JPWO2020223445A5 - - Google Patents

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JPWO2020223445A5
JPWO2020223445A5 JP2021564537A JP2021564537A JPWO2020223445A5 JP WO2020223445 A5 JPWO2020223445 A5 JP WO2020223445A5 JP 2021564537 A JP2021564537 A JP 2021564537A JP 2021564537 A JP2021564537 A JP 2021564537A JP WO2020223445 A5 JPWO2020223445 A5 JP WO2020223445A5
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Priority claimed from PCT/US2020/030640 external-priority patent/WO2020223445A1/en
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単離免疫応答性細胞であって、
(a)第1の抗原と結合する細胞外抗原結合ドメインを含む第1のキメラ受容体および第2の抗原と結合する細胞外抗原結合ドメインを含む第2のキメラ受容体;または
(b)2つ以上の抗原結合ドメインを含むキメラ受容体であって、前記2つ以上の抗原結合ドメインの各々が抗原と結合し、各抗原結合ドメインが別個の抗原と結合する、キメラ受容体
を含み、
各抗原が、FLT3、CD33、CLEC12A、MS4A3、VSTM1、LAT2、MLC1、CD131、GAPT、PRAM1、SLC22A16、SLC17A9、SPNS3、ADGRE2、IL3RA、CD117、CD93、IL1RAP、CD244、CCR1、LILRB2、PIEZO1、CD38、EMB、MYADM、LILRA2、CD300LF、及びCD70からなる群から選択され、
前記第1の抗原が、前記第2の抗原とは異なる、
前記単離免疫応答性細胞。
An isolated immunoresponsive cell comprising
(a) a first chimeric receptor comprising an extracellular antigen binding domain that binds a first antigen and a second chimeric receptor comprising an extracellular antigen binding domain that binds a second antigen ; or
(b) a chimeric receptor comprising two or more antigen binding domains, wherein each of said two or more antigen binding domains binds an antigen and each antigen binding domain binds a separate antigen;
including
Each antigen is FLT3, CD33, CLEC12A, MS4A3, VSTM1, LAT2, MLC1, CD131, GAPT, PRAM1, SLC22A16, SLC17A9, SPNS3, ADGRE2, IL3RA, CD117, CD93, IL1RAP, CD244, CCR1, LILRB2, PIEZO1, CD38, selected from the group consisting of EMB, MYADM, LILRA2, CD300LF, and CD70;
wherein said first antigen is different from said second antigen;
Said isolated immunoresponsive cell.
前記第1の抗原が、FLT3であり、前記第1のキメラ受容体の前記細胞外抗原結合ドメインが、
(a)配列番号3のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号4のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、
(b)配列番号1のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号2のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、
(c)配列番号5のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号6のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、
(d)配列番号7のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号8のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、
(e)配列番号9のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号10のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、
(f)配列番号11のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号12のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、
(g)配列番号13のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号14のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、ならびに
(h)配列番号15のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号16のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL
からなる群から選択される重鎖可変ドメイン(VH)及び軽鎖可変ドメイン(VL)を含む、請求項1に記載の単離免疫応答性細胞。
wherein the first antigen is FLT3, and the extracellular antigen-binding domain of the first chimeric receptor comprises
(a) a VH comprising the amino acid sequence of SEQ ID NO:3 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO:4 or a sequence at least 90% identical thereto;
(b) a VH comprising the amino acid sequence of SEQ ID NO: 1 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO: 2 or a sequence at least 90% identical thereto;
(c) a VH comprising the amino acid sequence of SEQ ID NO:5 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO:6 or a sequence at least 90% identical thereto;
(d) a VH comprising the amino acid sequence of SEQ ID NO:7 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO:8 or a sequence at least 90% identical thereto;
(e) a VH comprising the amino acid sequence of SEQ ID NO:9 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO:10 or a sequence at least 90% identical thereto;
(f) a VH comprising the amino acid sequence of SEQ ID NO: 11 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO: 12 or a sequence at least 90% identical thereto;
(g) a VH comprising the amino acid sequence of SEQ ID NO: 13 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO: 14 or a sequence at least 90% identical thereto, and (h) an amino acid sequence of SEQ ID NO: 15 or a VH comprising a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO: 16 or a sequence at least 90% identical thereto
2. The isolated immunoresponsive cell of claim 1, comprising a heavy chain variable domain (VH) and a light chain variable domain (VL) selected from the group consisting of:
i)前記第2の抗原が、CD33であり、前記第2のキメラ受容体の前記細胞外抗原結合ドメインが、
(a)配列番号17のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号18のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、ならびに
(b)配列番号19のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号20のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL
からなる群から選択される重鎖可変ドメイン(VH)及び軽鎖可変ドメイン(VL)を含むか、あるいは
ii)前記第2の抗原が、CLEC12Aであり、
(a)配列番号21のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号22のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、
(b)配列番号23のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号24のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL、ならびに
(c)配列番号25のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVH、及び配列番号26のアミノ酸配列またはそれと少なくとも90%同一の配列を含むVL
からなる群から選択される重鎖可変ドメイン(VH)及び軽鎖可変ドメイン(VL)を含む、
請求項2に記載の単離免疫応答性細胞。
i) said second antigen is CD33 and said extracellular antigen binding domain of said second chimeric receptor is
(a) a VH comprising the amino acid sequence of SEQ ID NO: 17 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO: 18 or a sequence at least 90% identical thereto, and (b) the amino acid sequence of SEQ ID NO: 19 or a VH comprising a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO: 20 or a sequence at least 90% identical thereto
a heavy chain variable domain (VH) and a light chain variable domain (VL) selected from the group consisting of; or ii) said second antigen is CLEC12A;
(a) a VH comprising the amino acid sequence of SEQ ID NO:21 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO:22 or a sequence at least 90% identical thereto;
(b) a VH comprising the amino acid sequence of SEQ ID NO:23 or a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO:24 or a sequence at least 90% identical thereto, and (c) an amino acid sequence of SEQ ID NO:25 or a VH comprising a sequence at least 90% identical thereto, and a VL comprising the amino acid sequence of SEQ ID NO: 26 or a sequence at least 90% identical thereto
a heavy chain variable domain (VH) and a light chain variable domain (VL) selected from the group consisting of
3. The isolated immunoresponsive cell of claim 2.
キメラ受容体がCARであり、
各CARが、
i)CD3ゼータ鎖細胞内シグナル伝達ドメインを含み、任意に、各CARが、1つ以上の追加の細胞内シグナル伝達ドメインをさらに含み、前記1つ以上の追加の細胞内シグナル伝達ドメインが、CD97細胞内シグナル伝達ドメイン、CD11a-CD18細胞内シグナル伝達ドメイン、CD2細胞内シグナル伝達ドメイン、ICOS細胞内シグナル伝達ドメイン、CD27細胞内シグナル伝達ドメイン、CD154細胞内シグナル伝達ドメイン、CD8細胞内シグナル伝達ドメイン、OX40細胞内シグナル伝達ドメイン、4-1BB細胞内シグナル伝達ドメイン、CD28細胞内シグナル伝達ドメイン、ZAP40細胞内シグナル伝達ドメイン、CD30細胞内シグナル伝達ドメイン、GITR細胞内シグナル伝達ドメイン、HVEM細胞内シグナル伝達ドメイン、DAP10細胞内シグナル伝達ドメイン、DAP12細胞内シグナル伝達ドメイン、MyD88細胞内シグナル伝達ドメイン、及び2B4細胞内シグナル伝達ドメインからなる群から選択され、及び/または
ii)膜貫通ドメインを含み、前記膜貫通ドメインが、CD8膜貫通ドメイン、CD28膜貫通ドメイン、CD3ゼータ鎖膜貫通ドメイン、CD4膜貫通ドメイン、4-1BB膜貫通ドメイン、OX40膜貫通ドメイン、ICOS膜貫通ドメイン、CTLA-4膜貫通ドメイン、PD-1膜貫通ドメイン、LAG-3膜貫通ドメイン、2B4膜貫通ドメイン、及びBTLA膜貫通ドメインからなる群から選択され、及び/または
iii)前記抗原結合ドメインと前記膜貫通ドメインとの間のスペーサー領域を含み、前記スペーサー領域が、配列番号55~64からなる群から選択されるアミノ酸配列を有する、
請求項1~のいずれか1項に記載の単離免疫応答性細胞。
each chimeric receptor is a CAR ,
Each CAR
i) a CD3 zeta chain intracellular signaling domain, optionally each CAR further comprising one or more additional intracellular signaling domains, said one or more additional intracellular signaling domains comprising CD97; intracellular signaling domain, CD11a-CD18 intracellular signaling domain, CD2 intracellular signaling domain, ICOS intracellular signaling domain, CD27 intracellular signaling domain, CD154 intracellular signaling domain, CD8 intracellular signaling domain, OX40 intracellular signaling domain, 4-1BB intracellular signaling domain, CD28 intracellular signaling domain, ZAP40 intracellular signaling domain, CD30 intracellular signaling domain, GITR intracellular signaling domain, HVEM intracellular signaling domain , the DAP10 intracellular signaling domain, the DAP12 intracellular signaling domain, the MyD88 intracellular signaling domain, and the 2B4 intracellular signaling domain; and/or ii) a transmembrane domain, wherein the transmembrane The domains are CD8 transmembrane domain, CD28 transmembrane domain, CD3 zeta chain transmembrane domain, CD4 transmembrane domain, 4-1BB transmembrane domain, OX40 transmembrane domain, ICOS transmembrane domain, CTLA-4 transmembrane domain, PD -1 transmembrane domain, LAG-3 transmembrane domain, 2B4 transmembrane domain, and BTLA transmembrane domain, and/or iii) a spacer region between said antigen binding domain and said transmembrane domain wherein the spacer region has an amino acid sequence selected from the group consisting of SEQ ID NOS: 55-64;
The isolated immunoresponsive cell of any one of claims 1-3 .
前記細胞が、抗原結合ドメインを含む阻害性キメラ受容体をさらに含み、任意に、前記阻害性キメラ受容体が、前記細胞の1つ以上の活性を阻害する、請求項1~のいずれか1項に記載の単離免疫応答性細胞。 5. Any one of claims 1-4 , wherein said cell further comprises an inhibitory chimeric receptor comprising an antigen binding domain, optionally said inhibitory chimeric receptor inhibits one or more activities of said cell. 13. The isolated immunoresponsive cell of paragraph. 前記阻害性キメラ受容体が、非腫瘍細胞上で発現される抗原と結合し、任意に、前記非腫瘍細胞上で発現される抗原が、脳、神経組織、内分泌、骨、骨髄、免疫系、内皮組織、筋肉、肺、肝臓、胆嚢、膵臓、消化管、腎臓、膀胱、雄性生殖器、雌性生殖器、脂肪、軟組織、及び皮膚からなる群から選択される組織に由来する、請求項に記載の単離免疫応答性細胞。 wherein said inhibitory chimeric receptor binds to an antigen expressed on a non-tumor cell, optionally wherein said antigen expressed on a non-tumor cell is selected from brain, nervous tissue, endocrine, bone, bone marrow, immune system, 6. The tissue of claim 5 , derived from a tissue selected from the group consisting of endothelial tissue, muscle, lung, liver, gallbladder, pancreas, gastrointestinal tract, kidney, bladder, male reproductive organs, female reproductive organs, fat, soft tissue, and skin. Isolated immunoresponsive cells. 前記阻害性キメラ受容体が、EMCN、JAM2、MS4A15、C4BPA、TRPM1、SCTR、SLC2A2、KCNQ2、PERP、WLS、FFAR2、PTPRB、NCKAP1、MPZL2、PLSCR4、TMEM47、ADGRL4、MET、BACE2、ATP8B1、LIFR、ART4、CALCRL、CNTNAP3、PCDH9、IL18R1、SLC8A3、CDH26、TMEM163、ABCA13、CACHD1、CYYR1、ABCB1、ADGRG6、ATP9A、CALN1、CDCP1、IL12RB2、SLC16A14、TMEM136、及びTMEM200Aからなる群から選択される抗原と結合する、請求項または請求項に記載の単離免疫応答性細胞。 said inhibitory chimeric receptor is EMCN, JAM2, MS4A15, C4BPA, TRPM1, SCTR, SLC2A2, KCNQ2, PERP, WLS, FFAR2, PTPRB, NCKAP1, MPZL2, PLSCR4, TMEM47, ADGRL4, MET, BACE2, ATP8B1, LIFR, an antigen selected from the group consisting of ART4, CALCRL, CNTNAP3, PCDH9, IL18R1, SLC8A3, CDH26, TMEM163, ABCA13, CACHD1, CYYR1, ABCB1, ADGRG6, ATP9A, CALN1, CDCP1, IL12RB2, SLC16A14, TMEM136, and TMEM200A combined with 7. The isolated immunoresponsive cell of claim 5 or claim 6 , wherein the immunoresponsive cell is. 前記阻害性キメラ受容体が、一本鎖可変断片(scFv)を含む抗原結合ドメインを含み、前記scFvが、抗EMCN抗体に由来する、請求項5~7のいずれか1項に記載の単離免疫応答性細胞。 8. The isolation of any one of claims 5-7 , wherein said inhibitory chimeric receptor comprises an antigen binding domain comprising a single chain variable fragment (scFv), said scFv being derived from an anti-EMCN antibody. immunoresponsive cells. 前記第1のキメラ受容体の前記抗原結合ドメイン、前記第2のキメラ受容体の前記抗原結合ドメイン、及び/または前記阻害性キメラ受容体の前記抗原結合ドメインが、1つ以上の一本鎖可変断片(scFv)を含み、前記1つ以上のscFvの各々が、重鎖可変ドメイン(VH)及び軽鎖可変ドメイン(VL)を含み、任意に、前記VH及びVLが、ペプチドリンカーによって分離され、任意に、前記ペプチドリンカーが、配列番号27のアミノ酸配列を含む、請求項5~8のいずれか1項に記載の単離免疫応答性細胞。 said antigen binding domain of said first chimeric receptor, said antigen binding domain of said second chimeric receptor, and/or said antigen binding domain of said inhibitory chimeric receptor comprises one or more single chain variable fragments (scFv), each of said one or more scFvs comprising a heavy chain variable domain (VH) and a light chain variable domain (VL), optionally wherein said VH and VL are separated by a peptide linker; Optionally, the isolated immunoresponsive cell of any one of claims 5-8 , wherein said peptide linker comprises the amino acid sequence of SEQ ID NO:27. 前記1つ以上のscFvの各々が、同じ抗原上の別個のエピトープと結合する、請求項に記載の単離免疫応答性細胞。 10. The isolated immunoresponsive cell of Claim 9 , wherein each of said one or more scFv binds a distinct epitope on the same antigen. 前記1つ以上のscFvの各々が、ペプチドリンカーによって分離され、任意に、前記ペプチドリンカーが、GGGGSGGGGSGGGGS(配列番号27)またはEAAAKEAAAKEAAAKEAAAK(配列番号74)のアミノ酸配列を含む、請求項9または10に記載の単離免疫応答性細胞。 11. The one or more scFv of claim 9 or 10, wherein each of said one or more scFv is separated by a peptide linker, optionally said peptide linker comprising an amino acid sequence of GGGGSGGGGSGGGGS (SEQ ID NO: 27) or EAAAAKEAAAAKEAAAAAKEAAAK (SEQ ID NO: 74). of isolated immunocompetent cells. 前記細胞が、T細胞、ナチュラルキラー(NK)細胞、細胞傷害性Tリンパ球(CTL)、制御性T細胞、ナチュラルキラーT(NKT)細胞、骨髄細胞、マクロファージ、ヒト胚性幹細胞(ESC)、ESC由来細胞、多能性幹細胞、及び人工多能性幹細胞(iPSC)、ならびにiPSC由来細胞からなる群から選択され、
任意に、前記免疫応答性細胞が、同種異系である、
請求項1~11のいずれか1項に記載の単離免疫応答性細胞。
said cells are T cells, natural killer (NK) cells, cytotoxic T lymphocytes (CTL), regulatory T cells, natural killer T (NKT) cells, bone marrow cells, macrophages, human embryonic stem cells (ESC), selected from the group consisting of ESC-derived cells, pluripotent stem cells, and induced pluripotent stem cells (iPSCs), and iPSC-derived cells;
optionally, said immunoresponsive cells are allogeneic;
The isolated immunoresponsive cell of any one of claims 1-11 .
有効量の請求項1~12のいずれか1項に記載の単離免疫応答性細胞、及び薬学的に許容される担体、薬学的に許容される賦形剤、またはそれらの組み合わせを含む、薬学的組成物。 A pharmaceutical composition comprising an effective amount of the isolated immunoresponsive cells of any one of claims 1-12 , and a pharmaceutically acceptable carrier, a pharmaceutically acceptable excipient, or a combination thereof. composition. 治療有効量の請求項1~12のいずれか1項に記載の単離免疫応答性細胞のいずれかまたは請求項13に記載の薬学的組成物を含む、対象において抗腫瘍免疫を提供するための医薬 A method for providing anti-tumor immunity in a subject comprising a therapeutically effective amount of any of the isolated immunoresponsive cells of any one of claims 1-12 or the pharmaceutical composition of claim 13 . Medicine . 治療有効量の請求項1~12のいずれか1項に記載の単離免疫応答性細胞のいずれかまたは請求項13に記載の薬学的組成物を含む、対象における骨髄障害を治療または予防するための医薬であって、
任意に、前記骨髄障害が、骨髄異形成症候群、骨髄増殖性腫瘍、慢性骨髄単球性白血病、急性骨髄性白血病(AML)、急性骨髄芽球性白血病、急性前骨髄球性白血病、急性骨髄単球性白血病、慢性骨髄性白血病、及び真性多血症である、
前記医薬
for treating or preventing bone marrow damage in a subject comprising a therapeutically effective amount of any of the isolated immunoreactive cells of any one of claims 1-12 or the pharmaceutical composition of claim 13 . a medicament of
Optionally, said myelopathy is myelodysplastic syndrome, myeloproliferative neoplasm, chronic myelomonocytic leukemia, acute myeloid leukemia (AML), acute myeloblastic leukemia, acute promyelocytic leukemia, acute myelomonocytic leukemia is leukemia, chronic myelogenous leukemia, and polycythemia vera,
Said medicament .
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