NZ716914A - Bi-specific monovalent diabodies that are capable of binding cd123 and cd3, and uses therof - Google Patents
Bi-specific monovalent diabodies that are capable of binding cd123 and cd3, and uses therof Download PDFInfo
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Abstract
The present invention is directed to sequence-optimized CD 123 x CD3 bi-specific monovalent diabodies that are capable of simultaneous binding to CD 123 and CD3, and to the uses of such diabodies in the treatment of hematologic malignancies.
Description
(12) Accepted (19) NZ (11) 716914 (13) A2
patent specificaon
Title of the Invention:
Bi-Specific Monovalent Diabodies That Are Capable
Of Binding CD123 And CD3, And Uses Thereof
Cross-Reference to Related ations
This Application claims priority to United States Patent Applications No.
61/869,510 (filed on August 23, 2013; pending), 61/907,749 (filed on November 22,
2013; pending), and 61/990,475 (filed on May 8, 2014; pending), and European
Patent ation No. 13198784 (filed on December 20, 2013), each of which
ations is herein incorporated by reference in its entirety.
Reference to Sequence Listing:
This application includes one or more Sequence Listings pursuant to 37
C.F.R. 1.821 et seq., which are disclosed in both paper and computer-readable media,
and which paper and computer-readable disclosures are herein incorporated by
reference in their entirety.
Background of the Invention:
Field of the ion:
The present invention is ed to CD123 X CD3 bi-specific monovalent
diabodies that are capable of aneous binding to CD123 and CD3, and to the
uses of such molecules in the treatment of logic malignancies.
Description of Related Art:
I. CD123
CD123 leukin 3 receptor alpha, IL-3Ra) is a 40 kDa molecule and is
part of the interleukin 3 receptor complex (Stomski, F.C. et al. (1996) “Human
Interleukin-3 (IL-3) Induces Disulfide-Linked IL-3 Receptor Alpha- And Beta-Chain
Heterodimerization, Which Is Required For Receptor Activation But Not High-Afinity
Binding,” M01. Cell. Biol. 16(6):3035-3046). Interleukin 3 (IL-3) drives early
differentiation of multipotent stem cells into cells of the erythroid, myeloid and
lymphoid progenitors. CD123 is sed on CD34+ committed progenitors
(Taussig, D.C. et al. (2005) “Hematopoietic Stem Cells Express Multiple d
s.‘ Implications For The Origin And Targeted Therapy 0f Acute Myeloid
Leukemia,” Blood 106:4086-4092), but not by CD34+/CD38- normal poietic
stem cells. CD123 is expressed by basophils, mast cells, plasmacytoid dendritic cells,
some expression by monocytes, macrophages and eosinophils, and low or no
expression by neutrophils and megakaryocytes. Some non-hematopoietic tissues
(placenta, Leydig cells of the testis, certain brain cell elements and some endothelial
cells) express CD123; however expression is mostly cytoplasmic.
CD123 is reported to be expressed by leukemic blasts and leukemia stem
cells (LSC) (Jordan, C.T. et al. (2000) “The Interleukin-3 Receptor Alpha Chain Is A
Unique Marker For Human Acute Myelogenous Leukemia Stem Cells,” ia
14:1777-1784; Jin, W. et al. (2009) “Regulation 0f ThI7 Cell Difi’erentiation And
EAE Induction By MAP3K NIK,” Blood 113:6603-6610) (Figure 1). In human
normal sor populations, CD123 is expressed by a subset of hematopoietic
progenitor cells (HPC) but not by normal hematopoietic stem cells (HSC). CD123 is
also sed by plasmacytoid dendritic cells (pDC) and basophils, and, to a lesser
extent, monocytes and eosinophils (Lopez, A.F. et al. (1989) “Reciprocal Inhibition
ing Between Interleukin 3 And Granulocyte-Macrophage Colony-Stimulating
Factor To Human Eosinophils,” Proc. Natl. Acad. Sci. (USA) 86:7022-7026; Sun,
Q. et al. (1996) lonal Antibody 7G3 Recognizes The N-Terminal Domain Of
The Human Interleukin-3 (IL-3) Receptor Alpha Chain And Functions As A Specific
IL-3 or Antagonist,” Blood 87:83-92; Munoz, L. et al. (2001) “Interleukin-3
Receptor Alpha Chain (CD123) Is Widely Expressed In Hematologic ancies,”
Haematologica 86(12):1261-1269; Masten, B]. et al. (2006) “Characterization 0f
Myeloid And Plasmacytoid tic Cells In Human Lung,” J. Immunol. 177:7784-
7793; Korpelainen, E.I. et al. (1995) “Interferon-Gamma Upregulates Interleukin-3
(IL-3) Receptor Expression In Human Endothelial Cells And Synergizes With IL-3 In
Stimulating Major Histocompatibility Complex Class II Expression And Cytokine
Production,” Blood 86:176-182).
CD123 has been reported to be overexpressed on malignant cells in a wide
range of logic malignancies including acute myeloid leukemia (AML) and
ysplastic syndrome (MDS) (Munoz, L. et al. (2001) “Interleukin-3 Receptor
Alpha Chain (CD123) Is Widely sed In logic Malignancies,”
Haematologica 86(12):1261-1269). Overexpression of CD123 is associated with
poorer prognosis in AML (Tettamanti, M.S. et al. (2013) “Targeting 0f Acute
Myeloid Leukaemia By Cytokine-Induced Killer Cells Redirected With A Novel
CD123-Specific Chimeric Antigen Receptor,” Br. J. Haematol. 161 :389-401).
AML and MDS are thought to arise in and be perpetuated by a small
population of leukemic stem cells (LSCs), which are generally dormant (i.e., not
rapidly dividing cells) and therefore resist cell death (apoptosis) and conventional
chemotherapeutic agents. LSCs are characterized by high levels of CD123
expression, which is not present in the corresponding normal hematopoietic stem cell
population in normal human bone marrow (Jin, W. et al. (2009) “Regulation 0f Th] 7
Cell Difi’erentiation And EAE Induction By MAP3K NIK,” Blood 113:6603-6610;
Jordan, C.T. et al. (2000) “The Interleukin-3 or Alpha Chain Is A Unique
Marker For Human Acute Myelogenous Leukemia Stem Cells,” Leukemia 7-
1784). CD123 is expressed in 45%-95% of AML, 85% of Hairy cell leukemia
(HCL), and 40% of acute B lymphoblastic leukemia (B-ALL). CD123 expression is
also associated with multiple other malignancies/pre-malignancies: chronic myeloid
leukemia (CML) progenitor cells (including blast crisis CML); Hodgkin’s Reed
Stemberg (RS) cells; transformed non-Hodgkin’s lymphoma (NHL); some c
lymphocytic leukemia (CLL) (CD11c+); a subset of acute T lymphoblastic leukemia
(T-ALL) (16%, most re, mostly adult), plasmacytoid dendritic cell (pDC)
(DC2) malignancies and CD34+/CD38- myelodysplastic syndrome (MDS) marrow
cell malignancies.
AML is a clonal disease characterized by the proliferation and accumulation
of transformed myeloid itor cells in the bone marrow, which ultimately leads to
hematopoietic e. The nce of AML increases with age, and older patients
typically have worse treatment outcomes than do younger patients (Robak, T. et al.
(2009) nt And Emerging Therapies For Acute Myeloid Leukemia,” Clin. Ther.
2:2349-2370). unately, at present, most adults with AML die from their
disease.
Treatment for AML lly focuses in the induction of remission (induction
therapy). Once remission is achieved, treatment shifts to focus on securing such
remission (post-remission or consolidation therapy) and, in some instances,
maintenance therapy. The standard remission induction paradigm for AML is
chemotherapy with an anthracycline/cytarabine combination, followed by either
consolidation chemotherapy (usually with higher doses of the same drugs as were
used during the induction period) or human stem cell transplantation, depending on
the t's ability to te intensive treatment and the likelihood of cure with
chemotherapy alone (see, e.g., Roboz, G.J. (2012) nt Treatment Of Acute
Myeloid Leukemia,” Curr. Opin. Oncol. 24:711-719).
Agents frequently used in induction therapy include cytarabine and the
anthracyclines. Cytarabine, also known as AraC, kills cancer cells (and other rapidly
dividing normal cells) by interfering with DNA synthesis. Side effects ated
with AraC treatment include decreased resistance to infection, a result of decreased
white blood cell production; ng, as a result of decreased platelet tion; and
anemia, due to a potential reduction in red blood cells. Other side effects include
nausea and vomiting. Anthracyclines (e.g., daunorubicin, doxorubicin, and
idarubicin) have several modes of action including inhibition of DNA and RNA
synthesis, disruption of higher order structures of DNA, and production of cell
damaging free oxygen radicals. The most consequential e effect of
anthracyclines is cardiotoxicity, which considerably limits administered life-time dose
and to some extent their usefulness.
Thus, unfortunately, despite substantial ss in the treatment of newly
diagnosed AML, 20% to 40% of patients do not achieve remission with the standard
induction chemotherapy, and 50% to 70% of patients entering a first te
remission are expected to relapse within 3 years. The optimum strategy at the time of
e, or for patients with the resistant disease, remains uncertain. Stem cell
transplantation has been ished as the most effective form of anti-leukemic
therapy in patients with AML in first or subsequent remission (Roboz, G]. (2012)
“Current Treatment OfAcute Myeloid Leukemia,” Curr. Opin. Oncol. 24:711-719).
11. CD3
CD3 is a T cell co-receptor composed of four distinct chains
(Wucherpfennig, KW. et al. (2010) “Structural Biology Of The T-Cell Receptor:
Insights Into Receptor Assembly, Ligand Recognition, And Initiation 0f Signaling,”
Cold Spring Harb. Perspect. Biol. 2(4):a005140; pages 1-14). In mammals, the
complex contains a CD3}! chain, a CD38 chain, and two CD38 chains. These chains
associate with a molecule known as the T cell receptor (TCR) in order to te an
activation signal in T lymphocytes. In the absence of CD3, TCRs do not assemble
properly and are degraded (Thomas, S. et al. (2010) “Molecular Immunology Lessons
From Therapeutic T-Cell Receptor Gene Transfer,” Immunology l29(2):170—l77).
CD3 is found bound to the membranes of all mature T cells, and in virtually no other
cell type (see, Janeway, CA. et al. (2005) In: IMMUNOBIOLOGY: THE IMMUNE SYSTEM
IN HEALTH AND DISEASE,” 6th ed. Garland Science Publishing, NY, pp. 214- 216;
Sun, Z. J. et al. (2001) “Mechanisms Contributing To T Cell Receptor Signaling And
Assembly Revealed By The Solution Structure OfAn Ectodomain Fragment Of The
CD383)» Heterodimer,” Cell :913-923; Kuhns, M.S. et al. (2006)
“Deconstructing The Form And Function Of The TCR/CD3 Complex,” Immunity.
2006 Feb;24(2):l33-l39).
III. Bi-Specific Diabodies
The ability of an intact, unmodified antibody (e.g., an IgG) to bind an epitope
of an n s upon the presence of le s on the immunoglobulin
light and heavy chains (i.e., the VL and VH domains, respectively). The design of a
y is based on the single chain Fv uct (scFv) (see, e.g., Holliger et al.
(1993) “’Diabodies Small Bivalent And Bispecific Antibody Fragments,” Proc. Natl.
Acad. Sci. (USA) 90:6444-6448; US 2004/0058400 (Hollinger et al.); US
220388 (Mertens et al.); Alt et al. (1999) FEBS Lett. 454(1-2):90-94; Lu, D. et
al. (2005) “A Fully Human Recombinant IgG-Like Bispecific dy To Both The
Epidermal Growth Factor Receptor And The Insulin-Like Growth Factor or
For Enhanced Antitumor Activity,” J. Biol. Chem. 280(20):19665-19672; WO
02/02781 (Mertens et al.); Olafsen, T. et al. (2004) “Covalent Disulfide-Linked Anti-
CEA Diabody Allows Site-Specific Conjugation And Radiolabeling For Tumor
Targeting Applications,” n Eng. Des. Sel. 17(1):21-27; Wu, A. et al. (2001)
“Multimerization Of A Chimeric Anti-CD20 Single Chain Fv-Fv Fusion Protein Is
Mediated Through Variable Domain Exchange,” Protein ering 14(2):1025-
1033; Asano et al. (2004) “A Diabody For Cancer Immunotherapy And Its Functional
ement By Fusion Of Human Fc Domain,” Abstract 3P-683, J. Biochem.
992; Takemura, S. et al. (2000) “Construction Of A Diabody (Small
Recombinant Bispecific Antibody) Using A Refolding System,” Protein Eng.
13(8):.583-588; Baeuerle, P.A. et al. (2009) “Bispecific T-Cell Engaging Antibodies
For Cancer Therapy,” Cancer Res. :4941-4944).
Interaction of an dy light chain and an antibody heavy chain and, in
particular, interaction of its VL and VH domains forms one of the epitope binding
sites of the antibody. In contrast, the scFv construct comprises a VL and VH domain
of an dy contained in a single polypeptide chain wherein the domains are
separated by a flexible linker of sufficient length to allow self-assembly of the two
domains into a fianctional epitope binding site. Where self-assembly of the VL and
VH domains is rendered impossible due to a linker of insufficient length (less than
about 12 amino acid residues), two of the scFv constructs interact with one another
other to form a bivalent le in which the VL of one chain associates with the
VH of the other (reviewed in Marvin et al. (2005) “Recombinant Approaches To IgG-
Like Bispecific Antibodies, ” Acta Pharmacol. Sin. 26:649-658).
Natural dies are capable of binding to only one epitope species (i.e.,
mono-specific), although they can bind multiple copies of that s (i.e., exhibiting
bi-Valency or multi-valency). The art has noted the capability to produce diabodies
that differ from such natural antibodies in being e of binding two or more
different epitope species (i. e., exhibiting bi-specif1city or pecif1city in on
to bi-Valency or multi-valency) (see, e.g., Holliger et al. (1993) “’Diabodies’. Small
Bivalent And Bispecific Antibody Fragments,” Proc. Natl. Acad. Sci. (USA)
90:6444-6448; US 2004/0058400 (Hollinger et al.); US 2004/0220388 (Mertens et
al.); Alt et al. (1999) FEBS Lett. 454(1-2):90-94; Lu, D. et al. (2005) “A Fully Human
Recombinant IgG-Like Bispecific Antibody To Both The Epidermal Growth Factor
Receptor And The Insulin-Like Growth Factor Receptor For Enhanced Antitumor
Activity,” J. Biol. Chem. 280(20):19665-19672; WO 02/02781 (Mertens et al.);
Mertens, N. et al., “New Recombinant Bi- and Trispecific Antibody Derivatives,” In:
NOVEL FRONTIERS IN THE PRODUCTION OF COMPOUNDS FOR ICAL USE, A.
VanBroekhoven et al. (Eds.), Kluwer Academic Publishers, Dordrecht, The
Netherlands (2001), pages 195-208; Wu, A. et al. (2001) “Multimerization Of A
Chimeric Anti-CD20 Single Chain Fv-Fv Fusion Protein Is Mediated Through
Variable Domain Exchange,” Protein Engineering 14(2):1025-1033; Asano et al.
(2004) “A Diabody For Cancer therapy And Its onal Enhancement By
Fusion OfHuman Fc Domain,” Abstract 3P-683, J. m. 76(8):992; ra,
S. et al. (2000) ruction OfA Diabody (Small Recombinant Bispecific Antibody)
Using A Refolding System,” Protein Eng. 13(8):583-588; Baeuerle, P.A. et al. (2009)
“Bispecific T-Cell Engaging Antibodies For Cancer Therapy,” Cancer Res.
:4941-4944).
The provision of non-monospecific diabodies provides a significant
advantage: the ty to co-ligate and co-localize cells that express different
epitopes. Bi-specific diabodies thus have wide-ranging applications including therapy
and immunodiagnosis. cificity allows for great flexibility in the design and
engineering of the diabody in various ations, providing enhanced avidity to
multimeric antigens, the cross-linking of differing antigens, and directed targeting to
specific cell types relying on the presence of both target antigens. Due to their
increased valency, low iation rates and rapid clearance from the circulation (for
diabodies of small size, at or below ~50 kDa), diabody molecules known in the art
have also shown particular use in the field of tumor imaging (Fitzgerald et al. (1997)
“Improved Tumour Targeting By Disulphide Stabilized Diabodies Expressed In
Pichia pastoris, ” Protein Eng. 10:1221). Of particular importance is the co-ligating
of differing cells, for example, the cross-linking of cytotoxic T cells to tumor cells
(Staerz et al. (1985) “Hybrid Antibodies Can Target Sites For Attack By T Cells, ”
Nature 314:628-631, and Holliger et al. (1996) “Specific g OfLymphoma Cells
By Cytotoxic T-Cells Mediated By A Bispecific Diabody, ” Protein Eng. 9:299-305).
Diabody epitope binding domains may also be directed to a e
determinant of any immune effector cell such as CD3, CD16, CD32, or CD64, which
are expressed on T lymphocytes, natural killer (NK) cells or other mononuclear cells.
In many studies, diabody g to effector cell determinants, e. g., Fcy ors
(FcyR), was also found to activate the effector cell (Holliger et al. (1996) “Specific
g 0fLymphoma Cells By Cytotoxic T-Cells Mediated By A Bispecific Diabody, ”
Protein Eng. 9:299-305; Holliger et al. (1999) “Carcinoembryonic Antigen (CEA)-
c T-cell Activation In Colon Carcinoma Induced By Anti-CD3 x Anti-CEA
Bispecific Diabodies And B7 x Anti-CEA ific Fusion ns, ” Cancer Res.
59:2909-2916; WO 2006/113665; WO 2008/157379; WO 2010/080538; WO
2012/018687; ). Normally, effector cell activation is triggered by
the binding of an antigen bound antibody to an effector cell via Fc-FcyR interaction;
thus, in this regard, diabody molecules may exhibit e fianctionality independent
of whether they comprise an Fc Domain (e. g., as assayed in any effector function
assay known in the art or exemplified herein (e.g., ADCC assay)). By cross-linking
tumor and effector cells, the diabody not only brings the effector cell within the
proximity of the tumor cells but leads to effective tumor killing (see e. g., Cao et al.
(2003) “Bispecific Antibody Conjugates In Therapeutics,” Adv. Drug. DeliV. ReV.
55:171-197).
However, the above advantages come at a salient cost. The formation of
such non-monospecif1c diabodies requires the successful assembly of two or more
distinct and different polypeptides (i. e., such formation requires that the diabodies be
formed h the heterodimerization of different polypeptide chain species). This
fact is in contrast to mono-specific diabodies, which are formed through the
homodimerization of identical polypeptide . e at least two dissimilar
polypeptides (i.e., two polypeptide species) must be provided in order to form a nonmonospecific
diabody, and e homodimerization of such polypeptides leads to
inactive molecules (Takemura, S. et al. (2000) “Construction OfA Diabody (Small
Recombinant Bispecific Antibody) Using A Refolding System,” Protein Eng.
l3(8):583-588), the production of such polypeptides must be accomplished in such a
way as to t covalent bonding between polypeptides of the same s (i.e., so
as to t merization) (Takemura, S. et al. (2000) “Construction Of A
Diabody (Small Recombinant Bispecific Antibody) Using A Refolding System,”
Protein Eng. l3(8):583-588). The art has therefore taught the non-covalent
ation of such polypeptides (see, e.g., Olafsen et al. (2004) “Covalent de-
Linked Anti-CEA y Allows Site-Specific Conjugation And Radiolabeling For
Tumor Targeting Applications,” Prot. Engr. Des. Sel. 17:21-27; Asano et al. (2004)
“A Diabody For Cancer Immunotherapy And Its Functional ement By Fusion
OfHuman Fc Domain,” Abstract 3P-683, J. Biochem. 76(8):992; Takemura, S. et al.
(2000) “Construction OfA Diabody (Small Recombinant Bispecific Antibody) Using
A Refolding System,” Protein Eng. l3(8):583-588; Lu, D. et al. (2005) “A Fully
Human inant IgG-Like Bispecific Antibody To Both The Epidermal Growth
Factor Receptor And The Insulin-Like Growth Factor Receptor For Enhanced
Antitumor Activity,” J. Biol. Chem. 280(20): 19665-19672).
However, the art has recognized that bi-specific diabodies composed of non-
covalently associated polypeptides are unstable and readily dissociate into non-
functional monomers (see, e.g., Lu, D. et al. (2005) “A Fully Human Recombinant
IgG-Like Bispecific Antibody To Both The Epidermal Growth Factor Receptor And
The Insulin-Like Growth Factor or For Enhanced Antitumor ty,” J. Biol.
Chem. 280(20):l9665-l9672).
In the face of this challenge, the art has succeeded in developing stable,
covalently bonded heterodimeric non-monospecific diabodies (see, e.g., WO
2006/113665; WO/2008/157379; WO 2010/080538; WO 2012/018687;
WO/2012/162068; Johnson, S. et al. (2010) “Eflector Cell Recruitment With Novel
Fv-Based Dual-Afiinity geting Protein Leads To Potent Tumor Cytolysis And
In Vivo B—Cell Depletion,” J. Molec. Biol. 399(3):436-449; Veri, MC. et al. (2010)
peutic Control OfB Cell Activation Via Recruitment Ochgamma Receptor Hb
(CD323) tory on With A Novel Bispecific Antibody Scaflold,” tis
Rheum. 62(7):l933-l943; Moore, P.A. et al. (2011) cation Of Dual Afiinity
Retargeting Molecules To Achieve Optimal Redirected T-Cell Killing 0f B-Cell
Lymphoma,” Blood ll7(l7):4542-4551). Such approaches involve engineering one
or more cysteine residues into each of the employed polypeptide species. For
example, the addition of a cysteine residue to the C-terminus of such constructs has
been shown to allow disulfide bonding between the polypeptide chains, stabilizing the
resulting heterodimer without interfering with the binding characteristics of the
bivalent molecule.
Notwithstanding such success, the production of stable, fianctional
heterodimeric, non-monospecif1c diabodies can be r optimized by the careful
consideration and placement of cysteine residues in one or more of the employed
ptide chains. Such zed ies can be produced in higher yield and
with greater activity than non-optimized diabodies. The t invention is thus
directed to the problem of providing polypeptides that are particularly designed and
optimized to form dimeric diabodies. The ion solves this problem
through the provision of exemplary, optimized CD123 X CD3 diabodies.
Summary of the Invention:
The present invention is directed to CD123 X CD3 bi-specif1c diabodies that
are capable of simultaneous g to CD123 and CD3, and to the uses of such
molecules in the ent of disease, in particular hematologic malignancies.
The CD123 X CD3 bi-specific diabodies of the invention comprise at least
two different polypeptide chains that associate with one another in a heterodimeric
manner to form one binding site specific for an epitope of CD 123 and one binding site
specific for an epitope of CD3. A CD123 X CD3 y of the invention is thus
monovalent in that it is capable of binding to only one copy of an e of CD123
and to only one copy of an epitope of CD3, but bi-specif1c in that a single diabody is
able to bind simultaneously to the epitope of CD123 and to the epitope of CD3. The
individual polypeptide chains of the diabodies are ntly bonded to one r,
for example by disulfide bonding of cysteine residues located within each polypeptide
chain. In particular embodiments, the diabodies of the present invention fiarther have
an immunoglobulin Fc Domain or an Albumin-Binding Domain to extend half-life in
vivo .
In detail, the invention also provides a sequence-optimized CD123 X CD3 bi-
specific monovalent diabody capable of specific binding to an epitope of CD123 and
to an epitope of CD3, wherein the diabody comprises a first polypeptide chain and a
second polypeptide chain, covalently bonded to one another, wherein:
A. the first polypeptide chain comprises, in the inal to C-terminal direction:
i. a Domain 1, comprising:
(1) a sub-Domain (1A), which comprises a VL Domain of a
monoclonal antibody capable of binding to CD3 (VLCD3) (SEQ
ID NO:21); and
(2) a sub-Domain (1B), which ses a VH Domain of a
monoclonal antibody capable of binding to CD123 )
(SEQ ID NO:26);
wherein the sub-Domains 1A and 1B are separated from one another
by a peptide linker (SEQ ID NO:29);
ii. a Domain 2, wherein the Domain 2 is an E-coil Domain (SEQ ID
NO:34) or a K-coil Domain (SEQ ID NO:35), wherein the Domain 2
is separated from the Domain 1 by a peptide linker (SEQ ID NO:30);
the second polypeptide chain comprises, in the N-terminal to C-terminal
direction:
i. a Domain 1, comprising:
(1) a sub-Domain (1A), which comprises a VL Domain of a
monoclonal antibody capable of binding to CD123 )
(SEQ ID NO:25); and
(2) a sub-Domain (1B), which comprises a VH Domain of a
monoclonal antibody capable of binding to CD3 (VHCDg) (SEQ
ID NO:22);
wherein the sub-Domains 1A and 1B are separated from one another
by a e linker (SEQ ID NO:29);
ii. a Domain 2, wherein the Domain 2 is a K-coil Domain (SEQ ID
NO:35) or an E-coil Domain (SEQ ID , wherein the Domain 2
is separated from the Domain 1 by a peptide linker (SEQ ID NO:30);
and wherein the Domain 2 of the first and the second ptide
chains are not both E-coil Domains or both K-coil Domains;
-1]-
and wherein:
(a) said VL Domain of said first polypeptide chain and said VH Domain of said
second polypeptide chain form an Antigen Binding Domain capable of
specifically binding to an e of CD3; and
(b) said VL Domain of said second polypeptide chain and said VH Domain of
said first polypeptide chain form an Antigen Binding Domain capable of
specifically binding to an epitope of CD123.
The invention also provides a non-sequence-optimized CD123 X CD3 bi-
specific monovalent diabody capable of specific binding to an epitope of CD123 and
to an e of CD3, wherein the diabody comprises a first polypeptide chain and a
second polypeptide chain, covalently bonded to one another, wherein:
A. the first polypeptide chain comprises, in the N—terminal to inal
direction:
i. a Domain 1, comprising:
(1) a sub-Domain (1A), which comprises a VL Domain of a
monoclonal dy e of binding to CD3 (VLCD3) (SEQ
ID NO:23); and
(2) a sub-Domain (1B), which comprises a VH Domain of a
monoclonal antibody capable of binding to CD123 (VHCDm)
(SEQ ID NO:28);
wherein the sub-Domains 1A and 1B are separated from one r
by a peptide linker (SEQ ID NO:29);
ii. a Domain 2, wherein the Domain 2 is an E-coil Domain (SEQ ID
NO:34) or a K-coil Domain (SEQ ID NO:35), wherein the Domain 2
is separated from the Domain 1 by a peptide linker (SEQ ID NO:30);
B. the second polypeptide chain comprises, in the N-terminal to C-terminal
direction:
i. a Domain 1, comprising:
(1) a sub-Domain (1A), which comprises a VL Domain of a
onal antibody capable of binding to CD123 (VLCDm)
(SEQ ID NO:27); and
(2) a sub-Domain (1B), which comprises a VH Domain of a
monoclonal antibody capable of binding to CD3 (VHCDg) (SEQ
ID NO:24);
wherein the mains 1A and 1B are separated from one another
by a peptide linker (SEQ ID NO:29);
ii. a Domain 2, wherein the Domain 2 is a K-coil Domain (SEQ ID
NO:35) or an E-coil Domain (SEQ ID NO:34), wherein the Domain 2
is ted from the Domain 1 by a peptide linker (SEQ ID NO:30);
and wherein the Domain 2 of the first and the second polypeptide
chains are not both E-coil Domains or both K-coil Domains
and wherein:
(a) said VL Domain of said first polypeptide chain and said VH Domain of said
second polypeptide chain form an Antigen Binding Domain capable of
specifically binding to an epitope of CD3; and
(b) said VL Domain of said second polypeptide chain and said VH Domain of
said first polypeptide chain form an Antigen Binding Domain capable of
specifically binding to an epitope of CDl23.
The invention additionally provides the ment of the above-described
bi-specific monovalent diabodies, wherein the first or second polypeptide chain
additionally comprises an Albumin-Binding Domain (SEQ ID NO:36) linked, C-
ally to Domain 2 or N-terminally to Domain 1, via a peptide linker (SEQ ID
NO:31).
The invention additionally es the embodiment of the above-described
bi-specific monovalent ies wherein the first or second polypeptide chain
additionally comprises a Domain 3 comprising a CH2 and CH3 Domain of an
globulin IgG Fc Domain (SEQ ID NO:37), wherein the Domain 3 is linked,
N—terminally, to the Domain lA via a peptide linker (SEQ ID NO:33).
The ion additionally provides the embodiment of the above-described
bi-specific monovalent diabodies wherein the first or second polypeptide chain
additionally comprises a Domain 3 comprising a CH2 and CH3 Domain of an
immunoglobulin IgG Fc Domain (SEQ ID NO:37), wherein the Domain 3 is linked,
C-terminally, to the Domain 2 via a peptide linker (SEQ ID NO:32).
The invention additionally provides the embodiment of any of the abovedescribed
bi-specific monovalent ies wherein the Domain 2 of the first
polypeptide chain is a K-coil Domain (SEQ ID NO:35) and the Domain 2 of the
second polypeptide chain is an E-coil Domain (SEQ ID NO:34).
The invention additionally provides the embodiment of any of the above-
described bi-specific monovalent diabodies wherein the Domain 2 of the first
polypeptide chain is an E-coil Domain (SEQ ID NO:34) and the Domain 2 of the
second polypeptide chain is a K-coil Domain (SEQ ID NO:35).
The invention additionally provides the embodiment of a bi-specific
monovalent diabody capable of specific binding to an epitope of CD123 and to an
epitope of CD3, wherein the diabody ses a first polypeptide chain and a second
polypeptide chain, covalently bonded to one another, n: said bi-specific
diabody ses:
A. a first polypeptide chain having the amino acid sequence of SEQ ID
NO:1; and
B. a second polypeptide chain having the amino acid sequence of SEQ ID
NO:3;
wherein said first and said second polypeptide chains are covalently bonded to one
another by a disulfide bond.
The diabodies of the invention t unexpectedly enhanced onal
activities as further described below.
The ies of the invention are preferably capable of cross-reacting with
both human and primate CD123 and CD3 proteins, preferably cynomolgus monkey
CD123 and CD3 proteins.
The diabodies of the ion are preferably capable of depleting, in an in
vitro cell-based assay, cytoid dendritic cells (pDC) from a culture of primary
PBMCs with an ICSO of about 1 ng/ml or less, about 0.8 ng/ml or less, about 0.6
ng/ml or less, about 0.4 ng/ml or less, about 0.2 ng/ml or less, about 0.1 ng/ml or less,
about 0.05 ng/ml or less, about 0.04 ng/ml or less, about 0.03 ng/ml or less, about
0.02 ng/ml or less or about /ml or less. Preferably, the IC50 is about 0.01ng/ml
or less. In the above-described assay, the culture of primary PBMCs may be from
cynomolgus monkey in which case said depletion is of cynomolgus monkey
cytoid dendritic cells (pDC). Optionally the diabodies of the invention may be
capable of depleting cytoid dendritic cells (pDC) from a primary culture of
PBMCs as described above wherein the assay is conducted by or in accordance with
the protocol of Example 14, as herein described, or by modification of such assay as
would be understood by those of ordinary skill, or by other means known to those of
ry skill.
The diabodies of the invention preferably exhibit cytotoxicity in an in vitro
Kasumi-3 assay with an EC50 of about 0.05 ng/mL or less. Preferably, the EC50 is
about 0.04 ng/mL or less, about 0.03 ng/mL or less, about 0.02 ng/mL or less, or
about 0.01 ng/mL or less. Optionally the diabodies of the ion may exhibit
cytotoxicity as described above wherein the assay is conducted by or in accordance
with the protocol of Example 3 as herein described, or by modification of such assay
as would be understood by those of ordinary skill, or by other means known to those
of ordinary skill.
The diabodies of the invention preferably exhibit cytotoxicity in an in vitro
Molm-l3 assay with an EC50 of about 5 ng/mL or less. Preferably, the EC50 is about
3 ng/mL or less, about 2 ng/mL or less, about 1 ng/mL or less, about 0.75 ng/mL or
less, or about 0.2 ng/mL or less. Optionally the diabodies of the invention may
exhibit xicity as described above wherein the assay is ted by or in
accordance with the protocol of Example 3 as herein described, or by modification of
such assay as would be understood by those of ordinary skill, or by other means
known to those of ordinary skill.
The diabodies of the invention are preferably capable of inhibiting the
growth of a MOLM-l3 tumor xenograft in a mouse. Preferably the diabodies of the
ion may be capable of inhibiting the growth of a MOLM-l3 tumor xenograft in
a mouse at a concentration of at least about 20 ug/kg, at least about 4 ug/kg, at least
about 0.8 ug/kg, at least about 0.6 ug/kg or at least about 0.4 ug/kg. Preferred
antibodies of the invention will inhibit growth of a 3 tumor xenograft in a
mouse by at least 25%, but possibly by at least about 40% or more, by at least about
50% or more, by at least about 60% or more, by at least about 70% or more, by at
least about 80% or more, by at least about 90% or more, or even by completely
inhibiting MOLM-l3 tumor growth after some period of time or by causing tumor
regression or disappearance. This inhibition will take place for at least an NSG
mouse strain. Optionally, the diabodies of the invention may be capable of inhibiting
the growth of a MOLM-l3 tumor xenograft in a mouse in the above-described
manner by or in accordance with the protocol of Example 6 as herein described, or by
modification of such assay as would be understood by those of ordinary skill, or by
other means known to those of ordinary skill.
The diabodies of the invention are ably capable of inhibiting the
growth of an RS4-ll tumor xenograft in a mouse. Preferably the diabodies of the
invention may be capable of inhibiting the growth of a RS4-ll tumor aft in a
mouse at a concentration of at least about 0.5 mg/kg, at least about 0.2 mg/kg, at least
about 0.1 mg/kg, at least about 0.02 mg/kg or at least about 0.004 mg/kg. Preferred
antibodies of the invention will t growth of a RS4-ll tumor aft in a
mouse by at least about 25%, but possibly at least about 40%, at least about 50%, at
least about 60%, at least about 70%, at least about 80%, at least about 90%, or even
by completely inhibiting RS4-ll tumor growth after some period of time or by
causing tumor regression or disappearance. This inhibition will take place for at least
an NSG mouse strain. Optionally, the diabodies of the invention may be capable of
inhibiting the growth of a RS4-11 tumor xenograft in a mouse in the above-described
manner by or in accordance with the protocol of Example 6 as herein described, or by
modification of such assay as would be understood by those of ordinary skill, or by
other means known to those of ordinary skill.
The ies of the invention are preferably capable of depleting leukemic
blast cells in vitro in a primary e of AML bone marrow cells. Preferably the
diabodies of the invention may be capable of depleting leukemic blast cells in vitro in
a primary culture of AML bone marrow cells at concentrations of at least about 0.01
ng/ml, at least about 0.02 ng/ml, at least about 0.04 ng/ml, at least about 0.06 ng/ml,
at least about 0.08 ng/ml or at least about 0.1 ng/ml. Preferably, the diabodies of the
invention may be capable of ing leukemic blast cells in vitro in a primary
culture ofAML bone marrow cells to less than 20% of the total population of primary
leukemic blast cells at diabody concentrations of at least about 0.01 ng/ml, at least
about 0.02 ng/ml, at least about 0.04 ng/ml, at least about 0.06 ng/ml, at least about
0.08 ng/ml or at least about 0.1 ng/ml, optionally ing incubation of the primary
culture with diabody for about 120 hours. Preferably leukemic blast cells are depleted
in vitro in a primary culture of AML bone marrow cells to less than 20% of the total
population of primary ic blast cells at diabody concentrations of about 0.01
ng/ml or 0.1 ng/ml following incubation of the primary culture with diabody for about
120 hours.
The diabodies of the invention are preferably capable of inducing an
ion of a T cell population in vitro in a primary culture of AML bone marrow
cells. ably, such expansion may be to about 70% or more of the maximum T
cell population which can be expanded in the assay. Preferably the diabodies of the
invention may be capable of inducing an expansion of a T cell population in vitro in a
primary culture ofAML bone marrow cells to about 70% or more of the maximum T
cell population which can be expanded in the assay at diabody concentrations of at
least about 0.01 ng/ml, at least about 0.02 ng/ml, at least about 0.04 ng/ml, at least
about 0.06 ng/ml, at least about 0.08 ng/ml or at least about 0.1 ng/ml, optionally
following incubation of the y culture with diabody for about 120 hours.
ably, a T cell population is expanded in vitro in a primary e ofAML bone
marrow cells to about 70% or more of the maximum T cell population which can be
expanded in the assay at diabody concentrations of about 0.01 ng/ml or about 0.1
ng/ml following tion of the primary culture with diabody for about 120 hours.
The diabodies of the invention are preferably capable of inducing an
activation of a T cell population in vitro in a primary culture of AML bone marrow
cells. Such activation may occur at diabody concentrations of at least about 0.01
ng/ml, at least about 0.02 ng/ml, at least about 0.04 ng/ml, at least about 0.06 ng/ml,
at least about 0.08 ng/ml or at least about 0.1 ng/ml, ally following incubation
of the primary culture with diabody for about 72 hours. Such activation may be
measured by the sion of a T cell tion marker such as CD25. Preferably,
activation of a T cell population in vitro in a primary culture of AML bone marrow
cells as measured by expression of CD25 may occur at diabody concentrations of
about 0.01 ng/ml or about 0.1 ng/ml ing incubation of the primary e with
diabody for about 72 hours.
The diabodies of the invention are preferably e of depleting leukemic
blast cells in vitro in a primary e ofAML bone marrow cells to less than 20% of
the total population of primary leukemic blast cells and at the same time inducing an
expansion of the T cell population in vitro in the primary culture of AML bone
marrow cells to about 70% or more of the maximum T cell population which can be
expanded in the assay at diabody concentrations of at least about 0.01 ng/ml, at least
about 0.02 ng/ml, at least about 0.04 ng/ml, at least about 0.06 ng/ml, at least about
0.08 ng/ml or at least about 0.1 ng/ml, optionally following tion of the y
culture with y for about 120 hours. Preferably, the diabody concentrations are
about 0.01 ng/ml or about 0.1 ng/ml and the primary culture is incubated with diabody
for about 120 hours.
The diabodies of the invention may be capable of depleting leukemic blast
cells in vitro in a primary culture of AML bone marrow cells and/or inducing an
expansion of a T cell population in vitro in a primary culture of AML bone marrow
cells and/or inducing an activation of a T cell population in vitro in a primary culture
of AML bone marrow cells in the above-described manner by or in accordance with
the protocol of Example 8 as herein described, or by modification of such assay as
would be understood by those of ordinary skill, or by other means known to those of
ordinary skill.
For the avoidance of any doubt, the diabodies of the invention may exhibit
one, two, three, more than three or all of the fianctional attributes described herein.
Thus the diabodies of the invention may exhibit any combination of the fianctional
attributes described herein.
The ies of the invention may be for use as a pharmaceutical.
Preferably, the ies are for use in the treatment of a disease or condition
associated with or characterized by the sion of CD123. The invention also
relates to the use of diabodies of the ion in the manufacture of a pharmaceutical
composition, ably for the treatment of a disease or condition associated with or
characterized by the expression of CD123 as fiarther defined herein.
The disease or condition associated with or characterized by the expression
of CD123 may be cancer. For example, the cancer may be selected from the group
consisting of: acute myeloid leukemia (AML), chronic myelogenous ia
(CML), including blastic crisis of CML and Abelson oncogene associated with CML
(Bcr-ABL translocation), myelodysplastic syndrome (MDS), acute B lymphoblastic
leukemia (B-ALL), chronic lymphocytic leukemia (CLL), including Richter’s
syndrome or Richter’s transformation of CLL, hairy cell leukemia (HCL), c
plasmacytoid dendritic cell neoplasm (BPDCN), non-Hodgkin lymphomas (NHL),
including mantel cell ia (MCL), and small lymphocytic lymphoma (SLL),
Hodgkin’s lymphoma, systemic mastocytosis, and Burkitt’s lymphoma.
The disease or condition ated with or characterized by the expression
of CD123 may be an inflammatory condition. For example, the inflammatory
ion may be selected from the group consisting of: Autoimmune Lupus (SLE),
allergy, asthma and rheumatoid arthritis.
The invention additionally provides a pharmaceutical composition
comprising any of the above-described diabodies and a physiologically acceptable carrier.
The invention additionally provides a use of the above-described
pharmaceutical composition in the treatment of a disease or condition associated with
or characterized by the expression of CD123.
The invention is particularly ed to the embodiment of such use,
wherein the disease or condition associated with or characterized by the sion of
CD123 is cancer (especially a cancer selected from the group ting of: acute
myeloid leukemia (AML), chronic myelogenous leukemia (CML), including blastic
crisis of CML and Abelson oncogene associated with CML BL translocation),
myelodysplastic syndrome (MDS), acute B blastic leukemia (B-ALL), chronic
lymphocytic leukemia (CLL), including Richter’s syndrome or Richter’s
transformation of CLL, hairy cell leukemia (HCL), blastic plasmacytoid dendritic cell
neoplasm (BPDCN), non-Hodgkin lymphomas (NHL), including mantel cell
leukemia (MCL), and small lymphocytic lymphoma (SLL), Hodgkin’s lymphoma,
systemic mastocytosis, and Burkitt’s lymphoma).
The invention is also particularly ed to the embodiment of such use,
wherein the disease or condition associated with or terized by the expression of
CD123 is an atory condition (especially an inflammatory condition selected
from the group consisting of: Autoimmune Lupus (SLE), allergy, asthma, and
rheumatoid arthritis).
Terms such as “about” should be taken to mean within 10%, more preferably
within 5%, of the specified value, unless the context requires otherwise.
Brief Description of the Drawings:
Figure 1 shows that CD123 was known to be expressed on leukemic stem
cells.
Figure 2 illustrates the structures of the first and second polypeptide chains
of a two chain CD123 X CD3 cific lent diabody of the t invention.
Figures 3A and 3B illustrate the structures of two versions of the first,
second and third ptide chains of a three chain CD123 X CD3 bi-specific
monovalent Fc diabody of the present invention on 1, Figure 3A; Version 2,
Figure 3B).
Figure 4 (Panels A-E) shows the y of different CD123 X CD3 bi-
specific diabodies to mediate T cell redirected killing of target cells displaying
varying amount of CD123. The Figure provides dose-response curves indicating that
the sequence-optimized CD123 X CD3 bi-specific diabody (“DART-A”) having an
Albumin-Binding Domain (DART-A with ABD “w/ABD”) exhibited greater
cytotoxicity than a control bi-specif1c diabody (Control DART) or a non-sequenceoptimized
CD123 X CD3 bi-specific diabody -B”) in multiple target cell
types: RS4-ll (Panel A); TF-l (Panel B); Molm-l3 (Panel C); Kasumi-3 (Panel D);
and THP-l (Panel E) at an E:T (effector : target) ratio of 10: 1.
Figure 5 (Panels A-D) shows the ability of the sequence-optimized CD123
X CD3 bi-specif1c diabody A), sequence-optimized CD123 X CD3 bi-specif1c
diabody having an Albumin-Binding Domain (DART-A with ABD “w/ABD”) and
ce-optimized CD123 X CD3 bi-specif1c diabody having an immunoglobulin
IgG Fc Domain (DART-A with Fe “w/Fc”) to mediate T cell activation during
redirected killing of target cells. The Figure presents dose-response curves showing
the cytotoxicity mediated by DART-A, DART-A w/ABD and DART-A w/Fc in
Kasumi-3 (Panel A) and THP-l (Panel B) cells and d CD8 T cells at an E:T
(effector cell : target cell) ratio of 10:1 (18 hour incubation). Panels C and D show
dose-response curves of T cell activation using the marker CD25 on CD8 T cells in
the ce (Panel D) and absence (Panel C) of target cells.
Figure 6 (Panels A-B) shows Granzyme B and Perforin levels in CD4 and
CD8 T cells after treatment with the sequence-optimized CD123 X CD3 bi-specific
diabody (DART-A) (Panel A) or a control bi-specif1c diabody (Control DART)
(Panel B) in the presence of Kasumi-3 target cells and resting T cells at an E:T ratio
of10:l.
Figure 7 s A-B) shows the in viva antitumor activity of the sequence-
optimized CD123 X CD3 bi-specif1c diabody (DART-A) at nanogram per kilogram
dosing levels. MOLM-l3 cells mediate CD123 expression) were co-mixed with
T cells and implanted subcutaneously (T:E 1:1) in NSG mice. Intravenous treatment
was once daily for 8 days (QDX8) starting at tation. Various concentrations of
DART-A were compared to a control bi-specific diabody (Control DART). Panel A
shows the Molm-l3 cells alone or with T cells, and the effect of various doses of
DART-A on tumor volume even to times beyond 30 days. Panel B shows the effect
of increasing doses of DART-A on tumor volume seen in NSG mice receiving
MOLM-l3 cells and T cells (T:E 1:1) for a time course of 0-18 days.
-2]-
Figure 8 shows the in viva mor activity of the sequence-optimized
CD123 X CD3 cific diabody (DART-A) on RS4-11 cells (ALL with monocytic
features). Cells were co-mixed with T cells and implanted subcutaneously (T:E 1:1)
in NSG mice. Intravenous treatment was once daily for 4 days (QDx4) starting at
implantation. Various trations of DART-A were compared to a control bi-
specific diabody (Control DART).
Figure 9 (Panels A-B) shows CD123+ blasts in bone marrow
mononucleocytes (BM MNC) and peripheral blood mononucleocytes ) from
AML patient 1 (Panel A) compared to Kasumi-3 AML cell line (Panel B).
Figure 10 (Panels A-C) shows the ability of the sequence-optimized CD123
X CD3 bi-specific diabody (DART-A) to mediate blast ion in primary AML at
120h (Panel A), drive T cell expansion in primary AML at 120h (Panel B) and
induce T cell activation in AML at 48h and 72 h (Panel C).
Figure 11 (Panels A-H) shows the identification of the CD123+ blast
population in a primary sample of ALL PBMCs. Panels A and E show the forward
and side scatter of the input population of normal PBMC (Panel A) and ALL PBMCs
(Panel E). Panels B and F show the identification of the lymphocyte population as
primarily B cells (Panel B) and leukemic blast cells (Panel F). Panels C and G show
identification of the population of lymphocytes that are CD123+. Panels D and H
show the identification of CD19+ cells and CD123+ cells.
Figure 12 (Panels A-B) shows the identification of the CD4 and CD8
populations of T cells in a primary sample of ALL PBMCs. Panel A shows the
forward and side scatter of the input ALL PBMCs. Panel B shows the CD4 or CD8
populations of T cells present in the samples. The numbers indicate that CD4 T cells
ent approximately 0.5% of the total cells and CD8 T cells represent
approximately 0.4% of the total cells present in the ALL PBMC .
Figure 13 (Panels A-H) shows the ability of the sequence-optimized CD123
X CD3 cific diabody (DART-A) to mediate ALL blast depletion with
autologous CTL. Panels A and E show the forward and side scatter of the input
tion of normal PBMC (Panel A) and ALL PBMCs (Panel E). The PBMCs
were untreated (Panels B and F), treated with a control bi-specific diabody (Control
DART) (Panels C and G) or treated with DART-A (Panels D and H) and incubated
for 7 days followed by staining for CD34 and CD19.
Figure 14 (Panels A-L) shows the ability of the sequence-optimized CD123
X CD3 bi-specific diabody A) to mediate T cell ion (Panels A, B, C,
G, H and I) and activation (Panels D, E, F, J, K and L) in normal PBMC (Panels A-
F) and ALL PBMC (Panels G-L). The cells were untreated (Panels A, D, G and J),
or treated with a control bi-specific y ol DART) (Panels B, E, H and K)
or DART-A s C, F, I and L) for 7 days.
Figure 15 (Panels A-C) shows the identification of the AML blast
tion and T cells in a primary AML sample. Panel A shows the forward and
side scatter of the input AML PBMCs. Panel B shows the identification of the AML
blast population in the AML sample. Panel C shows the identification of the T cell
population in the AML sample.
Figure 16 s A-C) shows the ability of the sequence-optimized CD123
X CD3 bi-specific diabody (DART-A) to mediate AML blast depletion with
autologous CTL and T cell expansion. Primary AML PBMCs from patient 2 were
incubated with PBS, a l bi-specific diabody (Control DART) or DART-A for
144h. Blast cells (Panel A), CD4 T cells (Panel B) and CD8 T cells (Panel C) were
counted.
Figure 17 (Panels A-D) shows the ability of the sequence-optimized CD123
X CD3 bi-specific diabody (DART-A) to mediate T cell activation in AML. CD25
(Panel A) and Ki-67 (Panel B) expression was determined for the CD4 and CD8 T
cells from AML patient 2 following incubation with a control bi-specific diabody
(Control DART) or DART-A with autologous PBMCs. The level of perforin (Panel
C) and granzyme B (Panel D) was determined for the CD4 and CD8 T cells from
AML patient 2 following incubation with Control DART or DART-A with
autologous PBMCs.
Figure 18 s A-D) shows that the ce-optimized CD123 X CD3
bi-specific diabody (DART-A) is capable of cross-reacting with both human and
primate CD123 and CD3 proteins. The panels show BIACORETM sensogram traces
of the s of analyses conducted to assess the ability of DART-A to bind to human
(Panels A and C) and non-human primate (Panels B and D) CD3 (Panels A and B)
and CD123 (Panels C and D) ns. The KD values are provided.
Figure 19 (Panels A-B) shows the ability of the sequence-optimized CD123
X CD3 bi-specific diabody (DART-A) to mediate autologous monocyte depletion in
vitro with human and cynomolgus monkey PBMCs. The Panels present the results of
dose-response curves of DART-A-mediated cytotoxicity with primary human PBMCs
(Panel A) or cynomolgus monkey PBMCs (Panel B).
Figure 20 (Panels A-N) shows the ability of the sequence-optimized CD123
X CD3 cific diabody (DART-A) to mediate the depletion ofpDC in cynomolgus
monkeys without systemic cytokine induction. Panels A-D show l results
obtained at 4h and 4d with vehicle and carrier. Panels E-H show control results
obtained at 4h and 4d with a control bi-specific diabody (Control DART). Panels I-N
show results obtained at 4h and 4d at 10 ng/kg/d and at 4d with 30 ng/kg/d of DART-
Figure 21 (Panels A-D) shows the ability of the sequence-optimized CD123
X CD3 bi-specific diabody (DART-A) to mediate dose-dependent depletion ofpDC in
lgus s. Cynomolgus monkeys were dosed with DART-A at 0.1, 1, 10,
100, 300, or 1000 ng/kg. PBMCs were evaluated at the ted time and total B
cells (Panel A), monocytes (Panel B), NK cells (Panel C) and pDC (Panel D) were
counted.
Figure 22 (Panels A-D) shows the ability of the ce-optimized CD123
X CD3 bi-specific diabody (DART-A) to intermittently modulate T cells in
cynomolgus monkeys. Cynomolgus monkeys were dosed with DART-A at at 0.1, 1,
, 30 100, 300, or 1000 ng/kg. PBMCs were evaluated at the indicated time and
total T cells (Panel A), CD4 T cells (Panel B), CD69 cells (Panel C) and CD8 T cells
(Panel D) were counted.
Figure 23 shows the SDS-PAGE analysis of purified DART-A protein under
reducing (left) and non-reducing (right) conditions.
Figures 24A-24B show the physicochemical characterization of purified
DART-A. Figure 24A: SEC profile of DART-A protein on a ated TSK
WXL column. Figure 24B: Mass spectrum of DART-A protein.
Figures 25A-25D show SPR analysis of DART-A binding to immobilized
human or cynomolgus monkey CD123 and CD3. Dashed lines represent the global fit
to a 1:1 Langmuir model of the experimental binding curves obtained at DART-A
concentrations of 0, 6.25, 12.5, 25, 50 or 100nM (continuous lines). The data are
representative of three independent experiments.
Figures 26A-26E show that DART-A was capable of simultaneously
binding both CD3 and CD123. Figure 26A-26B provides the results of a bifunctional
ELISA and demonstrates simultaneous engagement of both target antigens of DART-
A. ELISA plates were coated with human CD123 (Figure 26A) or cynomolgus
monkey CD123 (Figure 26B). ing DART-A and l DART concentrations
were followed by ion with human CD3-biotin. Figures 26C-26E demonstrate
cell-surface binding of DART-A on CD123+ Molm—13 target cell (Figure 26C),
human T cells (Figure 26D) and cynomolgus T cells (Figure 26E). Binding was
detected by FACS is using a monoclonal antibody specific to E-coil and K-coil
region of the DART-A or Control DART molecule.
Figures 27A-27H show the ability of DART-A to mediate redirected target
cell killing by human or monkey effector cells against CD123+ Kasumi-3 leukemic
cell lines, demonstrate the ability of the molecules to bind to subsets of normal
circulating leukocytes, ing pDCs and monocytes and demonstrate the ability of
the molecules to deplete CD14'CD123high cells (pDC and basophils) without affecting
monocytes (CD14+ . Figure 27A shows the relative anti-CD123-PE binding
sites on U937 and -3 leukemic cell lines as ined by QFACS analysis.
Figure 27B shows the relatively low percent cytotoxicity mediated by DART-A or
Control DART on an AML cell line (U937 cells) which, as shown in Figure 27A
have relatively few CD123 binding . Figure 27C shows the percent cytotoxicity
mediated by DART-A or Control DART in the presence of purified human T cells (as
effector cells) on an AML cell line (Kasumi-3 cells) which, as shown in Figure 27A
have a substantial number of CD123 binding sites. In Figures 27B-27C, the ET ratio
is 10: 1. Figure 27D shows the percent cytotoxicity mediated by DART-A or Control
DART in the presence of purified cynomolgus monkey PBMCs (as effector cells) on
Kasumi-3 cells (the ET ratio is 15:1), and demonstrates that DART-A can bind
cynomolgus monkey T cells. Figure 27E shows the relative anti-CD123-PE g
sites on -3 cells, human monocytes, human plasmacytoid dendritic cells
), cynomolgus monkey monocytes and cynomolgus monkey plasmacytoid
dendritic cells as determined by QFACS is. Figure 27F shows the ability of
DART-A to deplete CD14’ CD12310 cells. Figure 27G shows the ability of DART-A
to deplete human CD14’ CD123Hi cells. Figure 27H shows the ability of DART-A
to deplete cynomolgus monkey CD14’ CD123Hi cells. Cytotoxicity was determined
by LDH release, with ECSO values determined using GraphPad PRISM® software.
Figure 28 shows the use of a two-compartment model to estimate
pharmacokinetic parameters of DART-A. The data show the end of infilsion (EOI)
serum concentrations of DART-A in cynomolgus monkeys after receiving a 96-hour
infiJsion at 100 ng/kg/day 300 ng/kg/day, 600 ng/kg/day, and 1000 ng/kg/day Dose.
Each point represents an individual animal; horizontal lines represent the mean value
for the dose group.
Figures C show the effect of DART-A infusions on the production
of the cytokine, IL-6. Serum IL-6 levels (mean :: SEM) in monkeys infilsed with
DART-A are shown by treatment group. Cynomolgus monkeys were treated with
vehicle control on Day 1, followed by 4 weekly infusions of either e (Group 1)
(Figure 29A) or DART-A administered as 4-day weekly ons starting on Days 8,
, 22, and 29 (Groups 2-5) e 29B) or as a 7-day/week on for 4 weeks
starting on Days 8 (Group 6) (Figure 29C). Treatment intervals are indicated by the
filled gray bars.
Figures 30A-30F show the effect of DART-A infilsions on the depletion of
CD14-/CD123+ cells (Figures 30A-30C) and CD303+ cells (Figures 30D-30F). The
mean :: SEM of the circulating levels of CD123+ (Figures 30A-30C) or
CD303+ (Figures 30D-30F) by Study Day and by group is shown. Cynomolgus
monkeys were treated with vehicle control on Day 1, followed by 4 weekly infiJsions
of either vehicle (Group 1) (Figures 30A and 30D) or DART-A administered as 4-
day weekly infilsions starting on Days 8, 15, 22, and 29 (Groups 2-5) (Figures 30A
and 30E) or as a 7-day/week on for 4 weeks starting on Days 8 (Group 6)
es 30C and 30F). Treatment intervals are indicated by the filled gray bars.
Figures 31A-311 show the observed changes in T cell tions (Figures
31A-31C), CD4+ cell populations (Figures 31D-31F) and CD8+ cell populations
(Figures 31G-311) receiving DART-A administered as 4-day infusions starting on
Days 8, 15, 22, and 29. Legend: CD25+ (gray squares); CD69+ (gray triangles), PD-
1+ (white triangles); Tim-3+ (white squares). T cells were enumerated via the CD4
and CD8 markers, rather than the canonical CD3, to eliminate possible interference
the DART-A. Cynomolgus monkeys were treated with e l on Day 1,
followed by 4 weekly infiJsions of either e (Group 1) or DART-A administered
as 4-day weekly infilsions starting on Days 8, 15, 22, and 29 (Group 5) or as a 7-
day/week infilsion for 4 weeks starting on Days 8 (Group 6). Treatment intervals are
indicated by the filled gray bars. The mean :: SEM of the absolute number of total
circulating T cells by Study Day and group is shown (Figures 31A-31C). Relative
values (mean t :: SEM) of CD25+, CD69+, PD-1+ and Tim-3+ of CD4
(Figures 31D-31E) or CD8 T cells es 31F-31H) by Study Day and by group is
shown.
Figures 32A-32F show the observed changes in T CD4+ cell populations
(Figures 32A-32C) and CD8+ cell populations (Figures 32D-32F) during and after a
continuous 7-day infiasion of DART-A. The mean :: SEM percent of CD25+, CD69+,
PD-1+ and Tim-3+ on CD4 (Figures 32A-32C) or CD8 (Figures 32D-32F) T cells
by Study Day for Groups 2, 3 and 4 are shown. Treatment als are indicated by
the filled gray bars. Legend: CD25+ (gray squares); CD69+ (gray triangles), PD-1+
(white triangles); Tim-3+ (white squares).
Figures 33A-33F show the observed changes in T CD4+ cell populations
es 33A-33C) and CD8+ cell tions (Figures 33D-33F) during and after a
continuous 7-day infilsion of DART-A. The mean :: SEM percent of CD4+ Naive
(CD95-/CD28+), CMT (CD95+/CD28+), and EMT (CD95+/CD28-) T cells in CD4+
population (Figures 33A-33C) or CD8 population (Figures 33D-33F) by Study Day
for Groups 2, 3 and 4 are shown. Cynomolgus monkeys were treated with vehicle
control on Day 1, followed by 4 weekly infilsions of or DART-A administered as 4-
day weekly infusions ng on Days 8, 15, 22, and 29 s 2-4). Treatment
als are indicated by the filled gray bars. Legend: Naive (white triangles); CMT
(black triangles), EMT (gray squares).
Figure 34 shows -mediated cytotoxicity against Kasumi-3 cells with
PBMCs from either naive monkeys or monkeys treated with multiple infilsions of
DART-A.
Figures 35A-35F show that DART-A exposure increased the relative
frequency of central memory CD4 cells and effector memory CD8+ cells at the
expense of the corresponding naive T cell population. The mean :: SEM percent of
CD4+ Naive (CD95-/CD28+), CMT (CD95+/CD28+), and EMT (CD95+/CD28-) T
cells in CD4+ population (Figures 35A-35C) or in CD8+ population (Figures 35D-
35F) by Study Day and by Group is shown. Cynomolgus monkeys were treated with
vehicle l on Day 1, followed by 4 weekly infusions of either vehicle (Group 1)
or DART-A administered as 4-day weekly infilsions starting on Days 8, 15, 22, and
29 (Group 5) or as a 7-day/week SlOIl for 4 weeks starting on Days 8 (Group 6).
Treatment intervals are indicated by the filled gray bars. Legend: Naive (white
triangles); CMT (black triangles), EMT (gray s).
Figures 36A-36F show the effect of DART-A on red cell parameters in
monkeys that had ed infusions of the molecules. Circulating RBCs (Figures
36A-36C) or reticulocytes (Figures 36D-36F) levels (mean :: SEM) in samples
collected at the indicated time points from monkeys treated with DART-A are shown.
Figures 37A-37B show that the frequency (mean t :: SEM) of
CDl23+ cells (Figure 37A) or HSC (CD34+/CD38-/CD45-/CD90+ cells) (Figure
373) within the Lin- cell population in bone marrow samples collected at the
indicated time points from monkeys treated with DART-A. lgus monkeys
were treated with vehicle control on Day 1, ed by 4 weekly ons of either
vehicle (Group 1) or DART-A administered as 4-day weekly infusions ng on
Days 8, 15, 22, and 29 (Groups 2-5) or as a 7-day/week infusion for 4 weeks starting
on Days 8 (Group 6).
Detailed Description of the Invention:
The present invention is directed to sequence-optimized CD123 X CD3 bi-
specific monovalent diabodies that are capable of simultaneous binding to CD123 and
CD3, and to the uses of such les in the ent of hematologic malignancies.
Although non-optimized CD123 X CD3 bi-specific diabodies are fully functional,
analogous to the improvements obtained in gene expression through codon
optimization (see, e.g., Grosjean, H. et al. (1982) “Preferential C0d0n Usage In
Prokaryotic Genes: The Optimal C0d0n-Anticod0n Interaction Energy And The
Selective C0d0n Usage In Efiiciently Expressed Genes” Gene 18(3):l99-209), it is
possible to further enhance the stability and/or function of CD123 X CD3 bi-specif1c
diabodies by modifying or refining their sequences.
The preferred CD123 X CD3 bi-specif1c diabodies of the t invention
are composed of at least two polypeptide chains that associate with one another to
form one binding site ic for an epitope of CD123 and one binding site specific
for an epitope of CD3 (Figure 2). The individual polypeptide chains of the diabody
are covalently bonded to one another, for example by disulf1de bonding of cysteine
residues located within each polypeptide chain. Each polypeptide chain contains an
Antigen Binding Domain of a Light Chain Variable Domain, an Antigen Binding
Domain of a Heavy Chain Variable Domain and a heterodimerization domain. An
ening linker peptide (Linker 1) separates the Antigen Binding Domain of the
Light Chain Variable Domain from the Antigen g Domain of the Heavy Chain
le Domain. The Antigen Binding Domain of the Light Chain Variable Domain
of the first polypeptide chain interacts with the Antigen Binding Domain of the Heavy
Chain Variable Domain of the second polypeptide chain in order to form a first
functional antigen binding site that is ic for the first antigen (i. e., either CD123
or CD3). Likewise, the Antigen Binding Domain of the Light Chain le
Domain of the second polypeptide chain interacts with the n Binding Domain
of the Heavy Chain Variable Domain of the first polypeptide chain in order to form a
second filnctional antigen binding site that is specific for the second antigen (i.e.,
either CD123 or CD3, depending upon the identity of the first antigen). Thus, the
ion of the Antigen Binding Domain of the Light Chain Variable Domain and the
Antigen Binding Domain of the Heavy Chain Variable Domain of the first and second
polypeptide chains are coordinated, such that the two polypeptide chains tively
comprise Antigen g Domains of light and Heavy Chain Variable Domains
capable of binding to CD123 and CD3.
The formation of heterodimers of the first and second polypeptide chains can
be driven by the heterodimerization s. Such s include GVEPKSC (SEQ
ID NO:50) (or VEPKSC; SEQ ID NO:51) on one polypeptide chain and GFNRGEC
(SEQ ID NO:52) (or FNRGEC; SEQ ID NO:53) on the other polypeptide chain
7/0004909). Alternatively, such domains can be engineered to contain coils
of opposing charges. The heterodimerization domain of one of the polypeptide chains
comprises a sequence of at least six, at least seven or at least eight positively charged
amino acids, and the heterodimerization domain of the other of the polypeptide chains
comprises a sequence of at least six, at least seven or at least eight negatively charged
amino acids. For example, the first or the second heterodimerization domain will
preferably comprise a sequence of eight positively charged amino acids and the other
of the heterodimerization domains will preferably comprise a sequence of eight
negatively charged amino acids. The positively charged amino acid may be lysine,
ne, histidine, etc. and/or the negatively d amino acid may be glutamic
acid, aspartic acid, etc. The positively charged amino acid is preferably lysine and/or
the negatively charged amino acid is preferably glutamic acid.
The CD123 X CD3 bi-specific diabodies of the present invention are
engineered so that such first and second polypeptide chains covalently bond to one
another via cysteine residues along their length. Such ne residues may be
introduced into the intervening linker that separates the VL and VH domains of the
polypeptides. Alternatively, and more ably, a second peptide (Linker 2) is
introduced into each polypeptide chain, for example, at the amino-terminus of the
polypeptide chains or a on that places Linker 2 between the heterodimerization
domain and the Antigen Binding Domain of the Light Chain Variable Domain or
Heavy Chain Variable Domain.
In particular embodiments, the sequence-optimized CD123 X CD3 bi-specific
monovalent diabodies of the present invention filrther have an immunoglobulin Fc
Domain or an Albumin-Binding Domain to extend half-life in viva.
The CD123 X CD3 bi-specific monovalent diabodies of the present invention
that comprise an immunoglobulin Fc Domain (2'.e., CD123 X CD3 bi-specific
monovalent Fc diabodies) are ed of a first polypeptide chain, a second
polypeptide chain and a third polypeptide chain. The first and second polypeptide
chains associate with one another to form one binding site specific for an epitope of
CD123 and one binding site specific for an epitope of CD3. The first polypeptide
chain and the third polypeptide chain associate with one another to form an
immunoglobulin Fc Domain (Figure 3A and Figure 3B). The first and second
polypeptide chains of the bi-specific monovalent Fc diabody are covalently bonded to
one another, for example by disulfide bonding of cysteine residues located within
each polypeptide chain.
The first and third polypeptide chains are covalently bonded to one another,
for example by de bonding of cysteine residues located within each polypeptide
chain. The first and second polypeptide chains each contain an Antigen Binding
Domain of a Light Chain le Domain, an Antigen Binding Domain of a Heavy
Chain Variable Domain and a heterodimerization domain. An intervening linker
e r 1) separates the Antigen Binding Domain of the Light Chain Variable
Domain from the n Binding Domain of the Heavy Chain Variable Domain.
The Antigen Binding Domain of the Light Chain Variable Domain of the first
ptide chain interacts with the Antigen Binding Domain of the Heavy Chain
Variable Domain of the second polypeptide chain in order to form a first functional
antigen g site that is specific for the first antigen (2'.e., either CD123 or CD3).
Likewise, the n Binding Domain of the Light Chain Variable Domain of the
second polypeptide chain interacts with the Antigen Binding Domain of the Heavy
Chain Variable Domain of the first polypeptide chain in order to form a second
functional antigen binding site that is specific for the second n (i.e., either CD3
or CD123, ing upon the identity of the first n). Thus, the selection of the
Antigen Binding Domain of the Light Chain Variable Domain and the Antigen
Binding Domain of the Heavy Chain Variable Domain of the first and second
polypeptide chains are coordinated, such that the two polypeptide chains collectively
comprise Antigen g s of light and Heavy Chain Variable Domains
capable of binding to CD123 and CD3. The first and third polypeptide chains each
contain some or all of the CH2 Domain and/or some or all of the CH3 Domain of a
complete immunoglobulin Fc Domain and a cysteine-containing peptide. The some
or all of the CH2 Domain and/or the some or all of the CH3 Domain associate to form
the immunoglobulin Fc Domain of the bi-specific monovalent Fc diabodies of the
t ion. The first and third polypeptide chains of the bi-specific
monovalent Fc ies of the present invention are covalently bonded to one
another, for example by disulfide bonding of cysteine residues located within the
cysteine-containing peptide of the polypeptide chains.
1. The Sequence-Optimized CD123 x CD3 Bi-Specific Diabody, “DART-A”
The invention es a sequence-optimized cific diabody capable of
simultaneously and specifically binding to an epitope of CD123 and to an epitope of
CD3 (a “CD123 x CD3” bi-specific diabody or DART-A). As discussed below,
DART-A was found to exhibit enhanced filnctional activity relative to other non-
sequence-optimized CD123 X CD3 bi-specific diabodies of similar composition, and
is thus termed a “sequence-optimized” CD123 X CD3 bi-specific diabody.
The sequence-optimized CD123 X CD3 bi-specific diabody (DART-A)
comprises a first ptide chain and a second polypeptide chain. The first
polypeptide chain of the bi-specific diabody will comprise, in the N-terminal to C-
terminal direction, an N—terminus, a Light Chain le Domain (VL Domain) of a
monoclonal antibody capable of binding to CD3 (VLCDg), an intervening linker
peptide (Linker l), a Heavy Chain Variable Domain (VH Domain) of a monoclonal
antibody capable of binding to CD123 (VHCDm), and a C-terminus. A preferred
sequence for such a VLCD3 Domain is SEQ ID NO:21:
?A PSLTVS PGGTVTLTCRS S TGAVTT SWYANWVQQKPGQAPRGL 22GG
TNKRAPWT PARFSGSLLGGKAALT: TGAQA*12D *iADYYCALWYSNLWVFGGGT
KLTVLG
The Antigen Binding Domain of VLCD3 comprises CDRl SEQ ID NO:38:
RSSTGAVTTSNYAN, CDRZ SEQ ID NO:39: GTNKRAP, and CDR3 SEQ ID
NO:40: ALWYSNLWV.
A preferred ce for such Linker l is SEQ ID NO:29: GGGSGGGG. A
preferred sequence for such a VHCDm Domain is SEQ ID NO:26:
EVQLVQSGAELKKPGASVKVSCKASGYTFTDYYMKWVRQAPGQGT.*1W GD
9SNGATFYNQKFKGRVT KSTSTAYM'.T. SST.RS *iDTAVYYCA'RSl-ILLRA
SWFAYWGQGTLVTVSS
The Antigen Binding Domain m ses CDRl SEQ ID NO:47:
DYYMK, CDR2 SEQ ID NO:48: 2D PSNGATFYNQKFKG, and CDR3 SEQ ID
NO:49: SHLLRAS.
The second polypeptide chain will comprise, in the N—terminal to C-terminal
direction, an N—terminus, a VL domain of a monoclonal antibody e of binding
to CD123 (VLCDm), an intervening linker peptide (e.g., Linker l), a VH domain of a
monoclonal antibody capable of binding to CD3 (VHCDg), and a C-terminus. A
red sequence for such a VLCDm Domain is SEQ ID NO:25:
2DFVMTQS 92DSLAVSLGERVTMSC{SSQSLLNSGNQ <NYLTWYQQ<PGQ29PKL
L2. YWAST {.L'SGVPDRFSGSGSGT 2DFTT.T SSTQA*.2DVAVYYCQNDYSY?YTF
GQGTKT *1 <
The Antigen Binding Domain ofVLCDm comprises CDRl SEQ ID NO:44:
KSSQSLLNSGNQKNYLT, CDR2 SEQ ID NO:45: WASTRES, and CDR3 SEQ ID
NO:46: QNDYSYPYT.
A preferred sequence for such a VHCD3 Domain is SEQ ID NO:22:
V'...SGGGTVQPGGSLRLSCAASGFTFSTYAMNWVRQAPGKGTWIVGR R
SKYNNYATYYADSVKDRFT SRDDSKNSLYLQMNSLKTEDTAVYYCVRHGNF
GNSYVSWFAYWGQGTLVTVS S
The n Binding Domain of VHCD3 comprises CDRl SEQ ID NO:41:
TYAMN, CDR2 SEQ ID NO:42: RIIRSKYNNYATYYADSVKD, and CDR3 SEQ ID
HGNFGNSYVSWFAY.
The sequence-optimized CD123 X CD3 bi-specif1c diabodies of the present
invention are engineered so that such first and second polypeptides ntly bond to
one another via cysteine residues along their length. Such cysteine residues may be
introduced into the intervening linker (e.g., Linker 1) that separates the VL and VH
domains of the polypeptides. Alternatively, and more preferably, a second peptide
(Linker 2) is introduced into each polypeptide chain, for example, at a position N-
terminal to the VL domain or C-terminal to the VH domain of such ptide chain.
A preferred sequence for such Linker 2 is SEQ ID NO:30: GGCGGG.
The formation of heterodimers can be driven by further engineering such
polypeptide chains to contain polypeptide coils of opposing . Thus, in a
preferred ment, one of the polypeptide chains will be engineered to contain an
“E-coil” domain (SEQ ID NO:34: EVAALEKEVAALEKEVAALEKEVAALEK) whose
residues will form a negative charge at pH 7, while the other of the two polypeptide
chains will be engineered to contain an “K-coil” domain (SEQ ID NO:35:
EVAN.E'JEVAAT.E'JEVAATETEVAATE?) whose residues will form a positive charge
at pH 7. The presence of such charged domains promotes association between the
first and second polypeptides, and thus fosters heterodimerization.
It is immaterial which coil is provided to the first or second polypeptide
chains. However, a red sequence-optimized CD123 X CD3 bi-specif1c diabody
of the present invention (“DART-A”) has a first polypeptide chain having the
sequence (SEQ ID NO:1):
QAVVTQIEPSLTVSPGGTVTLTCRSSTGAVTTSWYANWVQQKPGQAPRGLIIGG
TNKRAPWTPARFSGSLLGGKAALTI TGAQA*DfiADYYCALWYSWLWVFGGGT
KLTVLGGGGSGGGGIEVQLVQSGAIELKKPGASV{VSC{ASGYTFTDYYM<WVR
QAPGQGTfi'W GD ?SNGATFYNQKFKGRVTIITVDKSTSTAYM*TSST{8&3
TAVYYCAIRSHLLRASWFAYWGQGTLVTVSSGGCGGGfi'VAALfiKmVAALfiKfiV
AALfiKfi'VAAT.m<
DART-A Chain 1 is composed of: SEQ ID NO:21 — SEQ ID NO:29 —
SEQ ID NO:26 — SEQ ID NO:30 — SEQ ID NO:34. A DART-A Chain 1 encoding
polynucleotide is SEQ ID NO:2:
caggctgtggtgac:caggagccttcactgaccg,g,ccccaggcggaactg
tgaccctgacatgcagatccagcacaggcgcagtgaccaca:ctaactacgc
caattgggtgcagcagaagccaggacaggcaccaaggggcc,gaccgggggt
aaaagggc:ccctggacccctgcacgg,,,,c,ggaag:ctgctgg
gcggaaaggccgcchgaccacLaccggggcacaggccgaggacgaagccga
LLngchcgcgg,a,agcaa,chngg,gc“cgggggtggcaca
aaaccgacchgccgggagggggcggacccggcggcggaggcgaggtgcagc
cgngcagcccggggccgagccgaagaaacccggagcccccgcgaaggtgtc
ttgcaaagccagtggc:acacct:cacagacLacLa,a,gaag,ggchagg
caggctccaggacagggac,ggaa,ggachgcgaLa,ca,Lch,ccaacg
gggccacccchacaaccagaagccLaaaggcagggcgaccaccaccgcgga
caaatcaacaagcac,ch,aca,ggachgagc,cchgcgccccgaagat
acagccgcgcacLaL,g,chcgg,cacacctgc:gagagccagc,gg,L,g
CL,a,ngggacagggcaccc,gg,gacagchc,Lccggaggatgtggcgg
tggagaag:ggccgcac:ggagaaagaggt:gctgctttggagaaggagg:c
gc,gcacL,gaaaaggaggtcgcagccctggagaaa
The second polypeptide chain of DART-A has the sequence (SEQ ID
th3)
DFVMTQS?DSLAVSLG.§{VTMSCKSSQSLLNSGNQ<NYLTWYQQKPGQ?P{L
L: YWAST{LSGVRDRFSGSGSGTDFTTT SSTQA*.DVAVYYCQNDYSY?YTF
GQGT<Pm <GGGSGGGGfiVQPVfiSGGGTVQPGGSLRLSCAASGFTFSTYA N
WVRQA?G<GP*'WVG{ YATYYADSVKDRFT SRDDSKNSLYLQMWS
LKTEDTAVYYCVRHGNFGNSYVSWFAYWGQGTLVTVSSGGCGGGKVAALK.EK
VAAT.<7KVAAT.K7KVAAT.Km
DART-A Chain 2 is ed of: SEQ ID NO:25 — SEQ ID NO:29 —
SEQ ID NO:22 — SEQ ID NO:30 — SEQ ID NO:35. A DART-A Chain 2 encoding
polynucleotide is SEQ ID NO:4:
gac,ch,gaLgacacachLcc,gaLag,chgccgtgagtctgggggagc
ggg,gac,a,g,cL,gcaagagc:cccag:cactgctgaacagcggaaatca
gaaaaaccacccgaccEggcaccagcagaagccaggccagccccccaaaccg
chaLcLaLcgggc,Lccaccagggaa,c,ggcg,gcccgacaga:tcagcg
gcagcggcagcggcacaga,LSnaccc,gacaaL,Lc,achLgcaggccga
ggachggc,g,gLac,aL,gccagaa,ga,Lacagc,aLcchacacLL,c
ggccaggggaccaagc:ggaaa:taaaggaggcggatccggcggcggaggcg
aggtgcagccggcggachcgggggagchcggcccagcc:ggagggccccc
gagac,chch,gcagcc,chgaL,cachLcagcaca,accha,gaa,
tgggtccgccaggc2ccagggaaggggccggagcgggccggaaggaccaggc
ccaagtacaacaattatgcaaccLac,a,gccgactc:gtgaagga,agaL,
ctcaagagatgattcaaagaac,caccg,aLc,gcaaa:gaacagc
ctgaaaaccgaggacacggccgLgLa,Lachcg,gagacacgg:aacttcg
gcaa,,c,,achch,ngLLuchLaLngggacaggggacactggtgac
,g,g,cL,ccggagga:gtggcggtggaaaagtggccgcactgaaggagaaa
gL,gc,gc,LLgaaagagaaggtcgccgcact:aaggaaaaggtcgcagccc
:gaaagag
As discussed below, the sequence-optimized CD123 X CD3 bi-specific
diabody (DART-A) was found to have the ability to simultaneously bind CD123 and
CD3 as arrayed by human and monkey cells. Provision of DART-A was found to
cause T cell activation, to mediate blast reduction, to drive T cell expansion, to induce
T cell tion and to cause the redirected killing of target cancer cells.
11. Comparative Non-Sequence-Optimized CD123 x CD3 Bi-Specific
Diabody, “DART-B”
] DART-B is a non-sequence-optimized CD123 X CD3 bi-specific diabody
having a gross structure that is similar to that of DART-A. The first polypeptide
chain of DART-B will se, in the N—terminal to C-terminal direction, an N-
terminus, a VL domain of a monoclonal antibody capable of binding to CD3 (VLCDg),
an intervening linker e (Linker l), a VH domain of a monoclonal antibody
capable of binding to CD123 (VHCDm), an ening Linker 2, an E-coil Domain,
and a C-terminus. The VLCD3 Domain of the first polypeptide chain of DART-B has
the sequence (SEQ ID NO:23):
DIQLTQS?AIMSASPGEKVTMTCRASSSVSYMNWYQQKSGTSPKRWIIYDTS<
YQFSGSGSGTSYSTT SSMmAfiDAATYYCQQWSSNPLTFGAGTKLE
The VHCDm Domain of the first polypeptide chain of DART-B has the sequence
(SEQ ID NO:28):
QVQLVQSGAIELKKPGASVKVSCKASGYTFTDYYMKWVQQAPGQGT*W GD
PSNGATFYNQKFKGRVTIITVDKSTSTAYM*TSSTRSmDTAVYYCAQSHLLRA
SWFAYWGQGTLVTVSS
Thus, DART-B Chain 1 is composed of: SEQ ID NO:23 — SEQ ID NO:29
— SEQ ID NO:28 — SEQ ID NO:30 — SEQ ID NO:34. The sequence of the first
polypeptide chain of DART-B is (SEQ ID NO:5):
DIIQLTQS?AIMSASPGEKVTMTCQASSSVSYMNWYQQKSGTSPKQW_ YDTS A
VASGVPYQFSGSGSGTSYSTT SSM*A*DAATYYCQQWSSWPLTFGAGTKLLL-El
GGGGQVQLVQSGAIELKK ?GASV{VSCKASGYTFTDYYM<WVQQAPG
QGLfi'W GD PSNGATFYNQKFKGRVTITVDKSTSTAYM*TSST{SfiDTAVY
YCARSHLLRASWFAYWGQGTLVTVSSGGCGGGfiVAALfiKfiVAALfiKfiVAAPfl
KfiVAALfiK
A DART-B Chain 1 encoding polynucleotide is SEQ ID NO:6:
gacattcagc:gacccachLccagcaaLcaLchLgcaLchcaggggaga
aggtcaccatgacctgcagagccagLLcaagLgLaagLLacaLgaachgLa
ccagcagaagtcaggcacctcccccaaaagangaLLLaLgacacatccaaa
ngchLCngachch,achcL,canggcangggLC,gggacctcat
actctc:cacaa:cagcagcatggaggCCgaagaLgCLgccaCLLa,Lach
ccaacanggagLagLaacccchcacg ggaccaagc2ggag
ctgaaaggaggcgga:ccggcggcggaggccagg:gcagcngLgcachcg
agctgaagaaacccggagcLLcchgaagngLcLLgcaaagccag
tggCCacaccttcacagacLacLaLa,gaagngchaggcaggctccagga
cagggac,ggaa,ggachgcgaLa,caLLch,ccaacggggccaCLLLCL
agaagLLLaaaggcaggngacLaLLacchggacaaatcaacaag
caCLchLaLa,ggachgagc,cchgcchc,gaagatacagcchgLac
LaLLgLchcgg,cacacctgc:gagagccagc,ggLL,chLaLngggac
cccngLgacangLcLLccggaggatgtggcggtggagaagtggc
cgcaCngagaaagaggt:gctgctttggagaaggagg,cgc,gcacL,gaa
aaggaggtcgcagccctggagaaa
The second polypeptide chain of DART-B will comprise, in the N—terminal
to C-terminal direction, an N—terminus, a VL domain of a monoclonal antibody
capable of binding to CD123 (VLCDm), an intervening linker peptide (Linker l) and a
VH domain of a monoclonal antibody e of binding to CD3 ), an
intervening Linker 2, a K-coil Domain, and a C-terminus.
The VLCDm Domain of the second polypeptide chain of DART-B has the
sequence (SEQ ID NO:27):
DFVMTQS9DSLAVSLGERVTMSC{SSQSLLNSGNQ<NYLTWYQQ<PGQ?PKL
L: YWAST<£SGVPDRFSGSGSGTDFTTT SSTQAmDVAVYYCQNDYSY?YTF
GQGTKT.m <
The VHCD3 Domain of the second polypeptide chain of DART-B has the sequence
(SEQ ID NO:24):
D: {LQQSGAELARLDGASVKMSCKT SGYTFTRYTMHWV <QRPGQGT. *1W GY N
?S?GYTNYNQKFKDKATLTTDKSSSTAYMQLSSLTSEDSAVYYCAQYYDDHY
CLDYWGQGTTLTVSS
] Thus, DART-B Chain 2 is composed of: SEQ ID NO:27 — SEQ ID NO:29
— SEQ ID NO:24 — SEQ ID NO:30 — SEQ ID NO:35. The sequence of the second
polypeptide chain of DART-B is (SEQ ID NO:7):
DFVMTQS9DSLAVSLG.§{VTMSC{SSQSLLNSGNQ<NYLTWYQQ<PGQ9PKL
L: YWAST{LSGVPDRFSGSGSGTDFTTT .DVAVYYCQNDYSY9YTF
GQGTKTfi' {GGGSGGGGI <LQQSGA.ELAR9GASV{MSCKTSGYTFTRYTMI
WV<QRPGQGT*'W GY N9S{GYTWYNQKFKDKATLTTDKSSSTAYMQLSSLT
SEDSAVYYCARYYDDHYCLDYWGQGTTLTVSSGGCGGGKVAAPKEKVAAPK?
KVAAT.K9KVAAPK?
] A DART-B Chain 2 encoding polynucleotide is SEQ ID NO:8:
gac,ch,gaLgacacachLcc,gaLag,chgccgtgagtctgggggagc
ggg,gac,a,g,cL,gcaagagc:cccag:cactgctgaacagcggaaatca
gaaaaaccacccgacccggcaccagcagaagccaggccagccccccaaaccg
chaLcLaLcgggc,Lccaccagggaa,c,ggcg,gcccgacaga:tcagcg
gcagcggcagcggcacaga,Lguaccc,gacaaL,Lc,achLgcaggccga
ggachggc,g,gLac,aL,gccagaa,ga,Lacagc,aLcchacacLL,c
ggccaggggaccaagc:ggaaa:taaaggaggcgga:ccggcggcggaggcg
aaCCgcagcagtcaggggccgaaccggcaagacc:ggggcc:cagt
gaagaLg,cc,gcaagacL,chgc,acach,,ac,agg,acacga:gcac
aaacagaggcc:ggacagggLC,ggaa,ggaL,ggaLacaL,aa,c
ctagccgcggccacaccaaccacaaccagaagc“caaggacaaggccacacc
gac:acagacaaaccccccagcacagcccacacgcaac:gagcagcc:gaca
:ctgaggach,gcag,cLacLachLgcaaga,a,,a,ga,gacca,Lac,
gccccgacLaccggggccaaggcaccac:ctcacagccccccccggaggatg
tggcggtggaaaagtggccgcactgaaggagaaag,,chchL,gaaagag
aaggtcgccgcacttaaggaaaaggtcgcagccctgaaagag
111. Modified Variants of Sequence-Optimized CD123 x CD3 cific
y (DART-A)
A. Sequence-Optimized CD123 x CD3 Bi-Specific Diabody Having
An Albumin-Binding Domain (DART-A with ABD “w/ABD”)
In a second embodiment of the invention, the sequence-optimized CD123 X
CD3 bi-specific y (DART-A) will comprise one or more Albumin-Binding
Domain (“ABD”) (DART-A with ABD “w/ABD”) on one or both of the polypeptide
chains of the diabody.
As disclosed in WO 2012/018687, in order to improve the in viva
pharmacokinetic properties of diabodies, the diabodies may be modified to contain a
polypeptide portion of a serum-binding protein at one or more of the termini of the
diabody. Most preferably, such polypeptide portion of a serum-binding protein will
be installed at the C-terminus of the diabody. A particularly preferred polypeptide
portion of a binding protein for this purpose is the Albumin-Binding Domain
(ABD) from streptococcal protein G. The Albumin-Binding Domain 3 (ABD3) of
protein G of Streptococcus strain G148 is particularly preferred.
The Albumin-Binding Domain 3 (ABD3) of protein G of Streptococcus
strain G148 consists of 46 amino acid residues forming a stable three-helix bundle
and has broad albumin-binding specificity (Johansson, M.U. et al. (2002) “Structure,
Specificity, And Mode 0f Interaction For Bacterial Albumin-Binding Modules,” J.
Biol. Chem. ):8114-8120). Albumin is the most abundant protein in plasma
and has a half-life of 19 days in humans. Albumin possesses l small molecule
binding sites that permit it to non-covalently bind to other proteins and y extend
their serum half-lives.
Thus, the first polypeptide chain of such a sequence-optimized CD123 X
CD3 bi-specific diabody having an Albumin-Binding Domain contains a third linker
(Linker 3), which separates the E-coil (or ) of such polypeptide chain from the
Albumin-Binding Domain. A preferred sequence for such Linker 3 is SEQ ID
NO:31: GGGS. A red Albumin-Binding Domain (ABD) has the sequence (SEQ
H)N(h36kPAEAKVPANREPDKYGVSDYYKNL:DNAKSAEGVKAP Dd PAAPR
Thus, a preferred first chain of a sequence-optimized CD123 X CD3 bi-
1c diabody having an Albumin-Binding Domain has the sequence (SEQ ID
NO:9):
QAVVTQEPSLTVSPGGTVTLTCRSSTGAVTTSWYANWVQQKPGQAPRGL: GG
TNKRAPWTPARFSGSLLGGKAALTI TGAQAfi'DmADYYCALWYSWLWVFGGGT
KLTVLGGGGSGGGG_EVQLVQSGA_ELK<PGASV<VSC{ASGYTFTDYYM<WVR
Tfi'W GD 9SNGATbYNQKb<G<VT TVDKSTSTAYMTSST<SfiD
TAVYYCARS{LLRASWFAYWGQGTLVTVSSGGCGGGWVAATfiKVAATfiKfiV
AAPfiKfiVAAPm<GGGSTAGAKVTANRGTDKYGVSDYYKNLIDNAKSAAGV<A
T. )0 PAAP?
A sequence-optimized CD123 X CD3 diabody having an Albumin-Binding
Domain is composed of: SEQ ID NO:21 — SEQ ID NO:29 — SEQ ID NO:26 —
SEQ ID NO:30 — SEQ ID NO:34 — SEQ ID NO:31 — SEQ ID NO:36. A
pdymmbmflmemmmngmmhasammweommnmflCIH23XCD3dfihflyhmflgan
Albumin-Binding Domain derivative is SEQ ID NO:10:
caggctgtggtgactcaggagccttcactgaccgtgtccccaggcggaactg
tgaccctgacatgcagatccagcacaggcgcagtgaccaca:ctaactacgc
caattgggtgcagcagaagccaggacaggcaccaaggggcc,gaecgggggt
acaaacaaaagggc:ccctggacccctgcacgg,L,Lceggaagtctgctgg
gcggaaaggccgcechaceaeLaccggggcacaggccgaggacgaagccga
e,ac,aLLngc,cegeggea,agcaaech,ggg,geecgggggtggcaca
acengcegggagggggeggaeccggcggcggaggcgaggtgcagc
egngcag,ccggggcegagcegaagaaacccggagceecchgaaggtgtc
eegcaaagccageggceacaccttcacagaceacLaeaegaageggchagg
caggctccaggacagggaceggaa,ggachgcgaLaecaeLch,ccaacg
gggccac,L,cLacaa,cagaag,,Laaaggcaggg,gac,aLeaccgegga
caaatcaacaagcac,ch,aea,ggachgagc,cchgcgcecegaagat
acagccgegeacLaLegechcgg,cacacctgc:gagagccagc,gg,,,g
gggacagggcacccegg,gacagech,Lccggaggatgtggcgg
tggagaag:ggccgcac:ggagaaagaggLechchLeggagaaggaggtc
gcegcaceegaaaaggaggtcgcagccctggagaaaggcggcgggechegg
caaaagtgctggccaaccgcgaaceggaLaaa,angcg,gagcga
L,aLeaLaagaacc:gattgacaacgcaaaatccgcggaaggcgtgaaagca
c,ga,LgaLgaaaL,chgccgccctgcct
The second polypeptide chain of such a sequence-optimized CD123 X CD3
diabody having an Albumin-Binding Domain has the sequence described above (SEQ
ID NO:3) and is encoded by a polynucleotide having the sequence of SEQ ID NO:4.
B. Sequence-Optimized CD123 x CD3 Bi-Specific Diabodies Having
An IgG Fc Domain (DART-A with Fe “w/Fc”)
In a third ment, the invention provides a ce-optimized CD123
X CD3 bi-specific diabody composed of three polypeptide chains and possessing an
IgG Fc Domain (DART-A with Fe “W/Fc” Version 1 and Version 2) (Figure 3A-3B).
In order to form such IgG Fc Domain, the first and third polypeptide chain of
the diabodies contain, in the N-terminal to inal direction, a cysteine-containing
peptide, (most preferably, Peptide 1 having the amino acid sequence (SEQ ID
: DKTHTCPPCP), some or all of the CH2 Domain and/or some or all of the
CH3 Domain of a complete immunoglobulin Fc Domain, and a C-terminus. The
some or all of the CH2 Domain and/or the some or all of the CH3 Domain associate
to form the immunoglobulin Fc Domain of the bi-specific monovalent Fc Domain-
ning diabodies of the present invention. The first and second polypeptide
chains of the cific monovalent Fc ies of the present invention are
covalently bonded to one another, for example by disulfide bonding of cysteine
residues located within the cysteine-containing peptide of the polypeptide chains.
The CH2 and/or CH3 Domains of the first and third polypeptides need not be
identical, and advantageously are modified to foster complexing between the two
polypeptides. For e, an amino acid substitution (preferably a substitution with
an amino acid comprising a bulky side group forming a ‘knob’, e.g., tryptophan) can
be introduced into the CH2 or CH3 Domain such that steric interference will prevent
interaction with a similarly mutated domain and will te the mutated domain to
pair with a domain into which a complementary, or accommodating mutation has
been engineered, i.e., “the hole’ (e.g., a substitution with glycine). Such sets of
mutations can be engineered into any pair of polypeptides comprising the bi-specific
monovalent Fc diabody molecule, and fiarther, engineered into any portion of the
polypeptides chains of said pair. Methods of protein engineering to favor
heterodimerization over homodimerization are well known in the art, in particular
with respect to the engineering of immunoglobulin-like molecules, and are
encompassed herein (see e. g., Ridgway et al. (1996) “‘Knobs-Into-Holes’
Engineering 0f Antibody CH3 Domains For Heavy Chain Heterodimerization,”
Protein Engr. 9:6l7-621, Atwell et al. (1997) e Heterodimers From
Remodeling The Domain Interface Of A Homodimer Using A Phage Display
Library,” J. Mol. Biol. 270: 26-35, and Xie et al. (2005) “A New Format 0f
Bispecific Antibody: Highly nt Heterodimerization, Expression And Tamor Cell
Lysis, ” J. Immunol. Methods 296:95-101; each of which is hereby incorporated herein
by reference in its ty). Preferably the ‘knob’ is engineered into the CH2-CH3
Domains of the first polypeptide chain and the ‘hole’ is engineered into the CH2-CH3
Domains of the third ptide chain. Thus, the ‘knob’ will help in preventing the
first polypeptide chain from homodimerizing Via its CH2 and/or CH3 Domains. As
the third polypeptide chain preferably contains the ‘hole’ substitution it will
heterodimerize with the first polypeptide chain as well as homodimerize with itself
A preferred knob is created by ing a native IgG Fc Domain to contain the
modification T366W. A preferred hole is created by modifying a native IgG Fc
Domain to contain the modification T366S, L368A and Y407V. To aid in purifying
the third polypeptide chain homodimer from the final bi-specific monovalent Fc
diabody comprising the first, second and third polypeptide chains, the protein A
binding site of the CH2 and CH3 Domains of the third polypeptide chain is preferably
mutated by amino acid substitution at position 435 ). Thus, the third
polypeptide chain homodimer will not bind to n A, Whereas the bi-specific
monovalent Fc diabody will retain its ability to bind protein A via the protein A
binding site on the first polypeptide chain.
A red sequence for the CH2 and CH3 Domains of an antibody Fc
Domain present in the first polypeptide chain is (SEQ ID NO:56):
APLAAGGPSVFLFPPKPKDTL SRTP*‘VTCVVVDVSH4DP*‘V<EWWYV3GV
'UI—IILUVTNAKTK9<4'QYWSTYRVVSVLTVL{QDWLNG<LYKC<VSN<AL9A9 4K
:SKAKGQ9{L9QVYTTWP9SRL*MTKVQVSLWCLV<GEY9SD AV4W4SWGQ
-3WNYKTT 99VLDSDGSFFLYS<LTVD<S9WQQGWVFSCSV HEALTVTYTQ
<SLSLSPG<
A preferred sequence for the CH2 and CH3 Domains of an antibody Fc
Domain present in the third polypeptide chain is (SEQ ID NO: 11):
APLAAGGPSVFLFPPKPKDTT SRTPLVTCVVVDVSH4DP4V<EWWYVJGV
'UI—IILUVTNAKTK9<4'QYWSTYRVVSVLTVL{QDWLNG<LYKC<VSN<AL9A9 4K
:SKAKGQW9{L9QVYTTP9SRL*MTKVQVSLSCAV<GEY9SD AV4W4SWGQ
.3WNYKTT 99VLDSDGSFFLVS<LTVD<S9WQQGWVFSCSV HLALTV<YTQ
C. DART-A w/Fc Version 1 uct
In order to illustrate such Fc diabodies, the invention provides a DART-A
W/Fc version 1 construct. The first polypeptide of the DART-A w/Fc n 1
uct comprises, in the N—terminal to C-terminal direction, an N—terminus, a VL
domain of a monoclonal antibody e of binding to CD123 (VLCDm), an
intervening linker peptide (Linker l), a VH domain of a monoclonal antibody capable
of binding to CD3 (VHCDg), a Linker 2, an E—coil Domain, a Linker 5, Peptide l, a
polypeptide that contains the CH2 and CH3 Domains of an Fc Domain and a C-
terminus. A red Linker 5 has the sequence (SEQ ID NO:32): GGG. A preferred
polypeptide that contains the CH2 and CH3 Domains of an Fc Domain has the
ce (SEQ ID NO:37):
APEAAGGPSVFLFPPKPKDTP SRTPL1VTCVVVDVSH4DPL1V<EWWYVDGV
'Ul—ZIL-ljViNAKTK9&4L1QYNSTY9VVSVLTVL{QDWLNG<EYKC<VSN<AL9A9 4K
:SKAKGQW9{_L9QVYTTP9SRLLMTKNQVSLWCLV<GEY9SD WGQ
.3WNYKTT99VLDSDGSFFLYS<LTVD<S9WQQGWVFSCSV HEALdWiYTQ
<SLSLSPG<
Thus, the first polypeptide of such a DART-A W/Fc version 1 construct is
ed of: SEQ ID NO:25 — SEQ ID NO:29 — SEQ ID NO:22 — SEQ ID
NO:30 — SEQ ID NO:34 — SEQ ID NO:32 — SEQ ID NO:55 — SEQ ID NO:37.
A preferred ce of the first polypeptide of such a DART-A w/Fc
version 1 construct has the sequence (SEQ ID NO:13):
DFVMTQS9DSLAVSLG.£{VTMSC{SSQSLLNSGNQ<NYLTWYQQ<PGQ9PKL
L: YWAST<LSGVP39FSGSGSGTDFTTT MSTQAL.DVAVYYCQNDYSY9YTF
GQGT<P4 <GGGSGGGG4VQPVLSGGGTVQPGGSLRLSCAASGFTFSTYAMW
WVRQA9G<GPL1WVG< RS<YNNYATYYADSVKDRFT NSLYLQ NS
LKTEDTAVYYCVR{GWFGWSYVSWFAYWGQGTLVTVSSGGCGGGLVAATLK4
VAAP4<4VAAPLKLVAAT4<GGGD<TdTC99C9APLAAGG9SVFLFPPK9KD
TR S<TP4VTCVVVDVS{4DP4V<EWWYVDGVEV{NAKT<9<4L1QYWSTY9
VVSVLTVL{QDWLWG<EY<C<VSW<AP9A9 4<T SKAKGQ9<L9QVYTLP9
SR4L1MTKWQVSLWCLV<GEY9SD AV4W4SWGQ 9EWNYKTT99VLDSDGSFF
LYS<LTVD<S9WQQGWVFSCSV {EALdeYTQ<SLSLSPG<
A preferred polynucleotide ng such a polypeptide is (SEQ ID
NO:14):
gac,chLgaLgacacachLcc,gaLag,chgccgtgagtctgggggagc
ggngaCLaLgLCL,gcaagagc:cccag:cactgctgaacagcggaaatca
gaaaaacvaLCLgachggLaccagcagaagccaggccagccccc:aaactg
chaLcLaLnggc,LccaccagggaaLC,ggchgcccgacagattcagcg
gcagcggcagcggcacagaLLLLaCCCLgacaaLLLCLagLCLgcaggccga
ggachggCLngLaCLaL,gvcagaa,ga,Lacagc:atccctacactttc
ggccaggggaccaagc:ggaaa:taaaggaggcggatccggcggcggaggcg
aggtgcagcngvggechnggggagchngvccagcc:ggagggvcccv
gagacLCLCCLngcegCCLCngaL,cach,cagcacaLacchaLgaa,
tgggtccgccaggc2ccagggaaggggcngagvgggvngaaggavcaggv
ccaagtacaacaattetgcaachacLa,gccgactc:gtgaagga,agaLL
caccaLCLcaagagatgattcaaagaacLcachLaLchcaaa:gaacagc
ctgaaaaccgaggacecggcchgLaLLachLngagacacggLaacLch
gcaa,LC,LachgLCLngLLLchLa,ngggacaggggacactggtgac
LngLcLLccggagge:gtggcggtggagaagtggccgcac:ggagaaagag
gLLchgCLLngageaggaggvcchgcacLLgaaaaggaggtcgcagccc
:ggagaaaggcggcggggacaaaac:cacacatgcccaccgtgcccagcacc
cgcggggggecchcachLLCCLCLLccccccaaaacccaaggac
accctcatgatctcccggacccc,gagchacaLgchgngg,ggacgtga
gccacgaagacchgegchaag,Lcaac,ggLachggacggcgtggaggt
gcataatgccaagacaaagccgcgggaggagcagtacaacagcacgtaccg'(I
agcgtcc:caccgtcctgcaccaggactggc:gaatggcaaggag'(I
acaagtgcaaggtctccaacaaagccctcccagccccca:cgagaaaacca(I
c:ccaaagccaaagggcagccccgagaaccacaggtg:acaccctgccccca
tcccgggaggagatgaccaagaaccaggtcagccchggchcvggvcaaag
ch,cLa,cccagcgacatcgccgtggag:gggagagcaatgggcagccgga
gaacaac2acaagaccacgccLccchgccggac ,ccgacggc,cc,Lc,Lc
ctc:acagcaagctcaccg:ggacaagagcaggtggcagcaggggaacg:ct
LC,CaLgc,ccg,gaLgca,gaggctctgcacaaccactacacgcagaagag
cc,chcc,ch,ccgggtaaa
The second chain of such a DART-A W/Fc version 1 construct will comprise,
in the N—terminal to C-terminal direction, an N—terminus, a VL domain of a
monoclonal antibody capable of binding to CD3 (VLCDg), an intervening linker
peptide (Linker l), a VH domain of a monoclonal antibody capable of binding to
CD123 (VHCDm), a Linker 2, a K—coil Domain, and a C-terminus. Thus, the second
polypeptide of such a DART-A W/Fc version 1 construct is composed of: SEQ ID
NO:21 — SEQ ID NO:29 — SEQ ID NO:26 — SEQ ID NO:30 — SEQ ID NO:35.
Such a polypeptide has the sequence (SEQ ID NO:15):
QAVVTQEPSLTVSPGGTVTLTCRSSTGAVTTSWYANWVQQKPGQAPRGL_IGG
TNKRAPWTPARFSGSLLGGKAALTI TGAQAfiDfiADYYCALWYSWLWVFGGGT
KLTVLGGGGSGGGG_EVQLVQSGA_ELKKPGASV{VSCKASGYTFTDYYMKWVR
QAPGQGTfi'W GD FYNQKFKGRVT--TVDKSTSTAY SmD
TAVYYCARSHLLRASWFAYWGQGTLVTVSSGGCGGGKVAATK:‘J <VAAT.Km<V
AAPKTKVAATKm
A preferred polynucleotide ng such a polypeptide has the sequence
(SEQ ID :
caggctgtggtgactcaggagccttcactgaccgtgtccccaggcggaactg
tgaccctgacatgcagatccagcacaggcgcag:gaccaca:ctaactacgc
caattgggtgcagcagaagccaggacaggcaccaaggggcc “gaucgggggt
acaaacaaaagggc:ccctggacccctgcacgg ggaag:ctgctgg
gcggaaaggccgcchgaccavLaccggggcacaggccgaggacgaagccga
LLngc,cvgvgg,a,agcaa,ch,ggg,gv“cgggggtggcaca
aaaccgacchgccgggagggggvggavccggcggcggaggcgaggtgcagc
,gngcag,ccggggc“gagc,gaagaaacccggagcv“cchgaaggtgtc
vcgcaaagccagvggcvacaccttcacagacvacLavaGgaagGggchagg
caggctccaggacagggac,ggaa,ggachgcgaLa,ca, LCCL,ccaacg
gggccac,L,cLacaa,cagaag,,Laaaggcaggg,gac,aLvaccg,gga
caaatcaacaagcacvchcavavggachgagc ,cchgcgc,c,gaagat
acagccg,g,acLaL,g,chcgg,cacacctgc:gagagccagcvgngvg
ctta:tggggacagggcaccccgg,gacag,ch vLccggaggatgtggcgg
tggaaaag1ggccgcac:gaaggagaaagt:gctgctttgaaagagaagg:c
gccgcacvvaaggaaaaggtcgcagccctgaaagag
The third polypeptide chain of such a DART-A w/Fc version 1 will comprise
the CH2 and CH3 s of an IgG Fc Domain. A preferred polypeptide that is
composed of Peptide l (SEQ ID NO:55) and the CH2 and CH3 Domains of an Fc
Domain (SEQ ID NO:11) and has the sequence of SEQ ID NO:54:
D<T{TC99CPA9EAAGGPSVFLFPPKPK3TL VTCVVVDVSH4DPfi
V<FWWYVDGVEVINAKTK9<m'QYWSTYRVVSVLTVLIQDWLNG<EYKC<VS
W<AL9A9 4KT SKAKGQ9<j9QVYTTP9SRfiHfiMTKVQVSLSCAV<GFY9S3
AVfiWfiSWGQ 9EWNYKTT99VLDSDGSFFLVS<LTVD<S9WQQGWVFSCSV
{jAL{W{YTQ<SLSLSPG<
A preferred polynucleotide that encodes such a polypeptide has the sequence
(SEQ ID NO:12):
gacaaaac:cacacatgcccaccgtgcccagcacctgaagccgcggggggac
c3Lcc,cLoccccccaaaacccaaggacaccctcatgatctcccg
gacccc,gagchacaLgchggngngacgtgagccacgeagaccc:gag
chaagoLcaac,gg,acgngacggcgtggaggtgcataatgccaagacaa
gggaggagcagtacaacagcacgLaccg,gogchegcgtcc:cac
cgtcctgcaccaggactggc:gaatggcaaggag:acaagtgcaaggtctcc
aacaaagccctcccagcccccatcgagaaaaccacccccaaegccaaagggc
gagaaccacaggtg:acaccctgcccccatcccgggaggagatgac
caagaaccaggtcagccogagL,gcgcagtcaaaggcttcte:cccagcgac
atcgccgtggag:gggagagcaatgggcagccggagaacaac:acaagacca
cgchccchgc,ggac,ccgacgchcc,Lchchcgocegcaagctcac
cg:ggacaagagcaggtggcagcaggggaacg“CLLC,caLgcoccg,gaLg
catgaggctctgcacaaccgctacacgcagaagagcc,cocccoch,ccgg
gtaaa
D. DART-A w/Fc Version 2 Construct
] As a second example of such a DART-A w/Fc diabody, the invention
provides a three chain diabody, “DART-A w/Fc Diabody Version 2” (Figure 3B).
The first polypeptide of such a DART-A W/Fc version 2 construct comprises,
in the N—terminal to C-terminal direction, an N—terminus, a peptide linker (Peptide l),
a polypeptide that contains the CH2 and CH3 Domains of an Fc Domain linked (via a
Linker 4) to the VL domain of a monoclonal antibody capable of binding to CD123
), an intervening linker peptide (Linker l), a VH domain of a monoclonal
antibody capable of binding to CD3 (VHCDg), a Linker 2, a K—coil Domain, and a C-
terminus .
A preferred polypeptide that contains the CH2 and CH3 Domains of an Fc
Domain has the sequence (SEQ ID NO:37):
APEAAGGPSVFLFPPKPKDTP SRTP*‘VTCVVVDVSH4DP4'V<EWWYV3GV
'Ul—ZIL-ljV4NAKTK994'QYWSTY9VVSVLTVL{QDWLNG<EYKC<VSN<AP9A9 4K
:SKAKGQ9949QVYTTWP9SR4*MTKWQVSLWCLV<GEY9SD AV4W4SWGQ
-3WNYKTT 99VLDSDGSFFLYS<LTVD<S9WQQGWVFSCSV HEAL4W4YTQ
<SLSLSPG<
“Linker 4” will ably se the amino acid sequence (SEQ ID
NO:57): APSSS. A preferred “Linker 4” has the sequence (SEQ ID NO:33):
ME. Thus, the first polypeptide of such a DART-A W/Fc version 2 construct
is composed of: SEQ ID NO:55 — SEQ ID NO:37 — SEQ ID NO:33 — SEQ ID
NO:25 — SEQ ID NO:29 — SEQ ID NO:22 — SEQ ID NO:30 — SEQ ID NO:35.
A polypeptide having such a sequence is (SEQ ID NO:17):
D<T{TC99CPAPEAAGGPSVFLFPPKP{DTP SRTP4VTCVVVDVSH4DP4
V<FWWYVJGVEV4NAKTK994'QYWSTY9VVSVLTVL{QDWLNG<EYKC{VS
9 4KT SKAKGQ99.49QVYTT 99SR*H*MT<WQVSLWCLV<GFY9SD
AV4W4SWGQ9EWNYKTT 99VLDSDGSFFLYS<LTVD<S9WQQGWVFSCSV
{EAL4W4YTQ<SLSLSPG<A9SSS9 Lti DFVMTQS9DSLAVSLG49VTMSC<S
SQSLLWSGNQ<WYLTWYQQ<9GQ99<LLI_YWAST94SGV9D9FSGSGSGT3F
TTT SSTQA4.3VAVYYCQWDYSY9YTFGQGT<14 <GGGSGGGG4VQPV4SG
GGLVQPGGSL9LSCAASGFTFSTYA NWVRQA9G<GP4WVG9 {SKYNNYAT
YYADSVKDRFT SRDDSKWSLYLQMWSLKT4DTAVYYCV9HGNFGNSYVSWF
AYWGQGTLVTVSSGGCGGGKVAAT.K4KVAAT.<4KVAAT.K4KVAATK4
] A preferred polynucleotide encoding such a polypeptide has the sequence
(SEQ ID NO:18):
gacaaaac:cacacatgcccaccgtgcccagcacctgaagccgcggggggac
chcag,c4Lcc,cL,ccccccaaaacccaaggacaccctcatgatctcccg
gacccc,gagchacaLgchggngngacgtgagccacgeagaccc:gag
chaag,Lcaac,gg,acgngacggcgtggaggtgcataatgccaagacaa
agccgcgggaggagcagtacaacagcacgLaccg,g,gchegcgtcc:cac
cgtcctgcaccaggactggc:gaatggcaaggag:acaagtgcaaggtctcc
aacaaagccctcccagcccccatcgagaaaaccacccccaaegccaaagggc
gagaaccacaggtg:acaccctgcccccatcccgggaggagatgac
caagaaccaggtcagcc,ngg,gcc,gg,caaagch,cLe,cccagcgac
atcgccgtggag:gggagagcaatgggcagccggagaacaac:acaagacca
cgchccchgc,ggac,ccgacggc,cc,Lchchc,acegcaagctcac
cg:ggacaagagcaggtggcagcaggggaacg“CLLC,caLgc,ccg,gaLg
gc4ccgcacaaccactacacgcagaagagcc4c“cccchccccgg
gtaaagcccc:tccagctcccc:atggaagac,,cg,ga,gacacag:ctcc
,gaLag,c,ggccgtgagtctgggggagcggg,gac,acg,cL,gcaagagc
:cccag,cac,gcLgaacagcggaaatcagaaaaac,a,c,gachggLacc
agcagaagccaggccagccccc,aaachcha,cLaL,gggc,Lccaccag
ggaa,chgcg,gcccgacagattcagcggcagcggcagcggcacaga,Lo,
aCCCCgacaa,,Lc,agochcaggccgaggacgoggc,ngLac,aL,g,c
agaa,gaoLacagc:atccctacactttcggccaggggaccaagc:ggaaa:
taaaggaggcggatccggcggcggaggcgaggtgcagcngvggachvggg
ggagchngvccagcc2ggagggvcccLgagacchchngcagccvcvg
gattcaccttcagcaca,accha,gaa,ngchcgccagg02ccagggaa
ggggcvggagvgggvngaaggavcagg“ccaagtacaacaattatgcaacc
Lac,augccgactc:gtgaagga,agaL“caccaococaagagatgattcaa
agaacvcacLgvaLcLgcaaa:gaacagcc:gaaaaccgaggacacggccg:
goa,Lachogogagacacgguaac,chgcaa,,c,,achchungLL,
ch,a,ngggacaggggacachg,gac,gugocL,ccggaggatgtggcg
gtggaaaagtggccgcactgaaggagaaag3LgcvgchLgaaagagaagg:
cgccgcact:aaggaaaaggtcgcagccc:gaaagag
The second polypeptide chain of such a DART-A w/Fc version 2 construct
comprises, in the N—terminal to C-terminal direction, the VL domain of a monoclonal
antibody capable of binding to CD3 (VLCDg), an intervening linker peptide (Linker l)
and a VH domain of a monoclonal dy capable of binding to CDl23 ).
This portion of the molecule is linked (via Linker 2) to an E-coil Domain. Thus, the
third polypeptide of such a DART-A w/Fc n 2 construct is composed of: SEQ
ID NO:21 — SEQ ID NO:29 — SEQ ID NO:26 — SEQ ID NO:30 — SEQ ID
NO:34. A polypeptide having such a sequence is (SEQ ID NO:1), and is preferably
encoded by a polynucleotide having the sequence of SEQ ID NO:2.
The third polypeptide chain will comprise the CH2 and CH3 Domains of an
IgG Fc Domain. A red polypeptide is composed of Peptide l (SEQ ID NO:55)
and the CH2 and CH3 Domains of an Fc Domain (SEQ ID NO:11) and has the
sequence of SEQ ID NO:54.
In order to assess the ty of the above-mentioned CD123 X CD3 bi-
specific diabodies (DART-A, DART-A w/ABD, DART-A w/Fc, DART-B), a control
bi-specific y (Control DART) was ed. The l DART is capable of
simultaneously binding to FITC and CD3. Its two polypeptide chains have the
following respective sequences:
Control DART Chain 1 (SEQ ID NO: 19).
DVVMTQTPFSL9VSLGDQAS: SCRSSQSLVHSNGWTYLRWYLQKPGQSPKVL
:YKVSWRFSGV9DRFSGSGSGTDETTK S<VfiAfiDTGVYFCSQSTHVPWTFG
GGTKT.*' KGGGSGGGGfi'VQLVmSGGGLVQ9GGSLRLSCAASGFTFNTYAMNW
VRQAPGKGTfi'WVA{ RSKYNNYATYYADSVKDRFT SRDDSKNSLYLQMNSL
KTEDTAVYYCVR{GNFGWSYVSWFAYWGQGTLVTVSSGGCGGGfiVAALfiKfiV
AALfiKfiVAALfiKfiVAALfiK
Control DART Chain 2 (SEQ ID :
QAVVTQ_EPSLTVSPGGTVTLTCRSSTGAVTTSWYANWVQQKPGQAPRGL_IGG
TN<RAPWTPARFSGSLLGG<AALTI TGAQAmD*ADYYCALWYSNLWVFGGGT
{LTVLGGGGSGGGGfi'VKTDfiTGGGTVQPGR? SGFTFSDYW NWVR
QS?*KGT*WVAQ RW<PYWYETYYSDSVKG<ET SRDDSKSSVYLQMWNLRV
fl) G YYCTGSYYG DYWGQGTSVTVSSGGCGGGKVAALKTKVAALKTKVAA
L<T<VAAT.Km
IV. Pharmaceutical Compositions
The compositions of the invention include bulk drug compositions useful in
the manufacture of pharmaceutical compositions (e.g., impure or non-sterile
compositions) and pharmaceutical compositions (z'.e., compositions that are suitable
for administration to a subject or patient) which can be used in the preparation of unit
dosage forms. Such compositions se a prophylactically or therapeutically
ive amount of the sequence-optimized CD123 X CD3 bi-specific diabodies of
the present invention, or a combination of such agents and a pharmaceutically
acceptable carrier. Preferably, compositions of the invention comprise a
prophylactically or eutically effective amount of the sequence-optimized
CD123 X CD3 cific diabody of the ion and a pharmaceutically acceptable
carrier.
The invention also encompasses pharmaceutical compositions comprising
sequence-optimized CD123 X CD3 bi-specific ies of the invention, and a
second therapeutic antibody (e.g., tumor specific monoclonal antibody) that is c
for a particular cancer antigen, and a pharmaceutically acceptable carrier.
In a specific embodiment, the term “pharmaceutically able” means
approved by a regulatory agency of the Federal or a state government or listed in the
US. Pharmacopeia or other generally recognized copeia for use in animals,
and more particularly in humans. The term “carrier” refers to a diluent, adjuvant
(e. g., Freund’s adjuvant (complete and incomplete), excipient, or vehicle with which
the therapeutic is administered. Such pharmaceutical carriers can be sterile liquids,
such as water and oils, including those of petroleum, animal, vegetable or synthetic
, such as peanut oil, soybean oil, mineral oil, sesame oil and the like. Water is a
preferred carrier when the pharmaceutical composition is administered intravenously.
Saline solutions and aqueous dextrose and ol solutions can also be employed as
liquid carriers, particularly for injectable solutions. Suitable pharmaceutical
excipients include starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk,
silica gel, sodium stearate, glycerol monostearate, talc, sodium chloride, dried skim
milk, glycerol, propylene, glycol, water, ethanol and the like. The composition, if
desired, can also contain minor amounts of wetting or emulsifying agents, or pH
buffering . These compositions can take the form of solutions, sions,
emulsion, s, pills, es, powders, sustained-release formulations and the
like.
Generally, the ingredients of compositions of the invention are supplied
either separately or mixed together in unit dosage form, for example, as a dry
lyophilized powder or water free concentrate in a hermetically sealed container such
as an ampoule or sachette indicating the quantity of active agent. Where the
composition is to be administered by infusion, it can be dispensed with an infiJsion
bottle containing e pharmaceutical grade water or saline. Where the composition
is administered by injection, an ampoule of sterile water for injection or saline can be
provided so that the ingredients may be mixed prior to administration.
The compositions of the invention can be formulated as neutral or salt forms.
ceutically acceptable salts include, but are not limited to those formed with
anions such as those derived from hydrochloric, phosphoric, acetic, , tartaric
acids, etc, and those formed with cations such as those derived from sodium,
potassium, ammonium, calcium, ferric hydroxides, isopropylamine, triethylamine, 2-
ethylamino ethanol, histidine, procaine, etc.
The invention also es a pharmaceutical pack or kit sing one or
more containers filled with sequence-optimized CD123 X CD3 bi-specif1c diabodies
of the invention alone or with such pharmaceutically acceptable carrier. onally,
one or more other prophylactic or therapeutic agents useful for the treatment of a
disease can also be ed in the pharmaceutical pack or kit. The invention also
provides a pharmaceutical pack or kit comprising one or more containers filled with
one or more of the ingredients of the pharmaceutical compositions of the ion.
Optionally associated with such container(s) can be a notice in the form prescribed by
a governmental agency regulating the manufacture, use or sale of ceuticals or
biological products, which notice reflects approval by the agency of manufacture, use
or sale for human administration.
The present invention provides kits that can be used in the above methods. A
kit can comprise sequence-optimized CD123 X CD3 bi-specif1c diabodies of the
invention. The kit can fiarther comprise one or more other prophylactic and/or
therapeutic agents useful for the treatment of cancer, in one or more containers; and/or
the kit can fiarther comprise one or more xic antibodies that bind one or more
cancer antigens associated with cancer. In certain ments, the other
prophylactic or therapeutic agent is a chemotherapeutic. In other embodiments, the
prophylactic or therapeutic agent is a biological or hormonal therapeutic.
V. Methods of Administration
The compositions of the present invention may be provided for the ent,
prophylaxis, and amelioration of one or more symptoms ated with a disease,
disorder or infection by administering to a subject an effective amount of a fusion
protein or a conjugated molecule of the invention, or a pharmaceutical composition
comprising a fiJsion n or a conjugated le of the invention. In a preferred
aspect, such compositions are substantially ed (z'.e., substantially free from
substances that limit its effect or produce undesired side effects). In a specific
embodiment, the t is an animal, preferably a mammal such as non-primate (e.g.,
bovine, equine, feline, canine, rodent, etc.) or a primate (e. g., monkey such as, a
cynomolgus monkey, human, etc.). In a preferred embodiment, the subject is a
human.
Various delivery systems are known and can be used to administer the
compositions of the invention, e.g, encapsulation in mes, microparticles,
microcapsules, recombinant cells capable of expressing the antibody or fusion protein,
receptor-mediated endocytosis (See, e.g., Wu et al. (1987) tor-Mediated In
Vitro Gene Transformation By A e DNA Carrier System,” J. Biol. Chem.
262:4429-4432), construction of a nucleic acid as part of a retroviral or other vector,
etc.
Methods of administering a le of the invention include, but are not
limited to, parenteral administration (e.g., intradermal, uscular, intraperitoneal,
intravenous and subcutaneous), epidural, and mucosal (e.g, intranasal and oral
). In a specific embodiment, the ce-optimized CD123 X CD3 bi-speciflc
diabodies of the invention are administered intramuscularly, intravenously, or
subcutaneously. The compositions may be administered by any ient route, for
example, by infusion or bolus injection, by absorption through epithelial or
mucocutaneous linings (e.g., oral mucosa, rectal and intestinal mucosa, etc.) and may
be administered together with other biologically active agents. Administration can be
systemic or local. In addition, pulmonary administration can also be employed, e.g.,
by use of an r or nebulizer, and formulation with an aerosolizing agent. See,
e.g., US. Patent Nos. 968; 5,985, 320; 5,985,309; 5,934,272; 5,874,064;
,855,913; 5,290,540; and 4,880,078; and PCT Publication Nos. WO 92/19244; WO
97/32572; WO 97/44013; WO 98/31346; and WO 03, each of which is
incorporated herein by nce in its entirety.
The invention also provides that the sequence-optimized CD123 X CD3 bi-
specific diabodies of the invention are packaged in a ically sealed ner
such as an ampoule or sachette indicating the quantity of the molecule. In one
embodiment, the sequence-optimized CD123 X CD3 bi-specif1c diabodies of the
invention are supplied as a dry sterilized lyophilized powder or water free concentrate
in a hermetically sealed container and can be reconstituted, e.g., with water or saline
to the appropriate concentration for administration to a subject. Preferably, the
sequence-optimized CD123 X CD3 bi-speciflc diabodies of the invention are supplied
as a dry sterile lized powder in a hermetically sealed container at a unit dosage
of at least 5 ug, more preferably at least 10 ug, at least 15 ug, at least 25 ug, at least
50 ug, at least 100 ug, or at least 200 ug.
The lyophilized sequence-optimized CD123 X CD3 bi-specif1c diabodies of
the invention should be stored at between 2 and 8°C in their original container and the
molecules should be administered within 12 hours, preferably within 6 hours, within 5
hours, within 3 hours, or within 1 hour after being tituted. In an alternative
embodiment, sequence-optimized CD123 X CD3 bi-specific diabodies of the
invention are supplied in liquid form in a hermetically sealed container indicating the
quantity and concentration of the molecule, fusion protein, or conjugated molecule.
Preferably, the liquid form of the sequence-optimized CD123 X CD3 bi-specific
diabodies of the ion are supplied in a hermetically sealed ner in which the
molecules are present at a concentration of least 1 ug/ml, more preferably at least 2.5
ug/ml, at least 5 ug/ml, at least 10 ug/ml, at least 50 ug/ml, or at least 100 ug/ml.
The amount of the composition of the invention which will be effective in
the treatment, prevention or amelioration of one or more symptoms associated with a
disorder can be determined by standard clinical ques. The precise dose to be
employed in the ation will also depend on the route of administration, and the
seriousness of the condition, and should be decided according to the judgment of the
practitioner and each patient’s circumstances. Effective doses may be extrapolated
from dose-response curves derived from in vitro or animal model test systems.
For sequence-optimized CDl23 X CD3 bi-specific diabodies encompassed
by the invention, the dosage administered to a patient is preferably ined based
upon the body weight (kg) of the recipient subject. The dosage stered is
typically from at least about 0.3 ng/kg per day to about 0.9 ng/kg per day, from at
least about 1 ng/kg per day to about 3 ng/kg per day, from at least about 3 ng/kg per
day to about 9 ng/kg per day, from at least about 10 ng/kg per day to about 30 ng/kg
per day, from at least about 30 ng/kg per day to about 90 ng/kg per day, from at least
about 100 ng/kg per day to about 300 ng/kg per day, from at least about 200 ng/kg per
day to about 600 ng/kg per day, from at least about 300 ng/kg per day to about 900
ng/kg per day, from at least about 400 ng/kg per day to about 800 ng/kg per day, from
at least about 500 ng/kg per day to about 1000 ng/kg per day, from at least about 600
ng/kg per day to about 1000 ng/kg per day, from at least about 700 ng/kg per day to
about 1000 ng/kg per day, from at least about 800 ng/kg per day to about 1000 ng/kg
per day, from at least about 900 ng/kg per day to about 1000 ng/kg per day, or at least
about 1,000 ng/kg per day.
In r embodiment, the patient is administered a treatment regimen
comprising one or more doses of such prophylactically or therapeutically effective
amount of the sequence-optimized CD123 X CD3 bi-specif1c diabodies encompassed
by the invention, wherein the treatment regimen is administered over 2 days, 3 days, 4
days, 5 days, 6 days or 7 days. In certain embodiments, the treatment regimen
ses intermittently administering doses of the prophylactically or therapeutically
effective amount of the sequence-optimized CD123 X CD3 bi-specif1c diabodies
encompassed by the invention (for example, administering a dose on day 1, day 2, day
3 and day 4 of a given week and not administering doses of the lactically or
therapeutically effective amount of the sequence-optimized CD123 X CD3 bi-specific
diabodies encompassed by the ion on day 5, day 6 and day 7 of the same week).
Typically, there are 1, 2, 3, 4, 5 or more s of treatment. Each course may be the
same regimen or a different regimen.
In another embodiment, the administered dose escalates over the first
quarter, first half or first two-thirds or three-quarters of the regimen(s) (e.g., over the
first, second, or third regimens of a 4 course treatment) until the daily prophylactically
or therapeutically effective amount of the sequence-optimized CD123 X CD3 bi-
specific ies encompassed by the invention is achieved.
Table 1 provides 5 examples of different dosing regimens described above
for a typical course of treatment.
Table 1
Regimen ND “93“02% y Dosage (ng y per k sub} ect we1 ht per day)'.
p—A \14; 100 100 100 100 100
3 mimNm -—, 300 500
none none none none none
1, “N 300 500 700 900
u 1,000
U‘I @0300.) \l-hN-hN-h none none none none none
The dosage and frequency of administration of sequence-optimized CD123 X
CD3 bi-specif1c diabodies of the invention may be d or altered by enhancing
uptake and tissue penetration of the sequence-optimized CD123 X CD3 bi-specif1c
ies by modifications such as, for example, lipidation.
The dosage of the sequence-optimized CD123 X CD3 bi-specif1c diabodies
of the ion administered to a patient may be calculated for use as a single agent
y. Alternatively, the sequence-optimized CD123 X CD3 bi-specif1c diabodies
of the invention are used in combination with other therapeutic compositions and the
dosage administered to a patient are lower than when said molecules are used as a
single agent therapy.
The ceutical compositions of the invention may be administered
locally to the area in need of treatment; this may be achieved by, for example, and not
by way of limitation, local 111fi1S1011, by injection, or by means of an implant, said
implant being of a porous, non-porous, or gelatinous material, including membranes,
such as sialastic membranes, or fibers. Preferably, when administering a molecule of
the invention, care must be taken to use als to which the molecule does not
The itions of the invention can be delivered in a vesicle, in particular
a me (See Langer (1990) “New Methods OfDrag Delivery,” Science 249: 1527-
1533); Treat et al., in Liposomes in the Therapy of Infectious Disease and Cancer,
Lopez-Berestein and Fidler (eds.), Liss, New York, pp. 353- 365 (1989); Lopez-
Berestein, ibid., pp. 3 17-327; see generally .
The compositions of the invention can be red in a controlled-release or
sustained-release system. Any technique known to one of skill in the art can be used
to produce sustained-release formulations comprising one or more sequence-
optimized CD123 X CD3 bi-specif1c ies of the invention. See, e.g., US. Patent
No. 4,526,938; PCT publication WO 91/05548; PCT publication WO 96/20698; Ning
et al. (1996) “Intratamoral Radioimmanotherapby Of A Human Colon Cancer
aft Using A Sustained-Release Gel,” Radiotherapy & Oncology 39:179-189,
Song et al. (1995) “Antibody Mediated Lang Targeting 0f Long-Circulating
Emulsions, ” PDA Journal of Pharmaceutical Science & Technology 50:372-397;
Cleek et al. (1997) “Biodegradable Polymeric Carriers For A bFGF Antibody For
Cardiovascular Application, ” Pro. Int’l. Symp. Control. Rel. Bioact. Mater.
24:853-854; and Lam et al. (1997) “Microencapsulation 0fRecombinant Humanized
Monoclonal dy For Local Delivery, ” Proc. Int’l. Symp. Control Rel. Bioact.
Mater. 24:759-760, each of which is incorporated herein by reference in its entirety.
In one embodiment, a pump may be used in a controlled-release system (See Langer,
supra; Sefton, (1987) “Implantable ” CRC Crit. Rev. Biomed. Eng. 14:201-
240; Buchwald et al. (1980) “Long-Term, Continuous Intravenous Heparin
stration By An Implantable Infusion Pump In Ambulatory Patients With
Recurrent Venous Thrombosis,” Surgery 88:507-516; and Saudek et al. (1989) “A
Preliminary Trial Of The Programmable Implantable Medication System For n
Delivery,” N. Engl. J. Med. 321:574-579). In another embodiment, ric
materials can be used to achieve controlled-release of the molecules (see e. g.,
MEDICAL APPLICATIONS OF CONTROLLED RELEASE, Langer and Wise (eds.), CRC
Pres., Boca Raton, Florida (1974); CONTROLLED DRUG BIOAVAILABILITY, DRUG
PRODUCT DESIGN AND PERFORMANCE, Smolen and Ball (eds.), Wiley, New York
(1984); Levy et al. (1985) “Inhibition 0f Calcification OfBioprosthetic Heart Valves
By Local Controlled-Release Diphosphonate, ” Science 228:190-192; During et al.
(1989) “Controlled Release 0fDopamine From A ric Brain Implant.‘ In Vivo
Characterization,” Ann. Neurol. 25:351-356; Howard et al. (1989) “Intracerebral
Drug Delivery In Rats With Lesion-Induced Memory Deficits, ” J. Neurosurg.
7(1):105-112); US. Patent No. 5,679,377; US. Patent No. 5,916,597; US. Patent No.
,912,015; US. Patent No. 5,989,463; US. Patent No. 5,128,326; PCT Publication
No. W0 99/15154; and PCT Publication No. WO 99/20253). Examples of rs
used in sustained-release formulations include, but are not limited to, poly(2-hydroxy
ethyl methacrylate), poly(methyl methacrylate), poly(acrylic acid), thylene-co-
vinyl acetate), poly(methacrylic acid), polyglycolides (PLG), polyanhydrides, poly(N—
vinyl pyrrolidone), poly(vinyl l), rylamide, poly(ethylene glycol),
ctides (PLA), poly(lactide-co-glycolides) , and polyorthoesters. A
controlled-release system can be placed in proximity of the therapeutic target (e.g.,
the lungs), thus requiring only a fraction of the systemic dose (see, e.g., Goodson, in
MEDICAL ATIONS OF CONTROLLED RELEASE, supra, vol. 2, pp. 115-138
(1984)). Polymeric compositions useful as lled-release implants can be used
according to Dunn et al. (See US. 5,945,155). This ular method is based upon
the therapeutic effect of the in situ controlled-release of the bioactive material from
the polymer system. The implantation can generally occur re within the body
of the patient in need of eutic treatment. A non-polymeric sustained ry
system can be used, whereby a non-polymeric implant in the body of the subject is
used as a drug delivery system. Upon implantation in the body, the c solvent of
the implant will dissipate, disperse, or leach from the composition into surrounding
tissue fluid, and the non-polymeric material will gradually coagulate or precipitate to
form a solid, microporous matrix (See US. 5,888,533).
Controlled-release systems are discussed in the review by Langer (1990,
“New Methods OfDrug Delivery, ” Science 249:1527-1533). Any technique known
to one of skill in the art can be used to produce sustained-release ations
comprising one or more therapeutic agents of the invention. See, e.g., US. Patent No.
4,526,938; International Publication Nos. WO 48 and WO 96/20698; Ning et
al. (1996) “Intratumoral Radioimmunotberapby Of A Human Colon Cancer
Xenograft Using A Sustained-Release Gel,” Radiotherapy & Oncology -189,
Song et al. (1995) ody Mediated Lung ing 0f Long-Circulating
Emulsions,” PDA Journal of Pharmaceutical Science & Technology 50:372-397;
Cleek et al. (1997) “Biodegradable Polymeric Carriers For A bFGF Antibody For
vascular Application, ” Pro. Int’l. Symp. Control. Rel. Bioact. Mater.
-854; and Lam et al. (1997) “Microencapsulation 0fRecombinant Humanized
Monoclonal Antibody For Local Delivery, ” Proc. Int’l. Symp. Control Rel. Bioact.
Mater. 24:759-760, each of which is incorporated herein by reference in its entirety.
Where the composition of the invention is a nucleic acid encoding a
sequence-optimized CD123 X CD3 bi-specif1c diabody of the invention, the nucleic
acid can be administered in vivo to promote expression of its encoded sequence-
optimized CD123 X CD3 bi-specif1c diabody, by constructing it as part of an
appropriate nucleic acid expression vector and administering it so that it becomes
intracellular, e. g., by use of a retroviral vector (See US. Patent No. 286), or by
direct injection, or by use of microparticle bombardment (e.g., a gene gun; Biolistic,
Dupont), or coating with lipids or cell-surface receptors or transfecting agents, or by
administering it in e to a homeobox-like peptide which is known to enter the
nucleus (See e.g, Joliot et al. (1991) “Antennapedz'a H0me0b0x e Regulates
Neural Morphogenesis,” Proc. Natl. Acad. Sci. (U.S.A.) 88:1864-1868), etc.
Alternatively, a nucleic acid can be introduced intracellularly and incorporated within
host cell DNA for expression by gous recombination.
Treatment of a subject with a therapeutically or prophylactically ive
amount of sequence-optimized CD123 X CD3 bi-specif1c diabodies of the invention
can include a single treatment or, ably, can include a series of treatments. In a
preferred example, a subject is treated with sequence-optimized CD123 X CD3 bi-
specific diabodies of the invention one time per week for between about 1 to 10
weeks, preferably between 2 to 8 weeks, more preferably between about 3 to 7 weeks,
and even more preferably for about 4, 5, or 6 weeks. The pharmaceutical
compositions of the invention can be administered once a day, twice a day, or three
times a day. Alternatively, the pharmaceutical compositions can be administered
once a week, twice a week, once every two weeks, once a month, once every six
weeks, once every two months, twice a year or once per year. It will also be
appreciated that the effective dosage of the molecules used for treatment may increase
or decrease over the course of a particular treatment.
VI. Uses of the itions of the Invention
The sequence-optimized CD123 X CD3 bi-specif1c diabodies of the present
ion have the ability to treat any disease or condition associated with or
characterized by the expression of CD123. Thus, without limitation, such molecules
may be employed in the sis or treatment of acute d leukemia (AML),
chronic enous leukemia (CML), including blastic crisis of CML and Abelson
oncogene associated with CML (Bcr-ABL translocation), myelodysplastic syndrome
(MDS), acute B lymphoblastic leukemia (B-ALL), chronic cytic leukemia
(CLL), including Richter’s syndrome or Richter’s transformation of CLL, hairy cell
ia (HCL), blastic plasmacytoid dendritic cell neoplasm (BPDCN), non-
n lymphomas (NHL), including mantel cell leukemia (MCL), and small
lymphocytic lymphoma (SLL), Hodgkin’s lymphoma, systemic mastocytosis, and
Burkitt’s lymphoma (see Example 2); Autoimmune Lupus (SLE), allergy, asthma and
rheumatoid arthritis. The bi-specific diabodies of the present invention may
additionally be used in the manufacture of medicaments for the treatment of the
above-described conditions.
] Having now generally described the invention, the same will be more readily
understood through reference to the following examples, which are provided by way
of illustration and are not intended to be limiting of the present invention unless
specified.
Example 1
Construction Of CD123 x CD3 Bi-Specific Diabodies And Control n
Table 2 contains a list of bi-specif1c diabodies that were expressed and
purified. Sequence-optimized CD123 X CD3 bi-specif1c diabody (DART-A) and non-
sequence-optimized CD123 X CD3 bi-specif1c diabody (DART-B) are capable of
simultaneously g to CD123 and CD3. The control bi-specif1c diabody (Control
DART) is capable of simultaneously binding to FITC and CD3. The bi-specific
diabodies are heterodimers or heterotrimers of the d amino acid sequences.
Methods for forming bi-specif1c diabodies are provided in WC 13665, WO
2008/157379, , , and WO
2012/162067.
Polypeptide Chain
EncoNtiiflelgfggnces. .
Bi—Specific ies Amino Acid
g q
Se u uences
ce-Optimized CD123 x CD3 .
Bi—Specific Diabody (DART-A) Egg £3 £8;° Egg £3 £8:.
(Binds to CD3 at epitope 1) °
Non-Sequence-Optimized CD123 x . .
CD3 cific Diabody (DART-B) Egg :3 $3; $3 :3 £33
(Binds to CD3 at epitope 2) ° °
Sequence-Optimized CD123 x CD3
Bi—Specific Diabody Having an
n-Binding Domain (DART-A
w/ABD) SEQ ID N0:9 SEQ ID N0:10
(Binds to CD3 at epitope 1) SEQ ID N0:3 SEQ ID N0:4
Comprises an Albumin-Binding
Domain (ABD) for extension of half-
life in vivo
Table 2
Polypeptide Chain
c Acid
Bi-Specific Diabodies Amino Acid
Encoding Sequences
Se u uences
Sequence-Optimized CD123 x CD3
Bi-Specific Diabody Having an IgG
Fc Domain Version 1 (DART-A w/Fc SEQ ID N0:54 SEQ ID N0:12
version 1) SEQ ID N0:13 SEQ ID N0:14
(Binds to CD3 at epitope 1) SEQ ID N0:15 SEQ ID N0:16
Comprises an Fc Domain for extension
of half-life in vivo
Sequence-Optimized CD123 x CD3
Bi-Specific Diabody Having an IgG
Fc Domain Version 2 (DART-A w/Fc SEQ ID N0:54 SEQ ID N0:12
version 2) SEQ ID N0:17 SEQ ID N0:18
(Binds to CD3 at epitope 1) SEQ ID N0:1 SEQ ID N0:2
Comprises an Fc Domain for ion
of half-life in vivo
Control Bi-Specific Diabody (Control
DART (or Control DART) SEQ ID N0:19
(Binds to CD3 at epitope 1) SEQ ID N0:20
(Binds to an irrelevant target - FITC)
Example 2
Antibody Labeling Of Target Cells For Quantitative FACS (QFACS)
A total of 106 target cells were ted from the culture, resuspended in
% human AB serum in FACS buffer (PBS + 1% BSA+ 0.1% NaAzide) and
incubated for 5 min for blocking Fc receptors. Antibody labeling of microspheres
with different antibody binding capacities (QuantumTM Simply Cellular® (QSC),
Bangs tories, Inc., Fishers, IN) and target cells were d with anti-CD123
PE antibody (BD Biosciences) according to the manufacturer’s instructions. Briefly,
one drop of each QSC phere was added to a 5 mL polypropylene tube and PE
labeled-anti-CD123 antibody was added at 1 ug/rnL concentration to both target cells
and microspheres. Tubes were incubated in the dark for 30 minutes at 4 °C. Cells
and microspheres were washed by adding 2mL FACS buffer and centrifiaging at 2500
x G for 5 minutes. One drop of the blank microsphere population was added after
washing. Microspheres were analyzed first on the flow cytometer to set the test-
c instrument settings (PMT voltages and sation). Using the same
instrument settings, geometric mean fluorescence values of microspheres and target
cells were recorded. A standard curve of antibody binding sites on microsphere
populations was generated from geometric mean fluorescence of microsphere
populations. Antibody binding sites on target cells were calculated based on
geometric mean fluorescence of target cells using the standard curve generated for
microspheres in al spreadsheet (Bangs Laboratories).
To determine suitable target cell lines for evaluating CD123 X CD3 bi-
specific diabodies, CD123 surface expression levels on target lines Kasumi-3 (AML),
Molml3 (AML), THP-l (AML), TF-l (Erythroleukemia), and RS4-ll (ALL) were
evaluated by quantitative FACS (QFACS). Absolute numbers of CD123 antibody
binding sites on the cell surface were calculated using a QFACS kit. As shown in
Table 3, the absolute number of CD123 dy binding sites on cell lines were in
the order of Kasumi-3 (high) > Molml3 (medium) > THP-l(medium) > TF-l
(medium low) > RS4-ll (low). The three t expressing cell lines were the AML
cell lines: Kasumi-3, MOLM13, and THP-l. The non-AML cell lines: TF-l and RS4-
11 had medium—low/ low expression of CD123, respectively.
Table 3
Target Cell CD123 Surface Expression
Line Antibod Bindin_ Sites
Kasumi-3 1 18620
Molml 3 273 1 1
THP-l 58316
TF-l 14163
RS4-1 1 957
A498 Neative
HT29 Neative
CTL Cytotoxicity Assay (LDH Release Assay)
] Adherent target tumor cells were detached with 0.25% Trypsin-EDTA
solution and ted by centrifilgation at 1000 rpm for 5 min. Suspension target cell
lines were harvested from the culture, washed with assay medium. The cell
concentration and viability were measured by Trypan Blue ion using a
Beckman Coulter l counter. The target cells were diluted to 4 x105 cells/mL in
the assay medium. 50 uL of the d cell suspension was added to a 96-well U-
bottom cell culture treated plate (BD Falcon Cat#353077).
Three sets of controls to measure target maximal release (MR), antibody
independent cellular cytotoxicity (AICC) and target cell spontaneous release (SR)
were set up as follows:
1) MR: 200 uL assay medium without CD123 X CD3 bi-specific
diabodies and 50 uL target cells; ent added at the end of the
experiment to ine the maximal LDH release.
2) AICC: 50 uL assay medium t CD123 X CD3 bi-specific
diabodies, 50 [LL target cells and 100 uL T cells.
3) SR: 150 uL medium without CD123 X CD3 bi-specific diabodies and
50 [LL target cells.
CD123 X CD3 bi-specific diabodies (DART-A, DART-A w/ABD and
DART-B) and controls were initially diluted to a concentration of 4 ug/mL, and serial
dilutions were then prepared down to a final concentration of 0.00004 ng/mL (z'.e., 40
fg/mL). 50 [LL of dilutions were added to the plate ning 50 uL target cells/well.
Purified T cells were washed once with assay medium and resuspended in
assay medium at cell density of 2 x 106 cells/mL. 2 x 105 T cells in 100 uL were
added to each well, for a final effector-to-target cell (E:T) ratio of 10:1. Plates were
ted for approximately 18hr at 37°C in 5% C02.
Following incubation, 25 uL of 10x lysis solution (Promega # G182A) or 1
mg/mL digitonin was added to the m release control wells, mixed by pipetting
3 times and plates were incubated for 10 min to tely lyse the target cells. The
plates were centrifuged at 1200 rpm for 5 minutes and 50 uL of supernatant were
transferred from each assay plate well to a flat bottom ELISA plate and 50 ul of LDH
substrate on (Promega #G1780) was added to each well. Plates were incubated
for 10-20 min at room temperature (RT) in the dark, then 50 [LL of Stop solution was
added. The optical density (O.D.) was measured at 490 nm within 1 hour on a
Victor2 Multilabel plate reader (Perkin Elmer #1420-014). The percent cytotoxicity
was calculated as described below and dose-response curves were generated using
GraphPad PRISM5® software.
Specific cell lysis was calculated from OD. data using the following
formula:
CytotOXiCity (%) = 100 X (OD of Sample - OD of AICC)/ (OD of MR - OD of SR)
Redirected Killing of Target Cell Lines with Different Levels of CD123 e
Levels:
The CD123 X CD3 cif1c diabodies ted a potent redirected killing
ability with concentrations required to achieve 50% of maximal activity (EC50s) in
sub-ng/mL range, regardless of CD3 epitope binding specificity A versus
DART-B) in target cell lines with high CD123 expression, Kasumi-3 (EC50=0.0l
ng/mL) (Figure 4 Panel D), medium CD123-expression, Molml3 (EC50=0.l8
ng/mL) and THP-l (EC50=0.24 ng/mL) (Figure 4, Panel C and E, respectively) and
medium low or low CD123 expression, TF-l (EC50=0.46 ng/mL) and RS4-ll
(EC50=0.5 ng/mL) (Figure 4, Panel B and A, respectively). Similarly, CD123 X
CD3 bi-specif1c molecules mediated redirected g was also observed with
multiple target cell lines with T cells from ent donors and no redirected killing
activity was ed in cell lines that do not express CD123. Results are
summarized in Table 4.
Target cell line CD123 surface EC50 of Sequence- Max % killing
expression optimized CD123 x
(antibody binding CD3 bi-specific
sites) diabodies (ng/mL)
Kasumi-3 118620 94
M01m13 43
THP-l 40
TF-l 46
Rs4-11
A498 No activit
HT29 No activit
Should it be necessary to replicate this example it will be appreciated that
one of skill in the art may, within reasonable and acceptable limits, vary the above-
described protocol in a manner riate for replicating the described results. Thus,
the exemplified protocol is not intended to be adhered to in a precisely rigid manner.
Example 4
T Cell Activation During Redirected Killing By Sequence-Optimized CD123 x
CD3 Bi-Specific Diabodies (DART-A, DART-A w/ABD and DART-A w/Fc)
The sequence-optimized CD123 X CD3 bi-specific diabodies exhibited a
potent redirected killing ability regardless of the ce or absence of half-life
extension technology (DART-A versus DART-A w/ABD versus DART-A w/Fc) in
target cell lines with high CD123 expression, Kasumi-3, and medium, THP-l,
CD123-expression, (Figure 5, Panels A and B, respectively) To characterize T cell
activation during ce-optimized CD123 X CD3 bi-specific diabody mediated
redirected killing process, T cells from redirected killing assays were stained for T
cell activation marker CD25 and analyzed by FACS. As shown in Figure 5, Panel D,
CD25 was up-regulated in CD8 T cells in a dose-dependent manner indicating that
ce-optimized CD123 X CD3 bi-specific diabodies induce T cell tion in
the process of redirected killing. Conversely, in the absence of target cells there is no
activation of CD8 T cells (Figure 5, Panel C) indicating the sequence-optimized
CD123 X CD3 bi-specific diabodies do not activate T cells in the absence of target
cells. Likewise, CD8 T cells are not activated when incubated with target cells and a
control bi-specific diabody (Control DART) (Figure 5, Panel D) indicating the
requirement of cross-linking the T cell and target cell with the sequence-optimized
CD123 X CD3 bi-specific diabodies.
Example 5
ellular ng for Granzyme B and Perforin
To determine the intracellular levels of granzyme B and in in T cells, a
CTL assay was setup as described above. After approximately 18 h, cells from the
assay plate were stained with anti-CD4 and anti-CD8 dies by incubating for 30
minutes at 4°C. Following surface staining, cells were incubated in 100 uL n
and permeabilization buffer (BD ences) for 20 min at 4°C. Cells were washed
with permeabilization/wash buffer (BD BioSciences) and incubated in 50 uL of
me B and a perforin antibody mixture (prepared in 1X permeabilization/wash
buffer) at 4°C for 30 s. Then cells were washed with 250 uL
permeabilization/wash buffer and resuspended in permeabilization/wash buffer for
FACS acquisition.
Upregulation Of Granzyme B And Perforin By Sequence-Optimized CD123 x
CD3 cific Diabody (DART-A) In T Cells During Redirected Killing
To investigate the possible mechanism for sequence-optimized CD123 X
CD3 bi-specific diabody (DART-A) ed cytotoxicity by T cells, intracellular
granzyme B and perforin levels were measured in T cells after the redirected killing.
Dose-dependent upregulation of granzyme B and perforin levels in both CD8 and
CD4 T cells was observed following tion of T cells and Kasumi-3 cells with
DART-A (Figure 6, Panel A). Interestingly, the upregulation was almost two-fold
higher in CD8 T cells compared to CD4 T cells e 6, Panel A). When the assay
was med in the presence of granzyme B and perforin inhibitors no cell killing
was observed. There was no upregulation of me B or perforin in CD8 or CD4
T cells when T cells were incubated with Kasumi-3 target cells and a control bi-
specific diabody (Control DART) e 5, Panel B). These data indicate that
DART-A mediated target cell killing may be mediated through granzyme B and
perforin mechanisms.
Example 6
in vivo mor Activity Of Sequence-Optimized CD123 x CD3 Bi-Specific
Diabody (DART-A)
Isolation of PBMCs and T Cells from Human Whole Blood
PBMCs from healthy human donors were isolated from whole blood by
using Ficoll gradient centrifilgation. In brief, whole blood was diluted 1:1 with sterile
PBS. Thirty-five mL of the diluted blood was layered onto 15 mL Ficoll-PaqueTM
Plus in 50-mL tubes and the tubes were centrifuged at 1400 rpm for 20 min with the
brake off. The buffy coat layer between the two phases was collected into a 50 mL
tube and washed with 45 mL PBS by centrifuging the tubes at 600 x g (1620 rpm) for
min. The supernatant was ded and the cell pellet was washed once with PBS
and viable cell count was determined by Trypan Blue dye exclusion. The PBMCs
were resuspended to a final concentration of 2.5x106 cells/mL in complete medium
(RPMI 1640, 10%FBS, 2 mM Glutamine, 10mM HEPES, 00u/mL
penicillin/Streptomycin (P/S).
T cell isolation: Untouched T cells were isolated by negative selection
from PBMCs from human whole blood using Dynabeads Untouched Human T Cell
isolation kit (Life Technologies) according to cturer’s ctions. After the
isolation, T cells were cultured overnight in RPMI medium with 10% PBS, 1%
penicillin/Streptomycin.
Tumor Model
Human T cells and tumor cells (Molm13 or RS4-11) were combined at a
ratio of 1:5 (1 x 106 and 5 x 106, respectively) and suspended in 200 uL of sterile
saline and injected subcutaneously (SC) on Study Day 0 (SDO). Sequence-optimized
CD123 X CD3 bi-specific diabody (DART-A) or a control bi-specific diabody
(Control DART) were administered intravenously (IV) via tail vein injections in 100
uL as outlined in Table 5 (MOLM13) and Table 6 (RS4-11).
Stud Desi_n for MOLM13 Model
Number of
Schedule Animals
Vehicle l
(MOLM-13 cells alone implanted SDO, 1, 2, 3
or + T cells)
DART A 0 U1 SDO, 1, 2, 3
oo - HM SDO, 1, 2, 3
- SDO, 1, 2, 3
0-02 SDO, 1, 2, 3
SDO, 1, 2, 3
SDO, 1, 2, 3
DART-A 0.00016 SDO, 1, 2, 3
Table 6
Stud Desi_n for RS4-11 Model
Number of
Treatment Group Dose (mg/kg) Schedule Animals
Vehicle Control
SDO, 1, 2, 3
(RS4-11 cells alone implanted)
—_-—Vehicle Control SDO, 1, 2, 3
1 + T cells implanted)
Control DART SDO, 1, 2, 3
DART-A SDO, 1, 2, 3
———-_DART-A SDO, 1, 2, 3
———-_DART-A SDO, 1, 2, 3
———-_DART-A SDO, 1, 2, 3
———-_DART-A SDO, 1, 2, 3
Data Collection and Statistical Analysis:
Animal s - Individual animal weights were ed twice weekly
until study completion beginning at the time of tumor cell injection.
Moribundity/Mortality - Animals were observed twice weekly for general
moribundity and daily for mortality. Animal deaths were assessed as drug-related or
technical based on factors ing gross observation and weight loss; animal deaths
were ed daily.
Tumor volume - Individual tumor volumes were recorded twice weekly
beginning within one week of tumor implantation and continuing until study
tion.
Length (mm)><width2
Tumor Volume (mm3) =
Animals experiencing technical or drug-related deaths were censored from
the data calculations.
Tumor growth inhibition - Tumor growth inhibition (TGI) values were
ated for each group containing treated animals using the formula:
_Mean Final Tumor Volume (Treated) - Mean Initial Tumor Volume (Treated)x 1 100
Mean Final Tumor Volume (Control) - Mean Initial Tumor Volume (Control)
Animals experiencing a partial or complete response, or animals
experiencing technical or drug-related deaths were censored from the TGI
calculations. The National Cancer ute criteria for compound activity is
TGI>58% tt et al. (2004) Anticancer Drug Development Guide; Totowa, NJ:
Humana ).
Partial/Complete Tumor Response - Individual mice possessing tumors
measuring less than 1mm3 on Day 1 were classified as having partial response (PR)
and a t tumor regression (%TR) value was determined using the formula:
Final Tumor Volume (mm3)
1- X’IOO%
Initial Tumor Volume (mm3)
] Individual mice lacking palpable tumors were classified as undergoing a
complete response (CR).
Tumor Volume Statistics — Statistical es were carried out between
d and control groups comparing tumor s. For these analyses, a two-way
analyses of variance followed by a Bonferroni post-test were employed. All analyses
were performed using GraphPad PRISM® software (version 5.02). Weight and tumor
data from individual animals experiencing technical or drug-related deaths were
censored from analysis. However, tumor data from animals reporting partial or
complete responses were included in these calculations.
MOLM13 s
The AML cell line MOLM13 was pre-mixed with activated T cells and
implanted SC in NOD/SCID gamma (NSG) knockout mice (N = 8/group) on SDO as
ed above. The MOLM13 tumors in the vehicle-treated group (MOLM13 cells
alone or plus T cells) demonstrated a relatively aggressive growth profile in vivo
(Figure 7, Panels A and B). At SD8, the average volume of the tumors in the
vehicle-treated group was 129.8 :: 29.5 mm3 and by SD15 the tumors had reached an
average volume of 786.4 :: 156.7 mm3. By the end of the experiment on SD18, the
tumors had reached an average volume of 1398.8 :: 236.9 mm3.
Treatment with DART-A was initiated on the same day the tumor cell/T cell
mixture was implanted [(SDO)] and proceeded subsequently with daily injections for
an additional 7 days for a total of 8 daily injections. The animals were treated with
DART-A at 9 dose levels (0.5, 0.2, 0.1, 0.02, and 0.004 mg/kg and 20, 4, 0.8 and 0.16
[Lg/kg). Results are shown in Figure 7, Panel A (0.5, 0.2, 0.1, 0.02, and 0.004 mg/kg)
and Figure 7, Panel B (20, 4, 0.8 and 0.16 ug/kg). By Study Day 11, the growth of
the MOLM13 tumors was significantly inhibited at the 0.16, 0.5, 0.2, 0.1, 0.02, and
0.004 mg/kg dose levels (p < 0.001). Moreover, the treatment of the MOLM13
tumor-bearing mice at the 20 and 4 [Lg/kg dose levels resulted in 8/8 and 7/8 CRs,
respectively. By the end of the experiment on SD18, the average volume of the
tumors treated with DART-A at the 0.8 — 20 ug/kg) ranged from 713.60 :: 267.4 to 0
mm3, all of which were significantly smaller than the tumors in the e-treated
control group. The TGI values were 100, 94, and 49% for the 20, 4, and 0.8 [Lg/kg
dose groups, tively. In comparison to the e-treated MOLM13 tumor cell
group, the groups that received DART-A at the 20 and 4 [Lg/kg dose level reached
statistical significance by SD15 while the group treated with 0.8 [Lg/kg reached
significance on SD18.
RS4-11 Results
The ALL cell line RS4-11 was pre-mixed with activated T cells and
implanted SC in NOD/SCID gamma knockout mice (N = 8/group) on SDO as detailed
above. The RS4-11 tumors in the vehicle-treated group (RS4-11 cells alone or plus T
cells) demonstrated a relatively sive growth profile in vivo (Figure 8).
Treatment with DART-A was initiated on the same day the tumor cell/T cell
mixture was implanted [(SDO)] and proceeded subsequently with daily injections for
an additional 3 days for a total of 4 daily injections. The s were treated with
DART-A at 5 dose levels (0.5, 0.2, 0.1, 0.02, and 0.004 . Results are shown in
Figure 8.
Sequence-optimized CD123 X CD3 bi-specific diabody (DART-A)
effectively inhibited the growth of both MOLM13 AML and RS4-11ALL tumors
implanted SC in ID mice in the context of the Winn model when dosing was
initiated on the day of implantation and continued for 3 or more consecutive days.
Based on the criteria established by the National Cancer Institute, DART-A at the 0.1
mg/kg dose level and higher (TGI >58) is considered active in the RS4-ll model and
an DART-A dose of 0.004 mg/kg and higher was active in the MOLMl3 model. The
lower DART-A doses associated with the inhibition of tumor growth in the MOLMl3
model compared with the RS4-ll model are consistent with the in vitro data
demonstrating that MOLMl3 cells have a higher level of CD123 expression than
RS4-ll cells, which correlated with increased sensitivity to DART-A ed
cytotoxicity in vitro in MOLMl3 cells.
Should it be necessary to replicate this example it will be appreciated that
one of skill in the art may, within reasonable and acceptable , vary the above-
described protocol in a manner appropriate for replicating the described results. Thus,
the exemplified ol is not intended to be adhered to in a precisely rigid manner.
Example 7
CD123 Surface Expression On Leukemic Blast Cells And Stem Cells In Primary
Tissue Sample From AML Patient 1
To define the CD123 expression pattern in AML patient 1 primary samples,
eserved primary AML patient bone marrow and PBMC samples were evaluated
for CD123 surface expression on leukemic blast cells.
AML Bone Marrow Sample — al Report
Age: 42
Gender: Female
AML Subtype: M2
Cancer cell percentage based on morphology: 67.5%
Bone marrow immunophenotyping:
CDlS=l9%, CD33=98.5%, CD38=28.8%, CD45=81.8%, CD64=39.7%,
CDl l7=42.9%, HLA-DR=l7%, CD2=l.8%, CD5=0.53%, 2%,
CD10=0.4l%, CDl9=l.l%, CD20=l.4%, .7l% CD34=0.82%
CD123 Expression in Leukemic Blast Cells in Bone Marrow Mononucleocytes
(BM MNC)
A total of 0.5x106 bone marrow mononucleocytes (BM MNC) and peripheral
blood mononucleocytes (PBMC)) from AML patient 1 were evaluated for CD123
expression. The Kasumi-3 cell line was included as a control. Leukemic blast cells
were identified using the d marker CD33. As shown in Figure 9, Panel A,
87% of the cells fiom AML bone marrow fiom patient 1 expressed CD123 and CD33.
CD123 expression levels were slightly lower than the CD123 high-expressing
Kasumi-3 AML cell line (Figure 9, Panel B).
Example 8
Autologous CTL Killing Assay Using AML t Primary Specimens
Cryopreserved primary AML specimen (bone marrow mononucleocytes
(BMNC) and peripheral blood mononucleocytes (PBMC)) from AML patient 1 were
thawed in RPMI 1640 with 10% FBS and allowed to recover overnight at 37°C in 5%
C02. Cells were washed with assay medium (RPMI l640+lO%FBS) and viable cell
count was determined by Trypan Blue exclusion. 150,000 cells / well in 150 uL assay
medium were added to 96-well U-bottom plate (BD Biosciences). Sequence-
zed CD123 X CD3 bi-specific diabody (DART-A) was d to 0.1, and 0.01
ng/mL and 50 uL of each dilution was added to each well (final volume = 200 uL).
Control cific diabody (Control DART) was diluted to 0.1 ng/mL and 50 uL of
each dilution was added to each well (final volume = 200 uL). A te assay plate
was set up for each time point (48, 72, 120 and 144 hours) and plates were incubated
at 37 0C in a 5% C02 incubator. At each time point, cells were stained with CD4,
CD8, CD25, CD45, CD33, and CD123 antibodies. Labeled cells were analyzed in
FACS Calibur flow cytometer equipped with CellQuest Pro acquisition software,
Version 5.2.1 (BD Biosciences). Data analysis was performed using Flowjo v9.3.3
software (Treestar, Inc).T cell expansion was ed by gating on CD4+ and CD8+
populations and activation was determined by measuring CD25 mean cent
intensity (MFI) on the CD4+ and CD8+ -gated populations. Leukemic blast cell
population was identified by CD45+CD33+ gating.
gous Tumor Cell Depletion, T Cell Expansion And Activation By
Sequence-Optimized CD123 x CD3 Bi-Specific Diabody (DART-A) In Primary
Specimens From AML Patient 1
To determine the sequence-optmized CD123 X CD3 bi-speciflc diabody
(DART-A) mediated activity in AML patient 1, patient samples were incubated with
0.1 ng/mL or 0.01 ng/mL of DART-A and percentages of leukemic blast cells and T
cells were measured at different time points following the treatment. Leukemic blast
cells were identified by CD45+/CD33+ gating. tion of y AML bone
marrow s with DART-A resulted in ion of the leukemic cell tion
over time (Figure 10, Panel A), accompanied by a concomitant expansion of the
residual T cells (Figure 10, Panel B) and the induction of T cell activation markers
(Figure 10, Panel C). In DART-A treated samples, T cells were expanded from
around 7 % to around 80% by 120 hours. T cell activation measured by CD25
expression on CD4 and CD8 cells peaked at 72 h and decreased by the 120 h
timepoint.
Should it be necessary to replicate this example it will be appreciated that
one of skill in the art may, within reasonable and acceptable limits, vary the above-
described protocol in a manner appropriate for ating the described results. Thus,
the ified protocol is not intended to be d to in a precisely rigid manner.
Example 9
CD123 Surface Expression On Leukemic Blast Cells And Stem Cells In Primary
Tissue Sample From ALL Patient
To define the CD123 expression pattern in ALL patient primary samples,
cryopreserved primary ALL patient PBMC sample was evaluated for CD123 surface
expression on leukemic blast cells.
CD123 Expression in Leukemic Blast Cells in eral Blood Mononucleocytes
(PBMC)
A total of 0.5xlO6 peripheral blood mononucleocytes (PBMC)) from a
healthy donor and an ALL patient were evaluated for CD123 sion. As shown in
Figure 11, Panels E-H, the vast majority of the cells from ALL bone marrow
expressed CD123. Conversely, as expected in the normal donor B cells are CD123
negative and pDCs and monocytes are CD123 positive e 11, Panel D).
The T cell population was identified in the ALL patent sample by staining
the cells for CD4 and CD8. As shown in Figure 12, Panel B, only a small fraction of
the total PBMCs in the ALL patient sample are T cells (approximately 0.5% are CD4
T cells and approximately 0.4% are CD8 T cells.
Example 10
Autologous CTL Killing Assay Using ALL Patient Primary Specimens
Cryopreserved y ALL specimen (peripheral blood mononucleocytes
(PBMC)) were thawed in RPM 11640 with 10% FBS and allowed to recover
overnight at 37°C in 5% C02. Cells were washed with assay medium (RPMI
1640+10%FBS) and viable cell count was determined by Trypan Blue ion.
150,000 cells / well in 150 uL assay medium were added to 96-well U-bottom plate
(BD Biosciences). Sequence-optimized CD123 X CD3 bi-specific y (DART-A)
was diluted to 10, 1 ng/mL and 50 ML of each dilution was added to each well (final
volume = 200 uL). A separate assay plate was set up for each time point (48, 72, 120
and 144 hours) and plates were incubated at 37 0C in a 5% C02 incubator. At each
time point, cells were d with CD4, CD8, CD25, CD45, CD33, and CD123
antibodies. Labeled cells were analyzed in FACS Calibur flow cytometer ed
with CellQuest Pro acquisition software, Version 5.2.1 (BD Biosciences). Data
analysis was performed using Flowjo v9.3.3 software (Treestar, Inc).T cell expansion
was measured by gating on CD4+ and CD8+ populations and activation was
determined by measuring CD25 MFI on the CD4+ and CD8+ -gated populations.
Leukemic blast cell population was fied by CD45+CD33+ gating.
Autologous Tumor Cell Depletion, T Cell Expansion And Activation By
Sequence-Optimized CD123 x CD3 Bi-Specific Diabody (DART-A) In Primary
Specimens From ALL Patients
To determine the sequence-optimized CD123 X CD3 bi-speciflc diabody
(DART-A) mediated activity in ALL patient primary patient s, patient s
were incubated with 1 ng/mL of DART-A and percentages of leukemic blast cells and
T cells were measured at different time points following the treatment. Leukemic
blast cells were identified by CD45+/CD33+ gating. Incubation of primary ALL bone
marrow s with DART-A resulted in depletion of the leukemic cell population
over time ed to untreated control or Control DART (Figure 13, Panel H
versus Panels F and G). When the T cells were counted (CD8 and CD4 staining)
and activation (CD25 staining) were assayed, the T cells expanded and were activated
in the DART-A sample e 14, Panels I and L, respectively) compared to
untreated or Control DART samples (Figure 14, Panels H, G, K and J, respectively).
Example 11
CD123 Surface Expression On Leukemic Blast Cells And Stem Cells In Primary
Tissue Sample From AML Patient 2
To define the CD123 expression pattern in AML patient 2 primary s,
cryopreserved primary AML patient bone marrow and PBMC samples were evaluated
for CD123 e expression on leukemic blast cells.
CD123 Expression in Leukemic Blast Cells in Bone Marrow Mononucleocytes
(BMNC)
A total of 0.5x106 bone marrow mononucleocytes (BM MNC) and peripheral
blood mononucleocytes (PBMC)) from an AML patient 2 were evaluated for
leukemic blast cell identification. Leukemic blast cells were identified using the
d markers CD33 and CD45. As shown in Figure 15, Panel B, 94% of the cells
from AML bone marrow are ic blast cells. The T cell population was
identified by CD3 expression. As shown in Figure 15, Panel C, approximately 15%
of the cell from the AML bone marrow and PBMC sample are T cells.
e 12
Autologous CTL Killing Assay Using AML Patient 2 y Specimens
eserved primary AML specimen (bone marrow mononucleocytes
(BM MNC) and peripheral blood mononucleocytes (PBMC)) from AML patient 2
were thawed in RPMI 1640 with 10% FBS and allowed to recover overnight at 37°C
in 5% C02. Cells were washed with assay medium (RPMI 1640+10%FBS) and
viable cell count was determined by Trypan Blue exclusion. 150,000 cells / well in
150 uL assay medium were added to 96-well U-bottom plate (BD Biosciences).
Sequence-optimized CD123 X CD3 bi-specific diabody (DART-A) and control bi-
c diabody (Control DART) were diluted to 0.1, and 0.01 ng/mL and 50 uL of
each dilution was added to each well (final volume = 200 uL). A separate assay plate
was set up for each time point (48, 72, 120 and 144 hours) and plates were incubated
at 37 0C in a 5% C02 tor. At each time point, cells were stained with CD4,
CD8, CD25, CD45, CD33, and CD123 antibodies. Labeled cells were analyzed in
FACS Calibur flow cytometer equipped with CellQuest Pro acquisition software,
Version 5.2.1 (BD Biosciences). Data analysis was med using Flowjo v9.3.3
re (Treestar, Inc). T cell expansion was ed by gating on CD4+ and
CD8-- populations and activation was determined by ing CD25 MFI on the
CD4-- and CD8+ -gated populations. Leukemic blast cell population was identified
by CD45+CD33+ gating.
Autologous Tumor Cell Depletion, T Cell ion and Activation in Primary
Specimens from AML Patient 2
To determine the sequence-optimized CD123 X CD3 bi-specific diabody
(DART-A) mediated activity in AML patient primary patient 2 samples, patient
samples were incubated with 0.1 or 0.01 ng/mL of DART-A and percentages of
leukemic blast cells and T cells were measured at ent time points following the
treatment. Incubation of primary AML bone marrow samples with DART-A resulted
in depletion of the leukemic cell population over time (Figure 16, Panel A),
accompanied by a concomitant expansion of the residual T cells (both CD4 and CD8)
(Figure 16, Panel B and Figure 16, Panel C, respectively). To determine if the T
cells were activated, cells were stained for CD25 or Ki-67, both markers of T cell
activation. As shown in Figure 17, Panels A and B, incubation of primary AML
bone marrow samples with DART-A resulted in T cell activation. These data
ent the 144h time point.
Intracellular Staining for Granzyme B and Perforin
To ine the intracellular levels of granzyme B and Perforin in T cells,
CTL assay was setup. After approximately 18 h, cells from the assay plate were
stained with anti-CD4 and anti-CD8 antibodies by incubating for 30 minutes at 4 °C.
ing surface staining, cells were incubated in 100 ul Fixation and
Permeabilization buffer for 20 min at 4 °C. Cells were washed with
permeabilization/wash buffer and incubated in 50 ul of granzyme B and perforin
antibody mixture prepared in 1X Perm/Wash buffer at 4 C for 30 s. Then cells
were washed with 250 ul Perm/Wash buffer and resuspended in Perm/Wash buffer for
FACS acquisition.
Upregulation Of Granzyme B And Perforin By Sequence-Optimized CD123 x
CD3 Bi-Specific Diabody (DART-A) In T Cells During Redirected Killing.
To investigate the possible mechanism for sequence-optimized CD123 X
CD3 bi-specific diabody A) mediated cytotoxicity by T cells, intracellular
granzyme B and perforin levels were measured in T cells after the redirected killing.
There was no upregulation of granzyme B and in when T cells were incubated
with control bi-specific diabody (Control DART). Upregulation of granzyme B and
perforin levels in both CD8 and CD4 T cells was observed with sequence-optimized
CD123 X CD3 bi-specific diabody (DART-A) (Figure 17, Panels C and D).
Interestingly, the upregulation was almost two-fold higher in CD8 T cells ed
to CD4 T cells (Figure 17, Panel C and Figure 17, Panel D). These data indicate that
DART-A-mediated target cell killing was mediated through granzyme B and perforin
pathway.
Example 13
ce-Optimized CD123 x CD3 Bi-Specific Diabody Cross-Reacts With Non-
Human Primate CD123 And CD3 ns.
In order to quantitate the extent of binding between sequence-optimized
CD123 X CD3 bi-specific diabody (DART-A) and human or cynomolgus monkey
CD3, BIACORETM analyses were conducted. BIACORETM analyses measure the
dissociation te, kd. The binding affinity (KD) n an dy and its
target is a function of the kinetic constants for association (on rate, ka) and
dissociation (off-rate, kd) ing to the formula: KD = [kd]/[ka]. The BIACORETM
analysis uses surface plasmon resonance to directly measure these kinetic parameters.
Recombinant human or cynomolgus monkey CD3 was directly immobilized to a
support. d human or cynomolgus monkey CD123 was captured and
immolbilized to a support. The time course of dissociation was measured and a
bivalent fit of the data conducted. Binding constants and affinity were obtained using
a 1:1 binding fit. The results of the BIACORETM analyses ing binding to
human versus cynomologus monkey CD123 and CD3 proteins are shown in Figure
18. Binding affinities to the cynomolgus monkey CD123 (Figure 18D) and CD3
(Figure 18B) proteins is able to binding ies for human CD123 (Figure
18C) and CD3 (Figure 18A) proteins.
Example 14
Autologus Monocyte Depletion In Vitro With Human And lgus Monkey
PBMCs
PBMCs from human or cynomolgus monkey whole blood samples were
added to U-bottom plates at cell density of 200,000 cells/well in 150 uL of assay
medium. Dilutions of sequence-optimized CD123 X CD3 bi-specific diabodies
(DART-A or DART-A w/ABD) were prepared in assay medium. 50 [LL of each
DART-A or DART-A w/ABD dilution was added to the plate containing PBMCs in
duplicate wells. The plates were incubated for ~ 18 - 24 h at 37°C. Supematants were
used to determine the cytotoxicity as described above. As shown in Figure 19
(Panels A and B), depletion of pDCs cells was observed in both human (Figure 19,
Panel A) and cynomolgus monkey PBMCs (Figure 19, Panel B). These s
indicate that circulating pDC can be used as a pharmacodynamic marker for
preclinical toxicology studies in cynomolgus monkeys.
Should it be necessary to replicate this example it will be appreciated that
one of skill in the art may, within reasonable and able limits, vary the above-
bed protocol in a manner appropriate for replicating the described results. Thus,
the exemplified protocol is not intended to be adhered to in a precisely rigid manner.
e 15
Plasmacytoid Dendritic Cell Depletion In Cynomolgus Monkeys Treated With
Sequence-Optimized CD123 x CD3 Bi-Specific Diabody (DART-A)
] As part of a dose-range finding toxicology study, cynomolgus monkeys were
stered sequence-optimized CD123 X CD3 bi-specific diabody (DART-A) as 4-
day infusions at doses of 0.1, 1, 10, 30 100, 300, or 1000 ng/kg .
The Control DART
was administered at 100 ng/kg. To identify pDCs and te populations in
cynomolgus monkey PBMCs, cells were labeled with CD14-FITC antibody.
Monocytes were identified as the CD14+ tion and pDCs were identified as the
CDl4'CD123+ population. As shown in Figure 20 Panels K and L, the pDCs were
depleted as early as 4 days post infusion with as little as 10 ng/kg DART-A. No pDC
depletion was seen in the control bi-specif1c diabody-(Control DART) treated
s or the vehicle + r-treated monkeys at the 4d time point (Figure 20,
Panels G, H, C and D, tively). Cytokine levels of interferon-gamma,TNF-
alpha, 1L6, 1L5, 1L4 and IL2 were determined at 4 hours after infilsion. There was
little to no elevation in cytokine levels at the DART-A treated animals compared to
Control DART or vehicle-treated animals.
Figure 21 and Figure 22 provide the results of the FACS analysis for B cells
(CD20+) (Figure 21, Panel A), monocytes (CD14+) (Figure 21, Panel B), NK cells
+CD16+) (Figure 21, Panel C), pDC (CD123HI, CD14) (Figure 21, Panel
D), and T cells (total, CD4+, and CD8+) (Figure 22, Panel A, Figure 22, Panel B,
and Figure 22, Panel D, respectively).
Treatment of monkeys with Control DART had no noticeable effects on T or
B lymphocytes, NK cells, monocytes and pDCs. Treatment of monkeys with DART-
A at doses of 10 ng/kg/d or higher resulted in the abrogation of pDCs (Figure 21,
Panel D). The depletion of pDC was complete and durable, returning to pre-dose
levels l weeks after completion of dosing. Circulating levels of T lymphocytes
decreased upon DART-A administration, but returned to pre-dose level by the end of
each weekly cycle, suggesting s in trafficking rather than true depletion. Both
CD4 and CD8 T lymphocytes followed the same pattern. The T-lymphocyte
activation , CD69 e 22, Panel C), was only marginally positive among
circulating cells and did not track with DART-A dosing. B lymphocytes, monocytes
and NK cells ted over the course of DART-A dosing with substantial
variability ed among monkeys. A trend toward increased circulating levels of
B lymphocytes and monocytes was ed in both monkeys at the highest doses.
In summary, the above results demonstrate the therapeutic efficacy of the
sequence-optimized CD123 X CD3 bi-specif1c diabody (DART-A). The sequence-
optimized CD123 X CD3 bi-specif1c diabody (DART-A) may be ed as a
therapeutic agent for the treatment of multiple diseases and conditions, including:
AML, ABL (ALL), CLL, MDS, pDCL, mantel cell leukemia, hairy cell leukemia,
Ricter ormation of CLL, Blastic crisis of CML, BLL (subset are CD123+) (see
Example 2); Autoimmune Lupus (SLE), allergy hils are CD123+), asthma, etc.
Example 16
Comparative Properties of Sequence-Optimized CD123 x CD3 Bi-Specific
Diabody (DART-A) and Non-Sequence-Optimized CD123 xCD3 Bi-Specific
Diabody (DART-B)
Unexpected Advantage and Attributes of the Sequence-Optimized
CD123 x CD3 Bi-Specific Diabodies
As discussed above, DART-A and DART-B are similarly designed and the
first polypeptide of both constructs comprise, in the N—terminal to C-terminal
direction, an N—terminus, a VL domain of a monoclonal antibody capable of binding
to CD3 (VLCDg), an intervening linker peptide (Linker l), a VH domain of a
monoclonal antibody capable of binding to CD123 (VHCDm), a Linker 2, an E-coil
Domain, and a C-terminus. Likewise, the second polypeptide of both constructs
se, in the N—terminal to inal direction, an N—terminus, a VL domain of a
monoclonal antibody capable of binding to CD123 (VLCDm), an intervening linker
peptide (Linker l), a VH domain of a monoclonal antibody e of binding to CD3
(VHCDg), a Linker 2, a K-coil Domain and a C-terminus.
As indicated in Example 1, both CD123 X CD3 bi-specific diabodies were
found to be capable of simultaneously binding to CD3 and CD123. onally, as
disclosed in e 3 and in Figure 4, Panels C and D, the two CD123 X CD3 bi-
specific diabodies ted a potent redirected killing ability with concentrations
required to achieve 50% of maximal activity (ECSOs) in sub-ng/mL range, regardless
of CD3 epitope binding city (DART-A versus DART-B) in target cell lines
with high CD123 expression. Thus, slight variations in the specific sequences of the
CD123 X CD3 bi-specific diabodies do not completely te biological activity.
However, in all cell lines tested, DART-A was found to be more active and
more potent at redirected killing than DART-B (see, e.g., Figure 4, Panels A, C, and
D). Thus DART-A exhibited an unexpected age over similar DART-B.
Example 17
Non-Human Primate Pharmacology of DART-A for the Treatment of
Hematological Malignancies
The interleukin 3 (IL-3) receptor alpha chain, CD123, is overexpressed on
malignant cells in a wide range of hematological malignancies (Munoz, L. et al.
(2001) “Interleukin-3 Receptor Alpha Chain ) Is Widely Expressed In
Hematologic Malignancies,” Haematologica 86:1261-1269; Testa, U. et al. (2014)
“CD123 Is A Membrane Biomarker And A Therapeutic Target In Hematologic
Malignancies,” Biomark. Res. 2:4) and is associated with poor prognosis (Vergez, F.
et al. (2011) “High Levels 0fCD34+CD38low/—CDI23+ Blasts Are Predictive OfAn
Adverse Outcome In Acute Myeloid ia: A Groupe Ouest-Est Des Leucemies
Aigues Et Maladies Du Sang (GOELAMS) Study,” ologica 2-1798).
Moreover, CD123 has been reported to be expressed by leukemia stem cells (LSC)
(Jordan, C.T. et al. (2000) “The Interleukin-3 Receptor Alpha Chain Is A Unique
Marker For Human Acute Myelogenous ia Stem ” ia 14:1777-
1784; Jin, L. et al. (2009) lonal Antibody-Mediated Targeting 0fCD123, IL-3
Receptor Alpha Chain, Eliminates Human Acute Myeloid Leukemic Stem Cells,” Cell
Stem Cell 5:31-42), which is an attractive feature that s targeting the root cause
of such diseases. Consistent with this conclusion, CD123 also takes part in an lL-3
autocrine loop that sustains leukemogenesis, as shown by the ability of a CD123-
blocking monoclonal antibody to reduce leukemic stem cell engraftment and improve
survival in a mouse model of acute myelogenous leukemia (AML) (Jin, L. et al.
(2009) “Monoclonal Antibody-Mediated Targeting 0f CD123, IL-3 Receptor Alpha
Chain, Eliminates Human Acute Myeloid Leukemic Stem Cells,” Cell Stem Cell 5:31-
42). In a phase 1 study in high-risk AML ts, however, the monoclonal dy
exhibited no anti-leukemic ty (Roberts, A. W. et al. (2010) “A Phase I Study Of
Anti-CD123 Monoclonal Antibody (mAb) CSL360 Targeting Leukemia Stem Cells
(LSC) In AML,” J. Clin. Oncol. 28(Suppl):e13012). Thus, alternate CD123-targeting
ches, including depleting strategies are desired. Although CD123 is expressed
by a subset of normal hematopoietic progenitor cells (HPC), hematopoietic stem cells
(HSC) express little to no CD123 (Jordan, C.T. et al. (2000) “The Interleukin-3
Receptor Alpha Chain Is A Unique Marker For Human Acute Myelogenous Leukemia
Stem Cells,” Leukemia 14:1777-1784; Jin, W. et al. (2009) “Regulation 0fThI7 Cell
Difi’erentiation And EAE Induction By MAP3K NI ,” Blood 113:6603-6610),
indicating that CD123 epleting gies allow reconstitution via normal
hematopoiesis.
] ng a patient’s own T lymphocytes to target leukemic cells represents a
promising immunotherapeutic strategy for the treatment of hematological
malignancies. The therapeutic potential of this approach has been attempted using
blinatumomab (a bi-specific antibody-based BiTE having the ability to bond CD3 and
the B cell CD19 antigen) in patients with B cell lymphomas and ursor acute
lymphoblastic leukemia (Klinger, M. et al. (2012) opharmacologic Response
0fPatients With B-Lineage Acute Lymphoblastic Leukemia To Continuous Infusion
Of T ngaging CD19/CD3-Bispecific BiTE Antibody Blinatumomab,” Blood
119:6226-6233; Topp, M.S. et al. (2012) “Long-Term Follow-Up 0f Hematologic
Relapse-Free Survival In A Phase 2 Study OfBlinatumomab In Patients With MRD In
B-Lineage ALL,” Blood 120:5185-5187; Topp, M.S. et al. (2011) “Targeted Therapy
With The —Engaging Antibody Blinatumomab 0f Chemotherapy-Refractory
Minimal Residual Disease In age Acute Lymphoblastic Leukemia Patients
Results In High Response Rate And Prolonged Leukemia-Free Survival,” J. Clin.
Oncol. 29:2493-2498).
The CD123 X CD3 bi-specif1c diabody les of the t invention,
such as DART-A, comprise an alternate bi-specific, antibody-based modality that
offers improved stability and more robust manufacturability properties (Johnson, S. et
al. (2010) “Eflector Cell Recruitment With Novel Fv-Based Dual-Afiinity Re-
Targeting n Leads To Potent Tumor Cytolysis And In Vivo B-Cell Depletion,” J.
Mol. Biol. 399:436-449; Moore, RA. et al. (2011) “Application Of Dual Afiinity
Retargeting Molecules To Achieve Optimal Redirected T—Cell g 0f B-Cell
Lymphoma,” Blood 117:4542-4551).
In order to demonstrate the superiority and effectiveness of the CD123 X
CD3 bi-specif1c diabody molecules of the present invention, the biological activity of
the above-described DART-A in in vitro and preclinical models of leukemia was
confirmed, and its pharmacokinetics, pharmacodynamics and safety pharmacology in
cynomolgus macaques (Macaca fascicularis) was assessed relative to either the
above-described Control DART (bi-specific for CD3 and fluorescein) or a “Control
DART-2” that was bi-specific for CD123 and fluorescein).
Amino Acid Sequence of First Polypeptide Chain of “Control DART-2”
(CD123VL — Linker — 4-4420VH — Linker — E-coil; linkers are underlined)
(SEQ ID NO:58):
DFVMTQSPDS LAVSLGLRVT MSCKSSQSLL NSGNQKVYLT WYQQKPGQPP
{LLT YWASTR LSGVPDRFSG SGSGTDFTTT SSTQAmDVA VYYCQWDYSY
GT<L m {GGGSGGG GL'VKTDL'TGG RRMK LSCVASGFTF
WV<Q LWVA Q_TRNKRYNY_E TYYSDSV<GR FTTSRDDSKS
SVYLQMNWL< VfiDMG YYCT GSYYG DYWG QGTSVTVSSG GCGGGLVAAL
fi<fiVAALfi<fi VAALmeVAA LTK
Amino Acid Sequence of Second Polypeptide Chain of ol DART-2”
(4420VL — Linker— CD123VH — Linker — K—coil) (SEQ ID NO:59):
DVVMTQTRFS LPVSLGDQAS T_SCRSSQSLV HSNGNTYLRW YLQKPGQSPK
VLT_YKVSNRF SGVPDRFSGS GSGTDb'TTK LDTGV THVP
WTFGGGT<Lm KGGGSGGGG LVQLVQSGA_E SVKV SC<ASGYTFT
DYYMKWVRQA PGQGTL'W GD FY NQKh'KG{VT_ STAY
mLSSLRSfiD TAVYYCARSd LLRASWFAYW GQGTLVTVSS GGCGGGKVAA
L<LKVAAL<L KVAAL<LKVA AL<L
Bifunctional ELISA
A MaXiSorp ELISA plate (Nunc) coated overnight with the soluble human or
cynomolgus IL3R—alpha (0.5 ug/mL) in onate buffer was blocked with 0.5%
BSA; 0.1% Tween-20 in PBS (PBST/BSA) for 30 minutes at room temperature.
DART-A molecules were applied, followed by the sequential addition of human
CD388—biotin and Streptavidin HRP (Jackson ImmunoResearch). HRP activity was
detected by conversion of tetramethylbenzidine (BioFX) as ate for 5 min; the
reaction was terminated with 40uL/well of 1% H2S04 and the absorbance read at 450
Surface Plasmon Resonance Analysis
The ability of DART-A to bind to human and cynomolgus monkey CD3 or
CD123 proteins was analyzed using a BIAcore 3000 biosensor (GE, Healthcare) as
described by Johnson, S. et al. (2010) (“Efi’ector Cell tment With Novel Fv-
Based Dual-Afiinity Re-Targeting Protein Leads T0 Patent Tumor Cytolysis And In
Vivo B-Cell Depletion,” J. Mol. Biol. 399:436-449) and Moore, RA. et al. (2011)
(“Application OfDual Afiinity Retargeting Molecules To Achieve Optimal Redirected
T-Cell Killing OfB-Cell Lymphoma,” Blood 117:4542-4551). Briefly, the carboxyl
groups on the CM5 sensor chip were activated with an injection of 0.2M N-ethyl-N-
(3dietylamino-propyl) carbodiimide and 0.05M N—hydroxy-succinimide. Soluble
CD3 or CD123 (1 ug/ml) was injected over the activated CM5 surface in 10mM
sodium-acetate, pH 5.0, at flow rate 5 , ed by 1 M ethanolamine for
deactivation. g experiments were performed in 10mM HEPES, pH 7.4,
150mM NaCl, 3mM EDTA and 0.005% P20 surfactant. Regeneration of the
immobilized receptor surfaces was performed by pulse injection of 10mM glycine, pH
1.5. KD values were ined by a global fit of binding curves to the Langmuir 1:1
binding model (BIAevaluation software v4.1).
Cell Killing Assay
Cell lines used for cell g assays were obtained from the American Type
Culture tion (ATCC) (Manassas, VA). PBMCs were isolated from healthy
donor blood using the Ficoll-Paque Plus kit (GE Healthcare); T cells were purified
with a negative selection kit (Life Technologies). CD123 cell-surface density was
determined using Quantum Simply Cellular beads (Bangs Laboratories, Inc., Fishers,
IN). Cytotoxicity assays were performed as described by Moore, PA. et al. (2011)
(“Application OfDual y eting Molecules To Achieve l Redirected
T-Cell Killing 0f B-Cell Lymphoma,” Blood 42-4551). Briefly, target cell
lines (105 cells/mL) were treated with serial dilutions of DART-A or Control DART
proteins in the ce of T cells at the indicated effector cells:target cells ratios and
incubated at 37°C overnight. Cell killing was determined as the release of lactate
dehydrogenase (LDH, Promega) in culture supernatant. For flow-based killing, target
cells were labeled with CMTMR (Life Technologies) and cell killing was monitored
using a FACSCalibur flow cytometer. Data were analyzed by using PRISM® 5
software (GraphPad) and presented as percent cytotoxicity.
Cynomolgus Monkey Pharmacology
Non-human e ments were performed at Charles River
Laboratories (Reno, NV), according to the guidelines of the local Institutional Animal
Care and Use Committee (IACUC). Purpose-bred, na'ive cynomolgus monkeys
(Macaca fascicularz’s) of e origin (age range 2.5-9 years, weight range of 2.7-5
kg) were provided with vehicle or DART-A via intravenous infilsion through femoral
and jugular ports using battery-powered programmable infusion pumps (CADD-
®, SIMS Deltec, Inc., St. Paul, MN). Peripheral blood or bone marrow
samples were collected in agulant containing tubes at the indicated time points.
Cell-surface phenotype analyses were performed with an LSR sa analyzer (BD
ences) equipped with 488nm, 640nm and 405nm lasers and the following
antibodies: CD4-V450, CD8-V450, CD123-PE-Cy7, CD45-PerCP, C-H7,
CD8-FITC, CD25-PE-Cy7, CD69-PerCP, PD-l-PE, TIM3-APC, CD3-Pacif1c Blue,
CD95-APC, CD28-BV421, CDl6-FITC, CD3-Alexa488, CD38-PE, CD123-PE-Cy7,
CDll7-PerCP-Cy5.5, CD34-APC, CD90-BV421, CD45RA-APC -H7 and CD33-
APC (BD Biosciences). The absolute number of cells was ined using
TruCOUNT (BD Biosciences). Serum levels of IL-2, IL-4, IL-5, IL-6, TNF-u, and
IFN—y nes were measured with the Non-Human Primate Thl/Th2 Cytokine
Cytometric Bead Array Kit (BD Bioscience). The concentration of DART-A in
monkey serum samples was measured using a sandwich immunoassay with
electrochemiluminescence detection (MesoScale Diagnostics, MSD, Rockville, MD).
Briefly, the assay plate (MSD) was coated with recombinant human IL-3 Ra (R&D
System) and blocked with 5 % BSA. Calibration standards or diluted test samples
were applied, followed by the addition of a biotinylated monoclonal dy
exhibiting specific binding for the above-described E-coil (SEQ ID NO:34) and K-
coil (SEQ ID NO:35) domains of the molecule A SULFO-TAGTM labeled
streptavidin conjugate (MSD) was added and the formation of complexes was
analyzed in an MSD SECTOR® imager. DART-A concentrations were determined
from standard curves generated by fitting light intensity data in a five-parameter
logistic model.
Physicochemical characterization of the purified DART-A trated a
homogeneous heterodimer with a molecular mass of 58.9 kDa (Figure 23; Figures
24A-24B), which was stable at 2—8°C for up to 12 months in PBS. SPR analysis
demonstrated nearly identical binding affinities of DART-A to the corresponding
soluble human and cynomolgus monkey CD3 and CD123 antigens (Figures 25A-25D
and Table 7). Furthermore, DART-A simultaneously bound both ns in an
ELISA format that ed human or monkey CD123 for capture and human CD3
for detection (Figures 26A-26B), and demonstrated similar binding to human and
monkey T lymphocytes (Figures 26C-26E). The data in Table 7 are averages of 3
independent experiments each performed in duplicates.
Table 7
Equilibrium Dissociation nts (KD) for the Binding of DART-A to Human
and C nomol_us Monke CD3 and CD123
ka (i SD) k
d (:|: SD) K1) (1; SD)
Antigens -1 -1 -1
(M S ) (s )
Human CD3s/5 5.7 :0.6 x105 5.0 :09 x10"3
CynomolgusCD38/5
. :05 x105 5.0 :09 x10"3
Human CD123-His 1.6 :04 x106 1.9 :04 x10"4
CynomolgusCD123-His 1.5 :03 x106 4.0 :07 x10"4
DART-A Mediates Redirected Killing by Human 0r Cynomolgus Monkey T
Lymphocytes
DART-A mediated redirected target cell killing by human or monkey
effector cells t CD123+ Kasumi-3 ic cell lines (Figure 27A-27D),
which was accompanied by induction of activation markers. No activity was
observed against CD123-negative s (U937 cells) or with Control DART,
indicating that T cell activation is strictly dependent upon target cell engagement and
that monovalent ment of CD3 by DART-A was insufficient to trigger T cell
activation. Since CD123 is expressed by subsets of normal circulating leukocytes,
including pDCs and monocytes (Figure 27E), the effect of DART-A were filrther
investigated in normal human and monkey’s PBMCs.
A graded effect was observed among human PBMC, with a ependent
rapid depletion of CD14'CD123high cells (pDC and basophils) observed as early as
3 hours ing initiation of treatment, while monocytes (CD14+ cells) remained
unaffected at this time point (Figures 27F-27G). CD14'CD123high cells depletion
increased over time across all DART-A molecule concentrations, while monocytes
were slightly decreased by 6 hours and depleted only after 18 hours and at the
trations higher than 1 ng/mL. Incubation of monkey PBMCs with DART-A
resulted in a comparable dose-dependent depletion of D123high cells (Figure
27H), further supporting the relevance of this species for DART-A pharmacology
(CDl4+ monkey cells express little to no CD123 and were not depleted).
cokinetics of DART-A in Cynomolgus Monkeys
The cynomolgus monkey was selected as an appropriate cological
model for DART-A analysis based on the lent distribution of both target
antigens in this species compared to humans based on immunohistochemistry with the
precursor mAbs, consistent with published information (Munoz, L. et al. (2001)
“Interleukin-3 Receptor Alpha Chain (CD123) Is Widely Expressed In Hematologic
Malignancies,” Haematologica 86:1261-1269; Korpelainen, E.I. et al. (1996) “IL-3
Receptor Expression, Regulation And Function In Cells Of The Vasculatare,”
Immunol. Cell Biol. 74:1-7).
The study conducted in accordance with the present invention included 6
treatment groups consisting of 8 cynomolgus monkeys per group (4 males, 4 females)
(Table 8). All groups received vehicle control for the first infusion; then vehicle or
DART-A were administered intravenously for 4 weekly . Group 1 animals
received e control for all 4 subsequent infusions, whereas Groups 2-5 received
weekly escalating doses of DART-A for 4 days a week for all subsequent infusions.
Group 6 animals were treated with 7-day uninterrupted weekly escalating doses of
DART-A for all infusions. The 4-day-on/3-day-off and 7-day-on schedules were
designed to guish between durable from transient effects associated with DART-
A stration. Two males and 2 females per group were sacrificed at the end of
the treatment phase (Day 36), while the remaining monkeys were necropsied after a 4-
week recovery (Day 65). A subset of monkeys developed anti-drug antibodies (ADA)
directed t the humanized Fv of both CD3 and CD123 and the data points
following the appearance of ADA were excluded from the PK analysis. All s
were exposed to DART-A during the study period.
DART-A Infusion
(4-day-on/3-day-ofi) (7-day-on)
Vehicle
on ng/kg/day ng/kg/day
N0. [n__/k/7da s]
Group Group
Vehicle Vehicle Vehicle Vehicle Vehicle e
Vehicle
[400] [400] [400] [700]
300 300
Vehicle
[1]200 [1]200 [1200] [2100]
Vehicle
[13200]00 [2400] [4200]
-____-ehicle [1200196400100300
00 1000 1000
[7000]
36-65 [_4000]
A two-compartment model was used to estimate PK parameters (Table 9 and
Figure 28). T1001 was short (4-5min), reflecting rapid binding to circulating targets;
T1013 was also rapid, as expected for a molecule of this size, which is subject to renal
clearance. Analysis of serum samples collected at the end of each infusion from group
6 monkeys showed a dose-dependent increase in DART-A Cmax. In Table 9, Vehicle
was PBS, pH 6.0, containing 0.1 mg/mL recombinant human albumin, 0.1 mg/mL PS-
80, and 0.24 % benzyl alcohol was used for all vehicle infusions during the first 4
days of each infiJsion week followed the same ation without benzyl alcohol for
the remaining 3 days of each weekly on. DART-A was administered for the
indicated times as a continuous IV infilsion of a solution of PBS, pH 6.0, containing
0.1 mg/mL recombinant human albumin, 0.1 mg/mL PS-80, and 0.24 % benzyl
alcohol at the ed concentration.
Table 9
Two-Compartment Analysis of PK Parameters of DART-A
in C s Monke s
. 300 ng/kg/d 600 ng/kg/d
Cmax (pg/mL) 77.4 9.4 113.8 __ 33.5
AUC (11* . _/mL) 7465 913 11188 3282
V (L/kg) 1.078 0.511 2.098 1.846
tm, alpha (h) 0.07 0.018 0.067 0.023
t1/2, beta h 13.79 4.928 21.828 18.779
MRT (h) 6.73 3.327 9.604 8.891
Cytokine Release in -Treated Cynomolgus Monkeys
Given the T cell activation properties of DART-A, an increase in circulating
cytokines accompanying the infiasion was anticipated and a low starting dose was
therefore used as a “desensitization” strategy, based on previous experience with
r compounds (see, e.g., Topp, M.S. et al. (2011) “Targeted Therapy With The T-
Cell—Engaging Antibody Blinatumomab 0f Chemotherapy-Refractory Minimal
Residual Disease In B-Lineage Acute Lymphoblastic Leukemia Patients s In
High Response Rate And Prolonged Leukemia-Free Survival,” J. Clin. Oncol.
29:2493-2498; Bargou, R. et al. (2008) “Tumor Regression In Cancer Patients By
Very Low Doses OfA T Cell-Engaging Antibody,” e 321:974-977). Of the
cytokine tested, lL-6 demonstrated the t changes upon infusion, albeit transient
in nature, of minimal magnitude and with large inter-animal and inter-group
variations (Figures 29A-29C). Small, transient increases in lL-6 were also observed
after vehicle infusions (all Group 1 and all Day 1 infusions), indicating a sensitivity of
this cytokine to manipulative stress. Nonetheless, DART-A-dependent increases
(<80pg/mL) in serum lL-6 were seen in some monkeys following the first DART-A
infilsion (lOOng/kg/day), which returned to baseline by 72 hours. Interestingly, the
magnitude of lL-6 release decreased with each sive DART-A infusion, even
when the dose level was sed to up to 1000 day. Minimal and transient
DART-A-related increases in serum TNF-u (<lOpg/mL) were also observed; as with
lL-6, the largest magnitude in TNF-u release was observed following the first
infiasion. There were no DART-A-related s in the levels of lL-S, lL-4, lL-2, or
lFN—y hout the study when compared with controls. In conclusion, cytokine
e in response to treatment of monkeys with DART-A was minimal, transient
and represented a first-dose effect manageable via intra-subject dose escalation.
DART-A-Mediated Depletion of Circulating CD14'/CD123Jr Leukocytes in vivo
The circulating absolute levels of CDl4-/CD123+ cells were measured
throughout the study as a pharmacodynamic endpoint. While the number of CD123+
cells in control Group I remained stable over time, DART-A treatment was associated
with extensive ion of circulating CD123+ cells (94-lOO% from dy
baseline) observable from the first time point measured (72 hours) following the start
of the first DART-A infilsion (100 ng/kg/day) in all animals across all active
treatment groups (Figures 30A-30C). The depletion was durable, as it persisted
during the 3-day weekly dosing holiday in Group 2-5, returning to baseline levels
only during the prolonged recovery period. To eliminate the possibility of DART-A
masking or modulating CD123 (an unlikely scenario, given the low circulating
DART-A levels), pDCs were enumerated by the orthogonal marker, CD303.
Consistent with the CD123 data, CD303+ pDC were similarly depleted in monkeys
treated with DART-A (Figures 30D-30F).
Circulating T-Lymphocyte Levels, Activation and Subset Analysis
In contrast to the persistent depletion of ating CD123+ cells, DART-A
administered on the 4-day-on/3-day-off schedule s 2-5) were associated with
weekly fluctuations in circulating T cells, while administration as uous 7-day
infilsions resulted in similarly decreased ating T cell levels ing the first
administration that slowly recovered without fluctuation even during the dosing
period (Figures 31A-31C). The difference between the two dosing strategies
indicates that the effect of DART-A on T cytes is consistent with trafficking
and/or margination, rather than depletion. Following ion of dosing, T cells
rebounded to levels approximately 2-fold higher than baseline for the duration of the
recovery period. Infusion of DART-A was associated with an exposure-dependent,
progressive increased frequency of T cells expressing the late activation marker, PD-
I, ularly in CD4+ cells, with dose Group 6 displaying the highest overall levels
(Figures 1 and Figures 32A-32F and Figures 33A-33F). Tim-3, a marker
associated with T cell exhaustion, was not detected on CD4+ T cells and only at low
frequency among CD8+ cells (5.5-9.7%) and comprising 20.5-35.5% of the
CD8+/PD-l+ double-positive cells. There was no consistent change in the early T
cell activation marker, CD69, and only modest variations in CD25 expression among
ating cells.
To rule out exhaustion after in viva exposure, the ex vivo cytotoxic potential
of effector cells isolated from cynomolgus monkeys receiving multiple infusions of
DART-A was compared to that of cells from na'ive monkeys. As shown in Figure 34,
PBMC isolated from DART-A-treated monkeys show cytotoxicity comparable to that
of cells isolated from na'ive monkeys, indicating that in viva exposure to DART-A
does not vely impact the y of T cells to kill target cells.
DART-A exposure increased the relative frequency of central memory CD4
cells and effector memory CD8+ cells at the expense of the corresponding naive T
cell tion (Figures 35A-35F and Figures 32A-32F and Figures 33A-33F),
indicating that DART-A exposure promoted expansion and/or mobilization of these
cells.
Effects on Hematopoiesis and Bone Marrow Precursors
DART-A was well tolerated in monkeys at all doses tested; however,
reversible reductions in red cell ters were observed at the highest doses
(Figures 36A-36C). Frequent blood sampling could have been a potential
contributing factor, since e-treated animals showed a modest e in red cell
mass. Reticulocyte response was observed in all animals; at the t exposure
(Group 6), however, the response ed slightly less robust for r decrease in
red cell mass (Figures 36D-36F). Morphological analysis of bone marrow smears
throughout the study was unremarkable. Flow cytometry analysis, however, revealed
that the frequency of CD123+ cells within the immature lineage-negative (Lin-) bone
marrow populations decreased in DART-A-treated animals at the end of the dosing
period, returning to baseline levels by the end of the recovery time (Figure 37A-37B).
HSC (defined as Lin-/CD34+/CD38-/CD45RA-/CD90+ cells (Pang, W.W. et al.
(2011) “Human Bone Marrow Hematopoietic Stem Cells Are Increased In Frequency
And Myeloz'd—Bz'ased With Age,” Proc. Natl. Acad. Sci. (U.S.A.) lO8:20012-20017))
showed large inter-group variability; Group 4-6 DART-A-treated monkeys show
some apparent reduction compared to the ponding pre-dose , however, no
decrease was seen in all treated groups compared to vehicle-treated animals. These
data indicate that HSC are less susceptible to targeting by DART-A and are tent
with the observed reversibility of the negative effects of DART-A treatment on
hematopoiesis.
As demonstrated above, with respect to infusions for 4 weeks on a 4-day-
on/3-day-off weekly schedule or a 7-day-on schedule at starting doses of
lOOng/kg/day that were escalated stepwise weekly to 300, 600, and l,000ng/kg/day,
the administration of DART-A to cynomolgus monkeys was well ted. Depletion
of circulating CD123+ cells, including pDCs, was observed after the start of the first
administration and ted throughout the study at all doses and schedules.
Reversible ion in bone marrow CD123+ precursor was also ed. Cytokine
release, as significant safety concern with CD3-targeted ies, appeared
manageable and consistent with a first-dose effect. Modest reversible anemia was
noted at the highest doses, but no other (on- or rget) adverse events were noted.
The cynomolgus monkey is an appropriate animal model for the
pharmacological assessment of DART-A, given the high homology between the
orthologs and the y of DART-A to bind with similar affinity to the antigens and
mediate redirected T cell killing in both s. Furthermore, both antigens are
concordantly expressed in monkeys and humans, including similar expression by
hematopoietic precursors and in the cytoplasm of the endothelium of multiple tissues.
Minor exceptions are the expression in testicular Leydig cells in humans but not
monkeys and low-to-absent CD123 in monkey monocytes compared to humans.
A primary concern associated with therapeutic strategies that involve T cell
activation includes the release of cytokines and off-target cytotoxic effects. A recent
study with a 123 bi-specif1c scFv immunofusion construct with bivalent
CD3 recognition demonstrated anti-leukemic activity in vitro, but caused ecific
activation of T cells and IFN—y secretion (Kuo, S.R. et al. (2012) “Engineering A
CD123xCD3 Bispecific scFv Immunofusion For The Treatment Of Leukemia And
Elimination 0f Leukemia Stem Cells,” Protein Eng. Des. Sel. 25:561-569). The
monovalent nature of each binding arms and the highly homogeneous monomeric
form of DART-A ensure that T cell activation depends exclusively upon target cell
engagement: no T cell activation was observed in the absence of target cells or by
using a Control DART molecule that included only the rgeting arm.
rmore, high doses (up to 100ug/kg/day) of the l DART molecule did not
trigger cytokine e in cynomolgus monkeys.
The DART-A molecule starting dose of 100ng/kg/day was well tolerated,
with minimal cytokine release. Cytokine storm, however, did occur with a high
starting dose (Sug/kg/day); however, such dose could be reached safely via stepwise
weekly dose escalations, indicating that DART-A-mediated cytokine release appears
to be primarily a first-dose effect. Depletion of the CD123+ target cells, thereby
eliminating a source of CD3 ligation, may explain the dose effect: nearly
complete CD123+ cell depletion was observed at doses as low as 3-10ng/kg/day,
indicating that cytokine release in vivo follows a shifted dose-response compared to
cytotoxicity. Dose-response profiles for cytotoxicity and ne release by human T
cells were also consistent with this observation.
T cell itization, in which DART-A-induced PD1 upregulation may
play a role, appears to also contribute to limit cytokine release after the first infilsion
of DART-A. Recent studies show that sed PD-l expression after antigen-
induced arrest of T cells at ation sites contributes, through interactions with
PD-Ll, to terminating the stop signal, thus releasing and desensitizing the cells
(Honda, T. et al. (2014) “Tuning 0fAntigen Sensitivity By T Cell Receptor-Dependent
Negative Feedback Controls T Cell Eflector Function In Inflamed Tissues,” ty
40:235-247; Wei, F. et al. (2013) “Strength OfPD-I Signaling Difi’erentially Aflects
T-Cell Efi’ector Functions,” Proc. Natl. Acad. Sci. (USA) 110:E2480-E2489). The
PD-l countering of TCR signaling th is not m: while proliferation and
cytokine production appear most sensitive to PD-l inhibition, cytotoxicity is the least
affected (Wei, F. et al. (2013) “Strength OfPD-I Signaling Difi’erentially Aflects T-
Cell Efi’ector Functions,” Proc. Natl. Acad. Sci. (U.S.A.) 110:E2480-E2489).
Consistently, the ex vivo cytotoxic potential of T cells from monkeys exposed to
multiple infusions of DART-A was able to that of T cells from na'ive monkeys,
e increased PD-l levels in the former. Furthermore, PD-l upregulation was not
accompanied by TIM3 expression, a hallmark of T cell exhaustion, as shown for T
cells exposed to protracted stimulation with CD3 antibodies or chronic infections
(Gebel, H.M. et al. (1989) “T Cells From ts Successfully Treated With 0KT3
Do Not React With The T—Cell Receptor Antibody,” Hum. Immunol. 26:123-129;
Wherry, E]. (2011) “T Cell Exhaustion,” Nat. Immunol. 12:492-499).
The depletion of circulating CD123+ cells in DART-A-treated s was
rapid and persisted during the weekly dosing holidays in the 4-day-on/3-day-off
le, consistent with target cell elimination. In contrast, the transient fluctuations
in circulating T cells were likely the result of trafficking from/to tissues and lymphoid
organs as a function of DART-A. DART-A re promotes the expansion and/or
mobilization of antigen experienced T lymphocytes, cells that entially home to
tissues and more readily exert cytotoxic or function (Mirenda, V. et al. (2007)
“Physiologic And Aberrant Regulation Of Memory T-Cell Trafiicking By The
Costimulatory Molecule CD28,” Blood 109:2968-2977; Marelli-Berg, F.M. et al.
(2010) “Memory T-Cell Trafiicking.‘ New Directions For Busy Commuters,”
Immunology 130:158-165).
Depletion of CD123+ normal cells may carry potential liabilities. pDCs and
basophils express high levels of CD123, compared to lower levels in monocytes and
eosinophils , A.F. et al. (1989) “Reciprocal Inhibition 0f Binding Between
Interleukin 3 And ocyte-Macrophage Colony-Stimulating Factor To Human
Eosinophils,” Proc. Natl. Acad. Sci. (U.S.A.) 86:7022-7026; Munoz, L. et al. (2001)
“Interleukin-3 Receptor Alpha Chain (CD123) Is Widely Expressed In Hematologic
Malignancies,” Haematologica 1-1269; , B.J. et al. (2006)
“Characterization OfMyeloid And Plasmacytoid Dendritic Cells In Human Lung,” J.
Immunol. 177:7784-7793; Korpelainen, E.I. et al. (1995) “Interferon-Gamma
Upregulates Interleukin-3 (IL-3) Receptor Expression In Human Endothelial Cells
And Synergizes With IL-3 In Stimulating Major Histocompatibility x Class II
Expression And Cytokine Production,” Blood 86:176-182). pDCs have been shown
to play a role in the control of certain viruses in mouse or monkey models of
infection, although they do not appear critical for controlling the immune se to
flu (Colonna, M. et al. (1997) “Specificity And Function 0f Immunoglobulin
Superfamily NK Cell Inhibitory And Stimulatory Receptors,” Immunol. Rev. 155:127-
133; Smit, J.J. et al. (2006) “Plasmacytoid Dendritic Cells Inhibit Pulmonary
Immunopathology And Promote Clearance 0f Respiratory Syncytial ” J. Exp.
Med. 203:1153-1159). In tumor models, pDCs may promote tumor growth and
metastasis, while pDC depletion resulted in tumor inhibition (Sawant, A. et al. (2012)
“Depletion 0f Plasmacytoid Dendritic Cells Inhibits Tumor Growth And Prevents
Bone asis 0f Breast Cancer Cells,” J. Immunol. 189:4258-4265). Transient,
, dose-independent facial swelling was observed in some monkeys treated with
DART-A; however, no increased histamine levels were observed in these monkeys or
when human basophils were lysed via DART-A-mediated T cell killing. Monocyte
depletion may carry increased risks of infection; the consequence of pDC, basophil or
eosinophils depletion in humans should thus be monitored.
Committed hematopoietic precursors that express CD123, such as the
common myeloid precursor (CMP) n, C.T. et al. (2000) “The Interleukin-3
Receptor Alpha Chain Is A Unique Marker For Human Acute Myelogenous Leukemia
Stem Cells,” ia 14:1777-1784; Rieger, MA. et al. (2012) “Hematopoiesis,”
Cold Spring Harb. Perspect. Biol. 4:a008250), may be ed by DART-A, a
possible explanation for the modest anemia observed following administration of
DART-A at the highest dose. The erythropoietic reticulocyte response appeared to
function at all DART-A dose levels; however, for commensurate drops in red cell
ters, animals subjected to the greatest DART-A exposure (Group 6, 7-day-on
infiJsion) showed a reduced reticulocyte response, suggesting a possible cytotoxic
activity on sors (e.g., CMP). The effect was reversible following cessation of
DART-A treatment, consistent with repopulation from spared CD123low/negative
HSC.
Alternate approaches for depletion of CD123+ cells e a second-
generation CD123-specif1c Fc-enhanced monoclonal antibody (Jin, L. et al. (2009)
“Monoclonal dy-Mediated Targeting 0f CD123, IL-3 Receptor Alpha Chain,
Eliminates Human Acute Myeloid Leukemic Stem Cells,” Cell Stem Cell 5:31-42;
Roberts, A. W. et al. (2010) “A Phase I Study 0fAnti-CDI23 Monoclonal Antibody
(mAb) CSL360 ing Leukemia Stem Cells (LSC) In AML,” J. Clin. Oncol.
28(Suppl):e13012), IL-3 bound diphtheria toxin el, A. et al. (2008) “Phase I
Clinical Study Of Diphtheria Toxin-Interleukin 3 Fusion Protein In Patients With
Acute Myeloid Leukemia And Myelodysplasia,” Leuk. Lymphoma 49:543-553),
cytokine-induced killer (CIK) cells expressing CD123-specific ic antigen
ors (CAR) (Tettamanti, S. et al. (2013) “Targeting 0fAcute Myeloid Leukaemia
By ne-Induced Killer Cells Redirected With A Novel CD123-Specific Chimeric
Antigen Receptor,” Br. J. Haematol. 9-401) and CD123 CAR T cells (Gill, S.
et al. (2014) “Efiicacy Against Human Acute Myeloid Leukemia And Myeloablation
0f Normal Hematopoiesis In A Mouse Model Using Chimeric Antigen Receptor-
Modified T Cells,” Blood 123(15): 2343-2354; Mardiros, A. et al. (2013) “T Cells
Expressing CD123-Specific Chimeric Antigen Receptors Exhibit Specific Cytolytic
Eflector Functions And mor Eflects Against Human Acute Myeloid ia,”
Blood 122:3138-3148). CAR T cells exhibited potent leukemic blast cell killing in
vitro and anti-leukemic activity in a xenogeneic model of disseminated AML
(Mardiros, A. et al. (2013) “T Cells Expressing CD123-Specific Chimeric Antigen
Receptors Exhibit Specific Cytolytic Eflector Functions And Antitumor Eflects Against
Human Acute d Leukemia,” Blood 122:3138-3148). A recent study reported
ablation of normal hematopoiesis in NSG mice engrafted with human CD34+ cells
following CD123 CAR T cell transfer (Gill, S. et al. (2014) “Efiicacy Against Human
Acute Myeloid Leukemia And Myeloablation 0fNormal Hematopoiesis In A Mouse
Model Using ic Antigen Receptor-Modified T Cells,” Blood 123(15): 2343-
2354), although others have not observed similar effects in vitro or in vivo
(Tettamanti, S. et al. (2013) “Targeting 0f Acute Myeloid Leukaemia By Cytokine-
Induced Killer Cells cted With A Novel Specific Chimeric Antigen
or,” Br. J. Haematol. 161:389-401; Pizzitola, I. et al. (2014) “Chimeric Antigen
Receptors Against CD33/CDI23 Antigens Efiiciently Target Primary Acute Myeloid
Leukemia Cells in vivo,” Leukemia doi:10.1038/leu.2014.62). In the above-discussed
experiments, depletion of CD123+ bone marrow precursor populations was observed,
but reversed during recovery; fithhermore, depletion of this minority population
resulted in no changes in bone marrow arity or erythroid to myeloid cell (E:M)
ratio at all DART-A dose levels tested. These differences underscore the potential
advantages of DART-A over cell therapies, as it provides a titratable system that
relies on autologous T cells in contrast to “supercharged” ex vivo transduced cells that
may be more difficult to control. CD123 is overexpressed in l hematologic
malignancies, including AML, hairy cell leukemia, blastic cytoid dendritic cell
neoplasms ( BPDCNs), a subset of B-precursor acute blastic leukemia (B-
ALL) and chronic cytic leukemia, Hodgkin’s disease Reed-Stemberg cells, as
well as in myelodysplastic syndrome and systemic mastocytosis (Kharfan-Dabaja,
MA. et al. (2013) “Diagnostic And Therapeutic Advances In Blastic Plasmacytoid
Dendritic Cell Neoplasm: A Focus On Hematopoietic Cell lantation,” Biol.
Blood Marrow Transplant. 19:1006-1012; Florian, S. et al. (2006) “Detection 0f
Molecular Targets On The Surface +/CD38-- Stem Cells In s d
Malignancies,” Leuk. Lymphoma 47:207-222; Munoz, L. et al. (2001) “Interleukin-3
Receptor Alpha Chain ) Is Widely Expressed In Hematologic Malignancies,”
Haematologica 86:1261-1269; Fromm, JR. (2011) “Flow Cytometric Analysis Of
CD123 Is Useful For Immunophenotyping Classical Hodgkin Lymphoma,” Cytometry
B Clin. Cytom. 80:91-99). The predictable pharmacodynamic activity and
manageable safety profile ed in non-human primates r supports the
clinical utility and efficacy of DART-A as therapy for these disorders.
In sum, DART-A is an antibody-based molecule engaging the CD38 subunit
of the TCR to redirect T cytes against cells expressing CD123, an antigen up-
regulated in several hematological malignancies. DART-A binds to both human and
cynomolgus monkey’s antigens with similar affinities and redirects T cells from both
species to kill CD123+ cells. Monkeys infiJsed 4 or 7 days a week with weekly
escalating doses of DART-A showed depletion of circulating CD123+ cells 72h after
treatment initiation that persisted throughout the 4 weeks of treatment, irrespective of
dosing schedules. A decrease in circulating T cells also occurred, but recovered to
baseline before the subsequent infusion in monkeys on the 4-day dose schedule,
consistent with DART-A-mediated mobilization. DART-A administration increased
circulating PD1+, but not TIM-3+, T cells; fiarthermore, ex vivo analysis of T cells
from treated monkeys exhibited unaltered redirected target cell lysis, indicating no
exhaustion. Toxicity was d to a minimal transient release of cytokines
following the DART-A first infusion, but not after subsequent administrations even
when the dose was escalated, and a minimal reversible decrease in red cell mass with
concomitant reduction in CD123+ bone marrow progenitors. Clinical g of
DART-A in hematological malignancies appears warranted.
All publications and patents mentioned in this specification are herein
incorporated by reference to the same extent as if each indiVidual publication or
patent application was specifically and individually indicated to be incorporated by
reference in its entirety. While the invention has been described in connection with
specific embodiments thereof, it will be understood that it is e of fiarther
modifications and this application is intended to cover any variations, uses, or
tions of the invention ing, in general, the principles of the invention and
including such departures from the present disclosure as come within known or
customary ce within the art to which the invention pertains and as may be
applied to the essential features hereinbefore set forth.
What is d is:
Claim 1. A sequence-optimized diabody capable of specific binding to an epitope of
CD123 and to an epitope of CD3, wherein the diabody comprises a first
polypeptide chain and a second polypeptide chain, covalently bonded to one
another, n:
A. the first polypeptide chain comprises, in the N-terminal to C-terminal
direction:
i. a Domain 1, comprising
(1) a sub-Domain (1A), which comprises a VL Domain of a
monoclonal antibody capable of binding to CD3 (VLCD3)
(SEQ ID NO:21); and
(2) a sub-Domain (1B), which comprises a VH Domain of a
monoclonal antibody capable of binding to CD123
(VHCD123) (SEQ ID NO:26),
wherein said sub-Domains 1A and 1B are separated from one
another by a peptide linker (SEQ ID ;
ii. a Domain 2, n said Domain 2 is an E-coil Domain (SEQ
ID NO:34) or a K-coil Domain (SEQ ID , wherein said
Domain 2 is separated from said Domain 1 by a peptide linker
(SEQ ID NO:30); and
B. the second polypeptide chain comprises, in the N-terminal to C-terminal
direction:
i. a Domain 1, comprising
(1) a sub-Domain (1A), which comprises a VL Domain of a
onal antibody capable of binding to CD123
(VLCD123) (SEQ ID NO:25); and
(2) a sub-Domain (1B), which comprises a VH Domain of a
monoclonal antibody capable of binding to CD3 (VHCD3)
(SEQ ID NO:22),
wherein said sub-Domains 1A and 1B are separated from one
another by a peptide linker (SEQ ID NO:29);
ii. a Domain 2, wherein said Domain 2 is a K-coil Domain (SEQ
ID NO:35) or an E-coil Domain (SEQ ID NO:34), wherein
said Domain 2 is separated from said Domain 1 by a e
linker (SEQ ID NO:30); and wherein said Domain 2 of said
first and said second polypeptide chains are not both E-coil
Domains or both K-coil Domains;
and n:
(a) said VL Domain of said first polypeptide chain and said VH Domain
of said second polypeptide chain form an Antigen Binding Domain
capable of specifically g to an epitope of CD3; and
(b) said VL Domain of said second polypeptide chain and said VH
Domain of said first polypeptide chain form an Antigen Binding
Domain capable of specifically binding to an epitope of CD123.
Claim 2. The diabody of claim 1, wherein said first polypeptide chain additionally
ses an n-Binding Domain (SEQ ID NO:36) linked t o said
Domain 2 via a peptide linker (SEQ ID NO:31).
Claim 3. The diabody of claim 1, wherein said second polypeptide chain additionally
ses a Domain 3 comprising a CH2 and CH3 Domain of an
immunoglobulin Fc Domain (SEQ ID NO:37), wherein said Domain 3 is linked
to said Domain 1 via a peptide linker (SEQ ID NO:33).
Claim 4. The diabody of claim 1, wherein said first polypeptide chain additionally
comprises a Domain 3 comprising a CH2 and CH3 Domain of an
immunoglobulin Fc Domain (SEQ ID NO:37), wherein said Domain 3 is linked
to said Domain 1 via a peptide linker (SEQ ID NO:33).
Claim 5. The diabody of claim 1, wherein said second polypeptide chain additionally
comprises a Domain 3 sing a CH2 and CH3 Domain of an
immunoglobulin Fc Domain (SEQ ID NO:37), wherein said Domain 3 is linked
to said Domain 2 via a peptide linker (SEQ ID NO:32).
Claim 6. The diabody of claim 1, wherein said first polypeptide chain additionally
comprises a Domain 3 comprising a CH2 and CH3 Domain of an
immunoglobulin Fc Domain (SEQ ID NO:37), wherein said Domain 3 is linked
to said Domain 2 via a e linker (SEQ ID NO:32).
Claim 7. The diabody of any one of claims 3 to 6, n said diabody further comprises
a third polypeptide chain comprising a CH2 and CH3 Domain of an
immunoglobulin Fc Domain (SEQ ID NO: 11).
Claim 8. The diabody of any one of claims 3 to 7, wherein said diabody further comprises
a cysteine-containing peptide (SEQ ID NO:55) N -terminal to said CH2 and
CH3 Domain of said immunoglobulin Fc Domain.
Claim 9. The diabody of any of claims 1 to 8, wherein said Domain 2 of said first
polypeptide chain is a K-coil Domain (SEQ ID NO:35) and said Domain 2 of
said second polypeptide chain is an E-coil Domain (SEQ ID NO:34).
Claim 10. The diabody of any of claims 1 to 8, wherein said Domain 2 of said first
polypeptide chain is an E-coil Domain (SEQ ID NO:34) and said Domain 2 of
said second polypeptide chain is a K-coil Domain (SEQ ID NO:35).
Claim 11. The diabody of any ing claim, wherein the diabody is capable of crossreacting
with both human and primate CD123 and CD3 proteins.
Claim 12. The diabody of claim 1, wherein:
A. said first polypeptide chain comprises the amino acid sequence of SEQ
ID NO:1; and
B. said second polypeptide chain comprises the amino acid sequence of
SEQ ID NO:3.
Claim 13. The y of claim 1, wherein the diabody further comprises a third
polypeptide chain, wherein:
A. said first ptide chain ses the amino acid sequence of SEQ
ID NO:15;
B. said second polypeptide chain comprises the amino acid sequence of
SEQ ID NO:13; and
C. said third polypeptide chain comprises the amino acid sequence of SEQ
ID NO:54.
Claim 14. The diabody of claim 1, wherein the y further comprises a third
polypeptide chain, wherein:
A. said first polypeptide chain comprises the amino acid sequence of SEQ
ID NO:1;
B. said second polypeptide chain comprises the amino acid sequence of
SEQ ID NO:17; and
C. said third polypeptide chain comprises the amino acid sequence of SEQ
ID NO:54.
Claim 15. A pharmaceutical composition comprising the diabody of any one of claims 1
to 14 and a physiologically acceptable r.
Claim 16. Use of diabody of any one of claims 1 to 14, or the pharmaceutical composition
of claim 15, in the preparation of a medicament for the ent of a disease or
condition associated with or characterized by the expression of CD123.
Claim 17. The use of claim 16, wherein said disease or ion associated with or
characterized by the expression of CD123 is cancer.
Claim 18. The use of claim 17, n said cancer is ed from the group consisting
of: acute myeloid leukemia (AML), chronic myelogenous leukemia (CML),
including blastic crisis of CML and Abelson oncogene associated with CML
(Bcr-ABL translocation), myelodysplastic syndrome (MDS), acute B
lymphoblastic leukemia (B-ALL), chronic lymphocytic leukemia (CLL),
including Richter’s syndrome or r’s transformation of CLL, hairy cell
leukemia (HCL), c plasmacytoid dendritic cell neoplasm (BPDCN), non-
Hodgkin lymphomas (NHL), including mantel cell leukemia (MCL), and
small cytic lymphoma (SLL), Hodgkin’s lymphoma, systemic
mastocytosis, and Burkitt’s lymphoma.
Claim 19. The use of claim 16, wherein said disease or condition associated with or
characterized by the expression of CD123 is an inflammatory condition.
Claim 20. The use of claim 19, wherein said inflammatory condition is selected from the
group ting of: Autoimmune Lupus (SLE), allergy, asthma, and
rheumatoid arthritis.
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K—coii
{or Elcoii)
Paiypeptide Chain 1 COOHW —C
Linker 2 \l
Linker 1
Linker 2
ptide Chain 2 COOH Wat:
Eucail
(or K—coil)
Assembled Diahody
Figure 2
3/66
Pniypaptide Chain”: <
7 Vi
_ K--_coii .
Peptide i “if gum,”
m- 0--mm -—-c
linker} ,
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Linkés’S xv“
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Poiypeptide Chain 3 Peptide ‘1
Assembifed Fr: Diabody nn 1}
mNWWm
““ E“ “‘NWSQL ”“5
Figure 3A
4/66
Peptide 1 CH2
NH; “a... c Waififllllllifllflra \ _
Pniypeptide Chain 1 {05‘ E-ceii}
(SCH gfiiffiw'mgfl u. g:
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ptide Chain 2 ‘
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£55;
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mm»mg
mm~31
Figure 3B
/66
TF-1
RS4-11 100
-o- DART-A
N01 + DART-A
-I- DART-A with ABD
.xg' -I- DART A-with ABD
xxxxx- DART-B
g 40
o Cytotoxicity
o + Control DART %
+ Control DART
°\° 20
'6 10'4 10'2 10° 102
'6 10'4 10'2 10° 102 Concentration )
Concentration (nglml)
Kasumi-3
Molm-13 8°
+ DART-A
80 -I- DART-A with ABD
-o- DART-A
60 xx DART-B
-I- DART A-with ABD a,
60 3:: + Control DART
;- x\ DART-B
.2 E 40
X o
g 40 ‘S.
o O
2% 3 20
+ Control DART
\O 20
" 10" 10'2 10° 102
's 10'4 10'2 10'J 102 Concentration (nglml)
Concentration (nglml)
THP-1
\l01
Cytotoxicity + DART-A
-I- DART A-with ABD
% + Control DART
'4 10'2 10° 102
Concentration (nglml)
Figure 4
6/66
Potent CTL Activity on AML Cells
3. 'l‘HP-‘E
mummy
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we 1 as ~m=
cemanfi'afian (“mi
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No T Cell Activation in Absence of Co-Engagement
838 T Sells
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e at Target Cells plus Tl-EP-‘E AML Cells
we 10* W
mm {ngfmfi}
"W DART-A
~m— DART-A, WIABD
\\ DART-A WIFE
tantra! DART
Figure 5
7/66
A Kasumi-fi + Resfing T Sens
{EZT=§ 6:4}
133 DARTéwA
an mam Grahame HEM-IQ
um- PemfiMCMQ-g
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‘:E:- W
a 19$ N" «fa-T w figs mi
DART-A Cancentrafian {'ngs’ml)
B Tammi-3 + Resfing T CeEEa
iEZT=°§ 61$}
Cantmfi DART
mam Game E {GM-PE
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Gemini DART Concemratiicn {ngafimi}
Figure 6
8/66
2000 Molm-13
Molm-13 + T Cells
Contr DART (0.2 mg/kg)
(mm3)
DART-A (0.004 mg/kg)
1500
DART-A (0.02 mg/kg)
DART-A (0.1 mg/kg)
Volume ++¢¢#+*+ DART-A (0.2 mg/kg)
DART-A (0.5 mg/kg)
1000
Tumor 500
20 30
Study Day
3000 + l DART (20 ug/kg)
-e- DART-A(0.16 ug/kg)
\\\\ DART-A (0.8 ug/kg)
(mm3) -% DART-A (4 ug/kg)
2000 -A- DART-A (20 ug/kg)
Volume
Tumor 1000
Study Day
Figure 7
9/66
2000
* RS4:11
-)(- RS4:11 + T Cells
+ Contr DART (0.2 mg/kg)
57‘ 1500 -A- DART-A (0.004 mg/kg)
-EI- DART-A (0.02 mg/kg)
DART-A (0.1 mg/kg)
E + (0.2 mg/kg)
2 1000 l
O + DART-A (0.5 mg/kg) I
I— 500
/ A: ,
0123456789101112
Study Day
Figure 8
/66
AML BM MNC
APC Cells U10
C033 of
ClC.)
: Number U10
TO” 10‘ H32 103 N3“ 109 N3" 102 103 104
FLZ—H: C0123 PE FL2~H1C0123 PE
Kasumi-3
AFC 103 Cells m:3
C033 102 of
Number :3c:
FL4~Hz 10‘ U1 C3
109, m“ 102 103 m4 109 10‘ 102 103 104
FLz—H: CD123 PE FLE—H: CD123 PE
C033
CD123
Figure 9
11/66
Leukemic Blasts
l:l Untreated
80 Control DART (0.1 ng/mL)
EEEI DART-A (0.01 ng/mL)
60 - DART-A(O.1 ng/mL)
W
48 72 —\ 20
Incubation time (h)
T cells
l:l Untreated
w Control DART (0.1 ng/mL)
E5! DART-A (0.01 ng/mL)
- (O.1 ng/mL)
Incubation time (h)
CD25 MFI
I:l Untreated
m Control DART (0.1 ng/mL)
FEI DART-A (0.01 ng/mL)
- DART—A (0.1 ng/mL)
72 120
Incubation time (h)
Figure 10
12/66
Normal PBMC
1000
§ 800 E 10.3.
I .9
Q 600* g
S: 3' 102
I, 400
U 2
E 5": 101
200 L...
O . 1 0° . .
. .
O 200 400 600 800 1000 TO“ 10‘ 102 105 “IO“
FSC-H: ight FLT-H: FLT-Height
Ungated FEE—H, SSC~H subset
Contmi ALL P1 Control ALL P1 a
Event Count 10000 Event Count 9262 i
CD123-FITC
“F" 103 3
H u _.
' ._
I' § 3
102 2
3 ‘
‘ 3 “‘0
LI. Ll.
51.: If
E 10* E 1 (:1:1
LL. L1.
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. ‘
‘ 103
TO“ 10‘ TD; "103 “34 10's 10‘ 102 103‘ 104
FLB—H: FLB—Height FL1—H1FLT—Height
FSC—H, SEC-H subset FLE-H, FL4~H subset
Controi ALL P1 Centre! ALL P1
Event Count 9262 Event Count 63? <1:
0'» 9.."
8 (3
CD34-ParCP-CYS CD1 23-F1TC
Figure 11
13/66
ALL PBMC
1 000
ight 010 C30
O'44
0‘: C) C) PEA-Height ON
SEC-H: 400 FL4-H: —\ Q
O "'-
. . . . . . . 10”
0 200 400 600 8100 1000 10° 10‘ 102 1O3 10"“1
FSC—H: FSC-Height FL1-H: FL1-Height
Ungared FSCuH, SSC‘H subset
2470 ALL P1 2470 ALL P1 ‘5:‘
Event Count 10000 Event Cnunt 8893 i
CD123—F1TC
'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
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FSC—H, SSE-H subset FL4~H, FL3—H subset
2470 ALL P1 2470 ALL P1 E
Event Count 8893 Q-APC Event Count 6528 <1:
CD1 Q
CD34—PerCP—CYS CD1 23-F1TC
Figure 11 (Continued)
14/66
ALL PBMC
§§§§ Z
fififi-wigl’fl:
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FSC-H: FSC-Height
Ungated
2470 ALL T cells
Even Count: 10000
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FSC-H, SSC-H subset
2470 ALL T cells
Even Count: 8777
CD‘S-AFC
Figure 12
/66
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18/66
250K T 0“
200K CD33 943% BLASTS
SSCHA 150K
100K
50K Comp-APC—Azz
0 50K 100K 150K 200K 250K 10‘ 1 (12 103 104 105
FSC-A Comp—PerCP—Azz CD45
C033
0. u‘ 104
PC—A 103
“| 102 103 104 105
Comp—Pacific Biue A: C03
Figure 15
19/66
Sfifififi
ufiiéééfi
was mg.%.fia.
,fifififi
mmam
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QEE$+
fififififi
Eéfififi
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m; 1%fififi
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Figure 16 nued)
21/66
GEEfi
.CD8+
KI-ET
\\ (304+
(13+
Figure 17
22/66
Pmflrlfi
DfiflTfis
mart
DARTA
89mm
Dart
Figure 17 (Continued)
23/66
Human CD3 Mankey cm
KB=§.QHM
6% {E 5i} TEN 15% Egg
fime s
kafiflefi @4333 kafi-giefi mafia—3
A B
Human @123 Mankey (@123
m nu
m_ '
m3 '
as: ‘-
- ~2§ . x y . . .
w‘ {3 5g 3%‘ 2m
:3 6:} Si: 1% 2m
Tfime s
Time s;
kaiglefi kcfiLSe—fi kaifiefi M3384
C D
Figure 18
24/66
Autologous Monocyte Depletion of Human PBMC
-- (Smite? BA???
........
3% «an DART-A
a,“ DART-A waBD
‘ we.“
3??- ......
N... ‘_
“NI“ 13* 13% 111':
tration (regime!)
Autologous Monocyte Depletion of Cynomolgus Monkey
PBMC
-I- Control DART
is .......
E w DART-A
DART-A wmen
~21 ......... .fi
“ 1G“ 1:1“2 Wei 1&2
Concentration (ngirrfl
Figure 19
/66
le + Carrier
100 10‘ 101 103 10“ 10° 10" HF 103 104
CD14HAPC CDTf-LAPC
109 10‘ 102 103 104 1G“ 101 102 103 10“
CDI4WAPC CDT-’LAPC
@fififi
Figure 20
26/66
Control DART
1 OOpQ/kg/d
109 10‘ 102 103 10“ 100 1L”):t 102 10-3 1Q“
CD14WAPC CDi4mAPC
‘ 103 103 10“ 10" 10‘ 163 103 10“
PC CD'P-LAPC
@fififi
Figure 20 (Continued)
27/66
DART—A
10ng/kg/d
" 10‘ 102 103 10“ 10” 101 103 103 104‘
CDHLAPC CDT4JXPC
° 19‘ 102 103 10“ 10‘) 101 102 103 10“
CDIILAPC PC
30ng/kg/d
C0123 109 10‘ 102 103 10" 10" 10‘ 102 103 10“
CD14WAPC CDTILAPC
C014
Figure 20 (Continued)
28/66
B Cells, CD20+
10000
Femab
8000
.3260 6000
4000
2000
_ . _ L . . . _ _ _ . ,
fin 6m 8 5N _om_ Sn 6m 5m a3 gm 5m m8 5m m3 5m wmo 50 men
9.; 9.2. 2. 9;9: 2. 9.8 9.8 o.n_ 9.
2: 952
0.. 9.8” 0.. 9.88 00M— 00m oom—
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N Female
.3230 400
. . . . L _ x . . L _ _ .
E EN 6m. mo :ww _om_ So 6m. 6m cg 6m. one 6m. .25 6m wmn— rmo mon—
2a 9.2. 9.2. «in— 9;9; oi 9.2 9.8 9.
c8 9.2:
2. 958 2. 9.82 oom— cow— ow”—
Figure 21 (Panels A-B)
29/66
Nme AD.v 5 + D a
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m__8
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2: 958
9:. 958 2". 9.82 owm owm owm
Figure 21 (Panels C-D)
/66
T Cells, CD4+ CD8+
15000
Female
10000
41.2.3
5000
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2: 952
2n. .958 2n. 9.82 8m omm 8m
Figure 22 (Panels A-B)
31/66
CD69+
Female
.830
E :3 .8 8 gem .8 en. .8 .8 an :3 .8 08 .8 8n. .8 vmo En moo
2.. ;... 2n. 9;9; en. 9.2 9.8 en. 9.952 en. 88m 9:. 8E owm 0mm
2: .288
CD8+
- Mab Female
m=oo 30
330 20
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F 2n— amm—
Figure 22 (Panels C-D)
32/66
d Non—reduced
98kDa
98kDa
62kDa
62kDa
49kDa
49kDa
38kDa
38kDa
28kDa
28kDa
Figure 23
33/66
IO.0 50 10.0 15.0 20.0 25.0 30.0
Figure 24A
58898.8
121.0)(10 6
'as.ox1o 5
58500 59000 59500
Mass (Da)
Figure 243
34/66
Human CD123 Cynomolgus CD123
6° A
0! i"'.::::‘iif'f":"‘;T:T:f:'
_I::{Ii""“"““"“'
-50 0 50100 200
_50 0 50100 200
Time (3)
Time (S)
Figure 25A Figure 253
Human CD38/8 Cynomolgus CD38/5
-50 0 50100 200 -50 0 50100 200
Time (S) Time (S)
Figure 25C Figure 25D
/66
Capture:Human CD123
Detection: Human CD3
-o- DART-A
-A- Control DART
-EI- Control DART-2
OD450nM
0.0001 0.001 0.01 0.1 1
DART (uglmL)
Figure 26A
Capture: Cynomolgus Monkey CD123
Detection:Human CD3
+ DART-A
-A- l DART
OD450nM N -EI- Control DART-2
0.0001 0.001 0.01 0.1 1
DART (pg/ml)
Figure 263
36/66
Figure 26C
Human T Cells
Figure 260
Cogtrol DART
\.§3“\ .
Cynomolgus
MonkeyT Cells
Figure 26E
37/66
100000
8 anti-CD123
E?) W
80000 Isotype I
£3 60000
33 40000
$3 20000
Figure 27A
U937
E:T=10:1
r? “QM DART-A
'5 60 + Contra! DART
'6 10-4 10'2 1O0 102
Concenflafion(nghnL)
Figure 273
38/66
Kasumi-3 + Human T cells
E:T=10:1
-o- DART-A EC50=0.01 nglmL
> 8°
#5 + Control DART
'6 10'4 10'2 10° 102
Concentration (nglm L)
Figure 27C
-3 + Cyno PBMCs
E:T=15:1
EC50 = 0.02 nglmL
a 80
3 6°
+ DART-A
3‘5 4o
.. Control DART
°\° 20
'6 10'4 10'2 10° 102
Concentration (nglmL)
Figure 27D
39/66
Anti-CD123
-Isotype
150000
85 125000
100000
9.65m 0
«~50 0 \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ § \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ §§§§
Figure 27E
40/66
Monocytes
(CD14+ I CD123"°)
- 3 hours
3:8 11 20752 505050 61h8OhU0 rUsm
:23.ng 352E:
é §\ I §§§§N | I \\\\\\\\\\\\\\\\§N I I §§Q I
Q Q.
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Dem§§§§N.TA. (Mum§§Qk)L
Figure 27F
(CD14'ICD123H')_
28 11 IKE 361 hhoo 00hUUO mmu
:030300 38:5 20752 505050 m
DART-A (nglmL)
Figure 276
41/66
Cynomolgus Monkey PBMC Alone
(FACS)
CD14-CD123+pDCs PNo
O '.x 01
Q '_\ Q + l DART
-|:I- DART-A
0.05
0.00
'8010'6 10'4 10'2 10° 102 104
Concentration (nglmL)
Figure 27H
(pg/mL) NDO.a U!D
Concentration .a GO
EOI o o o o
No 4? «3° «9°
Dose (nglkglday)
Figure 28
42/66
Vehide
oo O
) .h 00‘) 0
|L-6 N0
22 29 36
Study Day
Figure 29A
DART-A
00 O
(pglmL) h CO5O
|L-6
Study Day
Figure 293
43/66
DART-A
on O
) O) O.hC
lL-6 NO
1 8 15 22 29 36
Study Day
Figure 29C
44/66
Vehicle
Emmncmaé 4 0 8 3o
4.52.8 1 0
Study Day
Figure 30A
DART-A
Emmncmmev 4 0 +£52.38 30
452.8 1 0
Study Day
Figure 303
45/66
DART-A
mé 40 +£52-38 30
432.8 1 0
Study Day
Figure 30C
46/66
E 15
{E 12
co 8 9
”g_.
2 3
1 8 15 22 29 36
StudyDay
Figure 30D
DART-A
CD303+ (meaniSEM)
Cells/“L
Study Day
Figure 30E
47/66
DART-A
oé 11
+880
432.8 529630
1 15 22 29 36
Study Day
Figure 30F
48/66
+ Group 1
cellslmL T (meaniSEM)
1 81522293643505764
Study Day
Figure 31A
DART-A
12500
10000
cells/“L 7500 T (meaniSEM) N01 016 CO DOD
Study Day
Figure 31 B
49/66
DART-A
1 2500
1 0000
uL T (meaniSEM) 7500
N01 010 CO COO
1 81522293643505764
Study Day
Figure 31C
Group 1
Vehicle
Cells SEM)
CD4 i % (Mean N-hmm 0000
815 22 29 36 43 50 57 64
Study Day
Figure 31D
50/66
Group 5
DART-A
Cells SEM)
CD4 i % (Mean O COCO
1 815 22 29 36 43 50 57 64
Study Day
Figure 31E
Group 6
DART-A
Cells SEM)
CD4 i % (Mean whoaoo 60°C
815 22 29 36 43 50 57 64
Study Day
Figure 31F
51/66
Group 1
Cells SEM) “#01 COO
CD8 i(Mean NO
0 fl ‘
181522293643505764, a V
Study Day
Figure 316
Group 5
DART-A
(D E 40
fi «”3
U 30
8 A
8 20
Q A A
°\ V A
L
'11..“
181522293643505764
Study Day
Figure 31H
52/66
Group 6
DART-A
Cells SEM)
CD8 i % (Mean l OOOOO
Study Day
Figure 31|
53/66
DART-A
Group 2
Cells SEM)
CD4 i % (Mean N-BOOO 000°
00 _\ 01 N2 29 36 43 50 57 64
Study Day
Figure 32A
DART-A
Group 3
Cells SEM) 0500 CO
CD4 1 % (Mean 20
1 815 22 29 36 43 50 57 64
Study Day
Figure 32B
54/66
DARTnA
Group 4
00 O
Cells SEM)
CD4 i % (Mean
Study Day
Figure 32C
DARTnA
Group 2
Cells SEM)
CD8 % (Mean
Study Day
Figure 32D
55/66
Group 3
01 O
Cells SEM)
CD8 % (Mean
22 29 36 43 50 57 64
Study Day
Figure 32E
flARTnA
Group 4
2 E 40
3 a)
:H 30
°\° E
_\ O
181522293643505764
Study Day
Figure 32F
56/66
fiARTnA
Group 2
Cells
~ V' C
181522293643505764
Study Day
Figure 33A
SARTnA
Group 3
Cells g 80m‘0 60 'v v
CD4 jg at, {I' '
m 40
% E 20
181522293643505764
Study Day
Figure 333
57/66
DARRA
Group 4
OO O
Cells SEM)
O) O
CD4 i % (Mean 4020
293643505764
Study Day
Figure 33C
fiARTaA
Group2
1, 3
CD RV
g a v v
181522293643505764
Study Day
Figure 33D
58/66
Group 3
Cells SEM)
CD8 .h D % (Mean
N GO
1 815 22 29 36 43 50 57 64
Study Day
Figure 33E
fiARTmA
Group 4
Cells SEM)
CD8 (Mean hC
1 815 22 29 36 43 50 57 64
Study Day
Figure 33F
59/66
d to
NaiVe
DART-A
Cytotoxicity 03 O
% NC
Figure 34
60/66
Group 1
Vehicle
1’ g
8 «”f: v V
‘- +|
D s:
o\° E
293643505764
Study Day
Figure 35A
DART-A
Group 5
Cells g 80SE
CD4 i % (Mean
181522293643505764
Study Day
Figure 353
61/66
DART-A
Group 6
1’ g
3 0’ 60
a 2 -'-v
o m 40
° é’
v 20
293643505764
Study Day
Figure 35C
Group 1
Vehicle
m E 80
a a:
U 60 § §
g? \
+| \.
o 8 40
°\ VO E V V
' v
181522293643505764
Study Day
Figure 35D
62/66
DART-A
Group 5
a, ’2‘ 80
fi 3:
o 60 §
§ §
3 40
o\ v V v v
v
293643505764
Study Day
Figure 35E
DART-A
Group 6
Cells ’2‘ 80m”3 60
+| \
CD8 \
g 40
% v
E 20 V
181522293643505764
Study Day
Figure 35F
63/66
(106luL)
01 8 1522 293643 50 5764
Study Day
Figure 36A
DART-A
(106/uL) 0105‘!“
-40 01 815 22 29 36 43 50 57 64
Study Day
Figure 363
64/66
DART-A
01 815 22 29 36 43 50 57 64
Study Day
Figure 36C
Vehicle
L) .h C O
03lu + Group1
o: O O
Reticulocytes NOO_\ O O
-40 01
Study day
Figure 36D
65/66
DART-A
L) hCO -A- Group 2
03lu -v- Group 3
00 O O
(1 -®- Group 4
locytes + Group 5
NO O
-40 01 815 22 29 36 43 50 57 64
Study day
Figure 36E
DART-A
L) hCO
03lu 00 O O
Reticulocytes N o o—x o o
-40 01 815 22 29 36 43 50 57 64
Study day
Figure 36F
66/66
n0 - Group 1 Vehicle
m Group 2 DART-A
2.8 2253.8. A4 Group 3 DART-A
+250 III Group 4 DART-A
.5...6 at
Group 5 DART-A
Group 6 DART-A
§ UQLIVUUQLZIVUO mammammanmmnmmammnmmnmm_ §§§§§§§ III-II nflllyunfl gamma nLIVUQKITUOQKIYUD ammmmmnmmnmmmm
mo flu
Figure 37A
- Group 1 Vehicle
‘ Group 2 DART-A n4 N
um... £23.38. Group 3 DART-A
.53 mmmmmmmmmmm w§§§§§§§§§§ III Group 4 DART-A
Group 5 DART-A
\\\\\\\\\\\\\\ \\\\\\\\\\\\\\\ nfllvunflly §§§ $§§§§ nflllvon é “magnum Group 6 DART-A
Figure 373
SEQUENCE LISTING
<110> MacroGenics, Inc.
Bonvini, Ezio
Johnson, Leslie
Huang, Ling
Moore, Paul
Chichili, Gurunadh
Alderson, Ralph
<120> Bi-Specific lent Diabodies That Are Capable Of Binding
CD123, And CD3 And Uses Thereof
<130> 1301.0109PCT
<150> US 61/869,510
<151> 201323
<150> US 61/907,749
<151> 201322
<150> EP 13198784
<151> 201329
<150> US 61/990,475
<151> 201408
<160> 59
<170> In version 3.5
<210> 1
<211> 272
<212> PRT
<213> Artificial Sequence
<220>
<223> First Polypeptide Chain of DART-A
<400> 1
Gln Ala Val Val Thr Gln Glu Pro Ser Leu Thr Val Ser Pro Gly Gly
1 5 10 15
Thr Val Thr Leu Thr Cys Arg Ser Ser Thr Gly Ala Val Thr Thr Ser
25 30
Asn Tyr Ala Asn Trp Val Gln Gln Lys Pro Gly Gln Ala Pro Arg Gly
40 45
Leu Ile Gly Gly Thr Asn Lys Arg Ala Pro Trp Thr Pro Ala Arg Phe
50 55 60
2546512v1
Ser Gly Ser Leu Leu Gly Gly Lys Ala Ala Leu Thr Ile Thr Gly Ala
65 70 75 80
Gln Ala Glu Asp Glu Ala Asp Tyr Tyr Cys Ala Leu Trp Tyr Ser Asn
85 90 95
Leu Trp Val Phe Gly Gly Gly Thr Lys Leu Thr Val Leu Gly Gly Gly
100 105 110
Gly Ser Gly Gly Gly Gly Glu Val Gln Leu Val Gln Ser Gly Ala Glu
115 120 125
Leu Lys Lys Pro Gly Ala Ser Val Lys Val Ser Cys Lys Ala Ser Gly
130 135 140
Tyr Thr Phe Thr Asp Tyr Tyr Met Lys Trp Val Arg Gln Ala Pro Gly
145 150 155 160
Gln Gly Leu Glu Trp Ile Gly Asp Ile Ile Pro Ser Asn Gly Ala Thr
165 170 175
Phe Tyr Asn Gln Lys Phe Lys Gly Arg Val Thr Ile Thr Val Asp Lys
180 185 190
Ser Thr Ser Thr Ala Tyr Met Glu Leu Ser Ser Leu Arg Ser Glu Asp
195 200 205
Thr Ala Val Tyr Tyr Cys Ala Arg Ser His Leu Leu Arg Ala Ser Trp
210 215 220
Phe Ala Tyr Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Gly Gly
225 230 235 240
Cys Gly Gly Gly Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu
245 250 255
Glu Lys Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu Lys
260 265 270
<210> 2
<211> 816
<212> DNA
<213> Artificial Sequence
<220>
<223> Nucleic Acid Molecule Encoding First Polypeptide Chain of DART-A
<400> 2
caggctgtgg tgactcagga gccttcactg accgtgtccc caggcggaac tgtgaccctg 60
agat ccagcacagg cgcagtgacc acatctaact acgccaattg ggtgcagcag 120
aagccaggac aggcaccaag gggcctgatc gggggtacaa acaaaagggc gacc 180
2546512v1
cctgcacggt tttctggaag tctgctgggc ggaaaggccg ctctgactat taccggggca 240
caggccgagg acgaagccga ttactattgt gctctgtggt atagcaatct gtgggtgttc 300
ggca caaaactgac tgtgctggga gggggtggat ccggcggcgg aggcgaggtg 360
cagctggtgc agtccggggc gaag aaacccggag cttccgtgaa ggtgtcttgc 420
aaagccagtg cctt cacagactac tatatgaagt ggca ggctccagga 480
cagggactgg aatggatcgg cgatatcatt ccttccaacg cttt ctacaatcag 540
aagtttaaag gcagggtgac tattaccgtg gacaaatcaa caagcactgc ttatatggag 600
ctgagctccc tgcgctctga agcc gtgtactatt gtgctcggtc acacctgctg 660
agagccagct ggtttgctta ttggggacag ggcaccctgg tgacagtgtc ttccggagga 720
tgtggcggtg gagaagtggc cgcactggag aaagaggttg ctgctttgga gaaggaggtc 780
gctgcacttg aaaaggaggt cgcagccctg gagaaa 816
<210> 3
<211> 280
<212> PRT
<213> Artificial Sequence
<220>
<223> Second Polypeptide Chain of DART-A
<400> 3
Asp Phe Val Met Thr Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly
1 5 10 15
Glu Arg Val Thr Met Ser Cys Lys Ser Ser Gln Ser Leu Leu Asn Ser
25 30
Gly Asn Gln Lys Asn Tyr Leu Thr Trp Tyr Gln Gln Lys Pro Gly Gln
40 45
Pro Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val
50 55 60
Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
65 70 75 80
Ile Ser Ser Leu Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Asn
85 90 95
Asp Tyr Ser Tyr Pro Tyr Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile
100 105 110
2546512v1
Lys Gly Gly Gly Ser Gly Gly Gly Gly Glu Val Gln Leu Val Glu Ser
115 120 125
Gly Gly Gly Leu Val Gln Pro Gly Gly Ser Leu Arg Leu Ser Cys Ala
130 135 140
Ala Ser Gly Phe Thr Phe Ser Thr Tyr Ala Met Asn Trp Val Arg Gln
145 150 155 160
Ala Pro Gly Lys Gly Leu Glu Trp Val Gly Arg Ile Arg Ser Lys Tyr
165 170 175
Asn Asn Tyr Ala Thr Tyr Tyr Ala Asp Ser Val Lys Asp Arg Phe Thr
180 185 190
Ile Ser Arg Asp Asp Ser Lys Asn Ser Leu Tyr Leu Gln Met Asn Ser
195 200 205
Leu Lys Thr Glu Asp Thr Ala Val Tyr Tyr Cys Val Arg His Gly Asn
210 215 220
Phe Gly Asn Ser Tyr Val Ser Trp Phe Ala Tyr Trp Gly Gln Gly Thr
225 230 235 240
Leu Val Thr Val Ser Ser Gly Gly Cys Gly Gly Gly Lys Val Ala Ala
245 250 255
Leu Lys Glu Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu Lys
260 265 270
Glu Lys Val Ala Ala Leu Lys Glu
275 280
<210> 4
<211> 840
<212> DNA
<213> Artificial Sequence
<220>
<223> c Acid le Encoding Second Polypeptide Chain of DART-A
<400> 4
gacttcgtga tgacacagtc tcctgatagt ctggccgtga gtctggggga gcgggtgact 60
atgtcttgca agagctccca gtcactgctg aacagcggaa atcagaaaaa ctatctgacc 120
tggtaccagc cagg ccagccccct aaactgctga tctattgggc ttccaccagg 180
gaatctggcg tgcccgacag attcagcggc agcggcagcg gcacagattt taccctgaca 240
atttctagtc tgcaggccga ggacgtggct gtgtactatt gtcagaatga ttacagctat 300
2546512v1
ccctacactt tcggccaggg gaccaagctg gaaattaaag gaggcggatc cggcggcgga 360
ggcgaggtgc agctggtgga gtctggggga ggcttggtcc agcctggagg gaga 420
ctctcctgtg cagcctctgg attcaccttc agcacatacg ctatgaattg ggtccgccag 480
ggga tgga gtgggttgga aggatcaggt ccaagtacaa caattatgca 540
acctactatg ccgactctgt gaaggataga ttcaccatct caagagatga ttcaaagaac 600
tcactgtatc tgcaaatgaa cagcctgaaa accgaggaca cggccgtgta ttactgtgtg 660
agacacggta acttcggcaa ttcttacgtg tcttggtttg cttattgggg acaggggaca 720
ctggtgactg tgtcttccgg aggatgtggc ggtggaaaag tggccgcact gaaa 780
gttgctgctt tgaaagagaa cgca cttaaggaaa aggtcgcagc cctgaaagag 840
<210> 5
<211> 268
<212> PRT
<213> Artificial Sequence
<220>
<223> First Polypeptide Chain of DART-B
<400> 5
Asp Ile Gln Leu Thr Gln Ser Pro Ala Ile Met Ser Ala Ser Pro Gly
1 5 10 15
Glu Lys Val Thr Met Thr Cys Arg Ala Ser Ser Ser Val Ser Tyr Met
25 30
Asn Trp Tyr Gln Gln Lys Ser Gly Thr Ser Pro Lys Arg Trp Ile Tyr
40 45
Asp Thr Ser Lys Val Ala Ser Gly Val Pro Tyr Arg Phe Ser Gly Ser
50 55 60
Gly Ser Gly Thr Ser Tyr Ser Leu Thr Ile Ser Ser Met Glu Ala Glu
65 70 75 80
Asp Ala Ala Thr Tyr Tyr Cys Gln Gln Trp Ser Ser Asn Pro Leu Thr
85 90 95
Phe Gly Ala Gly Thr Lys Leu Glu Leu Lys Gly Gly Gly Ser Gly Gly
100 105 110
Gly Gly Gln Val Gln Leu Val Gln Ser Gly Ala Glu Leu Lys Lys Pro
115 120 125
Gly Ala Ser Val Lys Val Ser Cys Lys Ala Ser Gly Tyr Thr Phe Thr
2546512v1
130 135 140
Asp Tyr Tyr Met Lys Trp Val Arg Gln Ala Pro Gly Gln Gly Leu Glu
145 150 155 160
Trp Ile Gly Asp Ile Ile Pro Ser Asn Gly Ala Thr Phe Tyr Asn Gln
165 170 175
Lys Phe Lys Gly Arg Val Thr Ile Thr Val Asp Lys Ser Thr Ser Thr
180 185 190
Ala Tyr Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Val Tyr
195 200 205
Tyr Cys Ala Arg Ser His Leu Leu Arg Ala Ser Trp Phe Ala Tyr Trp
210 215 220
Gly Gln Gly Thr Leu Val Thr Val Ser Ser Gly Gly Cys Gly Gly Gly
225 230 235 240
Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu Lys Glu Val
245 250 255
Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu Lys
260 265
<210> 6
<211> 804
<212> DNA
<213> Artificial Sequence
<220>
<223> Nucleic Acid Molecule Encoding First ptide Chain of DART-B
<400> 6
gacattcagc tgacccagtc tccagcaatc atgtctgcat ctccagggga cacc 60
atgacctgca gttc aagtgtaagt tacatgaact ggtaccagca gaagtcaggc 120
acctccccca aaagatggat ttatgacaca tccaaagtgg cttctggagt cccttatcgc 180
ttcagtggca gtgggtctgg gacctcatac tctctcacaa tcagcagcat tgaa 240
gatgctgcca cttattactg ccaacagtgg agtagtaacc cgctcacgtt cggtgctggg 300
accaagctgg agctgaaagg aggcggatcc ggcggcggag gccaggtgca gcag 360
tccggggctg agctgaagaa acccggagct tccgtgaagg tgtcttgcaa agccagtggc 420
tacaccttca cagactacta tatgaagtgg gtcaggcagg ctccaggaca gggactggaa 480
tggatcggcg atatcattcc cggg gccactttct acaatcagaa gtttaaaggc 540
2546512v1
agggtgacta ttaccgtgga caaatcaaca agcactgctt atatggagct gagctccctg 600
cgctctgaag atacagccgt gtactattgt gctcggtcac acctgctgag agccagctgg 660
tttgcttatt ggggacaggg ggtg acagtgtctt ccggaggatg tggcggtgga 720
gaagtggccg cactggagaa agaggttgct gaga aggaggtcgc tgcacttgaa 780
gtcg cagccctgga gaaa 804
<210> 7
<211> 274
<212> PRT
<213> Artificial Sequence
<220>
<223> Second Polypeptide Chain of DART-B
<400> 7
Asp Phe Val Met Thr Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly
1 5 10 15
Glu Arg Val Thr Met Ser Cys Lys Ser Ser Gln Ser Leu Leu Asn Ser
25 30
Gly Asn Gln Lys Asn Tyr Leu Thr Trp Tyr Gln Gln Lys Pro Gly Gln
40 45
Pro Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val
50 55 60
Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
65 70 75 80
Ile Ser Ser Leu Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Asn
85 90 95
Asp Tyr Ser Tyr Pro Tyr Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile
100 105 110
Lys Gly Gly Gly Ser Gly Gly Gly Gly Asp Ile Lys Leu Gln Gln Ser
115 120 125
Gly Ala Glu Leu Ala Arg Pro Gly Ala Ser Val Lys Met Ser Cys Lys
130 135 140
Thr Ser Gly Tyr Thr Phe Thr Arg Tyr Thr Met His Trp Val Lys Gln
145 150 155 160
Arg Pro Gly Gln Gly Leu Glu Trp Ile Gly Tyr Ile Asn Pro Ser Arg
165 170 175
2546512v1
Gly Tyr Thr Asn Tyr Asn Gln Lys Phe Lys Asp Lys Ala Thr Leu Thr
180 185 190
Thr Asp Lys Ser Ser Ser Thr Ala Tyr Met Gln Leu Ser Ser Leu Thr
195 200 205
Ser Glu Asp Ser Ala Val Tyr Tyr Cys Ala Arg Tyr Tyr Asp Asp His
210 215 220
Tyr Cys Leu Asp Tyr Trp Gly Gln Gly Thr Thr Leu Thr Val Ser Ser
225 230 235 240
Gly Gly Cys Gly Gly Gly Lys Val Ala Ala Leu Lys Glu Lys Val Ala
245 250 255
Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu
260 265 270
Lys Glu
<210> 8
<211> 822
<212> DNA
<213> Artificial Sequence
<220>
<223> Nucleic Acid Molecule Encoding Second Polypeptide Chain of DART-B
<400> 8
gacttcgtga tgacacagtc tagt ctggccgtga gtctggggga gact 60
atgtcttgca agagctccca gtcactgctg aacagcggaa atcagaaaaa ctatctgacc 120
tggtaccagc agaagccagg ccagccccct aaactgctga tctattgggc ttccaccagg 180
gaatctggcg tgcccgacag attcagcggc agcggcagcg gcacagattt gaca 240
atttctagtc tgcaggccga ggacgtggct gtgtactatt gtcagaatga ttacagctat 300
ccctacactt tcggccaggg gaccaagctg aaag gaggcggatc cggcggcgga 360
ggcgatatca aactgcagca gtcaggggct gcaa gacctggggc ctcagtgaag 420
atgtcctgca agacttctgg ctacaccttt actaggtaca cgatgcactg ggtaaaacag 480
aggcctggac agggtctgga atggattgga tacattaatc gtgg ttatactaat 540
tacaatcaga agttcaagga caaggccaca ttgactacag acaaatcctc cagcacagcc 600
tacatgcaac tgagcagcct gacatctgag gactctgcag tctattactg tgcaagatat 660
tatgatgatc attactgcct tgactactgg ggca ccactctcac agtctcctcc 720
2546512v1
ggaggatgtg gcggtggaaa agtggccgca ctgaaggaga aagttgctgc tttgaaagag 780
gccg cacttaagga aaaggtcgca gccctgaaag ag 822
<210> 9
<211> 322
<212> PRT
<213> Artificial Sequence
<220>
<223> CD123 x CD3 Diabody Polypeptide Chain Having Albumin Binding Site
<400> 9
Gln Ala Val Val Thr Gln Glu Pro Ser Leu Thr Val Ser Pro Gly Gly
1 5 10 15
Thr Val Thr Leu Thr Cys Arg Ser Ser Thr Gly Ala Val Thr Thr Ser
25 30
Asn Tyr Ala Asn Trp Val Gln Gln Lys Pro Gly Gln Ala Pro Arg Gly
40 45
Leu Ile Gly Gly Thr Asn Lys Arg Ala Pro Trp Thr Pro Ala Arg Phe
50 55 60
Ser Gly Ser Leu Leu Gly Gly Lys Ala Ala Leu Thr Ile Thr Gly Ala
65 70 75 80
Gln Ala Glu Asp Glu Ala Asp Tyr Tyr Cys Ala Leu Trp Tyr Ser Asn
85 90 95
Leu Trp Val Phe Gly Gly Gly Thr Lys Leu Thr Val Leu Gly Gly Gly
100 105 110
Gly Ser Gly Gly Gly Gly Glu Val Gln Leu Val Gln Ser Gly Ala Glu
115 120 125
Leu Lys Lys Pro Gly Ala Ser Val Lys Val Ser Cys Lys Ala Ser Gly
130 135 140
Tyr Thr Phe Thr Asp Tyr Tyr Met Lys Trp Val Arg Gln Ala Pro Gly
145 150 155 160
Gln Gly Leu Glu Trp Ile Gly Asp Ile Ile Pro Ser Asn Gly Ala Thr
165 170 175
Phe Tyr Asn Gln Lys Phe Lys Gly Arg Val Thr Ile Thr Val Asp Lys
180 185 190
Ser Thr Ser Thr Ala Tyr Met Glu Leu Ser Ser Leu Arg Ser Glu Asp
195 200 205
2546512v1
Thr Ala Val Tyr Tyr Cys Ala Arg Ser His Leu Leu Arg Ala Ser Trp
210 215 220
Phe Ala Tyr Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Gly Gly
225 230 235 240
Cys Gly Gly Gly Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu
245 250 255
Glu Lys Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu Lys
260 265 270
Gly Gly Gly Ser Leu Ala Glu Ala Lys Val Leu Ala Asn Arg Glu Leu
275 280 285
Asp Lys Tyr Gly Val Ser Asp Tyr Tyr Lys Asn Leu Ile Asp Asn Ala
290 295 300
Lys Ser Ala Glu Gly Val Lys Ala Leu Ile Asp Glu Ile Leu Ala Ala
305 310 315 320
Leu Pro
<210> 10
<211> 966
<212> DNA
<213> Artificial Sequence
<220>
<223> cleotide Encoding CD123 x CD3 Diabody Polypeptide Chain
Having Albumin Binding Site
<400> 10
caggctgtgg tgactcagga gccttcactg accgtgtccc caggcggaac tgtgaccctg 60
acatgcagat ccagcacagg cgcagtgacc acatctaact acgccaattg ggtgcagcag 120
ggac aggcaccaag gggcctgatc gggggtacaa acaaaagggc tccctggacc 180
cctgcacggt gaag tctgctgggc ggaaaggccg ctctgactat taccggggca 240
caggccgagg acgaagccga ttactattgt gctctgtggt atagcaatct gtgggtgttc 300
gggggtggca caaaactgac ggga gggggtggat ccggcggcgg aggcgaggtg 360
cagctggtgc agtccggggc tgagctgaag aaacccggag cttccgtgaa ggtgtcttgc 420
aaagccagtg gctacacctt cacagactac aagt gggtcaggca ggctccagga 480
cagggactgg aatggatcgg cgatatcatt ccttccaacg gggccacttt ctacaatcag 540
2546512v1
aaag gcagggtgac cgtg gacaaatcaa caagcactgc ttatatggag 600
ctgagctccc tgcgctctga agatacagcc gtgtactatt gtgctcggtc acacctgctg 660
agagccagct ggtttgctta ttggggacag ggcaccctgg tgacagtgtc ttccggagga 720
tgtggcggtg gagaagtggc cgcactggag aaagaggttg ctgctttgga gaaggaggtc 780
gctgcacttg aaaaggaggt cgcagccctg gagaaaggcg gcgggtctct ggccgaagca 840
aaagtgctgg ccaaccgcga taaa tatggcgtga gcgattatta taagaacctg 900
attgacaacg ccgc ggaaggcgtg aaagcactga ttgatgaaat tctggccgcc 960
ctgcct 966
<210> 11
<211> 217
<212> PRT
<213> Artificial Sequence
<220>
<223> CH2-CH3 Domains of a Modified Human Antibody Fc Region
<400> 11
Ala Pro Glu Ala Ala Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys
1 5 10 15
Pro Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val
25 30
Val Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr
40 45
Val Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu
50 55 60
Gln Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His
65 70 75 80
Gln Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys
85 90 95
Ala Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln
100 105 110
Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Glu Glu Met
115 120 125
Thr Lys Asn Gln Val Ser Leu Ser Cys Ala Val Lys Gly Phe Tyr Pro
130 135 140
2546512v1
Ser Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn
145 150 155 160
Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu
165 170 175
Val Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val
180 185 190
Phe Ser Cys Ser Val Met His Glu Ala Leu His Asn Arg Tyr Thr Gln
195 200 205
Lys Ser Leu Ser Leu Ser Pro Gly Lys
210 215
<210> 12
<211> 681
<212> DNA
<213> Artificial Sequence
<220>
<223> Nucleic Acid le Encoding Peptide 1 and the CH2 and CH3
Domains of an IgG Fc region
<400> 12
gacaaaactc acacatgccc accgtgccca gcacctgaag ccgcgggggg accgtcagtc 60
ttcctcttcc ccccaaaacc caaggacacc ctcatgatct cccggacccc tgaggtcaca 120
tgcgtggtgg tggacgtgag ccacgaagac cctgaggtca agttcaactg gtacgtggac 180
ggcgtggagg atgc caagacaaag gagg agcagtacaa cagcacgtac 240
cgtgtggtca gcgtcctcac cgtcctgcac caggactggc tgaatggcaa ggagtacaag 300
tgcaaggtct ccaacaaagc cctcccagcc cccatcgaga tctc caaagccaaa 360
gggcagcccc gagaaccaca ggtgtacacc ctgcccccat cccgggagga gatgaccaag 420
aaccaggtca gttg cgcagtcaaa ggcttctatc ccagcgacat cgccgtggag 480
tgggagagca atgggcagcc ggagaacaac tacaagacca cgcctcccgt ctcc 540
tcct tcttcctcgt cagcaagctc accgtggaca agagcaggtg gcagcagggg 600
aacgtcttct catgctccgt gatgcatgag gctctgcaca accgctacac gcagaagagc 660
ctctccctgt ctccgggtaa a 681
<210> 13
<211> 510
<212> PRT
<213> Artificial Sequence
2546512v1
<220>
<223> First ptide Chain of DART-A w/Fc Version 1 Construct
<400> 13
Asp Phe Val Met Thr Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly
1 5 10 15
Glu Arg Val Thr Met Ser Cys Lys Ser Ser Gln Ser Leu Leu Asn Ser
25 30
Gly Asn Gln Lys Asn Tyr Leu Thr Trp Tyr Gln Gln Lys Pro Gly Gln
40 45
Pro Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val
50 55 60
Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
65 70 75 80
Ile Ser Ser Leu Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Asn
85 90 95
Asp Tyr Ser Tyr Pro Tyr Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile
100 105 110
Lys Gly Gly Gly Ser Gly Gly Gly Gly Glu Val Gln Leu Val Glu Ser
115 120 125
Gly Gly Gly Leu Val Gln Pro Gly Gly Ser Leu Arg Leu Ser Cys Ala
130 135 140
Ala Ser Gly Phe Thr Phe Ser Thr Tyr Ala Met Asn Trp Val Arg Gln
145 150 155 160
Ala Pro Gly Lys Gly Leu Glu Trp Val Gly Arg Ile Arg Ser Lys Tyr
165 170 175
Asn Asn Tyr Ala Thr Tyr Tyr Ala Asp Ser Val Lys Asp Arg Phe Thr
180 185 190
Ile Ser Arg Asp Asp Ser Lys Asn Ser Leu Tyr Leu Gln Met Asn Ser
195 200 205
Leu Lys Thr Glu Asp Thr Ala Val Tyr Tyr Cys Val Arg His Gly Asn
210 215 220
Phe Gly Asn Ser Tyr Val Ser Trp Phe Ala Tyr Trp Gly Gln Gly Thr
225 230 235 240
Leu Val Thr Val Ser Ser Gly Gly Cys Gly Gly Gly Glu Val Ala Ala
245 250 255
2546512v1
Leu Glu Lys Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu
260 265 270
Lys Glu Val Ala Ala Leu Glu Lys Gly Gly Gly Asp Lys Thr His Thr
275 280 285
Cys Pro Pro Cys Pro Ala Pro Glu Ala Ala Gly Gly Pro Ser Val Phe
290 295 300
Leu Phe Pro Pro Lys Pro Lys Asp Thr Leu Met Ile Ser Arg Thr Pro
305 310 315 320
Glu Val Thr Cys Val Val Val Asp Val Ser His Glu Asp Pro Glu Val
325 330 335
Lys Phe Asn Trp Tyr Val Asp Gly Val Glu Val His Asn Ala Lys Thr
340 345 350
Lys Pro Arg Glu Glu Gln Tyr Asn Ser Thr Tyr Arg Val Val Ser Val
355 360 365
Leu Thr Val Leu His Gln Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys
370 375 380
Lys Val Ser Asn Lys Ala Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser
385 390 395 400
Lys Ala Lys Gly Gln Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro
405 410 415
Ser Arg Glu Glu Met Thr Lys Asn Gln Val Ser Leu Trp Cys Leu Val
420 425 430
Lys Gly Phe Tyr Pro Ser Asp Ile Ala Val Glu Trp Glu Ser Asn Gly
435 440 445
Gln Pro Glu Asn Asn Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp
450 455 460
Gly Ser Phe Phe Leu Tyr Ser Lys Leu Thr Val Asp Lys Ser Arg Trp
465 470 475 480
Gln Gln Gly Asn Val Phe Ser Cys Ser Val Met His Glu Ala Leu His
485 490 495
Asn His Tyr Thr Gln Lys Ser Leu Ser Leu Ser Pro Gly Lys
500 505 510
<210> 14
<211> 1530
<212> DNA
<213> cial Sequence
2546512v1
<220>
<223> Nucleic Acid Molecule Encoding First Polypeptide Chain of DART-A
w/Fc Version 1 Construct
<400> 14
gacttcgtga agtc tcctgatagt gtga gtctggggga gcgggtgact 60
atgtcttgca agagctccca gtcactgctg aacagcggaa atcagaaaaa ctatctgacc 120
tggtaccagc agaagccagg ccagccccct aaactgctga tctattgggc ttccaccagg 180
gaatctggcg tgcccgacag attcagcggc agcg attt taccctgaca 240
atttctagtc tgcaggccga ggct gtgtactatt gtcagaatga ttacagctat 300
actt tcggccaggg gctg gaaattaaag gaggcggatc cggcggcgga 360
ggcgaggtgc agctggtgga gtctggggga ggcttggtcc agcctggagg gtccctgaga 420
ctctcctgtg cagcctctgg attcaccttc agcacatacg ctatgaattg ggtccgccag 480
gctccaggga aggggctgga gtgggttgga aggatcaggt ccaagtacaa caattatgca 540
acctactatg ccgactctgt gaaggataga ttcaccatct caagagatga gaac 600
tcactgtatc tgcaaatgaa gaaa accgaggaca cggccgtgta ttactgtgtg 660
agacacggta acttcggcaa ttcttacgtg tcttggtttg gggg acaggggaca 720
ctggtgactg tgtcttccgg aggatgtggc ggtggagaag tggccgcact ggagaaagag 780
gttgctgctt tggagaagga tgca cttgaaaagg aggtcgcagc cctggagaaa 840
ggcggcgggg acaaaactca cacatgccca ccgtgcccag cacctgaagc cgcgggggga 900
ccgtcagtct tcctcttccc accc aaggacaccc tcatgatctc ccggacccct 960
gaggtcacat gcgtggtggt ggacgtgagc cacgaagacc ctgaggtcaa gttcaactgg 1020
gacg gcgtggaggt gcataatgcc aagacaaagc cgcgggagga gcagtacaac 1080
agcacgtacc gtgtggtcag cacc gtcctgcacc aggactggct gaatggcaag 1140
aagt gcaaggtctc caacaaagcc ctcccagccc ccatcgagaa aaccatctcc 1200
aaagccaaag ggcagccccg agaaccacag gtgtacaccc tgcccccatc ccgggaggag 1260
atgaccaaga accaggtcag cctgtggtgc ctggtcaaag gcttctatcc cagcgacatc 1320
gccgtggagt gggagagcaa tgggcagccg gagaacaact acaagaccac gcctcccgtg 1380
ctggactccg acggctcctt cttcctctac agcaagctca ccgtggacaa gagcaggtgg 1440
2546512v1
cagcagggga acgtcttctc atgctccgtg atgcatgagg ctctgcacaa ccactacacg 1500
cagaagagcc tctccctgtc tccgggtaaa 1530
<210> 15
<211> 272
<212> PRT
<213> Artificial Sequence
<220>
<223> Second Polypeptide Chain of DART-A w/Fc Version 1 uct
<400> 15
Gln Ala Val Val Thr Gln Glu Pro Ser Leu Thr Val Ser Pro Gly Gly
1 5 10 15
Thr Val Thr Leu Thr Cys Arg Ser Ser Thr Gly Ala Val Thr Thr Ser
25 30
Asn Tyr Ala Asn Trp Val Gln Gln Lys Pro Gly Gln Ala Pro Arg Gly
40 45
Leu Ile Gly Gly Thr Asn Lys Arg Ala Pro Trp Thr Pro Ala Arg Phe
50 55 60
Ser Gly Ser Leu Leu Gly Gly Lys Ala Ala Leu Thr Ile Thr Gly Ala
65 70 75 80
Gln Ala Glu Asp Glu Ala Asp Tyr Tyr Cys Ala Leu Trp Tyr Ser Asn
85 90 95
Leu Trp Val Phe Gly Gly Gly Thr Lys Leu Thr Val Leu Gly Gly Gly
100 105 110
Gly Ser Gly Gly Gly Gly Glu Val Gln Leu Val Gln Ser Gly Ala Glu
115 120 125
Leu Lys Lys Pro Gly Ala Ser Val Lys Val Ser Cys Lys Ala Ser Gly
130 135 140
Tyr Thr Phe Thr Asp Tyr Tyr Met Lys Trp Val Arg Gln Ala Pro Gly
145 150 155 160
Gln Gly Leu Glu Trp Ile Gly Asp Ile Ile Pro Ser Asn Gly Ala Thr
165 170 175
Phe Tyr Asn Gln Lys Phe Lys Gly Arg Val Thr Ile Thr Val Asp Lys
180 185 190
Ser Thr Ser Thr Ala Tyr Met Glu Leu Ser Ser Leu Arg Ser Glu Asp
195 200 205
2546512v1
Thr Ala Val Tyr Tyr Cys Ala Arg Ser His Leu Leu Arg Ala Ser Trp
210 215 220
Phe Ala Tyr Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Gly Gly
225 230 235 240
Cys Gly Gly Gly Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu
245 250 255
Lys Glu Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu
260 265 270
<210> 16
<211> 816
<212> DNA
<213> Artificial Sequence
<220>
<223> c Acid Molecule Encoding Second Polypeptide Chain of DART-A
w/Fc Version 1 Construct
<400> 16
caggctgtgg agga gccttcactg accgtgtccc caggcggaac tgtgaccctg 60
acatgcagat ccagcacagg cgcagtgacc acatctaact acgccaattg ggtgcagcag 120
ggac aggcaccaag gggcctgatc gggggtacaa acaaaagggc tccctggacc 180
cggt tttctggaag tctgctgggc gccg ctctgactat taccggggca 240
caggccgagg acgaagccga ttactattgt gctctgtggt atagcaatct gtgggtgttc 300
gggggtggca caaaactgac tgtgctggga gggggtggat ccggcggcgg aggcgaggtg 360
cagctggtgc agtccggggc tgagctgaag aaacccggag cttccgtgaa ggtgtcttgc 420
agtg cctt cacagactac tatatgaagt gggtcaggca ggctccagga 480
cagggactgg aatggatcgg cgatatcatt ccttccaacg gggccacttt ctacaatcag 540
aaag gcagggtgac tattaccgtg gacaaatcaa caagcactgc ttatatggag 600
ctgagctccc tgcgctctga agatacagcc gtgtactatt gtgctcggtc acacctgctg 660
agagccagct ggtttgctta ttggggacag ggcaccctgg tgacagtgtc ttccggagga 720
tgtggcggtg gaaaagtggc cgcactgaag gagaaagttg ctgctttgaa agagaaggtc 780
gccgcactta aggaaaaggt cgcagccctg aaagag 816
<210> 17
<211> 515
2546512v1
<212> PRT
<213> Artificial Sequence
<220>
<223> First Polypeptide Chain of DART-A w/Fc Version 2 uct
<400> 17
Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala Pro Glu Ala Ala Gly
1 5 10 15
Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro Lys Asp Thr Leu Met
25 30
Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val Val Asp Val Ser His
40 45
Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val Asp Gly Val Glu Val
50 55 60
His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln Tyr Asn Ser Thr Tyr
65 70 75 80
Arg Val Val Ser Val Leu Thr Val Leu His Gln Asp Trp Leu Asn Gly
85 90 95
Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala Leu Pro Ala Pro Ile
100 105 110
Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro Arg Glu Pro Gln Val
115 120 125
Tyr Thr Leu Pro Pro Ser Arg Glu Glu Met Thr Lys Asn Gln Val Ser
130 135 140
Leu Trp Cys Leu Val Lys Gly Phe Tyr Pro Ser Asp Ile Ala Val Glu
145 150 155 160
Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr Lys Thr Thr Pro Pro
165 170 175
Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr Ser Lys Leu Thr Val
180 185 190
Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe Ser Cys Ser Val Met
195 200 205
His Glu Ala Leu His Asn His Tyr Thr Gln Lys Ser Leu Ser Leu Ser
210 215 220
Pro Gly Lys Ala Pro Ser Ser Ser Pro Met Glu Asp Phe Val Met Thr
225 230 235 240
2546512v1
Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly Glu Arg Val Thr Met
245 250 255
Ser Cys Lys Ser Ser Gln Ser Leu Leu Asn Ser Gly Asn Gln Lys Asn
260 265 270
Tyr Leu Thr Trp Tyr Gln Gln Lys Pro Gly Gln Pro Pro Lys Leu Leu
275 280 285
Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val Pro Asp Arg Phe Ser
290 295 300
Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln
305 310 315 320
Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Asn Asp Tyr Ser Tyr Pro
325 330 335
Tyr Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys Gly Gly Gly Ser
340 345 350
Gly Gly Gly Gly Glu Val Gln Leu Val Glu Ser Gly Gly Gly Leu Val
355 360 365
Gln Pro Gly Gly Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr
370 375 380
Phe Ser Thr Tyr Ala Met Asn Trp Val Arg Gln Ala Pro Gly Lys Gly
385 390 395 400
Leu Glu Trp Val Gly Arg Ile Arg Ser Lys Tyr Asn Asn Tyr Ala Thr
405 410 415
Tyr Tyr Ala Asp Ser Val Lys Asp Arg Phe Thr Ile Ser Arg Asp Asp
420 425 430
Ser Lys Asn Ser Leu Tyr Leu Gln Met Asn Ser Leu Lys Thr Glu Asp
435 440 445
Thr Ala Val Tyr Tyr Cys Val Arg His Gly Asn Phe Gly Asn Ser Tyr
450 455 460
Val Ser Trp Phe Ala Tyr Trp Gly Gln Gly Thr Leu Val Thr Val Ser
465 470 475 480
Ser Gly Gly Cys Gly Gly Gly Lys Val Ala Ala Leu Lys Glu Lys Val
485 490 495
Ala Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala
500 505 510
Leu Lys Glu
<210> 18
<211> 1545
<212> DNA
<213> Artificial ce
<220>
<223> Nucleic Acid le Encoding First Polypeptide Chain of DART-A
w/Fc Version 2 Construct
<400> 18
gacaaaactc acacatgccc accgtgccca gcacctgaag ccgcgggggg agtc 60
ttcctcttcc ccccaaaacc caaggacacc ctcatgatct cccggacccc tgaggtcaca 120
tgcgtggtgg tggacgtgag ccacgaagac cctgaggtca agttcaactg gtacgtggac 180
ggcgtggagg tgcataatgc caagacaaag ccgcgggagg acaa cagcacgtac 240
cgtgtggtca gcgtcctcac cgtcctgcac caggactggc gcaa ggagtacaag 300
tgcaaggtct ccaacaaagc cctcccagcc cccatcgaga aaaccatctc caaa 360
gggcagcccc gagaaccaca ggtgtacacc ctgcccccat cccgggagga gatgaccaag 420
aaccaggtca gcctgtggtg cctggtcaaa ggcttctatc ccagcgacat cgccgtggag 480
tgggagagca atgggcagcc ggagaacaac tacaagacca ccgt gctggactcc 540
gacggctcct tcta cagcaagctc gaca agagcaggtg gcagcagggg 600
aacgtcttct catgctccgt gatgcatgag gctctgcaca accactacac gcagaagagc 660
ctgt ctccgggtaa agccccttcc agctccccta tggaagactt cgtgatgaca 720
cagtctcctg atagtctggc cgtgagtctg ggggagcggg tgactatgtc ttgcaagagc 780
tcccagtcac acag cggaaatcag aaaaactatc tgacctggta ccagcagaag 840
ccaggccagc cccctaaact gctgatctat tgggcttcca ccagggaatc tggcgtgccc 900
gacagattca gcggcagcgg cagcggcaca gattttaccc tgacaatttc tagtctgcag 960
gccgaggacg tggctgtgta ctattgtcag aatgattaca gctatcccta cactttcggc 1020
caggggacca agctggaaat taaaggaggc ggatccggcg gcggaggcga ggtgcagctg 1080
gtggagtctg ggggaggctt ggtccagcct ggagggtccc tgagactctc ctgtgcagcc 1140
tctggattca ccttcagcac atacgctatg aattgggtcc gccaggctcc agggaagggg 1200
tggg ttggaaggat caggtccaag tacaacaatt atgcaaccta ctatgccgac 1260
2546512v1
tctgtgaagg atagattcac catctcaaga gatgattcaa agaactcact gtatctgcaa 1320
atgaacagcc tgaaaaccga ggacacggcc gtgtattact gtgtgagaca cttc 1380
ggcaattctt cttg gtttgcttat tggggacagg ggacactggt gtct 1440
tccggaggat gtggcggtgg aaaagtggcc gcactgaagg agaaagttgc tgctttgaaa 1500
gagaaggtcg ccgcacttaa ggaaaaggtc gcagccctga aagag 1545
<210> 19
<211> 279
<212> PRT
<213> Artificial Sequence
<220>
<223> First Polypeptide Chain of Control DART
<400> 19
Asp Val Val Met Thr Gln Thr Pro Phe Ser Leu Pro Val Ser Leu Gly
1 5 10 15
Asp Gln Ala Ser Ile Ser Cys Arg Ser Ser Gln Ser Leu Val His Ser
25 30
Asn Gly Asn Thr Tyr Leu Arg Trp Tyr Leu Gln Lys Pro Gly Gln Ser
40 45
Pro Lys Val Leu Ile Tyr Lys Val Ser Asn Arg Phe Ser Gly Val Pro
50 55 60
Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Lys Ile
65 70 75 80
Ser Arg Val Glu Ala Glu Asp Leu Gly Val Tyr Phe Cys Ser Gln Ser
85 90 95
Thr His Val Pro Trp Thr Phe Gly Gly Gly Thr Lys Leu Glu Ile Lys
100 105 110
Gly Gly Gly Ser Gly Gly Gly Gly Glu Val Gln Leu Val Glu Ser Gly
115 120 125
Gly Gly Leu Val Gln Pro Gly Gly Ser Leu Arg Leu Ser Cys Ala Ala
130 135 140
Ser Gly Phe Thr Phe Asn Thr Tyr Ala Met Asn Trp Val Arg Gln Ala
145 150 155 160
Pro Gly Lys Gly Leu Glu Trp Val Ala Arg Ile Arg Ser Lys Tyr Asn
165 170 175
2546512v1
Asn Tyr Ala Thr Tyr Tyr Ala Asp Ser Val Lys Asp Arg Phe Thr Ile
180 185 190
Ser Arg Asp Asp Ser Lys Asn Ser Leu Tyr Leu Gln Met Asn Ser Leu
195 200 205
Lys Thr Glu Asp Thr Ala Val Tyr Tyr Cys Val Arg His Gly Asn Phe
210 215 220
Gly Asn Ser Tyr Val Ser Trp Phe Ala Tyr Trp Gly Gln Gly Thr Leu
225 230 235 240
Val Thr Val Ser Ser Gly Gly Cys Gly Gly Gly Glu Val Ala Ala Leu
245 250 255
Glu Lys Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu Lys
260 265 270
Glu Val Ala Ala Leu Glu Lys
<210> 20
<211> 270
<212> PRT
<213> Artificial Sequence
<220>
<223> Second ptide Chain of Control DART
<400> 20
Gln Ala Val Val Thr Gln Glu Pro Ser Leu Thr Val Ser Pro Gly Gly
1 5 10 15
Thr Val Thr Leu Thr Cys Arg Ser Ser Thr Gly Ala Val Thr Thr Ser
25 30
Asn Tyr Ala Asn Trp Val Gln Gln Lys Pro Gly Gln Ala Pro Arg Gly
40 45
Leu Ile Gly Gly Thr Asn Lys Arg Ala Pro Trp Thr Pro Ala Arg Phe
50 55 60
Ser Gly Ser Leu Leu Gly Gly Lys Ala Ala Leu Thr Ile Thr Gly Ala
65 70 75 80
Gln Ala Glu Asp Glu Ala Asp Tyr Tyr Cys Ala Leu Trp Tyr Ser Asn
85 90 95
Leu Trp Val Phe Gly Gly Gly Thr Lys Leu Thr Val Leu Gly Gly Gly
100 105 110
Gly Ser Gly Gly Gly Gly Glu Val Lys Leu Asp Glu Thr Gly Gly Gly
2546512v1
115 120 125
Leu Val Gln Pro Gly Arg Pro Met Lys Leu Ser Cys Val Ala Ser Gly
130 135 140
Phe Thr Phe Ser Asp Tyr Trp Met Asn Trp Val Arg Gln Ser Pro Glu
145 150 155 160
Lys Gly Leu Glu Trp Val Ala Gln Ile Arg Asn Lys Pro Tyr Asn Tyr
165 170 175
Glu Thr Tyr Tyr Ser Asp Ser Val Lys Gly Arg Phe Thr Ile Ser Arg
180 185 190
Asp Asp Ser Lys Ser Ser Val Tyr Leu Gln Met Asn Asn Leu Arg Val
195 200 205
Glu Asp Met Gly Ile Tyr Tyr Cys Thr Gly Ser Tyr Tyr Gly Met Asp
210 215 220
Tyr Trp Gly Gln Gly Thr Ser Val Thr Val Ser Ser Gly Gly Cys Gly
225 230 235 240
Gly Gly Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu
245 250 255
Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu
260 265 270
<210> 21
<211> 110
<212> PRT
<213> cial Sequence
<220>
<223> Light Chain CD3-Binding Domain of DART-A
<400> 21
Gln Ala Val Val Thr Gln Glu Pro Ser Leu Thr Val Ser Pro Gly Gly
1 5 10 15
Thr Val Thr Leu Thr Cys Arg Ser Ser Thr Gly Ala Val Thr Thr Ser
25 30
Asn Tyr Ala Asn Trp Val Gln Gln Lys Pro Gly Gln Ala Pro Arg Gly
40 45
Leu Ile Gly Gly Thr Asn Lys Arg Ala Pro Trp Thr Pro Ala Arg Phe
50 55 60
Ser Gly Ser Leu Leu Gly Gly Lys Ala Ala Leu Thr Ile Thr Gly Ala
65 70 75 80
2546512v1
Gln Ala Glu Asp Glu Ala Asp Tyr Tyr Cys Ala Leu Trp Tyr Ser Asn
85 90 95
Leu Trp Val Phe Gly Gly Gly Thr Lys Leu Thr Val Leu Gly
100 105 110
<210> 22
<211> 125
<212> PRT
<213> Artificial Sequence
<220>
<223> Heavy Chain CD3-Binding Domain of DART-A
<400> 22
Glu Val Gln Leu Val Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly
1 5 10 15
Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Thr Tyr
25 30
Ala Met Asn Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val
40 45
Gly Arg Ile Arg Ser Lys Tyr Asn Asn Tyr Ala Thr Tyr Tyr Ala Asp
50 55 60
Ser Val Lys Asp Arg Phe Thr Ile Ser Arg Asp Asp Ser Lys Asn Ser
65 70 75 80
Leu Tyr Leu Gln Met Asn Ser Leu Lys Thr Glu Asp Thr Ala Val Tyr
85 90 95
Tyr Cys Val Arg His Gly Asn Phe Gly Asn Ser Tyr Val Ser Trp Phe
100 105 110
Ala Tyr Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<210> 23
<211> 106
<212> PRT
<213> Artificial ce
<220>
<223> Light Chain CD3-Binding Domain of DART-B
<400> 23
Asp Ile Gln Leu Thr Gln Ser Pro Ala Ile Met Ser Ala Ser Pro Gly
1 5 10 15
2546512v1
Glu Lys Val Thr Met Thr Cys Arg Ala Ser Ser Ser Val Ser Tyr Met
25 30
Asn Trp Tyr Gln Gln Lys Ser Gly Thr Ser Pro Lys Arg Trp Ile Tyr
40 45
Asp Thr Ser Lys Val Ala Ser Gly Val Pro Tyr Arg Phe Ser Gly Ser
50 55 60
Gly Ser Gly Thr Ser Tyr Ser Leu Thr Ile Ser Ser Met Glu Ala Glu
65 70 75 80
Asp Ala Ala Thr Tyr Tyr Cys Gln Gln Trp Ser Ser Asn Pro Leu Thr
85 90 95
Phe Gly Ala Gly Thr Lys Leu Glu Leu Lys
100 105
<210> 24
<211> 119
<212> PRT
<213> Artificial Sequence
<220>
<223> Heavy Chain nding Domain of DART-B
<400> 24
Asp Ile Lys Leu Gln Gln Ser Gly Ala Glu Leu Ala Arg Pro Gly Ala
1 5 10 15
Ser Val Lys Met Ser Cys Lys Thr Ser Gly Tyr Thr Phe Thr Arg Tyr
25 30
Thr Met His Trp Val Lys Gln Arg Pro Gly Gln Gly Leu Glu Trp Ile
40 45
Gly Tyr Ile Asn Pro Ser Arg Gly Tyr Thr Asn Tyr Asn Gln Lys Phe
50 55 60
Lys Asp Lys Ala Thr Leu Thr Thr Asp Lys Ser Ser Ser Thr Ala Tyr
65 70 75 80
Met Gln Leu Ser Ser Leu Thr Ser Glu Asp Ser Ala Val Tyr Tyr Cys
85 90 95
Ala Arg Tyr Tyr Asp Asp His Tyr Cys Leu Asp Tyr Trp Gly Gln Gly
100 105 110
Thr Thr Leu Thr Val Ser Ser
2546512v1
<210> 25
<211> 113
<212> PRT
<213> Artificial Sequence
<220>
<223> Light Chain CD123-Binding Domain of DART-A
<400> 25
Asp Phe Val Met Thr Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly
1 5 10 15
Glu Arg Val Thr Met Ser Cys Lys Ser Ser Gln Ser Leu Leu Asn Ser
25 30
Gly Asn Gln Lys Asn Tyr Leu Thr Trp Tyr Gln Gln Lys Pro Gly Gln
40 45
Pro Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val
50 55 60
Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
65 70 75 80
Ile Ser Ser Leu Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Asn
85 90 95
Asp Tyr Ser Tyr Pro Tyr Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile
100 105 110
<210> 26
<211> 120
<212> PRT
<213> Artificial Sequence
<220>
<223> Heavy Chain Binding Domain of DART-A
<400> 26
Glu Val Gln Leu Val Gln Ser Gly Ala Glu Leu Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Ala Ser Gly Tyr Thr Phe Thr Asp Tyr
25 30
Tyr Met Lys Trp Val Arg Gln Ala Pro Gly Gln Gly Leu Glu Trp Ile
40 45
2546512v1
Gly Asp Ile Ile Pro Ser Asn Gly Ala Thr Phe Tyr Asn Gln Lys Phe
50 55 60
Lys Gly Arg Val Thr Ile Thr Val Asp Lys Ser Thr Ser Thr Ala Tyr
65 70 75 80
Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Val Tyr Tyr Cys
85 90 95
Ala Arg Ser His Leu Leu Arg Ala Ser Trp Phe Ala Tyr Trp Gly Gln
100 105 110
Gly Thr Leu Val Thr Val Ser Ser
115 120
<210> 27
<211> 113
<212> PRT
<213> Artificial ce
<220>
<223> Light Chain CD123-Binding Domain of DART-B
<400> 27
Asp Phe Val Met Thr Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly
1 5 10 15
Glu Arg Val Thr Met Ser Cys Lys Ser Ser Gln Ser Leu Leu Asn Ser
25 30
Gly Asn Gln Lys Asn Tyr Leu Thr Trp Tyr Gln Gln Lys Pro Gly Gln
40 45
Pro Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val
50 55 60
Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
65 70 75 80
Ile Ser Ser Leu Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Asn
85 90 95
Asp Tyr Ser Tyr Pro Tyr Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile
100 105 110
<210> 28
<211> 120
<212> PRT
<213> Artificial Sequence
2546512v1
<220>
<223> Heavy Chain CD123-Binding Domain of DART-B
<400> 28
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Leu Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Ala Ser Gly Tyr Thr Phe Thr Asp Tyr
25 30
Tyr Met Lys Trp Val Arg Gln Ala Pro Gly Gln Gly Leu Glu Trp Ile
40 45
Gly Asp Ile Ile Pro Ser Asn Gly Ala Thr Phe Tyr Asn Gln Lys Phe
50 55 60
Lys Gly Arg Val Thr Ile Thr Val Asp Lys Ser Thr Ser Thr Ala Tyr
65 70 75 80
Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Val Tyr Tyr Cys
85 90 95
Ala Arg Ser His Leu Leu Arg Ala Ser Trp Phe Ala Tyr Trp Gly Gln
100 105 110
Gly Thr Leu Val Thr Val Ser Ser
115 120
<210> 29
<211> 8
<212> PRT
<213> Artificial Sequence
<220>
<223> Linker 1 Polypeptide
<400> 29
Gly Gly Gly Ser Gly Gly Gly Gly
1 5
<210> 30
<211> 6
<212> PRT
<213> Artificial ce
<220>
<223> Linker 2 Polypeptide
<400> 30
2546512v1
Gly Gly Cys Gly Gly Gly
1 5
<210> 31
<211> 4
<212> PRT
<213> Artificial Sequence
<220>
<223> Linker 3 Polypetide
<400> 31
Gly Gly Gly Ser
<210> 32
<400> 32
<210> 33
<211> 8
<212> PRT
<213> Artificial Sequence
<220>
<223> Linker 4 Polypeptide
<400> 33
Ala Pro Ser Ser Ser Pro Met Glu
1 5
<210> 34
<211> 28
<212> PRT
<213> cial Sequence
<220>
<223> E-Coil Domain
<400> 34
Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu Lys Glu Val
1 5 10 15
Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu Lys
25
<210> 35
<211> 28
<212> PRT
2546512v1
<213> Artificial Sequence
<220>
<223> K-Coil Domain
<400> 35
Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu Lys Val
1 5 10 15
Ala Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu
25
<210> 36
<211> 46
<212> PRT
<213> Artificial Sequence
<220>
<223> Preferred Albumin Binding Domain
<400> 36
Leu Ala Glu Ala Lys Val Leu Ala Asn Arg Glu Leu Asp Lys Tyr Gly
1 5 10 15
Val Ser Asp Tyr Tyr Lys Asn Leu Ile Asp Asn Ala Lys Ser Ala Glu
25 30
Gly Val Lys Ala Leu Ile Asp Glu Ile Leu Ala Ala Leu Pro
40 45
<210> 37
<211> 217
<212> PRT
<213> Homo sapiens
<220>
<221> MISC_FEATURE
<222> (1)..(217)
<223> 3 Domains of Human Fc Region
<400> 37
Ala Pro Glu Ala Ala Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys
1 5 10 15
Pro Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val
25 30
Val Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr
40 45
2546512v1
Val Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu
50 55 60
Gln Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His
65 70 75 80
Gln Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys
85 90 95
Ala Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln
100 105 110
Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Glu Glu Met
115 120 125
Thr Lys Asn Gln Val Ser Leu Trp Cys Leu Val Lys Gly Phe Tyr Pro
130 135 140
Ser Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn
145 150 155 160
Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu
165 170 175
Tyr Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val
180 185 190
Phe Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln
195 200 205
Lys Ser Leu Ser Leu Ser Pro Gly Lys
210 215
<210> 38
<211> 14
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(14)
<223> CDR1 of Light Chain le Domain of Anti-CD3 Antibody
<400> 38
Arg Ser Ser Thr Gly Ala Val Thr Thr Ser Asn Tyr Ala Asn
1 5 10
<210> 39
<211> 7
<212> PRT
<213> Mus musculus
2546512v1
<220>
<221> MISC_FEATURE
<222> (1)..(7)
<223> CDR2 of Light Chain Variable Domain of Anti-CD3 Antibody
<400> 39
Gly Thr Asn Lys Arg Ala Pro
1 5
<210> 40
<211> 9
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(9)
<223> CDR3 of Light Chain Variable Domain of D3 Antibody
<400> 40
Ala Leu Trp Tyr Ser Asn Leu Trp Val
1 5
<210> 41
<211> 5
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> 5)
<223> CDR1 of Heavy Chain Variable Domain of Anti-CD3 Antibody
<400> 41
Thr Tyr Ala Met Asn
1 5
<210> 42
<211> 19
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(19)
<223> CDR2 of Heavy Chain Variable Domain of Anti-CD3 Antibody
<400> 42
2546512v1
Arg Ile Arg Ser Lys Tyr Asn Asn Tyr Ala Thr Tyr Tyr Ala Asp Ser
1 5 10 15
Val Lys Asp
<210> 43
<211> 14
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(14)
<223> CDR3 of Heavy Chain Variable Domain of Anti-CD3 Antibody
<400> 43
His Gly Asn Phe Gly Asn Ser Tyr Val Ser Trp Phe Ala Tyr
1 5 10
<210> 44
<211> 17
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(17)
<223> CDR1 of Light Chain Variable Domain of Anti-CD123 dy
<400> 44
Lys Ser Ser Gln Ser Leu Leu Asn Ser Gly Asn Gln Lys Asn Tyr Leu
1 5 10 15
<210> 45
<211> 7
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(7)
<223> CDR2 of Light Chain Variable Domain of Anti-CD123 Antibody
<400> 45
Trp Ala Ser Thr Arg Glu Ser
1 5
2546512v1
<210> 46
<211> 9
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> 9)
<223> CDR3 of Light Chain Variable Domain of Anti-CD123 Antibody
<400> 46
Gln Asn Asp Tyr Ser Tyr Pro Tyr Thr
1 5
<210> 47
<211> 5
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(5)
<223> CDR1 of Heavy Chain Variable Domain of Anti-CD123 Antibody
<400> 47
Asp Tyr Tyr Met Lys
1 5
<210> 48
<211> 17
<212> PRT
<213> Mus musculus
<220>
<221> MISC_FEATURE
<222> (1)..(17)
<223> CDR2 of Heavy Chain le Domain of Anti-CD123 Antibody
<400> 48
Asp Ile Ile Pro Ser Asn Gly Ala Thr Phe Tyr Asn Gln Lys Phe Lys
1 5 10 15
<210> 49
<211> 7
<212> PRT
<213> Mus musculus
2546512v1
<220>
<221> MISC_FEATURE
<222> (1)..(7)
<223> CDR3 of Heavy Chain Variable Domain of Anti-CD123 Antibody
<400> 49
Ser His Leu Leu Arg Ala Ser
1 5
<210> 50
<211> 7
<212> PRT
<213> Artificial Sequence
<220>
<223> Heterodimerization Domain
<400> 50
Gly Val Glu Pro Lys Ser Cys
1 5
<210> 51
<211> 6
<212> PRT
<213> Artificial Sequence
<220>
<223> Heterodimerization Domain
<400> 51
Val Glu Pro Lys Ser Cys
1 5
<210> 52
<211> 7
<212> PRT
<213> Artificial ce
<220>
<223> Heterodimerization Domain
<400> 52
Gly Phe Asn Arg Gly Glu Cys
1 5
<210> 53
<211> 6
<212> PRT
2546512v1
<213> Artificial Sequence
<220>
<223> dimerization Domain
<400> 53
Phe Asn Arg Gly Glu Cys
1 5
<210> 54
<211> 227
<212> PRT
<213> Artificial Sequence
<220>
<223> Third Polypeptide Chain of DART-A w/Fc Version 1 Construct
<400> 54
Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala Pro Glu Ala Ala Gly
1 5 10 15
Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro Lys Asp Thr Leu Met
25 30
Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val Val Asp Val Ser His
40 45
Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val Asp Gly Val Glu Val
50 55 60
His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln Tyr Asn Ser Thr Tyr
65 70 75 80
Arg Val Val Ser Val Leu Thr Val Leu His Gln Asp Trp Leu Asn Gly
85 90 95
Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala Leu Pro Ala Pro Ile
100 105 110
Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro Arg Glu Pro Gln Val
115 120 125
Tyr Thr Leu Pro Pro Ser Arg Glu Glu Met Thr Lys Asn Gln Val Ser
130 135 140
Leu Ser Cys Ala Val Lys Gly Phe Tyr Pro Ser Asp Ile Ala Val Glu
145 150 155 160
Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr Lys Thr Thr Pro Pro
165 170 175
2546512v1
Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Val Ser Lys Leu Thr Val
180 185 190
Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe Ser Cys Ser Val Met
195 200 205
His Glu Ala Leu His Asn Arg Tyr Thr Gln Lys Ser Leu Ser Leu Ser
210 215 220
Pro Gly Lys
<210> 55
<211> 10
<212> PRT
<213> Artificial ce
<220>
<223> Peptide 1
<400> 55
Asp Lys Thr His Thr Cys Pro Pro Cys Pro
1 5 10
<210> 56
<211> 217
<212> PRT
<213> Artificial Sequence
<220>
<223> Preferred CH2 and CH3 Domains of Fc Region
<400> 56
Ala Pro Glu Ala Ala Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys
1 5 10 15
Pro Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val
25 30
Val Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr
40 45
Val Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu
50 55 60
Gln Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His
65 70 75 80
Gln Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys
85 90 95
2546512v1
Ala Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln
100 105 110
Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Glu Glu Met
115 120 125
Thr Lys Asn Gln Val Ser Leu Trp Cys Leu Val Lys Gly Phe Tyr Pro
130 135 140
Ser Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn
145 150 155 160
Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu
165 170 175
Tyr Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val
180 185 190
Phe Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln
195 200 205
Lys Ser Leu Ser Leu Ser Pro Gly Lys
210 215
<210> 57
<211> 5
<212> PRT
<213> Artificial Sequence
<220>
<223> Linker 4 Polypeptide
<400> 57
Ala Pro Ser Ser Ser
1 5
<210> 58
<211> 273
<212> PRT
<213> Artificial Sequence
<220>
<223> Amino Acid ce of First Polypeptide Chain of "Control
DART-2"
<400> 58
Asp Phe Val Met Thr Gln Ser Pro Asp Ser Leu Ala Val Ser Leu Gly
1 5 10 15
Glu Arg Val Thr Met Ser Cys Lys Ser Ser Gln Ser Leu Leu Asn Ser
25 30
2546512v1
Gly Asn Gln Lys Asn Tyr Leu Thr Trp Tyr Gln Gln Lys Pro Gly Gln
40 45
Pro Pro Lys Leu Leu Ile Tyr Trp Ala Ser Thr Arg Glu Ser Gly Val
50 55 60
Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
65 70 75 80
Ile Ser Ser Leu Gln Ala Glu Asp Val Ala Val Tyr Tyr Cys Gln Asn
85 90 95
Asp Tyr Ser Tyr Pro Tyr Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile
100 105 110
Lys Gly Gly Gly Ser Gly Gly Gly Gly Glu Val Lys Leu Asp Glu Thr
115 120 125
Gly Gly Gly Leu Val Gln Pro Gly Arg Pro Met Lys Leu Ser Cys Val
130 135 140
Ala Ser Gly Phe Thr Phe Ser Asp Tyr Trp Met Asn Trp Val Arg Gln
145 150 155 160
Ser Pro Glu Lys Gly Leu Glu Trp Val Ala Gln Ile Arg Asn Lys Pro
165 170 175
Tyr Asn Tyr Glu Thr Tyr Tyr Ser Asp Ser Val Lys Gly Arg Phe Thr
180 185 190
Ile Ser Arg Asp Asp Ser Lys Ser Ser Val Tyr Leu Gln Met Asn Asn
195 200 205
Leu Arg Val Glu Asp Met Gly Ile Tyr Tyr Cys Thr Gly Ser Tyr Tyr
210 215 220
Gly Met Asp Tyr Trp Gly Gln Gly Thr Ser Val Thr Val Ser Ser Gly
225 230 235 240
Gly Cys Gly Gly Gly Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala
245 250 255
Leu Glu Lys Glu Val Ala Ala Leu Glu Lys Glu Val Ala Ala Leu Glu
260 265 270
<210> 59
<211> 274
<212> PRT
<213> cial Sequence
2546512v1
<220>
<223> Amino Acid Sequence of Second ptide Chain of "Control
DART-2"
<400> 59
Asp Val Val Met Thr Gln Thr Pro Phe Ser Leu Pro Val Ser Leu Gly
1 5 10 15
Asp Gln Ala Ser Ile Ser Cys Arg Ser Ser Gln Ser Leu Val His Ser
25 30
Asn Gly Asn Thr Tyr Leu Arg Trp Tyr Leu Gln Lys Pro Gly Gln Ser
40 45
Pro Lys Val Leu Ile Tyr Lys Val Ser Asn Arg Phe Ser Gly Val Pro
50 55 60
Asp Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp Phe Thr Leu Lys Ile
65 70 75 80
Ser Arg Val Glu Ala Glu Asp Leu Gly Val Tyr Phe Cys Ser Gln Ser
85 90 95
Thr His Val Pro Trp Thr Phe Gly Gly Gly Thr Lys Leu Glu Ile Lys
100 105 110
Gly Gly Gly Ser Gly Gly Gly Gly Glu Val Gln Leu Val Gln Ser Gly
115 120 125
Ala Glu Leu Lys Lys Pro Gly Ala Ser Val Lys Val Ser Cys Lys Ala
130 135 140
Ser Gly Tyr Thr Phe Thr Asp Tyr Tyr Met Lys Trp Val Arg Gln Ala
145 150 155 160
Pro Gly Gln Gly Leu Glu Trp Ile Gly Asp Ile Ile Pro Ser Asn Gly
165 170 175
Ala Thr Phe Tyr Asn Gln Lys Phe Lys Gly Arg Val Thr Ile Thr Val
180 185 190
Asp Lys Ser Thr Ser Thr Ala Tyr Met Glu Leu Ser Ser Leu Arg Ser
195 200 205
Glu Asp Thr Ala Val Tyr Tyr Cys Ala Arg Ser His Leu Leu Arg Ala
210 215 220
Ser Trp Phe Ala Tyr Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
225 230 235 240
2546512v1
Gly Gly Cys Gly Gly Gly Lys Val Ala Ala Leu Lys Glu Lys Val Ala
245 250 255
Ala Leu Lys Glu Lys Val Ala Ala Leu Lys Glu Lys Val Ala Ala Leu
260 265 270
Lys Glu
Applications Claiming Priority (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201361869510P | 2013-08-23 | 2013-08-23 | |
US61/869,510 | 2013-08-23 | ||
US201361907749P | 2013-11-22 | 2013-11-22 | |
US61/907,749 | 2013-11-22 | ||
EP13198784.4A EP2839842A1 (en) | 2013-08-23 | 2013-12-20 | Bi-specific monovalent diabodies that are capable of binding CD123 and CD3 and uses thereof |
EP13198784 | 2013-12-20 | ||
US201461990475P | 2014-05-08 | 2014-05-08 | |
US61/990,475 | 2014-05-08 | ||
PCT/US2014/051790 WO2015026892A1 (en) | 2013-08-23 | 2014-08-20 | Bi-specific monovalent diabodies that are capable of binding cd123 and cd3, and uses therof |
Publications (2)
Publication Number | Publication Date |
---|---|
NZ716914A true NZ716914A (en) | 2021-09-24 |
NZ716914B2 NZ716914B2 (en) | 2022-01-06 |
Family
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Also Published As
Publication number | Publication date |
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CL2016000362A1 (en) | 2016-10-28 |
DK3035965T3 (en) | 2021-02-15 |
LT3035965T (en) | 2021-04-12 |
ES2860973T3 (en) | 2021-10-05 |
UA119539C2 (en) | 2019-07-10 |
GEP20197053B (en) | 2019-12-25 |
HUE054315T2 (en) | 2021-08-30 |
HK1225999A1 (en) | 2017-09-22 |
HRP20210215T1 (en) | 2021-04-16 |
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