TW202323290A - Methods and treatment involving antibodies to il-18 - Google Patents
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本發明係關於藉由投與抗介白素18 (IL-18)抗體治療患有活動性復發性/難治性(R/R)多發性骨髓瘤(MM)之個體的方法。The present invention relates to methods of treating individuals with active relapsed/refractory (R/R) multiple myeloma (MM) by administering anti-interleukin 18 (IL-18) antibodies.
多發性骨髓瘤主要出現在老年人中。診斷時之中值年齡係66歲;僅10%患者之年齡小於50歲且2%患者之年齡小於40歲。(Bladé, J及Kyle, RA, Leuk. Lymphoma30:493 (1998))。在美國,該疾病佔所有癌症之約1%至2%且佔血液學惡性疾病之比例略高於17%。(Siegel, RL Miller, KD及Jemal, A, CA, Cancer J Clin69:7 (2019))。美國的每年發病率為每100,000人中大約4至5人。(Kyle, RA等人, Cancer 101:2667 (2004))。在世界範圍內,每年有大約160,000例病例及106,000例死亡歸因於MM。(Cowan, AJ等人, JAMA Oncol4:1221 (2018);Bray, F等人, CA Cancer J Clin68:394 (2018))。 Multiple myeloma occurs mainly in older people. The median age at diagnosis was 66 years; only 10% of patients were younger than 50 years and 2% were younger than 40 years. (Bladé, J and Kyle, RA, Leuk. Lymphoma 30:493 (1998)). In the United States, the disease accounts for approximately 1 to 2 percent of all cancers and slightly more than 17 percent of hematological malignancies. (Siegel, RL Miller, KD and Jemal, A, CA, Cancer J Clin 69:7 (2019)). The annual incidence in the United States is approximately 4 to 5 per 100,000 people. (Kyle, RA et al., Cancer 101:2667 (2004)). Worldwide, approximately 160,000 cases and 106,000 deaths are attributed to MM each year. (Cowan, AJ et al., JAMA Oncol 4:1221 (2018); Bray, F et al., CA Cancer J Clin 68:394 (2018)).
多發性骨髓瘤發生在所有人種及所有地理位置中。(Cowan, AJ等人, JAMA Oncol4:1221 (2018);Bray, F等人, CA Cancer J Clin68:394 (2018))。發病率因種族而變化;非洲裔美國人及非洲黑人之發病率為高加索人之發病率的兩至三倍。(Kyle, RA等人, Mayo Clin Proc78:21 (2003);Waxman, AJ等人, Blood116:5501 (2010);Shirley, MH等人, Br J Haematol163:465 (2013))。相比之下,來自日本的亞洲人及墨西哥人之風險較低(Shirley, MH等人, Br J Haematol163:465 (2013);Huang, SY等人, Cancer110:896 (2007)。多發性骨髓瘤在男性中亦比在女性中更為常見(約1.4:1)。(Bray, F等人, CA Cancer J Clin68:394 (2018))。MM之風險隨身體質量指數之增加而增加。(Kyrgiou, M等人, BMJ356:j477 (2017);Islami, F等人, JAMA Oncol5:384 (2019))。多發性骨髓瘤之特徵在於產生單株免疫球蛋白之漿細胞的贅生性增殖。(Kariyawasan, CC等人, QJM100:635 (2007))。漿細胞在骨髓中增殖且通常引起骨骼破壞,伴有溶骨性病變、骨質減少及/或病理性骨折。多發性骨髓瘤通常與以下中之一或多種一起出現:骨痛伴隨在常規骨骼膠片或其他成像模態上發現之溶解性病變;總血清蛋白質濃度增加及/或在尿液或血清中單株蛋白質之存在;不明原因之貧血;有症狀的或為偶然發現的高鈣血症;及歸因於併發的免疫球蛋白輕鏈(AL)澱粉樣變性之急性腎機能不全/衰竭。絕大部分患者之骨髓含有10%或更多的純系漿細胞,且其範圍在小於5%至幾乎100%內,中值為50%。(Lauby-Secretan, B等人, NEJM375(8):794-798 (2016))。 Multiple myeloma occurs in all races and in all geographic locations. (Cowan, AJ et al., JAMA Oncol 4:1221 (2018); Bray, F et al., CA Cancer J Clin 68:394 (2018)). Incidence varies by race; African Americans and African blacks are two to three times more likely than Caucasians. (Kyle, RA et al., Mayo Clin Proc 78:21 (2003); Waxman, AJ et al., Blood 116:5501 (2010); Shirley, MH et al., Br J Haematol 163:465 (2013)). In contrast, Asians and Mexicans from Japan are at lower risk (Shirley, MH et al, Br J Haematol 163:465 (2013); Huang, SY et al, Cancer 110:896 (2007). Multiple Myeloma is also more common in men than in women (about 1.4:1). (Bray, F et al., CA Cancer J Clin 68:394 (2018)). The risk of MM increases with body mass index (Kyrgiou, M et al., BMJ 356:j477 (2017); Islami, F et al., JAMA Oncol 5:384 (2019)). Multiple myeloma is characterized by the outgrowth of plasma cells producing monoclonal immunoglobulins Proliferative. (Kariyawasan, CC et al., QJM 100:635 (2007)). Plasma cells proliferate in the bone marrow and often cause bone destruction with osteolytic lesions, osteopenia, and/or pathological fractures. Multiple myeloid Tumors usually present with one or more of the following: bone pain with lytic lesions seen on conventional bone films or other imaging modalities; increased total serum protein concentration and/or presence of individual proteins in urine or serum ; unexplained anemia; symptomatic or incidental hypercalcemia; and acute renal insufficiency/failure due to concurrent immunoglobulin light chain (AL) amyloidosis. Bone marrow in most patients Contains 10% or more clonal plasma cells and ranges from less than 5% to almost 100%, with a median of 50%. (Lauby-Secretan, B et al., NEJM 375(8):794-798 (2016 )).
IL-18含量增加已與患有MM之患者之存活期縮短相關。一組研究者量測了65名新診斷之骨髓瘤患者之血清中IL-18、血管內皮生長因子(VEGF)、血管生成素、TNF-α及CRP之含量。(Alexandrakis, MG等人, Leukemia Research28(3):259-266 (2004))。在研究中,結果顯示與II期及I期相比,III期之IL-18、VEGF、血管生成素、TNF-α及CRP明顯較高。此等細胞介素(在27名患者中量測)在治療後顯著降低。在存活分析中,較高之IL-18含量與不良預後相關。研究者得出結論,骨髓瘤患者體內之血清IL-18增加與晚期疾病、血管生成性細胞介素含量增加及較差存活期相關。 Increased levels of IL-18 have been associated with shortened survival in patients with MM. A group of researchers measured the levels of IL-18, vascular endothelial growth factor (VEGF), angiopoietin, TNF-α and CRP in the serum of 65 newly diagnosed myeloma patients. (Alexandrakis, MG et al., Leukemia Research 28(3):259-266 (2004)). In the study, the results showed that IL-18, VEGF, angiopoietin, TNF-α and CRP were significantly higher in stage III compared with stage II and stage I. These cytokines (measured in 27 patients) were significantly reduced after treatment. In survival analysis, higher IL-18 levels were associated with poor prognosis. The researchers concluded that increased serum IL-18 in myeloma patients was associated with advanced disease, increased levels of angiogenic interleukins, and poorer survival.
近期研究證明,促炎性細胞介素IL-18與促炎性疾病進展及對MM之免疫破壞的干擾密切相關。(Nakamura K等人, Cancer Cell33:634-648 (2018))。在此研究中,高骨髓血漿IL-18含量與MM患者之較差總存活期相關。 Recent studies have demonstrated that the pro-inflammatory interleukin IL-18 is closely related to the progression of pro-inflammatory disease and interference with the immune destruction of MM. (Nakamura K et al., Cancer Cell 33:634-648 (2018)). In this study, high bone marrow plasma IL-18 levels were associated with poorer overall survival in MM patients.
實施例1. 一種治療活動性復發性/難治性(R/R)多發性骨髓瘤之方法,其包含向經診斷患有多發性骨髓瘤之人類個體投與有效量之抗IL-18抗體,其中該抗IL-18抗體包含以下六個CDR:
(a) 具有SEQ ID NO: 122之胺基酸序列的HCDR1;
(b) 具有SEQ ID NO: 123之胺基酸序列的HCDR2;
(c) 具有SEQ ID NO: 124之胺基酸序列的HCDR3;
(d) 具有SEQ ID NO: 126之胺基酸序列的LCDR1;
(e) 具有SEQ ID NO: 127之胺基酸序列的LCDR2;及
(f) 具有SEQ ID NO: 128之胺基酸序列的LCDR3;
(g) 且
實施例2. 其中儘管先前使用蛋白酶體抑制劑、免疫調節劑及抗CD38抗體療法,該個體仍患有活動性多發性骨髓瘤;及/或
實施例3. 其中基於以下任一者,該個體患有可量測之骨髓瘤:
(a) 大於0.5 g/dL之血清M-蛋白質;
(b) 大於200 mg/24小時之尿液M-蛋白質;
(c) 大於10 mg/dL之血清游離輕鏈;及
(d) 可量測之漿細胞瘤或髓外疾病;及/或
實施例4. 其中該個體具有0或1分之東部腫瘤協作組體能狀態(Eastern Cooperative Oncology Group performance status,ECOG PS)評分;及/或
實施例5. 其中該個體在篩選訪視之前超過100天曾經歷先前自體造血幹細胞移植。
實施例6. 如實施例1之方法,其中該個體未在投與該抗IL-18抗體之同時投與免疫調節藥物。
實施例7. 如實施例2之方法,其中該免疫調節藥物係選自全身性糖皮質激素、抗TNFα抗體、抗IL-17抗體、抗IL-12/23抗體、PDE-4抑制劑、JAK抑制劑、IL-6抑制劑、利妥昔單抗(rituximab)、甲胺喋呤(methotrexate)、環孢靈(cyclosporine)及黴酚酸酯(mycophenolate)。
實施例8. 如實施例1至3中任一項之方法,其中該個體具有升高之游離或總血清或骨髓IL-18含量。
實施例9. 如實施例1至4中任一項之方法,其中該血清或骨髓IL-18之含量係在投與該抗IL-18抗體之前量測。
實施例10. 如實施例1至5中任一項之方法,其中該血清或骨髓IL-18之含量係在投與該抗IL-18抗體之後量測,視情況作為治療有效性之標誌。
實施例11. 如實施例1至6中任一項之方法,其中該血清或骨髓IL-18之含量與未患活動性R/R多發性骨髓瘤之個體內之含量相比或與陰性對照相比升高。
實施例12. 如實施例1至7中任一項之方法,其中該血清或骨髓IL-18之含量為游離IL-18,視情況其中計算該游離IL-18之含量。
實施例13. 如實施例1至7中任一項之方法,其中該血清或骨髓IL-18之含量為總IL-18。
實施例14. 如實施例1至8中任一項之方法,其中該個體具有升高之游離IL-18。
實施例15. 如實施例1至7或10中任一項之方法,其中該個體具有升高之總IL-18。
實施例16. 一種治療活動性復發性/難治性(R/R)多發性骨髓瘤之方法,其包含向經診斷患有多發性骨髓瘤之人類個體投與有效量之抗IL-18抗體,且其中與未患活動性R/R多發性骨髓瘤之個體相比或與陰性對照相比,該個體在血清或骨髓中具有升高之游離或總IL-18含量,其中該抗IL-18抗體包含以下六個CDR:
(a) 具有SEQ ID NO: 122之胺基酸序列的HCDR1;
(b) 具有SEQ ID NO: 123之胺基酸序列的HCDR2;
(c) 具有SEQ ID NO: 124之胺基酸序列的HCDR3;
(d) 具有SEQ ID NO: 126之胺基酸序列的LCDR1;
(e) 具有SEQ ID NO: 127之胺基酸序列的LCDR2;及
(f) 具有SEQ ID NO: 128之胺基酸序列的LCDR3;且視情況
實施例17. 其中儘管先前使用蛋白酶體抑制劑、免疫調節劑及抗CD38抗體療法,該個體仍患有活動性多發性骨髓瘤;及/或
實施例18. 其中基於以下任一者,該個體患有可量測之骨髓瘤:
(a) 大於0.5 g/dL之血清M-蛋白質;
(b) 大於200 mg/24小時之尿液M-蛋白質;
(c) 大於10 mg/dL之血清游離輕鏈;及
(d) 可量測之漿細胞瘤或髓外疾病;及/或
實施例19. 其中該個體具有0或1分之東部腫瘤協作組體能狀態(ECOG PS)評分;及/或
實施例20. 其中該個體在篩選訪視之前超過100天曾經歷先前自體造血幹細胞移植。
實施例21. 如實施例12之方法,其中血清或骨髓IL-18之含量係在投與該抗IL-18抗體之前量測。
實施例22. 如實施例12或13之方法,其中該血清或骨髓IL-18之含量係在投與該抗IL-18抗體之後量測,視情況作為治療有效性之標誌。
實施例23. 如實施例12至14中任一項之方法,其中血清或骨髓游離或總IL-18之含量與未患活動性R/R多發性骨髓瘤之個體內之含量相比升高。
實施例24. 如實施例12至14中任一項之方法,其中該血清或骨髓IL-18之含量為游離IL-18,視情況其中計算該游離IL-18之含量。
實施例25. 如實施例12至14中任一項之方法,其中該血清或骨髓IL-18之含量為總IL-18。
實施例26. 如實施例1至17中任一項之方法,其中該抗IL-18抗體包含具有與SEQ ID NO: 121之全序列至少90%一致之胺基酸序列的VH域。
實施例27. 如實施例1至18中任一項之方法,其中該抗IL-18抗體包含具有與SEQ ID NO: 121之全序列一致之胺基酸序列的VH域。
實施例28. 如實施例1至19中任一項之方法,其中該抗IL-18抗體包含具有與SEQ ID NO: 125之全序列至少90%一致之胺基酸序列的VL域。
實施例29. 如實施例1至20中任一項之方法,其中該抗IL-18抗體包含具有與SEQ ID NO: 125之全序列一致之胺基酸序列的VL域。
實施例30. 如實施例1至21中任一項之方法,其中該抗IL-18抗體包含抗體VH域及抗體VL域,其中該抗體VH域之胺基酸序列與SEQ ID NO: 121之全序列至少90%一致,且該抗體VL域與SEQ ID NO: 125之全序列至少90%一致。
實施例31. 如實施例1至22中任一項之方法,其中該抗IL-18抗體係以醫藥學上可接受之組合物形式投與。
實施例32. 如實施例1至23中任一項之方法,其中將該抗IL-18抗體投與至少兩個28天治療週期,其中該抗IL-18抗體係在每個28天治療週期之第1天投與。
實施例33. 如實施例1至24中任一項之方法,其包含向該個體投與10、30、100、300或1000 mg劑量之該抗IL-18抗體。
實施例34. 如實施例1至24中任一項之方法,其包含向該個體投與10至30 mg/kg劑量之該抗IL-18抗體。
實施例35. 如實施例1至26中任一項之方法,其包含向該個體投與0.03、0.1或0.3 mg/kg劑量之該抗IL-18抗體。
實施例36. 如實施例1至27中任一項之方法,其包含向該個體投與0.01 mg/kg至36 mg/kg劑量之該抗IL-18抗體。
實施例37. 如實施例1至28中任一項之方法,其包含向該個體投與4 mg/kg、或9 mg/kg或14 mg/kg劑量之該抗IL-18抗體。
實施例38. 如實施例1至29中任一項之方法,其中該抗IL-18抗體係靜脈內投與。
實施例39. 如實施例1至30中任一項之方法,其中該抗IL-18抗體係皮下投與。
實施例40. 如實施例1至31中任一項之方法,其中該抗IL-18抗體係每週一次、每兩週一次、每三週一次、每四週一次、每五週一次或每六週一次投與。
實施例41. 如實施例1至32中任一項之方法,其中該抗IL-18抗體係在28天治療週期之第1天投與。
實施例42. 如實施例1至33中任一項之方法,其包含在28天治療週期之第1天以4 mg/kg之劑量、在28天治療週期之第1天以9 mg/kg之劑量或在28天治療週期之第1天以14 mg/kg之劑量向該個體投與該抗IL-18抗體。
實施例43. 如實施例1至34中任一項之方法,其中該個體為18歲或更大。
實施例44. 如實施例1至35中任一項之方法,其中與護理標準療法相比,用該抗IL-18抗體治療縮短反應時間(TTR)。
實施例45. 如實施例1至36中任一項之方法,其中與護理標準療法相比,用該抗IL-18抗體治療延長無進展存活期(PFS)。
實施例46. 如實施例1至37中任一項之方法,其中與護理標準療法相比,用該抗IL-18抗體治療延長反應持續時間(DOR)。
實施例47. 如實施例1至38中任一項之方法,其中在兩個或兩個以上28天治療週期之後,根據國際骨髓瘤工作組(International Myeloma Working Group,IMWG)反應準則,該個體達成嚴格意義的完全反應(sCR)。
實施例48. 如實施例1至39中任一項之方法,其中在兩個或兩個以上28天治療週期之後,根據IMWG反應準則,該個體達成完全反應(CR)。
實施例49. 如實施例1至40中任一項之方法,其中在兩個或兩個以上28天治療週期之後,根據IMWG反應準則,該個體達成極佳的部分反應(VGPR)。
實施例50. 如實施例1至41中任一項之方法,其中在兩個或兩個以上28天治療週期之後,根據IMWG反應準則,該個體達成部分反應(PR)。
實施例51. 如實施例1至42中任一項之方法,其中在投與該抗IL-18抗體一或多次之後,如藉由SPEP所量測,該個體之血清M-蛋白質減少大於或等於90%。
實施例52. 如實施例1至42中任一項之方法,其中在投與該抗IL-18抗體一或多次之後,如藉由SPEP所量測,該個體之血清M-蛋白質減少大於或等於50%。
實施例53. 如實施例1至42中任一項之方法,其中在投與該抗IL-18抗體一或多次之後,如藉由SPEP所量測,該個體之血清M蛋白質減少大於或等於25%,且其中在投與該抗IL-18抗體一或多次之後,如藉由SPEP所量測,該個體之血清M-蛋白質減少小於或等於49%。
實施例54. 如實施例1至42中任一項之方法,其中在投與該抗IL-18抗體一或多次之後,如藉由SPEP所量測,該個體之血清M-蛋白質減少。
實施例55. 如實施例1至46中任一項之方法,其中在投與該抗IL-18抗體一或多次之後,如藉由SPEP所量測,該個體之M-蛋白質變穩定。
實施例56. 如實施例1至47中任一項之方法,其中該個體達成東部腫瘤協作組體能狀態(ECOG PS)評分之改良。
實施例57. 如實施例1至48中任一項之方法,其中在投與該抗IL-18抗體之後約28天,該個體具有不可偵測含量之血清或骨髓游離或總IL-18。
實施例58. 如實施例1至49中任一項之方法,其中在投與該抗IL-18抗體之後約28天,該個體具有不可偵測含量之血清或骨髓游離IL-18。
實施例59. 如實施例1至50中任一項之方法,其中在投與第一次劑量之該抗IL-18抗體之後約112天,該個體具有不可偵測含量之血清或骨髓游離或總IL-18。
實施例60. 如實施例1至50之方法,其中在投與該抗IL-18抗體之後約112天,該個體具有不可偵測含量之血清游離IL-18。
實施例61. 如實施例1至50中任一項之方法,其中在投與該抗IL-18抗體之後約28天,該個體具有降低含量之血清或骨髓游離或總IL-18。
實施例62. 如實施例1至50中任一項之方法,其中在投與該抗IL-18抗體之後約112天,該個體具有降低含量之血清或骨髓游離IL-18。
實施例63. 一種用於如實施例1至54中任一項之方法之套組,其包含抗IL-18抗體及用於進行該方法之試劑,視情況其中該抗體包含以下六個CDR:
(a) 具有SEQ ID NO: 122之胺基酸序列的HCDR1;
(b) 具有SEQ ID NO: 123之胺基酸序列的HCDR2;
(c) 具有SEQ ID NO: 124之胺基酸序列的HCDR3;
(d) 具有SEQ ID NO: 126之胺基酸序列的LCDR1;
(e) 具有SEQ ID NO: 127之胺基酸序列的LCDR2;及
(f) 具有SEQ ID NO: 128之胺基酸序列的LCDR3;及/或
其中該抗IL-18抗體包含具有與SEQ ID NO: 121之全序列至少90%一致之胺基酸序列的VH域,及具有與SEQ ID NO: 125之全序列至少90%一致之胺基酸序列的VL域。
提供以下定義以有助於理解本發明。該等定義並不意欲以任何方式限制本發明。 定義 The following definitions are provided to aid in the understanding of the present invention. These definitions are not intended to limit the invention in any way. definition
出於本發明之目的,「一(a/an)」實體係指一或多個該實體;例如,「一個cDNA」係指一或多個cDNA或至少一個cDNA。因此,術語「一個」、「一或多個」及「至少一個」在本文中可互換地使用。亦應注意,術語「包含」、「包括」及「具有」可互換使用。此外,「選自由……組成之群」的化合物係指之後的清單中之一或多種化合物,包括兩種或兩種以上化合物之混合物(亦即,組合)。根據本發明,「經分離」或「生物純」的分子係已自其天然環境移出之化合物。因此,術語「經分離」及「生物純」未必反映化合物經純化之程度。經分離的本發明化合物可獲自其天然來源,可使用實驗室合成技術產生或可藉由任何此類化學合成途徑產生。For the purposes of the present invention, "a (a/an)" entity means one or more of that entity; eg, "a cDNA" means one or more cDNAs or at least one cDNA. Accordingly, the terms "a", "one or more" and "at least one" are used interchangeably herein. It should also be noted that the terms "comprising", "including" and "having" are used interchangeably. In addition, the compound "selected from the group consisting of" refers to one or more compounds in the following list, including a mixture (ie, a combination) of two or more compounds. According to the invention, an "isolated" or "biologically pure" molecule is a compound that has been removed from its natural environment. Accordingly, the terms "isolated" and "biologically pure" do not necessarily reflect the degree to which a compound has been purified. An isolated compound of the invention may be obtained from its natural source, may be produced using laboratory synthetic techniques or may be produced by any such chemical synthetic route.
「IL-18」或「介白素-18」或「干擾素-γ誘導因子(interferon-gamma inducing factor)」或「IFN-ɣ誘導因子(IFN-ɣ-inducing factor)」係指由IL18基因編碼的促炎性細胞介素,其屬於IL-1細胞介素家族。與IL-1β類似,其係以稱為前IL-18之無活性前驅體形式合成,藉由凋亡蛋白酶-1裂解而活化。前IL-18存在於健康細胞中且由單核球及上皮細胞組成性表現。IL-18具有刺激應變性及先天性免疫反應之作用。"IL-18" or "Interleukin-18" or "interferon-gamma inducing factor (interferon-gamma inducing factor)" or "IFN-ɣ-inducing factor (IFN-ɣ-inducing factor)" means IL18 gene Encoded pro-inflammatory cytokine that belongs to the IL-1 family of interkines. Like IL-1β, it is synthesized as an inactive precursor called pro-IL-18, which is activated by caspase-1 cleavage. Pro-IL-18 is present in healthy cells and is expressed constitutively by monocytes and epithelial cells. IL-18 has the function of stimulating the allergic and innate immune response.
如本文所用之「升高之IL-18」係指在個體中偵測到的IL-18含量高於正常對照值。正常對照值可在適用時由熟習此項技術者根據特定情況確定。在一些情況下,正常對照值為熟習此項技術者同意的作為無IL-18相關病狀之個體的典型含量或含量範圍的行業標準。在一些情況下,正常對照值係在一時間點獲取的來自同一個體的參考IL-18含量,且基於在不同(通常在稍後)時間點獲取的來自該同一個體之樣品確定個體是否具有升高之IL-18。"Elevated IL-18" as used herein means that the level of IL-18 detected in an individual is higher than normal control values. The normal control value can be determined according to the specific situation by those skilled in the art when applicable. In some cases, normal control values are industry standards agreed upon by those skilled in the art as typical levels or ranges of levels for individuals without IL-18-related pathology. In some cases, the normal control value is a reference IL-18 level from the same individual taken at one time point, and it is determined whether the individual has an elevated IL-18 level based on a sample from the same individual taken at a different (usually later) time point. High IL-18.
「游離IL-18」或「游離(活性)IL-18」在本文中係指非結合形式之IL-18,其為IL-18之活性形式。在人體中,游離IL-18經IL-18BP中和(失活),IL-18BP結合IL-18且藉由干擾其與IL-18Rα之相互作用來抑制其活性。游離IL-18可根據已知方法,例如Palladino等人(2012) J. Neuroinflammation 9(206)計算。"Free IL-18" or "free (active) IL-18" herein refers to IL-18 in unbound form, which is the active form of IL-18. In humans, free IL-18 is neutralized (inactivated) by IL-18BP, which binds IL-18 and inhibits its activity by interfering with its interaction with IL-18Rα. Free IL-18 can be calculated according to known methods, eg Palladino et al. (2012) J. Neuroinflammation 9(206).
「經結合IL-18」或其類似表述係指結合於天然配體之IL-18,視情況其中該天然配體為IL-18Rα或IL-18BP。"Bound IL-18" or similar expressions thereof refer to IL-18 bound to a natural ligand, where the natural ligand is IL-18Ra or IL-18BP, as the case may be.
「總IL-18」或其類似表述係指游離IL-18加經結合IL-18之總量。"Total IL-18" or similar expressions thereof refer to the total amount of free IL-18 plus bound IL-18.
「血清」或「循環」IL-18為位於血清中之IL-18。"Serum" or "circulating" IL-18 is IL-18 located in serum.
「骨髓」IL-18為位於骨髓中之IL-18。"Bone marrow" IL-18 is IL-18 located in the bone marrow.
「不可偵測含量之血清IL-18」係指低於量測IL-18之分析之定量位準的IL-18含量。"Undetectable levels of serum IL-18" refers to levels of IL-18 below the quantitative level of an assay for measuring IL-18.
術語「抗體」在本文中係以最廣泛意義使用且涵蓋各種抗體結構,包括但不限於單株抗體、多株抗體、多特異性抗體(例如雙特異性抗體)及抗體片段,只要其展現所需抗原結合活性即可。如本文所用,該術語係指包含至少重鏈之互補決定區(CDR) 1、CDR2及CDR3以及至少輕鏈之CDR1、CDR2及CDR3的分子,其中該分子能夠結合至抗原。如本文所描述,「CDR之集合」包含CDR1、CDR2及CDR3。因此,HCDR之集合係指HCDR1、HCDR2及HCDR3,且LCDR之集合係指LCDR1、LCDR2及LCDR3。除非另有說明,否則「CDR之集合」包括HCDR及LCDR。術語抗體包括但不限於能夠結合抗原之片段,諸如Fv、單鏈Fv (scFv)、Fab、Fab'及(Fab')2。術語抗體亦包括但不限於嵌合抗體、人類化抗體、人類抗體及各種物種(諸如小鼠、食蟹獼猴等)之抗體。The term "antibody" is used herein in the broadest sense and encompasses various antibody structures including, but not limited to, monoclonal antibodies, polyclonal antibodies, multispecific antibodies (e.g., bispecific antibodies), and antibody fragments, so long as they exhibit the desired Antigen binding activity is required. As used herein, the term refers to a molecule comprising at least complementarity determining region (CDR) 1, CDR2 and CDR3 of the heavy chain and at least CDR1, CDR2 and CDR3 of the light chain, wherein the molecule is capable of binding to an antigen. As described herein, a "set of CDRs" includes CDR1, CDR2 and CDR3. Thus, a set of HCDRs refers to HCDR1, HCDR2, and HCDR3, and a set of LCDRs refers to LCDR1, LCDR2, and LCDR3. Unless otherwise stated, a "collection of CDRs" includes HCDRs and LCDRs. The term antibody includes, but is not limited to, fragments capable of binding antigen, such as Fv, single chain Fv (scFv), Fab, Fab' and (Fab')2. The term antibody also includes, but is not limited to, chimeric antibodies, humanized antibodies, human antibodies, and antibodies of various species such as mice, cynomolgus monkeys, and the like.
術語「重鏈」係指包含至少一個重鏈可變區且具有或不具有前導序列之多肽。在一些實施例中,重鏈包含重鏈恆定區之至少一部分。術語「全長重鏈」係指包含重鏈可變區及重鏈恆定區且具有或不具有前導序列之多肽。The term "heavy chain" refers to a polypeptide comprising at least one heavy chain variable region, with or without a leader sequence. In some embodiments, the heavy chain comprises at least a portion of a heavy chain constant region. The term "full-length heavy chain" refers to a polypeptide comprising a heavy chain variable region and a heavy chain constant region, with or without a leader sequence.
術語「重鏈可變區」或「VH域」係指包含重鏈互補決定區(CDR) 1、重鏈之構架區(FR) 2、CDR2、FR3及CDR3的區域。在一些實施例中,重鏈可變區亦包含FR1之至少一部分及/或FR4之至少一部分。在一些實施例中,重鏈CDR1對應於Kabat殘基31至35;重鏈CDR2對應於Kabat殘基50至65;且重鏈CDR3對應於Kabat殘基95至102。參見例如Kabat Sequences of Proteins of Immunological Interest (1987及1991, NIH, Bethesda, Md.)。The term "heavy chain variable region" or "VH domain" refers to the region comprising the heavy chain complementarity determining region (CDR) 1, the heavy chain framework region (FR) 2, CDR2, FR3 and CDR3. In some embodiments, the heavy chain variable region also comprises at least a portion of FR1 and/or at least a portion of FR4. In some embodiments, heavy chain CDR1 corresponds to Kabat residues 31-35; heavy chain CDR2 corresponds to Kabat residues 50-65; and heavy chain CDR3 corresponds to Kabat residues 95-102. See, eg, Kabat Sequences of Proteins of Immunological Interest (1987 and 1991, NIH, Bethesda, Md.).
術語「輕鏈」係指包含至少一個輕鏈可變區且具有或不具有前導序列之多肽。在一些實施例中,輕鏈包含輕鏈恆定區之至少一部分。術語「全長輕鏈」係指包含輕鏈可變區及輕鏈恆定區且具有或不具有前導序列之多肽。The term "light chain" refers to a polypeptide comprising at least one light chain variable region, with or without a leader sequence. In some embodiments, the light chain comprises at least a portion of the light chain constant region. The term "full-length light chain" refers to a polypeptide comprising a light chain variable region and a light chain constant region, with or without a leader sequence.
術語「輕鏈可變區」或「VL域」係指包含輕鏈CDR1、FR2、HVR2、FR3及HVR3之區域。在一些實施例中,輕鏈可變區亦包含FR1及/或FR4。在一些實施例中,輕鏈CDR1對應於Kabat殘基24至34;輕鏈CDR2對應於Kabat殘基50至56;且輕鏈CDR3對應於Kabat殘基89至97。參見例如Kabat Sequences of Proteins of Immunological Interest (1987及1991, NIH, Bethesda, Md.)。The term "light chain variable region" or "VL domain" refers to the region comprising the light chain CDR1, FR2, HVR2, FR3 and HVR3. In some embodiments, the light chain variable region also comprises FR1 and/or FR4. In some embodiments, the light chain CDR1 corresponds to Kabat residues 24-34; the light chain CDR2 corresponds to Kabat residues 50-56; and the light chain CDR3 corresponds to Kabat residues 89-97. See, eg, Kabat Sequences of Proteins of Immunological Interest (1987 and 1991, NIH, Bethesda, Md.).
「嵌合抗體」係指重鏈及/或輕鏈之一部分來源於特定來源或物種,而重鏈及/或輕鏈之其餘部分來源於不同來源或物種之抗體。在一些實施例中,嵌合抗體係指包含至少一個來自第一物種(諸如小鼠、大鼠、食蟹獼猴等)之可變區及至少一個來自第二物種(諸如人類、食蟹獼猴等)之恆定區的抗體。在一些實施例中,嵌合抗體包含至少一個小鼠可變區及至少一個人類恆定區。在一些實施例中,嵌合抗體包含至少一個食蟹獼猴可變區及至少一個人類恆定區。在一些實施例中,嵌合抗體之所有可變區均來自第一物種且嵌合抗體之所有恆定區均來自第二物種。A "chimeric antibody" refers to an antibody in which a portion of the heavy chain and/or light chain is derived from a particular source or species, and the remainder of the heavy chain and/or light chain is derived from a different source or species. In some embodiments, a chimeric antibody is one comprising at least one variable region from a first species (such as mouse, rat, cynomolgus, etc.) and at least one variable region from a second species (such as human, cynomolgus, etc.). ) of the constant region of the antibody. In some embodiments, chimeric antibodies comprise at least one mouse variable region and at least one human constant region. In some embodiments, a chimeric antibody comprises at least one cynomolgus monkey variable region and at least one human constant region. In some embodiments, all variable regions of the chimeric antibody are from a first species and all constant regions of the chimeric antibody are from a second species.
「人類化抗體」係指非人類可變區之構架區中的至少一個胺基酸已由來自人類可變區之對應胺基酸置換的抗體。在一些實施例中,人類化抗體包含至少一個人類恆定區或其片段。在一些實施例中,人類化抗體為Fab、scFv、(Fab')2等。"Humanized antibody" refers to an antibody in which at least one amino acid in the framework region of a non-human variable domain has been replaced with the corresponding amino acid from a human variable domain. In some embodiments, a humanized antibody comprises at least one human constant region or fragment thereof. In some embodiments, the humanized antibody is a Fab, scFv, (Fab')2, etc.
如本文所用之「人類抗體」係指在人體中產生之抗體、在包含人類免疫球蛋白基因之非人類動物(諸如XenoMouse®)中產生之抗體,及使用活體外方法(諸如噬菌體呈現)選擇之抗體,其中該抗體譜係基於人類免疫球蛋白序列。"Human antibody" as used herein refers to antibodies produced in humans, antibodies produced in non-human animals (such as XenoMouse®) that contain human immunoglobulin genes, and antibodies selected using in vitro methods such as phage display. An antibody, wherein the antibody repertoire is based on human immunoglobulin sequences.
術語「前導序列」係指促進多肽自哺乳動物細胞分泌的位於多肽N端之胺基酸殘基序列。前導序列可在自哺乳動物細胞輸出多肽時裂解,形成成熟蛋白。前導序列可為天然或合成的,且其可與其所連接之蛋白質異源或同源。The term "leader sequence" refers to a sequence of amino acid residues at the N-terminus of a polypeptide that facilitates secretion of the polypeptide from mammalian cells. The leader sequence can be cleaved upon export of the polypeptide from mammalian cells to form the mature protein. The leader sequence can be natural or synthetic, and it can be heterologous or homologous to the protein to which it is linked.
關於肽、多肽或抗體序列之「胺基酸序列一致性百分比(%)」及「同源性」定義為在比對序列且必要時引入空位以實現最大序列一致性百分比之後,且不考慮任何保守取代作為序列一致性之一部分,候選序列中與特定肽或多肽序列中之胺基酸殘基一致之胺基酸殘基的百分比。出於確定胺基酸序列一致性百分比目的而進行之比對可由此項技術之技術範圍內之各種方式來達成,例如使用公開可用之電腦軟體,諸如BLAST、BLAST-2、ALIGN或MEGALIGNTM (DNASTAR)軟體達成。熟習此項技術者可確定用於量測比對之合適參數,包括在所比較序列之全長內達成最大比對所需的任何算法。"Percent amino acid sequence identity (%)" and "homology" with respect to peptide, polypeptide, or antibody sequences are defined after aligning the sequences and introducing gaps, if necessary, to achieve the maximum percent sequence identity, without regard to any Conservative substitutions As part of sequence identity, the percentage of amino acid residues in a candidate sequence that are identical to amino acid residues in a particular peptide or polypeptide sequence. Alignment for the purpose of determining percent amino acid sequence identity can be achieved in various ways that are within the skill of the art, for example, using publicly available computer software such as BLAST, BLAST-2, ALIGN or MEGALIGN™ (DNASTAR ) software is achieved. Those skilled in the art can determine appropriate parameters for measuring alignment, including any algorithms needed to achieve maximal alignment over the full length of the sequences being compared.
術語「抑制(inhibition/inhibit)」係指減少或停止任何事件(諸如蛋白質配體結合),或減少或停止任何表型特徵,或減小或停止該特徵之發生率、程度或可能性。「降低」或「抑制」係使活性、功能及/或量相較於參考物減小、降低或停滯。抑制或降低不必為完全的。舉例而言,在某些實施例中,「降低」或「抑制」意謂使總體減少20%或更大之能力。在另一實施例中,「降低」或「抑制」意謂使總體減少50%或更大之能力。在又一實施例中,「降低」或「抑制」意謂使總體減少75%、85%、90%、95%或更大之能力。The term "inhibition/inhibit" refers to reducing or stopping any event, such as protein ligand binding, or reducing or stopping any phenotypic characteristic, or reducing or stopping the occurrence, extent or likelihood of that characteristic. "Reduce" or "inhibit" means to decrease, reduce or arrest an activity, function and/or amount compared to a reference. Inhibition or reduction need not be complete. For example, in certain embodiments, "reduce" or "inhibit" means the ability to reduce the population by 20% or greater. In another embodiment, "reduce" or "inhibit" means the ability to reduce the population by 50% or greater. In yet another embodiment, "reduce" or "inhibit" means the ability to reduce the population by 75%, 85%, 90%, 95% or greater.
「樣品」或「個體樣品」或「生物樣品」一般係指可用於測試特定分子之樣品。樣品可包括但不限於細胞、骨髓、體液,包括血液、血清、血漿、尿液、唾液、糞便、淚液、胸膜液及其類似物。A "sample" or "individual sample" or "biological sample" generally refers to a sample that can be tested for a particular molecule. Samples may include, but are not limited to, cells, bone marrow, bodily fluids, including blood, serum, plasma, urine, saliva, feces, tears, pleural fluid, and the like.
術語「試劑」及「測試化合物」在本文中可互換使用且表示化合物、化合物之混合物、生物大分子或由諸如細菌、植物、真菌或動物(尤其哺乳動物)細胞或組織之類生物材料製成之提取物。生物大分子包括siRNA、shRNA、反義寡核苷酸、肽、肽/DNA複合物及任何基於核酸之分子,其展現調節含有本文所描述之核酸或其編碼之蛋白質之SNP之活性的能力。The terms "reagent" and "test compound" are used interchangeably herein and refer to a compound, a mixture of compounds, a biological macromolecule, or a biological material such as a bacterial, plant, fungal, or animal (especially mammalian) cell or tissue of the extract. Biomacromolecules include siRNA, shRNA, antisense oligonucleotides, peptides, peptide/DNA complexes, and any nucleic acid-based molecule that exhibits the ability to modulate the activity of a SNP comprising a nucleic acid described herein or the protein it encodes.
「個體」可為哺乳動物。在涉及個體之任一實施例中,個體可為人類。在涉及個體之任一實施例中,個體可為牛、豬、猴、綿羊、狗、貓、魚或家禽。An "individual" can be a mammal. In any of the embodiments involving an individual, the individual can be a human. In any of the embodiments involving a subject, the subject can be a cow, pig, monkey, sheep, dog, cat, fish or poultry.
在本文中,「兒科」個體為小於18歲之人類,而「成年」個體為18歲或更大。As used herein, a "pediatric" subject is a human being less than 18 years of age, and an "adult" subject is 18 years of age or older.
術語「醫藥學上可接受之組合物」可指包含抗IL-18抗體之調配物與多種醫藥學上可接受之載劑的組合物。The term "pharmaceutically acceptable composition" may refer to a composition comprising a formulation of an anti-IL-18 antibody and various pharmaceutically acceptable carriers.
術語「醫藥學上可接受之載劑」係指醫藥調配物或組合物中除活性成分外之成分,其對個體無毒。醫藥學上可接受之載劑包括但不限於緩衝劑、賦形劑、穩定劑及/或防腐劑。The term "pharmaceutically acceptable carrier" refers to an ingredient of a pharmaceutical formulation or composition other than the active ingredient, which is nontoxic to the individual. Pharmaceutically acceptable carriers include, but are not limited to, buffers, excipients, stabilizers and/or preservatives.
「治療(Treatment/treat)」係指治療性治療及防治性或預防性措施。需要治療者包括已患該病症者以及易患該病症者或待預防該病症者。出於本發明之目的,有益或所需臨床結果包括但不限於症狀緩和、疾病程度減輕、疾病病況穩定(亦即,不惡化)、疾病進展延緩或減慢、疾病病況改善或減輕及緩解(部分或完全),該等結果係可偵測或不可偵測的。「治療」亦可意謂存活期與未接受治療時之預期存活期相比延長。需要治療者包括已患病狀或病症者以及易患該病狀或病症者或待預防該病狀或病症者。"Treatment/treat" means both therapeutic treatment and prophylactic or preventive measures. Those in need of treatment include those already with the disorder as well as those prone to have the disorder or those in which the disorder is to be prevented. For purposes of the present invention, beneficial or desired clinical outcomes include, but are not limited to, alleviation of symptoms, lessening of disease extent, stable disease condition (i.e., not worsening), delay or slowing of disease progression, improvement or alleviation of disease condition, and remission ( partial or complete), whether the results are detectable or not. "Treatment" can also mean prolonging survival as compared to expected survival if not receiving treatment. Those in need of treatment include those already with the condition or disorder as well as those prone to have the condition or disorder or those in which the condition or disorder is to be prevented.
術語「有效量」或「治療有效量」係指對治療個體之疾病或病症有效,諸如部分或完全減輕一或多種症狀的藥物之量。在一些實施例中,有效量係指以所需劑量且持續所需時段有效達成所需治療或預防結果的量。The term "effective amount" or "therapeutically effective amount" refers to the amount of drug effective in treating a disease or condition in an individual, such as partially or completely alleviating one or more symptoms. In some embodiments, an effective amount is an amount effective to achieve the desired therapeutic or prophylactic result, at dosages and for periods of time desired.
如本文所用之術語「東部腫瘤協作組體能狀態(ECOG PS)評分」係指Oken等人(1982) Am J Clin Oncol.5(6):649-55之表2中所定義之評分。ECOG PS評分為0意謂個體完全能活動,能夠無限制地保持所有患病前體能。ECOG PS評分為1分意謂個體從事繁重的體力活動受限,但能走動且能夠進行輕鬆或久坐性質之工作,例如輕鬆的家務、辦公室工作。ECOG PS評分為2分意謂個體能走動且能夠完全自理,但不能進行任何工作活動;個體起床,持續約超過50%之清醒時間。ECOG PS評分為3分意謂個體僅能夠進行有限的自理,超過50%之清醒時間限於床或椅子。ECOG PS評分為4分意謂個體完全失能,無法進行任何自理,完全限於床或椅子。ECOG PS評分為5分意謂個體死亡。 The term "Eastern Cooperative Oncology Group Performance Status (ECOG PS) score" as used herein refers to the score as defined in Table 2 of Oken et al. (1982) Am J Clin Oncol. 5(6):649-55. An ECOG PS score of 0 means that the individual is fully active and able to maintain all premorbid physical performance without limitation. An ECOG PS score of 1 means that the individual is limited in strenuous physical activity, but able to ambulatory and able to perform light or sedentary tasks, such as light housework, office work. An ECOG PS score of 2 means that the individual is ambulatory and able to take care of themselves completely, but cannot perform any work activities; the individual is up and lasts approximately more than 50% of the waking time. An ECOG PS score of 3 means that the individual is only capable of limited self-care, with more than 50% of waking time confined to a bed or chair. An ECOG PS score of 4 means that the individual is completely disabled, unable to perform any self-care, and completely confined to a bed or chair. An ECOG PS score of 5 means death of the subject.
如本文所用之術語「嚴格意義的完全反應」或「sCR」係指描述於Kumar等人(2016) Lancet Oncol.17(8): e328-e346中之國際骨髓瘤工作組(IMWG)反應準則中所定義之評分。其一般定義為血清及尿液之陰性免疫固定、任何軟組織漿細胞瘤消失及骨髓抽出物中之漿細胞<5%,加上正常游離輕鏈(FLC)比及藉由免疫組織化學確定在骨髓切片中不存在純系細胞(對於κ及λ患者,在計數≥100個漿細胞之後,κ/λ比分別≤4:1或≥1:2)。 The term "strict complete response" or "sCR" as used herein refers to the International Myeloma Working Group (IMWG) response guidelines described in Kumar et al. (2016) Lancet Oncol. 17(8): e328-e346 defined score. It is generally defined as negative immunofixation in serum and urine, disappearance of any soft tissue plasmacytoma, and <5% plasma cells in bone marrow aspirate, plus a normal free light chain (FLC) ratio and bone marrow ascertained by immunohistochemistry. Absence of clonal cells in sections (κ/λ ratio ≤4:1 or ≥1:2 for κ and λ patients, respectively, after counting ≥100 plasma cells).
如本文所用之術語「完全反應」或「CR」係指描述於Kumar等人(2016) Lancet Oncol.17(8):e328-e346中之IMWG反應準則中所定義之評分。其一般定義為血清及尿液之陰性免疫固定、任何軟組織漿細胞瘤消失及骨髓抽出物中之漿細胞<5%。 The term "complete response" or "CR" as used herein refers to the score as defined in the IMWG response criteria described in Kumar et al. (2016) Lancet Oncol. 17(8):e328-e346. It is generally defined by negative immunofixation in serum and urine, disappearance of any soft tissue plasmacytoma, and <5% plasma cells in bone marrow aspirate.
如本文所用之術語「極佳的部分反應」或「VGPR」係指描述於Kumar等人(2016) Lancet Oncol.17(8):e328-e346中之IMWG反應準則中所定義之評分。其一般定義為血清及尿液M-蛋白質可藉由免疫固定偵測但未出現在電泳上,或血清M-蛋白質減少≥90%且尿液M-蛋白質含量<100 mg/24小時。 The term "very good partial response" or "VGPR" as used herein refers to the score as defined in the IMWG response criteria described in Kumar et al. (2016) Lancet Oncol. 17(8):e328-e346. It is generally defined as serum and urine M-protein detectable by immunofixation but not present on electrophoresis, or a ≥90% reduction in serum M-protein and urinary M-protein <100 mg/24 hours.
如本文所用之術語「部分反應」或「PR」係指描述於Kumar等人(2016) Lancet Oncol.17(8):e328-e346中之IMWG反應準則中所定義之評分。其一般定義為血清M-蛋白質減少≥50%且24小時尿液M-蛋白質減少≥90%或減少至<200 mg/24小時。若血清及尿液M-蛋白質不可量測,則需要受累與未受累FLC含量之間的差值降低≥50%,以替代M-蛋白質準則。若血清及尿液M-蛋白質以及血清FLC分析不可量測,則需要漿細胞減少≥50%以替代M-蛋白質,其限制條件為基線骨髓漿細胞百分比≥30%。除以上準則之外,若以基線存在,則亦需要軟組織漿細胞瘤之大小(所量測病變之最大垂直直徑之乘積總和(SPD))減小≥50%。 The term "partial response" or "PR" as used herein refers to the score as defined in the IMWG response criteria described in Kumar et al. (2016) Lancet Oncol. 17(8):e328-e346. It is generally defined as a ≥50% reduction in serum M-protein and a ≥90% reduction in 24-hour urinary M-protein or to <200 mg/24 hours. If serum and urine M-protein is not measurable, a ≥50% reduction in the difference between affected and unaffected FLC levels is required in lieu of the M-protein criterion. If serum and urine M-protein and serum FLC assays are not measurable, a reduction in plasma cells of ≥50% is required to replace M-protein, limited by a baseline bone marrow plasma cell percentage of ≥30%. In addition to the above criteria, a ≥ 50% reduction in the size of the soft tissue plasmacytoma (the sum of the products of the largest vertical diameters (SPD) of the measured lesions) is also required, if present at baseline.
如本文所用之術語「反應時間」或「TTR」係指自治療開始至第一次觀測到部分反應或更佳反應之時間。TTR僅限於具有確認之反應之個體。The term "time to response" or "TTR" as used herein refers to the time from initiation of treatment to the first observation of a partial or better response. TTR is limited to individuals with confirmed responses.
如本文所用之術語「無進展存活期」或「PFS」係指自治療開始至疾病進展或死亡(無論死亡原因如何)之持續時間,疾病進展或死亡以先出現的為準。The term "progression-free survival" or "PFS" as used herein refers to the duration from initiation of treatment to disease progression or death, regardless of the cause of death, whichever occurs first.
如本文所用之術語「反應持續時間」或「DOR」係指自第一次觀測到部分反應至疾病進展及由除進展以外的原因引起之死亡之時間的持續時間。將報告每次完全反應及部分反應之持續時間。DOR僅限於具有確認之反應之個體。出於計算DOR之目的,只要反應已確認,將第一次觀測到反應狀態之日期而非確認日期用作開始日期。The term "duration of response" or "DOR" as used herein refers to the duration from the first observation of a partial response to the time of disease progression and death from causes other than progression. The duration of each complete and partial response will be reported. DOR is limited to individuals with confirmed responses. For the purposes of calculating the DOR, as long as the response has been confirmed, the date of first observation of the response status, rather than the date of confirmation, is used as the start date.
如本文所用,「復發性/難治性」或「R/R」或「RR」多發性骨髓瘤,包括「活動性復發性/難治性」多發性骨髓瘤,係指復發性、難治性或復發性及難治性的多發性骨髓瘤。如本文所用,復發性/難治性多發性骨髓瘤係指在先前療法中已達成最小反應(MR)或更佳反應之患者在療法時或在前次治療之60天內變得無反應或進展的疾病。難治性疾病意謂(1)在前次先前療法時進展之進展性疾病(進展性疾病定義於Kumar等人(2016) Lancet Oncol.17(8):e328–e346)中);(2)穩定疾病對前次先前療法之最佳反應(穩定疾病定義於Kumar等人(2016) Lancet Oncol.17(8):e328-e346中);或(3)在3個月內進展之進展性疾病。復發性疾病需要滿足以下準則中之1者或多者:(1)增加與潛在純系漿細胞增生性病症相關之疾病及/或末端器官功能障礙(CRAB特徵)之直接指標;其不被用於計算進展時間或PFS,而是作為可視情況報告或用於臨床實踐中之內容列出;(2)發展新的軟組織漿細胞瘤或骨病變(骨質疏鬆性骨折不構成進展);(3)現有漿細胞瘤或骨病變之尺寸明確增大;明確增大定義為如藉由可量測病變之SPD連續量測的50% (及≥1 cm)增大;(4)高鈣血症(>11 mg/dL);(5)與療法或其他非骨髓相關病狀不相關之≥2 g/dL之血紅素減少;(6)血清肌酐相對於療法開始升高2 mg/dL或更多且此可歸因於骨髓瘤;及(7)與血清副蛋白質相關之血液高度黏稠。「活動性」係指與例如和緩性多發性骨髓瘤相對的多發性骨髓瘤。多發性骨髓瘤定義於例如Rajkumar等人(2014) Lancet Oncol.15(12):e538-e548中。多發性骨髓瘤在Rajkumar等人(2014)中定義為純系骨髓漿細胞≥10%或切片檢查證實的骨或髓外漿細胞瘤及以下骨髓瘤定義事件中之任一個或多個:(1)可歸因於潛在漿細胞增生性病症之末端器官損傷跡象,特定言之:(i)高鈣血症:血清鈣比正常上限高出>0.25 mmol/L (>1 mg/dL),或>2.75 mmol/L (>11 mg/dL);(ii)腎機能不全:肌酐清除率<40 mL/min或血清肌酐>177 μmol/L (>2 mg/dL);(iii)貧血:血紅素值比正常下限要低>20 g/L,或血紅素值<100 g/L;(iv)骨病變:骨骼放射照相術、CT或PET-CT發現一或多處溶骨性病變;或(2)以下惡性疾病生物標記物中之任一個或多個:(i)純系骨髓漿細胞百分比≥60%;(ii)受累血清游離輕鏈:未受累血清游離輕鏈之比率≥100;(iii) MRI研究發現>1個局灶性病變。 As used herein, "relapsed/refractory" or "R/R" or "RR" multiple myeloma, including "active relapsed/refractory" multiple myeloma, refers to relapsed, refractory or relapsed aggressive and refractory multiple myeloma. As used herein, relapsed/refractory multiple myeloma refers to patients who have achieved a minimal response (MR) or better response to prior therapy become unresponsive or progress on therapy or within 60 days of prior therapy disease. Refractory disease means (1) progressive disease that progressed on previous prior therapy (progressive disease is defined in Kumar et al. (2016) Lancet Oncol. 17(8):e328–e346)); (2) stable Best disease response to previous prior therapy (stable disease is defined in Kumar et al. (2016) Lancet Oncol. 17(8):e328-e346); or (3) Progressive disease progressing within 3 months. Recurrent disease requires fulfilling one or more of the following criteria: (1) Adding direct indicators of disease and/or end-organ dysfunction (CRAB features) associated with the underlying pure-line plasma cell proliferative disorder; it is not used Time to progression or PFS is calculated but listed as a case-by-case report or as used in clinical practice; (2) development of new soft tissue plasmacytoma or bone lesion (osteoporotic fracture does not constitute progression); (3) existing Definite increase in size of plasmacytoma or bone lesion; definite increase is defined as 50% (and ≥ 1 cm) increase as measured serially by SPD of measurable lesion; (4) hypercalcemia (> 11 mg/dL); (5) a decrease in hemoglobin ≥2 g/dL unrelated to therapy or other non-myeloid-related conditions; (6) an increase in serum creatinine of 2 mg/dL or more relative to the start of therapy and This can be attributed to myeloma; and (7) high blood viscosity associated with serum paraproteins. "Active" refers to multiple myeloma as opposed to, eg, indolent multiple myeloma. Multiple myeloma is defined, eg, in Rajkumar et al. (2014) Lancet Oncol. 15(12):e538-e548. Multiple myeloma was defined in Rajkumar et al. (2014) as either ≥10% pureline bone marrow plasma cells or biopsy-proven bone or extramedullary plasmacytoma and any one or more of the following myeloma-defining events: (1) Evidence of end-organ damage attributable to an underlying plasma cell proliferative disorder, specifically: (i) hypercalcemia: serum calcium >0.25 mmol/L (>1 mg/dL) above upper limit of normal, or > 2.75 mmol/L (>11 mg/dL); (ii) renal insufficiency: creatinine clearance <40 mL/min or serum creatinine >177 μmol/L (>2 mg/dL); (iii) anemia: hemoglobin Values >20 g/L lower than the lower limit of normal, or hemoglobin values <100 g/L; (iv) Bone lesions: one or more osteolytic lesions found on skeletal radiography, CT, or PET-CT; or ( 2) Any one or more of the following malignant disease biomarkers: (i) the percentage of pure line bone marrow plasma cells ≥ 60%; (ii) the ratio of free light chains in affected serum: free light chains in unaffected serum ≥ 100; (iii) ) MRI study reveals >1 focal lesion.
如本文所用之「SPEP」或「血清蛋白質電泳」係指用以量測個體血清中之蛋白質(亦稱為M蛋白質)的方式。"SPEP" or "serum protein electrophoresis" as used herein refers to a method used to measure proteins (also known as M proteins) in the serum of an individual.
如本文所用之「M-蛋白質」或「M蛋白質」係指骨髓瘤蛋白質,亦稱為單株蛋白質,其係由骨髓瘤細胞產生的一種類型之蛋白質抗體(或其片段,諸如輕鏈)。血清或尿液中此蛋白質之含量通常用於診斷多發性骨髓瘤及量測疾病進展及/或對療法之反應。 抗 IL-18 抗體 "M-protein" or "M protein" as used herein refers to a myeloma protein, also known as a monoclonal protein, which is a type of protein antibody (or fragment thereof, such as a light chain) produced by myeloma cells. The level of this protein in serum or urine is commonly used to diagnose multiple myeloma and measure disease progression and/or response to therapy. anti -IL-18 antibody
在一些實施例中,用於本文所描述之治療目的的抗IL-18抗體包含CDR序列,且在一些實施例中,包含WO 2012/085015中所揭示之抗體12_GL之重鏈及輕鏈可變區,該專利以全文引用的方式併入本文中。抗體12_GL在本文中稱為抗體A。抗體A係結合並中和IL-18之完全人類IgG1κ單株抗體(mAb)。In some embodiments, anti-IL-18 antibodies used for therapeutic purposes described herein comprise CDR sequences, and in some embodiments, comprise the variable heavy and light chains of antibody 12-GL disclosed in WO 2012/085015 region, which is incorporated herein by reference in its entirety. Antibody 12_GL is referred to herein as Antibody A. Antibody A is a fully human IgG1κ monoclonal antibody (mAb) that binds and neutralizes IL-18.
抗體A在活體外及活體內抑制IL-18/Rα/Rβ活性複合物之形成。抗體A展現63 pM之高親和力,比IL-18之天然抑制劑(IL-18結合蛋白質)要高6倍,且展現減少之Fc結合,由此能實現高效消炎作用。作為完全人類抗體,預期抗體A展現減少之抗藥物抗體(ADA)。抗體A藉由以亞奈莫耳濃度之IC50降低IL-18在各種活體外模型中之作用來展現IL-18中和作用及生物活性,且已證實其在COPD模型(藉由抑制IFN-ɣ自暴露於經感染之NHBE培養基的PBMC釋放而感染人類鼻病毒(HRV)之NHBE細胞)中有效。抗體A已完成13週的IV毒性研究,且在高達每週100 mg/Kg下無毒性。Antibody A inhibits the formation of IL-18/Rα/Rβ active complex in vitro and in vivo. Antibody A exhibited a high affinity of 63 pM, 6-fold higher than the natural inhibitor of IL-18 (IL-18 binding protein), and exhibited reduced Fc binding, thereby enabling highly effective anti-inflammatory effects. As a fully human antibody, Antibody A is expected to exhibit reduced anti-drug antibodies (ADA). Antibody A exhibits IL-18 neutralization and bioactivity by reducing the effect of IL-18 in various in vitro models with an IC50 at sub-nanomore concentrations, and has been shown to be effective in COPD models (by inhibiting IFN-ɣ Effective in human rhinovirus (HRV)-infected NHBE cells released from PBMCs exposed to infected NHBE medium). Antibody A has completed a 13-week IV toxicity study with no toxicity up to 100 mg/Kg per week.
在一些實施例中,抗IL-18抗體包含抗體A之CDR:(a)具有與SEQ ID NO: 122之胺基酸一致或包含該等胺基酸之胺基酸序列的HCDR1;(b)具有與SEQ ID NO: 123之胺基酸一致或包含該等胺基酸之胺基酸序列的HCDR2;(c)具有與SEQ ID NO: 124之胺基酸一致或包含該等胺基酸之胺基酸序列的HCDR3;(d)具有與SEQ ID NO: 126之胺基酸一致或包含該等胺基酸之胺基酸序列的LCDR1;(e)具有與SEQ ID NO: 127之胺基酸一致或包含該等胺基酸之胺基酸序列的LCDR2;及(f)具有與SEQ ID NO: 128之胺基酸一致或包含該等胺基酸之胺基酸序列的LCDR3。In some embodiments, the anti-IL-18 antibody comprises the CDRs of antibody A: (a) HCDR1 having an amino acid sequence identical to or comprising amino acids of SEQ ID NO: 122; (b) HCDR2 having an amino acid sequence consistent with or comprising the amino acids of SEQ ID NO: 123; (c) having an amino acid sequence consistent with or comprising the amino acids of SEQ ID NO: 124 HCDR3 with an amino acid sequence; (d) LCDR1 having an amino acid sequence consistent with or comprising the amino acid of SEQ ID NO: 126; (e) having an amino group with the amino acid of SEQ ID NO: 127 and (f) LCDR3 having an amino acid sequence identical to or comprising the amino acids of SEQ ID NO: 128.
在一些實施例中,抗IL-18抗體包含抗體A VH域(SEQ ID NO: 121),其可與抗體A VL域(SEQ ID NO: 125)配對,由此形成包含抗體A VH及VL域兩者之抗體抗原結合位點。In some embodiments, an anti-IL-18 antibody comprises an Antibody A VH domain (SEQ ID NO: 121), which can be paired with an Antibody A VL domain (SEQ ID NO: 125), thereby forming an antibody comprising an Antibody A VH and VL domain The antibody-antigen combining site of both.
在一些實施例中,抗IL-18抗體係用於本文所描述之偵測/診斷及治療目的。在一個實施例中,用於偵測或診斷目的之抗IL-18抗體不同於用於治療目的之抗體(即使是在同一個體中)。In some embodiments, anti-IL-18 antibodies are used for detection/diagnostic and therapeutic purposes as described herein. In one embodiment, the anti-IL-18 antibody used for detection or diagnostic purposes is different from the antibody used for therapeutic purposes (even in the same individual).
在一些實施例中,可用於治療目的之抗IL-18抗體可包含WO 2012/085015中所揭示之抗體之CDR序列或重鏈及輕鏈可變區,該專利以全文引用之方式併入本文中。本文所提及的WO 2012/085015之抗體包括抗體1、抗體1_GL、抗體2、抗體3、抗體4、抗體5、抗體6、抗體6_GL、抗體7、抗體7_GL、抗體8_GL、抗體9、抗體10、抗體11、抗體11_GL及抗體A。In some embodiments, anti-IL-18 antibodies useful for therapeutic purposes may comprise the CDR sequences or the heavy and light chain variable regions of the antibodies disclosed in WO 2012/085015, which is incorporated herein by reference in its entirety middle. The antibodies of WO 2012/085015 mentioned herein include
可用於治療目的之抗IL-18抗體可替代地包含此項技術中已知之其他抗IL-18抗體之CDR序列(參見例如US6706487、WO 2001/058956、EP 1621616、US 2005/0147610;EP 0 974 600;及WO 0158956)。Anti-IL-18 antibodies useful for therapeutic purposes may alternatively comprise CDR sequences of other anti-IL-18 antibodies known in the art (see for example US6706487, WO 2001/058956, EP 1621616, US 2005/0147610;
抗IL-18抗體可替代地包含US 8,133,978 B2中所揭示之抗體中之任一者的CDR序列或重鏈及輕鏈可變區,該專利以全文引用之方式併入本文中。本文所提及的US 8,133,978 B2之抗體包括US 8,133,978 B2之請求項1至7中所提及之人類化抗IL-18抗體。在一些實施例中,抗IL-18抗體為GSK1070806,其係以高親和力(Kd=30.3 pM)結合至人類IL-18且中和其功能的人類化IgG1/κ抗體。參見例如Reid, P.等人,
Int J Clin Pharmacol Ther.2014年10月;52(10):867-79. doi: 10.5414/CP202087。
Anti-IL-18 antibodies may alternatively comprise the CDR sequences or the heavy and light chain variable regions of any of the antibodies disclosed in US 8,133,978 B2, which is incorporated herein by reference in its entirety. The antibodies of US 8,133,978 B2 mentioned herein include the humanized anti-IL-18 antibodies mentioned in
在一些實施例中,本發明之抗IL-18抗體抑制IL-18與IL-18受體(IL-18R,其包含IL-18Rα/IL-18Rβ)及IL-18BP中之一或兩者之結合且藉此降低IL-18活性。在一些實施例中,抗IL-18抗體可與IL-18分子上之抗原決定基結合,該抗原決定基完全或部分重疊IL-18BP結合位點。In some embodiments, the anti-IL-18 antibodies of the present invention inhibit the interaction between IL-18 and IL-18 receptor (IL-18R, which includes IL-18Rα/IL-18Rβ) and IL-18BP or both. Binds and thereby reduces IL-18 activity. In some embodiments, the anti-IL-18 antibody binds to an epitope on the IL-18 molecule that completely or partially overlaps the IL-18BP binding site.
舉例而言,抗IL-18抗體可特異性結合至IL-18之抗原決定基,其包含人類IL-18之殘基Tyr1、Gly3、Leu5、Glu6、Lys8、Met51、Lys53、Asp54、Ser55、Gln56、Pro57、Arg58、Gly59、Met60、Arg104、Ser105及Pro107或者來自其他物種(例如靈長類動物,諸如恆河獼猴) IL-18之相應殘基中之一或多者。抗IL-18抗體可結合至IL-18抗原決定基,其包含1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16或全部17個選自由人類IL-18之Tyr1、Gly3、Leu5、Glu6、Lys8、Met51、Lys53、Asp54、Ser55、Gln56、Pro57、Arg58、Gly59、Met60、Arg104、Ser105及Pro107組成之群的殘基。For example, an anti-IL-18 antibody can specifically bind to an epitope of IL-18 comprising residues Tyrl, Gly3, Leu5, Glu6, Lys8, Met51, Lys53, Asp54, Ser55, Gln56 of human IL-18 , Pro57, Arg58, Gly59, Met60, Arg104, Ser105 and Pro107 or one or more of the corresponding residues from IL-18 from other species (eg primates such as rhesus macaques). Anti-IL-18 antibodies may bind to IL-18 epitopes comprising 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 or all 17 residues selected from the group consisting of Tyr1, Gly3, Leu5, Glu6, Lys8, Met51, Lys53, Asp54, Ser55, Gln56, Pro57, Arg58, Gly59, Met60, Arg104, Ser105 and Pro107 of human IL-18.
在一些實施例中,可用於本文所描述之方法中的抗IL-18抗體可包含一或多個如本文所描述之CDR,例如包含CDR3,且視情況亦包含CDR1及CDR2,以形成CDR之集合。在一些實施例中,CDR或CDR之集合為抗體1、抗體1_GL、抗體2、抗體3、抗體4、抗體5、抗體6、抗體6_GL、抗體7、抗體7_GL、抗體8_GL、抗體9、抗體10、抗體11、抗體11_GL及抗體A中之任一者之CDR或CDR之集合,或可為如本文所描述之其變異體。In some embodiments, an anti-IL-18 antibody useful in the methods described herein may comprise one or more CDRs as described herein, for example comprising CDR3, and optionally also CDR1 and CDR2, to form a combination of CDRs. gather. In some embodiments, the CDR or set of CDRs is
在一些實施例中:HCDR1可為約7個胺基酸長,包含Kabat殘基31-35b或由其組成;HCDR2可為約16個胺基酸長,包含Kabat殘基50-65或由其組成;HCDR3可為約15個胺基酸長,包含Kabat殘基95-102或由其組成;LCDR1可為約11個胺基酸長,包含Kabat殘基24-34或由其組成;LCDR2可為約7個胺基酸長,包含Kabat殘基50-56或由其組成;及/或LCDR3可為約9個胺基酸長,包含Kabat殘基89-97或由其組成。如此項技術中所知,在重鏈之可變區中,CDR可包括殘基31至35加2個殘基35A及35B之插入。In some embodiments: HCDR1 can be about 7 amino acids long, comprise or consist of Kabat residues 31-35b; HCDR2 can be about 16 amino acids long, comprise or consist of Kabat residues 50-65 Composition; HCDR3 can be about 15 amino acids long, comprise or consist of Kabat residues 95-102; LCDR1 can be about 11 amino acids long, comprise or consist of Kabat residues 24-34; LCDR2 can is about 7 amino acids long, comprises or consists of Kabat residues 50-56; and/or LCDR3 can be about 9 amino acids long, comprises or consists of Kabat residues 89-97. As known in the art, in the variable region of the heavy chain, the CDRs may include the insertion of residues 31 to 35 plus two residues 35A and 35B.
在一些實施例中,抗IL-18抗體包含如表6中所提供之HCDR1、HCDR2及/或HCDR3及/或LCDR1、LCDR2及/或LCDR3 (屬於個別抗體之CDR)。抗IL-18抗體可包含如表6中之抗體中之任一者中所描述之VH。視情況,其亦可包含此等抗體中之任一者之VL。VL可來自與VH相同或不同的抗體。本文亦提供包含表6中所列抗體中之任一者的HCDR之集合的VH域及/或包含表6中所列抗體中之任一者的LCDR之集合的VL域。In some embodiments, the anti-IL-18 antibody comprises HCDR1, HCDR2 and/or HCDR3 and/or LCDR1, LCDR2 and/or LCDR3 (CDRs belonging to individual antibodies) as provided in Table 6. Anti-IL-18 antibodies may comprise a VH as described in any of the antibodies in Table 6. Optionally, it may also comprise the VL of any of these antibodies. VL can be from the same or different antibody as VH. Also provided herein are VH domains comprising the set of HCDRs of any of the antibodies listed in Table 6 and/or VL domains comprising the set of LCDRs of any of the antibodies listed in Table 6.
在一些實施例中,抗IL-18抗體包含具有胺基酸殘基取代之抗體A CDR: (a)具有與SEQ ID NO: 122一致之胺基酸序列或相對於SEQ ID NO: 122包含1、2或3個胺基酸殘基取代的HCDR1;(b)具有與SEQ ID NO: 123一致之胺基酸序列或相對於SEQ ID NO: 123包含1、2、3或4個胺基酸殘基取代的HCDR2;(c)具有與SEQ ID NO: 124一致之胺基酸序列或相對於SEQ ID NO: 124包含1、2、3、4或5個胺基酸殘基取代的HCDR3;(d)具有與SEQ ID NO: 126一致之胺基酸序列或相對於SEQ ID NO: 126包含1、2、3或4個胺基酸殘基取代的LCDR1;(e)具有與SEQ ID NO: 127一致之胺基酸序列或相對於SEQ ID NO: 127包含1、2、3或4個胺基酸殘基取代的LCDR2;及(f)具有與SEQ ID NO: 128一致之胺基酸序列或相對於SEQ ID NO: 128包含1、2、3、4、5、6、7、8或9個胺基酸殘基取代的LCDR3。In some embodiments, the anti-IL-18 antibody comprises an antibody A CDR having amino acid residue substitutions: (a) having an amino acid sequence identical to SEQ ID NO: 122 or comprising 1 relative to SEQ ID NO: 122 , HCDR1 substituted with 2 or 3 amino acid residues; (b) having an amino acid sequence consistent with SEQ ID NO: 123 or comprising 1, 2, 3 or 4 amino acids relative to SEQ ID NO: 123 HCDR2 with residue substitution; (c) HCDR3 having an amino acid sequence identical to SEQ ID NO: 124 or comprising 1, 2, 3, 4 or 5 amino acid residue substitutions relative to SEQ ID NO: 124; (d) LCDR1 having an amino acid sequence consistent with SEQ ID NO: 126 or comprising 1, 2, 3 or 4 amino acid residue substitutions relative to SEQ ID NO: 126; (e) having an amino acid sequence consistent with SEQ ID NO: 126; : 127 identical amino acid sequence or LCDR2 comprising 1, 2, 3 or 4 amino acid residue substitutions relative to SEQ ID NO: 127; and (f) having an amino acid identical to SEQ ID NO: 128 The sequence or LCDR3 comprises 1, 2, 3, 4, 5, 6, 7, 8 or 9 amino acid residue substitutions relative to SEQ ID NO: 128.
在一些實施例中,抗IL-18抗體包含親本抗體之重鏈及/或輕鏈。在一些實施例中,抗IL-18抗體包含表6中所列抗體中之任一者,其在CDR內具有一或多個取代。在一些實施例中,抗IL-18抗體包含表6中所列抗體中之任一者,其在VH及/或VL內具有一或多個取代。舉例而言,本發明之抗體分子可包含抗體1、抗體1_GL、抗體2、抗體3、抗體4、抗體5、抗體6、抗體6_GL、抗體7、抗體7_GL、抗體8_GL、抗體9、抗體10、抗體11、抗體11_GL及抗體A中之任一者,其在VH及/或VL內具有17、16或15個或更少取代,例如14、13、12、11、10、9、8、7、6、5、4、3、2或1個取代。取代可潛在地在任何殘基處進行,包括在CDR之集合內進行。In some embodiments, the anti-IL-18 antibody comprises the heavy chain and/or light chain of a parent antibody. In some embodiments, the anti-IL-18 antibody comprises any of the antibodies listed in Table 6, which have one or more substitutions within the CDRs. In some embodiments, the anti-IL-18 antibody comprises any of the antibodies listed in Table 6 with one or more substitutions within the VH and/or VL. For example, the antibody molecule of the present invention may comprise
通常,VH域與VL域配對以提供抗體抗原結合位點,但如上文所論述,VH或VL域可單獨用於結合抗原。舉例而言,抗體A VH域(SEQ ID NO: 121)可與抗體A VL域(SEQ ID NO: 125)配對,由此形成包含抗體A VH及VL域兩者之抗體抗原結合位點。提供關於本文所揭示之其他抗體之VH及VL域的類似實施例。Typically, a VH domain is paired with a VL domain to provide an antibody antigen binding site, but as discussed above, either a VH or VL domain alone can be used to bind antigen. For example, an Antibody A VH domain (SEQ ID NO: 121) can be paired with an Antibody A VL domain (SEQ ID NO: 125), thereby forming an antibody antigen binding site comprising both Antibody A VH and VL domains. Similar examples are provided for the VH and VL domains of other antibodies disclosed herein.
在其他實施例中,將抗體A VH與除抗體A VL以外的VL域配對。輕鏈混雜係此項技術中充分確立的。同樣,本發明亦提供關於本文所揭示之其他VH及VL域的類似實施例。因此,親本抗體1或最佳化純系抗體1_GL、抗體2、抗體3、抗體4、抗體5、抗體6、抗體6_GL、抗體7、抗體7_GL、抗體8_GL、抗體9、抗體10、抗體11、抗體11_GL及抗體A中之任一者的VH可與來自不同抗體之VL域配對, 例如VH及VL域可來自選自抗體1、抗體1_GL、抗體2、抗體3、抗體4、抗體5、抗體6、抗體6_GL、抗體7、抗體7_GL、抗體8_GL、抗體9、抗體10、抗體11、抗體11_GL及抗體A之不同抗體。In other embodiments, Antibody A VH is paired with a VL domain other than Antibody A VL. Light chain promiscuity is well established in the art. Likewise, the present invention also provides similar embodiments for other VH and VL domains disclosed herein. Therefore,
在一些實施例中,抗IL-18抗體包含VH域及VL域,其中: (i) VH域胺基酸序列展示於SEQ ID NO: 121中且VL域胺基酸序列展示於SEQ ID NO: 125中;(ii)相較於SEQ ID NO: 121,VH域胺基酸序列具有1、2、3、4、5、6、7、8、9、10、11、12、13、14或15個胺基酸取代,且相較於SEQ ID NO: 125,VL域胺基酸序列具有1、2、3、4、5、6、7、8、9、10、11、12或13個胺基酸取代;或(iii) VH域胺基酸序列與SEQ ID NO: 121具有至少80%、至少85%、至少90%或至少95%序列一致性,且VL域胺基酸序列與SEQ ID NO: 125具有至少80%、至少85%、至少90%或至少95%序列一致性。In some embodiments, an anti-IL-18 antibody comprises a VH domain and a VL domain, wherein: (i) the VH domain amino acid sequence is set forth in SEQ ID NO: 121 and the VL domain amino acid sequence is set forth in SEQ ID NO: 125; (ii) compared to SEQ ID NO: 121, the VH domain amino acid sequence has 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 or 15 amino acid substitutions, and compared to SEQ ID NO: 125, the VL domain amino acid sequence has 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 or 13 Amino acid substitutions; or (iii) the VH domain amino acid sequence has at least 80%, at least 85%, at least 90%, or at least 95% sequence identity to SEQ ID NO: 121, and the VL domain amino acid sequence to SEQ ID NO: 121 ID NO: 125 has at least 80%, at least 85%, at least 90%, or at least 95% sequence identity.
在一些實施例中,抗IL-18抗體包含具有與SEQ ID NO: 121之全序列至少90%一致之胺基酸序列的VH域。在一些實施例中,抗IL-18抗體包含具有與SEQ ID NO: 121之全序列一致之胺基酸序列的VH域。在一些實施例中,抗IL-18抗體包含具有與SEQ ID NO: 125之全序列至少90%一致之胺基酸序列的VL域。在一些實施例中,抗IL-18抗體包含具有與SEQ ID NO: 125之全序列一致之胺基酸序列的VL域。在一些實施例中,抗IL-18抗體包含抗體VH域及抗體VL域,其中抗體VH域及抗體VL域之胺基酸序列與SEQ ID NO: 121及125之全序列至少90%一致。In some embodiments, an anti-IL-18 antibody comprises a VH domain having an amino acid sequence at least 90% identical to the entire sequence of SEQ ID NO: 121. In some embodiments, the anti-IL-18 antibody comprises a VH domain having an amino acid sequence identical to the entire sequence of SEQ ID NO: 121. In some embodiments, the anti-IL-18 antibody comprises a VL domain having an amino acid sequence at least 90% identical to the entire sequence of SEQ ID NO: 125. In some embodiments, the anti-IL-18 antibody comprises a VL domain having an amino acid sequence identical to the entire sequence of SEQ ID NO: 125. In some embodiments, the anti-IL-18 antibody comprises an antibody VH domain and an antibody VL domain, wherein the amino acid sequences of the antibody VH domain and the antibody VL domain are at least 90% identical to the entire sequences of SEQ ID NO: 121 and 125.
在一些實施例中,抗IL-18抗體包含重鏈及輕鏈,其包含以下互補決定區(CDR):(a)包含SEQ ID NO: 129之胺基酸的HCDR1;(b)包含SEQ ID NO: 130之胺基酸的HCDR2;(c)包含SEQ ID NO: 131之胺基酸的HCDR3;(d)包含SEQ ID NO: 132之胺基酸的LCDR1;(e)包含SEQ ID NO: 133之胺基酸的LCDR2;及(f)包含SEQ ID NO: 134之胺基酸的LCDR3。In some embodiments, an anti-IL-18 antibody comprises a heavy chain and a light chain comprising the following complementarity determining regions (CDRs): (a) HCDR1 comprising the amino acids of SEQ ID NO: 129; (b) comprising SEQ ID HCDR2 of the amino acid of NO: 130; (c) HCDR3 comprising the amino acid of SEQ ID NO: 131; (d) LCDR1 comprising the amino acid of SEQ ID NO: 132; (e) comprising the amino acid of SEQ ID NO: the LCDR2 of the amino acid of 133; and (f) the LCDR3 comprising the amino acid of SEQ ID NO: 134.
在一些實施例中,本發明之抗IL-18抗體包含:包含以下互補決定區(CDR)之重鏈及輕鏈:(a)具有與SEQ ID NO: 129一致之胺基酸序列或相對於SEQ ID NO: 129包含1、2或3個胺基酸殘基取代的HCDR1;(b)具有與SEQ ID NO: 130一致之胺基酸序列或相對於SEQ ID NO: 130包含1、2、3或4個胺基酸殘基取代的HCDR2;(c)具有與SEQ ID NO: 131一致之胺基酸序列或相對於SEQ ID NO: 131包含1、2、3、4或5個胺基酸殘基取代的HCDR3;(d)具有與SEQ ID NO: 132一致之胺基酸序列或相對於SEQ ID NO: 132包含1、2、3或4個胺基酸殘基取代的LCDR1;(e)具有與SEQ ID NO: 133一致之胺基酸序列或相對於SEQ ID NO: 133包含1、2、3或4個胺基酸殘基取代的LCDR2;及(f)具有與SEQ ID NO: 134一致之胺基酸序列或相對於SEQ ID NO: 134包含1、2、3或4個胺基酸殘基取代的LCDR3。In some embodiments, the anti-IL-18 antibody of the present invention comprises: a heavy chain and a light chain comprising the following complementarity determining regions (CDRs): (a) having an amino acid sequence consistent with SEQ ID NO: 129 or relative to SEQ ID NO: 129 contains 1, 2 or 3 amino acid residues substituted HCDR1; (b) has an amino acid sequence consistent with SEQ ID NO: 130 or contains 1, 2, HCDR2 substituted with 3 or 4 amino acid residues; (c) having an amino acid sequence consistent with SEQ ID NO: 131 or comprising 1, 2, 3, 4 or 5 amine groups relative to SEQ ID NO: 131 Acid residue-substituted HCDR3; (d) have an amino acid sequence consistent with SEQ ID NO: 132 or LCDR1 comprising 1, 2, 3 or 4 amino acid residue substitutions relative to SEQ ID NO: 132; ( E) has an amino acid sequence consistent with SEQ ID NO: 133 or LCDR2 comprising 1, 2, 3 or 4 amino acid residue substitutions relative to SEQ ID NO: 133; and (f) has an amino acid sequence consistent with SEQ ID NO: 133; : 134 consensus amino acid sequence or LCDR3 comprising 1, 2, 3 or 4 amino acid residue substitutions relative to SEQ ID NO: 134.
在一些實施例中,IL-18抗體包含具有與選自由以下組成之群的重鏈一致之胺基酸序列或相對於選自由以下組成之群的重鏈包含1至12個胺基酸殘基取代的重鏈:SEQ ID NO: 137、SEQ ID NO: 145及SEQ ID NO: 149;及具有與選自由以下組成之群的輕鏈一致之胺基酸序列或相對於選自由以下組成之群的輕鏈包含1至12個胺基酸殘基取代的輕鏈:SEQ ID NO: 141及SEQ ID NO: 157。在一些實施例中,抗IL-18抗體進一步包含用在作為CDR來源之供體抗體中所發現之對應殘基取代輕鏈71位處的殘基。在一些實施例中,抗IL-18抗體在輕鏈71位處包含酪胺酸。在一些實施例中,抗IL-18抗體在輕鏈71位處包含苯丙胺酸。In some embodiments, the IL-18 antibody comprises an amino acid sequence identical to or comprising 1 to 12 amino acid residues relative to a heavy chain selected from the group consisting of Substituted heavy chains: SEQ ID NO: 137, SEQ ID NO: 145, and SEQ ID NO: 149; and having an amino acid sequence identical to or relative to a light chain selected from the group consisting of Light chains comprising 1 to 12 amino acid residue substituted light chains: SEQ ID NO: 141 and SEQ ID NO: 157. In some embodiments, the anti-IL-18 antibody further comprises substituting the residue at position 71 of the light chain with the corresponding residue found in the donor antibody from which the CDRs are derived. In some embodiments, the anti-IL-18 antibody comprises a tyrosine at position 71 of the light chain. In some embodiments, the anti-IL-18 antibody comprises a phenylalanine at position 71 of the light chain.
在一個實施例中,抗IL-18抗體包含SEQ ID NO: 137之重鏈及SEQ ID NO: 141之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 145之重鏈及SEQ ID NO: 141之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 149之重鏈及SEQ ID NO: 141之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 137之重鏈及SEQ ID NO: 157之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 145之重鏈及SEQ ID NO: 157之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 149之重鏈及SEQ ID NO: 157之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 137之重鏈及SEQ ID NO: 153之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 145之重鏈及SEQ ID NO: 153之輕鏈。在一個實施例中,抗IL-18抗體包含SEQ ID NO: 149之重鏈及SEQ ID NO: 153之輕鏈。In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 137 and the light chain of SEQ ID NO: 141. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 145 and the light chain of SEQ ID NO: 141. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 149 and the light chain of SEQ ID NO: 141. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 137 and the light chain of SEQ ID NO: 157. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 145 and the light chain of SEQ ID NO: 157. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 149 and the light chain of SEQ ID NO: 157. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 137 and the light chain of SEQ ID NO: 153. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 145 and the light chain of SEQ ID NO: 153. In one embodiment, the anti-IL-18 antibody comprises the heavy chain of SEQ ID NO: 149 and the light chain of SEQ ID NO: 153.
在一些實施例中,抗IL-18抗體可能缺乏抗體恆定區,例如scFv。In some embodiments, an anti-IL-18 antibody may lack an antibody constant region, such as a scFv.
在其他實施例中,抗IL-18抗體可包含抗體恆定區。抗IL-18抗體可為全抗體,諸如IgG,亦即IgG1、IgG2或IgG4,或可為如下文所描述之抗體片段或衍生物。抗體分子亦可具有其他形式,例如在Fc區中具有YTE (Dall'Acqua等人(2002) J. Immunology, 169: 5171-5180;Dall'Acqua等人(2006) J Biol. Chem.281(33):23514-24)及/或TM突變(Oganesyan等人(2008) Acta CrystD64:700-4)之IgG1。 In other embodiments, anti-IL-18 antibodies may comprise antibody constant regions. Anti-IL-18 antibodies may be whole antibodies, such as IgG, ie IgGl, IgG2 or IgG4, or may be antibody fragments or derivatives as described below. Antibody molecules can also have other formats, for example YTE in the Fc region (Dall'Acqua et al. (2002) J. Immunology , 169: 5171-5180; Dall'Acqua et al. (2006) J Biol. Chem. 281(33 ):23514-24) and/or IgG1 with TM mutation (Oganesyan et al. (2008) Acta Cryst D64:700-4).
本發明之另一態樣提供一種包含如本文所描述之抗體抗原結合位點或抗體分子之抗IL-18抗體,其與任何抗體分子競爭結合至IL-18,該抗體分子:(i)結合IL-18且(ii)包含表6中所列之抗體分子、VH及/或VL域、CDR (例如HCDR3)及/或CDR之集合。Another aspect of the invention provides an anti-IL-18 antibody comprising an antibody antigen binding site as described herein or an antibody molecule that competes for binding to IL-18 with any antibody molecule that: (i) binds IL-18 and (ii) comprises an antibody molecule, VH and/or VL domain, CDR (eg HCDR3) and/or a collection of CDRs listed in Table 6.
舉例而言,在一些實施例中,抗IL-18抗體可與包含以下之抗體分子競爭:(i)具有SEQ ID NO. 152之序列的VH域及具有SEQ ID NO. 157之序列的VL域;(ii)具有相較於SEQ ID NO. 152含15個或更少(諸如14、13、12、11、10、9、8、7、6、5、4、3、2或1個)胺基酸取代之序列的VH域;及具有相較於SEQ ID NO. 157含13個或更少(諸如12、11、10、9、8、7、6、5、4、3、2或1個)胺基酸取代之序列的VL域;或(iii)具有分別與SEQ ID NO. 152及SEQ ID NO. 157有至少90%序列一致性之序列的VH域及VL域。For example, in some embodiments, an anti-IL-18 antibody can compete with an antibody molecule comprising: (i) a VH domain having the sequence of SEQ ID NO. 152 and a VL domain having the sequence of SEQ ID NO. 157 (ii) having 15 or less (such as 14, 13, 12, 11, 10, 9, 8, 7, 6, 5, 4, 3, 2 or 1) compared to SEQ ID NO.152 The VH domain of the sequence of amino acid replacement; 1) a VL domain of an amino acid substituted sequence; or (iii) a VH domain and a VL domain having a sequence having at least 90% sequence identity to SEQ ID NO. 152 and SEQ ID NO. 157, respectively.
抗IL-18抗體之間的競爭可易於在活體外分析,例如使用ELISA及/或藉由生物化學競爭分析,諸如將特定報導體分子標記至一個抗IL-18抗體,使其可在一或多種其他未標記之抗IL-18抗體存在下被偵測到,由此能夠鑑別結合同一抗原決定基或重疊抗原決定基之抗IL-18抗體來分析。此類方法為一般熟習此項技術者容易瞭解的且於本文中有較為詳細地描述。Competition between anti-IL-18 antibodies can be readily assayed in vitro, e.g., using ELISA and/or by biochemical competition assays, such as labeling specific reporter molecules to an anti-IL-18 antibody so that it can be used in one or The presence of multiple other unlabeled anti-IL-18 antibodies was detected, thereby enabling the identification of anti-IL-18 antibodies binding to the same epitope or overlapping epitopes for analysis. Such methods are readily apparent to those of ordinary skill in the art and are described in some detail herein.
可根據本發明使用序列在本文中具體揭示的VH及VL域中之任一者的可變域胺基酸序列變異體。Variable domain amino acid sequence variants whose sequences are either of the VH and VL domains specifically disclosed herein may be used in accordance with the invention.
如上文所描述,本發明之態樣提供一種抗IL-18抗體,其包含與本文所列抗體中之任一者的VH域具有至少75%、至少80%、至少85%、至少90%、至少93%、至少95%、至少96%、至少97%、至少98%或至少99%胺基酸序列一致性的VH域,其中VH域序列展示於以下附表6中;及/或包含與本文所列抗體中之任一者的VL域具有至少75%、至少80%、至少85%、至少90%、至少93%、至少95%、至少96%、至少97%、至少98%或至少99%胺基酸序列一致性的VL域,其中VL域序列展示於以下附表6中。As described above, aspects of the invention provide an anti-IL-18 antibody comprising at least 75%, at least 80%, at least 85%, at least 90%, A VH domain with at least 93%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% amino acid sequence identity, wherein the VH domain sequence is shown in the following Appendix Table 6; and/or comprising The VL domain of any one of the antibodies listed herein has at least 75%, at least 80%, at least 85%, at least 90%, at least 93%, at least 95%, at least 96%, at least 97%, at least 98%, or at least VL domains with 99% amino acid sequence identity, wherein the VL domain sequences are shown in Table 6 below.
本發明之態樣提供一種抗IL-18抗體,其包含具有VH CDR之集合的VH域,該VH CDR之集合與本文所列抗體中之任一者的VH CDR之集合具有至少75%、至少80%、至少85%、至少90%、至少93%、至少95%、至少96%、至少97%、至少98%或至少99%胺基酸序列一致性,其中VH CDR序列展示於附表6中;及/或包含具有VL CDR之集合的VL域,該VL CDR之集合與本文所列抗體中之任一者的VL CDR之集合具有至少75%、至少80%、至少85%、至少90%、至少93%、至少95%、至少96%、至少97%、至少98%或至少99%胺基酸序列一致性,其中VL CDR序列展示於附表6中。Aspects of the invention provide an anti-IL-18 antibody comprising a VH domain having a set of VH CDRs at least 75%, at least 80%, at least 85%, at least 90%, at least 93%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% amino acid sequence identity, wherein the VH CDR sequences are shown in Appendix Table 6 and/or comprising a VL domain having a set of VL CDRs that is at least 75%, at least 80%, at least 85%, at least 90% identical to the set of VL CDRs of any of the antibodies listed herein %, at least 93%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% amino acid sequence identity, wherein the VL CDR sequences are shown in Appendix Table 6.
可用於計算兩個胺基酸序列之一致性百分比的演算法為此項技術中已知的且包括例如BLAST [Altschul等人(1990) J. Mol. Biol.215: 405-410]、FASTA[Pearson及Lipman (1988) PNAS USA85: 2444-2448]或史密斯-沃特曼演算法(Smith-Waterman algorithm) [Smith及Waterman (1981) J. Mol Biol.147: 195-197],例如採用預設參數。 醫藥調配物 Algorithms that can be used to calculate the percent identity of two amino acid sequences are known in the art and include, for example, BLAST [Altschul et al. (1990) J. Mol. Biol. 215: 405-410], FASTA [ Pearson and Lipman (1988) PNAS USA 85: 2444-2448] or the Smith-Waterman algorithm [Smith and Waterman (1981) J. Mol Biol. 147: 195-197], e.g. Set parameters. Pharmaceutical formulations
抗IL-18抗體可以醫藥學上可接受之組合物形式投與。在各個實施例中,包含抗IL-18抗體之組合物係以與多種醫藥學上可接受之載劑的調配物形式提供(參見例如Gennaro, Remington: The Science and Practice of Pharmacy with Facts and Comparisons: Drugfacts Plus, 第20版(2003);Ansel等人, Pharmaceutical Dosage Forms and Drug Delivery Systems, 第7版, Lippencott Williams and Wilkins (2004);Kibbe等人, Handbook of Pharmaceutical Excipients, 第3版, Pharmaceutical Press (2000))。可使用各種醫藥學上可接受之載劑,包括媒劑、佐劑及稀釋劑。此外,亦可使用各種醫藥學上可接受之輔助物質,諸如pH調節劑及緩衝劑、張力調節劑、穩定劑、濕潤劑及其類似物。非限制性例示性載劑包括鹽水、緩衝鹽水、右旋糖、水、甘油、乙醇及其組合。 Anti-IL-18 antibodies can be administered in pharmaceutically acceptable compositions. In various embodiments, compositions comprising anti-IL-18 antibodies are provided in formulations with various pharmaceutically acceptable carriers (see, e.g., Gennaro, Remington: The Science and Practice of Pharmacy with Facts and Comparisons: Drugfacts Plus , 20th Edition (2003); Ansel et al., Pharmaceutical Dosage Forms and Drug Delivery Systems , 7th Edition, Lippencott Williams and Wilkins (2004); Kibbe et al., Handbook of Pharmaceutical Excipients , 3rd Edition, Pharmaceutical Press ( 2000)). Various pharmaceutically acceptable carriers can be used, including vehicles, adjuvants, and diluents. In addition, various pharmaceutically acceptable auxiliary substances such as pH adjusters and buffers, tonicity adjusters, stabilizers, wetting agents and the like can also be used. Non-limiting exemplary carriers include saline, buffered saline, dextrose, water, glycerol, ethanol, and combinations thereof.
在各個實施例中,包含抗IL-18抗體之組合物可藉由在水性或非水性溶劑,諸如植物油或其他油、合成脂族酸甘油酯、高級脂族酸酯或丙二醇中溶解、懸浮或乳化來調配成用於注射或輸注;且必要時,與習知添加劑,諸如增溶劑、等張劑、懸浮劑、乳化劑、穩定劑及防腐劑一起調配。在各個實施例中,組合物可例如使用加壓可接受之推進劑,諸如二氯二氟甲烷、丙烷、氮氣及其類似物調配成用於吸入。在各個實施例中,組合物亦可諸如使用可生物降解或不可生物降解聚合物調配成持續釋放型微膠囊。非限制性例示性可生物降解調配物包括聚乳酸-乙醇酸聚合物。非限制性例示性不可生物降解調配物包括聚甘油脂肪酸酯。製備此類調配物之某些方法描述於例如EP 1 125 584 A1中。In various embodiments, the composition comprising anti-IL-18 antibody can be obtained by dissolving, suspending or It is formulated for injection or infusion by emulsification; and, if necessary, formulated with conventional additives such as solubilizers, isotonic agents, suspending agents, emulsifiers, stabilizers and preservatives. In various embodiments, the compositions can be formulated for inhalation, eg, using pressurized acceptable propellants such as dichlorodifluoromethane, propane, nitrogen, and the like. In various embodiments, the composition can also be formulated into sustained-release microcapsules, such as using biodegradable or non-biodegradable polymers. Non-limiting exemplary biodegradable formulations include polylactic-glycolic acid polymers. Non-limiting exemplary non-biodegradable formulations include polyglyceryl fatty acid esters. Certain methods for the preparation of such formulations are described, for example, in
亦提供包含一或多個容器之醫藥包裝及套組,該一或多個容器各自含有一或多次劑量之抗IL-18抗體。在一些實施例中,提供一種單位劑量,其中該單位劑量含有預定量的包含抗IL-18抗體且具有或不具有一或多種額外試劑之組合物。在一些實施例中,此類單位劑量係供應於單次使用預填充注射器中以供注射。在各個實施例中,單位劑量中所含之組合物可包含鹽水、蔗糖或其類似物;緩衝劑,諸如磷酸鹽或其類似物;及/或可在穩定且有效之pH範圍內調配。替代地,在一些實施例中,組合物可呈可在添加適當液體(例如無菌水)時復原之凍乾粉末形式提供。在一些實施例中,組合物包含一或多種抑制蛋白質聚集之物質,包括但不限於蔗糖及精胺酸。在一些實施例中,本發明之組合物包含肝素及/或蛋白聚糖。 用抗 IL-18 抗體治療 Also provided are pharmaceutical packs and kits comprising one or more containers each containing one or more doses of an anti-IL-18 antibody. In some embodiments, a unit dose is provided, wherein the unit dose contains a predetermined amount of a composition comprising an anti-IL-18 antibody, with or without one or more additional agents. In some embodiments, such unit doses are supplied in single-use prefilled syringes for injection. In various embodiments, the compositions contained in the unit dosage may comprise saline, sucrose or the like; buffering agents such as phosphate or the like; and/or may be formulated within a stable and effective pH range. Alternatively, in some embodiments, the composition may be provided as a lyophilized powder that can be reconstituted upon addition of an appropriate liquid, such as sterile water. In some embodiments, the composition includes one or more substances that inhibit protein aggregation, including but not limited to sucrose and arginine. In some embodiments, compositions of the invention comprise heparin and/or proteoglycans. Treatment with anti -IL-18 antibody
在一些實施例中,提供一種治療患有活動性復發性/難治性(R/R)多發性骨髓瘤之個體的方法,其包含向經診斷患有多發性骨髓瘤之人類個體投與有效量之抗IL-18抗體。In some embodiments, there is provided a method of treating an individual with active relapsed/refractory (R/R) multiple myeloma comprising administering to a human individual diagnosed with multiple myeloma an effective amount of anti-IL-18 antibody.
在一些實施例中,儘管先前使用蛋白酶體抑制劑、免疫調節劑及抗CD38抗體療法,該個體仍患有活動性多發性骨髓瘤。例示性蛋白酶體抑制劑包括但不限於硼替佐米(bortezomib)、卡非佐米(carfilzomib)及依薩佐米(ixazomib)。例示性免疫調節劑(immunomodulatory agents;IMiD) (亦稱為免疫調節劑(immunomodulators))包括但不限於沙立度胺(thalidomide)、來那度胺(lenalidomide)及泊利度胺(pomalidomide)。例示性抗CD38抗體包括但不限於達雷木單抗(daratumumab)、達雷木單抗及玻尿酸酶-fihj、以及伊薩妥昔單抗(isatuximab)。In some embodiments, the individual has active multiple myeloma despite prior therapy with proteasome inhibitors, immunomodulators, and anti-CD38 antibodies. Exemplary proteasome inhibitors include, but are not limited to, bortezomib, carfilzomib, and ixazomib. Exemplary immunomodulatory agents (IMiDs) (also known as immunomodulators) include, but are not limited to, thalidomide, lenalidomide, and pomalidomide. Exemplary anti-CD38 antibodies include, but are not limited to, daratumumab, daratumumab and hyaluronidase-fihj, and isatuximab.
在一些實施例中,基於以下中之任一者,個體患有可量測之骨髓瘤:a)大於0.5 g/dL之血清M-蛋白質;大於200 mg/24小時之尿液M-蛋白質;大於10 mg/dL之血清游離輕鏈;及可量測之漿細胞瘤或髓外疾病。In some embodiments, the individual has measurable myeloma based on any of: a) serum M-protein greater than 0.5 g/dL; urinary M-protein greater than 200 mg/24 hours; Serum free light chains greater than 10 mg/dL; and measurable plasmacytoma or extramedullary disease.
在一些實施例中,個體具有0或1分之東部腫瘤協作組體能狀態(ECOG PS)評分。In some embodiments, the individual has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1.
在一些實施例中,個體在篩選訪視之前超過100天曾經歷先前自體造血幹細胞移植。In some embodiments, the individual has undergone prior autologous hematopoietic stem cell transplantation more than 100 days prior to the Screening Visit.
在一些實施例中,個體未在投與抗IL-18抗體之同時投與免疫調節藥物。在一些實施例中,免疫調節藥物係選自全身性糖皮質激素、抗TNFα抗體、抗IL-17抗體、抗IL-12/23抗體、PDE-4抑制劑、JAK抑制劑、IL-6抑制劑、利妥昔單抗、甲胺喋呤、環孢靈及黴酚酸酯。In some embodiments, the individual is not administered an immunomodulatory drug concurrently with the administration of the anti-IL-18 antibody. In some embodiments, the immunomodulatory drug is selected from systemic glucocorticoids, anti-TNFα antibodies, anti-IL-17 antibodies, anti-IL-12/23 antibodies, PDE-4 inhibitors, JAK inhibitors, IL-6 inhibitors drugs, rituximab, methotrexate, cyclosporine, and mycophenolate mofetil.
在一些實施例中,個體具有升高之游離或總血清或骨髓IL-18。在一些實施例中,與未患活動性R/R多發性骨髓瘤之個體相比或與陰性對照相比,個體具有升高之血清或骨髓游離或總IL-18含量。在一些實施例中,抗IL-18抗體係以醫藥學上可接受之組合物形式投與。In some embodiments, the individual has elevated free or total serum or bone marrow IL-18. In some embodiments, the individual has elevated serum or bone marrow free or total IL-18 levels compared to an individual without active R/R multiple myeloma or compared to a negative control. In some embodiments, an anti-IL-18 antibody is administered in a pharmaceutically acceptable composition.
在一些實施例中,血清或骨髓IL-18之含量係在投與抗IL-18抗體之前量測。在一些實施例中,血清或骨髓IL-18之含量係在投與抗IL-18抗體之後量測,作為治療有效性之標誌。在一些實施例中,血清或骨髓IL-18之含量為游離IL-18。在一些實施例中,計算游離IL-18之含量。在一些實施例中,血清或骨髓IL-18之含量為總IL-18。In some embodiments, serum or bone marrow IL-18 levels are measured prior to administration of anti-IL-18 antibodies. In some embodiments, serum or bone marrow IL-18 levels are measured after administration of anti-IL-18 antibodies as a marker of therapeutic effectiveness. In some embodiments, the level of serum or bone marrow IL-18 is free IL-18. In some embodiments, the amount of free IL-18 is calculated. In some embodiments, the serum or bone marrow IL-18 level is total IL-18.
在一些實施例中,將抗IL-18抗體投與至少兩個28天治療週期,其中抗IL-18抗體係在每個28天治療週期之第1天投與。在一些實施例中,抗IL-18抗體以10、30、100、300或1000 mg之劑量投與。在一些實施例中,抗IL-18抗體係以10至30 mg/kg之劑量投與。在一些實施例中,抗IL-18抗體係以0.03、0.1或0.3 mg/kg之劑量投與。在一些實施例中,抗IL-18抗體係以0.01 mg/kg至36 mg/kg之劑量投與。在一些實施例中,抗IL-18抗體係以4 mg/kg之劑量投與。在一些實施例中,抗IL-18抗體係以9 mg/kg之劑量投與。在一些實施例中,抗IL-18抗體係以14 mg/kg之劑量投與。In some embodiments, the anti-IL-18 antibody is administered for at least two 28-day treatment cycles, wherein the anti-IL-18 antibody is administered on
在一些實施例中,抗IL-18抗體係靜脈內投與。在一些實施例中,抗IL-18抗體係皮下投與。In some embodiments, the anti-IL-18 antibody is administered intravenously. In some embodiments, the anti-IL-18 antibody is administered subcutaneously.
在一些實施例中,抗IL-18抗體係每週一次投與。在一些實施例中,抗IL-18抗體係每兩週一次投與。在一些實施例中,抗IL-18抗體係每三週一次投與。在一些實施例中,抗IL-18抗體係每四週一次投與。在一些實施例中,抗IL-18抗體係每五週一次投與。在一些實施例中,抗IL-18抗體係每六週一次投與。在一些實施例中,抗IL18抗體係在28天治療週期之第1天投與。In some embodiments, the anti-IL-18 antibody is administered weekly. In some embodiments, the anti-IL-18 antibody is administered every two weeks. In some embodiments, the anti-IL-18 antibody is administered every three weeks. In some embodiments, the anti-IL-18 antibody is administered every four weeks. In some embodiments, the anti-IL-18 antibody is administered every five weeks. In some embodiments, the anti-IL-18 antibody is administered every six weeks. In some embodiments, the anti-IL18 antibody is administered on
在一些實施例中,抗IL-18抗體係在28天治療週期之第1天以4 mg/kg之劑量投與。在一些實施例中,抗IL-18抗體係在28天治療週期之第1天以9 mg/kg之劑量投與。在一些實施例中,抗IL-18抗體係在28天治療週期之第1天以14 mg/kg之劑量投與。In some embodiments, the anti-IL-18 antibody is administered at a dose of 4 mg/kg on
在一些實施例中,個體為18歲或更大。In some embodiments, the individual is 18 years or older.
在一些實施例中,與護理標準療法相比,投與抗IL-18抗體縮短反應時間(TTR)。在一些實施例中,與護理標準療法相比,投與抗IL-18抗體延長無進展存活期(PFS)。在一些實施例中,與護理標準療法相比,投與抗IL-18抗體延長反應持續時間(DOR)。In some embodiments, administration of an anti-IL-18 antibody shortens time to response (TTR) compared to standard of care therapy. In some embodiments, administration of an anti-IL-18 antibody prolongs progression-free survival (PFS) compared to standard-of-care therapy. In some embodiments, administration of an anti-IL-18 antibody prolongs the duration of response (DOR) compared to standard-of-care therapy.
在一些實施例中,投與抗IL-18抗體使得在兩個或兩個以上28天治療週期之後,根據國際骨髓瘤工作組(IMWG)反應準則,個體達成嚴格意義的完全反應(sCR)。在一些實施例中,投與抗IL-18抗體使得在兩個或兩個以上28天治療週期之後,根據IMWG反應準則,個體達成完全反應(CR)。在一些實施例中,投與抗IL-18抗體使得在兩個或兩個以上28天治療週期之後,根據IMWG反應準則,個體達成極佳的部分反應(VGPR)。在一些實施例中,投與抗IL-18抗體使得在兩個或兩個以上28天治療週期之後,根據IMWG反應準則,個體達成部分反應(PR)。在一些實施例中,投與抗IL-18抗體使得個體達成東部腫瘤協作組體能狀態(ECOG PS)評分之改善。In some embodiments, the anti-IL-18 antibody is administered such that the subject achieves a strict complete response (sCR) according to International Myeloma Working Group (IMWG) response guidelines after two or more 28-day treatment cycles. In some embodiments, the anti-IL-18 antibody is administered such that the subject achieves a complete response (CR) according to IMWG response guidelines after two or more 28-day treatment cycles. In some embodiments, the anti-IL-18 antibody is administered such that the subject achieves a very good partial response (VGPR) according to IMWG response guidelines after two or more 28-day treatment cycles. In some embodiments, the anti-IL-18 antibody is administered such that after two or more 28-day treatment cycles, the subject achieves a partial response (PR) according to IMWG response guidelines. In some embodiments, administration of the anti-IL-18 antibody results in the individual achieving an improvement in Eastern Cooperative Oncology Group Performance Status (ECOG PS) score.
在一些實施例中,如藉由SPEP所量測,投與抗IL-18抗體使得個體達成個體之血清M-蛋白質減少大於或等於90%。在一些實施例中,在投與抗IL-18抗體一或多次(例如28天治療週期)之後,個體達成此類評分。在一些實施例中,投與抗IL-18抗體使得在投與抗IL-18抗體一或多次(例如28天治療週期)之後,如藉由SPEP所量測,個體達成個體之血清M-蛋白質減少大於或等於50%。在一些實施例中,投與抗IL-18抗體使得在投與抗IL-18抗體一或多次(例如28天治療週期)之後,如藉由SPEP所量測,個體達成個體之血清M-蛋白質減少大於或等於25%,且其中在投與抗IL-18抗體一或多次(例如28天治療週期)之後,如藉由SPEP所量測,個體之血清M-蛋白質減少小於或等於49%。在一些實施例中,投與抗IL-18抗體使得在投與抗IL-18抗體一或多次(例如28天治療週期)之後,如藉由SPEP所量測,個體達成個體之血清M-蛋白質減少。在一些實施例中,在投與抗IL-18抗體一或多次(例如28天治療週期)之後,如藉由SPEP所量測,個體之M-蛋白質變穩定。In some embodiments, administration of the anti-IL-18 antibody results in the subject achieving a greater than or equal to 90% reduction in the subject's serum M-protein as measured by SPEP. In some embodiments, the individual achieves such a score following administration of the anti-IL-18 antibody one or more times (eg, a 28-day treatment cycle). In some embodiments, the anti-IL-18 antibody is administered such that after one or more administrations of the anti-IL-18 antibody (e.g., a 28-day treatment cycle), the individual achieves the individual's serum M- Protein reduction greater than or equal to 50%. In some embodiments, the anti-IL-18 antibody is administered such that after one or more administrations of the anti-IL-18 antibody (e.g., a 28-day treatment cycle), the individual achieves the individual's serum M- A reduction in protein of greater than or equal to 25%, and wherein the subject has a reduction in serum M-protein of less than or equal to 49 as measured by SPEP following administration of the anti-IL-18 antibody one or more times (e.g., a 28-day treatment cycle) %. In some embodiments, the anti-IL-18 antibody is administered such that after one or more administrations of the anti-IL-18 antibody (e.g., a 28-day treatment cycle), the individual achieves the individual's serum M- Protein decreased. In some embodiments, following administration of the anti-IL-18 antibody one or more times (eg, a 28-day treatment cycle), the subject's M-protein becomes stable as measured by SPEP.
在一些實施例中,在投與抗IL-18抗體之後約28天,個體具有不可偵測含量之血清IL-18。在一些實施例中,在投與抗IL-18抗體之後約28天,個體具有不可偵測含量之血清游離IL-18。在一些實施例中,在投與第一次劑量之抗IL-18抗體之後約112天,個體具有不可偵測含量之血清IL-18。在一些實施例中,在投與抗IL-18抗體之後約112天,個體具有不可偵測含量之血清游離IL-18。在一些實施例中,在投與抗IL-18抗體之後約28天,個體具有降低之含量之骨髓IL-18。在一些實施例中,在投與抗IL-18抗體之後約112天,個體具有降低之含量之骨髓IL-18。 游離 IL-18 偵測分析 In some embodiments, the individual has undetectable levels of serum IL-18 about 28 days after administration of the anti-IL-18 antibody. In some embodiments, the subject has undetectable levels of serum free IL-18 about 28 days after administration of the anti-IL-18 antibody. In some embodiments, the subject has undetectable levels of serum IL-18 about 112 days after administration of the first dose of the anti-IL-18 antibody. In some embodiments, the subject has undetectable levels of serum free IL-18 about 112 days after administration of the anti-IL-18 antibody. In some embodiments, the individual has reduced levels of bone marrow IL-18 about 28 days after administration of the anti-IL-18 antibody. In some embodiments, the individual has reduced levels of bone marrow IL-18 about 112 days after administration of the anti-IL-18 antibody. Free IL-18 detection analysis
大多數當前可用的分析僅量測總IL-18,其包括與其受體結合之IL-18,包括IL-18bp。總IL-18無法準確反映引起疾病之IL-18含量,該IL-18可為游離的、未結合的IL-18。因此,在方法包括偵測游離IL-18時,可能需要使用單獨量測游離IL-18之分析。替代地,可使用此項技術中已知之公式,基於總IL-18及總IL-18bp濃度資料計算游離IL-18。 套組及製品 Most currently available assays only measure total IL-18, which includes IL-18 bound to its receptors, including IL-18bp. Total IL-18 does not accurately reflect the amount of IL-18 that causes disease, which can be free, unbound IL-18. Therefore, where the method includes the detection of free IL-18, it may be desirable to use an assay that measures free IL-18 alone. Alternatively, free IL-18 can be calculated based on total IL-18 and total IL-18bp concentration data using formulas known in the art. Kits and products
上述方法中之任一者均可經由用於偵測及/或治療與IL-18升高相關之病狀(包括多發性骨髓瘤)的套組實施。套組可含有抗體、一或多種非天然存在之可偵測標記、標記物或報導體、醫藥學上可接受之載劑、生理上可接受之載劑、使用說明書、容器、投與容器、分析受質或其任何組合。Any of the above methods can be practiced by a kit for detecting and/or treating conditions associated with elevated IL-18, including multiple myeloma. A kit may contain an antibody, one or more non-naturally occurring detectable labels, markers or reporters, a pharmaceutically acceptable carrier, a physiologically acceptable carrier, instructions for use, a container, an administration container, Analyze substrates or any combination thereof.
在一些實施例中,套組係用於偵測生物樣品中之IL-18之方法中。其可含有抗IL-18抗體及用於進行該方法之試劑。In some embodiments, the kit is used in a method of detecting IL-18 in a biological sample. It may contain anti-IL-18 antibodies and reagents for performing the method.
在一些實施例中,套組係用於偵測來自患有或疑似患有多發性骨髓瘤之個體之生物樣品中之IL-18的方法中。其可含有抗IL-18抗體及用於進行該方法之試劑。In some embodiments, the kit is used in a method of detecting IL-18 in a biological sample from an individual having or suspected of having multiple myeloma. It may contain anti-IL-18 antibodies and reagents for performing the method.
在一些實施例中,套組係用於偵測來自個體之生物樣品中升高之IL-18的方法中,視情況其中該個體疑似患有多發性骨髓瘤,且亦用於在診斷後藉由投與有效量之抗IL-18抗體來治療個體。其可含有抗IL-18抗體及用於進行該方法之試劑。In some embodiments, the kit is for use in a method of detecting elevated IL-18 in a biological sample from an individual, optionally where the individual is suspected of having multiple myeloma, and also for use after diagnosis by The subject is treated by administering an effective amount of an anti-IL-18 antibody. It may contain anti-IL-18 antibodies and reagents for performing the method.
在一些實施例中,用於偵測及/或治療方法之套組包含附接有抗IL-18抗體試劑之固相。在一些實施例中,用於偵測及/或治療方法之套組包含將附接來源於生物樣品之IL-18的固相。In some embodiments, a kit for use in a method of detection and/or treatment comprises a solid phase to which an anti-IL-18 antibody reagent is attached. In some embodiments, a kit for use in a method of detection and/or treatment comprises a solid phase to which IL-18 derived from a biological sample will be attached.
用於本發明之套組中之固相包括但不限於微量盤、磁性粒子、用於免疫層析之濾紙、聚合物(諸如聚苯乙烯)、玻璃珠、玻璃過濾器及其他不溶性載體。在一個實施例中,含有許多隔室或區域之固體基板具有至少一個塗佈有本發明抗體之隔室。Solid phases for use in kits of the present invention include, but are not limited to, microtiter plates, magnetic particles, filter paper for immunochromatography, polymers such as polystyrene, glass beads, glass filters, and other insoluble supports. In one embodiment, a solid substrate containing many compartments or regions has at least one compartment coated with an antibody of the invention.
本發明之套組亦可包括除診斷劑抗IL-18抗體外之另一組分。該另一組分可包括但不限於試劑、用於標記之酶、其對應受質、放射性同位素、反光物質、螢光物質、有色物質、緩衝溶液及盤,以及上文所提及者。 實例 The kit of the present invention may also include another component in addition to the diagnostic agent anti-IL-18 antibody. The other components may include, but are not limited to, reagents, enzymes for labeling, their corresponding substrates, radioactive isotopes, reflective substances, fluorescent substances, colored substances, buffer solutions, and discs, as mentioned above. example
提供以下實例以說明某些所揭示之實施例且不應將其理解為以任何方式限制本發明之範圍。在下文論述之實例中,「抗體A」係指抗IL-18抗體,其中抗IL-18抗體包含以下六個CDR:具有SEQ ID NO: 122之胺基酸序列的重鏈CDR;具有SEQ ID NO: 123之胺基酸序列的重鏈CDR;具有SEQ ID NO: 124之胺基酸序列的重鏈CDR;具有SEQ ID NO: 126之胺基酸序列的輕鏈CDR;具有SEQ ID NO: 127之胺基酸序列的輕鏈CDR;及具有SEQ ID NO: 128之胺基酸序列的輕鏈CDR。在一些實施例中,抗體A具有含SEQ ID NO: 121之胺基酸序列的可變重鏈(VH)及含SEQ ID NO: 125之胺基酸序列的可變輕鏈(VL)。 實例 1- 在患有復發性 / 難治性多發性骨髓瘤之個體中進行的抗體 A 之多中心、開放標記、劑量遞增 1b 期研究 實例 1.1- 研究目標 The following examples are provided to illustrate certain disclosed embodiments and should not be construed as limiting the scope of the invention in any way. In the examples discussed below, "antibody A" refers to an anti-IL-18 antibody, wherein the anti-IL-18 antibody comprises the following six CDRs: a heavy chain CDR having the amino acid sequence of SEQ ID NO: 122; NO: The heavy chain CDR of the amino acid sequence of 123; Have the heavy chain CDR of the amino acid sequence of SEQ ID NO: 124; Have the light chain CDR of the amino acid sequence of SEQ ID NO: 126; Have SEQ ID NO: a light chain CDR having an amino acid sequence of 127; and a light chain CDR having an amino acid sequence of SEQ ID NO: 128. In some embodiments, antibody A has a variable heavy chain (VH) comprising the amino acid sequence of SEQ ID NO: 121 and a variable light chain (VL) comprising the amino acid sequence of SEQ ID NO: 125. Example 1 - A Multicenter, Open Label, Dose Escalation Phase 1b Study of Antibody A in Individuals with Relapsed / Refractory Multiple Myeloma Example 1.1 - Study Objectives
本研究之主要目標係測定在患有復發性/難治性(R/R)多發性骨髓瘤之個體中抗體A之建議2期試驗劑量(recommended Phase 2 dose,RP2D)。RP2D可基於安全性發現(例如基於劑量限制性毒性[DLT]之發現)、PK發現及/或藥效學(PD)發現。The primary objective of this study was to determine the recommended
本研究之次要目標為:評定抗體A在R/R多發性骨髓瘤中之安全性型態;評定抗體A之PK型態;基於國際骨髓瘤工作組(IMWG)反應準則評定抗體A之抗骨髓瘤活性;測定抗體A之ADA發生率;以及測定反應時間(TTR)、無進展存活期(PFS)及反應持續時間(DOR)。The secondary objectives of this study are: to assess the safety profile of Antibody A in R/R multiple myeloma; to assess the PK profile of Antibody A; Myeloma activity; determination of ADA incidence for Antibody A; and determination of time to response (TTR), progression free survival (PFS) and duration of response (DOR).
探索性目標係評定抗體A對血清IL-18含量及其他發炎性生物標記物(發炎MAP分析)以及骨髓中IL-18含量(將在相同時間點評估溶解之B細胞成熟抗原(solubilized B cell maturation antigen,sBCMA)含量)的影響,以及評定抗體A對骨髓及末梢血液骨髓衍生抑制細胞含量的影響。 實例 1.2- 研究設計 總體研究設計及計劃 Exploratory objectives were to assess the effect of Antibody A on serum IL-18 levels and other inflammatory biomarkers (inflammation MAP assay) as well as IL-18 levels in bone marrow (solubilized B cell maturation antigen will be assessed at the same time points Antigen, sBCMA) content), and assess the impact of antibody A on bone marrow and peripheral blood myeloid-derived suppressor cell content. Example 1.2 - Study Design Overall Study Design and Plan
此為在患有R/R多發性骨髓瘤之個體中進行之多中心、開放標記、劑量遞增、分組序貫1b期臨床研究。試驗利用「3+3」設計。最初,以4 mg/kg之初始劑量開始,在每種劑量下登記三名個體。若未發生DLT,則將遞增至下一組。若發生1例DLT,則該組將擴增至6名個體。若未發生其他DLT,則將遞增至下一劑量。若初始的3名個體中發生2例DLT,或在有6名個體之擴增組中發生2例DLT,則已超過最大耐受劑量且劑量遞增將停止。在觀測到DLT之劑量之前的劑量將隨後作為RP2D。This is a multicenter, open-label, dose-escalation, arm-sequential phase 1b clinical study in individuals with R/R multiple myeloma. The trial utilized a "3+3" design. Initially, starting with an initial dose of 4 mg/kg, three subjects were enrolled at each dose. If no DLT occurs, it will be incremented to the next group. If 1 DLT occurs, the group will be expanded to 6 individuals. If no other DLT occurs, it will be escalated to the next dose. If 2 DLTs occur in the initial 3 individuals, or 2 DLTs in the expansion group of 6 individuals, the maximum tolerated dose has been exceeded and dose escalation will be stopped. Doses prior to those at which DLTs are observed will then serve as RP2Ds.
個體必須≥18歲,且患有活動性R/R多發性骨髓瘤。個體必須患有可量測之骨髓瘤;東部腫瘤協作組體能狀態(ECOG PS)評分為0或1分;充分的造血功能、腎功能及肝功能;且對於先前曾經歷自體造血幹細胞移植之個體,必須在篩選訪視之前已過去超過100天。Subjects must be ≥18 years of age with active R/R multiple myeloma. Subjects must have measurable myeloma; Eastern Cooperative Oncology Group performance status (ECOG PS) score of 0 or 1; adequate hematopoietic, renal, and hepatic function; and for those who have previously undergone autologous hematopoietic stem cell transplantation Individuals, more than 100 days must have passed prior to the screening visit.
若個體當前患有需要使用全身性抗微生物療法之活動性感染、接受超過6種先前治療方案(用於劑量擴增期)、在使用研究藥物之2週內(對於亞硝基脲、美法侖(melphalan)或單株抗體,在4週內)接受過皮質類固醇(>10毫克/天之普賴松(prednisone)或等效物)或化學療法、在進入研究之1年內曾患另一有高復發機率之惡性疾病、患有將干擾研究評估之進行的任何臨床上顯著之醫學病狀、懷孕或處於哺乳期、先前曾用抗IL-18抗體治療或具有臨床上顯著之異常實驗室發現,則個體將不符合條件。If the subject currently has an active infection requiring systemic antimicrobial therapy, has received more than 6 prior treatment regimens (for the dose expansion phase), and is within 2 weeks of using the study drug (for nitrosourea, melphalan or monoclonal antibody within 4 weeks) received corticosteroids (>10 mg/day prednisone or equivalent) or chemotherapy, had another disease within 1 year of entry into the study A malignant disease with a high probability of recurrence, suffering from any clinically significant medical condition that will interfere with the conduct of the study assessment, pregnant or breast-feeding, previously treated with anti-IL-18 antibodies, or having clinically significant abnormalities room discovery, the individual will not be eligible.
抗體A將在且已在每個28天治療週期之第1天藉由IV輸注以4、9或14 mg/kg之劑量經1小時投與,直至出現疾病進展或毒性。亦可基於安全性審查委員會(safety review committee,SRC)之建議來探索中間劑量。Antibody A will be administered by IV infusion at doses of 4, 9, or 14 mg/kg over 1 hour on
所有個體將進行且已進行不良事件(AE)監測,且將進行且已確實進行身體檢查、ECOG狀態檢查、心電圖(ECG)及常規安全性實驗室測試以描述抗體A之安全性型態。將藉由IMWG反應準則確定功效。抗體A之PK將基於在投與後各個時間點獲得的血清含量,且PD將基於亦在投與抗體A後各個時間點獲得的血清IL-18含量及其他發炎性標記物(發炎MAP分析)。將在相同時間點量測sBCMA含量。在所選部位投與抗體A之後,將分析骨髓及末梢血液骨髓衍生抑制細胞之含量。All subjects will undergo and have undergone adverse event (AE) monitoring and will have and have undergone a physical examination, ECOG status check, electrocardiogram (ECG) and routine safety laboratory testing to characterize the safety profile of Antibody A. Efficacy will be determined by IMWG response criteria. The PK of Antibody A will be based on serum levels obtained at various time points after administration and the PD will be based on serum IL-18 levels and other inflammatory markers also obtained at various time points after Antibody A administration (MAP analysis of inflammation) . sBCMA levels will be measured at the same time points. Following administration of Antibody A at selected sites, bone marrow and peripheral blood will be analyzed for the content of myeloid-derived suppressor cells.
由於除疾病進展以外之原因而中斷研究之個體將需要每30天進行一次隨訪,直至記錄疾病進展或起始對其疾病之新療法。一旦記錄到疾病進展或起始新療法,則個體將進入研究之存活期隨訪階段中。Individuals who discontinue the study for reasons other than disease progression will require follow-up visits every 30 days until disease progression is documented or a new therapy for their disease is initiated. Once disease progression is documented or new therapy initiated, subjects will enter the survival phase of the study.
所有個體將必須在研究藥物之最後一次劑量之後30天到現場進行隨訪。將在最後一次劑量後60天進行電話隨訪。在研究藥物之最後一次劑量之後,將每3個月對所有個體進行一次存活期隨訪,持續1年時段。後續療法資訊及存活資訊將經由電話聯繫收集。All subjects will have to come to the site for a follow-up visit 30 days after the last dose of study drug. A follow-up telephone call will be conducted 60 days after the last dose. Following the last dose of study drug, all subjects will be followed up for survival every 3 months for a period of 1 year. Follow-up therapy information and survival information will be collected via telephone contact.
建議2期試驗劑量之定義Definition of
RP2D可為在觀測到DLT之劑量之前的劑量。RP2D可基於安全性發現(例如基於DLT之發現)、PK發現及/或PD發現。RP2D may be the dose prior to the dose at which DLT is observed. RP2D may be based on security discovery (eg, DLT-based discovery), PK discovery, and/or PD discovery.
劑量限制性毒性之定義Definition of dose-limiting toxicity
若以下AE發生在第1週期內(在第一次劑量之28天內)且認為與抗體A治療相關,則將其視為DLT:任何非血液學AE等級≥3;持續>7天之發熱性嗜中性球減少或4級嗜中性球減少;持續>7天的4級血小板減少,或3級或4級血小板減少伴有臨床顯著出血;任何導致第2週期之開始延遲的AE。The following AEs were considered DLTs if they occurred within Cycle 1 (within 28 days of the first dose) and were considered related to Antibody A treatment: any non-hematologic AE grade ≥3; fever lasting >7 days Neutropenia or
研究設計之論述Discussion of Research Design
此劑量遞增研究將測定在患有R/R多發性骨髓瘤之個體中經由IV輸注投與之抗體A的RP2D。RP2D將基於此研究之安全性(DLT)、PK及/或PD發現來測定。研究將使用「3+3」劑量遞增設計,該設計係用於劑量遞增研究之常用設計,且其將次治療劑量之暴露降至最少以及使潛在毒性、較高劑量之暴露降至最少。劑量限制性毒性將包括任何≥3級之AE,對於該等AE,除了抗體A在療法之前28天內出現之作用以外,不存在其他解釋。測定RP2D之後,可開放擴增組。 納入準則 This dose escalation study will determine the RP2D of Antibody A administered via IV infusion in individuals with R/R multiple myeloma. RP2D will be determined based on safety (DLT), PK and/or PD findings from this study. The study will use a "3+3" dose escalation design, which is a commonly used design for dose escalation studies and which minimizes exposure to subtherapeutic doses and minimizes exposure to potentially toxic, higher doses. Dose-limiting toxicities will include any Grade ≥ 3 AE for which there is no explanation other than the effect of Antibody A occurring within 28 days prior to therapy. After determining RP2D, the expansion set can be opened. inclusion criteria
個體必須滿足以下要求以符合研究條件: 1. 個體患有活動性R/R多發性骨髓瘤。 2. 基於以下任一者,個體患有可量測之骨髓瘤: a. 血清M-蛋白質>0.5 g/dL b. 尿液M-蛋白質>200 mg/24小時 c. 血清游離輕鏈(FLC) >10 mg/dL d. 可量測之漿細胞瘤或髓外疾病 3. 儘管先前使用蛋白酶體抑制劑、免疫調節劑及抗CD38抗體療法,個體仍患有活動性骨髓瘤。 4. 個體之ECOG PS評分為0或1分。 5. 個體≥18歲。 6. 個體具有充分的造血功能、腎功能及肝功能,定義為: a. 在具有<50%骨髓受累之患者中,絕對嗜中性球計數>1,000/μL;血小板計數>75,000/μL b. 在具有≥50%骨髓受累之患者中,絕對嗜中性球計數>750/μL;血小板計數>50,000/μL c. 血清肌酐<2.5 mg/dL或根據科克羅夫特-高爾特公式(Cockcroft-Gault equation)計算肌酐清除率>30 mL/min d. 天冬胺酸轉胺酶/丙胺酸轉胺酶<3×正常上限(ULN)且總膽紅素<2×ULN 7. 若適用,則個體在篩選訪視之前超過100天曾經歷先前自體造血幹細胞移植。 8. 有異性戀活動的具有生育可能之女性患者及有具有生育可能之女性性伴侶的男性患者必須同意使用有效的避孕方法(例如口服避孕藥;雙屏障方法,諸如避孕套及子宮隔膜;子宮內裝置)或在研究期間及在研究藥物之最後一次劑量之後220天(5個半衰期)內避免性活動,或在參與研究期間避免性交。沒有生育可能之女性係已經歷雙側卵巢切除術或絕經後(定義為連續12個月不存在月經週期)之女性。 9. 個體已提供關於此研究之書面知情同意書。 排除準則 Subjects must meet the following requirements to be eligible for the study: 1. Subject has active R/R multiple myeloma. 2. Subject has measurable myeloma based on any of the following: a. Serum M-protein > 0.5 g/dL b. Urine M-protein > 200 mg/24 hours c. Serum free light chain (FLC ) >10 mg/dL d. Measurable plasmacytoma or extramedullary disease 3. Individual has active myeloma despite prior therapy with proteasome inhibitors, immunomodulators, and anti-CD38 antibodies. 4. The individual's ECOG PS score is 0 or 1. 5. Subject ≥ 18 years old. 6. Individuals with adequate hematopoietic, renal, and hepatic function defined as: a. Absolute neutrophil count >1,000/μL; platelet count >75,000/μL in patients with <50% bone marrow involvement b. In patients with ≥50% bone marrow involvement, absolute neutrophil count >750/μL; platelet count >50,000/μL c. Serum creatinine <2.5 mg/dL or according to the Cockcroft-Galter formula ( Cockcroft-Gault equation) calculated creatinine clearance >30 mL/min d. Aspartate transaminase/alanine transaminase <3 × upper limit of normal (ULN) and total bilirubin <2 × ULN 7. If applicable , the individual had undergone a prior autologous hematopoietic stem cell transplant more than 100 days prior to the Screening Visit. 8. Heterosexually active female patients of childbearing potential and male patients with female sexual partners of childbearing potential must agree to use effective methods of contraception (e.g. oral contraceptives; double barrier methods such as condoms and diaphragms; uterine internal device) or abstain from sexual activity during the study and for 220 days (5 half-lives) after the last dose of study drug, or abstain from sexual intercourse while participating in the study. Infertile women were women who had undergone bilateral oophorectomy or were postmenopausal (defined as the absence of menstrual cycles for 12 consecutive months). 9. Individuals have provided written informed consent for this study. exclusion criteria
以下準則中之任一者之存在將個體自研究排除: 1. 個體當前患有需要使用全身性抗微生物療法之活動性感染。 2. 劑量擴增期:個體已接受超過6種先前治療方案。 3. 個體在研究藥物2週內(對於亞硝基脲、美法侖或單株抗體,在4週內)曾接受皮質類固醇(>10毫克/天之普賴松或等效物)或化學療法。 4. 個體患有血液高度黏稠症候群。 5. 個體之骨髓瘤累及中樞神經系統,包括軟腦膜受累。 6. 個體被判定有即將發生骨折之風險。 7. 個體患有已知之澱粉樣變性或POEMS (多發性神經病、內臟增大、內分泌病、單株蛋白質、皮膚變化)症候群。 8. 個體在進入研究之1年內曾患另一有高復發機率之惡性疾病。 9. 個體懷孕或處於哺乳期。 10. 個體具有B型肝炎、未經治療之C型肝炎或人類免疫缺乏病毒(HIV)病史或陽性測試結果。患有C型肝炎、已接受完整療程之抗病毒療法或目前正接受抗病毒療法且C型肝炎RNA之含量不可偵測的個體符合試驗條件。 11. 個體在進入研究之4週內曾經歷重大手術或創傷。 12. 個體先前曾用抗IL-18抗體治療。 13. 個體當前正服用免疫調節藥物,包括藥理學劑量之全身性糖皮質激素(>10毫克/天普賴松或等效物)、抗TNFα抗體、抗IL-17抗體、抗IL-12/23抗體、磷酸二酯酶-4 (PDE-4)抑制劑、詹納斯激酶(janus kinase;JAK)抑制劑、IL-6抑制劑、利妥昔單抗、甲胺喋呤、環孢靈、黴酚酸酯。 14. 患有已知活動性自體免疫性病症之個體,包括但不限於類風濕性關節炎、狼瘡、全身性硬化症、休格倫氏症候群(Sjogren's syndrome)、牛皮癬性關節炎、潰瘍性結腸炎、克羅恩氏病(Crohn's disease)、血管炎、多發性硬化症。服用穩定劑量之替代激素療法的患有自體免疫性內分泌病之個體符合試驗條件。 15. 個體先前曾經歷同種異體移植。 16. 個體在篩選訪視之前6個月內患有紐約心臟協會(New York Heart Association;NYHA) III級或IV級充血性心臟衰竭(Congestive Heart Failure;CHF)、心肌梗塞或急性冠狀動脈症候群;持續性心絞痛;嚴重末梢血管疾病;或可能干擾個體參與試驗或對研究資料之解釋的任何其他併發之醫學病症。 17. 個體具有會干擾個體參與或配合試驗要求之精神病、藥物濫用或社會狀況。 18. 個體已知對抗體A之任何組分過敏。 篩選失敗 The presence of any of the following criteria excluded subjects from the study: 1. Subjects currently have active infections requiring the use of systemic antimicrobial therapy. 2. Dose Expansion Phase: Subject has received more than 6 previous treatment regimens. 3. Individuals who have received corticosteroids (>10 mg/day presone or equivalent) or chemical therapy. 4. The individual suffers from hyperviscosity syndrome. 5. Individuals with myeloma involving the central nervous system, including leptomeningeal involvement. 6. Individuals judged to be at risk of imminent fracture. 7. The individual suffers from known amyloidosis or POEMS (polyneuropathy, visceral enlargement, endocrinopathy, monoclonal protein, skin changes) syndrome. 8. Individuals have suffered from another malignant disease with a high probability of recurrence within 1 year of entering the study. 9. Subject is pregnant or breastfeeding. 10. Subject has a history or positive test result of hepatitis B, untreated hepatitis C, or human immunodeficiency virus (HIV). Individuals with hepatitis C, who have received a full course of antiviral therapy, or who are currently receiving antiviral therapy and have undetectable levels of hepatitis C RNA are eligible for the trial. 11. The individual has experienced major surgery or trauma within 4 weeks of entering the study. 12. Subject has been previously treated with anti-IL-18 antibody. 13. The individual is currently taking immunomodulatory drugs, including pharmacological doses of systemic glucocorticoids (>10 mg/day presone or equivalent), anti-TNFα antibodies, anti-IL-17 antibodies, anti-IL-12/ 23 antibodies, phosphodiesterase-4 (PDE-4) inhibitors, Janus kinase (JAK) inhibitors, IL-6 inhibitors, rituximab, methotrexate, cyclosporine , mycophenolate mofetil. 14. Individuals with known active autoimmune disorders, including but not limited to rheumatoid arthritis, lupus, systemic sclerosis, Sjogren's syndrome, psoriatic arthritis, ulcerative Colitis, Crohn's disease, vasculitis, multiple sclerosis. Individuals with autoimmune endocrinopathies taking stable doses of replacement hormone therapy were eligible for the trial. 15. Subject has previously undergone an allogeneic transplant. 16. The individual suffered from New York Heart Association (New York Heart Association; NYHA) class III or IV congestive heart failure (Congestive Heart Failure; CHF), myocardial infarction or acute coronary syndrome within 6 months before the screening visit; Persistent angina; severe peripheral vascular disease; or any other concurrent medical condition that may interfere with the individual's participation in the trial or interpretation of the research data. 17. The individual has mental illness, drug abuse or social conditions that would interfere with the individual's participation in or cooperation with the test requirements. 18. Subject has known allergy to any component of Antibody A. Screening failed
不滿足納入及/或排除準則之個體可在醫學監查者預先批准之情況下重新篩選一次以進行研究。在重新篩選之情況下,第一次篩選訪視將作為篩選訪視輸入電子病例報告表(eCRF),而重複評定將作為非預定訪視輸入eCRF。 個體提前退出 Individuals who do not meet the inclusion and/or exclusion criteria may be re-screened for the study with pre-approval by the medical monitor. In the case of re-screening, the first screening visit will be entered into the electronic case report form (eCRF) as a screening visit, and repeat assessments will be entered into the eCRF as an unscheduled visit. individual early exit
所有個體將被告知其可在任何時間、出於任何原因且在無損失之情況下自由退出參與此研究。研究者應進行每一合理的嘗試以使個體留在研究中;然而,若個體撤銷參與同意書,則個體必須自研究中退出。研究者必須嘗試以電話或其他手段聯繫未參加預定訪視之個體,以排除AE成為退出原因之可能性。若正是此原因,則該AE必須記錄、報告及追蹤。All subjects will be informed that they are free to withdraw from this study at any time for any reason without loss. The investigator should make every reasonable attempt to keep the individual in the study; however, if the individual withdraws consent to participate, the individual must withdraw from the study. Investigators must attempt to contact individuals who did not attend scheduled visits by telephone or other means to rule out the possibility that AEs were the reason for withdrawal. If this is the reason, the AE must be documented, reported and tracked.
試驗委託者保留因方案偏離或其他原因而要求個體退出的權利。The trial commissioner reserves the right to ask individuals to withdraw due to protocol deviation or other reasons.
研究者亦有權在任何時間出於任何原因要求個體自研究中退出。若個體在完成研究之前退出,則應如評定時間表(表1)中所指示對個體進行隨訪。退出之原因必須由研究者確定且記錄在個體之醫療記錄及病例報告表(CRF)中。若個體出於超過1個原因退出,則每個原因均應記錄在源文件中且臨床上最相關之原因應輸入至CRF中。The investigator also reserves the right to withdraw an individual from the study at any time for any reason. If an individual withdraws before completing the study, the individual will be followed up as indicated in the assessment schedule (Table 1). The reason for withdrawal must be determined by the investigator and recorded in the individual's medical records and case report form (CRF). If an individual withdraws for more than 1 reason, each reason should be documented in the source document and the most clinically relevant reason should be entered into the CRF.
中斷研究之原因包括但不限於: • 骨髓瘤進展 • 不良事件 • 對禁止之伴隨用藥之需求 • 嚴重方案偏離 • 研究者出於個體之最佳利益而使其退出 • 個體退出 • 失訪 • 其他原因。若選擇其他原因,則研究者必須於CRF中詳細說明該原因。 個體替換準則 Reasons for study discontinuation include, but are not limited to: • Myeloma progression • Adverse events • Need for prohibited concomitant medications • Serious protocol deviation • Investigator withdrawal in the best interest of the individual • Subject withdrawn • Lost to follow-up • Other reason. If other reasons are selected, the investigator must specify the reason in the CRF. Individual Replacement Criterion
在第一個治療週期期間出於除DLT以外之原因自研究中退出之個體可被替換。
表 1 : 評定時間表
抗體A係在3 mL單次使用玻璃小瓶中以凍乾粉末形式提供。每個小瓶含有50 mg抗體A且用1.2 mL注射用水復原。將適量經復原之抗體A再在生理鹽水中稀釋且經1小時輸注。在每個28天治療週期之第1天藉由靜脈內輸注投與4 mg/kg (最大劑量300 mg)、9 mg/kg (相對於先前無變化)或14 mg/kg (最大劑量1000 mg;相對於先前無變化)劑量之抗體A,直至出現疾病進展或毒性。亦可基於SRC之建議來探索中間劑量。
投與之治療 Antibody A is supplied as a lyophilized powder in a 3 mL single-use glass vial. Each vial contained 50 mg of Antibody A and was reconstituted with 1.2 mL of Water for Injection. An appropriate amount of reconstituted Antibody A was then diluted in saline and infused over 1 hour. Administer 4 mg/kg (
符合條件的個體將在每個28天治療週期之第1天經由1小時靜脈內輸注接受4 mg/kg (最大劑量300 mg)、9 mg/kg (相對於先前無變化)或14 mg/kg (最大劑量1000 mg;相對於先前無變化)劑量之抗體A,直至出現疾病進展或毒性。
盲法及非盲法治療分配 Eligible individuals will receive 4 mg/kg (
此為開放標記研究。 研究中之劑量選擇 This is an open label study. Dose selection in studies
此研究將使用在每個28天治療週期之第1天投與的4、9及14 mg/kg劑量。
劑量調整準則 This study will use doses of 4, 9 and 14 mg/kg administered on
在此研究中不計劃對單獨個體進行劑量調整。 先前療法 Dose adjustments for individual subjects are not planned in this study. previous therapy
先前療法包括在研究產品之第一次劑量日的28天內接受的所有治療。 伴隨療法 Prior therapy included all treatments received within 28 days of the first dose day of the study product. Concomitant therapy
伴隨療法係指在研究產品之第一次劑量日與隨訪期結束日之間(包括端點)採用的所有療法。伴隨療法資訊必須記錄在適當CRF頁上。 准許療法 Concomitant therapy refers to all therapies taken between the date of the first dose of the investigational product and the end of the follow-up period (inclusive). Concomitant therapy information must be recorded on the appropriate CRF page. licensed therapy
由研究者根據社區醫療護理標準酌情決定對患者之所有間發醫學病狀進行治療。個體接受用於減輕與骨髓瘤相關之症狀的治療,諸如鎮痛劑(類鴉片及非類鴉片鎮痛劑)、抗生素、輸血等。患者可接受德諾單抗(denosumab)或其他骨劑,只要其在研究第1天之前至少3個月內服用此類試劑即可(視需要,與醫學監查者一起討論)。若需要,則允許使用吸入型支氣管擴張劑。研究者可酌情決定投與被認為對個體之福利必需的抗生素及OTC藥物。Patients were treated for all episodic medical conditions at the discretion of the investigator according to community medical standards of care. Individuals receive treatment to relieve symptoms associated with myeloma, such as analgesics (opioid and non-opioid analgesics), antibiotics, blood transfusions, and the like. Patients may receive denosumab or other bone preparations as long as they have taken such agents for at least 3 months prior to Study Day 1 (discussed with medical monitor as needed). Inhaled bronchodilators are permitted if needed. It is at the investigator's discretion to administer antibiotics and OTC medications deemed necessary for the individual's welfare.
個體之疫苗接種狀態應在研究開始之前根據當前免疫接種指南審查且建議在起始抗體A治療之4週內避免疫苗接種。 禁止療法 The vaccination status of the individual should be reviewed prior to study initiation according to current immunization guidelines and it is recommended to avoid vaccination within 4 weeks of initiating Antibody A treatment. forbidden therapy
在試驗期間禁止經設計用於治療個體之潛在骨髓瘤的任何療法。在與試驗委託者之醫學監查者討論之後,可允許需要經歷緩解性放射之個體進行該治療。Any therapy designed to treat an individual's underlying myeloma was prohibited during the trial. Individuals who need to undergo palliative radiation may be permitted to undergo this treatment after discussion with the trial sponsor's medical monitor.
在研究期間,禁止起始新的研究性化合物。During the study period, initiation of new investigational compounds was prohibited.
禁用免疫調節藥物之使用。免疫調節藥物包括藥理學劑量之全身性糖皮質激素(>10毫克/天普賴松或等效物)、抗TNFα抗體、抗IL-17抗體、抗IL-12/23抗體、PDE-4抑制劑、JAK抑制劑、IL-6抑制劑、利妥昔單抗、甲胺喋呤、環孢靈、黴酚酸酯。允許使用鼻內、眼內、吸入性及關節內糖皮質激素。The use of immunomodulatory drugs is prohibited. Immunomodulatory drugs include pharmacological doses of systemic glucocorticoids (>10 mg/day presone or equivalent), anti-TNFα antibodies, anti-IL-17 antibodies, anti-IL-12/23 antibodies, PDE-4 inhibitors agents, JAK inhibitors, IL-6 inhibitors, rituximab, methotrexate, cyclosporine, mycophenolate mofetil. Intranasal, intraocular, inhaled, and intraarticular glucocorticoids are allowed.
由試驗委託者酌情判斷,在研究期間接受排除之療法的個體可能不符合繼續研究之條件。 研究結束之後的治療 Individuals who received excluded therapies during the study may not be eligible to continue the study, at the discretion of the trial sponsor. Post-study treatment
在研究中斷之後,個體可由研究者酌情決定進行治療。 實例 1.4- 研究程序 研究持續時間 Following study discontinuation, subjects may be treated at the discretion of the investigator. Example 1.4 - Study Procedures Study Duration
研究期之順序及最大持續時間將如下。篩選期將為約28天。對於治療期,個體將在每個28天治療週期之第1天接受研究藥物,直至出現毒性或疾病進展。對於隨訪,將在研究產品之最後一次劑量之後60天時聯繫個體以進行安全性評定。在研究產品之最後一次劑量之後,將每3個月進行一次存活期隨訪,持續1年時段。
安全性評定 The sequence and maximum duration of the study periods will be as follows. The screening period will be approximately 28 days. For the treatment period, subjects will receive study drug on
安全性及耐受性評定將包括AE頻率及嚴重度以及臨床實驗室值之變化、生命徵象、ECG記錄、ECOG PS評分及身體檢查發現之評估。 待執行之臨床實驗室測試 Safety and tolerability assessments will include assessment of AE frequency and severity and changes in clinical laboratory values, vital signs, ECG records, ECOG PS scores, and physical examination findings. Clinical laboratory tests to be performed
用於以下臨床實驗室測試之樣品將在評定時間表(表1)中指定之時間點收集。Samples for the following clinical laboratory tests will be collected at the time points specified in the assessment schedule (Table 1).
血液學測試包括血紅素、血容比、血小板計數(或估計)及白血球計數(包括分類計數)。Blood tests include hemoglobin, hematocrit, platelet count (or estimate), and white blood cell count (including differential count).
血清化學測試包括白蛋白、總膽紅素、總蛋白質、鈣、鹼性磷酸酶、丙胺酸轉胺酶、天冬胺酸轉胺酶、血尿素氮、肌酐、鎂、葡萄糖、鈉、鉀、氯化物、碳酸氫鹽、磷及尿酸。Serum chemistry tests include albumin, total bilirubin, total protein, calcium, alkaline phosphatase, alanine transaminase, aspartate transaminase, blood urea nitrogen, creatinine, magnesium, glucose, sodium, potassium, Chloride, bicarbonate, phosphorus and uric acid.
凝血功能檢測將包括部分凝血活酶時間及國際標準化比值。Coagulation tests will include partial thromboplastin time and international normalized ratio.
將針對育齡女性投與血清懷孕測試。Serum pregnancy tests will be administered to women of childbearing age.
尿樣分析測試包括pH值、比重以及針對蛋白質、血液、葡萄糖及酮之試紙測定;且若血液或蛋白質呈2+或更高,則進行顯微鏡檢查。Urinalysis tests include pH, specific gravity, and dipstick for protein, blood, glucose, and ketones; and microscopic examination if blood or protein is 2+ or higher.
實驗室試樣將根據其收集及處理要求在當地實驗室機構分析。 取樣血液量 Laboratory samples will be analyzed at the local laboratory facility according to its collection and handling requirements. Sampled blood volume
在本研究中前兩個週期取樣之血液量展示於表2中。
表 2 :每名個體之取樣血液量
本研究中用於實驗室評定之值的正常範圍將由當地實驗室機構提供。該等範圍將被視為針對特定部位作出決定之參考範圍。Normal ranges for values used for laboratory assessment in this study will be provided by the local laboratory agency. These ranges will be considered as reference ranges for making decisions on specific positions.
若實驗室值在參考範圍之外,則其未必具有臨床相關性。研究者必須評估超出範圍之值且在個體之源文件中記錄其臨床相關性之評定。若異常實驗室值具有臨床意義;若其需要干預;或若其改變研究藥物之投與,則其可被視為AE。If a laboratory value is outside the reference range, it may not be clinically relevant. Investigators must evaluate out-of-range values and document their assessment of clinical relevance in individual source files. Abnormal laboratory values may be considered AEs if they are clinically significant; if they require intervention; or if they alter the administration of study drug.
在研究者看來在治療期間或治療終止之後顯示臨床上相關或病理性變化的所有實驗室值將視需要與醫學監查者一起討論,且報告為AE並進行追蹤。 臨床檢查:生命徵象 All laboratory values showing clinically relevant or pathological changes in the opinion of the Investigator during or after treatment termination will be discussed with the medical monitor as needed and reported as AEs and followed up. Clinical Examination: Vital Signs
將在評定時間表(表1)中指定之時間量測血壓、脈搏率、呼吸速率、體溫及體重。可由研究者決定進行額外血壓及脈搏率量測以確保個體安全性之適當監測及生命徵象量測結果之準確記錄。研究者認為有臨床意義的相對於基線之任何變化均被記錄為AE。 臨床檢查:心電圖 Blood pressure, pulse rate, respiration rate, body temperature and body weight will be measured at the times specified in the assessment schedule (Table 1). Additional blood pressure and pulse rate measurements may be taken at the investigator's discretion to ensure proper monitoring of individual safety and accurate recording of vital sign measurements. Any change from baseline that the investigator considers clinically meaningful is recorded as an AE. Clinical Examination: Electrocardiogram
標準12導聯ECG將在個體仰臥約5分鐘之後進行。所有ECG記錄將藉由記錄之個體編號、日期及時間來標識且複本將包括在個體之源文件中。A standard 12-lead ECG will be taken after the individual has been lying on their back for about 5 minutes. All ECG recordings will be identified by the individual number, date and time of the recording and a copy will be included in the individual's source file.
將在篩選時、第1週期第1天及視需要在後續時段進行12導聯ECG。只要無新的心臟症狀或事件出現,在篩選6個月內進行之ECG將被接受(表1)。在研究者看來在治療期間或在治療終止之後顯示臨床上相關或病理性變化的所有ECG值將與醫學監查者一起討論,且報告為AE並進行追蹤。
臨床檢查:身體檢查 A 12-lead ECG will be performed at Screening,
將在篩選訪視時在可能暴露於研究產品之前及在研究結束時進行全面身體檢查(表1)。另外,在投與治療期間,將進行聚焦於骨髓瘤受累區域或AE之針對性身體檢查。任何有臨床意義的身體檢查發現均應報告,且報告為AE並進行追蹤。A complete physical examination will be performed at the Screening Visit prior to possible exposure to the study product and at the end of the study (Table 1). In addition, targeted physical examinations focusing on areas of myeloma involvement or AEs will be performed during treatment administration. Any clinically significant physical examination findings should be reported and reported as AEs and followed up.
臨床檢查:ECOG體能狀態Clinical examination: ECOG performance status
ECOG PS評定(Oken等人(1982) Am J Clin Oncol. 5(6):649-55)將在研究期間進行以評定疾病如何影響個體之日常生活能力。 臨床檢查:不良事件 ECOG PS assessments (Oken et al. (1982) Am J Clin Oncol. 5(6):649-55) will be performed during the study to assess how the disease affects the individual's ability to perform daily living. Clinical Examination: Adverse Events
研究者負責偵測及記錄符合先前所描述之AE或SAE之準則及定義的事件。在每次訪視時,將允許個體有時間自發地報告自最後一次訪視或評估以來之任何問題。The investigator is responsible for detecting and recording events that meet the criteria and definitions of AE or SAE described previously. At each visit, individuals will be allowed time to spontaneously report any concerns since the last visit or assessment.
在訪視期間出現的任何臨床上相關之觀測結果亦將視為AE。Any clinically relevant observation that occurs during the visit will also be considered an AE.
藥物動力學pharmacokinetics
將根據表1進行抽血用於PK分析。Blood will be drawn for PK analysis according to Table 1.
將經由驗證的方法分析血清樣品中之血清抗體A濃度。Serum Antibody A concentrations in serum samples will be analyzed by a validated method.
藥物動力學指標可包括但不限於C
max、t
1/2、CL、分佈體積(V
d)及自時間0至時間t之濃度-時間曲線下面積(AUC
0 → t)的估計。
功效 Pharmacokinetic indicators may include, but are not limited to, estimates of C max , t 1/2 , CL, volume of distribution (V d ), and area under the concentration-time curve (AUC 0 → t ) from
功效將藉由以下子部分中所描述之程序評定且根據表3中概述之IMWG反應準則(Kumar等人(2016) Lancet Oncol. 17(8):e328-e346)分級。以下略述之所有多發性骨髓瘤疾病評定均需要在表1中指定之研究訪視時進行,且研究者應儘力嘗試在每個時間點收集所有多發性骨髓瘤疾病評定。反應評定將在每個週期期間進行,其中在投與下一次預定劑量之前有一個窗口期允許進行疾病狀態評定。Efficacy will be assessed by the procedure described in the following subsections and graded according to the IMWG response criteria outlined in Table 3 (Kumar et al. (2016) Lancet Oncol. 17(8):e328-e346). All multiple myeloma disease assessments outlined below will need to be performed at the study visits specified in Table 1, and investigators should make every effort to collect all multiple myeloma disease assessments at each time point. Response assessments will be performed during each cycle with a window period to allow for disease status assessments before the next scheduled dose is administered.
需要兩次連續評定以證實反應(表3)。對於達成完全反應(CR)或嚴格意義的完全反應(sCR)之個體,必須在反應時一式兩份收集利用血清蛋白質免疫固定、定量Ig及血清FLC之血清蛋白質電泳(SPEP)的確認用樣品,且該一式兩份樣品必須提供給當地實驗室機構。
表 3 : IMWG 反應準則
將進行利用單株蛋白質譜帶(M-刺突蛋白)定量及血清蛋白質免疫固定的SPEP以評定反應。 UPEP SPEP with quantification of individual protein bands (M-spike protein) and immunofixation of serum proteins will be performed to assess response. UPEP
將進行利用M-刺突蛋白定量及尿液蛋白質免疫固定的尿液蛋白電泳(UPEP;24小時尿液)以評定在SPEP上無M-刺突蛋白之個體的反應。Urine protein electrophoresis (UPEP; 24-hour urine) using M-spike protein quantification and urine protein immunofixation will be performed to assess the response of individuals without M-spike protein on SPEP.
定量免疫球蛋白含量Quantitative immunoglobulin content
若認為SPEP對於常規M-蛋白質量測(例如患有免疫球蛋白A或免疫球蛋白D骨髓瘤之患者)不可靠,則將獲得定量Ig含量。Quantitative Ig content will be obtained if SPEP is considered unreliable for routine M-protein measurements (eg, patients with immunoglobulin A or immunoglobulin D myeloma).
將進行血清FLC以評定血清FLC表示患者之骨髓瘤蛋白質之患者的反應。Serum FLC will be performed to assess the response of patients whose serum FLC expresses the patient's myeloma protein.
骨骼檢查skeletal examination
基線骨骼檢查將使用X射線及/或其他臨床上適合之成像模態(例如磁共振成像[MRI]、全身電腦斷層攝影術[CT]或正電子發射斷層攝影術[PET]/CT)進行,此將由研究者決定。A baseline skeletal examination will be performed using X-rays and/or other clinically appropriate imaging modalities such as Magnetic Resonance Imaging [MRI], Whole Body Computed Tomography [CT] or Positron Emission Tomography [PET]/CT, This will be determined by the investigator.
骨骼檢查應包括顱骨之側位放射照片、脊柱之前後位及側位視圖,以及骨盆、肋骨、股骨及肱骨之前後位視圖。Skeletal examination should include lateral radiographs of the skull, anterior-posterior and lateral views of the spine, and anteroposterior views of the pelvis, ribs, femur, and humerus.
若在基線觀測到溶骨性病變或漿細胞瘤,則應將其數目及尺寸記錄在eCRF中。僅需要進行骨病變及/或漿細胞瘤之隨訪評定以記錄反應或進展。If osteolytic lesions or plasmacytomas were observed at baseline, their number and size should be recorded in the eCRF. Follow-up assessments for bone lesions and/or plasmacytomas are only required to document response or progression.
對於無軟組織漿細胞瘤(亦即,僅有骨病變)之個體,應藉由X射線或低劑量CT進行骨骼檢查。不需要對比造影。In individuals without soft tissue plasmacytoma (ie, only bone lesions), a skeletal examination should be performed by X-ray or low-dose CT. Contrast imaging is not required.
對於具有軟組織漿細胞瘤之個體,應藉由X射線或低劑量CT進行骨骼檢查(不需要對比造影)且此外,還應進行通常需要對比增強之MRI或CT或PET/CT。In individuals with soft tissue plasmacytoma, a skeletal examination should be performed by X-ray or low-dose CT (contrast contrast is not required) and in addition, MRI or CT or PET/CT usually requiring contrast enhancement should be performed.
骨髓抽出物及切片檢查Bone marrow aspirate and biopsy
在篩選時收集骨髓抽出物以確認多發性骨髓瘤之診斷。在起始研究治療之後,將根據表1收集骨髓抽出物。Bone marrow aspirates were collected at screening to confirm the diagnosis of multiple myeloma. Following initiation of study treatment, bone marrow aspirate will be collected according to Table 1.
除非在與醫學監查者協商之後,認為樣品之收集及/或處理不可行,否則達成CR或sCR之患者在反應時需要骨髓抽出物。Patients who achieved CR or sCR required bone marrow aspirate at the time of response unless sample collection and/or processing was deemed not feasible after consultation with the medical monitor.
將在反應時收集的骨髓抽出物之一部分及骨髓切片檢查之載片提供給當地實驗室。A portion of the bone marrow aspirate collected at the time of reaction and a slide of the bone marrow biopsy were provided to the local laboratory.
亦可根據臨床指示,進行骨髓抽吸以評定進展。 免疫原性 Bone marrow aspiration may also be performed to assess progression as clinically indicated. Immunogenicity
將根據表1抽血以進行免疫原性分析。免疫原性樣品收集及處理之細節可見於研究點及/或研究實驗室手冊。將經由驗證的用於ADA測定之方法分析血清樣品。將測定針對抗體A之ADA的發生率。Blood will be drawn for immunogenicity analysis according to Table 1. Details of immunogenic sample collection and handling can be found in the study site and/or research laboratory manual. Serum samples will be analyzed by a validated method for ADA determination. The incidence of ADA against Antibody A will be determined.
藥效學Pharmacodynamics
PD將藉由量測在投與抗體A之後各個時間點(表1)獲得的血清IL-18含量及其他發炎性標記物(發炎MAP分析)來測定。將在相同時間點量測sBCMA含量。PD will be determined by measuring serum IL-18 levels and other inflammatory markers (MAP analysis of inflammation) obtained at various time points after antibody A administration (Table 1). sBCMA levels will be measured at the same time points.
在評定時間表(表1)中提及之時間,將分析在投與抗體A之後骨髓及末梢血液骨髓衍生抑制細胞的含量。 實例 1.5- 不良事件 不良事件收集 At the times mentioned in the assessment schedule (Table 1 ), the content of bone marrow and peripheral blood myeloid-derived suppressor cells after the administration of Antibody A will be analyzed. Example 1.5 - Adverse Event Adverse Event Collection
AE定義為在投與醫藥產品之患者或臨床研究個體中發生的任何不良醫療事件,該事件未必與該產品具有因果關係。因此,AE可為與該產品在時間上相關的任何不利且非預期的徵象(包括新的、在臨床上重要的異常實驗室發現)、症狀或疾病,無論是否與該產品有關。若AE在研究產品之第一次劑量之後且在個體之研究產品之最後一次劑量的60天內發生,則AE將視為治療中出現的。An AE is defined as any adverse medical event that occurs in a patient or clinical study subject administered a medicinal product that does not necessarily have a causal relationship with the product. Thus, an AE can be any adverse and unexpected sign (including a new, clinically important abnormal laboratory finding), symptom, or disease temporally related to the product, whether related to the product or not. An AE will be considered treatment-emergent if it occurs after the first dose of investigational product and within 60 days of the subject's last dose of investigational product.
收集自投與第一次劑量之時間(第1週期,第1天)至60天隨訪期(表1)的所有AE。此包括在研究篩選期內發生的事件,無論是否投與研究產品。可能時,應記錄診斷而非症狀清單。若尚未作出診斷,則應個別地列出每種症狀。所有AE均應記錄在eCRF中之適當AE頁上及源文件中。All AEs from the time of administration of the first dose (
無論個體是否仍參與研究,所有不良事件均必須追蹤至結束(closure)(個體之健康已恢復至其基線狀態或所有變數均已恢復正常)。結束表示達到結果、達成穩定(研究者預計事件不會有任何進一步改善或惡化),或事件得到其他解釋。適當時,進行醫療測試及檢查,以使得可以記錄事件之消退。 不良事件之嚴重度 All adverse events must be followed to closure (subject's health has returned to its baseline state or all variables have returned to normal), regardless of whether the subject remains in the study. Closing indicates achievement of the outcome, stabilization (the investigator does not anticipate any further improvement or deterioration of the event), or an alternative explanation for the event. As appropriate, medical tests and examinations are performed so that resolution of the event can be documented. Severity of Adverse Events
AE之嚴重度將基於不良事件通用術語準則(CTCAE)第5.0版,且必須在事件過程期間記錄,包括嚴重度每次變化之開始及停止日期。嚴重度變化之事件應記錄為新的事件。在起始投與研究產品之後治療前事件之惡化必須記錄為新AE。舉例而言,若個體在給予研究產品之前經歷輕度間歇性頭痛;但頭痛強度在研究產品之第一次劑量之後增加至中度,則應在源文件及eCRF中記錄新AE,即中度間歇性頭痛。對於CTCAE中未列出之事件,嚴重度將使用以下定義確定。輕度定義為通常短暫的且可能僅需要極少的治療或治療性干預;事件一般不會干擾日常生活之日常活動。中度定義為通常要藉由額外的特定治療性干預緩解;事件會干擾日常生活之日常活動,引起不適,但對個體無顯著或永久性傷害風險。嚴重定義為日常生活之日常活動中斷,或明顯影響臨床狀態,或可能需要強化治療性干預。危及生命定義為個體在事件發生時處於立即死亡之危險中。致命定義為事件導致個體死亡。The severity of AEs will be based on the Common Terminology Guidelines for Adverse Events (CTCAE), Version 5.0, and must be recorded during the course of the event, including the start and stop dates for each change in severity. Events with a change in severity shall be recorded as new events. Exacerbations of pre-treatment events after initial administration of investigational product must be recorded as new AEs. For example, if an individual experiences mild intermittent headaches prior to administration of the investigational product; but the headache intensity increases to moderate after the first dose of the investigational product, a new AE, Moderate intermittent headaches. For events not listed in CTCAE, severity will be determined using the following definitions. Mild is defined as usually transient and may require only minimal treatment or therapeutic intervention; events generally do not interfere with daily activities of daily living. Moderate is defined as usually relieved by additional specific therapeutic intervention; the event interferes with daily activities of daily living, causing discomfort, but without risk of significant or permanent harm to the individual. Severe is defined as disruption of daily activities of daily living, or significantly affects clinical status, or may require intensive therapeutic intervention. Life-threatening is defined as an individual who is in immediate danger of death at the time of the event. Fatal is defined as an event resulting in the death of an individual.
區分嚴重AE與SAE至關重要。嚴重度為強度之分類,而SAE為符合嚴重準則之AE。 關係分類 Distinguishing serious AEs from SAEs is critical. Severity is a classification of intensity, and SAE is an AE that meets the severity criteria. Relationship Classification
醫師研究者必須對每次AE與研究產品之關係進行評定。研究者應根據其醫學判斷,決定是否存在事件可能由研究產品引起之合理可能性。若無正當原因表明存在關係,則AE應歸類為「不相關」。否則,AE應根據以下指南進行分類。因果關係評定必須記錄於源文件及eCRF中(表4)。
表 4 :與研究產品之關係的評定
最後一次觀測時之結果將分類為:恢復/消退;恢復/消退但伴有後遺症;恢復/消退中;未恢復/未消退;致命;或未知。 嚴重不良事件之報告 Results at last observation are to be classified as: recovering/resolving; recovering/resolving with sequelae; recovering/resolving; not recovering/not resolving; fatal; or unknown. Reporting of Serious Adverse Events
初始及追蹤SAE報告必須由研究者或被指派者完成,且在首次注意到SAE之24小時內發送給合同研究組織(contract research organization,CRO)。研究者或被指派者必須完成適當SAE表,簽名並註明日期,且相對於對應源文件驗證資訊之準確性。此資訊應發送給CRO藥物警戒部門。 嚴重不良事件定義 Initial and follow-up SAE reports must be completed by the investigator or designee and sent to the contract research organization (CRO) within 24 hours of first noticing the SAE. The investigator or designee must complete the appropriate SAE form, sign and date it, and verify the accuracy of the information against the corresponding source document. This information should be sent to the CRO Pharmacovigilance Unit. serious adverse event definition
SAE係在任何劑量下引起以下情況之任何不良醫療事件,無論認為與研究產品有關抑或不相關:導致死亡;危及生命;需要住院或延長現有住院時間;導致持久或顯著失能/功能不全;為先天性異常;或為重要醫療事件。A SAE is any adverse medical event, whether considered related or not, at any dose that: results in death; is life-threatening; requires hospitalization or prolongs existing hospitalization; results in persistent or significant disability/incompetence; Congenital abnormality; or important medical event.
應注意,在「嚴重」之定義中的術語「危及生命」係指個體在事件發生時有死亡風險之事件;其並非指假設在事件變嚴重時可能導致死亡之事件。It should be noted that the term "life-threatening" in the definition of "serious" refers to an event in which the individual is at risk of death if the event occurs; it does not refer to an event that is hypothetically likely to result in death if the event becomes severe.
應注意,住院定義為在醫院停留24小時或停留隔夜。為治療暴露於測試藥物之前存在的病狀而擇期住院,或為進行AE之診斷評估而住院,不符合將該病狀或事件認定為SAE。此外,僅由於交通、組織或住宿問題且在無醫療背景情況下在醫院停留隔夜不得被視為SAE。It should be noted that hospitalization was defined as a 24-hour stay in a hospital or an overnight stay. Elective hospitalization for the treatment of a condition that existed prior to exposure to the test drug, or for the diagnostic evaluation of an AE, does not qualify as a SAE for that condition or event. Additionally, an overnight stay in a hospital solely due to transportation, organizational or accommodation issues and without a medical background is not considered a SAE.
應注意,在懷孕期間暴露於研究產品之母親所生嬰兒的先天性異常為SAE。然而,接受研究產品之個體新診斷的懷孕不被視為SAE,除非懷疑研究產品與避孕方法相互作用且導致懷孕。It should be noted that congenital anomalies in infants born to mothers exposed to the investigational product during pregnancy are SAEs. However, a newly diagnosed pregnancy in an individual receiving the investigational product is not considered an SAE unless the investigational product is suspected of interacting with the contraceptive method and resulting in pregnancy.
應注意,在決定將其他情況視為嚴重是否適當時,應實行醫學及科學判斷,諸如可能不會立即危及生命或導致死亡或住院,但可能使個體處於危險中或可能需要干預來防止上文定義中所列其他結果中之一者的重大醫療事件。此類事件之實例係在急救室中或在家中針對過敏性支氣管痙攣的強化治療、不會導致住院之血質不調或痙攣、或發展藥物依賴或藥物濫用。 嚴重不良事件收集時間範圍 It should be noted that medical and scientific judgment should be exercised in deciding whether it is appropriate to consider other conditions as serious, such as may not be immediately life-threatening or result in death or hospitalization, but may place the individual at risk or may require intervention to prevent the above A major medical event with one of the other outcomes listed in the definition. Examples of such events are intensive treatment in the emergency room or at home for allergic bronchospasm, dyscrasias or convulsions that do not result in hospitalization, or development of drug dependence or substance abuse. Serious adverse event collection time frame
自個體簽署知情同意書直至個體最後一次訪視(辦公室或電話聯繫)的時間,收集所有SAE,無論與研究之關係如何。研究者或被指派者必須在首次注意到事件之24小時內迅速向CRO報告所有SAE。All SAEs, regardless of relationship to the study, were collected from the time the subject signed the informed consent until the time of the subject's last visit (office or telephone contact). The investigator or designee must promptly report all SAEs to the CRO within 24 hours of first noticing the event.
研究者在研究完成之後的任何時間間隔發現之任何SAE必須在首次注意到該事件之24小時內報告給CRO,無論與研究之關係如何。 嚴重不良事件發生及消退日期 Any SAE discovered by the investigator at any time interval after study completion must be reported to the CRO within 24 hours of first noticing the event, regardless of relationship to the study. Occurrence and resolution date of serious adverse events
SAE之發生日期定義為事件符合嚴重準則的日期。消退日期為事件不再符合嚴重準則之日期、症狀消退或事件被視為慢性事件之日期。在住院之情況下,分別將住院日期及出院日期視為SAE之發生日期及消退日期。The date of occurrence of the SAE was defined as the date on which the event met the severity criteria. The resolution date is the date on which the event no longer meets the severity criteria, symptoms resolve, or the event is considered chronic. In the case of hospitalization, the date of hospitalization and date of discharge were considered as the date of onset and date of resolution of the SAE, respectively.
個體在簽署知情同意書之後、或在SAE發生日期之前或在SAE消退日期之後經歷之任何徵象或症狀必須記錄為AE。 致命結果 Any sign or symptom experienced by the subject after signing the informed consent form, or before the date of SAE occurrence, or after the date of SAE resolution must be recorded as an AE. fatal result
僅當AE引起死亡時,才將致命指定為結果。若超過1例AE可能與個體之死亡相關,則應對每例此類AE指示死亡結果。Fatal was designated as an outcome only if the AE caused death. If more than 1 AE could be related to the individual's death, a death outcome should be indicated for each such AE.
導致個體死亡之任何AE均必須進行致命檢查作為結果,其中死亡日期記錄為消退日期。若未如此報告,則導致死亡之AE必須在24小時內作為SAE報告。Any AE that resulted in the death of the subject had to undergo a fatal examination as a result, with the date of death recorded as the date of resolution. If not so reported, AEs resulting in death must be reported as SAEs within 24 hours.
對於在死亡時持續且未導致個體之死亡的其他AE,結果應視為未消退,且不記錄消退日期。 特別受關注之不良事件 For other AEs that persisted at the time of death and did not result in the death of the subject, the results should be considered non-resolving and no resolution date recorded. Adverse events of special concern
以下事件將在本研究期間被視為特別受關注之AE:免疫抑止(白球計數減少、血小板減少、貧血)及腫瘤頻率增加。 懷孕 The following events will be considered AEs of particular interest during the study: immunosuppression (decreased white blood cell count, thrombocytopenia, anemia) and increased tumor frequency. Pregnant
應向參與研究之所有育齡女性提供有關實施適當避孕措施之必要性以及有關避免在研究參與期間懷孕之重要性的建議。若懷孕或懷疑懷孕,則應指示女性立即聯繫研究者或研究人員。All females of reproductive age participating in research should be provided with advice regarding the need to practice appropriate contraceptive measures and the importance of avoiding pregnancy during research participation. Women should be instructed to contact the Investigator or Investigator immediately if they become pregnant or suspect pregnancy.
在篩選時及研究結束時,每名女性均將進行懷孕測試。在篩選時發現懷孕之女性將自研究排除且視為篩選失敗。在給藥之後發現懷孕之女性需要中斷研究,且在得知懷孕之後儘快結束研究訪視評定。At screening and at the end of the study, each woman will take a pregnancy test. Women who are found to be pregnant at screening will be excluded from the study and will be considered screening failures. Women who are found to be pregnant after dosing will be required to discontinue the study and complete the study visit assessment as soon as possible after pregnancy is learned.
研究者必須報告在研究產品治療期間或在中斷研究產品之60天內懷孕的任何女性(研究參與者或男性研究參與者之女性配偶)之懷孕情況(必須自男性患者之懷孕女性配偶獲得許可才能追蹤懷孕情況以得出結論及報告結果)。懷孕必須在得知懷孕的24小時內使用懷孕資料收集表(Pregnancy Data Collection Form)經由與SAE報告相同之傳真及電子郵件地址向CRO報告。研究者應聯繫接受懷孕通知之指定個體,且在由試驗委託者或其指派者提供之懷孕表/其他指定表上記錄關於懷孕之資訊。The investigator must report the pregnancy of any woman (study participant or female spouse of a male study participant) who becomes pregnant during study product treatment or within 60 days of discontinuation of study product (permission must be obtained from the pregnant female spouse of a male patient to track pregnancy to draw conclusions and report results). Pregnancy must be reported to the CRO within 24 hours of knowing the pregnancy using the Pregnancy Data Collection Form via the same fax and email address as the SAE report. The investigator should contact the designated individual who received the notification of pregnancy, and record information about the pregnancy on the pregnancy form/other designated form provided by the test commissioner or his designee.
研究者亦負責追蹤懷孕直至分娩或終止懷孕。此等發現必須報告於懷孕資料收集表上且轉寄給指定個體。該事件僅在導致自然流產或先天性異常時才符合SAE準則。 報告給管理機構、機構審查委員會 / 倫理委員會及研究點 Investigators are also responsible for following pregnancies until delivery or termination of pregnancy. These findings must be reported on the pregnancy data collection form and forwarded to the designated individual. The event complies with SAE guidelines only if it results in a spontaneous abortion or congenital anomaly. Reporting to governing bodies, institutional review boards / ethics committees, and study sites
試驗委託者或其指派者負責將相關的意外SAE通知相關管理機構及(若適用)美國中央機構審查委員會(IRB)。The trial sponsor or its designee is responsible for notifying relevant regulatory agencies and, if applicable, the US Central Institutional Review Board (IRB) of relevant unexpected SAEs.
另外,試驗委託者或其指派者亦負責將在整個開發計劃之所有干預研究期間出現的所有相關的、意外的SAE通知活動研究點。In addition, the trial commissioner or its designee is also responsible for notifying the active study site of all relevant, unexpected SAEs occurring during all intervention studies throughout the development program.
視需要,研究者負責將在其研究點出現的所有SAE通知當地IRB、當地倫理委員會(EC)或相關的當地管理機構。 實例 1.6- 藥物過量及用藥差錯 Investigators are responsible for notifying the local IRB, local ethics committee (EC) or relevant local governing body of all SAEs occurring at their study site, as appropriate. Example 1.6 - Overdose and Medication Errors
下文所定義(表5)的研究產品之藥物過量或用藥差錯必須使用上文所略述之SAE報告程序報告給試驗委託者,無論其是否引起AE/SAE。SAE之24小時報告期不適用於藥物過量或用藥差錯事件,除非藥物過量或用藥差錯事件引起SAE。
表 5 : 藥物過量及用藥差錯之定義
安全性審查委員會(SRC)將參與本研究之進行。SRC將包含來自試驗委託者及研究點之代表,包括來自每一參與研究點的1名合格醫學成員。SRC具有監查臨床研究之進展及參與個體之安全性的職責。A Safety Review Committee (SRC) will participate in the conduct of this study. The SRC will include representatives from the trial sponsor and the study sites, including 1 qualified medical member from each participating study site. SRC is responsible for monitoring the progress of clinical research and the safety of participating individuals.
SRC將審查給藥組中之累積安全性資料、PK及PD資料且確定安全性資料是否支持劑量遞增至下一個連續劑量水準或中間劑量水準。SRC亦可基於安全性、PK或PD資料提出替代給藥方案。處於一個劑量水準之3至6名個體必須分別完成第1週期(28天週期)才符合SRC審查及作出關於下一劑量水準個體登記之決定的條件。由於除DLT以外之原因而未完成28天治療週期之個體將被替換。The SRC will review the cumulative safety data, PK and PD data in the dosing group and determine whether the safety data support dose escalation to the next consecutive dose level or an intermediate dose level. SRC can also propose alternative dosing regimens based on safety, PK or PD data. Three to six subjects at one dose level must each complete Cycle 1 (28-day cycle) to be eligible for SRC review and decision on subject enrollment for the next dose level. Individuals who do not complete the 28-day treatment cycle for reasons other than DLT will be replaced.
安全性審查將由SRC進行以測定抗體A之RP2D且開始研究之劑量擴增期。在研究之劑量擴增期期間,SRC將定期會面以審查新出現之安全性報告及所報告之SAE。 實例 1.8- 統計 A safety review will be conducted by the SRC to determine the RP2D of Antibody A and begin the dose expansion phase of the study. During the dose expansion phase of the study, the SRC will meet periodically to review emerging safety reports and reported SAEs. Example 1.8 - Statistics
樣品量並非基於假設測試,而適合於在R/R癌症患者群體中進行之劑量遞增研究,其經設計以檢查不同劑量之抗體A在患有難治性惡性病之個體群體中的安全性、耐受性及作用。The sample size was not based on hypothesis testing but was suitable for a dose escalation study in the R/R cancer patient population designed to examine the safety, tolerance, and Receptivity and effect.
本研究將具有以下關注群體:意向治療群體包括在基線訪視時登記且被分配研究藥物之所有個體;且安全性群體包括在此試驗期間登記且接受至少一次治療投與之所有個體。The study will have the following populations of interest: the intention-to-treat population includes all individuals who are enrolled at the Baseline Visit and are assigned study drug; and the safety population includes all individuals who are enrolled during the trial and receive at least one treatment administration.
此部分呈現計劃統計分析之概述。關於資料處置、分析方法及結果呈現之額外細節將提供於本研究之統計分析計劃(Statistical Analysis Plan,SAP)中。SAP將在資料庫鎖定之前定案。This section presents an overview of the planned statistical analysis. Additional details on data processing, analysis methods and presentation of results will be provided in the Statistical Analysis Plan (SAP) for this study. SAP will finalize before the database is locked.
描述性統計將用於概述試驗之結果。連續變數將根據報告觀測結果之數目、平均值、標準差、中值、最小值及最大值來概述。分類/離散變數將使用展示特定類別內個體之數目及百分比的頻率表來概述。Descriptive statistics will be used to summarize the results of the trials. Continuous variables will be summarized in terms of number of reported observations, mean, standard deviation, median, minimum and maximum. Categorical/discrete variables will be summarized using a frequency table showing the number and percentage of individuals within a particular class.
此研究中登記之所有個體之處置將關於其劑量分配及最終完成/中斷進行完整描述。提前中斷研究之個體將根據中斷原因概述。The disposition of all subjects enrolled in this study will be fully described with respect to their dose allocation and eventual completion/discontinuation. Individuals who discontinued the study early will be outlined according to the reason for discontinuation.
將針對方案偏離之發生審查所有個體資料。在資料庫鎖定之前,將審查所有方案偏離且根據影響實驗結果之可能性進行歸類。All individual data will be reviewed for the occurrence of protocol deviations. Prior to database lock, all protocol deviations will be reviewed and categorized according to their likelihood of affecting experimental results.
將對安全性群體執行人口資料及基線資料分析。人口統計變數包括年齡、性別、人種、種族、身高及體重。待概述之基線個體特徵將包括醫療史、對骨髓瘤之先前治療及個體之骨髓瘤之其他態樣、身體檢查、ECG評定、ECOG PS及臨床實驗室測試。Demographic and baseline data analyzes will be performed on the safety population. Demographic variables included age, sex, race, ethnicity, height and weight. Baseline individual characteristics to be summarized will include medical history, previous treatment for myeloma and other aspects of the individual's myeloma, physical examination, ECG evaluation, ECOG PS, and clinical laboratory tests.
先前及伴隨用藥將根據投與之劑量及服用各藥物之個體的數目及百分比來概述。藥物將按照世界衛生組織藥物詞典首選術語進行寫碼。Prior and concomitant medications will be summarized by dose administered and the number and percentage of subjects taking each drug. Drugs will be coded according to the WHO Drug Dictionary preferred terms.
將概述所有參與個體之研究產品暴露情況。個體將關於累積暴露量以及依據所接受之最高劑量分類來描述。The study product exposures of all participating individuals will be summarized. Individuals will be described with respect to cumulative exposure and classified according to the highest dose received.
由於研究產品將經由IV輸注投與,故個體順應性不適用。Individual compliance does not apply as the study product will be administered via IV infusion.
安全性分析將使用來自安全性群體之資料進行。安全性變數包括TEAE、臨床實驗室值、生命徵象、ECOG PS、身體檢查及ECG結果。除非另外指出,否則將不對安全性變數進行形式推論性分析。Safety analyzes will be performed using data from the safety community. Safety variables included TEAEs, clinical laboratory values, vital signs, ECOG PS, physical examination, and ECG results. Formal inferential analyzes will not be performed on safety variables unless otherwise indicated.
不良事件將使用最新版MedDRA寫碼。TEAE之發生率將根據治療組、SOC及首選術語概述。若AE在研究產品之第一次劑量之後及在個體之研究產品之最後一次劑量之後60天內發生,則將該AE視為治療中出現。針對引起中斷之SAE及AE,將產生類似概述。AE強度及與研究產品之關係亦將針對每個SOC及首選術語概述。Adverse events will be coded using the latest version of MedDRA. The incidence of TEAEs will be summarized by treatment group, SOC, and preferred term. An AE was considered treatment-emergent if it occurred after the first dose of investigational product and within 60 days after the subject's last dose of investigational product. A similar overview will be generated for SAEs and AEs that cause outages. AE strength and relationship to study product will also be outlined for each SOC and preferred term.
關於所有報告值及相對於基線值之變化的描述性概要將根據實驗室測試類別、治療組及訪視概述。A descriptive summary of all reported values and changes from baseline will be summarized by laboratory test category, treatment group, and visit.
生命徵象(收縮性及舒張性血壓、脈搏率、呼吸速率、體重及體溫)及ECG結果將根據治療組及訪視,使用適當描述性統計概述。將概述具有異常ECG發現之個體的數目及百分比。Vital signs (systolic and diastolic blood pressure, pulse rate, respiratory rate, body weight, and temperature) and ECG results will be summarized by treatment group and visit, using appropriate descriptive statistics. The number and percentage of individuals with abnormal ECG findings will be summarized.
ECOG PS值將使用適當描述性統計,根據治療組概述。ECOG PS values will be summarized by treatment group using appropriate descriptive statistics.
所有PK參數將以標準概括統計量(N、平均值及標準差)描述。All PK parameters will be described by standard summary statistics (N, mean and standard deviation).
所有功效量度將用標準概括統計量描述。連續變數將根據N、平均值及標準差概述,且分類變數將根據每個類別中個體之數目及百分比概述。事件發生時間資料將使用卡普蘭邁耶方法(Kaplan Meier method)概述。All power measures will be described using standard summary statistics. Continuous variables will be summarized in terms of N, mean and standard deviation, and categorical variables will be summarized in terms of number and percentage of individuals in each category. Time-to-event data will be summarized using the Kaplan Meier method.
ADA之發生率將以標準概括統計量(N、平均值及標準差)描述。The incidence of ADA will be described by standard summary statistics (N, mean and standard deviation).
所有PD參數將以標準概括統計量(N、平均值及標準差)描述。All PD parameters will be described by standard summary statistics (N, mean and standard deviation).
此研究不計劃進行中期分析。No interim analysis is planned for this study.
下表6提供本申請案中所提及之序列。 實例 2- 在患有復發性 / 難治性多發性骨髓瘤之個體中進行的抗體 A 之多中心、開放標記、劑量遞增 1b 期研究之結果 Table 6 below provides the sequences referred to in this application. Example 2 - Results of a Multicenter, Open Label, Dose Escalation Phase 1b Study of Antibody A in Individuals with Relapsed / Refractory Multiple Myeloma
在本文實例2中呈現根據如實例1中所描述之方法進行之研究的某些結果。Certain results of studies conducted according to the method as described in Example 1 are presented in Example 2 herein.
在實例1中描述之研究中有兩個組完成:在復發性/難治性多發性骨髓瘤患者中進行之4 mg/kg及9 mg/kg抗體A劑量組。不存在可歸因於抗體A之嚴重不良事件,且抗體A作為單一試劑具有良好耐受性。Two cohorts were done in the study described in Example 1: 4 mg/kg and 9 mg/kg Antibody A dose cohorts in relapsed/refractory multiple myeloma patients. There were no serious adverse events attributable to Antibody A, and Antibody A was well tolerated as a single agent.
抗體A之藥物動力學在前兩個組中為可預測且呈線性的。圖1展示在第1週期中及在第2週期之一部分中前兩個組每名患者之血清中抗體A之濃度隨時間的變化,以µg/mL為單位量測。The pharmacokinetics of Antibody A were predictable and linear in the first two groups. Figure 1 shows the concentration of antibody A in the serum of each patient in the first two groups over time, measured in µg/mL, during
抗體A之藥效學展現血清中IL-18含量顯著減少。圖2展示在第1週期中及在第2週期之一部分中前兩個組每名患者之血清中IL-18之濃度隨時間的變化,以pg/mL為單位量測。圖3展示在第1週期中及在第2週期之一部分中前兩個組每名患者之血清中IL-18bp之濃度隨時間的變化,以pg/mL為單位量測。患者血清中游離IL-18之濃度可基於此項技術中已知之公式,由IL-18及IL-18bp濃度資料計算。The pharmacodynamics of Antibody A showed a significant reduction in IL-18 levels in serum. Figure 2 shows the concentration of IL-18 in the serum of each patient in the first two groups over time, measured in pg/mL, during
第三組係當前係根據實例1治療:14 mg/kg組。The third group is currently treated according to Example 1: 14 mg/kg group.
表6-序列表
圖 1.在第1組及第2組中,患有R/R MM之人類個體體內抗體A的血清濃度。Y軸為抗體A的濃度,以µg/mL為單位。每條線係指來自一名患者之資料。每名患者亦被指定一個編號。在第1週期(第1天)及第2週期(第1天)對患者005-0001及005-0003給藥。基於患者之體重給予患者的每劑藥物之總量以圓括號展示於每名患者之編號後面。
Figure 1. Serum concentrations of antibody A in human subjects with R/R MM in
圖 2.經抗體A治療的患有R/R MM之人類個體體內IL-18的血清濃度。Y軸為IL-18,以pg/mL為單位。每條線係指來自一名患者之資料。每名患者亦被指定一個編號。在第1週期(第1天)及第2週期(第1天)(第29天)對患者005-0001及005-0003給藥。「LLOQ」係指最低定量限。LLOQ對於患者005-0001為79 pg/mL且對於所有其他患者為54 pg/mL。樣品<LLOQ報告為LLOQ (由虛線指示之LLOQ)。基於患者之體重給予患者的每劑藥物之總量以圓括號展示於每名患者之編號後面。 Figure 2. Serum concentrations of IL-18 in human subjects with R/R MM treated with Antibody A. Y-axis is IL-18 in pg/mL. Each line refers to data from one patient. Each patient is also assigned a number. Patients 005-0001 and 005-0003 were administered in cycle 1 (day 1) and cycle 2 (day 1) (day 29). "LLOQ" means lower limit of quantitation. The LLOQ was 79 pg/mL for patient 005-0001 and 54 pg/mL for all other patients. Samples < LLOQ are reported as LLOQ (LLOQ indicated by dotted line). The total amount of each dose given to the patient based on the patient's weight is shown in parentheses after each patient's number.
圖 3.經抗體A治療的患有R/R MM之人類個體體內IL-18結合蛋白質的血清濃度。Y軸為IL-18bp (ng/mL)。每條線係指來自一名患者之資料。每名患者亦被指定一個編號。在第1週期(第1天)及第2週期(第1天) (第29天)對患者005-0001及005-0003給藥。基於患者之體重給予患者的每劑藥物之總量以圓括號展示於每名患者之編號後面。 Figure 3. Serum concentrations of IL-18 binding protein in human subjects with R/R MM treated with Antibody A. Y axis is IL-18bp (ng/mL). Each line refers to data from one patient. Each patient is also assigned a number. Patients 005-0001 and 005-0003 were administered in cycle 1 (day 1) and cycle 2 (day 1) (day 29). The total amount of each dose given to the patient based on the patient's weight is shown in parentheses after each patient's number.
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1 5
<![CDATA[<210> 24]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體2 LCDR3]]>
<![CDATA[<400> 24]]>
Gln Asp Ile Ser Phe Pro Pro Trp Thr
1 5
<![CDATA[<210> 25]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 VH]]>
<![CDATA[<400> 25]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 26]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 HCDR1]]>
<![CDATA[<400> 26]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 27]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 HCDR2]]>
<![CDATA[<400> 27]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 28]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 HCDR3]]>
<![CDATA[<400> 28]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 29]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 VL]]>
<![CDATA[<400> 29]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser Leu Tyr Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 30]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 LCDR1]]>
<![CDATA[<400> 30]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 31]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 LCDR2]]>
<![CDATA[<400> 31]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 32]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體3 LCDR3]]>
<![CDATA[<400> 32]]>
Gln Gln Ser Leu Tyr Pro Pro Trp Thr
1 5
<![CDATA[<210> 33]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 VH]]>
<![CDATA[<400> 33]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 34]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 HCDR1]]>
<![CDATA[<400> 34]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 35]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 HCDR2]]>
<![CDATA[<400> 35]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 36]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 HCDR3]]>
<![CDATA[<400> 36]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 37]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 VL]]>
<![CDATA[<400> 37]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Asn Trp
85 90 95
Asp Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 38]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 LCDR1]]>
<![CDATA[<400> 38]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 39]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 LCDR2]]>
<![CDATA[<400> 39]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 40]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體4 LCDR3]]>
<![CDATA[<400> 40]]>
Gln Gln Ser His His Pro Asn Trp Asp
1 5
<![CDATA[<210> 41]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 VH]]>
<![CDATA[<400> 41]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 42]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 HCDR1]]>
<![CDATA[<400> 42]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 43]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 HCDR2]]>
<![CDATA[<400> 43]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 44]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 HCDR3]]>
<![CDATA[<400> 44]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 45]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 VL]]>
<![CDATA[<400> 45]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser Leu Ile Pro Gln Trp
85 90 95
Asp Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 46]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 LCDR1]]>
<![CDATA[<400> 46]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 47]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 LCDR2]]>
<![CDATA[<400> 47]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 48]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體5 LCDR3]]>
<![CDATA[<400> 48]]>
Gln Gln Ser Leu Ile Pro Gln Trp Asp
1 5
<![CDATA[<210> 49]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 VH]]>
<![CDATA[<400> 49]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 50]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 HCDR1]]>
<![CDATA[<400> 50]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 51]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 HCDR2]]>
<![CDATA[<400> 51]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 52]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 HCDR3]]>
<![CDATA[<400> 52]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 53]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 VL]]>
<![CDATA[<400> 53]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Ala Asn Ile Ala Phe Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 54]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 LCDR1]]>
<![CDATA[<400> 54]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 55]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 LCDR2]]>
<![CDATA[<400> 55]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 56]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6 LCDR3]]>
<![CDATA[<400> 56]]>
Ala Asn Ile Ala Phe Pro Pro Trp Thr
1 5
<![CDATA[<210> 57]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL VH]]>
<![CDATA[<400> 57]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 58]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL HCDR1]]>
<![CDATA[<400> 58]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 59]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL HCDR2]]>
<![CDATA[<400> 59]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 60]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL HCDR3]]>
<![CDATA[<400> 60]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 61]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL VL]]>
<![CDATA[<400> 61]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Ala Asn Ile Ala Phe Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 62]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL LCDR1]]>
<![CDATA[<400> 62]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 63]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL LCDR2]]>
<![CDATA[<400> 63]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 64]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體6_GL]]>
<![CDATA[<400> 64]]>
Ala Asn Ile Ala Phe Pro Pro Trp Thr
1 5
<![CDATA[<210> 65]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 VH]]>
<![CDATA[<400> 65]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 66]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 HCDR1]]>
<![CDATA[<400> 66]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 67]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 HCDR2]]>
<![CDATA[<400> 67]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 68]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 HCDR3]]>
<![CDATA[<400> 68]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 69]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 VL]]>
<![CDATA[<400> 69]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 70]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 LCDR1]]>
<![CDATA[<400> 70]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 71]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 LCDR2]]>
<![CDATA[<400> 71]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 72]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7 LCDR3]]>
<![CDATA[<400> 72]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 73]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL VH]]>
<![CDATA[<400> 73]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 74]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL HCDR1]]>
<![CDATA[<400> 74]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 75]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL HCDR2]]>
<![CDATA[<400> 75]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 76]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL HCDR3]]>
<![CDATA[<400> 76]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 77]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL VL]]>
<![CDATA[<400> 77]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 78]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL LCDR1]]>
<![CDATA[<400> 78]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 79]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL LCDR2]]>
<![CDATA[<400> 79]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 80]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體7_GL LCDR3]]>
<![CDATA[<400> 80]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 81]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL VH]]>
<![CDATA[<400> 81]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Gly Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 82]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL HCDR1]]>
<![CDATA[<400> 82]]>
Ala Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 83]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL HCDR2]]>
<![CDATA[<400> 83]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Gly
1 5 10 15
<![CDATA[<210> 84]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL HCDR3]]>
<![CDATA[<400> 84]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 85]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL VL]]>
<![CDATA[<400> 85]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 86]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL LCDR1]]>
<![CDATA[<400> 86]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 87]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL LCDR2]]>
<![CDATA[<400> 87]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 88]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體8_GL LCDR3]]>
<![CDATA[<400> 88]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 89]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 VH]]>
<![CDATA[<400> 89]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Glu Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 90]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 HCDR1]]>
<![CDATA[<400> 90]]>
Ser Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 91]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 HCDR2]]>
<![CDATA[<400> 91]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[<210> 92]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 HCDR3]]>
<![CDATA[<400> 92]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 93]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 VL]]>
<![CDATA[<400> 93]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 94]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 LCDR1]]>
<![CDATA[<400> 94]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 95]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 LCDR2]]>
<![CDATA[<400> 95]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 96]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體9 LCDR3]]>
<![CDATA[<400> 96]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 97]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 VH]]>
<![CDATA[<400> 97]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Glu Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Arg Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 98]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 HCDR1]]>
<![CDATA[<400> 98]]>
Ser Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 99]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 HCDR2]]>
<![CDATA[<400> 99]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Arg Ser
1 5 10 15
<![CDATA[<210> 100]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 HCDR3]]>
<![CDATA[<400> 100]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 101]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 VL]]>
<![CDATA[<400> 101]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gly Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Ser Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 102]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 LCDR1]]>
<![CDATA[<400> 102]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 103]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 LCDR2]]>
<![CDATA[<400> 103]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 104]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體10 LCDR3]]>
<![CDATA[<400> 104]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 105]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 VH]]>
<![CDATA[<400> 105]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Glu Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Arg Gly Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 106]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 HCDR1]]>
<![CDATA[<400> 106]]>
Ala Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 107]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 HCDR2]]>
<![CDATA[<400> 107]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Arg Gly
1 5 10 15
<![CDATA[<210> 108]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 HCDR3]]>
<![CDATA[<400> 108]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 109]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 VL]]>
<![CDATA[<400> 109]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gly Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Ser Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 110]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 LCDR1]]>
<![CDATA[<400> 110]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 111]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 LCDR2]]>
<![CDATA[<400> 111]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 112]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11 LCDR3]]>
<![CDATA[<400> 112]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 113]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL VH]]>
<![CDATA[<400> 113]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Arg Gly Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 114]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL HCDR1]]>
<![CDATA[<400> 114]]>
Ala Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 115]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL HCDR2]]>
<![CDATA[<400> 115]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Arg Gly
1 5 10 15
<![CDATA[<210> 116]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL HCDR3]]>
<![CDATA[<400> 116]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 117]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL VL]]>
<![CDATA[<400> 117]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 118]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL LCDR1]]>
<![CDATA[<400> 118]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 119]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL LCDR2]]>
<![CDATA[<400> 119]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 120]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體11_GL LCDR3]]>
<![CDATA[<400> 120]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 121]]>
<![CDATA[<211> 125]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL VH]]>
<![CDATA[<400> 121]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Gly Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 122]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL HCDR1]]>
<![CDATA[<400> 122]]>
Ala Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[<210> 123]]>
<![CDATA[<211> 16]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL HCDR2]]>
<![CDATA[<400> 123]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Gly
1 5 10 15
<![CDATA[<210> 124]]>
<![CDATA[<211> 15]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL HCDR3]]>
<![CDATA[<400> 124]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[<210> 125]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL VL]]>
<![CDATA[<400> 125]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 126]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL LCDR1]]>
<![CDATA[<400> 126]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[<210> 127]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL LCDR2]]>
<![CDATA[<400> 127]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[<210> 128]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:抗體12_GL LCDR3]]>
<![CDATA[<400> 128]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[<210> 129]]>
<![CDATA[<211> 5]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:HCDR1]]>
<![CDATA[<400> 129]]>
Gly Tyr Tyr Phe His
1 5
<![CDATA[<210> 130]]>
<![CDATA[<211> 17]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:HCDR2]]>
<![CDATA[<400> 130]]>
Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe Lys
1 5 10 15
Asp
<![CDATA[<210> 131]]>
<![CDATA[<211> 17]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:HCDR3]]>
<![CDATA[<400> 131]]>
Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val Met Asp
1 5 10 15
Ala
<![CDATA[<210> 132]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:LCDR1]]>
<![CDATA[<400> 132]]>
Leu Ala Ser Glu Asp Ile Tyr Thr Tyr Leu Thr
1 5 10
<![CDATA[<210> 133]]>
<![CDATA[<211> 7]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:LCDR2]]>
<![CDATA[<400> 133]]>
Gly Ala Asn Lys Leu Gln Asp
1 5
<![CDATA[<210> 134]]>
<![CDATA[<211> 9]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:LCDR3]]>
<![CDATA[<400> 134]]>
Leu Gln Gly Ser Lys Phe Pro Leu Thr
1 5
<![CDATA[<210> 135]]>
<![CDATA[<211> 193]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 智人]]>
<![CDATA[<220>]]>
<![CDATA[<221> misc_feature]]>
<![CDATA[<223> 人類IL-18]]>
<![CDATA[<400> 135]]>
Met Ala Ala Glu Pro Val Glu Asp Asn Cys Ile Asn Phe Val Ala Met
1 5 10 15
Lys Phe Ile Asp Asn Thr Leu Tyr Phe Ile Ala Glu Asp Asp Glu Asn
20 25 30
Leu Glu Ser Asp Tyr Phe Gly Lys Leu Glu Ser Lys Leu Ser Val Ile
35 40 45
Arg Asn Leu Asn Asp Gln Val Leu Phe Ile Asp Gln Gly Asn Arg Pro
50 55 60
Leu Phe Glu Asp Met Thr Asp Ser Asp Cys Arg Asp Asn Ala Pro Arg
65 70 75 80
Thr Ile Phe Ile Ile Ser Met Tyr Lys Asp Ser Gln Pro Arg Gly Met
85 90 95
Ala Val Thr Ile Ser Val Lys Cys Glu Lys Ile Ser Thr Leu Ser Cys
100 105 110
Glu Asn Lys Ile Ile Ser Phe Lys Glu Met Asn Pro Pro Asp Asn Ile
115 120 125
Lys Asp Thr Lys Ser Asp Ile Ile Phe Phe Gln Arg Ser Val Pro Gly
130 135 140
His Asp Asn Lys Met Gln Phe Glu Ser Ser Ser Tyr Glu Gly Tyr Phe
145 150 155 160
Leu Ala Cys Glu Lys Glu Arg Asp Leu Phe Lys Leu Ile Leu Lys Lys
165 170 175
Glu Asp Glu Leu Gly Asp Arg Ser Ile Met Phe Thr Val Gln Asn Glu
180 185 190
Asp
<![CDATA[<210> 136]]>
<![CDATA[<211> 582]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 智人]]>
<![CDATA[<220>]]>
<![CDATA[<221> misc_feature]]>
<![CDATA[<223> 人類IL-18 (PN)]]>
<![CDATA[<400> 136]]>
atggctgctg aaccagtaga agacaattgc atcaactttg tggcaatgaa atttattgac 60
aatacgcttt actttatagc tgaagatgat gaaaacctgg aatcagatta ctttggcaag 120
cttgaatcta aattatcagt cataagaaat ttgaatgacc aagttctctt cattgaccaa 180
ggaaatcggc ctctatttga agatatgact gattctgact gtagagataa tgcaccccgg 240
accatattta ttataagtat gtataaagat agccagccta gaggtatggc tgtaactatc 300
tctgtgaagt gtgagaaaat ttcaactctc tcctgtgaga acaaaattat ttcctttaag 360
gaaatgaatc ctcctgataa catcaaggat acaaaaagtg acatcatatt ctttcagaga 420
agtgtcccag gacatgataa taagatgcaa tttgaatctt catcatacga aggatacttt 480
ctagcttgtg aaaaagagag agaccttttt aaactcattt tgaaaaaaga ggatgaattg 540
ggggatagat ctataatgtt cactgttcaa aacgaagact ag 582
<![CDATA[<210> 137]]>
<![CDATA[<211> 456]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H1重鏈]]>
<![CDATA[<400> 137]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[<210> 138]]>
<![CDATA[<211> 1370]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H1重鏈(PN)]]>
<![CDATA[<400> 138]]>
aggtgcagct ggtgcagagc ggagccgagg tgaagaagcc tggcgccagc gtcaaggtgt 60
cctgtaaggt gtccggcgag atcagcaccg gctactactt ccactgggtg aggcaggccc 120
ctggcaaggg cctggagtgg atgggcagaa tcgaccccga ggacgacagc accaagtacg 180
ccgagcggtt caaggacagg gtgaccatga ccgaggacac cagcaccgat accgcctaca 240
tggagctgtc cagcctgaga agcgaggata ccgccgtgta ctactgtacc acctggcgga 300
tctacagaga cagcagcggc agacccttct acgtgatgga tgcctggggc cagggcacac 360
tagtgaccgt gtccagcgcc agcaccaagg gccccagcgt gttccccctg gcccccagca 420
gcaagagcac cagcggcggc acagccgccc tgggctgcct ggtgaaggac tacttccccg 480
aaccggtgac cgtgtcctgg aacagcggag ccctgaccag cggcgtgcac accttccccg 540
ccgtgctgca gagcagcggc ctgtacagcc tgagcagcgt ggtgaccgtg cccagcagca 600
gcctgggcac ccagacctac atctgtaacg tgaaccacaa gcccagcaac accaaggtgg 660
acaagaaggt ggagcccaag agctgtgaca agacccacac ctgccccccc tgccctgccc 720
ccgagctgct gggaggcccc agcgtgttcc tgttcccccc caagcctaag gacaccctga 780
tgatcagcag aacccccgag gtgacctgtg tggtggtgga tgtgagccac gaggaccctg 840
aggtgaagtt caactggtac gtggacggcg tggaggtgca caatgccaag accaagccca 900
gggaggagca gtacaacagc acctaccggg tggtgtccgt gctgaccgtg ctgcaccagg 960
attggctgaa cggcaaggag tacaagtgta aggtgtccaa caaggccctg cctgccccta 1020
tcgagaaaac catcagcaag gccaagggcc agcccagaga gccccaggtg tacaccctgc 1080
cccctagcag agatgagctg accaagaacc aggtgtccct gacctgcctg gtgaagggct 1140
tctaccccag cgacatcgcc gtggagtggg agagcaacgg ccagcccgag aacaactaca 1200
agaccacccc ccctgtgctg gacagcgatg gcagcttctt cctgtacagc aagctgaccg 1260
tggacaagag cagatggcag cagggcaacg tgttcagctg ctccgtgatg cacgaggccc 1320
tgcacaatca ctacacccag aagagcctga gcctgtcccc tggcaagtga 1370
<![CDATA[<210> 139]]>
<![CDATA[<211> 126]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H1可變區]]>
<![CDATA[<400> 139]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 140]]>
<![CDATA[<211> 378]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H1可變區(PN)]]>
<![CDATA[<400> 140]]>
caggtgcagc tggtgcagag cggagccgag gtgaagaagc ctggcgccag cgtcaaggtg 60
tcctgtaagg tgtccggcga gatcagcacc ggctactact tccactgggt gaggcaggcc 120
cctggcaagg gcctggagtg gatgggcaga atcgaccccg aggacgacag caccaagtac 180
gccgagcggt tcaaggacag ggtgaccatg accgaggaca ccagcaccga taccgcctac 240
atggagctgt ccagcctgag aagcgaggat accgccgtgt actactgtac cacctggcgg 300
atctacagag acagcagcgg cagacccttc tacgtgatgg atgcctgggg ccagggcaca 360
ctagtgaccg tgtccagc 378
<![CDATA[<210> 141]]>
<![CDATA[<211> 214]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L2輕鏈]]>
<![CDATA[<400> 141]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[<210> 142]]>
<![CDATA[<211> 642]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L2輕鏈(PN)]]>
<![CDATA[<400> 142]]>
gatatccaga tgacccagtc ccccagcagc gtgtccgcct ctgtgggcga tagagtgacc 60
atcacctgcc tggccagcga ggacatctac acctacctga cctggtatca gcagaagcct 120
ggcaaggccc ctaagctgct gatctacggc gccaacaagc tgcaggacgg cgtgcccagc 180
agattcagcg gcagcggctc cggcaccgac tacaccctga ccatcagcag cctgcagcct 240
gaggatttcg ccacctacta ctgcctgcag ggcagcaagt tccccctgac cttcggccag 300
ggcaccaagc tggagatcaa gcgtacggtg gccgccccca gcgtgttcat cttccccccc 360
agcgatgagc agctgaagag cggcaccgcc agcgtggtgt gtctgctgaa caacttctac 420
ccccgggagg ccaaggtgca gtggaaggtg gacaatgccc tgcagagcgg caacagccag 480
gagagcgtga ccgagcagga cagcaaggac tccacctaca gcctgagcag caccctgacc 540
ctgagcaagg ccgactacga gaagcacaag gtgtacgcct gtgaggtgac ccaccagggc 600
ctgtccagcc ccgtgaccaa gagcttcaac cggggcgagt gc 642
<![CDATA[<210> 143]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L2可變區]]>
<![CDATA[<400> 143]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 144]]>
<![CDATA[<211> 321]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L2可變區(PN)]]>
<![CDATA[<400> 144]]>
gatatccaga tgacccagtc ccccagcagc gtgtccgcct ctgtgggcga tagagtgacc 60
atcacctgcc tggccagcga ggacatctac acctacctga cctggtatca gcagaagcct 120
ggcaaggccc ctaagctgct gatctacggc gccaacaagc tgcaggacgg cgtgcccagc 180
agattcagcg gcagcggctc cggcaccgac tacaccctga ccatcagcag cctgcagcct 240
gaggatttcg ccacctacta ctgcctgcag ggcagcaagt tccccctgac cttcggccag 300
ggcaccaagc tggagatcaa g 321
<![CDATA[<210> 145]]>
<![CDATA[<211> 456]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H2重鏈]]>
<![CDATA[<400> 145]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[<210> 146]]>
<![CDATA[<211> 1368]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H2重鏈(PN)]]>
<![CDATA[<400> 146]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactgggt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgaggaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccgtgt attactgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctcagc ctccaccaag ggcccatcgg tcttccccct ggcaccctcc 420
tccaagagca cctctggggg cacagcggcc ctgggctgcc tggtcaagga ctacttcccc 480
gaaccggtga cggtgtcgtg gaactcaggc gccctgacca gcggcgtgca caccttcccg 540
gctgtcctac agtcctcagg actctactcc ctcagcagcg tggtgaccgt gccctccagc 600
agcttgggca cccagaccta catctgcaac gtgaatcaca agcccagcaa caccaaggtg 660
gacaagaaag ttgagcccaa atcttgtgac aaaactcaca catgcccacc gtgcccagca 720
cctgaactcc tggggggacc gtcagtcttc ctcttccccc caaaacccaa ggacaccctc 780
atgatctccc ggacccctga ggtcacatgc gtggtggtgg acgtgagcca cgaagaccct 840
gaggtcaagt tcaactggta cgtggacggc gtggaggtgc ataatgccaa gacaaagccg 900
cgggaggagc agtacaacag cacgtaccgt gtggtcagcg tcctcaccgt cctgcaccag 960
gactggctga atggcaagga gtacaagtgc aaggtctcca acaaagccct cccagccccc 1020
atcgagaaaa ccatctccaa agccaaaggg cagccccgag aaccacaggt gtacaccctg 1080
cccccatccc gggatgagct gaccaagaac caggtcagcc tgacctgcct ggtcaaaggc 1140
ttctatccca gcgacatcgc cgtggagtgg gagagcaatg ggcagccgga gaacaactac 1200
aagaccacgc ctcccgtgct ggactccgac ggctccttct tcctctacag caagctcacc 1260
gtggacaaga gcaggtggca gcaggggaac gtcttctcat gctccgtgat gcatgaggct 1320
ctgcacaacc actacacgca gaagagcctc tccctgtctc cgggtaaa 1368
<![CDATA[<210> 147]]>
<![CDATA[<211> 126]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H2可變區]]>
<![CDATA[<400> 147]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 148]]>
<![CDATA[<211> 378]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H2可變區(PN)]]>
<![CDATA[<400> 148]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactgggt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgaggaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccgtgt attactgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctca 378
<![CDATA[<210> 149]]>
<![CDATA[<211> 456]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H3重鏈]]>
<![CDATA[<400> 149]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Phe Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Ala Asp Thr Ser Thr Asp Thr Ala Tyr
65 70 75 80
Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Thr Tyr Phe Cys
85 90 95
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[<210> 150]]>
<![CDATA[<211> 1368]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H3重鏈(PN)]]>
<![CDATA[<400> 150]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactttgt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgcagaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccactt atttttgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctcagc ctccaccaag ggcccatcgg tcttccccct ggcaccctcc 420
tccaagagca cctctggggg cacagcggcc ctgggctgcc tggtcaagga ctacttcccc 480
gaaccggtga cggtgtcgtg gaactcaggc gccctgacca gcggcgtgca caccttcccg 540
gctgtcctac agtcctcagg actctactcc ctcagcagcg tggtgaccgt gccctccagc 600
agcttgggca cccagaccta catctgcaac gtgaatcaca agcccagcaa caccaaggtg 660
gacaagaaag ttgagcccaa atcttgtgac aaaactcaca catgcccacc gtgcccagca 720
cctgaactcc tggggggacc gtcagtcttc ctcttccccc caaaacccaa ggacaccctc 780
atgatctccc ggacccctga ggtcacatgc gtggtggtgg acgtgagcca cgaagaccct 840
gaggtcaagt tcaactggta cgtggacggc gtggaggtgc ataatgccaa gacaaagccg 900
cgggaggagc agtacaacag cacgtaccgt gtggtcagcg tcctcaccgt cctgcaccag 960
gactggctga atggcaagga gtacaagtgc aaggtctcca acaaagccct cccagccccc 1020
atcgagaaaa ccatctccaa agccaaaggg cagccccgag aaccacaggt gtacaccctg 1080
cccccatccc gggatgagct gaccaagaac caggtcagcc tgacctgcct ggtcaaaggc 1140
ttctatccca gcgacatcgc cgtggagtgg gagagcaatg ggcagccgga gaacaactac 1200
aagaccacgc ctcccgtgct ggactccgac ggctccttct tcctctacag caagctcacc 1260
gtggacaaga gcaggtggca gcaggggaac gtcttctcat gctccgtgat gcatgaggct 1320
ctgcacaacc actacacgca gaagagcctc tccctgtctc cgggtaaa 1368
<![CDATA[<210> 151]]>
<![CDATA[<211> 126]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H3可變區]]>
<![CDATA[<400> 151]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Phe Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Ala Asp Thr Ser Thr Asp Thr Ala Tyr
65 70 75 80
Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Thr Tyr Phe Cys
85 90 95
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[<210> 152]]>
<![CDATA[<211> 378]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:H3可變區(PN)]]>
<![CDATA[<400> 152]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactttgt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgcagaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccactt atttttgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctca 378
<![CDATA[<210> 153]]>
<![CDATA[<211> 214]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L1輕鏈]]>
<![CDATA[<400> 153]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[<210> 154]]>
<![CDATA[<211> 642]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L1輕鏈(PN)]]>
<![CDATA[<400> 154]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctaagctcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat ttcactctca ctatcagcag cctgcagcct 240
gaagattttg caacttacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa acgtacggtg gctgcaccat ctgtcttcat cttcccgcca 360
tctgatgagc agttgaaatc tggaactgcc tctgttgtgt gcctgctgaa taacttctat 420
cccagagagg ccaaagtaca gtggaaggtg gacaacgccc tccaatcggg taactcccag 480
gagagtgtca cagagcagga cagcaaggac agcacctaca gcctcagcag caccctgacg 540
ctgagcaaag cagactacga gaaacacaaa gtctacgcct gcgaagtcac ccatcagggc 600
ctgagctcgc ccgtcacaaa gagcttcaac aggggagagt gt 642
<![CDATA[<210> 155]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L1可變區]]>
<![CDATA[<400> 155]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 156]]>
<![CDATA[<211> 321]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L1可變區(PN)]]>
<![CDATA[<400> 156]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctaagctcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat ttcactctca ctatcagcag cctgcagcct 240
gaagattttg caacttacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa a 321
<![CDATA[<210> 157]]>
<![CDATA[<211> 214]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L3輕鏈]]>
<![CDATA[<400> 157]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Gln Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Glu Gly Asp Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[<210> 158]]>
<![CDATA[<211> 645]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L3輕鏈(PN)]]>
<![CDATA[<400> 158]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctcaactcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat tatactctca ctatcagcag cctgcagcct 240
gaagatgaag gggattacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa acgtacggtg gctgcaccat ctgtcttcat cttcccgcca 360
tctgatgagc agttgaaatc tggaactgcc tctgttgtgt gcctgctgaa taacttctat 420
cccagagagg ccaaagtaca gtggaaggtg gacaacgccc tccaatcggg taactcccag 480
gagagtgtca cagagcagga cagcaaggac agcacctaca gcctcagcag caccctgacg 540
ctgagcaaag cagactacga gaaacacaaa gtctacgcct gcgaagtcac ccatcagggc 600
ctgagctcgc ccgtcacaaa gagcttcaac aggggagagt gttag 645
<![CDATA[<210> 159]]>
<![CDATA[<211> 107]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L3可變區]]>
<![CDATA[<400> 159]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Gln Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Glu Gly Asp Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[<210> 160]]>
<![CDATA[<211> 321]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:L3可變區(PN)]]>
<![CDATA[<400> 160]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctcaactcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat tatactctca ctatcagcag cctgcagcct 240
gaagatgaag gggattacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa a 321
<![CDATA[<210> 161]]>
<![CDATA[<211> 456]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:2c10大鼠-人類IgG1嵌合體]]>
<![CDATA[<400> 161]]>
Glu Val Gln Leu Gln Gln Ser Gly Ala Glu Leu Val Arg Pro Gly Thr
1 5 10 15
Ser Val Lys Leu Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Phe Val Arg Arg Arg Pro Gly Gln Gly Leu Glu Trp Ile
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Ala Thr Leu Thr Ala Gln Thr Ser Ser Asn Thr Ala Tyr
65 70 75 80
Leu Asn Leu Ser Ser Leu Thr Ser Glu Asp Thr Ala Thr Tyr Phe Cys
85 90 95
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[<210> 162]]>
<![CDATA[<211> 1368]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:2c10大鼠-人類IgG1嵌合體(PN)]]>
<![CDATA[<400> 162]]>
gaggtccagc tacagcagtc tggggctgag cttgtgagac ctgggacctc tgtgaagtta 60
tcttgcaaag tttctggcga aataagtaca ggatactatt tccactttgt gaggcgaagg 120
cctggacagg gtctggaatg gataggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag ggcgacgctc actgcacaaa catcctccaa cacagcctac 240
ctgaacctca gcagcctgac ctctgaggac actgcaactt atttttgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg tcaaggaaca 360
ctagtcacag tctcctcagc ctccaccaag ggcccatcgg tcttccccct ggcaccctcc 420
tccaagagca cctctggggg cacagcggcc ctgggctgcc tggtcaagga ctacttcccc 480
gaaccggtga cggtgtcgtg gaactcaggc gccctgacca gcggcgtgca caccttcccg 540
gctgtcctac agtcctcagg actctactcc ctcagcagcg tggtgaccgt gccctccagc 600
agcttgggca cccagaccta catctgcaac gtgaatcaca agcccagcaa caccaaggtg 660
gacaagaaag ttgagcccaa atcttgtgac aaaactcaca catgcccacc gtgcccagca 720
cctgaactcc tggggggacc gtcagtcttc ctcttccccc caaaacccaa ggacaccctc 780
atgatctccc ggacccctga ggtcacatgc gtggtggtgg acgtgagcca cgaagaccct 840
gaggtcaagt tcaactggta cgtggacggc gtggaggtgc ataatgccaa gacaaagccg 900
cgggaggagc agtacaacag cacgtaccgt gtggtcagcg tcctcaccgt cctgcaccag 960
gactggctga atggcaagga gtacaagtgc aaggtctcca acaaagccct cccagccccc 1020
atcgagaaaa ccatctccaa agccaaaggg cagccccgag aaccacaggt gtacaccctg 1080
cccccatccc gggatgagct gaccaagaac caggtcagcc tgacctgcct ggtcaaaggc 1140
ttctatccca gcgacatcgc cgtggagtgg gagagcaatg ggcagccgga gaacaactac 1200
aagaccacgc ctcccgtgct ggactccgac ggctccttct tcctctacag caagctcacc 1260
gtggacaaga gcaggtggca gcaggggaac gtcttctcat gctccgtgat gcatgaggct 1320
ctgcacaacc actacacgca gaagagcctc tccctgtctc cgggtaaa 1368
<![CDATA[<210> 163]]>
<![CDATA[<211> 214]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:2c10大鼠-人類Cκ嵌合體]]>
<![CDATA[<400> 163]]>
Asp Ile Gln Met Thr Gln Ser Pro Ala Ser Leu Ser Ala Ser Leu Gly
1 5 10 15
Glu Thr Val Ser Ile Glu Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ser Pro Gln Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Gln Tyr Ser Leu Lys Ile Ser Gly Ile Gln Pro
65 70 75 80
Glu Asp Glu Gly Asp Tyr Phe Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Ser Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[<210> 164]]>
<![CDATA[<211> 642]]>
<![CDATA[<212> DNA]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:2c10大鼠-人類Cκ嵌合體(PN)]]>
<![CDATA[<400> 164]]>
gacattcaaa tgacccagtc tccagcttcc ctgtctgcat ctctgggaga aactgtctcc 60
atcgaatgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaatctc ctcaactcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
cggttcagtg gcagtggatc tggcacacag tattctctca agatcagcgg catacaacct 240
gaagatgaag gggattattt ctgtctacag ggttccaagt ttccgctcac gttcggttct 300
gggaccaagc tggagatcaa acgtacggtg gctgcaccat ctgtcttcat cttcccgcca 360
tctgatgagc agttgaaatc tggaactgcc tctgttgtgt gcctgctgaa taacttctat 420
cccagagagg ccaaagtaca gtggaaggtg gacaacgccc tccaatcggg taactcccag 480
gagagtgtca cagagcagga cagcaaggac agcacctaca gcctcagcag caccctgacg 540
ctgagcaaag cagactacga gaaacacaaa gtctacgcct gcgaagtcac ccatcagggc 600
ctgagctcgc ccgtcacaaa gagcttcaac aggggagagt gt 642
<![CDATA[<210> 165]]>
<![CDATA[<211> 98]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:重鏈受體構架]]>
<![CDATA[<400> 165]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Tyr Thr Leu Thr Glu Leu
20 25 30
Ser Met His Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Gly Phe Asp Pro Glu Asp Gly Glu Thr Ile Tyr Ala Gln Lys Phe
50 55 60
Gln Gly Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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 Thr
<![CDATA[<210> 166]]>
<![CDATA[<211> 95]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:輕鏈受體構架]]>
<![CDATA[<400> 166]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Ala Ala Ser Ser Leu Gln Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ala Asn Ser Phe Pro
85 90 95
<![CDATA[<210> 167]]>
<![CDATA[<211> 11]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:添加至SEQ ID NO: 37之JH6胺基酸序列]]>
<![CDATA[<400> 167]]>
Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
1 5 10
<![CDATA[<210> 168]]>
<![CDATA[<211> 10]]>
<![CDATA[<212> PRT]]>
<![CDATA[<213> 人工序列]]>
<![CDATA[<220>]]>
<![CDATA[<223> 合成:添加至SEQ ID NO: 38之Jκ 2胺基酸序列]]>
<![CDATA[<400> 168]]>
Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
1 5 10
<![CDATA[ <110> AVALO THERAPEUTICS, INC.]]>
<![CDATA[ <120> Methods and treatments involving IL-18 antibody]]>
<![CDATA[ <130> 01118-0050-00PCT]]>
<![CDATA[ <160> 168 ]]>
<![CDATA[ <170> PatentIn version 3.5]]>
<![CDATA[ <210> 1]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 VH]]>
<![CDATA[ <400> 1]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 2]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 HCDR1]]>
<![CDATA[ <400> 2]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 3]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 HCDR2]]>
<![CDATA[ <400> 3]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 4]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 HCDR3]]>
<![CDATA[ <400> 4]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 5]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 VL]]>
<![CDATA[ <400> 5]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser Tyr Ser Thr Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 6]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 LCDR1]]>
<![CDATA[ <400> 6]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 7]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 LCDR2]]>
<![CDATA[ <400> 7]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 8]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1 LCDR3]]>
<![CDATA[ <400> 8]]>
Gln Gln Ser Tyr Ser Thr Pro Trp Thr
1 5
<![CDATA[ <210> 9]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL VH]]>
<![CDATA[ <400> 9]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 10]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL HCDR1]]>
<![CDATA[ <400> 10]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 11]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL HCDR2]]>
<![CDATA[ <400> 11]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 12]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL HCDR3]]>
<![CDATA[ <400> 12]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 13]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL VL]]>
<![CDATA[ <400> 13]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser Tyr Ser Thr Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 14]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL LCDR1]]>
<![CDATA[ <400> 14]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 15]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL LCDR2]]>
<![CDATA[ <400> 15]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 16]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 1_GL LCDR3]]>
<![CDATA[ <400> 16]]>
Gln Gln Ser Tyr Ser Thr Pro Trp Thr
1 5
<![CDATA[ <210> 17]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 VH]]>
<![CDATA[ <400> 17]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 18]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 HCDR1]]>
<![CDATA[ <400> 18]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 19]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 HCDR2]]>
<![CDATA[ <400> 19]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 20]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 HCDR3]]>
<![CDATA[ <400> 20]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 21]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 VL]]>
<![CDATA[ <400> 21]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Asp Ile Ser Phe Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 22]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 LCDR1]]>
<![CDATA[ <400> 22]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 23]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 LCDR2]]>
<![CDATA[ <400> 23]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 24]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 2 LCDR3]]>
<![CDATA[ <400> 24]]>
Gln Asp Ile Ser Phe Pro Pro Trp Thr
1 5
<![CDATA[ <210> 25]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 VH]]>
<![CDATA[ <400> 25]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 26]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 HCDR1]]>
<![CDATA[ <400> 26]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 27]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 HCDR2]]>
<![CDATA[ <400> 27]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 28]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 HCDR3]]>
<![CDATA[ <400> 28]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 29]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 VL]]>
<![CDATA[ <400> 29]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser Leu Tyr Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 30]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 LCDR1]]>
<![CDATA[ <400> 30]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 31]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 LCDR2]]>
<![CDATA[ <400> 31]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 32]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 3 LCDR3]]>
<![CDATA[ <400> 32]]>
Gln Gln Ser Leu Tyr Pro Pro Trp Thr
1 5
<![CDATA[ <210> 33]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 VH]]>
<![CDATA[ <400> 33]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 34]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 HCDR1]]>
<![CDATA[ <400> 34]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 35]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 HCDR2]]>
<![CDATA[ <400> 35]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 36]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 HCDR3]]>
<![CDATA[ <400> 36]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 37]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 VL]]>
<![CDATA[ <400> 37]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Asn Trp
85 90 95
Asp Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 38]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 LCDR1]]>
<![CDATA[ <400> 38]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 39]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 LCDR2]]>
<![CDATA[ <400> 39]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 40]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 4 LCDR3]]>
<![CDATA[ <400> 40]]>
Gln Gln Ser His His Pro Asn Trp Asp
1 5
<![CDATA[ <210> 41]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 VH]]>
<![CDATA[ <400> 41]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 42]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 HCDR1]]>
<![CDATA[ <400> 42]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 43]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 HCDR2]]>
<![CDATA[ <400> 43]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 44]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 HCDR3]]>
<![CDATA[ <400> 44]]>
Thr Pro Ala Tyr Asp Gly Asp Ala Arg Ala Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 45]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 VL]]>
<![CDATA[ <400> 45]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser Leu Ile Pro Gln Trp
85 90 95
Asp Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 46]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 LCDR1]]>
<![CDATA[ <400> 46]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 47]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 LCDR2]]>
<![CDATA[ <400> 47]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 48]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 5 LCDR3]]>
<![CDATA[ <400> 48]]>
Gln Gln Ser Leu Ile Pro Gln Trp Asp
1 5
<![CDATA[ <210> 49]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 VH]]>
<![CDATA[ <400> 49]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 50]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 HCDR1]]>
<![CDATA[ <400> 50]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 51]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 HCDR2]]>
<![CDATA[ <400> 51]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 52]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 HCDR3]]>
<![CDATA[ <400> 52]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 53]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 VL]]>
<![CDATA[ <400> 53]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Ala Asn Ile Ala Phe Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 54]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 LCDR1]]>
<![CDATA[ <400> 54]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 55]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 LCDR2]]>
<![CDATA[ <400> 55]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 56]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6 LCDR3]]>
<![CDATA[ <400> 56]]>
Ala Asn Ile Ala Phe Pro Pro Trp Thr
1 5
<![CDATA[ <210> 57]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL VH]]>
<![CDATA[ <400> 57]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 58]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL HCDR1]]>
<![CDATA[ <400> 58]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 59]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL HCDR2]]>
<![CDATA[ <400> 59]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 60]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL HCDR3]]>
<![CDATA[ <400> 60]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 61]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL VL]]>
<![CDATA[ <400> 61]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Ala Asn Ile Ala Phe Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 62]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL LCDR1]]>
<![CDATA[ <400> 62]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 63]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL LCDR2]]>
<![CDATA[ <400> 63]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 64]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 6_GL]]>
<![CDATA[ <400> 64]]>
Ala Asn Ile Ala Phe Pro Pro Trp Thr
1 5
<![CDATA[ <210> 65]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 VH]]>
<![CDATA[ <400> 65]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Lys Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 66]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 HCDR1]]>
<![CDATA[ <400> 66]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 67]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 HCDR2]]>
<![CDATA[ <400> 67]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 68]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 HCDR3]]>
<![CDATA[ <400> 68]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 69]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 VL]]>
<![CDATA[ <400> 69]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 70]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 LCDR1]]>
<![CDATA[ <400> 70]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 71]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 LCDR2]]>
<![CDATA[ <400> 71]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 72]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7 LCDR3]]>
<![CDATA[ <400> 72]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 73]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL VH]]>
<![CDATA[ <400> 73]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 74]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL HCDR1]]>
<![CDATA[ <400> 74]]>
Ser Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 75]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL HCDR2]]>
<![CDATA[ <400> 75]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 76]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL HCDR3]]>
<![CDATA[ <400> 76]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 77]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL VL]]>
<![CDATA[ <400> 77]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 78]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL LCDR1]]>
<![CDATA[ <400> 78]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 79]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL LCDR2]]>
<![CDATA[ <400> 79]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 80]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 7_GL LCDR3]]>
<![CDATA[ <400> 80]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 81]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL VH]]>
<![CDATA[ <400> 81]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Gly
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Gly Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 82]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL HCDR1]]>
<![CDATA[ <400> 82]]>
Ala Gly Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 83]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL HCDR2]]>
<![CDATA[ <400> 83]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Gly
1 5 10 15
<![CDATA[ <210> 84]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL HCDR3]]>
<![CDATA[ <400> 84]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 85]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL VL]]>
<![CDATA[ <400> 85]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 86]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL LCDR1]]>
<![CDATA[ <400> 86]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 87]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL LCDR2]]>
<![CDATA[ <400> 87]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 88]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 8_GL LCDR3]]>
<![CDATA[ <400> 88]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 89]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 VH]]>
<![CDATA[ <400> 89]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Glu Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 90]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 HCDR1]]>
<![CDATA[ <400> 90]]>
Ser Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 91]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 HCDR2]]>
<![CDATA[ <400> 91]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Ser
1 5 10 15
<![CDATA[ <210> 92]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 HCDR3]]>
<![CDATA[ <400> 92]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 93]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 VL]]>
<![CDATA[ <400> 93]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Arg Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 94]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 LCDR1]]>
<![CDATA[ <400> 94]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 95]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 LCDR2]]>
<![CDATA[ <400> 95]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 96]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 9 LCDR3]]>
<![CDATA[ <400> 96]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 97]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 VH]]>
<![CDATA[ <400> 97]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Glu Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ser Ser Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Arg Ser Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 98]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 HCDR1]]>
<![CDATA[ <400> 98]]>
Ser Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 99]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 HCDR2]]>
<![CDATA[ <400> 99]]>
Ser Ile Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Arg Ser
1 5 10 15
<![CDATA[ <210> 100]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 HCDR3]]>
<![CDATA[ <400> 100]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 101]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 VL]]>
<![CDATA[ <400> 101]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gly Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Ser Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 102]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 LCDR1]]>
<![CDATA[ <400> 102]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 103]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 LCDR2]]>
<![CDATA[ <400> 103]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 104]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 10 LCDR3]]>
<![CDATA[ <400> 104]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 105]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 VH]]>
<![CDATA[ <400> 105]]>
Gln Val Gln Leu Gln Gln Ser Gly Pro Arg Leu Val Glu Pro Ser Gln
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Ala Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Arg Gly Arg Val Thr Ile Ser Gly Asp Thr Pro Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 106]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 HCDR1]]>
<![CDATA[ <400> 106]]>
Ala Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 107]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 HCDR2]]>
<![CDATA[ <400> 107]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Arg Gly
1 5 10 15
<![CDATA[ <210> 108]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 HCDR3]]>
<![CDATA[ <400> 108]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 109]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 VL]]>
<![CDATA[ <400> 109]]>
Asp Ile Val Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Gly Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Ser Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 110]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 LCDR1]]>
<![CDATA[ <400> 110]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 111]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 LCDR2]]>
<![CDATA[ <400> 111]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 112]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11 LCDR3]]>
<![CDATA[ <400> 112]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 113]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL VH]]>
<![CDATA[ <400> 113]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Arg Gly Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 114]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL HCDR1]]>
<![CDATA[ <400> 114]]>
Ala Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 115]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL HCDR2]]>
<![CDATA[ <400> 115]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Arg Gly
1 5 10 15
<![CDATA[ <210> 116]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL HCDR3]]>
<![CDATA[ <400> 116]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 117]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL VL]]>
<![CDATA[ <400> 117]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 118]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL LCDR1]]>
<![CDATA[ <400> 118]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 119]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL LCDR2]]>
<![CDATA[ <400> 119]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 120]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 11_GL LCDR3]]>
<![CDATA[ <400> 120]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 121]]>
<![CDATA[ <211> 125]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL VH]]>
<![CDATA[ <400> 121]]>
Gln Val Gln Leu Gln Glu Ser Gly Pro Gly Leu Val Lys Pro Ser Glu
1 5 10 15
Thr Leu Ser Leu Thr Cys Thr Val Ser Gly Gly Ser Ile Ser Ala Asp
20 25 30
Gly Tyr Tyr Trp Ser Trp Ile Arg Gln Pro Pro Gly Lys Gly Leu Glu
35 40 45
Trp Ile Gly Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser
50 55 60
Leu Lys Gly Arg Val Thr Ile Ser Gly Asp Thr Ser Lys Asn Gln Phe
65 70 75 80
Ser Leu Lys Leu Ser Ser Val Thr Ala Ala Asp Thr Ala Val Tyr Tyr
85 90 95
Cys Ala Arg Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe
100 105 110
Asp Val Trp Gly Arg Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 122]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL HCDR1]]>
<![CDATA[ <400> 122]]>
Ala Asp Gly Tyr Tyr Trp Ser
1 5
<![CDATA[ <210> 123]]>
<![CDATA[ <211> 16]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL HCDR2]]>
<![CDATA[ <400> 123]]>
Ser Leu Tyr Tyr Ser Gly Ser Thr Tyr Tyr Asn Pro Ser Leu Lys Gly
1 5 10 15
<![CDATA[ <210> 124]]>
<![CDATA[ <211> 15]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL HCDR3]]>
<![CDATA[ <400> 124]]>
Thr Pro Ala Tyr Phe Gly Gln Asp Arg Thr Asp Phe Phe Asp Val
1 5 10 15
<![CDATA[ <210> 125]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL VL]]>
<![CDATA[ <400> 125]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Thr Leu Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Val Leu Ile
35 40 45
Tyr Lys Ala Ser Thr Leu Glu Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Glu Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Asp Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ser His His Pro Pro Trp
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 126]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL LCDR1]]>
<![CDATA[ <400> 126]]>
Arg Ala Ser Gln Gly Ile Ser Ser Trp Leu Ala
1 5 10
<![CDATA[ <210> 127]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL LCDR2]]>
<![CDATA[ <400> 127]]>
Lys Ala Ser Thr Leu Glu Ser
1 5
<![CDATA[ <210> 128]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Antibody 12_GL LCDR3]]>
<![CDATA[ <400> 128]]>
Gln Gln Ser His His Pro Pro Trp Thr
1 5
<![CDATA[ <210> 129]]>
<![CDATA[ <211> 5]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: HCDR1]]>
<![CDATA[ <400> 129]]>
Gly Tyr Tyr Phe His
1 5
<![CDATA[ <210> 130]]>
<![CDATA[ <211> 17]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: HCDR2]]>
<![CDATA[ <400> 130]]>
Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe Lys
1 5 10 15
Asp
<![CDATA[ <210> 131]]>
<![CDATA[ <211> 17]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: HCDR3]]>
<![CDATA[ <400> 131]]>
Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val Met Asp
1 5 10 15
Ala
<![CDATA[ <210> 132]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: LCDR1]]>
<![CDATA[ <400> 132]]>
Leu Ala Ser Glu Asp Ile Tyr Thr Tyr Leu Thr
1 5 10
<![CDATA[ <210> 133]]>
<![CDATA[ <211> 7]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: LCDR2]]>
<![CDATA[ <400> 133]]>
Gly Ala Asn Lys Leu Gln Asp
1 5
<![CDATA[ <210> 134]]>
<![CDATA[ <211> 9]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: LCDR3]]>
<![CDATA[ <400> 134]]>
Leu Gln Gly Ser Lys Phe Pro Leu Thr
1 5
<![CDATA[ <210> 135]]>
<![CDATA[ <211> 193]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Sapiens]]>
<![CDATA[ <220>]]>
<![CDATA[ <221> misc_feature]]>
<![CDATA[ <223> Human IL-18]]>
<![CDATA[ <400> 135]]>
Met Ala Ala Glu Pro Val Glu Asp Asn Cys Ile Asn Phe Val Ala Met
1 5 10 15
Lys Phe Ile Asp Asn Thr Leu Tyr Phe Ile Ala Glu Asp Asp Glu Asn
20 25 30
Leu Glu Ser Asp Tyr Phe Gly Lys Leu Glu Ser Lys Leu Ser Val Ile
35 40 45
Arg Asn Leu Asn Asp Gln Val Leu Phe Ile Asp Gln Gly Asn Arg Pro
50 55 60
Leu Phe Glu Asp Met Thr Asp Ser Asp Cys Arg Asp Asn Ala Pro Arg
65 70 75 80
Thr Ile Phe Ile Ile Ser Met Tyr Lys Asp Ser Gln Pro Arg Gly Met
85 90 95
Ala Val Thr Ile Ser Val Lys Cys Glu Lys Ile Ser Thr Leu Ser Cys
100 105 110
Glu Asn Lys Ile Ile Ser Phe Lys Glu Met Asn Pro Pro Asp Asn Ile
115 120 125
Lys Asp Thr Lys Ser Asp Ile Ile Phe Phe Gln Arg Ser Val Pro Gly
130 135 140
His Asp Asn Lys Met Gln Phe Glu Ser Ser Ser Tyr Glu Gly Tyr Phe
145 150 155 160
Leu Ala Cys Glu Lys Glu Arg Asp Leu Phe Lys Leu Ile Leu Lys Lys
165 170 175
Glu Asp Glu Leu Gly Asp Arg Ser Ile Met Phe Thr Val Gln Asn Glu
180 185 190
Asp
<![CDATA[ <210> 136]]>
<![CDATA[ <211> 582]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Sapiens]]>
<![CDATA[ <220>]]>
<![CDATA[ <221> misc_feature]]>
<![CDATA[ <223> Human IL-18 (PN)]]>
<![CDATA[ <400> 136]]>
atggctgctg aaccagtaga agacaattgc atcaactttg tggcaatgaa atttattgac 60
aatacgcttt actttatagc tgaagatgat gaaaacctgg aatcagatta ctttggcaag 120
cttgaatcta aattatcagt cataagaaat ttgaatgacc aagttctctt cattgaccaa 180
ggaaatcggc ctctatttga agatatgact gattctgact gtagagataa tgcaccccgg 240
accatattta ttataagtat gtataaagat agccagccta gaggtatggc tgtaactatc 300
tctgtgaagt gtgagaaaat ttcaactctc tcctgtgaga acaaaattat ttcctttaag 360
gaaatgaatc ctcctgataa catcaaggat acaaaaagtg acatcatatt ctttcagaga 420
agtgtccccag gacatgataa taagatgcaa tttgaatctt catcatacga aggatacttt 480
ctagcttgtg aaaaagagag agaccttttt aaactcattt tgaaaaaaga ggatgaattg 540
ggggatagat ctataatgtt cactgttcaa aacgaagact ag 582
<![CDATA[ <210> 137]]>
<![CDATA[ <211> 456]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H1 heavy chain]]>
<![CDATA[ <400> 137]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[ <210> 138]]>
<![CDATA[ <211> 1370]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H1 heavy chain (PN)]]>
<![CDATA[ <400> 138]]>
aggtgcagct ggtgcagagc ggagccgagg tgaagaagcc tggcgccagc gtcaaggtgt 60
cctgtaaggt gtccggcgag atcagcaccg gctactactt ccactgggtg aggcaggccc 120
ctggcaaggg cctggagtgg atgggcagaa tcgaccccga ggacgacagc accaagtacg 180
ccgagcggtt caaggacagg gtgaccatga ccgaggacac cagcaccgat accgcctaca 240
tggagctgtc cagcctgaga agcgaggata ccgccgtgta ctactgtacc acctggcgga 300
tctacagaga cagcagcggc agacccttct acgtgatgga tgcctggggc cagggcacac 360
tagtgaccgt gtccagcgcc agcaccaagg gccccagcgt gttccccctg gcccccagca 420
gcaagagcac cagcggcggc acagccgccc tgggctgcct ggtgaaggac tacttccccg 480
aaccggtgac cgtgtcctgg aacagcggag ccctgaccag cggcgtgcac accttccccg 540
ccgtgctgca gagcagcggc ctgtacagcc tgagcagcgt ggtgaccgtg cccagcagca 600
gcctgggcac ccagacctac atctgtaacg tgaaccacaa gcccagcaac accaaggtgg 660
acaagaaggt ggagcccaag agctgtgaca agaccacac ctgccccccc tgccctgccc 720
ccgagctgct gggaggcccc agcgtgttcc tgttcccccc caagcctaag gacaccctga 780
tgatcagcag aacccccgag gtgacctgtg tggtggtgga tgtgagccac gaggacccctg 840
aggtgaagtt caactggtac gtggacggcg tggaggtgca caatgccaag accaagccca 900
gggaggagca gtacaacagc acctaccggg tggtgtccgt gctgaccgtg ctgcaccagg 960
attggctgaa cggcaaggag tacaagtgta aggtgtccaa caaggccctg cctgccccta 1020
tcgagaaaac catcagcaag gccaagggcc agcccagaga gccccaggtg tacaccctgc 1080
cccctagcag agatgagctg accaagaacc aggtgtccct gacctgcctg gtgaagggct 1140
tctaccccag cgacatcgcc gtggagtggg agagcaacgg ccagcccgag aacaactaca 1200
agaccacccc ccctgtgctg gacagcgatg gcagcttctt cctgtacagc aagctgaccg 1260
tggacaagag cagatggcag cagggcaacg tgttcagctg ctccgtgatg cacgaggccc 1320
tgcacaatca ctacacccag aagagcctga gcctgtcccc tggcaagtga 1370
<![CDATA[ <210> 139]]>
<![CDATA[ <211> 126]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H1 variable region]]>
<![CDATA[ <400> 139]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 140]]>
<![CDATA[ <211> 378]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H1 Variable Region (PN)]]>
<![CDATA[ <400> 140]]>
caggtgcagc tggtgcagag cggagccgag gtgaagaagc ctggcgccag cgtcaaggtg 60
tcctgtaagg tgtccggcga gatcagcacc ggctactact tccactgggt gaggcaggcc 120
cctggcaagg gcctggagtg gatggggcaga atcgaccccg aggacgacag caccaagtac 180
gccgagcggt tcaaggacag ggtgaccatg accgaggaca ccagcaccga taccgcctac 240
atggagctgt ccagcctgag aagcgaggat accgccgtgt actactgtac cacctggcgg 300
atctacagag acagcagcgg cagacccttc tacgtgatgg atgcctgggg ccagggcaca 360
ctagtgaccg tgtccagc 378
<![CDATA[ <210> 141]]>
<![CDATA[ <211> 214]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L2 light chain]]>
<![CDATA[ <400> 141]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[ <210> 142]]>
<![CDATA[ <211> 642]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L2 light chain (PN)]]>
<![CDATA[ <400> 142]]>
gatatccaga tgacccagtc ccccagcagc gtgtccgcct ctgtgggcga tagagtgacc 60
atcacctgcc tggccagcga ggacatctac acctacctga cctggtatca gcagaagcct 120
ggcaaggccc ctaagctgct gatctacggc gccaacaagc tgcaggacgg cgtgcccagc 180
agattcagcg gcagcggctc cggcaccgac tacaccctga ccatcagcag cctgcagcct 240
gaggatttcg ccacctacta ctgcctgcag ggcagcaagt tccccctgac cttcggccag 300
ggcaccaagc tggagatcaa gcgtacggtg gccgccccca gcgtgttcat cttccccccc 360
agcgatgagc agctgaagag cggcaccgcc agcgtggtgt gtctgctgaa caacttctac 420
ccccgggagg ccaaggtgca gtggaaggtg gacaatgccc tgcagagcgg caacagccag 480
gagagcgtga ccgagcagga cagcaaggac tccacctaca gcctgagcag caccctgacc 540
ctgagcaagg ccgactacga gaagcacaag gtgtacgcct gtgaggtgac ccaccagggc 600
ctgtccagcc ccgtgaccaa gagcttcaac cggggcgagt gc 642
<![CDATA[ <210> 143]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L2 variable region]]>
<![CDATA[ <400> 143]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 144]]>
<![CDATA[ <211> 321]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L2 Variable Region (PN)]]>
<![CDATA[ <400> 144]]>
gatatccaga tgacccagtc ccccagcagc gtgtccgcct ctgtgggcga tagagtgacc 60
atcacctgcc tggccagcga ggacatctac acctacctga cctggtatca gcagaagcct 120
ggcaaggccc ctaagctgct gatctacggc gccaacaagc tgcaggacgg cgtgcccagc 180
agattcagcg gcagcggctc cggcaccgac tacaccctga ccatcagcag cctgcagcct 240
gaggatttcg ccacctacta ctgcctgcag ggcagcaagt tccccctgac cttcggccag 300
ggcaccaagc tggagatcaa g 321
<![CDATA[ <210> 145]]>
<![CDATA[ <211> 456]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H2 heavy chain]]>
<![CDATA[ <400> 145]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[ <210> 146]]>
<![CDATA[ <211> 1368]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H2 heavy chain (PN)]]>
<![CDATA[ <400> 146]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactgggt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgaggaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccgtgt attackgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctcagc ctccaccaag ggcccatcgg tcttccccct ggcaccctcc 420
tccaagagca cctctggggg cacagcggcc ctgggctgcc tggtcaagga ctacttcccc 480
gaaccggtga cggtgtcgtg gaactcaggc gccctgacca gcggcgtgca caccttcccg 540
gctgtcctac agtcctcagg actctactcc ctcagcagcg tggtgaccgt gccctccagc 600
agcttgggca cccagaccta catctgcaac gtgaatcaca agcccagcaa caccaaggtg 660
gacaagaaag ttgagcccaa atcttgtgac aaaactcaca catgcccacc gtgcccagca 720
cctgaactcc tggggggacc gtcagtcttc ctcttccccc caaaacccaa ggacaccctc 780
atgatctccc ggacccctga ggtcacatgc gtggtggtgg acgtgagcca cgaagaccct 840
gaggtcaagt tcaactggta cgtggacggc gtggaggtgc ataatgccaa gacaaagccg 900
cgggaggagc agtacaacag cacgtaccgt gtggtcagcg tcctcaccgt cctgcaccag 960
gactggctga atggcaagga gtacaagtgc aaggtctcca acaaagccct cccagccccc 1020
atcgagaaaa ccatctccaa agccaaaggg cagccccgag aaccacaggt gtacaccctg 1080
cccccatccc gggatgagct gaccaagaac caggtcagcc tgacctgcct ggtcaaaggc 1140
ttctatccca gcgacatcgc cgtggagtgg gagagcaatg ggcagccgga gaacaactac 1200
aagaccacgc ctcccgtgct ggactccgac ggctccttct tcctctacag caagctcacc 1260
gtggacaaga gcaggtggca gcaggggaac gtcttctcat gctccgtgat gcatgaggct 1320
ctgcacaacc actacacgca gaagagcctc tccctgtctc cgggtaaa 1368
<![CDATA[ <210> 147]]>
<![CDATA[ <211> 126]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H2 variable region]]>
<![CDATA[ <400> 147]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Trp Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 148]]>
<![CDATA[ <211> 378]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H2 Variable Region (PN)]]>
<![CDATA[ <400> 148]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactgggt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgaggaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccgtgt attackgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctca 378
<![CDATA[ <210> 149]]>
<![CDATA[ <211> 456]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H3 heavy chain]]>
<![CDATA[ <400> 149]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Phe Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Ala Asp Thr Ser Thr Asp Thr Ala Tyr
65 70 75 80
Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Thr Tyr Phe Cys
85 90 95
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[ <210> 150]]>
<![CDATA[ <211> 1368]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H3 heavy chain (PN)]]>
<![CDATA[ <400> 150]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactttgt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgcagaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccactt atttttgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctcagc ctccaccaag ggcccatcgg tcttccccct ggcaccctcc 420
tccaagagca cctctggggg cacagcggcc ctgggctgcc tggtcaagga ctacttcccc 480
gaaccggtga cggtgtcgtg gaactcaggc gccctgacca gcggcgtgca caccttcccg 540
gctgtcctac agtcctcagg actctactcc ctcagcagcg tggtgaccgt gccctccagc 600
agcttgggca cccagaccta catctgcaac gtgaatcaca agcccagcaa caccaaggtg 660
gacaagaaag ttgagcccaa atcttgtgac aaaactcaca catgcccacc gtgcccagca 720
cctgaactcc tggggggacc gtcagtcttc ctcttccccc caaaacccaa ggacaccctc 780
atgatctccc ggacccctga ggtcacatgc gtggtggtgg acgtgagcca cgaagaccct 840
gaggtcaagt tcaactggta cgtggacggc gtggaggtgc ataatgccaa gacaaagccg 900
cgggaggagc agtacaacag cacgtaccgt gtggtcagcg tcctcaccgt cctgcaccag 960
gactggctga atggcaagga gtacaagtgc aaggtctcca acaaagccct cccagccccc 1020
atcgagaaaa ccatctccaa agccaaaggg cagccccgag aaccacaggt gtacaccctg 1080
cccccatccc gggatgagct gaccaagaac caggtcagcc tgacctgcct ggtcaaaggc 1140
ttctatccca gcgacatcgc cgtggagtgg gagagcaatg ggcagccgga gaacaactac 1200
aagaccacgc ctcccgtgct ggactccgac ggctccttct tcctctacag caagctcacc 1260
gtggacaaga gcaggtggca gcaggggaac gtcttctcat gctccgtgat gcatgaggct 1320
ctgcacaacc actacacgca gaagagcctc tccctgtctc cgggtaaa 1368
<![CDATA[ <210> 151]]>
<![CDATA[ <211> 126]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H3 variable region]]>
<![CDATA[ <400> 151]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Phe Val Arg Arg Arg Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Val Thr Met Thr Ala Asp Thr Ser Thr Asp Thr Ala Tyr
65 70 75 80
Met Glu Leu Ser Ser Leu Arg Ser Glu Asp Thr Ala Thr Tyr Phe Cys
85 90 95
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
115 120 125
<![CDATA[ <210> 152]]>
<![CDATA[ <211> 378]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: H3 Variable Region (PN)]]>
<![CDATA[ <400> 152]]>
caggtccagc tggtacagtc tggggctgag gtgaagaagc ctggggcctc agtgaaggtc 60
tcctgcaagg tttccggaga aataagtact ggatactatt tccactttgt gcgacgaagg 120
cctggaaaag ggcttgagtg gatgggaagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag agtcaccatg accgcagaca catctacaga cacagcctac 240
atggagctga gcagcctgag atctgaggac acggccactt atttttgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg ccaagggaca 360
ctagtcacag tctcctca 378
<![CDATA[ <210> 153]]>
<![CDATA[ <211> 214]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L1 light chain]]>
<![CDATA[ <400> 153]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[ <210> 154]]>
<![CDATA[ <211> 642]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L1 light chain (PN)]]>
<![CDATA[ <400> 154]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctaagctcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat ttcactctca ctatcagcag cctgcagcct 240
gaagattttg caacttacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa acgtacggtg gctgcaccat ctgtcttcat cttcccgcca 360
tctgatgagc agttgaaatc tggaactgcc tctgttgtgt gcctgctgaa taacttctat 420
cccagagagg ccaaagtaca gtggaaggtg gacaacgccc tccaatcggg taactcccag 480
gagagtgtca cagagcagga cagcaaggac agcacctaca gcctcagcag caccctgacg 540
ctgagcaaag cagactacga gaaacacaaa gtctacgcct gcgaagtcac ccatcagggc 600
ctgagctcgc ccgtcacaaa gagcttcaac aggggagagt gt 642
<![CDATA[ <210> 155]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L1 variable region]]>
<![CDATA[ <400> 155]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 156]]>
<![CDATA[ <211> 321]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L1 Variable Region (PN)]]>
<![CDATA[ <400> 156]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctaagctcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat ttcactctca ctatcagcag cctgcagcct 240
gaagattttg caacttacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa a 321
<![CDATA[ <210> 157]]>
<![CDATA[ <211> 214]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L3 light chain]]>
<![CDATA[ <400> 157]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Gln Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Glu Gly Asp Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[ <210> 158]]>
<![CDATA[ <211> 645]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L3 light chain (PN)]]>
<![CDATA[ <400> 158]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctcaactcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat tatactctca ctatcagcag cctgcagcct 240
gaagatgaag gggattacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa acgtacggtg gctgcaccat ctgtcttcat cttcccgcca 360
tctgatgagc agttgaaatc tggaactgcc tctgttgtgt gcctgctgaa taacttctat 420
cccagagagg ccaaagtaca gtggaaggtg gacaacgccc tccaatcggg taactcccag 480
gagagtgtca cagagcagga cagcaaggac agcacctaca gcctcagcag caccctgacg 540
ctgagcaaag cagactacga gaaacacaaa gtctacgcct gcgaagtcac ccatcagggc 600
ctgagctcgc ccgtcacaaa gagcttcaac aggggagagt gttag 645
<![CDATA[ <210> 159]]>
<![CDATA[ <211> 107]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L3 variable region]]>
<![CDATA[ <400> 159]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Gln Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Glu Gly Asp Tyr Tyr Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
100 105
<![CDATA[ <210> 160]]>
<![CDATA[ <211> 321]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: L3 Variable Region (PN)]]>
<![CDATA[ <400> 160]]>
gacatccaga tgacccagtc tccatcttct gtgtctgcat ctgtaggaga cagagtcacc 60
atcacttgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaagccc ctcaactcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
aggttcagcg gcagtggatc tgggacagat tatactctca ctatcagcag cctgcagcct 240
gaagatgaag gggattacta ttgtctacag ggttccaagt ttccgctcac gtttggccag 300
gggaccaagc tggagatcaa a 321
<![CDATA[ <210> 161]]>
<![CDATA[ <211> 456]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: 2c10 rat-human IgG1 chimera]]>
<![CDATA[ <400> 161]]>
Glu Val Gln Leu Gln Gln Ser Gly Ala Glu Leu Val Arg Pro Gly Thr
1 5 10 15
Ser Val Lys Leu Ser Cys Lys Val Ser Gly Glu Ile Ser Thr Gly Tyr
20 25 30
Tyr Phe His Phe Val Arg Arg Arg Pro Gly Gln Gly Leu Glu Trp Ile
35 40 45
Gly Arg Ile Asp Pro Glu Asp Asp Ser Thr Lys Tyr Ala Glu Arg Phe
50 55 60
Lys Asp Arg Ala Thr Leu Thr Ala Gln Thr Ser Ser Asn Thr Ala Tyr
65 70 75 80
Leu Asn Leu Ser Ser Leu Thr Ser Glu Asp Thr Ala Thr Tyr Phe Cys
85 90 95
Thr Thr Trp Arg Ile Tyr Arg Asp Ser Ser Gly Arg Pro Phe Tyr Val
100 105 110
Met Asp Ala Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser Ala Ser
115 120 125
Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys Ser Thr
130 135 140
Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys Asp Tyr Phe Pro
145 150 155 160
Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu Thr Ser Gly Val
165 170 175
His Thr Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser Leu Ser
180 185 190
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr Tyr Ile
195 200 205
Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys Lys Val
210 215 220
Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala
225 230 235 240
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro
245 250 255
Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
260 265 270
Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val
275 280 285
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln
290 295 300
Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln
305 310 315 320
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala
325 330 335
Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro
340 345 350
Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp Glu Leu Thr
355 360 365
Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser
370 375 380
Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr
385 390 395 400
Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr
405 410 415
Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe
420 425 430
Ser Cys Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys
435 440 445
Ser Leu Ser Leu Ser Pro Gly Lys
450 455
<![CDATA[ <210> 162]]>
<![CDATA[ <211> 1368]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: 2c10 rat-human IgG1 chimera (PN)]]>
<![CDATA[ <400> 162]]>
gaggtccagc tacagcagtc tggggctgag cttgtgagac ctgggacctc tgtgaagtta 60
tcttgcaaag tttctggcga aataagtaca ggatactatt tccactttgt gaggcgaagg 120
cctggacagg gtctggaatg gataggagg attgatcctg aggatgatag tactaaatat 180
gctgagaggt tcaaagacag ggcgacgctc actgcacaaa catcctccaa cacagcctac 240
ctgaacctca gcagcctgac ctctgaggac actgcaactt atttttgtac cacatggcgg 300
atataccgag atagttctgg ccgccccttc tatgttatgg atgcctgggg tcaaggaaca 360
ctagtcacag tctcctcagc ctccaccaag ggcccatcgg tcttccccct ggcaccctcc 420
tccaagagca cctctggggg cacagcggcc ctgggctgcc tggtcaagga ctacttcccc 480
gaaccggtga cggtgtcgtg gaactcaggc gccctgacca gcggcgtgca caccttcccg 540
gctgtcctac agtcctcagg actctactcc ctcagcagcg tggtgaccgt gccctccagc 600
agcttgggca cccagaccta catctgcaac gtgaatcaca agcccagcaa caccaaggtg 660
gacaagaaag ttgagcccaa atcttgtgac aaaactcaca catgcccacc gtgcccagca 720
cctgaactcc tggggggacc gtcagtcttc ctcttccccc caaaacccaa ggacaccctc 780
atgatctccc ggacccctga ggtcacatgc gtggtggtgg acgtgagcca cgaagaccct 840
gaggtcaagt tcaactggta cgtggacggc gtggaggtgc ataatgccaa gacaaagccg 900
cgggaggagc agtacaacag cacgtaccgt gtggtcagcg tcctcaccgt cctgcaccag 960
gactggctga atggcaagga gtacaagtgc aaggtctcca acaaagccct cccagccccc 1020
atcgagaaaa ccatctccaa agccaaaggg cagccccgag aaccacaggt gtacaccctg 1080
cccccatccc gggatgagct gaccaagaac caggtcagcc tgacctgcct ggtcaaaggc 1140
ttctatccca gcgacatcgc cgtggagtgg gagagcaatg ggcagccgga gaacaactac 1200
aagaccacgc ctcccgtgct ggactccgac ggctccttct tcctctacag caagctcacc 1260
gtggacaaga gcaggtggca gcaggggaac gtcttctcat gctccgtgat gcatgaggct 1320
ctgcacaacc actacacgca gaagagcctc tccctgtctc cgggtaaa 1368
<![CDATA[ <210> 163]]>
<![CDATA[ <211> 214]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: 2c10 rat-human CK chimera]]>
<![CDATA[ <400> 163]]>
Asp Ile Gln Met Thr Gln Ser Pro Ala Ser Leu Ser Ala Ser Leu Gly
1 5 10 15
Glu Thr Val Ser Ile Glu Cys Leu Ala Ser Glu Asp Ile Tyr Thr Tyr
20 25 30
Leu Thr Trp Tyr Gln Gln Lys Pro Gly Lys Ser Pro Gln Leu Leu Ile
35 40 45
Tyr Gly Ala Asn Lys Leu Gln Asp Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Gln Tyr Ser Leu Lys Ile Ser Gly Ile Gln Pro
65 70 75 80
Glu Asp Glu Gly Asp Tyr Phe Cys Leu Gln Gly Ser Lys Phe Pro Leu
85 90 95
Thr Phe Gly Ser Gly Thr Lys Leu Glu Ile Lys Arg Thr Val Ala Ala
100 105 110
Pro Ser Val Phe Ile Phe Pro Pro Ser Asp Glu Gln Leu Lys Ser Gly
115 120 125
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala
130 135 140
Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser Gly Asn Ser Gln
145 150 155 160
Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser
165 170 175
Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr
180 185 190
Ala Cys Glu Val Thr His Gln Gly Leu Ser Ser Pro Val Thr Lys Ser
195 200 205
Phe Asn Arg Gly Glu Cys
210
<![CDATA[ <210> 164]]>
<![CDATA[ <211> 642]]>
<![CDATA[ <212>DNA]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: 2c10 rat-human CK chimera (PN)]]>
<![CDATA[ <400> 164]]>
gacattcaaa tgacccagtc tccagcttcc ctgtctgcat ctctgggaga aactgtctcc 60
atcgaatgtc tggcaagtga ggacatatac acttatttaa catggtatca gcagaaacca 120
gggaaatctc ctcaactcct gatctatggt gcaaataagt tgcaagatgg ggtcccatca 180
cggttcagtg gcagtggatc tggcacacag tattctctca agatcagcgg catacaacct 240
gaagatgaag gggattattt ctgtctacag ggttccaagt ttccgctcac gttcggttct 300
gggaccaagc tggagatcaa acgtacggtg gctgcaccat ctgtcttcat cttcccgcca 360
tctgatgagc agttgaaatc tggaactgcc tctgttgtgt gcctgctgaa taacttctat 420
cccagagagg ccaaagtaca gtggaaggtg gacaacgccc tccaatcggg taactcccag 480
gagagtgtca cagagcagga cagcaaggac agcacctaca gcctcagcag caccctgacg 540
ctgagcaaag cagactacga gaaacacaaa gtctacgcct gcgaagtcac ccatcagggc 600
ctgagctcgc ccgtcacaaa gagcttcaac aggggagagt gt 642
<![CDATA[ <210> 165]]>
<![CDATA[ <211> 98]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: heavy chain acceptor framework]]>
<![CDATA[ <400> 165]]>
Gln Val Gln Leu Val Gln Ser Gly Ala Glu Val Lys Lys Pro Gly Ala
1 5 10 15
Ser Val Lys Val Ser Cys Lys Val Ser Gly Tyr Thr Leu Thr Glu Leu
20 25 30
Ser Met His Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Met
35 40 45
Gly Gly Phe Asp Pro Glu Asp Gly Glu Thr Ile Tyr Ala Gln Lys Phe
50 55 60
Gln Gly Arg Val Thr Met Thr Glu Asp Thr Ser Thr Asp 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 Thr
<![CDATA[ <210> 166]]>
<![CDATA[ <211> 95]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Light Chain Acceptor Framework]]>
<![CDATA[ <400> 166]]>
Asp Ile Gln Met Thr Gln Ser Pro Ser Ser Val Ser Ala Ser Val Gly
1 5 10 15
Asp Arg Val Thr Ile Thr Cys Arg Ala Ser Gln Gly Ile Ser Ser Ser Trp
20 25 30
Leu Ala Trp Tyr Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile
35 40 45
Tyr Ala Ala Ser Ser Ser Leu Gln Ser Gly Val Pro Ser Arg Phe Ser Gly
50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr Ile Ser Ser Leu Gln Pro
65 70 75 80
Glu Asp Phe Ala Thr Tyr Tyr Cys Gln Gln Ala Asn Ser Phe Pro
85 90 95
<![CDATA[ <210> 167]]>
<![CDATA[ <211> 11]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Added to the JH6 amino acid sequence of SEQ ID NO: 37]]>
<![CDATA[ <400> 167]]>
Trp Gly Gln Gly Thr Leu Val Thr Val Ser Ser
1 5 10
<![CDATA[ <210> 168]]>
<![CDATA[ <211> 10]]>
<![CDATA[ <212> PRT]]>
<![CDATA[ <213> Artificial Sequence]]>
<![CDATA[ <220>]]>
<![CDATA[ <223> Synthesis: Jκ 2 amino acid sequence added to SEQ ID NO: 38]]>
<![CDATA[ <400> 168]]>
Phe Gly Gln Gly Thr Lys Leu Glu Ile Lys
1 5 10
Claims (55)
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TW110145706A TW202323290A (en) | 2021-12-07 | 2021-12-07 | Methods and treatment involving antibodies to il-18 |
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TW110145706A TW202323290A (en) | 2021-12-07 | 2021-12-07 | Methods and treatment involving antibodies to il-18 |
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Publication Number | Publication Date |
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TW202323290A true TW202323290A (en) | 2023-06-16 |
Family
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Country Status (1)
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TW (1) | TW202323290A (en) |
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2021
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