HRP20201837T1 - Antitijelo koje veže erbb-2 i erbb-3 - Google Patents
Antitijelo koje veže erbb-2 i erbb-3 Download PDFInfo
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- HRP20201837T1 HRP20201837T1 HRP20201837TT HRP20201837T HRP20201837T1 HR P20201837 T1 HRP20201837 T1 HR P20201837T1 HR P20201837T T HRP20201837T T HR P20201837TT HR P20201837 T HRP20201837 T HR P20201837T HR P20201837 T1 HRP20201837 T1 HR P20201837T1
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- Prior art keywords
- erbb
- antibody
- heavy chain
- variable region
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- 101710100969 Receptor tyrosine-protein kinase erbB-3 Proteins 0.000 claims 35
- 101150029707 ERBB2 gene Proteins 0.000 claims 31
- 210000004027 cell Anatomy 0.000 claims 26
- 239000000427 antigen Substances 0.000 claims 19
- 102000036639 antigens Human genes 0.000 claims 19
- 108091007433 antigens Proteins 0.000 claims 19
- 150000001413 amino acids Chemical class 0.000 claims 14
- 101100112922 Candida albicans CDR3 gene Proteins 0.000 claims 12
- 102100035360 Cerebellar degeneration-related antigen 1 Human genes 0.000 claims 12
- 239000003446 ligand Substances 0.000 claims 6
- GOJUJUVQIVIZAV-UHFFFAOYSA-N 2-amino-4,6-dichloropyrimidine-5-carbaldehyde Chemical group NC1=NC(Cl)=C(C=O)C(Cl)=N1 GOJUJUVQIVIZAV-UHFFFAOYSA-N 0.000 claims 4
- 206010028980 Neoplasm Diseases 0.000 claims 4
- 210000004602 germ cell Anatomy 0.000 claims 3
- 238000005734 heterodimerization reaction Methods 0.000 claims 3
- 239000003112 inhibitor Substances 0.000 claims 3
- 102000056372 ErbB-3 Receptor Human genes 0.000 claims 2
- 102000006496 Immunoglobulin Heavy Chains Human genes 0.000 claims 2
- 108010019476 Immunoglobulin Heavy Chains Proteins 0.000 claims 2
- 102000048238 Neuregulin-1 Human genes 0.000 claims 2
- 108090000556 Neuregulin-1 Proteins 0.000 claims 2
- 102100030086 Receptor tyrosine-protein kinase erbB-2 Human genes 0.000 claims 2
- 101710100968 Receptor tyrosine-protein kinase erbB-2 Proteins 0.000 claims 2
- 125000000539 amino acid group Chemical group 0.000 claims 2
- 150000001875 compounds Chemical class 0.000 claims 2
- 230000037361 pathway Effects 0.000 claims 2
- 210000004881 tumor cell Anatomy 0.000 claims 2
- 229940126638 Akt inhibitor Drugs 0.000 claims 1
- 108091054455 MAP kinase family Proteins 0.000 claims 1
- 102000043136 MAP kinase family Human genes 0.000 claims 1
- 206010027476 Metastases Diseases 0.000 claims 1
- 102000029749 Microtubule Human genes 0.000 claims 1
- 108091022875 Microtubule Proteins 0.000 claims 1
- 229930012538 Paclitaxel Natural products 0.000 claims 1
- 102000003993 Phosphatidylinositol 3-kinases Human genes 0.000 claims 1
- 108090000430 Phosphatidylinositol 3-kinases Proteins 0.000 claims 1
- 102000002278 Ribosomal Proteins Human genes 0.000 claims 1
- 108010000605 Ribosomal Proteins Proteins 0.000 claims 1
- 229940122924 Src inhibitor Drugs 0.000 claims 1
- 125000003275 alpha amino acid group Chemical group 0.000 claims 1
- 230000010056 antibody-dependent cellular cytotoxicity Effects 0.000 claims 1
- 229940079593 drug Drugs 0.000 claims 1
- 239000003814 drug Substances 0.000 claims 1
- 239000003276 histone deacetylase inhibitor Substances 0.000 claims 1
- 238000000338 in vitro Methods 0.000 claims 1
- 230000002401 inhibitory effect Effects 0.000 claims 1
- 229940124302 mTOR inhibitor Drugs 0.000 claims 1
- 239000003628 mammalian target of rapamycin inhibitor Substances 0.000 claims 1
- 230000009401 metastasis Effects 0.000 claims 1
- 210000004688 microtubule Anatomy 0.000 claims 1
- 229960001592 paclitaxel Drugs 0.000 claims 1
- 239000000825 pharmaceutical preparation Substances 0.000 claims 1
- 230000026731 phosphorylation Effects 0.000 claims 1
- 238000006366 phosphorylation reaction Methods 0.000 claims 1
- 230000002265 prevention Effects 0.000 claims 1
- 239000003197 protein kinase B inhibitor Substances 0.000 claims 1
- 108090000623 proteins and genes Proteins 0.000 claims 1
- 108020003175 receptors Proteins 0.000 claims 1
- 102000005962 receptors Human genes 0.000 claims 1
- RCINICONZNJXQF-MZXODVADSA-N taxol Chemical compound O([C@@H]1[C@@]2(C[C@@H](C(C)=C(C2(C)C)[C@H](C([C@]2(C)[C@@H](O)C[C@H]3OC[C@]3([C@H]21)OC(C)=O)=O)OC(=O)C)OC(=O)[C@H](O)[C@@H](NC(=O)C=1C=CC=CC=1)C=1C=CC=CC=1)O)C(=O)C1=CC=CC=C1 RCINICONZNJXQF-MZXODVADSA-N 0.000 claims 1
- 229940121358 tyrosine kinase inhibitor Drugs 0.000 claims 1
- 239000005483 tyrosine kinase inhibitor Substances 0.000 claims 1
- 150000004917 tyrosine kinase inhibitor derivatives Chemical class 0.000 claims 1
- WAEXFXRVDQXREF-UHFFFAOYSA-N vorinostat Chemical compound ONC(=O)CCCCCCC(=O)NC1=CC=CC=C1 WAEXFXRVDQXREF-UHFFFAOYSA-N 0.000 claims 1
- 229960000237 vorinostat Drugs 0.000 claims 1
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- 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
- C07K16/32—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes
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- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
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- 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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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
- A61K31/436—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having oxygen as a ring hetero atom, e.g. rapamycin
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- A61K31/33—Heterocyclic compounds
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- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
- A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
- A61K31/4439—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
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- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
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- 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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- A61K39/39533—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
- A61K39/39558—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against tumor tissues, cells, antigens
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- 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
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- A—HUMAN NECESSITIES
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- 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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Claims (38)
1. Bispecifično antitijelo pune dužine koje sadrži prvo antigen-vezujuće mjesto koje veže domenu I ErbB-2 i drugo antigen-vezujuće mjesto koje veže domenu III ErbB-3, naznačeno time što antitijelo može smanjiti ligandom induciranu receptorsku funkciju ErbB-3 na ErbB-2 i ErbB-3 pozitivnoj stanici.
2. Bispecifično antitijelo u skladu sa patentnim zahtjevom 1, naznačeno time što antitijelo može smanjiti ligandom inducirani rast ErbB-2 i ErbB-3 pozitivne stanice.
3. Bispecifično antitijelo u skladu sa patentnim zahtjevom 2, naznačeno time što antitijelo može smanjiti ligandom inducirani rast ErbB-2 i ErbB-3 pozitivne stanice, pri čemu navedena stanica ima najmanje 100.000 ErbB-2 receptora na staničnoj površini po stanici.
4. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-3, naznačeno time što je navedena stanica MCF-7 stanica, SKBR-3 stanica, NCI-N87 stanica, BxPC-3 stanica, BT-474 stanica ili JIMT-1 stanica.
5. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-4, naznačeno time što drugo antigen-vezujuće mjesto ometa vezanje ErbB-3 liganda za ErbB-3.
6. Bispecifično antitijelo pune dužine koje sadrži prvo antigen-vezujuće mjesto koje veže ErbB-2 i drugo antigen-vezujuće mjesto koje veže ErbB-3, naznačeno time što navedeno prvo antigen-vezujuće mjesto veže domenu I ErbB-2 i navedeno drugo antigen-vezujuće mjesto veže domenu III ErbB-3.
7. Bispecifično antitijelo pune dužine koje sadrži prvo antigen-vezujuće mjesto koje veže domenu I ErbB-2 i drugo antigen-vezujuće mjesto koje veže domenu III ErbB-3, naznačeno time što je afinitet (KD) navedenog drugog antigen-vezujućeg mjesta za ErbB-3 pozitivnu stanicu jednak sa, ili viši od, afiniteta navedenog prvog antigen-vezujućeg mjesta za ErbB-2 pozitivnu stanicu.
8. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-7, naznačeno time što antitijelo može smanjiti ligandom induciranu receptorsku funkciju ErbB-3 na ErbB-2 i ErbB-3 pozitivnoj stanici.
9. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-8, naznačeno time što antitijelo može smanjiti ligandom inducirani rast ErbB-2 i ErbB-3 pozitivne stanice.
10. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-9, naznačeno time što je afinitet (KD) navedenog drugog antigen-vezujućeg mjesta za ErbB-3 pozitivnu stanicu niži od ili jednak 2,0 nM, poželjno niži od ili jednak 1,39 nM, poželjnije niži od ili jednak 0,99 nM.
11. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-10, naznačeno time što je afinitet (KD) navedenog prvog antigen-vezujućeg mjesta za ErbB-2 pozitivnu stanicu niži od ili jednak 5,0 nM, poželjno niži od ili jednak 4,5 nM, poželjno niži od ili jednak 4,0 nM.
12. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-11, naznačeno time što je afinitet (KD) navedenog bispecifičnog antitijela za BT-474 stanice niži od ili jednak 5,0 nM, poželjno niži od ili jednak 4,0 nM, poželjnije niži od ili jednak 3,2 nM, i/ili pri čemu je afinitet navedenog bispecifičnog antitijela za SK-BR-3 stanice niži od ili jednak 5,0 nM, poželjno niži od ili jednak 3,0 nM, poželjnije niži od ili jednak 2,0 nM.
13. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-12, naznačeno time što je navedena ErbB-3 pozitivna stanica i/ili navedena ErbB-2 pozitivna stanica BT-474 stanica ili SK-BR-3 stanica.
14. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-13, naznačeno time što sadrži antigen-vezujuće mjesto koje veže najmanje jednu amino-kiselinu domene I ErbB-2 odabranu iz grupe koja se sastoji od T144, T164, R166, P172, G179, S180 i R181, i amino-kiselinske ostatke izložene na površini koji su locirani unutar oko 5 amino-kiselinskih pozicija od T144, T164, R166, P172, G179, S180 ili R181.
15. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-14, naznačeno time što sadrži antigen-vezujuće mjesto koje veže najmanje jednu amino-kiselinu domene III ErbB-3 odabranu iz grupe koja se sastoji od R426 i amino-kiselinskih ostataka izloženih na površini koji su locirani unutar 11,2 Å od R426 u nativnom ErbB-3 proteinu.
16. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-15, naznačeno time što navedeno antitijelo sadrži najmanje CDR3 sekvencu varijabilne regije teškog lanca specifičnog za ErbB-2 odabranog iz grupe koja se sastoji od MF2973, MF3004, MF3958, MF2971, MF3025, MF2916, MF3991, MF3031, i MF3003 kao što je prikazano na slici 16A ili slici 16E.
17. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-16, naznačeno time što navedeno antitijelo sadrži najmanje CDR3 sekvencu varijabilne regije teškog lanca specifičnog za ErbB-2 MF3958 kao što je prikazano na slici 16A.
18. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-17, naznačeno time što navedeno antitijelo sadrži najmanje CDR3 sekvencu varijabilne regije teškog lanca specifičnog za ErbB-3 odabranog iz grupe koja se sastoji od MF3178; MF3176; MF3163; MF6055; MF6056; MF6057; MF6058; MF6059; MF6060; MF6061; MF6062; MF6063; MF6064; MF6065; MF6066; MF6067; MF6068; MF6069; MF6070; MF6071; MF6072; MF6073 i MF6074 kao što je prikazano na slici 16B ili slici 16E ili slici 37.
19. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-18, naznačeno time što navedeno antitijelo sadrži najmanje CDR3 sekvencu varijabilne regije teškog lanca specifičnog za ErbB-3 MF3178 kao što je prikazano na slici 16B.
20. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-19, naznačeno time što navedeno antitijelo sadrži najmanje CDR1, CDR2 i CDR3 sekvence varijabilne regije teškog lanca specifičnog za ErbB-2 odabranog iz grupe koja se sastoji od MF2973, MF3004, MF3958, MF2971, MF3025, MF2916, MF3991, MF3031, i MF3003 kao što je prikazano na slici 16A ili slici 16E, ili pri čemu navedeno antitijelo sadrži CDR sekvence koje se razlikuju u najviše 3 amino-kiseline, poželjno u najviše 2 amino-kiseline, poželjno u najviše 1 amino-kiselini od CDR1, CDR2 i CDR3 sekvenci MF2973, MF3004, MF3958, MF2971, MF3025, MF2916, MF3991, MF3031 ili MF3003.
21. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-20, naznačeno time što navedeno antitijelo sadrži najmanje CDR1, CDR2 i CDR3 sekvence varijabilne regije teškog lanca specifičnog za ErbB-2 MF3958 kao što je prikazano na slici 16A, ili pri čemu navedeno antitijelo sadrži CDR sekvence koje se razlikuju u najviše 3 amino-kiseline, poželjno u najviše 2 amino-kiseline, poželjno u najviše 1 amino-kiselini od CDR1, CDR2 i CDR3 sekvenci MF3958.
22. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-21, naznačeno time što navedeno antitijelo sadrži najmanje CDR1, CDR2 i CDR3 sekvence varijabilne regije teškog lanca specifičnog za ErbB-3 odabranog iz grupe koja se sastoji od MF3178; MF3176; MF3163; MF6055; MF6056; MF6057; MF6058; MF6059; MF6060; MF6061; MF6062; MF6063; MF6064; MF6065; MF6066; MF6067; MF6068; MF6069; MF6070; MF6071; MF6072; MF6073 i MF6074 kao što je prikazano na slici 16B ili slici 16E ili slici 37, ili pri čemu navedeno antitijelo sadrži CDR sekvence koje se razlikuju u najviše 3 amino-kiseline, poželjno u najviše 2 amino-kiseline, poželjno u najviše 1 amino-kiselini od CDR1, CDR2 i CDR3 sekvenci MF3178; MF3176; MF3163; MF6055; MF6056; MF6057; MF6058; MF6059; MF6060; MF6061; MF6062; MF6063; MF6064; MF6065; MF6066; MF6067; MF6068; MF6069; MF6070; MF6071; MF6072; MF6073 ili MF6074.
23. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-22, naznačeno time što navedeno antitijelo sadrži najmanje CDR1, CDR2 i CDR3 sekvence varijabilne regije teškog lanca specifičnog za ErbB-3 MF3178 kao što je prikazano na slici 16B, ili pri čemu navedeno antitijelo sadrži CDR sekvence koje se razlikuju u najviše 3 amino-kiseline, poželjno u najviše 2 amino-kiseline, poželjno u najviše 1 amino-kiselini od CDR1, CDR2 i CDR3 sekvenci MF3178.
24. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-23, naznačeno time što navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca specifičnog za ErbB-2 odabranu iz grupe koja se sastoji od sekvenci varijabilne regije teškog lanca MF2973, MF3004, MF3958, MF2971, MF3025, MF2916, MF3991, MF3031, i MF3003 kao što je prikazano na slici 16A ili slici 16E, ili pri čemu navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca koja se razlikuje u najviše 15 amino-kiselina od sekvenci varijabilne regije teškog lanca MF2973, MF3004, MF3958, MF2971, MF3025, MF2916, MF3991, MF3031 ili MF3003.
25. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-24, naznačeno time što navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca specifičnog za ErbB-2 odabranu iz grupe koja se sastoji od sekvenci varijabilne regije teškog lanca MF3958 kao što je prikazano na slici 16A, ili pri čemu navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca koja se razlikuje u najviše 15 amino-kiselina od sekvenci varijabilne regije teškog lanca MF3958.
26. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-25, naznačeno time što navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca specifičnog za ErbB-3 odabranu iz grupe koja se sastoji od sekvenci varijabilne regije teškog lanca MF3178; MF3176; MF3163; MF6055; MF6056; MF6057; MF6058; MF6059; MF6060; MF6061; MF6062; MF6063; MF6064; MF6065; MF6066; MF6067; MF6068; MF6069; MF6070; MF6071; MF6072; MF6073 i MF6074 kao što je prikazano na slici 16B ili slici 16E ili slici 37, ili pri čemu navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca koja se razlikuje u najviše 15 amino-kiselina od sekvenci varijabilne regije teškog lanca MF3178; MF3176; MF3163; MF6055; MF6056; MF6057; MF6058; MF6059; MF6060; MF6061; MF6062; MF6063; MF6064; MF6065; MF6066; MF6067; MF6068; MF6069; MF6070; MF6071; MF6072; MF6073 ili MF6074.
27. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-26, naznačeno time što navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca specifičnog za ErbB-3 odabranu iz grupe koja se sastoji od sekvenci varijabilne regije teškog lanca MF3178 kao što je prikazano na slici 16B, ili pri čemu navedeno antitijelo sadrži sekvencu varijabilne regije teškog lanca koja se razlikuje u najviše 15 amino-kiselina od sekvenci varijabilne regije teškog lanca MF3178.
28. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-27, koje je afukozilirano kako bi se pojačala ADCC.
29. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-28, naznačeno time što sadrži dva različita teška lanca imunoglobulina sa kompatibilnim domenama heterodimerizacije.
30. Bispecifično antitijelo u skladu sa patentnim zahtjevom 29, naznačeno time što su navedene kompatibilne domene heterodimerizacije kompatibilne CH3 domene heterodimerizacije teškog lanca imunoglobulina.
31. Bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-30, naznačeno time što oba kraka sadrže zajednički laki lanac.
32. Bispecifično antitijelo u skladu sa patentnim zahtjevom 31, naznačeno time što je navedeni zajednički laki lanac laki lanac germinativne linije, poželjno preuređeni kapa laki lanac ljudske germinativne linije koji sadrži segment IgVKl-39 gena, najpoželjnije preuređeni kapa laki lanac ljudske germinativne linije IgVK1-39*01/IGJK1*01.
33. Farmaceutski pripravak koji sadrži bispecifično antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-32.
34. Antitijelo u skladu sa bilo kojim od patentnih zahtjeva 1-32, za uporabu u liječenju subjekta koji ima ili je u opasnosti da ima ErbB-2, ErbB-3 ili ErbB-2/ErbB-3 pozitivan tumor.
35. Bispecifično antitijelo pune dužine koje sadrži prvo antigen-vezujuće mjesto koje veže domenu I ErbB-2 i drugo antigen-vezujuće mjesto koje veže domenu III ErbB-3 za uporabu u liječenju ErbB-2, ErbB-3 ili ErbB-2/ErbB-3 pozitivnog tumora, naznačeno time što navedeno liječenje sadrži primjenu navedenog bispecifičnog antitijela i najmanje jednog spoja odabranog iz grupe koja se sastoji od inhibitora komponente PI3Kinaznog puta, inhibitora komponente MAPK puta, lijeka koji ometa mikrotubule i HDAC inhibitora, poželjno primjenu navedenog bispecifičnog antitijela i najmanje jednog spoja odabranog iz grupe koja se sastoji od inhibitora tirozin kinaze, inhibitora PI3Ka, inhibitora Akt, inhibitora mTOR, inhibitora Src, vorinostata i paklitaksela, subjektu koji ima ErbB-2, ErbB-3 ili ErbB-2/ErbB-3 pozitivan tumor.
36. Bispecifično antitijelo pune dužine koje sadrži prvo antigen-vezujuće mjesto koje veže domenu I ErbB-2 i drugo antigen-vezujuće mjesto koje veže domenu III ErbB-3 za uporabu u liječenju ili prevenciji nastanka metastaze ErbB-2, ErbB-3 ili ErbB-2/ErbB-3 pozitivne tumorske stanice, naznačeno time što navedene ErbB-2, ErbB-3 ili ErbB-2/ErbB-3 pozitivne tumorske stanice imaju nivo ekspresije heregulina koji je najmanje 60%, poželjno najmanje 70%, poželjnije najmanje 80%, poželjnije najmanje 85%, poželjnije najmanje 90% ili 95% nivoa ekspresije heregulina BXPC3 ili MCF7 stanica.
37. Antitijelo za uporabu u skladu sa bilo kojim od patentnih zahtjeva 34-36, naznačeno time što navedeni subjekt ima ErbB-2 ili ErbB-2/ErbB-3 pozitivan tumor koji ima manje od 1.000.000 ErbB-2 receptora na staničnoj površini po stanici.
38. In vitro uporaba antitijela u skladu sa bilo kojim od patentnih zahtjeva 1-32 za suzbijanje, poželjno inhibiciju, fosforilaciju Akt, ERK i/ili S6 ribosomskog proteina.
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