US20110189203A1 - Immunoglobulin constructs - Google Patents

Immunoglobulin constructs Download PDF

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US20110189203A1
US20110189203A1 US12/745,023 US74502308A US2011189203A1 US 20110189203 A1 US20110189203 A1 US 20110189203A1 US 74502308 A US74502308 A US 74502308A US 2011189203 A1 US2011189203 A1 US 2011189203A1
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single variable
directed against
antigen
target
domain
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Guy Hermans
Hilde Adi Pierrette Revets
Michael John Scott Saunders
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Ablynx NV
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Ablynx NV
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/2863Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against receptors for growth factors, growth regulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39533Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
    • A61K39/3955Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
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    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/30Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
    • C07K16/3007Carcino-embryonic Antigens
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/32Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/46Hybrid immunoglobulins
    • C07K16/468Immunoglobulins having two or more different antigen binding sites, e.g. multifunctional antibodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/20Immunoglobulins specific features characterized by taxonomic origin
    • C07K2317/22Immunoglobulins specific features characterized by taxonomic origin from camelids, e.g. camel, llama or dromedary
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/30Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/31Immunoglobulins specific features characterized by aspects of specificity or valency multispecific
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/30Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/32Immunoglobulins specific features characterized by aspects of specificity or valency specific for a neo-epitope on a complex, e.g. antibody-antigen or ligand-receptor
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/52Constant or Fc region; Isotype
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    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/565Complementarity determining region [CDR]
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    • C07K2317/00Immunoglobulins specific features
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    • C07K2317/567Framework region [FR]
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    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/569Single domain, e.g. dAb, sdAb, VHH, VNAR or nanobody®
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/60Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/64Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising a combination of variable region and constant region components
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/70Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/76Antagonist effect on antigen, e.g. neutralization or inhibition of binding
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    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/90Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
    • C07K2317/94Stability, e.g. half-life, pH, temperature or enzyme-resistance
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    • C07K2319/00Fusion polypeptide

Definitions

  • the present invention relates to protein and polypeptide constructs that comprise single variable domains that are linked to an Fc portion.
  • the immunoglobulin single variable domains may for example be a domain antibody (or an immunoglobulin variable domain that is suitable for use as a domain antibody), a single domain antibody (or an immunoglobulin variable domain that is suitable for use as a single domain antibody), a “dAb” (or an immunoglobulin variable domain that is suitable for use as a dAb) or a Nanobody (as defined herein, and including but not limited to a V HH sequence); or any suitable fragment of any one thereof.
  • the invention also relates to polypeptide chains that form part of such constructs and/or that can be used to form such constructs.
  • the invention further relates to nucleotide sequences and nucleic acids that encode or can be used to express such constructs or polypeptide chains; to methods for producing such constructs and polypeptides chains; to compositions (and in particular pharmaceutical compositions) that comprise such constructs or polypeptide chains; and to uses of such constructs, polypeptide chains or compositions.
  • V HH domains naturally occurring single variable domains
  • these heavy chain antibodies lack the C H 1 domain that is present in conventional 4-chain antibodies, with the V HH being directly linked—via the hinge—to the C H 2 domain of the Fc portion.
  • EP 0 698 097 and its divisional application EP 1 621 554 also describe that V HH domains can be linked to a human Fc portion.
  • WO 04/068820 describes so-called “dAb's” that are linked to an effector group.
  • the examples given are constructs that comprise dAb's linked to the Fc of IgG1.
  • constructs described in EP 1 621 554 and WO 04/068820 comprise two polypeptide chains, in which each polypeptide chain comprises one single variable domain that is linked, usually via a suitable hinge region or linker, to two constant domains that, in the final construct, form the Fc portion. These constructs bind to the intended antigen via the two antigen-binding sites that are formed by each of the single variable domains.
  • WO 02/056910 describes constructs in which binding domains that include at least one immunoglobulin variable region polypeptide are linked, via a suitable linker, to C H 2/C H 3 constant regions.
  • the immunoglobulin variable region polypeptide may be all or a portion or fragment of heavy chain or light chain V-region, provided it is capable of specifically binding an antigen.
  • WO 02/056910 further gives examples of constructs in which the immunoglobulin variable region polypeptide is comprised of an ScFv fragment. These constructs therefore comprise two polypeptide chains, in which each polypeptide chain comprises two variable domains (i.e.
  • each variable domain is a single variable domain (meaning that it forms a functional antigen binding unit or site without requiring interaction with another variable domain).
  • the present invention provides immunoglobulin constructs that comprise two polypeptide chains (each, a “polypeptide chain of the invention”), in which each polypeptide chain comprises two or more single variable domains that are linked, usually via a suitable hinge region or linker, to one or more constant domains that, in the final construct, together form an Fc portion.
  • constructs provided by the invention generally comprise an Fc portion (as defined herein) in which each of the two polypeptide chains that form the Fc portion is linked, optionally via a suitable linker or hinge region, to two or more single variable domains (also as defined herein).
  • Such constructs may for example be as described in EP 1 621 554 or WO 02/056910, but with one or more additional single variable domains linked to each single variable domain that is already present in the constructs described in these references.
  • polypeptide chains of the invention and their use in forming the constructs of the invention, form further aspects of the invention. Also, in one specific aspect of the invention, as further described herein, these polypeptide chains of the invention may also be used as such (i.e. without interaction with another polypeptide chain and/or not as part of a construct of the invention).
  • each polypeptide chain of the invention comprises two or three single variable domains, and more preferably only two single variable domains.
  • the constructs of the invention preferably comprise a total of six single variable domains (i.e. three in each polypeptide chain) and more preferably a total of four single variable domains (i.e. two in each polypeptide chain).
  • each polypeptide chain of the invention will usually comprise either two constant domains (for example, in case of an Fc portion that is derived from IgG, IgA or IgD) or three constant domains (for example, in ease of an Fc portion that is derived from IgM or IgE), such that, in the final construct, the constant domains of the two polypeptide chains form an Fc portion, for example an Fc portion that is derived from IgG (e.g. IgG1, IgG2, IgG3 or IgG4), IgA, IgD, IgE or IgM, or a variant, analog, mutant, part or fragment thereof (including chimeric Fc portions), that may or may not have effector functions, as further described herein.
  • IgG e.g. IgG1, IgG2, IgG3 or IgG4
  • IgA, IgD, IgE or IgM or a variant, analog, mutant, part or fragment thereof (including chimeric Fc portions
  • constructs that comprise a total of four single variable domains (i.e. two in each polypeptide chain) and four constant domains (i.e. two in each polypeptide chain), in which the variable domains are linked to each other via a suitable linker and are linked to the constant domains via a suitable linker or hinge region.
  • the teaching of the present invention can equally be applied to constructs of the invention that comprise six or even more single variable domains (i.e.
  • variable domains in each polypeptide chain and/or that comprise six constant domains (for example, in case of an Fc portion that is derived from IgM or IgE), and/or in which the constant domains are directly linked to each other and/or directly linked to the constant domains (for example, when the Fc portion is derived from IgE, a hinge region between the Fc portion and the variable domains may not be required).
  • each polypeptide chain of the invention comprises two constant domains that are capable, together with the constant domains that are present in the other polypeptide chain that forms part of the construct, to form an Fc portion (as defined herein).
  • These constant domains are linked (optionally via a suitable linker or hinge region) to a “first” single variable domain, which first single variable domain is linked (again optionally via a suitable linker) to a “second” single variable domain (which may in turn be linked, again optionally via a suitable linker, to a “third” single variable domain, and so forth).
  • Constructs of the invention with four single variable domains and four constant domains are schematically shown in the non-limiting FIG. 1 .
  • the constructs comprise two polypeptide chains ( 1 ) and ( 2 ), which each comprise two constant domains ( 7 ) and ( 8 ), a “first” single variable domain ( 3 ) and a “second” single variable domain ( 4 ).
  • the first single variable domain ( 3 ) is linked, optionally via a suitable linker ( 5 ), to the second single variable domain ( 4 ), and is also linked to the constant domains, optionally (and usually) via a suitable linker or hinge region ( 6 ).
  • the constant domains ( 7 ) and ( 8 ) of the polypeptide chain ( 1 ) and the corresponding constant domains ( 7 ) and ( 8 ) of the polypeptide chain ( 2 ) together form the Fc portion ( 9 ).
  • Constructs of the invention with four single variable domains and six constant domains are schematically shown in the non-limiting FIG. 2 .
  • the constructs comprise two polypeptide chains ( 1 ) and ( 2 ), which each comprise three constant domains ( 7 ), ( 8 ) and ( 10 ), a “first” single variable domain ( 3 ) and a “second” single variable domain ( 4 ).
  • the first single variable domain ( 3 ) is linked, optionally via a suitable linker ( 5 ), to the second single variable domain ( 4 ), and is also linked to the constant domains, optionally (and usually) via a suitable linker or hinge region ( 6 ).
  • FIG. 3 shows a constructs of the invention with six single variable domains and four constant domains (for example forming an Fc portion derived from an IgG or IgA, or an analog, mutant or variant thereof).
  • the construct comprise two polypeptide chains ( 1 ) and ( 2 ), which each comprise two constant domains ( 7 ) and ( 8 ), a “first” single variable domain ( 3 ), a “second” single variable domain ( 4 ) and a “third” single variable domain ( 11 ).
  • the first single variable domain ( 3 ) is linked, optionally via a suitable linker ( 5 ), to the second single variable domain ( 4 ), and is also linked to the constant domains, optionally (and usually) via a suitable linker or hinge region ( 6 ).
  • the third first single variable domain ( 11 ) is linked, optionally via a suitable linker ( 12 ), to the second single variable domain ( 4 ).
  • the constant domains ( 7 ) and ( 8 ) of the polypeptide chain ( 1 ) and the corresponding constant domains ( 7 ) and ( 8 ) of the polypeptide chain ( 2 ) together form the Fc portion ( 9 ).
  • each chain ( 1 ) and ( 2 ) can contain one or more additional single variable domains (not shown), which can be linked to the third single variable domain ( 11 ) and to each other, again optionally via suitable linkers.
  • FIG. 4 schematically shows a non-limiting example of a polypeptide of the invention, comprising two single variable domains and two constant domains.
  • the polypeptide comprises two constant domains ( 7 ) and ( 8 ), a “first” single variable domain ( 3 ) and a “second” single variable domain ( 4 ).
  • the first single variable domain ( 3 ) is linked, optionally via a suitable linker ( 5 ), to the second single variable domain ( 4 ), and is also linked to the constant domains, optionally (and usually) via a suitable linker or hinge region ( 6 ).
  • a polypeptide chain may be used to form a construct of the invention (i.e. with another polypeptide chain of the invention), but may also be used as such (i.e. without interaction with another polypeptide chain of the invention), for example when the Fc chain that is formed by the constant domains is monomeric (i.e. non self-associating).
  • all of the single variable domains that are present in the construct may each be directed against a different target, antigen, antigenic determinant or epitope.
  • this is generally less preferred.
  • both of the “first” single variable domains that are present in each of the polypeptide chain are directed against the same target or antigen
  • both of the “second” single variable domains that are present in each of the polypeptide chain are directed against the same target or antigen (and so on for the “third” and further single variable domains).
  • the first single variable domains and second single variable domains may be directed against a different target or antigen (such that the constructs of the invention are capable of simultaneously binding to two different targets or antigens); or may be directed against the same target or antigen (such that all single variable domains present in the construct are capable of binding to the same target or antigen).
  • two or more single variable domains in a construct of the invention when they are capable of binding to the same target or antigen, they may bind to the same epitope, antigenic determinant, part, domain or subunit of the target or antigen, or to different epitopes, antigenic determinants, parts, domains or subunits of the target or antigen.
  • both of the first single variable domains will bind to the same epitope, antigenic determinant, part, domain or subunit of the first target or antigen, and both the second single variable domains will bind to the same epitope, antigenic determinant, part, domain or subunit of the second target or antigen (although the invention in its broadest sense is not limited thereto).
  • both of the first single variable domains will bind to the same epitope, antigenic determinant, part, domain or subunit of the target or antigen
  • both of the second single variable domains will bind to the same epitope, antigenic determinant, part, domain or subunit of the target or antigen (although the invention in its broadest sense is again not limited thereto, and for example also comprises constructs in which each of the single variable domains can bind to a different epitope, antigenic determinant, part, domain or subunit of the target or antigen).
  • first single variable domains and the second single variable domains may bind to the same epitope, antigenic determinant, part, domain or subunit on the target or antigen, or may bind to different epitopes, antigenic determinants, parts, domains or subunits of the target or antigen.
  • the constructs of the invention comprise an Fc portion that is linked (optionally via a suitable linker or hinge region) to a pair of first single variable domains (i.e. one linked to each polypeptide chain that forms the Fc portion, as further described herein), which are linked (optionally via a suitable linker) to a pair of second single variable domains, wherein the constructs and the single variable domains present therein are such that:
  • constructs of the invention and the single variable domains present therein may be such that:
  • constructs of the invention may be capable of binding two different targets or antigens simultaneously.
  • constructs of the invention and the single variable domains present therein may be such that:
  • constructs of the invention may be capable of binding to the relevant target or antigen with greater avidity than a comparable construct that comprises only one pair of single variable domains (e.g. as described in EP 1 621 554 or WO 04/068820)
  • constructs of the invention and the single variable domains present therein may be such that:
  • constructs of the invention may be capable of binding to the relevant target or antigen with greater avidity than a comparable construct that comprises only one pair of single variable domains (e.g. as described in EP 1 621 554 or WO 04/068820).
  • the first variable domains may be directed against an “interaction site” on the target or antigen (i.e. a site for ligand binding, a catalytic site, a cleavage site, a site for allosteric interaction, a site involved in homodimerization or heterodimerization of the target or antigen; or any other site, epitope, antigenic determinant, part, domain or stretch of amino acid residues on the target or antigen that is involved in a biological action or mechanism of the target or antigen); and the second single variable domains may be directed against another site, epitope, antigenic determinant, part, domain or stretch of amino acid residues on the target or antigen that is not an interaction site (or visa versa).
  • an interaction site i.e. a site for ligand binding, a catalytic site, a cleavage site, a site for allosteric interaction, a site involved in homodimerization or heterodimerization of the target or antigen; or any other site
  • FIG. 9A and SEQ ID NO: 9 A non-limiting example of such a construct is given in FIG. 9A and SEQ ID NO: 9, which constructs comprises one Nanobody (121A2 p19+) that can bind to the p19 subunit of IL-23 and that can modulate (and in particular, reduce) binding of IL-23 to its receptor, and one Nanobody (81 G2 p19 ⁇ ) that can bind to the p19 subunit of IL-23 but that does not modulate binding of IL-23 to its receptor.
  • Nanobody 121A2 p19+
  • 81 G2 p19 ⁇ Nanobody that can bind to the p19 subunit of IL-23 but that does not modulate binding of IL-23 to its receptor.
  • variable domains may be directed against an interaction site on the target or antigen
  • the second variable domains may be directed against different interaction site on the target or antigen.
  • such constructs Besides binding to the target or antigen with increased avidity, such constructs have the further advantage that they are capable of modulating (as defined herein) two different mechanisms of action of the target or antigen simultaneously.
  • a construct of the invention may be directed against HER-2.
  • a construct of the invention that is directed against HER-2 in a construct of the invention that is directed against HER-2
  • constructs of the invention that are directed against tumor cells or tumor antigens may comprise an Fc portion that is derived from IgG (e.g. an IgG1, IgG2, IgG3 or IgG4) or IgA (or, less preferred, even IgM, IgD); but according to one specific aspect of the invention comprise an “IgE-derived Fc portion” (i.e. an Fc portion that is derived from IgE) as described in the co-pending International patent application of Ablynx N. V. entitled “Constructs comprising single variable domains and an Fc portion derived from IgE”, which has the same filing date as the present application.
  • constructs of the invention and the single variable domains present therein may be such that:
  • such constructs of the invention may not only be capable of binding to the relevant target or antigen with greater avidity than a comparable construct that comprises only one pair of single variable domains (e.g. as generally described in EP 1 621 554 or WO 04/068820, without reference to HER-2 as a possible target or antigen), but may also have improved selectivity, in particular when either the first and/or the second subunit is common between different heteromeric targets and antigens, as is for example the case for heterodimeric cytokines such as IL-12, IL-23, IL-27 and IL-35 (see Collson et al., Nature, Vol. 450, 22 Nov.
  • a construct of the invention may be directed against a heteromeric cytokine, and in particular against a heterodimeric cytokine of the IL-12 family, such as IL-12, IL-23, IL-27 or IL-35.
  • a construct of the invention may comprise first single variable domains that are directed against IL12p40, IL12p35, IL23p19, EBI3 or IL27p28, and second single variable domains that are directed against the same subunit or against another subunit that is present in a heteromeric cytokine, and in particular against a heterodimeric cytokine of the IL-12 family.
  • first and single variable domains are directed against the same subunit, they may for example:
  • the first and second single variable domains are directed against different subunits.
  • the first single variable domains may be directed against a subunit chosen from p19, p35 and p28, and the second single variable domains may be directed against a subunit chosen from p40 and EBI3 (or visa versa).
  • the first single variable domains may be directed against a subunit chosen from p19, p35 and p28
  • the second single variable domains may be directed against a subunit chosen from p40 and EBI3 (or visa versa).
  • such constructs are further preferably such that they are capable of binding to both of the subunits against which they are directed, more preferably essentially simultaneously so as to allow binding with increased avidity and specificity.
  • the above constructs are generally capable of modulating the heterodimeric cytokine(s) against which they are directed. Also, depending on the Fc portion present (as further described herein), the above constructs against heterodimeric cytokines may or may not have one or more effector functions.
  • the constant domains are suitably linked to the single variable domains, either directly (which is less preferred), via a suitable hinge region or linker (which is most preferred), or even (although much less preferred) via a suitable constant domain (such as a C ⁇ 1, C ⁇ 1, C ⁇ 1 or preferably C H 1 or C ⁇ 1 domain, which may in turn be linked to the Fc portion via a suitable linker).
  • a suitable constant domain such as a C ⁇ 1, C ⁇ 1, C ⁇ 1 or preferably C H 1 or C ⁇ 1 domain, which may in turn be linked to the Fc portion via a suitable linker.
  • the hinge region or linker may be any suitable hinge region or linker, and suitable hinge regions and linkers, which will usually comprise or essentially consist of a suitable amino acid sequence, will be clear to the skilled person based on the disclosure herein.
  • suitable hinge regions that naturally occur in immunoglobulins such as the hinge region of IgG's or the hinge region from Camelid heavy chain antibodies, see for example EP 0 698 097 or the linkers described in WO 96/34103
  • suitable analogs, variants, homologs, parts or fragments thereof including synthetic or semi-synthetic analogs, variants, homologs, parts or fragments, for example hinge regions that have been engineered so as not to contain cysteine residues, see for example WO 07/085,814), as well as the synthetic and semi-synthetic linkers mentioned in WO 04/068820 and WO 02/056910, as well as the linkers that are mentioned in WO 06/122 825 for linking Nanobodies in multivalent Nano
  • a naturally occurring CJ domain or a suitable variant thereof may be used as (or instead of) a hinge region.
  • a nucleotide sequence encoding a hinge from a Camelid heavy chain antibody is given in Table 1 (SEQ ID NO: 14) below.
  • the first and second (and optionally third and further) single variable domains are also suitably linked to each other, either directly (which is less preferred) or via a suitable hinge regions or linkers (which is most preferred), or even (although much less preferred) via a suitable constant domain.
  • Suitable linkers will be clear to the skilled person based on the disclosure herein, and include the linkers and hinge regions mentioned above for linking the single variable domains to the constant domains, the synthetic and semi-synthetic linkers mentioned in WO 04/068820 and WO 02/056910, the linkers that are mentioned in WO 06/122 825 for linking Nanobodies in multivalent Nanobody constructs, as well as the spacers and linkers that are used in the art to link antibody fragments or antibody domains. These include the linkers mentioned in the general background art cited herein, as well as for example linkers that are used in the art to construct diabodies or ScFv fragments.
  • the linker may be a suitable amino acid sequence, and in particular amino acid sequences of between 1 and 60, preferably between 15 and 50, such as between 20 and 40 amino acid residues, such as about 25, 30 or 40 amino acid residues (depending on the amino acid composition of the linker).
  • gly-ser linkers for example of the type (gly x ser y ) z , such as (for example (gly 4 ser) 3 or (gly 3 ser 2 ) 3 , as described in WO 99/42077 and the GS30, GS15, GS9 and GS7 linkers described in the applications by Ablynx mentioned herein (see for example WO 06/040153 and WO 06/122825), as well as hinge-like regions, such as the hinge regions of naturally occurring heavy chain antibodies or similar sequences (such as described in WO 94/04678).
  • gly-ser linkers for example of the type (gly x ser y ) z , such as (for example (gly 4 ser) 3 or (gly 3 ser 2 ) 3 , as described in WO 99/42077 and the GS30, GS15, GS9 and GS7 linkers described in the applications by Ablynx mentioned herein (see for example WO 06/040153 and WO 06/1228
  • linkers GS9 SEQ ID NO: 84 in WO 06/122825
  • linkers GS30 SEQ ID NO: 85 in WO 06/122825
  • GS 35 used in the constructs of SEQ ID NO's: 1 to 8.
  • the constructs of the invention are preferably such that both the first single variable domains and the second single variable domains are capable of binding to their intended or respective target, antigen, epitope, antigenic determinant, part, domain or subunit, more preferably essentially simultaneously, so as to allow binding with higher avidity (and, where relevant, higher specificity or with other advantages that can be obtained through the use of the constructs of the invention).
  • the skilled person will be able to choose suitable linkers for this purpose, optionally using in silico techniques for molecular modelling and/or a limited degree of experimentation.
  • the invention relates to the polypeptide chains of the invention, and to nucleic acids encoding the same.
  • Such polypeptide chains of the invention may further be as described herein for the construct of the invention, albeit that they consist of a single polypeptide chain with two or more single variable domains and one or more (such as two or three) constant domains that are capable (together with the constant domains of another polypeptide chain of the invention, to form an Fc portion (as further described herein).
  • polypeptide chains may:
  • polypeptide chains of the invention will usually be used as part of, and/or to form, a construct of the invention, as further described herein.
  • the constant domains used in a polypeptide chain of the invention may be such that they allow the polypeptide chain of the invention to be used (i.e. for antigen-binding, for example for therapeutic purposes) as such, i.e. without forming part of a construct of the invention.
  • the constant domains may be naturally occurring, synthetic or semisynthetic analogs, variants, parts or fragments of constant domains that, when combined in a polypeptide chain of the invention, confer upon the polypeptide chain a reduced (or essentially no) tendency to self-associate into dimmers (i.e. compared to the constant domains that naturally occur in the native Fc portion).
  • Such monomeric (i.e. not self-associating) Fc chain variants, or fragments thereof will be clear to the skilled person.
  • Helm et al. J Biol Chem 1996 271 7494
  • monomeric Fc ⁇ chain variants that can be used in the polypeptide chains of the invention.
  • such monomeric Fc chain variants are preferably such that they are still capable of binding to the complement or the relevant Fc receptor(s) (depending on the Fc portion from which they are derived), and/or such that they still have some or all of the effector functions of the Fc portion from which they are derived (or at a reduced level still suitable for the intended use).
  • the monomeric Fc chain may be used to confer increased half-life upon the polypeptide chain, in which case the monomeric Fc chain may also have no or essentially no effector functions.
  • the first single variable domains will be essentially the same (i.e. be comprised of essentially the same amino acid sequence) in both polypeptide chains that form the construct of the invention, and the second single variable domain will be essentially the same in both polypeptide chains that form the construct of the invention (although the invention in its broadest sense is not limited thereto).
  • the constant domains that are present in both of the polypeptide chains that form the construct of the invention will be essentially the same (i.e. be comprised of essentially the same amino acid sequence).
  • both polypeptide chains that form the construct of the invention will comprise essentially the same first, second (and optionally third and further) single variable domains and essentially the same constant domains, so that the constructs of the invention will usually be comprised of two polypeptide chains that have essentially the same (variable and constant) domains and thus essentially the same sequence.
  • the invention in its broadest sense is not limited thereto, and for example also comprises constructs in which either or both of the first and/or the second (and/or optionally the third or further) variable domains are not the same in the two polypeptide chains that from the construct of the invention; as well as constructs in which the two polypeptide chains that form the construct of the invention comprise different hinge regions or linkers; and even constructs in which the two polypeptide chains that form the construct of the invention comprise different constant domains (as long as the constant domains of the two polypeptide chains are still capable of forming an Fc portion, as defined herein).
  • the invention relates to an immunoglobulin construct is directed against an intended or desired antigen, which immunoglobulin construct comprises an Fc portion and at least four (such as six and preferably four) single variable domains, which immunoglobulin construct is capable of binding to the desired or intended antigen with at least four (such as all six or all four) single variable domains.
  • the single variable domains present in the construct when directed against the same target or antigen, they may be directed against the same antigenic determinant, epitope, part or domain on the target (in particular, for example, when the target is a multimeric target, so that the same antigenic determinant, epitope, part or domain occurs multiple times in the multimer), against different antigenic determinants, epitopes, parts or domains on the target, or (when the target is a heteromeric protein comprising two or more different subunits) against different subunits of the target.
  • a construct of the invention that is directed against a desired or intended target or antigen may be comprised of two polypeptide chains, in which each polypeptide chain comprises one or more (and usually two or three) constant domains (that are capable, together with the constant domains that are present in the other polypeptide chain, to form an Fc portion), that is linked (optionally via a suitable linker or hinge region) to a “first” single variable domain that is directed against a first epitope, antigenic determinant, part, domain or subunit of the target or antigen, which first single variable domain is linked (again optionally via a suitable linker) to a “second” single variable domain that is directed against a second epitope, antigenic determinant, part, domain or subunit of the target or antigen (which may in turn be linked, again optionally via a suitable linker, to a “third” single variable domain that is directed against a third epitope, antigenic determinant, part, domain or subunit
  • first and second (and optionally third or further) single variable domains are directed against the same epitope, antigenic determinant, part, domain or subunit, they may have essentially the same sequence (which will usually be preferred in practice) or have different sequences.
  • first and second (and optionally third or further) single variable domains are directed against different epitopes, antigenic determinants, parts, domains or subunits, they will as a rule have different sequences.
  • the first single variable domain will preferably be the essentially same (i.e. be comprised of essentially the same amino acid sequence) in both polypeptide chains that form the construct of the invention
  • the second single variable domain will preferably be essentially the same in both polypeptide chains that form the construct of the invention
  • the constant domains will preferably be essentially the same in both polypeptide chains that form the construct of the invention (so that, again, the constructs of the invention will be comprised of two polypeptide chains that have essentially the same (variable and constant) domains and more in particular essentially the same sequence).
  • the constructs of the invention are directed towards a multimeric target or antigen (such as a dimeric target or trimeric target), and the first and second (and optionally third or further) single variable domains are directed against the same epitope, antigenic determinant, part or domain, and preferably have essentially the same sequence.
  • a multimeric target or antigen such as a dimeric target or trimeric target
  • the first and second (and optionally third or further) single variable domains are directed against the same epitope, antigenic determinant, part or domain, and preferably have essentially the same sequence.
  • the constructs of the invention are directed towards a heteromeric target or antigen (for example comprised of two or three different subunits), and the first single variable domain is directed against a first subunit of the target or antigen and the second single variable domain is directed against a second subunit of the target or antigen.
  • a heteromeric target or antigen for example comprised of two or three different subunits
  • the first single variable domains may be directed against different antigenic determinants, epitopes, parts or domains or subunits of the same target, and the second and further single variable domains may or may not be present.
  • the constructs of this particular aspect of the invention only comprise two single variable domains, which are directed against different antigenic determinants, epitopes, parts or domains or subunits of the same target.
  • such a construct, and in particular the linkers or hinge region that link the single variable domains to the constant domain(s), is preferably such that both of the first single variable domains are capable of binding to their intended or respective epitope, antigenic determinant, part, domain or subunit, more preferably essentially simultaneously.
  • the constant domains that are present in each of the polypeptide chains that form a construct of the invention should be such that they are capable of forming an Fc portion with the constant domains that are present in the other polypeptide chain that forms the construct of the invention.
  • the constant domains that are present in both of the polypeptide chains that form the construct of the invention will in practice usually be essentially the same (i.e. be comprised of essentially the same amino acid sequence).
  • the constant domains may be C H 2 and C H 3 domains that are capable of forming an IgG Fc portion (e.g.
  • an IgG1, IgG2, IgG3 or IgG4 Fc portion C ⁇ 2 and C ⁇ 3 domains that are capable of forming an IgA Fc portion, C ⁇ 2 and C ⁇ 3 that are capable of forming an IgD Fc portion, C ⁇ 2, C ⁇ 3 and C ⁇ 4 domains that are capable of forming an IgM Fc portion; or C ⁇ 2, C ⁇ 3 and C ⁇ 4 domains that are capable of forming an IgE Fc portion.
  • the constant domains may also be such that they are capable of forming a chimeric Fc portion.
  • the constant domains are constant domains that are derived from human antibodies, so that the Fc portion is the Fc portion of a human IgG (e.g. an IgG1, IgG2, IgG3 or IgG4), IgA, IgM, IgD or IgE, or a chimeric constant domain that is fully comprised of human constant domains.
  • a human IgG e.g. an IgG1, IgG2, IgG3 or IgG4
  • IgA, IgM, IgD or IgE a chimeric constant domain that is fully comprised of human constant domains.
  • nucleotide sequences encoding the CH 2 and CH 3 domains of human IgG1 are given in Table 1 (SEQ ID NOs: 12 and 13) below.
  • the constant domains may also be suitable parts, fragments, analogs, variants or mutants of the aforementioned constant domains, as long as they are capable of forming an Fc portion and preferably are further such that they are still capable of providing their desired effector functions.
  • the constant domains that form the Fc portion are preferably essentially comprised of human constant domains or of amino acid sequences that are derived from human constant domains.
  • the specific constant domain(s) and/or Fc portion chosen will depend upon the intended use and properties (such as effector functions) of the final construct, and may be suitably chosen so as to provide the desired properties (for example, binding and/or activating complement, the ability to trigger ADCC, the ability to trigger other immune responses, and/or other desired effector functions) or to avoid such properties. Based on the disclosure herein, a skilled person will be able to choose a suitable Fc portion for a specific purpose or application. Usually, IgG-derived Fc portions (such as IgG1, IgG2, IgG3 or IgG4-derived. Fc portions) will be preferred.
  • constructs of the invention when directed against tumor cells or tumor antigens (such as HER-2), they may also comprise an “IgE-derived Fc portion” (i.e. an Fc portion that is derived from IgE) as described in the co-pending International patent application of Ablynx N. V, entitled “Constructs comprising single variable domains and an Fc portion derived from IgE”, which has the same filing date as the present application.
  • IgE-derived Fc portion i.e. an Fc portion that is derived from IgE
  • the Fc portion may also (be used to) confer upon the constructs the invention an increased half-life in vivo.
  • the Fc portion may still have some or all of its effector functions (or have these effector functions, but at a reduced level still suitable for the intended use), but when the Fc portion is solely used to provide for increased half-life, also a suitable mutant, variant part or fragment of an Fc portion may be used that has no or essentially no effector functions.
  • Half-life can generally be defined as the time taken for the serum concentration of the polypeptide to be reduce by 50%, in viva, for example due to degradation of the ligand and/or clearance or sequestration of the ligand by natural mechanisms.
  • the constructs or polypeptides of the invention may have a half-life in a mammal (such as a mouse, rat or monkey) and/or in man that is at least 25%, preferably at least 50%, more preferably at least 70%, such as about 80% or 90% or more, of a naturally occurring IgE in said mammal or in man.
  • the invention also relates to a protein or polypeptide that comprises or essentially consists of a construct of the invention.
  • the invention further relates to a polypeptide chain that forms part of a construct of the invention and/or that is capable of forming (or can be used to form) a construct of the invention (i.e. together with another such polypeptide chain), which. polypeptide chain is as further described herein.
  • the invention further relates to nucleotide sequences or nucleic acids that encode and/or that can be used to express a construct of the invention and/or a polypeptide chain of the invention.
  • nucleotide sequences or nucleic acids which are also generally referred to herein as “nucleic acids of the invention” may be as further described herein.
  • the invention further relates to methods for producing the constructs and polypeptides of the invention; to compositions (and in particular pharmaceutical compositions) that comprise one or more constructs or polypeptide chains of the invention; and to uses of the constructs or polypeptide chains of the invention or of compositions comprising them. Such methods, compositions and uses may be as further described herein.
  • modulating or “to modulate” generally means either reducing or inhibiting the activity of, or alternatively increasing the activity of, a target or antigen, as measured using a suitable in vitro, cellular or in vivo assay.
  • modulating or “to modulate” may mean either reducing or inhibiting the activity of, or alternatively increasing a (relevant or intended) biological activity of, a target or antigen, as measured using a suitable in vitro, cellular or in vivo assay (which will usually depend on the target or antigen involved), by at least 1%, preferably at least 5%, such as at least 10% or at least 25%, for example by at least 50%, at least 60%, at least 70%, at least 80%, or 90% or more, compared to activity of the target or antigen in the same assay under the same conditions but without the presence of the construct of the invention.
  • “modulating” may also involve effecting a change (which may either be an increase or a decrease) in affinity, avidity, specificity and/or selectivity of a target or antigen for one or more of its ligands, binding partners, partners for association into a homomultimeric or heteromultimeric form, or substrates; and/or effecting a change (which may either be an increase or a decrease) in the sensitivity of the target or antigen for one or more conditions in the medium or surroundings in which the target or antigen is present (such as pH, ion strength, the presence of co-factors, etc.), compared to the same conditions but without the presence of the construct of the invention.
  • this may again be determined in any suitable manner and/or using any suitable assay known per se, depending on the target or antigen involved.
  • Modulating may also mean effecting a change (i.e. an activity as an agonist, as an antagonist or as a reverse agonist, respectively, depending on the target or antigen and the desired biological or physiological effect) with respect to one or more biological or physiological mechanisms, effects, responses, functions, pathways or activities in which the target or antigen (or in which its substrate(s), ligand(s) or pathway(s) are involved, such as its signalling pathway or metabolic pathway and their associated biological or physiological effects) is involved.
  • a change i.e. an activity as an agonist, as an antagonist or as a reverse agonist, respectively, depending on the target or antigen and the desired biological or physiological effect
  • a change i.e. an activity as an agonist, as an antagonist or as a reverse agonist, respectively, depending on the target or antigen and the desired biological or physiological effect
  • a change i.e. an activity as an agonist, as an antagonist or as a reverse agonist, respectively, depending on the target or antigen and the desired biological or physiological effect
  • an action as an agonist or antagonist may be such that an intended biological or physiological activity is increased or decreased, respectively, by at least 1%, preferably at least 5%, such as at least 10% or at least 25%, for example by at least 50%, at least 60%, at least 70%, at least 80%, or 90% or more, compared to the biological or physiological activity in the same assay under the same conditions but without the presence of the construct of the invention.
  • Modulating may for example also involve allosteric modulation of the target or antigen; and/or reducing or inhibiting the binding of the target or antigen to one of its substrates or ligands and/or competing with a natural ligand, substrate for binding to the target or antigen. Modulating may also involve activating the target or antigen or the mechanism or pathway in which it is involved. Modulating may for example also involve effecting a change in respect of the folding or confirmation of the target or antigen, or in respect of the ability of the target or antigen to fold, to change its confirmation (for example, upon binding of a ligand), to associate with other (sub)units, or to disassociate. Modulating may for example also involve effecting a change in the ability of the target or antigen to transport other compounds or to serve as a channel for other compounds (such as ions).
  • Modulating may be reversible or irreversible, but for pharmaceutical and pharmacological purposes will usually be in a reversible manner.
  • the single variable domains that are present in the constructs of the invention may be any variable domain that forms a single antigen binding unit.
  • such single variable domains will be amino acid sequences that essentially consist of 4 framework regions (FR1 to FR4 respectively) and 3 complementarity determining regions (CDR1 to CDR3 respectively); or any suitable fragment of such an amino acid sequence (which will then usually contain at least some of the amino acid residues that form at least one of the CDR's, as further described herein).
  • Such single variable domains and fragments are most preferably such that they comprise an immunoglobulin fold or are capable for forming, under suitable conditions, an immunoglobulin fold.
  • the single variable domain may for example comprise a light chain variable domain sequence (e.g.
  • V L -sequence or a suitable fragment thereof; or a heavy chain variable domain sequence (e.g. a V H -sequence or V HH sequence) or a suitable fragment thereof; as long as it is capable of forming a single antigen binding unit (i.e. a functional antigen binding unit that essentially consists of the single variable domain, such that the single antigen binding domain does not need to interact with another variable domain to form a functional antigen binding unit or site, as is for example the case for the variable domains that are present in for example conventional antibodies and ScFv fragments that need to interact with another variable domain—e.g. through a V H /V L interaction—to form a functional antigen binding domain).
  • a single antigen binding unit i.e. a functional antigen binding unit that essentially consists of the single variable domain, such that the single antigen binding domain does not need to interact with another variable domain to form a functional antigen binding unit or site, as is for example the case for the variable domains that are present in
  • the single variable domain may be a domain antibody (or an amino acid sequence that is suitable for use as a domain antibody), a single domain antibody (or an amino acid sequence that is suitable for use as a single domain antibody), a “dAb” (or an amino acid sequence that is suitable for use as a dAb) or a Nanobody (as defined herein, and including but not limited to a V HH sequence); other single variable domains, or any suitable fragment of any one thereof.
  • dAb or an amino acid sequence that is suitable for use as a dAb
  • Nanobody as defined herein, and including but not limited to a V HH sequence
  • the amino acid sequence of the invention may be a NanobodyTM or a suitable fragment thereof.
  • NanobodyTM or a suitable fragment thereof.
  • WO 94/04678, WO 95/04079 and WO 96/34103 of the Vrije Universiteit Brussel WO 94/25591, WO 99/37681, WO 00/40968, WO 00/43507, WO 00/65057, WO 01/40310, WO 01/44301, EP 1134231 and WO 02/48193 of Unilever; WO 97/49805, WO 01/21817, WO 03/035694, WO 03/054016 and
  • Nanobodies in particular V I-114 sequences and partially humanized Nanobodies
  • the single variable domains used in the constructs of the invention may be directed against (as defined in WO 06/122 825) any suitable antigen.
  • suitable antigens and of single variable domains directed against those antigens will be clear to the skilled person based on the disclosure herein, and for example include the antigens and single variable domains mentioned in the prior art cited herein as well as the antigens and “dAb's” mentioned and described in the patent applications of Domantis Ltd. or Domantis Inc.
  • constructs of the invention may be prepared in any suitable manner known per se. Usually, such methods will either comprise joining two suitable polypeptide chains of the invention so as to form a construct of the invention (in which these polypeptide chains will usually be essentially identical in sequence, although the invention in its broadest sense is not limited thereto).
  • the polypeptide chains of the invention may be prepared in any suitable manner, usually by suitably expressing, in a suitable host or host organism, a nucleic acid of the invention that encodes the desired polypeptide chain.
  • constructs of the invention may be prepared by suitably co-expressing, in a suitable host or host organism, (suitable nucleic acids of the invention that encode) two suitable polypeptide chains of the invention (in which these polypeptide chains will again usually be essentially identical in sequence) so as to form a construct of the invention.
  • the nucleic acids encoding the polypeptide chains of the invention may be prepared in any suitable manner, for example using PCR assembly using overlapping primers, by suitably linking (naturally occurring, synthetic or semi-synthetic) nucleotide sequences that encode the various parts of the desired polypeptide chain, or by de novo synthesis of the desired nucleic acid of the invention using an automated apparatus for synthesizing nucleic acid sequences with a predefined amino acid sequence.
  • the particular codons used may also be chosen and/or optimized for the host or host organism to be used for the expression.
  • nucleic acids of the invention may be provided and/or used in the form of a suitable genetic construct (such as a plasmid or expression vector), that may for example comprise—in addition to the nucleotide sequences that encodes the desired polypeptide chain—one or more regulatory elements and/or other suitable components of such constructs known per se. All this can be performed using methods and techniques known per se, for which reference is made to the prior art cited herein, such as WO 04/068820 and WO 02/056910.
  • nucleotide sequences encoding the desired single variable domains can be suitably linked to a nucleotide sequence that encodes the desired constant domains, optionally via nucleotide sequences that encode suitable linkers or hinge regions as described herein.
  • the further expression, production, purification and isolation may be performed using techniques, vectors, host cells or host organisms known per se, for which reference is again made to for example WO 04/068820 and WO 02/056910.
  • the invention relates to a host or host cell that expresses or is capable of expressing a construct of the invention or a polypeptide chain of the invention, or that contains a nucleotide sequence or nucleic acid that encodes a construct of the invention or a polypeptide chain of the invention.
  • the invention further relates to methods for producing a construct of the invention or a polypeptide chain of the invention, comprising maintaining or cultivating such a host or host cell under conditions such that said host or host cell expresses or produces a construct of the invention or a polypeptide chain of the invention, and optionally comprising isolating the construct of the invention or polypeptide chain of the invention so expressed or produced.
  • compositions that comprise at least one construct of the invention or a polypeptide chain of the invention.
  • a composition may in particular be a pharmaceutical composition that comprises at least one construct of the invention and one or more pharmaceutically acceptable carriers, adjuvants or excipients.
  • a pharmaceutical composition will be a (usually liquid and aqueous) composition that is suitable for injection or infusion, essentially similar to the formulations that are used for injection or infusion of conventional monoclonal antibodies, but containing one or more constructs of the invention instead of a conventional 4-chain monoclonal antibody.
  • the constructs and compositions of the invention may be used for any suitable purpose, mainly depending upon the antigen(s) against which, the single variable domains that are present in the construct are directed.
  • the constructs and compositions of the invention may be used in the prevention and/or treatment of diseases and disorders that are associated with said target or antigen, i.e. by suitably administering the constructs or compositions to a subject that is at risk of and/or suffering from said disease or disorder.
  • diseases and disorders, and suitable routes of administration and treatment regimens will be clear to the skilled person based on the disclosure herein.
  • constructs of the invention can be made that are analogous to conventional therapeutic monoclonal antibodies (i.e. directed against the same target or antigen, but only containing two polypeptide chains as described herein, in which the single variable domains in each chain are directed against the relevant target or antigen), and that such constructs (and pharmaceutical compositions comprising the same) can be used for the prevention and/or treatment of essentially the same diseases and disorders as these conventional monoclonals, using essentially similar routes of administration and treatment regimens, which can easily be determined by the treating physician.
  • the invention relates to (the use of) a construct of the invention that is directed against a desired or intended (therapeutically relevant) target or antigen (or of a pharmaceutical composition comprising the same) for the prevention or treatment of a disease or disorder associated with said target or antigen.
  • the invention further relates to the use of a construct of the invention that is directed against a desired or intended (therapeutically relevant) target or antigen in the preparation of a pharmaceutical composition for the prevention or treatment of a disease or disorder associated with said target or antigen.
  • the invention also relates to a method for preventing or treating a disease or disorder that is associated with a target or antigen, which method comprises administering, to a subject in need of such prevention or treatment, of a therapeutically active amount of a construct of the invention that is directed against said target or antigen (or of a pharmaceutical composition comprising the same).
  • the construct of the invention is directed against HER-2.
  • Such constructs of the invention are particularly suited for the prevention and/or treatment of various forms of cancer and tumors (including solid tumors), e.g. by slowing, stopping or reversing the growth of a tumor and/or by slowing, stopping or reversing the spread of metastases caused by the tumor; and it is envisaged that such constructs of the invention may have improved efficacy and/or other improved properties compared to conventional 4-chain monoclonal antibodies against HER-2, such as for example Herceptin® or Omnitarg®.
  • the efficacy of the constructs of the invention that are directed against HER-2 may be determined using suitable cellular assays (for example using a suitable tumor cell line) or animal models known per se, which may be suitably chosen by the skilled person.
  • suitable constructs of the invention for use of the anti-HER-2 constructs of the invention in the prevention and/or treatment of cancer, suitable constructs of the invention, pharmaceutical compositions, routes of administration and treatment regimens will be clear to the skilled person based on the disclosure herein, and may for example also include suitable combination treatments with other cytostatic agents and/or with surgery and/or radiation treatment.
  • the invention relates to (the use of) a construct of the invention that is directed against HER-2 (or of a pharmaceutical composition comprising the same) for the prevention or treatment of cancer (and in particular, for the prevention or treatment of tumors that (over)express HER-2).
  • the invention further relates to the use of a construct of the invention that is directed against HER-2 in the preparation of a pharmaceutical composition for the prevention or treatment of cancer (and in particular, of tumors that express said tumor-associated target or antigen).
  • the invention also relates to a method for preventing or treating a cancer, which method comprises administering, to a subject in need of such prevention or treatment, of a therapeutically active amount of a construct of the invention that is directed against HER-2 or of a pharmaceutical composition comprising the same.
  • the construct of the invention is directed against a heterodimeric cytokine, such as against IL-12, IL-23, IL-27 or IL-35.
  • a heterodimeric cytokine such as against IL-12, IL-23, IL-27 or IL-35.
  • Such constructs of the invention are particularly suited for the prevention and/or treatment of a disease or disorder associated with said heterodimeric cytokine (i.e. with IL-12, IL-23, IL-27 and/or IL-35, respectively).
  • a disease or disorder associated with said heterodimeric cytokine i.e. with IL-12, IL-23, IL-27 and/or IL-35, respectively.
  • the invention relates to (the use of) a construct of the invention that is directed against a heterodimeric cytokine (or of a pharmaceutical composition comprising the same), such as against IL-12, IL-23, IL-27 or IL-35, for the prevention or treatment of a disease or disorder associated with said heterodimeric cytokine (i.e. with IL-12, IL-23, IL-27 and/or IL-35, respectively).
  • a heterodimeric cytokine or of a pharmaceutical composition comprising the same
  • a disease or disorder associated with said heterodimeric cytokine i.e. with IL-12, IL-23, IL-27 and/or IL-35, respectively.
  • the invention further relates to the use of a construct of the invention that is directed against a heterodimeric cytokine, such as against IL-12, IL-23, IL-27 or IL-35, in the preparation of a pharmaceutical composition for the prevention or treatment of a disease or disorder associated with said heterodimeric cytokine (i.e. with IL-12, IL-23, IL-27 and/or IL-35, respectively).
  • a heterodimeric cytokine such as against IL-12, IL-23, IL-27 or IL-35
  • the invention also relates to a method for preventing or treating a disease or disorder that is associated with a heterodimeric cytokine, such as with IL-12, IL-23, IL-27 or IL-35, which method comprises administering, to a subject in need of such prevention or treatment, of a therapeutically active amount of a construct of the invention that is directed against a heterodimeric cytokine, such as against IL-12, IL-23, IL-27 or IL-35 (or of a pharmaceutical composition comprising the same).
  • FIGS. 5 to 9 and Table 1 below give some non-limiting examples of amino acid sequences and nucleic acid sequences of polypeptide chains of the invention that can be used to form constructs of the invention:
  • FIGS. 9A to 9C give examples of constructs of the invention that are directed against IL-23.
  • the construct of FIG. 9A (SEQ ID NO:9) comprises one Nanobody (121A2 p19+) that can bind to the p19 subunit of IL-23 and that can modulate (and in particular, reduce) binding of IL-23 to its receptor, and one Nanobody (81G2 p19 ⁇ ) that can bind to the p19 subunit of IL-23 but that does not modulate binding of IL-23 to its receptor.
  • the construct of FIG. 9A comprises one Nanobody (121A2 p19+) that can bind to the p19 subunit of IL-23 and that can modulate (and in particular, reduce) binding of IL-23 to its receptor, and one Nanobody (81G2 p19 ⁇ ) that can bind to the p19 subunit of IL-23 but that does not modulate binding of IL-23 to its receptor.
  • 9B (SEQ ID NO:10) comprises one Nanobody (121A2 p19+) that can bind to the p19 subunit of IL-23 and that can modulate (and in particular, reduce) binding of IL-23 to its receptor, and one Nanobody (81E10 p40+) that can bind to the p40 subunit of IL-23 and that can modulate binding of IL-23 to its receptor.
  • IL-12 shares the p40 subunit with IL-23, it is expected that this construct can also bind to IL-12 (but with less avidity) and that this construct shows selectivity for IL-23 compared to IL-12.
  • FIG. 10 The construct of FIG.
  • 9C (SEQ ID NO:11) comprises one Nanobody (81E10 p40+) that can bind to the p40 subunit of IL-23 and that can modulate binding of IL-23 to its receptor, and one Nanobody (80D10) that can bind to the p40 subunit of IL-23 but that does not modulate binding of IL-23 to its receptor. Because IL-12 shares the p40 subunit with IL-23, it is expected that this construct can also bind to IL-12, also with improved avidity.
  • Non-limiting examples of amino acid sequences and nucleic acid sequences of polypeptide chains of the invention 47D5-35GS-2D3-hinge-CH2-CH3; SEQ ID NO: 1 kvqlvesggglvqpggslrlscaasgsifgfndmawyrqapgkqrelva lisrvgvtssadsvkgrftisrvnakdtvylqmnslkpedtavyycymd qrldgstlaywgqgtqvtvssggggsggggggsggggggggsggggggsggggggsggg gsggggsevqlvesggslvqpggslrlscaasgftfddyamswvrqvpg kglewvssinwsgthtdyadsvkgrftisrnnanntlylqmnslksedt avyy

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