WO2024236156A1 - Anti-cathepsin-d antibodies - Google Patents
Anti-cathepsin-d antibodies Download PDFInfo
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- WO2024236156A1 WO2024236156A1 PCT/EP2024/063625 EP2024063625W WO2024236156A1 WO 2024236156 A1 WO2024236156 A1 WO 2024236156A1 EP 2024063625 W EP2024063625 W EP 2024063625W WO 2024236156 A1 WO2024236156 A1 WO 2024236156A1
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- C07—ORGANIC CHEMISTRY
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- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/40—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against enzymes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/337—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
- A61K31/4164—1,3-Diazoles
- A61K31/4166—1,3-Diazoles having oxo groups directly attached to the heterocyclic ring, e.g. phenytoin
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
- C07K16/3015—Breast
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
- A61K39/39533—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
- A61K39/3955—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
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- C07K2317/00—Immunoglobulins specific features
- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
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- C07K2317/41—Glycosylation, sialylation, or fucosylation
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- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
- C07K2317/565—Complementarity determining region [CDR]
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- C07—ORGANIC CHEMISTRY
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- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/71—Decreased effector function due to an Fc-modification
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/72—Increased effector function due to an Fc-modification
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/73—Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
- C07K2317/732—Antibody-dependent cellular cytotoxicity [ADCC]
Definitions
- the present invention relates to cancer field. More particularly, the invention relates to anti-cathepsin-D antibodies and their uses in the treatment of cancers, particularly of triple negative breast cancer.
- BACKGROUND OF THE INVENTION Triple-negative breast cancers (TNBC; 15% of all breast cancers, BC) are defined by the lack of oestrogen receptor, progesterone receptor and HER2 expression/amplification (1). The prognosis of patients with TNBC is poor, mainly due to the disease heterogeneity and lack of targeted therapies.
- TNBC Immunotherapies that exploit the immune system to promote durable tumor regression and prolong survival are an interesting strategy for TNBC, which is classified as an immunogenic BC subtype due to its high tumor mutational burden and presence of immune cell infiltrates (2,3).
- the median tumor mutational burden which is the main source of neoantigens to induce anti-tumor immunity, is higher in TNBC than in other BC subtypes, including the HER2-amplified BC subtype (3).
- ICI immune checkpoint inhibitors
- anti-PD-1 and anti-PD-L1 antibodies have improved survival in patients with PD-L1-expressing tumors (4).
- ICI are also a relevant option for patients with HER2-positive BC in metastatic, neoadjuvant and adjuvant settings (5).
- BC tumor-associated macrophages
- TAMs are the most abundant inflammatory cells. Typically, they are M2-polarized cells with suppressive capacity (6) linked to their enzymatic activities and anti-inflammatory cytokine production.
- TNBC high M2-polarized TAM levels are associated with poorer outcome (7), whereas tumor-infiltrating lymphocytes are associated with improved disease-free and overall survival rates (8).
- lymphocytes To exhibit anti-tumor function, lymphocytes must: i) be primed and activated by antigen-presenting cells (APCs), such as dendritic cells (DCs) and M1-polarized anti-tumor TAMs, and ii) accumulate in the tumor microenvironment, while avoiding the escape mechanisms induced by this immunosuppressive microenvironment.
- APCs antigen-presenting cells
- DCs dendritic cells
- M1-polarized anti-tumor TAMs M1-polarized anti-tumor TAMs
- Antibody-based therapies can modulate the recruitment, activation and immunosuppression of immune cells in the tumor microenvironment (1,2).
- NK cell-based immunotherapy can awake the innate anticancer response, particularly against tumor metastases (9-11), and sustain breast cancer dormancy (12).
- NK cell-mediated antitumor activity Glyco-engineering and protein-engineering of the Fc region of tumor-targeting antibodies have been exploited to modulate their interaction with activating or inhibitory members of the Fc ⁇ R family (13). Afucosylation and selected amino acid substitutions increase the affinity for Fc ⁇ Rs, thus enhancing NK cell-mediated antibody-dependent cellular cytotoxicity (ADCC) (13), a major mechanism contributing to the therapeutic efficacy of antibodies (14).
- ADCC antibody-dependent cellular cytotoxicity
- NK cells In the tumor microenvironment (stroma), NK cells bind to the Fc of antibody-labeled tumor cells, predominantly through a single activating Fc ⁇ R (Fc ⁇ RIIIA, also named CD16a), a low-affinity receptor for IgG (15). Binding of IgG to CD16a can activate NK cells and stimulate the release of lytic granules that contain molecules, such as perforin and granzymes (16,17) ultimately leading to the target cell lysis. Fc ⁇ R ligation also affects NK cell survival and proliferation (18), and induces the release of cytokines and chemokines that promote the recruitment and activation of tumor-infiltrating immune cells (15).
- the aspartic protease cathepsin D (Cath-D), a poor prognosis marker in BC (19) including TNBC (20), is overproduced by BC cells and hypersecreted in the tumor microenvironment (21).
- Cath-D is a tumor cell-associated extracellular biomarker (22) with tumor-promoting activity (23-18)), and a potent target for antibody-based therapy (22).
- F1 a fully human anti-Cath-D IgG1
- NK natural killer
- F1 could represent a promising option for patients with chemotherapy- and/or ICI-resistant TNBC.
- the overall impact of anti-Cath-D antibody-based therapy on immune cell recruitment in fully immunocompetent mouse models remained unknown, particularly in function of the tumor immune microenvironment.
- the inventor investigated the antitumor efficacy and immunomodulatory activity of anti-Cath-D antibodies in a fully immunocompetent mouse model of highly immune cell infiltrated TNBC. They also explored whether targeted therapy with Fc-engineered human anti-cath-D antibodies triggers ADCC, and the relevance of combination therapies with anti-cath-D antibodies in TNBC.
- the present invention shows that anti-Cath-D antibodies trigger the antitumor innate and adaptive immune responses in preclinical immunocompetent mouse models of breast cancer (TNBC). Anti-Cath-D antibodies represent a promising immunotherapy for patients with immunogenic TNBC. The present invention also shows that Cath-D is a tumor microenvironment antigen eligible for Fc-engineered antibody targeted therapy to trigger ADCC.
- the Fc-optimized F1M1-Fc+ antibody (derived from F1M1 by introducing the S239D, H268F, S324T, and I332E mutations to enhance the affinity for CD16a) promotes ADCC induction, improves antitumor potency, and triggers NK cell recruitment, activation and cytotoxic activity in tumors.
- F1M1- Fc+ improves paclitaxel and enzalutamide therapeutic efficacy in combination.
- F1M1-Fc+ is a new potentially successful immunotherapy for TNBC that could be combined with conventional regimens, including chemotherapy or antiandrogens, and also ICIs.
- the present invention relates to an anti-cathepsin-D antibody which inhibits the tumor recruitment of immunosuppressive tumor-associated macrophages M2 and myeloid- derived suppressor cells and which activate NK cells in the stromal tumor microenvironment.
- the present invention also relates to an Fc-engineered anti-cathepsin-D antibody that triggers ADCC induction, NK cell recruitment, activation, and cytotoxic activity and improved antitumor activity in TNBC.
- the present invention also related to method for treating hyperproliferative disorders, comprising administering to said subject an effective amount of the antibody of the invention.
- the invention is defined by the claims.
- F1M1 anti-Cath-D antibody
- TAMs tumor-associated macrophages
- F1M1 also enhanced the activation of anti- tumor M1-polarized TAMs, and the recruitment and maturation of conventional cDC1 dendritic cells in tumors to promote antigen presentation. Lastly, F1M1 reduced the expression of exhaustion markers on CD4+ and CD8+ T cells in tumors and draining lymph nodes.
- the inventors also applied Fc-engineering to F1M1, a novel fully human anti-Cath-D IgG1 antibody in which the variable regions were derived from F1, to generate three antibody variants carrying the wild-type (F1M1) or mutated Fc region to enhance (F1M1-Fc + ) or prevent (F1M1-Fc-) binding to CD16a on NK cells.
- F1M1-Fc + induced ADCC against TNBC and stromal cells, such as breast CAF, by activating NK cells more efficiently than F1M1, whereas F1M1-Fc- was ineffective.
- MDA-MB-231 cell xenografts TNBC model
- antitumor activity was higher with F1M1-Fc + than with F1M1.
- F1M1-Fc- was the least effective, reflecting the importance of Fc-dependent mechanisms also in vivo.
- F1M1-Fc + triggered NK cell recruitment, activation and cytotoxic activity in MDA-MB-231 cell xenografts.
- F1M1-Fc + potent antitumor activity in SUM159 (TNBC) cell xenografts and two TNBC PDXs.
- TNBC SUM159
- F1M1-Fc + improved their therapeutic efficacy in TNBC, demonstrating its clinical relevance.
- the new anti-Cath-D antibody F1M1 has been generated to abrogate Fab N- glycosylation that may lead to the production of glycoforms associated with the risk of immunogenic responses in patients.
- the antibody F1M1 exhibited also a better affinity for both human and mouse Cath-D than the antibody F1 previously generated by the inventors.
- Cath-D is well known for its roles in metastasis, angiogenesis, proliferation, and carcinogenesis in cancer. Cath-D is overproduced by breast cancer cells and hypersecreted in the tumor microenvironment (21).
- anti-Cathepsin-D antibody refers to an antibody directed and having specificity for Cath-D.
- F1 antibody refers to an antibody directed and having specificity for Cath-D previously generated by the inventors and described in WO2016/188911 and Ashraf et al.2019 (22).
- the term “antibody” or “immunoglobulin” have the same meaning, and will be used equally in the present invention.
- antibody refers to immunoglobulin molecules and immunologically active portions of immunoglobulin molecules, i.e., molecules that contain an antigen binding site that immunospecifically binds an antigen.
- antibody encompasses not only whole antibody molecules, but also antibody fragments as well as variants (including derivatives) of antibodies and antibody fragments.
- two heavy chains are linked to each other by disulfide bonds and each heavy chain is linked to a light chain by a disulfide bond. There are two types of light chain, lambda (1) and kappa (k).
- the heavy chain includes two domains, a variable domain (VL) and a constant domain (CL).
- the heavy chain includes four domains, a variable domain (VH) and three constant domains (CHI, CH2 and CH3, collectively referred to as CH).
- VL variable domain
- VH variable domain
- CH constant domain
- the constant region domains of the light (CL) and heavy (CH) chains confer important biological properties such as antibody chain association, secretion, trans-placental mobility, complement binding, and binding to Fc receptors (FcR).
- the Fv fragment is the N-terminal part of the Fab fragment of an immunoglobulin and consists of the variable portions of one light chain and one heavy chain.
- the specificity of the antibody resides in the structural complementarity between the antibody combining site and the antigenic determinant.
- Antibody combining sites are made up of residues that are primarily from the hypervariable or complementarity determining regions (CDRs). Occasionally, residues from nonhypervariable or framework regions (FR) can participate to the antibody binding site or influence the overall domain structure and hence the combining site.
- Complementarity Determining Regions or CDRs refer to amino acid sequences which together define the binding affinity and specificity of the natural Fv region of a native immunoglobulin binding site.
- the light and heavy chains of an immunoglobulin each have three CDRs, designated L-CDR1, L- CDR2, L- CDR3 and H-CDR1, H-CDR2, H-CDR3, respectively.
- An antigen-binding site therefore, typically includes six CDRs, comprising the CDR set from each of a heavy and a light chain V region.
- Framework Regions refer to amino acid sequences interposed between CDRs. Knowing the amino acid sequence of the desired sequence, one skilled in the art can readily produce said antibodies, by standard techniques for production of polypeptides.
- antibodies of the invention can be synthesized using well-known solid phase method, preferably using a commercially available peptide synthesis apparatus (such as that made by Applied Biosystems, Foster City, California) and following the manufacturer’s instructions.
- antibodies of the invention can be synthesized by recombinant DNA techniques well-known in the art.
- antibodies can be obtained as DNA expression products after incorporation of DNA sequences encoding the antibodies into expression vectors and introduction of such vectors into suitable eukaryotic or prokaryotic hosts that will express the desired antibodies, from which they can be later isolated using well-known techniques.
- the term “Fc region” has its general meaning and refers to the region of an antibody begin in the hinge region just upstream of the papain cleavage site which defines IgG Fc chemically (about residue 216 EU numbering, taking the first residue of heavy chain constant region to be 114) and ending at its C-terminus.
- the term “hinge region” includes the portion of a heavy chain molecule that joins the CH1 domain to the CH2 domain, e.g. from about position 216-230 according to the EU number system. This hinge region comprises approximately 25 residues and is flexible, thus allowing the two N-terminal antigen binding regions to move independently. Hinge regions can be subdivided into three distinct domains: upper, middle, and lower hinge domains.
- CH2 domain includes the portion of a heavy chain molecule that extends, e.g., from about EU positions 231- 340.
- the CH2 domain is unique in that it is not closely paired with another domain. Rather, two N-linked branched carbohydrate chains are interposed between the two CH2 domains of an intact native IgG molecule.
- CH3 domain includes the portion of a heavy chain molecule that extends approximately 110 residues from N-terminus of the CH2 domain, e.g., from about residue 341-446, EU numbering system). The CH3 domain typically forms the C-terminal portion of the antibody.
- additional domains may extend from CH3 domain to form the C-terminal portion of the molecule (e.g. the CH4 domain in the chain of IgM and the E chain of IgE).
- the amino acid residues of the antibody of the invention are numbered according to the IMGT numbering system.
- the IMGT unique numbering has been defined to compare the variable domains whatever the antigen receptor, the chain type, or the species (Lefranc M.-P., "Unique database numbering system for immunogenetic analysis” Immunology Today, 18, 509 (1997) ; Lefranc M.-P., "The IMGT unique numbering for Immunoglobulins, T cell receptors and Ig-like domains" The Immunologist, 7, 132-136 (1999).; Lefranc, M.-P., Pommié, C., Ruiz, M., Giudicelli, V., Foulquier, E., Truong, L., Thouvenin- Contet, V.
- IMGT unique numbering for immunoglobulin and T cell receptor variable domains and Ig superfamily V-like domains Dev. Comp. Immunol., 27, 55-77 (2003).
- conserved amino acids always have the same position, for instance cysteine 23, tryptophan 41, hydrophobic amino acid 89, cysteine 104, phenylalanine or tryptophan 118.
- the IMGT unique numbering provides a standardized delimitation of the framework regions (FR1-IMGT: positions 1 to 26, FR2-IMGT: 39 to 55, FR3-IMGT: 66 to 104 and FR4-IMGT: 118 to 128) and of the complementarity determining regions: CDR1-IMGT: 27 to 38, CDR2-IMGT: 56 to 65 and CDR3-IMGT: 105 to 117. If the CDR3-IMGT length is less than 13 amino acids, gaps are created from the top of the loop, in the following order 111, 112, 110, 113, 109, 114, etc.
- chimeric antibody refers to an antibody which comprises a VH domain and a VL domain of a non-human antibody, and a CH domain and a CL domain of a human antibody.
- monoclonal antibody refers to a preparation of antibody molecules of single molecular composition. A monoclonal antibody composition displays a single binding specificity and affinity for a particular epitope.
- Monoclonal antibodies can be prepared and isolated using any technique that provides for the production of antibody molecules by continuous cell lines in culture.
- Fab denotes an antibody fragment having a molecular weight of about 50,000 and antigen binding activity, in which about a half of the N-terminal side of H chain and the entire L chain, among fragments obtained by treating IgG with a protease, papaine, are bound together through a disulfide bond.
- F(ab')2 refers to an antibody fragment having a molecular weight of about 100,000 and antigen binding activity, which is slightly larger than the Fab bound via a disulfide bond of the hinge region, among fragments obtained by treating IgG with a protease, pepsin.
- Fab' refers to an antibody fragment having a molecular weight of about 50,000 and antigen binding activity, which is obtained by cutting a disulfide bond of the hinge region of the F(ab')2.
- single chain Fv (“scFv”) polypeptide is a covalently linked VH:VL heterodimer which is usually expressed from a gene fusion including VH and VL encoding genes linked by a peptide-encoding linker.
- dsFv is a VH:VL heterodimer stabilised by a disulfide bond.
- Divalent and multivalent antibody fragments can form either spontaneously by association of monovalent scFvs, or can be generated by coupling monovalent scFvs by a peptide linker, such as divalent sc(Fv)2.
- the term “diabodies” refers to small antibody fragments with two antigen-binding sites, which fragments comprise a heavy-chain variable domain (VH) connected to a light-chain variable domain (VL) in the same polypeptide chain (VH-VL).
- VH heavy-chain variable domain
- VL light-chain variable domain
- the domains are forced to pair with the complementary domains of another chain and create two antigen-binding sites.
- specificity refers to the ability of an antibody to detectably bind an epitope presented on an antigen, such as Cath-D, while having relatively little detectable reactivity with non-Cath-D proteins or structures.
- Specificity can be relatively determined by binding or competitive binding assays, using, e.g., Biacore instruments, as described elsewhere herein. Specificity can be exhibited by, e.g., an about 10:1, about 20:1, about 50:1, about 100:1, 10.000:1 or greater ratio of affinity/avidity in binding to the specific antigen versus nonspecific binding to other irrelevant molecules (in this case the specific antigen is Cath-D).
- competitive binding assay format(s) which can be used include, but are not limited to, competitive assay systems using techniques such western blots, radioimmunoassays, ELISA, “sandwich” immunoassays, immunoprecipitation assays, precipitin assays, gel diffusion precipitin assays, immunoradiometric assays, fluorescent immunoassays, protein A immunoassays, and complement-fixation assays.
- Such assays are routine and well known in the art (see, e.g., Ausubel et al., eds, 1994 Current Protocols in Molecular Biology, Vol. 1, John Wiley & sons, Inc., New York).
- the BIACORE® (GE Healthcare, Piscaataway, NJ) is one of a variety of surface plasmon resonance assay formats that are routinely used to epitope bin panels of monoclonal antibodies. Additionally, routine cross-blocking assays such as those described in Antibodies, A Laboratory Manual, Cold Spring Harbor Laboratory, Ed Harlow and David Lane, 1988, can be performed.
- affinity means the strength of the binding of an antibody to an epitope.
- the affinity of an antibody is given by the dissociation constant Kd, defined as [Ab] x [Ag] / [Ab-Ag], where [Ab-Ag] is the molar concentration of the antibody- antigen complex, [Ab] is the molar concentration of the unbound antibody and [Ag] is the molar concentration of the unbound antigen.
- Kd dissociation constant
- Ka is defined by 1/Kd.
- neutralizing antibody refers to an antibody that blocks or reduces at least one activity of a polypeptide comprising the epitope to which the antibody specifically binds.
- a neutralizing antibody reduces Cathepsin D biological activity in in cellulo and/or in vivo tests.
- amino-acid sequence has its general meaning and is a sequence of amino acids that confers to a protein its primary structure.
- the amino-acid sequence may be modified with one, two or three conservative amino acid substitutions, without appreciable loss of interactive binding capacity.
- conservative amino acid substitution it is meant that an amino acid can be replaced with another amino acid having a similar side chain.
- Families of amino acids 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., glycine, cysteine, 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).
- basic side chains e.g., lysine, arginine, histidine
- acidic side chains e
- a first amino-acid sequence having at least 70% of identity with a second amino-acid sequence means that the first sequence has 70; 71; 72; 73; 74; 75; 76; 77; 78; 79; 80; 81; 82; 83; 84; 85; 86; 87; 88; 89; 90; 91; 92; 93; 94; 95; 96; 97; 98; or 99% of identity with the second amino acid sequence.
- Amino-acid sequence identity is typically determined using a suitable sequence alignment algorithm and default parameters, such as BLAST P (Karlin and Altschul, 1990). According to the invention, the “identity” is calculated by comparing two aligned sequences in a comparison window.
- sequence alignment allows determining the number of positions (nucleotides or amino acids) in common for the two sequences in the comparison window.
- the number of positions in common is therefore divided by the total number of positions in the comparison window and multiplied by 100 to obtain the identity percentage.
- the determination of the identity percentage of sequence can be made manually or thanks to well-known computer programs.
- the terms “purified” and “isolated” relate to the antibody of the invention and mean that the antibody is present in the substantial absence of other biologic macromolecules of the same type.
- nucleic acid molecule has its general meaning in the art and refers to a DNA or RNA molecule.
- tumor-associated macrophages also known as macrophages or Tumor-associated macrophages is a type of blood-borne phagocytes, derived from circulating monocytes or resident tissue macrophages. Their complex roles in carcinogenesis generally lead to disease progression in many cancers, which share some similar pathological mechanisms.
- M1 macrophages are activated by lipopolysaccharides (LPS) or by double signals from interferon (IFN)- ⁇ and tumor necrosis factor- ⁇ (TNF- ⁇ ). This first type of macrophage is able to kill microorganisms and tumor cells.
- TAM-1 macrophages are activated by lipopolysaccharides (LPS) or by double signals from interferon (IFN)- ⁇ and tumor necrosis factor- ⁇ (TNF- ⁇ ). This first type of macrophage is able to kill microorganisms and tumor cells.
- IFN interferon
- TNF- ⁇ tumor necrosis factor- ⁇
- MMR mannose receptors
- SR-A scavenger receptors
- dectin-1 DC-SIGN.9
- M2-polarized macrophages exhibit an IL-12 low , IL-23 low , IL- 10 high phenotype.
- This second type of macrophage plays an important role in stroma formation, tissue repair, tumor growth, angiogenesis and immunosuppression.
- TAMs are the most abundant inflammatory cells and are typically M2-polarized with suppressive capacity (1) that stems from their enzymatic activities and production of anti-inflammatory cytokines, such as TGF ⁇ (Fuxe et al., Semin Cancer Biol, 2012, 22:455-461). High TAM levels have been associated with poorer BC outcomes (Zhao et al., Oncotarget, 2017, 8:30576-86. Therefore, several strategies are currently under investigation, such as the suppression of TAM recruitment, their depletion, or the switch from the pro-tumor M2 to the anti-tumor M1 phenotype in patients with TNBC (Georgoudaki et al., Cell Reports, 2016, 15:2000-11).
- NK cells naturally killer cells
- ILC innate lymphoid cells
- NK cells can be identified by virtue of certain characteristics and biological properties, such as the expression of specific surface antigens including CD56 and/or NKp46 for human NK cells, the absence of the alpha/beta or gamma/delta TCR complex on the cell surface, the ability to bind to and kill cells that fail to express “self” MHC/HLA antigens by the activation of specific cytolytic machinery, the ability to kill tumor cells or other diseased cells that express a ligand for NK activating receptors, and the ability to release protein molecules called cytokines (such as cytolytic enzymes-granzyme B and perforin, and the anti- tumor cytokine TNF ⁇ ) that stimulate the immune response.
- cytokines such as cytolytic enzymes-granzyme B and perforin, and the anti- tumor cytokine TNF ⁇
- dendritic cell refers to a sub-type of antigen presenting cells that are characterized at the morphological level by numerous membrane processes that extend out from the main cell body (similar to dendrites on neurons) and at the biochemical level by cell surface expression of MHC class II molecules and lack of expression of one or more of CD3, CD14, CD19, CD56 and/or CD66b. Subsets of dendritic cells express on their cell surface CDlA, CDlC, CD50, CD54, CD58, CD102, CD80 and/or CD86. Some DCs also express toll-like receptors 2, 3, 4, 7 and/or 9.
- DCs encompass plasmacytoid dendritic cells (pDCs) and conventional dendritic cells (cDCs).
- pDCs are the main producer of type I ( ⁇ / ⁇ ) and III ( ⁇ ) interferons (IFNs) upon the sensing of viral-type stimuli.
- cDCs are the most efficient cells for T cell priming and are further classified into cDC1s and cDC2s.
- T cells has its general meaning in the art and represent an important component of the immune system that plays a central role in cell-mediated immunity. T cells are known as conventional lymphocytes as they recognize the antigen with their TCR (T cell receptor for the antigen) with presentation or restriction by molecules of the complex major histocompatibility.
- CD8+ T cell has its general meaning in the art and refers to a subset of T cells which express CD8 on their surface. They are MHC class I-restricted, and function as cytotoxic T cells. “CD8+ T cells” are also called cytotoxic T lymphocytes (CTL), T-killer cells, cytolytic T cells, or killer T cells.
- CD8 antigens are members of the immunoglobulin supergene family and are associative recognition elements in major histocompatibility complex class I-restricted interactions.
- tumor infiltrating CD8+ T cell refers to the pool of CD8+ T cells of the patient that have left the blood stream and have migrated into a tumor.
- CD4+ T cells also called T helper cells or TH cells
- CD4+ T cells refers to T cells which express the CD4 glycoprotein on their surfaces and which assist other white blood cells in immunologic processes, including maturation of B cells into plasma cells and memory B cells, and activation of cytotoxic T cells and macrophages.
- CD4+ T cells become activated when they are presented with peptide antigens by MHC class II molecules, which are expressed on the surface of antigen-presenting cells (APCs).
- APCs antigen-presenting cells
- cytokines that regulate or assist in the active immune response. These cells can differentiate into one of several subtypes, including TH1, TH2, TH3, TH17, TH9, TFH or Treg, which secrete different cytokines to facilitate different types of immune responses. Signaling from the APC directs T cells into particular subtypes.
- the TH cell surface biomarkers known in the art include CXCR3 (Th1), CCR4, Crth2 (Th2), CCR6 (Th17), CXCR5 (Tfh) and as well as subtype-specific expression of cytokines and transcription factors including T-bet, GATA3, EOMES, ROR ⁇ T, BCL6 and FoxP3.
- exhaustted T cells or “exhaustion of T cells” has its general meaning in the art and refers to an altered differentiation state of T cells characterized by a loss of effector functions, sustained upregulation and co-expression of multiple inhibitory receptors, altered expression of inhibitory markers such as PD-1, PD-L1, LAG-3, CTLA4 and TIM-3 as well as impairment in their ability to release pro-inflammatory cytokines (IFN ⁇ and TNF ⁇ ). Exhaustion commonly occurs in the tumour microenvironment where T cells suffer a loss of their cytotoxic function and become ineffective in 12mmunoly to kill cancerous cells.
- IFN ⁇ and TNF ⁇ pro-inflammatory cytokines
- the term “Effector functions” refer to those biological activities attributable to the Fc region of an antibody, which vary with the antibody isotype. Examples of antibody effector functions include: Clq binding and complement dependent cytotoxicity (CDC); Fc receptor binding; antibody-dependent cell-mediated cytotoxicity (ADCC); phagocytosis; down regulation of cell surface receptors (e.g. B cell receptor); and B cell activation.
- CDC complement dependent cytotoxicity
- ADCC antibody-dependent cell-mediated cytotoxicity
- phagocytosis phagocytosis
- down regulation of cell surface receptors e.g. B cell receptor
- B cell receptor e.g. B cell receptor
- Non-specific cytotoxic cells that mediate ADCC include natural killer (NK) cells, macrophages, monocytes, neutrophils, and eosinophils.
- NK natural killer
- CDC complement-dependent cytotoxicity
- MAC membrane attack complex
- ADCP antibody-dependent cellular phagocytosis
- ADCP can mediate monocytes, macrophages, neutrophils and dendritic cells via Fc ⁇ RIIa, Fc ⁇ RI and Fc ⁇ RIIIa
- treating or “treatment” refer to both prophylactic or preventive treatment as well as curative or disease modifying treatment, including treatment of subject at risk of contracting the disease or suspected to have contracted the disease as well as subject who are ill or have been diagnosed as suffering from a disease or medical condition, and includes suppression of clinical relapse.
- the treatment may be administered to a subject having a medical disorder or who ultimately may acquire the disorder, in order to prevent, cure, delay the onset of, reduce the severity of, or ameliorate one or more symptoms of a disorder or recurring disorder, or in order to prolong the survival of a subject beyond that expected in the absence of such treatment.
- therapeutic regimen is meant the pattern of treatment of an illness, e.g., the pattern of dosing used during therapy.
- a therapeutic regimen may include an induction regimen and a maintenance regimen.
- the phrase “induction regimen” or “induction period” refers to a therapeutic regimen (or the portion of a therapeutic regimen) that is used for the initial treatment of a disease.
- An induction regimen may employ (in part or in whole) a “loading regimen”, which may include administering a greater dose of the drug than a physician would employ during a maintenance regimen, administering a drug more frequently than a physician would administer the drug during a maintenance regimen, or both.
- a “loading regimen” or “maintenance period” refers to a therapeutic regimen (or the portion of a therapeutic regimen) that is used for the maintenance of a subject during treatment of an illness, e.g., to keep the subject in remission for long periods of time (months or years).
- a maintenance regimen may employ continuous therapy (e.g., administering a drug at regular intervals, e.g., weekly, monthly, yearly, etc.) or intermittent therapy (e.g., interrupted treatment, intermittent treatment, treatment at relapse, or treatment upon achievement of a particular predetermined criteria [e.g., pain, disease manifestation, etc.]).
- a “therapeutically effective amount” is intended for a minimal amount of active agent which is necessary to impart therapeutic benefit to a patient.
- a “therapeutically effective amount of the active agent” to a patient is an amount of the active agent that induces, ameliorates or causes an improvement in the pathological symptoms, disease progression, or physical conditions associated with the disease affecting the patient.
- the total daily usage of the compounds and compositions of the present invention will be decided by the attending physician within the scope of sound medical judgment.
- the specific therapeutically effective dose level for any particular patient will depend upon a variety of factors including the age, body weight, general health, sex and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific polypeptide employed; and like factors well known in the medical arts. For example, it is well known within the skill of the art to start doses of the compound at levels lower than those required to achieve the desired therapeutic effect and to gradually increase the dosage until the desired effect is achieved.
- the daily dosage of the products may be varied over a wide range from 0.01 to 1,000 mg per adult per day.
- the compositions contain 0.01, 0.05, 0.1, 0.5, 1.0, 2.5, 5.0, 10.0, 15.0, 25.0, 50.0, 100, 250 and 500 mg of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated.
- a medicament typically contains from about 0.01 mg to about 500 mg of the active ingredient, preferably from 1 mg to about 100 mg of the active ingredient.
- An effective amount of the drug is ordinarily supplied at a dosage level from 0.0002 mg/kg to about 100 mg/kg of body weight per day.
- administering refers to the act of injecting or otherwise physically delivering a substance as it exists outside the body (e.g., the nanobody or polypeptide according to the invention) into the subject, such as by mucosal, intradermal, intravenous, subcutaneous, intramuscular delivery and/or any other method of physical delivery described herein or known in the art.
- a disease, or a symptom thereof is being treated, administration of the substance typically occurs after the onset of the disease or symptoms thereof.
- administration of the substance typically occurs before the onset of the disease or symptoms thereof.
- the terms “combined treatment”, “combined therapy” or “therapy combination” refer to a treatment that uses more than one medication.
- the combined therapy may be dual therapy or bi-therapy.
- the term “administration simultaneously” refers to administration of 2 active ingredients by the same route and at the same time or at substantially the same time.
- the term “administration separately” refers to an administration of 2 active ingredients at the same time or at substantially the same time by different routes.
- the term “administration sequentially” refers to an administration of 2 active ingredients at different times, the administration route being identical or different
- “Pharmaceutically” or “pharmaceutically acceptable” refers to molecular entities and compositions that do not produce an adverse, allergic or other untoward reaction when administered to a mammal, especially a human, as appropriate.
- a pharmaceutically acceptable carrier or excipient refers to a non-toxic solid, semi-solid or liquid filler, diluent, encapsulating material or formulation auxiliary of any type.
- abnormal cell growth and “hyperproliferative disorders or diseases” are used interchangeably in this application and refers to cell growth that is independent of normal regulatory mechanisms (e.g., loss of contact inhibition).
- hyperproliferative diseases refers to diseases having an overexpression of cathepsin-D.
- hyperproliferative diseases are selected but not limited to, cancer (e.g. breast cancer, renal cancer etc), skin disorders (e.g. psoriasis, wound healing), inflammatory diseases (e.g. inflammatory bowel disease).
- cancer e.g. breast cancer, renal cancer etc
- skin disorders e.g. psoriasis, wound healing
- inflammatory diseases e.g. inflammatory bowel disease.
- cancer or “tumor” refers to a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body.
- stroma or “microenvironment” has its general meaning in the art and refers to extracellular matrix and specialized connective tissue cells, including fibroblasts and mesenchymal stromal cells. Tumors have stroma and require stroma for nutritional support and the removal of waste products, but stromal content can vary markedly in different types of cancers.
- Antibodies of the invention In the context of the invention, inventors have generated fully human anti-Cath-D single-chain variable antibody fragment (scFv).
- CDRs complementary determining regions
- Table 1 ScFv F1M1 Sequence (defined by IMGT unique numbering for IgG) Domains VH EVQLVESGGSLVKPGGSLRLSCAASGFTFSNNYMNWVRQAPGK GLEWISYISGSSRYISYADFVKGRFTISRDNAKNSLYLQMNSLRAE DTAVYYCVRSSNSGGMDVWGRGTLVTVSS (SEQ ID NO: 1) H-CDR1 GFTFSNNY (SEQ ID NO: 2) H-CDR2 ISGSSRYI (SEQ ID NO: 3) H-CDR3 VRSSNSGGMDV (SEQ ID NO: 4) VL QSVLTQPASVSGSPGQSITISCAGTSSDVGGYYGVSWYQQHPGKA PKLMIYYDSNRPSGVSNRFSGSKSGNTASLTIS
- the invention relates to an isolated anti-Cathepsin-D antibody comprising (F1M1): (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises: a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7.
- the anti-Cathepsin-D antibody according to the invention comprises H-CDR1 set forth as SEQ ID NO:2, H-CDR2 set forth as SEQ ID NO:3, H-CDR3 set forth as SEQ ID NO:4, L-CDR1 set forth as SEQ ID NO:6, L-CDR2 set forth as YDS, and L-CDR3 set forth as SEQ ID NO:7.
- the anti-Cathepsin-D antibody according to the invention comprises: (a) a heavy chain wherein the variable domain has at least 70% of identity with a sequence set forth as SEQ ID NO:1 and/or (b) a light chain wherein the variable domain has at least 70% of identity with a sequence set forth as SEQ ID NO:5.
- the anti-Cathepsin-D antibody according to the invention comprises: (a) a heavy chain wherein the variable domain has at least 70% of identity with a sequence set forth as SEQ ID NO:1 and comprises H-CDR1 set forth as SEQ ID NO:2, H-CDR2 set forth as SEQ ID NO:3, H-CDR3 set forth as SEQ ID NO:4, and/or (b) a light chain wherein the variable domain has at least 70% of identity with a sequence set forth as SEQ ID NO:5 and comprises L-CDR1 set forth as SEQ ID NO:6, L-CDR2 set forth as YDS, and L-CDR3 set forth as SEQ ID NO:7.
- the anti-Cathepsin-D antibody according to the invention comprises (a) a heavy chain wherein the variable domain has a sequence set forth as SEQ ID NO:1 and/or (b) a light chain has a heavy chain wherein the variable domain has a sequence set forth as SEQ ID NO:5.
- the anti-Cathepsin-D antibody according to the invention comprises (a) a heavy chain wherein the variable domain has a sequence set forth as SEQ ID NO:1 and (b) a light chain wherein the variable domain has a sequence set forth as SEQ ID NO:5 (“F1M1 antibody”).
- the human anti-Cathepsin-D antibody according to the invention is a neutralizing antibody.
- the anti-Cathepsin-D antibody according to the invention is a chimeric anti-Cathepsin-D antibody, particularly a chimeric mouse/human antibody.
- the human chimeric antibody of the present invention can be produced by obtaining nucleic sequences encoding VL and VH domains as previously described, constructing a human chimeric antibody expression vector by inserting them into an expression vector for animal cell having genes encoding human antibody CH and human antibody CL, and expressing the coding sequence by introducing the expression vector into an animal cell.
- CH domain of a human chimeric antibody it may be any region which belongs to human immunoglobulin, but those of IgG class are suitable and any one of subclasses belonging to IgG class, such as IgG1, IgG2, IgG3 and IgG4, can also be used.
- CL of a human chimeric antibody it may be any region which belongs to Ig, and those of kappa class or lambda class can be used.
- the anti-Cathepsin-D antibody according to the invention is a human anti-Cathepsin-D antibody.
- Human antibodies can be produced using various techniques known in the art. Human antibodies are described generally in van Dijk and van de Winkel, cur. Opin. Pharmacol. 5; 368-74 (2001) and lonberg, cur. Opin.Immunol.20; 450-459 (2008). Human antibodies may be prepared by administering an immunogen to a transgenic animal that has been modified to produce intact human antibodies or intact antibodies with human variable regions in response to antigenic challenge. Such animals typically contain all or a portion of the human immunoglobulin loci, or which are present extrachromosomally or integrated randomly into the animal’s chromosomes.
- Human variable regions from intact antibodies generated by such animals may be further modified, e.g., by combining with a different human constant region
- Human antibodies can also be made by hybridoma-based methods.
- Human myeloma and mouse-human heteromyeloma cell lines for the production of human monoclonal antibodies have been described. (See, e.g., Kozbor J. Immunol., 13: 3001 (1984); Brodeur et al., Monoclonal Antibody Production Techniques and Applications, pp.51-63 (Marcel Dekker, Inc., New York, 1987); and Boerner et al., J.
- Human antibodies generated via human B-cell hybridoma technology are also described in Li et al., Proc. Natl. Acad. Sci. USA, 103:3557-3562 (2006). Additional methods include those described, for example, in U.S. Patent No. 7,189,826 (describing production of monoclonal human igM antibodies from hybridoma cell lines) and Ni, Xiandai Mianyixue, 26(4):265-268 (2006) (describing human-human hybridomas).
- Fully human antibodies can also be derived from phage- display libraries (as disclosed in Hoogenboom et al., 1991, J. Mol. Biol.227:381; and Marks et al., 1991, J. Mol. Biol. 222:581). Phage display techniques mimic immune selection through the display of antibody repertoires on the surface of filamentous bacteriophage, and subsequent selection of phage by their binding to an antigen of choice.
- the anti-Cathepsin-D antibody of the invention is an antibody fragment selected from the group consisting of Fab, F(ab’)2, Fab’, dsFv, diabodies and scFv.
- the anti-Cathepsin-D antibody of the invention is scFv.
- the scFv of the present invention can be produced by obtaining cDNA encoding the VH and VL domains as previously described, constructing DNA encoding scFv, inserting the DNA into an expression vector for prokaryote, or an expression vector for eukaryote, and then introducing the expression vector into a prokaryote or eukaryote (as appropriate) to express the scFv.
- CDR grafting involves selecting the complementary determining regions (CDRs) from a donor scFv fragment, and grafting them onto a human scFv fragment framework of known three dimensional structure (see, e. g., W098/45322; WO 87/02671; US5,859,205; US5,585,089; US4,816,567; EP0173494).
- the anti-Cathepsin-D antibody of the invention is a monoclonal antibody and more particularly a human monoclonal antibody.
- the antibody of the present invention may be of any isotype.
- IgGl and IgG3 are isotypes that mediate such effectors functions as ADCC or CDC, when IgG2 and IgG4 don’t or in a lower manner. Either of the human light chain constant regions, kappa or lambda, may be used. If desired, the class of a monoclonal antibody of the present invention may be switched by known methods. Typical, class switching techniques may be used to convert one IgG subclass to another, for instance from IgG1 to IgG2.
- the effector function of the monoclonal antibodies of the present invention may be changed by isotype switching to, e.g., an IgGl, IgG2, IgG3, IgG4, IgD, IgA, IgE, or IgM antibody for various therapeutic uses.
- the anti-Cathepsin-D antibody is a monoclonal IgG, and particularly a human monoclonal IgG antibody, and more particularly, a human monoclonal IgG1 antibody
- the anti-Cathepsin-D antibody of the present invention is a full- length antibody and thus comprises an Fc region.
- the anti-Cathepsin-D antibody of the present invention comprises an Fc region.
- the isolated anti-Cathepsin-D antibody of the invention is engineered in order to improve its properties.
- Engineered antibodies of the invention include those in which modifications have been made to framework residues within VH and/or VL, e.g. to improve the properties of the antibody.
- framework modifications are made to decrease the immunogenicity of the antibody.
- one approach is to “backmutate” one or more framework residues to the corresponding germline sequence. More specifically, an antibody that has undergone somatic mutation may contain framework residues that differ from the germline sequence from which the antibody is derived. Such residues can be identified by comparing the antibody framework sequences to the germline sequences from which the antibody is derived.
- the somatic mutations can be ”backmutated” to the germline sequence by, for example, site-directed mutagenesis or PCR- mediated mutagenesis.
- Such “backmutated” antibodies are also intended to be encompassed by the inventio”.
- Another type of framework modification involves mutating one or more residues within the framework region, or even within one or more CDR regions, to remove T cell - epitopes to thereby reduce the potential immunogenicity of the antibody. This approach is also referred to as "deimmunization" and is described in further detail in U.S. Patent Publication No. 20030153043 by Carr et al.
- the glycosylation of the antibody of the invention is modified.
- Glycosylation can be altered to, for example, increase the affinity of the antibody for the antigen.
- Such carbohydrate modifications can be accomplished by, for example, altering one or more sites of glycosylation within the antibody sequence.
- one or more amino acid substitutions can be made that result in elimination of one or more variable region framework glycosylation sites to thereby eliminate glycosylation at that site.
- Such aglycosylation may increase the affinity of the antibody for antigen.
- the antibody of the invention is aglycosylated.
- the antibody is modified to increase its biological half-life.
- Various approaches are possible.
- one or more of the following mutations can be introduced: T252L, T254S, T256F, as described in U.S. Patent No. 6,277,375 by Ward.
- the antibody can be altered within the CH1 or CL region to contain a salvage receptor binding epitope taken from two loops of a CH2 domain of an Fc region of an IgG, as described in U.S. Patent Nos.5,869,046 and 6,121 ,022 by Presta et al.
- Fc region residues 238, 256, 265, 272, 286, 303, 305, 307, 311,312, 317, 340, 356, 360, 362, 376, 378, 380, 382, 413, 424, or 434, e.g., substitutions of Fc region residue 434 (US Patent No.7,371,826).
- An antibody can be pegylated to, for example, increase the biological (e.g., serum) half-life of the antibody.
- the antibody, or fragment thereof typically is reacted with polyethylene glycol (PEG), such as a reactive ester or aldehyde derivative of PEG, under conditions in which one or more PEG groups become attached to the antibody or antibody fragment.
- PEG polyethylene glycol
- the pegylation can be carried out by an acylation reaction or an alkylation reaction with a reactive PEG molecule (or an analogous reactive water-soluble polymer).
- polyethylene glycol is intended to encompass any of the forms of PEG that have been used to derivatize other proteins, such as mono (C1- C10) alkoxy- or aryloxy- polyethylene glycol or polyethylene glycol-maleimide.
- the antibody to be pegylated is an aglycosylated antibody. Methods for pegylating proteins are known in the art and can be applied to the antibodies of the invention. See for example, EP0154316 by Nishimura et al. and EP0401384 by Ishikawa et al.
- Another modification of the antibodies that is contemplated by the invention is a conjugate or a protein fusion of at least the antigen-binding region of the antibody of the invention to serum protein, such as human serum albumin or a fragment thereof to increase half-life of the resulting molecule.
- serum protein such as human serum albumin or a fragment thereof to increase half-life of the resulting molecule.
- Another possibility is a fusion of at least the antigen-binding region of the antibody of the invention to proteins capable of binding to serum proteins, such human serum albumin to increase half-life of the resulting molecule.
- Such approach is for example described in Nygren et al., EP 0486525.
- PSA polymer polysialic acid
- PSA polysialic acid
- sialic acid a sugar
- polysialic acid provides a protective microenvironment on conjugation. This increases the active life of the therapeutic protein in the circulation and prevents it from being recognized by the immune system.
- the PSA polymer is naturally found in the human body. It was adopted by certain bacteria which evolved over millions of years to coat their walls with it. These naturally polysialylated bacteria were then able, by virtue of molecular mimicry, to foil the body's defense system.
- the Fc region is altered by replacing at least one amino acid residue with a different amino acid residue to alter the effector functions of the antibody.
- one or more amino acids can be replaced with a different amino acid residue such that the antibody has an altered affinity for an effector ligand but retains the antigen-binding ability of the parent antibody.
- the effector ligand to which affinity is altered can be, for example, an Fc receptor or the C1 component of complement. This approach is described in further detail in U.S.
- the hinge region of CH1 is modified such that the number of cysteine residues in the hinge region is altered, e.g., increased or decreased. This approach is described further in U.S. Patent No. 5,677,425 by Bodmer et al.
- the number of cysteine residues in the hinge region of CH1 is altered to, for example, facilitate assembly of the light and heavy chains or to increase or decrease the stability of the antibody.
- the Fc region is modified to increase the ability of the antibody to mediate antibody dependent cellular cytotoxicity (ADCC) and/or to increase the affinity of the antibody for an Fc receptor by modifying one or more amino acids.
- ADCC antibody dependent cellular cytotoxicity
- the inventors have particularly designed another Fc-variant F1M1 (“F1M1-Fc -” ), in which the L234A, L235A and P329G mutations prevent binding to all Fc ⁇ receptors including CD16a (Fc ⁇ RIIIA) in order to prevent Fc-mediated cytotoxicity (ADCC, ADCP, ACDC).
- Fc region comprises at least 1, 2, 3 or 4 mutations selected from the group consisting of but not limited to: S239D, H268F, S324T and I332E.
- the Fc region comprises at least 1, 2, 3 or 4 mutations selected from the group consisting of but not limited to: S239D, H268F, S324T and I332E.
- the anti-Cathepsin-D antibody of the invention comprises a mutated Fc region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E.
- the anti-Cathepsin-D antibody of the invention comprises a mutated Fc region comprising the following mutations S239D, H268F, S324T, I332E (“F1M1-Fc+”).
- the anti-Cathepsin-D antibody of the invention comprises: (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises : a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7, and (c) a Fc region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E (“F1M1-Fc+”).
- the anti-Cathepsin-D antibody of the invention comprise: (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5, and (c) a mutated Fc region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E (“F1M1-Fc+”).
- the anti-Cathepsin-D antibody of the invention comprises a mutated Fc region comprising at least 1, 2 or 3 mutations selected from the group consisting of L234A, L235A and P329G.
- the anti-Cathepsin-D antibody of the invention comprises a mutated Fc region comprising the following mutations L234A, L235A and P329G (“F1M1-Fc-”).
- the anti-Cathepsin-D antibody of the invention comprises : (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises : a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7, and (c) a Fc region comprising at least 1, 2 or 3 mutations
- the anti-Cathepsin-D antibody of the invention comprises: (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5, and (c) a mutated Fc region comprising at least 1, 2 or 3 mutations selected from the group consisting of L234A, L235A and P329G (“F1M1-Fc-”).
- the antibodies of the invention cross-react with rodents, and in particular murine (rat and mouse) Cathepsin-D or primate Cathepsin-D, which is of interest for preclinical evaluation and toxicological studies.
- the antibodies of the invention specifically bind to Cathepsin- D, and do not bind with others aspartic proteases (e.g. cathepsin E, pepsinogen A and pepsinogen C). It should be further noted that the antibodies of the invention exhibit enhanced immunomodulatory activity. Indeed, it should be further noted that the antibodies of the invention inhibit the tumor recruitment of immunosuppressive tumor-associated macrophages M2, is able to enhance the activation of anti-tumor M1-polarized TAMs.
- the anti-Cathepsin-D antibodies of the invention are able to promote the recruitment and maturation of conventional cDC1 dendritic cells.
- the anti-Cathepsin-D antibodies of the invention are able to reduce the expression of exhaustion markers on CD4 + and CD8 + T cells, such as PD-L1 and LAG3, in tumors and draining lymph nodes.
- the anti-Cathepsin-D antibodies of the invention are able to induce cytotoxicity, also known as the antibody-dependent cell-mediated cytotoxicity (ADCC), Complement-dependent cytotoxicity (CDC) and Antibody-dependent cellular phagocytosis (ADCP).
- ADCC antibody-dependent cell-mediated cytotoxicity
- CDC Complement-dependent cytotoxicity
- ADCP Antibody-dependent cellular phagocytosis
- ADCC is a mechanism of cell-mediated immune defense whereby an effector cell of the immune system actively lyses a target cell, whose membrane-surface antigens have been bound by specific antibodies.
- the anti-Cath-D antibodies as described above are able to activate NK cells (up-regulation of cytolytic enzymes-granzyme B and perforin, and the anti-tumor cytokine IFN ⁇ suggesting the occurrence of ADCC in vivo.
- the Cathepsin-D antibodies F1M1 and F1M1-Fc+ as described above are able to activate NK cells (up-regulation of cytolytic enzymes-granzyme B and perforin, and the anti-tumor cytokine TNF ⁇ ), suggesting the occurrence of ADCC in vivo.
- the anti-Cathepsin-D antibodies of the invention are able to activate NK cells.
- the human anti-Cathepsin-D antibody of the invention (F1M1-Fc+) is able to trigger the recruitment of NK cells in tumor.
- the anti-Cathepsin-D antibody of the invention is able to activate NK cells and to induce cytotoxicity, wherein the antibody comprises: (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises: a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7.
- the anti-Cathepsin-D antibody of the invention is able to activate NK cells and to induce cytotoxicity, wherein the antibody comprises: (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises: a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7, and (c) a FC region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E (“F1M1-Fc+”).
- the anti-Cathepsin-D antibody of the invention is able to activate NK cells and to induce cytotoxicity, wherein the antibody comprises: (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5.
- the anti-Cathepsin-D antibody of the invention is able to activate NK cells and to induce cytotoxicity, wherein the antibody comprises: (c) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (d) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5, and (e) A mutated Fc region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E (“F1M1-Fc+”).
- the invention provides a multispecific antibody comprising a first antigen binding site from an anti-Cath-D antibody of the present invention described herein above and at least one second antigen binding site.
- the second antigen-binding site is used for recruiting a killing mechanism such as, for example, by binding an antigen on a human effector cell as a BiTE (Bispecific T-Cell engager) antibody which is a bispecific scFv2 directed against target antigen and CD3 on T cells described in US7235641.
- BiTE Bispecific T-Cell engager
- 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, for instance lymphocytes (such as B cells and T cells including cytolytic T cells (CTLs)), killer cells, natural killer cells, macrophages, monocytes, mast cells and granulocytes, such as neutrophils, eosinophils and basophils.
- lymphocytes such as B cells and T cells including cytolytic T cells (CTLs)
- CTLs cytolytic T cells
- FcRs Fc receptors
- an effector cell is capable of inducing ADCC, such as a natural killer cell.
- monocytes, macrophages, which express FcRs are involved in specific killing of target cells and presenting antigens to other components of the immune system.
- an effector cell may phagocytose a target antigen or target cell.
- the expression of a particular FcR on an effector cell may be regulated by humoral factors such as cytokines.
- An effector cell can phagocytose a target antigen or phagocytose or lyse a target cell.
- the second antigen-binding site binds to an antigen on a human B cell, such as, e.g., CD19, CD20, CD21, CD22, CD23, CD46, CD80, CD138 and HLA-DR.
- the second antigen-binding site binds to a different epitope of Cathepsin-D.
- the second antigen-binding site binds to tumor-associated antigen.
- tumor-associated antigen has its general meaning in the art and refers to an antigenic substance produced in tumor cells, i.e., it triggers an immune response in the host.
- Tumor-associated antigen have elevated levels on tumors cells but are also expressed at lower levels on healthy cells.
- TAA include but are not limited to Human Epidermal Growth Factor Receptor-2 (HER2), Mucin-1 (MUC-1), carcinoembryonic antigen (CEA) and human telomerase reverse transcriptase (hTERT).
- the second antigen-binding site binds to an angiogenic factor or other cancer-associated growth factor, such as a vascular endothelial growth factor (VEGF), a fibroblast growth factor (FGF), epidermal growth factor (EGF), angiogenin or a receptor of any of these, particularly receptors associated with cancer progression.
- VEGF vascular endothelial growth factor
- FGF fibroblast growth factor
- EGF epidermal growth factor
- angiogenin or a receptor of any of these, particularly receptors associated with cancer progression.
- FAP Fibroblast-activation protein
- a further aspect of the invention refers to a cross-competing antibody which cross- competes for binding Cathepsin-D with the antibodies of the invention.
- the cross-competing single-domain antibody of the present invention cross-competes for binding Cathepsin-D with the antibody comprising (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5 (“F1M1”)
- the cross-competing single-domain antibody of the present invention cross-competes for binding Cathepsin-D with the antibody comprising (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5, and (c) a mutated Fc region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E (“F1M1-Fc+”).
- the cross-competing single-domain antibody of the present invention cross-competes for binding Cathepsin-D with the antibody comprising (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5, and (c) a mutated Fc region comprising at least 1, 2, 3 mutations selected from the group consisting of L234A, L235A and P329G (“F1M1-Fc-”).
- the term “cross-competes” refers to single-domain antibodies which share the ability to bind to a specific region of an antigen.
- the single- domain antibody that “cross-competes” has the ability to interfere with the binding of another single-domain antibody for the antigen in a standard competitive binding assay.
- a single- domain antibody may, according to non-limiting theory, bind to the same or a related or nearby (e.g., a structurally similar or spatially proximal) epitope as the single-domain antibody with which it competes.
- Cross-competition is present if single-domain antibody A reduces binding of single-domain antibody B at least by 60%, specifically at least by 70% and more specifically at least by 80% and vice versa in comparison to the positive control which lacks one of said single-domain antibodies.
- competition may be assessed in different assay set-ups.
- the cross-competing antibody as above described retain the activity of the antibody of the invention (i.e able to inhibit the recruitment of immunosuppressive immune cells such as TAM, able to induce cytotoxicity (ADCC, CDC and ADCP) and to activate NK cells).
- the cross-competing antibody as above described retain the activity of the antibody comprising: (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5 (“F1M1”).
- the cross-competing antibody as above described retain the activity of the antibody comprising : (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5, and (c) a mutated Fc region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E (“F1M1- Fc+”).
- the cross-competing antibody as above described retain the activity of the antibody comprising : (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain has a sequence set forth as to SEQ ID NO:5, and (c) an Fc region comprising at least 1, 2 or 3 mutations selected from the group consisting of L234A, L235A and P329G (“F1M1-Fc-”).
- the cross-competing antibody of the present invention is anti-Cathepsin-D antibody, wherein said cross-competing antibody specifically binds to Cathepsin-D and is able to induce cytotoxicity and to activate NK cells.
- a further aspect of the invention refers to a chimeric antigen receptor (CAR) comprising an antigen binding domain of the anti-Cathepsin-D antibodies of the present invention.
- said chimeric antigen receptor comprises at least one VH and/or VL sequence of the antibody of the present invention.
- the chimeric antigen receptor of the present invention also comprises an extracellular hinge domain, a transmembrane domain, and an intracellular NK or T cell signaling domain.
- said chimeric antigen receptor comprises a VH sequence set forth as SEQ ID NO:1 and a VL sequence set forth as SEQ ID NO:5.
- the term “chimeric antigen receptor” or “CAR” has its general meaning in the art and refers to a set of polypeptides, typically two in the simplest embodiments, which when in an immune effector cell, provides the cell with specificity for a target cell, typically a cancer cell, and with intracellular signal generation.
- a CAR comprises at least an extracellular antigen binding domain, a transmembrane domain and a cytoplasmic signaling domain (also referred to herein as “an intracellular signaling domain”) comprising a functional signaling domain derived from a stimulatory molecule and/or costimulatory molecule as defined below.
- the set of polypeptides are contiguous with each other.
- the set of polypeptides include a dimerization switch that, upon the presence of a dimerization molecule, can couple the polypeptides to one another, e.g., can couple an antigen binding domain to an intracellular signaling domain.
- the stimulatory molecule is the zeta chain associated with the T cell receptor complex.
- the cytoplasmic signaling domain further comprises one or more functional signaling domains derived from at least one costimulatory molecule as defined below.
- the costimulatory molecule is chosen from the costimulatory molecules described herein, e.g., 4-1BB (i.e., CD137), CD27 and/or CD28.
- the CAR comprises a chimeric fusion protein comprising an extracellular antigen binding domain, a transmembrane domain and an intracellular signaling domain comprising a functional signaling domain derived from a stimulatory molecule.
- the CAR comprises a chimeric fusion protein comprising an extracellular antigen binding domain, a transmembrane domain and an intracellular signaling domain comprising a functional signaling domain derived from a costimulatory molecule and a functional signaling domain derived from a stimulatory molecule. In some embodiments, the CAR comprises a chimeric fusion protein comprising an extracellular antigen binding domain, a transmembrane domain and an intracellular signaling domain comprising two functional signaling domains derived from one or more costimulatory molecule(s) and a functional signaling domain derived from a stimulatory molecule.
- the CAR comprises a chimeric fusion protein comprising an extracellular antigen binding domain, a transmembrane domain and an intracellular signaling domain comprising at least two functional signaling domains derived from one or more costimulatory molecule(s) and a functional signaling domain derived from a stimulatory molecule.
- the CAR comprises an optional leader sequence at the amino-terminus (N-ter) of the CAR fusion protein.
- the CAR further comprises a leader sequence at the N-terminus of the extracellular antigen binding domain, wherein the leader sequence is optionally cleaved from the antigen binding domain (e.g., a scFv) during cellular processing and localization of the CAR to the cellular membrane.
- CARs comprise fusions of single chain variable fragments (scFv) derived from monoclonal antibodies, fused to CD3-zeta a transmembrane domain and endodomain.
- CARs comprise domains for additional co-stimulatory signaling, such as CD3-zeta, FcR, CD27, CD28, CD 137, DAP 10, and/or 0X40.
- molecules can be co-expressed with the CAR, including co-stimulatory molecules, reporter genes for imaging (e.g., for positron emission tomography), gene products that conditionally ablate the T cells upon addition of a pro-drug, homing receptors, chemokines, chemokine receptors, cytokines, and cytokine receptors.
- a further aspect of the invention refers to a T-cell comprising the a chimeric antigen receptor of the invention (“CAR-T cell”).
- CAR-T cell has its general meaning in the art and refers to a T lymphocyte that has been genetically engineered to express a CAR.
- CAR T- cells encompasses all classes and subclasses of T-lymphocytes including CD4+ , CD8+ T cells, gamma delta T cells as well as effector T cells, memory T cells, regulatory T cells, and the like.
- the T lymphocytes that are genetically modified may be "derived” or “obtained” from the patient who will receive the treatment using the genetically modified T cells or they may be “derived” or “obtained” from a different patient.
- a further aspect of the invention refers to a NK-cell comprising the a chimeric antigen receptor of the invention (“CAR-NK cell”).
- CAR-NK refers to natural killer (NK) cells that has been genetically engineered to express a CAR.
- NK cells are defined as CD56+ and CD3– cells and are subdivided into cytotoxic and immunoregulatory. They are of great clinical interest because they contribute to the graft-vs-leukemia/graft-vs-tumor effect but are not responsible for graft- vs-host disease. NK cells can be generated from various sources such as umbilical cord blood, bone marrow, human embryonic stem cells, and induced pluripotent stem cells. However, tumors can escape the cytotoxicity of NK cells when they are directed against NKG2D ligands MICA and MICB (major histocompatibility complex class I chain-related protein A/B).
- MICA and MICB major histocompatibility complex class I chain-related protein A/B
- NK cells have potential benefits compared to CAR-T cells.
- NK cells have spontaneous cytotoxic activity and can generate target cell death independent of tumor antigen, while T lymphocytes only kill their targets by a CAR-specific mechanism. Therefore, in the setting of antigen downregulation by tumor cells attempting to escape immune detection, NK cells would still be effective against tumor cells.
- primary human NK cells produce cytokines, such as interferon gamma, interleukin 3, and granulocyte-macrophage colony-stimulating factor, that differ from the proinflammatory cytokines produced by T cells that are responsible for the onset of cytokine release syndrome.
- cytokines such as interferon gamma, interleukin 3, and granulocyte-macrophage colony-stimulating factor, that differ from the proinflammatory cytokines produced by T cells that are responsible for the onset of cytokine release syndrome.
- Individual NK cells can survive after contacting and killing multiple target cells, possibly reducing the number of cells that need to be adoptively transferred (ie, the ex vivo stimulation and expansion of autologous or allogeneic lymphocytes, followed by reinfusion of the expanded lymphocyte population into the patient, in contrast to T cells).
- a further aspect of the invention refers to a tumor-associated macrophage (TAM) comprising the chimeric antigen receptor of the invention (“CAR-M cell”).
- TAM tumor-associated macrophage
- CAR-M cell refers to tumor-associated macrophage that has been genetically engineered to express a CAR.
- TAMs Tumor-associated macrophages
- TEMs are the most abundant innate immune cells and constitute up to 50% of the cell mass within the tumor microenvironment (TME) of most solid tumors.
- the core components of CAR-M contain an extracellular domain that provides specific recognition by a single-chain variable fragment (scFv) (eg, CD19 and HER2), a hinge domain, a transmembrane domain (mostly CD8), and an intracellular domain that presents dedicated downstream signalling (eg, CD3 ⁇ , Fc ⁇ R).
- scFv single-chain variable fragment
- HER2 HER2
- hinge domain e.g, CD19 and HER2
- transmembrane domain e.g, CD8
- intracellular domain that presents dedicated downstream signalling eg, CD3 ⁇ , Fc ⁇ R.
- Immunoconjugates of the invention In some embodiments, the anti-Cathepsin-D antibody of the present invention is conjugated to a therapeutic moiety, i.e. a drug.
- the therapeutic moiety can be, e.g., a cytotoxin, a chemotherapeutic agent, a cytokine, an immunosuppressant, an immune stimulator, a lytic peptide, or a radioisotope.
- cytotoxin e.g., a cytotoxin, a chemotherapeutic agent, a cytokine, an immunosuppressant, an immune stimulator, a lytic peptide, or a radioisotope.
- ADCs antibody-drug conjugates
- the invention refers to an anti-Cathepsin-D antibody comprising : (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises : a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7, and wherein said anti-Cathepsin-D antibody is conjugated to a therapeutic moiety.
- the anti-Cathepsin-D antibody of the invention comprises an Fc region comprising at least 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E. In some embodiments, the anti-Cathepsin-D antibody of the invention comprises an Fc region comprising at least 3 mutations selected from the group consisting of L234A, L235A and P329G.
- the invention refers to an anti-Cathepsin-D antibody comprising: (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises : a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7, and (c) a Fc region comprising at least 1, 2 or 3 mutations selected from the group consisting of L234A, L235A and P329G, and wherein said anti-Cathepsin-D antibody is conjugated to a therapeutic moiety
- the therapeutic moiety is a cytotoxic mofetil, a cytotoxic
- the anti-Cathepsin-D antibody of the invention is conjugated to a cytotoxic moity, such that the resulting antibody-drug conjugate exerts a cytotoxic or cytostatic effect on a Cath-D-expressing cell (e.g., a Cath-D-expressing cancer cell) when taken up or internalized by the cell.
- a Cath-D-expressing cell e.g., a Cath-D-expressing cancer cell
- moieties for conjugation to antibodies are chemotherapeutic agents, prodrug converting enzymes, radioactive isotopes or compounds, or toxins.
- an anti-Cath-D antibody can be conjugated to a cytotoxic moiety such as a chemotherapeutic agent or a toxin (e.g., a cytostatic or cytocidal agent such as, for example, abrin, ricin A, pseudomonas exotoxin, or diphtheria toxin).
- a cytotoxic moiety such as a chemotherapeutic agent or a toxin (e.g., a cytostatic or cytocidal agent such as, for example, abrin, ricin A, pseudomonas exotoxin, or diphtheria toxin).
- cytotoxic moiety include, for example, antitubulin agents, auristatins, DNA minor groove binders, DNA replication inhibitors, alkylating agents (e.g., platinum complexes such as cis-platin, mono(platinum), bis(platinum) and tri-nuclear platinum complexes and-carboplatin), anthracyclines, antibiotics, antifolates, antimetabolites, chemotherapy sensitizers, duocarmycins, etoposides, fluorinated pyrimidines, ionophores, lexitropsins, nitrosoureas, platinols, pre-forming compounds, purine antimetabolites, puromycins, radiation sensitizers, steroids, taxanes, topoisomerase inhibitors, vinca alkaloids, or the like.
- alkylating agents e.g., platinum complexes such as cis-platin, mono(platinum), bis(platinum) and tri-n
- cytotoxic include, for example, an androgen, anthramycin (AMC), asparaginase, 5-azacytidine, azathioprine, bleomycin, busulfan, buthionine sulfoximine, camptothecin, carboplatin, carmustine (BSNU), CC-1065 (Li et al., Cancer Res.42:999-1004, 1982), chlorambucil, cisplatin, colchicine, cyclophosphamide, cytarabine, cytidine arabinoside, cytochalasin B, dacarbazine, dactinomycin (formerly actinomycin), daunorubicin, 34ibavirin34n, docetaxel, doxorubicin, an estrogen, 5-fluordeoxyuridine, etopside phosphate (VP-16), 5-fluorouracil, gramicidin D, hydroxyurea, idarubicin, ifos
- cytotoxic moiety include, for example, dolastatins (e.g., auristatin E, AFP, MMAF, MMAE), DNA minor groove binders (e.g., enediynes and lexitropsins), duocarmycins, taxanes (e.g., paclitaxel and docetaxel), puromycins, vinca alkaloids, CC-1065, SN-38 (7-ethyl-10-hydroxy-camptothein),, morpholino-doxorubicin, rhizoxin, cyanomorpholino-doxorubicin, echinomycin, combretastatin, netropsin, epothilone A and B, estramustine, cryptophysins, cemadotin, maytansinoids, discodermolide, eleutherobin, and mitoxantrone.
- dolastatins e.g., auristatin E, AFP,
- a cytotoxic agent is a conventional chemotherapeutic such as, for example, doxorubicin, paclitaxel, melphalan, vinca alkaloids, methotrexate, mitomycin C or etoposide.
- potent agents such as CC-1065 analogues, calicheamicin, maytansine, analogues of dolastatin 10, rhizoxin, and palytoxin can be linked to an anti-Cath-D antibody.
- the cytotoxic or cytostatic moiety is auristatin E (also known in the art as dolastatin-10) or a derivative thereof.
- the auristatin E derivative is, e.g., an ester formed between auristatin E and a keto acid.
- auristatin E can be reacted with paraacetyl benzoic acid or benzoylvaleric acid to produce AEB and AEVB, respectively.
- Other typical auristatin derivatives include AFP (dimethylvaline-valine-dolaisoleuine-dolaproine- phenylalanine-p-phenylenediamine), MMAF (dovaline-valine-dolaisoleunine-dolaproine- phenylalanine), and MAE (monomethyl auristatin E).
- the cytotoxic moiety is a DNA minor groove binding agent.
- the minor groove binding agent is a CBI compound.
- the minor groove binding agent is an enediyne (e.g., calicheamicin).
- the cytotoxic moiety is an anti-tubulin agent.
- anti- tubulin agents examples include, for example, taxanes (e.g., Taxol® (paclitaxel), Taxotere® (docetaxel)), T67 (Tularik), vinca alkyloids (e.g., vincristine, vinblastine, vindesine, and vinorelbine), and dolastatins (e.g., auristatin E, AFP, MMAF, MMAE, AEB, AEVB).
- taxanes e.g., Taxol® (paclitaxel), Taxotere® (docetaxel)
- T67 Tularik
- vinca alkyloids e.g., vincristine, vinblastine, vindesine, and vinorelbine
- dolastatins e.g., auristatin E, AFP, MMAF, MMAE, AEB, AEVB.
- antitubulin agents include, for example, baccatin derivatives, taxane analogs (e.g., epothilone A and B), nocodazole, colchicine and colcimid, estramustine, cryptophysins, cemadotin, maytansinoids, combretastatins, discodermolide, and eleutherobin.
- the cytotoxic agent is a maytansinoid, another group of anti-tubulin agents.
- the maytansinoid is maytansine or DM-1 (ImmunoGen, Inc.; see also Chari et al., Cancer Res. 52:127-131, 1992).
- the cytotoxic agent is an antimetabolite.
- the antimetabolite can be, for example, a purine antagonist (e.g., ibavirinne or mycophenolate mofetil), a dihydrofolate reductase inhibitor (e.g., methotrexate), acyclovir, gangcyclovir, zidovudine, vidarabine, ibavirine, azidothymidine, cytidine arabinoside, amantadine, dideoxyuridine, iododeoxyuridine, poscarnet, or trifluridine.
- a purine antagonist e.g., ibavirinne or mycophenolate mofetil
- a dihydrofolate reductase inhibitor e.g., methotrexate
- acyclovir gangcyclovir
- zidovudine vidarabine
- ibavirine azidothymidine
- the cytotoxic agent is selected from the group consisting of topoisomerase inhibitors; ethidium bromide; emetine; dihydroxy anthracin dione; a tubulin- inhibitor such as maytansine or an analog or derivative thereof; an antimitotic agent such as monomethyl auristatin E or F or an analog or derivative thereof; dolastatin 10 or 15 or an analogue thereof; irinotecan or an analogue thereof; mitoxantrone; mithramycin; dactinomycin; 1-dehydrotestosterone; a glucocorticoid; procaine; tetracaine; lidocaine; propranolol; puromycin; calicheamicin or an analog or derivative thereof; an antimetabolite such as methotrexate, 6 mercaptopurine, 6 thioguanine, cytarabine, fludarabin, 5 fluorouracil, decarbazine, hydroxyurea
- the antibody is conjugated to a nucleic acid or nucleic acid- associated molecule.
- the conjugated nucleic acid is a cytotoxic ribonuclease (RNase) or deoxy-ribonuclease (e.g., DNase I), an antisense nucleic acid, an inhibitory RNA molecule (e.g., a siRNA molecule) or an immunostimulatory nucleic acid (e.g., an immunostimulatory CpG motif-containing DNA molecule).
- RNase cytotoxic ribonuclease
- DNase I deoxy-ribonuclease
- an antisense nucleic acid e.g., an inhibitory RNA molecule
- an inhibitory RNA molecule e.g., a siRNA molecule
- an immunostimulatory nucleic acid e.g., an immunostimulatory CpG motif-containing DNA molecule.
- the antibody is conjugated to an aptamer or a rib
- the antibody is conjugated to a radioisotope or to a radioisotope- containing chelate.
- the antibody can be conjugated to a chelator linker, e.g. DOTA, DTPA or tiuxetan, which allows for the antibody to be complexed with a radioisotope.
- the antibody may also or alternatively comprise or be conjugated to one or more radiolabeled amino acids or other radiolabeled moleculesNon-limiting examples of radioisotopes include 3 H, 14 C, 15 N, 35 S, 90 Y, 99 Tc, 125 I, 131 I, 186 Re, 213 Bi, 225 Ac and 227 Th.
- a radioisotope emitting beta- or alpha-particle radiation can be used, e.g., 1311, 90Y, 211At, 212Bi, 67Cu, 186Re, 188Re, and 212Pb.
- the anti-Cath-D antibody of the invention is conjugated to a pro- drug converting enzyme.
- the pro-drug converting enzyme can be recombinantly fused to the antibody or chemically conjugated thereto using known methods.
- pro-drug converting enzymes are carboxypeptidase G2, ⁇ -glucuronidase, penicillin-V-amidase, penicillin-G-amidase, ⁇ -lactamase, ⁇ -glucosidase, nitroreductase and carboxypeptidase A.
- Techniques for conjugating therapeutic agents to proteins, and in particular to antibodies, are well-known. (See, e.g., Arnon et al., “Monoclonal Antibodies For Immunotargeting Of Drugs In Cancer Therapy,” in Monoclonal Antibodies And Cancer Therapy (Reisfeld et al. eds., Alan R.
- the anti-Cath-D antibody of the invention is conjugated to a proteolyse targeting chimeric molecules or a molecular glue degraders.
- proteolyse targeting chimeric molecules also known as “PROTAC”
- PROTAC has its general meaning in the art and refers to a heterobifunctional molecule composed of two active domains and a linker, capable of removing specific unwanted proteins.
- PROTAC works by bringing together the E3 ligase with the target protein thus allowing its ubiquitination and degradation by the proteasome.
- the term “molecular glue degraders” has its general meaning in the art and refers to monovalent compounds that orchestrate interactions between a target protein and an E3 ubiquitin ligase, prompting the proteasomal degradation of the former.
- Techniques for conjugating therapeutic agents such as PROTAC and molecular glue degraders, and in particular to antibodies, are well-known. (See, e.g., Conilh L, Sadilkova L, Viricel W, Dumontet C. Payload diversification: a key step in the development of antibody-drug conjugates.
- the antibody-drug conjugate compounds comprise a linker unit between the drug unit and the antibody unit.
- the linker is cleavable under intracellular conditions, such that cleavage of the linker releases the drug unit from the antibody in the intracellular environment.
- the linker unit is not cleavable and the drug is released, for example, by antibody degradation.
- the linker is cleavable by a cleaving agent that is present in the intracellular environment (e.g., within a lysosome or endosome or caveolea).
- the linker can be, e.g., a peptidyl linker that is cleaved by an intracellular peptidase or protease enzyme, including, but not limited to, a lysosomal or endosomal protease.
- the peptidyl linker is at least two amino acids long or at least three amino acids long.
- Cleaving agents can include cathepsins B and D and plasmin, all of which are known to hydrolyze dipeptide drug derivatives resulting in the release of active drug inside target cells (see, e.g., Dubowchik and Walker, 1999, Pharm. Therapeutics 83:67-123).
- Most typical are peptidyl linkers that are cleavable by enzymes that are present in 191P4D12-expressing cells. Examples of such linkers are described, e.g., in U.S. Pat. No. 6,214,345, incorporated herein by reference in its entirety and for all purposes.
- the peptidyl linker cleavable by an intracellular protease is a Val-Cit linker or a Phe-Lys linker (see, e.g., U.S. Pat. No.6,214,345, which describes the synthesis of doxorubicin with the Val-Cit linker).
- One advantage of using intracellular proteolytic release of the therapeutic agent is that the agent is typically attenuated when conjugated and the serum stabilities of the conjugates are typically high.
- the cleavable linker is pH-sensitive, i.e., sensitive to hydrolysis at certain pH values. Typically, the pH-sensitive linker hydrolyzable under acidic conditions.
- an acid-labile linker that is hydrolyzable in the lysosome e.g., a hydrazone, semicarbazone, thiosemicarbazone, cis-aconitic amide, orthoester, acetal, ketal, or the like
- a hydrazone, semicarbazone, thiosemicarbazone, cis-aconitic amide, orthoester, acetal, ketal, or the like can be used.
- a hydrazone, semicarbazone, thiosemicarbazone, cis-aconitic amide, orthoester, acetal, ketal, or the like can be used.
- the hydrolyzable linker is a thioether linker (such as, e.g., a thioether attached to the therapeutic agent via an acylhydrazone bond (see, e.g., U.S. Pat. No.5,622,929).
- the linker is cleavable under reducing conditions (e.g., a disulfide linker).
- disulfide linkers are known in the art, including, for example, those that can be formed using SATA (N-succinimidyl-S-acetylthioacetate), SPDP (N- succinimidyl-3-(2-pyridyldithio)propionate), SPDB (N-succinimidyl-3-(2- pyridyldithio)butyrate) and SMPT (N-succinimidyl-oxycarbonyl-alpha-methyl-alpha-(2- pyridyl-dithio)toluene), SPDB and SMPT.
- SATA N-succinimidyl-S-acetylthioacetate
- SPDP N- succinimidyl-3-(2-pyridyldithio)propionate
- SPDB N-succinimidyl-3-(2- pyridyldithio)butyrate
- SMPT N-succin
- the linker is a malonate linker (Johnson et al., 1995, Anticancer Res.15:1387-93), a maleimidobenzoyl linker (Lau et al., 1995, Bioorg-Med-Chem.
- the linker unit is not cleavable and the drug is released by antibody degradation.
- the linker is not substantially sensitive to the extracellular environment.
- “not substantially sensitive to the extracellular environment,” in the context of a linker means that no more than about 20 %, typically no more than about 15 %, more typically no more than about 10 %, and even more typically no more than about 5 %, no more than about 3 %, or no more than about 1 % of the linkers, in a sample of antibody-drug conjugate compound, are cleaved when the antibody-drug conjugate compound is present in an extracellular environment (e.g., in plasma).
- Whether a linker is not substantially sensitive to the extracellular environment can be determined, for example, by incubating with plasma the antibody-drug conjugate compound for a predetermined time period (e.g., 2, 4, 8, 16, or 24 hours) and then quantitating the amount of free drug present in the plasma.
- a predetermined time period e.g. 2, 4, 8, 16, or 24 hours
- Techniques for conjugating molecules to antibodies are well-known in the art (See, e.g., Arnon et al., “Monoclonal Antibodies For Immunotargeting Of Drugs In Cancer Therapy,” in Monoclonal Antibodies And Cancer Therapy (Reisfeld et al. eds., Alan R.
- nucleic acid molecule is covalently attached to lysines or cysteines on the antibody, through N- hydroxysuccinimide ester or maleimide functionality respectively.
- TDCs cysteine-based site-specific conjugation
- ADCs cysteine-based site-specific conjugation
- Conjugation to unnatural amino acids that have been incorporated into the antibody is also being explored for ADCs; however, the generality of this approach is yet to be established (Axup et al., 2012).
- Fc-containing polypeptide engineered with an acyl donor glutamine-containing tag e.g., Gin-containing peptide tags or Q- tags
- an endogenous glutamine that are made reactive by polypeptide engineering (e.g., via amino acid deletion, insertion, substitution, or mutation on the polypeptide).
- a transglutaminase can covalently crosslink with an amine donor agent (e.g., a small molecule comprising or attached to a reactive amine) to form a stable and homogenous population of an engineered Fc-containing polypeptide conjugate with the amine donor agent being site- specifically conjugated to the Fc-containing polypeptide through the acyl donor glutamine- containing tag or the accessible/exposed/reactive endogenous glutamine (WO 2012059882).
- an amine donor agent e.g., a small molecule comprising or attached to a reactive amine
- the anti-Cathepsin-D antibody of the invention is conjugated to at least one therapeutic moiety.
- the anti-Cathepsin-D antibody of the invention is conjugated to 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 therapeutic moiety.
- the drug-to-antibody ratio (DAR) of the antibody-drug conjugate comprising the anti-Cathepsin-D antibody of the invention is between 1 to 10, and more particularly between 4 to 8.
- the drug-to-antibody ratio (DAR) of the antibody-drug conjugate comprising the anti-Cathepsin-D antibody of the invention is 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, and more particularly is 8.
- DAR drug to Antibody Ratio
- DAR refers to the average number of drugs linked to each antibody. DAR is a key property used to measures the quality of ADC because it can significantly affect ADC efficacy.
- Nucleic acids, vectors, recombinant host cells of the invention A further object of the invention relates to a nucleic acid molecule encoding an anti- Cathepsin-D antibody according to the invention.
- nucleic acid molecule encodes a heavy chain and/or a light chain of an anti-Cathepsin-D antibody of the present invention.
- said nucleic acid is a DNA or RNA molecule, which may be included in any suitable vector, such as a plasmid, cosmid, episome, artificial chromosome, phage or a viral vector.
- vector cloning vector” and “expression vector” mean the vehicle by which a DNA or RNA sequence (e.g. a foreign gene) can be introduced into a host cell, so as to transform the host and promote expression (e.g. transcription and translation) of the Introduced sequence.
- expression vector used interchangeably throughout this specification and are meant to include any type of genetic construct containing a nucleic acid coding for a gene product in which part or all of the nucleic acid encoding sequence is capable of being transcribed.
- a further aspect of the invention relates to a vector comprising a nucleic acid of the invention.
- Such vectors may comprise regulatory elements, such as a promoter, enhancer, terminator and the like, to cause or direct expression of said antibody upon administration to a subject.
- promoters and enhancers used in the expression vector for animal cell include early promoter and enhancer of SV40 (Mizukami T. et al.
- LTR promoter and enhancer of Moloney mouse leukemia virus (Kuwana Y et al.1987), promoter (Mason JO et al.1985) and enhancer (Gillies SD et al.1983) of immunoglobulin H chain and the like.
- Any expression vector for animal cell can be used, so long as a gene encoding the human antibody C region can be inserted and expressed. Examples of suitable vectors include pAGE107 (Miyaji H et al. 1990), pAGE103 (Mizukami T et al. 1987), pHSG274 (Brady G et al.
- Plasmids include replicating plasmids comprising an origin of replication, or integrative plasmids, such as for instance pUC, pcDNA, pBR, and the like.
- viral vector include adenoviral, retroviral, herpes virus and AAV vectors. Such recombinant viruses may be produced by techniques known in the art, such as by transfecting packaging cells or by transient transfection with helper plasmids or viruses.
- virus packaging cells include PA317 cells, PsiCRIP cells, gPenv + cells, 293 cells, etc.
- Detailed protocols for producing such replication-defective recombinant viruses may be found for instance in WO 95/14785, WO 96/22378, US 5,882,877, US 6,013,516, US 4,861,719, US 5,278,056 and WO 94/19478.
- the choice of a suitable expression vector for expression of the peptides or polypeptides of the invention will of course depend upon the specific host cell to be used, and is within the skill of the ordinary artisan.
- promoters/promoters from both viral and mammalian sources that may be used to drive expression of the nucleic acids of interest in host cells.
- the nucleic acid being expressed is under transcriptional control of a promoter.
- a “promote” refers to a DNA sequence recognized by the synthetic machinery of the cell, or introduced synthetic machinery, required to initiate the specific transcription of a gene. Nucleotide sequences are operably linked when the regulatory sequence functionally relates to the DNA encoding the protein of interest (e.g., a single domain antibody).
- a promoter nucleotide sequence is operably linked to a given DNA sequence if the promoter nucleotide sequence directs the transcription of the sequence.
- a further aspect of the invention relates to a host cell which has been transfected, infected or transformed by a nucleic acid and/or a vector according to the invention.
- transformation means the introduction of a “foreign” (i.e. extrinsic or extracellular) gene, DNA or RNA sequence to a host cell, so that the host cell will express the introduced gene or sequence to produce a desired substance, typically a protein or enzyme coded by the introduced gene or sequence.
- a host cell that receives and expresses introduced DNA or RNA bas been “transformed”.
- the nucleic acids of the invention may be used to produce an antibody of the present invention in a suitable expression system.
- expression system means a host cell and compatible vector under suitable conditions, e.g.
- Common expression systems include E. coli host cells and plasmid vectors, insect host cells and Baculovirus vectors, and mammalian host cells and vectors.
- Other examples of host cells include, without limitation, prokaryotic cells (such as bacteria) and eukaryotic cells (such as yeast cells, mammalian cells, insect cells, plant cells, etc.).
- E.coli Escherreocoli
- Kluyveromyces or Saccharomyces yeasts mammalian cell lines (e.g., Vero cells, CHO cells, 3T3 cells, COS cells, etc.) as well as primary or established mammalian cell cultures (e.g., produced from lymphoblasts, fibroblasts, non-human embryonic cells, epithelial cells, nervous cells, adipocytes, etc.).
- mammalian cell lines e.g., Vero cells, CHO cells, 3T3 cells, COS cells, etc.
- primary or established mammalian cell cultures e.g., produced from lymphoblasts, fibroblasts, non-human embryonic cells, epithelial cells, nervous cells, adipocytes, etc.
- Examples also include mouse SP2/0-Ag14 cell (ATCC CRL1581), mouse P3X63-Ag8.653 cell (ATCC CRL1580), CHO cell in which a dihydrofolate reductase gene (hereinafter referred to as “DHFR gene”) is defective (Urlaub G et al; 1980), rat YB2/3HL.P2.G11.16Ag.20 cell (ATCC CRL1662, hereinafter referred to as “YB2/0 cell”), and the like.
- DHFR gene dihydrofolate reductase gene
- the present invention also relates to a method of producing a recombinant host cell expressing an antibody according to the invention, said method comprising the steps of: (i) introducing in vitro or ex vivo a recombinant nucleic acid or a vector as described above into a competent host cell, (ii) culturing in vitro or ex vivo the recombinant host cell obtained and (iii), optionally, selecting the cells which express and/or secrete said antibody.
- recombinant host cells can be used for the production of antibodies of the present invention.
- Antibodies of the present invention are suitably separated from the culture medium by conventional immunoglobulin purification procedures such as, for example, protein A- Sepharose, hydroxylapatite chromatography, gel electrophoresis, dialysis, or affinity chromatography.
- Therapeutic methods of the invention The inventors have shown that cross-reacting F1M1 is able to reduce tumor growth without apparent toxicity in C57BL/6 mice harboring grafts of mouse E0771 cells (a strongly immune-infiltrated Cath-D-secreting basal-like TNBC cell line).
- the inventors have also demonstrated that F1M1-Fc + inhibited growth of MDA-MB-231 cell xenografts, SUM159 cell xenografts, and of two TNBC-PDX (one resistant to neoadjuvant chemotherapy) without no apparent toxicity in nude mice. Moreover, in combination therapy, F1M1-Fc + improved paclitaxel and enzalutamide therapeutic efficacy.
- the anti-Cathepsin-D antibody of the invention, or a fragment thereof or the immunoconjugates of the invention may be useful for treating any disease associated with Cathepsin-D overexpression preferentially cancers.
- the antibodies of the invention or a fragment thereof or the immunoconjugates of the invention may be used alone or in combination with any suitable agent.
- the invention relates to the anti-Cathepsin-D antibody of the invention, or a fragment thereof or the immunoconjugates of the invention, as described above, for use as a drug.
- the invention relates to an anti-Cathepsin-D antibody for use as a drug, wherein said antibody comprises : (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises : a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7
- the invention relates to a human anti-Cathepsin-D antibody for use as a drug, wherein said antibody comprises: (a) a heavy chain wherein the variable domain has a sequence set forth as to SEQ ID NO:1, and (b) a light chain wherein the variable domain
- the invention relates to an anti-Cathepsin-D antibody for use as a drug, wherein said antibody comprises: (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises : a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7, and (c) a FC region comprising at least 1, 2, 3 or 4 mutations selected from the group consisting of S239D, H268F, S324T, I332E (“F1M1-Fc+”).
- a FC region comprising at least 1, 2, 3 or 4 mutations selected from
- the invention relates to an anti-Cathepsin-D antibody for use as a drug, wherein said antibody comprises: (a) a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set forth as SEQ ID NO: 2; a H-CDR2 having a sequence set forth as SEQ ID NO: 3; a H-CDR3 having a sequence set forth as SEQ ID NO: 4; (b) a light chain wherein the variable domain comprises : a L-CDR1 having a sequence set forth as SEQ ID NO: 6; a L-CDR2 having a sequence set forth as YDS; a L- CDR3 having a sequence set forth as SEQ ID NO: 7, and (c) a Fc region comprising at least 1, 2 or 3 mutations selected from the group consisting of L234A, L235A and P329G (“F1M1-Fc-”).
- a heavy chain wherein the variable domain comprises: a H-CDR1 having a sequence set
- the anti-Cathepsin-D antibody for use according to the invention is conjugated to a cytotoxic moiety.
- the anti-Cathepsin-D antibody or a fragment thereof or the immunoconjugates for use according to the invention in the treatment of hyperproliferative disorders or diseases relate to a method for treating hyperproliferative disorders or diseases in a subject in need thereof, comprising administering to said subject an effective amount of the anti-Cathepsin-D antibody of the invention or a fragment thereof.
- abnormal cell growth and “hyperproliferative disorders or diseases” are used interchangeably in this application and refers to cell growth that is independent of normal regulatory mechanisms (e.g., loss of contact inhibition).
- hyperproliferative diseases refers to diseases having an overexpression of cathepsin-D.
- hyperproliferative diseases are selected but not limited to, cancer (e.g. breast cancer, renal cancer etc), skin disorders (e.g. psoriasis, wound healing), inflammatory diseases (e.g. inflammatory bowel disease).
- the hyperproliferative disease is cancer.
- cancer refers to a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body.
- the cancer that may treated by methods and compositions of the invention include, but are not limited to cancer cells from the bladder, blood, bone, bone marrow, brain, breast, colon, esophagus, gastrointestinal, gum, head, kidney, liver, lung, nasopharynx, neck, ovary, prostate, skin, stomach, testis, tongue, or uterus.
- the cancer may specifically be of the following histological type, though it is not limited to these: neoplasm, malignant; carcinoma; carcinoma, undifferentiated; giant and spindle cell carcinoma; small cell carcinoma; papillary carcinoma; squamous cell carcinoma; lymphoepithelial carcinoma; basal cell carcinoma; pilomatrix carcinoma; transitional cell carcinoma; papillary transitional cell carcinoma; adenocarcinoma; gastrinoma, malignant; cholangiocarcinoma; hepatocellular carcinoma; combined hepatocellular carcinoma and cholangiocarcinoma; trabecular adenocarcinoma; adenoid cystic carcinoma; adenocarcinoma in adenomatous polyp; adenocarcinoma, familial polyposis coli; solid carcinoma; carcinoid tumor, malignant; branchiolo-alveolar adenocarcinoma; papillary adenocarcinoma; chromophobe carcinoma; acid
- the cancer is selected from the group consisting of breast cancer, melanoma, ovarian cancer, lung cancer, liver cancer, pancreatic cancer, melanoma, squamous cell carcinoma, endometrial cancer, head and neck cancer, bladder cancer, malignant glioma, prostate cancer, colon adenocarcinoma or gastric cancer.
- the cancer exhibits an abundant stroma or tumoral microenvironment (“High stromal”, i.e at least 30% 40%, 50%, 60%, 70%, 80% and 90% of the tumor volume).
- stroma or “microenvironment” has its general meaning in the art and refers to extracellular matrix and specialized connective tissue cells, including fibroblasts and mesenchymal stromal cells. Tumors have stroma and require stroma for nutritional support and the removal of waste products, but stromal content can vary markedly in different types of cancers.
- a high stromal refers to a tumors having a stroma representing at least 30% 40%, 50%, 60%, 70%, 80% and 90% of the tumor mass.
- the cancer is an immune-inflamed tumor.
- the term “Immune-inflamed tumors”, also named “hot tumors”, are characterized by high immune cell infiltration, especially T-cell infiltration, increased interferon- ⁇ (IFN- ⁇ ) signaling and expression of PD-L1.
- the cancer is a metastatic cancer.
- the cancer is breast cancer or pancreatic cancer.
- the breast cancer is an estrogen-receptor positive (ER+) hormono-resistant breast cancer or a triple-negative (ER- and PR-, HER2-non amplified) breast cancer (TNBC).
- TNBC estrogen-receptor positive
- TNBC triple-negative breast cancer
- the breast cancer is TNBC.
- the TNBC exhibit an abundant adaptive and innate immune cells infiltration (“immunity high TNBC”), as detailed in Zhao et al.
- the TNBC is a LAR subtype characterized by androgen receptor signaling, as detailed in Zhao et al.
- the TNBC is an IM subtype showing high immune cell signaling and cytokine signaling gene expression, as detailed in Zhao et al.
- the cancer is a cancer wherein Cathepsin-D is overexpressed and hypersecreted in the tumor stroma or tumor microenvironment.
- the invention also relates to a method for treating a cancer wherein Cathepsin-D is overexpressed in a subject comprising administering to said subject an effective amount of the anti-Cathepsin-D antibody of the invention or a fragment thereof.
- the invention also relates to the anti-Cathepsin-D antibody of the invention or a fragment thereof for use in the treatment of cancer in a subject having a high level of Cathepsin- D.
- the above method and use comprise the steps of measuring the level of Cathepsin-D in a biological sample obtained from said subject and comparing this level to a reference control value.
- a high level of Cathepsin-D means that the antibody of the invention must be used.
- the term “biological sample” refers to any sample obtained from a subject, such as a serum sample, a plasma sample, a urine sample, a blood sample, a lymph sample, or a tissue biopsy.
- the biological sample is tumor tissue sample or stromal tissue sample.
- the level of the Cath-D may be determined by using standard electrophoretic and immunodiagnostic techniques, including immunoassays such as competition, direct reaction such as immunohistochemistry, or sandwich type assays.
- Such assays include, but are not limited to, Western blots; agglutination tests; enzyme-labelled and mediated immunoassays, such as ELISAs; biotin/avidin type assays; radioimmunoassays; immunoelectrophoresis; immunoprecipitation, etc.
- the reactions generally include revealing labels such as fluorescent, chemiluminescent, radioactive, enzymatic labels or dye molecules, or other methods for detecting the formation of a complex between the antigen and the antibody or antibodies reacted therewith.
- the methods of the invention comprise contacting the biological sample with a binding partner.
- binding partner refers to a molecule capable of selectively interacting with Cathepsin-D.
- the binding partner may be generally an antibody that may be polyclonal or monoclonal, preferably monoclonal.
- the term “subject” refers to any mammals, such as a rodent, a feline, a canine, and a primate. Particularly, in the present invention, the subject is a human afflicted with or susceptible to be afflicted with a disease wherein Cathepsin-D is overexpressed. In another embodiment, the subject is a human afflicted with or susceptible to be afflicted with a cancer.
- the subject is a human afflicted with or susceptible to be afflicted with a cancer wherein Cathepsin-D is overexpressed, and in particularly breast cancer or pancreatic cancer wherein Cathepsin-D is overexpressed.
- the subject is a human afflicted with or susceptible to be afflicted with TNBC.
- the anti-Cathepsin-D antibody of the invention or a fragment thereof can be administered in combination with any suitable agent, in particular with anti- cancer therapy.
- anti-cancer therapy has its general meaning in the art and refers to any compound, natural or synthetic, used for the treatment of cancer.
- the classical treatment refers to radiation therapy, antibody therapy, immune checkpoint inhibitor, antiandrogens, CAR Therapy, such as CAR T- , CAR M- or CAR NK-cell therapy, antibody-drug conjugates (ADC) or chemotherapy.
- CAR Therapy such as CAR T- , CAR M- or CAR NK-cell therapy
- ADC antibody-drug conjugates
- the anti-Cathepsin-D antibody of the invention or a fragment thereof is administered in combination with an antibody-drug conjugates.
- Antibody-drug conjugates or ADCs are a class of biopharmaceutical drugs designed as a targeted therapy for treating cancer. Unlike chemotherapy, ADCs are intended to target and kill tumor cells while sparing healthy cells.
- ADC includes but are not limited to Gemtuzumab ozogamicin, Brentuximab vedotin, Trastuzumab emtansine, Inotuzumab ozogamicin, Polatuzumab vedotin, Enfortumab vedotin, Trastuzumab deruxtecan, Sacituzumab govitecan, Belantamab mafodotin, Moxetumomab pasudotox, Loncastuximab tesirine and Tisotumab vedotin-tftv.
- the anti-Cathepsin-D antibody of the invention or a fragment thereof is administered in combination with a chemotherapeutic agent.
- the invention refers to i) the anti-Cathepsin- D antibody of the invention or a fragment thereof and ii) a chemotherapeutic agent as a combined preparation for simultaneous, separate or sequential use in the treatment of a cancer.
- chemotherapeutic agent refers to chemical compounds that are effective in inhibiting tumor growth.
- chemotherapeutic agents include multkinase inhibitors such as sorafenib and sunitinib, alkylating agents such as thiotepa and cyclosphosphamide; alkyl sulfonates such as busulfan, improsulfan and piposulfan; aziridines such as benzodopa, carboquone, meturedopa, and uredopa; ethylenimines and methylamelamines including altretamine, triethylenemelamine, trietylenephosphoramide, triethylenethiophosphaorarnide and trimethylolomelamine; acetogenins (especially bullatacin and bullatacinone); a carnptothecin (including the synthetic analogue topotecan); bryostatin; callystatin; CC-1065 (including its adozelesin, carzelesin and bizelesin synthetic analogues); cryptophycins
- calicheamicin especially calicheamicin (11 and calicheamicin 211, see, e.g., Agnew Chem Intl. Ed. Engl. 33: 183-186 (1994); dynemicin, including dynemicin A; an esperamicin; as well as neocarzinostatin chromophore and related chromoprotein enediyne antiobiotic chromomophores), aclacinomysins, actinomycin, authramycin, azaserine, bleomycins, cactinomycin, carabicin, canninomycin, carzinophilin, chromomycins, dactinomycin, daunorubicin, detorubicin, 6- diazo-5-oxo-L-norleucine, doxorubicin (including morpholino- doxorubicin, cyanomorpholino-doxorubicin, 2-pyrrolin
- paclitaxel (TAXOL®, Bristol-Myers Squibb Oncology, Princeton, N.].) and doxetaxel (TAXOTERE®, Rhone-Poulenc Rorer, Antony, France); chlorambucil; gemcitabine; 6- thioguanine; mercaptopurine; methotrexate; platinum analogs such as cisp latin and carbop latin; vinblastine; platinum; etoposide (VP- 16); ifosfamide; mitomycin C; mitoxantrone; vincristine; vinorelbine; navelbine; novantrone; teniposide; daunomycin; aminopterin; xeloda; ibandronate; CPT-11 ; topoisomerase inhibitor RFS 2000; difluoromethylornithine (DMFO); retinoic acid; capecitabine; and pharmaceutically acceptable salts, acids or derivatives of any of the above.
- antihormonal agents that act to regulate or inhibit honnone action on tumors
- anti-estrogens including for example tamoxifen, raloxifene, aromatase inhibiting 4(5)-imidazoles, 4-hydroxytamoxifen, trioxifene, keoxifene, LY117018, onapristone, and toremifene (Fareston); and anti-androgens such as flutamide, nilutamide, bicalutamide, leuprolide, and goserelin; and pharmaceutically acceptable salts, acids or derivatives of any of the above.
- the chemotherapeutic agent is paclitaxel.
- the anti-Cathepsin-D antibody of the invention is administered in combination with PROTAC or molecular glue degraders. In some embodiment, the anti-Cathepsin-D antibody of the invention is administered in combination with radiation therapy.
- the invention refers to i) the anti-Cathepsin- D antibody of the invention and ii) radiation therapy as a combined preparation for simultaneous, separate or sequential use in the treatment of a cancer.
- radiation therapy has its general meaning in the art and refers the treatment of cancer with ionizing radiation. Ionizing radiation deposits energy that injures or destroys cells in the area being treated (the target tissue) by damaging their genetic material, making it impossible for these cells to continue to grow.
- One type of radiation therapy commonly used involves photons, e.g. X-rays.
- the rays can be used to destroy cancer cells on the surface of or deeper in the body. The higher the energy of the x-ray beam, the deeper the x-rays can go into the target tissue.
- Linear accelerators and betatrons produce x-rays of increasingly greater energy.
- the use of machines to focus radiation (such as x-rays) on a cancer site is called external beam radiation therapy.
- Gamma rays are another form of photons used in radiation therapy. Gamma rays are produced spontaneously as certain elements (such as radium, uranium, and cobalt 60) release radiation as they decompose, or decay.
- the radiation therapy is external radiation therapy.
- external radiation therapy include, but are not limited to, conventional external beam radiation therapy; three-dimensional conformal radiation therapy (3D-CRT), which delivers shaped beams to closely fit the shape of a tumor from different directions; intensity modulated radiation therapy (IMRT), e.g., helical tomotherapy, which shapes the radiation beams to closely fit the shape of a tumor and also alters the radiation dose according to the shape of the tumor; conformal proton beam radiation therapy; image-guided radiation therapy (IGRT), which combines scanning and radiation technologies to provide real time images of a tumor to guide the radiation treatment; intraoperative radiation therapy (IORT), which delivers radiation directly to a tumor during surgery; stereotactic radiosurgery, which delivers a large, precise radiation dose to a small tumor area in a single session; hyperfractionated radiation therapy, e.g., continuous hyperfractionated accelerated radiation therapy (CHART), in which more than one treatment (fraction) of radiation therapy are given to a subject per day; and hypofractionated
- the anti-Cathepsin-D antibody of the invention or a fragment thereof is administered in combination with an immune checkpoint inhibitor.
- the invention refers to i) the anti-Cathepsin- D antibody of the invention or a fragment thereof and ii) an immune checkpoint inhibitor as a combined preparation for simultaneous, separate or sequential use in the treatment of a cancer.
- immune checkpoint protein has its general meaning in the art and refers to a molecule that is expressed by T lymphocytes in that either turn up a signal (stimulatory checkpoint molecules) or turn down a signal (inhibitory checkpoint molecules). Immune checkpoints are the regulators of the immune system.
- Immune checkpoints are targets for cancer immunotherapy due to their potential for use in multiple types of cancers. Typically, by using immune checkpoint inhibitors, the anti-tumoral response is reactivated by reactivation of cytotoxic T- lymphocytes.
- the anti-Cathepsin-D antibody antibody of the invention as described above can be combined with an immune checkpoint inhibitor to inhibit the recruitment of immunosuppressive tumor-associated macrophages M2 and myeloid-derived suppressor cells.
- Immune checkpoint molecules are recognized in the art to constitute immune checkpoint pathways similar to the CTLA-4 and PD-1 dependent pathways (see e.g. Pardoll, 2012.
- Examples of stimulatory checkpoint molecules include CD27, CD28, CD40, CD122, CD137, OX40, GITR, and ICOS.
- Examples of inhibitory checkpoint molecules include A2AR, B7-H3, B7-H4, BTLA, CTLA-4, CD277, IDO, KIR, PD-1, LAG-3, TIM-3 and VISTA.
- Adenosine A2A receptor (A2AR) is regarded as an important checkpoint in cancer therapy because adenosine in the immune microenvironment, leading to the activation of the A2a receptor, is negative immune feedback loop and the tumor microenvironment has relatively high concentrations of adenosine.
- B7-H4 also called VTCN1
- B7-H4 also called VTCN1
- B and T Lymphocyte Attenuator (BTLA) and also called CD272 has HVEM (Herpesvirus Entry Mediator) as its ligand.
- CTLA-4 Cytotoxic T-Lymphocyte-Associated protein 4 and also called CD152. Expression of CTLA-4 on Treg cells serves to control T cell proliferation.
- IDO Indoleamine 2,3-dioxygenase, is a tryptophan catabolic enzyme. A related immune-inhibitory enzymes. Another important molecule is TDO, tryptophan 2,3-dioxygenase. IDO is known to suppress T and NK cells, generate and activate Tregs and myeloid-derived suppressor cells, and promote tumour angiogenesis.
- KIR Killer-cell Immunoglobulin-like Receptor
- LAG3, Lymphocyte Activation Gene-3 works to suppress an immune response by action to Tregs as well as direct effects on CD8+ T cells.
- PD-1 Programmed Death 1 (PD-1) receptor, has two ligands, PD-L1 and PD-L2. This checkpoint is the target of Merck & Co.'s melanoma drug Keytruda, which gained FDA approval in September 2014.
- An advantage of targeting PD-1 is that it can restore immune function in the tumor microenvironment.
- TIM-3 short for T-cell Immunoglobulin domain and Mucin domain 3, expresses on activated human CD4+ T cells and regulates Th1 and Th17 cytokines.
- TIM-3 acts as a negative regulator of Th1/Tc1 function by triggering cell death upon interaction with its ligand, galectin-9.
- VISTA Short for V-domain Ig suppressor of T cell activation, VISTA is primarily expressed on hematopoietic cells so that consistent expression of VISTA on leukocytes within tumors may allow VISTA blockade to be effective across a broad range of solid tumors. Tumor cells often take advantage of these checkpoints to escape detection by the immune system.
- an immune checkpoint inhibitor refers to any compound inhibiting the function of an immune checkpoint protein. Inhibition includes reduction of function and full blockade.
- the immune checkpoint inhibitor could be an antibody, synthetic or native sequence peptides, small molecules or aptamers which bind to the immune checkpoint proteins and their ligands.
- the immune checkpoint inhibitor is an antibody. Typically, antibodies are directed against A2AR, B7-H3, B7-H4, BTLA, CTLA-4, CD277, IDO, KIR, PD-1, LAG-3, TIM-3 or VISTA.
- the immune checkpoint inhibitor is an anti-PD-1 antibody such as Pembrolizumab (Keytruda), Nivolumab (Opdivo) and Cemiplimab (Libtayo).
- the immune checkpoint inhibitor is an anti-PD-L1 antibody such as Atezolizumab (Tecentriq), Durvalumab (Imfinzi), Avelumab and BMS-936559 (BMS).
- the immune checkpoint inhibitor is an anti-PD-L2 antibody such as described in US7709214, US7432059 and US8552154.
- the immune checkpoint inhibitor is an anti-Tim-3 antibody such as described in WO03063792, WO2011155607, WO2015117002, WO2010117057 and WO2013006490.
- the immune checkpoint inhibitor is an anti-CTLA-4 antibody such as Ipilimumab (Yervoy) and tremelimumab (Imjuno).
- the immune checkpoint inhibitor is an anti-LAG-3 antibody such as Relatlimab.
- the immune checkpoint inhibitor is a small organic molecule.
- small organic molecule refers to a molecule of a size comparable to those organic molecules generally used in pharmaceuticals. The term excludes biological macro molecules (e.
- small organic molecules range in size up to about 5000 Da, more preferably up to 2000 Da, and most preferably up to about 1000 Da.
- the small organic molecules interfere with transduction pathway of A2AR, B7-H3, B7-H4, BTLA, CTLA-4, CD277, IDO, KIR, PD-1, LAG-3, TIM-3 or VISTA.
- small organic molecules interfere with transduction pathway of PD-1 and Tim-3.
- they can interfere with molecules, receptors or enzymes involved in PD-1 and Tim-3 pathway.
- the small organic molecules interfere with Indoleamine- pyrrole 2,3-dioxygenase (IDO) inhibitor.
- IDO is involved in the tryptophan catabolism (Liu et al 2010, Vacchelli et al 2014, Zhai et al 2015).
- IDO inhibitors are described in WO 2014150677.
- IDO inhibitors include without limitation 1-methyl-trypto ⁇ han (IMT), ⁇ - (3-benzofuranyl)-alanine, ⁇ -(3-benzo(b)thienyl)-alanine), 6-nitro-tryptophan, 6- fluoro-tryptophan, 4-methyl-tryptophan, 5 -methyl tryptophan, 6-methyl-tryptophan, 5- methoxy-tryptophan, 5 -hydroxy-tryptophan, indole 3-carbinol, 3,3'- diindolylmethane, epigallocatechin gallate, 5-Br-4-Cl-indoxyl 1,3-diacetate, 9- vinylcarbazole, acemetacin, 5- bromo-tryptophan,
- the IDO inhibitor is selected from 1-methyl-tryptophan, ⁇ -(3- benzofuranyl)-alanine, 6-nitro-L-tryptophan, 3- Amino-naphtoic acid and ⁇ -[3- benzo(b)thienyl] -alanine or a derivative or prodrug thereof.
- the inhibitor of IDO is Epacadostat, (INCB24360, INCB024360) has the following chemical formula in the art and refers to -N-(3-bromo-4- fluorophényl)-N'-hydroxy-4- ⁇ [2-(sulfamoylamino)-éthyl]amino ⁇ -1,2,5-oxadiazole-3 carboximidamide :
- the inhibitor is BGB324, also called R428, such as described in WO2009054864, refers to 1H-1,2,4-Triazole-3,5-diamine, 1-(6,7-dihydro-5H- benzo[6,7]cyclohepta[1,2-c]pyridazin-3-yl)-N3-[(7S)-6,7,8,9-tetrahydro-7-(1-pyrrolidinyl)- 5H-benzocyclohepten-2-yl]- and has the following formula in
- the immune checkpoint inhibitor is an aptamer.
- the aptamers are directed against A2AR, B7-H3, B7-H4, BTLA, CTLA-4, CD277, IDO, KIR, PD-1, LAG-3, TIM-3 or VISTA.
- aptamers are DNA aptamers such as described in Prodeus et al 2015. A major disadvantage of aptamers as therapeutic entities is their poor pharmacokinetic profiles, as these short DNA strands are rapidly removed from circulation due to renal filtration.
- aptamers according to the invention are conjugated to with high molecular weight polymers such as polyethylene glycol (PEG).
- PEG polyethylene glycol
- the aptamer is an anti-PD-1 aptamer.
- the anti-PD-1 aptamer is MP7 pegylated as described in Prodeus et al 2015.
- the immune check point inhibitor is selected from the group consisting of PD-1 inhibitors such as Pembrolizumab (Keytruda), Nivolumab (Opdivo), Cemiplimab (Libtayo), PD-L1 inhibitors such as Atezolizumab (Tecentriq), Avelumab (Bavencio), Durvalumab (Imfinzi), CTLA-4 inhibitors such as Ipilimumab (Yervoy) and tremelimumab (Imjuno) and LAG-3 inhibitors such as Relatlimab.
- PD-1 inhibitors such as Pembrolizumab (Keytruda), Nivolumab (Opdivo), Cemiplimab (Libtayo)
- PD-L1 inhibitors such as Atezolizumab (Tecentriq), Avelumab (Bavencio), Durvalumab (Imfinzi)
- CTLA-4 inhibitors such as Ip
- the invention refers to i) the human anti-Cathepsin-D antibody of the invention and ii) an immune checkpoint inhibitor as a combined preparation for simultaneous, separate or sequential use in the treatment of a cancer, wherein the immune check point inhibitor is selected from the group consisting of PD-1 inhibitors such as Pembrolizumab (Keytruda), Nivolumab (Opdivo), Cemiplimab (Libtayo), PD-L1 inhibitors such as Atezolizumab (Tecentriq), Avelumab (Bavencio), Durvalumab (Imfinzi), CTLA-4 inhibitors such as Ipilimumab (Yervoy) and tremelimumab (Imjuno) and LAG-3 inhibitors such as Relatlimab.
- PD-1 inhibitors such as Pembrolizumab (Keytruda), Nivolumab (Opdivo), Cemiplimab (Libtayo)
- the anti-Cathepsin-D antibody of the invention or a fragment thereof is administered in combination with an antiandrogens.
- the invention refers to i) the anti-Cathepsin- D antibody of the invention or a fragment thereof and ii) an antiandrogens as a combined preparation for simultaneous, separate or sequential use in the treatment of a cancer.
- antiandrogens has its general meaning in the art and refers to a molecule that prevent androgens like testosterone and dihydrotestosterone (DHT) from mediating their biological effects in the body. They act by blocking the androgen receptor (AR) and/or inhibiting or suppressing androgen production.
- antiandrogens include but are not limited to : androgen receptor antagonists such as steroidal antiandrogens cyproterone acetate, megestrol acetate, chlormadinone acetate, spironolactone, oxendolone ; nonsteroidal antiandrogens flutamide, bicalutamide, nilutamide, topilutamide, enzalutamide, and apalutamide, aside from cyproterone acetate and chlormadinone acetate, dienogest, drospirenone, medrogestone, nomegestrol acetate, promegestone, and trimegestone ; androgen synthesis inhibitors such as CYP17A1 inhibitors ketoconazole, abiraterone acetate, and seviteronel, the CYP11A1 (P450scc) inhibitor aminoglutethimide, and the 5 ⁇ -reductase inhibitors finaster
- the antiandrogen is enzalutamide.
- the compounds used in combination with the human anti- Cathepsin-D antibody of the present invention are administered and dosed in accordance with good medical practice, taking into account the clinical condition of the individual subject, the site and method of administration, scheduling of administration, patient age, sex, body weight and other factors known to medical practitioners.
- the pharmaceutically “effective amount” for purposes herein is thus determined by such considerations as are known in the art. The amount must be effective to achieve improvement including, but not limited to, improved survival rate or more rapid recovery, or improvement or elimination of symptoms and other indicators as are selected as appropriate measures by those skilled in the art.
- compositions of the invention may be combined with pharmaceutically acceptable excipients, and optionally sustained- release matrices, such as biodegradable polymers, to form therapeutic compositions.
- the present invention relates to a pharmaceutical composition comprising an anti-Cathepsin-D antibody according to the invention or a fragment thereof or a immunoconjugate of the invention and a pharmaceutically acceptable carrier.
- the present invention also relates to a pharmaceutical composition for use as drug, wherein said pharmaceutical composition comprises an anti-Cathepsin-D antibody according to the invention or a fragment thereof or a immunoconjugate of the invention and a pharmaceutically acceptable carrier.
- the present invention also relates to a pharmaceutical composition for use in the treatment of hyperproliferative disorders or diseases in a subject in need thereof, wherein said pharmaceutical composition comprises an anti-Cathepsin-D antibody or a fragment thereof according to the invention and a pharmaceutically acceptable carrier.
- the hyperproliferative disorders or diseases is cancer, and more particularly breast cancer.
- the antibody for use according to the invention alone and/or combined with any suitable agent as described above may be combined with pharmaceutically acceptable excipients, and optionally sustained-release matrices, such as biodegradable polymers, to form pharmaceutical compositions.
- “Pharmaceutically” or “pharmaceutically acceptable” refer to molecular entities and compositions that do not produce an adverse, allergic or other untoward reaction when administered to a mammal, especially a human, as appropriate.
- a pharmaceutically acceptable carrier or excipient refers to a non-toxic solid, semi-solid or liquid filler, diluent, encapsulating material or formulation auxiliary of any type.
- the pharmaceutical compositions of the present invention for oral, sublingual, subcutaneous, intramuscular, intravenous, transdermal, local or rectal administration, the active principle, alone or in combination with another active principle, can be administered in a unit administration form, as a mixture with conventional pharmaceutical supports, to animals and human beings.
- Suitable unit administration forms comprise oral-route forms such as tablets, gel capsules, powders, granules and oral suspensions or solutions, sublingual and buccal administration forms, aerosols, implants, subcutaneous, transdermal, topical, intraperitoneal, intramuscular, intravenous, subdermal, transdermal, intrathecal and intranasal administration forms and rectal administration forms.
- the pharmaceutical compositions contain vehicles which are pharmaceutically acceptable for a formulation capable of being injected.
- saline solutions monosodium or disodium phosphate, sodium, potassium, calcium or magnesium chloride and the like or mixtures of such salts
- dry, especially freeze-dried compositions which upon addition, depending on the case, of sterilized water or physiological saline, permit the constitution of injectable solutions.
- the pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions; formulations including sesame oil, peanut oil or aqueous propylene glycol; and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. In all cases, the form must be sterile and must be fluid to the extent that easy syringability exists.
- Solutions comprising compounds of the invention as free base or pharmacologically acceptable salts can be prepared in water suitably mixed with a surfactant, such as hydroxypropylcellulose. Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof and in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
- the polypeptide (or nucleic acid encoding thereof) can be formulated into a composition in a neutral or salt form.
- Pharmaceutically acceptable salts include the acid addition salts (formed with the free amino groups of the protein) and which are formed with inorganic acids such as, for example, hydrochloric or phosphoric acids, or such organic acids as acetic, oxalic, tartaric, mandelic, and the like. Salts formed with the free carboxyl groups can also be derived from inorganic bases such as, for example, sodium, potassium, ammonium, calcium, or ferric hydroxides, and such organic bases as isopropylamine, trimethylamine, histidine, procaine and the like.
- inorganic acids such as, for example, hydrochloric or phosphoric acids, or such organic acids as acetic, oxalic, tartaric, mandelic, and the like.
- Salts formed with the free carboxyl groups can also be derived from inorganic bases such as, for example, sodium, potassium, ammonium, calcium, or ferric hydroxides, and such organic bases as isopropylamine, trimethylamine,
- the carrier can also be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), suitable mixtures thereof, and vegetables oils.
- 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.
- the prevention of the action of microorganisms can be brought about by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, thimerosal, and the like.
- isotonic agents for example, sugars or sodium chloride.
- Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminium monostearate and gelatin.
- Sterile injectable solutions are prepared by incorporating the active polypeptides in the required amount in the appropriate solvent with several of the other ingredients enumerated above, as required, followed by filtered sterilization.
- dispersions are prepared by incorporating the various sterilized active ingredients into a sterile vehicle which contains the basic dispersion medium and the required other ingredients from those enumerated above.
- sterile powders for the preparation of sterile injectable solutions
- the preferred methods of preparation are vacuum- drying and freeze-drying techniques which yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.
- solutions will be administered in a manner compatible with the dosage formulation and in such amount as is therapeutically effective.
- the formulations are easily administered in a variety of dosage forms, such as the type of injectable solutions described above, but drug release capsules and the like can also be employed.
- parenteral administration in an aqueous solution for example, the solution should be suitably buffered if necessary and the liquid diluent first rendered isotonic with sufficient saline or glucose.
- aqueous solutions are especially suitable for intravenous, intramuscular, subcutaneous and intraperitoneal administration.
- sterile aqueous media which can be employed will be known to those of skill in the art in light of the present disclosure.
- one dosage could be dissolved in 1 ml of isotonic NaCl solution and either added to 1000 ml of hypodermoclysis fluid or injected at the proposed site of infusion. Some variation in dosage will necessarily occur depending on the condition of the subject being treated. The person responsible for administration will, in any event, determine the appropriate dose for the individual subject.
- the invention will be further illustrated by the following figures and examples. However, these examples and figures should not be interpreted in any way as limiting the scope of the present invention.
- FIG. 2 Therapeutic effect of the F1 and F1M1 anti-Cath-D mouse IgG2a antibodies in immunocompetent C57BL/6 mice grafted with TNBC cell line E0771.
- A Tumor growth in mice grafted with E0771 cells.
- Tumor volume (in mm 3 ) is shown as the mean ⁇ SEM. of 9 mice per group. *, P ⁇ 0.05, significantly different as indicated.
- B M2-TAM recruitment.
- Cath-D is a tumor microenvironment antigen eligible to trigger ADCC and relevant for Fc-engineered antibody-based targeted therapy in TNBC
- A Binding of human IgG1 F1 and F1M1 to mouse Cath-D secreted from E0771Luc cells.
- Sandwich ELISA in which mouse cath-D from conditioned medium of E0771Luc cells was added to wells pre-coated with the anti-mouse cath-D AF1029 antibody in the presence of increasing concentrations of the IgG1 F1 or F1M1.
- Binding of F1 and F1M1 to secreted mouse cath-D was revealed with an anti-mouse F(ab’)2 HRP-conjugated antibody. The EC50 values are shown.
- Binding of F1M1, F1M1-Fc- and F1M1-Fc + to pro-cath-D was revealed with an anti-human Fc HRP-conjugated antibody. The EC 50 values are shown.
- Results were expressed as percentage of fluorescent 3G8 binding: (MFI without anti- cath-D antibody - MFI with anti-cath-D antibody) ⁇ 100/ (MFI without anti-cath-D antibody).
- Fc-engineered F1M1-Fc + increases NK cell activation in vitro, and ADCC in TNBC cells and CAFs
- A Functional responses of NK92 hCD16a 158V and NK92 hCD16a 158F cells induced by F1M1-Fc-, F1M1, and F1M1-Fc + .
- NK92 hCD16a 158V and NK92 hCD16a 158F cells were incubated on non-sensitized or sensitized plates with/without the anti-CD107a-PC5 antibody (1:20) and 0.1 ⁇ g/ml BD GolgiPlug containing brefeldin A at 37°C for 4h.
- NK92 cells were then fixed and permeabilized and stained with an anti-IFN ⁇ -PE antibody (1:20) at 4°C for 30min to detect intracellular IFN ⁇ .
- MDA-MB-231 cells were pre-incubated with F1M1-Fc-, F1M1, F1M1-Fc + , or with cetuximab at 100 ⁇ g/ml (666 nM) at 37°C for 30min, followed by incubation with NK92-hCD16a 158V (left) or NK92-hCD16a 158F (right) cells (effector) at an effector:target ratio of 10:1 for 24h.
- MDA-MB-231 cell lysis was evaluated by measuring LDH release by bioluminescence. Cetuximab (Cetux; anti-EGFR antibody) was used as positive control (Ctrl + ).
- (D) Dose-dependent induction of ADCC against MDA-MB- 231 cells in the presence of hCD16a 158V-expressing NK92 cells in response to F1M1-Fc + .
- ADCC was evaluated in MDA-MB-231 cells incubated with hCD16a 158V-expressing NK92 cells at an effector:target ratio of 10:1, as described in (C), after incubation with increasing concentrations of F1M1-Fc + , from 0.1 to 666nM (0.015-100 ⁇ g/ml).
- (E) Effect of blocking Fc binding sites in hCD16a on F1M1-Fc + -induced ADCC in MDA-MB-231 cells.
- NK92- hCD16a 158V cells were pre-incubated or not with Fc block (to saturate the Fc binding sites in hCD16a) for 30min.
- MDA-MB-231 cells pre-incubated with F1M1-Fc + at 100 ⁇ g/ml (666 nM) for 30min, were incubated with NK92-hCD16a 158V cells pre-incubated or not with Fc block.
- ADCC was analyzed as described in (C). Cetux, cetuximab as positive control (100 ⁇ g/ml); F1M1-Fc-, negative control (100 ⁇ g/ml).
- ADCC was assessed in these cells with NK92-hCD16a 158V cells (effector) at an effector:target ratio of 10:1, as described in (C), after incubation with F1M1-Fc + at 100 ⁇ g/ml (666nM) in the presence of M6P (10 mM) or G6P (10 mM).
- M6P mannose-6-phosphate
- G6P glucose-6-phosphate (negative control for M6P).
- Cetux positive control (100 ⁇ g/ml); F1M1-Fc-, negative control (100 ⁇ g/ml).
- ADCC was assessed in these hCAF1 cells in the presence of NK92-hCD16a 158V cells (effector) at an effector:target ratio of 10:1, as described in (F), after incubation with F1M1-Fc + at 100 ⁇ g/ml (666nM) and M6P (10 mM) or G6P (10 mM).
- F1M1-Fc + 100 ⁇ g/ml (666nM) and M6P (10 mM) or G6P (10 mM).
- cetux cetuximab as positive control (100 ⁇ g/ml); F1M1-Fc-, negative control (100 ⁇ g/ml).
- F1M1-Fc + is the best candidate to reduce growth of MDA-MB-231 cell xenografts and improve mouse survival.
- A Tumor growth. MDA-MB-231 cells were subcutaneously injected in nude mice.
- Data are the mean ⁇ SEM.
- A Tumor growth. MDA-MB-231 cells were subcutaneously injected in nude mice.
- FIG. 11 Cath-D expression in MDA-MB-231 cell xenografts of mice treated with F1M1-Fc-, F1M1, or F1M1-Fc +
- A Representative images of MDA-MB-231 cell xenograft sections showing cath- D expression.
- NK cell depletion impairs F1M1-Fc + therapeutic efficacy in MDA-MB- 231 cell xenografts.
- A Treatment schedule for NK cell depletion. MDA-MB-231 cells were subcutaneously injected in nude mice.
- mice At day 9 after MDA-MB-231 injection, half of the mice started the treatment with anti-asialo GM1 antibodies ( ⁇ GM1, 50 ⁇ l by ip injection twice per week) to deplete NK cells.
- ⁇ GM1 antibodies ⁇ GM1, 50 ⁇ l by ip injection twice per week
- tumor volume reached 50 mm 3 (day 15)
- mice were sacrificed.
- Tumor Growth Tumor growth (in mm 3 ) is shown as the mean ⁇ SEM.
- Figure 13 Analysis of neutrophils and blood counts in MDA-MB-231 cell xenografted nude mice treated with F1M1-Fc+.
- B Blood counts.
- mice were xenografted with PDX B3977 and when tumor volumes reached 100 mm 3 (day 25), mice were treated with F1M1-Fc + (15 mg/kg) or rituximab (Ctrl) (15 mg/kg) three times per week. Mice were sacrificed when tumor volume reached 1500 mm 3 , and the corresponding tumor growth curves were stopped (left panel).
- ***P ⁇ 0.001 for F1M1-Fc + (mixed-effects multiple linear regression test). Mean tumor volume at day 42 (middle panel).
- mice Tumor growth in mice treated with F1M1-Fc + and/or paclitaxel (1 mg/kg; PTX LD).
- MDA-MB-231 cells were subcutaneously injected in nude mice.
- tumor volume reached 50 mm 3 (day 15 post-graft)
- PTX LD low dose of paclitaxel (1 mg/kg).
- mice Tumor growth in mice receiving F1M1-Fc + and/or paclitaxel (4 mg/kg; PTX MD).
- MDA-MB-231 cells were subcutaneously injected in nude mice.
- tumor volume reached 50 mm 3 (day 15 post-graft)
- PTX MD medium dose of paclitaxel (4 mg/kg).
- mice Tumor growth in mice receiving the F1M1-Fc + +enzalutamide combination therapy.
- SUM159 cells were subcutaneously injected in nude mice.
- Tumor volume (in mm 3 ) is shown as the mean ⁇ SEM.
- F1M1 anti-cath-D or rituximab were bioconjugated, via some of the eight cysteines forming interchain disulfide bridges, to auristatin F (MMAF) through a non-cleavable linker with a drug- to-antibody ratio (DAR) of 3.6 (F1M1-MMAF) and 3.4 (RTX-MMAF), according to patent WO2015004400.
- MCF7-LCC2 cells 510 6 cells
- a 4-hydroxytamoxifen resistant human breast cancer cell line were subcutaneously injected in nude mice.
- B Mean tumor volume at day 64 for F1M1-MMAF and RTX-MMAF.
- D Effect of F1M1- MMAE and RTX-MMAE on tumor growth.
- F1M1 anti-cath-D or rituximab control, RTX
- auristatin E MMAE
- DAR drug-to-antibody ratio
- MCF7-LCC2 cells 510 6 cells were subcutaneously injected in nude mice.
- E Mean tumor volume at day 64 for F1M1-MMAE and RTX- MMAE.
- G Mouse weight monitoring for F1M1-MMAF, RTX-MMAF, F1M1-MMAE and RTX- MMAE.
- F1 antibody refers to an antibody directed and having specificity for Cath-D previously generated by the inventors and described in Table 2, WO2016/188911 and Ashraf et al.2019 (22). F1 antibody was also disclosed in the example of the patent WO2020/127411 (an typing error was made in the definition of CDR3 sequence between GDS and YDS in WO2020/127411).
- F1M1 refers to the antibody of the present invention comprising a heavy chain wherein the variable domain has a sequence set forth as SEQ ID NO:1 and a light chain has a heavy chain wherein the variable domain has a sequence set forth as SEQ ID NO:5.
- EXAMPLE 1 Anti-Cathepsin D antibody F1M1 triggers both innate and adaptive anti-tumor immunity in breast cancer Material & Methods Reagents The anti-mouse Cath-D antibody against the 52-, 48-, 34-kDa forms was from Bio- Techne (#AF1029, R&D Systems - Minneapolis, MN).
- the HRP-conjugated anti-mouse F(ab)2 was from Jackson ImmunoResearch (West Grove, PA).
- the substrate reagent for HRP was purchased from Bio-Techne (R&D Systems, #DY999).
- the anti-HSC70 antibody (#sc-7293) was from Santa Cruz BioTechnology (Dallas, TX).
- the fluorescent-conjugated anti- mouse (#922-32210) and anti-goat (#926-68071) antibodies were from LI-COR Biosciences (Lincoln, NE). Injectable D-luciferin (#122799-5) was from Perkin Elmer (Waltham, MA).
- the mouse IgG2a isotype control antibody (C1.18.4, #BE0085) was from BioXCell (Lebanon, NH). Collagenase IV (#C5138) and DNase I (#11284932001) were from Sigma-Aldrich (St Louis, MO). Mouse Fc Block (#130-097-575) was from Miltenyi Biotec (Bergisch Gladbach, Germany). Hoechst (#33342) was from Thermo Fisher Scientific (Waltham, MA). The AF488- conjugated anti-human IgG (#A11013) was from Life Technologies (Carlsbad, CA).
- the fluorescent-conjugated antibodies against CD11b (clone M1/70, #101205), CD3 (clone 17A2, #100205), PD-L1 (clone 10F.9G2, #135228), F4/80 (clone QA17A29, #157308), CD16 (clone S17014E, #158005), Ly6G (clone 1A8, #127621), NKp46 (clone 29A1.4, #1377631), CD11c (clone N418, #117330), PD-1 (clone 29F.1A12, #103044), CD206 (clone C068C2, #141721), B220/CD45R (clone RA3-632, #103241), and LAG3 (clone C9B7W, #125219) were from Biolegend (San Diego, CA).
- the antibody against Ly6C (clone REA796, #130-111-920) was from Miltenyi Biotec; the antibodies against CD4 (clone GK1.5, #565974), CD8 (clone 53-6.7, #748535), and CD45 (clone 30-F11, #612975) were from BD Biosciences (Franklin Lakes, NJ). Viakrome IR 808 (#C36628) was from Beckman Coulter (Brea, CA).
- Mouse F1M1 IgG2a, mouse F1 IgG2a and human F1M1 IgG1 were constructed from the scFv (F1, F1M1) sequences using gene synthesis, expressed in the Chinese hamster ovary cell line and purified on protein- A HiTrap columns (GE Healthcare) by Evitria AG (Schlieren, Switzerland).
- Cell lines The E0771Luc cell line transformed to constitutively express luciferase as reporter, was kindly provided by Dr. C-L. Tomasetto (IGBMC, France).
- the coding sequence of the luciferase reporter gene luc2 (Photinus pyralis) was PCR-amplified from the pGL4.50[luc2/CMV/Hygro] vector (#E1310, Promega, Madison, WI) and the flanking XhoI restriction sites were added. The digested PCR fragment was sub-cloned into the SalI site of pLENTI PGK Blast DEST Vector (Plasmid #19065, Addgene, Cambridge, MA).
- the pLENTI PGK Blast vector was co-transfected with three packaging plasmids (pLP1, pLP2, and pLP/VSVG) (Invitrogen, Carlsbad, CA) in the 293T cell line. Then, E0771 cells were incubated with viral particles, supplemented with 10 ⁇ g/ml polybrene and 20 mM HEPES. Luciferase expression was assessed in blasticidin (5 ⁇ g/ml)-resistant cells by bioluminescence.
- FCS fetal calf serum
- FCS fetal calf serum
- FCS fetal calf serum
- FCS fetal calf serum
- FCS fetal calf serum
- Protein concentration was determined with the DC protein assay (Bio-Rad). Then, protein samples (20 ⁇ g of cell lysates, 40 ⁇ L of cell supernatants, 5 ⁇ g of tumor lysates) were separated on 13.5% SDS-PAGE and transferred to PVDF membranes (#IPFL85R, Merck Millipore, Burlington, MA) by liquid-phase transfer at 4°C for 90min. After transfer, membranes were blocked with 100 mM Tris buffer, pH 7.4, 150 mM NaCl, 0.1% Tween 20 (TBT-T) and 3% BSA at room temperature for 1h, followed by incubation with anti-HSC70 or anti-Cath-D antibodies at 4°C overnight.
- DC protein assay Bio-Rad
- mice Female C57BL/6N and BALB/c (6-weeks old) were purchased from Charles River (Wilmington, MA). Mice used in the experiments were 8- weeks old (20g). Mice (5 mice per cage) were kept in individually ventilated cages (transparent and with top filter-isolator) with standard bedding at a constant temperature of 23 °C and 40- 60% humidity with 12h light/darkness cycle in a specific pathogen-free conditions with food and water at will. All the animal studies were designed to generate groups of equal size using randomisation and blinded analysis. The different group sizes are due to the purpose of unexpected individual losses during the process.
- E0771Luc cells (2.5 ⁇ 105 in PBS) were injected orthotopically in the mammary fat pad between the fourth and fifth mammary glands of 8-week-old female C57BL/6N mice (Charles River, Wilmington, MA). After 2 days, tumor-bearing mice with similar E0771Luc cell bioluminescence were randomized in three treatment groups: isotype control C1.18.4 (15 mg/kg), F1 (15 mg/kg), or F1M1 (15 mg/kg) (all by intraperitoneal injection three times per week until day 33).
- RNA samples were frozen in liquid nitrogen for RNA extraction. Quantitative RT-PCR Total RNA was extracted using the Quick-RNA Mini Prep kit (#R1054, Zymo Research – Irvine, CA), according to the manufacturer’s instructions. Reverse transcription of total RNA was performed at 37°C using the Transcriptase Inverse SuperScript III (Invitrogen) and random hexanucleotide primers (Promega).
- Tumors were enzymatically and mechanically digested in gentleMACSTM C-Tubes (#130-093-237, Miltenyi Biotec) that contained a mixture of collagenase IV (1 mg/ml) and DNase I (200 U/ml) in RPMI using a gentleMACSTM Octo Dissociator (Miltenyi Biotec) at 37°C (two incubations of 19.5 min and 5.5 min).
- tumor suspensions were passed through a 70 ⁇ m nylon cell strainer (#22-363-548, Fisher Scientific, Waltham, MA), centrifuged and resuspended in FACS buffer (PBS pH 7.2, 0.5% FBS, and 0.02% sodium azide).
- FACS buffer PBS pH 7.2, 0.5% FBS, and 0.02% sodium azide.
- dLNs were mechanically dissociated in PBS, and re-suspended in FACS buffer.
- red blood cells were removed by adding 10 volumes of ammonium-chloride- potassium lysing buffer, and PBLs were recovered by centrifugation, washed with PBS and resuspended in FACS buffer.
- Living immune cells were defined as Viakrome IR 808- and CD45+.
- TAMs were defined as CD45+ CD11b+ F4/80+; the M1-TAM subset as F4/80+ CD206- CD11c+; and the M2-TAM subset as F4/80+ CD206+.
- Conventional DCs were defined as CD45+ CD3- Ly6G- B220+ CD11c+/hi; the cDC2 subset as CD11c+/hi CD8- CD11b+; and the cDC1 subset as CD11c+/hi CD8+ CD11b-.
- B cells were defined as CD45+ F4/80- CD3- Ly6G- Ly6C- CD11c- B220+.
- NK cells were defined as CD45+ F4/80- CD3- Ly6C- Ly6G- CD11blo/+ NKp46+.
- T cells were defined as CD45+ F4/80- CD3+; CD8+ T cells as CD3+ CD8+; and CD4+ T cells as CD3+ CD4+.
- Functional markers CD86, CD16, PDL1 were studied in the relevant immune cell subpopulations. Immune cells from PBLs and dLNs were analyzed using the following 17-color flow cytometry panel: Viakrome IR 808, and antibodies against CD45, CD3, CD4, CD8, CD11b, Ly6G, Ly6C, NKp46, CD11c, B220, CD16, PDL1, and LAG3.
- T cells were defined as CD45+ CD3+; CD8+ T cells as CD3+ CD8+; and CD4+ T cells as CD3+ CD4+.
- NK cells were defined as CD45+ CD3- CD11b+/lo NKp46+.
- Functional markers CD16, LAG3, PDL1 were studied in the relevant immune cell subpopulations. Events were analyzed with FlowJo 10.8.1. Fluorescence microscopy Paraffin-embedded E0771Luc cell graft tissue sections were deparaffined, rehydrated, rinsed and saturated in PBS with 5% FCS at 4°C overnight.
- Sections were incubated with 25 ⁇ g/mL F1M1 (human IgG1 format), followed by incubation with AF488-conjugated anti- human IgG (#A11013). Nuclei were stained with 0.5 ⁇ g/mL Hoechst 33342. Images were acquired with a x63 Plan-Apochromat objective and a Zeiss Axio Imager light microscope for each tumour tissue from 5 mice for E0771. Statistical analyses The data and statistical analysis comply with the recommendations of the British Journal of Pharmacology on experimental design and analysis in pharmacology (Curtis et al., 2018). Additional data from two different models were provided to validate the results.
- Cath-D was also expressed in E0771 cell grafts (data not shown) where it showed intense and punctuate staining (data not shown) that mirrored the expression pattern in BC biopsy samples (12).
- EO771Luc cell line is a suitable model to study the antitumor and immunomodulatory activity of anti-Cath-D antibodies in syngeneic mouse models of basal- like TNBC
- the mouse IgG2a-formatted F1 and Fab-aglycosylated F1M1 antibodies bind to secreted mouse Cath-D
- E0771 cell grafts were infiltrated mainly by TAMs (55.3% of all CD45+ cells), particularly M2-polarized cells (40.7% of all CD45+ cells), followed by NK cells (7.4% of all CD45+ cells), and CD4+ and CD8+ T cells (2.8% and 2.8% of all CD45+ cells, respectively) (data not shown), as observed in human TNBC (22).
- TAMs 55.3% of all CD45+ cells
- M2-polarized cells 40.7% of all CD45+ cells
- NK cells 7.4% of all CD45+ cells
- CD4+ and CD8+ T cells 2.8% and 2.8% of all CD45+ cells, respectively
- Ccl2 chemokine ligand 2
- Ccr2 C-C motif chemokine receptor type 2
- Il10 immunosuppressive activity (23)
- anti-Cath-D antibody-based therapy inhibited the recruitment of pro-tumor M2-polarized TAMs and increased the pool of activated anti-tumor M1-polarized TAMs in the E0771 TNBC preclinical model.
- Our data strongly suggest that in preclinical immunocompetent models of TNBC, anti-Cath-D antibody therapy modifies the myeloid immune population composition in the tumor microenvironment, leading to a less immunosuppressive microenvironment and the induction of the anti-tumor response.
- NK cells are frequently involved in the efficacy of antibody-based immunotherapies by triggering antibody-dependent cell-mediated cytotoxicity upon binding of the antibody fragment crystallizable (Fc) to Fc ⁇ receptors (Fc ⁇ R) on target immune cells. Therefore, we identified and quantified NK cells (i.e. CD45+ F4/80- CD3- Ly6C- Ly6G- CD11blo/+ NKp46+ cells) in E0771 cell grafts by 17-color flow cytometry at treatment end (day 33). The percentage of NK cells within the immune CD45+ cell population was comparable in the F1, F1M1, and control groups (Fig.4A, left panel).
- PBLs from E0771 cell-grafted mice the percentages of NK cells and CD16+ NK cells were comparable among groups, suggesting that NK cells are specifically activated within tumors upon anti-Cath-D antibody therapy (data not shown).
- anti-Cath-D antibody-based therapy induced NK cell activation and cytotoxic activity in tumors in preclinical immunocompetent models of BC.
- Anti-Cath-D antibody-based therapy triggers cDC1 cell recruitment and maturation in tumors
- cDCs i.e. CD45 + CD3- Ly6G- B220 + CD11c +/hi cells
- cDC2 i.e. CD11c +/hi CD8- CD11b + cells
- cDC1 cells i.e. CD11c +/hi CD8 + CD11b- cells
- cDC1 cells are implicated in antigen presentation to major histocompatibility (MHC) class I (MHC class I) molecules, leading to activation of cytotoxic responses by CD8 + T cells, and in the anti- tumor immunity in response to immunotherapie.
- MHC major histocompatibility
- B2m beta-2- microglobulin
- IL12p40 which encodes interleukin-12 that is secreted by mature cDC1 cells and boosts the anti-tumor activity of T cells and NK cells within the tumor
- IL12p40 which encodes interleukin-12 that is secreted by mature cDC1 cells and boosts the anti-tumor activity of T cells and NK cells within the tumor
- anti-Cath- D antibody therapy triggered cDC1 recruitment and maturation in tumors to potentially promote antigen presentation and the antitumor T-cell co-stimulation in preclinical immunocompetent models of BC.
- Anti-Cath-D antibody-based therapy reduces T-cell exhaustion in tumors and draining lymph nodes
- CD3 + /CD4 + and CD3 + /CD8 + T cells within the CD45 + immune cell population. The proportions of CD8 + and CD4 + T cells were comparable in the three groups (Fig.
- anti-Cath-D antibodies restored the anti-tumor immunity by reducing T-cell exhaustion in tumors and in dLNs in E0771 cell grafts (preclinical model of TNBC).
- Our results also suggest that anti-Cath-D antibodies could reduce the tumor Treg pool in this model.
- F1M1-Fc + a novel human Fc-engineered anti-cathepsin D antibody with enhanced ADCC and in vivo efficacy, triggers the recruitment and activation of natural killer cells and improves paclitaxel and enzalutamide therapy in triple-negative breast cancer
- hCD16a 158V or 158F-transduced NK92 cells (2 ⁇ 10 4 ) were incubated with different concentrations of the F1M1-Fc-, F1M1, or F1M1-Fc + antibodies.
- PBS-T phosphate-buffered saline
- PBS-T 45 ⁇ l Tween-20 in 100 ml PBS
- NK92 hCD16a 158V or 158F cells (1 x 10 5 ) in 100 ⁇ l RPMI were then incubated on non-sensitized or sensitized plates in presence of the anti-CD107a-PC5 antibody (1:20) and 0.1 ⁇ g/ml BD GolgiPlug containing brefeldin A (BD Biosciences) at 37°C in 5% CO 2 humidified air for 4h.
- NK cells were then fixed and permeabilized using the BD Cytofix/Cytoperm Plus Kit (BD Biosciences) and stained with an anti-IFN ⁇ -PE antibody (1:20) at 4°C for 30min to detect intracellular IFN ⁇ .
- the proportions of responding NK cells (degranulating (CD107a + ), IFN ⁇ producing (IFN ⁇ + ) and cells exhibiting both responses (CD107a + IFN ⁇ + ) were analyzed by flow cytometry with a Cytoflex S cytometer and the Kaluza 2.1 software (Beckman Coulter).
- NK cell-mediated ADCC towards TNBC cells and CAFs MDA-MB-231 cells (1 x 10 4 target; T) or hCAF1 cells (2 x 10 4 target; T) were plated in 96-well plates. After 24h, they were first incubated with F1M1-Fc + , F1M1, F1M1-Fc- or cetuximab (positive control) at 37 °C for 30min. Then, cells were incubated with NK92 hCD16a 158V, NK92 hCD16a 158F at an E:T ratio of 10:1, or human primary expanded NK cells (effector; E) at an E:T ratio of 3:1 at 37 °C for 24 h.
- target MDA-MB-231 cells (5 x 10 3 ) were seeded on Ultra Low Attachment 96-well plates (#7007, Corning).
- MDA- MB-231 cell spheroids were first incubated with F1M1-Fc + , F1M1-Fc-, or cetuximab at 37 °C for 30min, and then with effector NK92 hCD16a + 158V cells (E:T ratio of 20:1) for 24h.
- ADCC was assessed using the Cytotox 96 Non-radioactive Cytotoxicity Assay (Promega). The percentage of specific lysis in each sample was determined as described above.
- tumor suspensions were passed through a 70 ⁇ m nylon cell strainer (#22-363-548, Thermo Fisher Scientific, Waltham, MA), centrifuged and resuspended in FACS Buffer (PBS pH 7.2, 1% decomplemented FCS, 2mM EDTA, and 0.02% sodium azide). Cells were blocked with FACS Buffer containing 1% (v/v) of mouse Fc block for 30min and stained with fluorescent-conjugated antibodies against the cell surface markers Viakrom, CD45, CD3, CD19, CD11c, F4/80, NKp46, CD27, CD11b, and CD107a for 45min.
- FACS Buffer PBS pH 7.2, 1% decomplemented FCS, 2mM EDTA, and 0.02% sodium azide. Cells were blocked with FACS Buffer containing 1% (v/v) of mouse Fc block for 30min and stained with fluorescent-conjugated antibodies against the cell surface markers Viakrom, CD45, CD3, CD19, CD11c, F
- NK cells were defined as NKp46 + cells within the gate excluding CD3 + T and NK T cells, CD19 + B cells, F4/80 + macrophages, and CD11c + dendritic cells. NK cell maturation stage was analyzed with the CD27 and CD11b cell surface markers.
- cath-D is a tumor microenvironment antigen eligible for Fc-engineered antibody targeted therapy to trigger ADCC ADCC initiation requires the presence of antibody-antigen complexes at the cell surface.
- Cath-D localizes at the cell surface binding to the M6P/IGF2 receptor via its mannose-6- phosphate (M6P) motif (BC cells and stromal fibroblasts) and to LRP1 (fibroblasts).
- M6P mannose-6- phosphate
- the 52-kDa cath-D precursor was secreted in the culture medium of all TNBC cell lines and of hCAFs and was detectable in cell lysates, in agreement with its cell surface association after secretion (data not shown). Moreover, we detected the 52-kDa cath-D precursor and IGF2/M6P receptor in the cytosol (i.e. whole tumor lysate) of eight primary TNBC samples and in MDA-MB-231 and SUM-159 cell xenografts (data not shown).
- F1M1-Fc + human Fc-optimized F1M1
- F1M1-Fc + human Fc-optimized F1M1
- the S239D, H268F, S324T, I332E mutations should increase the binding affinity to CD16a (Fc ⁇ RIIIA) to enhance NK cell activation
- a F1M1 Fc-silent F1M1-Fc-
- F1M1-Fc- activities should rely exclusively on Fab-mediated effector functions.
- Antibody preparations were highly pure, and after SDS-PAGE in reducing conditions, the light chains were of the expected molecular mass (25-kDa) (data not shown).
- F1M1-Fc + binding to pro-cath-D was comparable at pH values from 7.2 to 5.6 (data not shown).
- F1M1-Fc- showed no detectable binding to both hCD16a allotypes, we used it as control devoid of effector function.
- F1M1-Fc+ binding to hCD16a 158V was increased (2- to 3-fold), and even more to hCD16a 158F (7- to 20-fold).
- Engineered human F1M1-Fc + increases NK cell activation in vitro, and ADCC of TNBC cells and CAFs
- F1M1-Fc + , F1M1 and F1M1-Fc- capacity to activate NK cells by analyzing cell surface CD107a expression, as a functional marker of NK cell degranulation, and intracellular IFN ⁇ , a cytokine secreted following NK cell activation, in hCD16a-transduced human NK92 cells.
- the percentages of CD107a + NK, IFN ⁇ + NK and CD107a + IFN ⁇ + NK subsets were increased similarly by 2- to 3-fold following incubation with F1M1-Fc + , compared with F1M1, in hCD16a 158V- or 158F-expressing NK cells (figure 8A). Conversely, F1M1- Fc- did not activate NK effector functions. Moreover, the percentages of CD107a + NK, IFN ⁇ + NK and CD107a + IFN ⁇ + NK cells were increased in a dose-dependent manner in the presence of increasing concentrations of cath-D bound to F1M1-Fc + (figure 8B).
- F1M1-Fc + was the most potent antibody to activate NK cell response.
- F1M1- Fc + -enhanced binding to hCD16a-expressing NK cells translated into increased cytotoxic activity.
- F1M1-Fc- did not induce ADCC.
- F1M1-Fc + triggered ADCC in a dose-dependent manner in the presence of NK92-hCD16a 158V cells (figure 8D).
- F1M1-Fc + -induced ADCC was exclusively dependent on Fc binding to the hCD16 receptor on NK92-hCD16a 158V cells, because addition of an Fc block completely inhibited ADCC, to a level similar to that observed with F1M1-Fc- (figure 8E).
- ADCC was significantly increased by 3.5-fold upon incubation with F1M1-Fc + , compared with F1M1 (P ⁇ 0.0001) (data not shown).
- cath-D localizes at the surface of BC cells and stromal fibroblasts by binding to the M6P/IGF2 receptor
- M6P/IGF2 receptor-bound cath-D was involved in ADCC induction by F1M1-Fc + .
- F1M1-Fc + efficiently triggered ADCC against hCAF1 cells in the presence of NK92-hCD16a 158V cells, and excess M6P significantly inhibited ADCC by 62% (P ⁇ 0.0001) (figure 8G).
- spheroids of MDA-MB-231 cells co-cultured with NK92 hCD16a 158V cells we prepared spheroids of MDA-MB-231 cells co-cultured with NK92 hCD16a 158V cells.
- F1M1- Fc + also induced ADCC of MDA-MB-231 cell spheroids (figure 8H).
- mice subcutaneously xenografted with MDA-MB-231 cells.
- F1M1-Fc + , F1M1, F1M1-Fc-, or the anti-human CD20 IgG1 rituximab as negative isotype control (Ctrl) (15mg/kg) by ip three times per week for 35 days (day 13-48 post-graft), and sacrificed mice when tumor volume reached 2000 mm 3 .
- F1M1-Fc- slightly delayed tumor growth (P 0.057) (figure 9A).
- the overall survival rate reflected by a tumor volume ⁇ 2000 mm 3 , was significantly longer in the F1M1-Fc + , F1M1, and F1M1-Fc- groups than in controls.
- NK CD45 + F4/80- CD3- CD19- CD11c- NKp46 +
- NK CD45 + F4/80- CD3- CD19- CD11c- NKp46 +
- NK cell development and maturation is orchestrated by a network of transcription factors, including Eomes.
- Eomes is mainly expressed in immature NK cells, promotes survival of maturing NK cells, and plays a major role in the induction of genes associated with NK cell cytotoxicity, such as Prf1.
- CD107a a functional marker of NK cell degranulation, by flow cytometry of tumor-infiltrating NKp46 + cells in MDA-MB-231 cell xenografts at day 48.
- F1M1-Fc + triggers NK cell recruitment, activation and cytotoxic activity in MDA-MB-231 cell xenografts, and strongly suggest the key role of the Fc part of this anti-cath- D antibody in its anti-tumor activity via NK cells.
- NK cell depletion impairs F1M1-Fc + therapeutic efficacy in MDA-MB-231 cell xenografts.
- the significant antitumor effects of F1M1-Fc + and the F1M1-Fc + -mediated induction of NK cell recruitment, activation and cytotoxic activity strongly suggested that NK cells are crucial for F1M1-Fc + -antitumor activity.
- NK cells in MDA-MB-231-bearing nude mice by intraperitoneal injection of an anti-asialo-GM1 antibody ( ⁇ GM1).
- ⁇ GM1 anti-asialo-GM1 antibody
- Other immune cells (B cells, neutrophils, dendritic cells and macrophages) were not affected by ⁇ GM1 treatment, as indicated by their quantification in blood and spleen (data not shown).
- Drug-induced neutropenia is a potentially serious and life-threatening adverse event that may occur after therapy with various agents, including antibodies (e.g. immune checkpoint inhibitors).
- Analysis by flow cytometry of blood from mice from the control and F1M1-Fc + treated groups (from Figure 12) showed that neutrophil count at day 45 was not affected, indicating the absence of neutropenia ( Figure 13A and 13B).
- no sign of leukopenia, thrombopenia and anemia was observed after F1M1-Fc + treatment, suggesting the absence of toxicity (data not shown).
- F1M1-Fc + inhibits tumor growth of patient-derived TNBC xenografts and improves mouse survival.
- F1M1-Fc + improves the therapeutic efficacy of the microtubule inhibitor paclitaxel
- mice When tumor volume reached 50 mm 3 at day 15 post-graft, we treated mice with F1M1-Fc + (15mg/kg; three times per week), PTX LD (1 mg/kg; once per week), F1M1-Fc + (15mg/kg; three times per week) + PTX LD (1 mg/kg; once per week), or control (rituximab, three times per week + saline, once per week; all ip) for 37 days.
- F1M1-Fc + 15mg/kg, twice per week, ip
- enzalutamide Enza, 30mg/kg, five times per week, per os
- F1M1-ADCs inhibit tumor growth of 4-hydroxytamoxifen-resistant LCC2-MCF7 breast cancer cells and improve mouse survivalF1M1-MMAF were generated by bioconjugating F1M1 anti-cath-D via some of the eight cysteines forming interchain disulfide bridges, to auristatin F (MMAF) through a non-cleavable linker.
- F1M1-MMAE were generated by bioconjugating F1M1 anti-cath-D via some of the eight cysteines forming interchain disulfide bridges, to auristatin E (MMAE) through a through a valine-citrulline cleavable linker.
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