JPWO2019147831A5 - - Google Patents
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- JPWO2019147831A5 JPWO2019147831A5 JP2020540397A JP2020540397A JPWO2019147831A5 JP WO2019147831 A5 JPWO2019147831 A5 JP WO2019147831A5 JP 2020540397 A JP2020540397 A JP 2020540397A JP 2020540397 A JP2020540397 A JP 2020540397A JP WO2019147831 A5 JPWO2019147831 A5 JP WO2019147831A5
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- 125000003275 alpha amino acid group Chemical group 0.000 claims 28
- 102000025417 antigen binding proteins Human genes 0.000 claims 20
- 108091000829 antigen binding proteins Proteins 0.000 claims 20
- 102000018358 Immunoglobulins Human genes 0.000 claims 13
- 108060003951 Immunoglobulins Proteins 0.000 claims 13
- 239000008194 pharmaceutical composition Substances 0.000 claims 12
- 229920001184 polypeptide Polymers 0.000 claims 11
- 101710044694 TMPRSS2 Proteins 0.000 claims 10
- 102100011827 TMPRSS2 Human genes 0.000 claims 10
- 239000003814 drug Substances 0.000 claims 7
- 239000000203 mixture Substances 0.000 claims 6
- 239000000427 antigen Substances 0.000 claims 5
- 102000038129 antigens Human genes 0.000 claims 5
- 108091007172 antigens Proteins 0.000 claims 5
- 229920000023 polynucleotide Polymers 0.000 claims 5
- 239000002157 polynucleotide Substances 0.000 claims 5
- 102000017727 Immunoglobulin Variable Region Human genes 0.000 claims 4
- 108010067060 Immunoglobulin Variable Region Proteins 0.000 claims 4
- 102000004965 antibodies Human genes 0.000 claims 4
- 108090001123 antibodies Proteins 0.000 claims 4
- 241000712461 unidentified influenza virus Species 0.000 claims 4
- 102100008989 IGHV1-2 Human genes 0.000 claims 3
- 101710003461 IGHV1-2 Proteins 0.000 claims 3
- 101710009640 IGKV1D-8 Proteins 0.000 claims 3
- 101710024481 IGKV2-29 Proteins 0.000 claims 3
- 101710009635 IGKV2D-26 Proteins 0.000 claims 3
- 102100005978 IGKV3-20 Human genes 0.000 claims 3
- 101710024987 IGKV3-20 Proteins 0.000 claims 3
- 101710009651 IGKV3D-15 Proteins 0.000 claims 3
- 241000700605 Viruses Species 0.000 claims 3
- 201000011510 cancer Diseases 0.000 claims 3
- TTZHDVOVKQGIBA-IQWMDFIBSA-N sofosbuvir Chemical compound N1([C@@H]2O[C@@H]([C@H]([C@]2(F)C)O)CO[P@@](=O)(N[C@@H](C)C(=O)OC(C)C)OC=2C=CC=CC=2)C=CC(=O)NC1=O TTZHDVOVKQGIBA-IQWMDFIBSA-N 0.000 claims 3
- 229960002063 sofosbuvir Drugs 0.000 claims 3
- ARAIBEBZBOPLMB-UFGQHTETSA-N (2R,3R,4S)-4-[(diaminomethylidene)amino]-3-acetamido-2-[(1R,2R)-1,2,3-trihydroxypropyl]-3,4-dihydro-2H-pyran-6-carboxylic acid Chemical compound CC(=O)N[C@@H]1[C@@H](N=C(N)N)C=C(C(O)=O)O[C@H]1[C@H](O)[C@H](O)CO ARAIBEBZBOPLMB-UFGQHTETSA-N 0.000 claims 2
- 241000711549 Hepacivirus C Species 0.000 claims 2
- 208000006572 Human Influenza Diseases 0.000 claims 2
- 102100008763 IFNA2 Human genes 0.000 claims 2
- 206010022000 Influenza Diseases 0.000 claims 2
- 108010047761 Interferon-alpha Proteins 0.000 claims 2
- 102000006992 Interferon-alpha Human genes 0.000 claims 2
- 108010079944 Interferon-alpha2b Proteins 0.000 claims 2
- 241000282567 Macaca fascicularis Species 0.000 claims 2
- VSZGPKBBMSAYNT-RRFJBIMHSA-N Oseltamivir Chemical compound CCOC(=O)C1=C[C@@H](OC(CC)CC)[C@H](NC(C)=O)[C@@H](N)C1 VSZGPKBBMSAYNT-RRFJBIMHSA-N 0.000 claims 2
- 229960003752 Oseltamivir Drugs 0.000 claims 2
- IWUCXVSUMQZMFG-AFCXAGJDSA-N Ribavirin Chemical compound N1=C(C(=O)N)N=CN1[C@H]1[C@H](O)[C@H](O)[C@@H](CO)O1 IWUCXVSUMQZMFG-AFCXAGJDSA-N 0.000 claims 2
- 229960000329 Ribavirin Drugs 0.000 claims 2
- 208000001756 Virus Disease Diseases 0.000 claims 2
- 229960001028 Zanamivir Drugs 0.000 claims 2
- 239000003443 antiviral agent Substances 0.000 claims 2
- 229960005486 vaccines Drugs 0.000 claims 2
- 208000010507 Adenocarcinoma of Lung Diseases 0.000 claims 1
- 206010006187 Breast cancer Diseases 0.000 claims 1
- 206010009944 Colon cancer Diseases 0.000 claims 1
- 206010052360 Colorectal adenocarcinoma Diseases 0.000 claims 1
- 241000711573 Coronaviridae Species 0.000 claims 1
- 241000699802 Cricetulus griseus Species 0.000 claims 1
- 241000342334 Human metapneumovirus Species 0.000 claims 1
- 102000006496 Immunoglobulin Heavy Chains Human genes 0.000 claims 1
- 108010019476 Immunoglobulin Heavy Chains Proteins 0.000 claims 1
- 102000013463 Immunoglobulin Light Chains Human genes 0.000 claims 1
- 108010065825 Immunoglobulin Light Chains Proteins 0.000 claims 1
- VRTWBAAJJOHBQU-KMWAZVGDSA-N Ledipasvir Chemical compound COC(=O)N[C@@H](C(C)C)C(=O)N([C@@H](C1)C=2NC(=CN=2)C=2C=C3C(F)(F)C4=CC(=CC=C4C3=CC=2)C=2C=C3NC(=NC3=CC=2)[C@H]2N([C@@H]3CC[C@H]2C3)C(=O)[C@@H](NC(=O)OC)C(C)C)CC21CC2 VRTWBAAJJOHBQU-KMWAZVGDSA-N 0.000 claims 1
- 210000004072 Lung Anatomy 0.000 claims 1
- 206010058467 Lung neoplasm malignant Diseases 0.000 claims 1
- 206010033128 Ovarian cancer Diseases 0.000 claims 1
- 210000001672 Ovary Anatomy 0.000 claims 1
- 208000008443 Pancreatic Carcinoma Diseases 0.000 claims 1
- 206010060862 Prostate cancer Diseases 0.000 claims 1
- 208000006265 Renal Cell Carcinoma Diseases 0.000 claims 1
- 206010041823 Squamous cell carcinoma Diseases 0.000 claims 1
- 101000380958 TMPRSS2 Proteins 0.000 claims 1
- 210000001635 Urinary Tract Anatomy 0.000 claims 1
- 239000002246 antineoplastic agent Substances 0.000 claims 1
- 201000009910 diseases by infectious agent Diseases 0.000 claims 1
- 239000003937 drug carrier Substances 0.000 claims 1
- 102000022406 human TMPRSS2 protein Human genes 0.000 claims 1
- 238000000338 in vitro Methods 0.000 claims 1
- 238000001802 infusion Methods 0.000 claims 1
- 238000002347 injection Methods 0.000 claims 1
- 239000007924 injection Substances 0.000 claims 1
- 238000010255 intramuscular injection Methods 0.000 claims 1
- 239000007927 intramuscular injection Substances 0.000 claims 1
- 238000010253 intravenous injection Methods 0.000 claims 1
- 229960002461 ledipasvir Drugs 0.000 claims 1
- 201000005249 lung adenocarcinoma Diseases 0.000 claims 1
- 201000005202 lung cancer Diseases 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 claims 1
- YWRYBUCQWKGONV-CABNZSRHSA-N methyl N-[(2S)-1-[(6S)-6-[5-[9,9-difluoro-7-[2-[(1S,2S,4R)-3-[(2S)-2-(methoxycarbonylamino)-3-methylbutanoyl]-3-azabicyclo[2.2.1]heptan-2-yl]-3H-benzimidazol-5-yl]fluoren-2-yl]-1H-imidazol-2-yl]-5-azaspiro[2.4]heptan-5-yl]-3-methyl-1-oxobutan-2-yl]carbama Chemical compound N1([C@@H]2O[C@@H]([C@H]([C@]2(F)C)O)CO[P@](=O)(N[C@@H](C)C(=O)OC(C)C)OC=2C=CC=CC=2)C=CC(=O)NC1=O.COC(=O)N[C@@H](C(C)C)C(=O)N([C@@H](C1)C=2NC(=CN=2)C=2C=C3C(F)(F)C4=CC(=CC=C4C3=CC=2)C=2C=C3NC(=NC3=CC=2)[C@H]2N([C@@H]3CC[C@H]2C3)C(=O)[C@@H](NC(=O)OC)C(C)C)CC21CC2 YWRYBUCQWKGONV-CABNZSRHSA-N 0.000 claims 1
- 201000002528 pancreatic cancer Diseases 0.000 claims 1
- 201000005825 prostate adenocarcinoma Diseases 0.000 claims 1
- 230000004224 protection Effects 0.000 claims 1
- 102000004169 proteins and genes Human genes 0.000 claims 1
- 108090000623 proteins and genes Proteins 0.000 claims 1
- 238000010254 subcutaneous injection Methods 0.000 claims 1
Claims (30)
(b)配列番号4もしくは18に示されるアミノ酸配列を含む免疫グロブリン軽鎖のCDR-L1、CDR-L2、およびCDR-L3を含む免疫グロブリン軽鎖可変領域
を含む、ヒトTMPRSS2に特異的に結合するヒト抗原結合タンパク質。 (A) Immunoglobulin heavy chain variable region comprising CDR-H1, CDR-H2, and CDR-H3 of an immunoglobulin heavy chain comprising the amino acid sequence set forth in SEQ ID NO: 2, 17 or 19; and / or the sequence (b). Human antigen binding specifically binding to human TMPRSS2, comprising the immunoglobulin light chain variable region comprising CDR-L1, CDR-L2, and CDR-L3 of the immunoglobulin light chain comprising the amino acid sequence set forth in number 4 or 18. protein.
(b)配列番号4もしくは18に示されるアミノ酸配列と少なくとも90%のアミノ酸配列同一性を有するアミノ酸配列を含む軽鎖免疫グロブリン可変領域
を含む、請求項1または2に記載の抗原結合タンパク質。 (A) Heavy chain immunoglobulin variable region comprising an amino acid sequence having at least 90% amino acid sequence identity with the amino acid sequence set forth in SEQ ID NO: 2, 17 or 19; and / or (b) set forth in SEQ ID NO: 4 or 18. The antigen-binding protein according to claim 1 or 2, which comprises a light chain immunoglobulin variable region comprising an amino acid sequence having at least 90% amino acid sequence identity with the amino acid sequence.
(b)配列番号4もしくは18に示されるアミノ酸配列および配列番号4もしくは18に示されるアミノ酸配列と少なくとも90%のアミノ酸配列同一性を含む軽鎖免疫グロブリンのCDR-L1、CDR-L2およびCDR-L3を含む免疫グロブリン軽鎖可変領域を含む、請求項1~3のいずれか1項に記載の抗原結合タンパク質。 (A) CDR-H1 of a heavy chain immunoglobulin containing at least 90% amino acid sequence identity with the amino acid sequence set forth in SEQ ID NOs: 2, 17 or 19 and the amino acid sequence set forth in SEQ ID NOs: 2, 17 or 19. Immunoglobulin heavy chain variable region containing CDR-H2 and CDR-H3; and / or (b) the amino acid sequence set forth in SEQ ID NO: 4 or 18 and the amino acid sequence set forth in SEQ ID NO: 4 or 18 and at least 90% of the amino acid sequence. The antigen-binding protein according to any one of claims 1 to 3, which comprises an immunoglobulin light chain variable region containing CDR-L1, CDR-L2 and CDR-L3 of a light chain immunoglobulin comprising identity.
(b)アミノ酸配列:KAS(配列番号14)を含むCDR-L2、および/もしくは
(c)アミノ酸配列:QQYNSYSYT(配列番号16)を含むCDR-L3
を含む軽鎖免疫グロブリン可変領域;ならびに/または
(a)アミノ酸配列:GFTFSSYG(配列番号6)を含むCDR-H1、
(b)アミノ酸配列:IWNDGSYV(配列番号8)を含むCDR-H2、
(c)アミノ酸配列:AREGEWVLYYFDY(配列番号10)を含むCDR-H3を含む重鎖免疫グロブリン可変領域
を含む、請求項1~4のいずれか1項に記載の抗原結合タンパク質。 (A) Amino acid sequence: CDR-L1 containing QSISSW (SEQ ID NO: 12),
(B) Amino acid sequence: CDR-L2 containing KAS (SEQ ID NO: 14) and / or (c) Amino acid sequence: CDR-L3 containing QQYNSYSSYS (SEQ ID NO: 16).
Light chain immunoglobulin variable region comprising; and / or (a) amino acid sequence: CDR-H1, comprising GFTFSSYG (SEQ ID NO: 6),
(B) Amino acid sequence: CDR-H2 containing IWNDGSYV (SEQ ID NO: 8),
(C) The antigen-binding protein according to any one of claims 1 to 4, which comprises a heavy chain immunoglobulin variable region containing CDR-H3 containing an amino acid sequence: AREGWVLYYFDY (SEQ ID NO: 10).
および/または
(b)配列番号18に示されるアミノ酸配列を含む軽鎖免疫グロブリン、もしくは配列番号4に示されるアミノ酸配列を含む免疫グロブリン軽鎖可変領域
を含む、請求項1~5のいずれか1項に記載の抗原結合タンパク質。 (A) Heavy chain immunoglobulin containing the amino acid sequence set forth in SEQ ID NO: 17 or 19, or immunoglobulin heavy chain variable region containing the amino acid sequence set forth in SEQ ID NO: 2.
And / or (b) any one of claims 1-5, comprising a light chain immunoglobulin comprising the amino acid sequence set forth in SEQ ID NO: 18 or an immunoglobulin light chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 4. The antigen-binding protein according to the section.
・TMPRSS2発現細胞におけるインフルエンザウイルスの増殖を阻害する;
・TMPRSS発現細胞の表面に結合する;
・TMPRSS2を発現しないMDCK/Tet-on細胞に有意に結合しない;
・約25℃で約2.81×10-9MのKDでヒトTMPRSS2に結合する;
・約37℃で約9.31×10-9MのKDでヒトTMPRSS2に結合する;
・約25℃で約5.60×10-8MのKDでカニクイザルTMPRSS2に結合する;
・約37℃で約1.40×10-7MのKDでカニクイザルTMPRSS2に結合する;
・インビトロでの細胞のインフルエンザウイルス感染の拡大を制限する;および/または・ヒトTMPRSS2タンパク質を発現するように操作されたマウスを、インフルエンザウイルス感染によって引き起こされる死から保護する
のうちの1つまたはそれ以上を含む、請求項1~8のいずれか1項に記載の抗原結合タンパク質。 The following characteristics:
-Inhibits the growth of influenza virus in TMPRSS2-expressing cells;
-Binds to the surface of TMPRSS-expressing cells;
-Does not significantly bind to MDCK / Tet-on cells that do not express TMPRSS2;
-Binds to human TMPRSS2 at about 2.81 x 10 -9 M KD at about 25 ° C;
-Binds to human TMPRSS2 at about 9.31 × 10 -9 M KD at about 37 ° C;
-Binds to cynomolgus monkey TMPRSS2 at about 5.60 x 10 -8 M KD at about 25 ° C;
-Binds to cynomolgus monkey TMPRSS2 at about 1.40 x 10 -7 M KD at about 37 ° C;
-Limiting the spread of influenza virus infection of cells in vitro; and / or-one of the protections for mice engineered to express the human TMPRSS2 protein from death caused by influenza virus infection or it. The antigen-binding protein according to any one of claims 1 to 8, which comprises the above.
(a)前記抗原結合タンパク質の免疫グロブリン鎖をコードする1つもしくはそれ以上のポリヌクレオチドを導入する工程;
(b)該ポリヌクレオチドの発現に適した条件下で宿主細胞を培養する工程;
(c)場合により、該宿主細胞、および/または該宿主細胞が増殖される培地から該抗原結合タンパク質もしくは免疫グロブリン鎖を単離する工程
を含む前記方法。 The method for producing an antigen-binding protein according to any one of claims 1 to 9 or an immunoglobulin chain thereof.
(A) A step of introducing one or more polynucleotides encoding the immunoglobulin chain of the antigen-binding protein;
(B) A step of culturing a host cell under conditions suitable for expression of the polynucleotide;
(C) The method comprising, optionally, isolating the antigen-binding protein or immunoglobulin chain from the host cell and / or the medium in which the host cell is grown.
(a)配列番号2に示されるアミノ酸配列を含む免疫グロブリン鎖のVHドメインのCDR1、CDR2、およびCDR3;または
(b)配列番号4に示されるアミノ酸配列を含む免疫グロブリン鎖のVLドメインのCDR1、CDR2、およびCDR3
を含む前記ポリペプチド。 It ’s a polypeptide,
(A) CDR1, CDR2, and CDR3 of the V H domain of the immunoglobulin chain comprising the amino acid sequence set forth in SEQ ID NO: 2; or (b) the VL domain of the immunoglobulin chain comprising the amino acid sequence set forth in SEQ ID NO: 4. CDR1, CDR2, and CDR3
The polypeptide comprising.
(a)配列番号2に示されるアミノ酸配列を含む免疫グロブリン鎖のVHドメインのCDR1、CDR2、およびCDR3;または
(b)配列番号18に示されるアミノ酸配列を含む免疫グロブリン鎖のVLドメインのCDR1、CDR2、およびCDR3
を含む前記ポリペプチド。 It ’s a polypeptide,
(A) CDR1, CDR2, and CDR3 of the V H domain of the immunoglobulin chain comprising the amino acid sequence set forth in SEQ ID NO: 2; or (b) the VL domain of the immunoglobulin chain comprising the amino acid sequence set forth in SEQ ID NO: 18. CDR1, CDR2, and CDR3
The polypeptide comprising.
4B;H1H17975B;H1H17976B;H1H17977B;H1H17978B;H1H17979B;H1H17980B;H1H17981B;H1H17982B;H1H17983B;H1H17984B;H1H17985B;H1H17986B;H1H17987B;H1H17988B;H1H17989B;H1H17990B;H1H17991B;H1H17992B;H1H17993B;H1H17994B;H1H17995B;H1H17996B;H1H17997B;H1H17998B;H1H17999B;H1H18000B;H1H18001B;H1H18002B;H1H18003B;H1H18004B;H1H18005B;H1H18006B;H1H18007B;H1H18008B;H1H18009B;H1H18010B;H1H18011B;H1H18012B;H1H18013B;H1H18014B;H1H18015B;H1H18016B;H1H18017B;H1H18018B;H1H18019B;H1H18020B;H1H18021B;H1H18022B;H1H18023B;H1H18024B;H1H18025B;H1H18026B;H1H18027B;H1H18028B;H1H18029B;H1H18030B;H1H18031B;H1H18032B;H1H18033B;H1H18034B;H1H18035B;H1H18037B;H1H18038B;H1H18039B;H1H18040B;H1H18041B;H1H18042B;H1H18043B;H1H18044B;H1H18045B;H1H18046B;H1H18047B;H1H18048B;H1H18049B;H1H18051B;H1H18052B;H1H18053B;H1H18054B;H1H18055B;H1H18056B;H1H18057B;H1H18058B;H1H18059B;H1H18060B;H1H18061B;H1H18062B;H1H18063B;H1H18064B;H1H18065B;H1H18066B;H1H18067B;H1H18068B;H1H18069B;H1H18070B;H1H18071B;H1H18072B;H1H18073B;H1H18074B;H1H18075B;H1H18076B;H1H18077B;H1H18078B;H1H18079B;H1H18080B;H1H18081B;H1H18082B;H1H18083B;H1H18084B;H1H18085B;H1H18086B;H1H18087B;H1H18088B;H1H18089B;H1H18090B;H1H18091B;H1H18092B;H1H18093B;H1H18094B;H1H18095B;H1H18096B;H1H18097B;H1H18098B;H1H18099B;H1H18100B;H1H18101B;H1H18102B;H1H18103B;H1H18104B;H1H18105B;H1H18107B;H1H18108B;H1H18109B;H1H18110B;H1H18111B;H1H18112B;H1H18113B;H1H18114B;H1H18115B;H1H18116B;H1H18117B;H1H18118B;H1H18119B;H1H18120B;H1H18121B;H1H18122B;H1H18123B;H1H18124B;H1H18125B;H1H18126B;H1H18127B;H1H18128B;H1H18129B;H1H18130B;H1H18131B;H1H18132B;H1H18133B;H1H18134B;H1H18135B;H1H18136B;H1H18137B;H1H18138B;H1H18139B;H1H18140B;H1H18141B;H1H18142B;H1H18143B;H1H18144B;H1H18145B;H1H18146B;H1H18147B;H1H18148B;H1H18149B;H1H18150B;H1H18151B;H1H18152B;H1H18153B;H1H18154B;H1H18155B;H1H18156B;H1H18157B;H1H18158B;H1H18159B;H1H18160B;H1H18161B;H1H18162B;H1H18163B;H1H18164B;H1H18165B;H1H18166B;H1H18167B;H1H18168B;H1H18169B;H1H18170B;H1H18171B;H1H18172B;H1H18173B;H1H18174B;H1H18175B;H1H18176B;H1H1817
7B;H1H18178B;H1H18179B;H1H18180B;H1H18181B;H1H18182B;H1H18183B;H1H18184B;H1H18185B;H1H18186B;H1H18187B;H1H18188B;H1H18189B;H1H18190B;H1H18191B;H1H18192B;H1H18193B;H1H18194B;H1H18195B;H1H18196B;H1H18197B;H1H18198B;H1H18199B;H1H18200B;H1H18201B;H1H18202B;H1H18203B;H1H18204B;H1H18205B;H1H18206B;H1H18207B;H1H18208B;H1H18209B;H1H18210B;H1H18211B;H1H18212B;H1H18213B;H1H18214B;H1H18216B;H1H18217B;H1H18218B;H1H18219B;H1H18220B;H1H18221B;H1H18222B;H1H18223B;H1H18224B;H1H18225B;H1H18226B;H1H18227B;H1H18228B;H1H18229B;H1H18230B;H1H18231B;H1H18232B;H1H18233B;H1H18234B;H1H18235B;H1H18236B;H1H18237B;H1H18238B;H1H18239B;H1H18240B;H1H18241B;H1H18242B;H1H18243B;H1H18244B;H1H18245B;H1H18246B;H1H18247B;H1H18248B;H1H18249B;H1H18250B;H1H18251B;H1H18252B;H1H18253B;H1H18254B;H1H18255B;H1H18256B;H1H18257B;H1H18258B;H1H18259B;H1H18261B;H1H18262B;H1H18263B;H1H18264B;H1H18265B;H1H18266B;H1H18267B;H1H18268B;H1H18269B;H1H18270B;H1H18271B;H1H18272B;H1H18274B;H1H18275B;H1H18276B;H1H18277B;H1H18278B;H1H18279B;H1H18280B;H1H18281B;H1H18282B;H1H18283B;H1H18284B;H1H18285B;H1H18286B;H1H18287B;H1H18288B;H1H18289B;H1H18290B;H1H18291B;H1H18292B;H1H18293B;H1H18294B;H1H18295B;H1H18297B;H1H18298B;H1H18299B;H1H18300B;H1H18301B;H1H18302B;H1H18303B;H1H18304B;H1H18305B;H1H18306B;H1H18307B;H1H18308B;H1H18309B;H1H18310B;H1H18311B;H1H18312B;H1H18313B;H1H18314B;H1H18315B;H1H18316B;H1H18317B;H1H18318B;H1H18319B;H1H18320B;H1H18321B;H1H18322B;H1H18323B;H1H18324B;H1H18325B;H1H18326B;H1H18327B;H1H18328B;H1H18329B;H1H18330B;H1H18331B;H1H18332B;H1H18333B;H1H18334B;およびH1H18335Bからなる群から選択される抗体またはその抗原結合断片である、請求項19または20のいずれか1項に記載の組成物またはキット。 Further therapeutic agents consist of regipasivir, sofosbuvir, a combination of regipasivir and sofosbuvir, oseltamivir, zanamivir, ribavirin and interferon-alpha 2b, interferon-alpha 2a, anticancer agents, and antibodies or antigen-binding fragments thereof that specifically bind to influenza HA.群から選択されるメンバー;ならびに/またはH1H14611N2;H1H14612N2;H1H11723P;H1H11729P;H1H11820N;H1H11829N;H1H11829N2;H2aM11829N;H2M11830N;H1H11830N2;H1H11903N;H1H14571N;H2a14571N;H1H11704P;H1H11711P;H1H11714P;H1H11717P;H1H11724P;H1H11727P;H1H11730P2; H1H11731P2;H1H11734P2;H1H11736P2;H1H11742P2;H1H11744P2;H1H11745P2;H1H11747P2;H1H11748P2;H1H17952B;H1H17953B;H1H17954B;H1H17955B;H1H17956B;H1H17957B;H1H17958B;H1H17959B;H1H17960B;H1H17961B;H1H17962B;H1H17963B;H1H17964B;H1H17965B;H1H17966B;H1H17967B;H1H17968B; H1H17969B; H1H17970B; H1H17971B; H1H17972B; H1H17973B; H1H1797
4B;H1H17975B;H1H17976B;H1H17977B;H1H17978B;H1H17979B;H1H17980B;H1H17981B;H1H17982B;H1H17983B;H1H17984B;H1H17985B;H1H17986B;H1H17987B;H1H17988B;H1H17989B;H1H17990B;H1H17991B;H1H17992B;H1H17993B;H1H17994B;H1H17995B;H1H17996B;H1H17997B;H1H17998B; H1H17999B;H1H18000B;H1H18001B;H1H18002B;H1H18003B;H1H18004B;H1H18005B;H1H18006B;H1H18007B;H1H18008B;H1H18009B;H1H18010B;H1H18011B;H1H18012B;H1H18013B;H1H18014B;H1H18015B;H1H18016B;H1H18017B;H1H18018B;H1H18019B;H1H18020B;H1H18021B;H1H18022B;H1H18023B; H1H18024B;H1H18025B;H1H18026B;H1H18027B;H1H18028B;H1H18029B;H1H18030B;H1H18031B;H1H18032B;H1H18033B;H1H18034B;H1H18035B;H1H18037B;H1H18038B;H1H18039B;H1H18040B;H1H18041B;H1H18042B;H1H18043B;H1H18044B;H1H18045B;H1H18046B;H1H18047B;H1H18048B;H1H18049B; H1H18051B;H1H18052B;H1H18053B;H1H18054B;H1H18055B;H1H18056B;H1H18057B;H1H18058B;H1H18059B;H1H18060B;H1H18061B;H1H18062B;H1H18063B;H1H18064B;H1H18065B;H1H18066B;H1H18067B;H1H18068B;H1H18069B;H1H18070B;H1H18071B;H1H18072B;H1H18073B;H1H18074B;H1H18075B; H1H1807 6B;H1H18077B;H1H18078B;H1H18079B;H1H18080B;H1H18081B;H1H18082B;H1H18083B;H1H18084B;H1H18085B;H1H18086B;H1H18087B;H1H18088B;H1H18089B;H1H18090B;H1H18091B;H1H18092B;H1H18093B;H1H18094B;H1H18095B;H1H18096B;H1H18097B;H1H18098B;H1H18099B;H1H18100B; H1H18101B;H1H18102B;H1H18103B;H1H18104B;H1H18105B;H1H18107B;H1H18108B;H1H18109B;H1H18110B;H1H18111B;H1H18112B;H1H18113B;H1H18114B;H1H18115B;H1H18116B;H1H18117B;H1H18118B;H1H18119B;H1H18120B;H1H18121B;H1H18122B;H1H18123B;H1H18124B;H1H18125B;H1H18126B; H1H18127B;H1H18128B;H1H18129B;H1H18130B;H1H18131B;H1H18132B;H1H18133B;H1H18134B;H1H18135B;H1H18136B;H1H18137B;H1H18138B;H1H18139B;H1H18140B;H1H18141B;H1H18142B;H1H18143B;H1H18144B;H1H18145B;H1H18146B;H1H18147B;H1H18148B;H1H18149B;H1H18150B;H1H18151B; H1H18152B;H1H18153B;H1H18154B;H1H18155B;H1H18156B;H1H18157B;H1H18158B;H1H18159B;H1H18160B;H1H18161B;H1H18162B;H1H18163B;H1H18164B;H1H18165B;H1H18166B;H1H18167B;H1H18168B;H1H18169B;H1H18170B;H1H18171B;H1H18172B;H1H18173B;H1H18174B;H1H18175B;H1H18176B; H1H1817
7B;H1H18178B;H1H18179B;H1H18180B;H1H18181B;H1H18182B;H1H18183B;H1H18184B;H1H18185B;H1H18186B;H1H18187B;H1H18188B;H1H18189B;H1H18190B;H1H18191B;H1H18192B;H1H18193B;H1H18194B;H1H18195B;H1H18196B;H1H18197B;H1H18198B;H1H18199B;H1H18200B;H1H18201B; H1H18202B;H1H18203B;H1H18204B;H1H18205B;H1H18206B;H1H18207B;H1H18208B;H1H18209B;H1H18210B;H1H18211B;H1H18212B;H1H18213B;H1H18214B;H1H18216B;H1H18217B;H1H18218B;H1H18219B;H1H18220B;H1H18221B;H1H18222B;H1H18223B;H1H18224B;H1H18225B;H1H18226B;H1H18227B; H1H18228B;H1H18229B;H1H18230B;H1H18231B;H1H18232B;H1H18233B;H1H18234B;H1H18235B;H1H18236B;H1H18237B;H1H18238B;H1H18239B;H1H18240B;H1H18241B;H1H18242B;H1H18243B;H1H18244B;H1H18245B;H1H18246B;H1H18247B;H1H18248B;H1H18249B;H1H18250B;H1H18251B;H1H18252B; H1H18253B;H1H18254B;H1H18255B;H1H18256B;H1H18257B;H1H18258B;H1H18259B;H1H18261B;H1H18262B;H1H18263B;H1H18264B;H1H18265B;H1H18266B;H1H18267B;H1H18268B;H1H18269B;H1H18270B;H1H18271B;H1H18272B;H1H18274B;H1H18275B;H1H18276B;H1H18277B;H1H18278B;H1H18279B; H1H1828 0B;H1H18281B;H1H18282B;H1H18283B;H1H18284B;H1H18285B;H1H18286B;H1H18287B;H1H18288B;H1H18289B;H1H18290B;H1H18291B;H1H18292B;H1H18293B;H1H18294B;H1H18295B;H1H18297B;H1H18298B;H1H18299B;H1H18300B;H1H18301B;H1H18302B;H1H18303B;H1H18304B;H1H18305B; H1H18306B;H1H18307B;H1H18308B;H1H18309B;H1H18310B;H1H18311B;H1H18312B;H1H18313B;H1H18314B;H1H18315B;H1H18316B;H1H18317B;H1H18318B;H1H18319B;H1H18320B;H1H18321B;H1H18322B;H1H18323B;H1H18324B;H1H18325B;H1H18326B;H1H18327B;H1H18328B;H1H18329B;H1H18330B; The composition or kit according to any one of claims 19 or 20, which is an antibody or antigen-binding fragment thereof selected from the group consisting of H1H18331B; H1H183332B; H1H183333B; H1H18334B; and H1H18335B.
B;H1H18066B;H1H18067B;H1H18068B;H1H18069B;H1H18070B;H1H18071B;H1H18072B;H1H18073B;H1H18074B;H1H18075B;H1H18076B;H1H18077B;H1H18078B;H1H18079B;H1H18080B;H1H18081B;H1H18082B;H1H18083B;H1H18084B;H1H18085B;H1H18086B;H1H18087B;H1H18088B;H1H18089B;H1H18090B;H1H18091B;H1H18092B;H1H18093B;H1H18094B;H1H18095B;H1H18096B;H1H18097B;H1H18098B;H1H18099B;H1H18100B;H1H18101B;H1H18102B;H1H18103B;H1H18104B;H1H18105B;H1H18107B;H1H18108B;H1H18109B;H1H18110B;H1H18111B;H1H18112B;H1H18113B;H1H18114B;H1H18115B;H1H18116B;H1H18117B;H1H18118B;H1H18119B;H1H18120B;H1H18121B;H1H18122B;H1H18123B;H1H18124B;H1H18125B;H1H18126B;H1H18127B;H1H18128B;H1H18129B;H1H18130B;H1H18131B;H1H18132B;H1H18133B;H1H18134B;H1H18135B;H1H18136B;H1H18137B;H1H18138B;H1H18139B;H1H18140B;H1H18141B;H1H18142B;H1H18143B;H1H18144B;H1H18145B;H1H18146B;H1H18147B;H1H18148B;H1H18149B;H1H18150B;H1H18151B;H1H18152B;H1H18153B;H1H18154B;H1H18155B;H1H18156B;H1H18157B;H1H18158B;H1H18159B;H1H18160B;H1H18161B;H1H18162B;H1H18163B;H1H18164B;H1H18165B;H1H18166B;H1H18167B;H1H18168B;H1H18169B;H1H18170B;H1H18171B;H1H18172B;H1H18173B;H1H18174B;H1H18175B;H1H18176B;H1H18177B;H1H18178B;H1H18179B;H1H18180B;H1H18181B;H1H18182B;H1H18183B;H1H18184B;H1H18185B;H1H18186B;H1H18187B;H1H18188B;H1H18189B;H1H18190B;H1H18191B;H1H18192B;H1H18193B;H1H18194B;H1H18195B;H1H18196B;H1H18197B;H1H18198B;H1H18199B;H1H18200B;H1H18201B;H1H18202B;H1H18203B;H1H18204B;H1H18205B;H1H18206B;H1H18207B;H1H18208B;H1H18209B;H1H18210B;H1H18211B;H1H18212B;H1H18213B;H1H18214B;H1H18216B;H1H18217B;H1H18218B;H1H18219B;H1H18220B;H1H18221B;H1H18222B;H1H18223B;H1H18224B;H1H18225B;H1H18226B;H1H18227B;H1H18228B;H1H18229B;H1H18230B;H1H18231B;H1H18232B;H1H18233B;H1H18234B;H1H18235B;H1H18236B;H1H18237B;H1H18238B;H1H18239B;H1H18240B;H1H18241B;H1H18242B;H1H18243B;H1H18244B;H1H18245B;H1H18246B;H1H18247B;H1H18248B;H1H18249B;H1H18250B;H1H18251B;H1H18252B;H1H18253B;H1H18254B;H1H18255B;H1H18256B;H1H18257B;H1H18258B;H1H18259B;H1H18261B;H1H18262B;H1H18263B;H1H18264B;H1H18265B;H1H18266B;H1H18267B;H1H18268
B;H1H18269B;H1H18270B;H1H18271B;H1H18272B;H1H18274B;H1H18275B;H1H18276B;H1H18277B;H1H18278B;H1H18279B;H1H18280B;H1H18281B;H1H18282B;H1H18283B;H1H18284B;H1H18285B;H1H18286B;H1H18287B;H1H18288B;H1H18289B;H1H18290B;H1H18291B;H1H18292B;H1H18293B;H1H18294B;H1H18295B;H1H18297B;H1H18298B;H1H18299B;H1H18300B;H1H18301B;H1H18302B;H1H18303B;H1H18304B;H1H18305B;H1H18306B;H1H18307B;H1H18308B;H1H18309B;H1H18310B;H1H18311B;H1H18312B;H1H18313B;H1H18314B;H1H18315B;H1H18316B;H1H18317B;H1H18318B;H1H18319B;H1H18320B;H1H18321B;H1H18322B;H1H18323B;H1H18324B;H1H18325B;H1H18326B;H1H18327B;H1H18328B;H1H18329B;H1H18330B;H1H18331B;H1H18332B;H1H18333B;H1H18334B;およびH1H18335Bからなる群から選択される抗体もしくはその抗原結合断片である1つまたはそれ以上のさらなる治療剤を対象に投与することを特徴とする、請求項24または25に記載の医薬組成物。 Members selected from the group consisting of ledipasvir, sofosbuvir, combination of ledipasvir and sofosbuvir, oseltamivir, zanamivir, ribavirin and interferon-alpha 2b, interferon-alpha 2a, and antibodies or antigen-binding fragments thereof that specifically bind to influenza HA;ならびに/またはH1H14611N2;H1H14612N2;H1H11723P;H1H11729P;H1H11820N;H1H11829N;H1H11829N2;H2aM11829N;H2M11830N;H1H11830N2;H1H11903N;H1H14571N;H2a14571N;H1H11704P;H1H11711P;H1H11714P;H1H11717P;H1H11724P;H1H11727P;H1H11730P2;H1H11731P2;H1H11734P2;H1H11736P2;H1H11742P2 ;H1H11744P2;H1H11745P2;H1H11747P2;H1H11748P2;H1H17952B;H1H17953B;H1H17954B;H1H17955B;H1H17956B;H1H17957B;H1H17958B;H1H17959B;H1H17960B;H1H17961B;H1H17962B;H1H17963B;H1H17964B;H1H17965B;H1H17966B;H1H17967B;H1H17968B;H1H17969B;H1H17970B;H1H17971B;H1H17972B ;H1H17973B;H1H17974B;H1H17975B;H1H17976B;H1H17977B;H1H17978B;H1H17979B;H1H17980B;H1H17981B;H1H17982B;H1H17983B;H1H17984B;H1H17985B;H1H17986B;H1H17987B;H1H17988B;H1H17989B;H1H17990B;H1H17991B;H1H17992B;H1H17993B;H1H17994B;H1H17995B;H1H17996B;H1H17997B H1H17998B; H1H1799B; H1H18000B; H1H18001B; H1H180002B; H1H18003B; H1H18004B; H1H18005B; H1H18006B; H1H18007B ;H1H18008B;H1H18009B;H1H18010B;H1H18011B;H1H18012B;H1H18013B;H1H18014B;H1H18015B;H1H18016B;H1H18017B;H1H18018B;H1H18019B;H1H18020B;H1H18021B;H1H18022B;H1H18023B;H1H18024B;H1H18025B;H1H18026B;H1H18027B;H1H18028B;H1H18029B;H1H18030B;H1H18031B;H1H18032B ;H1H18033B;H1H18034B;H1H18035B;H1H18037B;H1H18038B;H1H18039B;H1H18040B;H1H18041B;H1H18042B;H1H18043B;H1H18044B;H1H18045B;H1H18046B;H1H18047B;H1H18048B;H1H18049B;H1H18051B;H1H18052B;H1H18053B;H1H18054B;H1H18055B;H1H18056B;H1H18057B;H1H18058B;H1H18059B H1H18060B; H1H18061B; H1H18062B; H1H18063B; H1H18064B; H1H18065
B;H1H18066B;H1H18067B;H1H18068B;H1H18069B;H1H18070B;H1H18071B;H1H18072B;H1H18073B;H1H18074B;H1H18075B;H1H18076B;H1H18077B;H1H18078B;H1H18079B;H1H18080B;H1H18081B;H1H18082B;H1H18083B;H1H18084B;H1H18085B;H1H18086B;H1H18087B;H1H18088B;H1H18089B; H1H18090B;H1H18091B;H1H18092B;H1H18093B;H1H18094B;H1H18095B;H1H18096B;H1H18097B;H1H18098B;H1H18099B;H1H18100B;H1H18101B;H1H18102B;H1H18103B;H1H18104B;H1H18105B;H1H18107B;H1H18108B;H1H18109B;H1H18110B;H1H18111B;H1H18112B;H1H18113B;H1H18114B;H1H18115B; H1H18116B;H1H18117B;H1H18118B;H1H18119B;H1H18120B;H1H18121B;H1H18122B;H1H18123B;H1H18124B;H1H18125B;H1H18126B;H1H18127B;H1H18128B;H1H18129B;H1H18130B;H1H18131B;H1H18132B;H1H18133B;H1H18134B;H1H18135B;H1H18136B;H1H18137B;H1H18138B;H1H18139B;H1H18140B; H1H18141B;H1H18142B;H1H18143B;H1H18144B;H1H18145B;H1H18146B;H1H18147B;H1H18148B;H1H18149B;H1H18150B;H1H18151B;H1H18152B;H1H18153B;H1H18154B;H1H18155B;H1H18156B;H1H18157B;H1H18158B;H1H18159B;H1H18160B;H1H18161B;H1H18162B;H1H18163B;H1H18164B;H1H18165B; H1H18166 B;H1H18167B;H1H18168B;H1H18169B;H1H18170B;H1H18171B;H1H18172B;H1H18173B;H1H18174B;H1H18175B;H1H18176B;H1H18177B;H1H18178B;H1H18179B;H1H18180B;H1H18181B;H1H18182B;H1H18183B;H1H18184B;H1H18185B;H1H18186B;H1H18187B;H1H18188B;H1H18189B;H1H18190B; H1H18191B;H1H18192B;H1H18193B;H1H18194B;H1H18195B;H1H18196B;H1H18197B;H1H18198B;H1H18199B;H1H18200B;H1H18201B;H1H18202B;H1H18203B;H1H18204B;H1H18205B;H1H18206B;H1H18207B;H1H18208B;H1H18209B;H1H18210B;H1H18211B;H1H18212B;H1H18213B;H1H18214B;H1H18216B; H1H18217B;H1H18218B;H1H18219B;H1H18220B;H1H18221B;H1H18222B;H1H18223B;H1H18224B;H1H18225B;H1H18226B;H1H18227B;H1H18228B;H1H18229B;H1H18230B;H1H18231B;H1H18232B;H1H18233B;H1H18234B;H1H18235B;H1H18236B;H1H18237B;H1H18238B;H1H18239B;H1H18240B;H1H18241B; H1H18242B;H1H18243B;H1H18244B;H1H18245B;H1H18246B;H1H18247B;H1H18248B;H1H18249B;H1H18250B;H1H18251B;H1H18252B;H1H18253B;H1H18254B;H1H18255B;H1H18256B;H1H18257B;H1H18258B;H1H18259B;H1H18261B;H1H18262B;H1H18263B;H1H18264B;H1H18265B;H1H18266B;H1H18267B; H1H18268
B;H1H18269B;H1H18270B;H1H18271B;H1H18272B;H1H18274B;H1H18275B;H1H18276B;H1H18277B;H1H18278B;H1H18279B;H1H18280B;H1H18281B;H1H18282B;H1H18283B;H1H18284B;H1H18285B;H1H18286B;H1H18287B;H1H18288B;H1H18289B;H1H18290B;H1H18291B;H1H18292B;H1H18293B; H1H18294B;H1H18295B;H1H18297B;H1H18298B;H1H18299B;H1H18300B;H1H18301B;H1H18302B;H1H18303B;H1H18304B;H1H18305B;H1H18306B;H1H18307B;H1H18308B;H1H18309B;H1H18310B;H1H18311B;H1H18312B;H1H18313B;H1H18314B;H1H18315B;H1H18316B;H1H18317B;H1H18318B;H1H18319B; H1H18320B; H1H18321B; H1H18322B; H1H18323B; H1H18324B; H1H18325B; H1H18326B; H1H18327B; H1H18328B; H1H18329B; H1H1832B; The pharmaceutical composition according to claim 24 or 25, wherein a further therapeutic agent is administered to the subject.
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