TR201802659T4 - Folr1 kanser terapisinin etkinliğini arttırmak için yöntemler. - Google Patents
Folr1 kanser terapisinin etkinliğini arttırmak için yöntemler. Download PDFInfo
- Publication number
- TR201802659T4 TR201802659T4 TR2018/02659T TR201802659T TR201802659T4 TR 201802659 T4 TR201802659 T4 TR 201802659T4 TR 2018/02659 T TR2018/02659 T TR 2018/02659T TR 201802659 T TR201802659 T TR 201802659T TR 201802659 T4 TR201802659 T4 TR 201802659T4
- Authority
- TR
- Turkey
- Prior art keywords
- folr1
- immunoconjugate
- antibody
- cancer
- amino acid
- Prior art date
Links
- 238000011275 oncology therapy Methods 0.000 title claims abstract description 16
- 238000000034 method Methods 0.000 title abstract description 16
- 101001023230 Homo sapiens Folate receptor alpha Proteins 0.000 claims abstract description 22
- 229940127121 immunoconjugate Drugs 0.000 claims description 34
- 206010028980 Neoplasm Diseases 0.000 claims description 29
- 230000014509 gene expression Effects 0.000 claims description 27
- 201000011510 cancer Diseases 0.000 claims description 25
- 125000003275 alpha amino acid group Chemical group 0.000 claims description 22
- 238000010186 staining Methods 0.000 claims description 18
- 238000003364 immunohistochemistry Methods 0.000 claims description 15
- 231100000599 cytotoxic agent Toxicity 0.000 claims description 7
- 238000001514 detection method Methods 0.000 claims description 6
- 210000001519 tissue Anatomy 0.000 claims description 5
- 206010014759 Endometrial neoplasm Diseases 0.000 claims description 3
- 206010033128 Ovarian cancer Diseases 0.000 claims description 3
- 206010061535 Ovarian neoplasm Diseases 0.000 claims description 3
- 101710112752 Cytotoxin Proteins 0.000 claims description 2
- 206010014733 Endometrial cancer Diseases 0.000 claims description 2
- 101150095463 Folr1 gene Proteins 0.000 claims description 2
- 230000003432 anti-folate effect Effects 0.000 claims description 2
- 229940127074 antifolate Drugs 0.000 claims description 2
- 239000002619 cytotoxin Substances 0.000 claims description 2
- 239000004052 folic acid antagonist Substances 0.000 claims description 2
- 208000020816 lung neoplasm Diseases 0.000 claims description 2
- 108090000623 proteins and genes Proteins 0.000 claims description 2
- 102000004169 proteins and genes Human genes 0.000 claims description 2
- 102000005962 receptors Human genes 0.000 claims description 2
- 108020003175 receptors Proteins 0.000 claims description 2
- 102100035139 Folate receptor alpha Human genes 0.000 claims 20
- 239000000523 sample Substances 0.000 claims 15
- 239000011230 binding agent Substances 0.000 claims 5
- 229940127089 cytotoxic agent Drugs 0.000 claims 5
- 239000002254 cytotoxic agent Substances 0.000 claims 5
- 239000013074 reference sample Substances 0.000 claims 5
- -1 N-maleimidopropionamido Chemical group 0.000 claims 4
- 239000013612 plasmid Substances 0.000 claims 4
- JSHOVKSMJRQOGY-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 4-(pyridin-2-yldisulfanyl)butanoate Chemical compound O=C1CCC(=O)N1OC(=O)CCCSSC1=CC=CC=N1 JSHOVKSMJRQOGY-UHFFFAOYSA-N 0.000 claims 2
- GTBCXYYVWHFQRS-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 4-(pyridin-2-yldisulfanyl)pentanoate Chemical compound C=1C=CC=NC=1SSC(C)CCC(=O)ON1C(=O)CCC1=O GTBCXYYVWHFQRS-UHFFFAOYSA-N 0.000 claims 2
- FUHCFUVCWLZEDQ-UHFFFAOYSA-N 1-(2,5-dioxopyrrolidin-1-yl)oxy-1-oxo-4-(pyridin-2-yldisulfanyl)butane-2-sulfonic acid Chemical compound O=C1CCC(=O)N1OC(=O)C(S(=O)(=O)O)CCSSC1=CC=CC=N1 FUHCFUVCWLZEDQ-UHFFFAOYSA-N 0.000 claims 2
- NNPUPCNWEHWRPW-UHFFFAOYSA-N 4-(pyridin-2-yldisulfanyl)-2-sulfobutanoic acid Chemical compound OC(=O)C(S(O)(=O)=O)CCSSC1=CC=CC=N1 NNPUPCNWEHWRPW-UHFFFAOYSA-N 0.000 claims 2
- AMRJKAQTDDKMCE-UHFFFAOYSA-N dolastatin Chemical compound CC(C)C(N(C)C)C(=O)NC(C(C)C)C(=O)N(C)C(C(C)C)C(OC)CC(=O)N1CCCC1C(OC)C(C)C(=O)NC(C=1SC=CN=1)CC1=CC=CC=C1 AMRJKAQTDDKMCE-UHFFFAOYSA-N 0.000 claims 2
- VQNATVDKACXKTF-XELLLNAOSA-N duocarmycin Chemical compound COC1=C(OC)C(OC)=C2NC(C(=O)N3C4=CC(=O)C5=C([C@@]64C[C@@H]6C3)C=C(N5)C(=O)OC)=CC2=C1 VQNATVDKACXKTF-XELLLNAOSA-N 0.000 claims 2
- UQVNRKBFAXNOGA-LWTNMJDUSA-N (E)-tomaymycin Chemical class CO[C@H]1NC2=CC(O)=C(OC)C=C2C(=O)N2C\C(=C\C)C[C@@H]12 UQVNRKBFAXNOGA-LWTNMJDUSA-N 0.000 claims 1
- SVUOLADPCWQTTE-UHFFFAOYSA-N 1h-1,2-benzodiazepine Chemical compound N1N=CC=CC2=CC=CC=C12 SVUOLADPCWQTTE-UHFFFAOYSA-N 0.000 claims 1
- 239000002253 acid Substances 0.000 claims 1
- 150000001413 amino acids Chemical group 0.000 claims 1
- 229940064734 aminobenzoate Drugs 0.000 claims 1
- 230000003110 anti-inflammatory effect Effects 0.000 claims 1
- 108010044540 auristatin Proteins 0.000 claims 1
- 229940049706 benzodiazepine Drugs 0.000 claims 1
- 229930188854 dolastatin Natural products 0.000 claims 1
- 229960005501 duocarmycin Drugs 0.000 claims 1
- 229930184221 duocarmycin Natural products 0.000 claims 1
- 150000002148 esters Chemical class 0.000 claims 1
- 238000002386 leaching Methods 0.000 claims 1
- 229920005610 lignin Polymers 0.000 claims 1
- 239000008188 pellet Substances 0.000 claims 1
- 201000002628 peritoneum cancer Diseases 0.000 claims 1
- 229920001223 polyethylene glycol Polymers 0.000 claims 1
- 229940002612 prodrug Drugs 0.000 claims 1
- 239000000651 prodrug Substances 0.000 claims 1
- SXNQAQBMEWMYAU-UHFFFAOYSA-N sulfo butanoate Chemical compound CCCC(=O)OS(O)(=O)=O SXNQAQBMEWMYAU-UHFFFAOYSA-N 0.000 claims 1
- 102000053180 human FOLR1 Human genes 0.000 abstract description 2
- 230000008685 targeting Effects 0.000 abstract description 2
- 239000003153 chemical reaction reagent Substances 0.000 abstract 1
- 102000010451 Folate receptor alpha Human genes 0.000 description 32
- 108050001931 Folate receptor alpha Proteins 0.000 description 32
- 239000002246 antineoplastic agent Substances 0.000 description 3
- 210000004027 cell Anatomy 0.000 description 3
- OVBPIULPVIDEAO-LBPRGKRZSA-N folic acid Chemical compound C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-LBPRGKRZSA-N 0.000 description 3
- 210000004072 lung Anatomy 0.000 description 3
- 238000012338 Therapeutic targeting Methods 0.000 description 2
- 230000034994 death Effects 0.000 description 2
- 231100000517 death Toxicity 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 235000019152 folic acid Nutrition 0.000 description 2
- 239000011724 folic acid Substances 0.000 description 2
- 206010006187 Breast cancer Diseases 0.000 description 1
- 208000026310 Breast neoplasm Diseases 0.000 description 1
- 208000003170 Bronchiolo-Alveolar Adenocarcinoma Diseases 0.000 description 1
- 206010058354 Bronchioloalveolar carcinoma Diseases 0.000 description 1
- 208000008839 Kidney Neoplasms Diseases 0.000 description 1
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 1
- OVBPIULPVIDEAO-UHFFFAOYSA-N N-Pteroyl-L-glutaminsaeure Natural products C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)NC(CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-UHFFFAOYSA-N 0.000 description 1
- 108091006036 N-glycosylated proteins Proteins 0.000 description 1
- 206010061902 Pancreatic neoplasm Diseases 0.000 description 1
- 101001039269 Rattus norvegicus Glycine N-methyltransferase Proteins 0.000 description 1
- 206010038389 Renal cancer Diseases 0.000 description 1
- 208000006265 Renal cell carcinoma Diseases 0.000 description 1
- 239000005557 antagonist Substances 0.000 description 1
- 230000001093 anti-cancer Effects 0.000 description 1
- 210000000170 cell membrane Anatomy 0.000 description 1
- 229940044683 chemotherapy drug Drugs 0.000 description 1
- 210000003161 choroid Anatomy 0.000 description 1
- 230000002357 endometrial effect Effects 0.000 description 1
- 210000002919 epithelial cell Anatomy 0.000 description 1
- 238000000684 flow cytometry Methods 0.000 description 1
- 229940014144 folate Drugs 0.000 description 1
- 229960000304 folic acid Drugs 0.000 description 1
- 150000002224 folic acids Chemical class 0.000 description 1
- 238000003633 gene expression assay Methods 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 201000010982 kidney cancer Diseases 0.000 description 1
- 201000005249 lung adenocarcinoma Diseases 0.000 description 1
- 208000016992 lung adenocarcinoma in situ Diseases 0.000 description 1
- 201000005202 lung cancer Diseases 0.000 description 1
- 208000015486 malignant pancreatic neoplasm Diseases 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 208000024191 minimally invasive lung adenocarcinoma Diseases 0.000 description 1
- 238000007899 nucleic acid hybridization Methods 0.000 description 1
- 230000002018 overexpression Effects 0.000 description 1
- 201000002528 pancreatic cancer Diseases 0.000 description 1
- 208000008443 pancreatic carcinoma Diseases 0.000 description 1
- 210000004043 pneumocyte Anatomy 0.000 description 1
- 238000010837 poor prognosis Methods 0.000 description 1
- 210000002307 prostate Anatomy 0.000 description 1
- 210000000512 proximal kidney tubule Anatomy 0.000 description 1
- 238000013077 scoring method Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000001550 testis Anatomy 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 210000001685 thyroid gland Anatomy 0.000 description 1
- 210000004881 tumor cell Anatomy 0.000 description 1
- 210000003932 urinary bladder Anatomy 0.000 description 1
Classifications
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- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
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- A61K47/6849—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a receptor, a cell surface antigen or a cell surface determinant
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- G01N33/577—Immunoassay; Biospecific binding assay; Materials therefor involving monoclonal antibodies binding reaction mechanisms characterised by the use of monoclonal antibodies; monoclonal antibodies per se are classified with their corresponding antigens
Abstract
İnsan folat reseptörü 1'i hedef alan kanser terapilerinin başarısını iyileştirmek için yöntemler sağlanır. İlaveten, yöntemlerde yararlı olan reaktifleri içeren kitler sağlanır.
Description
TARIFNAME
FOLR1 KANSER TERAPISININ ETKINLIGINI ARTTIRMAK içiN YÖNTEMLER
ILGILI BASVURULARA ÇAPRAZ-REFERANS
Bu basvuru, 1 Nisan 2011'de dosyalanan, U.S. Provizyonel Basvuru No.
61/471,007'nin yararhüalep etmektedir.
BULUSUN ALT-YAPISI
Bulusun Sahasi
Bulusun alani genel olarak, insan folat reseptörü 1'in (FOLR1'in) asirii-iekspresyonu
ile karakterize edilen kanserlerin tedavisinin etkinligini arttlrlma ile ilgilidir. Daha
spesifik olarak, bulus kansere yatkn olan veya kanser tansîalmüs olan hastalarin
daha etkili tedavisi ile ilgilidir, burada tümör hücreleri bir FOLR1 antagonisti,
örnegin, bir FOLR1 immünokonjugat] ile bir gen ekspresyon analiz ile belirlendigi
üzere FOLR1'i asEEeksprese eder.
Teknigin AIt-YapLsLI
Kanser, yalnizca Amerika Birlesik Devletleri'nde her ym kanser tanLsLlalms bir
milyonun üstünde insan ve 500.000 ölüm ile, gelismis dünyada ölümün önde gelen
nedenlerinden biridir. Toplamda, her 3 insanda 1'inden fazlasnini yasamlar l
boyunca kanserin bir kaç formunu gelistirecegi tahmin edilir. -Meme, akciger,
kolorektal ve prostat- olan dördünün tüm yeni olgularm yarßmdan fazlaslia
sebebiyet verdigi 200'den fazla farklEkanser tipi vardE (Jemal et al., 2003, Cancer
Ayri [zamanda Folat Reseptörü-alfa veya Folat Baglama Proteini olarak da bilinen
Folat Reseptörü 1 (FOLR1), hücrelerin plazma membran: üzerinde eksprese
edilen bir N-glikosile edilmis proteindir. FOLR1, folik asit için ve bir kaç indirgenmis
folik asit türevi için yüksek bir afiniteye sahiptir. FOLR1, fizyolojik folat n, 5-
methitetrahidrofolatin, hücrelerin iç kISmlnia aktar m na arac Ilk eder.
FOLR1, ovaryan kanserlerin büyük çogunlugunda ve çok sayida uterin,
endometriyal, pankreatik, renal, akciger ve meme kanserinde asnîeksprese
edilirken, normal dokularda FOLR1 ekspresyonu böbrek proksimal tübüllerindeki,
akcigerin alveoler pnömositlerindeki, idrar kesesindeki, testislerdeki, koroid
pleksustaki ve tiroitteki epitelyal hücrelerin apikal membranEile shllandmii
bu ekspresyon paterni, bunu FOLR1'e yönlendirilmis kanser terapisi için arzu
edilebilir bir hedef haline getirir.
Ovaryan kanser ilerlemis evreye kadar tipik olarak asemptomatik olugundan, buna
sikllkla geç bir evrede tani koyulur ve güncel olarak mevcut prosedürler, tipik
olarak cerrahi tümör ç karma ameliyat nidan sonra kemoterapötik ilaçlar, ile tedavi
edildiginde bu kötü prognoza sahiptir (von Gruenigen V et al., Cancer 112: 2221-
için daha etkili terapötiklere yönelik karslanmamg asikar bir ihtiyaç vard I.
BULUSUN KISA AÇIKLAMASI
Mevcut bulus, tümör dokusunda FOLR1'in dinamik bir ekspresyon aralLgLnim
kesfine ve arttirilmis FOLR1 ekspresyon düzeyleri olan tümörlerin anti-FOLR1
antikorlari iveya anti-FOLR1 immünokonjugatlari ile tedaviye daha çok yanit verdigi
kesfine dayanir. Mevcut bulus avantajlîbir sekilde, terapötik ajanlar] yani, anti-
FOLR1 antikorlarnjveya anti-FOLR1 immünokonjugatlari] bir arttîlttmß FOLR1
ekspresyon düzeyine sahip oldugu bulunan hastalara uygulama ile tedaviye yarim
vermenin daha büyük bir olasmgma sahip olan hastalarh tedavisine izin verir.
Mevcut bulus, bir süjede kanser terapisinde kullanJInasj için bir anti-Folat
reseptörü 1 (FOLR1) antikoru veya anti-FOLR1 immünokonjugatEolup, burada söz
konusu süjeden aanian bir kanser örneginde FOLR1 geninin veya proteininin bir
arttiriilmis ekspresyonu, bir veya birden fazla referans örnekte boyama
yogunluguna veya boyama tekdüzeligine k yasla bir FOLR1 eksprese eden kanser
örneginde boyama yogunlugunu veya boyama tekdüzeligini ayint eden bir saptama
yöntemi kullanilarak saptanmistin, burada bir anti-FOLR1 antikoru veya anti-
FOLR1 immünokonjugatîle kanser terapisinin etkinligi bu yolla arttnirnistm;
burada, kanser terapisinde kullantlmasEiçin anti-FOLR1 antikoru asagîilakileri
(i) SEO lD NO: 3 amino asit dizisini içeren bir ag& zincir degisken alan:
(huM ve SEO ID NO: 4 amino asit dizisini içeren bir hafif zincir
degisken alan JhuMov veya
(ii) SEQ ID NO: 3 amino asit dizisini içeren bir agn zincir degisken alani
(huMov19 vHC) ve SEO ID NO: 5 amino asit dizisini içeren bir hafif zincir
degisken alan (huMov19 vLCv1.60); ve
burada kanser terapisinde kullanilmas iiçin anti-FOLR1 immünokonjugati ibir anti-
FOLR1 antikoru, bir baglayÜFi ve bir sitotoksin içerir, burada anti-FOLR1
immünokonjugatnn anti-FOLR1 antikoru asag Illakileri içerir:
(i) SEQ lD NO: 3 amino asit dizisini içeren bir ag& zincir degisken alan:
(huM ve SEO ID NO: 4 amino asit dizisini içeren bir hafif zincir
degisken alan 1huMov veya
(ii) SEQ ID NO: 3 amino asit dizisini içeren bir ag] zincir degisken alan:
(huMov19 vHC) ve SEO ID NO: 5 amino asit dizisini içeren bir hafif zincir
degisken alan (huMov19 vLCv1.60).
Bulusun ilave uygulamalarTlZ ila 17 arasmidaki istemler ile tanlîtnlanm
Mevcut bulus, bir Folat Reseptörü 1'i (FOLR1) hedef alan anti-kanser terapötigine
olumlu bir sekilde yantt verme egiliminde olan bir süjeyi tanmnlamak için bir
yöntemi tarif eder, yöntem süjeden elde edilen bir doku örneginde FOLR1
ekspresyonunu saptamayjçerir.
Mevcut bulus aerca, bir kanser terapisinin etkililiginin olasiLgJJiJarttLrmak için bir
yöntemi de tarif eder, yöntem bir FOLRi'i hedef alan anti-kanser terapötiginin bir
terapötik olarak etkili dozunu bir süjeye uygulamayi içerir, burada süjeden elde
edilen bir doku örneginde FOLR1 ekspresyonunun arttiii Id gi bulunmustur.
Mevcut bulus ayrßa, bir düsük-dozlu kanser tedavisinin etkililigini tahmin etmek
için bir yöntem de tarif eder, yöntem bir FOLR1'i hedef alan anti-kanser
terapötiginin bir terapötik olarak etkili dozunu bir süjeye uygulamayüiçerir, burada
söz konusu süjenin bir örnek içinde arttltlîmß FOLR1 ekspresyonuna sahip oldugu
bulunmustur.
Bir uygulamada, yöntemler ovaryan karsinoma, küçük hücreli-olmayan akciger
adenokarsinomuna (bronsiyoloalveoler karsinom dahil), renal karsinomlara ve
endometriyal karsinomlara yöneliktir.
Bir uygulamada, FOLR1 ekspresyonunun kapsam i ve tekdüzeligi
immünohistokimya (IHC), akis sitometrisi veya nükleik asit hibridizasyonu ile
saptanl. Bir baska uygulamada, FOLR1 ekspresyonunun düzeyi
immünohistokimya ile saptanE. IHC'nin sîlayEE olmayan örnekleri, FOLR1'in
çesitlilik gösteren düzeylerini ayît eden IHC yöntemlerini ve kalibre edilmis IHC
yöntemlerini, örnegin, burada tarif edilenleri, içerir. FOLR1 ekspresyonu, bunlarla
smmltkalmamak kaydg/Ia, burada tarif edilen skorlama yöntemlerini içeren, uygun
bir skorlama sistemi kullanilarak skorlanabilir. Örnegin, FOLR1 ekspresyonu,
boyama yogunlugu için O'Lni en düsük boyama yogunlugu düzeyi oldugu ve 3+'nm
en yüksek boyama yogunlugu düzeyi oldugu 0, 1, 2, 3 ve 3+ olan bir araligi iiçeren
bir kalibre edilmis IHC yöntemi kullanilarak skorlanabilir. Alternatif veya ilave
olarak, FOLR1 ekspresyonu fokal (boyanmis hücrelerin
Claims (1)
- ISTEMLER Bir süjede kanser terapisinde kullanrimasüçin bir anti-Folat reseptörü 1 (FOLR1) antikoru veya anti-FOLR1 immünokonjugatjolup, burada söz konusu süjeden alman bir kanser örneginde FOLR1 geninin veya proteininin bir arttiIÜ'mS ekspresyonu, bir veya birden fazla referans örnekte boyama yogunluguna veya boyama tekdüzeligine kß/asla bir FOLR1 eksprese eden kanser örneginde boyama yogunlugunu veya boyama tekdüzeligini ayEt eden bir saptama yöntemi kullanilarak saptanmßtl, burada bir anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatdile kanser terapisinin etkinligi bu yolla artt nilm st ri; burada, kanser terapisinde kullanilmasil için anti-FOLR1 antikoru asagidakileri içerir: (i) SEQ ID NO: 3 amino asit dizisini içeren bir agi? zincir degisken alanj(huM ve SEO ID NO: 4 amino asit dizisini içeren bir hafif zincir degisken alan E(huMov veya (ii) SEQ lD NO: 3 amino asit dizisini içeren bir agi zincir degisken alanj(huMov19 vHC) ve SEQ ID NO: 5 amino asit dizisini Içeren bir hafif zincir degisken alanj(huMov19 vLCv1.60); ve burada kanser terapisinde kullanitmasüiçin anti-FOLR1 immünokonjugatjbir anti- FOLR1 antikoru, bir baglaycdve bir sitotoksin içerir, burada anti- FOLR1 immünokonjugatiniini anti-FOLR1 antikoru asagidakileri içerir: (i) SEQ ID NO: 3 amino asit dizisini içeren bir agiTi zincir degisken alanü(huMov19 vHC) ve SEQ ID NO: 4 amino asit dizisini içeren bir hafif zincir degisken alan: (huM veya (ii) SEQ ID NO: 3 amino asit dizisini içeren bir agI zincir degisken alanD(huMov19 vHC) ve SEO ID NO: 5 amino asit dizisini içeren bir hafif zincir degisken alan: (huM. 2. istem 1'e göre kullanilmasi için anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugat iolup, burada kanser terapisinde kullanilmasl için anti- FOLR1 antikorunun hafif zincir degisken alanWSEQ ID NO: 5 amino asit dizisini (huMov19 vLCv1.60) içerir, özel olarak burada kanser terapisinde kullanÜinasEiçin anti-FOLR1 antikoru (i) Amerikan Tipi Kültür Koleksiyonu (ATCC) ile PTA-10772 olarak depolanan plazmid tarafmdan sifrelenen ag] zincirin amino asit dizisi ile aynÜamino asit dizisini içeren bir ag& zincir ve (il) ATCC ile FTA-10774 olarak depolanan plazmid tarafmdan sifrelenen hafif zincirin amino asit dizisi ile aynîamino asit dizisini içeren bir hafif zincir içenrve burada, anti-FOLR1 immünokonjugatinln anti-FOLR1 antikorunun hafif zincir degisken alani, SEO ID NO: 5 amino asit dizisini (huMov19 vLCv1.60) içerir, özel olarak burada kanser terapisinde kullanilmasi liçin anti-FOLR1 immünokonjugat n ni anti-FOLR1 antikoru (i) Amerikan Tipi Kültür Koleksiyonu (ATCC) ile PTA-10772 olarak depolanan plazmid taraf-ndan sifrelenen agi zincirin amino asit dizisi ile ayri :amino asit dizisini içeren bir agm zincir ve (ii) ATCC ile PTA-10774 olarak depolanan plazmid tarafDdan sifrelenen hafif zincirin amino asit dizisi ile ayn :amino asit dizisini içeren bir hafif zincir içerir. . istem 'l'e göre kullanm'nasEiçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugati olup, burada saptama yöntemi immünohistokimyadn (IHC), özel olarak burada söz konusu lHC, FOLR1 ekspresyonunun farkli düzeylerini ay rlt edebilen kalibre edilmis IHC'dir. . istem 3'e göre kullanümasEiçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatjolup, burada saptama yöntemi fokal FOLR1 dagmhnlia (boyanmS hücrelerin < %25'i), heterojen FOLR1 dagilijnmia (boyanmß hücrelerin %25-75'i) veya homojen FOLR1 dagÜJInma (boyanmS hücrelerin > %75'i) sahip olan örnekler için boyama tekdüzeliginin bir araltgmü'iretir. . istem 1'e göre kullanilmasLiçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugat iolup, burada saptama yöntemi bir referans örnegine kiyasla bir FOLR1 eksprese eden kanser örneginde boyama yogunlugunu ve boyama tekdüzeligini ay nt eder. . istem 5'e göre kullanmnasEiçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatjolup, burada kanser örnegi lHC ile, özellikle bir formalin ile fikse edilmis parafine gömülmüs örnek üzerinde lHC ile, FOLR1 ekspresyonu için heterojen veya homojen olan bir boyama tekdüzeligine ve 1, 2, 3 veya 3+ olan bir boyama yogunlugu skoruna sahiptir. . Istem 5'e göre kullanilmasLiçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugat i olup, burada kanser örnegi lHC yoluyla FOLR1 ekspresyonu için 1 veya daha büyük olan bir boyama yogunlugu skoruna sahiptir, özel olarak a) burada kanser örnegi FOLR1 ekspresyonu için heterojen olan bir b) burada kanser örnegi FOLR1 ekspresyonu için homojen olan bir 0) burada kanser örneginin hücrelerinin %25-75'i FOLR1 ekspresyonu için boyanE; veya d) burada kanser örneginin hücrelerinin %75'inden fazlasjFOLR1 ekspresyonu için boyanLr. . Istem 7'ye göre kullan [masi liçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugat? olup, burada kanser örnegi lHC yoluyla FOLR1 ekspresyonu için 2 veya daha büyük olan bir boyama yogunluguna sahiptir, özel olarak a) burada kanser örnegi FOLR1 ekspresyonu için heterojen olan bir b) burada kanser örnegi FOLR1 ekspresyonu için homojen olan bir 0) burada kanser örneginin hücrelerinin %25-75'i FOLR1 d) burada kanser örneginin hücrelerinin %75'inden fazlas IFOLR1 ekspresyonu için boyanir. istem 1'e göre kullanmnasEiçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatj olup, burada IHC manüel olarak veya bir otomatiklestirilmis sistem kullan [[arak gerçeklestirilir. 10. Istem 1'e göre kullanJInasüiçin anti-FOLR1 antikoru veya anti-FOLRl immünokonjugatj olup, burada söz konusu referans örnek bir pozitif referans örnektir veya bir negatif referans örnektir, özel olarak burada söz konusu referans örnek hücreler, hücre peletleri veya doku içerir. istem 1'e göre kullan [masi liçin anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugat iolup, burada saptama yöntemi FOLRl ekspresyonunu antikor BN3.2 ile saptamayîçerir. 12. Istem 1'e göre kullanJInasüiçin anti-FOLRl antikoru veya anti-FOLR1 immünokonjugatjolup, burada süje asag Iakilerden olusan gruptan seçilen bir kansere sahiptir: ovaryan kanser, endometriyal kanser, peritoneumun kanseri veya akciger kanseri. 13. Istemler 1 ila 12'den herhangi birine göre kullanLlmasJiçin anti-FOLRl antikoru veya anti-FOLR1 immünokonjugati olup, burada anti-FOLR1 immünokonjugat nl ni baglay cs iasagidakilerden olusan gruptan seçilir: bir yarriabilir baglayoîi bir yariamayan baglayor, bir hidrofilik baglayicrve bir dikarboksilik asit temelli baglayß: özellikle, burada söz konusu baglaymj asaglakilerden olusan gruptan seçilir: N-süksinimidil 4-(2-piridilditiyo)pentanoat (SPP): N-süksinimidil 4-(2- piridilditiy0)-2-sülfopentanoat (sülfo-SPP); N-süksinimidil 4-(2- piridilditiyo)bütanoat (SPDB); N-süksinimidil 4-(2-piridilditiyo)-2- sülfobütanoat (sülfo-SPDB); N-süksinimidil 4-(maleimidometil) siklohekzankarboksilat (SMCC): N-sülfosüksinimidil 4-(maleimidometil) siklohekzankarboksilat (sülfoSMCC); N-süksinimidiI-4-(iyodoasetil)- aminobenzoat (SIAB) ve N-süksinimidiI-[(N-maleimidopropiyonamido)- tetraetilenglikol] ester (NHS-PEG4-maleimid). 14. istem 13'e göre kullanmnasEiçin, anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatjolup, burada anti-FOLR1 immünokonjugatîîiji baglayEBj N-süksinimidil 4-(2-piridilditiyo)-2 sülfobütanoatti (sülfo-SPDB'dir). 15. Istem 13'e göre kullanÜInasEiçin, anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatjolup, burada anti-FOLR1 immünokonjugatmm sitotoksik ajan Jasag Ldakilerden olusan gruptan seçilir: bir maytansinoid, maytansinoid analogu, benzodiazepin, taksoid, CC-1065, CC-1065 analogu, duokarmisin, duokarmisin analogu, kaliseamisin, dolastatin, dolastatin analogu, auristatin, tomaymisin türevi ve Ieptomisin türevi veya ajan ni bir ön-ilac ,{ özellikle, burada söz konusu sitotoksik ajan bir maytansinoiddir, özellikle, burada söz konusu sitotoksik ajan, N(2')-deasetiI-N(2')-(3- merkapto-1-oksopropil)-maytansindir (DM1) veya N(2')-deasetiI-N(2')-(4- merkapto-4-metil-1-oksopentiI)-maytansindir (DM4). 16. Istem 15'e göre kullanEIîmasEiçin, anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatjolup, burada anti-FOLR1 immünokonjugatmm sitotoksik ajan 3 N(2')-deasetiI-N(2')-(4-merkapto-4-metil-1-oksopentil)-maytansindir 17. Istem 15'e göre kullanilmasj için, anti-FOLR1 antikoru veya anti-FOLR1 immünokonjugatîolup, burada anti-FOLR1 immünokonjugatnmi baglaymêî N-süksinimidil 4-(2-piridilditiyo)-2 sülfobütanoatt] (sülfo-SPDB) ve burada anti-FOLR1 immünokonjugatmm sitotoksik ajan: N(2')-deasetiI-N(2')-(4- merkapto-4-metil-1-oksopentiI)-maytansindir (DM4).
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