IL311639A - Predictive outcome profiling for use of an anti-semaphorin-4d binding molecule to treat neurodegenerative disorders - Google Patents

Predictive outcome profiling for use of an anti-semaphorin-4d binding molecule to treat neurodegenerative disorders

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Publication number
IL311639A
IL311639A IL311639A IL31163924A IL311639A IL 311639 A IL311639 A IL 311639A IL 311639 A IL311639 A IL 311639A IL 31163924 A IL31163924 A IL 31163924A IL 311639 A IL311639 A IL 311639A
Authority
IL
Israel
Prior art keywords
antigen
binding fragment
cognitive
assessment
disease
Prior art date
Application number
IL311639A
Other languages
Hebrew (he)
Inventor
Elizabeth Evans
Terrence Fisher
Maurice Zauderer
Original Assignee
Vaccinex Inc
Elizabeth Evans
Terrence Fisher
Maurice Zauderer
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Vaccinex Inc, Elizabeth Evans, Terrence Fisher, Maurice Zauderer filed Critical Vaccinex Inc
Publication of IL311639A publication Critical patent/IL311639A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1124Determining motor skills
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/16Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
    • A61B5/168Evaluating attention deficit, hyperactivity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4058Detecting, measuring or recording for evaluating the nervous system for evaluating the central nervous system
    • A61B5/4064Evaluating the brain
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4076Diagnosing or monitoring particular conditions of the nervous system
    • A61B5/4082Diagnosing or monitoring movement diseases, e.g. Parkinson, Huntington or Tourette
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4076Diagnosing or monitoring particular conditions of the nervous system
    • A61B5/4088Diagnosing of monitoring cognitive diseases, e.g. Alzheimer, prion diseases or dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4848Monitoring or testing the effects of treatment, e.g. of medication
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7275Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/2803Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/09Rehabilitation or training
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/545Medicinal preparations containing antigens or antibodies characterised by the dose, timing or administration schedule

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Neurology (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Neurosurgery (AREA)
  • Physiology (AREA)
  • Developmental Disabilities (AREA)
  • Chemical & Material Sciences (AREA)
  • Psychiatry (AREA)
  • Immunology (AREA)
  • Psychology (AREA)
  • Hospice & Palliative Care (AREA)
  • Organic Chemistry (AREA)
  • Medicinal Chemistry (AREA)
  • Child & Adolescent Psychology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Educational Technology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biochemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Artificial Intelligence (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Signal Processing (AREA)
  • Genetics & Genomics (AREA)
  • Social Psychology (AREA)

Claims (42)

- 46 - WHAT IS CLAIMED IS:
1. A method of selecting subjects having, determined to have, or suspected of having a neurodegenerative disorder for treatment with an isolated antibody or antigen-binding fragment thereof that specifically binds to semaphorin-4D (SEMA4D), said method comprising: (i) determining the cognitive and/or functional impairment assessment score for the subject in one or more standard cognitive and/or functional assessment tests; and (ii) selecting the subject for treatment if the score satisfies a predetermined value indicative of mild cognitive impairment (MCI), mild dementia, moderate cognitive impairment, or Stage I or Stage II Huntington’s disease.
2. The method of claim 1, wherein the one or more standard cognitive assessment and/or functional assessment tests are selected from the Montreal Cognitive Assessment (MoCA), the Total Functional Capacity (TFC), Clinical Global Impression of Change (CGIC), and the Clinical Global Impression of Severity (CGIS).
3. The method of claim1 or 2, wherein the one or more standard functional assessment test is the TFC and wherein the functional impairment assessment score for the subject is in the range of 7-12.
4. The method of claim 3, wherein the functional impairment assessment score for the subject is in the range of 8-12 or 8-11.
5. The method of claim 1 or 2, wherein the one or more standard cognitive assessment test is the MoCA and wherein the cognitive impairment assessment score for the subject is in the range of from 10-25.
6. The method of claim 5, wherein the MoCA score is in the range of from 19-25.
7. The method of claim 5, wherein the MoCA score is in the range of from 11-21.
8. The method of any one of claims 1-7, wherein the neurodegenerative disorder is selected from a group consisting of Alzheimer's disease, Parkinson's disease, Huntington's disease, Down syndrome, ataxia, amyotrophic lateral sclerosis (ALS), frontotemporal dementia (FTD), HIV-related cognitive impairment, CNS Lupus, mild cognitive impairment to moderate cognitive impairment, or a combination thereof.
9. The method of claim 8, wherein the neurodegenerative disorder is Alzheimer’s disease (AD) or Huntington’s disease (HD).
10. The method of any one of claims 1-9, wherein the antibody or antigen-binding fragment thereof that specifically binds to SEMA4D comprises a variable heavy chain (VH) comprising VHCDRs 1-3 comprising SEQ ID NOs 6, 7, and 8, respectively, and a variable light chain (VL) comprising VLCDRs 1-3 comprising SEQ ID NOs 14, 15, and 16, respectively, or comprises a - 47 - variable heavy chain (VH) comprising VHCDRs 1-3 comprising SEQ ID NOs 42, 43, and 44, respectively, and a variable light chain (VL) comprising VLCDRs 1-3 comprising SEQ ID NOs 46, 47, and 48, respectively.
11. The method of any one of claims 1-10, wherein the antibody or antigen binding fragment thereof inhibits SEMA4D binding to its receptor.
12. The method of claim 11, wherein the receptor is selected from Plexin-B1 and Plexin-B2.
13. The method of claim 11or 12, wherein the antibody or antigen binding fragment thereof inhibits SEMA4D-mediated signal transduction.
14. A method for predicting whether a semaphorin-4D (SEMA4D) antagonist antibody or antigen-binding fragment thereof that specifically binds to semaphorin-4D will be effective in treating a subject having, diagnosed as having, or suspected of having a neurodegenerative disorder, comprising: (i) determining the cognitive and/or functional impairment assessment score for the subject in one or more standard cognitive and/or functional assessment tests; and (ii) predicting a positive response to treatment if the score satisfies a predetermined value indicative of mild cognitive impairment (MCI), mild dementia, moderate cognitive impairment or Stage I or Stage II Huntington’s disease.
15. The method of claim 14, wherein the one or more standard cognitive and/or functional assessment tests are selected from the Montreal Cognitive Assessment (MoCA), the Total Functional Capacity (TFC), Clinical Global Impression of Change (CGIC), and the Clinical Global Impression of Severity (CGIS).
16. The method of claim 14 or 15, wherein the standard functional assessment test is the TFC and wherein the functional impairment assessment score for the subject is in the range of 7-12.
17. The method of claim 16, wherein the functional impairment assessment score for the subject s in the range of 8-12 or 8-11.
18. The method of claim 14 or 15, wherein the standard cognitive assessment test is the MoCA and wherein the cognitive impairment assessment score for the subject is in the range of from 10-25.
19. The method of claim 18, wherein the MoCA score is in the range of from 19-25.
20. The method of claim 18, wherein the MoCA score is in the range of from 11-21.
21. The method of any one of claims 14-20, wherein the neurodegenerative disorder is selected from a group consisting of Alzheimer's disease, Parkinson's disease, Huntington's disease, Down syndrome, ataxia, amyotrophic lateral sclerosis (ALS), frontotemporal - 48 - dementia (FTD), HIV-related cognitive impairment, CNS Lupus, mild cognitive impairment to moderate cognitive impairment, or a combination thereof.
22. The method of claim 21, wherein the neurodegenerative disorder is Alzheimer’s disease (AD) or Huntington’s disease (HD).
23. The method of any one of claims 14-22, wherein the antibody or antigen-binding fragment thereof that specifically binds to SEMA4D comprises a variable heavy chain (VH) comprising VHCDRs 1-3 comprising SEQ ID NOs 6, 7, and 8, respectively, and a variable light chain (VL) comprising VLCDRs 1-3 comprising SEQ ID NOs 14, 15, and 16, respectively or comprises a variable heavy chain (VH) comprising VHCDRs 1-3 comprising SEQ ID NOs 42, 43, and 44, respectively, and a variable light chain (VL) comprising VLCDRs 1-3 comprising SEQ ID NOs 46, 47, and 48, respectively.
24. The method of any one of claims 14-23, wherein the antibody or antigen binding fragment thereof inhibits SEMA4D binding to its receptor.
25. The method of claim 24, wherein the receptor is selected from Plexin-B1 and Plexin-B2.
26. The method of claim 24 or 25, wherein the antibody or antigen binding fragment thereof inhibits SEMA4D-mediated signal transduction.
27. An isolated antibody or antigen-binding fragment thereof that specifically binds to semaphorin-4D (SEMA4D) for use in a method of treating a subject having, determined to have, or suspected of having a neurodegenerative disorder, the method comprising (i) determining the cognitive and/or functional impairment assessment score for the subject in one or more standard cognitive and/or functional assessment tests; and (ii) administering a therapeutically effective amount of the isolated antibody or antigen-binding fragment thereof if the score satisfies a predetermined value indicative of mild cognitive impairment (MCI), mild dementia, moderate cognitive impairment or Stage I or Stage II Huntington’s disease.
28. The isolated antibody or antigen-binding fragment thereof for use of claim 27, wherein the one or more standard cognitive or functional assessment tests are selected from the Montreal Cognitive Assessment (MoCA), the Total Functional Capacity (TFC), Clinical Global Impression of Change (CGIC), and the Clinical Global Impression of Severity (CGIS).
29. The isolated antibody or antigen-binding fragment thereof for use of claim 27 or 28, wherein the standard functional assessment test is the TFC and wherein the functional impairment assessment score for the subject is in the range of 7-12.
30. The isolated antibody or antigen-binding fragment thereof for use of claim 28, wherein the functional impairment assessment score for the subject is in the range of 8-12 or 8-11. - 49 -
31. The isolated antibody or antigen-binding fragment thereof for use of claim 27 or 28, wherein the standard cognitive assessment test is the MoCA and wherein the cognitive impairment assessment score for the subject is in the range of from 10-25.
32. The isolated antibody or antigen-binding fragment thereof for use of claim 31, wherein the MoCA score is in the range of from 19-25.
33. The isolated antibody or antigen-binding fragment thereof for use of claim 31, wherein the MoCA score is in the range of from 11-21.
34. The isolated antibody or antigen-binding fragment thereof for use of any one of claims 27-33, wherein the neurodegenerative disorder is selected from a group consisting of Alzheimer's disease, Parkinson's disease, Huntington's disease, Down syndrome, ataxia, amyotrophic lateral sclerosis (ALS), frontotemporal dementia (FTD), HIV-related cognitive impairment, CNS Lupus, mild cognitive impairment, or a combination thereof.
35. The isolated antibody or antigen-binding fragment thereof for use of claim 34, wherein the neurodegenerative disorder is Alzheimer’s disease (AD) or Huntington’s disease (HD).
36. The isolated antibody or antigen-binding fragment thereof for use of any one of claims 27-35, wherein the antibody or antigen-binding fragment thereof that specifically binds to SEMA4D comprises a variable heavy chain (VH) comprising VHCDRs 1-3 comprising SEQ ID NOs 6, 7, and 8, respectively, and a variable light chain (VL) comprising VLCDRs 1-comprising SEQ ID NOs 14, 15, and 16, respectively or comprises a variable heavy chain (VH) comprising VHCDRs 1-3 comprising SEQ ID NOs 42, 43, and 44, respectively, and a variable light chain (VL) comprising VLCDRs 1-3 comprising SEQ ID NOs 46, 47, and 48, respectively.
37. The isolated antibody or antigen-binding fragment thereof for use of any one of claims 27-36, wherein the antibody or antigen binding fragment thereof inhibits SEMA4D binding to its receptor.
38. The isolated antibody or antigen-binding fragment thereof for use of claim 37, wherein the receptor is selected from Plexin-B1 and Plexin-B2.
39. The isolated antibody or antigen-binding fragment thereof for use of claim 37 or 38, wherein the antibody or antigen binding fragment thereof inhibits SEMA4D-mediated signal transduction.
40. The isolated antibody or antigen-binding fragment thereof for use of any one of claims 27-39, wherein the treatment results in a decrease, reduction, slowing or stopping of the incidence of symptoms associated with the neurodegenerative disorder; a decrease, reduction or lessening of the severity of symptoms associated with the neurodegenerative disorder; or improves the quality of life of the subject. - 50 -
41. The isolated antibody or antigen-binding fragment thereof for use of claim 40, wherein the symptoms are selected from neuropsychiatric symptoms, cognitive symptoms, motor dysfunction and any combination thereof.
42. An isolated antibody or antigen-binding fragment thereof which specifically binds to semaphorin-4D (SEMA4D) for use in a method of treating a subject that has, is suspected of having or is diagnosed with a neurodegenerative disorder, wherein the subject is assessed to have a cognitive impairment assessment score in one or more standard cognitive assessment tests that is indicative of mild cognitive impairment, mild dementia or moderate cognitive impairment or is assessed to have a functional impairment assessment score in one or more standard functional assessment tests that is indicative of Stage I or Stage II Huntington’s disease.
IL311639A 2021-09-27 2021-09-27 Predictive outcome profiling for use of an anti-semaphorin-4d binding molecule to treat neurodegenerative disorders IL311639A (en)

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AU (1) AU2021465518A1 (en)
CA (1) CA3231551A1 (en)
IL (1) IL311639A (en)
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WO2023048726A1 (en) 2023-03-30
KR20240063995A (en) 2024-05-10
CA3231551A1 (en) 2023-03-30

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