DK1648507T3 - Fremgangsmåder og sammensætninger til øgning af effektiviteten af terapeutiske antistoffer ved anvendelse af forbindelser, der potenserer nk-celler - Google Patents
Fremgangsmåder og sammensætninger til øgning af effektiviteten af terapeutiske antistoffer ved anvendelse af forbindelser, der potenserer nk-celler Download PDFInfo
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Claims (31)
- FREMGANGSMÅDER OG SAMMENSÆTNINGER TIL ØGNING AF EFFEKTIVITETEN AF TERAPEUTISKE ANTISTOFFER VED ANVENDELSE AF FORBINDELSER, DER POTENSERER NK-CELLER1. Anvendelse af (a) et anti-NK-cellereceptor (NKR)-antistof, der bindes til og hæmmer aktiviteten af en hæmmende KIR2DL-receptor af en NK-celle, og (b) et terapeutisk antistof, der kan bindes ved hjælp af CD16 gennem dets Fc-region, og som depleterer målceller ved hjælp af ADCC, til fremstilling af et lægemiddel til behandling af en sygdom, hvor anti-NKR-antistoffet øger effektiviteten af det terapeutiske antistof ved forstærkning af ADCC, hvor anti-NKR-antistoffet bindes til en almindelig determinant af humane KIR2DL1-, KIR2DL2- og KIR2DL3-receptorer og hæmmer KIR2DL1-, KIR2DL2- og KIR2DL3-medieret inhibition af NK-celle-cytotoksicitet.
- 2. Anvendelse ifølge krav 1, hvor det terapeutiske antistof har en human IgGl eller en IgG3 Fc-del.
- 3. Anvendelse ifølge kravene 1 eller 2, hvor anti-NKR-antistoffet omfatter et antigenbindingsfragment deraf.
- 4. Anvendelse ifølge kravene 1 til 3, hvor det terapeutiske antistof er et monoklonalt antistof eller omfatter et antigenbindingsfragment deraf.
- 5. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvor det terapeutiske antistof ikke er konjugeret med en radioaktiv eller toksisk del.
- 6. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvor anti-NKR-antistoffet er et humant, humaniseret eller kimærisk antistof eller omfatter et antigenbindings fragment deraf.
- 7. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvor det terapeutiske antistof er et humant, humaniseret eller kimærisk antistof eller omfatter et antigenbindings fragment deraf.
- 8. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvor det terapeutiske antistof er rituximab eller alemtuzumab.
- 9. Anvendelse ifølge krav 8, hvor det terapeutiske antistof er rituximab og administreres i en dosis på mindre end 375 mg/m2 pr. uge.
- 10. Anvendelse ifølge krav 8, hvor det terapeutiske antistof er alemtuzumab og administreres i en dosis på mindre end 90 mg pr. uge.
- 11. Anvendelse ifølge et hvilket som helst af kravene 1 til 10, hvor anti-NKR-antistoffet bindes til det samme epitop som det monoklonale antistof DF200 fremstillet ved hybridom DF200, der er deponeret under registreringsnummer CNCM 1-3224.
- 12. Anvendelse ifølge et hvilket som helst af kravene 1 til 11, hvor anti-NKR-antistoffet konkurrerer med det monoklonale antistof DF200 fremstillet ved hybridom DF200, der er deponeret under registreringsnummer CNCM 1-3224, til binding til en KIR-receptor på overfladen af en human NK-celle.
- 13. Anvendelse ifølge et hvilket som helst af kravene 1 til 11, hvor anti-NKR-antistoffet er det monoklonale antistof DF200 fremstillet ved hybridom DF200, der er deponeret under registreringsnummer CNCM 1-3224, eller et fragment eller derivat deraf.
- 14. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvor det terapeutiske antistof og anti-NKR-antistoffet administreres samtidigt til individet.
- 15. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvor anti-NKR-antistoffet administreres til individet inden for én uge efter administration af det terapeutiske antistof.
- 16. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvor sygdommen er en cancer, eller en infektions- eller immunsygdom.
- 17. Anvendelse ifølge et hvilket som helst af de ovenstående krav, hvilken anvendelse endvidere omfatter vurdering af aktiviteten eller antallet af NK-celler i individet forud for eller efter administration af anti-NKR-antistoffet.
- 18. Anvendelse ifølge krav 17, hvor vurderingen af aktiviteten eller antallet af NK-celler involverer i) inkubation af NK-celler, der er opnået fra individet forud for administration i nærvær af den ene eller flere målceller, der er genkendt af det terapeutiske antistof, i nærvær eller fravær af anti-NKR-antistoffet; og ii) vurdering af effekten af anti-NKR-antistoffet på evnen for NK-cellerne til at depletere målcellerne; hvor en påvisning af, at anti-NKR-antistoffet øger evnen for NK-celleme til at depletere målcellerne indikerer, at anti-NKR-antistoffet er egnet til anvendelse i fremgangsmåden og fremgangsmåden er egnet til anvendelse til individet.
- 19. F armaceutisk s ammens ætning, der omfatter: (a) et terapeutisk antistof, der kan bindes ved hjælp af CD 16 gennem dets Fe-region, og som depleterer målceller ved hjælp af ADCC, (b) et anti-NK-cellereceptor (NKR)-anlistof, der bindes til og hæmmer aktiviteten af en hæmmende KIR2DL-receptor af en NK-celle, og (c) en farmaceutisk acceptabel bærer, hvor anti-NKR-antistoffet bindes til en almindelig determinant af humane KIR2DL1-, KIR2DL2- og KIR2DL3-receptorer og hæmmer KIR2DL1-, KIR2DL2-, og KIR2DL3-medieret inhibition af NK-celle-cytotoksicitet.
- 20. Sammensætning ifølge krav 19, hvor det terapeutiske antistof har en human eller ikke-human primat IgGl eller IgG3 Fc-del.
- 21. Sammensætning ifølge kravene 19 eller 20, hvor anti-NKR-antistoffet omfatter et antigenbindingsfragment deraf.
- 22. Sammensætning ifølge kravene 19 eller 20, hvor anti-NKR-antistoffet er et monoklonalt antistof eller omfatter et antigenbindingsfragment deraf.
- 23. Sammensætning ifølge kravene 19 til 22, hvor anti-NKR-antistoffet er et humant, humaniseret eller kimærisk antistof eller omfatter et antigenbindingsfragment deraf.
- 24. Sammensætning ifølge kravene 19 til 23, hvor det terapeutiske antistof er et monoklonalt antistof eller omfatter et antigenbindingsfragment deraf.
- 25. Sammensætning ifølge krav 24, hvor det terapeutiske antistof er et humant, humaniseret eller kimærisk antistof eller omfatter et antigenbindings fragment deraf.
- 26. Sammensætning ifølge kravene 24 eller 25, hvor antistoffet ikke er konjugeret med en radioaktiv eller toksisk del.
- 27. Sammensætning ifølge kravene 19 til 26, hvor det terapeutiske antistof er rituximab eller alemtuzumab.
- 28. Sammensætning ifølge krav 19, hvor anti-NKR-antistoffet bindes til det samme epitop som det monoklonale antistof DF200 fremstillet ved hybridom DF200, der er deponeret under registreringsnummer CNCM1-3224.
- 29. Sammensætning ifølge krav 19, hvor anti-NKR-antistoffet konkurrerer med det monoklonale antistof DF200 fremstillet ved hybridom DF200, der er deponeret under registreringsnummer CNCM I-3224, til binding til en KIR-receptor på overfladen af en human NK-celle.
- 30. Sammensætning ifølge krav 19, hvor anti-NKR-antistoffet er det monoklonale antistof DF200 fremstillet ved hybridom DF200, deponeret under registreringsnummer CNCM 1-3224, eller et fragment eller derivat deraf.
- 31. Anvendelse af et anti-NK-cellereceptor (NKR)-antistof, der blokerer for en hæmmende KIR2DL-receptor af en NK-celle, hvor anti-NKR-antistoffet bindes til en almindelig determinant af humane KIR2DL1-, KIR2DL2- og KIR2DL3-receptorer og hæmmer KIR2DL1-, KIR2DL2- og KIR2DL3-medieret inhibition af NK-cellc-cytotoksicitet til fremstilling af et lægemiddel til øgning af effektiviteten af en behandling, der involverer administration til et individ af et terapeutisk antistof, der kan bindes ved hjælp af CD16 gennem dets Fc-region, og som depleterer målceller hos individet ved hjælp af ADCC, hvor det terapeutiske antistof administreres til individet forud for, samtidigt med, eller efter en terapeutisk effektiv mængde af anti-NKR-antistoffet, og hvor anti-NKR-antistoffet øger effektiviteten af behandlingen ved forstærkning af ADCC hos individet.
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