NZ624534B2 - Anti-fgfr2 antibodies and uses thereof - Google Patents
Anti-fgfr2 antibodies and uses thereof Download PDFInfo
- Publication number
- NZ624534B2 NZ624534B2 NZ624534A NZ62453412A NZ624534B2 NZ 624534 B2 NZ624534 B2 NZ 624534B2 NZ 624534 A NZ624534 A NZ 624534A NZ 62453412 A NZ62453412 A NZ 62453412A NZ 624534 B2 NZ624534 B2 NZ 624534B2
- Authority
- NZ
- New Zealand
- Prior art keywords
- seq
- presented
- antibody
- heavy chain
- light chain
- Prior art date
Links
- 102000004965 antibodies Human genes 0.000 title claims abstract description 555
- 108090001123 antibodies Proteins 0.000 title claims abstract description 555
- 230000027455 binding Effects 0.000 claims abstract description 346
- 108091007172 antigens Proteins 0.000 claims abstract description 228
- 102000038129 antigens Human genes 0.000 claims abstract description 228
- 239000000427 antigen Substances 0.000 claims abstract description 226
- 201000011510 cancer Diseases 0.000 claims abstract description 72
- 239000003814 drug Substances 0.000 claims abstract description 31
- 238000004519 manufacturing process Methods 0.000 claims abstract description 15
- 102000027765 FGFR2 Human genes 0.000 claims abstract description 10
- 108010081268 Type 2 Fibroblast Growth Factor Receptor Proteins 0.000 claims abstract description 10
- 210000004027 cells Anatomy 0.000 claims description 289
- 241000282414 Homo sapiens Species 0.000 claims description 103
- 101700073818 CDR1 Proteins 0.000 claims description 98
- 101710034060 RUNX1T1 Proteins 0.000 claims description 98
- 230000000875 corresponding Effects 0.000 claims description 86
- 239000000203 mixture Substances 0.000 claims description 48
- 102000004851 Immunoglobulin G Human genes 0.000 claims description 46
- 108090001095 Immunoglobulin G Proteins 0.000 claims description 46
- 238000002965 ELISA Methods 0.000 claims description 41
- 150000007523 nucleic acids Chemical group 0.000 claims description 28
- 239000008194 pharmaceutical composition Substances 0.000 claims description 27
- 201000010099 disease Diseases 0.000 claims description 26
- 230000035693 Fab Effects 0.000 claims description 24
- 150000001875 compounds Chemical class 0.000 claims description 20
- 229920001850 Nucleic acid sequence Polymers 0.000 claims description 17
- 108020004707 nucleic acids Proteins 0.000 claims description 17
- 125000000539 amino acid group Chemical group 0.000 claims description 16
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical compound OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 claims description 15
- QNAYBMKLOCPYGJ-REOHCLBHSA-N L-alanine Chemical compound C[C@H](N)C(O)=O QNAYBMKLOCPYGJ-REOHCLBHSA-N 0.000 claims description 14
- 235000004279 alanine Nutrition 0.000 claims description 13
- 101710019436 LARS1 Proteins 0.000 claims description 12
- 239000000611 antibody drug conjugate Substances 0.000 claims description 11
- 108091008116 antibody drug conjugates Proteins 0.000 claims description 11
- COLNVLDHVKWLRT-QMMMGPOBSA-N L-phenylalanine Chemical compound OC(=O)[C@@H](N)CC1=CC=CC=C1 COLNVLDHVKWLRT-QMMMGPOBSA-N 0.000 claims description 10
- 108091006028 chimera Proteins 0.000 claims description 8
- 238000000746 purification Methods 0.000 claims description 8
- 108010045030 monoclonal antibodies Proteins 0.000 claims description 7
- 102000005614 monoclonal antibodies Human genes 0.000 claims description 7
- 230000001404 mediated Effects 0.000 claims description 5
- 239000000032 diagnostic agent Substances 0.000 claims description 2
- 210000003527 eukaryotic cell Anatomy 0.000 claims description 2
- 206010028980 Neoplasm Diseases 0.000 description 108
- 102000004169 proteins and genes Human genes 0.000 description 75
- 108090000623 proteins and genes Proteins 0.000 description 75
- 235000018102 proteins Nutrition 0.000 description 72
- 230000014509 gene expression Effects 0.000 description 63
- 102100009178 RUNX1T1 Human genes 0.000 description 56
- 229920003013 deoxyribonucleic acid Polymers 0.000 description 45
- 235000001014 amino acid Nutrition 0.000 description 41
- 239000002953 phosphate buffered saline Substances 0.000 description 38
- UIIMBOGNXHQVGW-UHFFFAOYSA-M buffer Substances [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 34
- 150000001413 amino acids Chemical class 0.000 description 33
- -1 BSA Substances 0.000 description 32
- 230000002401 inhibitory effect Effects 0.000 description 32
- 150000002500 ions Chemical class 0.000 description 31
- 239000007787 solid Substances 0.000 description 24
- FAPWRFPIFSIZLT-UHFFFAOYSA-M sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 23
- 102100007405 FGF7 Human genes 0.000 description 22
- 101700033323 FGF7 Proteins 0.000 description 22
- 238000000034 method Methods 0.000 description 21
- 238000001943 fluorescence-activated cell sorting Methods 0.000 description 20
- 238000005406 washing Methods 0.000 description 20
- 108010047041 Complementarity Determining Regions Proteins 0.000 description 19
- 238000004166 bioassay Methods 0.000 description 19
- 230000000694 effects Effects 0.000 description 19
- 230000012010 growth Effects 0.000 description 19
- 238000006467 substitution reaction Methods 0.000 description 19
- 125000003275 alpha amino acid group Chemical group 0.000 description 18
- 239000003795 chemical substances by application Substances 0.000 description 18
- 241000700159 Rattus Species 0.000 description 17
- 206010006187 Breast cancer Diseases 0.000 description 16
- 101700011568 DIB1 Proteins 0.000 description 16
- 241000699666 Mus <mouse, genus> Species 0.000 description 16
- 239000003112 inhibitor Substances 0.000 description 16
- 238000010186 staining Methods 0.000 description 16
- 230000004614 tumor growth Effects 0.000 description 16
- 238000001514 detection method Methods 0.000 description 15
- 229920001184 polypeptide Polymers 0.000 description 15
- 102000004196 processed proteins & peptides Human genes 0.000 description 15
- 108090000765 processed proteins & peptides Proteins 0.000 description 15
- 239000011780 sodium chloride Substances 0.000 description 15
- 210000004881 tumor cells Anatomy 0.000 description 15
- 230000003442 weekly Effects 0.000 description 15
- 238000004458 analytical method Methods 0.000 description 13
- 230000035772 mutation Effects 0.000 description 13
- 230000037361 pathway Effects 0.000 description 13
- 239000000243 solution Substances 0.000 description 13
- 238000007920 subcutaneous administration Methods 0.000 description 13
- 229960003767 Alanine Drugs 0.000 description 12
- 206010017758 Gastric cancer Diseases 0.000 description 12
- 238000007912 intraperitoneal administration Methods 0.000 description 12
- 239000002609 media Substances 0.000 description 12
- HEMHJVSKTPXQMS-UHFFFAOYSA-M sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 12
- 241000894007 species Species 0.000 description 12
- RCINICONZNJXQF-MZXODVADSA-N Intaxel 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 description 11
- 229960001592 Paclitaxel Drugs 0.000 description 11
- 230000003828 downregulation Effects 0.000 description 11
- 201000011549 stomach cancer Diseases 0.000 description 11
- 229930003347 taxol Natural products 0.000 description 11
- 230000000259 anti-tumor Effects 0.000 description 10
- 239000000562 conjugate Substances 0.000 description 10
- 230000002018 overexpression Effects 0.000 description 10
- 239000000047 product Substances 0.000 description 10
- MTCFGRXMJLQNBG-REOHCLBHSA-N L-serine Chemical compound OC[C@H](N)C(O)=O MTCFGRXMJLQNBG-REOHCLBHSA-N 0.000 description 9
- 239000002136 L01XE07 - Lapatinib Substances 0.000 description 9
- BCFGMOOMADDAQU-UHFFFAOYSA-N Lapatinib Chemical compound O1C(CNCCS(=O)(=O)C)=CC=C1C1=CC=C(N=CN=C2NC=3C=C(Cl)C(OCC=4C=C(F)C=CC=4)=CC=3)C2=C1 BCFGMOOMADDAQU-UHFFFAOYSA-N 0.000 description 9
- 229940079593 drugs Drugs 0.000 description 9
- 238000005516 engineering process Methods 0.000 description 9
- 238000009396 hybridization Methods 0.000 description 9
- 230000001976 improved Effects 0.000 description 9
- 229960004891 lapatinib Drugs 0.000 description 9
- 230000002829 reduced Effects 0.000 description 9
- 230000001225 therapeutic Effects 0.000 description 9
- 238000002560 therapeutic procedure Methods 0.000 description 9
- 238000007792 addition Methods 0.000 description 8
- 230000000903 blocking Effects 0.000 description 8
- 231100000599 cytotoxic agent Toxicity 0.000 description 8
- 238000011161 development Methods 0.000 description 8
- 230000018109 developmental process Effects 0.000 description 8
- 238000002474 experimental method Methods 0.000 description 8
- 230000001965 increased Effects 0.000 description 8
- 230000001939 inductive effect Effects 0.000 description 8
- 238000011081 inoculation Methods 0.000 description 8
- 238000001990 intravenous administration Methods 0.000 description 8
- 229920000023 polynucleotide Polymers 0.000 description 8
- 239000002157 polynucleotide Substances 0.000 description 8
- 239000000523 sample Substances 0.000 description 8
- 230000011664 signaling Effects 0.000 description 8
- 230000000638 stimulation Effects 0.000 description 8
- 241000282472 Canis lupus familiaris Species 0.000 description 7
- 241000588724 Escherichia coli Species 0.000 description 7
- 238000006243 chemical reaction Methods 0.000 description 7
- 239000003153 chemical reaction reagent Substances 0.000 description 7
- 238000004587 chromatography analysis Methods 0.000 description 7
- 238000010367 cloning Methods 0.000 description 7
- 239000002254 cytotoxic agent Substances 0.000 description 7
- 238000010494 dissociation reaction Methods 0.000 description 7
- 230000005593 dissociations Effects 0.000 description 7
- 230000002496 gastric Effects 0.000 description 7
- PEDCQBHIVMGVHV-UHFFFAOYSA-N glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 7
- 239000008187 granular material Substances 0.000 description 7
- 238000000338 in vitro Methods 0.000 description 7
- 238000002360 preparation method Methods 0.000 description 7
- 210000001519 tissues Anatomy 0.000 description 7
- 241000283973 Oryctolagus cuniculus Species 0.000 description 6
- 208000008443 Pancreatic Carcinoma Diseases 0.000 description 6
- 231100000765 Toxin Toxicity 0.000 description 6
- 239000002253 acid Substances 0.000 description 6
- 230000001580 bacterial Effects 0.000 description 6
- 239000011230 binding agent Substances 0.000 description 6
- 201000009030 carcinoma Diseases 0.000 description 6
- 238000000586 desensitisation Methods 0.000 description 6
- 239000012528 membrane Substances 0.000 description 6
- 201000002528 pancreatic cancer Diseases 0.000 description 6
- 239000006228 supernatant Substances 0.000 description 6
- 230000004083 survival Effects 0.000 description 6
- 239000000725 suspension Substances 0.000 description 6
- 239000003053 toxin Substances 0.000 description 6
- 108020003112 toxins Proteins 0.000 description 6
- AVKUERGKIZMTKX-NJBDSQKTSA-N Ampicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=CC=C1 AVKUERGKIZMTKX-NJBDSQKTSA-N 0.000 description 5
- 101710027851 C1orf56 Proteins 0.000 description 5
- 206010014733 Endometrial cancer Diseases 0.000 description 5
- 102100020191 FGFR3 Human genes 0.000 description 5
- 102100020189 FGFR4 Human genes 0.000 description 5
- 101700075612 FGFR4 Proteins 0.000 description 5
- 102000003972 Fibroblast Growth Factor 7 Human genes 0.000 description 5
- 108090000385 Fibroblast Growth Factor 7 Proteins 0.000 description 5
- 102000018233 Fibroblast growth factor family Human genes 0.000 description 5
- 108050007372 Fibroblast growth factor family Proteins 0.000 description 5
- 206010061598 Immunodeficiency Diseases 0.000 description 5
- 102000018358 Immunoglobulins Human genes 0.000 description 5
- 108060003951 Immunoglobulins Proteins 0.000 description 5
- 102000014150 Interferons Human genes 0.000 description 5
- 108010050904 Interferons Proteins 0.000 description 5
- KDXKERNSBIXSRK-YFKPBYRVSA-N L-lysine Chemical compound NCCCC[C@H](N)C(O)=O KDXKERNSBIXSRK-YFKPBYRVSA-N 0.000 description 5
- 239000004472 Lysine Substances 0.000 description 5
- 206010025650 Malignant melanoma Diseases 0.000 description 5
- 206010030155 Oesophageal carcinoma Diseases 0.000 description 5
- 229920001213 Polysorbate 20 Polymers 0.000 description 5
- 206010039491 Sarcoma Diseases 0.000 description 5
- 206010041823 Squamous cell carcinoma Diseases 0.000 description 5
- 108010081267 Type 3 Fibroblast Growth Factor Receptor Proteins 0.000 description 5
- 239000000654 additive Substances 0.000 description 5
- 230000000996 additive Effects 0.000 description 5
- 229960000723 ampicillin Drugs 0.000 description 5
- 230000003321 amplification Effects 0.000 description 5
- 239000002246 antineoplastic agent Substances 0.000 description 5
- 239000000969 carrier Substances 0.000 description 5
- 230000015556 catabolic process Effects 0.000 description 5
- 238000004113 cell culture Methods 0.000 description 5
- 230000001413 cellular Effects 0.000 description 5
- 230000000295 complement Effects 0.000 description 5
- 231100000433 cytotoxic Toxicity 0.000 description 5
- 230000001472 cytotoxic Effects 0.000 description 5
- 230000004059 degradation Effects 0.000 description 5
- 238000006731 degradation reaction Methods 0.000 description 5
- 230000001809 detectable Effects 0.000 description 5
- 238000010790 dilution Methods 0.000 description 5
- 239000003937 drug carrier Substances 0.000 description 5
- 238000009472 formulation Methods 0.000 description 5
- 235000011187 glycerol Nutrition 0.000 description 5
- 239000001963 growth media Substances 0.000 description 5
- 239000007924 injection Substances 0.000 description 5
- 230000003993 interaction Effects 0.000 description 5
- 238000002955 isolation Methods 0.000 description 5
- 239000003446 ligand Substances 0.000 description 5
- 239000012139 lysis buffer Substances 0.000 description 5
- 238000003199 nucleic acid amplification method Methods 0.000 description 5
- 238000002823 phage display Methods 0.000 description 5
- 238000006366 phosphorylation reaction Methods 0.000 description 5
- 230000000865 phosphorylative Effects 0.000 description 5
- 235000010486 polyoxyethylene sorbitan monolaurate Nutrition 0.000 description 5
- 230000001105 regulatory Effects 0.000 description 5
- 239000000126 substance Substances 0.000 description 5
- WQZGKKKJIJFFOK-VFUOTHLCSA-N β-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 5
- 108010005144 Bevacizumab Proteins 0.000 description 4
- 210000000481 Breast Anatomy 0.000 description 4
- 241000283707 Capra Species 0.000 description 4
- WQZGKKKJIJFFOK-GASJEMHNSA-N D-Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 4
- 241000196324 Embryophyta Species 0.000 description 4
- 102000027757 FGF receptors Human genes 0.000 description 4
- 108091008101 FGF receptors Proteins 0.000 description 4
- 108091006004 Fc-tagged proteins Proteins 0.000 description 4
- JKMHFZQWWAIEOD-UHFFFAOYSA-N HEPES Chemical compound OCC[NH+]1CCN(CCS([O-])(=O)=O)CC1 JKMHFZQWWAIEOD-UHFFFAOYSA-N 0.000 description 4
- 206010073071 Hepatocellular carcinoma Diseases 0.000 description 4
- 241000229754 Iva xanthiifolia Species 0.000 description 4
- 206010025323 Lymphomas Diseases 0.000 description 4
- 241000282560 Macaca mulatta Species 0.000 description 4
- 241001465754 Metazoa Species 0.000 description 4
- 101700028967 RAB7A Proteins 0.000 description 4
- 108010090804 Streptavidin Proteins 0.000 description 4
- 241000282898 Sus scrofa Species 0.000 description 4
- RWQNBRDOKXIBIV-UHFFFAOYSA-N Thymine Chemical compound CC1=CNC(=O)NC1=O RWQNBRDOKXIBIV-UHFFFAOYSA-N 0.000 description 4
- 229940035295 Ting Drugs 0.000 description 4
- 229920004890 Triton X-100 Polymers 0.000 description 4
- 230000004075 alteration Effects 0.000 description 4
- 229960000397 bevacizumab Drugs 0.000 description 4
- 230000015572 biosynthetic process Effects 0.000 description 4
- 239000007975 buffered saline Substances 0.000 description 4
- 239000002775 capsule Substances 0.000 description 4
- 230000004186 co-expression Effects 0.000 description 4
- 235000018417 cysteine Nutrition 0.000 description 4
- 125000000151 cysteine group Chemical group N[C@@H](CS)C(=O)* 0.000 description 4
- 239000008298 dragée Substances 0.000 description 4
- 239000000975 dye Substances 0.000 description 4
- 230000002708 enhancing Effects 0.000 description 4
- 201000004101 esophageal cancer Diseases 0.000 description 4
- 238000011156 evaluation Methods 0.000 description 4
- 238000005755 formation reaction Methods 0.000 description 4
- 239000008103 glucose Substances 0.000 description 4
- 238000002347 injection Methods 0.000 description 4
- 239000007788 liquid Substances 0.000 description 4
- 238000011068 load Methods 0.000 description 4
- 239000003550 marker Substances 0.000 description 4
- 230000035800 maturation Effects 0.000 description 4
- 238000005259 measurement Methods 0.000 description 4
- 201000001441 melanoma Diseases 0.000 description 4
- 230000001338 necrotic Effects 0.000 description 4
- 239000002773 nucleotide Substances 0.000 description 4
- 125000003729 nucleotide group Chemical group 0.000 description 4
- 230000003287 optical Effects 0.000 description 4
- 230000002611 ovarian Effects 0.000 description 4
- 238000004091 panning Methods 0.000 description 4
- 239000000137 peptide hydrolase inhibitor Substances 0.000 description 4
- 239000012071 phase Substances 0.000 description 4
- 229920001223 polyethylene glycol Polymers 0.000 description 4
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 description 4
- 238000001556 precipitation Methods 0.000 description 4
- 230000035755 proliferation Effects 0.000 description 4
- 102000005962 receptors Human genes 0.000 description 4
- 108020003175 receptors Proteins 0.000 description 4
- 238000004064 recycling Methods 0.000 description 4
- 235000013024 sodium fluoride Nutrition 0.000 description 4
- PUZPDOWCWNUUKD-UHFFFAOYSA-M sodium fluoride Inorganic materials [F-].[Na+] PUZPDOWCWNUUKD-UHFFFAOYSA-M 0.000 description 4
- 238000001890 transfection Methods 0.000 description 4
- 239000003981 vehicle Substances 0.000 description 4
- 238000001262 western blot Methods 0.000 description 4
- QFCXANHHBCGMAS-UHFFFAOYSA-N 4-[[4-(4-chloroanilino)furo[2,3-d]pyridazin-7-yl]oxymethyl]-N-methylpyridine-2-carboxamide Chemical compound C1=NC(C(=O)NC)=CC(COC=2C=3OC=CC=3C(NC=3C=CC(Cl)=CC=3)=NN=2)=C1 QFCXANHHBCGMAS-UHFFFAOYSA-N 0.000 description 3
- 102000007469 Actins Human genes 0.000 description 3
- 108010085238 Actins Proteins 0.000 description 3
- 208000009956 Adenocarcinoma Diseases 0.000 description 3
- MLDQJTXFUGDVEO-UHFFFAOYSA-N BAY-43-9006 Chemical compound C1=NC(C(=O)NC)=CC(OC=2C=CC(NC(=O)NC=3C=C(C(Cl)=CC=3)C(F)(F)F)=CC=2)=C1 MLDQJTXFUGDVEO-UHFFFAOYSA-N 0.000 description 3
- 206010005003 Bladder cancer Diseases 0.000 description 3
- VSJKWCGYPAHWDS-FQEVSTJZSA-N Camptothecin Chemical class C1=CC=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 VSJKWCGYPAHWDS-FQEVSTJZSA-N 0.000 description 3
- 206010008342 Cervix carcinoma Diseases 0.000 description 3
- UWFYSQMTEOIJJG-FDTZYFLXSA-N Cyproterone acetate Chemical compound C1=C(Cl)C2=CC(=O)[C@@H]3C[C@@H]3[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@@](C(C)=O)(OC(=O)C)[C@@]1(C)CC2 UWFYSQMTEOIJJG-FDTZYFLXSA-N 0.000 description 3
- 241000701022 Cytomegalovirus Species 0.000 description 3
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 3
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 3
- CZMRCDWAGMRECN-UGDNZRGBSA-N D-sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 3
- QNAYBMKLOCPYGJ-UHFFFAOYSA-N DL-alanine Chemical compound CC([NH3+])C([O-])=O QNAYBMKLOCPYGJ-UHFFFAOYSA-N 0.000 description 3
- ZDXPYRJPNDTMRX-UHFFFAOYSA-N DL-glutamine Chemical compound OC(=O)C(N)CCC(N)=O ZDXPYRJPNDTMRX-UHFFFAOYSA-N 0.000 description 3
- 210000001163 Endosomes Anatomy 0.000 description 3
- 102000004190 Enzymes Human genes 0.000 description 3
- 108090000790 Enzymes Proteins 0.000 description 3
- 230000036809 Fabs Effects 0.000 description 3
- MKXKFYHWDHIYRV-UHFFFAOYSA-N Flutamide Chemical compound CC(C)C(=O)NC1=CC=C([N+]([O-])=O)C(C(F)(F)F)=C1 MKXKFYHWDHIYRV-UHFFFAOYSA-N 0.000 description 3
- 108010010803 Gelatin Proteins 0.000 description 3
- 210000003128 Head Anatomy 0.000 description 3
- 241000282412 Homo Species 0.000 description 3
- 108010027440 Immunoconjugates Proteins 0.000 description 3
- 102000018748 Immunoconjugates Human genes 0.000 description 3
- 108010004484 Immunotoxins Proteins 0.000 description 3
- ROHFNLRQFUQHCH-YFKPBYRVSA-N L-leucine Chemical compound CC(C)C[C@H](N)C(O)=O ROHFNLRQFUQHCH-YFKPBYRVSA-N 0.000 description 3
- ONIBWKKTOPOVIA-BYPYZUCNSA-N L-proline Chemical compound OC(=O)[C@@H]1CCCN1 ONIBWKKTOPOVIA-BYPYZUCNSA-N 0.000 description 3
- 239000005511 L01XE05 - Sorafenib Substances 0.000 description 3
- 239000003798 L01XE11 - Pazopanib Substances 0.000 description 3
- 239000002138 L01XE21 - Regorafenib Substances 0.000 description 3
- 229920001491 Lentinan Polymers 0.000 description 3
- 241000829100 Macaca mulatta polyomavirus 1 Species 0.000 description 3
- 206010027476 Metastasis Diseases 0.000 description 3
- 210000003739 Neck Anatomy 0.000 description 3
- 208000002154 Non-Small-Cell Lung Carcinoma Diseases 0.000 description 3
- 108091005503 Nucleic proteins Proteins 0.000 description 3
- 206010033128 Ovarian cancer Diseases 0.000 description 3
- 229940072417 Peroxidase Drugs 0.000 description 3
- 108090000437 Peroxidases Proteins 0.000 description 3
- 102000003992 Peroxidases Human genes 0.000 description 3
- 239000004698 Polyethylene (PE) Substances 0.000 description 3
- 229960002429 Proline Drugs 0.000 description 3
- 206010060862 Prostate cancer Diseases 0.000 description 3
- 108010029485 Protein Isoforms Proteins 0.000 description 3
- 102000001708 Protein Isoforms Human genes 0.000 description 3
- 208000005069 Pulmonary Fibrosis Diseases 0.000 description 3
- 101710040291 RAB11A Proteins 0.000 description 3
- 102100001402 RAB11A Human genes 0.000 description 3
- 108010033725 Recombinant Proteins Proteins 0.000 description 3
- 102000007312 Recombinant Proteins Human genes 0.000 description 3
- 206010038389 Renal cancer Diseases 0.000 description 3
- 240000004808 Saccharomyces cerevisiae Species 0.000 description 3
- 210000002966 Serum Anatomy 0.000 description 3
- 210000003491 Skin Anatomy 0.000 description 3
- CZMRCDWAGMRECN-GDQSFJPYSA-N Sucrose Natural products O([C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@H](CO)O1)[C@@]1(CO)[C@H](O)[C@@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-GDQSFJPYSA-N 0.000 description 3
- 229950004186 Telatinib Drugs 0.000 description 3
- 208000003721 Triple Negative Breast Neoplasms Diseases 0.000 description 3
- 229950000578 Vatalanib Drugs 0.000 description 3
- YCOYDOIWSSHVCK-UHFFFAOYSA-N Vatalanib Chemical compound C1=CC(Cl)=CC=C1NC(C1=CC=CC=C11)=NN=C1CC1=CC=NC=C1 YCOYDOIWSSHVCK-UHFFFAOYSA-N 0.000 description 3
- 230000001594 aberrant Effects 0.000 description 3
- 230000002378 acidificating Effects 0.000 description 3
- 150000007513 acids Chemical class 0.000 description 3
- 230000003213 activating Effects 0.000 description 3
- 239000004480 active ingredient Substances 0.000 description 3
- 229960002833 aflibercept Drugs 0.000 description 3
- 108010081667 aflibercept Proteins 0.000 description 3
- 229960003005 axitinib Drugs 0.000 description 3
- RITAVMQDGBJQJZ-FMIVXFBMSA-N axitinib Chemical compound CNC(=O)C1=CC=CC=C1SC1=CC=C(C(\C=C\C=2N=CC=CC=2)=NN2)C2=C1 RITAVMQDGBJQJZ-FMIVXFBMSA-N 0.000 description 3
- 239000011324 bead Substances 0.000 description 3
- 239000012148 binding buffer Substances 0.000 description 3
- YBJHBAHKTGYVGT-ZKWXMUAHSA-N biotin Chemical compound N1C(=O)N[C@@H]2[C@H](CCCCC(=O)O)SC[C@@H]21 YBJHBAHKTGYVGT-ZKWXMUAHSA-N 0.000 description 3
- 229960002685 biotin Drugs 0.000 description 3
- 235000020958 biotin Nutrition 0.000 description 3
- 239000011616 biotin Substances 0.000 description 3
- 238000005119 centrifugation Methods 0.000 description 3
- 201000010881 cervical cancer Diseases 0.000 description 3
- 230000001684 chronic Effects 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- 239000011248 coating agent Substances 0.000 description 3
- 238000000576 coating method Methods 0.000 description 3
- 230000001419 dependent Effects 0.000 description 3
- 238000003745 diagnosis Methods 0.000 description 3
- 102000004419 dihydrofolate reductase family Human genes 0.000 description 3
- 108020001096 dihydrofolate reductase family Proteins 0.000 description 3
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 3
- 229910000397 disodium phosphate Inorganic materials 0.000 description 3
- 235000019800 disodium phosphate Nutrition 0.000 description 3
- 231100000673 dose–response relationship Toxicity 0.000 description 3
- 239000003623 enhancer Substances 0.000 description 3
- 238000000684 flow cytometry Methods 0.000 description 3
- 239000000499 gel Substances 0.000 description 3
- 239000008273 gelatin Substances 0.000 description 3
- 229920000159 gelatin Polymers 0.000 description 3
- 235000019322 gelatine Nutrition 0.000 description 3
- 235000011852 gelatine desserts Nutrition 0.000 description 3
- 238000003197 gene knockdown Methods 0.000 description 3
- 230000002068 genetic Effects 0.000 description 3
- 210000004602 germ cell Anatomy 0.000 description 3
- 231100000844 hepatocellular carcinoma Toxicity 0.000 description 3
- 229910052739 hydrogen Inorganic materials 0.000 description 3
- 239000002596 immunotoxin Substances 0.000 description 3
- 229940079322 interferon Drugs 0.000 description 3
- BPHPUYQFMNQIOC-NXRLNHOXSA-N isopropyl β-D-thiogalactopyranoside Chemical compound CC(C)S[C@@H]1O[C@H](CO)[C@H](O)[C@H](O)[C@H]1O BPHPUYQFMNQIOC-NXRLNHOXSA-N 0.000 description 3
- 201000010982 kidney cancer Diseases 0.000 description 3
- 229940115286 lentinan Drugs 0.000 description 3
- 230000002132 lysosomal Effects 0.000 description 3
- 239000011777 magnesium Substances 0.000 description 3
- 210000004962 mammalian cells Anatomy 0.000 description 3
- 108010082117 matrigel Proteins 0.000 description 3
- 230000005012 migration Effects 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000006011 modification reaction Methods 0.000 description 3
- 238000010369 molecular cloning Methods 0.000 description 3
- 210000000056 organs Anatomy 0.000 description 3
- 229960000639 pazopanib Drugs 0.000 description 3
- CUIHSIWYWATEQL-UHFFFAOYSA-N pazopanib Chemical compound C1=CC2=C(C)N(C)N=C2C=C1N(C)C(N=1)=CC=NC=1NC1=CC=C(C)C(S(N)(=O)=O)=C1 CUIHSIWYWATEQL-UHFFFAOYSA-N 0.000 description 3
- 239000003757 phosphotransferase inhibitor Substances 0.000 description 3
- 231100000773 point of departure Toxicity 0.000 description 3
- 238000003259 recombinant expression Methods 0.000 description 3
- 229960004836 regorafenib Drugs 0.000 description 3
- FNHKPVJBJVTLMP-UHFFFAOYSA-N regorafenib Chemical compound C1=NC(C(=O)NC)=CC(OC=2C=C(F)C(NC(=O)NC=3C=C(C(Cl)=CC=3)C(F)(F)F)=CC=2)=C1 FNHKPVJBJVTLMP-UHFFFAOYSA-N 0.000 description 3
- 230000001850 reproductive Effects 0.000 description 3
- 238000011160 research Methods 0.000 description 3
- 150000003839 salts Chemical class 0.000 description 3
- 230000035945 sensitivity Effects 0.000 description 3
- 230000019491 signal transduction Effects 0.000 description 3
- 239000002904 solvent Substances 0.000 description 3
- 229960003787 sorafenib Drugs 0.000 description 3
- 239000000600 sorbitol Substances 0.000 description 3
- 238000001228 spectrum Methods 0.000 description 3
- 239000003381 stabilizer Substances 0.000 description 3
- 239000000758 substrate Substances 0.000 description 3
- 239000005720 sucrose Substances 0.000 description 3
- 230000001988 toxicity Effects 0.000 description 3
- 231100000419 toxicity Toxicity 0.000 description 3
- 201000005112 urinary bladder cancer Diseases 0.000 description 3
- 230000003612 virological Effects 0.000 description 3
- NFGXHKASABOEEW-UHFFFAOYSA-N (+)-methoprene Chemical compound COC(C)(C)CCCC(C)CC=CC(C)=CC(=O)OC(C)C NFGXHKASABOEEW-UHFFFAOYSA-N 0.000 description 2
- OMJKFYKNWZZKTK-POHAHGRESA-N (5Z)-5-(dimethylaminohydrazinylidene)imidazole-4-carboxamide Chemical compound CN(C)N\N=C1/N=CN=C1C(N)=O OMJKFYKNWZZKTK-POHAHGRESA-N 0.000 description 2
- PKYCWFICOKSIHZ-UHFFFAOYSA-N 1-(3,7-dihydroxyphenoxazin-10-yl)ethanone Chemical compound OC1=CC=C2N(C(=O)C)C3=CC=C(O)C=C3OC2=C1 PKYCWFICOKSIHZ-UHFFFAOYSA-N 0.000 description 2
- 102000010400 1-phosphatidylinositol-3-kinase activity proteins Human genes 0.000 description 2
- 108040005185 1-phosphatidylinositol-3-kinase activity proteins Proteins 0.000 description 2
- 229940100198 ALKYLATING AGENTS Drugs 0.000 description 2
- 229940100197 ANTIMETABOLITES Drugs 0.000 description 2
- 206010000496 Acne Diseases 0.000 description 2
- 108010090838 Alemtuzumab Proteins 0.000 description 2
- YBBLVLTVTVSKRW-UHFFFAOYSA-N Anastrozole Chemical compound N#CC(C)(C)C1=CC(C(C)(C#N)C)=CC(CN2N=CN=C2)=C1 YBBLVLTVTVSKRW-UHFFFAOYSA-N 0.000 description 2
- 206010059512 Apoptosis Diseases 0.000 description 2
- BFYIZQONLCFLEV-DAELLWKTSA-N Aromasine Chemical compound O=C1C=C[C@]2(C)[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CC(=C)C2=C1 BFYIZQONLCFLEV-DAELLWKTSA-N 0.000 description 2
- 206010003210 Arteriosclerosis Diseases 0.000 description 2
- 229960001230 Asparagine Drugs 0.000 description 2
- 229960005261 Aspartic Acid Drugs 0.000 description 2
- 240000008371 Bacillus subtilis Species 0.000 description 2
- 229940075615 Bacillus subtilis Drugs 0.000 description 2
- 235000014469 Bacillus subtilis Nutrition 0.000 description 2
- GXJABQQUPOEUTA-RDJZCZTQSA-N Bortezomib Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)B(O)O)NC(=O)C=1N=CC=NC=1)C1=CC=CC=C1 GXJABQQUPOEUTA-RDJZCZTQSA-N 0.000 description 2
- 229950005993 Brivanib alaninate Drugs 0.000 description 2
- 101700008564 CHIC2 Proteins 0.000 description 2
- 229920002574 CR-39 Polymers 0.000 description 2
- 102100006435 CSF3 Human genes 0.000 description 2
- FFGPTBGBLSHEPO-UHFFFAOYSA-N Carbamazepine Chemical compound C1=CC2=CC=CC=C2N(C(=O)N)C2=CC=CC=C21 FFGPTBGBLSHEPO-UHFFFAOYSA-N 0.000 description 2
- 241000282693 Cercopithecidae Species 0.000 description 2
- 108010022830 Cetuximab Proteins 0.000 description 2
- 208000006990 Cholangiocarcinoma Diseases 0.000 description 2
- 206010008642 Cholesteatoma Diseases 0.000 description 2
- OPTASPLRGRRNAP-UHFFFAOYSA-N Cytosine Chemical compound NC=1C=CNC(=O)N=1 OPTASPLRGRRNAP-UHFFFAOYSA-N 0.000 description 2
- FBPFZTCFMRRESA-KAZBKCHUSA-N D-Mannitol Natural products OC[C@@H](O)[C@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KAZBKCHUSA-N 0.000 description 2
- 230000004544 DNA amplification Effects 0.000 description 2
- 229920002307 Dextran Polymers 0.000 description 2
- 101700025368 ERBB2 Proteins 0.000 description 2
- 102100016662 ERBB2 Human genes 0.000 description 2
- 229940088598 Enzyme Drugs 0.000 description 2
- 229960001433 Erlotinib Drugs 0.000 description 2
- AAKJLRGGTJKAMG-UHFFFAOYSA-N Erlotinib Chemical compound C=12C=C(OCCOC)C(OCCOC)=CC2=NC=NC=1NC1=CC=CC(C#C)=C1 AAKJLRGGTJKAMG-UHFFFAOYSA-N 0.000 description 2
- 229920000665 Exon Polymers 0.000 description 2
- 210000001508 Eye Anatomy 0.000 description 2
- 101710003421 FGF Proteins 0.000 description 2
- OSVMTWJCGUFAOD-KZQROQTASA-N Formestane Chemical compound O=C1CC[C@]2(C)[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CCC2=C1O OSVMTWJCGUFAOD-KZQROQTASA-N 0.000 description 2
- CHPZKNULDCNCBW-UHFFFAOYSA-N Gallium nitrate Chemical compound [Ga+3].[O-][N+]([O-])=O.[O-][N+]([O-])=O.[O-][N+]([O-])=O CHPZKNULDCNCBW-UHFFFAOYSA-N 0.000 description 2
- 210000001035 Gastrointestinal Tract Anatomy 0.000 description 2
- XGALLCVXEZPNRQ-UHFFFAOYSA-N Gefitinib Chemical compound C=12C=C(OCCCN3CCOCC3)C(OC)=CC2=NC=NC=1NC1=CC=C(F)C(Cl)=C1 XGALLCVXEZPNRQ-UHFFFAOYSA-N 0.000 description 2
- SDUQYLNIPVEERB-QPPQHZFASA-N Gemcitabine Chemical compound O=C1N=C(N)C=CN1[C@H]1C(F)(F)[C@H](O)[C@@H](CO)O1 SDUQYLNIPVEERB-QPPQHZFASA-N 0.000 description 2
- 229960002989 Glutamic Acid Drugs 0.000 description 2
- UYTPUPDQBNUYGX-UHFFFAOYSA-N Guanine Chemical compound O=C1NC(N)=NC2=C1N=CN2 UYTPUPDQBNUYGX-UHFFFAOYSA-N 0.000 description 2
- 230000036499 Half live Effects 0.000 description 2
- 241000238631 Hexapoda Species 0.000 description 2
- 229940088597 Hormone Drugs 0.000 description 2
- 241000282619 Hylobates lar Species 0.000 description 2
- 229960000310 ISOLEUCINE Drugs 0.000 description 2
- RAXXELZNTBOGNW-UHFFFAOYSA-N Imidazole Chemical compound C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 description 2
- 231100000608 Immunotoxin Toxicity 0.000 description 2
- 229940047124 Interferons Drugs 0.000 description 2
- 210000003734 Kidney Anatomy 0.000 description 2
- 210000000822 Killer Cells, Natural Anatomy 0.000 description 2
- DCXYFEDJOCDNAF-REOHCLBHSA-N L-asparagine Chemical compound OC(=O)[C@@H](N)CC(N)=O DCXYFEDJOCDNAF-REOHCLBHSA-N 0.000 description 2
- CKLJMWTZIZZHCS-REOHCLBHSA-N L-aspartic acid Chemical compound OC(=O)[C@@H](N)CC(O)=O CKLJMWTZIZZHCS-REOHCLBHSA-N 0.000 description 2
- ZDXPYRJPNDTMRX-VKHMYHEASA-N L-glutamine Chemical compound OC(=O)[C@@H](N)CCC(N)=O ZDXPYRJPNDTMRX-VKHMYHEASA-N 0.000 description 2
- HNDVDQJCIGZPNO-YFKPBYRVSA-N L-histidine Chemical compound OC(=O)[C@@H](N)CC1=CN=CN1 HNDVDQJCIGZPNO-YFKPBYRVSA-N 0.000 description 2
- AGPKZVBTJJNPAG-WHFBIAKZSA-N L-isoleucine Chemical compound CC[C@H](C)[C@H](N)C(O)=O AGPKZVBTJJNPAG-WHFBIAKZSA-N 0.000 description 2
- FFEARJCKVFRZRR-BYPYZUCNSA-N L-methionine Chemical compound CSCC[C@H](N)C(O)=O FFEARJCKVFRZRR-BYPYZUCNSA-N 0.000 description 2
- FBOZXECLQNJBKD-ZDUSSCGKSA-N L-methotrexate Chemical compound C=1N=C2N=C(N)N=C(N)C2=NC=1CN(C)C1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 FBOZXECLQNJBKD-ZDUSSCGKSA-N 0.000 description 2
- AYFVYJQAPQTCCC-GBXIJSLDSA-N L-threonine Chemical compound C[C@@H](O)[C@H](N)C(O)=O AYFVYJQAPQTCCC-GBXIJSLDSA-N 0.000 description 2
- KZSNJWFQEVHDMF-BYPYZUCNSA-N L-valine Chemical compound CC(C)[C@H](N)C(O)=O KZSNJWFQEVHDMF-BYPYZUCNSA-N 0.000 description 2
- 239000005411 L01XE02 - Gefitinib Substances 0.000 description 2
- 239000005551 L01XE03 - Erlotinib Substances 0.000 description 2
- 239000002147 L01XE04 - Sunitinib Substances 0.000 description 2
- GUBGYTABKSRVRQ-UUNJERMWSA-N Lactose Natural products O([C@@H]1[C@H](O)[C@H](O)[C@H](O)O[C@@H]1CO)[C@H]1[C@@H](O)[C@@H](O)[C@H](O)[C@H](CO)O1 GUBGYTABKSRVRQ-UUNJERMWSA-N 0.000 description 2
- 206010024217 Lentigo Diseases 0.000 description 2
- HPJKCIUCZWXJDR-UHFFFAOYSA-N Letrozole Chemical compound C1=CC(C#N)=CC=C1C(N1N=CN=C1)C1=CC=C(C#N)C=C1 HPJKCIUCZWXJDR-UHFFFAOYSA-N 0.000 description 2
- 206010024324 Leukaemias Diseases 0.000 description 2
- 210000004185 Liver Anatomy 0.000 description 2
- 210000004072 Lung Anatomy 0.000 description 2
- 108009000252 Lung fibrosis Proteins 0.000 description 2
- 239000006137 Luria-Bertani broth Substances 0.000 description 2
- 241000282553 Macaca Species 0.000 description 2
- 241000124008 Mammalia Species 0.000 description 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 2
- 229960001156 Mitoxantrone Drugs 0.000 description 2
- KKZJGLLVHKMTCM-UHFFFAOYSA-N Mitoxantrone Chemical compound O=C1C2=C(O)C=CC(O)=C2C(=O)C2=C1C(NCCNCCO)=CC=C2NCCNCCO KKZJGLLVHKMTCM-UHFFFAOYSA-N 0.000 description 2
- 102000016943 Muramidase Human genes 0.000 description 2
- 108010014251 Muramidase Proteins 0.000 description 2
- 125000000729 N-terminal amino-acid group Chemical group 0.000 description 2
- 102400000108 N-terminal peptide Human genes 0.000 description 2
- 101800000597 N-terminal peptide Proteins 0.000 description 2
- 206010061309 Neoplasm progression Diseases 0.000 description 2
- XWXYUMMDTVBTOU-UHFFFAOYSA-N Nilutamide Chemical compound O=C1C(C)(C)NC(=O)N1C1=CC=C([N+]([O-])=O)C(C(F)(F)F)=C1 XWXYUMMDTVBTOU-UHFFFAOYSA-N 0.000 description 2
- 206010029592 Non-Hodgkin's lymphomas Diseases 0.000 description 2
- 108009000071 Non-small cell lung cancer Proteins 0.000 description 2
- 229950007283 Oregovomab Drugs 0.000 description 2
- 206010025310 Other lymphomas Diseases 0.000 description 2
- 206010033078 Otitis media Diseases 0.000 description 2
- 210000001672 Ovary Anatomy 0.000 description 2
- FWZRWHZDXBDTFK-ZHACJKMWSA-N Panobinostat Chemical compound CC1=NC2=CC=C[CH]C2=C1CCNCC1=CC=C(\C=C\C(=O)NO)C=C1 FWZRWHZDXBDTFK-ZHACJKMWSA-N 0.000 description 2
- 229960002340 Pentostatin Drugs 0.000 description 2
- FPVKHBSQESCIEP-JQCXWYLXSA-N Pentostatin Chemical compound C1[C@H](O)[C@@H](CO)O[C@H]1N1C(N=CNC[C@H]2O)=C2N=C1 FPVKHBSQESCIEP-JQCXWYLXSA-N 0.000 description 2
- 108091000081 Phosphotransferases Proteins 0.000 description 2
- 239000002202 Polyethylene glycol Substances 0.000 description 2
- 102000001253 Protein Kinases Human genes 0.000 description 2
- 241000589516 Pseudomonas Species 0.000 description 2
- 101710037934 QRSL1 Proteins 0.000 description 2
- 239000007759 RPMI Media 1640 Substances 0.000 description 2
- 108091005674 Receptor kinase Proteins 0.000 description 2
- 108020004511 Recombinant DNA Proteins 0.000 description 2
- 208000006265 Renal Cell Carcinoma Diseases 0.000 description 2
- 108010001645 Rituximab Proteins 0.000 description 2
- 208000000097 Sertoli-Leydig Cell Tumor Diseases 0.000 description 2
- 108020004682 Single-Stranded DNA Proteins 0.000 description 2
- 208000000649 Small Cell Carcinoma Diseases 0.000 description 2
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 2
- 102000001854 Steroid 17-alpha-Hydroxylase Human genes 0.000 description 2
- 108010015330 Steroid 17-alpha-Hydroxylase Proteins 0.000 description 2
- 241000187747 Streptomyces Species 0.000 description 2
- WINHZLLDWRZWRT-ATVHPVEESA-N Sunitinib Chemical compound CCN(CC)CCNC(=O)C1=C(C)NC(\C=C/2C3=CC(F)=CC=C3NC\2=O)=C1C WINHZLLDWRZWRT-ATVHPVEESA-N 0.000 description 2
- 239000004473 Threonine Substances 0.000 description 2
- 229940113082 Thymine Drugs 0.000 description 2
- 231100000777 Toxicophore Toxicity 0.000 description 2
- 229960004799 Tryptophan Drugs 0.000 description 2
- 102000004243 Tubulin Human genes 0.000 description 2
- 108090000704 Tubulin Proteins 0.000 description 2
- 210000001635 Urinary Tract Anatomy 0.000 description 2
- 229940058865 Vectibix Drugs 0.000 description 2
- LTEJRLHKIYCEOX-OCCSQVGLSA-N [(2R)-1-[4-[(4-fluoro-2-methyl-1H-indol-5-yl)oxy]-5-methylpyrrolo[2,1-f][1,2,4]triazin-6-yl]oxypropan-2-yl] (2S)-2-aminopropanoate Chemical compound C1=C2NC(C)=CC2=C(F)C(OC2=NC=NN3C=C(C(=C32)C)OC[C@@H](C)OC(=O)[C@H](C)N)=C1 LTEJRLHKIYCEOX-OCCSQVGLSA-N 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-K [O-]P([O-])([O-])=O Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 2
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 201000008395 adenosquamous carcinoma Diseases 0.000 description 2
- 230000001464 adherent Effects 0.000 description 2
- 230000001270 agonistic Effects 0.000 description 2
- 125000003295 alanine group Chemical group N[C@@H](C)C(=O)* 0.000 description 2
- 229960000548 alemtuzumab Drugs 0.000 description 2
- 239000002168 alkylating agent Substances 0.000 description 2
- 229960002932 anastrozole Drugs 0.000 description 2
- 238000010171 animal model Methods 0.000 description 2
- 230000001772 anti-angiogenic Effects 0.000 description 2
- 230000001093 anti-cancer Effects 0.000 description 2
- 230000000340 anti-metabolite Effects 0.000 description 2
- 239000002256 antimetabolite Substances 0.000 description 2
- 230000006907 apoptotic process Effects 0.000 description 2
- 239000007864 aqueous solution Substances 0.000 description 2
- 235000009582 asparagine Nutrition 0.000 description 2
- 235000003704 aspartic acid Nutrition 0.000 description 2
- 201000001320 atherosclerosis Diseases 0.000 description 2
- 238000003705 background correction Methods 0.000 description 2
- 229960000997 bicalutamide Drugs 0.000 description 2
- LKJPYSCBVHEWIU-KRWDZBQOSA-N bicalutamide Chemical compound C([C@@](O)(C)C(=O)NC=1C=C(C(C#N)=CC=1)C(F)(F)F)S(=O)(=O)C1=CC=C(F)C=C1 LKJPYSCBVHEWIU-KRWDZBQOSA-N 0.000 description 2
- 229960001467 bortezomib Drugs 0.000 description 2
- 239000001768 carboxy methyl cellulose Substances 0.000 description 2
- 239000001913 cellulose Substances 0.000 description 2
- 229920002678 cellulose Polymers 0.000 description 2
- 235000010980 cellulose Nutrition 0.000 description 2
- 229960005395 cetuximab Drugs 0.000 description 2
- 201000011231 colorectal cancer Diseases 0.000 description 2
- 230000002860 competitive Effects 0.000 description 2
- 230000009089 cytolysis Effects 0.000 description 2
- 229960003901 dacarbazine Drugs 0.000 description 2
- 230000003247 decreasing Effects 0.000 description 2
- 238000011033 desalting Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000010432 diamond Substances 0.000 description 2
- 230000004069 differentiation Effects 0.000 description 2
- KCXVZYZYPLLWCC-UHFFFAOYSA-N edta Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 2
- 230000013080 embryo development ending in birth or egg hatching Effects 0.000 description 2
- 230000013144 embryo development ending in seed dormancy Effects 0.000 description 2
- 201000009273 endometriosis Diseases 0.000 description 2
- 230000029578 entry into host Effects 0.000 description 2
- 150000002148 esters Chemical class 0.000 description 2
- 229960000255 exemestane Drugs 0.000 description 2
- 239000010685 fatty oil Substances 0.000 description 2
- 210000002950 fibroblast Anatomy 0.000 description 2
- 230000003176 fibrotic Effects 0.000 description 2
- 239000000945 filler Substances 0.000 description 2
- 229960002074 flutamide Drugs 0.000 description 2
- 229960004421 formestane Drugs 0.000 description 2
- 229960004783 fotemustine Drugs 0.000 description 2
- YAKWPXVTIGTRJH-UHFFFAOYSA-N fotemustine Chemical compound CCOP(=O)(OCC)C(C)NC(=O)N(CCCl)N=O YAKWPXVTIGTRJH-UHFFFAOYSA-N 0.000 description 2
- 201000006585 gastric adenocarcinoma Diseases 0.000 description 2
- 229960002584 gefitinib Drugs 0.000 description 2
- 229960005277 gemcitabine Drugs 0.000 description 2
- 235000013922 glutamic acid Nutrition 0.000 description 2
- 239000004220 glutamic acid Substances 0.000 description 2
- 235000004554 glutamine Nutrition 0.000 description 2
- DHMQDGOQFOQNFH-UHFFFAOYSA-N glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 description 2
- 201000010536 head and neck cancer Diseases 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 238000004128 high performance liquid chromatography Methods 0.000 description 2
- 239000005556 hormone Substances 0.000 description 2
- 238000001794 hormone therapy Methods 0.000 description 2
- 102000008000 human cationic antimicrobial protein CAP 37 Human genes 0.000 description 2
- 108010089633 human cationic antimicrobial protein CAP 37 Proteins 0.000 description 2
- 239000001257 hydrogen Substances 0.000 description 2
- MHAJPDPJQMAIIY-UHFFFAOYSA-N hydrogen peroxide Chemical compound OO MHAJPDPJQMAIIY-UHFFFAOYSA-N 0.000 description 2
- 230000002209 hydrophobic Effects 0.000 description 2
- 238000003384 imaging method Methods 0.000 description 2
- 239000000367 immunologic factor Substances 0.000 description 2
- 230000002637 immunotoxin Effects 0.000 description 2
- 238000000126 in silico method Methods 0.000 description 2
- 102000006495 integrins Human genes 0.000 description 2
- 108010044426 integrins Proteins 0.000 description 2
- 230000000968 intestinal Effects 0.000 description 2
- 238000001361 intraarterial administration Methods 0.000 description 2
- 230000003834 intracellular Effects 0.000 description 2
- 201000010985 invasive ductal carcinoma Diseases 0.000 description 2
- 238000002372 labelling Methods 0.000 description 2
- 239000008101 lactose Substances 0.000 description 2
- GUBGYTABKSRVRQ-XLOQQCSPSA-N lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 2
- 231100000225 lethality Toxicity 0.000 description 2
- 229960003881 letrozole Drugs 0.000 description 2
- 229960003136 leucine Drugs 0.000 description 2
- 235000005772 leucine Nutrition 0.000 description 2
- 239000006166 lysate Substances 0.000 description 2
- 230000002934 lysing Effects 0.000 description 2
- 229960000274 lysozyme Drugs 0.000 description 2
- 239000004325 lysozyme Substances 0.000 description 2
- 235000010335 lysozyme Nutrition 0.000 description 2
- 229910052749 magnesium Inorganic materials 0.000 description 2
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 2
- 230000003211 malignant Effects 0.000 description 2
- 239000000594 mannitol Substances 0.000 description 2
- 235000010355 mannitol Nutrition 0.000 description 2
- 230000034217 membrane fusion Effects 0.000 description 2
- 230000003340 mental Effects 0.000 description 2
- UKWHYYKOEPRTIC-UHFFFAOYSA-N mercury(II) oxide Inorganic materials [Hg]=O UKWHYYKOEPRTIC-UHFFFAOYSA-N 0.000 description 2
- 229960000485 methotrexate Drugs 0.000 description 2
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 2
- 108091006010 monomeric small GTPases Proteins 0.000 description 2
- 238000002703 mutagenesis Methods 0.000 description 2
- 231100000350 mutagenesis Toxicity 0.000 description 2
- 230000001613 neoplastic Effects 0.000 description 2
- 229960002653 nilutamide Drugs 0.000 description 2
- IJGRMHOSHXDMSA-UHFFFAOYSA-N nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 2
- 108010060422 oregovomab Proteins 0.000 description 2
- 229960005184 panobinostat Drugs 0.000 description 2
- 201000001245 periodontitis Diseases 0.000 description 2
- 239000000825 pharmaceutical preparation Substances 0.000 description 2
- 239000008363 phosphate buffer Substances 0.000 description 2
- 238000007747 plating Methods 0.000 description 2
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 description 2
- 229920000053 polysorbate 80 Polymers 0.000 description 2
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 2
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 2
- 230000036678 protein binding Effects 0.000 description 2
- 238000000159 protein binding assay Methods 0.000 description 2
- 238000001742 protein purification Methods 0.000 description 2
- 201000004681 psoriasis Diseases 0.000 description 2
- 102000016949 rab GTP-Binding Proteins Human genes 0.000 description 2
- 108010014420 rab GTP-Binding Proteins Proteins 0.000 description 2
- 239000002464 receptor antagonist Substances 0.000 description 2
- 210000002345 respiratory system Anatomy 0.000 description 2
- 230000004044 response Effects 0.000 description 2
- 101710004466 rgy Proteins 0.000 description 2
- 101710030364 rgy1 Proteins 0.000 description 2
- 101710030359 rgy2 Proteins 0.000 description 2
- 201000009410 rhabdomyosarcoma Diseases 0.000 description 2
- 229960004641 rituximab Drugs 0.000 description 2
- 229960001153 serine Drugs 0.000 description 2
- 235000004400 serine Nutrition 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 238000009097 single-agent therapy Methods 0.000 description 2
- 238000002741 site-directed mutagenesis Methods 0.000 description 2
- 201000000849 skin cancer Diseases 0.000 description 2
- 102000030851 small GTPase family Human genes 0.000 description 2
- 150000003384 small molecules Chemical class 0.000 description 2
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 2
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 2
- 238000002415 sodium dodecyl sulfate polyacrylamide gel electrophoresis Methods 0.000 description 2
- 235000000346 sugar Nutrition 0.000 description 2
- 229960001796 sunitinib Drugs 0.000 description 2
- 238000002198 surface plasmon resonance spectroscopy Methods 0.000 description 2
- 230000002194 synthesizing Effects 0.000 description 2
- 239000000454 talc Substances 0.000 description 2
- 229910052623 talc Inorganic materials 0.000 description 2
- 238000004448 titration Methods 0.000 description 2
- 230000000699 topical Effects 0.000 description 2
- 230000001131 transforming Effects 0.000 description 2
- 241000701161 unidentified adenovirus Species 0.000 description 2
- 230000003827 upregulation Effects 0.000 description 2
- 239000004474 valine Substances 0.000 description 2
- 229960004295 valine Drugs 0.000 description 2
- ZROHGHOFXNOHSO-BNTLRKBRSA-L (1R,2R)-cyclohexane-1,2-diamine;oxalate;platinum(2+) Chemical compound [H][N]([C@@H]1CCCC[C@H]1[N]1([H])[H])([H])[Pt]11OC(=O)C(=O)O1 ZROHGHOFXNOHSO-BNTLRKBRSA-L 0.000 description 1
- GMRQFYUYWCNGIN-NKMMMXOESA-N (1R,3S,5Z)-5-{2-[(1R,3aS,4E,7aR)-1-[(2R)-6-hydroxy-6-methylheptan-2-yl]-7a-methyl-octahydro-1H-inden-4-ylidene]ethylidene}-4-methylidenecyclohexane-1,3-diol Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@@H](CCCC(C)(C)O)C)=C\C=C1\C[C@@H](O)C[C@H](O)C1=C GMRQFYUYWCNGIN-NKMMMXOESA-N 0.000 description 1
- BFZKMNSQCNVFGM-UCEYFQQTSA-N (1S,3S,7S,10R,11S,12S,16R)-7,11-dihydroxy-8,8,12,16-tetramethyl-3-(2-methyl-1,3-benzothiazol-5-yl)-10-prop-2-enyl-4,17-dioxabicyclo[14.1.0]heptadecane-5,9-dione Chemical compound O1C(=O)C[C@H](O)C(C)(C)C(=O)[C@H](CC=C)[C@@H](O)[C@@H](C)CCC[C@@]2(C)O[C@H]2C[C@H]1C1=CC=C(SC(C)=N2)C2=C1 BFZKMNSQCNVFGM-UCEYFQQTSA-N 0.000 description 1
- SHGAZHPCJJPHSC-ZVCIMWCZSA-N (2E,4E,6Z,8E)-3,7-dimethyl-9-(2,6,6-trimethylcyclohex-1-en-1-yl)nona-2,4,6,8-tetraenoic acid Chemical compound OC(=O)/C=C(\C)/C=C/C=C(/C)\C=C\C1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-ZVCIMWCZSA-N 0.000 description 1
- WCWUXEGQKLTGDX-LLVKDONJSA-N (2R)-1-[4-[(4-fluoro-2-methyl-1H-indol-5-yl)oxy]-5-methylpyrrolo[2,1-f][1,2,4]triazin-6-yl]oxypropan-2-ol Chemical compound C1=C2NC(C)=CC2=C(F)C(OC2=NC=NN3C=C(C(=C32)C)OC[C@H](O)C)=C1 WCWUXEGQKLTGDX-LLVKDONJSA-N 0.000 description 1
- WDQLRUYAYXDIFW-RWKIJVEZSA-N (2R,3R,4S,5R,6R)-4-[(2S,3R,4S,5R,6R)-3,5-dihydroxy-4-[(2R,3R,4S,5S,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-6-[[(2R,3R,4S,5S,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]oxymethyl]oxan-2-yl]oxy-6-(hydroxymethyl)oxane-2,3,5-triol Chemical compound O[C@@H]1[C@@H](CO)O[C@@H](O)[C@H](O)[C@H]1O[C@H]1[C@H](O)[C@@H](O[C@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](CO)O2)O)[C@H](O)[C@@H](CO[C@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](CO)O2)O)O1 WDQLRUYAYXDIFW-RWKIJVEZSA-N 0.000 description 1
- QXOPTIPQEVJERB-JQWIXIFHSA-N (2S)-2-[[5-[2-[(6S)-2-amino-4-oxo-5,6,7,8-tetrahydro-1H-pyrido[2,3-d]pyrimidin-6-yl]ethyl]-4-methylthiophene-2-carbonyl]amino]pentanedioic acid Chemical compound C1=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)SC(CC[C@H]2CC=3C(=O)N=C(N)NC=3NC2)=C1C QXOPTIPQEVJERB-JQWIXIFHSA-N 0.000 description 1
- JGDXFQORBMPJGR-YUMQZZPRSA-N (2S)-2-amino-5-[[(2R)-1-(carboxymethylamino)-3-dimethylarsanylsulfanyl-1-oxopropan-2-yl]amino]-5-oxopentanoic acid Chemical compound OC(=O)CNC(=O)[C@H](CS[As](C)C)NC(=O)CC[C@H](N)C(O)=O JGDXFQORBMPJGR-YUMQZZPRSA-N 0.000 description 1
- OJLHWPALWODJPQ-QNWVGRARSA-N (2S)-2-amino-5-[[(2R)-3-[2-[bis[bis(2-chloroethyl)amino]phosphoryloxy]ethylsulfonyl]-1-[[(R)-carboxy(phenyl)methyl]amino]-1-oxopropan-2-yl]amino]-5-oxopentanoic acid Chemical compound ClCCN(CCCl)P(=O)(N(CCCl)CCCl)OCCS(=O)(=O)C[C@H](NC(=O)CC[C@H](N)C(O)=O)C(=O)N[C@@H](C(O)=O)C1=CC=CC=C1 OJLHWPALWODJPQ-QNWVGRARSA-N 0.000 description 1
- GTXSRFUZSLTDFX-HRCADAONSA-N (2S)-N-[(2S)-3,3-dimethyl-1-(methylamino)-1-oxobutan-2-yl]-4-methyl-2-[[(2S)-2-sulfanyl-4-(3,4,4-trimethyl-2,5-dioxoimidazolidin-1-yl)butanoyl]amino]pentanamide Chemical compound CNC(=O)[C@H](C(C)(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](S)CCN1C(=O)N(C)C(C)(C)C1=O GTXSRFUZSLTDFX-HRCADAONSA-N 0.000 description 1
- PSVUJBVBCOISSP-SPFKKGSWSA-N (2S,3R,4S,5S,6R)-2-bis(2-chloroethylamino)phosphoryloxy-6-(hydroxymethyl)oxane-3,4,5-triol Chemical compound OC[C@H]1O[C@@H](OP(=O)(NCCCl)NCCCl)[C@H](O)[C@@H](O)[C@@H]1O PSVUJBVBCOISSP-SPFKKGSWSA-N 0.000 description 1
- OLDRWYVIKMSFFB-KPVRICSOSA-N (3aR)-2-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-3a,4,5,6-tetrahydro-3H-benzo[de]isoquinolin-1-one;hydron;chloride Chemical compound Cl.C1N(CC2)CCC2[C@@H]1N1C(=O)C(C=CC=C2CCC3)=C2[C@@H]3C1 OLDRWYVIKMSFFB-KPVRICSOSA-N 0.000 description 1
- VWUXBMIQPBEWFH-WCCTWKNTSA-N (7R,8R,9S,13S,14S,17S)-13-methyl-7-[9-(4,4,5,5,5-pentafluoropentylsulfinyl)nonyl]-6,7,8,9,11,12,14,15,16,17-decahydrocyclopenta[a]phenanthrene-3,17-diol Chemical compound OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3[C@H](CCCCCCCCCS(=O)CCCC(F)(F)C(F)(F)F)CC2=C1 VWUXBMIQPBEWFH-WCCTWKNTSA-N 0.000 description 1
- VAPSMQAHNAZRKC-PQWRYPMOSA-N (8S,9S,10R,13S,14S,17S)-17-(tert-butylcarbamoyl)-10,13-dimethyl-2,7,8,9,11,12,14,15,16,17-decahydro-1H-cyclopenta[a]phenanthrene-3-carboxylic acid Chemical compound C1C=C2C=C(C(O)=O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H](C(=O)NC(C)(C)C)[C@@]1(C)CC2 VAPSMQAHNAZRKC-PQWRYPMOSA-N 0.000 description 1
- 229920000160 (ribonucleotides)n+m Polymers 0.000 description 1
- GMRQFYUYWCNGIN-ZVUFCXRFSA-N 1,25-dihydroxy vitamin D3 Chemical compound C1([C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@@H](CCCC(C)(C)O)C)=CC=C1C[C@@H](O)C[C@H](O)C1=C GMRQFYUYWCNGIN-ZVUFCXRFSA-N 0.000 description 1
- OXHOPZLBSSTTBU-UHFFFAOYSA-N 1,3-bis(bromomethyl)benzene Chemical compound BrCC1=CC=CC(CBr)=C1 OXHOPZLBSSTTBU-UHFFFAOYSA-N 0.000 description 1
- HAWSQZCWOQZXHI-FQEVSTJZSA-N 10-Hydroxycamptothecin Chemical compound C1=C(O)C=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 HAWSQZCWOQZXHI-FQEVSTJZSA-N 0.000 description 1
- QMVPQBFHUJZJCS-NTKFZFFISA-N 1V8X590XDP Chemical compound O=C1N(NC(CO)CO)C(=O)C(C2=C3[CH]C=C(O)C=C3NC2=C23)=C1C2=C1C=CC(O)=C[C]1N3[C@@H]1O[C@H](CO)[C@@H](O)[C@H](O)[C@H]1O QMVPQBFHUJZJCS-NTKFZFFISA-N 0.000 description 1
- VUKAUDKDFVSVFT-UHFFFAOYSA-N 2-[6-[4,5-bis(2-hydroxypropoxy)-2-(2-hydroxypropoxymethyl)-6-methoxyoxan-3-yl]oxy-4,5-dimethoxy-2-(methoxymethyl)oxan-3-yl]oxy-6-(hydroxymethyl)-5-methoxyoxane-3,4-diol Chemical compound COC1C(OC)C(OC2C(C(O)C(OC)C(CO)O2)O)C(COC)OC1OC1C(COCC(C)O)OC(OC)C(OCC(C)O)C1OCC(C)O VUKAUDKDFVSVFT-UHFFFAOYSA-N 0.000 description 1
- DGVVWUTYPXICAM-UHFFFAOYSA-N 2-mercaptoethanol Chemical compound OCCS DGVVWUTYPXICAM-UHFFFAOYSA-N 0.000 description 1
- QFVHZQCOUORWEI-UHFFFAOYSA-N 4-[(4-anilino-5-sulfonaphthalen-1-yl)diazenyl]-5-hydroxynaphthalene-2,7-disulfonic acid Chemical compound C=12C(O)=CC(S(O)(=O)=O)=CC2=CC(S(O)(=O)=O)=CC=1N=NC(C1=CC=CC(=C11)S(O)(=O)=O)=CC=C1NC1=CC=CC=C1 QFVHZQCOUORWEI-UHFFFAOYSA-N 0.000 description 1
- JFIWEPHGRUDAJN-DYUFWOLASA-N 4-amino-1-[(2R,3R,4S,5R)-4-ethynyl-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]pyrimidin-2-one Chemical compound O=C1N=C(N)C=CN1[C@H]1[C@H](O)[C@@](O)(C#C)[C@@H](CO)O1 JFIWEPHGRUDAJN-DYUFWOLASA-N 0.000 description 1
- GHASVSINZRGABV-UHFFFAOYSA-N 5-flurouricil Chemical compound FC1=CNC(=O)NC1=O GHASVSINZRGABV-UHFFFAOYSA-N 0.000 description 1
- NKGPJODWTZCHGF-KQYNXXCUSA-N 6-Thioinosinic acid Chemical compound O[C@@H]1[C@H](O)[C@@H](CO)O[C@H]1N1C2=NC=NC(S)=C2N=C1 NKGPJODWTZCHGF-KQYNXXCUSA-N 0.000 description 1
- PLHJCIYEEKOWNM-HHHXNRCGSA-N 6-[(R)-amino-(4-chlorophenyl)-(3-methylimidazol-4-yl)methyl]-4-(3-chlorophenyl)-1-methylquinolin-2-one Chemical compound CN1C=NC=C1[C@](N)(C=1C=C2C(C=3C=C(Cl)C=CC=3)=CC(=O)N(C)C2=CC=1)C1=CC=C(Cl)C=C1 PLHJCIYEEKOWNM-HHHXNRCGSA-N 0.000 description 1
- FUXVKZWTXQUGMW-FQEVSTJZSA-N 9-Aminocamptothecin Chemical compound C1=CC(N)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 FUXVKZWTXQUGMW-FQEVSTJZSA-N 0.000 description 1
- AOJJSUZBOXZQNB-TZSSRYMLSA-N ADRIAMYCIN Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-TZSSRYMLSA-N 0.000 description 1
- 208000002008 AIDS-Related Lymphoma Diseases 0.000 description 1
- 229940030495 ANTIANDROGEN SEX HORMONES AND MODULATORS OF THE GENITAL SYSTEM Drugs 0.000 description 1
- 101710034857 ATIC Proteins 0.000 description 1
- 244000215068 Acacia senegal Species 0.000 description 1
- 206010000880 Acute myeloid leukaemia Diseases 0.000 description 1
- 229960000643 Adenine Drugs 0.000 description 1
- GFFGJBXGBJISGV-UHFFFAOYSA-N Adenine Natural products NC1=NC=NC2=C1N=CN2 GFFGJBXGBJISGV-UHFFFAOYSA-N 0.000 description 1
- 208000010507 Adenocarcinoma of Lung Diseases 0.000 description 1
- 229920001817 Agar Polymers 0.000 description 1
- XJKJWTWGDGIQRH-BFIDDRIFSA-N Alginic acid Chemical compound O1[C@@H](C(O)=O)[C@@H](OC)[C@H](O)[C@H](O)[C@@H]1O[C@@H]1[C@@H](C(O)=O)O[C@@H](C)[C@@H](O)[C@H]1O XJKJWTWGDGIQRH-BFIDDRIFSA-N 0.000 description 1
- UUVWYPNAQBNQJQ-UHFFFAOYSA-N Altretamine Chemical compound CN(C)C1=NC(N(C)C)=NC(N(C)C)=N1 UUVWYPNAQBNQJQ-UHFFFAOYSA-N 0.000 description 1
- BIIVYFLTOXDAOV-YVEFUNNKSA-N Alvocidib Chemical compound O[C@@H]1CN(C)CC[C@@H]1C1=C(O)C=C(O)C2=C1OC(C=1C(=CC=CC=1)Cl)=CC2=O BIIVYFLTOXDAOV-YVEFUNNKSA-N 0.000 description 1
- 229960003437 Aminoglutethimide Drugs 0.000 description 1
- ROBVIMPUHSLWNV-UHFFFAOYSA-N Aminoglutethimide Chemical compound C=1C=C(N)C=CC=1C1(CC)CCC(=O)NC1=O ROBVIMPUHSLWNV-UHFFFAOYSA-N 0.000 description 1
- BFNBIHQBYMNNAN-UHFFFAOYSA-N Ammonium sulfate Chemical compound N.N.OS(O)(=O)=O BFNBIHQBYMNNAN-UHFFFAOYSA-N 0.000 description 1
- UPALIKSFLSVKIS-UHFFFAOYSA-N Amonafide Chemical compound NC1=CC(C(N(CCN(C)C)C2=O)=O)=C3C2=CC=CC3=C1 UPALIKSFLSVKIS-UHFFFAOYSA-N 0.000 description 1
- 229960004701 Amonafide Drugs 0.000 description 1
- 206010061424 Anal cancer Diseases 0.000 description 1
- 206010051810 Angiomyolipoma Diseases 0.000 description 1
- 102400000068 Angiostatin Human genes 0.000 description 1
- 108010079709 Angiostatins Proteins 0.000 description 1
- 229940046836 Anti-estrogens Drugs 0.000 description 1
- 229950002465 Apaziquone Drugs 0.000 description 1
- MXPOCMVWFLDDLZ-NSCUHMNNSA-N Apaziquone Chemical compound CN1C(\C=C\CO)=C(CO)C(C2=O)=C1C(=O)C=C2N1CC1 MXPOCMVWFLDDLZ-NSCUHMNNSA-N 0.000 description 1
- 206010002943 Apert's syndrome Diseases 0.000 description 1
- UUSZLLQJYRSZIS-LXNNNBEUSA-N Aplidine Chemical compound CN([C@H](CC(C)C)C(=O)N[C@@H]1C(=O)N[C@@H]([C@H](CC(=O)O[C@H](C(=O)[C@H](C)C(=O)N[C@@H](CC(C)C)C(=O)N2CCC[C@H]2C(=O)N(C)[C@@H](CC=2C=CC(OC)=CC=2)C(=O)O[C@@H]1C)C(C)C)O)[C@@H](C)CC)C(=O)[C@@H]1CCCN1C(=O)C(C)=O UUSZLLQJYRSZIS-LXNNNBEUSA-N 0.000 description 1
- 239000004475 Arginine Substances 0.000 description 1
- 229940046844 Aromatase inhibitors Drugs 0.000 description 1
- 241000288575 Astomaea Species 0.000 description 1
- 241000416162 Astragalus gummifer Species 0.000 description 1
- 206010003571 Astrocytoma Diseases 0.000 description 1
- 206010060971 Astrocytoma malignant Diseases 0.000 description 1
- 229950009925 Atacicept Drugs 0.000 description 1
- MOTJMGVDPWRKOC-QPVYNBJUSA-N Atrasentan Chemical compound C1([C@H]2[C@@H]([C@H](CN2CC(=O)N(CCCC)CCCC)C=2C=C3OCOC3=CC=2)C(O)=O)=CC=C(OC)C=C1 MOTJMGVDPWRKOC-QPVYNBJUSA-N 0.000 description 1
- 210000003719 B-Lymphocytes Anatomy 0.000 description 1
- PEZPMAYDXJQYRV-UHFFFAOYSA-N BBR-2778 Chemical compound O=C1C2=CN=CC=C2C(=O)C2=C1C(NCCN)=CC=C2NCCN PEZPMAYDXJQYRV-UHFFFAOYSA-N 0.000 description 1
- 238000009020 BCA Protein Assay Kit Methods 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 231100000699 Bacterial toxin Toxicity 0.000 description 1
- LNHWXBUNXOXMRL-VWLOTQADSA-N Belotecan Chemical compound C1=CC=C2C(CCNC(C)C)=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 LNHWXBUNXOXMRL-VWLOTQADSA-N 0.000 description 1
- 229950011276 Belotecan Drugs 0.000 description 1
- YTKUWDBFDASYHO-UHFFFAOYSA-N Bendamustine Chemical compound ClCCN(CCCl)C1=CC=C2N(C)C(CCCC(O)=O)=NC2=C1 YTKUWDBFDASYHO-UHFFFAOYSA-N 0.000 description 1
- GVGYEFKIHJTNQZ-RFQIPJPRSA-N Benzoylecgonine Chemical compound O([C@@H]1[C@@H]([C@H]2CC[C@@H](C1)N2C)C(O)=O)C(=O)C1=CC=CC=C1 GVGYEFKIHJTNQZ-RFQIPJPRSA-N 0.000 description 1
- VGGGPCQERPFHOB-MCIONIFRSA-N Bestatin Chemical compound CC(C)C[C@H](C(O)=O)NC(=O)[C@@H](O)[C@H](N)CC1=CC=CC=C1 VGGGPCQERPFHOB-MCIONIFRSA-N 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- KGBXLFKZBHKPEV-UHFFFAOYSA-N Boric acid Chemical compound OB(O)O KGBXLFKZBHKPEV-UHFFFAOYSA-N 0.000 description 1
- GJPICJJJRGTNOD-UHFFFAOYSA-N Bosentan Chemical compound COC1=CC=CC=C1OC(C(=NC(=N1)C=2N=CC=CN=2)OCCO)=C1NS(=O)(=O)C1=CC=C(C(C)(C)C)C=C1 GJPICJJJRGTNOD-UHFFFAOYSA-N 0.000 description 1
- UBPYILGKFZZVDX-UHFFFAOYSA-N Bosutinib Chemical compound C1=C(Cl)C(OC)=CC(NC=2C3=CC(OC)=C(OCCCN4CCN(C)CC4)C=C3N=CC=2C#N)=C1Cl UBPYILGKFZZVDX-UHFFFAOYSA-N 0.000 description 1
- 210000004556 Brain Anatomy 0.000 description 1
- 210000000133 Brain Stem Anatomy 0.000 description 1
- 229950004271 Brostallicin Drugs 0.000 description 1
- RXOVOXFAAGIKDQ-UHFFFAOYSA-N Brostallicin Chemical compound C1=C(C(=O)NCCN=C(N)N)N(C)C=C1NC(=O)C1=CC(NC(=O)C=2N(C=C(NC(=O)C=3N(C=C(NC(=O)C(Br)=C)C=3)C)C=2)C)=CN1C RXOVOXFAAGIKDQ-UHFFFAOYSA-N 0.000 description 1
- NLZUEZXRPGMBCV-UHFFFAOYSA-N Butylhydroxytoluene Chemical group CC1=CC(C(C)(C)C)=C(O)C(C(C)(C)C)=C1 NLZUEZXRPGMBCV-UHFFFAOYSA-N 0.000 description 1
- 229960005084 CALCITRIOL Drugs 0.000 description 1
- 102100016705 COL18A1 Human genes 0.000 description 1
- 102100006400 CSF2 Human genes 0.000 description 1
- 229950000772 Canfosfamide Drugs 0.000 description 1
- 241000282465 Canis Species 0.000 description 1
- 229960004117 Capecitabine Drugs 0.000 description 1
- GAGWJHPBXLXJQN-UORFTKCHSA-N Capecitabine Chemical compound C1=C(F)C(NC(=O)OCCCCC)=NC(=O)N1[C@H]1[C@H](O)[C@H](O)[C@@H](C)O1 GAGWJHPBXLXJQN-UORFTKCHSA-N 0.000 description 1
- BLMPQMFVWMYDKT-NZTKNTHTSA-N Carfilzomib Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC(C)C)C(=O)[C@]1(C)OC1)NC(=O)CN1CCOCC1)CC1=CC=CC=C1 BLMPQMFVWMYDKT-NZTKNTHTSA-N 0.000 description 1
- 229940097647 Casodex Drugs 0.000 description 1
- 231100000023 Cell-mediated cytotoxicity Toxicity 0.000 description 1
- 206010057250 Cell-mediated cytotoxicity Diseases 0.000 description 1
- 210000003169 Central Nervous System Anatomy 0.000 description 1
- 108010066551 Cholestenone 5 alpha-Reductase Proteins 0.000 description 1
- 206010008958 Chronic lymphocytic leukaemia Diseases 0.000 description 1
- PTOAARAWEBMLNO-KVQBGUIXSA-N Cladribine Chemical compound C1=NC=2C(N)=NC(Cl)=NC=2N1[C@H]1C[C@H](O)[C@@H](CO)O1 PTOAARAWEBMLNO-KVQBGUIXSA-N 0.000 description 1
- 230000035700 Clearance Rate Effects 0.000 description 1
- WDDPHFBMKLOVOX-AYQXTPAHSA-N Clofarabine Chemical compound C1=NC=2C(N)=NC(Cl)=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@@H]1F WDDPHFBMKLOVOX-AYQXTPAHSA-N 0.000 description 1
- 108010035532 Collagen Proteins 0.000 description 1
- 102000008186 Collagen Human genes 0.000 description 1
- 206010009944 Colon cancer Diseases 0.000 description 1
- 208000001590 Congenital Abnormality Diseases 0.000 description 1
- 208000009283 Craniosynostosis Diseases 0.000 description 1
- 206010049889 Craniosynostosis Diseases 0.000 description 1
- 241000699800 Cricetinae Species 0.000 description 1
- 229960004397 Cyclophosphamide Drugs 0.000 description 1
- CMSMOCZEIVJLDB-UHFFFAOYSA-N Cyclophosphamide Chemical compound ClCCN(CCCl)P1(=O)NCCCO1 CMSMOCZEIVJLDB-UHFFFAOYSA-N 0.000 description 1
- 229960000978 Cyproterone Acetate Drugs 0.000 description 1
- 229940104302 Cytosine Drugs 0.000 description 1
- QIVBCDIJIAJPQS-SECBINFHSA-N D-tryptophane Chemical compound C1=CC=C2C(C[C@@H](N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-SECBINFHSA-N 0.000 description 1
- 238000001712 DNA sequencing Methods 0.000 description 1
- 230000004568 DNA-binding Effects 0.000 description 1
- 108010084740 Daclizumab Proteins 0.000 description 1
- 229950004846 Darinaparsin Drugs 0.000 description 1
- ZBNZXTGUTAYRHI-UHFFFAOYSA-N Dasatinib Chemical compound C=1C(N2CCN(CCO)CC2)=NC(C)=NC=1NC(S1)=NC=C1C(=O)NC1=C(C)C=CC=C1Cl ZBNZXTGUTAYRHI-UHFFFAOYSA-N 0.000 description 1
- XAUDJQYHKZQPEU-KVQBGUIXSA-N Decitabine Chemical compound O=C1N=C(N)N=CN1[C@@H]1O[C@H](CO)[C@@H](O)C1 XAUDJQYHKZQPEU-KVQBGUIXSA-N 0.000 description 1
- NIJJYAXOARWZEE-UHFFFAOYSA-N Depacane Chemical compound CCCC(C(O)=O)CCC NIJJYAXOARWZEE-UHFFFAOYSA-N 0.000 description 1
- LFQCJSBXBZRMTN-OAQYLSRUSA-N Diflomotecan Chemical compound CC[C@@]1(O)CC(=O)OCC(C2=O)=C1C=C1N2CC2=CC3=CC(F)=C(F)C=C3N=C21 LFQCJSBXBZRMTN-OAQYLSRUSA-N 0.000 description 1
- 235000017274 Diospyros sandwicensis Nutrition 0.000 description 1
- 230000036947 Dissociation constant Effects 0.000 description 1
- ZDZOTLJHXYCWBA-VCVYQWHSSA-N Docetaxel Chemical compound O([C@H]1[C@H]2[C@@](C([C@H](O)C3=C(C)[C@@H](OC(=O)[C@H](O)[C@@H](NC(=O)OC(C)(C)C)C=4C=CC=CC=4)C[C@]1(O)C3(C)C)=O)(C)[C@@H](O)C[C@H]1OC[C@]12OC(=O)C)C(=O)C1=CC=CC=C1 ZDZOTLJHXYCWBA-VCVYQWHSSA-N 0.000 description 1
- HKXBNHCUPKIYDM-CGMHZMFXSA-N Doxercalciferol Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)/C=C/[C@H](C)C(C)C)=C\C=C1\C[C@@H](O)C[C@H](O)C1=C HKXBNHCUPKIYDM-CGMHZMFXSA-N 0.000 description 1
- 229960004679 Doxorubicin Drugs 0.000 description 1
- 239000006144 Dulbecco’s modified Eagle's medium Substances 0.000 description 1
- 206010013883 Dwarfism Diseases 0.000 description 1
- 229940121647 EGFR inhibitors Drugs 0.000 description 1
- 238000008157 ELISA kit Methods 0.000 description 1
- 229950001287 Edotecarin Drugs 0.000 description 1
- VLCYCQAOQCDTCN-UHFFFAOYSA-N Eflornithine Chemical compound NCCCC(N)(C(F)F)C(O)=O VLCYCQAOQCDTCN-UHFFFAOYSA-N 0.000 description 1
- 108010079505 Endostatins Proteins 0.000 description 1
- 229950011487 Enocitabine Drugs 0.000 description 1
- SAMRUMKYXPVKPA-VFKOLLTISA-N Enocitabine Chemical compound O=C1N=C(NC(=O)CCCCCCCCCCCCCCCCCCCCC)C=CN1[C@H]1[C@@H](O)[C@H](O)[C@@H](CO)O1 SAMRUMKYXPVKPA-VFKOLLTISA-N 0.000 description 1
- 206010014967 Ependymoma Diseases 0.000 description 1
- QXRSDHAAWVKZLJ-TYFQHMATSA-N Epothilone B Chemical compound C/C([C@@H]1C[C@@H]2O[C@@]2(C)CCC[C@@H]([C@H]([C@H](C)C(=O)C(C)(C)[C@H](O)CC(=O)O1)O)C)=C\C1=CSC(C)=N1 QXRSDHAAWVKZLJ-TYFQHMATSA-N 0.000 description 1
- QXRSDHAAWVKZLJ-OXZHEXMSSA-N Epothilone B Natural products O=C1[C@H](C)[C@H](O)[C@@H](C)CCC[C@@]2(C)O[C@H]2C[C@@H](/C(=C\c2nc(C)sc2)/C)OC(=O)C[C@H](O)C1(C)C QXRSDHAAWVKZLJ-OXZHEXMSSA-N 0.000 description 1
- 229950009760 Epratuzumab Drugs 0.000 description 1
- 229950009537 Epristeride Drugs 0.000 description 1
- 229950006835 Eptaplatin Drugs 0.000 description 1
- 241001517310 Eria Species 0.000 description 1
- 229960001842 Estramustine Drugs 0.000 description 1
- FRPJXPJMRWBBIH-RBRWEJTLSA-N Estramustine Chemical compound ClCCN(CCCl)C(=O)OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 FRPJXPJMRWBBIH-RBRWEJTLSA-N 0.000 description 1
- LVGKNOAMLMIIKO-QXMHVHEDSA-N Ethyl oleate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC LVGKNOAMLMIIKO-QXMHVHEDSA-N 0.000 description 1
- VJJPUSNTGOMMGY-MRVIYFEKSA-N Etoposide Chemical compound COC1=C(O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](O)[C@@H]4O[C@H](C)OC[C@H]4O3)O)[C@@H]3[C@@H]2C(OC3)=O)=C1 VJJPUSNTGOMMGY-MRVIYFEKSA-N 0.000 description 1
- 229960005420 Etoposide Drugs 0.000 description 1
- ZVYVPGLRVWUPMP-FYSMJZIKSA-N Exatecan Chemical compound C1C[C@H](N)C2=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC3=CC(F)=C(C)C1=C32 ZVYVPGLRVWUPMP-FYSMJZIKSA-N 0.000 description 1
- MVGSNCBCUWPVDA-MFOYZWKCSA-N Exisulind Chemical compound CC1=C(CC(O)=O)C2=CC(F)=CC=C2\C1=C/C1=CC=C(S(C)(=O)=O)C=C1 MVGSNCBCUWPVDA-MFOYZWKCSA-N 0.000 description 1
- 229920002016 Extrachromosomal DNA Polymers 0.000 description 1
- 210000003414 Extremities Anatomy 0.000 description 1
- 229950011548 FADROZOLE Drugs 0.000 description 1
- 101700053597 FCER2 Proteins 0.000 description 1
- 102100014608 FCER2 Human genes 0.000 description 1
- 101000124978 FGFR2 Proteins 0.000 description 1
- 102100018000 FGFR2 Human genes 0.000 description 1
- CLPFFLWZZBQMAO-UHFFFAOYSA-N Fadrozole Chemical compound C1=CC(C#N)=CC=C1C1N2C=NC=C2CCC1 CLPFFLWZZBQMAO-UHFFFAOYSA-N 0.000 description 1
- 239000004230 Fast Yellow AB Substances 0.000 description 1
- 206010016654 Fibrosis Diseases 0.000 description 1
- 229960004177 Filgrastim Drugs 0.000 description 1
- 108010029961 Filgrastim Proteins 0.000 description 1
- DBEPLOCGEIEOCV-WSBQPABSSA-N Finasteride Chemical compound N([C@@H]1CC2)C(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2CC[C@H](C(=O)NC(C)(C)C)[C@@]2(C)CC1 DBEPLOCGEIEOCV-WSBQPABSSA-N 0.000 description 1
- 229960002949 Fluorouracil Drugs 0.000 description 1
- YLRFCQOZQXIBAB-RBZZARIASA-N Fluoxymesterone Chemical compound C1CC2=CC(=O)CC[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1CC[C@](C)(O)[C@@]1(C)C[C@@H]2O YLRFCQOZQXIBAB-RBZZARIASA-N 0.000 description 1
- 229960001751 Fluoxymesterone Drugs 0.000 description 1
- 210000002683 Foot Anatomy 0.000 description 1
- 241000287227 Fringillidae Species 0.000 description 1
- 229960002258 Fulvestrant Drugs 0.000 description 1
- 108010091266 Gemtuzumab Proteins 0.000 description 1
- UIVFUQKYVFCEKJ-OPTOVBNMSA-N Gimatecan Chemical compound C1=CC=C2C(\C=N\OC(C)(C)C)=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 UIVFUQKYVFCEKJ-OPTOVBNMSA-N 0.000 description 1
- 229950009073 Gimatecan Drugs 0.000 description 1
- 206010018338 Glioma Diseases 0.000 description 1
- 229950011595 Glufosfamide Drugs 0.000 description 1
- 239000004471 Glycine Substances 0.000 description 1
- QBKSWRVVCFFDOT-UHFFFAOYSA-N Gossypol Chemical compound CC(C)C1=C(O)C(O)=C(C=O)C2=C(O)C(C=3C(O)=C4C(C=O)=C(O)C(O)=C(C4=CC=3C)C(C)C)=C(C)C=C21 QBKSWRVVCFFDOT-UHFFFAOYSA-N 0.000 description 1
- MFWNKCLOYSRHCJ-BTTYYORXSA-N Granisetron Chemical compound C1=CC=C2C(C(=O)N[C@H]3C[C@H]4CCC[C@@H](C3)N4C)=NN(C)C2=C1 MFWNKCLOYSRHCJ-BTTYYORXSA-N 0.000 description 1
- 229960003727 Granisetron Drugs 0.000 description 1
- 208000005234 Granulosa Cell Tumor Diseases 0.000 description 1
- 229920000084 Gum arabic Polymers 0.000 description 1
- 101700017615 HSP82 Proteins 0.000 description 1
- 101700042119 HSP83 Proteins 0.000 description 1
- 101710023137 HSP90B1 Proteins 0.000 description 1
- 101710015954 HVA1 Proteins 0.000 description 1
- 229950010152 Halofuginone Drugs 0.000 description 1
- LVASCWIMLIKXLA-LSDHHAIUSA-N Halofuginone Chemical compound O[C@@H]1CCCN[C@H]1CC(=O)CN1C(=O)C2=CC(Cl)=C(Br)C=C2N=C1 LVASCWIMLIKXLA-LSDHHAIUSA-N 0.000 description 1
- 108009000142 Heart Development Proteins 0.000 description 1
- 229960002897 Heparin Drugs 0.000 description 1
- ZFGMDIBRIDKWMY-PASTXAENSA-N Heparin Chemical compound CC(O)=N[C@@H]1[C@@H](O)[C@H](O)[C@@H](COS(O)(=O)=O)O[C@@H]1O[C@@H]1[C@@H](C(O)=O)O[C@@H](O[C@H]2[C@@H]([C@@H](OS(O)(=O)=O)[C@@H](O[C@@H]3[C@@H](OC(O)[C@H](OS(O)(=O)=O)[C@H]3O)C(O)=O)O[C@@H]2O)CS(O)(=O)=O)[C@H](O)[C@H]1O ZFGMDIBRIDKWMY-PASTXAENSA-N 0.000 description 1
- 229940022353 Herceptin Drugs 0.000 description 1
- 108091006038 His-tagged proteins Proteins 0.000 description 1
- 206010020243 Hodgkin's disease Diseases 0.000 description 1
- 108010001336 Horseradish Peroxidase Proteins 0.000 description 1
- 240000006600 Humulus lupulus Species 0.000 description 1
- 235000008694 Humulus lupulus Nutrition 0.000 description 1
- 210000004408 Hybridomas Anatomy 0.000 description 1
- 229940072221 IMMUNOGLOBULINS Drugs 0.000 description 1
- 229960001101 Ifosfamide Drugs 0.000 description 1
- HOMGKSMUEGBAAB-UHFFFAOYSA-N Ifosfamide Chemical compound ClCCNP1(=O)OCCCN1CCCl HOMGKSMUEGBAAB-UHFFFAOYSA-N 0.000 description 1
- 102000009490 IgG Receptors Human genes 0.000 description 1
- 108010073807 IgG Receptors Proteins 0.000 description 1
- KTUFNOKKBVMGRW-UHFFFAOYSA-N Imatinib Chemical compound C1CN(C)CCN1CC1=CC=C(C(=O)NC=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)C=C1 KTUFNOKKBVMGRW-UHFFFAOYSA-N 0.000 description 1
- DOUYETYNHWVLEO-UHFFFAOYSA-N Imiquimod Chemical compound C1=CC=CC2=C3N(CC(C)C)C=NC3=C(N)N=C21 DOUYETYNHWVLEO-UHFFFAOYSA-N 0.000 description 1
- 210000000987 Immune System Anatomy 0.000 description 1
- 108010054477 Immunoglobulin Fab Fragments Proteins 0.000 description 1
- 102000001706 Immunoglobulin Fab Fragments Human genes 0.000 description 1
- 102000003996 Interferon beta Human genes 0.000 description 1
- 108090000467 Interferon beta Proteins 0.000 description 1
- 229940095009 Interferon gamma-1a Drugs 0.000 description 1
- 102000006992 Interferon-alpha Human genes 0.000 description 1
- 108010047761 Interferon-alpha Proteins 0.000 description 1
- 229960001388 Interferon-beta Drugs 0.000 description 1
- 206010061252 Intraocular melanoma Diseases 0.000 description 1
- 229920002459 Intron Polymers 0.000 description 1
- 108010089187 Ipilimumab Proteins 0.000 description 1
- UWKQSNNFCGGAFS-XIFFEERXSA-N Irinotecan Chemical compound C1=C2C(CC)=C3CN(C(C4=C([C@@](C(=O)OC4)(O)CC)C=4)=O)C=4C3=NC2=CC=C1OC(=O)N(CC1)CCC1N1CCCCC1 UWKQSNNFCGGAFS-XIFFEERXSA-N 0.000 description 1
- 239000007836 KH2PO4 Substances 0.000 description 1
- 208000007766 Kaposi Sarcoma Diseases 0.000 description 1
- 210000000244 Kidney Pelvis Anatomy 0.000 description 1
- ODKSFYDXXFIFQN-BYPYZUCNSA-P L-argininium(2+) Chemical compound NC(=[NH2+])NCCC[C@H]([NH3+])C(O)=O ODKSFYDXXFIFQN-BYPYZUCNSA-P 0.000 description 1
- XUJNEKJLAYXESH-REOHCLBHSA-N L-cysteine Chemical compound SC[C@H](N)C(O)=O XUJNEKJLAYXESH-REOHCLBHSA-N 0.000 description 1
- QIVBCDIJIAJPQS-VIFPVBQESA-N L-tryptophane Chemical compound C1=CC=C2C(C[C@H](N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-VIFPVBQESA-N 0.000 description 1
- OUYCCCASQSFEME-QMMMGPOBSA-N L-tyrosine Chemical compound OC(=O)[C@@H](N)CC1=CC=C(O)C=C1 OUYCCCASQSFEME-QMMMGPOBSA-N 0.000 description 1
- 239000005517 L01XE01 - Imatinib Substances 0.000 description 1
- 239000002067 L01XE06 - Dasatinib Substances 0.000 description 1
- 239000002145 L01XE14 - Bosutinib Substances 0.000 description 1
- 101700065814 LEA2 Proteins 0.000 description 1
- 101700021338 LEC Proteins 0.000 description 1
- 101700077545 LECC Proteins 0.000 description 1
- 101700028499 LECG Proteins 0.000 description 1
- 101700063913 LECT Proteins 0.000 description 1
- 241000282838 Lama Species 0.000 description 1
- GXESHMAMLJKROZ-IAPPQJPRSA-N Lasofoxifene Chemical compound C1([C@@H]2[C@@H](C3=CC=C(C=C3CC2)O)C=2C=CC(OCCN3CCCC3)=CC=2)=CC=CC=C1 GXESHMAMLJKROZ-IAPPQJPRSA-N 0.000 description 1
- 206010024190 Leiomyosarcomas Diseases 0.000 description 1
- GOTYRUGSSMKFNF-UHFFFAOYSA-N Lenalidomide Chemical compound C1C=2C(N)=CC=CC=2C(=O)N1C1CCC(=O)NC1=O GOTYRUGSSMKFNF-UHFFFAOYSA-N 0.000 description 1
- 108010062867 Lenograstim Proteins 0.000 description 1
- 208000000429 Leukemia, Lymphocytic, Chronic, B-Cell Diseases 0.000 description 1
- 208000008456 Leukemia, Myelogenous, Chronic, BCR-ABL Positive Diseases 0.000 description 1
- 208000007046 Leukemia, Myeloid, Acute Diseases 0.000 description 1
- 210000000982 Limb Buds Anatomy 0.000 description 1
- 229950008991 Lobaplatin Drugs 0.000 description 1
- 229950000128 Lumiliximab Drugs 0.000 description 1
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 1
- 229940087857 Lupron Drugs 0.000 description 1
- RVFGKBWWUQOIOU-NDEPHWFRSA-N Lurtotecan Chemical compound O=C([C@]1(O)CC)OCC(C(N2CC3=4)=O)=C1C=C2C3=NC1=CC=2OCCOC=2C=C1C=4CN1CCN(C)CC1 RVFGKBWWUQOIOU-NDEPHWFRSA-N 0.000 description 1
- 229950002654 Lurtotecan Drugs 0.000 description 1
- 210000001165 Lymph Nodes Anatomy 0.000 description 1
- 206010049459 Lymphangioleiomyomatosis Diseases 0.000 description 1
- 206010025312 Lymphoma AIDS related Diseases 0.000 description 1
- 210000003712 Lysosomes Anatomy 0.000 description 1
- 102100000541 MARK2 Human genes 0.000 description 1
- 101700064507 MARK2 Proteins 0.000 description 1
- 101710006465 MOD-E Proteins 0.000 description 1
- 210000002540 Macrophages Anatomy 0.000 description 1
- 229950000547 Mafosfamide Drugs 0.000 description 1
- PBUUPFTVAPUWDE-HSLMEMBISA-N Mafosfamide Chemical compound OS(=O)(=O)CCS[C@@H]1CCOP(=O)(N(CCCl)CCCl)N1 PBUUPFTVAPUWDE-HSLMEMBISA-N 0.000 description 1
- 229950001869 Mapatumumab Drugs 0.000 description 1
- 208000000172 Medulloblastoma Diseases 0.000 description 1
- 206010070665 Mesoblastic nephroma Diseases 0.000 description 1
- VKHAHZOOUSRJNA-GCNJZUOMSA-N Mifepristone Chemical compound C1([C@@H]2C3=C4CCC(=O)C=C4CC[C@H]3[C@@H]3CC[C@@]([C@]3(C2)C)(O)C#CC)=CC=C(N(C)C)C=C1 VKHAHZOOUSRJNA-GCNJZUOMSA-N 0.000 description 1
- 210000004080 Milk Anatomy 0.000 description 1
- PQLXHQMOHUQAKB-UHFFFAOYSA-N Miltefosine Chemical compound CCCCCCCCCCCCCCCCOP([O-])(=O)OCC[N+](C)(C)C PQLXHQMOHUQAKB-UHFFFAOYSA-N 0.000 description 1
- 229950003063 Mitumomab Drugs 0.000 description 1
- 206010027761 Mixed hepatocellular cholangiocarcinoma Diseases 0.000 description 1
- GNSKLFRGEWLPPA-UHFFFAOYSA-M Monopotassium phosphate Chemical compound [K+].OP(O)([O-])=O GNSKLFRGEWLPPA-UHFFFAOYSA-M 0.000 description 1
- 208000010492 Mucinous Cystadenocarcinoma Diseases 0.000 description 1
- 241000699670 Mus sp. Species 0.000 description 1
- GWFRSQBGIGLMFD-BBKOCAQVSA-N N-[9-[(2R,3R,4S,5R)-5-[[bis(4-methoxyphenyl)-phenylmethoxy]methyl]-3,4-dihydroxyoxolan-2-yl]purin-6-yl]-2-phenoxyacetamide Chemical compound C1=CC(OC)=CC=C1C(C=1C=CC(OC)=CC=1)(C=1C=CC=CC=1)OC[C@@H]1[C@@H](O)[C@@H](O)[C@H](N2C3=NC=NC(NC(=O)COC=4C=CC=CC=4)=C3N=C2)O1 GWFRSQBGIGLMFD-BBKOCAQVSA-N 0.000 description 1
- AAFYOVPTFNNVDN-UHFFFAOYSA-N N-methyl-N-phenacylnitrous amide Chemical compound O=NN(C)CC(=O)C1=CC=CC=C1 AAFYOVPTFNNVDN-UHFFFAOYSA-N 0.000 description 1
- 108091007229 NSP3 Papain-like protease domain Proteins 0.000 description 1
- NPAGDVCDWIYMMC-IZPLOLCNSA-N Nandrolone Chemical compound O=C1CC[C@@H]2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 NPAGDVCDWIYMMC-IZPLOLCNSA-N 0.000 description 1
- 229950007221 Nedaplatin Drugs 0.000 description 1
- IXOXBSCIXZEQEQ-UHTZMRCNSA-N Nelarabine Chemical compound C1=NC=2C(OC)=NC(N)=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@@H]1O IXOXBSCIXZEQEQ-UHTZMRCNSA-N 0.000 description 1
- 241001045988 Neogene Species 0.000 description 1
- 208000009277 Neuroectodermal Tumors Diseases 0.000 description 1
- 206010052399 Neuroendocrine tumour Diseases 0.000 description 1
- 210000000440 Neutrophils Anatomy 0.000 description 1
- 241001354782 Nitor Species 0.000 description 1
- AFLXUQUGROGEFA-UHFFFAOYSA-N Nitrogen mustard N-oxide Chemical compound ClCC[N+]([O-])(C)CCCl AFLXUQUGROGEFA-UHFFFAOYSA-N 0.000 description 1
- DLGOEMSEDOSKAD-UHFFFAOYSA-N Nitrumon Chemical compound ClCCNC(=O)N(N=O)CCCl DLGOEMSEDOSKAD-UHFFFAOYSA-N 0.000 description 1
- 229950000891 Nolatrexed Drugs 0.000 description 1
- XHWRWCSCBDLOLM-UHFFFAOYSA-N Nolatrexed Chemical compound CC1=CC=C2NC(N)=NC(=O)C2=C1SC1=CC=NC=C1 XHWRWCSCBDLOLM-UHFFFAOYSA-N 0.000 description 1
- 229950007318 OZOGAMICIN Drugs 0.000 description 1
- 229920000272 Oligonucleotide Polymers 0.000 description 1
- 210000003463 Organelles Anatomy 0.000 description 1
- 206010031096 Oropharyngeal cancer Diseases 0.000 description 1
- 240000007594 Oryza sativa Species 0.000 description 1
- 235000007164 Oryza sativa Nutrition 0.000 description 1
- 101710034340 Os04g0173800 Proteins 0.000 description 1
- 229940043515 Other immunoglobulins in ATC Drugs 0.000 description 1
- 229940092253 Ovalbumin Drugs 0.000 description 1
- 108010058846 Ovalbumin Proteins 0.000 description 1
- 208000007571 Ovarian Epithelial Carcinoma Diseases 0.000 description 1
- 102000004316 Oxidoreductases Human genes 0.000 description 1
- 108090000854 Oxidoreductases Proteins 0.000 description 1
- 229960003359 Palonosetron hydrochloride Drugs 0.000 description 1
- 229950003819 Pelitrexol Drugs 0.000 description 1
- 201000004014 Pfeiffer syndrome Diseases 0.000 description 1
- 229960005190 Phenylalanine Drugs 0.000 description 1
- 208000007641 Pinealoma Diseases 0.000 description 1
- 229960004403 Pixantrone Drugs 0.000 description 1
- 231100000742 Plant toxin Toxicity 0.000 description 1
- 241000690470 Plantago princeps Species 0.000 description 1
- 206010035226 Plasma cell myeloma Diseases 0.000 description 1
- 241001272996 Polyphylla fullo Species 0.000 description 1
- 210000003240 Portal Vein Anatomy 0.000 description 1
- 208000006664 Precursor Cell Lymphoblastic Leukemia-Lymphoma Diseases 0.000 description 1
- YSQDQEOIFWWVHA-UHFFFAOYSA-A ProMune Chemical compound [Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].CC1=C(C(=O)NC(N)=C)N=CN1C1OC(COP([O-])(=S)OC2C(OC(C2)N2C(N=C(N)C=C2)=O)COP([O-])(=S)OC2C(OC(C2)N2C(NC(=O)C(C)=C2)=O)COP([O-])(=S)OC2C(OC(C2)N2C3=C(C(NC(N)=N3)=O)N=C2)COP([O-])(=S)OC2C(OC(C2)N2C(N=C(N)C=C2)=O)COP([O-])(=S)OC2C(OC(C2)N2C(NC(=O)C(C)=C2)=O)CO)C(OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(NC(=O)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(NC(=O)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C3=C(C(NC(N)=N3)=O)N=C2)OP([O-])(=S)OCC2C(CC(O2)N2C(NC(=O)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C3=C(C(NC(N)=N3)=O)N=C2)OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C3=C(C(NC(N)=N3)=O)N=C2)OP([O-])(=S)OCC2C(CC(O2)N2C(NC(=O)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(N=C(N)C=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C3=C(C(NC(N)=N3)=O)N=C2)OP([O-])(=S)OCC2C(CC(O2)N2C(NC(=O)C(C)=C2)=O)OP([O-])(=S)OCC2C(CC(O2)N2C(NC(=O)C(C)=C2)=O)O)C1 YSQDQEOIFWWVHA-UHFFFAOYSA-A 0.000 description 1
- 231100000654 Protein toxin Toxicity 0.000 description 1
- 102000004022 Protein-Tyrosine Kinases Human genes 0.000 description 1
- 108090000412 Protein-Tyrosine Kinases Proteins 0.000 description 1
- 102000016971 Proto-Oncogene Proteins c-kit Human genes 0.000 description 1
- 108010014608 Proto-Oncogene Proteins c-kit Proteins 0.000 description 1
- 229940034080 Provenge Drugs 0.000 description 1
- 229940076788 Pyruvate Drugs 0.000 description 1
- GZUITABIAKMVPG-UHFFFAOYSA-N Raloxifene Chemical compound C1=CC(O)=CC=C1C1=C(C(=O)C=2C=CC(OCCN3CCCCC3)=CC=2)C2=CC=C(O)C=C2S1 GZUITABIAKMVPG-UHFFFAOYSA-N 0.000 description 1
- 229960004622 Raloxifene Drugs 0.000 description 1
- 229960003876 Ranibizumab Drugs 0.000 description 1
- 108010062724 Ranibizumab Proteins 0.000 description 1
- 229950005950 Rebimastat Drugs 0.000 description 1
- 206010038038 Rectal cancer Diseases 0.000 description 1
- 229940120975 Revlimid Drugs 0.000 description 1
- 102000000505 Ribonucleotide Reductases Human genes 0.000 description 1
- 108010041388 Ribonucleotide Reductases Proteins 0.000 description 1
- 108010039491 Ricin Proteins 0.000 description 1
- KNUXHTWUIVMBBY-JRJYXWDASA-N Rintatolimod Chemical compound O=C1N=C(N)C=CN1[C@H]1[C@H](O)[C@H](O)[C@@H](COP(O)(O)=O)O1.O[C@@H]1[C@H](O)[C@@H](COP(O)(O)=O)O[C@H]1N1C(=O)NC(=O)C=C1.O[C@@H]1[C@H](O)[C@@H](COP(O)(O)=O)O[C@H]1N1C(NC=NC2=O)=C2N=C1 KNUXHTWUIVMBBY-JRJYXWDASA-N 0.000 description 1
- 229940003641 Rituxan Drugs 0.000 description 1
- 241000283984 Rodentia Species 0.000 description 1
- VHXNKPBCCMUMSW-FQEVSTJZSA-N Rubitecan Chemical compound C1=CC([N+]([O-])=O)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 VHXNKPBCCMUMSW-FQEVSTJZSA-N 0.000 description 1
- 229950009213 Rubitecan Drugs 0.000 description 1
- HNMATTJJEPZZMM-BPKVFSPJSA-N S-[(2R,3S,4S,6S)-6-[[(2R,3S,4S,5R,6R)-5-[(2S,4S,5S)-5-[acetyl(ethyl)amino]-4-methoxyoxan-2-yl]oxy-6-[[(2S,5Z,9R,13E)-13-[2-[[4-[(2E)-2-[1-[4-(4-amino-4-oxobutoxy)phenyl]ethylidene]hydrazinyl]-2-methyl-4-oxobutan-2-yl]disulfanyl]ethylidene]-9-hydroxy-12-(m Chemical compound C1[C@H](OC)[C@@H](N(CC)C(C)=O)CO[C@H]1O[C@H]1[C@H](O[C@@H]2C\3=C(NC(=O)OC)C(=O)C[C@@](C/3=C/CSSC(C)(C)CC(=O)N\N=C(/C)C=3C=CC(OCCCC(N)=O)=CC=3)(O)C#C\C=C/C#C2)O[C@H](C)[C@@H](NO[C@@H]2O[C@H](C)[C@@H](SC(=O)C=3C(=C(OC)C(O[C@H]4[C@@H]([C@H](OC)[C@@H](O)[C@H](C)O4)O)=C(I)C=3C)OC)[C@@H](O)C2)[C@@H]1O HNMATTJJEPZZMM-BPKVFSPJSA-N 0.000 description 1
- 229950001403 SIZOFIRAN Drugs 0.000 description 1
- 229950008445 Sagopilone Drugs 0.000 description 1
- 206010061934 Salivary gland cancer Diseases 0.000 description 1
- 241000607142 Salmonella Species 0.000 description 1
- 241000293869 Salmonella enterica subsp. enterica serovar Typhimurium Species 0.000 description 1
- 206010039447 Salmonellosis Diseases 0.000 description 1
- BTIHMVBBUGXLCJ-OAHLLOKOSA-N Seliciclib Chemical compound C=12N=CN(C(C)C)C2=NC(N[C@@H](CO)CC)=NC=1NCC1=CC=CC=C1 BTIHMVBBUGXLCJ-OAHLLOKOSA-N 0.000 description 1
- 108010003723 Single-Domain Antibodies Proteins 0.000 description 1
- 229920000519 Sizofiran Polymers 0.000 description 1
- 210000001154 Skull Base Anatomy 0.000 description 1
- 229940005550 Sodium alginate Drugs 0.000 description 1
- 240000001016 Solanum tuberosum Species 0.000 description 1
- 235000002595 Solanum tuberosum Nutrition 0.000 description 1
- 229950001248 Squalamine Drugs 0.000 description 1
- UIRKNQLZZXALBI-MSVGPLKSSA-N Squalamine Chemical compound C([C@@H]1C[C@H]2O)[C@@H](NCCCNCCCCN)CC[C@]1(C)[C@@H]1[C@@H]2[C@@H]2CC[C@H]([C@H](C)CC[C@H](C(C)C)OS(O)(=O)=O)[C@@]2(C)CC1 UIRKNQLZZXALBI-MSVGPLKSSA-N 0.000 description 1
- 241000191940 Staphylococcus Species 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 210000002536 Stromal Cells Anatomy 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-L Sulphite Chemical compound [O-]S([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-L 0.000 description 1
- 108091008153 T cell receptors Proteins 0.000 description 1
- 102000016266 T-Cell Antigen Receptors Human genes 0.000 description 1
- 206010042971 T-cell lymphoma Diseases 0.000 description 1
- 229950003999 Tafluposide Drugs 0.000 description 1
- 229960003454 Tamoxifen Citrate Drugs 0.000 description 1
- NAVMQTYZDKMPEU-UHFFFAOYSA-N Targretin Chemical compound CC1=CC(C(CCC2(C)C)(C)C)=C2C=C1C(=C)C1=CC=C(C(O)=O)C=C1 NAVMQTYZDKMPEU-UHFFFAOYSA-N 0.000 description 1
- 229960003102 Tasonermin Drugs 0.000 description 1
- WFWLQNSHRPWKFK-ZCFIWIBFSA-N Tegafur Chemical compound O=C1NC(=O)C(F)=CN1[C@@H]1OCCC1 WFWLQNSHRPWKFK-ZCFIWIBFSA-N 0.000 description 1
- BPEGJWRSRHCHSN-UHFFFAOYSA-N Temodal Chemical compound O=C1N(C)N=NC2=C(C(N)=O)N=CN21 BPEGJWRSRHCHSN-UHFFFAOYSA-N 0.000 description 1
- 206010057644 Testis cancer Diseases 0.000 description 1
- 229960003433 Thalidomide Drugs 0.000 description 1
- UEJJHQNACJXSKW-UHFFFAOYSA-N Thalidomide Chemical compound O=C1C2=CC=CC=C2C(=O)N1C1CCC(=O)NC1=O UEJJHQNACJXSKW-UHFFFAOYSA-N 0.000 description 1
- 229940110675 TheraCys Drugs 0.000 description 1
- FOCVUCIESVLUNU-UHFFFAOYSA-N ThioTEPA Chemical compound C1CN1P(N1CC1)(=S)N1CC1 FOCVUCIESVLUNU-UHFFFAOYSA-N 0.000 description 1
- 229960001196 Thiotepa Drugs 0.000 description 1
- 210000001685 Thyroid Gland Anatomy 0.000 description 1
- 229950009158 Tipifarnib Drugs 0.000 description 1
- IVTVGDXNLFLDRM-HNNXBMFYSA-N Tomudex Chemical compound C=1C=C2NC(C)=NC(=O)C2=CC=1CN(C)C1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)S1 IVTVGDXNLFLDRM-HNNXBMFYSA-N 0.000 description 1
- 210000000515 Tooth Anatomy 0.000 description 1
- UCFGDBYHRUNTLO-QHCPKHFHSA-N Topotecan Chemical compound C1=C(O)C(CN(C)C)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 UCFGDBYHRUNTLO-QHCPKHFHSA-N 0.000 description 1
- XFCLJVABOIYOMF-QPLCGJKRSA-N Toremifene Chemical compound C1=CC(OCCN(C)C)=CC=C1C(\C=1C=CC=CC=1)=C(\CCCl)C1=CC=CC=C1 XFCLJVABOIYOMF-QPLCGJKRSA-N 0.000 description 1
- 229940116362 Tragacanth Drugs 0.000 description 1
- 229920001615 Tragacanth Polymers 0.000 description 1
- 102000004338 Transferrin Human genes 0.000 description 1
- 108090000901 Transferrin Proteins 0.000 description 1
- 206010044412 Transitional cell carcinoma Diseases 0.000 description 1
- 108010010691 Trastuzumab Proteins 0.000 description 1
- 229940032510 Trelstar Drugs 0.000 description 1
- 229960001727 Tretinoin Drugs 0.000 description 1
- SHGAZHPCJJPHSC-NWVFGJFESA-N Tretinoin Chemical compound OC(=O)/C=C(\C)/C=C/C=C(C)C=CC1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-NWVFGJFESA-N 0.000 description 1
- NOYPYLRCIDNJJB-UHFFFAOYSA-N Trimetrexate Chemical compound COC1=C(OC)C(OC)=CC(NCC=2C(=C3C(N)=NC(N)=NC3=CC=2)C)=C1 NOYPYLRCIDNJJB-UHFFFAOYSA-N 0.000 description 1
- 229960001099 Trimetrexate Drugs 0.000 description 1
- GSEJCLTVZPLZKY-UHFFFAOYSA-N Tris Chemical compound OCCN(CCO)CCO GSEJCLTVZPLZKY-UHFFFAOYSA-N 0.000 description 1
- 239000007983 Tris buffer Substances 0.000 description 1
- 240000008529 Triticum aestivum Species 0.000 description 1
- 239000006035 Tryptophane Substances 0.000 description 1
- 206010054094 Tumour necrosis Diseases 0.000 description 1
- 229950009811 UBENIMEX Drugs 0.000 description 1
- 210000000626 Ureter Anatomy 0.000 description 1
- 210000003932 Urinary Bladder Anatomy 0.000 description 1
- 210000004291 Uterus Anatomy 0.000 description 1
- UHTHHESEBZOYNR-UHFFFAOYSA-N Vandetanib Chemical compound COC1=CC(C(/N=CN2)=N/C=3C(=CC(Br)=CC=3)F)=C2C=C1OCC1CCN(C)CC1 UHTHHESEBZOYNR-UHFFFAOYSA-N 0.000 description 1
- 210000003462 Veins Anatomy 0.000 description 1
- 229940099039 Velcade Drugs 0.000 description 1
- 229960003636 Vidarabine Drugs 0.000 description 1
- 229960003048 Vinblastine Drugs 0.000 description 1
- HOFQVRTUGATRFI-XQKSVPLYSA-N Vinblastine Chemical compound C([C@@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](OC(C)=O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(=O)OC)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1N=C1[C]2C=CC=C1 HOFQVRTUGATRFI-XQKSVPLYSA-N 0.000 description 1
- JXLYSJRDGCGARV-WWYNWVTFSA-N Vinblastine Natural products O=C(O[C@H]1[C@](O)(C(=O)OC)[C@@H]2N(C)c3c(cc(c(OC)c3)[C@]3(C(=O)OC)c4[nH]c5c(c4CCN4C[C@](O)(CC)C[C@H](C3)C4)cccc5)[C@@]32[C@H]2[C@@]1(CC)C=CCN2CC3)C JXLYSJRDGCGARV-WWYNWVTFSA-N 0.000 description 1
- 229960004528 Vincristine Drugs 0.000 description 1
- NMDYYWFGPIMTKO-HBVLKOHWSA-N Vinflunine Chemical compound C([C@@](C1=C(C2=CC=CC=C2N1)C1)(C2=C(OC)C=C3N(C)[C@@H]4[C@@]5(C3=C2)CCN2CC=C[C@]([C@@H]52)([C@H]([C@]4(O)C(=O)OC)OC(C)=O)CC)C(=O)OC)[C@H]2C[C@@H](C(C)(F)F)CN1C2 NMDYYWFGPIMTKO-HBVLKOHWSA-N 0.000 description 1
- 229950001212 Volociximab Drugs 0.000 description 1
- 229960000237 Vorinostat Drugs 0.000 description 1
- WAEXFXRVDQXREF-UHFFFAOYSA-N Vorinostat Chemical compound ONC(=O)CCCCCCC(=O)NC1=CC=CC=C1 WAEXFXRVDQXREF-UHFFFAOYSA-N 0.000 description 1
- 206010047741 Vulval cancer Diseases 0.000 description 1
- 208000008383 Wilms Tumor Diseases 0.000 description 1
- AOCCBINRVIKJHY-UHFFFAOYSA-N Yamafur Chemical compound CCCCCCNC(=O)N1C=C(F)C(=O)NC1=O AOCCBINRVIKJHY-UHFFFAOYSA-N 0.000 description 1
- 240000008042 Zea mays Species 0.000 description 1
- 235000002017 Zea mays subsp mays Nutrition 0.000 description 1
- URRBLVUOXIGNQR-HXUWFJFHSA-N [(1R)-1-phenylethyl] N-(2-aminoethyl)-N-[(3-methoxy-4-phenylmethoxyphenyl)methyl]carbamate Chemical compound C1([C@@H](C)OC(=O)N(CCN)CC=2C=C(C(=CC=2)OCC=2C=CC=CC=2)OC)=CC=CC=C1 URRBLVUOXIGNQR-HXUWFJFHSA-N 0.000 description 1
- YJTVZHOYBAOUTO-URBBEOKESA-N [(2R,3S,4S,5R)-5-(4-amino-2-oxopyrimidin-1-yl)-3,4-dihydroxyoxolan-2-yl]methyl octadecyl hydrogen phosphate Chemical compound O[C@H]1[C@H](O)[C@@H](COP(O)(=O)OCCCCCCCCCCCCCCCCCC)O[C@H]1N1C(=O)N=C(N)C=C1 YJTVZHOYBAOUTO-URBBEOKESA-N 0.000 description 1
- RTJVUHUGTUDWRK-CSLCKUBZSA-N [(2R,4aR,6R,7R,8S,8aR)-6-[[(5S,5aR,8aR,9R)-9-(3,5-dimethoxy-4-phosphonooxyphenyl)-8-oxo-5a,6,8a,9-tetrahydro-5H-[2]benzofuro[6,5-f][1,3]benzodioxol-5-yl]oxy]-2-methyl-7-[2-(2,3,4,5,6-pentafluorophenoxy)acetyl]oxy-4,4a,6,7,8,8a-hexahydropyrano[3,2-d][1,3]d Chemical compound COC1=C(OP(O)(O)=O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](OC(=O)COC=4C(=C(F)C(F)=C(F)C=4F)F)[C@@H]4O[C@H](C)OC[C@H]4O3)OC(=O)COC=3C(=C(F)C(F)=C(F)C=3F)F)[C@@H]3[C@@H]2C(OC3)=O)=C1 RTJVUHUGTUDWRK-CSLCKUBZSA-N 0.000 description 1
- QTQAWLPCGQOSGP-DVKIRIBLSA-N [(3R,5R,6S,7R,8E,10R,11R,12E,14E)-6-hydroxy-5,11,21-trimethoxy-3,7,9,15-tetramethyl-16,20,22-trioxo-17-azabicyclo[16.3.1]docosa-1(21),8,12,14,18-pentaen-10-yl] carbamate Chemical compound N1C(=O)\C(C)=C\C=C\[C@@H](OC)[C@H](OC(N)=O)\C(C)=C\[C@@H](C)[C@H](O)[C@H](OC)C[C@H](C)CC2=C(OC)C(=O)C=C1C2=O QTQAWLPCGQOSGP-DVKIRIBLSA-N 0.000 description 1
- XJXKGUZINMNEDK-GPJOBVNKSA-L [(4R,5R)-5-(aminomethyl)-2-propan-2-yl-1,3-dioxolan-4-yl]methanamine;platinum(2+);propanedioate Chemical compound [Pt+2].[O-]C(=O)CC([O-])=O.CC(C)C1O[C@H](CN)[C@@H](CN)O1 XJXKGUZINMNEDK-GPJOBVNKSA-L 0.000 description 1
- XMYKNCNAZKMVQN-NYYWCZLTSA-N [(E)-(3-aminopyridin-2-yl)methylideneamino]thiourea Chemical compound NC(=S)N\N=C\C1=NC=CC=C1N XMYKNCNAZKMVQN-NYYWCZLTSA-N 0.000 description 1
- XSMVECZRZBFTIZ-UHFFFAOYSA-M [2-(aminomethyl)cyclobutyl]methanamine;2-oxidopropanoate;platinum(4+) Chemical compound [Pt+4].CC([O-])C([O-])=O.NCC1CCC1CN XSMVECZRZBFTIZ-UHFFFAOYSA-M 0.000 description 1
- OCOKWVBYZHBHLU-UHFFFAOYSA-N [4-[2-[4-(2-methylpropoxycarbonyloxymethyl)-3,5-dioxopiperazin-1-yl]ethyl]-2,6-dioxopiperazin-1-yl]methyl 2-methylpropyl carbonate Chemical compound C1C(=O)N(COC(=O)OCC(C)C)C(=O)CN1CCN1CC(=O)N(COC(=O)OCC(C)C)C(=O)C1 OCOKWVBYZHBHLU-UHFFFAOYSA-N 0.000 description 1
- 229960004103 abiraterone acetate Drugs 0.000 description 1
- UVIQSJCZCSLXRZ-UBUQANBQSA-N abiraterone acetate Chemical compound C([C@@H]1[C@]2(C)CC[C@@H]3[C@@]4(C)CC[C@@H](CC4=CC[C@H]31)OC(=O)C)C=C2C1=CC=CN=C1 UVIQSJCZCSLXRZ-UBUQANBQSA-N 0.000 description 1
- 235000010489 acacia gum Nutrition 0.000 description 1
- 239000000205 acacia gum Substances 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- QTBSBXVTEAMEQO-UHFFFAOYSA-M acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 1
- 229960005339 acitretin Drugs 0.000 description 1
- 201000010028 acrocephalosyndactylia Diseases 0.000 description 1
- 201000005510 acute lymphocytic leukemia Diseases 0.000 description 1
- 230000002730 additional Effects 0.000 description 1
- OIRDTQYFTABQOQ-KQYNXXCUSA-N adenosine Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O OIRDTQYFTABQOQ-KQYNXXCUSA-N 0.000 description 1
- 238000004115 adherent culture Methods 0.000 description 1
- 230000001058 adult Effects 0.000 description 1
- 238000001042 affinity chromatography Methods 0.000 description 1
- 239000008272 agar Substances 0.000 description 1
- 235000010419 agar Nutrition 0.000 description 1
- 239000000556 agonist Substances 0.000 description 1
- 229960005310 aldesleukin Drugs 0.000 description 1
- 235000010443 alginic acid Nutrition 0.000 description 1
- 239000000783 alginic acid Substances 0.000 description 1
- 229920000615 alginic acid Polymers 0.000 description 1
- 229960001126 alginic acid Drugs 0.000 description 1
- 229960001445 alitretinoin Drugs 0.000 description 1
- 230000002152 alkylating Effects 0.000 description 1
- IHUNBGSDBOWDMA-AQFIFDHZSA-N all-trans-acitretin Chemical compound COC1=CC(C)=C(\C=C\C(\C)=C\C=C\C(\C)=C\C(O)=O)C(C)=C1C IHUNBGSDBOWDMA-AQFIFDHZSA-N 0.000 description 1
- 230000000735 allogeneic Effects 0.000 description 1
- 229960000473 altretamine Drugs 0.000 description 1
- 229910052921 ammonium sulfate Inorganic materials 0.000 description 1
- 235000011130 ammonium sulphate Nutrition 0.000 description 1
- 239000003936 androgen receptor antagonist Substances 0.000 description 1
- 239000004037 angiogenesis inhibitor Substances 0.000 description 1
- 229940121369 angiogenesis inhibitors Drugs 0.000 description 1
- 150000001450 anions Chemical class 0.000 description 1
- 230000002125 anti-actin Effects 0.000 description 1
- 230000002280 anti-androgenic Effects 0.000 description 1
- 230000001833 anti-estrogenic Effects 0.000 description 1
- 230000003388 anti-hormone Effects 0.000 description 1
- 239000000051 antiandrogen Substances 0.000 description 1
- 239000003080 antimitotic agent Substances 0.000 description 1
- 229960000070 antineoplastic Monoclonal antibodies Drugs 0.000 description 1
- 201000011165 anus cancer Diseases 0.000 description 1
- 230000001640 apoptogenic Effects 0.000 description 1
- 239000003886 aromatase inhibitor Substances 0.000 description 1
- 229950010993 atrasentan Drugs 0.000 description 1
- 239000005441 aurora Substances 0.000 description 1
- KLNFSAOEKUDMFA-UHFFFAOYSA-N azanide;2-hydroxyacetic acid;platinum(2+) Chemical compound [NH2-].[NH2-].[Pt+2].OCC(O)=O KLNFSAOEKUDMFA-UHFFFAOYSA-N 0.000 description 1
- 239000000688 bacterial toxin Substances 0.000 description 1
- 239000002585 base Substances 0.000 description 1
- 229960003094 belinostat Drugs 0.000 description 1
- NCNRHFGMJRPRSK-MDZDMXLPSA-N belinostat Chemical compound ONC(=O)\C=C\C1=CC=CC(S(=O)(=O)NC=2C=CC=CC=2)=C1 NCNRHFGMJRPRSK-MDZDMXLPSA-N 0.000 description 1
- 229960002938 bexarotene Drugs 0.000 description 1
- 102000024070 binding proteins Human genes 0.000 description 1
- 108091007650 binding proteins Proteins 0.000 description 1
- 239000012472 biological sample Substances 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 108091005988 biotinylated proteins Proteins 0.000 description 1
- MPBVHIBUJCELCL-UHFFFAOYSA-N bondronat Chemical compound CCCCCN(C)CCC(O)(P(O)(O)=O)P(O)(O)=O MPBVHIBUJCELCL-UHFFFAOYSA-N 0.000 description 1
- 239000004327 boric acid Substances 0.000 description 1
- 229960003065 bosentan Drugs 0.000 description 1
- 229960003736 bosutinib Drugs 0.000 description 1
- 201000005216 brain cancer Diseases 0.000 description 1
- 201000010983 breast ductal carcinoma Diseases 0.000 description 1
- 201000002143 bronchus adenoma Diseases 0.000 description 1
- 235000020964 calcitriol Nutrition 0.000 description 1
- 239000011612 calcitriol Substances 0.000 description 1
- 150000001720 carbohydrates Chemical class 0.000 description 1
- 235000014633 carbohydrates Nutrition 0.000 description 1
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 1
- 229960002438 carfilzomib Drugs 0.000 description 1
- 108010021331 carfilzomib Proteins 0.000 description 1
- 229960003261 carmofur Drugs 0.000 description 1
- 229960005243 carmustine Drugs 0.000 description 1
- 230000003197 catalytic Effects 0.000 description 1
- 150000001768 cations Chemical class 0.000 description 1
- 108090000758 catumaxomab Proteins 0.000 description 1
- 229960000419 catumaxomab Drugs 0.000 description 1
- 230000001364 causal effect Effects 0.000 description 1
- 101700018328 ccdB Proteins 0.000 description 1
- 229960002412 cediranib Drugs 0.000 description 1
- 230000025084 cell cycle arrest Effects 0.000 description 1
- 230000030833 cell death Effects 0.000 description 1
- 230000024245 cell differentiation Effects 0.000 description 1
- 230000010261 cell growth Effects 0.000 description 1
- 230000004663 cell proliferation Effects 0.000 description 1
- 239000006285 cell suspension Substances 0.000 description 1
- 201000007335 cerebellar astrocytoma Diseases 0.000 description 1
- 238000002512 chemotherapy Methods 0.000 description 1
- 230000002759 chromosomal Effects 0.000 description 1
- 201000006934 chronic myeloid leukemia Diseases 0.000 description 1
- 229960004316 cisplatin Drugs 0.000 description 1
- 229960002436 cladribine Drugs 0.000 description 1
- 238000007374 clinical diagnostic method Methods 0.000 description 1
- 229960000928 clofarabine Drugs 0.000 description 1
- 229920001436 collagen Polymers 0.000 description 1
- 229960005188 collagen Drugs 0.000 description 1
- 238000002648 combination therapy Methods 0.000 description 1
- 230000004154 complement system Effects 0.000 description 1
- 230000004540 complement-dependent cytotoxicity Effects 0.000 description 1
- 230000001010 compromised Effects 0.000 description 1
- 230000001268 conjugating Effects 0.000 description 1
- 230000021615 conjugation Effects 0.000 description 1
- 239000000356 contaminant Substances 0.000 description 1
- 235000005822 corn Nutrition 0.000 description 1
- 235000005824 corn Nutrition 0.000 description 1
- 230000002596 correlated Effects 0.000 description 1
- 239000000287 crude extract Substances 0.000 description 1
- 238000010192 crystallographic characterization Methods 0.000 description 1
- 229950006614 cytarabine ocfosfate Drugs 0.000 description 1
- 230000001086 cytosolic Effects 0.000 description 1
- 230000003013 cytotoxicity Effects 0.000 description 1
- 231100000135 cytotoxicity Toxicity 0.000 description 1
- 239000002619 cytotoxin Substances 0.000 description 1
- 229960002806 daclizumab Drugs 0.000 description 1
- 230000002354 daily Effects 0.000 description 1
- 229960002448 dasatinib Drugs 0.000 description 1
- 229960003603 decitabine Drugs 0.000 description 1
- 230000003111 delayed Effects 0.000 description 1
- CYQFCXCEBYINGO-IAGOWNOFSA-N delta1-THC Chemical compound C1=C(C)CC[C@H]2C(C)(C)OC3=CC(CCCCC)=CC(O)=C3[C@@H]21 CYQFCXCEBYINGO-IAGOWNOFSA-N 0.000 description 1
- 239000008121 dextrose Substances 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 238000000502 dialysis Methods 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 235000014113 dietary fatty acids Nutrition 0.000 description 1
- 238000006471 dimerization reaction Methods 0.000 description 1
- 230000000447 dimerizing Effects 0.000 description 1
- QXNVGIXVLWOKEQ-UHFFFAOYSA-N disodium Chemical compound [Na][Na] QXNVGIXVLWOKEQ-UHFFFAOYSA-N 0.000 description 1
- 239000003534 dna topoisomerase inhibitor Substances 0.000 description 1
- 108060003523 dnaK Proteins 0.000 description 1
- 229960003668 docetaxel Drugs 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- 229960000413 doxercalciferol Drugs 0.000 description 1
- 229950005454 doxifluridine Drugs 0.000 description 1
- ZWAOHEXOSAUJHY-ZIYNGMLESA-N doxifluridine Chemical compound O[C@@H]1[C@H](O)[C@@H](C)O[C@H]1N1C(=O)NC(=O)C(F)=C1 ZWAOHEXOSAUJHY-ZIYNGMLESA-N 0.000 description 1
- 229960004242 dronabinol Drugs 0.000 description 1
- 239000000890 drug combination Substances 0.000 description 1
- 229960002759 eflornithine Drugs 0.000 description 1
- 238000004520 electroporation Methods 0.000 description 1
- 238000010828 elution Methods 0.000 description 1
- 230000001804 emulsifying Effects 0.000 description 1
- 201000011523 endocrine gland cancer Diseases 0.000 description 1
- 230000001159 endocytotic Effects 0.000 description 1
- 230000002357 endometrial Effects 0.000 description 1
- 102000017256 epidermal growth factor-activated receptor activity proteins Human genes 0.000 description 1
- 108040009258 epidermal growth factor-activated receptor activity proteins Proteins 0.000 description 1
- 210000002919 epithelial cells Anatomy 0.000 description 1
- 229930013349 epothilone B Natural products 0.000 description 1
- 229930013356 epothilones Natural products 0.000 description 1
- 108010007604 epratuzumab Proteins 0.000 description 1
- 201000005619 esophageal carcinoma Diseases 0.000 description 1
- 239000003797 essential amino acid Substances 0.000 description 1
- 235000020776 essential amino acid Nutrition 0.000 description 1
- 239000000328 estrogen antagonist Substances 0.000 description 1
- 229940093471 ethyl oleate Drugs 0.000 description 1
- 229950009429 exatecan Drugs 0.000 description 1
- 230000001747 exhibiting Effects 0.000 description 1
- 229950000484 exisulind Drugs 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000000194 fatty acid Substances 0.000 description 1
- 150000004665 fatty acids Chemical class 0.000 description 1
- 201000010972 female reproductive endometrioid cancer Diseases 0.000 description 1
- 230000004761 fibrosis Effects 0.000 description 1
- 229960004039 finasteride Drugs 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000003260 fluorescence intensity Methods 0.000 description 1
- 239000007850 fluorescent dye Substances 0.000 description 1
- VVIAGPKUTFNRDU-ABLWVSNPSA-N folinic acid Chemical compound C1NC=2NC(N)=NC(=O)C=2N(C=O)C1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 VVIAGPKUTFNRDU-ABLWVSNPSA-N 0.000 description 1
- 235000008191 folinic acid Nutrition 0.000 description 1
- 239000011672 folinic acid Substances 0.000 description 1
- 230000037406 food intake Effects 0.000 description 1
- 125000002485 formyl group Chemical group [H]C(*)=O 0.000 description 1
- 239000012458 free base Substances 0.000 description 1
- 230000005714 functional activity Effects 0.000 description 1
- 230000002538 fungal Effects 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 201000010175 gallbladder cancer Diseases 0.000 description 1
- 229940044658 gallium nitrate Drugs 0.000 description 1
- 238000001502 gel electrophoresis Methods 0.000 description 1
- 229960000578 gemtuzumab Drugs 0.000 description 1
- 238000010353 genetic engineering Methods 0.000 description 1
- 150000002337 glycosamines Chemical group 0.000 description 1
- 229950005277 gossypol Drugs 0.000 description 1
- 229930000755 gossypol Natural products 0.000 description 1
- 238000000227 grinding Methods 0.000 description 1
- 239000003102 growth factor Substances 0.000 description 1
- 201000009277 hairy cell leukemia Diseases 0.000 description 1
- 230000009067 heart development Effects 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- GLDSKRNGVVYJAB-DQSJHHFOSA-N hesperadin Chemical compound C12=CC(NS(=O)(=O)CC)=CC=C2NC(=O)\C1=C(C=1C=CC=CC=1)/NC(C=C1)=CC=C1CN1CCCCC1 GLDSKRNGVVYJAB-DQSJHHFOSA-N 0.000 description 1
- 239000003276 histone deacetylase inhibitor Substances 0.000 description 1
- 102000023584 human FGFR2 protein Human genes 0.000 description 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 1
- 229960001330 hydroxycarbamide Drugs 0.000 description 1
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 1
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 description 1
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 description 1
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 1
- VSNHCAURESNICA-UHFFFAOYSA-N hydroxyurea Chemical compound NC(=O)NO VSNHCAURESNICA-UHFFFAOYSA-N 0.000 description 1
- 229960005236 ibandronic acid Drugs 0.000 description 1
- 229960002411 imatinib Drugs 0.000 description 1
- 229960002751 imiquimod Drugs 0.000 description 1
- 230000001900 immune effect Effects 0.000 description 1
- 238000003364 immunohistochemistry Methods 0.000 description 1
- 230000001506 immunosuppresive Effects 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 201000007450 intrahepatic cholangiocarcinoma Diseases 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 201000008893 intraocular retinoblastoma Diseases 0.000 description 1
- 238000007913 intrathecal administration Methods 0.000 description 1
- 201000008255 invasive lobular carcinoma Diseases 0.000 description 1
- 229960005386 ipilimumab Drugs 0.000 description 1
- 229960004768 irinotecan Drugs 0.000 description 1
- FZWBNHMXJMCXLU-BLAUPYHCSA-N isomaltotriose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1OC[C@@H]1[C@@H](O)[C@H](O)[C@@H](O)[C@@H](OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C=O)O1 FZWBNHMXJMCXLU-BLAUPYHCSA-N 0.000 description 1
- 229960002367 lasofoxifene Drugs 0.000 description 1
- 101700036391 lecA Proteins 0.000 description 1
- 239000002523 lectin Substances 0.000 description 1
- 229960004942 lenalidomide Drugs 0.000 description 1
- 229960002618 lenograstim Drugs 0.000 description 1
- 231100000518 lethal Toxicity 0.000 description 1
- 230000001665 lethal Effects 0.000 description 1
- 229960001691 leucovorin Drugs 0.000 description 1
- RGLRXNKKBLIBQS-XNHQSDQCSA-N leuprolide acetate Chemical compound CC(O)=O.CCNC(=O)[C@@H]1CCCN1C(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](CC(C)C)NC(=O)[C@@H](NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)CC1=CC=C(O)C=C1 RGLRXNKKBLIBQS-XNHQSDQCSA-N 0.000 description 1
- 230000000670 limiting Effects 0.000 description 1
- 201000006721 lip cancer Diseases 0.000 description 1
- 239000002502 liposome Substances 0.000 description 1
- 229940057995 liquid paraffin Drugs 0.000 description 1
- 201000007270 liver cancer Diseases 0.000 description 1
- 201000011059 lobular neoplasia Diseases 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 108010011366 lumiliximab Proteins 0.000 description 1
- 201000005249 lung adenocarcinoma Diseases 0.000 description 1
- 201000005202 lung cancer Diseases 0.000 description 1
- 201000005244 lung non-small cell carcinoma Diseases 0.000 description 1
- 239000002697 lyase inhibitor Substances 0.000 description 1
- 230000001868 lysosomic Effects 0.000 description 1
- 235000019359 magnesium stearate Nutrition 0.000 description 1
- 239000003628 mammalian target of rapamycin inhibitor Substances 0.000 description 1
- 108010021856 mapatumumab Proteins 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 239000003771 matrix metalloproteinase inhibitor Substances 0.000 description 1
- 229940121386 matrix metalloproteinase inhibitors Drugs 0.000 description 1
- 101700001016 mbhA Proteins 0.000 description 1
- 229940115256 melanoma vaccine Drugs 0.000 description 1
- GLVAUDGFNGKCSF-UHFFFAOYSA-N mercaptopurine Chemical compound S=C1NC=NC2=C1NC=N2 GLVAUDGFNGKCSF-UHFFFAOYSA-N 0.000 description 1
- 229960001428 mercaptopurine Drugs 0.000 description 1
- 235000006109 methionine Nutrition 0.000 description 1
- 229960003248 mifepristone Drugs 0.000 description 1
- 235000013336 milk Nutrition 0.000 description 1
- 239000008267 milk Substances 0.000 description 1
- 229960003775 miltefosine Drugs 0.000 description 1
- 239000002829 mitogen activated protein kinase inhibitor Substances 0.000 description 1
- 230000000394 mitotic Effects 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 238000001823 molecular biology technique Methods 0.000 description 1
- 229960003063 molgramostim Drugs 0.000 description 1
- 108010032806 molgramostim Proteins 0.000 description 1
- 229960000060 monoclonal antibodies Drugs 0.000 description 1
- 229910000402 monopotassium phosphate Inorganic materials 0.000 description 1
- 235000019796 monopotassium phosphate Nutrition 0.000 description 1
- 238000010172 mouse model Methods 0.000 description 1
- 210000004877 mucosa Anatomy 0.000 description 1
- 201000000050 myeloid neoplasm Diseases 0.000 description 1
- 229960004719 nandrolone Drugs 0.000 description 1
- 229960000801 nelarabine Drugs 0.000 description 1
- 201000008026 nephroblastoma Diseases 0.000 description 1
- 230000001264 neutralization Effects 0.000 description 1
- 230000003472 neutralizing Effects 0.000 description 1
- 229910052757 nitrogen Inorganic materials 0.000 description 1
- 231100000956 nontoxicity Toxicity 0.000 description 1
- 229960000435 oblimersen Drugs 0.000 description 1
- MIMNFCVQODTQDP-NDLVEFNKSA-N oblimersen Chemical compound O=C1NC(=O)C(C)=CN1[C@@H]1O[C@H](COP(S)(=O)O[C@@H]2[C@H](O[C@H](C2)N2C3=NC=NC(N)=C3N=C2)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C3=C(C(NC(N)=N3)=O)N=C2)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C3=C(C(NC(N)=N3)=O)N=C2)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(NC(=O)C(C)=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C3=C(C(NC(N)=N3)=O)N=C2)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C3=C(C(NC(N)=N3)=O)N=C2)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C3=NC=NC(N)=C3N=C2)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(NC(=O)C(C)=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(N=C(N)C=C2)=O)COP(O)(=S)O[C@@H]2[C@H](O[C@H](C2)N2C(NC(=O)C(C)=C2)=O)CO)[C@@H](O)C1 MIMNFCVQODTQDP-NDLVEFNKSA-N 0.000 description 1
- 201000002575 ocular melanoma Diseases 0.000 description 1
- 230000004650 oncogenic pathway Effects 0.000 description 1
- 238000005457 optimization Methods 0.000 description 1
- 201000005443 oral cavity cancer Diseases 0.000 description 1
- 230000005305 organ development Effects 0.000 description 1
- 239000003960 organic solvent Substances 0.000 description 1
- 239000003791 organic solvent mixture Substances 0.000 description 1
- 201000006958 oropharynx cancer Diseases 0.000 description 1
- 230000011164 ossification Effects 0.000 description 1
- 201000008968 osteosarcoma Diseases 0.000 description 1
- 201000001539 ovarian carcinoma Diseases 0.000 description 1
- 229960001756 oxaliplatin Drugs 0.000 description 1
- 238000007911 parenteral administration Methods 0.000 description 1
- 230000036961 partial Effects 0.000 description 1
- 230000001575 pathological Effects 0.000 description 1
- 229960001744 pegaspargase Drugs 0.000 description 1
- 108010001564 pegaspargase Proteins 0.000 description 1
- 239000008188 pellet Substances 0.000 description 1
- 108010092042 pemtumomab Proteins 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- 239000008177 pharmaceutical agent Substances 0.000 description 1
- 230000000275 pharmacokinetic Effects 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 229940080469 phosphocellulose Drugs 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 239000000049 pigment Substances 0.000 description 1
- 239000006187 pill Substances 0.000 description 1
- 230000001817 pituitary Effects 0.000 description 1
- 239000003123 plant toxin Substances 0.000 description 1
- 201000008199 pleuropulmonary blastoma Diseases 0.000 description 1
- 108010049948 plitidepsin Proteins 0.000 description 1
- 229920001481 poly(stearyl methacrylate) Polymers 0.000 description 1
- 108091008117 polyclonal antibodies Proteins 0.000 description 1
- 229920002704 polyhistidine Polymers 0.000 description 1
- 230000004481 post-translational protein modification Effects 0.000 description 1
- 230000003623 progesteronic Effects 0.000 description 1
- 210000001236 prokaryotic cell Anatomy 0.000 description 1
- 230000002062 proliferating Effects 0.000 description 1
- 230000002035 prolonged Effects 0.000 description 1
- 230000001737 promoting Effects 0.000 description 1
- 230000000644 propagated Effects 0.000 description 1
- 239000003528 protein farnesyltransferase inhibitor Substances 0.000 description 1
- 239000003197 protein kinase b inhibitor Substances 0.000 description 1
- 239000012460 protein solution Substances 0.000 description 1
- 230000005180 public health Effects 0.000 description 1
- 239000012264 purified product Substances 0.000 description 1
- LCTONWCANYUPML-UHFFFAOYSA-M pyruvate Chemical compound CC(=O)C([O-])=O LCTONWCANYUPML-UHFFFAOYSA-M 0.000 description 1
- 230000002285 radioactive Effects 0.000 description 1
- 238000001959 radiotherapy Methods 0.000 description 1
- 229960004432 raltitrexed Drugs 0.000 description 1
- 239000011541 reaction mixture Substances 0.000 description 1
- 239000000018 receptor agonist Substances 0.000 description 1
- 238000005215 recombination Methods 0.000 description 1
- 201000001275 rectum cancer Diseases 0.000 description 1
- 230000008929 regeneration Effects 0.000 description 1
- 238000011069 regeneration method Methods 0.000 description 1
- 201000002793 renal fibrosis Diseases 0.000 description 1
- 230000000268 renotropic Effects 0.000 description 1
- 230000000717 retained Effects 0.000 description 1
- 201000000582 retinoblastoma Diseases 0.000 description 1
- 235000009566 rice Nutrition 0.000 description 1
- 239000008159 sesame oil Substances 0.000 description 1
- 235000011803 sesame oil Nutrition 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- 239000000377 silicon dioxide Substances 0.000 description 1
- BQCADISMDOOEFD-UHFFFAOYSA-N silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 238000003530 single readout Methods 0.000 description 1
- 101710044770 sll1951 Proteins 0.000 description 1
- 239000002002 slurry Substances 0.000 description 1
- 201000002314 small intestine cancer Diseases 0.000 description 1
- 229950010372 sobuzoxane Drugs 0.000 description 1
- MSXHSNHNTORCAW-UHFFFAOYSA-M sodium 3,4,5,6-tetrahydroxyoxane-2-carboxylate Chemical compound [Na+].OC1OC(C([O-])=O)C(O)C(O)C1O MSXHSNHNTORCAW-UHFFFAOYSA-M 0.000 description 1
- 235000010413 sodium alginate Nutrition 0.000 description 1
- 239000000661 sodium alginate Substances 0.000 description 1
- PXIPVTKHYLBLMZ-UHFFFAOYSA-N sodium azide Substances [Na+].[N-]=[N+]=[N-] PXIPVTKHYLBLMZ-UHFFFAOYSA-N 0.000 description 1
- 239000007901 soft capsule Substances 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000007790 solid phase Substances 0.000 description 1
- 238000000527 sonication Methods 0.000 description 1
- 230000020347 spindle assembly Effects 0.000 description 1
- 230000000087 stabilizing Effects 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 201000000498 stomach carcinoma Diseases 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 239000007929 subcutaneous injection Substances 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 201000010874 syndrome Diseases 0.000 description 1
- 201000010814 synostosis Diseases 0.000 description 1
- 238000007910 systemic administration Methods 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- FQZYTYWMLGAPFJ-OQKDUQJOSA-N tamoxifen citrate Chemical compound [H+].[H+].[H+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O.C=1C=CC=CC=1C(/CC)=C(C=1C=CC(OCCN(C)C)=CC=1)/C1=CC=CC=C1 FQZYTYWMLGAPFJ-OQKDUQJOSA-N 0.000 description 1
- 229960001674 tegafur Drugs 0.000 description 1
- 229960004964 temozolomide Drugs 0.000 description 1
- 201000003120 testicular cancer Diseases 0.000 description 1
- 125000003698 tetramethyl group Chemical group [H]C([H])([H])* 0.000 description 1
- AYEKOFBPNLCAJY-UHFFFAOYSA-O thiamine pyrophosphate Chemical compound CC1=C(CCOP(O)(=O)OP(O)(O)=O)SC=[N+]1CC1=CN=C(C)N=C1N AYEKOFBPNLCAJY-UHFFFAOYSA-O 0.000 description 1
- 235000008170 thiamine pyrophosphate Nutrition 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 238000003325 tomography Methods 0.000 description 1
- 229960000303 topotecan Drugs 0.000 description 1
- 229960005026 toremifene Drugs 0.000 description 1
- 229960005267 tositumomab Drugs 0.000 description 1
- 230000002588 toxic Effects 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 230000002103 transcriptional Effects 0.000 description 1
- 239000012581 transferrin Substances 0.000 description 1
- 230000014621 translational initiation Effects 0.000 description 1
- LXZZYRPGZAFOLE-UHFFFAOYSA-L transplatin Chemical compound [H][N]([H])([H])[Pt](Cl)(Cl)[N]([H])([H])[H] LXZZYRPGZAFOLE-UHFFFAOYSA-L 0.000 description 1
- 230000032258 transport Effects 0.000 description 1
- 229960000575 trastuzumab Drugs 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- VXKHXGOKWPXYNA-PGBVPBMZSA-N triptorelin Chemical compound C([C@@H](C(=O)N[C@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)NCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 VXKHXGOKWPXYNA-PGBVPBMZSA-N 0.000 description 1
- 239000012137 tryptone Substances 0.000 description 1
- 239000005483 tyrosine kinase inhibitor Substances 0.000 description 1
- 229940121358 tyrosine kinase inhibitors Drugs 0.000 description 1
- 108010002164 tyrosine receptor Proteins 0.000 description 1
- 238000000870 ultraviolet spectroscopy Methods 0.000 description 1
- 241001515965 unidentified phage Species 0.000 description 1
- 229960000604 valproic acid Drugs 0.000 description 1
- 229960000241 vandetanib Drugs 0.000 description 1
- 239000002525 vasculotropin inhibitor Substances 0.000 description 1
- ZTHWFVSEMLMLKT-CAMOTBBTSA-N vidarabine monohydrate Chemical compound O.C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@@H]1O ZTHWFVSEMLMLKT-CAMOTBBTSA-N 0.000 description 1
- OGWKCGZFUXNPDA-XQKSVPLYSA-N vincristine Chemical compound C([N@]1C[C@@H](C[C@]2(C(=O)OC)C=3C(=CC4=C([C@]56[C@H]([C@@]([C@H](OC(C)=O)[C@]7(CC)C=CCN([C@H]67)CC5)(O)C(=O)OC)N4C=O)C=3)OC)C[C@@](C1)(O)CC)CC1=C2NC2=CC=CC=C12 OGWKCGZFUXNPDA-XQKSVPLYSA-N 0.000 description 1
- 229960000922 vinflunine Drugs 0.000 description 1
- GBABOYUKABKIAF-IELIFDKJSA-N vinorelbine Chemical compound C1N(CC=2C3=CC=CC=C3NC=22)CC(CC)=C[C@H]1C[C@]2(C(=O)OC)C1=CC([C@]23[C@H]([C@@]([C@H](OC(C)=O)[C@]4(CC)C=CCN([C@H]34)CC2)(O)C(=O)OC)N2C)=C2C=C1OC GBABOYUKABKIAF-IELIFDKJSA-N 0.000 description 1
- 229960002066 vinorelbine Drugs 0.000 description 1
- 102000009310 vitamin D receptors Human genes 0.000 description 1
- 108050000156 vitamin D receptors Proteins 0.000 description 1
- 108010031272 volociximab Proteins 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 235000021307 wheat Nutrition 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
- A61K47/6849—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a receptor, a cell surface antigen or a cell surface determinant
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- 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
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/2863—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against receptors for growth factors, growth regulators
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- 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
- C07K16/28—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
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/21—Immunoglobulins specific features characterized by taxonomic origin from primates, e.g. man
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
- C07K2317/33—Crossreactivity, e.g. for species or epitope, or lack of said crossreactivity
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
- C07K2317/34—Identification of a linear epitope shorter than 20 amino acid residues or of a conformational epitope defined by amino acid residues
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/55—Fab or Fab'
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
- C07K2317/565—Complementarity determining region [CDR]
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/75—Agonist effect on antigen
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
- C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
Abstract
Disclosed is an isolated antibody or antigen-binding fragment thereof specifically binding to the extracellular N-terminal epitope (RPSFSLVEDTTLEPE) of FGFR2 as presented by SEQ ID NO:63. Also disclosed is the use of said antibody or antigen-binding fragment in the manufacture of a medicament for the treatment of cancer. e treatment of cancer.
Description
GFR2 Antibodies and Uses Thereof
The present invention provides recombinant antigen-binding regions and antibodies
and functional fragments containing such antigen-binding regions that are specific for the
fibroblast growth factor or 2 (FGFR2).
The antibodies, accordingly, can be used to treat tumors and other disorders and
conditions associated with expression of FGFR2. The ion also provides c acid
sequences encoding the foregoing antibodies, s containing the same, pharmaceutical
compositions and kits with instructions for use.
BACKGROUND OF THE INVENTION
Antibody-based therapy is proving very effective in the ent of various
cancers, ing solid tumors. For example, HERCEPTIN® has been used successfully to
treat breast cancer and RITUXAN® is effective in B-cell related cancer types. Central to
the pment of a successful antibody—based therapy is isolation of antibodies against
cell-surface proteins found to be preferentially expressed on tumor cells.
Fibroblast growth factor receptors are tyrosine receptor kinases (RTKs), from
which four are known (FGFRl, FGFR2, FGFR3, FGFR4) in mammals. As s 22
human fibroblast growth factors (FGFs) are identified (Eswarakumar and Schlessinger,
Cytokine & Growth Factor Reviews 2005, 16:139-149; Shimada et al., Proc Natl Acad Sci
USA 2001, 98:6500-6505). FGFRs consist of three extracellular immunoglobulin (Ig)-like
domains, D1-D3, y domains 2 and 3 are required for ligand binding, a single
transmembrane domain and a cytoplasmic domain containing the catalytic protein tyrosine
kinase core (for a schematic representation see Figure 1). The extracellular part harbors in
addition the acidic box (AB) and the heparin binding site (HBS) (see Figure 1). An
important hallmark of the FGFR family of RTKs is that a variety of alternatively spliced
variants exist. Full length FGFR2 is called FGFR2 alpha, while the m lacking D1 is
WO 76186
_ 2 _
termed FGFR2 beta e 1). Alternative splicing in domain 3 results in two ent
variants namely FGFR2 IIIb, harboring exons 7 and 8, and FGFR2 IIIc, containing exons 7
and 9 (Figure 1). The latter splicing affects ligand binding, resulting in the specificity
pattern. FGFR2 file is mainly expressed by mesenchymal cells, FGFR2 IIIb mainly by
epithelial cells. FGF7 also known as keratinocyte growth factor (KGF) only binds to
FGFR2 IIIb, which is therefore also termed KGFR. Upon binding of FGFs to their
receptors, subsequently dimerization and phosphorylation of FGFRs and downstream
signaling via FRS-GRB2 g protein complex to RAS-MAPK signaling cascade and
PI3K-AKT signaling cascade occurs. The first signaling cascade is implicated in cell
growth and differentiation, the latter in cell survival and fate determination (Katoh and
Katoh, Int J Oncol 2006, 29:163-168).
Orchestrated signaling of all four ors (FGFRI to FGFR4) and their splice
variants via the ent FGFs is required for proper organogenesis during embryogenesis
(Ornitz et al., Genome Biol 2001, 223005). In case of FGFR2, lack of all FGFR2 variants
results in defects in ta and limb bud formation and consequently results in lethality in
E105. Specific knock-out of FGFR2 IIIb also results in lethality (in P0), associated with
agenesis of lungs, anterior pituitary, thyroid, teeth and limbs, while disruption ofthe
FGFRZ IIIc variant is viable showing delayed ossification, proportionate dwarfism, and
synostosis of skull base (Eswarakumar and Schlessinger, 2005). Germline activating
mutations of FGFR2 in humans lead to severe deformities during enbryogenesis, such as
coronal- and craniosynostosis in Apert or Pfeiffer syndromes (Robin et al., in Gene
Reviews, NCBI Bookshelf Washington, edts. Pagon et al., 1993). In the adult, FGFR2
signaling is involved in wound healing, epithelial repair and otection of skin and
mucosa (Braun et al., Phil Trans R Soc Lond B 2004, 359:753-757) and in regeneration of
injured liver (Steiling et al., Oncogene 2003, 22:4380-4388; Bohm, dissertation, Swiss
Federal Institute of Technology Zurich, 2009). A role of FGFR2 signaling in migration of
epicardial derived cells (EPDCs) into the heart after tion is under sion, since
during embryogenesis FGFIO/FGFR2 signaling is necessary for migration of EPDCs in the
compact dium, a s required for intact heart development (Vega-Hernandez et
2012/073325
_ 3 _
al., Development 2011:3331—3340; Winter and De Groot, Cell M01 Life Sci 2007, 64:692-
703)
Increased, germline-independent ing through FGFR2 is involved in different
pathologies, such as acne (Katoh, J of Invest Dermatol 2009, 129:1861-1867), psoriasis
(Finch et al., Am J Pathol 1997, 15121619-1628; Xu et al., J Invest Dermatol
2011;131:1521-1529) periodontitis (Li et al., J Peridontal Res 2005, 40:128-138), solar
lentigines (Lin et al., Journal Dermatol Sci 2010, 59:91-97), bowel disease (Brauchle et al.,
J Pathol 1996, 149:521-529), endometriosis (Taniguchi et al., Fertil Steril 2008, 89:478-
480), cholesteatoma (Yamamoto-Fukuda et al., Eur Arch Otorhinolaryngol (2008)
265211737] 178; d'Alessandro et al., Otol Neurotol. 2010 Sep;3l(7):ll63-9),
cholesteatomatous chronic otitis media (Yamamoto-Fukuda et al., Otol Neurotol. 2010
Jul;3](5):745-5] ), atherosclerosis (Che et al Am J l Heart Circ Physiol 300: H1547
Hl61, 2011) and cancer (see below).
Several studies are hed emphasizing a strong association of FGFR2
expression and poor outcome of cancer patients:
Overexpression of FGFR2 and/or KGF is associated with expansive growth of
gastric cancer and, shorter survival ofpatients (Matsunobu et al., Int J Cancer 2006, 28:307-
314; Toyokawa et al., Oncol Reports 2009, 212875-880). Overexpression ofFGFR2 was
thereby detected in 3] -36.5% of all c cancer samples tested (Matsunobu et al., Int J
Cancer 2006, 28:307—314; Toyokawa et al., Oncol Reports 2009, 2] 2875-880).
arcinoma (70% of all gastric cancer) are further divided into two ct
pathological types, namely the intestinal- and the diffuse-type gastric . Interestingly,
the first, less aggressive type is ated with an ted ErbB2 oncogenic pathway,
while the latter, more aggressive phenotype harbors aberrations in the FGFR2/PI3K
pathway (Yamashita et al., Surg Today 2011, 41:24-38). Approximately 60% of gastric
adenocarcinoma belong to the diffiise-type, the ing 40% to the intestinal type
(Werner et al., J Cancer Res Clin Oncol 2001, 1272207-216). FGFR2 overexpression was
found, in 53% of diffuse-type gastric cancer samples (Yamashita et al., Surg Today 2011,
3 8). Taking all data together, HER2 and FGFR2 expression seem to occur in two
_ 4 _
distinct patient populations. Possibly, expression of FGFR2 partly results from gene
amplification as in approximately 7-10% of primary c cancers amplification of
FGFR2 can be found (Kunii et al. Cancer Res 2008, 68:232348). Furthermore, FGFR2
expression was not only found in metastases, but was even er than in primary tumors
(Yamashita et al., Surg Today 2011, 41:24-38).
In breast cancer, FGFR2 IIIb expression was found in 57% of tumor samples but
hardly in y tissue (Tamaru et al. 2004, 84:1460-1471). KGF (FGF7) was found in
45% of samples, generally coincided with FGFR2 IIIb. Co-Expression of FGF7 and its only
receptor FGFR2 IIIb was associated with a cantly reduced number of apoptotic cells
within the primary tumor as compared to primary breast cancers neither expressing FGF7
nor FGFR2 IIIb u et al. 2004, 84:1460-1471). As in gastric cancer, also in breast
cancer gene amplification was found: in 4% of triple negative breast cancer (TNBC)
(Turner et al. Oncogene 2010, 29:2013—2023). In breast cancer several small nuclear
polymorphisms (SNPs) were identified, which are associated with increased breast cancer
risk (Hunter et al. Nature Genetics 2007, 62870-874). If SNPs are localized, within intron 2,
it results in transcriptional up-regulation of FGFR2 (Katoh Expert s 2010, 1021375-
1379). Interestingly, FGFRI is preferentially upregulated in ER-positive, while FGFR2 in
ER-negative breast cancers (Katoh, Expert Reviews 2010, 10:1375-1379)
In pancreatic cancer, overexpression of FGFR2 IIIb and/or FGF7 is strongly
correlated with venous on (Cho et al., Am J Pathol 170:1964-1974), y co—
expression of FGFR2 and FGF7 was found in tumor cells, but even more abundant in the
l cells adjacent to tumor cells (Ishiwata et al., Am J Pathol 1998, 153:2]3-222).
In epithelial ovarian cancer in 80% of tested cases up-regulation of FGFR2 as
compared to normal tissue and in 70% FGF7 in the ascetic fluid was found (Steele et al.,
Oncogene 205878-5887).
FGFR2 protein was found in all tested ve al cancers with strong
expression at the invasive front of tumors (Kawase et al., Int J Oncol 2010, 36:331-340).
In lung adenocarcinoma, co-expression of FGF7 and FGFR2 was found in 51.6% of
tested cases and correlates with lower differentiation grades, higher proliferation rate,
_ 5 _
lymph node metastasis and shorter 5-year survival (Yamayoshi et al., J Pathol 2004,
204:110-118).
In trial cancer, most frequently activating mutations of FGFR2 are found in
approximately 16% of endometrial cancer ck et al., Oncogene 2007, 26:7158-7162).
In geal carcinoma (EC), co—expression of FGF7 and FGFR2 in cancer cells
was found in 26% of patients associated with a trend for shorter survival (Yoshino et al., Int
J Oncol 2007, 31:721-728).
In cellular carcinoma, FGFR2 expression was up-regulated by 4.7 times in
poorly differentiated tumors. This expression is associated with incidence of portal vein
invasion and lower disease free survival times (Harimoto et al., Oncology 2010, 78:361-
368)
Several ations with experimental in vitro and in ViVO data demonstrate a
causal relationship of aberrant FGFR2-signaling and tumor progression:
Knock-down and/or inhibition of FGFR2 in gastric (Takeda et al., Clin Cancer Res
2007; 13:3051-3057; Kunii et al., Cancer Res 2008; 68:2340-2348), breast (Turner et al.
Oncogene 2010, 29:2013-2023), n (Cole et al., Cancer Biol Ther 2010, 10:495—504)
and head and neck squamous cell (Marshall et al., Clin Cancer Res 2011, 17:5016-5025)
carcinoma cells resulted in reduced proliferation and/or increased apoptosis of tumor cells.
Also in tumor xenografts, knock-down of FGFR2 as well as inhibition of FGFR2 in tumor
cell lines over-expressing FGFR2, growth inhibition was shown for gastric (Takeda et al.,
Clin Cancer Res 2007; 1-3057) and ovarian (Cole et al., Cancer Biol Ther 2010,
:495-504) cancer cell lines. Additionally, FGF7, which solely activates FGFR2, increases
proliferation of gastric (Shin et al., J Cancer Res Clin Oncol 2002, 12825967602), breast
(Zhang et al., Anticancer Res 1998, 18:2541-2546) and ovarian (Cole et al., Cancer Biol
Ther 2010, 10:495—504) cancer cell lines in vitro and in vivo. Furthermore, knock—down of
FGFR2 in endometrial cancer cell lines harboring FGFR2 with activating mutations also
resulted in cell cycle arrest and induction of cell death (Byron et al., Cancer Res 2008,
68:6902-6907).
_ 6 _
FGFR2 signaling promotes migration and invasion of gastric (Shin et al., J Cancer
Res Clin Oncol 2002, 12825967602), breast (Zhang et al., Anticancer Res 1998, 1822541—
2546) and pancreatic cancer cell lines in vitro (Nomura et al., Br J Cancer 2008, 99:305—
313; Niu et al., J Biol Chem 2007, 282:6601-6011).
In esophageal carcinoma, FGFR2 is the highest up-regulated gene in tumor—
associated fibroblasts. ed tumor-associated fibroblasts released, a soluble factor that
promotes eration of geal cancer cells (Zhang et al., hum Cancer Biol 2009,
:4017-4022), demonstrating that also FGFR2 expressed by stromal cells can promote
tumor progression.
Only a limited number of anti FGFR2 antibodies have been ed. Fortin et al.
(J. Neurosci. 2005, 25: 479) describe a blocking anti FGFR2 antibody. Wei et al.
(Hybridoma 2006, 25: 115-124) showed antibodies specific only for FGFR2 IIIb that
inhibits KGF induced cell proliferation. In W02007/144893 inhibitory antibodies that bind
FGFR2 and FGFR3 are disclosed. In WO2010/054265 and Zhao et al. (Clin Cancer Res.
2010,1625750-5758) antibodies inhibiting FGF binding are disclosed. Bai et al. (Cancer
Res. 2010, 70:7630-7639) describe antibodies specific for FGFR2 IIIb. R&D Systems
markets anti-FGFR2 antibodies that neutralize activity in their assays.
In y, several FGFR2 splice variants are known. Furthermore, it is known
that FGFR2-related diseases are due to aberrant expression, e.g. overexpression or
amplification of FGFR2, or due to various mutated FGFR2 proteins. However, a therapy is
lacking which addresses a plurality of different FGFR2 d diseases.
SUMMARY OF THE ION
The present invention is directed to the ion of dies, or antigen-binding
antibody fragments thereof, or variants thereof which reduce the cell surface expression of
FGFR2 after binding to FGFR2 in both cells overexpressing FGFR2 and cells expressing
2012/073325
_ 7 _
mutated FGFRZ. Also ed are antibody-based therapies for FGFRZ—related diseases or
conditions such as cancer, in particular for FGFR2 expressing tumors, such as gastric
, breast cancer, pancreatic cancer, colorectal cancer, renal cell carcinoma, prostate
cancer, ovarian , cervical cancer, lung , non-small-cell lung cancer (NSCLC),
endometrial cancer, esophageal cancer, head and neck cancer, hepatocellular carcinoma,
melanoma and bladder cancer.
The invention is also related to polynucleotides encoding the antibodies of the
invention, or antigen—binding fragments thereof, cells expressing the antibodies of the
ion, or antigen-binding fragments thereof, methods for producing the antibodies of
the invention, or n-binding fragments thereof, methods for inhibiting the growth of
dysplastic cells using the dies of the invention, or antigen-binding fragments thereof,
and methods for treating and detecting cancer using the antibodies of the invention, or
antigen-binding fragments thereof.
The invention describes antibodies that are distinguished from existing FGFR2
antibodies in that they reduce the e expression of FGFR2 after binding to FGFRZ in
cells overexpressing FGFR2 as well as in cells expressing mutated FGFRZ. An embodiment
of the invention is an antibody or antigen-binding fragment f that binds to the
extracellular N—terminal epitope (IRPSFSLVEDTTLEPEIS) of FGFR2 (SEQ ID N0263).
The antibodies or antigen—binding fragment thereof of the invention a) activate FGFR2 on
the short term, b) induce internalization of FGFR2 c) resulting in efficient degradation, d)
de-sensibilization of the FGFRZ-expressing cancer cells or tumor cells and e) y
resulting in an anti-tumor activity of these antibodies in in vivo tumor experiments. These
and other objects of the invention are more fully described herein.
An antibody of the invention might be co-administered with known medicaments,
and in some instances the antibody might itself be modified. For e, an antibody
could be conjugated to a cytotoxic agent, immunotoxin, ore or radioisotope to
potentially r increase efficacy.
The invention further provides antibodies which constitute a tool for diagnosis of ant or
dysplastic conditions in which FGFR2 expression is elevated compared to normal tissue or where
FGFR2 is shed from the cell surface and becoming detectable in serum. Provided are anti-FGFR2
antibodies conjugated to a detectable marker. Preferred markers are a radiolabel, an enzyme, a
phore or a scer.
The invention is also related to polynucleotides ng the antibodies of the invention, or
antigen-binding fragments thereof, cells expressing the dies of the invention, or antigen-binding
fragments thereof, methods for producing the antibodies of the invention, or antigen-binding fragments
thereof, methods for ting the growth of stic cells using the antibodies of the invention, or
n-binding fragments thereof, and methods for treating and detecting cancer using the antibodies
of the invention, or antigen-binding fragments thereof.
The invention also is related to isolated nucleic acid sequences, each of which can encode an
aforementioned antibody or antigen-binding fragment thereof that is specific for an epitope of FGFR2.
Nucleic acids of the invention are suitable for recombinant production of antibodies or antigen-binding
antibody fragments. Thus, the invention also relates to vectors and host cells containing a nucleic acid
sequence of the invention.
Compositions of the invention may be used for therapeutic or prophylactic applications. The
invention, therefore, includes a pharmaceutical composition comprising an inventive antibody or
antigen-binding nt thereof and a ceutically acceptable r or excipient therefore. In a
related aspect, the ion provides a method for treating a disorder or condition associated with the
undesired presence of FGFR2 expressing cells. In a preferred embodiment the aforementioned disorder
is cancer. Such method ns the steps of administering to a subject in need thereof an effective
amount of the pharmaceutical composition that contains an inventive antibody as described or
contemplated herein.
(followed by 8A)
The invention also includes the use of an antibody or n-binding fragment, an dydrug
conjugate, a pharmaceutical composition or a combination as described herein in the manufacture
of a medicament for treating a disorder or condition associated with the undesired presence of FGFR2.
The ion also provides for the use of an antibody or antigen-binding fragment, an antibody-drug
conjugate, a pharmaceutical composition or a combination as described herein in the manufacture of a
medicament for the treatment of cancer.
The invention also provides ctions for using an antibody library to isolate one or more
members of such library that binds specifically to FGFR2.
(followed by 9)
PTION OF THE S
Figure 1: Schematic diagram of the structure of FGFRZ. Alpha (SEQ ID NO:61) and beta
(SEQ ID NO:62) splice variants are shown in comparison. The diagram shows the three Ig—
like domains (D1, D2 and D3), the transmembrane domain (TM), and the intracellular
kinase domain. The heparin binding site (HBS), acidic box (AB), and the alternative
IIIb/IIIc partial domains are indicated. The amino terminus is marked by an N, the carboxy
terminus by an C. The binding epitope of the antibodies of this invention is depicted striped.
Figure 2: Induction of phosphorylated FGFRZ (P-FGFRZ) levels after short term (15 min)
incubation with anti FGFR2 antibodies at 10ug/ml in MFM223 cells. Y is “% of untreated
control cells”. As shown antibodies M048-D01-hlgG] and M047-D08-hIgG] increase the
ELISA signal of P-FGFRZ by a factor greater 4 fold compared with untreated l cells.
In st neither the l IgG antibody nor anti FGFRZ antibodies commercially
available from R&D (MAB665, MAB684, MAB6843) showed any significant effect on P-
FGFRZ levels after short—term tion. These results reveal an agonistic effect of anti
FGFR2 antibodies described within this invention on FGFRZ after term incubation.
Figure 3: itizing of MFM223 cells against FGF7 (25ng/ml, 15min) ed
induction of P-FGFRZ levels after long term (24h) incubation with anti FGFRZ antibodies
at 10ug/ml. Y is “% of untreated control cells”. As shown the antibodies M048-D01-hIgGl
and M047-D08-hIgG1 reduce the level of P-FGFRZ which can be achieved after FGF7
stimulation very pronounced. In cells treated without antibody treatment as well as in cells
treated with e control IgG stimulation with FGF7 lead to an about 4fold increase of P-
FGFRZ levels. In contrast, in samples pretreated with anti FGFRZ antibodies for 24h, FGF7
only induced P-FGFRZ levels by l.37-l.4 fold.
_ 10 _
Taken together these results show that ged incubation of cells with anti FGFR2
antibodies of this invention leads to desensitization towards stimulation with FGF7.
Figure 4: Downregulation of FGFR2 surface expression in cell lines with FGFR2
overexpression (MFM223, SNU16) or FGFRZ ons (AN3-CA, MFE-296) 4.5 h after
incubation with anti FGFRZ antibodies at 10ug/ml measured by FACS is. Y is “% of
control cells”. As shown antibodies M048-D01-hlgG1 and, 08-hIgG1 are the only
antibodies that reduce FGFR2 surface expression with FGFR2 overexpressing cell lines
(MFM223, SNU16) and cells lines having FGFRZ mutations (AN3-CA, MFE-296).
Antibodies like MAB684 and MAB6843 (R&D) only reduce FGFR2 surface expression
with cell lines which do not overexpress FGFRZ. Antibodies like GAL-FR21 do not reduce
FGFRZ surface expression with cell lines having FGFR2 mutations.
Figure 5: Downregulation of total FGFRZ levels after long term (96h) incubation with anti
FGFR2 antibodies in SNU16 cells. Y is “% of control cells”. X is “Antibody concentration
[pg/mu”. As shown antibodies M048-D01-hIgGl (white) and M047-D08-hIgG] (striped)
decrease the total FGFR2 levels significantly after 96h in a dose dependent manner. A non-
g control antibody (black) does not show any effects. These results indicate that anti
FGFRZ antibodies M048-D01—hIgGl and M047-D08—hIgGl do not only lead, to a short
term decrease in e FGFR2 levels but also a long term reduction of total FGFRZ levels.
Figure 6: Microscopic tion of the time course of specific internalization of M048-
DOl-hIgGl and M047-D08-hIgG1 upon binding to endogenous FGFR2 expressing cells. Y
is “granule counts per cell”. X is “time [min]’.7 Internalization of antibodies was
igated on breast cancer cell line SUM 52PE. The e counts per cell were
measured in a kinetic fashion. As shown antibodies M048-D01—hIgG1 (black s and
solid line) and M047-D08—hIgGl (black triangles and dashed line) show a rapid
_ 11 _
internalization as indicated by increasing granule count per cell. An isotype control
antibody (stars and dashed line) does not show any internalization.
Figure 7: Internalization of M048-D01-hIgGl (A, B) and M047-D08-hIgGl (C, D) in
SUM 52PE cells showed co-staining as indicated with Rab 7 (A, C) and not with Rab 11
(B, D). Internalization of GAL-FR21 (E, F) and GAL-FR22 (G,H) in SUM 52PE cells
showed co-staining as ted with Rab 11 (F, H) and not with Rab 7 (E, G).
Figure 8: Growth of subcutaneous SNU-16 xenografts under intraperitoneal treatment with
2 mg/kg of MOl7-B02-hIgG1 (open triangles, solid line) in ison to PBS (filled
circles, solid line) and control IgG treatment (filled triangles, solid line). Mean + rd
deviation are plotted. X is “time after tumor inoculation [days]“. Y is “tumor area [mm2]“.
ent with M017-B02-hIgG1 resulted in a very significant tumor growth inhibition.
Figure 9: Growth of subcutaneous SNU-16 xenografts under intraperitoneal treatment with
2 mg/kg of M021-HO2-hIgGl (open triangles, solid line) in comparison to PBS (filled
circles, solid line) and control IgG ent (filled triangles, solid line). Mean + standard
deviation are plotted. X is “time afier tumor inoculation [days]“. Y is “tumor area [mm2]“.
Treatment with M021 -HO2-hIgGl resulted in a very significant tumor growth inhibition.
Figure 10: Growth of subcutaneous SNU—16 xenografts under intraperitoneal treatment
with 2 mg/kg of M048-DOl-hIgG1 (open triangles, solid line) in comparison to PBS (filled
s, solid line) and control IgG treatment (filled triangles, solid line). Mean + standard
deviation are plotted. X is “time after tumor ation [days]“. Y is “tumor area [mm2]“.
Treatment with 0] -hIgG1 resulted in a very significant tumor growth tion.
Figure 11: Growth of subcutaneous SNU—16 xenografts under intraperitoneal treatment
with 2 mg/kg of M054-A05-hIgGl (open triangles, solid line) in comparison to PBS (filled
_ 12 _
circles, solid line) and control IgG treatment (filled les, solid line). Mean + standard
deviation are plotted. X is “time after tumor inoculation [days]“. Y is “tumor area [mnfl‘i
Treatment with M054-A05-hIgGl resulted in a very cant tumor growth inhibition.
Figure 12: Growth of subcutaneous SNU—l6 xenografts under intraperitoneal treatment
with 2 mg/kg of M054-D03-hlgGl (open triangles, solid line) in comparison to PBS (filled
circles, solid line). Mean + standard deviation are plotted. X is “time after tumor inoculation
[days]“. Y is “tumor area [mm2]“. Treatment with M054-D03—hIgGl resulted in a very
significant tumor growth inhibition.
Figure 13: Growth of subcutaneous SNU—16 xenografts under intraperitoneal treatment
with 2 mg/kg of M047-D08-hlgGl (open les, solid line) in comparison to PBS (filled
circles, solid line). Mean + standard deviation are plotted. X is “time after tumor inoculation
[days]“. Y is “tumor area . ent with M047-D08—hlgGl resulted in a very
significant tumor growth inhibition.
Figure 14: Dot plots of the tumor area of subcutaneous 4T1 tumors at day 13 after tumor
cell inoculation, the last time point before tumors became necrotic. At this time point mice
recived treatment with PBS alone (A), 5 mg/kg of M048-D01-hIgGl twice weekly i.v. (B),
100 mg/kg Lapatinib 13.0. (C) or with 5 mg/kg of M048-D01-hIgGl twice weekly iv and
100 mg/kg Lapatinib p.o. (D). Y is tumor area [mmz] at day 13, dotted lines indicate the
mean values, solid lines indicate the medians. Treatment with M048-D01-hIgGl alone
resulted in a significant reduction of tumor area, while nib alone did not significantly
affect tumor area. Combination of M048-D01-hIgGl with Lap atinib resulted in a
cantly additive anti—tumor activity.
Figure 15: Dot plots of the tumor area of subcutaneous 4T1 tumors at day 13 after tumor
cell inoculation, the last time point before tumors became necrotic. At this time point mice
2012/073325
_ 13 _
recived treatment with PBS alone (A), 5 mg/kg of M048—D01—hIgGl twice weekly i.v. (B),
24 mg/kg Taxol once weekly i.v. (C) or with 5 mg/kg of M048—D01-hlgG1 twice weekly
iv. and 24 mg/kg Taxol once weekly i.v. (D). Y is tumor area [mmz] at day 13, dotted lines
indicate the mean values, solid lines indicate the medians. ent with M048—D01—
hIgGl alone resulted in a significant reduction of tumor area, while Taxol alone did not
significantly affect tumor area. Combination of M048-DOl-hIgG1 with Taxol resulted in a
significantly additive anti-tumor activity.
Figure 16: Growth of subcutaneous patient-derived GC10-0608 xenografts under
intraperitoneal treatment with 5 mg/kg (filled triangles, solid line), 2 mg/kg (filled circles,
dashed line) and 1 mg/kg (filled squares, dotted line) of M048-D01-hlgGl in comparison to
PBS (open diamonds, solid line). Mean i standard error of the means are plotted. X is “time
under treatment [days]“. Y is “tumor volume [mm3]“. ent with all three doses of
M048-D01—hIgGl resulted in a significant tumor growth inhibition.
Figure 17: Growth of subcutaneous patient-derived, 811 xenografts under
intraperitoneal treatment with 5 mg/kg (filled triangles, solid line), 2 mg/kg (filled circles,
dashed line) and 1 mg/kg (filled s, dotted line) of M048-D01-hlgGl in comparison to
PBS (open diamonds, solid line). Mean i standard error of the means are plotted. X is “time
under treatment [days]“. Y is “tumor volume [mm3]“. ent with doses of 5 and 1
mg/kg 01-hIgGl resulted in a significant tumor growth inhibition.
Figure 18: Downregulation of total FGFR2 [total FGFR2] and phosphorylated FGFR2 [P-
FGFR2] afier long term ent of SNU16 xenografts with anti FGFR2 antibodies M048—
DOl—hIgGl and M047-D08—hIgGl in comparison with a control antibody (Zing/kg, twice
weekly, i.p., samples were taken 24h after the last dose). As shown after treatment with
M048-D01-hIgGl and M047-D08—hIgGl total FGFR2 [total FGFR2] and phosphorylated
_ 14 _
FGFRZ RZ] were reduced significantly in comparison with ent with control
IgGl. Actin served as loading control.
Figure 19: Sequences of the invention
DETAILED DESCRIPTION OF THE INVENTION
The present invention is based on the discovery of novel antibodies that have a specific
affinity for FGFR2 and can r a therapeutic benefit to a subject. The antibodies of the
invention, which may be human, zed or chimeric, can be used in many ts,
which are more fully described herein.
Definitions
Unless defined otherwise, all technical and scientific terms used herein have the
meaning ly tood by one of ordinary skill in the art to which this invention
belongs. The following references, however, can provide one of skill in the art to which this
invention pertains with a general definition ofmany of the terms used in this ion, and
can be referenced and used so long as such definitions are consistent the g commonly
understood in the art. Such references include, but are not limited to, Singleton et ah,
Dictionary of Microbiology and lar Biology (2d ed. 1994); The Cambridge
Dictionary of Science and Technology (Walker ed., 198 8); Hale & Marham, The Harper
Collins Dictionary of Biology (199] ); and Lackie et al., The Dictionary of Cell & Molecular
Biology (3d ed. 1999); and Cellular and Molecular Immunology, Eds. Abbas, Lichtman and
Pober, 2nd Edition, W.B. Saunders Company. Any additional technical resources available
to the person of ordinary skill in the art providing definitions of terms used herein having
the meaning commonly understood in the art can be consulted. For the purposes of the
present invention, the following terms are further defined. Additional terms are defined
_ 15 _
elsewhere in the description. As used herein and in the appended , the singular forms
”a," "and," and "the" include plural reference unless the t clearly dictates otherwise.
Thus, for example, reference to "a gene" is a reference to one or more genes and es
equivalents thereofknown to those skilled in the art, and so forth.
A “human” antibody or antigen-binding fragment thereof is hereby defined as one
that is not chimeric (e.g., not “humanized”) and not from (either in whole or in part) a non-
human species. A human antibody or antigen-binding fragment thereof can be d from
a human or can be a synthetic human antibody. A “synthetic human dy” is defined
herein as an antibody having a sequence derived, in whole or in part, in silico from
synthetic sequences that are based on the analysis ofknown human antibody sequences. In
silico design of a human antibody sequence or fragment thereof can be achieved, for
example, by analyzing a database of human antibody or antibody fragment sequences and
devising a ptide sequence utilizing the data obtained there from. Another example of
a human antibody or antigen-binding fragment thereof is one that is d by a nucleic
acid isolated from a y of antibody sequences of human origin (e.g.., such library being
based on antibodies taken from a human natural source). Examples of human antibodies
include antibodies as described in Soderlind et al., Nature Biotech. 2000, 18:853-856.
A “humanized antibody” or humanized antigen-binding fragment thereof is defined
herein as one that is (i) derived from a non-human source (e.g., a transgenic mouse which
bears a heterologous immune system), which antibody is based on a human ne
ce; (ii) where amino acids of the framework regions of a non human antibody are
partially exchanged to human amino acid sequences by genetic engineering or (iii) CDR-
grafted, wherein the CDRs of the variable domain are from a non-human origin, while one
or more orks of the variable domain are of human origin and the nt domain (if
any) is of human origin.
A “chimeric antibody” or antigen-binding fragment thereof is defined herein as one,
wherein the variable domains are derived from a non-human origin and, some or all constant
domains are d from a human origin.
_ 16 _
The term "monoclonal dy" as used herein refers to an antibody obtained from
a population of substantially homogeneous antibodies, i.e., the individual antibodies
comprising the population are identical except for possible mutations, e.g., naturally
occurring ons, that may be present in minor amounts. Thus, the term lonal"
indicates the character of the antibody as not being a e of discrete antibodies. In
contrast to polyclonal antibody preparations, which typically include different antibodies
directed against different determinants (epitopes), each monoclonal antibody of a
monoclonal antibody preparation is directed against a single determinant on an n. In
addition to their specificity, monoclonal dy preparations are advantageous in that they
are typically uncontaminated by other immunoglobulins. The term "monoclonal” is not to
be construed as to require production of the dy by any particular method. The term
monoclonal antibody specifically includes chimeric, humanized and human antibodies.
As used herein, an antibody “binds specifically to”, is “specific ” or
“specifically recognizes” an antigen of interest, e. g. a tumor-associated ptide antigen
target (here, FGFRZ), is one that binds the antigen with sufficient affinity such that the
dy is useful as a therapeutic agent in targeting a cell or tissue expressing the antigen,
and does not significantly cross-react with other proteins or does not significantly cross-
react with proteins other than ogs and variants (e. g. mutant forms, splice variants, or
proteolytically truncated forms) of the aforementioned antigen target. The term ”specifically
recognizes" or "binds specifically to" or is ”specific to/for" a ular polypeptide or an
epitope on a particular polypeptide target as used herein can be exhibited, for example, by
an antibody, or antigen-binding fragment thereof, having a monovalent KD for the antigen
of less than about 10‘4 M, alternatively less than about 10'5 M, alternatively less than about
'6 M, alternatively less than about 10'7 M, alternatively less than about 10'8 M,
alternatively less than about 10'9 M, alternatively less than about 10'10 M, alternatively less
than about 10'11 M, alternatively less than about 10'12 M, or less. An antibody “binds
specifically to,” is fic to/for” or “specifically recognizes” an antigen if such antibody
is able to minate between such antigen and one or more reference antigen(s). In its
most general form, “specific binding”. “binds specifically to”, is “specific to/for” or
WO 76186
_ 17 _
“specifically recognizes” is referring to the y of the dy to minate between
the antigen of interest and an unrelated antigen, as determined, for example, in accordance
with one of the following methods. Such methods se, but are not limited to Western
blots, ELISA-, RIA—, ECL—, IRMA-tests and peptide scans. For example, a rd ELISA
assay can be carried out. The scoring may be carried out by standard color development
(e. g. secondary antibody with horseradish peroxidase and tetramethyl ine with
hydrogen peroxide). The on in certain wells is scored by the optical density, for
example, at 450 nm. Typical background (=negative reaction) may be 0.1 OD; typical
positive reaction may be 1 OD. This means the difference positive/negative is more than 5-
fold, 10-fold, 50-fold, and preferably more than 100-fold. Typically, determination of
binding specificity is med by using not a single reference antigen, but a set of about
three to five unrelated antigens, such as milk powder, BSA, transferrin or the like.
"Binding affinity" refers to the strength of the sum total of noncovalent interactions
between a single binding site of a molecule and its binding partner. Unless indicated
otherwise, as used herein, "binding affinity" refers to intrinsic binding affinity which
reflects a 1 : 1 interaction between members of a binding pair (e.g. an antibody and an
antigen). The dissociation constant “K9” is commonly used to describe the affinity between
a le (such as an antibody) and its binding partner (such as an n) i.e. how tightly
a ligand binds to a particular protein. -protein affinities are influenced by non—
covalent intermolecular interactions between the two molecules Affinity can be measured
by common methods known in the art, including those described herein. In one
embodiment, the "KB" or "KD value" according to this invention is measured by using
surface plasmon resonance assays using a Biacore T100 instrument (GE Healthcare
Biacore, Inc.) according to Example 7. In brief, antibodies were immobilized onto a CMS
sensor chip through an indirect capturing reagent, anti-human IgG Fc. Reagents from the
“Human Antibody Capture Kit” (BR39, GE Healthcare Biacore, Inc.) were used as
bed by the manufacturer. Approximately 5000 resonance units (RU) monoclonal
mouse uman IgG (Fc) antibody were immobilized per cell. Anti FGFRZ antibodies
were ed to reach a capturing level of approximately 200 to 600 RU. Various
_ 18 _
concentrations of human, murin, rat, dog and of other species derived FGFR2 es
containing amino acids 1—15 were ed over immobilized anti-FGFRZ antibodies.
Sensograms were generated after in—line reference cell correction followed by buffer sample
subtraction. The dissociation equilibrium constant (Kn) was calculated based on the ratio of
association (km) and dissociation rated (keg) constants, obtained by fitting sensograms with
a first order 1:1 g model using Biacore Evaluation Software. Other suitable devices
are BIACORE(R)—2000, a BIACORE (R)—3000 (BIAcore, Inc., Piscataway, NJ), or ProteOn
XPR36 instrument (Bio-Rad tories, Inc).
To determine critical residues for binding of the antibodies or antibody fragments
epitope fine mapping can be performed, using for e Alanine-scanning of es.
Therefore, each amino acid of the binding epitope is replaced by an Alanine residue and the
binding of representative antibodies of the invention is tested in an ELISA-based assay.
y, a residue is regarded as critical for binding when the antibody loses more than
50% of its ELISA signal by changing this residue into an Alanine as described in example
The term "antibody", as used herein, is intended to refer to immunglobulin
molecules, ably comprised of four polypeptide chains, two heavy (H) chains and two
light (L) chains which are typically inter-connected by disulfide bonds. Each heavy chain is
comprised of a heavy chain variable region (abbreviated herein as VH) and a heavy chain
constant region. The heavy chain constant region can comprise e.g. three domains CHl,
CH2 and CH3. Each light chain is comprised of a light chain variable region (abbreviated
herein as VL) and a light chain constant region. The light chain nt region is
comprised of one domain (CL). The VH and VL regions can be further subdivided into
regions of hypervariability, termed complementarity ining regions (CDR),
interspersed with regions that are more conserved, termed framework regions (FR). Each
VH and VL is typically ed of three CDRs and up to four FRs. arranged from amino
us to carboxy-terminus e.g. in the following order: FRI, CDR]
, FR2, CDRZ, FR3,
CDR3, FR4.
_ 19 _
As used herein, the term "Complementarity Determining Regions (CDRs; e.g.,
CDRl, CDR2, and CDR3) refers to the amino acid residues of an antibody variable domain
the presence of which are necessary for n binding. Each le domain typically has
three CDR s identified as CDRl, CDR2 and CDR3. Each complementarity
determining region may comprise amino acid residues from a "complementarity
determining region" as defined by Kabat (e.g. about residues 24-34 (L1), 50-56 (L2) and,
89-97 (L3) in the light chain variable domain and 31-35 (H1), 50—65 (H2) and 95-102 (H3)
in the heavy chain variable domain; (Kabat et al., Sequences of Proteins of Immulological
Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD.
(1991)) and/or those residues from a "hypervariable loop" (e.g. about residues 26—32 (L1),
50-52 (L2) and, 91-96 (L3) in the light chain variable domain and 26— 32 (H1), 53-55 (H2)
and 96-101 (H3) in the heavy chain variable domain (Chothia and Lesk; J Mol Biol 196:
901-917 (1987)). In some instances, a complementarity determining region can include
amino acids from both a CDR region defined, according to Kabat and a hypervariable loop.
Depending on the amino acid ce of the constant domain of their heavy
chains, intact antibodies can be assigned to different "classes". There are five major classes
ofintact antibodies: IgA, IgD, IgE, IgG, and IgM, and several ofthese maybe further
divided into asses" pes), e.g., IgGl, IgG2, IgG3, IgG4, IgA, and IgA2. The
heavy-chain constant s that correspond to the different classes of antibodies are
called [alpha], [delta], [epsilon], [gamma], and [mu], respectively. The subunit structures
and three-dimensional configurations of different s of immunglobulins are well
known. As used herein antibodies are conventionally known antibodies and functional
fragments f.
A ional fragment” or “antigen-binding antibody fragment” of an
antibody/immunoglobulin hereby is defined as a fragment of an antibody/immunoglobulin
(e.g., a variable region of an IgG) that retains the antigen-binding region. An “antigen-
binding region” of an antibody typically is found in one or more hyper variable region(s) of
an antibody, e.g., the CDRl, -2, and/or ,3 regions; however, the variable “framework”
regions can also play an important role in n binding, such as by providing a scaffold
for the CDRs. Preferably, the en—binding region” comprises at least amino acid
residues 4 to 103 of the variable light (VL) chain and 5 to 109 of the variable heavy (VH)
chain, more preferably amino acid residues 3 to 107 of VL and 4 to 111 of VH, and
particularly preferred are the complete VL and VH chains (amino acid positions 1 to 109 of
VL and 1 to 113 of VH; numbering according to WO 97/08320). A preferred class of
immunoglobulins for use in the present invention is lgG.
“Functional fragments” or “antigen-binding antibody fragments” of the invention
include Fab, Fab', 2, and Fv nts; diabodies; single domain antibodies (DAbs),
linear antibodies; single-chain antibody molecules (scFv); and pecific, such as bi- and
tri-specific, antibodies formed from antibody fragments (C. A. K Borrebaeck, editor (1995)
Antibody Engineering (Breakthroughs in lar Biology), Oxford University Press; R.
Kontermann & S. Duebel, editors (2001) Antibody Engineering (Springer tory
Manual), Springer Verlag). An antibody other than a "multi-specific" or "multi-functional"
antibody is understood to have each of its binding sites identical. The 2 or Fab may be
ered to minimize or completely remove the intermolecular disulphide interactions
that occur between the CH1 and CL domains.
Variants of the antibodies or antigen-binding antibody fragments contemplated in
the invention are molecules in which the binding activity of the antibody or antigen-binding
antibody fragment for FGFR2 is maintained.
g proteins contemplated in the invention are for example antibody cs,
such as Affibodies, Adnectins, ,Anticalins, DARPins, Avimers, Nanobodies (reviewed by
Gebauer M. et al., Curr. Opinion in Chem. Biol. 2009; 13:245-255; Nuttall S.D. et al., Curr.
Opinion in Pharmacology 2008; 82608—617).
As used herein, the term ‘epitope’ includes any protein determinant capable of
specific binding to an immunoglobulin or T-cell receptors. Epitopic determinants y
consist of chemically active surface ngs of molecules such as amino acids or sugar
side chains, or ations thereof and usually have specific three dimensional structural
characteristics, as well as specific charge characteristics. Two antibodies are said to ‘bind
_ 21 _
the same epitope’ if one antibody is shown to compete with the second antibody in a
competitive binding assay, by any of the methods well known to those of skill in the art.
An "isolated" antibody is one that has been identified and separated from a
component of the cell that expressed it. Contaminant components of the cell are materials
that would interfere with diagnostic or therapeutic uses of the antibody, and may include
enzymes, hormones, and other proteinaceous or nonproteinaceous solutes. In preferred
embodiments, the antibody is purified (1) to greater than 95% by weight of dy as
determined e.g. by the Lowry method, UV-Vis spectroscopy or by by pillary Gel
electrophoresis (for example on a Caliper LabChip GXII, GX 90 or Biorad Bioanalyzer
device), and in further preferred embodiments more than 99% by weight, (2) to a degree
sufficient to obtain at least 15 es ofN-terminal or internal amino acid sequence, or (3)
to homogeneity by SDS-PAGE under ng or nonreducing ions using Coomassie
blue or, ably, silver stain. Isolated naturally occurring antibody es the antibody
in situ within recombinant cells since at least one component ofthe antibody's l
environment will not be present. Ordinarily, however, isolated antibody will be ed by
at least one purification step.
ody-dependent cell-mediated cytotoxicity" or "ADCC" refers to a form of
cytotoxicity in which secreted 1g bound onto Fc gamma receptors (FcyRs) present on
certain cytotoxic cells (e.g. NK cells, neutrophils, and macrophages) enable these cytotoxic
effector cells to bind specifically to an antigen-bearing target cell and subsequently kill the
target cell e. g. with cytotoxins. To assess ADCC activity of an antibody of interest, an in
vitro ADCC assay, such as that described in US Patent No. 5,500,362 or 5,821,337 or US.
Patent No. 6,737,056 (Presta), may be performed. Useful effector cells for such assays
include PBMC and NK cells.
"Complement dependent cytotoxicity" or "CDC" refers to the lysis of a target cell
in the presence of complement. Activation of the classical complement pathway is initiated
by the binding of the first ent of the complement system (Clq) to antibodies (of the
appropriate subclass), which are bound to their cognate antigen. To assess ment
activation, a CDC assay, e.g., as described in Gazzano-Santoro et al., J. Immunol. Methods
_ 22 _
202: 163 (1996), may be performed. Polypeptide variants with altered Fc region amino acid
sequences (polypeptides with a variant Fc region) and increased or decreased Clq binding
are described, e.g., in US Patent No. 6,194,551 Bl and W0 1999/51642.
The term immunoconjugate (interchangeably referred to as "antibody-drug
conjugate," or ”ADC") refers to an dy ated to one or more cytotoxic agents,
such as a chemotherapeutic agent, a drug, a growth inhibitory agent, a toxin (e.g., a protein
toxin, a enzymatically active toxin of bacterial, fungal, plant, or animal origin, or fragments
thereof), or a radioactive isotope (i.e., a radioconjugate). Immunoconjugates have been used
for the local ry of cytotoxic agents, i.e., drugs that kill or inhibit the growth or
proliferation of cells, in the treatment of cancer (e.g. Liu et al., Proc Natl. Acad. Sci. (1996),
93, 8618-8623)). Immunoconjugates allow for the targeted delivery Ofa drug moiety to a
tumor, and intracellular accumulation n, where systemic administration of
ugated drugs may result in unacceptable levels oftoxicity to normal cells and/or
s. Toxins used, in antibody-toxin conjugates e bacterial toxins such as eria
toxin, plant toxins such as ricin, small molecule toxins such as geldanamycin. The toxins
may exert their cytotoxic effects by mechanisms including tubulin binding, DNA binding,
or topoisomerase inhibition.
"Percent (%) sequence identity" with respect to a reference cleotide or
polypeptide sequence, respectively, is defined as the percentage of nucleic acid or amino
acid residues, respectively, in a candidate sequence that are identical with the nucleic acid
or amino acid residues, respectively, in the reference polynucleotide or polypeptide
sequence, respectively, after ng the sequences and introducing gaps, if necessary, to
achieve the maximum percent sequence identity. Conservative substitutions are not
ered as part of the sequence identity. Preferred are un-gapped alignments. Alignment
for purposes of determining percent amino acid sequence identity can be achieved in
various ways that are within the skill in the art, for instance, using ly available
computer software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR) software.
Those skilled in the art can ine appropriate parameters for aligning sequences,
_ 23 _
including any algorithms needed to achieve maximal alignment over the full length of the
sequences being ed.
The term ‘maturated antibodies’ or ‘maturated antigen-binding fragments’ such as
maturated Fab ts includes derivatives of an antibody or antibody fragment exhibiting
stronger binding - i. e. binding with increased affinity - to a given antigen such as the
extracellular domain of the FGFRZ. tion is the process of identifying a small number
of mutations within the six CDRs of an antibody or antibody fragment leading to this
affinity increase. The tion process is the combination of molecular y methods
for introduction of mutations into the dy and screening for identifying the improved
binders.
Antibodies of the invention
The present invention relates to methods to inhibit growth of FGFRZ-positive
cancer cells and the progression of neoplastic disease by providing anti-FGFRZ antibodies.
Provided are binding proteins, antibodies, antigen-binding dy fragments thereof, and
variants of the antibodies and fragments that reduce the surface expression of FGFRZ after
binding to FGFR2 in both, a cell overexpressing FGFR2 and a cell expressing mutated
FGFRZ. It is another embodiment of the ion to provide antibodies, or antigen-binding
antibody fragments thereof, or variants thereof, which bind to a broad range of different
FGFRZ expressing cell lines both in cells overexpressing FGFR2 as well as in cells
expressing mutated FGFRZ including, but not limited to SNU16 CRL—5974) and
MFM223 (ECACC-98050130) which overexpress FGFR2 and AN3—CA ACC 267)
and 6 (ECACC-9803l 10]) which express mutated FGFRZ.
Toward, these ends, it is an embodiment of the invention to e isolated human,
humanized or chimeric antibodies, or antigen binding antibody fragments thereof, that
specifically bind to a FGFR2 epitope which is present in different forms of the mature
human FGFRZ polypeptide (for example see SEQ ID NO:61 for FGFR2 alpha IIlb, and
SEQ ID NO:62 for FGFR2 beta HIb), which is presented by FGFRZ expressing cancer cell
cancer cells, and/or which is bound by these antibodies with high affinities. As used
_ 24 _
herein, different ‘forms’ of FGFR2 include, but are not cted to, different isoforms,
ent splice variants, different glycoforms or FGFR2 polypeptides which undergo
different translational and posttranslational modifications. The FGFR2 polypeptide is
named ‘FGFRZ’ herein.
It is another embodiment of the invention to provide antibodies, or antigen-binding
antibody nts thereof, or variants thereof that are safe for human administration.
It is another embodiment of the invention to provide antibodies, or antigen-binding
antibody fragments thereof, or variants thereof, which bind to human FGFR2 and are cross—
reactive to FGFR2 of another species including, but not limited to , rat, macaca
mulatta, rabbit, pig and dog FGFRZ. ably, said other species is a rodent, such as for
example mouse or rat. Most preferably, the antibodies, or antigen-binding antibody
fragments thereof, or variants thereof bind to human FGFRZ and are cross-reactive to
murine FGFRZ.
It is another embodiment of the invention to provide antibodies, or antigen-binding
antibody nts f, or ts thereof, which are internalized efficiently ing
binding to a FGFR2 expressing cell. An antibody of the invention might be co-administered
with known medicaments, and in some instances the antibody might itself be d. For
e, an antibody could be conjugated to a cytotoxic agent, immunotoxin, toxophore or
radioisotope to potentially r increase efficacy.
It is another embodiment of the invention to provide antibodies, or antigen-binding
antibody fragments thereof, or variants thereof, which activate FGFR2 on the short term
and after internalization lead to FGFR2 degradation thus resulting in a desensitization of
ent FGFR2—expressing cancer cells or tumor cells for FGF stimulus and finally inhibit
tumor growth in vivo.
It is another embodiment of the invention to provide antibodies which constitute a
tool for diagnosis of malignant or dysplastic conditions in which FGFR2 expression is
elevated compared to normal tissue or where FGFR2 is shed from the cell surface and
becoming able in serum. Provided are anti-FGFR2 antibodies conjugated to a
_ 25 _
able marker. Preferred markers are a radiolabel, an , a chromophore or a
fluorescer.
In one aspect, the invention provides an isolated antibody or antigen-binding
fragment thereof that contains an antigen-binding region that binds to cell surface expressed
FGFR2 and reduce after g to FGFR2 the cell surface expression of FGFR2 in both a
cell overexpressing FGFRZ and a cell expressing mutated FGFRZ. In one embodiment, the
invention provides an isolated antibody or n-binding fragment thereof that contains an
n-binding region that specifically binds to native, cell surface expressed FGFR2 and
reduces after binding to FGFRZ the cell surface expression of FGFR2 in both a cell
overexpressing FGFR2 and a cell expressing mutated FGFRZ. In one embodiment, the
isolated antibody or antigen-binding fragment that binds specifically to native, cell surface
expressed FGFR2 and reduces after binding to FGFR2 the cell e expression of
FGFR2 in both at least two different cells overexpressing FGFR2 and at least two different
cells expressing mutated FGFRZ.
In a further embodiment the antibody or antigen-binding fragment thereof
specifically binds to native, cell surface sed FGFR2 and (i) reduces after binding to
FGFR2 the cell e expression of FGFR2 in both, a cell overexpressing FGFR2 and a
cell expressing mutated FGFR2 and (ii) induces FGFR2 phosphorylation,
In a further embodiment the antibody or antigen-binding fragment f
specifically binds to native, cell surface expressed FGFR2 and (i) reduces after binding to
FGFRZ the cell surface expression of FGFRZ in both, a cell overexpressing FGFRZ and a
cell expressing mutated FGFRZ and (ii) induces FGFRZ phosphorylation, wherein the
antibody desensitizes a FGFRZ expressing cell for stimulation with FGF7. In a further
embodiment the desensitization is the desensitization of a FGFR2 overexpressing cell.
In a further embodiment the antibody or n-binding nt thereof
cally binds to native, cell surface sed FGFRZ and, (i) reduces after binding to
FGFR2 the cell surface expression of FGFRZ in both, a cell overexpressing FGFR2 and a
cell expressing mutated FGFRZ and (ii) induces internalization of FGFR2 resulting in
FGFR2 degradation.
In a further embodiment the antibody or antigen-binding fragment thereof
specifically binds to native, cell surface expressed FGFR2 and (i) reduces after binding to
FGFR2 the cell surface expression of FGFR2 in both a cell overexpressing FGFR2 and a
cell expressing mutated FGFR2 and (ii) reduces tumor-growth in xenograft tumor
experiments.
In a further embodiment the antibody or antigen-binding fragment f is
capable to reduce the FGFR2 cell surface expression in different cell lines including, but
not limited to SNU16 (ATCC-CRL-5974) and MFM223 (ECACC-98050130) which
overexpress FGFR2 and in cell lines AN3-CA ACC 267) and MFE-296 (ECACC—
98031 101) which express mutated FGFRZ.
In a r embodiment the antibody or antigen-binding fragment thereof is
capable to reduce after binding to FGFR2 the FGFR2 cell e expression in SNU16
(ATCC-CRL-5974) and MFM223 (ECACC-98050130) cells which overexpress FGFR2
and in the cell lines AN3-CA (DSMZ-ACC 267) and MFE-296 (ECACC-98031101) which
express mutated FGFR2.
In a preferred embodiment the cell surface reduction is at least 10%, 15%, 20%,
% or 30% compared to the FGFR2 cell surface expression of the non-treated or the
control treated cell.
In a further preferred embodiment the cell surface ion after 96 hours is at
least 10%, 15%, 20%, 25% or 30% compared to the FGFR2 cell surface sion of the
eated or the control treated cell.
In a further ment the antibody or antigen-binding fragment thereof binds
ically to the ellular N—terminal epitope (IRPSFSLVEDTTLEPEIS) of FGFRZ
(SEQ ID N0263). Critical residues for binding of the antibody or antigen-binding fragment
f within the N-terminal epitope (IRPSFSLVEDTTLEPE‘S) of FGFR2 include, but are
not limited to, Arg 1, Pro 2 Phe 4, Ser 5, Leu 6 and Glu 8.
2012/073325
_ 27 _
In a further embodiment the binding of the antibody or n—binding nt
thereof of the invention to the extracellular N—terminal epitope (SEQ ID N0263) is
mediated by at least one e residue selected from the group of residues consisting of
Arg 1, Pro 2, Phe 4, Ser 5, Leu 6, and Glu 8.
In a further embodiment the binding of the antibody or antigen-binding fragment
thereof of the invention to the extracellular N—terminal epitope (SEQ ID NO:63) is reduced
by substitution of at least one e residue selected from the group of residues consisting
of Arg 1, Pro 2, Phe 4, Ser 5, Leu 6, and Glu 8 by the amino acid Alanine.
In a further embodiment the binding of the antibody or antigen-binding fragment
thereof of the invention to the extracellular N-terminal epitope (SEQ ID N0263) is
mediated by at least one epitope residue selected from the group of residues consisting of
Pro 2, Leu 6 and Glu 8.
In a r embodiment the binding of the antibody or antigen-binding fragment
f of the invention to the extracellular N—terminal epitope (SEQ ID N0263) is reduced
by substitution of at least one e residue selected from the group of residues consisting
of Pro 2, Leu 6 and Glu 8 by the amino acid Alanine.
In another embodiment the binding of the antibody or antigen-binding fragment
thereof of the invention to the extracellular N—terminal epitope (SEQ ID N0263) is
mediated by at least one epitope residue selected from the group of residues consisting of
Pro 2, Leu 6 and Glu 8 and the binding to the epitope is invariant to sequence alterations of
position 5 of the e.
In a further embodiment the binding of the antibody or antigen-binding fragment
thereof of the invention to the extracellular N—terminal epitope (SEQ ID N0263) is reduced
by substitution of at least one epitope residue selected from the group of residues consisting
of Pro 2, Leu 6 and Glu 8 by the amino acid e and the binding to the epitope is
invariant to sequence tions of position 5 of the epitope.
In a further embodiment the antibody or n-binding nt thereof loses
more than 50% of its ELISA signal by changing of at least one of the amino acid residues
—28—
in the N—terminal epitope (IRPSFSLVEDTTLEPEIS) of FGFR2 into an Alanine, (i) said
residue selected from the group Pro 2, Leu, 6 and Glu 8, or (ii) said residue selected from
the group Arg 1, Pro 2, Phe 4 and Ser 5.
In a further red embodiment, the isolated antibodies or antigen-binding
fragments thereof lose more than 50% of their ELISA signal by changing of at least one of
the amino acid residues within the N—terminal e (IRPSFSLVEDTTLEPEIS) of FGFR2
into an Alanine wherein said residue is selected from the groups including, but not limited
to a) Pro 2, Leu 6 and Glu 8 or b) Arg 1, Pro 2, Phe 4 and Ser 5, as depicted in Table 7.
In a further embodiment the antibodies or antigen-binding fragments compete in
binding to FGFR2 with at least one antibody selected from the group “M048-D01”, “M047-
D08”, “M017-B02”, “M021-H02”, “M054-A05”, “M054-D03”, “TPP-1397”, “TPP-1398”,
399”, “TPP-1400”, “TPP-1401”, “TPP-1402”, “TPP-1403”, “TPP-1406”, “TPP-
1407”, “TPP-1408”, “TPP-1409”, “TPP-1410”, “TPP-1411”, 412”, and “TPP-1415”
Throughout this nt, reference is made to the following preferred antibodies
of the invention as depicted in Table 9 and Table 10: “M017—B02”, “M021-H02”, “M047-
D08”, “M048-D01”, “M054-A05”, “M054-D03”, “TPP-1397”, “TPP-1398”, “TPP-1399”,
“TPP-1400”, “TPP-1401”, “TPP-1402”, “TPP-1403”, 406”, 407”, “TPP-
1408”, “TPP-1409”, “TPP-1410”, “TPP-1411”, “TPP-1412”, and 415”.
M017-802 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 3 SEQ ID NO: 1 (protein) and a variable light chain
region corresponding to SEQ ID NO: 4 (DNA)/SEQ ID NO: 2 (protein).
M021-HO2 ents an antibody sing a le heavy chain region
corresponding to SEQ ID NO: 13 (DNA)/SEQ ID NO: 11 (protein) and a variable light
chain region corresponding to SEQ ID NO: 14 (DNA)/SEQ ID NO: 12 (protein).
M047-D08 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 23 (DNA)/SEQ ID NO: 21 (protein) and a variable light
chain region corresponding to SEQ ID NO: 24 (DNA)/SEQ ID NO: 22 (protein).
_ 29 _
M048-D01 represents an antibody sing a variable heavy chain region
corresponding to SEQ ID NO: 33 (DNA)/SEQ ID NO: 31 (protein) and a le light
chain region corresponding to SEQ ID NO: 34 (DNA)/SEQ ID NO: 32 (protein).
M054-D03 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 43 (DNA)/SEQ ID NO: 41 (protein) and a variable light
chain region corresponding to SEQ ID NO: 44 (DNA)/SEQ ID NO: 42 (protein).
M054-A05 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 53 (DNA)./SEQ ID NO: 51 (protein) and a variable light
chain region corresponding to SEQ ID NO: 54 (DNA)/SEQ ID NO: 52 (protein).
TPP-1397 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 83 (protein) and a variable light chain region corresponding
to SEQ ID NO: 84 (protein).
TPP-1398 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 93 in) and a variable light chain region corresponding
to SEQ ID NO: 94 (protein).
TPP-1399 represents an antibody comprising a le heavy chain region
ponding to SEQ ID NO: 103 (protein) and a variable light chain region corresponding
to SEQ ID NO: 104 (protein).
TPP-1400 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 113 (protein) and, a variable light chain region corresponding
to SEQ ID NO: 1 14 in).
TPP-1401 ents an dy comprising a variable heavy chain region
corresponding to SEQ ID NO: 123 (protein) and a variable light chain region corresponding
to SEQ ID NO: 124 (protein).
TPP-1402 represents an dy comprising a variable heavy chain region
corresponding to SEQ ID NO: 133 (protein) and a variable light chain region corresponding
to SEQ ID NO: 134 (protein).
_ 30 _
03 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 73 (protein) and a le light chain region corresponding
to SEQ ID NO: 74 (protein).
TPP-1406 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 153 (protein) and a variable light chain region corresponding
to SEQ ID NO: 154 (protein).
TPP-1407 represents an antibody comprising a variable heavy chain region
ponding to SEQ ID NO: 163 (protein) and a le light chain region corresponding
to SEQ ID NO: 164 (protein).
TPP-1408 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 173 (protein) and a variable light chain region corresponding
to SEQ ID NO: 174 in).
09 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 183 (protein) and a variable light chain region corresponding
to SEQ ID NO: 184 (protein).
TPP-1410 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 193 (protein) and a variable light chain region corresponding
to SEQ ID NO: 194 (protein).
TPP-141 1 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 203 (protein) and a variable light chain region corresponding
to SEQ ID NO: 204 in).
TPP-1412 represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 213 (protein) and a variable light chain region corresponding
to SEQ ID NO: 214 (protein).
represents an antibody comprising a variable heavy chain region
corresponding to SEQ ID NO: 143 (protein) and a le light chain region corresponding
to SEQ ID NO: 144 (protein).In a further preferred embodiment the antibodies or n-
binding fragments comprise heavy or light chain CDR sequences which are at least 50%,
_ 31 _
55%, 60% 70%, 80%, 90, or 95% identical to at least one, preferably corresponding, CDR
sequence ofthe antibodies “M048-D01”, “M047-D08”, “M017-B02”, “M021-HOZ”,
“M054-A05”, D03”, “TPP-1397”, “TPP-1398”, “TPP-1399”, “TPP-1400”, “TPP-
1401”, “TPP—1402”, “TPP-1403”, “TPP-1406”, “TPP-1407”, “TPP-1408”, “TPP-1409”,
“TPP-1410”, “TPP-1411”, “TPP-1412” or “TPP-1415” or at least 50%, 60%, 70%, 80%,
90%, 92% or 95% identical to the VH or VL sequence of “M048—D01”, “M047-D08”,
“M017-B02”, “M021-HO2”, “M054-A05”, “M054-D03”, “TIT-1397”, “TPP-1398”, “TPP-
1399”, 400”, “TPP-1401”, “TPP-1402”, “TPP-1403”, “TPP-1406”, “TPP-1407”,
“TPP-1408”, 409”, “TPP-1410”, “TPP-1411”, “TPP-1412” or “TPP-1415”,
respectively.
In a further preferred embodiment the antibody or antigen-binding fragment of the
invention comprises at least one CDR sequence or at least one variable heavy chain or light
chain sequence as depicted in Table 9 and Table 10.
In a more red embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N025 (H-CDRl), SEQ ID N026 (H—CDRZ) and SEQ ID N027 R3) and comprises a
light chain antigen-binding region that comprises SEQ ID N028 (L-CDRl), SEQ ID N029
(L-CDRZ) and SEQ ID NO:10 (L-CDR3).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain n-binding region that ses SEQ ID
N0215 (H-CDRl), SEQ ID N0216 (H-CDR2) and SEQ ID NO:17 (H-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N0218 (L-CDRl),
SEQ ID NO:19 Z) and SEQ ID N0220 (L-CDR3).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment f comprises a heavy chain n-binding region that comprises SEQ ID
N0225 (H-CDRl), SEQ ID N0226 (H-CDRZ) and SEQ ID N0227 (H-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N0228 (L-CDRl),
SEQ ID N0229 Z) and SEQ ID N0230 (L-CDR3).
_ 32 _
In a more preferred embodiment the antibody of the invention or antigen—binding
fragment thereof comprises a heavy chain n-binding region that comprises SEQ ID
N035 (H-CDRI), SEQ ID N036 (H-CDRZ) and SEQ ID N037 (H-CDR3) and
ses a light chain antigen-binding region that comprises SEQ ID N038 (L-CDRI),
SEQ ID N039 (L-CDRZ) and SEQ ID N0240 3).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen—binding region that ses SEQ ID
N0245 (H-CDRI), SEQ ID N0246 (II-CDRZ) and SEQ ID N0247 (H-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N0248 (L-CDRI),
SEQ ID NO:49 (L-CDRZ) and SEQ ID N0250 3).
In a more preferred embodiment the antibody of the invention or antigen—binding
fragment thereof comprises a heavy chain n-binding region that comprises SEQ ID
N0255 (II-CDRI), SEQ ID N0256 RZ) and SEQ ID N0257 (H-CDR3) and
comprises a light chain n-binding region that comprises SEQ ID N025 8 (L-CDRI),
SEQ ID NO:59 (L—CDR2) and SEQ ID NO:60 (L-CDRS).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N0275 (H-CDRI), SEQ ID N0276 RZ) and SEQ ID N0277 (H-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N0278 (L-CDRI),
SEQ ID N0279 (L-CDRZ) and, SEQ ID N0280 (L—CDR3).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N0285 (II-CDRI), SEQ ID N0286 (H-CDRZ) and SEQ ID N0287 (II-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N0288 (L-CDRI),
SEQ ID N0289 (L-CDRZ) and SEQ ID N0290 (L-CDR3).
In a more red embodiment the antibody of the invention or antigen—binding
fragment thereof ses a heavy chain antigen-binding region that comprises SEQ ID
N0295 (H-CDRI), SEQ ID N0296 (H—CDRZ) and SEQ ID N0297 (II-CDR3) and
_ 33 _
comprises a light chain antigen—binding region that comprises SEQ ID N0298 (L—CDRl),
SEQ ID NOz99 (L-CDR2) and SEQ ID NO:100 (L-CDR3).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
NO:105 (H—CDRI), SEQ ID N02106 (H-CDRZ) and SEQ ID NO:107 (H-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID NO:]08 (L-CDRl),
SEQ ID No;109 (L-CDRZ) and SEQ ID NO:110 (L-CDR3).
In a more red embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N02115 (H-CDRl), SEQ ID NO:1]6 (H-CDRZ) and SEQ ID NO:117 (H-CDR3) and
comprises a light chain antigen-binding region that ses SEQ ID N02] 18 (L-CDR] ),
SEQ ID N02] 19 (L-CDRZ) and SEQ ID NO: 120 (L-CDR3).
In a more preferred ment the antibody of the invention or antigen—binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N02125 (H-CDRl), SEQ ID NO:126 (H-CDRZ) and SEQ ID N02127 (H—CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N02128 (L-CDRI),
SEQ ID N02129 (L-CDRZ) and SEQ ID NO: 130 (L-CDR3).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N02135 (H—CDRI), SEQ ID N02136 (H-CDRZ) and SEQ ID N02137 (H-CDR3) and
comprises a light chain n-binding region that comprises SEQ ID N02138 (L-CDRl),
SEQ ID No;139 (L-CDRZ) and SEQ ID NO: 140 3).
In a more preferred embodiment the dy of the invention or antigen-binding
nt thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N02145 (H-CDRl), SEQ ID NO:146 Z) and SEQ ID NO:147 (H—CDR3) and
comprises a light chain antigen—binding region that ses SEQ ID N02148 (L-CDRl),
SEQ ID N02149 (L-CDR2) and SEQ ID NO: 150 (L-CDR3).
_ 34 _
In a more preferred embodiment the antibody of the invention or antigen—binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
NO:155 (H-CDRl), SEQ ID NO:156 (H-CDRZ) and SEQ ID NO:]57 (H—CDR3) and
comprises a light chain antigen—binding region that comprises SEQ ID NO:158 (L-CDRI),
SEQ ID NQ:159 (L-CDRZ) and SEQ ID NO: 160 (L-CDR3).
In a more preferred embodiment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
NO:165 (H-CDRl), SEQ ID N02166 (H-CDRZ) and SEQ ID NO:167 (H-CDR3) and
ses a light chain antigen-binding region that comprises SEQ ID NO:168 l),
SEQ ID N02169 (L-CDRZ) and SEQ ID NO:170 (L-CDR3).
In a more preferred embodiment the antibody of the invention or n—binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
NO:175 (II-CDRI), SEQ ID N02176 (H-CDR2) and SEQ ID NO:177 (H-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID NO:]78 (L-CDRI),
SEQ ID NO:179 (L-CDRZ) and SEQ ID N02180 (L-CDR3).
In a more preferred embodiment the antibody of the ion or antigen-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
NO:]85 (H-CDRI), SEQ ID N02186 (H-CDRZ) and SEQ ID NO:187 (H-CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N02] 88 (L-CDRl),
SEQ ID N02189 2) and SEQ ID NO:190 (L-CDR3).
In a more preferred ment the antibody of the invention or n-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N02195 (H-CDRI), SEQ ID N02196 (H-CDR2) and SEQ ID NO:197 (II-CDR3) and
ses a light chain antigen-binding region that comprises SEQ ID N02198 (L-CDRl),
SEQ ID N02199 (L-CDRZ) and SEQ ID NQ;200 (L-CDR3).
In a more preferred, ment the antibody of the invention or antigen-binding
fragment thereof comprises a heavy chain n-binding region that comprises SEQ ID
NO:205 (II-CDRI), SEQ ID N02206 (H-CDR2) and SEQ ID N02207 (H-CDR3) and,
_ 35 _
comprises a light chain antigen—binding region that ses SEQ ID N02208 (L—CDRl),
SEQ ID NO:209 (L-CDRZ) and SEQ ID No;210 (L-CDR3).
In a more preferred embodiment the dy of the invention or n-binding
fragment thereof comprises a heavy chain antigen-binding region that comprises SEQ ID
N02215 (H-CDRl), SEQ ID NO:2]6 (H-CDRZ) and SEQ ID NO:217 (H—CDR3) and
comprises a light chain antigen-binding region that comprises SEQ ID N022] 8 (L-CDRl),
SEQ ID NOz2l9 (L-CDRZ) and SEQ ID NO:220 (L—CDR3).
An antibody ofthe invention may be an IgG (e.g., IgGl IgGZ, IgG3, IgG4), while
an antibody fragment may be a Fab, Fab’, F(ab’)2 or scFv, for example. An inventive
dy fragment, accordingly, may be, or may contain, an antigen-binding region that
behaves in one or more ways as described herein.
For example the antibody Fab fragment M048-D01 (SEQ ID NO:31 for VH chain,
and SEQ ID NOz32 for VL chain) was expressed as human IgG1 M048-DOl-hIgGl (SEQ
ID NO:67 for heavy chain, and SEQ ID N0268 for light chain) and Fab nt M047-
D08 (SEQ ID N0221 for VH chain, and SEQ ID NO:22 for VL chain) was expressed as
human IgG1 M047-D08-hIgGl (SEQ ID NO:69 for heavy chain, and SEQ ID NO:70 for
light chain). For efficient cloning the first 3 amino acids of the inus of the heavy
chains [EVQ] (SEQ ID NO:67 and SEQ ID NO:69) can also atively be expressed as
[QVE], for example as a variant of the heavy chain ofhuman IgG1 M048-D01-hIgGl (SEQ
ID N02222). For efficient g the N—terminus of light chains can be extended by amino
acid residues e. g. Alanin.
In a preferred embodiment the antibodies or antigen-binding antibody fragments of
the invention are monoclonal. In a further red embodiment the antibodies or antigen-
binding antibody fragments of the invention are human, humanized or chimeric.
In another aspect, the invention provides antibodies or antigen-binding nts
having an antigen-binding region that bind specifically to and/or has a high affinity for
FGFRZ independent of alpha and beta isoforms as well as IIIb and IIIc splice forms (for
example see SEQ ID NOz6l for FGFR2 alpha IIIb and SEQ ID N0262 for FGFR2 beta
_ 36 _
lllb). An antibody or antigen—binding fragment is said to have a “high ty” for an
antigen if the affinity measurement is less than 250 nM (monovalent affinity of the antibody
or antigen-binding fragment). An inventive antibody or antigen-binding region preferably
can bind to human FGFR2 with an affinity of less than 250 nM, preferably less than 150
nM, determined as monovalent affinity to human FGFRZ. For instance, the affinity of an
dy of the invention against FGFRZ from different species may be around 100 nM
(monovalent affinity of the antibody or antigen-binding fragment) as shown in Table 8
exemplarily for M048-D1 and M047-D08.
The IgGl format was used for the cell-based affinity determination by fluorescence-
activated cell sorting (FAC S). Table 6 provides a summary of the binding th (ECso) of
representative anti-FGFRZ-IgG antibodies on cancer cell lines of human (SNU16,
MFM223), murine (4T1) and rat (RUCA) origin.
An IgGl is said to have a “high y” for an antigen if the affinity ement
measured by FACS is less than 100 nM (apparent affinity of IgG). An inventive bivalent
antibody or antigen-binding fragment preferably can bind to FGFR2 with an y of less
than 100 nM, more preferably less than 50 nM, and still more preferably less than 10 nM.
Further preferred are bivalent dies that bind to FGFRZ with an affinity of less than 5
nM, and more preferably less than 1 nM ined as apparent affinity of an IgG to
FGFR2. For instance, the apparent affinity of an antibody of the invention against FGFR2
may be about 89.5 nM or less than 0.] nM on different tumor cell lines of human, murine
and rat origin as determined by FACS analysis as depicted in Table 6.
An antibody or antigen-binding fragment of the invention internalizes “efficiently”
when its time of half maximal internalization (t 1/2) into FGFR2 expressing tumor cells is
r than 180 min or more preferably shorter than 120 min and still more ably
shorter than 90 min. r preferred are antibodies or antigen-binding fragments with half
maximal internalization times (t 1/2) of 60 minutes or less as determined by the protocol
described in example 12.
_ 37 _
Co—staining of small G—proteins can be used for a more detailed evaluation of the
king pathway of antibodies after internalization. For instance Rab GTPases which
regulate many steps of membrane traffic, including vesicle formation, vesicle movement
along actin and tubulin ks, and membrane fusion can be used to distinguish between
different pathways. Thereby, co-staining of d dies with Rab7, which is
expressed in late mes and mes, indicates that after internalization of FGFRZ
the complex enters the mal , lysosomal pathway, whereas co-staining with Rabll,
which is expressed in early and recycling endosomes, indicates that these antibodies
internalize afier binding to FGFRZ and favor the recycling pathway. Entering the
endosomal - lysosomal pathway enables the antibodies to induce degradation of FGFR2
after internalization which finally results in desensitization of this pathway. Figure 7 shows
the co-staining ns of representative antibodies of the invention with Rab7 and Rabll
as described in example 12.
lnternalizable antibodies or antigen-binding fragments of the invention are suitable
as ing moiety of an antibody-drug ate (ADC). An antibody or antigen-binding
fragment is suitable in an in vitro or in vivo method to deliver a compound, preferably a
cytotoxic agent, into a FGFR2 expressing cell.
In some ments, the antibody, antigen-binding fragment thereof, or derivative
thereof or nucleic acid encoding the same is isolated. An isolated biological ent
(such as a nucleic acid molecule or protein such as an antibody) is one that has been
substantially separated or purified away from other biological components in the cell of the
organism in which the component naturally occurs, e.g., other chromosomal and extra-
chromosomal DNA and RNA, proteins and organelles. Nucleic acids and proteins that have
been "isolated" e nucleic acids and proteins purified by rd purification methods
as described for example in Sambrook et al., 1989 (Sambrook, 1., Fritsch, E. F. and
Maniatis, T. (1989) Molecular Cloning: A laboratory manual, Cold Spring Harbor
Laboratory Press, Cold Spring Harbor, USA) and Robert K. Scopes et al. 1994 (Protein
Purification, - Principles and Practice, Springer Science and Business Media LLC). The
_ 38 _
term also embraces nucleic acids and proteins prepared by recombinant expression in a host
cell as well as chemically synthesized nucleic acids.
An antibody of the invention may be derived from a recombinant antibody library
that is based on amino acid sequences that have been isolated from the antibodies of a large
number of healthy volunteers. Using the n-CoDeR® logy the fully human CDRs are
recombined into new antibody molecules. The unique recombination process allows the
library to contain a wider variety of antibodies than could have been created lly by
the human immune .
dy Generation
A fully human N-CoDeR antibody phage display library was used to isolate FGFRZ—
specific, human monoclonal antibodies of the present ion by a combination of whole
cell and protein panning and through the development of specific methods. These methods
include the development of g procedures and screening assays capable of identifying
antibodies that entially bind to FGFR2 displayed on the cell surface and that are
cross-reactive to murine FGFR2 and FGFRZ from other species and have a g and
functional activity which is independent of FGFR2 over-expression and common mutations
of FGFR2 found in FGFRZ-related diseases such as, cancer.
Antibodies to the cell-surface FGFR2 were developed by a combination of three non-
conventional approaches in phage-display technology (PDT). First, ions were
performed with inant, soluble, human and murine FGFR2 Fc-fusion proteins of
several splice variants (alpha, beta, IIIb and Illc) to select for a very broad splice variant
reactivity. Second, in addition urface selections were performed with KATO 111
cells expressing FGFRZ on their cell-surface. Third, screening methods were developed
which allowed for successive screening of the phage outputs obtained in panning on whole
KATOHI cells and recombinant, soluble, human and murine FGFRl, FGFR2, FGFR3, and
FGFR4 Fc fusion proteins of several splice variants (alpha, beta, HIb and IIIc) to select for
FGFR2 specific binders (no binding to FGFRl, FGFR3, and FGFR4) with a very broad
splice variant cross-reactivity.
WO 76186
_ 39 _
After identification of preferred Fab nts these were expressed as full length
IgGs. For example the antibody Fab fragment M048-D01 (SEQ ID NO:31 for VH chain,
and SEQ ID N032 for VL chain) was expressed as human IgG] M048-D01-hIgG1 (SEQ
ID NO:67 for heavy chain, and SEQ ID NO:68 for light chain) and Fab nt M047-
D08 (SEQ ID N0221 for VH chain, and SEQ ID N0222 for VL chain) was expressed as
human IgG1 M047-D08-hIgG1 (SEQ ID N0269 for heavy chain, and SEQ ID NO:70 for
light . For efficient g the first 3 amino acids of the N—terminus of the heavy
chains [EVQ] (SEQ ID NO:67 and SEQ ID N0269) can also alternatively be expressed as
[QVE], for example as a variant of the heavy chain ofhuman IgG1 M048-D01-hIgG] (SEQ
ID N02222). For efficient cloning the N—terminus of light chains can be extended by amino
acid residues eg. Alanin Theses constructs were for e transiently expressed in
ian cells as described in Tom et al., Chapter 12 in Methods Express: Expression
s edited by Micheal R. Dyson and Yves Durocher, Scion Publishing Ltd, 2007.
uriefly, a CMV-Promoter based expression plasmid was transfected into HEK293-6E cells
and incubated in Fernbach iFlasks or Wave-Bags. Expression was at 37°C for 5 to 6 days
in F17 Medium (Invitrogen). 5 g/l Tryptone TNl (Organotechnie), 1% Ultra-Low IgG FCS
(Invitrogen) and, 0.5 mM Valproic acid (Sigma) were supplemented 24 h post-transfection.
These antibodies were further characterized by their binding affinity in ELISA’s, and
by BIAcore binding to soluble FGFRZ. FACS binding with cells from different species was
performed to select for cell binding antibodies which have a high affinity on mouse, rat and
human cancer cell lines.
The combination of these c methods allowed the isolation of the unique
antibodies “M017-B02”, “M021-H02”, “M047-D08”, “M048-D01”, “M054-A05” and,
“M054-D03”.
Further characterization revealed, that the ed antibodies bind to a unique e
at the N—terminus of FGFRZ resulting in their special features. These unique antibodies
were further characterized in in vitro phosphorylation assays, internalization assays, and in
vivo tumor xenograft experiments. The selected antibodies show a strong and significant
anti-tumor activity in tumor xenograft experiments with SNU16 cells.
Peptide Variants
Antibodies or antigen—binding fragments of the invention are not limited to the
specific peptide sequences provided herein. Rather, the invention also embodies variants of
these polypeptides. With reference to the instant disclosure and conventionally available
logies and references, the d worker will be able to prepare, test and utilize
functional variants of the antibodies disclosed herein, while appreciating these variants
having the y to bind to FGFR2 fall within the scope of the present invention.
A variant can include, for example, an antibody that has at least one altered
complementary determining region (CDR) (hyper-variable) and/or framework (FR)
(variable) /position, vis-a-vis a e sequence disclosed herein. To better
rate this concept, a brief description of antibody structure follows.
An antibody is composed of two peptide chains, each containing one (light chain) or
three (heavy chain) constant domains and a variable region (VL, VH), the latter of which is
in each case made up of four FR regions and three interspaced CDRs. The antigen-binding
site is formed by one or more CDRs, yet the FR regions provide the structural framework
for the CDRs and, hence, play an ant role in antigen binding. By altering one or more
amino acid residues in a CDR or FR region, the skilled worker routinely can generate
mutated or diversified antibody sequences, which can be screened t the antigen, for
new or improved properties, for example.
A further preferred embodiment of the invention is an antibody or antigen-binding
fragment in which the VH and VL sequences are selected as shown in Table 9. The skilled,
worker can use the data in Table 9 to design peptide ts that are within the scope of the
present invention. It is preferred that variants are constructed by changing amino acids
within one or more CDR regions; a variant might also have one or more altered framework
regions. Alterations also may be made in the framework regions. For e, a peptide FR
domain might be altered where there is a deviation in a residue compared to a germline
sequence.
WO 76186
_ 41 _
Alternatively, the skilled worker could make the same analysis by comparing the
amino acid sequences disclosed herein to known sequences ofthe same class of such
antibodies, using, for example, the procedure described by Knappik A., et al., JMB 2000,
296257-86.
Furthermore, variants may be Obtained by using one dy as starting point for
optimization by diversifying one or more amino acid residues in the dy, preferably
amino acid es in one or more CDRs, and by screening the resulting collection of
antibody variants for variants with improved properties. Particularly preferred is
diversification of one or more amino acid residues in CDR3 of VL and/or VH.
Diversification can be done by synthesizing a collection of DNA molecules using
trinucleotide mutagenesis (TRIM) technology (Virnekas B. et al., Nucl. Acids Res. 1994,
22: 5600.). Antibodies or antigen-binding fragments thereofinclude molecules with
modifications/variations including but not limited to e.g. modifications leading to altered
half-life (e. g. modification of the Fc part or attachment of further molecules such as PEG),
altered binding affinity or altered ADCC or CDC activity.
Examples of variants of antibodies are given for M048—D01 (TPP-l397, TPP-1398,
TPP-l399, TPP—l400, TPP-l401, TPP-1402 and TPP—1403) and 08 (TPP-1406,
TPP-1407, 08, TPP-l409, TPP-1410, TPP-1411, TPP-l412, and TPP-l415) as
depicted in Table 10. The improved properties of these variant antibodies are shown in
Table 11.
Conservative Amino Acid Variants
Polypeptide variants may be made that conserve the overall molecular structure of an
antibody peptide ce described herein. Given the properties of the dual amino
acids, some rational substitutions will be recognized by the d worker. Amino acid
substitutions, i.e., "conservative substitutions," may be made, for instance, on the basis of
rity in polarity, charge, solubility, hobicity, hydrophilicity, and/or the
athic nature of the residues involved.
_ 42 _
For example, (a) ar (hydrophobic) amino acids include alanine, leucine,
isoleucine, valine, proline, phenylalanine, tryptophane, and nine; (b) polar neutral
amino acids include glycine, serine, threonine, ne, tyrosine, asparagine, and
glutamine; (c) positively charged (basic) amino acids include arginine, lysine, and histidine;
and, (d) negatively charged, (acidic) amino acids include aspartic acid, and glutamic acid.
tutions typically may be made within groups (a)—(d). In addition, e and proline
may be substituted for one another based, on their ability to disrupt u-helices. Similarly,
certain amino acids, such as alanine, cysteine, leucine, methionine, glutamic acid,
glutamine, ine and lysine are more commonly found in Ct-helices, while valine,
isoleucine, alanine, ne, tryptophan and threonine are more ly found in
B-pleated, sheets. e, serine, aspartic acid, asparagine, and, proline are commonly found,
in turns. Some preferred substitutions may be made among the following groups: (i) S and
T; (ii) P and, G; and (iii) A, V, L and 1. Given the known genetic code, and recombinant and
synthetic DNA techniques, the skilled scientist readily can uct DNAs encoding the
conservative amino acid, variants.
As used herein, "sequence identity" between two polypeptide sequences, indicates the
percentage of amino acids that are cal between the sequences. ”Sequence gy"
indicates the percentage of amino acids that either is identical or that represent conservative
amino acid, substitutions.
DNA molecules of the ion
The present invention also relates to the DNA molecules that encode an antibody of
the invention or antigen-binding fragment thereof. These sequences include, but are not
limited to, those DNA molecules set forth in SEQ IDs 3, 4, 13, 14, 23, 24, 33, 34, 43, 44, 53
and, 54.
DNA molecules of the invention are not limited to the sequences disclosed, herein, but
also include variants thereof. DNA variants within the invention may be described by
reference to their physical properties in hybridization. The skilled worker will recognize
that DNA can be used to identify its complement and, since DNA is double stranded, its
_ 43 _
equivalent or homolog, using nucleic acid ization techniques. It also will be
recognized that ization can occur with less than 100% complementarity. However,
given appropriate choice of conditions, hybridization techniques can be used to differentiate
among DNA sequences based on their structural relatedness to a particular probe. For
guidance ing such ions see, Sambrook et al., 1989 supra and Ausubel et al.,
1995 (Ausubel, F. M., Brent, R., Kingston, R. E., Moore, D. D., Sedman, J. G., Smith, J. A.,
& Struhl, K. eds. (1995). Current Protocols in Molecular Biology. New York: John Wiley
and, Sons).
Structural similarity between two polynucleotide sequences can be expressed as a
function of "stringency" of the conditions under which the two sequences will hybridize
with one another. As used herein, the term "stringency" refers to the extent that the
conditions disfavor hybridization. Stringent conditions strongly disfavor hybridization, and
only the most structurally related molecules will hybridize to one another under such
conditions. Conversely, non-stringent conditions favor hybridization of molecules
displaying a lesser degree of structural relatedness. Hybridization stringency, ore,
directly correlates with the structural relationships of two nucleic acid sequences. The
following relationships are useful in correlating hybridization and relatedness (where Tm is
the g temperature of a nucleic acid duplex):
a. Tm = 69.3 + 0.41(G+C)%
b. The Tm of a duplex DNA decreases by 10C with every increase of
1% in the number of mismatched base pairs.
C. (Tm)H2' (T110111 2 18.5 lOglo‘LLZ/jyll
where ul and u2 are the ionic ths of two solutions.
Hybridization stringency is a function of many factors, including overall DNA
tration, ionic strength, temperature, probe size and the ce of agents which
disrupt hydrogen bonding. Factors promoting hybridization e high DNA
concentrations, high ionic strengths, low temperatures, longer probe size and the absence of
agents that disrupt hydrogen g. ization typically is performed in two phases:
the “binding” phase and the “washing” phase.
_ 44 _
Functionally Equivalent Variants
Yet r class of DNA variants within the scope of the invention may be described
with reference to the product they encode. These functionally equivalent polynucleotides
are characterized by the fact that they encode the same e ces found in SEQ ID
NOS: 1, 2, 5-12, 15-22, 25-32, 35-42, 45-52, 55-60 due to the degeneracy ofthe genetic
code.
It is recognized, that variants of DNA les provided herein can be constructed in
several different ways. For example, they may be ucted as completely synthetic
DNAs. s of efficiently synthesizing oligonucleotides in the range of 20 to about 150
nucleotides are widely available. See Ausubel et al., section 2.11, Supplement 21 (1993).
Overlapping ucleotides may be synthesized and assembled in a fashion first reported
by Khorana et al., J. Mol. Biol. 72:209-217 (1971); see also Ausubel et al., supra, Section
8.2. Synthetic DNAs preferably are designed with convenient restriction sites engineered at
the 5' and 3' ends of the gene to facilitate cloning into an appropriate vector.
As indicated, a method of generating variants is to start with one of the DNAs
disclosed herein and then to conduct site-directed mutagenesis. See Ausubel et al., supra,
chapter 8, Supplement 37 (1997). In a typical method, a target DNA is cloned into a
single-stranded DNA bacteriophage vehicle. Single-stranded DNA is ed and
hybridized with an ucleotide containing the desired nucleotide alteration(s). The
complementary strand, is synthesized and the double stranded phage is introduced into a
host. Some of the resulting progeny will contain the d mutant, which can be
confirmed, using DNA sequencing. In addition, various methods are available that increase
the probability that the progeny phage will be the desired . These methods are well
known to those in the field and kits are commercially available for generating such mutants.
Recombinant DNA ucts and expression
The present invention further provides recombinant DNA constructs comprising
one or more ofthe nucleotide ces of the present invention. The recombinant
constructs of the present invention are used in connection with a vector, such as a plasmid,
WO 76186
_ 45 _
phagemid, phage or viral vector, into which a DNA le encoding an antibody of the
invention or antigen-binding fragment thereof is inserted.
An antibody, n binding portion, or derivative f provided herein can be
ed by recombinant expression of nucleic acid sequences encoding light and heavy
chains or portions thereof in a host cell. To express an antibody, antigen binding portion, or
derivative thereof recombinantly, a host cell can be transfected with one or more
recombinant sion vectors carrying DNA nts ng the light and/or heavy
chains or portions thereof such that the light and heavy chains are expressed in the host cell.
Standard inant DNA methodologies are used prepare and/or obtain c acids
encoding the heavy and light chains, incorporate these nucleic acids into recombinant
expression vectors and, introduce the vectors into host cells, such as those described in
Sambrook, Fritsch and Maniatis (eds), Molecular Cloning; A Laboratory Manual, Second
Edition, Cold Spring Harbor, N.Y., (1989), Ausubel, F. M. et al. (eds) t Protocols in
Molecular Biology, Greene Publishing Associates, (1989) and in US. Pat. No. 4,816,397 by
Boss et al..
In addition, the nucleic acid sequences ng variable regions ofthe heavy
and/or light chains can be converted, for example, to nucleic acid sequences encoding full-
length antibody chains, Fab fragments, or to scFv. The VL- or VH-encoding DNA fragment
can be operatively linked, (such that the amino acid sequences encoded by the two DNA
fragments are me) to another DNA fragment encoding, for example, an antibody
constant region or a flexible linker. The sequences of human heavy chain and light chain
nt regions are known in the art (see e.g., Kabat, E. A., el al. (1991) Sequences of
Proteins of Immunological Interest, Fifth Edition, US. Department of Health and Human
Services, NIH Publication No. 91-3242) and DNA fragments encompassing these regions
can be obtained by standard PCR amplification.
In certain assays an expression of the antibodies of this invention as murine IgG is
preferred, e.g. immunohistochemistry with human samples can be analyzed more easily by
using murine antibodies. Therefore, for example the antibody Fab fragment M048—D01
(SEQ ID NO:31 for VH chain, and, SEQ ID N032 for VL chain) was expressed as murine
—46—
IgG2a called M048—D01—mIgG2a (SEQ ID NO:221 for heavy . This antibody was
also used in Example 17 as control.
To create a polynucleotide sequence that encodes a scFv, the VH— and, VL-encoding
nucleic acids can be operatively linked to another fragment encoding a flexible linker such
that the VH and VL sequences can be expressed as a contiguous single-chain protein, with
the VL and VH regions joined by the flexible linker (see e.g., Bird et al. (1988) e
242:423-426; Huston et al. (1988) Proc. Natl. Acad. Sci. USA 85:5879-5883; McCafferty et
al., Nature (1990) 348 :552-554).
To express the antibodies, antigen binding portions or derivatives thereof standard
inant DNA expression methods can be used (see, for example, Goeddel; Gene
Expression Technology. Methods in Enzymology 185, Academic Press, San Diego, Calif.
). For example, DNA encoding the desired polypeptide can be inserted into an
expression vector which is then transfected into a suitable host cell. Suitable host cells are
prokaryotic and otic cells. Examples for prokaryotic host cells are e. g. bacteria,
es for eukaryotic host cells are yeast, insect or ian cells. In some
embodiments, the DNAs encoding the heavy and light chains are inserted into separate
vectors. In other embodiments, the DNA encoding the heavy and light chains is ed
into the same vector. It is understood that the design of the expression vector, including the
selection of regulatory sequences is affected by factors such as the choice of the host cell,
the level of expression of protein desired and whether expression is constitutive or
inducible.
Bacterial Expression
Useful expression vectors for ial use are constructed by inserting a structural
DNA sequence encoding a desired protein together with suitable translation initiation and
termination signals in operable reading phase with a onal promoter. The vector will
se one or more phenotypic selectable s and an origin of replication to ensure
maintenance ofthe vector and, if desirable, to provide amplification within the host.
Suitable prokaryotic hosts for transformation include E. coli, Bacillus subtilis, Salmonella
WO 76186
_ 47 _
Uphimurium and s species within the genera Pseudomonas, Streptomyces, and
Staphylococcus.
Bacterial vectors may be, for example, bacteriophage-, plasmid- or phagemid-
based. These vectors can contain a selectable marker and bacterial origin of replication
derived from commercially available plasmids typically containing elements of the well—
known cloning vector pBR322 (ATCC 37017). Following transformation of a suitable host
strain and growth of the host strain to an riate cell y, the selected promoter is
de-repressed/induced by appropriate means (e.g., temperature shift or chemical induction)
and cells are cultured for an additional period. Cells are typically ted by
centrifugation, disrupted by physical or al means, and the resulting crude extract
retained for further purification.
In bacterial systems, a number of expression vectors may be advantageously
selected depending upon the use intended for the protein being expressed. For e,
when a large quantity of such a protein is to be produced, for the generation of antibodies or
to screen peptide ies, for example, vectors which direct the expression of high levels
of fusion n products that are readily purified may be desirable.
Therefore an embodiment ofthe present invention is an expression vector
comprising a nucleic acid sequence encoding for the novel antibodies ofthe present
invention. See Example 2 for an exemplary description.
Antibodies of the present invention or antigen-binding fragment thereof include
lly purified, products, products of chemical synthetic procedures, and, products
produced by recombinant ques from a prokaryotic host, including, for example, E.
coli, Bacillus subtilis, Salmonella typhimurium and s species within the genera
Pseudomonas, Streptomyces, and lococcus, preferably, from E. coli cells.
Mammalian Expression & Purification
Preferred regulatory sequences for mammalian host cell expression include viral
elements that direct high levels of protein expression in mammalian cells, such as promoters
and/or enhancers derived from cytomegalovirus (CMV) (such as the CMV
—48—
promoter/enhancer), Simian Virus 40 (SV40) (such as the SV40 promoter/enhancer),
adenovirus, (e.g., the adenovirus major late promoter (AdMLP)) and polyoma. For further
description of viral regulatory elements, and sequences thereof, see e.g., US. 5,168,062 by
i, US. 4,510,245 by Bell et al. and US. 615 by Schaffner et al.. The
inant expression vectors can also include origins of replication and selectable
markers (see e.g., US. 4,399,216, 4,634,665 and US. 5,179,017, by Axel et al.). le
selectable markers include genes that confer resistance to drugs such as G418, hygromycin
or methotrexate, on a host cell into which the vector has been introduced. For example, the
dihydrofolate reductase (DHFR) gene confers resistance to methotrexate and the neo gene
s resistance to G418. For nt cloning the first 3 amino acids of the inus
of the heavy chains [EVQ] (SEQ ID NO:67 and SEQ ID NO:69) can also alternatively be
expressed as [QVE], for example as a variant of the heavy chain of human IgG1 M048-
D01-hIgG1 (SEQ ID NO:222). For efficient cloning the N—terminus of light chains can be
extended by amino acid residues e. g. Alanin.
Transfection of the expression vector into a host cell can be carried out using
standard techniques such as electroporation, m-phosphate precipitation, and DEAE—
dextran transfection.
Suitable mammalian host cells for expressing the antibodies, antigen binding
portions, or derivatives thereof provided herein include e Hamster Ovary (CHO
cells) [including dhfr- CHO cells, described in Urlaub and Chasin, (1980) Proc. Natl. Acad.
Sci. USA 77:4216-4220, used with a DHFR selectable marker, e.g., as described in R. J.
Kaufman and P. A. Sharp (1982) Mol. Biol. 159:601-621J], NSO myeloma cells, COS cells
and SP2 cells. In some embodiments, the expression vector is ed such that the
expressed protein is secreted, into the culture medium in which the host cells are grown. The
antibodies, antigen binding portions, or derivatives thereof can be recovered from the
culture medium using standard protein purification s.
dies of the invention or an antigen-binding fragment thereof can be
recovered and purified from recombinant cell cultures by well-known methods including,
but not limited to ammonium sulfate or l precipitation, acid extraction, Protein A
2012/073325
_ 49 _
chromatography, Protein G chromatography, anion or cation ge chromatography,
phospho-cellulose chromatography, hydrophobic ction chromatography, affinity
chromatography, hydroxylapatite chromatography and lectin chromatography. High
performance liquid chromatography (“HPLC”) can also be employed for purification. See,
e.g., Colligan, Current Protocols in Immunology, or Current Protocols in Protein Science,
John Wiley & Sons, NY, N.Y., (1997-2001), e.g., Chapters 1, 4, 6, 8, 9, 10, each entirely
incorporated herein by reference.
Antibodies of the present invention or antigen-binding fragment thereof include
naturally purified products, products of chemical synthetic procedures, and products
produced by recombinant techniques from a eukaryotic host, including, for example, yeast,
higher plant, insect and mammalian cells. Depending upon the host employed in a
recombinant production procedure, the antibody of the present invention can be
glycosylated or can be non-glycosylated. Such methods are described, in many rd
laboratory manuals, such as ok, supra, Sections 17.37-17.42; Ausubel, supra,
Chapters 10, 12, 13, 16, 18 and 20.
Therefore an embodiment of the present invention are also host cells comprising the
vector or a nucleic acid molecule, whereby the host cell can be a higher eukaryotic host cell,
such as a mammalian cell, a lower eukaryotic host cell, such as a yeast cell, and may be a
prokaryotic cell, such as a bacterial cell.
Another embodiment of the present invention is a method of using the host cell to
produce an antibody and antigen binding fragments, sing culturing the host cell
under suitable ions and recovering said antibody.
ore another embodiment of the t invention is the production of the
antibodies according to this invention (for e antibody M048—D01-hIgG1) with the
host cells ofthe present invention and purification ofthese dies to at least 95%
neity by weight.
2012/073325
_ 50 _
Therapeutic Methods
Therapeutic methods involve administering to a subject in need of treatment a
therapeutically effective amount of an antibody or antigen-binding nt thereof
contemplated by the invention. A "therapeutically effective" amount hereby is defined as
the amount of an antibody or antigen-binding fragment that is of sufficient quantity to
deplete FGFRZ-positive cells in a treated area of a subject - either as a single dose or
according to a le dose regimen, alone or in combination with other agents, which
leads to the alleviation of an e condition, yet which amount is toxicologically
tolerable. The subject may be a human or non—human animal (e.g., rabbit, rat, mouse, dog,
monkey or other lower-order e).
An antibody of the invention or antigen-binding nt thereof might be co-
stered with known medicaments, and in some instances the antibody might itself be
modified. For example, an antibody could be conjugated to a cytotoxic agent or
radioisotope to potentially further increase efficacy.
Antibodies of the present invention may be administered as the sole pharmaceutical
agent or in combination with one or more additional eutic agents where the
combination causes no ptable adverse effects. This combination therapy includes
administration of a single pharmaceutical dosage formulation which contains an antibody of
the invention and one or more additional therapeutic agents, as well as administration of an
antibody ofthe invention and each additional therapeutic agent in its own separate
pharmaceutical dosage formulation. For e, an antibody of the invention and a
therapeutic agent may be administered to the patient together in a single oral dosage
composition such as a tablet or capsule, or each agent may be administered in separate
dosage formulations.
Where separate dosage formulations are used, an antibody of the invention and one
or more additional therapeutic agents may be administered at essentially the same time
(e.g., concurrently) or at separately staggered times (e.g., sequentially).
_ 51 _
In particular, antibodies of the present invention may be used in fixed or separate
combination with other anti-tumor agents such as alkylating agents, anti-metabolites, plant-
derived anti-tumor agents, hormonal therapy agents, topoisomerase inhibitors, camptothecin
derivatives, kinase inhibitors, ed drugs, antibodies, interferons and/or biological
response modifiers, anti-angiogenic compounds, and other anti-tumor drugs. In this regard,
the following is a non-limiting list of examples of secondary agents that may be used in
combination with the antibodies of the present invention:
Alkylating agents include, but are not limited to, nitrogen mustard N—oxide,
cyclophosphamide, ifosfamide, thiotepa, stine, ine, temozolomide,
altretamine, apaziquone, brostallicin, ustine, carmustine, estramustine, fotemustine,
glufosfamide, mafosfamide, bendamustin, and ctol; platinum-coordinated alkylating
compounds include, but are not limited to, cisplatin, latin, eptaplatin, lobaplatin,
nedaplatin, oxaliplatin, and latin;
Anti-metabolites include, but are not limited to, rexate, 6-mercaptopurine
riboside, mercaptopurine, 5-fluorouracil alone or in combination with leucovorin, tegafur,
doxifluridine, carmofur, bine, cytarabine ocfosfate, enocitabine, gemcitabine,
fludarabin, S-azacitidine, capecitabine, cladribine, clofarabine, decitabine, eflornithine,
ethynylcytidine, cytosine oside, yurea, lan, nelarabine, nolatrexed,
ocfosfite, disodium premetrexed, pentostatin, pelitrexol, raltitrexed, triapine, trimetrexate,
vidarabine, vincristine, and vinorelbine;
Hormonal therapy agents include, but are not limited to, exemestane, Lupron,
anastrozole, doxercalciferol, fadrozole, formestane, 11-beta ysteroid dehydrogenase
1 inhibitors, 17-alpha hydroxylase/17,20 lyase inhibitors such as abiraterone acetate, 5-
alpha reductase tors such as finasteride and epristeride, anti-estrogens such as
tamoxifen citrate and fulvestrant, Trelstar, toremifene, raloxifene, lasofoxifene, letrozole,
anti-androgens such as tamide, flutamide, mifepristone, nilutamide, Casodex, and
anti-progesterones and combinations thereof;
2012/073325
_ 52 _
Plant-derived anti—tumor substances include, e. g., those selected from mitotic
inhibitors, for example epothilones such as sagopilone, ilone and epothilone B,
vinblastine, vinflunine, docetaxel, and paclitaxel;
Cytotoxic topoisomerase inhibiting agents include, but are not d to,
bicin, doxorubicin, amonafide, belotecan, camptothecin, 10—hydroxycamptothecin, 9-
aminocamptothecin, diflomotecan, irinotecan, topotecan, edotecarin, epimbicin, etoposide,
exatecan, gimatecan, lurtotecan, mitoxantrone, pirambicin, pixantrone, rubitecan,
sobuzoxane, tafluposide, and combinations thereof;
lmmunologicals include interferons such as interferon alpha, interferon alpha—2a,
interferon 2b, interferon beta, interferon gamma-1a and interferon gamma-n1, and
other immune enhancing agents such as 2 and other 1L2 derivatives, filgrastim,
lentinan, sizofilan, TheraCys, ex, aldesleukin, alemtuzumab, BAM—002,
dacarbazine, daclizumab, denileukin, gemtuzumab, ozogamicin, ibritumomab, imiquimod,
lenograstim, lentinan, melanoma vaccine a), molgramostim, mostim,
tasonermin, tecleukin, thymalasin, tositumomab, Vimlizin, epratuzumab, mitumomab,
oregovomab, pemtumomab, and Provenge;
Biological response modifiers are agents that modify defense mechanisms of living
organisms or biological responses such as survival, growth or differentiation of tissue cells
to direct them to have umor activity; such agents include, e.g., krestin, lentinan,
sizofiran, picibanil, ProMune, and ubenimex;
Anti-angiogenic compounds include, but are not limited to, acitretin, aflibercept,
angiostatin, aplidine, asentar, axitinib, bevacizumab, brivanib at, cilengtide,
tastatin, endostatin, inide, halofuginone, pazopanib, zumab, rebimastat,
recentin, regorafenib, removab, revlimid, sorafenib, squalamine, sunitinib, telatinib,
thalidomide, ukrain, vatalanib, and vitaxin;
Antibodies include, but are not limited to, trastuzumab, cetuximab, bevacizumab,
rituximab, ticilimumab, ipilimumab, lumiliximab, catumaxomab, atacicept, oregovomab,
and alemtuzumab;
WO 76186
_ 53 _
VEGF inhibitors such as, e.g., sorafenib, regorafenib, bevacizumab, nib,
recentin, axitinib, aflibercept, telatinib, brivanib alaninate, vatalanib, pazopanib, and
ranibizurnab;
EGFR (HERl) inhibitors such as, e.g., cetuximab, paniturnurnab, vectibix,
gefitinib, erlotinib, and Zactima;
HER2 inhibitors such as, e. g., lapatinib, tratuzurnab, and pertuzurnab;
niTOR inhibitors such as, e.g., ternsirolimus, sirolirnus/Raparnycin, and everolirnus;
c-Met inhibitors;
PI3K and AKT inhibitors;
CDK inhibitors such as roscovitine and flavopiridol;
Spindle assembly oints inhibitors and, ed anti-mitotic agents such as
PLK tors, Aurora inhibitors (e. g. Hesperadin), checkpoint kinase inhibitors, and KSP
inhibitors;
HDAC inhibitors such as, e.g., panobinostat, vorinostat, M8275, belinostat, and
LBH589;
HSP90 and HSP70 inhibitors;
Proteasorne inhibitors such as ornib and carfilzomib;
Serine/threonine kinase tors including MEK inhibitors and Raf inhibitors such
as sorafenib;
Farnesyl transferase inhibitors such as, e.g., tipifarnib;
Tyrosine kinase inhibitors including, e.g., dasatinib, nilotibib, regorafenib,
bosutinib, nib, bevacizumab, sunitinib, cediranib, axitinib, aflibercept, telatinib,
imatinib rnesylate, brivanib alaninate, pazopanib, ranibizumab, vatalanib, cetuxirnab,
paniturnurnab, vectibix, gefitinib, erlotinib, lapatinib, tratuzumab, pertuzurnab, and c—Kit
tors;
Vitamin D receptor agonists;
_ 54 _
Bel-2 protein tors such as lax, oblimersen , and gossypol;
Cluster of entiation 20 receptor antagonists such as, e. g., rituximab;
Ribonucleotide reductase inhibitors such as, e.g., gemcitabine;
Tumor necrosis apoptosis inducing ligand receptor 1 agonists such as, e.g.,
mapatumumab ;
-Hydroxytryptamine receptor antagonists such as, e.g., rEV598, xaliprode,
palonosetron hydrochloride, granisetron, Zindol, and AB-lOOl ;
Integrin inhibitors including alphaS-betal integrin inhibitors such as, e.g., E7820,
JSM 6425, volociximab, and atin;
Androgen receptor antagonists including, e.g., nandrolone ate,
fluoxymesterone, Android, Prost-aid, andromustine, bicalutamide, flutamide, apo-
cyproterone, apo-flutamide, adinone acetate, Androcur, Tabi, cyproterone acetate,
and nilutamide;
Aromatase inhibitors such as, e.g., anastrozole, letrozole, actone, exemestane,
aminoglutethimide, and formestane;
Matrix metalloproteinase inhibitors;
Other anti-cancer agents including, e.g., alitretinoin, ampligen, atrasentan
bexarotene, bortezomib, bosentan, calcitriol, exisulind, fotemustine, ibandronic acid,
miltefosine, mitoxantrone, raginase, bazine, dacarbazine, hydroxycarbamide,
pegaspargase, pentostatin, tazaroten, velcade, gallium nitrate, canfosfamide, darinaparsin,
and tretinoin.
In a preferred embodiment, the antibodies of the present invention may be used in
combination with chemotherapy (i.e. cytotoxic agents), anti-hormones and/or ed
therapies such as other kinase inhibitors (for example, EGFR inhibitors), mTOR inhibitors
and angiogenesis inhibitors.
2012/073325
_ 55 _
The compounds of the present invention may also be employed in cancer treatment
in conjunction with radiation therapy and/or surgical intervention.
An dy of the invention or antigen-binding fragment thereof might in some
instances itself be d. For example, an antibody could be conjugated to any of but not
limited to the compounds mentioned above or any radioisotope to potentially further
se efficacy. Furthermore, the antibodies of the invention may be utilized, as such or in
compositions, in research and diagnostics, or as analytical reference standards, and the like,
which are well known in the art.
The inventive antibodies or antigen-binding fragments thereof can be used as a
therapeutic or a diagnostic tool in a variety of situations with aberrant FGFRZ-signaling,
e. g. cell proliferative disorders such as cancer or fibrotic diseases. ers and ions
particularly suitable for ent with an antibody of the inventions are solid tumors, such
as cancers of the breast, respiratory tract, brain, reproductive organs, digestive tract, urinary
tract, eye, liver, skin, head and neck, d, yroid, and their distant metastases.
Those disorders also include lymphomas, sarcomas and leukemias.
Tumors of the digestive tract include, but are not limited to anal, colon, colorectal,
esophageal, gallbladder, gastric, pancreatic, rectal, small-intestine, and salivary gland
cancers .
Examples of esophageal cancer include, but are not limited to esophageal cell
carcinomas and adenocarcinomas, as well as squamous cell carcinomas, leiomyosarcoma,
malignant melanoma, rhabdomyosarcoma and lymphoma.
Examples of gastric cancer include, but are not d to intestinal type and diffuse
type gastric adenocarcinoma.
Examples of pancreatic cancer e, but are not limited to ductal
adenocarcinoma, adenosquamous carcinomas and pancreatic endocrine tumors.
—56—
Examples of breast cancer include, but are not d to triple negative breast
cancer, invasive ductal carcinoma, invasive lobular carcinoma, ductal oma in Sim, and
lobular carcinoma in situ.
es of cancers of the respiratory tract include, but are not limited to small-
cell and, non-small-cell lung carcinoma, as well as bronchial adenoma and pleuropulmonary
blastoma.
Examples of brain cancers include, but are not limited to brain stem and
hypophtalmic glioma, cerebellar and cerebral astrocytoma, astoma, medulloblastoma,
ependymoma, as well as neuroectodermal and pineal tumor.
Tumors of the male reproductive organs include, but are not limited to prostate and
testicular cancer. Tumors of the female reproductive organs include, but are not limited to
endometrial, cervical, ovarian, l and vulvar cancer, as well as sarcoma of the uterus.
Examples of ovarian cancer include, but are not limited to serous tumour,
endometrioid tumor, mucinous cystadenocarcinoma, granulosa cell tumor, Sertoli-Leydig
cell tumor and arrhenoblastoma
Examples of cervical cancer include, but are not limited to squamous cell
carcinoma, adenocarcinoma, adenosquamous carcinoma, small cell carcinoma,
neuroendocrine tumour, glassy cell carcinoma and villoglandular arcinoma.
Tumors of the urinary tract include, but are not limited to bladder, penile, kidney,
renal pelvis, ureter, urethral, and hereditary and sporadic papillary renal cancers.
Examples of kidney cancer include, but are not limited to renal cell carcinoma,
lial cell carcinoma, juxtaglomerular cell tumor (reninoma), angiomyolipoma, renal
toma, Bellini duct carcinoma, cell sarcoma of the kidney, mesoblastic
nephroma and Wilms‘ tumor.
Examples of bladder cancer include, but are not limited to transitional cell carcinoma,
squamous cell oma, adenocarcinoma, a and small cell carcinoma.
_ 57 _
Eye s include, but are not limited to intraocular melanoma and
retinoblastoma.
Examples of liver cancers include, but are not limited to hepatocellular carcinoma
(liver cell carcinomas with or without fibrolamellar variant), cholangiocarcinoma
(intrahepatic bile duct carcinoma), and mixed hepatocellular cholangiocarcinoma.
Skin cancers include, but are not limited to squamous cell carcinoma, Kaposi's
sarcoma, malignant melanoma, Merkel cell skin cancer, and non-melanoma skin cancer.
Head-and-neck s include, but are not limited to squamous cell cancer of the
head and neck, laryngeal, hypopharyngeal, nasopharyngeal, oropharyngeal cancer, lip and
oral cavity cancer, and squamous cell cancer.
Lymphomas e, but are not limited to AIDS-related lymphoma, non-Hodgkin's
lymphoma, ous T-cell lymphoma, t lymphoma, Hodgkin's disease, and
ma of the central nervous system.
Sarcomas include, but are not limited to sarcoma of the soft tissue, osteosarcoma,
malignant fibrous cytoma, lymphosarcoma, and rhabdomyosarcoma.
Leukemias include, but are not limited to acute myeloid leukemia, acute
lymphoblastic leukemia, chronic lymphocytic leukemia, chronic myelogenous leukemia,
and hairy cell leukemia. In a preferred embodiment, the antibodies or antigen-binding
nts thereof ofthe invention are suitable for a therapeutic or diagnostic method for the
treatment or diagnosis of a cancer disease comprised in a group consisting of gastric cancer,
breast cancer, pancreatic cancer, ctal , kidney cancer, prostate cancer, ovarian
cancer, cervical cancers, lung cancer, endometrial cancer, esophageal cancer, head and neck
cancer, hepatocellular carcinoma, melanoma and bladder cancer. In addition, the ive
antibodies or antigen-binding nts thereof can also be used as a therapeutic or a
stic tool in a variety of other disorders n FGFRZ is involved such as, but not
limited to fibrotic diseases such as intraalveolar fibrosis, silica-induced pulmonary fibrosis,
experimental lung fibrosis, idiopathic lung fibrosis, renal fibrosis, as well as
lymphangioleiomyomatosis, stic ovary syndrome, acne, psoriasis, cholesteatoma,
—58—
cholesteatomatous chronic otitis media, periodontitis, solar lentigines, bowel e,
atherosclerosis or endometriosis.
The disorders mentioned above have been well characterized in humans, but also
exist with a similar etiology in other animals, including mammals, and can be treated by
administering pharmaceutical compositions of the present invention.
To treat any ofthe ing disorders, pharmaceutical compositions for use in
ance with the present invention may be formulated, in a conventional manner using
one or more physiologically acceptable carriers or excipients. An antibody of the ion
or antigen-binding fragment thereof can be administered by any suitable means, which can
vary, depending on the type of disorder being treated. Possible administration routes include
parenteral (e.g., uscular, intravenous, intra-arterial, intraperitoneal, or subcutaneous),
intrapulmonary and intranasal, and, if d for local immunosuppressive treatment,
intralesional administration. In addition, an antibody of the invention might be stered
by pulse infusion, with, e.g., declining doses of the dy. Preferably, the dosing is given
by injections, most preferably intravenous or subcutaneous injections, depending in part on
whether the administration is brief or chronic. The amount to be administered will depend
on a variety of factors such as the clinical symptoms, weight of the individual, whether
other drugs are administered. The skilled artisan will recognize that the route of
administration will vary depending on the disorder or condition to be treated.
Determining a therapeutically effective amount of the novel polypeptide, according
to this invention, largely will depend on particular patient characteristics, route of
stration, and the nature of the disorder being treated. General guidance can be found,
for example, in the publications of the International Conference on Harmonization and in
REMINGTON'S PHARMACEUTICAL SCIENCES, chapters 27 and, 28, pp. 484-528 (18th ed.,
Alfonso R. Gennaro, Ed, Easton, Pa.: Mack Pub. Co., 1990). More specifically,
determining a eutically effective amount will depend on such s as toxicity and
efficacy of the medicament. Toxicity may be determined using methods well known in the
_ 59 _
art and, found in the ing references. Efficacy may be determined utilizing the same
guidance in conjunction with the methods bed below in the Examples.
stic Methods
FGFR2 dies or n-binding fragments thereof can be used for detecting
the presence of FGFRZ-expressing tumors. The presence of FGFRZ-containing cells or shed
FGFR2 within s biological samples, including serum, and tissue biopsy specimens,
may be detected with FGFR2 antibodies. In addition, FGFRZ antibodies may be used in
various imaging methodologies such as immunoscintigraphy with a 99To (or other isotope)
conjugated antibody. For example, an imaging protocol similar to the one ly
described using a 111In conjugated anti-PSMA antibody may be used to detect atic or
ovarian carcinomas (Sodee et al., Clin. Nuc. Med. 21: 759-766, 1997). Another method of
ion that can be used is positron emitting tomography by conjugating the antibodies of
the invention with a suitable isotope (see Herzog et al., J. Nucl. Med. 342222-2226, 1993).
Pharmaceutical Compositions and Administration
An embodiment of the present invention are pharmaceutical compositions which
comprise FGFR2 antibodies or antigen-binding fragment thereof, alone or in combination
with at least one other agent, such as stabilizing compound, which may be administered in
any sterile, biocompatible pharmaceutical carrier, including, but not limited to, saline,
buffered saline, dextrose, and water. A further embodiment are pharmaceutical
itions comprising a FGFR2 binding dy or antigen-binding fragment thereof
and a further pharmaceutically active compound that is suitable to treat FGFR2 related
diseases such as cancer. Any of these molecules can be administered to a t alone, or in
ation with other agents, drugs or hormones, in pharmaceutical compositions where it
is mixed with excipient(s) or pharmaceutically acceptable carriers. In one embodiment of
the present invention, the pharmaceutically acceptable carrier is pharmaceutically inert.
The present invention also relates to the administration of pharmaceutical
compositions. Such administration is accomplished orally or parenterally. Methods of
parenteral delivery include topical, intra-arterial (directly to the tumor), intramuscular,
_ 60 _
subcutaneous, intramedullary, intrathecal, entricular, intravenous, intraperitoneal, or
intranasal administration. In addition to the active ingredients, these pharmaceutical
itions may contain suitable pharmaceutically acceptable carriers comprising
excipients and aries which facilitate processing of the active compounds into
preparations which can be used pharmaceutically. Further details on techniques for
formulation and administration may be found in the latest edition of Remington's
Pharmaceutical Sciences (Ed. Maack Publishing Co, Easton, Pa).
Pharmaceutical compositions for oral administration can be formulated using
pharmaceutically acceptable carriers well known in the art in s suitable for oral
stration. Such carriers enable the pharmaceutical compositions to be formulated as
tablets, pills, dragees, capsules, liquids, gels, symps, slurries, suspensions and the like, for
ingestion by the patient.
Pharmaceutical preparations for oral use can be obtained through combination of
active compounds with solid ent, optionally grinding a resulting e, and
processing the mixture of granules, after adding suitable auxiliaries, if d, to obtain
tablets or dragee cores. Suitable excipients are carbohydrate or n fillers such as
sugars, including lactose, sucrose, mannitol, or sorbitol; starch from corn, wheat, rice,
potato, or other plants; cellulose such as methyl, cellulose, hydroxypropylmethylcellulose,
or sodium carboxymethyl cellulose; and gums ing arabic and tragacanth; and proteins
such as gelatin and collagen. If desired, disintegrating or solubilizing agents may be added,
such as the cross-linked polyvinyl pyrrolidone, agar, alginic acid, or a salt thereof, such as
sodium alginate.
Dragee cores are provided with suitable coatings such as concentrated sugar
solutions, which may also contain gum arabic, talc, polyvinyl pyrrolidone, ol gel,
polyethylene glycol and/or titanium e, r solutions, and suitable organic solvents
or solvent mixtures. Dyestuffs or pigments may be added to the tablets or dragee coatings
for product identification or to characterize the ty of active compound, i.e. dosage.
2012/073325
_ 61 _
Pharmaceutical preparations that can be used orally include push-fit capsules made of
gelatin, as well as soft, sealed capsules made of gelatin and a coating such as glycerol or
sorbitol. Push-fit es can contain active ingredients mixed with a filler or binders such
as lactose or es, lubricants such as talc or magnesium stearate, and optionally,
stabilizers. In soft capsules, the active nds may be dissolved, or suspended in
le liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycol with or
without stabilizers.
Pharmaceutical formulations for parenteral administration include aqueous solutions
of active compounds. For injection, the pharmaceutical compositions of the invention may
be formulated in aqueous solutions, preferably in physiologically compatible buffers such
as Hank's solution, 's solution, or physiologically buffered saline. Aqueous ion
suspensions may n substances that increase viscosity ofthe suspension, such as
sodium carboxymethyl cellulose, sorbitol, or dextran. Additionally, suspensions of the
active compounds may be prepared as appropriate oily injection suspensions. Suitable
lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid
esters, such as ethyl oleate or triglycerides, or liposomes. Optionally, the suspension may
also contain suitable stabilizers or agents which increase the solubility of the compounds to
allow for the preparation of highly concentrated solutions.
For topical or nasal administration, penetrants appropriate to the particular r to
be ted are used in the formulation. Such penetrants are generally known in the art.
Kits
The invention further relates to pharmaceutical packs and kits comprising one or
more containers filled with one or more ofthe ingredients ofthe aforementioned
compositions of the invention. Associated with such container(s) can be a notice in the form
prescribed by a mental agency ting the manufacture, use or sale of
pharmaceuticals or biological products, reflecting approval by the agency of the
manufacture, use or sale of the product for human administration.
_ 62 _
In another embodiment, the kits may contain DNA sequences encoding the antibodies
of the invention. Preferably the DNA sequences encoding these antibodies are provided in a
plasmid suitable for transfection into and expression by a host cell. The plasmid may
contain a promoter (often an inducible promoter) to regulate expression of the DNA in the
host cell. The plasmid may also contain appropriate restriction sites to facilitate the
ion of other DNA sequences into the plasmid to produce various antibodies. The
plasmids may also contain numerous other elements to facilitate cloning and expression of
the encoded proteins. Such ts are well known to those of skill in the art and include,
for e, able markers, tion codons, termination codons, and the like.
Manufacture and Storage.
The pharmaceutical compositions of the present invention may be ctured in a
manner that is known in the art, e.g., by means of conventional mixing, dissolving,
granulating, dragee-making, ting, emulsifying, encapsulating, entrapping or
lyophilizing processes.
The pharmaceutical composition may be provided as a salt and can be formed with
acids, including by not limited to hydrochloric, sulfuric, acetic, lactic, tartaric, malic,
succinic, etc. Salts tend to be more e in aqueous or other protonic solvents that are the
corresponding free base forms. In other cases, the preferred preparation may be a
lized powder in l mM-SO mM histidine, O.l%-2% sucrose, 2%-7% mannitol at a pH
range of4.5 to 5.5 that is combined with buffer prior to use.
After pharmaceutical compositions comprising a compound ofthe invention
formulated in an acceptable carrier have been prepared, they can be placed in an appropriate
ner and labeled for treatment of an indicated ion. For administration of FGFRZ
antibodies or antigen-binding nt thereof, such labeling would include amount,
frequency and method of administration.
Therapeutically Effective Dose.
Pharmaceutical compositions suitable for use in the present invention include
compositions wherein the active ingredients are contained in an effective amount to achieve
_ 63 _
the intended purpose, i.e. treatment of a particular disease state characterized by FGFR2
expression. The determination of an ive dose is well within the capability of those
skilled in the art.
For any compound, the therapeutically effective dose can be estimated initially either
in cell culture assays, e.g., neoplastic cells, or in animal models, usually mice, rabbits, dogs,
pigs or monkeys. The animal model is also used to achieve a desirable concentration range
and route of administration. Such ation can then be used to determine useful doses
and routes for administration in humans.
A therapeutically effective dose refers to that amount of antibody or antigen-binding
nt thereof, that ameliorate the symptoms or condition. Therapeutic efficacy and
toxicity of such compounds can be determined by rd pharmaceutical procedures in
cell cultures or mental s, e.g., ED50 (the dose eutically ive in 50%
of the population) and LD50 (the dose lethal to 50% ofthe population). The dose ratio
between therapeutic and toxic effects is the therapeutic index, and it can be expressed as the
ratio, EDso/LDso. Pharmaceutical compositions that exhibit large therapeutic indices are
preferred. The data obtained from cell culture assays and animal studies are used in
formulating a range of dosage for human use. The dosage of such compounds lies
ably within a range of circulating concentrations what include the 131350 with little or
no toxicity. The dosage varies within this range depending upon the dosage form employed,
sensitivity of the patient, and the route of administration.
The exact dosage is chosen by the individual physician in view of the patient to be
treated. Dosage and administration are adjusted to provide sufficient levels of the active
moiety or to maintain the desired effect. Additional s that may be taken into account
include the severity of the disease state, e.g., tumor size and location; age, weight and
gender of the patient; diet, time and frequency of administration, drug combination(s),
reaction ivities, and tolerance/response to therapy. Long acting pharmaceutical
compositions might be administered every 3 to 4 days, every week, or once every two
weeks depending on half-life and clearance rate of the particular formulation.
_ 64 _
Normal dosage amounts may vary from 0.1 to 100,000 micrograms, up to a total dose
of about 2 g, depending upon the route of administration. Guidance as to particular dosages
and methods of ry is provided in the literature. See US. Pat. No. 4,657,760;
,206,344; or 5,225,212. Those skilled in the art will employ different formulations for
polynucleotides than for proteins or their tors. Similarly, ry of polynucleotides
or ptides will be specific to particular cells, conditions, locations, etc. Preferred
specific activities for a radiolabelled antibody may range from 0.1 to 10 mCi/mg of protein
(Riva et al., Clin. Cancer Res. 523275—3280, 1999; Ulaner et al., 2008 Radiology
246(3):895-902)
The present invention is further described by the following examples. The examples
are provided solely to illustrate the invention by reference to specific embodiments. These
exemplifications, while illustrating certain specific aspects of the invention, do not portray
the limitations or circumscribe the scope of the disclosed invention.
All examples were carried out using standard techniques, which are well known and
routine to those of skill in the art, except where otherwise described in detail. e
molecular biology techniques of the following examples can be carried out as described in
standard tory manuals, such as Sambrook et al., Molecular Cloning: A Laboratory
Manual, 2nd Ed.; Cold Spring Harbor Laboratory Press, Cold, Spring , N.Y., 1989.
A preferred embodiment of the invention is:
A. An isolated antibody or antigen-binding fragment thereof which reduces the cell
surface expression of FGFR2 after binding to FGFR2 in cell lines SNU16 (ATCC-
74) and MFM223 (ECACC-98050130) which overexpress FGFR2 and in
cell lines AN3-CA (DSMZ-ACC 267) and, MFE-296 -98031101) which
express mutated FGFR2.
B. An isolated antibody or antigen-binding fragment thereof according to claim A
wherein the dy or antigen-binding fragment thereof specifically binds to the
_ 65 _
extracellular inal epitope (lRPSFSLVEDTTLEPEIS) of FGFRZ as
presented by (SEQ ID N0263).
C. An isolated antibody or antigen-binding fragment f according to claim B
wherein binding of the antibody to the extracellular N—terminal epitope (SEQ ID
NO:63) is mediated by at least one epitope residue selected from the group of
residues consisting of Arg 1, Pro 2, Phe 4, Ser 5, Leu 6, and Glu 8.
D. An ed antibody or antigen-binding fragment f according to any one of
claims B-C wherein the antibody or antigen-binding fragment thereof loses more
than 50% of its ELISA signal by changing of at least one of the amino acid
es in the N-terminal epitope (IRPSFSLVEDTTLEPEIS) of FGFR2 into an
Alanine
a) said residue selected from the group Pro 2, Leu 6 and Glu 8, or
b) said, residue selected from the group Arg 1, Pro 2, Phe 4 and Ser 5.
E. The antibody or antigen-binding nt according to any one of claims A to D,
wherein the antibody or n-binding fragment competes in binding to FGFR2
with at least one antibody selected from the group “M048-D01”, “M047-D08”,
“M017-B02”, “M021—H02”, “M054-A05” “M054-D03”, “TPP-1397”, “TPP-
1398”, “TPP-1399”, “TPP-1400”, “TPP—1401”, “TPP—1402”, “TPP-1403”, “TPP-
1406”, “TPP-1407”, “TPP-1408”, “TPP-1409”, “TPP-1410”, “TPP-1411”, “TPP-
1412”, and 415”.
F. The antibody or antigen-binding fragment according to claim E, wherein the
amino acid sequence of the antibody or antigen-binding fragment is at least 50%,
55%, 60% 70%, 80%, 90, or 95% identical to at least one CDR sequence of
“MO48-D01”, D08”, B02”, “M021-H02”, “M054-A05”, “M054-
D03”, “TPP-1397”, “TPP-1398”, “TPP-1399”, “TPP-1400”, “TPP-1401”, “TPP—
1402”, “TPP-1403”, “TPP-1406”, “TPP-1407”, “TPP-1408”, “TPP-1409”, “TPP—
1410”, “TPP-1411”, “TPP-1412”, or “TPP-1415”, or at least 50%, 60%, 70%,
80%, 90%, 92% or 95% identical to the VH or VL sequence of “M048-D01”,
_ 66 _
“M047-D08”, “M017—B02”, “M021-H02”, “M054-A05”, “M054—D03”, “TPP-
1397”, 398”, “TPP-1399”, “TPP-1400”, “TPP-1401”, “TIT-1402”, “TPP-
1403”, “TPP-1406”, “TPP-l407”, “TPP-1408”, 409”, 410”, “TPP-
1411”, “TPP-l 412”, or “TPP-l415”.
The antibody or antigen-binding fragment according to any one of claims E to F,
wherein the antibody or antigen-binding fragment comprises at least one CDR
sequence or at least one le heavy chain or light chain sequence as depicted in
Table 9 and Table 10.
H. The antibody or antigen-binding fragment according to claim A to G comprising
a) the variable heavy chain CDR sequences as presented by SEQ ID NO:
-7 and the variable light chain CDR sequences ted by SEQ ID
NO: 8-10, or
b) the le heavy chain CDR sequences as presented by SEQ ID NO:
-17 and the variable light chain CDR sequences presented by SEQ
ID NO: 18-20, or
c) the variable heavy chain CDR sequences as presented by SEQ ID NO:
-27 and the variable light chain CDR sequences presented, by SEQ
ID NO: 28-30, or
d) the variable heavy chain CDR sequences as presented by SEQ ID NO:
-37 and the le light chain CDR sequences presented by SEQ
ID NO: 38-40, or
e) the variable heavy chain CDR sequences as presented by SEQ ID NO:
45-47 and the variable light chain CDR sequences presented by SEQ
ID NO: 48-50, or
f) the variable heavy chain CDR sequences as presented by SEQ ID NO:
55-57 and, the variable light chain CDR sequences presented by SEQ
ID NO: 58-60, or
_ 67 _
g) the variable heavy chain CDR sequences as presented by SEQ ID NO:
75-77 and the variable light chain CDR sequences ted by SEQ
ID NO: 78-80, or
b) the variable heavy chain CDR sequences as presented by SEQ ID NO:
85-87 and the variable light chain CDR ces presented by SEQ
ID NO: 88-90, or
i) the variable heavy chain CDR sequences as ted by SEQ ID NO:
95-97 and, the variable light chain CDR sequences presented by SEQ
ID NO: 98-100, 0r
j) the variable heavy chain CDR sequences as presented by SEQ ID NO:
7 and the variable light chain CDR sequences presented by SEQ
ID -110, or
k) the variable heavy chain CDR sequences as presented by SEQ ID NO:
115 -1 l7 and the variable light chain CDR sequences presented by SEQ
ID N02118-120, 0r
1) the variable heavy chain CDR sequences as presented by SEQ ID NO:
125-127 and the variable light chain CDR sequences presented by SEQ
ID NO: 128-130, or
m) the variable heavy chain CDR sequences as presented by SEQ ID NO:
135-137 and the variable light chain CDR sequences presented by SEQ
ID NO: 138-140, or
n) the variable heavy chain CDR sequences as presented by SEQ ID NO:
145-l47 and the variable light chain CDR sequences presented by SEQ
ID NO: 148-150, or
0) the variable heavy chain CDR sequences as presented by SEQ ID NO:
155-157 and the variable light chain CDR sequences ted by SEQ
ID NO: 158-160, or
_ 6g _
p) the variable heavy chain CDR sequences as presented by SEQ ID NO:
165-167 and the variable light chain CDR sequences presented by SEQ
ID NO: 0, or
q) the variable heavy chain CDR ces as presented by SEQ ID NO:
175-177 and the variable light chain CDR sequences presented, by SEQ
ID NO: 178-180, or
r) the le heavy chain CDR sequences as presented by SEQ ID NO:
185 -1 87 and the variable light chain CDR sequences presented by SEQ
ID NO: 188-190, or
s) the variable heavy chain CDR sequences as ted by SEQ ID NO:
195-197 and the variable light chain CDR sequences presented by SEQ
ID NO: 198-200, or
t) the variable heavy chain CDR ces as presented by SEQ ID NO:
205-207 and the le light chain CDR sequences presented by SEQ
ID NO: 208-210, or
u) the variable heavy chain CDR sequences as presented by SEQ ID NO:
215-2] 7 and the variable light chain CDR sequences presented by SEQ
ID NO: 0.
I. The antibody or antigen-binding fragment according to claims A - H comprising
a) a variable heavy chain sequence as presented by SEQ ID N021 and a
variable light chain sequences as presented by SEQ ID N022, or
b) a variable heavy chain sequence as presented by SEQ ID N0:ll and a
variable light chain sequences as presented by SEQ ID N0212, or
c) a variable heavy chain sequence as presented by SEQ ID N022] and a
variable light chain sequences as presented by SEQ ID N0222, or
d) a variable heavy chain sequence as presented by SEQ ID N031 and a
variable light chain sequences as presented by SEQ ID N032, or
2012/073325
_ 69 _
e) a variable heavy chain sequence as presented by SEQ ID NO:41 and a
variable light chain sequences as ted by SEQ ID NO:42, or
f) a variable heavy chain sequence as presented by SEQ ID NO:51 and a
variable light chain sequences as presented by SEQ ID N0252, or
g) a le heavy chain sequence as presented by SEQ ID NO:73 and a
variable light chain sequences as presented by SEQ ID NO:74, or
h) a variable heavy chain sequence as presented by SEQ ID NO:83 and a
variable light chain sequences as presented by SEQ ID N0284, or
i) a variable heavy chain ce as presented by SEQ ID N0293 and a
variable light chain sequences as presented by SEQ ID N0294, or
j) a variable heavy chain sequence as ted by SEQ ID NO: 103 and a
variable light chain sequences as presented by SEQ ID , or
k) a variable heavy chain ce as presented by SEQ ID NO:113 and a
variable light chain sequences as presented by SEQ ID NO:114, 0r
1) a variable heavy chain sequence as presented by SEQ ID NO: 123 and a
variable light chain sequences as presented by SEQ ID N02124, 0r
rn) a variable heavy chain sequence as presented by SEQ ID NO:133 and a
variable light chain sequences as presented by SEQ ID N02134, or
n) a variable heavy chain sequence as presented by SEQ ID NO: 143 and a
variable light chain sequences as presented by SEQ ID NO:144, 0r
0) a variable heavy chain sequence as presented by SEQ ID NO:153 and a
variable light chain sequences as presented by SEQ ID NO:154, or
p) a variable heavy chain sequence as presented by SEQ ID NO:163 and a
variable light chain sequences as presented by SEQ ID N02164, or
q) a variable heavy chain sequence as presented by SEQ ID NO:173 and a
variable light chain ces as presented by SEQ ID NO:174, 0r
_ ’70 _
r) a variable heavy chain sequence as presented by SEQ ID N02183 and a
variable light chain sequences as presented by SEQ ID NO:184, or
s) a variable heavy chain ce as presented by SEQ ID N02193 and a
variable light chain sequences as ted by SEQ ID NO:194, or
t) a variable heavy chain sequence as ted by SEQ ID N02203 and a
variable light chain sequences as presented by SEQ ID N02204, or
u) a variable heavy chain sequence as presented by SEQ ID NO:213 and a
variable light chain sequences as presented by SEQ ID N02214.
J. The dy according to any one of the preceding claims, which is an IgG
antibody.
K. The antigen-binding fragment according to any one of the preceding claims, which
is an scFv, Fab, Fab’ fragment or a F(ab’)2 fragment.
L. The antibody or antigen-binding fragment according to any one of the preceding
claims, which is a monoclonal antibody or antigen-binding fragment.
M. The antibody or antigen-binding fragment according to any one of the preceding
claims, which is human, humanized or chimeric antibody or antigen-binding
fragment.
N. An antibody-drug conjugate, comprising an antibody or antigen g fragment
thereof according to claims A to M.
0. An isolated c acid sequence that encodes the dy or antigen-binding
nt according to claims A to M.
P. A vector comprising a nucleic acid sequence according to claim 0.
Q. An isolated cell expressing an antibody or antigen-binding fragment according to
any one of the claims A , M and for comprising a nucleic acid according to claim
0 or a vector according to claim P.
R. An isolated cell according to claim Q, wherein said cell is a prokaryotic or an
eukaryotic cell.
_ ’71 _
S. A method of producing an antibody or n—binding fragment according to any
one of the claims A , M comprising culturing of a cell according to claim R and
purification of the antibody or antigen-binding fragment.
T. An antibody or antigen-binding fragment according to claims A , M or an
antibody-drug conjugate according to claim N as a medicament.
U. An antibody or antigen antigen-binding fragment according to claims A7 M as a
diagnostic agent.
V. An dy or antigen-binding fragment according to claims A , M or an
antibody-drug conjugate according to claim N as a medicament for the treatment
of cancer.
W. A pharmaceutical composition comprising an antibody or antigen-binding
fragment according to claims A 7 M or an dy-drug conjugate according to
claim N.
X. A combination of a pharmaceutical ition according to claim W and one or
more therapeutically active compounds.
Y. A method for ng a disorder or condition associated with the undesired
presence of FGFRZ, comprising administering to a subject in need thereof an
effective amount of the ceutical composition ing to claim W or a
combination according to claim X.
_ 72 _
EXAMPLES
EXAMPLE 1: Antibody tion from n-CoDeR Libraries
Tools usedfor Phage selections:
Recombinant proteins used for the isolation of human antibodies ofthe t
invention were obtained from R&D Systems and are listed in Table 1. All variants used
were present as Fc-fusion proteins in carrier free ations. hTRAIL-Fc served as
depletion agent to avoid Fc binder. Proteins were biotinylated according to manufacturer's
instructions using an approximately 2-fold molar excess of biotin-LC-NHS (Pierce; Cat.
No. 21347) and desalted using Zeba desalting columns (Pierce; Cat. No. 89889).
Table 1: List of recombinant proteins used in phage selections and screening
Protein Origin Cat. No. (R&D Systems)
hFGFR2B—Fc (IHb) Human 665—FR
mFGFR2B—FC (Hlb) Murine 708-MF
OL—FC (lllb) Human 663 —FR
hFGFR2B—FC (THC) Human 684—FR
-Fc Human 63O—TR
For phage selections on cells the human gastric carcinoma cell line KATO Ill
(ATCC HTB-103) was employed, displaying native FGFRZ on its cell surface.
Phage Selections:
The isolation of human antibodies ofthe present invention or antigen binding
fragments thereof was performed by phage display technology ing the naive Fab
antibody library n-CoDeR of Biolnvent International AB (Lund, ; described in
2012/073325
_ 73 _
Soderling et al., Nat. Biotech. 2000, -856), which is a Fab library in which all six
CDRs are diversified. As summarized in Table 2, three different strategies for the selection
of inventive antibodies were employed.
Table 2: Summary of selection strategies
Round of
gy I Strategy 11 Strategy [[1
selection:
200 nM biotinylated hFGFR2B-Fc (IIIb)
200 nM biotinylated 200 nM biotinylated
KATO 111 cells
mFGFRZB-Fc (Illb) hFGFRZB-Fc (ch)
100 11M biotinylated 100 nM biotinylated 200 nM biotinylated
hFGFRZB—Fc (IIIb) hFGFRZoc—Fc (HIb) hFGFR20c—Fc (HIb)
100 nM ylated 200 nM biotinylated
KATO 111 cells
mFGFR2B—Fc (IIIb) hFGFR2B—Fc (IIIc)
Standard buffers used, in this example are:
1X PBS: from Sigma (D5652—501)
PBST: 1X PBS supplemented with 0.05% Tween20 (Sigma,
P7949)
ng buffer: PBST supplemented with 3% BSA (Sigma A4503)
Precipitation buffer: 20% PEG (Calbiochem, 528877) in 2.5 M NaCl
FACS-buffer: PBS supplemented with 3% FBS (GIBCO, 10082) and
0.01% NaN3 (Sigma, 71289)
_ 74 _
Briefly, an aliquot of the Fab dy library was centrifuged at r.t for 5 min, the
ing pellet was resuspended in 40 ml PBS and precipitated by addition of precipitation
buffer followed by an incubation on ice for l h and a centrifugation step (1h at 4000 rpm).
The precipitated library was subsequently resuspended in 1 ml blocking buffer and
incubated at r.t. for 30 min.
Meanwhile, aliquots of streptaVidin-coated Dynabeads M280 (Invitrogen, 11206D)
were prepared by washing 3 times with PBS for 30 min on an end-to-end rotator. After that
some ts were mixed with 200 nM biotinylated TRAIL-Fc protein while the remaining
were mixed with the biotinylated target n as indicated in Table 2. The mixtures were
incubated at r.t. on an -end rotator for 30 min and subsequently washed 3 times in 1
ml PBS. Coated beads were finally blocked by resuspension in ] ml ng buffer
followed by collection of the beads and removal of the supernatant.
For depletion of unwanted Fc binders the blocked library (described above) was
added to blocked Dynabeads coated with TRAIL-Fc and ted at r.t. for 30 min while
rotating. After collection of the beads on a magnetic rack, the atant was mixed with
d Dynabeads coated with target protein. After 60 min incubation on an end-to-end
rotator the samples were washed 3 times with blocking buffer followed by 5 times washing
with PB ST. Bound phages were eluted by adding 100 ul triethanolamine solution (TEA,
100 mM). After 10 min incubation at r.t., samples were neutralized by adding 400 pl 1M
Tris-Cl, pH 7.5.
Panning strategy I included 2 rounds of panning on whole cells as a source of target
protein (see Table 2). For this purpose, KATO 111 cells were resuspended in ice cold FACS
buffer at a density of 107 cells per ml. An aliquot of rescued phages were added to 1 ml cell
suspension and incubated at 40C by end-over-end rotation. Subsequently, cells were washed
times with 2.5 ml FACS buffer followed by an elution of bound phages with 300 pl 76
nM citric acid (pH 2.5). After 5 min incubation, cells were centrifuged for 5 min at 400 g
and 4°C and the supernatant was neutralized by adding 300 ml 1 M Tris—Cl, pH 7.5
WO 76186
_ 75 _
Eluted phages were propagated and phage titers determined essentially as
previously bed (Cicortas Gunnarsson et al., Protein Eng Des Sel 2004; 17 (3): 213—
21). Briefly, aliquots of the eluate solution were saved for titration experiments while the
rest was used to transform exponentially growing E. coli TGl (from Stratagene) for
preparation of new phage stocks used in a second, third and fourth ion round
according to the strategies depicted in Table 2. For each selection round, both input and
output phages were titrated, on exponentially growing E. coli TG1 and clones were picked
from round 2 to 4 for analysis in Phage ELISA.
Enzyme-linked immunosorbent assay (ELISA):
Phage ELISA:
Selected phages from different selection rounds were analyzed for specificity using
phage ELISA. Briefly, phage expression was med, by adding 10 pl of over night
culture (in LB-medium supplemented with 100 ug/ml ampicillin (Sigma, A5354), 1%
glucose) to 100 pl fresh medium (LB-medium supplemented with 100 ug/ml ampicillin and
0.1% e (Sigma, G8769) and shaking at 250 rpm and 37°C in 96-well MTP until an
OD600 of 0.5 was reached. Subsequently 40 ul helper phage M13KO7 (lnvitrogen,
420311) was added and samples were incubated for another 15 min at 37°C without
shaking. After addition of IPTG (f.c. of 0.5 mM; final volume 200 pl) cells were incubated
over night at 30°C while shaking at 200 rpm.
96-well ELISA-plates pre-coated with streptavidin (Pierce, 15500) were coated
over night at 4°C with 1 ptle ylated 2B Fc (IIIb) or biotinylated TRAIL—Fc.
The next day plates were washed 3 times with PBST, treated with blocking reagent, and
washed again 3 times with PBST. Meanwhile, phage es were briefly centrifuged, than
125 pl of the supernatant was removed and mixed with 125 pl blocking buffer. After that
100 ul of the blocked phages were transferred per well and incubated for 1 h at r.t.. After
washing 3 times with PBST, anti M13 antibody coupled to HRP (GE Healthcare, 27-9421—
01; 122500 diluted in PBST) was added and incubated for 1 h at r.t.. Color reaction was
_ 76 _
developed by addition of 50 ul TMB (lnvitrogen, 2023) and stopped after 5-15 min by
adding 50 ul 112SO4 (Merck, 1 120801000). Colorimetric reaction was recorded at 450 nM
in a plate reader (Tecan).
ing astabs by ELISA:
For the generation of soluble Fab nts (sFabs) phagemid DNA from the
selection rounds 3 and 4 was isolated and digested with restriction s Eagl
(Fermentas, FD0334) and EcoRI (NEB, R0101L ) according to the providers instructions in
order to remove the gene III sequence. The ing fragment was re-ligated and, constructs
were transformed into chemically competent E. coli Top10 using standard methods. Single
clones were picked, transferred to 96-well plates containing LB-media (100 ug/ml
ampicillin (Sigma, A5354), 1% glucose) and shaken ON at 250 rpm and 37°C. The next
g 10 ml of pre—culture was transferred to 150 pl fresh LB-media (100 ug/ml
ampicillin (Sigma, A5354), 0.1% glucose) until an OD600 of 0.5 was reached. After that
sFab production was induced by the addition of IPTG (f.c. 0.5 mM) and incubation was
continued over night at 30°C while shaking at 200 rpm. Next morning 50 ul ffer
(24.7 g/l boric acid; 18.7 g/l NaCl; 1.49 g/l EDTA pH 8.0; 2.5 mg/ml lysozyme ))
was added to each well, the e was incubated 1 h at r.t. Subsequently, 1/3 volume of
blocking buffer with 9% BSA was added and alter an additional 30 min incubation step at
r.t., 50 pl of each well was analyzed for binding of sFabs to the target in an ELISA
essentially as described for phages, except that detection was performed with an IgG
(Fab-specific) coupled to HRP (122500 diluted; Sigma; A 0293).
E 2: Small-scale production of soluble Fab screening hits
Unique screening hits were produced in small scale for the initial analysis of their
binding to different variants of FGFR-proteins (see example 3). 20-50 ml of LB-medium
(supplemented with 0.1 mg/ml ampicillin and 0.1% glucose) were inoculated with a pre-
_ 77 _
culture of the tive E. coli Top 10 clone, ning a unique Fab sequence cloned into
the intial pBIF-vector but lacking the gene 111 sequence. Production of sFabs was induced
by the addition of 0.5 mM IPTG (final concentration) and incubation was continued over
night at 30°C at 250 rpm shaking.
Subsequently, cells were harvested by centrifugation and gently lysed by 1 h
incubation at 4°C in a lysis buffer, containing 20 % sucrose (w/v), 30 mM TRIS, 1 mM
EDTA, pH 8.0, 1 mg/ml lysozyme (Sigma L-6876) and 2.5 U/ml benzonase (Sigma
, followed by the addition of an equal volume of PBS. After that, the cleared
supernatant was applied to Dynabeads for His-tag isolation (lnvitrogen, 101—03D) and
incubated for 2 h at 4°C on an end-over-end rotator. Subsequently, the matrix was washed 3
times with buffer 1 (50 mM Na-phosphate buffer, pH 7.4, 300 mM NaCl, 5 mM imidazol,
0.01 % Tween-20) followed by a single wash step in buffer 2 (PBS containing 0.005%
Tween-20). Finally, Fabs were eluted with buffer E (10 mM Na—phosphate buffer, pH 7.4,
300 mM NaCl, 300 mM imidazol) and concentrated in Vivaspin 500 (cut-off 10000; from
GE; 2-25) using ffer. Fabs were analysed for protein content and for purity
by SDS-PAGE.
EXAMPLE 3: Cross-reactivity profile of antibodies
Unique ing hits were ed in small scale as described in Example 2 and tested in
an ELISA for binding to different FGFR-variants listed in Table 3.
_ ’78 _
Table 3: List of recombinant proteins used in ELISA for cross—reactivity profiling of binder
Protein Origin Cat. No. (RnD Systems)
hFGFRZB—Fc (lllb) Human 665-FR
mFGFR2B-Fc (Illb) Murine
hFGFR2B-Fc (Illc) Human
hFGFR] B-Fc (lllc) Human 661~FR
hFGFRl B-Fc (lllb) Human 765-FR
hFGFR3-Fc (lllc) Human 766—FR
hFGFR3-Fc (11113) Human 1264—FR
hFGFR4-Fc Human 685—MF
mFGFR2B—Fc (l [lc) Murine 716-MF
mFGFR3-Fc (Illc) Murine 710-MF
hTRAlL—Fc Human 63 0-TR
All variants used were present as Fc—fusion proteins in carrier free ations.
Proteins were biotinylated using an approximately 2-fold molar excess of biotin-LC-NHS
e; Cat. No. 21347) according to cturer's instructions and desalted using Zeba
desalting columns e; Cat. No. .
For the ELISA 96-well plates pre-coated with streptavidin (Pierce, 15500) were
coated over night at 4°C with lug/ml biotinylated protein. Wells coated with biotinylated
TRAIL-Fe served as a reference. The next day plates were washed 3 times with PBST,
treated with blocking reagent, and washed again 3 times with PB ST. 100 ul of purified Fabs
(1 ug/ml) were added and incubated for 1 h at r.t.. After washing 3 times with PB ST, an
anti-hIgG (Fab-specific) d to HRP 0 diluted; Sigma; A 0293) was added and
incubated for 1 h at r.t.. Color reaction was developed by addition of 50 ul TMB
(lnvitrogen, 2023) and stopped after 5-15 min by adding 50 111 H2804 (Merck,
1120801000). Colorimetric reaction was recorded at 450 nM in a plate reader (Tecan).
_ ’79 _
Wells containing TRAIL—Fe were used as background values and the signal to background
ratios were calculated as summarized in Table 4.
Table 4: Summary of ELISA-data on cross-reactivity of antibodies
a a s E} $3 $3. a Li? a; a. L?
22? meamams Ea 5,22 2 mg;
La: La: LL: E: E: LL: Lu: LAMA‘EEM
0v 0v owns/Lave o 04: 0,2 mvo
LL 0 LL 0 LL 0 o 0 LL 0 Lu 0
ELL ELY-1 L w LL >4 0 LL
and an an am swab/4:: ELLE—1
M048— +++ +++ +++ +++ 0 0 0 0 0 0
M017— +++ +++ +++ +++ 0 0 0
M02 1— +++ +++ +++ +++ 0 0 0
M054- ++ ++ +++ ++ 0 0 0
M047— +++ +++ +++ ++ 0 0 0
M054- + + ++ + 0 0 0
Signal to background ratios: 0: <2; +: 2-3; ++z 3-5; +++z >5
As shown in Table 4 the dies of this ion bind to human and murine
FGFR2 independent of alpha and beta as well as Illb and lllc splice form. The antibodies of
this invention do not bind to FGFRl, FGFR3, and FGFR4 as shown in Table 4.
EXAMPLE 4: Binding of FGFRZ antibodies to cell surface of cancer cell lines
To determine the binding teristics of the anti-FGFR2 antibodies on mouse,
rat and human cancer cell lines, binding was tested by flow cytometry to a panel of cell
_ 80 _
lines. Adherent cells were washed twice with PBS (without Ca and Mg) and detached by
enzyme-free PBS based cell dissociation buffer (lnvitrogen). Cells were suspended at
approximately 105 well in FACS buffer (PBS without Ca/Mg, Biochrom containing
3% FCS, Biochrom). Cells were centrifuged (250g, 5min, 4°C) and supernatant discarded.
Cell were resuspended in dilutions ofthe antibodies ofinterest (5 ug/ml in 80ul if not
indicated otherwise) in FACS buffer, and incubated on ice for 1h. 1n the ing cells
were washed once with 100ul cold FACS buffer and 80p] secondary antibody diluted at
1:150 (PE goat anti-human IgG, Dianova 15-098, or PE Goat Anti-Mouse IgG,
Jackson Immuno Research #115-1 15-164) was added. After incubation for 1h on ice cells
were again washed with cold FACS buffer, resuspended in 100ul FACS buffer and
analyzed, by flow cytometry using a FACS-Array (BD ences). Results are calculated
as Geo Mean of the detection by the antibody of interest subtracted by background
fluorescence as measured by detection with the secondary antibody alone. Values are
scored according to the following system:
Geo Mean - Geo Mean of secondary antibody alone >10: +, >100: ++, >1000: +++, 10000:
++++, close to ry border in 0.
List of cell lines used, for cross—reactivity ng of antibodies:
SNU16 ATCC—CRL—5974
KATOlII ATCC-HTB-103
NCI—N87 CRL—5822 _
HS746T NCI-60 Panel, Lot 507285
MFM223 ECACC-98050130
ATCC-CRL-2539
ATCC—CRL-2755
ATCC—HTB—l l3
ATCC-CRL—2923
MFEZSD ECACC-98050131
RUCA
PE Asterand, Source Steven Ethier
_ 81 _
As shown in Table 5, all anti FGFR2 antibodies of this ion used at a
concentration of Sug/ml bind a broad range of tumor cells expressing FGFR2 of murine
(4T1, EMT6), rat (RUCA) and human (all other cell lines included in the table) origin.
Table 5: Binding of anti FGFR2 antibodies Sag/ml to different cell lines by scoring of
FACS analysis
Gastric cancer cells Breast cancer cells
NCISNU16
N87 HS746T MFMZZ3 _E—MT6
MOI7-BOZ—hIgGl +++
M021—H02-hIgG1
M048-D01—hIgGl E-
Endometrial cancer cells
ECCl MFE296 MFE280 AN3CA
.l:_021—H02—hlgG1 + + + 1
M048—D01—hIgG1
—_ 1(1) 11
Mo4v-nos1M111 _-—_
(Geo Mean-Geo Mean of secondary antibody alone >10: +, >100: ++, >1000: +++, >10000:
++++, close to category border in 0)
To determine the EC50 values for binding of dies to selected cancer cell lines,
cells were stained with FGFR2 dies as described above, but with various
concentrations of antibodies ranging from 01-100 nM. ECso values were determined using
Graph Pad Prism Software and are presented in Table 6. Three antibodies with highest
affinity (MOl7-B02-hIgGl, 01-hIgGl, M047-D08-hIgGl) show subnanomolar to
low nanomolar EC50 values in human (SNU—l 6, MFM223), murine (4T1) and rat (Ruca)
cell lines. M021-HOZ-hlgGl, 05-hIgGl and M054—D03-hIgGl show also low nM
2012/073325
_ 82 _
cellular EC50 values in murine and human cell lines. Thus, all tested antibodies are cross
reactive in binding to human, murine and, rat cells expressing FGFR2.
Table 6: EC50 values of anti FGFR2 antibodies binding to cell lines of human (SNUI 6,
MFM223), murine (4T1) and rat (RUCA) origin analyzed by FACS
ECsu [HM]
0.1 0.2
' '
.8 n.d.
. . 0.1 0.9
M054-A05-hIgG1 . .
M054-D03-hIgG1
MO47-D08—hIgG1
(n.d. stands for not determined/measured)
EXAMPLE 5: Epitope g by Pepscan’s Chemically Linked Peptides 0n
Scaffolds (CLIPS) technology
To determine the binding characteristics of the antibodies found, an intensive
epitope mapping based on Pepscan’s proprietary Chemically Linked, Peptides on Scaffolds
(CLIPS) technology (Timmerman et al., J. Mol. it. 2007, 20:283-99) was
performed. In total 8653 different CLIPS peptides of 15AA and 30AA length covering
linear, conformational and discontinuous epitopes on the native human FGFRZ were
designed. The peptides were synthesized on peptide arrays. Antibodies of this invention
were tested on the e arrays in human IgG1 format in an based assay. The
es that gave the highest ELISA values were analyzed to fy shared similar amino
acid ces.
To reconstruct discontinuous epitopes of the target molecule a library of structured
peptides was synthesized. This was done using Pepscan’s proprietary Chemically Linked
Peptides on Scaffolds (CLIPS) technology (Timmerman et al., J. Mol. Recognit. 2007,
:283-99). CLIPS technology allows to structure peptides into single loops, -loops,
triple loops, sheet-like folds, helix-like folds and combinations thereof. CLIPS templates are
_ g3 _
coupled to cysteine residues. The hains of multiple cysteines in the peptides are
coupled to one or two CLIPS templates. For example, a 0.5 mM solution of the T2 CLIPS
template 1,3-bis (bromomethyl) benzene was dissolved in um bicarbonate (20 mM,
pH 7.9)facetonitrile (1 :1(v/v)). This solution was added onto the peptide arrays. The CLIPS
template bound to side-chains of two cysteines as present in the solid-phase bound peptides
of the peptide-arrays (455 wells plate with 3 ul wells). The e arrays were gently
shaken in the solution for 30 to 60 minutes while completely covered in solution. Finally,
the peptide arrays were washed extensively with excess of HzO and ted in disrupt-
buffer containing 1 percent SDS/0.1 percent beta-mercaptoethanol in PBS (pH 7.2) at 70°C
for 30 minutes, ed by sonication in HgO for another 45 minutes. The T3 CLIPS
carrying peptides were made in a similar way but now with three cysteines.
The binding of antibody to each peptide was tested in a PEPSCAN—based ELISA
(Slootstra et al., Molecular Diversity 1996, 1: 87-96). The e arrays were pre-
incubated with 5% to 100%-binding buffer (1 hr, 200C). The binding buffer was composed
of 1% Tween-80, 4% horse-serum, 5% Ovalbumin (w/v) and was diluted with PBS. After
washing the peptide arrays were incubated with primary dy on (1 to 5 ug/ml) in
PBS containing 1% Tween-80 (overnight at 4°C). After washing, the peptide arrays were
incubated with a 1/1000 on in 100% binding buffer of an antibody peroxidase
conjugate for one hour at 25OC (anti-human). After washing, the peroxidase substrate 2,2’-
azino-diethylbenzthiazoline sulfonate (ABTS) and 2 iter/milliliter of 3 percent
H202 were added. After one hour, the color development was measured. The color
development was quantified with a charge d device (CCD) - camera and an image
processing system.
Data processing
The raw data are optical values obtained by a CCD-camera. The values range from
0 to 3000 mAU, similar to a standard 96-well plate ELISA-reader. The binding values were
ted for analysis. Occasionally, a well contains an air-bubble resulting in a false-
_ g4 _
positive value, the cards were manually inspected and any values caused by an air—bubble
were scored as 0.
All antibodies of this invention bind to the same epitope, which comprises of the N-
terminal residues of FGFRZ (IRPSFSLVEDTTLEPEIS). Analysis of 1257 CLIPS and linear
peptides showed tent high ELISA values for N—terminal peptides.
The N—terminal residues (1RPSFSLVEDTTLEPE15) are present in all splice variants
of human FGFRZ independent of alternative splicing in D3 resulting in IIIb and, IIIc
isoforms (see Figure 1). The epitope is also present if domain D1 is spliced out of the full
length FGFR2 (SEQ ID NO:61; FGFRZ alpha) resulting in the shorter beta form of FGFR2
(SEQ ID N0262). In this case the e is directly in front of domain D2 (see Figure 1).
Of special interest is that the N—terminal sequence is conserved in human, mouse,
rat and macaca inulatta. This enables broad inter species cross reactivity.
This new epitope is outside the well-known ligand binding site and the heparin
g site (see Figure l) and results in novel features of the antibodies of this invention.
EXAMPLE 6: Epitope fine mapping by Alanine scanning of peptides
To define the binding characteristics ofthe antibodies ofthe ion in more
detail an e-scanning was performed. As described in example 5, peptides of lSAA
and 30 AA lengths were synthesized and each amino acid of the human FGFR2 sequence
was replaced for a n peptide by an Alanine residue. Binding of the antibodies was
analyzed as described in Example 5. Ifthe exchange of an amino acid residue for an
Alanine results in a icant reduction of the binding signal, this residue was accounted
as critical for the binding.
Table 7 shows for the antibodies of this ion the critical residues in the N-
terminal part (IRPSFSLV’EDTTLEPEIS) of FGFRZ.
_ 85 _
Table 7: Critical residues in the inal part SLVEDTTLEPEIS) of FGFR2 for
binding of antibodies of this invention
position I L) W J; (A 0‘ J W \O >4 O >4 H H N >—a L2) #4 J‘— ,_. U1
M017- X X X X
1302
M021- X
M047- X X X X
M048— X X X
M054- X X X X
M054- X X
(Residues being critical for binding are marked by an (X). By changing this residue into an Alanine
more than 50% of the ELISA signal is lost)
Antibodies M048-D01 and MOZI-HOZ are of special interest because they are
binding independently of variations at position Ser-S. This enables them to bind in addition
to human, mouse, rat and macaca mulatta FGFR2 (SEQ ID NO:63) to rabbit (SEQ ID
, pig (SEQ ID N0265) and dog (SEQ ID NO:66) FGFRZ making it possible to use
even more species for preclinical development.
EXAMPLE 7: Affinity of antibodies for the N-terminal epitope analyzed by Biacore
To define the binding affinities for the N—terminal peptides characterized as
epitopes Biacore e plasmon resonace experiments were performed.
Binding affinities of anti FGFR2 dies were determined by surface plasmon
resonance analysis on a Biacore T100 instrument (GE Healthcare Biacore, Inc.). Antibodies
as human IgG1 were immobilized onto a CMS sensor chip through an indirect capturing
reagent, anti-human IgG(Fc). Reagents from the “Human Antibody Capture Kit” (BR
39, GE Healthcare Biacore, Inc.) were used as described by the manufacturer.
Approximately 5000 RU monoclonal mouse uman IgG (Fc) antibody were
_ g6 _
immobilized per cell. Anti FGFR2 antibodies were injected at a concentration of 5 ug/ml at
lOul/min for 10 sec. Various concentrations (400 nM, 200 nM, 100 nM, 50 nM, 25 nM,
12.5 nM, 6.25 nM, and 3.12 nM) in HEPES-EP buffer (GE Healthcare Biacore, Inc.) of
es derived from the first 15 amino acids of FGFR2 of ent species (human,
mouse, rat, macaca mulatta FGFR2 (SEQ ID , rabbit (SEQ ID NO:64), pig (SEQ ID
NO:65) and dog (SEQ ID NO:66)) were injected over immobilized anti FGFR2 antibodies
at a flow rate of 60 uL/min for 3 minutes and the dissociation was allowed for 5 minutes.
Sensograms were generated after in—line reference cell correction followed by buffer sample
subtraction. The dissociation equilibrium nt (K3) was calculated based on the ratio of
association (km) and dissociation rated (koff) constants, ed by fitting sensograms with
a first order 1:] binding model using Biayaluation re (version 4.0).
M048-D01-hIgG1 and M047-D08-hIgG1. bind with a KD value around 100 nM
human, murine, rat and macaca mulatta FGFR2 (for details see Table 8). As supported by
the Alanine-scanning M048-D01 showed nearly the same KD value for all peptides derived
from several species (see Table 8).
Table 8: Monovalent KD values of antibodies M048-D01 and M047—D08 as
measured by Biacore with 15 aminoacid long peptides.
N—terminal peptide of M048-D01—hIgG1 M047-D08—hIgG1
species
human, mouse, rat, macaca 105 nM
mulatta [SEQ ID NO:63]
rabbit [SEQ ID N0264j 88 nM no binding
pig [SEQ ID N0265j 70 nM no binding
dog [SEQ ID N0266] 72 nM no binding
_ g7 _
EXAMPLE 8: Stimulation of P-FGFRZ (phosphorylated FGFRZ) levels after short
term incubation with anti FGFRZ dies on FGFRZ overexpressing cell lines
To determine the effect of anti FGFRZ antibodies on cellular levels of
phosphorylated FGFR2 (P-FGFR2) after short term incubation, P-FGFR2 ELISAS were
performed. MFM223 cells were plated at 7000 cells per well in growth medium (MEM
Earle (Biochrom; F0315) + 10% FCS + 2mM Glutamin) in 96well plates. 24h after plating
cells were incubated with dies (lop/ml) for 15min, followed by two washing steps
with PBS and lysis in 100ul of cold lysis buffer ting of 50mM Hepes pH 7,2, 150mM
NaCl, 1mM MgClz, 10mM 7, 100mM NaF, 10% Glycerin, 1.5% Triton X-100 and
freshly added te Protease Inhibitor cocktail (Roche No. 1873580001), 4mM
Na3V04, pH adjusted to 7.4 with NaOH by shaking for 5 min. Samples were shock frozen
and stored at -80°C until analysis. Measurement of P-FGFRZ levels was carried out using a
P-FGFRZ ELISA kit from R&D s according to the cturer’s instructions. OD
was measured at 450 nM (Tecan Spectra, Rainbow) with background correction. Levels of
P-FGFRZ were ated as % of untreated control levels. To control for non-specific
effects of the antibody , parallel samples were incubated with non-cell binding
control IgGs of the same isotype.
Results are shown in Figure 2 and, indicate a pronounced induction of P-FGFR2
levels by anti FGFR2 antibodies M048-D01-hIgG1 and M047-D08-hIgG1. In contrast
neither the control IgG dy nor anti FGFR2 antibodies commercially available from
R&D (MAB665, MAB684, 3) show any significant effect on P-FGFRZ levels
after short—term incubation. These results reveal an agonistic effect of anti FGFR2
antibodies described within this invention on FGFRZ after short-term incubation.
EXAMPLE 9: Desensitizing of FGFR2 overexpressing cells against stimulation of P-
FGFRZ by FGF7 after long-term incubation with anti FGFRZ antibodies
To determine the effect of anti FGFR2 antibodies on cellular levels of
phosphorylated FGFRZ (P—FGFRZ) after long term incubation and the effect of antibody
_ 88 _
treatment on the power of FGF7 to induce FGFRZ phosphorylation, P—FGFR2 ELISAS
were performed. MFM223 cells were plated at 7000 cells per well in growth medium
(MEM Earle (Biochrom; F0315) + 10% FCS + 2mM Glutamin) in 96well plates. 24h after
plating cells were incubated with antibodies (10u/ml) for 24min, followed by incubation in
the presence or absence of FGF7 (R&D Systems, 25ng/ml) for 15 min. Cells were washed
twice with PBS and lysed in lysis buffer consisting of (50mM Hepes pH 7,2, 150mM NaCl,
1mM MgClg, 10mM Na4P207, 100mM NaF, 10% Glycerin, 1.5% Triton X-100, freshly
added te Protease Inhibitor il (Roche No. 1873580001), 4mM Na3V04, pH
adjusted to 7.4 with NaOH) and shaking for 5min at room temperature. s were snap
frozen and stored at -800C until is by the P-FGFR2 ELISA from R&D according to
the manufacturer’s instructions. Optical density was measured at 450 nM (Tecan Spectra,
Rainbow) with background tion. Levels of P-F GFR2 were calculated as % of
untreated control levels. To control for non-specific effects of the antibody format, parallel
s were incubated with non-cell g control IgGs 0f the same isotype.
Corresponding results are presented in Figure 3. In cells treated without antibody
treatment as well as in cells treated with isotype control IgG stimulation with FGF7 lead to
an about 4 fold se of P-FGFR2 . In contrast, in samples pretreated with anti
FGFR2 antibodies for 24h, FGF7 only induced P-FGFR2 levels by 1.37-1.4 fold.
Taken together these results show that prolonged incubation of cells with anti
FGFRZ antibodies of this invention leads to desensitization towards stimulation with FGF7.
EXAMPLE 10: Downregulation of FGFRZ surface expression after incubation of cell
lines with anti FGFRZ dies
To analyze FGFR2 surface expression after treatment with anti FGFR2 antibodies
FACS analysis was carried out in different cell lines with FGFR2 overexpression
3, SNU16) or FGFR2 mutation (AN3-CA, MFE-296). Adherent cells were washed
twice with PBS (without Ca and Mg) and detached by enzyme-free PBS based cell
dissociation buffer (Invitrogen). Cells were suspended at 0.5 >"105 cells/well in 80p] growth
_ 89 _
medium (MFM223, MFE—296: MEM Earle (Biochrom; F0315) + 10% FCS + 2mM
Glutamin, SNU—16: RPMI 1640 (Biochrom, FG]215) + 10% FBS; AN3-CA2MEM Earle
(Biochrom; ) + 10% FCS + 1mM pyruvate +1x NEA: non essential amino
acids Biochrom K0293). 20ul of 5 fold concentrated antibody dilution was added (final
concentration of 10ug/ml) and incubated for 4.511 at 37°C. After the end of the incubation
time cells were washed once with 100ul FACS buffer, stained with detection dy (at
Sug/ml, mouse GFRZ for hlgGs, human anti-FGFR2 for mIgGs) for 45min at 40C,
followed by an additional wash with 100ul FACS buffer. PE-Stained secondary antibody
(PE goat anti-human IgG, Dianova #109098, or PE Goat Anti-Mouse IgG, Jackson
lmmuno Research #1 15-] 15-164, 1:150 diluted) was added in 80ul volume, incubated for
45min at 40C and after an additional wash with FACS buffer cells analyzed by flow
cytometry using a FACS array (BD Biosciences). In control experiments antibody
competition for overlapping epitopes was excluded by parallel incubation with the antibody
of interest and the corresponding detection antibody. Geo-Means measured after staining
with secondary dies alone were subtracted from Geo-Means from peaks detected, after
staining with anti FGFR2 antibodies. Results are calculated as % of Control cells that were
ted for 4.5h without the presence of antibodies.
s are depicted in Figure 4. Incubation of cells with control IgG leads to no
decrease of FGFRZ e expression, whereas anti FGFR2 antibodies M048-D01-hIgG1
and M047-D08-hIgG1 downregulated FGFR2 surface levels significantly by 39-60% in all
4 cell lines independent of FGFRZ overexpression or mutation. In contrast no other anti
FGFR2 dy either commercially available from R&D (MAB665, MAB684,
MAB6843) or described ere for e (GAL-FR21, GAL-FRZZ; W02010/054265
and Zhao et al. (Clin Cancer Res. 20] 0,16:5750-5758)) showed FGFR2 surface
downregulation in all 4 cell lines independent of FGFR2 overexpression or ons.
GAL-FRZ] downregulated FGFR2 surface levels in cell lines with FGFR2 amplification
(SNU16 and MFM223), but had no impact on cell lines with FGFRZ mutation. GAL-FR22
reached 73 and 21% downregulation of FGFR2 surface expression in FGFR2 mutated cell
lines (AN3-CA and 6 respectively), but had no significant impact on surface
2012/073325
FGFR2 levels in SNU16 and MFM223 cells. MAB684 and MAB6843 again induced
around 60% reduction of FGFRZ surface levels in FGFR2 mutated cell lines without major
effects on FGFRZ overexpressing cell lines. Finally, MAB665 did not show any impact on
FGFR2 surface levels at all.
To summarize, anti FGFR2 antibodies MO48-D01-hIgG1 and M047-D08-h1gG1
are the only anti FGFR2 antibodies ng FGFR2 surface downregulation in cancer cell
lines independent of FGFR2 pression or on.
EXAMPLE 1]: Donwregulation of total FGFRZ levels after long-term incubation of
cancer cells with anti FGFRZ antibodies
To analyze whether FGFRZ surface downregulation induced by anti FGFR2
antibodies leads to long-term decrease in total FGFR2 levels, total n levels of FGFR2
were analyzed by FGFRZ ELISA. SNU16 cells were plated at 5000 cells/well in 96well
plates in growth medium (RPMI 1640 (Biochrome, FG1215) + 10% FBS). 2h later cells
were incubated with anti FGFRZ antibodies at various trations as indicated or
corresponding isotype control IgG. 96h after start of incubation with the antibodies cells
were centrifuged for 5min at 300g at room ature, washed twice in PBS and lysed by
addition of 100ul lysis buffer (50mM Hepes pH 7,2, l50mM NaCl, lmM MgClz, 10mM
Nangov, 100mM NaF, 10% Glycerin, 1.5% Triton X-100, freshly added Complete Protease
Inhibitor cocktail (Roche No. 1873580001), 4mM Na3V04, pH adjusted to 7.4 with NaOH)
and shaking for 5min at room temperature. Samples were snap frozen and stored at -80°C
until analysis using the Total-FGFRZ-ELISA Ki (R&D Systems) ing to the
manufacturer’s instructions. Optical density was measures at 450 nM (Tecan Spectra,
Rainbow) together with background correction. To calculate absolute levels of total FGFR2
standard, curve using isolated FGFRZ n was applied according to the manufacturer’s
recommendations (R&D Systems). Results are depicted as % of FGFR2 levels measured in
control cells that were incubated for 96h in the absence of antibody.
_ 91 _
Results are ted in Figure 5. Incubation with anti FGFR2 antibodies of this
invention for 96h leads to a reduction of total FGFR2 levels by 41-55%. Half maximal
reduction is reached at doses of 3ug/ml of the anti FGFR2 antibodies. In contrast,
incubation with isotype control antibody has no effect on total FGFR2 levels.
Taken er, these results indicate that anti FGFR2 dies M048-D01-hIgGl
and 08-hIgGl do not only lead to a short term decrease in surface FGFR2 levels
but also a long term reduction of total FGFR2 levels.
E 12: alization of anti FGFR2 antibodies into cells
Anti FGFR2 antibodies ofthis invention were analyzed, for their capability to
alize after binding to the FGFR2 antigen.
To visualize this process the FGFR2 specific antibodies M048-D01-hIgGl and
M047-D08-hIgGl and an isotype control antibody were selected. The antibodies were
conjugated in the presence of a two molar excess of CypHer 5E mono NHS ester (batch
357392, GE Healthcare) at pH 8.3. After the conjugation the reaction mixture was dialyzed
(slide-A—Lyser Dialysis Cassettes MWCD lOkD, Fa. Pierce) overnight at 4°C to eliminate
excess dye and, adjusting the pH-value. Afterwards the protein solution was concentrated
(VIVASPIN 500, Fa Sartorius stedim biotec). In addition to the pH-dependent fluorescent
dye CypHerSE the ph-independent dye Alexa 488 was used. The dye load of the antibody
was determined with a spectrophotometer (Fa. NanoDrop). The dye load of 01—
hIgGl and M047-D08-hIgGl and the isotype control (M014) were in a similar range. The
affinity of the labeled antibodies was tested in a cell binding-assay to ensure that labeling
did not alter the binding to FGFR2. These d antibodies were used in the following
internalization assays. Prior to treatment cells (2x104/well) were seeded in 100ul medium in
a 96-MTP (fat, black, clear bottom No 4308776, Fa. d Biosystems). After 18 h
incubation at 37°C/5%C02 medium was changed and labeled anti FGFR2 antibodies
M048-D01-hIgGl and M047-D08-hIgGl were added in various concentrations (10, 5, 2.5,
l, 0.3, 0.1 ug/ml). The identical treatment was carried out with the isotope control antibody
_ 92 _
ive control). The incubation time was chosen to be 0, 5h, 1h, 2h, 3h, 6h and 24h. The
fluorescence measurement was performed with the InCellAnalyzer 1000 (Fa. GE
Healthcare). Granule counts and total fluorescence intensity were measured in a kinetic
A highly specific and significant alization of M048-D01-hIgGl and M047-
DOS-hIgGl was observed in endogenous FGFR2 expressing cancer cell lines SNU16
(gastric cancer) and SUMSZPE (breast cancer).
This alization was target dependent as uptake could only be demonstrated
using the anti FGFRZ antibodies while no internalization was ed with the isotype
controls. During the first 6h the anti FGFR2 antibodies showed a 20fold increase of
antibody internalization compared, to isotype controls. Isotype control showed a minor
internalization after a long exposure (>24h).
Internalization of anti FGFR2 antibodies labeled with Alexa 488 upon binding
reveals that more than 50% ofinternalized antibodies seem to follow the endocytotic
pathway.
In Figure 6 a copic evaluation of the time course of specific internalization
of M048-D01-hIgGl and M047-D08-hIgGl upon g to endogenous FGFRZ
expressing cells is shown. Internalization of antibodies (2.5 ug/ml) was investigated on
breast cancer cell line SUM SZPE. Granule counts were measured in a kinetic fashion.
Rapid internalization could be observed for 01-hIgGl and M047-D08-hlgG1,
whereas the isotype control hlgGl does not internalize.
A more detailed evaluation of the trafficking pathway was performed with co-
staining of small G-proteins. Rab GTPases regulate many steps of membrane c,
including vesicle formation, vesicle movement along actin and tubulins networks, and
membrane fusion. To guish n different pathways two Rab proteins were
selected for staining - Rab7, which is expressed in late endosomes and lysosomes and Rab
1], which is expressed in early and recycling endosomes. After a 6h internalization of
_ 93 _
labeled dies the cells were fixed and perrneabilized with ol prior to staining
with Rab 7- and Rab 11- antibodies. The results are shown in Figure 7.
01-hlgGl and M047-D08-hIgGl show a significant co-staining with Rab
7, whereas the co-staining with Rab 11 is only minor. These results indicate that after
internalization of FGFR2 the complex enters the mal - lysosomal pathway.
The staining pattern for other described antibodies like GAL-FRZl and GAL-FR22
(W02010/054265 and Zhao et al. (Clin Cancer Res. 2010,16: 758)) looks
completely different. Here almost no staining could be detected with Rab7, but a major co-
staining was ed with Rabll. This indicates that these antibodies internalize after
binding to the FGFR2 receptor and favor the recycling pathway
EXAMPLE 13: Test of anti FGFRZ antibodies of this invention in experimental
tumors in mouse model
In vivo efficacy ofthe anti FGFR2 antibodies of this invention was for example
tested via subcuteanous neic or allogeneic tumor models. The expert knows prior art
methods in order to proof for efficacy of the innovative antibodies. For e, mice were
therefore subcutaneously ated with tumor cells, which express the target FGFR2.
Afterwards, tumor-bearing mice were either treated with FGFRZ-targeting antibodies of this
invention, non-binding isotype control or phosphate-buffered saline (PBS). Application of
dies was carried out intraperitoneally or intravenously two times weekly. In order to
test for additive anti-tumor efficacy, the FGFRZ Abs of this invention were combined with
common standard of cares and compared to the single agent efficacies. Tumor growth was
monitored by frequent measurement of tumor area via a caliper. After tumor growth and
treatment for some weeks, tumors were harvested and tumor weights or tumor sizes (tumor
area calculated by the formula length x width) of animals treated with the anti FGFRZ
antibodies of this invention were compared to those treated with PBS or isotype control
antibodies. Mice treated with the anti FGFRZ dies of this invention displayed
significantly smaller tumors.
WO 76186
_ 94 _
Human or murine tumor cells that express FGFR2 were subcutaneously ated
onto the flank of immunocompromised mice, for example Nude- or SClD-mice. Per mouse
0.25-10 n cells were detached from cell culture flasks, centrifuged and suspended, in
100 pl PBS, 50% medium/ 50% Matrigel, or 100% Matrigel, respectively. Cells were than
inoculated subcutaneously beneath the skin onto the flank of mice. In case of patient-
derived tumor models, tumors harvested from gastric cancer patients were subcutaneously
passaged on immunocompromised mice. For g efficacy of the anti FGFR2 antibodies,
tumor pieces ofa defined size (2 x 2 mm) were subcutaneously transplanted onto the flank
of mice. Within a couple of days a tumor was established. Treatment started earliest if
tumors reached a size of 20 mm2 (cell line-derived tumors) or 100 mm3 (patient-derived
tumors), whereby tumor area (mml) was calculated by the formula length x width and,
tumor volume (mm3) by the formula length x widch/ 2.. Treatment with the antibodies was
performed either intraperitoneally or intravenously via tail vein injection. Antibodies were
either solved in PBS or 50 mM Na—acetat, 150 mM NaCl. Antibodies were d in a
volume of 10 ml/kg. Treatment schedule was based on the pharmacokinetic behavior of the
antibody. As standard, antibodies were applied twice weekly (alternating every third and
fourth day). As standard, treatment was performed until control group reaches the maximal
possible tumor size. Alternatively, treatment was stopped earlier. As standard, 8 mice per
treatment group were used. Number of mice per treatment group can be increased, if higher
variations in tumor growth were expected. In parallel to the treatment , a l
group was treated with PBS following the same treatment schedule. During the study,
tumor area was frequently ed by measuring length and width of tumors using a
caliper. At study end, tumors were harvested and weighed. Ratio of mean tumor weights of
the antibody-treated groups (T) and, mean tumor s of the control (C) was stated as
T/C. If treatment and, control groups were terminated at different time points or tumor
weight could not been used as read-out since tumors became necrotic, T/C ratios were
calculated based on tumor area of the last common ement time point.
2 Mio human gastric cancer SNU—16 cells in 50% medium / 50% Matrigel were
aneously inoculated onto the flank of female nodSCID mice. Intraperitoneal
_ 95 _
treatment with the anti—FGFR2 antibodies started when tumors reach a mean size of 20—30
mm2 and was continued twice weekly until study end. If tumors of control group reached
the maximal acceptable size, study was terminated and tumors are harvested and weighed.
All tested anti FGFR2 antibodies of this invention reduced significantly tumor
growth as compared to l. Treatment with a dose of 2 mg/kg of M017-B02-hIgG1,
M021-H02-hIgG1, M048-D01-hIgG1, M054-A05-hIgG1, M054-D03-hlgG1 and M047-
D08-hIgG1 resulted in T/Cs of 0.19, 0.22, 0.17, 0.19, 0.21 and 0.22, respectively (see
Figures 8 to 13).
2.5 x 105 murine 4T1 breast cancer cells were subcutaneously inoculated in 100%
PBS onto the flank ofNMRI nu/nu mice. compromised instead of syngeneic mice
were chosen in order to avoid the development of neutralizing dies against the human
IgG protein. Treatment of tumors d at the time point at which tumors have reached a
mean size of 24 mmZ. In order to test for possible additive anti-tumor efficacy of M048-
DOl-hIgGl mice were either treated with M048-D01-hIgG1, Lapatinib or Taxol,
respectively, alone and in combination with M048—D01-hIgGl and Taxol or Lapatinib. As
control, mice were treated with PBS alone. Treatment with M048-D01-hIgG1 was carried
out twice weekly intravenously (i.v.), nib once daily per os (p.o.) and Taxol once
weekly intravenously. All treatments were performed until end of the study. Since tumors
became necrotic at the end of the study, tumor area at day 13 after tumor cell inoculation
was used to determine anti-tumor efficacy. This study revealed that combination of M048-
D01-hIgG1 with either ninb or Taxol achieved additive anti-tumor cy:
Monotherapy with Lapatinib and Taxol, respectively did not significantly changed growth
of tumors as compared to the vehicle control, while M048-D01-hIgG1 alone resulted in
significant reduction as compared to vehicle with a T/C of 0.73. Combination with
Lapatinib and Taxol reduced this T/C down to 0.58 and 0.52, both statistically significant
versus both monotherapies (see Figures 14 and 15).
2 x 2 mm pieces of originally patient—derived gastric tumors, 608 and
GC12-0811 (Prof. Huynh Hung, al University of ore (NUS)), passaged on
immunocompromised mice, were aneously transplant e d 0 nt 0 fe m ale
_ 96 _
immunocompromised nai‘ve mice. Tumor size was assessed frequently using a caliper
measuring the tumor in two ions and, tumor volume was calculated by the formula
length x widthz/ 2. ent with different doses of M048-D01-hIgG1 was started at the
time point at which tumors reached a mean size of approximately 100 mm3. Treatment was
performed intravenously twice weekly with doses of 5, 2 and 1 mg/kg M048-D01-hIgG1. In
a tumor model with high FGFR2 protein sion (GC10-0608), all three doses resulted
in significant reduction of tumor growth resulting in T/C values based on final tumor weight
of 0.55, 0,60 and 0.41 (see Figure 16). In a model with markedly lower FGFR2 protein
expression (GC12-081 1), 5 and 2 mg/kg of M048-D01—hIgG1 resulted in significant
reduction of tumor weight resulting in T/Cs 0.70 and 0.67 (see Figure 17). In accordance
with the lower FGFR2 expression, 1 mg/kg of M048-D01-hIgG1 did not result in
significant ion of final tumor weight. For the treatment of two other tumor models,
the breast cancer model MFM223 and the ctal cancer model NCI—H716 (ATCC-CCL-
251) we have not found an appropriate application scheme to reduce tumor growth
cantly.
EXAMPLE 14: Downregulation of P-FGFR and total FGFR2 levels in xenograft
tumors after treatment with anti FGFR2 antibodies
To analyze whether the observed downregulation oftotal FGFR2 levels and
concurrent reduction in 2 is also seen in xenograft tumors in vivo, SNU—16 tumors
after treatment with anti FGFR2 antibodies were analyzed by Western Blot. Tumors were
collected at the end of a aft experiment in NOD/SCID mice, treated with anti FGFR2
antibodies 2mg/kg i.p. twice weekly (see Example 13 for details). Tumors were taken 24h
after the last injection of the antibodies, snap frozen in liquid nitrogen and stored at -800C
until analysis. Prior to Western Blot analysis frozen tumors were cut in slices of around
5mm diameter and each slice deposited in a 2m] Eppendorf tube together with a precooled
5mm steel bull (Qiagen) and 500111 lysis buffer (50mM Hepes pH 7.2, 150mM NaCl, lmM
MgClg, IOmM N34P207, 100mM NaF, 10% Glycerin, 1.5% Triton X-100, freshly added
Complete Protease Inhibitor cocktail (Roche No. 1873580001), 4mM NagVO4, pH adjusted
_ 97 _
to 7.4 with NaOH). Samples were lysed for 3 min at 300Hz in a lyzer n)
followed by incubation on ice for 30min. In the following, samples were centrifuged for
10min at 13000 rpm at 4°C in a Micro-centrifuge (Eppendorf) and supernatants from slices
coming from one original tumor pooled back together. Protein levels in the tumor lysates
were determined by using the BCA protein assay kit (Novagen, lysates 1:50 diluted in HgO).
Samples were diluted to a final concentration of 5mg/ml and 50ul of sample were mixed
with 7.7 ul of (10*) Sample Reducing agend and 19.2111 (4*) NuPAGE Sample Buffer
(Invitrogen). s corresponding to 115ug of n were applied to NuPage 4-12%
SDS page gels from Invitrogen and run for 2h45min at 120V. Blotting was carried out by
an iBlot system (Invitrogen) according to the cturer’s recommendations. Membranes
were d for 2h at room temperature in 5% BLOT QuickBlocker in PBST (Invitrogen),
followed by incubation with primary antibodies over night at 4°C. Primary dies were
as follows: : #AF3285, R&D Systems, 0.5ug/m; total FGFRZ: M017-B02-hIgG1,
4ug/ml in in 3% BLOT QuickBlocker in PBST. On the next day membranes were washed
three times in PBST, followed by incubation with secondary antibodies (Peroxidase-
conjugated AffiniPure Goat Anti-Rabbit IgG (H+L) (Jackson ImmunoResearch #111
003 or Peroxidase-conjugated AffiniPure Goat Anti-Human IgG + IgM (H+L) (Jackson
ImmunoResearch #109127, l : 10000 in 3% BLOT QuickBlocker/PBST) for 211 at
room temperature. Subsequently, membranes were washed four times for 10 min with
PBST and signals were detected by chemoluminescence after incubation with ECL reagent.
To detect the loading control, membranes were stripped with stripping solution strong (1:10
in Milipore-H20) for 15 min shaking at room temperature, followed by blocking and
detection with Anti-Actin antibody #A2066 ) 1 21000 in 3% QuickBlocker/PB ST.
Representative results from 2 animals per group treated with anti FGFR2 antibodies
are shown in Figure 18 side by side with samples from animals treated with l IgG.
Total FGFRZ as well as P-FGFR levels were strongly reduced after treatment with anti
FGFR2 antibodies of this invention. Thus, the mode of action of downregulation of total
FGFR2 bed in the in Vitro studies is also relevant in aft tumors after treatment
with anti FGFR2 antibodies of this invention.
_ 98 _
EXAMPLE 15: Subcutaneous Xenograft cancer Model with dy drug
conjugates:
Anti FGFR2 antibodies can be conjugated to cytotoxic small molecules using
protocols that are known in the art (e.g. Liu et al., Proc Natl. Acad. Sci. (1996), 93, 8618—
8623). A431 cells are maintained as adherent cultures in DMEM supplemented with 10 %
FBS. NOD SCID or other immunocompromised mice of 6-7 weeks age will be inoculated
aneously in the right flank with 1-5 x 10e6 cells in 0.1 ml of medium. When tumor
sizes reach ca. 25 mm2 antibody drug conjugates will be stered intraperitoneal 3X
every 4, 7 or 10 days at a dose of 1-10 mg/kg. Control mice will be treated with PBS or an
vant monoclonal antibody conjugated with the same toxophore, Tumor size will be
measured twice weekly with a sliding caliper. Anti-tumor efficacy will be evaluated by
comparing tumor size of anti FGFR2 antibody drug conjugate treatment versus control
treatment.
EXAMPLE 16: Generation of matured variants of ed antibodies with improved
affinities
Anti FGFR2 antibodies of this invention discovered by phage display as depicted in
Table 9 were further optimized by affinity maturation.
Table 9: Sequences of antibodies discovered by phage display
a) a)
O O O O O O O z: 05 0‘5 05
z_ zN 2m 2 ZN z 23:) 23 2;) 22
mm mm mm a; om m2 me me m3 m8
LL]: mm mm LUL) LuA mg m m> LUH-t Lug
Antibody U1 U) (/2 mg m m m> (11 (11> (11>
M017—B02 7 8 9 10 l 2 3 4
M021 —HO2 17 18 19 2O 11 12 13 __ 4;.
27 28 [\J \O 30 21
37 38 34
=. M054A05 56 57 60---
_ 99 _
Antibody affinity maturation is a two-step process where tion mutagenesis and
well-based high throughput screening are combined to fy a small number of mutations
resulting in affinity increases. In the first round of affinity maturation positional
diversification of ype antibody was introduced by site-directed mutagenesis using
NNK-trinucleotide cassettes (whereby N ents a 25% mix each of adenine, thymine,
guanine, and cytosine nucleotides and K represents a 50% mix each of thymine and guanine
nucleotides) according to BMC Biotechnology 7: 65, 2007. This way, all 20 amino acids
are introduced at an individual amino acid position. This positional ization is
cted to the six complementarity determining regions (CDRs). In the second round of
affinity maturation beneficial substitutions were recombined and screened for further
improvements. Examples of such variants are ed in Table 10.
Table 10: Sequences of variant antibodies derived from M048—D01 and M047-D08,
respectively
‘3 <5 c5 :5 6 <5 <5 5 .5 C5 .9 C5 .5 C5 ,5
E ZEZEZQZEZQZQZL; 22 25-2 22
,5 Antibody 959395999929 95 BE 95 SE
a: or: 0:: on 05 0/3 03 on 0/4 0/15 0;)
> LU m m m m m m > m > m E m ,4
DO U) m U) m U) U) U) m U)
TPP-1403 75 76 77 78 79 80 73 74 71 72
1131341397 85 86 87 88 89 90 83 84 81 82
g TPP-1398 95 96 97 98 99 100 93 94 91 92
g! TPP-1399 105 106 107 108 109 110 103 104 101 102
E TPP—1400 115 116 117 118 119 120 113 114 111 112
01 125 126 127 128 129 130 123 124 121 122
TPP-1402 135 136 137 138 139 140 133 134 131 132
TPP-1415 145 146 147 148 149 150 143 144 141 142
TPP-l406 155 156 157 158 159 160 154 151 152
TPP~1407 165 166 167 168 169 170 164 161 162
E, TPP—1408 175 176 178 179 180 174 171 172
a; TPP-1409 185 186 188 189 190 184 181 182
TPP—1410 195 196 198 199 200 194 191 192
TPP-141] 205 206 207 208 209 210 204 201 202
TPP-1412 215 216 217 218 219 220 214 211 212
— 100 —
Two different types of ELISA were used to determine the binding improvement of mutated
variants:
a) e Binding ELISA: a synthetic peptide comprising the amino acid sequence of the
epitope linked C-terminally to a biotinylated lysine VEDTTLEPEG-Ttds-
Lys(Biotin) (peptide sequence derived from SEQ ID N0263, synthesized by JPT Peptide
logy GmbH, Berlin, Germany), and
b) Recombinant Protein Binding ELISA: recombinant human FGFR2 (DNA sequence of
human FGFR2 ( NP7000132.3 ) Met 1 - Glu 377, fused with a polyhistidine tag at the C—
terminus; # 10824-IIO8H, Sino Biological Inc., Beijing, China).
Briefly, in both ELISA s MTP plates (3 84well Maxisorp, Nunc) were coated
with 20 pl, anti-human IgG Fc specific (# I2136; sigma) at 2.2 11le for 2.5 h at 37°C in
coating buffer (# 121125 Candor ence GmbH). After one washing step using 50 ul
PBST (phosphat buffered saline, 137 mM NaCl, 2.7 mM KCl, 10 mM NagHPO4, 2 mM
KHgPO4, pH 7.4, 0.05 % Tween20), plates were blocked with 50 pl of 10 % Smart Block (#
1 13500, Candor Bioscience GmbH) for 1h at 20 — 22 °C and the washing step was repeated
3 times. Anti-FGFRZ variants were immobilized in concentrations of 0.035 ug/ml de
based assay) or 0.2 ug/ml (recombinant human FGFR2 protein based assay) in 10 % Smart
Block in PBST depending on the format and ts to be analyzed by incubation of 20 ul
for one hour at 20 - 22 0C. After one washing step using 50 ul PBST, 20 ul quadruplets of
the antigen dilution series in 10 % SmartBlock in PBST with a maximum concentration of
100 nM were added and incubated for 111 at 20 - 22 OC and the washing step was ed 3
times. For the detection of the biotinylated epitope e 20 pl of streptavidine / POD
conjugate (# $5512, Sigma) in a 1:1000 dilution in 10 % SmartBlock in PBST were applied
for one hour at 20 - 22 0C. For the ion of the recombinant FGFR2 protein 20 ul of
anti-His / HRP conjugate (# 71840, novagen) in a 1210000 dilution in 10 % SmartBlock in
PBST were applied for one hour at 20 ~ 22 0C. After 3 washing steps 20 ul of 10 uM
amplex red substrate (# A12222, Invitrogen) in 50 mM Sodium hydrogen phosphate, pH
7.6, were added and the fluorescence signal was detected using a common fluorescence
reader, e.g. Tecan M1000. ECSO values were evaluated by fitting the data (Sigmoidal dose-
response, variable slope, bottom set to background; GraphPad Prism software).
Provided in Table 10 are l es of variants with amino acid substitutions
generated in the heavy and light chains of M048-D01 (TPP-1403). All variants showed
strong improvement in antigen binding evaluated in two ELISA formats with different
forms of antigen compared to the non CDR changed variant (Table 11).
Provided in Table 10 are several examples of variants with amino acid substitutions
ted in the heavy and light chains of M047-D08 (TPP-1415). All variants showed
significant improvement in antigen binding compared to the non CDR changed variant
(Table 11).
The ences between both formats regarding the numeric results, ECSO and the
factor of improvement, were unexpected but can be likely explained by the use of antigen in
peptide or protein form and differences in the formation of the finally detected enzyme
conjugate on top of the ELISA sandwich: The K13 of the anti-His—HRP ate and the
His-tagged FGFR2 is not known, however it is very likely, that it is magnitudes of orders
higher than the KD of biotin and streptavidin (IO-15 M) utilized in the detection of the
epitope e. Consequently the sensitivity for the bound e is significant higher
than the sensitivity for the His-tagged protein g to the potential of determining
smaller ECSO. In addition or alternatively the ences may be caused by ions in
the interaction of the anti-FGFRZ antibody with both antigens despite their identical
sequence over a h of 15 amino acids; firstly the chemistry of the C-terminal following
part Ofthe molecules is very different, secondly the 15 amino acids might take a 3D
conformation not identical to the corresponding region in the FGFRZ protein. Both
explanations could refer to the differences between the peptide and protein based ELISA
showing smaller ECSO values in the peptide ELISA format.
The data sets in Table 11 y indicate that M048-D01 (TPP-1403) binds FGFR2
at its N—tenninal sequence as represented in the epitope e, and that several variants
2012/073325
— 102 —
with amino acid substitutions in the CDRs surprisingly do the same even with higher
y. Notably, the substitution N102I is present in five of the six other variants of TPP—
1403 accompanied by several other substitutions in CDR-L] -H2 and/or -H3, but
, -L2, -L3,
not in TPP-l399 showing surprisingly a lysine (K) at position HC-102.
The data sets in Table 11 indicate that M047-D08 (TPP-1415) binds FGFR2 at its
N—terminal sequence as represented in the epitope peptide, and that l variants with
amino acid substitutions in the CDRs surprisingly do the same even with higher affinity.
Variants of M047-D08 (TPP-1415) with multiple amino acid substitutions showed
approximately four- to forty-fold improved binding, TPP-1409 least (2.1 nM) and TPP-
1406 (0.22 nM) most. y three of them have a G102L (TPP-1406, —1407 and -1412)
and one a G102V 408) substitution accompanied by several other substitutions in
, -L2, —L3, -H1 and/or H3
Table 11: Peptide binding ELISA results, n binding ELISA results and internalization
efficacy data of variant antibodies derived from M048-D01 and M047-D08, respectively
of Intemalization
Peptide Binding Protein Binding
Variant 6fficacy
fold ECSO fold ECSO fold
reduction reduction ement
TPP-l397
TPP-1398
M048—D01 TPP—l399
TPP-1400 0.009
TPP-1401 0.006 >l700
—==..>1500 022 24
III-TPP1406 022 09
TPP—1408
TPP-1409
TPP-1410
TPP—1411
In addition in Table 11 the improvements of internalization efficacy of ted
anti FGFRZ antibodies are summarized. The improvement factor is calculated based on
— 103 —
comparison of total granule intensity/cell achieved by internalization and degradation of
maturated antibodies to the corresponding value of the parental antibody. Equal findings are
achieved by comparison of granule count/cell resulting in the identical ranking of
dies. Experimental details are described in Example 12. Notably all matured variants
of M048-D01 (TPP-1403) showed an improved internalization efficacy (1.9 to 2.4 fold). In
case of M047-D08 (TPP-1415) variant TPP-1412 showed a 1.5 fold improved
internalization efficacy. Internalization is an important feature of the antibodies of this
ion.
With the variants provided for M047-D08 and M048-D01 it could clearly be
trated that variants of these antibodies can have similar or improved properties if the
e is maintained.
EXAMPLE 17: Determination of competition with other GFRZ antibodies
To analyze the competition between anti-FGFR2 antibodies ing to the
invention and anti-FGFR2 antibodies described in the art, different antibodies were
evaluated in a competitive ELISA format:
MTP plates ll Maxisorp, Nunc) were coated, with 20 ul of 2 itng anti-
human IgG (Fc specific (# 12136; sigma) in coating buffer (# 121125 Candor Bioscience
GmbH) at 4°C over night. After one washing step using 50 ul PB ST (phosphat buffered
saline, 137 mM NaCl, 2.7 mM KCl, 10 mM Na2HPO4, 2 mM KH2PO4, pH 7.4, 0.05 %
Tween20), plates were d with 50 ul of 100 % Smart Block (# 113500, Candor
Bioscience GmbH) for 111 at 20 - 22 OC and the washing step was repeated 3 times. M048—
DOl-hIgGl was immobilized in a trations of 1 ptle in 10 % Smart Block in PBST
by incubation of 20 ul for one hour at 20 - 22 OC (indicated in Table 12; row 2 with M048-
gGl capture yes); control wells without M048-D01—hIgG1 were incubated with 10
% Smart Block in PBST only (indicated in Table 12; row 2 with M048-D01-hIgGl capture
no). The immobilization step was followed by three washing steps using 50 ul PBST. 20 ul
quadruplets of the pre-incubated (1h at 20 - 22 0C) antigen / antibody mix composed by
— 104 —
recombinant human FGFRZ, 10 nM (#10824-H08H, SinoBiological) and anti—FGFR2 IgG
in a 5-fold dilution series (1000 to 0.064 nM) in 10% lock in PBST were added and
incubated for 1h at 20 - 22 OC, followed by three washing steps.
For the detection of the recombinant human FGFR2 20 ul of is / HRP
conjugate (# 71840, novagen) in a 1210000 on in 10 % SmartBlock in PBST were
applied for one hour at 20 - 22 0C. After 3 washing steps 20 ul of 10 uM amplex red
substrate 22, Invitrogen) in 50 mM Sodium hydrogen phosphate, pH 7.6, were
added and the fluorescence signal was detected using a common fluorescence reader, e. g.
Tecan M1000.
Three different FGFR2 binding antibodies called Z] GAL-FR22 and
GAL-FR23 (described in W02010/054265 and Zhao et a1. (Clin Cancer Res. 2010,1625750-
5758)) have been described to bind to different domain epitopes. For evaluation of
ence with these antibodies competition assays were performed.
Due to the different es of the analyzed dies the competition ELISA
format has to ensure an equally and, directly comparable detection of the ition
situation without superposition of additional effects due to use of different detection
antibodies or different affinities of a single detection dy to the different IgG-isotypes.
The ELISA format described above fulfills this criterion by detection of the FGFR2 antigen
via its His-tag instead of the detection of bound mouse or human IgGl or IgG2a. The
immobilization of M048-D01-hIgG1 is specific with respect to its human Fc portion,
otherwise significant amounts of FGFR2 would have been detected in ELISA plate wells
coated with uman IgG (Fc specific), but not ed with M048-D01-hIgG1; a
potential binding of mouse anti-FGFRZ-IgG to anti-human IgG (Fc specific) and
subsequent binding of FGFR2 was not detected (Table 12, columns 8 - 11). Additionally,
no significant unspecific binding of FGFR2 to the immobilized anti-human IgG (Fc
specific) was observed (column 2). The “self-competition” of M048-D01-hIgG1 worked
very clearly (column 6), and the same is true for M048-D01-mIgG2a, (column 7). The
observation, that neither GAL-FRZl, -FR22 nor -FR23 showed dose dependent reduction in
detectable FGFR2 (column 3 i 5) as M048-D01-hIgG1 and M048-D01-mIgG2a did, with an
WO 76186
— 105 —
>50 % decreased signal at 1.25 and 0.63 nM and higher concentrations of competing
antibody, respectively, demonstrates the differences between M048-D01 and the three GAL
antibodies. In contrast, after pre-incubation the monomeric FGFR2 (10 nM) with GAL—
FR22 and GAL-FR23, but not with GAL-FR21, the amount of detectable FGFR2 appeared
to be significantly increased. Since the GAL antibodies are neither fused to a His—Tag,
checked by Western analysis, nor captured by the anti-human IgG (Fc specific), the most
likely explanation is, that monomeric FGFRZ can be dimerized by the pre—incubation with
antibodies leading to an avidity effect in the subsequent binding of FGFR2 to the
lized 01-hIgG]. The situation of immobilized M048-D01-hIgG] bound
directly to FGFRZ and ed by this indirectly to the dimerizing antibodies GAL-FR22
and GAL-FR23 would further rate, that M048—D01-hIgG1 binds to a te
different FGFR2 e than the GAL antibodies, otherwise a simultaneous binding event
could not occur. Notably, GAL—FRZI did not increase the amount of detectable FGFRZ.
This difference can be plausibly interpreted by taking the more particular description of the
GAL antibodies as described in WO2010/054265 into account: Gal-FR22 binds to an
epitope in IIa, and GAL-FR23 binds to one all or partly located in D1; both regions
represented in the used recombinant human FGFRZ-IIIc molecule. But for GAL-FRZI the
epitope is described to be d in D3—Hlb, a sequence stretch not represented in this
FGFRZ-ch m; consequently GAL-FR21 is not able to bind the antigen and mediate
an avidity effect. As shown, in none of the assays competition between M048-D01-hIgG1
and one of the GAL antibodies was observed.
- 106 —
Table 12: Antibody Competition ELISA. The e signals are given in relative to the
corresponding value for 10 nM FGFR2 determined in the calibration series (column 1)
column 1 2 3 4 5 6 7 8 9 10 ll
M048—
DOl-hIgGl
capture yes no yes yes yes yes yes no no no no
E a. s e. g E c, g , e. s 8
RD E m m a: . - m . N
3:3, is g_
a: a: n:
L: e L: L: L: L? : : :
148% 3% 1000 77% 198% 219% 3% 3% 3% 3% 3% 5%
1 0 100% 2% 200 77% 250% 265% 4% 3% 2% 2% 2% 3%
51% 2% 40 77% 284% 297% 20% 5% 1% 2% 2% 3%
2. 5 23% 2% 8 87% 287% 294% 30% 10% 2% 2% 2% 3%
I . 25 12% 2% I i 6 91% 248% 222% 44% 18% 2% 2% 2% 3%
0.63 6% 2% 0.32 81% 167% 151% 63% 34% 1% 2% 1% 3%
0.31 18% 2% 0.06 76% 92% 106% 81% 60% 2% 2% 2% 3%
0.16 4% 3% 0 79% 84% 93% 93% 82% 3% 3% 3% 5%
The results of ition experiments, as described above, are supported by the
observation, that all three GAL antibodies including GAL-FR23 (epitope all or partly
located in D1) show no g to the synthetic peptide of the extracellular N-terminal
epitope of FGFR2 (SEQ ID N0263) comprising the amino acid sequence of the epitope C-
terminally linked to a biotinylated lysine SLVEDTTLEPEI5G-Ttds-Lys(Biotin))
even in the highest concentration in the IgG titration series applied (600 nM), whereas the
strong binding of M048-D01-hlgGl (detected, by anti-human IgG (Fc specific) POD
conjugate; # A5175, sigma) and M048-D01-mIgG2a, resulted in EC50 in the range $1 nM
(detailed data not shown). For the detection of mouse antibodies ouse IgG (Fc
ic) POD conjugate (# 71515, jakson) was used, checked positively for its ability
to detect GAL-FR21, -FR22, -FR23 and M048-D01-mIgG2a bound to FGFR2-Mb alpha.
Claims (32)
1. An isolated antibody or antigen-binding fragment thereof specifically g to the extracellular N-terminal epitope (1RPSFSLVEDTTLEPE15) of FGFR2 as presented by SEQ ID NO:63.
2. An isolated antibody or n-binding fragment thereof according to claim 1 wherein binding of the dy to the extracellular N-terminal epitope (SEQ ID NO:63) is mediated by at least one epitope residue selected from the group of residues consisting of Arg 1, Pro 2, Phe 4, Ser 5, Leu 6, and Glu 8.
3. An isolated antibody or n-binding fragment thereof according to any one of claims 1 - 2 wherein the antibody or antigen-binding nt thereof loses more than 50% of its ELISA signal by changing of at least one of the amino acid residues in the N-terminal e (1RPSFSLVEDTTLEPE15) of FGFR2 into an Alanine a. said residue selected from the group Pro 2, Leu 6 and Glu 8, or b. said residue selected from the group Arg 1, Pro 2, Phe 4 and Ser 5.
4. The antibody or antigen-binding fragment according to any one of claims 1 to 3, wherein the antibody or antigen-binding fragment competes in binding to FGFR2 with at least one antibody selected from the group “M048-D01” comprising a variable heavy chain region corresponding to SEQ ID NO: 31 and a variable light chain region ponding SEQ ID NO: 32, “M047- D08” comprising a variable heavy chain region corresponding SEQ ID NO: 21 and a variable light chain region corresponding SEQ ID NO: 22, “M017-B02” comprising a variable heavy chain region corresponding to SEQ ID NO: 1 and a variable light chain region corresponding to SEQ ID NO: 2, “M021-H02” comprising a variable heavy chain region corresponding SEQ ID NO: 11 and a le light chain region corresponding to SEQ ID NO: 12, “M054-A05” sing a variable heavy chain region corresponding to SEQ ID NO: 51 and a variable light chain region corresponding to SEQ ID NO: 52, “M054-D03” comprising a variable heavy chain region corresponding to SEQ ID NO: 41 and a variable light chain region ponding to SEQ ID NO: 42, “TPP-1397” comprising a variable heavy chain region corresponding to SEQ ID NO: 83 and a variable light chain region corresponding to SEQ ID NO: 84,, “TPP-1398” comprising a variable heavy chain region corresponding to SEQ ID NO: 93 and a variable light chain region ponding to SEQ ID NO: 94, “TPP-1399” comprising a variable heavy chain region corresponding to SEQ ID NO: 103 and a variable light chain region corresponding to SEQ ID NO: 104, “TPP-1400” comprising a variable heavy chain region corresponding to SEQ ID NO: 113 and a variable light chain region corresponding to SEQ ID NO: 114, “TPP-1401” sing a variable heavy chain region ponding to SEQ ID NO: 123 and a variable light chain region ponding to SEQ ID NO: 124, “TPP-1402” comprising a variable heavy chain region corresponding to SEQ ID NO: 133 and a variable light chain region corresponding to SEQ ID NO: 134, “TPP-1403” comprising a variable heavy chain region corresponding to SEQ ID NO: 73 and a variable light chain region corresponding to SEQ ID NO: 74, “TPP- 1406” comprising a variable heavy chain region corresponding to SEQ ID NO: 153 and a variable light chain region corresponding to SEQ ID NO: 154, “TPP-1407” comprising a variable heavy chain region corresponding to SEQ ID NO: 163 and a variable light chain region corresponding to SEQ ID NO: 164, 408” comprising a variable heavy chain region corresponding to SEQ ID NO: 173 and a variable light chain region corresponding to SEQ ID NO: 174, “TPP-1409” sing a variable heavy chain region corresponding to SEQ ID NO: 183 and a variable light chain region corresponding to SEQ ID NO: 184, “TPP-1410” comprising a variable heavy chain region corresponding to SEQ ID NO: 193 and a variable light chain region corresponding to SEQ ID NO: 194, 411” comprising a variable heavy chain region corresponding to SEQ ID NO: 203 and a variable light chain region corresponding to SEQ ID NO: 204, 412” comprising a variable heavy chain region corresponding to SEQ ID NO: 213 and a variable light chain region corresponding to SEQ ID NO: 214, and “TPP-1415” comprising a variable heavy chain region corresponding to SEQ ID NO: 143 and a variable light chain region corresponding to SEQ ID NO: 144, as depicted in tables 9 and 10, respectively.
5. The antibody or antigen-binding fragment ing to claim 1 to 4 comprising a. the variable heavy chain CDR ces as presented by SEQ ID NO: 5-7 and the le light chain CDR sequences presented by SEQ ID NO: 8-10, or b. the variable heavy chain CDR sequences as presented by SEQ ID NO: 15-17 and the le light chain CDR sequences presented by SEQ ID NO: 18-20, or c. the variable heavy chain CDR sequences as presented by SEQ ID NO: 25-27 and the variable light chain CDR sequences presented by SEQ ID NO: 28-30, or d. the variable heavy chain CDR sequences as presented by SEQ ID NO: 35-37 and the variable light chain CDR sequences presented by SEQ ID NO: 38-40, or e. the variable heavy chain CDR sequences as presented by SEQ ID NO: 45-47 and the variable light chain CDR sequences presented by SEQ ID NO: 48-50, or f. the variable heavy chain CDR sequences as presented by SEQ ID NO: 55-57 and the variable light chain CDR sequences presented by SEQ ID NO: 58-60, or g. the variable heavy chain CDR sequences as presented by SEQ ID NO: 75-77 and the le light chain CDR sequences presented by SEQ ID NO: 78-80, or h. the variable heavy chain CDR sequences as presented by SEQ ID NO: 85-87 and the variable light chain CDR sequences presented by SEQ ID NO: 88-90, or i. the variable heavy chain CDR ces as presented by SEQ ID NO: 95-97 and the variable light chain CDR ces presented by SEQ ID NO: 98-100, or j. the variable heavy chain CDR sequences as presented by SEQ ID NO: 105-107 and the variable light chain CDR sequences presented by SEQ ID NO: 108-110, or k. the variable heavy chain CDR sequences as presented by SEQ ID NO: 115-117 and the variable light chain CDR sequences presented by SEQ ID NO: 118-120, or l. the variable heavy chain CDR sequences as presented by SEQ ID NO: 125-127 and the variable light chain CDR sequences presented by SEQ ID NO: 128-130, or m. the variable heavy chain CDR sequences as presented by SEQ ID NO: 135-137 and the variable light chain CDR ces presented by SEQ ID NO: 138-140, or n. the variable heavy chain CDR sequences as presented by SEQ ID NO: 145-147 and the le light chain CDR sequences presented by SEQ ID NO: 148-150, or o. the variable heavy chain CDR sequences as ted by SEQ ID NO: 155-157 and the le light chain CDR sequences presented by SEQ ID NO: 158-160, or p. the le heavy chain CDR sequences as presented by SEQ ID NO: 165-167 and the variable light chain CDR sequences presented by SEQ ID NO: 168-170, or q. the variable heavy chain CDR sequences as presented by SEQ ID NO: 175-177 and the variable light chain CDR sequences presented by SEQ ID NO: 178-180, or r. the variable heavy chain CDR sequences as ted by SEQ ID NO: 185-187 and the variable light chain CDR sequences presented by SEQ ID NO: 188-190, or s. the variable heavy chain CDR sequences as presented by SEQ ID NO: 195-197 and the variable light chain CDR sequences presented by SEQ ID NO: 198-200, or t. the variable heavy chain CDR sequences as presented by SEQ ID NO: 205-207 and the variable light chain CDR sequences presented by SEQ ID NO: 208-210, or u. the variable heavy chain CDR sequences as presented by SEQ ID NO: 215-217 and the variable light chain CDR sequences presented by SEQ ID NO: 218-220.
6. The antibody or antigen-binding fragment according to claims 1 - 5 comprising a. a variable heavy chain ce as ted by SEQ ID NO:1 and a variable light chain sequences as ted by SEQ ID NO:2, or b. a variable heavy chain sequence as presented by SEQ ID NO:11 and a variable light chain sequences as presented by SEQ ID NO:12, or c. a variable heavy chain sequence as presented by SEQ ID NO:21 and a variable light chain sequences as presented by SEQ ID NO:22, or d. a variable heavy chain ce as presented by SEQ ID NO:31 and a variable light chain sequences as presented by SEQ ID NO:32, or e. a le heavy chain sequence as presented by SEQ ID NO:41 and a variable light chain sequences as ted by SEQ ID NO:42, or f. a variable heavy chain sequence as presented by SEQ ID NO:51 and a variable light chain sequences as presented by SEQ ID NO:52, or g. a le heavy chain sequence as presented by SEQ ID NO:73 and a variable light chain sequences as presented by SEQ ID NO:74, or h. a variable heavy chain sequence as presented by SEQ ID NO:83 and a variable light chain sequences as presented by SEQ ID NO:84, or i. a variable heavy chain sequence as presented by SEQ ID NO:93 and a variable light chain ces as presented by SEQ ID NO:94, or j. a variable heavy chain sequence as presented by SEQ ID NO:103 and a variable light chain sequences as presented by SEQ ID NO:104, or k. a variable heavy chain sequence as presented by SEQ ID NO:113 and a variable light chain sequences as presented by SEQ ID NO:114, or l. a variable heavy chain sequence as presented by SEQ ID NO:123 and a variable light chain sequences as presented by SEQ ID NO:124, or m. a variable heavy chain sequence as presented by SEQ ID NO:133 and a variable light chain sequences as presented by SEQ ID NO:134, or n. a variable heavy chain sequence as presented by SEQ ID NO:143 and a variable light chain sequences as presented by SEQ ID NO:144, or o. a variable heavy chain sequence as presented by SEQ ID NO:153 and a variable light chain sequences as presented by SEQ ID NO:154, or p. a variable heavy chain sequence as presented by SEQ ID NO:163 and a le light chain ces as presented by SEQ ID NO:164, or q. a variable heavy chain sequence as ted by SEQ ID NO:173 and a variable light chain sequences as presented by SEQ ID NO:174, or r. a variable heavy chain sequence as presented by SEQ ID NO:183 and a variable light chain sequences as presented by SEQ ID NO:184, or s. a le heavy chain sequence as presented by SEQ ID NO:193 and a variable light chain sequences as ted by SEQ ID NO:194, or t. a variable heavy chain ce as presented by SEQ ID NO:203 and a variable light chain sequences as presented by SEQ ID NO:204, or u. a variable heavy chain ce as presented by SEQ ID NO:213 and a le light chain sequences as presented by SEQ ID NO:214.
7. The antibody according to any one of the preceding claims, which is an IgG antibody.
8. The n-binding fragment according to any one of the preceding claims, which is an scFv, Fab, Fab’ fragment or a 2 fragment.
9. The antibody or antigen-binding nt according to any one of the preceding , which is a monoclonal antibody or antigen-binding fragment.
10. The antibody or antigen-binding fragment according to any one of the preceding claims, which is human, humanized or chimeric antibody or antigen-binding fragment.
11. An antibody-drug conjugate, comprising an antibody or antigen binding fragment thereof according to any one of claims 1 to 10.
12. An isolated nucleic acid sequence that encodes the antibody or antigen-binding fragment according to any one of claims 1 to 10.
13. A vector comprising a nucleic acid sequence according to claim 12.
14. An isolated cell expressing an antibody or antigen-binding fragment according to any one of the claims 1 to 10 and /or comprising a nucleic acid according to claim 12 or a vector according to claim 13.
15. An isolated cell according to claim 14, wherein said cell is a prokaryotic or an eukaryotic cell.
16. A method of producing an antibody or antigen-binding nt according to any one of the claims 1 – 10 comprising culturing of a cell according to claim 14 and purification of the antibody or antigen-binding fragment.
17. An antibody or n-binding fragment according to claims 1 – 10 or an antibody-drug conjugate according to claim 11 as a medicament.
18. An antibody or antigen antigen-binding nt according to any one of claims 1 – 10 as a diagnostic agent.
19. A pharmaceutical composition comprising an antibody or antigen-binding fragment according to claims 1 – 10 or an antibody-drug conjugate according to claim 11.
20. A combination of a pharmaceutical composition ing to claim 19 and one or more therapeutically active compounds.
21. The use of an antibody or antigen-binding nt according to any one of claims 1-10, an antibody-drug ate according to claim 11, a pharmaceutical composition according to claim 19 or a combination according to claim 20, in the manufacture of a medicament for treating a disorder or condition associated with the undesired presence of FGFR2.
22. The use of an antibody or antigen-binding fragment according to any one of claims 1 – 10, an antibody-drug ate according to claim 11, a pharmaceutical composition according to claim 19 or a combination ing to claim 20, in the manufacture of a medicament for the treatment of cancer.
23. An antibody or antigen-binding fragment according to claim 1, substantially as herein described or ified.
24. An antibody-drug conjugate according to claim 11, substantially as herein described or exemplified.
25. A nucleic acid sequence according to claim 12, ntially as herein described or exemplified.
26. A vector according to claim 13, substantially as herein described or exemplified.
27. An isolated cell according to claim 14, substantially as herein described or exemplified.
28. A method according to claim 16, substantially as herein described or exemplified.
29. A pharmaceutical composition according to claim 19, substantially as herein described or exemplified.
30. A combination according to claim 20, ntially as herein described or exemplified.
31. A use according to claim 21, ntially as herein described or exemplified.
32. A use according to claim 22, substantially as herein described or exemplified.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP11190227.6 | 2011-11-23 | ||
EP11190227 | 2011-11-23 | ||
PCT/EP2012/073325 WO2013076186A1 (en) | 2011-11-23 | 2012-11-22 | Anti-fgfr2 antibodies and uses thereof |
Publications (2)
Publication Number | Publication Date |
---|---|
NZ624534A NZ624534A (en) | 2016-06-24 |
NZ624534B2 true NZ624534B2 (en) | 2016-09-27 |
Family
ID=
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US20140322220A1 (en) | Anti-FGFR2 Antibodies and Uses Thereof | |
US11866495B2 (en) | Anti-CEACAM6 antibodies and uses thereof | |
JP6240696B2 (en) | Anti-C4.4a antibody and use thereof | |
US20160237160A1 (en) | Anti-tweakr antibodies and uses thereof | |
TW201609810A (en) | Aglycosyl anti-TWEAKR antibodies and uses thereof | |
NZ624534B2 (en) | Anti-fgfr2 antibodies and uses thereof | |
TW201335185A (en) | Anti-FGFR2 antibodies and uses thereof |