPI





2156
TLA385
ALEVCWDFDVDHLVYCAAAL





2157
TLA386
EFEVCWDVHLDRLVYCHATM





2158
TLA388
QYDVCWDIYSDRLVYCDAHL





2159
TLA389
DYEVCWDLYLGRLYYCNAPI





2160
TLA390
EYEVCWDVNVDRLVYCNMPN





2161
TLA391
DYEVCWDVHFDRLVYCDTPL





2162
TLA393
DYEVCWSDDLDRLVYCQALI





2163
TLA394
DDAVCWDYHLDRLVFCETPM





2164
TLA395
DYDVCWDIHLDRLVYCDGPL





2165
TLA396
DYEVCWDVQLDRLVYCDGAM





2166
TLA397
DYEVCWDVHVERLVYCEDLI





2167
TLA398
DYAVCWDVYADRLIYCEVPM





2168
TLA399
DYEVCWDFDIDRLVYCNPPM





2169
TLA402
DYEVCWDVHLDRLVYCDGPL





2170
TLA403
DYSVCWDFYFDRLVYCNALF





2171
TLA404
DYEVCWDVHVGRLIYCNALI





2172
TLA405
SYDVCWDDVVDRLVYCEATL





2173
TLA406
DYEVCWDVEVDRLVYCVGHK





2174
TLA407
PYEVCWDFHLDRLVFCDADK





2175
TLA408
DYEVCWDFLLDREVYCDAPI





2176
TLA409
DWEVCWDVHLDRLVFCETLI





2177
TLA410
DYEVCWDFDFDRLVFCEAVM





2178
TLA411
DYDVCWDVNADRLVYCNATL





2179
TLA412
NIIDVCWEFIILDRLVYCDGPS





2180
TLA413
DYEVCWDVQLEHLVYCEAPI





2181
TLA415
DDQVCWDVKIDRLVYCEALM





2182
TLA416
HSDVCWDFDIDRLVFCDTLI





2183
TLA418
DYEVCWDIHLDRLVYCNTPM





2184
TLA419
DYDVCWDEDVDRLVYCEPPI





2185
TLA420
DYEVCWDFDLDRLVYCDSDV





2186
TLA421
DYEVCWDDHLDRLVYCDAPG





2187
TLA422
DYDVCWDFDLDRLVYCSGPL





2188
TLA423
DYEVCWDDHVDRLVYCDRTL





2189
TLA424
DYEVCWDPHVDRLVYCDAPA





2190
TLA425
IIYEVCWDAIIFDRLVYCEAPI





2191
TLA426
DLEVCWDFDVDRLVYCEAPI





2192
TLA427
GFEVCWDVDLDRLVFCAASE





2193
TLA428
SYAVCWDFDLERLVYCEIPL





2194
TLA429
DHEVCWDFELDRLVYCYKAK





2195
TLA430
KYEVCWDEHIDRLVYCDVPM





2196
TLA431
YSDVCWDFDLDRLVYCEAHL





2197
TLA432
DYEVCWDVNLDRLVYCAGPM





2198
TLA433
HYDVCWDDQVDRLVYCHAPL





2199
TLA434
EYDVCWDFDIDRLVYCVPLS





2200
TLA435
YYEVCWDLNLDRLVYCDVNK





2201
TLA436
NYQVCWDFDLDRLVYCGAHK





2202
TLA437
DYEVCWDVYFGRLVYCDVLM





2203
TLA438
EYVVCWDTEVDHLVYCDAAM





2204
TLA439
YSDVCWDFYYDRLVYCDASI





2205
TLA440
DYEVCWDVDVDRLVYCDGPK





2206
TLA441
DYAVCWDDHVEHLVYCDASW





2207
TLA442
DYDVCWDFDFERLVFCNSSM





2208
TLA443
DYAVCWDDHFDRLVYCDWTT





2209
TLA444
DYDVCWDEHLDRLVYCNGLG





2210
TLA445
EYEVCWDVNVDRLVWCYATM





2211
TLA446
DYEVCWDVIIAERLYYCDAPI





2212
TLA447
DHEVCWDEHVDRLVYCYKAI





2213
TLA448
DYDVCWDDYLDRLVYCEARI





2214
TLA450
HYDVCWDYHLDRLVYCNRHM





2215
TLA451
DYEVCWDIHLDHLVYCDAPW





2216
TLA452
EYDVCWDVDLDRLVYCATTY





2217
TLA453
EYEVCWDFQVDRLVYCMAIT





2218
TLA454
DYEVCWDIIVDRLVYCEAPP





2219
TLA455
YYEVCWDLYLDRLVFCNADL





2220
TLA457
DYEVCWDFREDRLVYCDSIM





2221
TLA458
DYAVCWDFHLNRLVYCDVPV





2222
TLA459
EYDVCWDFQLDRLVYCDSQM





2223
TLA460
DYAVCWDFDEDRLVYCVGPL





2224
TLA461
SERDCNIQKMRKVPCLVML





2225
TLA464
SDWACPMYMIIEIECSVRW





2226
TLA468
VPEVCQWEFVKCLWNA





2227
TLA475
AAWQCLDPEWWVCVMLN





2228
TLA485
LVSSCPYGTPSAVCNGMW





2229
TLA489
GTVYCQPYMSVMECAFRA





2230
TLA491
EDFLCYPAPWVLSAAGT





2231
TLA493
VSGGCPSYMNQWECVFRW





2232
TLA495
HVELCFDKMRYCIMEL





2233
TLA519
TLLACQLKFIKCLNNW





2234
TLA520
LVFLCPGYRAQHHCVLLS





2235
TLA521
QDRVCWDFHLQKLQFCELSM
















TABLE 17







EGFR binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





2252
EGA43
WEFQCHFYDESMFECTLSP





2253
EGA46
WLSMCPHFYHQKCRFWK





2254
EGA47
SRILCMVNPYWMACWLET





2255
EGA49
GMRRCIWEYVMKHQACAPIF





2256
EGA50
HLCGCYLELPGVLLCYCFS





2257
EGA51
ARLLCVVYPGFVACVVQQ





2258
EGA54
VAFRCIIDEMYYMTCWEVE





2259
EGA57
GLIIGCQYVQMFFIIFCAPKT





2260
EGA58
LLMFCHSMWWWPNCYSCV





2261
EGA67
LSLRCTSEMWWGCYLVA





2262
EGA69
EKMYCTYTHFFHMCYLPP





2263
EGA70
LGVICIHWNYCKTFV





2264
EGA78
SVLGCDDVGFYQCLEFL





2265
EGA81
LLILCFHHQLEWKWTCLTME





2266
EGA85
HSGQCTWEVWGRECWYQN





2267
EGA86
QMDTCTWEVWGRDCIQWA





2268
EGA87
DAWGCTWQVWGRECSDPG





2269
EGA88
HEVGCTWEVWGRDCEQIR





2270
EGA90
DPWGCTWEVWGRECPLNL





2271
EGA91
DLHGCTWEIWGRECQIRH





2272
EGA92
DPGGCTWEVWGRECQNSM





2273
EGA93
DMFGCTWEVWGRECPSPQ





2274
EGA95
DAWGCTWEIWGRECARSY





2275
EGA96
TSDSCTWEIWGRECYMQR





2276
EGA98
DQYGCTWEVWGRECVGGA





2277
EGA99
DQYGCIWEQWGRECFVNT





2278
EGA100
DNDGCTWEVWGRECHQFK





2279
EGA101
EYDGCTWEVWGRECHESS





2280
EGA102
GAGNCTWEIWGRDCPQDV





2281
EGA103
TVDRCTWEVWGRECSQNG





2282
EGA104
LADNCTWEVWGRECPITE





2283
EGA105
DNYGCTWEVWGRDCSKSP





2284
EGA106
DAHGCHWEVWGRECTRTA





2285
EGA107
SSDLCTWEIWGRECYSGY





2286
EGA108
DDFGCYWKGWGRECHLPL





2287
EGA109
DWWGCTWEVWGRECLQLE





2288
EGA110
DAHGCTWEVWGRECGQWA





2289
EGA111
DAFGCTWEVWGRECRHVV





2290
EGA112
DAWGCTWEIWGRDCAADN





2291
EGA113
DASGCTWEVWGRECMMWH





2292
EGA114
DPWACTWEVWGRECNHVG





2293
EGA115
ASDNCTWEVWGRECQLWG





2294
EGA116
DMYGCTWEIWGRECHIND





2295
EGA117
DSWGCRWEVWGRECGSDI





2296
EGA118
NPDGCTWEVWGRECYSNR





2297
EGA119
DFFGCTWEIWGRECYWEF





2298
EGA120
SSSFCTWEVWGRDCPQDQ





2299
EGA121
AADRCTWEVWGRDCPQTH





2300
EGA122
LVDLCTWEVWGRECWYSD





2301
EGA124
DSYGCTWEVWGRECPMDT





2302
EGA125
DNWGCTWEVWGRDCHYGT





2303
EGA126
PDFGCTWEVWGRECYGVN





2304
EGA128
QSTQCTWEVWGRECHQMR





2305
EGA129
LPPGCTWEVWGRDCLHPR





2306
EGA130
GEVDCTWEVWGRECYNGW





2307
EGA131
LTVGCTWEVWGRECWQQP





2308
EGA132
DDDGCTWEVWGRECRLPA





2309
EGA133
SLLSCTWEVWGRDCSAFY





2310
EGA134
KDKECTWEVWGRECWQDR





2311
EGA135
DQGGCTWQVWGRDCRSNP





2312
EGA136
DHYGCTWEVWGRECWTVG





2313
EGA137
DAFGCTWAVWGRECRHDQ





2314
EGA138
YGDSCTWEVWGRECMMGR





2315
EGA139
TADPCTWEVWGRECHMRP





2316
EGA140
QDWGCTWEVWGRDCQQYT





2317
EGA141
DSWGCTWEIWGRECWGTE





2318
EGA142
SVDFCTWEVWGRECYWYP





2319
EGA143
AGDGCTWEVWGRECLQES





2320
EGA144
MWPNCTWEVWGRDCAWYH





2321
EGA145
DEYGCSWEVWGRECHTTL





2322
EGA146
DQWGCTWEVWGRECAFNS





2323
EGA147
SSDPCTWEVWGRECPQGP





2324
EGA148
LVLGCWWEVWGRECGSTA





2325
EGA149
KADHCTWEIWGRECAQYT





2326
EGA150
DDWGCSWEVWGRECQIPK





2327
EGA151
PKYGCTWEIWGRECWHST





2328
EGA153
SNLGCTWELWGRDCSLYY





2329
EGA154
DAYGCYWELWGRDCHQIV





2330
EGA155
DYWGCTWEVWGRECTTNP





2331
EGA156
DIWNCTWEVWGRECYLNQ





2332
EGA157
SWSLCTWEVWGRDCYWQK





2333
EGA158
DIWGCTWEVWGRECENYY





2334
EGA159
TNGFCTWEVWGRECWYGS





2335
EGA160
DLYGCTWEIWGRECHITG





2336
EGA161
DENGCTWEVWGRECYIQR





2337
EGA162
DSFGCTWEVWGRECHPQL





2338
EGA163
NHDFCTWEVWGRECWPNA





2339
EGA164
DEHGCTWEVWGRECHRPG





2340
EGA165
DHHGCTWEVWGRDCYWAI





2341
EGA166
WQDNCWWEVWGRECLGDR





2342
EGA167
PTDTCTWEVWGRECYWIR





2343
EGA168
YQDPCTWEIWGRDCHQGM





2344
EGA169
DRWGCTWEIWGRECHQDN





2345
EGA170
DLWGCTWEVWGRECFVVN





2346
EGA171
GLDGCTWEVWGRECYQGS





2347
EGA173
LPIPCYWTTWGKECFMPR





2348
EGA174
LPDPCYWTTWGKECFMFR





2349
EGA175
LADPCYWTTWGKECVIPR





2350
EGA176
LTVPCYWTTWGKECFLPR





2351
EGA177
LPAPCYWTTWGKECFILR





2352
EGA178
LPAPCYWTTWGKECHMPR





2353
EGA179
LPAPCFWTTWGKECFLFR





2354
EGA180
LAAPCYWTTWGKECYMPR





2355
EGA181
PTSPCYWTTWGKECYLLR





2356
EGA182
ITPPCYWTSWGKECHLFR





2357
EGA183
LPAPCYWTTWGKECFMLR





2358
EGA184
LTEPCYWTTWGKECFLPV





2359
EGA185
LPAGCYWTTWGKECFMHN





2360
EGA186
ITSPCYWTTWGKECFIFP





2361
EGA187
LPAPCYWTTWGKECLLFG





2362
EGA188
LPAPCYWTTWGKECFMPQ





2363
EGA189
LPAPCYWTTWGKECFILS





2364
EGA190
LPTPCYWTTWGKECYVYG





2365
EGA192
LPAPCYWTTWGKECYMLP





2366
EGA193
LTPPCYWTTWGKECFMFP





2367
EGA194
LSTQCYWTTWGKECYLFP





2368
EGA195
LPAPCYWTTWGKECLMLR





2369
EGA196
LPYPCYWTTWGKECFMHR





2370
EGA197
LAAPCYWTTWGKECLMIR





2371
EGA198
LTAPCYWTTWGKECYLFH





2372
EGA199
LPAPCYWTTWGKECVLGV





2373
EGA200
LPFPCYWTVWGKECFMPR





2374
EGA202
LSPPCYWTIWGKECHMEQ





2375
EGA203
PNDPCYWTTWGRECLLGR





2376
EGA204
LPPPCYWTTWGKECQMFD





2377
EGA205
LTDPCYWTIWGRECLLPS





2378
EGA206
FNEPCYWTTWGKECYLPR





2379
EGA207
LPAPCYWTNWGKECFMMR





2380
EGA208
FPDPCYWTTWGRECLLPR





2381
EGA209
VTSGCYWTTWGKECFLPR





2382
EGA210
STAACYWTTWGKECYMPR





2383
EGA211
LPGGCYWTTWGKECFMPR





2384
EGA212
IITPCYWTTWGKECYLIP





2385
EGA213
TADPCYWTIWGRECVMSR





2386
EGA215
LADQCYWTTWGKECYLGL





2387
EGA216
LTDPCYWTVWGRECFLLR





2388
EGA217
IDAACYWTTWGKECLLPR





2389
EGA218
LTAPCYWTTWGKECFLLR





2390
EGA219
LPVPCYWTTWGKECLMLR





2391
EGA220
VTDSCYWTTWGRECYLPH





2392
EGA221
LPAGCYWTTWGKECYMFA





2393
EGA222
FTDPCYWTVWGRECLLPR





2394
EGA223
LTAPCYWTTWGKECLILR





2395
EGA224
VTDPCYWTTWGRECLMLP





2396
EGA225
LTSPCYWTTWGKECFMLN





2397
EGA226
LPVPCYWTTWGKECLMFP





2398
EGA227
TADPCYWTTWGRECLMPR





2399
EGA228
LTAPCYWTIWGKECYLLP





2400
EGA229
LAPPCYWTIWGKECLLLR





2401
EGA230
LPSPCYWTTWGKECFMPR





2402
EGA231
VTDGCYWTTWGKECLMPR





2403
EGA233
LPDDCYWTTWGKECYLQR





2404
EGA235
DIDPCWWAPWGRECLMVR





2405
EGA236
TPDPCWWATWGRECILDR





2406
EGA237
LPAPCFWTTWGKECFLLR





2407
EGA238
DNDPCYWTVWGRECLMPL





2408
EGA239
LTAPCYWTTWGKECLLLP





2409
EGA240
LTVPCYWTTWGKECYLLS





2410
EGA241
LIAPCYWTTWGKECYMLP





2411
EGA242
LPEPCYWTTWGRECFLPR





2412
EGA243
LTTPCYWTIWGKECFLPI





2413
EGA244
LPEGCYWTTWGKECFMLR





2414
EGA245
LPAPCYWTTWGKECFILL





2415
EGA247
LKAPCYWTTWGKECYLLP





2416
EGA248
LKDPCYWTTWGRECLMLP





2417
EGA249
VRPGCYWTTWGKECFMPG





2418
EGA250
PSDPCYWTIWGRECYMIP





2419
EGA251
LPAPCYWTVWGKECHMSR





2420
EGA252
LSDPCYWTIWGKECFLIL





2421
EGA254
LTDHCYWTIWGRECLLPR





2422
EGA255
VTDPCYWTTWGRECLLLR





2423
EGA256
LPAGCYWTTWGKECHLHL





2424
EGA257
LPAPCFWTTWGKECYMFT





2425
EGA258
FSDPCYWTTWGRECFWIP





2426
EGA259
LSDPCYWTTWGRECFLLP





2427
EGA260
FKDPCYWTTWGRECYLLP





2428
EGA261
FPDPCYWTTWGRECTLPL





2429
EGA262
LTDPCHWTIWGRECFLPP





2430
EGA263
YDDHCCYLTIWGRECFLPP





2431
EGA265
FSDPCIWTTWGRECFWVH





2432
EGA266
TRDTCYWTVWGRECFLPP





2433
EGA268
HRAPCFSCTACRQPCFSLT





2434
EGA269
FDDPCYWTTWGRECLMLP





2435
EGA270
HNDPCVWTTWGRECFLLP





2436
EGA271
LGDSCFWTTWGRECFLHP





2437
EGA272
FSDPCYWTTWGRECLLIP





2438
EGA273
CTGPCYWTTWGRECCLSYP





2439
EGA274
ASDPCYWTTWGRECFLLP





2440
EGA276
LSDPCYWTTWGRECILLQ





2441
EGA277
LTDPCHWTIWGRECFLLP





2442
EGA278
STDLCYWTIWGRECYLPP





2443
EGA279
FSDPCSWTTWGRECFLPP





2444
EGA280
WRDPCYWATWGRECYLVP





2445
EGA281
LGDPCYWTTWGRECFWLP





2446
EGA282
FRDPCYWTTWGRECFLLP





2447
EGA283
LIDPCYWTTWGRECFLIP





2448
EGA284
LSDNCYWTTWGRECFLPP





2449
EGA285
FTDPCYWTTWGRECFLLP





2450
EGA286
YNDPCYWTTWGRECLLLP





2451
EGA287
SSDPCYWTTWGRECFLLP





2452
EGA288
FGDPCYWTTWGRECYLLRP





2453
EGA289
LTDPCWWTTWGRECLLLP





2454
EGA290
SSDPCYWTTWGRECLLLP





2455
EGA291
LSDPCYWTTWGRECLLLP





2456
EGA292
FRDPCYWTTWGRECFLPP





2457
EGA293
FDDYCCYWATWGRECYLIP





2458
EGA294
YSGPCYWTTWGRECILHP





2459
EGA296
SSDACYWTTWGRECFLLP





2460
EGA297
FSDHCWWSTWGRECYLLP





2461
EGA298
TSDPCYWTTWGRECLLNR





2462
EGA299
TSDPCYWTTWGRECLLLP





2463
EGA300
CSGPCYWTTWGRECCFSLP





2464
EGA302
SIDSCFWTTWGRECFLLP





2465
EGA303
FSDPCYWTTWGRECFLVQ





2466
EGA304
FSDPCYWTTWGRECFETP





2467
EGA305
CRDPCYWTTWGRECYLIP





2468
EGA307
FGDPCYWATWGRECFLIP





2469
EGA308
FADPCYWTTWGRECLLHP





2470
EGA309
FSEPCYWTIWGRECYLLP





2471
EGA310
DDDDCYWTTWGRECFLLP





2472
EGA311
FSDPCTWTTWGRECFLFS





2473
EGA313
FGDPCSWTIWGRECFLLP





2474
EGA314
SKDPCYWTTWGRECFLLP





2475
EGA315
CTGPCYWTTWGRECCFFVP





2476
EGA316
FSDPCYWTTWGRECYLRP





2477
EGA318
YSDPCYWTTWGRECFLMP





2478
EGA319
FGDPCYWTTWGRECFLLP





2479
EGA321
LTDPCYWTTWGRECFLLP





2480
EGA322
YIDTCYWTTWGRECFELP





2481
EGA323
FSDPCFWTTWGRECFWVH





2482
EGA324
FSDHATGQHGVESAFCF





2483
EGA325
FNDPCIWTTWGRECFLLP





2484
EGA326
VSDPCYWTIWGRECFLLP





2485
EGA327
ISDPCYWTTWGRECFLLP





2486
EGA328
FSDPCYWTTWGRECFWVP





2487
EGA329
SRDPCHWTTWGRECLLLP





2488
EGA330
FSEPCYWTIWGRECFLLP





2489
EGA331
VIDTCYWTTWGRECYLLPP





2490
EGA333
ITDPCYWTTWGRECFLRP





2491
EGA335
PSDPCHWTTWGRECFLQS





2492
EGA336
FTDPCYWTIWGRECYLDP





2493
EGA337
FSDHCWWTTWGRECLLLP





2494
EGA338
FSDPCIWTTWGRECFWVP





2495
EGA339
FDDIICCYWTTWGRECFRLP





2496
EGA340
FTDPCYWTIWGRECYEDT





2497
EGA341
SIDPCYWTTWGRECFFLP





2498
EGA342
FADPCYWTIWGRECFLLP





2499
EGA344
FSDPCYWTTWGKECFLLH





2500
EGA346
AFWQCVYTPMHAMCFSHK





2501
EGA347
MTIHWCQPWGCLLLFG





2502
EGA350
LYLSCMTGWWGEIVCVSAS





2503
EGA351
KGLDCVHWPGMHWCWRSD





2504
EGA352
FSDPCYWTIWGRECFLFP





2505
EGA354
FLDPCFWTIWGRECYLLP





2506
EGA355
FTDPCHWTTWGRECIWLP





2507
EGA356
WRAYCHHSPWDFECFQVW





2508
EGA358
VGDPCSWTTWGRECFLFD





2509
EGA359
FSDPCVWTTWGRECLLLP





2510
EGA362
WSPRCFAWIVCLDLS





2511
EGA370
YKWVCMWTPFGHQCVSAA





2512
EGA374
LGDPCYWTTWGRECVLLP





2513
EGA375
KKVFCYYLPFQQYCVTVS





2514
EGA376
FVTWCYAWPDSSACYGLH





2515
EGA377
FSDPCYWTTWGRECFMPP





2516
EGA378
YSDPCYWTTWGRECLLLP





2517
EGA379
WFVTCSFQFEWECVQLH





2518
EGA380
PDSWCHTLYWQLLHCEMSE





2519
EGA381
VDSWCHTLYWQLHYCASQE





2520
EGA382
ADSWCHTLYWSLLHCASSE





2521
EGA383
PDSGCHTLYWNLQHCASLE





2522
EGA384
ADSWCHTLYWQLYYCESLE





2523
EGA386
PESWCHTLYWSLQDCVSSE





2524
EGA387
PDSWCHTLYWQLHHCLSSE





2525
EGA388
ADSWCHTLYWQLLHCVTQE





2526
EGA389
ADSWCHTLYWSLLECESRE





2527
EGA390
PDSWCHTLFWDLQHCVSGE





2528
EGA391
PDSLCHTLYWSLRHCEIEE





2529
EGA392
PDSLCHTLYWQLQHCAFWE





2530
EGA393
ADSWCIITLYWQLYYCEVWE





2531
EGA394
AESWCHTLYWSLHHCVYSE





2532
EGA395
TDSWCHTLYWNLLHCASYE





2533
EGA396
PDSWCHTLYWQLLHCATLE





2534
EGA397
PDSWCHTLYWLLHECESRE





2535
EGA398
PDSWCHTLYWSLQFCESSE





2536
EGA399
PDSWCHTLYWQLHHCEILE





2537
EGA400
PDSWCHTLYWKLHHCLSME





2538
EGA401
VDSWCHTLYWQLLHCAMSE





2539
EGA402
AESWCHTLYWQLVHCTSLE





2540
EGA403
PDSWCHTLYWDLLHCESSE





2541
EGA404
ADSWCIITLWWQLIIIICLFEE





2542
EGA405
TDSWCHTLYWLLHDCTSRE





2543
EGA407
ADSWCHTLYWQLLHCVAQE





2544
EGA408
PDSSCHTLYWLLEHCLSVE





2545
EGA409
PDSWCHTLYWQLHYCTILE





2546
EGA410
PDSWCHTLYWQLLHCEISE





2547
EGA411
PDSWCHTLYWQLLHCAASE





2548
EGA412
PDSWCHTLYWQLHHCVSWE





2549
EGA413
TDSWCHTLYWALQHCVSTE





2550
EGA414
PDSWCHTLYWQLLHCTTQE





2551
EGA415
ADSWCHTLYWQLLHCISLE





2552
EGA416
ADSWCHTLYWQLQHCLSQE





2553
EGA417
PDSYCHTLYWSLIHCARSE





2554
EGA418
TDSWCHTLYWELQYCLMQE





2555
EGA419
TDSWCHTLYWQLHHCAILE





2556
EGA420
PDSWCHTLYWQLYHCVSLE





2557
EGA421
ADSWCHTLYWQLLHCVNQE





2558
EGA422
PDSWCHTLYWSLLHCARQE





2559
EGA423
ADSWCHTLYWALQHCARSE





2560
EGA424
ADSWCHTLYWSLLHCASED





2561
EGA425
ADSWCHTLYWDLLHCANLE





2562
EGA426
ADSWCIITLYWQLLIICESSE





2563
EGA427
PDSWCHTLYWDLLHCPAGE





2564
EGA428
ADSWCHTLYWQLHHCTSLE





2565
EGA429
ADSWCHTLYWSLQHCASSE





2566
EGA430
PDSWCHTLYWQLYHCEMSE





2567
EGA431
PDSWCHTLYWDLMHCHHEE





2568
EGA432
PDSWCHTLYWQLYYCATSE





2569
EGA434
ADSWCHTLYWQLLHCASGE





2570
EGA435
ADSWCHTLYWQLYHCAYWE





2571
EGA436
TDSWCHTLYWSLAHCAFLE





2572
EGA437
ADSWCHTLYWQLLHCETLE





2573
EGA438
ADSWCHTLYWQLHHCVSLE





2574
EGA439
ADSWCHTLYWDLLHCESLE





2575
EGA440
ADSWCHTLYWQLLHCEFSE





2576
EGA441
TDSWCIITLYWNLVIICASQD





2577
EGA442
PDSWCHTLYWDLLYCVNQE





2578
EGA443
PDSWCHTLYWNLHHCLSME





2579
EGA444
ADSWCHTLYWALHHCSIQE





2580
EGA445
TDSWCHTLYWALQHCVAQE





2581
EGA446
PDSRCHTLYWALRYCAYQE





2582
EGA447
ADSWCHTLYWNLLYCAIRE





2583
EGA448
VDSFCHTLYWQLIHCPIEE





2584
EGA449
ADSWCHTLYWNLLHCRALE





2585
EGA450
PDSWCHTLYWQLLDCATRE





2586
EGA451
ADSWCHTLYWNLRHCEIQE





2587
EGA452
PNSWCIITLYWDLLIICVSRE





2588
EGA453
ADSWCHTLYWQLHHCAISE





2589
EGA454
ADSWCHTLYWSLLHCESFD





2590
EGA455
ADSWCHTLYWQLQHCVSWE





2591
EGA456
ADSWCHTLYWQLQHCISYE





2592
EGA457
PDSWCHTLYWSLQHCAIYE





2593
EGA458
PDSWCHTLYWQLLDCTSSE





2594
EGA459
PDSWCHTLYWHLQHCLSQE





2595
EGA460
AESWCHTLYWSLYHCASEE





2596
EGA461
PDSWCHTLYWQLQHCVSWE





2597
EGA462
ADSWCHTLYWQLLHCVSQE





2598
EGA463
ADSWCHTLYWQLQYCVMQE





2599
EGA465
ADSWCHTLYWQLLHCESLE





2600
EGA468
ADSWCHTLYWQLHHCVLEE





2601
EGA469
PDSWCHTLYWSLHHCLISE





2602
EGA470
PDSWCHTLYWQLIHCERQE





2603
EGA471
PDSWCHTLYWNLQHCERME





2604
EGA472
ADSWCHTLYWQLKHCEFTE





2605
EGA473
ADSWCHTLYWNLLYCANQE





2606
EGA474
PDSWCHTLYWSLQHCLNME





2607
EGA475
PDSWCHTLYWSLYHCTISD





2608
EGA476
ADSWCIITLWWQLLIICESGE





2609
EGA477
SDSWCHTLYWSLRHCESLE





2610
EGA478
ADSWCHTLYWDLQHCLRWE





2611
EGA479
PDSWCHTLYWQLLYCESWE





2612
EGA480
ANSWCHTLFWDLHHCLSLE





2613
EGA481
ADSWCHTLYWQLYHCTSLE





2614
EGA482
PDSWCHTLYWQLRHCEISE





2615
EGA484
PDSGCHTLYWSLQHCTFWE





2616
EGA485
ADSWCHTLYWQLYHCEVLE





2617
EGA486
PDSWCHTLYWDLHWCVSLE





2618
EGA487
ADSWCHTLYWSLLHCAIGE





2619
EGA489
ADSWCHTLYWQLHHCLWLE





2620
EGA490
ADSWCHTLYWSLAHCLSGE





2621
EGA491
AESWCHTLYWDLHYCVYHE





2622
EGA492
SDSWCIITLYWSLQIICVISE





2623
EGA493
ADSWCHTLYWNLLHCEYRE





2624
EGA494
ADSWCHTLYWQLLHCASEE





2625
EGA495
PESWCHTLYWQMIFCESFE





2626
EGA496
ANSWCHTLYWQLHHCEILE





2627
EGA497
PDSWCHTLYWALHHCASSE





2628
EGA498
PDSSCHTLYWQLHHCARRE





2629
EGA499
ADSWCHTLYWDLQHCLILE





2630
EGA500
ADSWCHTLFWNLKHCLIQE





2631
EGA502
ANSWCHTLYWDLMYCVWQE





2632
EGA503
ADSWCHTLYWQLHHCVTLE





2633
EGA504
PDSWCIITLYWALIIIICVSSE





2634
EGA505
GGSGCHGYLWQLLHCETWEG




QAGQAAAGGSTDSWCHTLYW




QLYHCASSE





2635
EGA506
PESWCHTLYWNLQHCLSGE





2636
EGA507
PDSWCHTLYWQLTHCESLE





2637
EGA509
PDSWCIITLYWVLLDCARIIE





2638
EGA510
PDSWCHTMYWSLIHCMNME





2639
EGA511
AASWCQALYWHQFCCASWE





2640
EGA514
ADSWCHTLFWQLQHCVWQE





2641
EGA515
TDSWCHTLYWSLLHCESLG





2642
EGA517
PDSWCHTLYWQLYHCLSLE





2643
EGA519
SPDSCWWAIWGKECILLP





2644
EGA520
LSSGCYWAVWGRECLLIP





2645
EGA521
LADGCWWAAWGRECLLPP





2646
EGA522
LPGGCWWSAWGRECILLP





2647
EGA523
LPEGCWWAVWGRECQLQP





2648
EGA524
LPEGCWWSTWGRECLLLP





2649
EGA526
LPEGCYWAIWGKECFLPP





2650
EGA527
LPDGCWWAQWGRECLLLP





2651
EGA528
DPDGCHWEVWGRECILLP





2652
EGA529
LPEGCWWATWGRECLLPP





2653
EGA530
LPDGCWWSLWGRECFLPP





2654
EGA531
LLDVCWWSTWGRECLLQP





2655
EGA532
LPEGCWWAHWGRECVMVP





2656
EGA533
LPDDCYWAQWGRECHMLP





2657
EGA534
LPEGCYWAVWGRECILPR





2658
EGA535
VPEGCWWSPWGRECLLPP





2659
EGA536
LPSGCWWAVWGKECLLLP





2660
EGA537
MPEGCWWSLWGRECMLLP





2661
EGA538
LPEGCWWATWGKECLLLP





2662
EGA539
LPEGCYWAIWGKECYLQA





2663
EGA540
LPEGCWWATWGRECFLLP





2664
EGA541
PPDGCWWAVWGRECLLLP





2665
EGA542
LPESCWWSPWGRECLLPP





2666
EGA543
LSEGCWWAVWGKECTLPP





2667
EGA544
LSEGCWWAVWGRECLLQP





2668
EGA545
LPVGCWWSVWGRECLLPP





2669
EGA546
VPAGCWWAPWGRECILSP





2670
EGA547
LPSACNWSPWSWQCFWLP





2671
EGA548
LPEGCWWAVWGKECVLSP





2672
EGA550
LPEGCWWSSWGKECFLHP





2673
EGA551
LPDGCWWSPWGRECILLP





2674
EGA552
LPDGCWWAVWGRECILPP





2675
EGA553
LPEGCWWATWGKECVLLP





2676
EGA555
LPDGCWWSAWGKECFLLP





2677
EGA556
LPEGCWWSVWGKECLLLP





2678
EGA557
LPEGCWWAIIWGRECLLQP





2679
EGA558
FPERCWWAMWGKECYLLP





2680
EGA559
LPEGCWWTVWGKECYLLP





2681
EGA560
LSADCWWSPWGRECILKP





2682
EGA561
PSQGCWWSVWGRECFLPP





2683
EGA562
FPEECWWATWGRECFLPR





2684
EGA563
FPEGCWWATWGKECLLRP





2685
EGA564
LPDGCWWALWGKECFLMH





2686
EGA565
LPEGCYWAQWGKECFLVP





2687
EGA566
LADSCYWTIWGRECLLPP





2688
EGA567
FPADCWWSTWGRECFLQP





2689
EGA568
LPEGCYWAVWGRECYLVP





2690
EGA569
LPEGCWWAVWGRECLLLP





2691
EGA570
DPEGCFWAVWGRECLLQP





2692
EGA571
FADGCWWEVWGRECLLLP





2693
EGA572
DPEGCWWAVWGRECLLRP





2694
EGA573
VSEGCWWAIWGRECILLP





2695
EGA574
LPEGCWWSPWGKECLMTP





2696
EGA575
LPDGCWWALWGKECILRP





2697
EGA576
LPDGCWWSQWGRECILVP





2698
EGA577
LPQDCWWAIWGRECFMLP





2699
EGA578
LPDVCWWAVWGRECLLMP





2700
EGA579
LPEGCWWAKWGKECVLPS





2701
EGA580
LPEGCYWTIWGRECFLFP





2702
EGA581
LPESCWWAVWGRECLLSP





2703
EGA582
SPDGCWWSQWGRECIMLP





2704
EGA583
KPESCWWANWGRECLLLP





2705
EGA584
LSEGCWWATWGKECLLLP





2706
EGA585
VAGGCWWATWGRECLLPP





2707
EGA586
SAEGCWWAVWGRECLLLP





2708
EGA587
LPEGCYWAIWGRECLLPR





2709
EGA588
LPEGCFWAVWGKECFLLP





2710
EGA589
LTEGCWWAQWGRECILLP





2711
EGA590
LPKGCFWTTWGKECLLLP





2712
EGA591
LPEGCWWTVWGRECLLLP





2713
EGA592
LPDDCWWAPWGRECFLRP





2714
EGA594
DSDGCYWAVWGRECFFLP





2715
EGA595
LRDGCWWAIWGRKCLLLP





2716
EGA596
VDEGCWWAVWGRECVLPE





2717
EGA597
HTDGCWWAQWGRECLLVP





2718
EGA598
LPEGCWWAPWGKECLLLP





2719
EGA599
LPDGCWWASWGRECFLIP





2720
EGA600
LPEGCWWAVWGRECILLS





2721
EGA601
LPDACWWSVWGKECILEP





2722
EGA602
DPHGCWWSPWGRECVLLD





2723
EGA603
LPQGCYWAVWGRECLLPL





2724
EGA604
LDAPCYWTVWGKECFLFS





2725
EGA605
DHYGCYWTQWGRECFPMY





2726
EGA606
LPEGCYWAVWGKECFLLP





2727
EGA607
LHEGCWWAVWGKECFLLP





2728
EGA608
LPEGCWWSKWGRECILVP





2729
EGA609
LPQGCWWANWGRECFLLP





2730
EGA610
LPEGCWWATWGRECILLP





2731
EGA611
ISDGCWWAIWGRECLLMP





2732
EGA612
TPDGCYWAVWGRECFLRP





2733
EGA613
LPGDCWWAIWGRECLLPP





2734
EGA614
FADGCWWAVWGRECFWEP





2735
EGA615
LPEGCWWAVWGKECFMLP





2736
EGA616
LPEGCWWSTWGKECVLLP





2737
EGA617
LPDGCWWSLWGKECHLLQ





2738
EGA618
LPEGCWWAHWGKECQLRP





2739
EGA619
DPEGCWWATWGRECLLLP





2740
EGA620
LPDGCWWAHWGRECLLPP





2741
EGA621
LPDGCWWAKWGKECLLWP





2742
EGA622
LPDGCWWSVWGKECILLP





2743
EGA624
RSEGCWWATWGRECFLHP





2744
EGA627
LPEVCWWATWGHECLLLP





2745
EGA628
LPEGCWWSSWGRECFLLP





2746
EGA629
LPEGCYWATWGKECLLQP





2747
EGA630
LPQGCWWATWGRECLLRP





2748
EGA631
LPDGCWWAVWGRECLLLP





2749
EGA632
VSEGCWWAIWGRECFLQP





2750
EGA633
VADGCVWMVWGRECLLLP





2751
EGA634
VPEACWWALWGRECILRP





2752
EGA635
LPQGCYWTVWGRECLLVP





2753
EGA636
QPEYCWWATWGRECLLVP





2754
EGA637
LPEGCFWAIWGSECLLLP





2755
EGA638
LPEACWWSTWGRECLLLP





2756
EGA639
VPEGCWWAVWGVECQLLP





2757
EGA640
LPESCCWTDWGHECFLPP





2758
EGA641
FPEDCWWSVWGRECLLLP





2759
EGA642
LSGGCWWAVWGRECLLLP





2760
EGA643
LPDGCWWSQWGRECILLP





2761
EGA644
MPEGCWWAAWGRECILLP





2762
EGA645
LPEGCYWAVWGRECLLLP





2763
EGA646
LPDGCYWAIWGRECILPN





2764
EGA647
LPEGCWWAIWGRECLLLP





2765
EGA648
LPEGCWWATWGRECLLLP





2766
EGA650
LPEGCYWTTWGKECLLRP





2767
EGA651
LPDGCYWAVWGKECYQIR





2768
EGA652
LPEGCWWSSWGKECFLLP





2769
EGA654
LPEGCWWAHWGKECLLGP





2770
EGA655
IPDGCWWTVWGRECFLIIP





2771
EGA656
LPEGCWWSIWGRECILLP





2772
EGA657
LPEGCHWTMWGKECFLPP





2773
EGA658
LPEGCWWATWGRECILPP





2774
EGA659
LPEGCWWAPWGKECILPH





2775
EGA660
LPEGCWWSNWGRECFMRQ





2776
EGA661
LPSGCWWAIWGRECLLPP





2777
EGA662
LADGCYWAIWGRECLLLP





2778
EGA663
LPEGCFWTVWGKECLLLP





2779
EGA664
LPEGCYWTTWGRECLLLP





2780
EGA665
LPDGCWWSTWGRECVLLP





2781
EGA666
MPDNCWWALWGKECFLMP





2782
EGA667
LPEGCWWAVWGKECLLLP





2783
EGA668
DPYGCWWTQWGRECHLLP





2784
EGA669
LPEGCYWALWGKECLLPP





2785
EGA670
GPEDCWWSTWGRECYLAP





2786
EGA671
LPEGCIWTTWGKECFLQF





2787
EGA672
LPAGCWWSAWGRECLLTP





2788
EGA674
LNEQCWWAVWGHECLLLP





2789
EGA675
IPDDCWWAVWGRECLLLN





2790
EGA676
LPEGCWWSQWGRECILPP





2791
EGA677
LPEGCFWTIWGQECFLLP





2792
EGA678
LPDGCWWSQWGKECILLP





2793
EGA679
LPEGCWWSTWGRECILLP





2794
EGA680
LPDGCWWSIWGRECLLAP





2795
EGA681
VPDGCWWSPWGRECLLPP





2796
EGA682
VPESCWWAVWGRECLLLP





2797
EGA683
LPDGCWWAMWGRECILEP





2798
EGA684
LPEGCYWTIWGKECFLLP





2799
EGA685
LPDNCVWMVWGRECLLVS





2800
EGA686
LTEGCWWATWGRECFLLP





2801
EGA687
LPKGCFWTVWGKDCYLLP





2802
EGA688
LPEGCFWAKWGKECYLTQ





2803
EGA689
LPDGCWWAVWGRECLMLP





2804
EGA693
DSYGCFWTIWGRECLLLP





2805
EGA694
LSDGCWWAVWGRECLIQK





2806
EGA695
HPEGCWWAVWGKECLLPP





2807
EGA696
LPEGCWWAIWGRECLMQP





2808
EGA697
SLEGCWWSPWGKECFLPP





2809
EGA698
LPSGCWWSTWGRECLLLP





2810
EGA699
LPDGCYWAVWGRECLLLP





2811
EGA700
LPEACWWATWGRECILLP





2812
EGA701
LPEGCCWTVWGLECFLCP





2813
EGA702
MPEGCYWAQWGKECLLVP





2814
EGA703
LPEGCLWMVWGKECFLVP





2815
EGA704
LPEGCHWAVWGKECQLQP





2816
EGA705
LPEGCWWAPWGRECILPP





2817
EGA706
LPEGCHWEIWGKECFLPP





2818
EGA707
LPKGCYWATWGRECLLVP





2819
EGA708
LPEGCYWAVWGKECLLRP





2820
EGA710
IGDACYWTVWGRECLLLP





2821
EGA711
LPDGCVWTVWGRECFGFP





2822
EGA712
SPDGCYWALWGRECLLAP





2823
EGA713
LPQGCWWSVWGKECILRP





2824
EGA714
LPKGCWWAVWGKECLMQS





2825
EGA715
LPEGCWWAVWGRECLMLH





2826
EGA716
LPEGCYWTTWGKECFLLP





2827
EGA717
YAEHCSMFPNDWICTLVT





2828
EGA718
YAEHCWQFPTDWICTLMP





2829
EGA719
YVEHCWQFPTDWICTLKT





2830
EGA720
YVDHCWHFPADWICGLST





2831
EGA721
YEEIICRLFPADWICSLLQ





2832
EGA722
YLEHCRHFPTDWICSLLP





2833
EGA723
YLEHCRQFPGDWICTLLE





2834
EGA724
YAEHCRMFPTDWICSLIT





2835
EGA725
YVEHCCKFPTDWICTLNS





2836
EGA726
YAEHCWLFPTDWICGLRA





2837
EGA727
YAEHCRLFPTDWICTLLT





2838
EGA728
YEEHCWLFPTDWICTLLT





2839
EGA731
YAEHCWQFPTDWICSLSS





2840
EGA732
YAAHCWQFPTDWICTLLP





2841
EGA733
YAEHCSLFPSDWICSLMT





2842
EGA734
YAEHCSQFPCDWICTLLT





2843
EGA735
YAEHCCQFPSDWICTLMS





2844
EGA736
YAEHCRLFPCDWICTLMT





2845
EGA737
YAEHCWLFPTDWICTLLP





2846
EGA738
YAEHCWMFPSDWICSLPT





2847
EGA739
YADHCEMFPNDWICTLRT





2848
EGA740
YAEHCRMFPSDWICTLIP





2849
EGA741
YAEHCRLFPTDWICTLTT





2850
EGA742
YAEHCSQFPTDWICTLIT





2851
EGA743
YEEHCWLFPNDWICSLMT





2852
EGA744
YAEHCQLFPSDWICSLET





2853
EGA746
YAEHCAQFPTDWICSLIS





2854
EGA747
YAQHCYQFPSDWICSLLP





2855
EGA748
YAEHCRHFWTDWICSLKT





2856
EGA749
YGEHCRSFPTDWICTLLP





2857
EGA750
YSTHCRLFPTDWICTLEG





2858
EGA751
YAEHCWHFPTDWICSLLP





2859
EGA752
YFEHCRQFPTDWICTLMP





2860
EGA753
YAEHCRLFPTDWICTIKS





2861
EGA755
YVEIICWQFPSDWICTLLP





2862
EGA757
YAEHCWRFPGDWICSLIT





2863
EGA758
YAEHCRLFPTDWICSLRE





2864
EGA759
YAEHCSMFPTDWICTLVT





2865
EGA760
YLQHCLLFPTDWICTLLP





2866
EGA761
YAEHCTLFPTDWICTLLP





2867
EGA762
YAEHCWMFPTDWICSLRS





2868
EGA763
YAEHCWLFPKDWICTLIT





2869
EGA764
YEEHCWQFPGDWICSLRG





2870
EGA765
YAEHCRIFPTDWICTLST





2871
EGA766
YAEHCWQFPSDWICSLIE





2872
EGA767
YAEHCSHFWTDWICTLST





2873
EGA768
YAEHCRQFPSDWICTLLS





2874
EGA769
YAAHCSLFPTDWICTLMP





2875
EGA770
YAEHCWLFPKDWICTLDM





2876
EGA773
YAEHCLQFPADWICTLRT





2877
EGA774
YAGIICALFPSDWICSLLP





2878
EGA775
YAEHCSYFPTDWICTLRT





2879
EGA776
YLDHCRLFPTDWICSLLP





2880
EGA777
YVEHCRLFPCDWICSLMI





2881
EGA779
YAEHCFQFPHDWICSLMT





2882
EGA780
YQEHCWRFPNDWICSLLP





2883
EGA781
YAEHCRLFPGDWICTLST





2884
EGA782
YAEHCSMFPSDWICSLMT





2885
EGA783
YAEHCWHFPTDWICTLRS





2886
EGA784
YAEHCGLFPGDWICTLKN





2887
EGA785
YAEHCNMFPTDWICTLME





2888
EGA786
YAEHCSFFPADWICTLIP





2889
EGA788
YAEHCWMFPTDWICSLNR





2890
EGA789
YPEHCWQFPGDWICTLLT





2891
EGA790
YADHCRLFPTDWICTLVT





2892
EGA791
YAEHCRLFPSDWICSLVT





2893
EGA792
YAEHCRQFPADWICTLMT





2894
EGA793
YSEHCWMFPSDWICTLME





2895
EGA795
YAEHCSQFPTDWICTLLT





2896
EGA796
LAEHCYLFPCDWICSLLT





2897
EGA798
YAEHCWQFPADWICTLLP





2898
EGA799
YREHCSLFPNDWICTLMP





2899
EGA801
YAEHCSLFPTDWICSLMP





2900
EGA802
YEEHCWLFPSDWICSLRQ





2901
EGA804
LPEPCWWAPWGRECLLLP





2902
EGA805
LPQGCWWAVWGKECHLLP





2903
EGA806
LYDTCYWTTWGKECLMPR





2904
EGA807
LPDGCTWMVWGRECFLLP





2905
EGA808
LPGGCWWAVWGRECQLLP





2906
EGA809
HPDDCWWALWGRECLLLP





2907
EGA810
KCNFNPWKAACG





2908
EGA811
LPEGCWWALWGRECLLLP





2909
EGA812
LLDACWWATWGKECIWRN





2910
EGA813
LTYVCWWNMWGYECLPYE





2911
EGA814
LPDGCWWAQWGRECLLKP





2912
EGA815
LPAPCYWTTWGKECFIVP





2913
EGA816
LIAPCYWTIWGKECFILD





2914
EGA817
HPDNCWWAVWGRECLLLP





2915
EGA818
LSDPCYWTTWGKECFLLR





2916
EGA819
LTAPCYWTTWGKECLLLR





2917
EGA820
LAEGCIWTTWGRECFLLP





2918
EGA821
LPDGCYWTVWGRECFLPP





2919
EGA822
LRDPCWWAVWGRECILLP





2920
EGA823
QSPGCWWAVWGVECILLP





2921
EGA824
IHEGCWWSSWGKECLLLP





2922
EGA825
LPEGCWWATWGRECLLEP





2923
EGA826
LPAGCYWANWGKECFLVP





2924
EGA828
LTDPCYWTTWGKECLLHR





2925
EGA830
LPEGCWWAPWGKECLLSP





2926
EGA831
LPAPCYWTTWGKECLMPR





2927
EGA832
LPDGCYWSMWGRECFLVP





2928
EGA833
VPQGCYWATWGRECYLLP





2929
EGA834
LPDSCWWSTWGRECILLP





2930
EGA835
LPAPCYWTTWGKECLLQH





2931
EGA836
LQEGCFWAVWGKECILLP





2932
EGA837
LNEHCYWALWGKECFLPR





2933
EGA838
LPEGCWWSPWGRECLLLP





2934
EGA840
LPEGCFWTVWGKECLLMP





2935
EGA841
LPDGCYWTTWGKECFMPR





2936
EGA842
LPEGCWWSPWGKECLLMP





2937
EGA843
LTPPCYWTIWGKECFMRQ





2938
EGA844
LPEGCYWSVWGKECLLES





2939
EGA846
LTDQCYWATWGRECILLR





2940
EGA847
FPDGCYWAIWGRECLLQP





2941
EGA848
LSGGCYWTTWGRECILLP





2942
EGA849
LSSPCYWTTWGKECFIIR





2943
EGA850
FPEGCWWALWGKECFLQP





2944
EGA851
LPDGCWWSVWGRECLMLP





2945
EGA852
LPEDCWWAIWGRECLLTP





2946
EGA853
LPEPCYWTTWGKECFMIH





2947
EGA854
LPQGCYWAVWGRECLLLP





2948
EGA855
LPAGCWWSLWGKECYLLP





2949
EGA856
LPEECWWAIWGRECHLLP





2950
EGA857
LPAGCWWSVWGRECLLMP





2951
EGA858
MPEGCFWAIWGRECFLLP





2952
EGA859
LPDPCWWAPWGRECVLMP





2953
EGA860
IPDGCYWAIWGRECFLLP





2954
EGA861
LPAPCYWTTWGKECFLLR





2955
EGA862
LTDSCYWTTWGRECFLIP





2956
EGA863
IHDPCYWTVWGRECLLLP





2957
EGA864
LPEGCWWSAWGRECILLQ





2958
EGA865
LMGDCWWTVWGKECLLQP





2959
EGA868
VPDSCWWSQWGRECLLPP





2960
EGA869
LPEGCWWSVWGKECLMLP





2961
EGA870
LATPCYWTTWGKECLIPR





2962
EGA871
LLLGCSWHFWVYECLPPP





2963
EGA872
INPPCYWTTWGKECFLHR





2964
EGA873
LPEGCWWTQWGKECHLAP





2965
EGA874
FPAGCYWAHWGRECLLLP





2966
EGA875
LPEGCWWSIWGKECLLLP





2967
EGA876
LPEGCYWAIWGKECHMTP





2968
EGA878
IPEGCWWQPWALECFLLP





2969
EGA879
IAEGCWWSIWGKECFLLP





2970
EGA880
LPEPCYWTTWGKECHLPN





2971
EGA881
LPPRCLWNPWGPECFLIH





2972
EGA882
LTAPCWWTSWGRECYLFG





2973
EGA883
RPDSCYWTTWGRECLWPR





2974
EGA884
LPERCWWAIWGRECILLP





2975
EGA885
ISQGCWWSKWGRECLLPP





2976
EGA886
IPHGCWWAIWGRECLLLP





2977
EGA888
YPEHCWWFPSDWICTLMT





2978
EGA889
YAEHCWRFPSDWICTLMT





2979
EGA890
YADHCRLFPNDWICTLIT





2980
EGA891
YAQHCYLFPMDWICTLTT





2981
EGA892
YSEHCWQFPDDWICTLMT





2982
EGA893
YAEHCRVFPTDWICTLRP





2983
EGA894
YGQHCSLFPTDWICSLMT





2984
EGA895
YAEHCRQFRTDWICTLMT





2985
EGA896
YAEHCLTFPTDWICSLAQ





2986
EGA897
YAGHCRDFPSDWICSLVP





2987
EGA898
YAEHCWYFPTDWICTLT





2988
EGA899
YQEHCWLFPTDWICSLTS





2989
EGA900
YADHCCHFPADWICTLNA





2990
EGA901
YAEHCWLFPTDWICSLMP





2991
EGA902
YADHCLQFPLDWICTLMK





2992
EGA903
YAEHCTQFPTDWICTLTS





2993
EGA904
YAEHCRQFPSDWICTLMT





2994
EGA905
YSEHCYLFPTDWICTLPT





2995
EGA906
YVDHCWDFPTDWICTLLS





2996
EGA907
YIEHCWQFPTDWICTLMT





2997
EGA908
YADHCRFFPTDWICTLMP





2998
EGA909
YAQHCMQFPTDWICTLMT





2999
EGA910
YADIICWQFPSDWICTLLA





3000
EGA911
YARHCMQFPTDWICSLTT





3001
EGA912
YAEHCWQFPTDWICTLRS





3002
EGA913
YEDHCSLFPKDWICGLMP





3003
EGA914
YAEHCWQFPTDWICTLLP





3004
EGA915
YEEHCQLFPTDWICTIRT





3005
EGA916
YAEHCWLFPTDWICSLMT





3006
EGA918
YAEHCWQFPTDWICTLMS





3007
EGA919
YAEHCRQFPTDWICGLMT





3008
EGA920
YADHCSQFPTDWICTLIP





3009
EGA921
YSEHCWLFPTDWICTLVP





3010
EGA922
YAAHCWQFPTDWICTLIP





3011
EGA924
YAEHCWLFPSDWICTLMP





3012
EGA925
YAEHCYMFPTDWICTLTA





3013
EGA927
YTEHCWLFPTDWICSLMP





3014
EGA929
YEQHCWHFPNDWICTLMT





3015
EGA930
YAEIICWLFPTDWICTLMT





3016
EGA931
YYEHCTLFPSDWICTLMT





3017
EGA932
YEEHCALFPTDWICTLH





3018
EGA933
YGEHCWQFPTDWICTLVT





3019
EGA934
YSEHCWLFPSDWICSLDT





3020
EGA935
YDEHCRQFPTDWICKLTT





3021
EGA936
YAEHCYRFPTDWICTLMS





3022
EGA937
YAGHCSRFPTDWICTLMA





3023
EGA938
YAQHCWQFPADWICTLIE





3024
EGA939
YDEHCLKFPADWICSLPR





3025
EGA940
YAGHCNLFPTDWICTLKT





3026
EGA941
YEEHCGLFPTDWICTLMD





3027
EGA942
YSEHCWLFPTDWICTLPT





3028
EGA944
YAEHCWMFPTDWICSLLP





3029
EGA945
YAEHCWQFPSDWICTLLP





3030
EGA946
YAEHCWRFPTDWICTLMT





3031
EGA947
YTSHCRHFPNDWICTLLP





3032
EGA948
YAEHCWQFPHDWICTLTK





3033
EGA949
YADHCWLFPNDWICTLIK





3034
EGA950
YAEHCWLFPTDWICTLRT





3035
EGA951
FQGHCALFPTDWICTLKS





3036
EGA952
YAEHCRLFPADWICSLMT





3037
EGA953
YAEHCGLFPTDWICTLMT





3038
EGA954
YREHCGQFPNDWICSLLT





3039
EGA955
YVEHCYQFPADWICTLKT





3040
EGA956
YAEHCRHFPSDWICTLTK





3041
EGA957
YAEHCSQFPTDWICSLLT





3042
EGA959
YAVHCWQFPADWICSLEM





3043
EGA960
YEEHCLQFPADWICTLLP





3044
EGA961
YAEHCGMFPNDWICSLTK





3045
EGA962
YADIICAIIFPTDWICTLMT





3046
EGA963
YPEHCWLFPTDWICTLVA





3047
EGA964
YAEHCWQFPADWICSLPS





3048
EGA965
YAEHCWQFPTDWICSLLD





3049
EGA966
YAQHCWMFPADWICTLMT





3050
EGA967
YLAHCWHFPNDWICSLLP





3051
EGA968
YTKHCQRLPTYKICNLFM





3052
EGA969
YSEHCWLFPTDWICHLMP





3053
EGA970
YAEHCYNFPSDWICSLLT





3054
EGA971
YAEHCWQFPTDWICSLMT





3055
EGA972
YEEHCWQFPADWICTLLT





3056
EGA973
YAEHCWHFPSDWICTLKE





3057
EGA974
YAMHCSQFPSDWICTLMT





3058
EGA975
YAEHCRQFPTDWICSLMT





3059
EGA976
YEEHCWLFPSDWICTLMP





3060
EGA977
YAEHCWLFPTDWICNLIP





3061
EGA978
YEKIICYQFPSDWICSLKT





3062
EGA979
LPDGCCWLQWGMECHLCP





3063
EGA980
IPDDCYWTVWGRECLLVP





3064
EGA981
LTDGCYWTIWGRECLLLP





3065
EGA982
LPDGCWWSTWGRECLLVP





3066
EGA984
LPEGCYWAIWGKECLLPL





3067
EGA985
DPYGCYWAAWGRECLLLP





3068
EGA986
LPEGCWWSVWGRECLLPS





3069
EGA987
LPEDCWWATWGRECLLQP





3070
EGA988
LPEGCHWAIWGRECLLPP





3071
EGA989
LPEGCWWANWGRECLLLP





3072
EGA991
IPEGCWWAQWGRECILAA





3073
EGA992
ISDGCFWAVWGRECLLAA





3074
EGA993
GTDGCWWEVWGRECLLTP





3075
EGA994
LPEGCWWSPWGRECLLPP





3076
EGA995
LTEPCYWTTWGKECHMPR





3077
EGA996
DEAGCWWEIWGRECILSP





3078
EGA997
IHDHCCWTIWGYECQLCP





3079
EGA998
LHDGCWWEVWGRECFVPS





3080
EGA999
FPDVCYWTVWGRECLLLP





3081
EGA1001
HPDGCYWTVWGRECLLPP





3082
EGA1002
YSEVCWWEVWGRECFLRS





3083
EGA1003
LPEDCWWAQWGRECFLPA





3084
EGA1004
LNDPCYWTTWGKECLLPR





3085
EGA1005
YEEHCGQFPTDWICTLIS





3086
EGA1006
YEEHCWLFPSDWICTLMT





3087
EGA1007
YEEHCWLFPTDWICTLVT





3088
EGA1008
YAEHCWLFPSDWICTLLT





3089
EGA1009
YAEHCCRFPSDWICTLMSGQA




AAGGSQAQICRLLPSDRVCTL




MP





3090
EGA1010
PESWCHTLYWNLQHCLSQE





3091
EGA1011
LPEGCYWATWGKECLLQP
















TABLE 18







ErbB2 binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





3113
EGB98
LCFAHQQAMFCN





3114
EGB104
TCHPSWGGKTCT





3115
EGB106
ICVAMTVTCS





3116
EGB117
FCIHFPHSWVCH





3117
EGB122
WCHLFPYSQWCH





3118
EGB123
ICKYFPFSHFCW





3119
EGB125
WDHWHIWHFG





3120
EGB127
LCETQPVSFSCSGQACPGGGGG




SLCQFWPHIDFCV





3121
EGB128
WCHFQIWHHPCY





3122
EGB129
FCQFFPWTMVCQ





3123
EGB130
MPWEYLHQHQ





3124
EGB131
HCNWAPWWGYCMGQAGQGR




CTAGGGSIICYWPPPNTRCW





3125
EGB132
PCVFVIEGCF





3126
EGB133
ICSRWPYWPHCWGQARQAAGG




GSNCSHEPGSVVCL





3127
EGB134
WCRYYSVVCS





3128
EGB137
ICWIGTFGCA





3129
EGB221
PPYRCIPSESWICSFILGQA





3130
EGB222
QGGGCRGPHWYQMFYCVSPS





3131
EGB224
LVSFCPWGPDWYCSHYH





3132
EGB225
PPRWWCEHYGVQDLMCPGLF





3133
EGB227
SVFDCKYAPMWYCKHYL





3134
EGB249
GSLGCVLPMVFCRSYQ





3135
EGB263
YGKVLCSKWQCCKLLR





3136
EGB264
FCHLCQMFPAWCFLQT





3137
EGB289
RWVHCKQHGHYFSQRCIETW





3138
EGB310
PRRWCHMDFHHSPMCHWHL





3139
EGB315
HTRKCHKFMFQHKHCIEVL





3140
EGB334
MVVPCFTSQRQMAPACIAPRGQ




AGQGGPGCGRWLPRQRCFIKH




GHMSESCMVSA





3141
EGB335
YGKKCDKHDHSKPGVCIKKY





3142
EGB339
LLFDCWRIPEWHACGKDY





3143
EGB344
WNRICMYQWANHFTVCAPGP





3144
EGB350
ERALCHKPWSHIMPWCPQKL





3145
EGB354
WKPWCKLYWRADPACLQIK





3146
EGB356
WSGWCMYTWGWAPCRSVD





3147
EGB358
WSGWCVKQNAWYFCTGKI





3148
EGB364
VAQSSAFCEEFPVHWYCSFYVG





3149
EGB366
VAQSTPSCGMPKWYCTHYFG





3150
EGB367
VAQSSEHCYFGWNSYHCWSQAG





3151
EGB373
VAQREKHCVPEWYCKHYM





3152
EGB375
WSGWCWSDESKYWYSCHSRA





3153
EGB380
WSGLCLWDMFWQQCHGSS





3154
EGB383
SVLGCDDVGFYQCLEFLGQA





3155
EGB384
WSGWCQFKDGQWAKCTGRV





3156
EGB385
WSGYCFDSTHEGWYQCGAVS





3157
EGB386
WSGWCFHETHWQHCSAGG





3158
EGB387
WTGWCLVENQWTYCQNGD





3159
EGB388
WSGWCFEEAGWGHCMGLP





3160
EGB389
WSGYCFDRGYWQQCSSAW





3161
EGB391
WSGYCYVFDHWESCRGRE





3162
EGB392
WSGWCFKEAGWGHCMGLP





3163
EGB393
WSGCCHWEAAWNNCGGWT





3164
EGB394
WSGWCMISNQWRHCGSPD





3165
EGB395
WTGWCEGHGQWGWCHSSL





3166
EGB396
WVVSCHTSTQVLMCVCLL





3167
EGB398
WSGYCNSNGAWMMCGGGT





3168
EGB399
WSGWCFEQAGWGHCLGLP





3169
EGB400
WSGWCQSIIGEWMRCRSWT





3170
EGB401
WSGWCEEQFGWSQCRRSP





3171
EGB403
WSGWCFQETHWQHCMGLR





3172
EGB404
WTGFCFDENHWYICGTGR





3173
EGB406
WRGWCQIAGEWQHCSNYS





3174
EGB407
WTGYCVDQERHQWHQCFGRS





3175
EGB408
WQGYCYQEVYALWDHCSGPL





3176
EGB409
WSGWCFAMEHQKWKQCAGSS





3177
EGB410
GSMLCLWFNDNPQCFEVC





3178
EGB411
WSGWCETPHQWHDCKGTI





3179
EGB412
MIEFCWYYMALPECWIPT





3180
EGB413
IIEFCWYLQQYDECWVPK





3181
EGB414
WSGYCYEGVTWRSCWGDM





3182
EGB416
WSGWCFQFDNWDHCTGSV





3183
EGB419
SFTLTCGAHQCLCHVL





3184
EGB420
WSGWCQHMQVPIWHACSGGL





3185
EGB421
WSGLCLTEEVWHVCQGTI





3186
EGB423
WTGFCQSSKTQKWQHCRGGG





3187
EGB425
WSGWCEEELQWSFCSGHL





3188
EGB426
WSGYCVDFEFPAWGYCHGNI





3189
EGB427
WSGWCYSQALMSWTYCHEFK





3190
EGB428
WSGWCFYQVEYIWRSCEPAS





3191
EGB429
NRSGCIEIHYEDCLLIV





3192
EGB430
WTGWCYMEHFWDICHGPA





3193
EGB431
WTGYCLSSERHKWHHCFGRS





3194
EGB432
WSGWCFQFDNWDRCPGSV





3195
EGB433
WSGYCQMKDHWAHCGHSE





3196
EGB435
WSGWCLFADGWGHCYGVI





3197
EGB436
WSGWCFIKTHWGHCYGQI





3198
EGB437
WSGWCFYVDHWDYCGGLI





3199
EGB438
WSGYCEGTDHWYHCGGSM





3200
EGB439
WSGWCFYGDRWGHCSGLP





3201
EGB440
WSGWCFYGSYWGHCKGIL





3202
EGB441
WSGYCEFEDHWDYCGTPK





3203
EGB442
WSGWCLMETGWGHCKGLP





3204
EGB444
WSGWCFSADGWGIICRGVI





3205
EGB445
WSGYCDMGDHWSHCGHSG





3206
EGB446
WSGWCFYGSWWDYCSGGH





3207
EGB447
WSGYCEFEDHWDFCGTSR





3208
EGB448
WSGYCEYQDRWAHCGGTPGQ




AGQGGGSWSGYCRTEGHWAH




CGGSV





3209
EGB450
WSGWCLGEAGWGHCRGLL





3210
EGB451
WSGWCLYESGWGHCYGWI





3211
EGB452
WSGYCEYKYKWDHCGTSV





3212
EGB453
WSGYCEFKDHWAHCGGSL





3213
EGB455
WSGWCLGETGWGHCSGMP





3214
EGB456
WSGYCEFKDHWAHCGGSV





3215
EGB458
WSGYCEFQDHWGYCGNTE





3216
EGB459
WSGYCEFKDYWAHCSGSM





3217
EGB460
WSGYCEYSDHWAHCGGSL





3218
EGB462
WSGWCLYDAGWGYCSGLQ





3219
EGB463
WSGYCEMQDIIWDYCSGSI





3220
EGB464
WSGWCFTEGVWGHCKGLG





3221
EGB465
WSGYCEFKDHWDFCGHSA





3222
EGB469
WSGWCFLDSGWGHCQGLI





3223
EGB470
WSGWCFNSNGWYQCGGLI





3224
EGB471
WSGWCFFGASWGHCSGFP





3225
EGB472
WSGWCFFGAGWDYCHGQP





3226
EGB473
WSGYCEFKDHWDYCGGSE





3227
EGB474
WSGWCFYGTGWGYCYGLI





3228
EGB476
WSGYCEYKHHWAHCGTRH





3229
EGB477
WSGYCLMKDHWAHCGHSE





3230
EGB478
WSGWCMGMSGWDHCRGLI





3231
EGB479
WSGYCEINGKWDYCSHSH





3232
EGB480
WSGWCFFGAGWGHCFGNP





3233
EGB481
WSGWCLQGAGWGHCSGRI





3234
EGB482
WSGWCFNGVGWGHCFGLI





3235
EGB483
WSGWCFYEAFWGIICTGPT





3236
EGB484
WSGWCFDGDGWGYCTGVS





3237
EGB485
WSGWCLRSNGWDYCHGPT





3238
EGB486
WSGWCLSGAGWGYCSGLP





3239
EGB487
WSGWCFFGSAWGHCHGFP





3240
EGB488
WSGWCFYSTIIWAQCKGGII





3241
EGB489
WSGWCETDRGWSFCSSPL





3242
EGB490
WSGWCESELQWGFCSGLL





3243
EGB491
WSGWCEGETQWYFCSGHL





3244
EGB492
WSGWCEYELQWSFCSGQL





3245
EGB493
WSGWCEGEREWPFCSGHI





3246
EGB494
WSGWCEYEHHWDFCSGHL





3247
EGB495
LPPPCYWTTWGKECQMFD





3248
EGB496
WSGWCFSSSGWGFCGGLN





3249
EGB497
WSGWCFSPAGWGIICYGLS





3250
EGB498
WSGWCLDRAGWGHCHGLI





3251
EGB499
WSGWCLTKSGWGHCLGPT





3252
EGB500
WSGWCLYEFGWGYCSGLI





3253
EGB501
WSGWCEYELHWSYCWGPL





3254
EGB502
WSGWCEGELYWSYCSGYL





3255
EGB503
WSGWCEYELSWSFCSGSL





3256
EGB504
WSGWCEYEGFWSFCSGNL





3257
EGB505
WSGWCEGVLQWYFCSGHI





3258
EGB506
WSGWCEYDLHWSFCSGHL





3259
EGB507
WSGWCLGKAGWGHCGGLI





3260
EGB508
WSGWCFFGSIIWGIICFGSP





3261
EGB509
WSGWCLLDAEWGHCSGLI





3262
EGB510
WSGWCLSNDGWGHCWGLM





3263
EGB511
WSGWCLSGTGWGHCYGLH





3264
EGB513
WSGWCLVGTQWSFCSGLI





3265
EGB514
WSGWCEKEFLWTFCSGTI





3266
EGB515
WSGWCESDTHWSFCSGQL





3267
EGB516
WSGWCEGVSEWSFCSGLI





3268
EGB518
WSGWCLGLDGWDHCYGRP





3269
EGB519
WSGWCFFGDRWGHCHGQP





3270
EGB520
WSGWCFVGASWGHCYGMI





3271
EGB521
WSGWCLSDAGWGACGGAS





3272
EGB522
WSGWCLEWNGWGHCSGIP





3273
EGB523
WSGWCEGELQWFFCSGTI





3274
EGB524
WSGWCEGEHHWYFCRGNF





3275
EGB526
WSGYCEGEQQWFYCSGQV





3276
EGB527
WSGWCENKVGWSFCSGHI





3277
EGB528
WSGWCEGERTWHFCSGPL





3278
EGB530
WSGWCCFGTSWGYCHGPP





3279
EGB531
WSGWCLLDAGWGHCKGML





3280
EGB532
WSGWCFYGHGWGHCHGTP





3281
EGB533
WSGWCFDYTRWGIICSGMP





3282
EGB534
WSGWCLFSAGWGHCSGLI





3283
EGB535
WSGWCEGELQWSFCWGHI





3284
EGB537
WSGWCEEEHQWSFCSGYI





3285
EGB538
WSGWCEGEREWYFCSGFF





3286
EGB539
WSGWCEGKLKWNYCSGYL





3287
EGB540
WSGWCEQDQKWNYCSGYI





3288
EGB542
WSGWCFYEVRWGHCHGSI





3289
EGB543
WSGYCLSESGWGHCGGLL





3290
EGB544
WSGWCLSYSGWGHCSGSP





3291
EGB545
WSGWCFYGDYWGHCSGQP





3292
EGB546
WSGWCFKITGWGHCSGLI





3293
EGB547
WSGWCENELQWSFCSGHI





3294
EGB548
WSGWCEGERQWSFCSGSI





3295
EGB549
WSGWCEYEFKWSFCSGIII





3296
EGB550
WSGWCEHEMYWSYCSGHK





3297
EGB551
WSGWCEGELRWFFCSGTL





3298
EGB553
WSGWCFYGTHWGHCGGLP





3299
EGB554
WSGWCFDGGRWGYCSGPL





3300
EGB555
WSGWCLKGDGWGHCWGLI





3301
EGB556
WSGWCLRVSGWDHCSGHP





3302
EGB557
TDSWCHTLYWALQHCVAQE





3303
EGB558
WSGWCLMGDSWGHCSGLI





3304
EGB559
WSGWCEGEVGWFFCSGYL





3305
EGB560
WSGWCEYELQWSFCFGPS





3306
EGB561
PDSSCIITLYWQLIIIICARRE





3307
EGB562
WSGWCEGDLQWYYCSGHI





3308
EGB563
WSGWCEEALRWSYCSGHI





3309
EGB565
WSGWCLGDAGWGHCGGLP





3310
EGB566
WSGWCFFDTHWGHCSGLL





3311
EGB567
WSGWCFNHGAWGHCRGLI





3312
EGB568
WSGWCYEHTGWRHCHGLI





3313
EGB569
WSGWCLTREGWGHCKGLI





3314
EGB570
WSGWCLSGVGWFHCKGMI





3315
EGB571
WSGWCEGESQWFFCSGLI





3316
EGB572
WSGWCEYESHWSFCSGHI





3317
EGB573
WSGWCEGERKWSYCSGQI





3318
EGB574
WSGWCEGELHWYSCSGHM





3319
EGB575
PDSWCHTLYWDLLYCVNQE





3320
EGB577
WSGWCETPCGWESCHGTI





3321
EGB579
WSGWCESTDSWHFCRGNI





3322
EGB580
WSGWCETPSGWKACRGNI





3323
EGB581
WSGWCETGVGWHECHGTI





3324
EGB582
WSGWCEAERQWTFCSGHI





3325
EGB583
WSGWCENSEGWDFCNGTI





3326
EGB584
WSGWCETQKGWHSCHGSI





3327
EGB585
WSGWCLTGTDWIIFCRGFI





3328
EGB586
WSGWCETYKGWHACHGKI





3329
EGB587
WSGWCETNAGWIQCYGSI





3330
EGB588
WSGWCQTGANWHYCNGTI





3331
EGB589
WSGWCLADGMWGHCNGTT





3332
EGB590
WSGWCEGRDAWYQCKGTI





3333
EGB591
WSGYCLTDGTWHHCKGTI





3334
EGB592
WSGWCKTGKKWHHCGGTI





3335
EGB593
WSGWCETSSGWHQCSGII





3336
EGB595
WSGWCEEKGQWVSCGGSL





3337
EGB596
WSGWCEGELQWYFCSGHL





3338
EGB597
WSGWCEGEHKWSFCSGHL





3339
EGB598
WSGWCESDKGWYQCRGTI





3340
EGB599
YEEHCRLFPADWTCSLLQ





3341
EGB600
WSGWCETPGIIWYQCRGSI





3342
EGB601
ADSWCHTLYWNLRHCEIQE





3343
EGB602
WSGWCNSGGGWHQCRGTI





3344
EGB603
WSGWCLTDNKWHSCIGTI





3345
EGB604
WSGWCETDRGWHDCHGTI





3346
EGB605
WSGWCETKDHWHACNGII





3347
EGB606
WSGWCEGELQWYFCSGKI





3348
EGB607
PESWCHTLYWNLQHCLSQE





3349
EGB609
WSGWCETSGGWHYCKGTI





3350
EGB610
WSGWCETDQGWHHCWGTI





3351
EGB611
WSGWCETKFGWNYCKGSI





3352
EGB612
WSGWCFATSGWIISCRGTA





3353
EGB613
WSGWCETGNGWDRCWGNI





3354
EGB614
WSGWCEGQLQWFFCSGQI





3355
EGB615
WSGWCERSWGWEQCRGTI





3356
EGB616
WSGWCEYEEKWAFCSGYI





3357
EGB617
WSGYCEGELQWYFCTGHL





3358
EGB618
WSGWCETSVGWHKCSGTI





3359
EGB619
WSGWCRIETGWDFCSGTI





3360
EGB620
WSGWCETSKGWHFCSGTI





3361
EGB621
WSGWCESSHGWHGCKGII





3362
EGB622
WSGWCEYNGYWDYCTGTI





3363
EGB623
WSGWCETGKYWHYCSGTI





3364
EGB624
WSGWCEGKHQWYFCSGNL





3365
EGB625
WSGWCETELGWHQCRGTI





3366
EGB626
WSGWCEGQTKWYFCSGQI





3367
EGB627
WSGWCLFDSKWDYCQGNI





3368
EGB628
ANSWCHTLYWDLMYCVWQE





3369
EGB629
WSGWCQTGMRWHQCYGTI





3370
EGB630
WSGWCESNGTWHGCKGTI





3371
EGB631
WSGWCEGKHGWYSCRGTI





3372
EGB632
WSGWCETLSGWHQCHGVI





3373
EGB633
WSGWCEGKEKWIIIICNGSI





3374
EGB634
WSGWCETSEGWHSCYGSI





3375
EGB635
WSGWCLNELGWQQCFGTI





3376
EGB636
WSGWCERVSGWNYCHGTI





3377
EGB638
WSGWCYAPTGWHHCVGTT





3378
EGB639
WSGWCETGTGWYHCGGTI





3379
EGB640
PDSWCHTLYWHLQHCLSQE





3380
EGB641
WSGWCEYELRWDFCSGHI





3381
EGB642
WSGWCETVNGWHQCTGTI





3382
EGB643
WSGWCLTKNSWDFCSGTI





3383
EGB644
WSGWCLTNGVWHGCRGII





3384
EGB645
WSGFCLTEESWHHCTGPI





3385
EGB646
WSGWCEAIDMWYQCHGPI





3386
EGB647
WSGWCFTGDLWHACTGII





3387
EGB648
WSGWCEGELQWYYCSGKI





3388
EGB649
WSGWCEGEFQWYFCSGQF





3389
EGB650
WSGWCETNGKWDFCQGTI





3390
EGB651
WSGWCETPVGWEQCTGTI





3391
EGB652
WSGWCEGKLHWYFCSGHM





3392
EGB653
WSGWCEGALGWSSCSGHG





3393
EGB654
YEEHCALFPTDWICTLH





3394
EGB655
WSGWCEGIGAWHFCKGII





3395
EGB656
WSGWCESNDGWYQCKGDI





3396
EGB657
WSGWCETLNGWYGCHGTM





3397
EGB658
WSGWCENNDGWHHCHGSI





3398
EGB659
WSGYCETGRGWIIMCQGTI





3399
EGB660
WSGWCETVTGWDYCNGKI





3400
EGB661
WSGWCETDEGWRQCSGTI





3401
EGB662
WSGWCMTLDKWHQCYGTI





3402
EGB663
WSGWCETNNGWYACWGMI





3403
EGB664
WSGWCFNEAGWGHCYGLP





3404
EGB665
WSGWCETDRGWHECHGTI





3405
EGB666
WSGWCETKFGWSYCKGTI





3406
EGB668
WSGWCEGEDGWHSCRGTI





3407
EGB669
WSGWCETSKGWHFCSGII





3408
EGB670
PKYSCVYSIMKEKWHCRAQT





3409
EGB673
FKPHCVYKHQTWVCGPPA





3410
EGB675
THMHCYQHKHHYHCRTSL





3411
EGB686
GPELCHHMAGHEWCLRYY





3412
EGB692
HRSKCFMMYWDENCLQPW





3413
EGB693
LGGRCMLFALKQCSMGH





3414
EGB696
WSRLCTMRLPSTCGVWE





3415
EGB697
RSWHCSHQMGSKPHCVLSP





3416
EGB698
TWFRCTPHKHHYHCKHNV





3417
EGB705
GIWICRHDSPYMKPHCIFTS





3418
EGB707
TWSKCFMVPLGDYCTRAL





3419
EGB708
SVWKCVKIIPFKIKPLCKLES





3420
EGB710
RTWFCEKMHGQKFHCVSWF





3421
EGB712
ADSWCHTLFWQLQHCVWQE





3422
EGB714
KWRCCYGQFQPACNAVS





3423
EGB716
PRYKCVFNWEVQKWQCSVWS





3424
EGB722
PNRYCYTYPHSVKCAWMY





3425
EGB723
DPSRCSKAYQMLYQCRTLI





3426
EGB729
STDLCWPHKKHWHCPPAN





3427
EGB730
SAWYCTKHMPQSKYHCISMR





3428
EGB732
KWWKCGVIFEICQIVP





3429
EGB738
AQLKCFEKLYMCRHHL





3430
EGB739
VDRVCQFFMQKCWSSP





3431
EGB740
KWTRCIPRMETHTCDCLL





3432
EGB746
KLPQCLWEWDNRDCRWLL





3433
EGB748
LIIRFCDIIFAIQCRFCN





3434
EGB758
LICKQHKNHWHCRNYY





3435
EGB763
KPWKCFYSYKIQHWKCHGVS





3436
EGB770
TDSWCHTLYWQLHHCAILE





3437
EGB771
KWRCCYGQFQQACNAVS





3438
EGB778
WTHACVVWNMKQMEACTSLT





3439
EGB779
LLNQCLQWAFHNCGCWN





3440
EGB780
WSGYCELKDRWAYCSGSI





3441
EGB781
HRAPCFSCTACRQPCFSLT





3442
EGB785
WSGYCEMKGYWAHCTGLI





3443
EGB786
WSGYCEFLDHWDHCSGGE





3444
EGB787
WSGYCEYKDIIWDIICGSSV





3445
EGB788
WSGYCEYKDHWDYCGSSV





3446
EGB789
WSGYCEYKDHWDFCGNVD





3447
EGB791
WSGYCEYRDHWAHCGGSL





3448
EGB792
WSGYCEFEGYWAHCGGSI





3449
EGB795
WSGYCEYIDHWGYCQGSI





3450
EGB796
WSGYCEMNDHWDYCYGSI





3451
EGB798
WSGYCEYKDHWGYCGGSI





3452
EGB799
WSGYCQLMDHWDYCHGQG





3453
EGB802
WSGYCEMTDHWAHCSGSH





3454
EGB803
WSGYCEFEDHWDYCHGSV





3455
EGB805
WSGYCEMKDHWAHCGGLI





3456
EGB806
WSGYCEFKDHWDYCHGSV





3457
EGB807
WSGYCEMGDHWDYCSGSV





3458
EGB808
WSGYCEFNGFWAHCGGFI





3459
EGB809
WSGYCLMKDHWGYCGGWI





3460
EGB810
WSGYCEFEDHWDYCGNSE





3461
EGB811
FQGHCALFPTDWICTLKS





3462
EGB813
WSGYCEFKTHWGHCGNPQ





3463
EGB814
WSGYCEFKDHWDHCHSSG





3464
EGB816
WSGYCEKEGYWAHCRGTI





3465
EGB817
WSGYCEMKGIIWAIICGGSP





3466
EGB818
WSGYCNMGDHWDHCSGSI





3467
EGB820
WSGYCEFKDHWAHCSGSL





3468
EGB822
WSGYCEMKGYWDFCGGLI





3469
EGB823
WSGYCEFQDYWDYCGGSI





3470
EGB824
WSGYCEMEHGWDYCSGTI





3471
EGB825
WSGYCEFKDHWDHCGDSE





3472
EGB826
WSGYCELEDHWAFCGGTI





3473
EGB827
WSGYCEFKGYWDFCYGSM





3474
EGB829
WSGYCEGQYFWYHCSGSG





3475
EGB830
WSGYCEFQDHWDHCFGSS





3476
EGB831
WSGYCEMNDHWDYCYGPK





3477
EGB832
WSGYCEFRDHWDYCGNSY





3478
EGB834
WSGYCEFKDHWDYCGNSD





3479
EGB835
WSGYCEFKDIIWDFCGGSY





3480
EGB836
WSGYCQTNDHWDYCSGTI





3481
EGB837
WSGYCESYDHWYHCGGTL





3482
EGB838
WSGYCEYEDHWDYCGTWV





3483
EGB839
WSGYCEMEDRWAYCSGSI





3484
EGB840
WSGYCEFKDHWDHCGGSL





3485
EGB845
WSGYCQMKDHWDYCSGSL





3486
EGB847
WSGYCEGKEHWYQCGGPL





3487
EGB848
WSGYCEFNDHWAHCHGSP





3488
EGB849
WSGYCEFKDRWAHCSGSI





3489
EGB850
WSGYCEFKGYWDHCGSSK





3490
EGB851
WSGYCEYKDRWAIICRGTM





3491
EGB852
WSGYCEFKDHWDYCGGSY





3492
EGB853
WSGYCEMKDHWAHCSGSI





3493
EGB854
WSGYCEYQDHWAHCGRSM





3494
EGB855
WSGYCEFSDHWDHCGNSK





3495
EGB857
WSGYCEMKDHWAHCGGSI
















TABLE 19







ErbB3 binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





3499
EGC1
VYQLCIKMWVCTWHG





3500
EGC2
DLVGCLLFSHVSCFSPL





3501
EGC3
PTLSACMEAKCVLIFL





3502
EGC5
LLWRCELMPPWPYMCSEVD





3503
EGC13
GTQECAQDDYFRYWCLRTW





3504
EGC14
LDLCMTIERPHRQCPCG





3505
EGC19
LWRWCVWARDCPQSS





3506
EGC20
IAREFCMNYQCLRLLR





3507
EGC21
SYWVCLTYFICWPSW





3508
EGC39
VQQFVHWMESWNPACFWRM





3509
EGC40
LLNQCLQWAFHNCGCWN





3510
EGC44
LSWWCRMGWFQEYGECNFLF





3511
EGC48
WTHACVVWNMKQMEACTSLT





3512
EGC54
KVMFCWVMWKQCSSPP





3513
EGC93
SLVSCPVHNPIWWSHCMEIM





3514
EGC94
GHRLCIWMQNFVDGHCAGLV





3515
EGC99
CHVSCPFYNPNWWSHCMELM





3516
EGC100
FLEMCMDWNPKTWCYCMEWM





3517
EGC101
SFVMCPVYNPKQWSVCMEIL





3518
EGC102
LFLMCLVYPSEKWHVCVETL





3519
EGC104
SLVKCPFFNPIWWSHCMELM





3520
EGC106
WSHACIVYNDKIMGACTCLT





3521
EGC115
DQVRCPFQNPVWWSHCMYLL





3522
EGC117
PLERCPFQNPLWFSHCMEML





3523
EGC120
KFFMCQVYPSNRWAVCVETL





3524
EGC121
TFYVCQIYPSGKWHVCVGTC





3525
EGC122
RFFMCQVYPSYKWHVCVESW





3526
EGC123
KFLMCRLYPSGKWHVCVETL





3527
EGC125
LEVYCPFENPIWWARCMELM





3528
EGC127
SRVRCPFQNPIWEAHCMKMT





3529
EGC128
SQVRCPFQNPIWRNHCMELI





3530
EGC129
PKVRCPFQNPIWWSHCMEML





3531
EGC130
NFVMCQVYPSYTWHVCVGTL





3532
EGC132
KFMICRLYPSGNLHICVETS





3533
EGC133
TFMMCQVYPSLKWHVCIETG





3534
EGC134
RFVMCQVYPSLNWHVCVQTL





3535
EGC135
SPVRCPFQNPIWYAHCMKIT





3536
EGC136
SKVYCPFQNPIWFAKCIELM





3537
EGC138
PQVRCPFQNPIWYSHCMKLM





3538
EGC139
TQVRCPFQNPIWWSHCMEML





3539
EGC140
KLMLCQVYPSLKWHVCVEAS





3540
EGC141
NFLMCQVYPSYKWHVCVEQL





3541
EGC142
RFLVCQVYPSLKWHVCVEKS





3542
EGC143
TFFICQVYPSGKWHVCVDTV





3543
EGC144
GFIMCQVYPSENWHVCLDRG





3544
EGC145
KFIMCQVYPSERWHVCLETM





3545
EGC150
SDVYCPFSNPAWWVHCMEML





3546
EGC151
TQVYCPFANPVWWNIICMLLS





3547
EGC152
KFFMCQIYPSLKWHVCVEKL





3548
EGC153
KFVMCQVYPSEKWHVCIAPL





3549
EGC154
QFFMCQVYPSLRWSVCQVTL





3550
EGC155
GFVMCQVYPSQKWHVCLDTF





3551
EGC156
GFHMCQVYPSGKWLVCLHPR





3552
EGC157
EFYMCQVYPSELWHVCVDKL





3553
EGC158
FKERCPFQNPIWYSRCMELI





3554
EGC159
SSVRCPFQNPIWWSHCMELL





3555
EGC160
SEIRCPFKNPIWYAHCMKLI





3556
EGC161
SQVRCPFQNPIWYTHCMELL





3557
EGC163
SQVYCPFIINPIWLAIICMELM





3558
EGC164
KFILCQVYPSGKWHICTETL





3559
EGC165
NLLLCKVYPSGKWHVCFAPL





3560
EGC166
KFQLCQVYPSERWHICVVTL





3561
EGC167
NFYMCKVYPSELWHVCVETL





3562
EGC168
RFVMCQVYPSAKWHVCVETL





3563
EGC169
TNIRCPFQNPIWYSHCIALT





3564
EGC171
SPVRCPFQNPIWYEHCMALI





3565
EGC172
SAVRCPFFTNPIWYSHCMKLL





3566
EGC174
AQVRCPFQNPVWYSHCMDLI





3567
EGC175
YFRMCQVYPSLKWHICVETM





3568
EGC176
GFFMCQVYPSEKWHVCLETL





3569
EGC177
GFIMCQVYPSLKWHVCVETS





3570
EGC178
KFFMCQIYPSEKWHVCVKLW





3571
EGC181
AASLCPFQNPIWLAHCMEMM





3572
EGC182
SKVYCPFQNPIWWSHCMELI





3573
EGC183
SQAYCPFQNPIWWNHCMELI





3574
EGC185
HLFLCQVYPSEKWHVCVETL





3575
EGC186
KFRMCQVYPSGKWHVCAETF





3576
EGC187
KFFLCQVYPSGKYHICVSTW





3577
EGC189
KFYMCQVYPSVRWHVCVDTS





3578
EGC191
TREICPFQNPIWRSIICLKLV





3579
EGC192
PMVRCPFKNPVWYSHCLELL





3580
EGC196
TFFMCQVYPSGKWHVCVGGL





3581
EGC197
KFFLCQVYPSEKWHVCIERL





3582
EGC198
RYQMCQVYPSGKWHVCMETT





3583
EGC199
RFQMCKVYPSERWHVCVEIL





3584
EGC222
WCTECMRRFPGHYCVAFC





3585
EGC223
RAASCLDVFHWCHSWC





3586
EGC224
CLSRCVDWVFSNCTSGR





3587
EGC225
FLMLCHVSKYTIKCFSPL





3588
EGC226
WALACSWTPRWHQCIFSL





3589
EGC227
LERLCMEIFYVHCSGSI





3590
EGC228
SWRMCIEMFLTHDECVRFV





3591
EGC229
SSVVCVRGIHAWTCHFFV





3592
EGC232
LTSSCVYVYNWCAVWA





3593
EGC233
YRHLCVWLMEQCETAR





3594
EGC234
RAASCLDVFHCRRSWS





3595
EGC236
HVSICWGYTYCWQIF





3596
EGC237
RGASCLDLFHWCHSWG





3597
EGC238
IYILCTNFKPVFWCVFST





3598
EGC239
LWIRCSLLQYSYYCSWVW





3599
EGC242
SYLFCYTLYIDYNCWLWS





3600
EGC243
PGYRCVFQVNYQCGAAF





3601
EGC244
TIIRCFWTFHMDFVCVTGV





3602
EGC245
WLNCGCVVITCIVEPR





3603
EGC246
WGWRCYQSWSYQDCQYWY





3604
EGC248
FLMLCRVSKYTIKCFSPL





3605
EGC250
RGRDCLRSFPGHYCVTFR





3606
EGC251
LNYICWRWAHQVPWQCSLFQ





3607
EGC252
ASYSCWWGPMYMECWTKV





3608
EGC253
KTGSCQAQKVFSWCAQWC





3609
EGC254
KFFMCQVYPSLKWHVCMETL





3610
EGC255
KFMMCQVYPSLKWHVCVETL





3611
EGC256
VEHLCSKIPFWHVQCLARF





3612
EGC259
KFLMCQVYPSLKWHVCMETL





3613
EGC263
QFLMCQVYPSLKWHVCVETL





3614
EGC264
QFMLCQVYPSKKWHVCVVPV





3615
EGC265
GSCALKNRSKCARRG





3616
EGC266
KFQMCQVYPSGNWHVCVETM





3617
EGC267
RERTCVYFHKILHDFCPSRT





3618
EGC268
FKFTCYWAPYHTFCNTGQ





3619
EGC269
KFFMCQVYPSLKWHVWMETL





3620
EGC270
KFQCARFTLPETGMFVSKL





3621
EGC272
WYEQCMKRHHPQAFCLRFN





3622
EGC273
KFLMCQVYPSKKWHVCIETL





3623
EGC274
QFMLCQVYPSKKWHVCVVTV





3624
EGC276
CLGSCMLKGFERWCIIIGII





3625
EGC277
KFFMCVDYPSLKWDVCMETL





3626
EGC278
RFFMCVDYPSIKWDVCPETI





3627
EGC280
PRWTCEWYQARQSCSLGQ





3628
EGC281
KFHMCQVYPSRNWHVWVETL





3629
EGC283
VEHLCSEIPFWNVQCLARF





3630
EGC284
KLFLCQVYPSERWHVCVESL





3631
EGC285
HLIMCQVYPSGKWHVCLATT





3632
EGC286
AVELCFHHTQEWTYCLWRF





3633
EGC287
GEQLCSKIPSSDALWWVRLL





3634
EGC288
DALRCFEWVKRNCLLSS





3635
EGC289
KFMMCQVYPSQKWHVCVETF





3636
EGC291
VEHLCSKIPFWHVQCLARI





3637
EGC337
RYFYMCQVYPSERWQVCVGTS





3638
EGC453
SNLYLCQVYPSGKYIIICIEAL





3639
EGC465
YSEPYCPFLNPTWKNECIARS





3640
EGC466
TSEPYCPFLNPIWKAECISRT





3641
EGC467
SYEPYCPFLNPTWKEQCIIRS





3642
EGC468
LNEPYCPFMNPNWKAECLARM





3643
EGC469
SKGPYCPFLNPIWKDECIARI





3644
EGC470
NSEPYCPFINPIWKAECIART





3645
EGC471
QSKPYCPFLNPTWKAQCIARS





3646
EGC472
TSTPYCPFLNPIWKAECLSRI





3647
EGC474
ISEPYCPFMNPTWKEQCLART





3648
EGC476
VNDPYCPFLNPTWKAECIART





3649
EGC488
SIEPYCPFLNPTWKAECLVRS





3650
EGC489
VSEPYCPFLNPVWKDQCLSRI





3651
EGC490
LPPPCYWTTWGKECQMFD





3652
EGC491
KTEPYCPFLNPTWKAECIART





3653
EGC492
TSDPYCPFVNPIWYNECIART





3654
EGC494
TGSPYCPFLNPTWKAHCIARL





3655
EGC500
ASEPYCPFLNPTWKDQCMARL





3656
EGC501
RSEPYCPFLNPTWKAQCIYRT





3657
EGC502
SIDPYCPFLNPTWLKECIARS





3658
EGC508
IGEPYCPFANPTWKQECIART





3659
EGC511
WSEPYCPFLNPAWKDQCLART





3660
EGC512
MREPYCPFLNPTWKDQCIAIR





3661
EGC514
YREPYCPFLNPIWKEQCIARS





3662
EGC515
ISAPYCPFLNPIWKDECIART





3663
EGC516
LREPYCPFLNPIWNVECLARS





3664
EGC517
SSEPYCPFHNPTWKDQCLARS





3665
EGC518
DSEPYCPFLNPTWKDQCLARF





3666
EGC519
NSEPYCPFLNPSWKASCIARM





3667
EGC522
TSEPYCPFLNPIWKDQCIART





3668
EGC523
RSEPYCPFLNPIWKNECIARS





3669
EGC524
FSEPYCPFIPTWKAQCLARI





3670
EGC525
LNEPYCPFLNPIWKDECLART





3671
EGC526
SREIYCPFLNPIWLAECIARA





3672
EGC528
LTEPYCPFLNPTWKDQCLARR





3673
EGC529
SKDPYCPFVNPIWKHECIVRS





3674
EGC532
HSEPYCPFLNPIWKEQCMVRS





3675
EGC533
SSEPYCPFLNPTWKIIECLLRT





3676
EGC534
ESEPYCPFTNPTWKAQCIARS





3677
EGC535
YNEPYCPFINPIWKAECIART





3678
EGC536
ISEPYCPFQNPTWKFQCLIRS





3679
EGC538
RSEPYCPFLNPTWKEQCIARQ





3680
EGC539
GRETYCPFLNPIWKAQCLART





3681
EGC540
KSEPYCPFLNPIWKDQCIVRS





3682
EGC541
VIEPYCPFLNPTWKDHCIART





3683
EGC542
MSDPYCPFQNPIWKAACIART





3684
EGC544
ESEPYCPFVNPIWKAECIARH





3685
EGC546
YNEPYCPFVNPTWKAACVART





3686
EGC548
YSKPYCPFINPIWKEQCIARH





3687
EGC554
LIEPYCPFLNPTWYDQCIARS





3688
EGC557
REVPYCPFLNPIWKEQCIIRT





3689
EGC561
SLQAYCPFVNPTWKNECLARI





3690
EGC563
LSEAYCPFLNPTWKQHCIALT





3691
EGC564
MSEPYCPFLNPTWKEQCLARS





3692
EGC565
LNEPYCPFLNPIWKNQCIARL





3693
EGC566
PSKPYCPFLNPYWKAECMSRS





3694
EGC568
ISEPYCPFLNPTWKDACIARS





3695
EGC570
PDSWCHTLYWDLLYCVNQE





3696
EGC572
QGQPYCPFVNPIWYAECMTRT





3697
EGC578
RPEPYCPFKNPNWKEQCLARY





3698
EGC579
SSEPYCPFINPTWKQECIART





3699
EGC582
TTEPYCPFLNPIWKDQCIARW





3700
EGC583
VSEPYCPFLNPYWKDQCIARH





3701
EGC584
YNEPYCPFLNPTWKDQCLARI





3702
EGC585
RSEPYCPFYNPIWYDHCVALT





3703
EGC586
NPEPYCPFLNPIWKEQCILRS





3704
EGC589
LSGLYCPFLNPTWKDQCIARM





3705
EGC590
ISQPYCPFTNPTWLAECIARS





3706
EGC592
LNTPYCPFINPTWKDECLARS





3707
EGC594
YEEHCRLFPADWICSLLQ





3708
EGC595
NSEPYCPFLNPSWKAQCIARS





3709
EGC596
ADSWCHTLYWNLRHCEIQE





3710
EGC597
SSEPYCPFLNPTWKEQCIART





3711
EGC599
DTKPYCPFLNPIWKNQCIERT





3712
EGC600
TRDPYCPFLNPIWKDECFART





3713
EGC601
KEEAYCPFLNPLWKDECVART





3714
EGC602
PESWCHTLYWNLQHCLSQE





3715
EGC603
MSEPYCPFQNPTWKIIECIART





3716
EGC604
DSDPYCPFVNPIWKAQCIARS





3717
EGC605
YSEPYCPFVNPTWLDQCIART





3718
EGC606
YSEPYCPFLNPTWKAQCMAMI





3719
EGC608
LSEPYCPFLNPTWKAACLARI





3720
EGC609
IRKPYCPFLNPTWYNECIQRS





3721
EGC610
QGEPYCPFLNPAWKDACIERL





3722
EGC612
GSEPYCPFFNPIWKDQCITRF





3723
EGC613
RSEPYCPFLNPTWKEHCIART





3724
EGC614
TNEPYCPFLNPTWKQQCIART





3725
EGC615
TSEPYCPFENPIWKAQCISRS





3726
EGC616
KSEPYCPFLNPYWKDQCIARS





3727
EGC617
LREPYCPFLNPTWKAECIARI





3728
EGC619
TNDPYCPFLNPTWKAQCLDRY





3729
EGC620
KGQPYCPFLNPIWKEQCLART





3730
EGC621
SSEAYCPFLNPTWKQECIARL





3731
EGC623
ANSWCHTLYWDLMYCVWQE





3732
EGC624
TIEPYCPFLNPIWKDQCIARS





3733
EGC625
QHEPYCPFLNPVWKHECIART





3734
EGC626
IREPYCPFLNPTWKAQCIART





3735
EGC627
HSAPYCPFLNPIWKDECIARS





3736
EGC628
VSEPYCPFLNPTWKAHCIELS





3737
EGC629
SSDPYCPFLNPTWYDQCIERY





3738
EGC630
ISDPYCPFVNPYWKAECIART





3739
EGC631
NIDPYCPFLNPTWKAECIARI





3740
EGC632
PREPYCPFLNPLWKNQCIERT





3741
EGC634
IRVPYCPFQNPTWYDQCIART





3742
EGC635
PDSWCHTLYWHLQHCLSQE





3743
EGC636
TNDPYCPFLNPTWKAECIARH





3744
EGC637
VSEPYCPFLNPTWKAQCLNRI





3745
EGC638
PIDPYCPFLNPIWKEQCHARS





3746
EGC639
VREPYCPFLNPTWKNECIART





3747
EGC640
LIEPYCPFLNPIWKDQCLART





3748
EGC641
PKFFMCQVYPSGKWHVCTGTV





3749
EGC642
PKYYMCQIYPSLKWNVCLETL





3750
EGC644
LNFYICKLYPSANLHVCVDTL





3751
EGC646
RSEPYCPFLNPVWKDQCIARS





3752
EGC647
SSEPYCPFLNPIWKYHCIARS





3753
EGC648
PGSPYCPFLNPFWKEQCIVRT





3754
EGC649
YEEHCALFPTDWICTLH





3755
EGC651
FIEPYCPFINPTWKAECLART





3756
EGC652
DKFYLCQIYPSERWHVCVWSS





3757
EGC653
EKFKMCQIYPSKNWAVCVETF





3758
EGC654
HKFYMCQVYPSEKWHVCVETL





3759
EGC655
LSEPYCPFLNPSWKAECIARS





3760
EGC656
LSEPYCPFLNPIWKEQCIARS





3761
EGC657
LSEPYCPFLNPTWKDQCIARS





3762
EGC658
RSEPYCPFVNPIWKAECIVRS





3763
EGC659
QFEPYCPFLNPTWKEQCIARI





3764
EGC660
PIEPYCPFQNPTWKAQCIART





3765
EGC661
YRQPYCPFLNPTWKAQCMART





3766
EGC663
DNFYMCQVYPSLKWIIICVSIL





3767
EGC664
SMFFMCQVYPSEKWHVCVYPL





3768
EGC665
SKFFMCQVYPSERWHVCIEPL





3769
EGC666
LKFYMCQVYPSGNWNVCTATQ





3770
EGC667
NSEPYCPFHNPTWKAACMART





3771
EGC668
RSEPYCPFLNPIWKEQCIART





3772
EGC669
SREPYCPFLNPTWKEQCIARI





3773
EGC671
MREPYCPFLNPSWKEQCIARS





3774
EGC672
LREPYCPFLNPVWKNECIART





3775
EGC673
ITDTYCPFQNPIWKAECIART





3776
EGC674
FNFFMCQVYPSEKWHICVKSL





3777
EGC675
KKFYMCQIYPSEKWHVCVERI





3778
EGC676
TRYSMCQVYPSLRWIIVCVENL





3779
EGC678
LGEPYCPFLNPTWKAQCLYMS





3780
EGC679
SSEPYCPFLNPIWKNECLARQ





3781
EGC680
RSEPYCPFLNPIWKEHCINRS





3782
EGC681
HSQPYCPFQNPTWYEQCIART





3783
EGC682
SNEPYCPFLNPSWKDACLQRT





3784
EGC683
LSDVYCPFVNPTWKAECIARS





3785
EGC684
SDFFMCQVYPSQKWHVCVKSL





3786
EGC686
PDSWCHTLYWSLLHCARQE





3787
EGC687
LPFFMCQVYPSKSWHVCVETS





3788
EGC688
LSEPYCPFQNPTWKEQCVARS





3789
EGC689
ADSWCHTLFWNLKHCLIQE





3790
EGC690
GGDPYCPFLNPTWKAECIART





3791
EGC691
VREPYCPFLNPIWKDQCIART





3792
EGC692
ASEPYCPFLNPIWKDQCIART





3793
EGC693
SSEPYCPFQNPTWKDQCIARN





3794
EGC694
ADSWCHTLYWNLLYCANQE





3795
EGC696
SWFFMCQIYPSLKWHVCVETL





3796
EGC698
STFYMCKVYPSQRWHVCVDTL





3797
EGC700
SREPYCPFLNPTWYDECIART





3798
EGC701
QSEPYCPFLNPMWKEQCIVRI





3799
EGC702
TSEPYCPFDNPTWKARCLAML





3800
EGC703
ARQPYCPFLNPTWKNECMARS





3801
EGC704
PSEPYCPFLNPIWKAECIART





3802
EGC705
IAILTALSLTLSGRTSASSE





3803
EGC706
YSAPDCPFVNPIWKNACIARY





3804
EGC707
ADSWCHTLFWQLQHCVWQE





3805
EGC708
LNFSMCQVYPSYKWHVCVGTL





3806
EGC709
MEFFMCQVYPSEKWHVCVAKL





3807
EGC710
LRYYICQIYPSEKYHVCVDTL





3808
EGC711
VIEPYCPFLNPTWKAECLARS





3809
EGC712
STEPYCPFLNPIWKDACIARH





3810
EGC715
WRDPYCPFLNPIWKEQCIARY





3811
EGC716
RSEPYCPFLNPTWKDQCMART





3812
EGC717
VIDPYCPFLNPIWKEQCQVRT





3813
EGC718
SKFFMCQVYPSKKWHVCVEAL





3814
EGC719
IKFFMCQVYPSELWHVCVQKQ





3815
EGC720
TTFFMCQLYPSGNWHVCTETL





3816
EGC721
FKFFMCQTYPSEKWIIVCVEKL





3817
EGC722
SSEPYCPFLNPLWHEQCLARI





3818
EGC723
AREPYCPFLNPIWKAECVARY





3819
EGC724
PSEPYCPFVNPTWLDECIARS





3820
EGC725
ASEPYCPFLNPTWYEQCINRT





3821
EGC726
PISPYCPFLNPIWYEECIARS





3822
EGC727
VGEPYCPFMNPIWKEQCILRS





3823
EGC729
ADSWCHTLYWQLLHCVNQE





3824
EGC736
ADSWCHTLYWQLLHCVSQE





3825
EGC737
DQVRCPFQNPVWWSHCMYLL





3826
EGC745
DQVRCPFQNPVWWSHCMYLL





3827
EGC746
DQVRCPFQNPVWWSHCMYLL





3828
EGC752
YTKHCQRLPTYKICNLFM





3829
EGC754
DQVRCPFQNPVWWSHCMYLL





3830
EGC755
ADSWCHTLYWQLQHCLSQE





3831
EGC759
DQVRCPFQNPVWWSHCMYLL





3832
EGC763
DQVRCPFQNPVWWSIICMYLL





3833
EGC764
DQVRCPFQNPVWWSHCMYLL





3834
EGC765
TDSWCHTLYWQLHHCAILE





3835
EGC770
DQVRCPFQNPVWWSHCMYLL





3836
EGC771
YQVTCPFLNPPWWSHCMYLL





3837
EGC772
DQVRCPFQNPVWWSHCMYLL





3838
EGC776
HRAPCFSCTACRQPCFSLT





3839
EGC777
YQVTCPFFNPLWWSHCMYLL





3840
EGC783
SEPYCPFLNPTWKSQCIART





3841
EGC789
YEVQCPFQNPIWWKHCMDLI





3842
EGC791
ESCWTWDHWYQYWVPQRCDP





3843
EGC792
ANSWCHTLYWQLHHCEILE





3844
EGC793
QACNFTSLGWYQEFYCLR





3845
EGC794
WACRWEWHAAWQKWDEFCVE





3846
EGC795
AYCYRSIISRNSTCSAL





3847
EGC796
VYCFLNFKTMNYAGEFWCRH





3848
EGC797
SWCMWYYESTYSAPYYYCSV





3849
EGC798
SQCHWWHEPYGMFQTEICLW





3850
EGC799
GLHGCQYVQMFFHFCAPKT





3851
EGC800
WQHVCWQDWYSWVCTSGY





3852
EGC801
PWRGCWWDPWQPWDCVPFF





3853
EGC802
QERLCRQIWQIIYCVRYM





3854
EGC803
QPRECNYVPAWYCHYYS





3855
EGC804
VYQYHCDWYTCLFRHT





3856
EGC806
FQGHCALFPTDWICTLKS





3857
EGC807
QMCHMEWHNHVYWQVCHW





3858
EGC808
WMRQCHLETECQRAS





3859
EGC809
SAVACFHPPYFFICVASG





3860
EGC810
LRRRCHSRFMQCSNPG





3861
EGC811
GQTWCHWGMYCISTT





3862
EGC818
WEYQCEWGYSYKPQCWLSA





3863
EGC820
LPLTCWVLEWHEWLACVSYD





3864
EGC822
WSYSCVFLPWMYHMCYLET





3865
EGC823
WFYQCWQSPWHTECSWVN





3866
EGC824
RDQPCWYKIMTGCLCMP





3867
EGC825
LPPSWCVRGECSWLLL





3868
EGC826
DESDCKQLPICHGHCLVPL





3869
EGC827
YQVFCEWSYWEYHCISNQ





3870
EGC828
VQHHCLYRQHSYRECVRHY





3871
EGC829
YIDCVPVLPGFYLPQLG





3872
EGC831
WHQACEYQYYNWECSMGW





3873
EGC832
ETFSCYVFPFFYECYSTP





3874
EGC836
WTNLFCWGPLCKCLQQ





3875
EGC839
YQVMCLHQPFVSFCHYET





3876
EGC840
GTHWCRYYPSYAECYVWL





3877
EGC841
TWLCDCSYWGCWWELG





3878
EGC842
LWVGCYIPPWTEWCPIAW





3879
EGC844
VWLMCWHYIFCPSKL





3880
EGC845
PEYLCWVYPYAPQCWDLV





3881
EGC846
VEHLCSKIPFWMFSAWPG





3882
EGC849
ICEACPKIIVSEQCIRLR





3883
EGC851
WRVICMARPTGEQCEWVW





3884
EGC854
DWSKCIQFSLPHDHCLMFM





3885
EGC856
SRWECAWIVGYHHWDCRWLF





3886
EGC857
SMEYCFWYHYCQLGV





3887
EGC858
IFVMCEDSWPVPFCFSNR





3888
EGC859
VEWMCYAYPFDPECYYNW





3889
EGC861
DEHLCSISRSGMSFAWAG





3890
EGC862
ASEPYCPFLNPVWKEQCIARL





3891
EGC863
PREPYCPFHNPIWKNQCIART





3892
EGC865
ESEPYCPFLNPIWKAHCIART





3893
EGC866
DSEPYCPFLNPIWKEQCLARM





3894
EGC867
TSDPYCPFLNPTWKAECIART





3895
EGC868
WSEPYCPFTNPTWKAACIARS





3896
EGC869
ARDPYCPFQNPIWYNECIART





3897
EGC870
PREPYCPFHNPAWKAACVARA





3898
EGC871
TNESYCPFLNPTWKAECMARI





3899
EGC872
DREPYCPFLNPYWKDQCLART





3900
EGC873
ISDPYCPFVNPIWKEQCIARN





3901
EGC874
RNEPYCPFVNPIWKEQCIIRT





3902
EGC875
LTTPYCPFENPTWKAQCIART





3903
EGC876
SIEPYCPFLNPTWLEQCIARS





3904
EGC877
KSEPYCPFLNPTWHDQCIARN





3905
EGC878
IIGPYCPFLNPEWKDQCMART





3906
EGC879
YREPYCPFQNPYWKDQCIARY





3907
EGC880
AIEPYCPFLNPIWKDQCLARI





3908
EGC881
MSRPYCPFLNPIWKEQCIART





3909
EGC882
YNKPYCPFQNPTWKEACLARS





3910
EGC883
SSEPYCPFLNPTWKAECIARS





3911
EGC884
LSEPYCPFQNPIWKDKCIAMS





3912
EGC885
SYEPYCPFLNPTWKAECIARI





3913
EGC886
GSEPYCPFLNPTWKEQCIIRT





3914
EGC888
SSEPYCPFLNPTWKSQCIARS





3915
EGC889
RSEPYCPFLNPIWKDHCIART





3916
EGC890
RSEPYCPFLNPTWKAECIARS





3917
EGC891
SREPYCPFLNPIWKDKCISRT





3918
EGC892
TSDPYCPFLNPIWKEQCIVRT





3919
EGC893
EREPYCPFLNPTWKEQCLARH





3920
EGC894
LREPYCPFLNPTWKAECIARS





3921
EGC895
GSEPYCPFLNPTWKEQCLARL





3922
EGC896
MSEPYCPFLNPIWKEQCIARS





3923
EGC897
RGEPYCPFTNPIWKEQCINRS





3924
EGC898
DADPYCPFLNPTWKAECLARS





3925
EGC899
RGEPYCPFLNPAWKNECLART





3926
EGC900
IIEPYCPFVNPNWKAQCIARS





3927
EGC901
EDEPYCPFLNPIWKAQCLART





3928
EGC902
FTEPYCPFINPTWKAECIARS





3929
EGC903
TSEPYCPFLNPIWKEQCITRT





3930
EGC904
VEPYCPFLNPTWKDACLART





3931
EGC905
TSEPYCPFGNPIWKKECIART





3932
EGC906
TSEPYCPFLNPTWKDECIARM





3933
EGC907
SNEPYCPFLNPTWKAQCLARM





3934
EGC908
YREPYCPFLNPTWKEQCIARS





3935
EGC909
LNAPYCPFLNPNWYDQCIHRS





3936
EGC910
SSDPYCPFLNPTWKQQCIERS





3937
EGC911
ASEPYCPFLNPTWKEQCIART





3938
EGC912
LSEPYCPFQNPTWYDECISRS





3939
EGC913
SSEPYCPFLNPKWKHECIARS





3940
EGC914
GSEPYCPFLNPIWKAECIARS





3941
EGC915
RIEPYCPFVNPTWKDQCLART





3942
EGC916
SIEPYCPFLNPTWKEQCIARS





3943
EGC917
RTEPYCPFLNPTWKEQCIARS





3944
EGC918
PSEPYCPFLNPTWKDQCLQRS





3945
EGC919
YSEPYCPFLNPTWKAECIART





3946
EGC920
TSEPYCPFLNPTWKEHCMART





3947
EGC921
GSNPYCPFLNPIWKEACLART





3948
EGC922
INEPYCPFQNPFWYAECLART





3949
EGC923
TREPYCPFLNPTWLDQCIART





3950
EGC924
IREPYCPFLNPSWKAECIARS





3951
EGC925
ASEPYCPFINPTWKDECIARS





3952
EGC926
HSEPYCPFLNPTWKEQCTARS





3953
EGC927
MKEPYCPFLNPTWKAQCIART





3954
EGC928
TDETYCPFKNPIWYEECIARS





3955
EGC929
RGEPYCPFKNPTWKYQCLART





3956
EGC930
IREPYCPFLNPIWKAHCIALT





3957
EGC931
VSEPYCPFMNPIWKAECLSRT





3958
EGC932
EREPYCPFLNPIWLEQCLSRT





3959
EGC933
YSEPYCPFLNPIWKEQCIART





3960
EGC934
FGEPYCPFLNPTWKAECLVRS





3961
EGC935
LREPYCPFLNPTWKEQCLVRT





3962
EGC936
STDPYCPFLNPVWNYQCIART





3963
EGC937
SHEPYCPFQNPIWKAECLART





3964
EGC938
LNDPYCPFLNPIWKEQCMSRY





3965
EGC939
GYAPYCPFLNPIWKNECITRT





3966
EGC940
FSEPYCPFVNPYWKEQCIART





3967
EGC941
HTEPYCPFLNPTWKEQCLARF





3968
EGC942
GYEPYCPFLNPIWKAECKARS





3969
EGC944
LREAYCPFINPIWKDQCMARI





3970
EGC945
LIEPYCPFLNPHWKAECIARY





3971
EGC946
SSEPYCPFINPMWKDQCLART





3972
EGC947
PSDPYCPFLNPSWKAECLART





3973
EGC948
SSEPYCPFLNPIWKAECIARA





3974
EGC949
FPEPYCPFLNPHWKAQCLERL





3975
EGC950
FREPYCPFLNPTWKQQCLARI





3976
EGC951
PREPYCPFLNPIWKDECIART





3977
EGC952
MSDPYCPFLNPTWKAQCIART





3978
EGC954
NSEPYCPFSNPTWKDECLIRS





3979
EGC955
LREPYCPFLNPTWKEQCIARY





3980
EGC956
HNKTYCPFLNPTWKAQCIART





3981
EGC957
IGEPYCPFLNPTWKEECIRRT





3982
EGC958
ISEPYCPFINPTWKAECIARS





3983
EGC959
TKAPYCPFKNPIWKAECIART





3984
EGC960
PGDPYCPFLNPIWKQECIVRN





3985
EGC961
STEPYCPFSNPTWKAQCIARI





3986
EGC962
RSEPYCPFLNPTWKDQCIARS





3987
EGC963
SSEPYCPFLNPIWKEHCIART





3988
EGC964
YREPYCPFLNPIWKEQCIART





3989
EGC965
HSEPYCPFVNPTWYNECISRT





3990
EGC966
RSEPYCPFLNPIWKDQCIARS





3991
EGC967
VNEPYCPFLNPKWYAECLART





3992
EGC968
QNDPYCPFLNPIWKAQCIARS





3993
EGC969
SSEPYCPFLNPYWKEQCIART





3994
EGC970
YREPYCPFLNPYWKDQCMART





3995
EGC972
MHEPYCPFINPTWYEQCLARS





3996
EGC973
QLKPYCPFLNPIWYDQCVSRT





3997
EGC974
SSEPYCPFLNPSWKDQCIARL





3998
EGC975
YIDPYCPFLNPTWKDACLARS





3999
EGC976
SSEIIYCPFVNPAWKEACIARY





4000
EGC977
QSEPYCPFVNPTWKNECIARY





4001
EGC978
LSDPYCPFLNPIWKDQCIART





4002
EGC979
LGEPYCPFINPTWKAECLART





4003
EGC980
YGDPYCPFLNPTWKENCTART





4004
EGC981
LTEPYCPFLNPTWKDECLART





4005
EGC982
FREPYCPFKNPTWLAQCIARS





4006
EGC983
ANEPYCPFLNPHWKGQCVLRS





4007
EGC984
LNEPYCPFNNPTWKEECIKRS





4008
EGC985
QSEPYCPFLNPTWYTECVART





4009
EGC986
SSQPYCPFLNPTWKDACLART





4010
EGC988
SHEPYCPFLNPEWKAECIARN





4011
EGC989
ASDPYCPFLNPIWKDQCILRS





4012
EGC990
DNDPYCPFLNPTWKEECVARS





4013
EGC991
ESEPYCPFVNPIWKDQCMARY





4014
EGC992
LSAPYCPFLNPTWKDQCLART





4015
EGC993
SSEPYCPFLNPIWKQACYDRT





4016
EGC994
VDEPYCPFLNPNWKEACIARS





4017
EGC995
LIEPYCPFLNPTWKEQCFVRS





4018
EGC996
NDEPYCPFLNPIWKAQCLARN





4019
EGC997
AGKPYCPFLNPSWYDECIRRL





4020
EGC998
LSEPYCPFLNPIWKDQCMIRS





4021
EGC999
STEPYCPFLNPTWKDQCIARI





4022
EGC1000
PREPYCPFLNPVWKAQCIARW





4023
EGC1001
ISAPYCPFKNPIWKAECIARS





4024
EGC1003
IGEPYCPFLNPTWKDQCLVRS





4025
EGC1004
SSVPYCPFKNPTWKAECIART





4026
EGC1005
YREPYCPFLNPLWKDECIART





4027
EGC1006
HSEPYCPFLNPTWKDECITRT





4028
EGC1007
YSDPYCPFLNPSWYDECVSRM





4029
EGC1008
YREPYCPFLNPTWYVECIARS





4030
EGC1009
HREPYCPFLNPAWKEQCLVRS





4031
EGC1010
ASEPYCPFLNPTWRDACLART





4032
EGC1011
LREPYCPFLNPTWKEQCIARS





4033
EGC1012
SSEPYCPFLNPTWYNECIYRI





4034
EGC1013
LREPYCPFENPIWKEKCIAIT





4035
EGC1014
PSEPYCPFLNPTWKAECIART





4036
EGC1015
ATEPYCPFLNPIWKAQCIERM





4037
EGC1016
LGEPYCPFLNPTWKLQCLART





4038
EGC1017
ATEPYCPFLNPVWKDQCILRT





4039
EGC1018
PIEPYCPFINPMWKAECIART





4040
EGC1019
GREPYCPFLNPVWYNECMVRF





4041
EGC1020
VIEPYCPFLNPIWKEQCIARS





4042
EGC1021
TIEPYCPFLNPTWYKECLLRS





4043
EGC1022
LGEPYCPFLNPTWKDQCTARS





4044
EGC1024
LNEPYCPFLNPTWKAQCIART





4045
EGC1025
WSEPYCPFLNPTWKAECIART





4046
EGC1026
ASEPYCPFWNPIWKAQCIARI





4047
EGC1027
ISEPYCPFVNPTWKAQCIART





4048
EGC1028
VIEPYCPFVNPTWKEQCILRS





4049
EGC1029
MSCDEAWYNEQTWLWCVT





4050
EGC1030
WQCEWQWVQEWGAWDEFCVM





4051
EGC1031
GYCATDYWDYNGVWGTYCTQ





4052
EGC1032
RYCYLFEKYAPFYDQCLL





4053
EGC1033
RYCYLFQKYAPFYDQCLL





4054
EGC1034
GCCYWWGLVYDKWIKCET





4055
EGC1035
YQVKCPFQNPVWWSHCMYLL





4056
EGC1036
GYCFLFYKFPQYHMQCII





4057
EGC1037
KECLFTVPGVQHPVMWYCLT





4058
EGC1039
LLCRGQTANNLQPDECLT





4059
EGC1040
TCCRDYWMYRFLYTQCGM





4060
EGC1041
SFHRCFEWVRHNCVWGA





4061
EGC1042
ETLACAKLMPWYNECLARF





4062
EGC1043
RYCDHFVNHHDYYKLCLT





4063
EGC1044
WQCEWQWVQEWGAWDKFC




VM





4064
EGC1045
LERLCIEIWSYHCRSFL





4065
EGC1046
LATWCQRWLASACFGLF





4066
EGC1047
GWCFEYYPEVSRFVYSDCNS





4067
EGC1049
YQVKCPFQNPVWWTHCMYLL





4068
EGC1050
WHCQWFWVPEWGAWDEFCVM





4069
EGC1051
STCLLQYYQFDVFSKKFCPL





4070
EGC1052
WHCEWHWVQEWGAWDEFCVM





4071
EGC1053
PKVRCPFQNPIWWSHCMEIL





4072
EGC1056
SVCHKMWPIIDDLYYCLR





4073
EGC1057
SLCQHFQQQPVWYQACIR





4074
EGC1058
YQVRCPFQNPVWWSHCMYLL





4075
EGC1059
GYCFLFYKFPQYHMQCIS





4076
EGC1060
LLCRGQSANNLQRDECLR





4077
EGC1063
WHCQWFWVHEWGAWNEFCVM





4078
EGC1066
WQCEWEWVQEWGAWDEFCVM





4079
EGC1070
DQVKCPFQNPVWWSHCMYLL





4080
EGC1072
WHCEWQWVQEWGAWDEFCVM





4081
EGC1073
PKVRCPFQNPIWWSIICMKIL





4082
EGC1074
GRCRGYEVDPWWHAPCFCDL





4083
EGC1075
ILCQHFQQQPVWYQACIR





4084
EGC1082
WNEPYCPFLNPTWKAQCIARI





4085
EGC1083
LGEPYCPFLNPFWYDQCIARN





4086
EGC1084
LGEPYCPFLNPYWYDQCMSRT





4087
EGC1085
ASSETYCPFLNPYWYDQCMSR




TSGGGSGGGSQAAAGGSYMH




EPHMQVLEIMN
















TABLE 20







ErbB4 binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





4095
EGD1
HPWRCLKKPEVVQCLRTG





4096
EGD2
GIFACVKEPEVVKCLISW





4097
EGD3
HPWRCLEEPEVVQCLRTG





4098
EGD4
EERLCYTPEAIFVDCTLHF





4099
EGD5
SRADWCDWHKCVVLQW





4100
EGD6
AYADWCSWHQCVQLDS





4101
EGD7
SVLVCWMYDQCVSVS





4102
EGD8
IIRWRCLIEPEVVQCLRTG





4103
EGD9
ADGHCWMYYEDWMCLYLM





4104
EGD10
SGWHCWVDYFCTRVE





4105
EGD11
VGAFCLPFEYWYQDCTRRL





4106
EGD12
PVETCMNYYEDIICRFLV





4107
EGD13
WKDFCPDVPPWLACTGSS





4108
EGD14
FPFSCVMRPHVIECLLSG





4109
EGD15
ADGHCWMYYQDWMCLYLM





4110
EGD16
EQLNCQEKIQYWCTRIY





4111
EGD17
AYADWCSCINASSWT





4112
EGD18
AYTDWCSWHRCVQLDS





4113
EGD19
YLIMCKEFPWSFTCGTLY





4114
EGD20
DNSGCNAPTFVCGFLW





4115
EGD21
SPFLCVHDFQVIECLIRW





4116
EGD22
QDNCCFIIIDNCQSGF





4117
EGD23
SVGRCFSHMPYHVSCSVSV





4118
EGD24
GWPPCADWMDQQLCSSAL





4119
EGD25
LKYRCVIYFHCYGWM





4120
EGD26
SQNVCLHLPWGWECFAWP





4121
EGD27
KPWRTCFNHGCELSLR





4122
EGD28
SRADWCDWXNASSCS





4123
EGD29
EGPPCYDWWTSSCARVR





4124
EGD30
ADGHCWMYYEYWMCLYLM
















TABLE 21







DR5binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





4125
DR51
VSDTCMVIMTCRYSP





4126
DR52
SERICFKIYMTSKNTCQKAS





4127
DR54
ALRPCLVYMSMKCSVTW





4128
DR55
SLTPCVYLTMCAPGH





4129
DR57
DVGECRVIMTCRPSS





4130
DR58
QQGSCKIYMTCRYSH





4131
DR59
QWQVCYWTEGRWADSCGWAQ





4132
DR510
SVYPCKVIMTCLRSP





4133
DR512
TGNTCKRPVLTCNWSG





4134
DR513
TEFGCQVYMTCRPKL





4135
DR514
SVYPCKVIMTCLKSP





4136
DR515
NFRMCIPIMTMHCWADD





4137
DR516
DQYTCDRVILTCWTPH





4138
DR517
RVSECFLYLTCHKGQ





4139
DR518
PTRECTVILTQHCWNVW





4140
DR519
LTPCQPIMTCKRPV





4141
DR520
SPSPCKVIMTCAPLN





4142
DR521
ARHPHEPPYLCMKCL





4143
DR523
ANDRCIPIMHWHCWAYW





4144
DR524
VQGGCDLVILTCKMWG





4145
DR525
LRDFCSTTMAHQCHFGP





4146
DR526
AKGECQVYLTCRYNS





4147
DR527
GSEGCKVILTMKCPDRI





4148
DR528
EYVECGPHQYYWFGHCHFWA





4149
DR529
KCNFNPWKAACG





4150
DR530
YAERCKVYLTMKCDISQ





4151
DR531
PSEMCVVVMRNYCWSST





4152
DR533
LSSGCMVYMTMKCGSTK





4153
DR534
VGADCWVIMTCRKNL





4154
DR535
ATTPCMVYMTCFRTP





4155
DR537
QDRACFPIMTLHCPGEG





4156
DR539
QTRNCGVWPNHLVCMPLS





4157
DR540
LQKVCAAWYYCMESH





4158
DR541
LRANCKVVLTERCGNYL





4159
DR542
ADEACLVVLTCRASP





4160
DR543
SGLGCPQNHLLVLTCRHAM





4161
DR544
WIAGCKLVLTERCLNYF





4162
DR545
NNSQCQVILTHRCHSLT





4163
DR548
KVSVCFPILTMYCSERY





4164
DR550
NDLMCQPIMTMKCARYQ





4165
DR551
ILIFCQTPPHHCLSKL





4166
DR552
SYQRCKVIMTQKCIVPP





4167
DR553
TSDRCVVVLTCRMWG





4168
DR554
HVSRCEPVLTMHCWRGS





4169
DR555
PSYPCSIILTCRSTL





4170
DR557
RDSECFIYLTCRVLP





4171
DR558
SAEDCFVILTCLCSR





4172
DR559
DRYPCYFYLTCIPAS





4173
DR561
LQSECFVIMTCKRVN





4174
DR562
NTKPCMPIMTCLKWN





4175
DR563
WNTPCMVIMTCRPHE





4176
DR564
PLTKCKVIMTCARGI





4177
DR565
WHYPCQPVLTCRSHN





4178
DR566
FQTECLVYMTCRTIY





4179
DR568
WESPCFIKLTCHMVA





4180
DR569
FVGHCWWPLGLCAPLP





4181
DR570
SSMSCVEYQQCRLGY





4182
DR571
ARDSCLVYMTCRPVA





4183
DR573
LNASCMVYLTQRCSHTS





4184
DR574
RIIDGCNKIMLTCIITRA





4185
DR575
HRDPCTVVETCRSLS





4186
DR576
MTSECQKVILTCWNAS





4187
DR577
YMSVCHIDGHQVVCLKNK





4188
DR580
SGDTCLVILTHRCATVS





4189
DR581
YTAPCKVYMTCVRPM





4190
DR582
LRANCKVVLTERCCNYL





4191
DR583
PPSSCQVILTCRPIW





4192
DR584
LSTRCTDQDIVLTCRIKD





4193
DR586
WHYPCQPVLTCRSRT





4194
DR588
GQTDCMIIMTCKQWK





4195
DR589
PATRCEPVLRHFCWGQG





4196
DR590
DSFGCTWEVWGRECHPQL





4197
DR591
FYLYCPYPEMSSHCVLRA





4198
DR592
LRADCKVVLTERCSNYL





4199
DR595
HENPCQVYMTCRHLD





4200
DR596
SAEECFVILTCLGSR





4201
DR597
ARQDCVPVMRWHCWAEI





4202
DR598
PPLGCTRIALTCWDIR





4203
DR599
QPPECRVIMTLRCGDAW





4204
DR5100
PKQACKIIMTERCWAVD





4205
DR5101
TVGECMPIMTCFSTN





4206
DR5102
WHYPCQPVLTCRSHT





4207
DR5104
PLTKCKVIMTCAWGI





4208
DR5105
GISGCKLVLTQRCLHVN





4209
DR5107
ERQGCVVYLTERCVVGR





4210
DR5109
NNSQCQVILTHHCHSLT





4211
DR5110
DKSPCQVVMTCRPLL





4212
DR5111
ALHKCMVILTNRCETPV





4213
DR5112
TTTSCKLYLTSTCSPNH





4214
DR5113
TEYPCKVYMTCMWPI





4215
DR5114
LGPNCKIVLTERCGNSL





4216
DR5115
SERPCGERPVVMTCFPVR





4217
DR5116
GSFSMRWDCGDNPIPGRRQCVIM





4218
DR5117
GSAQLLWDCGDNPIMGRRQCVKL





4219
DR5118
GSYTHTFDCGDFNITGRRQCVKL





4220
DR5119
GSLSSQFDCGENPILGRRQCLYL





4221
DR5120
GSRAQIWDCGDNPIRGQRQCVKL





4222
DR5121
GSIHIPPRCTEEDVIMTCRRSAD





4223
DR5122
GSSTFPRFCAEEDVIMTCRWRFD





4224
DR5123
GSNAIPRHCTEEDVIMTCRLRPS





4225
DR5124
GSAEFHRPCGEEDVIMTCRWRVH





4226
DR5125
GSNALPRACDERDVIMTCRKSVA





4227
DR5126
GSYDFPRTCAEEDVIMTCKWRIS





4228
DR5127
GSIPSRFDCGENPIAGRRQCVEL





4229
DR5128
GSQYIHMDCFENRIRGYCHCIKM





4230
DR5129
GSILIPRTCAQEDVIMTCRERAY





4231
DR5130
GSQGLPRPCGEEDVIMTCRWSGY





4232
DR5131
GSDSFTRTCTEDAVTMTCKWRVL





4233
DR5132
GSDPSPRTCAEEDVIMTCRWQVY





4234
DR5133
GSSMITRPCAEEDVIMTCKWLPI





4235
DR5134
GSGYNPRLCSEQDVIMTCRLRFG





4236
DR5135
GSFDRNWDCGDNPIKGRRQCVKV





4237
DR5136
GSTYMQFDCGDNPIPGRRQCVPL





4238
DR5137
GSFVSHWDCGENPIIGRRQCVLL





4239
DR5138
GSPPHSRPCAEEDVIMTCRYRIY





4240
DR5139
GSLDRPRPCAEEDVIMTCRWRAA





4241
DR5140
GSWKWSPTCAEEDVIMTCRKHVK





4242
DR5141
GSKSVPRLCSEEDVIMTCKRGVF





4243
DR5142
GSEYWQPPCAEEDVIMTCKWRVV





4244
DR5143
GSLCLPRHCAENEVIMTCRPLMF





4245
DR5144
GSLMSQWDCGDNPILGRRQCVKL





4246
DR5145
GSFKTIWDCGDNPIPGRRMCVKL





4247
DR5146
GSSSITWDCGDNPIPGRRQCVIII





4248
DR5147
GSPRFKWDCGDNPIAGRRQCVLL





4249
DR5148
GSSGFPHHCGEEDVIMTCRWRGL





4250
DR5149
GSPHFPRPCAEEDVIMTCRWRVI





4251
DR5150
GSGWHTRFCAEEDVIMTCKWRVI





4252
DR5151
GSDHWRRSCSEDDVIMTCRWRVS





4253
DR5152
GSFKVPHLCAEEDVIMTCRWRVY





4254
DR5153
GSRSSPHPCGEEDVIMTCRWRIT





4255
DR5154
GSVLQVCDCLDIPVFGTCQCVQL





4256
DR5155
GSGDSHWDCGDNPILGRRQCVKL





4257
DR5156
GSTSMLWDCGANPIKGRRQCVLL





4258
DR5157
GSMPYSWDCGDNPIVGRRQCVKV





4259
DR5158
GSFTSRWDCGNNLVIGQRQCIKL





4260
DR5159
GSSAPGFDCGDNPIVGQRQCIKL





4261
DR5160
GSMVGQRPCAEEDVIMTCRWRVV





4262
DR5161
GSSLLPRNCSEEDVIMTCRWRVD





4263
DR5162
GSGTTPRRCAEEDVIMTCRWSAH





4264
DR5163
GSSYSPRPCAEEDVIMTCRPRFH





4265
DR5164
GSGVFPRPCHEEDVIMTCRWRVH





4266
DR5165
GSADPLWDCGDNPIKGRRQCVPL





4267
DR5166
GSLPHAWDCGDNPIPGRRQCVKL





4268
DR5167
GSTKLTHPCGEEDVIMTCRWRVA





4269
DR5168
GSTASPRHCAEHDVIMTCRWPVD





4270
DR5169
GSERLARSCDEDDVIMTCRWRVT





4271
DR5170
GSNKPPRPCSEEDVIMTCRWRVV





4272
DR5171
QGSDEWDCLDNRIGRRQCVKL





4273
DR5172
GSSLSSWDCGDNPIPGRRQCVKL





4274
DR5173
GSPSEYWDCGDNPIFGRRQCVRL





4275
DR5174
GSLSPLWDCGDNPILGRRQCVLL





4276
DR5175
GSAAHYWDCGDNPIVGRRQCVKL





4277
DR5176
GSYLYPRPCSEEDVIMTCRWRVS





4278
DR5177
GSSSFTPTCNEEDVIMTCRWRVV





4279
DR5178
GSLSAPPTCAEEDVIMTCRWRLK





4280
DR5179
GSRNFPVPCDESDVIMTCKWRVS





4281
DR5180
GSDRFQRHCSEADVIMTCKSRLY





4282
DR5181
QGSDEWDCLDNRIGKRQCVKL





4283
DR5183
GSSSFPRPCAEEDVIMTCKWRVY





4284
DR5184
GSMLLPRSCAEEDVIMTCRWAHY





4285
DR5185
GSGKCTEEDVIMTCRSKVT





4286
DR5186
GSSHFPHPCSEEDVIMTCRWRVN





4287
DR5187
GSVDFPRPCLEDDVIMTCKWRLY





4288
DR5189
GSVLDILSCKCLDTSSHVQCVTL





4289
DR5190
GSRMSSPSFDCKGDFGHRQCVKL





4290
DR5191
GSGEPSDGRVCLTKCSSLIQCFKF





4291
DR5192
GSHCLYVVWECVDHGICLRRCAEL





4292
DR5193
GSNNTTSMWDCLDRPIGQRQCVKL





4293
DR5194
GSYWSFSKWDCLDRPLGQRQCVLL





4294
DR5195
GSPTVPNQCHCQDNRISRMCVIL





4295
DR5196
GSDKFRERWDCLDYRIGHRQCIKL





4296
DR5197
GSMYTDDDRVCLTTCSVLRQCIKL





4297
DR5198
GSDLFSSRWDCLGKLGQRQCVKL





4298
DR5199
GSQLLTFGWDCLDRPIGQRQCVKI





4299
DR5200
GSGDEHAYWDCLDRPIGQRQCVKM





4300
DR5201
GSSGFYERWDCLDHHIGRRQCVKL





4301
DR5203
GSMKVTGPWDCLDRPIGQRQCVYL





4302
DR5204
GSLPDTYLTNCIHNRHDLCLCSKII





4303
DR5205
GSRSSSMPSVCLTDCISLRQCVKL





4304
DR5206
GSSNSMEPRVCLTNCTALRMCAKL





4305
DR5207
GSRIDLSQWDCLDYRLGQRQCVKV





4306
DR5209
GSIGHSPRWDCVGKPGHRQCVKL





4307
DR5210
GSQLLTSMFDCGDRPMGRRQCVLV





4308
DR5211
GSPHPTATRVCLTDCLSLRKCLKM





4309
DR5212
GSCTGVLTQACPAQNSFLQCVEL





4310
DR5213
GSSNFESRWDCIGNVGSRQCVKL





4311
DR5214
GSHNHYDDQVCLTQCNNLRLCIEL





4312
DR5215
GSQAPNIESLCLTRCVNLLHCIKI





4313
DR5216
WDCLDRPLGQRQCVLL





4314
DR5217
FDCKGDFGHRQCVKL





4315
DR5219
WDCLDRPIGQRQCVKM





4316
DR5220
WDCLDYRLGQRQCVKV





4317
DR5221
WDCLDRPIGQRQCVYL





4318
DR5222
WDCVGKPGHRQCVKL





4319
DR5223
WDCLDYRIGHRQCIKL





4320
DR5224
WDCIGNVGSRQCVKL
















TABLE 22







CD3 binding MRDs









SEQ




ID:
Ref. No.
Peptide Sequence





4329
CD32
FDLLCVHVESHKYYCFRPI





4330
CD34
FILSCHWHNGVVRCYEVS





4331
CD38
PPFSCVFDVPTWSWVCGQKS





4332
CD311
AQLLCIIIIVTGKYFSCREVI





4333
CD317
DWWLCESEKQTFWCSILR





4334
CD318
RGMQCHFEKTGWMWVCSLAG





4335
CD323
FMMQCQYVMNGIYCYDSG





4336
CD324
FRLGCVPLPVIQACVAQAAAG




GSKIWECEQNPQVWICNLTS





4337
CD326
PKLLCHDTEDIYCFCELLK





4338
CD328
LFGRCYLYHNLAWYHCVLVW





4339
CD329
IGLLCKKDHGEWSCFRIY





4340
CD330
FMVDCQKMPHYIICAERG





4341
CD331
EWQCAYYPQYFQWQCEILG





4342
CD332
GPPWCMWHQRQYSWICIFGE





4343
CD335
IAWDCQWHHQWHAWECTMNS





4344
CD337
WDAVLCVNKRCSGLYF





4345
CD338
TVVRCYQSPYVYWICKFPT





4346
CD340
FSVICWQKPDYLYCAEDA





4347
CD341
RTVYCGWDANRQAWLCHCQN





4348
CD342
PGFRCSWWEIAKSWVCTMPV





4349
CD343
DLLDCSFNEFEWHWTCSFTQ





4350
CD345
PLVSCQYFPPLHHWRCDFLV





4351
CD347
DKWKCRWKEAYICMRDS





4352
CD348
YRLSCQYLSAHQVICSGLW





4353
CD349
RWAYCSVQDIMWDCTLFP





4354
CD354
TMITCHWRKDHYDWMCQLEY





4355
CD356
FILSCHWNLGVVPCYEVS





4356
CD357
PVMSCEPIPIGWKCSLQT





4357
CD360
FSPECHYFPGYWKCTWSL





4358
CD361
WPQRCVWWWEMDYKCRSLI





4359
CD365
TYWDCVVGHKHMQCLRLS





4360
CD367
SRGWCQYEYQHSQWRCFIHE





4361
CD368
RLVSCSWENSKWQWTCSVLE





4362
CD369
PDSSCHTLYWQLHHCARRE





4363
CD370
GQVTCNYNPATHSWVCSCIS





4364
CD3309
TVFRCVFVNEYRVWFCHIST





4365
CD3318
GEEVCYWAPFEPVRCLPVW





4366
CD3323
VFMVCVHHYEKVKCWAFW





4367
CD3324
FFALCKFQNFHTATCLKLI





4368
CD3354
WSFLCIKVTQQHYECFLFS





4369
CD3364
GLVSCVILPQGWFCFKTA





4370
CD3366
QVKYCVVTHMMCVIDL





4371
CD3399
RSALCHDKMTVKSYCLSSR





4372
CD3412
IFFVCPNNQYDCAVNH





4373
CD3430
WNFFCITFGPYLHCWIYT





4374
CD3431
TMEVCYWGPFTTATCERWP





4375
CD3432
WECYCQGIIVIIYEYCVCFR





4376
CD3433
NHWFCFTDWHHFVCFKFA





4377
CD3435
CWVSCWIWPNMWYCWLDC





4378
CD3436
GVGGLLLGSVRTGSLPPGVGPG





4379
CD3438
YAAWCFKLNKLEVTCFSGI





4380
CD3439
ARFVCFSLVEAQWYCLVLS





4381
CD3440
IYFTCVWYAQQFWCIVMP





4382
CD3444
RGWVCYFFPPHFVCYTWV





4383
CD3446
FSLVCIQMYNQVYCVFIL





4384
CD3447
QDFLCVKIEPFPWICWTMQ





4385
CD3448
FTCVCYQHYDHFWCGCLW





4386
CD3449
ILWACVKQYDGMICWSPS





4387
CD3450
FWLLCIHAPKQDVCFIWM





4388
CD3453
FRALCWEHPPTRYCILFT





4389
CD3454
TAWWCVIMPPKFFCASFN





4390
CD3455
GRVSCYWETHLNVVCVPSL





4391
CD3457
IKLECKVIIAPSMLSCTLWQ





4392
CD3458
YEWSCLITPYGHWCAQTV





4393
CD3459
FTLLCIKFELKPYICWVSL





4394
CD3461
TPRGCTFIFIMPDMCRPSL





4395
CD3462
LRCTCWIFPKNVYCLCLS





4396
CD3463
AFLLRCYAQECVILWL





4397
CD3465
GMVSCVIMPQGWFCFKTA





4398
CD3466
MHWVCIIFPPGFFCVSTF





4399
CD3470
LHFRCFQLYNEYWVCIMSV





4400
CD3474
WNFLCFFTHHKPVWYCVWTM





4401
CD3475
GFQCWCPHVVCFRVPY





4402
CD3477
MQFLCLTVQTNTWYCFLWL





4403
CD3478
FIVRCVIGQKLVCVQTE





4404
CD3479
WSPNCLWFIKTTYVVCPDST





4405
CD3480
YAWECQWIVKPHQFVCGGM





4406
CD3481
GTLRCYSLNWGYFCILFV





4407
CD3482
NKVECHIVLWTFHFGCPSAT





4408
CD3483
TSMVCRSMHMYWLCVNLD





4409
CD3487
NRVLCMMNYIHVTKLCDRPM





4410
CD3490
PLMLCRHMKHFQYYCWPLA





4411
CD3491
PSQRCVNHFVTFFNCTQSN





4412
CD3492
WNFFCITFSPTCIVDLYWPG





4413
CD3493
WTMRCYSHAPNKLVCSVGL





4414
CD3494
LVLHCDYQQGVWTCKAVL





4415
CD3495
VMFVCFSLPEQQVCVPLS





4416
CD3689
PVQICQWTLELQCSPWT





4417
CD3690
LQWVCHWVAECSMSP





4418
CD3693
RGFICEWNLVASCVPAT





4419
CD3694
RIWICDWTIECVESL





4420
CD3697
FVCECFAWDWFGPWQCMCSV





4421
CD3700
RFWIECWTEACRPGLLGQAGQ




GGPGSAGGSYPSIECYSYMCN




VLWF





4422
CD3703
LRSSCEYHQTCNQSSQAAAGG




SREMKCDWRVDCLYYV





4423
CD3704
TLTVCQWVLHATCVDVQ





4424
CD3706
VSIRCHQYLLCVFES





4425
CD3707
SAWFCEWTFQCQLMG





4426
CD3708
GFIVCYWEAVCQSST





4427
CD3709
VLWRCTWVMECVSVS





4428
CD3718
DMWLCHWRIECVPYL





4429
CD3724
PWASCYFYQEHVHCEPPD





4430
CD3743
SYSVCEWEFVYSCWPPY





4431
CD3789
RQQPCLKIWSCLQLY





4432
CD3793
PVQICQWTLELPCSPWT





4433
CD3832
PVPICPWTLELHCPPWTGHA





4434
CD3872
MACLCVSWSKCTPLG





4435
CD3882
QTMKCPMEMGHCTTWR





4436
CD3912
FILLCIIQYLVCIKQE





4437
CD3919
FYMRDCESHRCRLDLS





4438
CD3924
GFQLACRFMSCGCRSC





4439
CD3935
PLMLCRHMKHFEYYCWPL





4440
CD3940
QDFLCVKIEPFPWICWTMQGQ





4441
CD3942
IYFYCVEWYQKWICYTVV





4442
CD3952
VTCFYVETDHVVCFREA





4443
CD3959
GRVSCYWETHLNVVCVPSL





4444
CD3960
FPCVCIMTHHHLECFCFIGQ





4445
CD3972
FSLVCIQMYNQVYCVFILGQ





4446
CD3981
ILWACVKQYDGMICWSPSGQ





4447
CD3992
VKLPCFLIQEMGWMCFWPL





4448
CD3998
WNFFCINFSPYLHCWIYTGQ





4449
CD31008
MYVLCKEAQVGQQWKCVQFF





4450
CD31014
YTPECGWGYMIMFKHCRHYE





4451
CD31025
FWLLCLHVWNKTTVYCLVKH





4452
CD31032
FQCVCVHWNDGRVVCLCHY





4453
CD31034
DYTSCQFRGWLICEAMA





4454
CD31035
LVMLCWKWHEVRHCLLLS





4455
CD31039
VVLTCSSSWERSVFVCRLVE





4456
CD31045
LAFLCIHWQEHLWCIVRP





4457
CD31047
SVVTCYIIMFPWDRIICFLQ





4458
CD31051
TVRCWCEHMVCFMERD





4459
CD31054
CHFLCFKLGFMEYFYCEYSC





4460
CD31058
VMLACYKHPLNNSEWCYILP





4461
CD31063
FRVLCADVPGHRYCFIVS





4462
CD31068
LVFRCLHITQHWFCFGLT





4463
CD31077
EYDSCMFYGFIICPKQT





4464
CD31079
MLFVRCEHGRCTVYEI





4465
CD31086
CEIFCMVSLETQKMVCVIIRA





4466
CD31120
MGFLCWSQPGNEYEWCVPIN





4467
CD31138
RFIHCVHFEWINHIVCFVGT





4468
CD31162
QDFLCVKIEPFPWICWTMQ





4469
CD31165
DRALCWLHPHFATVQCIIMS





4470
CD31173
VTCFYVETDHVVCFREA





4471
CD31179
GRVSCYWETHLNVVCVPSL





4472
CD31180
FPCVCIMTHHHLECFCFI





4473
CD31190
FSLVCIQMYNQVYCVFIL





4474
CD31199
ILWACVKQYDGMICWSPS





4475
CD31211
ADSWCHTLYWNLRHCEIQE





4476
CD31217
WNFFCINFSPYLIICWIYT





4477
CD31249
ESLDCATPLLLCTGCGDQA





4478
CD31254
SFQMCMGWFWWCWSHS





4479
CD31255
WSQSGCTYAHCMYCIH





4480
CD31420
VNCWLHLQFFYSEQYCIE





4481
CD31567
ATGGSLVVKCDWWLDCLVYL





4482
CD31579
DLQICHWTLELECSPRK





4483
CD31605
ATGGSREIRCKWRVDCMCYS





4484
CD31631
SLSSCELYYKCRHFSQAGQGS




ATGGSLVVKCDWWLDCLVYL





4485
CD31644
LRCFCDYYQTCKQYTVAGQGS




ATGGSREIRCKWRVDCMCYS





4486
CD31656
WNYFCVYFSPYLIICWIYS





4487
CD31663
WNFVCIFVSPYMHCWLYF





4488
CD31697
WKFLCESTLSPYLHCWIYP





4489
CD31718
WNFFCIYISPHVHCWIHS





4490
CD31727
TAWDCVVGQKYMLCQRLS





4491
CD31803
CQERCGKMIKSIVMQCNLRL





4492
CD31909
SVSVCVEHAYGQWYCFAAR





4493
CD31915
TMKCPMEMGHCTTWR









Although the invention has been described with reference to the above examples, it will be understood that modifications and variations are encompassed within the spirit and scope of the invention. Accordingly, the invention is limited only by the following claims


This Application claims the benefit under 35 U.S.C. §119(e) to Provisional Application Nos. 61/489,249, filed May 24, 2011; 61/597,714, filed Feb. 10, 2012; and 61/610,831 filed Mar. 14, 2012; each of which is herein incorporated by reference in its entirety. Additionally, the disclosure of U.S. Appl. Publ. No. 2012/0100166 is herein incorporated by reference in its entirety.


All publications, patents, patent applications, internet sites, and accession numbers/database sequences (including both polynucleotide and polypeptide sequences) cited are herein incorporated by reference in their entirety for all purposes to the same extent as if each individual publication, patent, patent application, internet site, or accession number/database sequence were specifically and individually indicated to be so incorporated by reference.

Claims
  • 1. A complex comprising an antibody and at least one modular recognition domain (MRD), wherein the antibody and the MRD bind to different targets or epitopes on the same cell or molecule, wherein the MRD binding agonizes or antagonizes the MRD target under physiological conditions, and wherein said MRD does not bind to and agonize or antagonize said MRD target under physiological conditions in the absence of said antibody.
  • 2. The complex of claim 1, wherein in the absence of said antibody, the MRD binds the MRD target with an EC50 of greater than 0.01, 0.1, 0.5 or 0.7 nM under physiological conditions.
  • 3. The complex of claim 1 or claim 2, wherein the antibody and the MRD bind to different targets or epitopes on a heteromeric or homomeric protein.
  • 4. A method for inhibiting the growth of a cell comprising contacting the cell with a multispecific and multivalent complex comprising an antibody and at least one modular recognition domain (MRD), and a protein kinase inhibitor.
  • 5. A method for inhibiting angiogenesis in a patient comprising administering to said patient a therapeutically effective amount of a multispecific and multivalent complex comprising an antibody and at least one modular recognition domain (MRD), and a protein kinase inhibitor.
  • 6. The method of claim 4 or 5, wherein the antibody binds a target selected from: VEGF, VEGFR1, EGFR, ErbB2, IGF-IR, cMET, FGFR1, and FGFR2.
  • 7. The method of any one of claims 4-6, wherein the protein kinase inhibitor inhibits a target of the MRD containing antibody.
  • 8. The method of any one of claims 4-6 wherein the protein kinase inhibitor inhibits a different target than the MRD containing antibody.
  • 9. The method of any one of claims 4-8, wherein the protein kinase inhibitor inhibits more than one protein kinase.
  • 10. The method of claim any one of claims 4-9, wherein the protein kinase inhibitor is a member selected from: imatinib, gcfitinib, vandctanib, erlotinib, sunitinib, lapatinib, and sorafenib.
  • 11. A method for treating a patient having a disease or disorder comprising administering to said patient a therapeutically effective amount of a multispecific and multivalent complex comprising an antibody and at least one modular recognition domain (MRD), and a protein kinase inhibitor.
  • 12. The method of claim 11, wherein the disease or disorder is cancer.
  • 13. The method any claim 11, wherein the disease or disorder is a disease or disorder of the immune system.
  • 14. The method of claim 13, wherein the disease or disorder of the immune system is inflammation or an autoimmune disease.
  • 15. The method of claim 14, wherein the autoimmune disease is rheumatoid arthritis, Crohn's disease, systemic lupus erythematous, inflammatory bowel disease, psoriasis, diabetes, ulcerative colitis, or multiple sclerosis.
  • 16. The method of any one of claims 11-15, wherein the antibody binds to a target selected from: TNF, VEGF, VEGFR1, EGFR, ErbB2, IGF-IR, cMET, FGFR1, FGFR2, and CD20.
  • 17. The method of any one of claims 11-16, wherein the protein kinase inhibitor inhibits a target of the MRD containing antibody.
  • 18. The method of any one of claims 11-16, wherein the protein kinase inhibitor inhibits a different target than the MRD containing antibody.
  • 19. The method of any one of claims 11-18, wherein the protein kinase inhibitor inhibits more than one protein kinase.
  • 20. The method of any one of claims 11-19, wherein the protein kinase inhibitor is a member selected from: imatinib, gefitinib, vandetanib, erlotinib, sunitinib, lapatinib, and sorafenib.
  • 21. The method of any one of claims 11-19, wherein the protein kinase inhibitor is a member selected from: lestaurtinib, tofacitinib, ruxolitinib, SB1518, CYT387, LY3009104, TG101348, fostamatinib, BAY 61-3606, and sunitinib.
  • 22. A multivalent and multispecific complex comprising an antibody and at least one modular recognition domain (MRD), wherein the complex has a single binding site for a cell surface target.
  • 23. The complex of claim 22, which comprises 2 single binding sites for different epitopes on the same target.
  • 24. The complex of claim 22 or 23, wherein the complex has 2, 3, 4, 5 or more single binding sites for different targets.
  • 25. The complex of any one of claims 22-24, wherein the complex has a single binding site for a target on a leukocyte.
  • 26. The complex of any one of claims 22-25, wherein the complex has a single binding site for a target on a T-cell.
  • 27. The complex of any one of claims 22-26, wherein the complex has a single binding site for CD3.
  • 28. The complex of claim 27, wherein the complex has a single binding site for CD3 epsilon.
  • 29. The complex of any one of claims 22-28, wherein the complex has a single binding site for a target on a natural killer cell.
  • 30. The complex of any one of claims 22-29, wherein the complex has multiple binding sites for a target on a diseased cell.
  • 31. The complex of claim 30, wherein the complex has multiple binding sites for 2, 3, 4, 5 or more targets on a diseased cell.
  • 32. The complex of any one of claims 22-31, wherein the complex has multiple binding sites for a target on a tumor cell.
  • 33. The complex of claim 32, wherein the complex has multiple binding sites for 2, 3, 4, 5 or more targets on a tumor cell.
  • 34. The complex of any one of claims 22-33, wherein the complex has multiple binding sites for a target on an immune cell.
  • 35. The complex of claim 34, wherein the complex has multiple binding sites for 2, 3, 4, 5 or more targets on an immune cell.
  • 36. The complex of any one of claims 22-35, wherein the complex binds a target on a leukocyte and a target on a tumor cell.
  • 37. The complex of any one of claims 22-36, wherein the complex binds CD3 and CD19.
  • 38. The complex of any one of claims 22-37, wherein the complex has multiple binding sites for a target on an infectious agent or a cell infected with an infectious agent.
  • 39. The complex of claim 38, wherein the complex has multiple binding sites for 2, 3, 4, 5 or more targets on an infectious agent or a cell infected with an infectious agent.
  • 40. The complex any one of claims 22-39, wherein the complex has a single binding site for a target associated with an endogenous blood brain barrier (BBB) receptor mediated transport system.
  • 41. The complex of claim 40, wherein the complex has multiple binding sites for a target associated with an endogenous BBB receptor mediated transport system.
  • 42. The complex of claim 41, wherein the complex has multiple binding sites for 2, 3, 4, 5 or more targets associated with an endogenous BBB receptor mediated transport system.
  • 43. The complex of claim 22, wherein the single binding site is an MRD.
  • 44. The complex of claim 22, wherein the single binding site is an antigen binding domain.
  • 45. The complex of any one of claims 22-44, wherein the complex further comprises a cytotoxic agent.
  • 46. A polynucleotide encoding a heavy chain or light chain of the MRD containing antibody in the complex of any one of claims 22-45.
  • 47. A vector comprising the polynucleotide of claim 46.
  • 48. A host cell comprising the polynuclcotide of claim 46 or the vector of claim 47.
  • 49. A pharmaceutical composition comprising the complex of any one of claims 22-45.
  • 50. A method for inhibiting the growth of a cell comprising contacting the cell with the complex of any one of claims 22-45.
  • 51. A method for inhibiting angiogenesis in a patient comprising administering to said patient a therapeutically effective amount of the complex of any one of claims 22-45.
  • 52. A method for treating a patient having cancer comprising administering to said patient a therapeutically effective amount of the complex of any one of claims 22-45.
  • 53. A method for treating a patient having a disease or disorder of the immune system comprising administering to said patient a therapeutically effective amount of the complex of any one of claims 22-45.
  • 54. A peptide comprising an amino acid sequence selected from SEQ ID NO:136-4492 and 4493.
  • 55. A polynucleotide encoding an MRD of claim 54.
  • 56. A vector comprising the polynucleotide of claim 55.
  • 57. A polynucleotide encoding a heavy chain or light chain of the MRD containing antibody in the complex of any one of claims 22-45.
  • 58. A complex comprising an antibody and at least one MRD of claim 54.
  • 59. The complex of any one of claims 1-3 and 22-45 that comprises a peptide of claim 54.
  • 60. The method of any one of claims 5-21 or 50-53 wherein the MRD comprises an amino acid sequence selected from SEQ ID NO:136-4492 and 4493.
PCT Information
Filing Document Filing Date Country Kind
PCT/US2014/029077 3/14/2014 WO 00
Provisional Applications (1)
Number Date Country
61802343 Mar 2013 US