JPWO2021110990A5 - - Google Patents

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JPWO2021110990A5
JPWO2021110990A5 JP2022533579A JP2022533579A JPWO2021110990A5 JP WO2021110990 A5 JPWO2021110990 A5 JP WO2021110990A5 JP 2022533579 A JP2022533579 A JP 2022533579A JP 2022533579 A JP2022533579 A JP 2022533579A JP WO2021110990 A5 JPWO2021110990 A5 JP WO2021110990A5
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antibody
chain variable
variable domain
antigen
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Priority claimed from PCT/EP2020/084770 external-priority patent/WO2021110990A1/en
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ヒトC型レクチン様受容体-1メンバーA受容体(CLEC-1A受容体)の細胞外ドメインに特異的に結合する抗体又はその抗原結合性断片であって、
・アミノ酸配列がそれぞれ、
- 配列番号57、配列番号65、配列番号73、配列番号81、配列番号89又は配列番号97、特に、配列番号65、配列番号81、又は配列番号97のVHCDR1、及び
- 配列番号59、配列番号67、配列番号75、配列番号83、又は配列番号91、特に、配列番号67、配列番号75、又は配列番号83のVHCDR2、及び
- 配列番号61、配列番号69、配列番号77、配列番号85、又は配列番号93、特に、配列番号69、配列番号77、又は配列番号85のVHCDR3
から選択される3個のVHCDRを含む抗体重鎖可変ドメイン、並びに
・アミノ酸配列が、
- 配列番号4、配列番号12、配列番号20、配列番号28、又は配列番号36、特に、配列番号12、配列番号20、又は配列番号28のVLCDR1、及び
- 配列番号6、配列番号14、配列番号22、配列番号30、又は配列番号38、特に、配列番号14、配列番号22、又は配列番号30のVLCDR2、及び
- 配列番号8、配列番号16、配列番号24、配列番号32、又は配列番号40、特に、配列番号16、配列番号24、又は配列番号32のVLCDR3
から選択される3個のVLCDRを含む抗体軽鎖可変ドメイン
を含む抗体又はその抗原結合性断片。
An antibody or antigen-binding fragment thereof that specifically binds to the extracellular domain of human C-type lectin-like receptor-1 member A receptor (CLEC-1A receptor),
・Each amino acid sequence is
- VHCDR1 of SEQ ID NO: 57, SEQ ID NO: 65, SEQ ID NO: 73, SEQ ID NO: 81, SEQ ID NO: 89 or SEQ ID NO: 97, in particular SEQ ID NO: 65, SEQ ID NO: 81 or SEQ ID NO: 97, and
- VHCDR2 of SEQ ID NO: 59, SEQ ID NO: 67, SEQ ID NO: 75, SEQ ID NO: 83, or SEQ ID NO: 91, in particular SEQ ID NO: 67, SEQ ID NO: 75, or SEQ ID NO: 83, and
- VHCDR3 of SEQ ID NO: 61, SEQ ID NO: 69, SEQ ID NO: 77, SEQ ID NO: 85, or SEQ ID NO: 93, in particular SEQ ID NO: 69, SEQ ID NO: 77, or SEQ ID NO: 85
An antibody heavy chain variable domain comprising three VHCDRs selected from;
- VLCDR1 of SEQ ID NO: 4, SEQ ID NO: 12, SEQ ID NO: 20, SEQ ID NO: 28, or SEQ ID NO: 36, in particular SEQ ID NO: 12, SEQ ID NO: 20, or SEQ ID NO: 28, and
- VLCDR2 of SEQ ID NO: 6, SEQ ID NO: 14, SEQ ID NO: 22, SEQ ID NO: 30, or SEQ ID NO: 38, in particular SEQ ID NO: 14, SEQ ID NO: 22, or SEQ ID NO: 30, and
- VLCDR3 of SEQ ID NO: 8, SEQ ID NO: 16, SEQ ID NO: 24, SEQ ID NO: 32, or SEQ ID NO: 40, in particular SEQ ID NO: 16, SEQ ID NO: 24, or SEQ ID NO: 32
An antibody or an antigen-binding fragment thereof comprising an antibody light chain variable domain comprising three VLCDRs selected from:
・配列番号65、配列番号81、又は配列番号97で記載されたアミノ酸配列を含むか又はそれからなるVHCDR1、及び
・配列番号67、又は配列番号75、又は配列番号83で記載されたアミノ酸配列を含むか又はそれからなるVHCDR2、及び
・配列番号69、又は配列番号77、又は配列番号85で記載されたアミノ酸配列を含むか又はそれからなるVHCDR3、及び
・配列番号12、又は配列番号20、又は配列番号28で記載されたアミノ酸配列を含むか又はそれからなるVLCDR1、及び
・配列番号14、又は配列番号22、又は配列番号30で記載されたアミノ酸配列を含むか又はそれからなるVLCDR2、及び
・配列番号16、又は配列番号24、又は配列番号32で記載されたアミノ酸配列を含むか又はそれからなるVLCDR3
から選択される、少なくとも1個のCDRドメイン、特に、6個のCDRドメインを含む、請求項1に記載の抗体又はその抗原結合性断片。
- VHCDR1 containing or consisting of the amino acid sequence set forth in SEQ ID NO: 65, SEQ ID NO: 81, or SEQ ID NO: 97, and - Containing the amino acid sequence set forth in SEQ ID NO: 67, SEQ ID NO: 75, or SEQ ID NO: 83 VHCDR2 comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 69, or SEQ ID NO: 77, or SEQ ID NO: 85, and - SEQ ID NO: 12, or SEQ ID NO: 20, or SEQ ID NO: 28. VLCDR1 comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 14, or SEQ ID NO: 22, or VLCDR2 comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 30, and - SEQ ID NO: 16, or VLCDR3 comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 24 or SEQ ID NO: 32
2. The antibody or antigen-binding fragment thereof according to claim 1, comprising at least one CDR domain, in particular 6 CDR domains, selected from:
二次壊死細胞及び/若しくは腫瘍細胞、並びに/又は二次壊死細胞及び/若しくは腫瘍細胞の細胞内含有物への、ヒトCLEC-1Aの細胞外ドメインの結合、特に、ヒト免疫グロブリン、特にヒトIgGのFc断片と融合したヒトCLEC-1A受容体の細胞外ドメインを含む融合タンパク質の結合と拮抗する、請求項1又は2に記載の抗体又はその抗原結合性断片。 Binding of the extracellular domain of human CLEC-1A to secondary necrotic cells and/or tumor cells and/or intracellular contents of secondary necrotic cells and/or tumor cells, in particular human immunoglobulins, especially human IgG 3. The antibody or antigen-binding fragment thereof according to claim 1 or 2, which antagonizes the binding of a fusion protein comprising the extracellular domain of human CLEC-1A receptor fused to an Fc fragment of CLEC-1A receptor. 抗体重鎖可変ドメインが、
- それぞれ配列番号57、配列番号59、及び配列番号61、又は
- それぞれ配列番号65、配列番号67、及び配列番号69、又は
- それぞれ配列番号73、配列番号75、及び配列番号77、又は
- それぞれ配列番号81、配列番号83、及び配列番号85、又は
- それぞれ配列番号89、配列番号91、及び配列番号93、又は
- それぞれ配列番号97、配列番号75、及び配列番号77
の配列のVHCDR1、VHCDR2、及びVHCDR3を含む、請求項1から3のいずれか一項に記載の抗体又はその抗原結合性断片。
The antibody heavy chain variable domain is
- SEQ ID NO: 57, SEQ ID NO: 59, and SEQ ID NO: 61, respectively, or
- SEQ ID NO: 65, SEQ ID NO: 67, and SEQ ID NO: 69, respectively, or
- SEQ ID NO: 73, SEQ ID NO: 75, and SEQ ID NO: 77, respectively, or
- SEQ ID NO: 81, SEQ ID NO: 83, and SEQ ID NO: 85, respectively, or
- SEQ ID NO: 89, SEQ ID NO: 91, and SEQ ID NO: 93, respectively, or
- SEQ ID NO: 97, SEQ ID NO: 75, and SEQ ID NO: 77, respectively
4. The antibody or antigen-binding fragment thereof according to any one of claims 1 to 3, comprising VHCDR1, VHCDR2, and VHCDR3 of the sequence.
抗体軽鎖可変ドメインが、
- それぞれ配列番号4、配列番号6、及び配列番号8、又は
- それぞれ配列番号12、配列番号14、及び配列番号16、又は
- それぞれ配列番号20、配列番号22、及び配列番号24、又は
- それぞれ配列番号28、配列番号30、及び配列番号32、又は
- それぞれ配列番号36、配列番号38、及び配列番号40
の配列のVLCDR1、VLCDR2、及びVLCDR3を含む、請求項1から4のいずれか一項に記載の抗体又はその抗原結合性断片。
The antibody light chain variable domain is
- SEQ ID NO: 4, SEQ ID NO: 6, and SEQ ID NO: 8, respectively, or
- SEQ ID NO: 12, SEQ ID NO: 14, and SEQ ID NO: 16, respectively, or
- SEQ ID NO: 20, SEQ ID NO: 22, and SEQ ID NO: 24, respectively, or
- SEQ ID NO: 28, SEQ ID NO: 30, and SEQ ID NO: 32, respectively, or
- SEQ ID NO: 36, SEQ ID NO: 38, and SEQ ID NO: 40, respectively
5. The antibody or antigen-binding fragment thereof according to any one of claims 1 to 4, comprising VLCDR1, VLCDR2, and VLCDR3 of the sequence.
(a)抗体重鎖可変ドメインが、それぞれ配列番号57、配列番号59、及び配列番号61の配列のVHCDR1、VHCDR2、及びVHCDR3を含み、抗体軽鎖可変ドメインが、それぞれ配列番号4、配列番号6、及び配列番号8の配列のVLCDR1、VLCDR2、及びVLCDR3を含むか、又は
(b)抗体重鎖可変ドメインが、それぞれ配列番号65、配列番号67、及び配列番号69の配列のVHCDR1、VHCDR2、及びVHCDR3を含み、抗体軽鎖可変ドメインが、それぞれ配列番号12、配列番号14、及び配列番号16の配列のVLCDR1、VLCDR2、及びVLCDR3を含むか、又は
(c)抗体重鎖可変ドメインが、それぞれ配列番号73、配列番号75、及び配列番号77の配列のVHCDR1、VHCDR2、及びVHCDR3を含み、抗体軽鎖可変ドメインが、それぞれ配列番号20、配列番号22、及び配列番号24の配列のVLCDR1、VLCDR2、及びVLCDR3を含むか、又は
(d)抗体重鎖可変ドメインが、それぞれ配列番号81、配列番号83、及び配列番号85の配列のVHCDR1、VHCDR2、及びVHCDR3を含み、抗体軽鎖可変ドメインが、それぞれ配列番号28、配列番号30、及び配列番号32の配列のVLCDR1、VLCDR2、及びVLCDR3を含むか、又は
(e)抗体重鎖可変ドメインが、それぞれ配列番号89、配列番号91、及び配列番号93の配列のVHCDR1、VHCDR2、及びVHCDR3を含み、抗体軽鎖可変ドメインが、それぞれ配列番号36、配列番号38、及び配列番号40の配列のVLCDR1、VLCDR2、及びVLCDR3を含むか、又は
(f)抗体重鎖可変ドメインが、それぞれ配列番号97、配列番号75、及び配列番号77の配列のVHCDR1、VHCDR2、及びVHCDR3を含み、抗体軽鎖可変ドメインが、それぞれ配列番号20、配列番号22、及び配列番号24の配列のVLCDR1、VLCDR2、及びVLCDR3を含む、
請求項1から5のいずれか一項に記載の抗体又はその抗原結合性断片。
(a) The antibody heavy chain variable domain comprises VHCDR1, VHCDR2, and VHCDR3 having the sequences of SEQ ID NO: 57, SEQ ID NO: 59, and SEQ ID NO: 61, respectively, and the antibody light chain variable domain includes SEQ ID NO: 4, SEQ ID NO: 6, respectively. , and VLCDR1, VLCDR2, and VLCDR3 of the sequence SEQ ID NO: 8, or
(b) The antibody heavy chain variable domain comprises VHCDR1, VHCDR2, and VHCDR3 having the sequences of SEQ ID NO: 65, SEQ ID NO: 67, and SEQ ID NO: 69, respectively, and the antibody light chain variable domain includes SEQ ID NO: 12, SEQ ID NO: 14, respectively. , and VLCDR1, VLCDR2, and VLCDR3 of the sequence SEQ ID NO: 16, or
(c) The antibody heavy chain variable domain includes VHCDR1, VHCDR2, and VHCDR3 having the sequences of SEQ ID NO: 73, SEQ ID NO: 75, and SEQ ID NO: 77, respectively, and the antibody light chain variable domain includes SEQ ID NO: 20 and SEQ ID NO: 22, respectively. , and VLCDR1, VLCDR2, and VLCDR3 of the sequence SEQ ID NO: 24, or
(d) The antibody heavy chain variable domain comprises VHCDR1, VHCDR2, and VHCDR3 having the sequences of SEQ ID NO: 81, SEQ ID NO: 83, and SEQ ID NO: 85, respectively, and the antibody light chain variable domain includes SEQ ID NO: 28, SEQ ID NO: 30, respectively. , and VLCDR1, VLCDR2, and VLCDR3 of the sequence SEQ ID NO: 32, or
(e) The antibody heavy chain variable domain comprises VHCDR1, VHCDR2, and VHCDR3 having the sequences of SEQ ID NO: 89, SEQ ID NO: 91, and SEQ ID NO: 93, respectively, and the antibody light chain variable domain includes SEQ ID NO: 36, SEQ ID NO: 38, respectively. , and VLCDR1, VLCDR2, and VLCDR3 of the sequence SEQ ID NO: 40, or
(f) The antibody heavy chain variable domain comprises VHCDR1, VHCDR2, and VHCDR3 having the sequences of SEQ ID NO: 97, SEQ ID NO: 75, and SEQ ID NO: 77, respectively, and the antibody light chain variable domain includes SEQ ID NO: 20, SEQ ID NO: 22, respectively. , and containing VLCDR1, VLCDR2, and VLCDR3 of the sequence SEQ ID NO: 24,
The antibody or antigen-binding fragment thereof according to any one of claims 1 to 5.
抗体重鎖可変ドメインが、配列番号55、配列番号63、配列番号71、配列番号79、配列番号87、又は配列番号95で記載されたアミノ酸配列を含むか又はそれからなる、請求項1から6のいずれか一項に記載の抗体又はその抗原結合性断片。 The antibody heavy chain variable domain of claims 1 to 6 comprises or consists of the amino acid sequence set forth in SEQ ID NO: 55, SEQ ID NO: 63, SEQ ID NO: 71, SEQ ID NO: 79, SEQ ID NO: 87, or SEQ ID NO: 95. The antibody or antigen-binding fragment thereof according to any one of the above. 抗体軽鎖可変ドメインが、配列番号2、配列番号10、配列番号18、配列番号26、配列番号34、又は配列番号42で記載されたアミノ酸配列を含むか又はそれからなる、請求項1から7のいずれか一項に記載の抗体又はその抗原結合性断片。 The antibody light chain variable domain of claims 1 to 7 comprises or consists of the amino acid sequence set forth in SEQ ID NO: 2, SEQ ID NO: 10, SEQ ID NO: 18, SEQ ID NO: 26, SEQ ID NO: 34, or SEQ ID NO: 42. The antibody or antigen-binding fragment thereof according to any one of the above. - 配列番号55で記載されたアミノ酸配列を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号2で記載されたアミノ酸配列を含むか若しくはそれからなる軽鎖可変ドメイン、又は、
- 配列番号63で記載されたアミノ酸配列を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号10で記載されたアミノ酸配列を含むか若しくはそれからなる軽鎖可変ドメイン、又は、
- 配列番号71で記載されたアミノ酸配列を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号18で記載されたアミノ酸配列を含むか若しくはそれからなる軽鎖可変ドメイン、又は、
- 配列番号79で記載されたアミノ酸配列を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号26で記載されたアミノ酸配列を含むか若しくはそれからなる軽鎖可変ドメイン、又は、
- 配列番号87で記載されたアミノ酸配列を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号34で記載されたアミノ酸配列を含むか若しくはそれからなる軽鎖可変ドメイン、又は、
- 配列番号95で記載されたアミノ酸配列を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号42で記載されたアミノ酸配列を含むか若しくはそれからなる軽鎖可変ドメイン
を含むか又はそれらからなり、
- より詳細には、重鎖可変ドメインが配列番号95で記載されたアミノ酸配列を含むか若しくはそれからなり、軽鎖可変ドメインが配列番号42で記載されたアミノ酸配列を含むか若しくはそれからなり、又は、重鎖可変ドメインが配列番号63で記載されたアミノ酸配列を含むか若しくはそれからなり、軽鎖可変ドメインが配列番号10で記載されたアミノ酸配列を含むか若しくはそれからなり、又は、重鎖可変ドメインが配列番号79で記載されたアミノ酸配列を含むか若しくはそれからなり、軽鎖可変ドメインが配列番号26で記載されたアミノ酸配列を含むか若しくはそれからなる、請求項1から8のいずれか一項に記載の抗体又はその抗原結合性断片。
- a heavy chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 55 and a light chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 2, or
- a heavy chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 63 and a light chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 10, or
- a heavy chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 71 and a light chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 18, or
- a heavy chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 79 and a light chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 26, or
- a heavy chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 87 and a light chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 34, or
- comprising or consisting of a heavy chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 95 and a light chain variable domain comprising or consisting of the amino acid sequence set forth in SEQ ID NO: 42;
- more particularly, the heavy chain variable domain comprises or consists of the amino acid sequence set out in SEQ ID NO: 95, the light chain variable domain comprises or consists of the amino acid sequence set out in SEQ ID NO: 42, or The heavy chain variable domain comprises or consists of the amino acid sequence set forth in SEQ ID NO: 63, the light chain variable domain comprises or consists of the amino acid sequence set forth in SEQ ID NO: 10, or the heavy chain variable domain comprises or consists of the amino acid sequence set forth in SEQ ID NO: 10; 9. The antibody according to any one of claims 1 to 8, wherein the light chain variable domain comprises or consists of the amino acid sequence set forth in SEQ ID NO: 26. or an antigen-binding fragment thereof.
抗体が、組換え抗体、キメラ抗体、又はヒト化抗体、特にヒトIgG1、IgG2、IgG3、若しくはIgG4定常領域を含む抗体である、請求項1から9のいずれか一項に記載の抗体又はその抗原結合性断片。 The antibody or its antigen according to any one of claims 1 to 9, wherein the antibody is a recombinant antibody, a chimeric antibody, or a humanized antibody, in particular an antibody comprising a human IgG1, IgG2, IgG3, or IgG4 constant region. Associative fragment. 少なくとも1E-07M、より詳細には少なくとも1E-08Mの親和定数(KD)でヒトCLEC-1Aに結合する、請求項1から10のいずれか一項に記載の抗体又はその抗原結合性断片。 11. The antibody or antigen-binding fragment thereof according to any one of claims 1 to 10, which binds to human CLEC-1A with an affinity constant (KD) of at least 1E-07M, more particularly at least 1E-08M. in vivo及び/又はin vitroで使用した場合、陰性対照と比較した、骨髄系細胞、特に、樹状細胞及び/又はマクロファージによる腫瘍細胞及び/又は二次壊死細胞の食作用の調節、特に増加と相関し、特に腫瘍細胞の食作用が、陰性対照と比較して少なくとも10%増加している、請求項1から11のいずれか一項に記載の抗体又はその抗原結合性断片。 When used in vivo and/or in vitro, modulation, in particular an increase, of phagocytosis of tumor cells and/or secondary necrotic cells by myeloid cells, in particular dendritic cells and/or macrophages, compared to negative controls. 12. The antibody or antigen-binding fragment thereof according to any one of claims 1 to 11, wherein the phagocytosis of tumor cells is increased by at least 10% compared to a negative control. 請求項1から11のいずれか一項に記載の抗体又はその抗原結合性断片を含むか又はそれからなるポリペプチドをコードする核酸分子又は核酸分子の組合せであって、前記核酸分子又は核酸分子の組合せが、配列番号1、配列番号3、配列番号5、配列番号7、配列番号9、配列番号11、配列番号13、配列番号15、配列番号17、配列番号19、配列番号21、配列番号23、配列番号25、配列番号27、配列番号29、配列番号31、配列番号33、配列番号35、配列番号37、配列番号39、配列番号41、配列番号43、配列番号44、配列番号45、配列番号56、配列番号58、配列番号60、配列番号62、配列番号64、配列番号66、配列番号68、配列番号70、配列番号72、配列番号74、配列番号76、配列番号78、配列番号80、配列番号82、配列番号84、配列番号86、配列番号88、配列番号90、配列番号92、配列番号94、配列番号96、配列番号98及び/又は配列番号99からなる群から選択される少なくとも1つのヌクレオチド配列を含み、前記核酸分子又は核酸分子の組合せが、請求項1から12のいずれか一項に記載の抗体又はその抗原結合性断片の少なくとも6個のCDRドメインをコードする、核酸分子又は核酸分子の組合せ。 A nucleic acid molecule or a combination of nucleic acid molecules encoding a polypeptide comprising or consisting of the antibody or antigen-binding fragment thereof according to any one of claims 1 to 11, said nucleic acid molecule or combination of nucleic acid molecules. are SEQ ID NO: 1, SEQ ID NO: 3, SEQ ID NO: 5, SEQ ID NO: 7, SEQ ID NO: 9, SEQ ID NO: 11, SEQ ID NO: 13, SEQ ID NO: 15, SEQ ID NO: 17, SEQ ID NO: 19, SEQ ID NO: 21, SEQ ID NO: 23, SEQ ID NO: 25, SEQ ID NO: 27, SEQ ID NO: 29, SEQ ID NO: 31, SEQ ID NO: 33, SEQ ID NO: 35, SEQ ID NO: 37, SEQ ID NO: 39, SEQ ID NO: 41, SEQ ID NO: 43, SEQ ID NO: 44, SEQ ID NO: 45, SEQ ID NO: 56, SEQ ID NO: 58, SEQ ID NO: 60, SEQ ID NO: 62, SEQ ID NO: 64, SEQ ID NO: 66, SEQ ID NO: 68, SEQ ID NO: 70, SEQ ID NO: 72, SEQ ID NO: 74, SEQ ID NO: 76, SEQ ID NO: 78, SEQ ID NO: 80, At least one selected from the group consisting of SEQ ID NO: 82, SEQ ID NO: 84, SEQ ID NO: 86, SEQ ID NO: 88, SEQ ID NO: 90, SEQ ID NO: 92, SEQ ID NO: 94, SEQ ID NO: 96, SEQ ID NO: 98 and/or SEQ ID NO: 99. 13, wherein the nucleic acid molecule or combination of nucleic acid molecules encodes at least six CDR domains of an antibody or antigen-binding fragment thereof according to any one of claims 1 to 12. A combination of nucleic acid molecules. 第1の治療薬及び少なくとも1つの第2の治療薬を含む化合物の組合せであって、
i)第1の治療薬が、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は
ヒトC型レクチン様受容体-1メンバーA受容体(CLEC-1A受容体)の細胞外ドメインに特異的に結合し、ヒトCLEC-1A受容体への結合について、配列番号71を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号18を含むか若しくはそれからなる軽鎖可変ドメインを含むか若しくはそれらからなる抗体、特に配列番号121を含むか若しくはそれからなる重鎖ドメイン及び配列番号128を含むか若しくはそれからなる軽鎖ドメインを含むか若しくはそれらからなる抗体と競合し、ヒトCLEC-1のアンタゴニストである抗体若しくはその抗原結合性断片、又は
ヒトC型レクチン様受容体-1メンバーA受容体(CLEC-1A受容体)の細胞外ドメインに特異的に結合し、ヒトCLEC-1A受容体への結合について、配列番号63を含むか若しくはそれからなる重鎖可変ドメイン及び配列番号10を含むか若しくはそれからなる軽鎖可変ドメインを含むか若しくはそれらからなる抗体、特に配列番号120を含むか若しくはそれからなる重鎖ドメイン及び配列番号127を含むか若しくはそれからなる軽鎖ドメインを含むか若しくはそれらからなる抗体と競合し、ヒトCLEC-1のアンタゴニストである抗体若しくはその抗原結合性断片、又は
ヒトC型レクチン様受容体-1メンバーA受容体(CLEC-1A受容体)の細胞外ドメインに特異的に結合し、in vivo及び/若しくはin vitroで使用した場合、陰性対照と比較した、特に陰性対照と比較して少なくとも10%の、骨髄系細胞、特に、樹状細胞及び/若しくはマクロファージによる腫瘍細胞及び/若しくは二次壊死細胞の食作用の調節、特に増加と相関する、抗体若しくはその抗原結合性断片
であり、並びに、
ii)少なくとも1つの第2の治療薬が、特に、第1の治療薬及び第2の治療薬の同時、個別、又は連続使用のために、腫瘍標的化抗体又はその抗原結合性断片、特に腫瘍標的化モノクローナル抗体又はその抗原結合性断片、より詳細には、マクロファージの食作用能力を活性化及び/又は増強する腫瘍標的化モノクローナル抗体又はその抗原結合性断片、更により詳細には、アレムツズマブ、アテゾリズマブ、ベバシズマブ、セツキシマブ、ハーセプチン、パニツムマブ、リツキシマブ、トラスツズマブ、抗PDL-1抗体、及び抗CD47抗体からなる群から選択されるモノクローナル抗体、及び/又は抗PD1抗体及び抗SIRPa抗体からなる群から選択される別の抗体又はモノクローナル抗体、及び/又は化学療法薬、特に抗増殖性、アポトーシス促進性、細胞周期停止、及び/若しくは分化誘導効果を有する細胞毒性剤、より詳細には、細胞毒性抗体、アルキル化剤、アントラサイクリン、代謝拮抗剤、抗微小管剤、トポイソメラーゼ阻害剤、アルカロイド、ブレオマイシン、抗悪性腫瘍薬、シクロホスファミドからなる群から選択される細胞毒性剤からなるリストから選択される、
化合物の組合せ。
A combination of compounds comprising a first therapeutic agent and at least one second therapeutic agent, the combination comprising:
i) The first therapeutic agent is the antibody or antigen-binding fragment thereof according to any one of claims 1 to 12, or human C-type lectin-like receptor-1 member A receptor (CLEC-1A receptor). ) and for binding to the human CLEC-1A receptor, a heavy chain variable domain comprising or consisting of SEQ ID NO: 71 and a light chain variable domain comprising or consisting of SEQ ID NO: 18. 121, and in particular an antibody comprising or consisting of a heavy chain domain comprising or consisting of SEQ ID NO: 128, and a human CLEC- Antibodies or antigen-binding fragments thereof that are antagonists of human C-type lectin-like receptor-1 member A receptor (CLEC-1A receptor), or antibodies that specifically bind to the extracellular domain of human C-type lectin-like receptor-1 member A receptor (CLEC-1A receptor), For binding to the body, an antibody comprising or consisting of a heavy chain variable domain comprising or consisting of SEQ ID NO: 63 and a light chain variable domain comprising or consisting of SEQ ID NO: 10, in particular an antibody comprising or consisting of SEQ ID NO: 120. an antibody or an antigen-binding fragment thereof that is an antagonist of human CLEC-1 and competes with an antibody comprising or consisting of a heavy chain domain consisting of the same and a light chain domain comprising or consisting of SEQ ID NO: 127, or human type C It binds specifically to the extracellular domain of the lectin-like receptor-1 member A receptor (CLEC-1A receptor), and when used in vivo and/or in vitro, is particularly effective when compared to negative controls. Antibodies or antigen-binding fragments thereof that correlate with a modulation, in particular an increase in the phagocytosis of tumor cells and/or secondary necrotic cells by myeloid cells, in particular dendritic cells and/or macrophages, by at least 10% in comparison. and,
ii) the at least one second therapeutic agent is a tumor-targeting antibody or antigen-binding fragment thereof, particularly for simultaneous, separate, or sequential use of the first therapeutic agent and the second therapeutic agent; Targeting monoclonal antibodies or antigen-binding fragments thereof, more particularly tumor-targeting monoclonal antibodies or antigen-binding fragments thereof that activate and/or enhance the phagocytic ability of macrophages, even more particularly alemtuzumab, atezolizumab , a monoclonal antibody selected from the group consisting of bevacizumab, cetuximab, herceptin, panitumumab, rituximab, trastuzumab, an anti-PDL-1 antibody, and an anti-CD47 antibody, and/or a monoclonal antibody selected from the group consisting of an anti-PD1 antibody and an anti-SIRPa antibody. another antibody or monoclonal antibody, and/or a chemotherapeutic agent, in particular a cytotoxic agent with antiproliferative, proapoptotic, cell cycle arrest, and/or differentiation-inducing effects, more particularly a cytotoxic antibody, an alkylating selected from the list consisting of a cytotoxic agent selected from the group consisting of an anthracycline, an antimetabolite, an anti-microtubule agent, a topoisomerase inhibitor, an alkaloid, a bleomycin, an antineoplastic agent, a cyclophosphamide;
combination of compounds.
骨髄系細胞、特に樹状細胞及び/又はマクロファージによる食作用能力の増加が疾患又は障害を改善するか又は予防する、疾患又は障害、特にヒトの疾患又はヒトの障害の予防及び/又は治療で使用するための、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬を含む、医薬組成物Use in the prevention and/or treatment of a disease or disorder, especially a human disease or disorder, where an increase in the phagocytic capacity of myeloid cells, in particular dendritic cells and/or macrophages, ameliorates or prevents the disease or disorder. The antibody or antigen-binding fragment thereof according to any one of claims 1 to 12, or the nucleic acid molecule or combination of nucleic acid molecules according to claim 13, or the combination according to claim 14, for A pharmaceutical composition comprising a first therapeutic agent as defined in claim 14. 患者における食作用の誘導が疾患又は状態を改善するか又は予防する、疾患又は状態の治療において使用するための、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬を含む、医薬組成物An antibody or antigen-binding fragment thereof according to any one of claims 1 to 12 for use in the treatment of a disease or condition, where induction of phagocytosis in a patient ameliorates or prevents the disease or condition. or a pharmaceutical composition comprising a nucleic acid molecule or a combination of nucleic acid molecules according to claim 13, or a combination according to claim 14, or a first therapeutic agent as defined in claim 14. がん、特に液性がん又は固形がん、より詳細には、リンパ腫、結腸直腸がん、中皮腫、又は肝細胞癌、炎症性疾患、慢性感染症又は敗血症を有する患者の治療のための、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬を含む、医薬組成物For the treatment of patients with cancer, especially liquid or solid cancers, more particularly lymphoma, colorectal cancer, mesothelioma or hepatocellular carcinoma, inflammatory diseases, chronic infections or sepsis The antibody or antigen-binding fragment thereof according to any one of claims 1 to 12, or the nucleic acid molecule or combination of nucleic acid molecules according to claim 13, or the combination according to claim 14, or claim 14. A pharmaceutical composition comprising a first therapeutic agent as defined in paragraph 14. 特に、同時、個別、又は連続投与のための化学療法薬、放射線治療薬、免疫治療薬(腫瘍標的化モノクローナル抗体等)、細胞治療薬(CAR-T細胞等)、免疫抑制剤、アポトーシス促進剤、抗生物質、標的化がん治療、及び/又はプロバイオティックを含む第1の医薬を、それを必要とする患者に投与する、併用治療において使用するための、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬を含む、医薬組成物In particular, chemotherapeutic agents, radiotherapeutic agents, immunotherapeutic agents (such as tumor-targeting monoclonal antibodies), cell therapeutic agents (such as CAR-T cells), immunosuppressive agents, pro-apoptotic agents, for simultaneous, separate, or sequential administration. , an antibiotic, a targeted cancer therapy, and/or a probiotic, for use in a combination therapy, administering the first medicament to a patient in need thereof. The antibody or antigen-binding fragment thereof according to claim 1, or the nucleic acid molecule or combination of nucleic acid molecules according to claim 13, or the combination according to claim 14, or the first therapeutic agent according to claim 14. A pharmaceutical composition comprising . 骨髄系細胞、特に樹状細胞及び/又はマクロファージによる食作用能力の増加が疾患又は障害を改善するか又は予防する、疾患又は障害、特にヒトの疾患又はヒトの障害の予防及び/又は治療のための医薬の製造のための、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬の使用。For the prevention and/or treatment of a disease or disorder, in particular a human disease or disorder, where an increase in phagocytic capacity by myeloid cells, in particular dendritic cells and/or macrophages, ameliorates or prevents the disease or disorder. The antibody or antigen-binding fragment thereof according to any one of claims 1 to 12, or the nucleic acid molecule or combination of nucleic acid molecules according to claim 13, or the combination of nucleic acid molecules according to claim 14, for the manufacture of a medicament. or the use of the first therapeutic agent as defined in claim 14. 患者における食作用の誘導が疾患又は状態を改善するか又は予防する、疾患又は状態の治療のための医薬の製造のための、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬の使用。The antibody or antigen thereof according to any one of claims 1 to 12 for the manufacture of a medicament for the treatment of a disease or condition, where induction of phagocytosis in a patient ameliorates or prevents the disease or condition. Use of a binding fragment, or a nucleic acid molecule or a combination of nucleic acid molecules according to claim 13, or a combination according to claim 14, or a first therapeutic agent as defined in claim 14. がん、特に液性がん又は固形がん、より詳細には、リンパ腫、結腸直腸がん、中皮腫、又は肝細胞癌、炎症性疾患、慢性感染症又は敗血症を有する患者の治療のための医薬の製造における、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬の使用。For the treatment of patients with cancer, especially liquid or solid cancers, more particularly lymphoma, colorectal cancer, mesothelioma or hepatocellular carcinoma, inflammatory diseases, chronic infections or sepsis The antibody or antigen-binding fragment thereof according to any one of claims 1 to 12, or the nucleic acid molecule or combination of nucleic acid molecules according to claim 13, or the combination according to claim 14, in the manufacture of a medicament. , or the use of the first therapeutic agent as defined in claim 14. 疾患又は障害、特にはヒトの疾患又はヒトの障害の予防及び/又は治療のための組合せ医薬の製造における、請求項1から12のいずれか一項に記載の抗体若しくはその抗原結合性断片、又は請求項13に記載の核酸分子若しくは核酸分子の組合せ、又は請求項14に記載の組合せ、又は請求項14に規定の第1の治療薬の使用。An antibody or an antigen-binding fragment thereof according to any one of claims 1 to 12, in the manufacture of a medicament combination for the prevention and/or treatment of a disease or disorder, in particular a human disease or a human disorder, or Use of a nucleic acid molecule or a combination of nucleic acid molecules according to claim 13, or a combination according to claim 14, or a first therapeutic agent as defined in claim 14.
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