DK2376116T3 - Anti-IGF-antistoffer. - Google Patents
Anti-IGF-antistoffer. Download PDFInfo
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- DK2376116T3 DK2376116T3 DK09771361.4T DK09771361T DK2376116T3 DK 2376116 T3 DK2376116 T3 DK 2376116T3 DK 09771361 T DK09771361 T DK 09771361T DK 2376116 T3 DK2376116 T3 DK 2376116T3
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Claims (31)
1. Isoleret humant antistofmolekyle, hvilket a) binder til human IGF-1 og IGF-2 således at i) binding af IGF-1 og IGF-2 til IGF-l-receptoren hindres og ii) IGF-l-receptor-medieret signalering inhiberes, b) binder til muse- og rotte-IGF-1 og -IGF-2, c) ikke binder til humant insulin; hvor antistofmolekylet er et antistofmolekyle, som har tung-kæde-CDR'er omfattende ami-nosyresekvenserne ifølge SEQ ID NO:21 (CDR1), SEQ ID NO:22 (CDR2) og SEQ ID NO:23 (CDR3), og som har let-kæde-CDR'er omfattende aminosyresekvenserne ifølge SEQ ID NO:24 (CDR1), SEQ ID NO:25 (CDR2) og SEQ ID NO:26 (CDR3).
2. Antistofmolekyle ifølge krav 1, hvilket har en variabel tung kæde omfattende aminosyresekvensen ifølge SEQ ID NO:28.
3. Antistofmolekyle ifølge krav 1, hvilket har en variabel let kæde omfattende aminosyresekvensen ifølge SEQ ID NO:30.
4. Antistofmolekyle ifølge et hvilket som helst af kravene 1 til 3, omfattende en tung-kæde-konstant-region valgt fra gruppen bestående af IgGl-, IgG2-, IgG3-, IgG4-, IgM-, IgA- og IgE-konstante regioner.
5. Antistofmolekyle ifølge krav 4, hvor tung-kæde-konstant-regionen er IgGl omfattende aminosyresekvensen ifølge SEQ ID NO:32.
6. Antistofmolekyle ifølge et hvilket som helst af kravene 1 til 3, hvor let-kæde-konstant-regionen er IgA.
7. Antistofmolekyle ifølge krav 6, hvor let-kæde-konstant-regionen omfatter aminosyresekvensen ifølge SEQ ID NO:34.
8. Antistofmolekyle ifølge krav 2 eller 3, hvilket har a) en tung kæde omfattende aminosyresekvensen ifølge SEQ ID NO:39 og b) en let kæde omfattende aminosyresekvensen ifølge SEQ ID NO:40.
9. Antistofmolekyle ifølge et hvilket som helst af kravene 1 til 3, hvilket er et Fab-, F(ab’)2- eller enkeltkæde Fv-fragment.
10. DNA-molekyle kodende for den variable tunge kæde og den variable lette kæde af et antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9.
11. DNA-molekyle ifølge krav 10, hvilket har nucleotidsekvensen ifølge SEQ ID NO: 27, som koder for den variable tunge kæde af antistoffet defineret i krav 2, og hvilket har nucleotidsekvensen ifølge SEQ ID NO: 29, som koder for den variable lette kæde af antistoffet defineret i krav 3.
12. Ekspressionsvektor indeholdende et DNA-molekyle omfattende nucleotidsekvensen kodende for den variable tunge kæde og den variable lette kæde af et antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9.
13. Ekspressionsvektor ifølge krav 12 indeholdende et DNA-molekyle omfattende nucleotidsekvensen ifølge SEQ ID NO:27 og/eller SEQ ID NO:29.
14. Ekspressionsvektor ifølge krav 12 eller 13 yderligere omfattende et DNA-molekyle kodende for henholdsvis den konstante tunge kæde og/eller den konstante lette kæde, koblet til DNA-molekylet kodende for henholdsvis den variable tunge kæde og/eller den variable lette kæde.
15. Værtscelle, som bærer én eller flere ekspressionsvektorer ifølge krav 12, 13 eller 14.
16. Værtscelle ifølge krav 15, hvilken er en mammal celle.
17. Fremgangsmåde til fremstilling af et antistof ifølge et hvilket som helst af kravene 1 til 9, omfattende transfektion af en mammal værtscelle med én eller flere vektorer ifølge krav 12 til 14, dyrkning af værtscellen og indvinding og oprensning af antistoffet.
18. Fremgangsmåde til fremstilling af et antistof ifølge et hvilket som helst af kravene 1 til 9, omfattende tilvejebringelse af en mammal værtscelle omfattende én eller flere vektorer ifølge krav 12 til 14 og dyrkning af værtscellen.
19. Fremgangsmåde ifølge krav 18 yderligere omfattende indvinding og oprensning af antistoffet.
20. Antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9 til anvendelse i medicin.
21. Antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9 til anvendelse i behandling af en cancersygdom valgt blandt cancere af det hæmatopoietiske system omfattende leukæmier, lymphomer og myelomer, cancere af gastrointestinalkanalen omfattende øsophageal, gastrisk, colorectal, pancreatisk, lever- og galdeblærecancer og galdevejscancer, især hepatocellulært carcinom; nyre-, prostata- og blærecancer; gynækologiske cancere omfattende bryst-, ovarie-, cervix- og endometriecancer; hud- og hoved- og halscancere omfattende maligne melanomer; pædiatriske cancere såsom Wilms' tumor, neuroblastom og Ewings sarcom; hjernecancere såsom glioblastom; sarcomer såsom osteosarcom, bløddelssarcom, rhabdomyosarcom, hæmangiosarcom; lungecancer, især ikke-småcellet lungecancer; mesotheliom og thyreoideacancer.
22. Antistofmolekyle ifølge krav 21, hvor medikamentet er til anvendelse i kombination med platin-baseret kemoterapi, især paclitaxel/carboplatin eller gemcitabin/cisplatin platin-dublet-terapi, sorafenib eller en forbindelse valgt fra gruppen af inhibitorer af EGFR, VEGF, FIER2-neu, AuroraB, Plkl, PI3-kinase eller mTor.
23. Antistofmolekyle ifølge krav 22, hvor inhibitoren af mTor er rapamycin, temsi-rolimus, deforolimus eller everolimus.
24. Farmaceutisk sammensætning omfattende et antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9 og et farmaceutisk acceptabelt bærestof.
25. Farmaceutisk sammensætning ifølge krav 24 yderligere omfattende ét eller flere yderligere terapeutiske midler valgt blandt a) DNA-skadende midler, b) terapeutisk aktive forbindelser, som inhiberer signaltransduktionsveje eller mito-tiske checkpoints i cancerceller, c) antidiabetiske midler.
26. Farmaceutisk sammensætning ifølge krav 25, hvor de én eller flere forbindelser b) er valgt fra gruppen af inhibitorer af EGFR, VEGF, FIER2-neu, AuroraB, PI kl, PI3-kinase eller mTor.
27. Farmaceutisk sammensætning ifølge et hvilket som helst af kravene 24 til 26 til anvendelse i behandling af en cancersygdom valgt blandt cancere af det hæmatopoietiske system omfattende leukæmier, lymphomer og myelomer, cancere af gastrointestinalkana-len omfattende øsophageal, gastrisk, colorectal, pancreatisk, lever- og galdeblærecancer og galdevejscancer, især hepatocellulært carcinom; nyre-, prostata- og blærecancer; gynækologiske cancere omfattende bryst-, ovarie-, cervix- og endometriecancer; hud- og hoved- og halscancere omfattende maligne melanomer; pædiatriske cancere såsom Wilms' tumor, neuroblastom og Ewings sarcom; hjernecancere såsom glioblastom; sarcomer såsom osteosarcom, bløddelssarcom, rhabdomyosarcom, hæmangiosarcom; lungecancer, især ikke-småcellet lungecancer; mesotheliom og thyreoideacancer.
28. Farmaceutisk sammensætning ifølge krav 27 til yderligere anvendelse i kombination med platin-baseret kemoterapi, især paclitaxel/carboplatin eller gemcitabin/cisplatin platin-dublet-terapi, sorafenib eller en forbindelse valgt fra gruppen af inhibitorer af EGFR, VEGF, FIER2-neu, AuroraB, Plkl, PI3-kinase eller mTor.
29. In v/'tro-fremgangsmåde til inhibering af bindingen af IGF-1 og IGF-2 til IGF-1-receptoren i en mammal celle, omfattende indgift til cellen af et antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9, hvorved signalering medieret af IGF-l-receptoren og proliferation og anti-apoptose medieret af IGF-1 og IGF-2 inhiberes.
30. In v/'tro-fremgangsmåde til inhibering af bindingen af IGF-2 til insulinreceptoren IR-A i en mammal celle, omfattende indgift til cellen af et antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9, hvorved signalering medieret af insulinreceptoren IR-A inhiberes, og hvorved proliferation og anti-apoptose medieret af IGF-2 inhiberes.
31. In v/'tro-fremgangsmåde til monitorering af virksomheden af en behandling af en cancerpatient med et antistofmolekyle, som binder til IGF-1 og IGF-2, hvor antistofmolekylet er et antistofmolekyle ifølge et hvilket som helst af kravene 1 til 9, hvor fremgangsmåden omfatter (a) måling, i en biologisk prøve fra patienten, af niveauet af samlet IGF-1, (b) måling, i en biologisk prøve fra patienten, af niveauet af samlet IGF-1 efter indgift til patienten af anti-IGF-antistofmolekylet, hvor mængden af øgning i niveauet af samlet IGF-1, sammenlignet med niveauet af samlet IGF-1 målt i trin (a), indikerer i hvilket omfang patienten responder på behandling med anti-IGF-antistofmolekylet.
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