US20220275056A1

US20220275056A1 - Selective il-6-trans-signalling inhibitor compositions

Info

Publication number: US20220275056A1
Application number: US17/690,711
Authority: US
Inventors: Ian Cottingham; Daniel Plaksin; Jérémy Duboeuf
Original assignee: Ferring BV
Current assignee: Ferring BV
Priority date: 2014-12-01
Filing date: 2022-03-09
Publication date: 2022-09-01
Also published as: CA2969314A1; EP4356962A2; CN107406491A; EP3227325B1; KR20170135818A; WO2016089206A2; MA41116A; JP2017536848A; MX2021007899A; US20180282396A1; US20200123226A1; WO2016089206A3; US11306136B2; JP6827941B2; EP3227325A2; JP2021073229A; MX2017007069A; US10519218B2; JP7184936B2

Abstract

A selective IL-6-trans-signalling inhibitor can be used to treat a variety of IL-6-mediated conditions, including inflammatory diseases and cancer. The inhibitor can safely be administered to humans at a variety of doses.

Description

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No. 16/675,621, filed Nov. 6, 2019, now U.S. Pat. No. 11,306,136, which is a continuation of U.S. patent application Ser. No. 15/532,097, filed May 31, 2017, now U.S. Pat. No. 10,519,218, which is the National Stage of International Appln. No. PCT/NL2015/050837, filed Dec. 1, 2015, which claims the benefit of European Appln. No. EP14195726.6, filed Dec. 1, 2014, the contents of each of which are hereby incorporated by reference in their entirety.

SEQUENCE LISTING

In accordance with 37 CFR § 1.52(e)(5), a Sequence Listing in the form of a text file (entitled “2010786-0032 SL.txt”, created on Apr. 9, 2019 and having a size of 58,312 bytes) is hereby incorporated by reference in its entirety.

BACKGROUND

IL-6 is a pleiotropic cytokine produced by hematopoietic and non-hematopoietic cells, e.g. in response to infection and tissue damage. IL-6 exerts its multiple biological activities through two main signalling pathways, a so-called classic ligand-receptor pathway via membrane-bound IL-6R present mainly on hepatocytes and certain leukocytes, and a trans-signalling pathway via circulating sIL-6R originating from proteolytic cleavage of the membrane-bound IL-6R or from alternative splicing.
In the classic pathway, IL-6 directly binds to membrane-bound IL-6R on the surface of a limited range of cell types. The IL-6/IL-6R complex associates with a pre-formed dimer of the signal-transducing gp130 receptor protein, causing steric changes in the gp130 homodimer and thereby initiating an intracellular signalling cascade. Classic signalling is responsible for acute inflammatory defence mechanisms and crucial physiological IL-6 functions, such as growth and regenerative signals for intestinal epithelial cells.
The extracellular domains of IL-6R and gp130 can be generated without the membrane-anchoring domains by translation of alternatively-spliced mRNAs resulting in sIL-6R and sgp130 variants. Additionally, the extracellular domain of IL-6R can be shed by membrane-bound proteases of the A disintegrin and metalloprotease (ADAM) family (in humans, ADAM17) to generate sIL-6R. In the trans-signalling process, sIL-6R binds to IL-6, forming an agonistic complex which binds to trans-membrane gp130 dimers present on a multitude of cell types that do not express membrane-bound IL-6R; IL-6 signalling by signal transducers and activators of transcription (STATs) is then induced in cells which do not normally respond to IL-6. The activity of the IL-6/sIL-6R complex is normally controlled by high levels of sgp130 present in the circulation which effectively compete with membrane-bound gp130. Trans-signalling is mainly involved in chronic inflammation and has been shown to prevent disease-promoting mucosal T-cell populations from going into apoptosis.
It would be desirable to have a molecule that mimics the natural trans-signalling inhibitor sgp130, but with a higher binding affinity and, consequently, a stronger inhibitory activity. Moreover, it would be desirable to have a molecule that can be administered to humans with minimal toxicity and immunogenic potential.

SUMMARY OF THE INVENTION

It has now been found that a selective IL-6-trans-signalling inhibitor can be administered to humans without any significant deleterious effects over a large dosage range. This inhibitor is substantially free of aggregation and glycosylation patterns that are associated with immunogenic potential. In addition, the inhibitor provides a favorable half-life in humans.
The invention provides a polypeptide dimer comprising two monomers of SEQ ID NO: 1. Preferably the monomers are linked by one or more disulfide bridges. Preferably, dimer is linked by disulfide bridges at positions Cys₆₂₃and Cys₆₂₆of SEQ ID NO: 1. The invention also provides a polypeptide dimer comprising two monomers of SEQ ID NO: 2. Preferably the monomers are linked by one or more disulfide bridges. Preferably, the dimer is linked by disulfide bridges at positions Cys₆₂₃and Cys₆₂₆of SEQ ID NO: 2.
Preferably, the polypeptide dimer comprises no greater than 6% of galactose-alpha-1,3-galactose per mole polypeptide and/or includes at least 52% of glycans having one or more sialic acid residues.
The invention also provides a composition comprising the polypeptide dimers disclosed herein. Preferably, no greater than 5% of the polypeptide dimer in the composition is present as an oligomeric aggregate and/or the composition comprises no greater than 10.0%, 8.0%, 6.0 or 4.0% by weight of polypeptides that are a truncated variation of the polypeptide (e.g., a truncated version of SEQ ID NO: 1 with respect to polypeptides of SEQ ID NO: 1 or a truncated version of SEQ ID NO: 2 with respect to polypeptides of SEQ ID NO: 2). Moreover, the dimers in such compositions can include the features described in the paragraph above and described in further detail below.
The invention further includes methods of treating conditions described herein with a polypeptide dimer or composition described herein. In addition, the invention includes the use of polypeptide dimers and compositions described herein for the manufacture of a medicament for treating a condition described herein.
In addition, the invention includes methods of preparing the polypeptide dimers, which encompasses associated nucleotide sequences, expression vectors, cells expressing the polypeptide, and purifying the polypeptide. In particular, the invention includes nucleotide sequences encoding the polypeptides disclosed herein, in particular, a polypeptide of SEQ ID NO: 1 or SEQ ID NO:2 or a polypeptide having an amino acid sequence at least 90% identical to SEQ ID NO: 1 or SEQ ID NO:2. Preferably, the nucleotide sequence is at least 90% identical to the nucleotide sequence of FIG. 3 or FIG. 7 and more preferably encodes a polypeptide of SEQ ID NO: 1 or SEQ ID NO: 2. Preferably the nucleotide sequence is the nucleotide sequence of FIG. 7.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows the trans-signalling pathway of IL-6. sIL-6R generated from alternatively spliced mRNA or proteolytic cleavage is able to bind to IL-6 to form a IL-6/sIL-6 complex that binds to gp130 present on the vast majority of body cell types and induce a intracellular signalling cascade.

FIG. 2 shows that a polypeptide dimer comprising two monomers of SEQ ID NO: 1 does not interfere with IL-6 binding to membrane-bound IL-6R (classic signalling), but selectively binds to the IL-6/sIL-6R complex and prevents trans-signalling.

FIG. 3 shows the nucleotide and amino acid sequence (SEQ ID NO: 6 and SEQ ID NO: 1, respectively) of the single gp130-Fc subunit.

FIG. 4 shows a map of the expression vector pANTVhG1. Elements for human IgG or fusion protein expression and for selection in eukaryotic cells are shown as well as relevant restriction enzyme digestion sites (not to scale). Elements include: CMV P, a cytomegalovirus expression promoter; human IgG1 sequences: VH, CH1, Hinge, CH2, and CH3; hIgG1 poly A, human IgG polyadenylation sequence; pAT153; an expression vector sequence derived from pBR322 that contains a replication origin and Amp gene for bacterial resistance against ampicillin; SV40 promoter sequence; DHFR, dihydrofolate reductase coding sequence; MluI, HindIII, EagI and SspI restriction enzyme digestion sequences; and a murine consensus signal sequence. Details of elements for prokaryotic propagation and selection are not shown.

FIG. 5 shows a map of expression vector pFER02. Elements for Peptide 1 expression and for selection in eukaryotic cells as well as relevant restriction enzyme digestion sites are shown (not to scale). Elements include: CMV P, a cytomegalovirus expression promoter; SEQ ID NO: 2, the coding sequence; hIgG1 poly A, human IgG polyadenylation sequence; pAT153; an expression vector sequence derived from pBR322 that contains a replication origin and Amp Gene for bacterial resistance against ampicillin; SV40 promoter sequence; DHFR, dihydrofolate reductase coding sequence; MluI, EagI and SspI restriction enzyme digestion sequences; and a murine consensus signal sequence.

FIGS. 6A-6F show nucleotide sequence elements of the expression plasmid pFER02. FIG. 6A depicts CMV IE Promoter (SEQ ID NO: 8). FIG. 6B depicts Human IgH PolyA (SEQ ID NO: 9). FIG. 6C depicts Amp (bla) gene (SEQ ID NO: 10). FIG. 6D depicts SV40 Promoter (SEQ ID NO: 11). FIG. 6E depicts Dihydrofolate Reductase Coding Sequence (SEQ ID NO: 12). FIG. 6F depicts SV40 Poly (SEQ ID NO: 13).

FIG. 7 shows the amino acid sequence of the single gp130-Fc subunit (SEQ ID NO: 15) and the nucleotide sequence optimized for optimal codon usage in CHO cells (SEQ ID NO: 14).

DETAILED DESCRIPTION OF THE INVENTION

One aspect of the invention provides a dimer of two gp130-Fc fusion monomers (e.g., two monomers of SEQ ID NO:1). In its active form, the polypeptide of SEQ ID NO: 1 exists as a dimer linked by two disulfide linkages at Cys₆₂₃and Cys₆₂₆(FIG. 2). SEQ ID NO: 2 corresponds to the amino acid sequence of a gp130-Fc fusion monomer having the endogenous signal peptide. The signal peptide is removed during protein synthesis, resulting in the production of the polypeptide of SEQ ID NO: 1.
The polypeptide dimers described herein selectively inhibit excessive trans-signalling (FIG. 1) and induces apoptosis of the detrimental T-cells involved in multiple inflammatory diseases. The polypeptide dimer targets and neutralises IL-6/sIL-6R complexes and is therefore expected to only inhibit IL-6 trans-signalling in the desired therapeutic concentrations, leaving classic signalling and its many physiological functions, as well as its acute inflammatory defence mechanisms, intact (FIG. 2). The polypeptide dimer is believed to be unable to interfere with classic IL-6 signalling due to steric hindrance; the Fc portion is unable to insert into a cell membrane, making the gp130 portion unavailable for binding to membrane-bound IL-6/sIL-6R complex. Thus, the polypeptide is expected to have efficacy similar to global IL-6 blockade (e.g., tocilizumab, sirukumab) but with fewer side effects.
Polypeptide dimers described herein preferably comprise gp130-Fc monomers having the sequence corresponding to SEQ ID NO:1. In certain embodiments, the monomers have the sequence corresponding to SEQ ID NO:2. In certain embodiments, polypeptide dimers described herein comprise polypeptides having at least 90%, 95%, 97%, 98%, 99% or 99.5% sequence identity to SEQ ID NO: 1 or SEQ ID NO:2. Preferably, the polypeptide comprises the gp130 D6 domain (in particular amino acids TFTTPKFAQGE: amino acid positions 585-595 of SEQ ID NO:1), AEGA in the Fc domain hinge region (amino acid positions 609-612 of SEQ ID NO:1) and does not comprise a linker between the gp130 portion and the Fc domain. In a preferred embodiment, the disclosure provides a polypeptide dimer comprising two monomers having an amino acid sequence at least 90% sequence identify to SEQ ID NO: 1, wherein the amino acid sequence comprises the gp130 D6 domain, AEGA in the Fc domain hinge region, and there is no linker present between the gp130 portion and the Fc domain. In a preferred embodiment, the disclosure provides a polypeptide dimer comprising two monomers having an amino acid sequence at least 90% sequence identify to SEQ ID NO: 2, wherein the amino acid sequence comprises the gp130 D6 domain, AEGA in the Fc domain hinge region, and there is no linker present between the gp130 portion and the Fc domain, preferably wherein the monomers are linked by one or more disulfide bridges, and more preferably wherein:

- a. the polypeptide dimer comprises no greater than 6% of galactose-alpha-1,3-galactose per mole polypeptide, preferably no greater than 3 mol %, more preferably no greater than 1 mol %, even more preferably no greater than 0.5 mol % of galactose-alpha-1,3-galactose,
- b. the polypeptide dimer comprises glycans, wherein a mean of at least 52%, preferably at least 54% of the glycans include one or more sialic acid residues, more preferably 52-65% or
- c. both.

It is desirable for polypeptides to be substantially free of galactose-alpha-1,3-galactose moieties, as these are associated with an immunogenic response. It was surprisingly found that dimers of the invention have low levels of such moieties. In preferred embodiments, the polypeptide (e.g., a polypeptide monomer and/or dimer described herein) contains no greater than 6% of galactose-alpha-1,3-galactose per mole polypeptide. Preferably, the polypeptide contains no greater than 4 mole %, 3 mole %, 2 mole %, 1 mole %, 0.5 mole %, 0.2 mole %, 0.1 mole % or even an undetectable level of galactose-alpha-1,3-galactose (e.g., as measured by WAX-HPLC, NP-HPLC or WAX, preferably as determined by WAX-HPLC). In other embodiments, the polypeptides contain less than 6%, 4%, 3%, 2%, 1%, 0.5%, 0.2%, or even 0.1% of galactose-alpha-1,3-galactose, relative to the total amount of glycans, either by mass or on a molar basis.
In some embodiments, it is also desirable for a polypeptide of the invention to be sialylated, e.g., to increase the half-life of polypeptides of the invention. Each chain of the polypeptide contains 10 putative N-glycosylation sites; nine N-glycosylation sites are located in the gp130 portion and one N-glycosylation site is located in the Fc portion. The polypeptide therefore contains a total of 20 glycosylation sites. In certain embodiments, a mean of at least 52% or at least 54% of glycans on the polypeptide include a sialic acid residue, such as a mean from 52-65% (e.g., as measured by WAX-HPLC, NP-HPLC or WAX, preferably as determined by WAX-HPLC). Preferably, the polypeptide of the invention has an approximate molecular weight of 220 kDa; each 93 kDA having an additional ˜20 kDa molecular weight derived from 10 N-glycosylation chains.
In some embodiments, the invention provides compositions comprising a plurality of polypeptides described herein (e.g., a plurality of polypeptide monomers and/or polypeptide dimers described herein). In some embodiments, a composition comprises a mean of at least 25% (e.g., at least 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34%, 35%, 36%, 37%, 38%, 39%, or 40%) mono-sialylated polypeptides; a mean of at least 10% (e.g., at least 11%, 12%, 13%, 14%, 15%, 16%, 17%, 18%, 19%, 20%, 21%, 22%, 23%, 24%, or 25%) di-sialylated polypeptides; a mean of at least 1% (e.g., at least 1%, 1.5%, 2%, 2.5%, 3%, 3.5%, 4%, 4.5%, 5%, 5.5%, or 6%) tri-sialylated polypeptides; and/or a mean of at least 0.1% (e.g., at least 0.2%, 0.3%, 0.4%, 0.5%, 0.6%, 0.7%, 0.8%, 0.9%, or 1%) tetra-sialylated glycans; relative to glycan groups in the composition.
It is further desirable to minimize the extent to which polypeptides aggregate, which is herein referred to as oligomerization which results in oligomeric aggregates. “Oligomeric aggregates” as used herein, does not refer to the active dimerized peptide. Instead, the term refers to at an aggregate of a least three monomers (e.g., of SEQ ID NO: 1) or, more typically, at least a dimer of active dimers. It was surprisingly found that the peptide dimers of the invention display low levels of aggregation. In certain embodiments, less than 5%, less than 4%, less than 3%, less than 2%, less than 1.5%, or even less than 1.0% of the polypeptide is present as an oligomer. The oligomer content can be measured, for example, by size exclusion chromatography-multi angle light scatting (SEC-MALS) or SEC-UV.
Preferably, the polypeptide is present in its full-length form (e.g., includes two full length monomers, e.g., of SEQ ID NO:1). However, cell culture can produce a truncated variant referred to herein as the single gp130 form (SGF). SGF is a covalently-bound two-chain molecule, one chain comprising a the full-length gp130-Fc monomer (e.g., of SEQ ID NO:1) and a second chain comprising a truncated gp130-Fc monomer (e.g., a truncation of SEQ ID NO: 1), which second chain includes the Fc domain and lacks most or all of the gp130 domain (e.g., terminated before the linker sequence to the Fc region). Studies to date demonstrate that SGF does not have a heterogeneous amino-terminus. SGF can be formed at consistent levels in a bioreactor and once formed, SGF levels are not readily changed during purification, processing or accelerated storage conditions. SGF levels are difficult to remove during purification due to similar physical-chemical properties to the full-length form of the polypeptide dimer; thus efforts to remove SGF can result in a significant reduction in yield. It was surprisingly found that dimers of the invention are nearly always full-length. In certain embodiments, the composition of the invention comprises no greater than 4.0% by weight, 3.0% by weight, 2.0% by weight or even 1.5% by weight of polypeptides that are a truncated variation of the polypeptide of SEQ ID NO: 1 with respect to polypeptides of SEQ ID NO: 1. In certain embodiments, the composition of the invention comprises no greater than 4.0% by weight, 3.0% by weight, 2.0% by weight or even 1.5% by weight of polypeptides that are a truncated variation of the polypeptide of SEQ ID NO: 2 with respect to polypeptides of SEQ ID NO: 2.
The polypeptide of the invention is typically administered parenterally, such as intravenously or subcutaneously.
Suitable formulations include those comprising a surfactant, particularly a nonionic surfactant such as a polysorbate surfactant (e.g., polysorbate 20). Formulations can also include buffering agents and sugars. An exemplary buffering agent is histidine. An exemplary sugar is sucrose. Thus, a suitable formulation could include polysorbate 20 (e.g., 0.01-1 mg/mL, 0.02-0.5 mg/mL, 0.05-0.2 mg/mL), histidine (e.g., 0.5 mM-250 mM, 1-100 mM, 5-50 mM, 10-20 mM) and sucrose (e.g., 10-1000 mM, 20-500 mM, 100-300 mM, 150-250 mM).

Indications

In acute inflammation, IL-6 has been shown to induce the acute phase response in the liver leading to release of the cascade of acute phase proteins, in particular CRP. By forming a complex with sIL-6R shed by apoptotic neutrophils at the site of inflammation and binding of the resulting IL-6/sIL-6R trans-signalling complex to the signal transducer gp130 on endothelial cells, IL-6 induces expression of chemokines such as monocyte chemotactic protein (MCP)-1 and attracts mononuclear cells. This leads to the resolution of acute inflammation and to the initiation of an adaptive immune response. Thus, in acute inflammation, IL-6 with sIL-6R complex supports the transition between the early predominantly neutrophilic stage of inflammation and the more sustained mononuclear cell influx ultimately also leading to the resolution of inflammation.
Chronic inflammation, such as in Crohn's disease (CD), ulcerative colitis (UC), rheumatoid arthritis (RA) or psoriasis, is histologically associated with the presence of mononuclear cells, such as macrophages and lymphocytes, persisting in the tissue after having been acquired for the resolution of the acute inflammatory phase. In models of chronic inflammatory diseases, IL-6 seems to have a detrimental role favouring mononuclear-cell accumulation at the site of injury, through induction of continuous MCP-1 secretion, angio-proliferation and anti-apoptotic functions on T-cells.
Inflammatory bowel disease (IBD), namely CD or UC, is a chronic inflammation occurring in the gut of susceptible individuals that is believed to be independent of a specific pathogen. Alterations in the epithelial mucosal barrier with increased intestinal permeability lead to an enhanced exposure of the mucosal immune system to luminal antigens, which causes an inappropriate activation of the intestinal immune system in patients. The uncontrolled activation of mucosal CD4+T-lymphocytes with the consecutive excessive release of proinflammatory cytokines induces pathogenic gastrointestinal inflammation and tissue damage. There is a consensus that the main activated immune cells involved in the pathogenesis of IBD are intestinal T-cells and macrophages.
IL-6 is shown to be a central cytokine in IBD in humans. Patients with CD and UC have been found to produce increased levels of IL-6 when compared with controls, the IL-6 levels being correlated to clinical activity. CD patients have also been found to have increased levels of sIL-6R and consequently, IL-6/sIL-6R complex in serum. Lamina propria mononuclear cells obtained from surgical colon specimens from patients with CD and UC showed that both CD4+ T-cells and macrophages produced increased amounts of IL-6 compared to controls. sIL-6R was found to be released via shedding from the surface of macrophages and mononuclear cells with increased production associated with elevated levels of IL-6. In patients with CD, mucosal T-cells showed strong evidence for IL-6 trans-signalling with activation of STAT3, bcl-2 and bcl-xl. The blockade of IL-6 trans-signalling caused T-cell apoptosis, indicating that the IL-6/sIL-6R system mediates the resistance of T-cells to apoptosis in CD.
Thus, in IBD patients, acquired accumulation of disease-promoting CD4+ T-cells in the lamina propria leading to perpetuation of inflammation is critically dependent on anti-apoptotic IL-6/sIL-6R trans-signalling. It is believed that by acting on the IL-6/sIL-6R complex, the polypeptide disclosed herein is useful in treating CD and other inflammatory diseases.
Thus, the polypeptide of the invention can treat IL-6-mediated conditions. IL-6-mediated conditions include inflammatory disease or a cancer. In this regard, the polypeptides and compositions described herein may be administered to a subject having an inflammatory disease, such as juvenile idiopathic arthritis, Crohn's disease, colitis (e.g., colitis not associated with IBD, including radiation colitis, diverticular colitis, ischemic colitis, infectious colitis, celiac disease, autoimmune colitis, or colitis resulting from allergies affecting the colon), dermatitis, psoriasis, uveitis, diverticulitis, hepatitis, irritable bowel syndrome (IBS), lupus erythematous, nephritis, Parkinson's disease, ulcerative colitis, multiple sclerosis (MS), Alzheimer's disease, arthritis, rheumatoid arthritis, asthma, and various cardiovascular diseases such as atherosclerosis and vasculitis. In certain embodiments, the inflammatory disease is selected from the group consisting of, diabetes, gout, cryopyrin-associated periodic syndrome, and chronic obstructive pulmonary disorder.
Preferably, the inflammatory disease or IL-6-mediated condition is inflammatory bowel disease, preferably wherein the treatment induces the remission of inflammatory bowel disease. Preferably, the inflammatory bowel disease is Crohn's disease or ulcerative colitis, preferably wherein the treatment maintains the remission of inflammatory bowel disease. Preferably, the inflammatory disease or IL-6-mediated condition is rheumatoid arthritis, psoriasis, uveitis or atherosclerosis. Preferably, the inflammatory disease or IL-6-mediated condition is colitis not associated with inflammatory bowel disease, preferably wherein the colitis is radiation colitis, diverticular colitis, ischemic colitis, infectious colitis, celiac disease, autoimmune colitis, or colitis resulting from allergies affecting the colon. Preferably, the inflammatory disease or IL-6-mediated condition is selected from Crohn's disease, ulcerative colitis, rheumatoid arthritis and psoriasis, more preferably from Crohn's disease and ulcerative colitis.
For inflammatory disease such as inflammatory bowel disease, treatment can include remission of the condition, maintenance of remission of the condition, or both.
Other embodiments provide a method of treating, reducing the severity of or preventing a cancer, including, but not limited to multiple myeloma, plasma cell leukemia, renal cell carcinoma, Kaposi's sarcoma, colorectal cancer, gastric cancer, melanoma, leukemia, lymphoma, glioma, glioblastoma multiforme, lung cancer (including but not limited to non-small cell lung cancer (NSCLC; both adenocarcinoma and squamous cell carcinoma)), non-Hodgkin's lymphoma, Hodgkin's disease, plasmocytoma, sarcoma, thymoma, breast cancer, prostate cancer, hepatocellular carcinoma, bladder cancer, uterine cancer, pancreatic cancer, esophageal cancer, brain cancer, head and neck cancers, ovarian cancer, cervical cancer, testicular cancer, stomach cancer, esophageal cancer, hepatoma, acute lymphoblastic leukemia (ALL), T-ALL, acute myelogenous leukemia (AML), chronic myelogenous leukemia (CML), and chronic lymphocytic leukemia (CLL), salivary carcinomas, or other cancers.
Further embodiments of the present disclosure provide a method of treating, reducing the severity of or preventing a disease selected from the group consisting of sepsis, bone resorption (osteoporosis), cachexia, cancer-related fatigue, psoriasis, systemic-onset juvenile idiopathic arthritis, systemic lupus erythematosus (SLE), mesangial proliferative glomerulonephritis, hyper gammaglobulinemia, Castleman's disease, IgM gammopathy, cardiac myxoma and autoimmune insulin-dependent diabetes.
As used herein, the terms “treatment,” “treat,” and “treating” refer to reversing, alleviating, delaying the onset of, or inhibiting the progress of a disease or disorder, or one or more symptoms thereof, as described herein. In some embodiments, treatment may be administered after one or more symptoms have developed. In other embodiments, treatment may be administered in the absence of symptoms. For example, treatment may be administered to a susceptible individual prior to the onset of symptoms (e.g., in light of a history of symptoms and/or in light of genetic or other susceptibility factors). Treatment may also be continued after symptoms have resolved, for example to prevent or delay their recurrence.
The polypeptide of the invention can be administered in conjunction with a second active agent. The second active agent can be one or more of 5-aminosalicylic acid, azathioprine, 5-mercaptopurine and a corticosteroid. Dosage regimes for the administration of 5-aminosalicylic acid, azathioprine, 5-mercaptopurine and corticosteroids are well-known to a skilled person.

Production Methods

A further aspect of the invention provides a vector, which comprises a nucleic acid molecule encoding SEQ ID NO: 1 or SEQ ID NO:2 as well as cells comprising said vector. The DNA encoding the amino acid sequence of SEQ ID NO: 1 or SEQ ID NO: 2 may be cloned into the vector such that the signal peptide is linked in-frame to the amino terminus of the amino acid sequence of the antibody chain. The signal peptide can be an immunoglobulin signal peptide or a heterologous signal peptide (i.e., a signal peptide from a non-immunoglobulin protein).
The design of the expression vector, including the selection of regulatory sequences, may depend on such factors as the choice of the host cell to be transformed, the level of expression of protein desired, and so forth. Regulatory sequences for mammalian host cell expression include viral elements that direct high levels of protein expression in mammalian cells, such as promoters and/or enhancers derived from retroviral LTRs, cytomegalovirus (CMV) (such as the CMV promoter/enhancer), Simian Virus 40 (SV40) (such as the SV40 promoter/enhancer), adenovirus, (e.g., the adenovirus major late promoter (AdMLP)), polyoma and strong mammalian promoters such as native immunoglobulin and actin promoters. The host cell may be a mammalian, insect, plant, bacterial, or yeast cell, preferably the cell is a mammalian cell such as a Chinese hamster ovary (CHO) cell. Exemplary CHO cells are (CHO)/dhfr− cells obtained from the European Collection of Cell Cultures (ECACC, No. 9406067).
Preferably, the host cell is a CHO cell and the nucleic acid encoding the polypeptide is codon optimized for use in CHO cells. Preferably, the nucleic acid encoding the polypeptide is the sequence depicted in FIG. 3 or FIG. 7.
The disclosure further provides methods for producing the polypeptides of the invention. In one embodiment, a method is provided for producing a dimer comprising two monomers of SEQ ID NO: 1 linked by a disulfide bridge, said method comprising expressing SEQ ID NO: 1 in cells and purifying said polypeptide. Preferably, methods are provided for producing a dimer comprising two monomers of SEQ ID NO: 2 linked by a disulfide bridge, said method comprising expressing SEQ ID NO: 2 in cells and purifying said polypeptide. Methods for introducing nucleic acid vectors are known to a skilled person and include, e.g., electroporation, transfection, and the like. The transfected cells are cultured to allow the cells to express the desired protein. The cells and culture media are then collected and polypeptide dimers are purified, e.g., by chromatography column steps (e.g., MAbSelect Sure, SP Sepharose, Capto Q). The dimer can also be concentrated and/or treated with viral reduction/inactivation steps.
A further aspect of the invention encompasses polypeptide dimers produced by the methods disclosed herein. Preferably, the dimers have the characteristics described herein (e.g., % of galactose-alpha-1,3-galactose per mole polypeptide, sialylation). Dimers produced by the methods can be used to prepare suitable compositions. Said compositions preferably have the characteristics described herein (e.g., low aggregation, truncations).

EXEMPLICATION

Example 1

Preparation and Characterization of Peptide 1 (the Polypeptide of SEQ ID NO: 1 in its Active Dimerized Form)

Cloning and Expression of Peptide 1 in CHO/dhfr− Cells

CHO/dhfr⁻ cells were obtained from the European collection of cell cultures (ECACC, No. 9406067). The adherent CHO/dhfr⁻ cells are deficient in dihydrofolate reductase (DHFR), an enzyme that catalyses the reduction of folate to dihydrofolate and then to tetrahydrofolate. CHO/dhfr⁻ cells thus display sensitivity to the antifolate drug, methotrexate (MTX).
The CHO/dhfr⁻ cell line is well characterised and tested. The safety of the CHO/dhfr⁻ parental cell line as a cell substrate for the production of biopharmaceuticals for human use was confirmed by ECACC (Porton Down, UK) for microbial sterility, mycoplasma, and adventitious viruses according to 21 CFR.
Selection and Construction of the cDNA Sequence
The cDNA sequence of Peptide 1 (the polypeptide sequence of SEQ ID NO: 1) was synthesised as a single DNA fragment by GeneArt AG (Regensburg, Germany) using the sequence for the extracellular domain of gp130 (IL6ST, NCBI Gene ID 3572, transcript variant 1 (NP_002175), amino acids 23-617) and Fc domain of human IgG1 (IGHG1, NCBI Gene ID 3500, amino acids 221-447 according to Kabat EU numbering). The sequence was optimised for optimal codon usage in CHO cells. Three well-characterised point mutations were introduced into the lower hinge region of the Fc part.
The cDNA sequence was further modified by replacing the original gp130 signal peptide with a mouse IgG heavy chain signal peptide of known efficacy in CHO cell expression systems. The signal peptide is cleaved off during protein synthesis. The presence of the IgG1 Cys-Pro-Pro-Cys sequence in the Fc region results in the dimerisation of two identical gp130-Fc subunits via the sulfhydryl residues on the Fc region, which together form Peptide 1.
FIG. 3 presents the nucleotide and amino acid sequence of the gp130-Fc subunit used for the formation of Peptide 1.

Construction of the Expression Plasmid for Selection of the Master Cell Bank (MCB)

The Peptide 1 cDNA was cloned into a pANTVhG1 expression vector (Antitope) containing the dhfr gene for transfectant selection with MTX (FIG. 4) as follows: First, the expression vector was digested with MluI and EagI restriction enzymes to permit the insertion of Peptide 1 cDNA. Second, the Peptide 1 coding region was PCR amplified using the OL1425 and OL1426 primers (Table 1) and digested with MluI and EagI restriction enzymes. Third, the digested fragments were gel purified and ligated together to generate the pFER02 expression vector (FIG. 5). The Peptide 1 cDNA was inserted under the control of the cytomegalovirus (CMV) promoter.
Table 2 presents the function of the pFER02 expression elements. FIG. 6 presents the nucleotide sequences of the pFER02 expression elements.

TABLE 1

Oligonucleotide Sequences Used to Amplify the Peptide 1 Coding Region
for Cloning into pANTVhG1

Primer	Sequence (5′-3′)*

OL1425	ctgttgctacgcgtgtccactccGAGCTGCTGGATCCTTGCGGC
	(SEQ ID NO: 4)

OL1426	gcgggggcttgccggccgtggcactcaCTTGCCAGGAGACAGAGACAG
	(SEQ ID NO: 5)

*Peptide 1-specific sequences are shown in upper case, vector-specific sequences are shown in lower case and restriction sites areunderlined

TABLE 2

pFER02Expression Elements

	Feature	Function

	CMV promoter	Immediate-early promoter/enhancer.
		Permits efficient, high-level expression
		of the recombinant protein
	hIgG1 poly A	Human IgG polyadenylation sequence
	Ampicillin resistance	Selection of vector in E. coli
	gene (β-lactamase)
	SV40 early promoter	Allows efficient, high-level expression
	and origin	of the neomycin resistancegene and
		episomal replication in cells expressing
		SV40 large T antigen
	DHFR	Selection of stable transfectants in CHO
		dhfr- cells
	SV40 polyadenylation	Efficient transcription termination and
	signal	polyadenylation of mRNA

Cell Line Selection Process Leading to the Final Peptide 1 Producing Clone

The pFER02 vector was linearised with the blunt-end restriction enzyme SspI, which has a single recognition site located in the beta-lactamase gene. The linearised plasmid was transfected into 5×10⁶CHO/dhfr⁻ cells using lipid-mediated transfection. Twenty-four hours after transfection, transfected cells were selected in medium supplemented with 5% dialysed foetal calf serum (FCS) and 100 nM methotrexate (MTX). Transfected cells were diluted into this medium at various densities and dispensed into 96-well, flat bottom tissue culture plates. Cells were then incubated in a humidified atmosphere at 5% CO₂and 37° C. Fresh MTX selection medium was added at regular intervals during the incubation time to ensure that MTX levels and nutrient levels remained constant.
Initial Cell Line Selection with MTX Selection
For several weeks post transfection, tissue culture plates were examined using a Genetix CloneSelect® Imager, and >2,000 wells were observed to have actively growing colonies. Supernatants from these wells were sampled and assayed for Peptide 1 titre by ELISA. Based on the results of this assay, a total of 105 of the best expressing wells were expanded into 48-well plates. A total of 83 cell lines were selected for expansion into 6-well plates or T-25 flasks; supernatant from each of the cell lines was sampled and assayed for Peptide 1 titre (ELISA). Based on these results, 54 of the best expressing cell lines with optimal growth characteristics were selected for expansion into T-75 or T-175 flasks; supernatants from the confluent flasks were sampled and Peptide 1 titres quantified (ELISA). Comparison of the expression levels between the cell lines allowed for the identification of the 38 best cell lines which were selected for productivity analysis. Productivity was assessed as follows:
Productivity (pg/cell/day)=((Th−Ti)/((Vh+Vi)/2))/time
Where:

- Th is the harvest titre [μg/mL]
- Ti is the initial titre [μg/mL]
- Vh is the viable cell count at harvest [×10⁶cells/mL]
- Vi is the initial viable cell count [×10⁶cells/mL]
- Time is the elapsed time (days) between Ti and Th
  Based on productivity results (pg/cell/day), 13 cell lines were selected for gene amplification.

MTX-Driven Gene Amplification for Peptide 1 Cell Line Selection

The 13 selected cell lines were chosen for the first round of gene amplification by selective pressure under increasing concentrations of MTX (0.1-50 M). After 7-10 days, supernatant from each well from each of the 13 cell lines were sampled and assayed for Peptide 1 titre (ELISA). Wells from each cell line with high Peptide 1 expression levels were assessed for productivity (pg/cell/day). A second round of gene amplification was initiated with a total of 16 wells from cell lines that showed significant increases in productivity.
The second round of gene amplification was conducted in the presence of increased MTX concentrations; supernatants from each culture were assayed for Peptide 1 titre (ELISA). Selected wells from each cell line were expanded and productivity was assessed (pg/cell/day); five cell lines with increased productivity in response to increased MTX selection pressure were identified. These five cell lines were progressed to a third round of gene amplification using selection pressure under increased MTX concentration; supernatants from each well were assayed for Peptide 1 titre (ELISA). Selected wells for each cell line were expanded and productivity (pg/cell/day) was assessed; five cell lines demonstrating high Peptide 1 expression were selected.

Limiting Dilution of Clones

Limiting dilution cloning was performed on the five cell lines demonstrating Peptide 1 expression. After one week of incubation, plates were examined using a Genetix CloneSelect® Imager and single colonies were identified. The growth rates of two cell lines during dilution cloning were noted as being particularly slow and so these cell lines were discontinued. In total, from the three remaining cell lines, 58 clonal colonies were selected for expansion, first into 48-well plates and then successively expanded through 12-well plates, T-25 flasks and T-75 flasks in the absence of MTX. Each of the 58 selected clones was then assessed for productivity (pg/cell/day); 16 clones were selected for suspension adaptation and adaptation to growth in a chemically-defined medium.

Adaptation of Cell Lines to Suspension Culture in Chemically Defined Medium

The 16 cell lines were adapted to suspension culture in a chemically-defined medium as follows: selected cell lines in adherent culture were first adapted to suspension both in CHO suspension growth medium (DMEM high glucose, including L-glutamine and sodium pyruvate, 5% dialysed FCS, 20 mg/L L-proline, 1× penicillin/streptomycin, 1% pluronic F68) and then in chemically defined suspension growth medium (CD Opti-CHO® from Life Technologies Ltd. (Paisley, UK), 2.5% dialysed FCS, 0.1× penicillin/streptomycin, 8 mM Glutamax®).
Once adapted to suspension culture, the cell lines were weaned, in stages, into a serum-free chemically-defined suspension growth medium (CD Opti-CHO®, 0.1× penicillin/streptomycin, 8 mM Glutamax®). MTX was omitted from all suspension cultures. The adapted lines were expanded and seed cell banks were prepared. Briefly, cells were expanded to 300 mL total volume and harvested when cell density exceeded 0.85×10⁶cells/mL and viability was >90%. A further 3×10⁷cells were seeded into a fresh flask containing 70 mL suspension growth medium for growth and productivity analysis. The remaining cells were harvested by centrifugation and resuspended in an appropriate volume of freezing medium to yield a cell suspension at 1×10⁷cells/mL. Vials were frozen down to −80° C. The cell bank was then transferred to liquid nitrogen for long-term storage.
The 16 cell lines were further refined down to 5 clones after serum-free adaptation. The 5 clones were assessed for growth (cell density and cell doubling time) and productivity (pg/cell/day), after which 3 clones were selected. One clone was selected to make a master cell bank.
Preparation of the master cell bank (MCB) and working cell bank (WCB) was carried out. One vial from the pre-seed stock was used for the preparation of a 200 vial MCB, and one vial of MCB was used to prepare a 200 vial WCB. In each case, a vial was thawed and the cryopreservation medium removed by centrifugation. The cells were resuspended and propagated in volume in growth medium (CD OptiCHO®/4 mM L-glutamine). Four passages were performed during the creation of MCB and six passages were performed during the creation of WCB.
When sufficient cells were obtained, cells were aliquoted in cryopreservation medium (92.5% CD OptiCHO®/7.5% DMSO) into polypropylene vials (each containing approximately 1.5×10⁷viable cells) and cryopreserved by reducing the temperature to −100° C. over a period of at least 60 minutes in a gradual freezing process. Vials are stored in a vapour phase liquid nitrogen autofill container in a GMP controlled area.

Description of the Drug Substance (DS) Manufacturing Process

A brief description of the Peptide 1 DS manufacturing process is as follows. Cells from a WCB vial are revived and progressively expanded using protein-free medium prior to inoculation into a production bioreactor. Upon completion of the cell culture, cells and cell debris are removed by filtration of the culture.
Purification consists of three chromatography column steps (MAbSelect Sure, SP Sepharose, Capto Q), a concentration and diafiltration step and includes two specific viral reduction/inactivation steps; Triton X-100 (inactivation of enveloped viruses) treatment and a nanofiltration step (removal of enveloped and non-enveloped viruses).
Following concentration and diafiltration, excipients are added for the formulation of the DS. The formulated Peptide 1 is 0.22 μm filtered into containers.
The Sartobind Phenyl column, used in the 10,000 L batch in place of the Capto Q column, is effective in reducing the presence of oligomers. This column was able to reduce the level of oligomeric forms from an average of 2.7% to 1%.

Analytical Methods

Glycan structure analysis was carried out at Procognia Limited (Ashdod, Israel). N-glycans were released from the sample using PNGase F and then labelled with 2-aminobenzamide. Released glycans were treated with or without a series of exoglycosidases in order to generate different glycan forms. Glycans were separated by two-dimensional HPLC analysis (NP-HPLC and WAX) and identified by comparison to a retention time database which was built using in-house-prepared standards separated and analysed by the same two-dimensional HPLC analysis.
Sialic Acid Content
Ultra high pressure liquid chromatography (UPLC) was used to determine the sialic acid content and confirm peptide identity. The method was conducted using a Acquity UPLC BEH C18 1.7 μm 2.1×50 column and the following mobile phase: 9:7:84/acetonitrile:methanol:water, with a flow rate 0.3 mL/min. The sialic acids were released from the test sample by enzymatic cleavage with sialydase and were thereafter derivatised with a fluorescent label (1,2 diamino 4,5 methylenedioxybenzene dihydrochloride (DMB)). The labelled test sample was separated by UPLC with isocratic elution and fluorescence detection with an excitation wavelength of 373 nm and an emission wavelength of 448 nm. The sialic acid content in the test samples was quantified relative to the N-glycolylneuraminic acid (NGNA) and N-acetylneuraminic acid (NANA) standards, run as a standard curve. NGNA and NANA sialic acid content is reported as pmol sialic acid/pmol protein.
Sialylation Pattern
Weak anion exchange (WAX)-HPLC was used for determination of the % of the neutral, mono-, di-, tri- and tetra-sialylated glycans. The method entails enzymatic release of the N-glycans from the drug substance with PNGase, fluorescent labelling with 2-aminobenzamide (2-AB), desalting using Ludger D1 cartridges. The separation of sialylated glycans was conducted by WAX-HPLC, using a Glyco Sep C column with a 20% acetonitrile/0.5M ammonium format gradient at 40° C. The fluoresce detection was set to at 330 nm excitation and 420 nm emission. Testing of a reference standard was carried out in parallel. The % of the neutral, mono-, di-, tri- and tetra-sialylated glycans were determined from the WAX-HPLC chromatogram and reported.
Purity, SEC
Size-exclusion HPLC (SEC) was used to determine drug substance purity by separating intact active dimers from the SGF and oligomeric forms (comprised primarily of dimers of active dimers). The intact active dimer molecule consists of the two identical glycosylated protein subunits (the gp130 extracellular domain fused to the Fc part of the human IgG1 heavy chain). Samples were separated on the basis of molecular weight using a gel permeation column (TSK G3000_SWXL) with a flow rate of 1 mL/min and a mobile phase of 0.2 M sodium phosphate pH 7.0. Column eluate was monitored at 280 nm. The intact species is identified by its characteristic retention time; the % purity of the active dimer is expressed as a percentage of the total integrated peak area.
Oligomeric Forms
The percentage of oligomeric forms is determined using the SEC method presented above. The percentage of oligomeric forms is expressed as a percentage of the total integrated peak area.
Single gp130 Form (SGF)
The percentage of SGF was determined using the SEC method presented above. The percentage of SGF is expressed as a percentage of the total integrated peak area.
Results of the analyses are provided in Table 3.

TABLE 3

Characterisation Test Results

		Batch 1	Batch 2	Batch 3	Batch 4	Batch 5	Batch 6
Analysis	Theoretical Value	(400 L)	(800 L)	(800 L)	(800 L)	(800 L)	(10,000 L)

Monosaccharide analysis	Fucose	7.4	7.9	7.2	6.5	6.3	6.5
(pmol/pmol Peptide 1)	Glucosamine	41.6	45.2	42.5	38.6	39.2	42.9
	Mannose	44.6	44.2	43.3	39.8	38.9	39.8
	Galactose	21.9	23.1	20.8	19.8	20.8	19.3
Sialylation pattern	Neutral	40.9	43.2	49.7	50.9	40.8	45.2
by WAX-HPLC	Mono-sialylated	34.2	33.3	32.6	32.9	33.9	33.4
	Di-sialylated	20.1	19.1	16.0	14.7	20.4	17.7
	Tri-sialylated	4.3	4.1	1.7	1.4	4.9	3.5
	Tetra-sialylated	0.4	0.4	ND	ND	ND	0.3
	Total core fucose	64.1	65.8	61.4	63.3	62.4	65.6
	Total Sialylation	52.2	49.6	43.0	39.8	54.1	48.0
	Gal-alpha-1,3-Gal	Not	Not	Not	Not	Not	Not
		detectable	detectable	detectable	detectable	detectable	detectable

Oxidised forms by	Report	Ox 1	Not	ND	ND	0.035	0.013	0.009
RP-HPLC	result	Ox 2	tested	0.198	0.175	0.172	0.177	0.158
(% area of oxidised		Ox 3		0.127	0.123	0.119	0.119	0.123
peptide vs. non-oxidised		Ox 4		ND	ND	ND	ND	ND
peptide in the tested		Ox 5		ND	ND	ND	ND	ND
sample)

MW and presence of	% Dimer	91.2 ± 0.2	92.3 ± 0.2	93.9 ± 0.1	95.2 ± 0.1	94.2 ± 0.0	95.9 ± 0.0
SGF and Oligomeric	% Oligomeric forms	4.7 ± 0.1	4.3 ± 0.1	2.4 ± 0.1	1.8 ± 0.1	1.9 ± 0.0	1.0 ± 0.0
forms by SEC-MALS	% SGF	4.1 ± 0.1	3.4 ± 0.1	3.7 ± 0.1	2.97 ± 0.1	3.9 ± 0.1	3.1 ± 0.0

Description and Composition of the Drug Product (DP)

The DP is a sterile solution to be administered by i.v. infusion. The DP consists of Peptide 1 at a concentration of 15 mg/mL in an isotonic solution containing 25 mM L-histidine, 200 mM sucrose and 0.1 mg polysorbate 20/mL at pH 7.6. The vials are overlaid with nitrogen for protection against oxidation. The product is intended for single use and storage at −20° C. until thawing for clinical administration.

Composition and Batch Formula

The batch formula for the drug product is presented in Table 4.

TABLE 4

DP Batch Composition

	Component		Amount	Quality standard

Peptide

1	720	g	Ferring specification
	L-Histidine	186.18	g	Ph. Eur./USP*
	Sucrose	3286.08	g	Ph. Eur./USP*
	Polysorbate 20	4.8	g	Ph. Eur./USP*
	WFI	ad 49536	g	Ph. Eur./USP*

Sodium hydroxide	quantum satis	Ph. Eur./USP*
Nitrogen	quantum satis	Ph. Eur./USP*

*curr. Ed.

Example 2

Clinical Trial 000067 (Single Dose)

Design

This was a single-dose, placebo controlled, single blinded, randomised within dose, parallel group dose-escalating trial. The trial was conducted in two parts, where Part 1 included healthy subjects and Part 2 included patients with CD in clinical remission. The objective was to examine the safety and tolerability, and if possible, to obtain signs of pharmacological effects, after single doses of Peptide 1.
In Part 1, 64 subjects were included, of whom 48 (44 men, 4 women) received active treatment and 16 (all men) received placebo. Seven doses were investigated and administered as an i.v. infusion over 30 minutes (0.75 mg, 7.5 mg, 75 mg), or 1 hour (150 mg, 300 mg, 600 mg, and 750 mg). In addition, 6 subjects received a s.c. dose of 60 mg Peptide 1 and 2 subjects received a s.c. dose of placebo. Peptide 1 was administered at 15 mg/mL in 25 mM histidine, 200 mM sucrose and 0.1 mg/mL polysorbate 20.
In Part 2, 24 patients were included, of whom 18 (11 men, 7 women), received active treatment (75 mg, 300 mg, and 750 mg) and 6 (4 men, 2 women) received placebo, all administered by i.v.

Results

The PK evaluation after i.v. administrations of Peptide 1 showed dose proportionality for both AUC and Cmax in the range 0.75 mg to 750 mg, the Cmax concentrations in plasma ranging from 0.2 to 170 μg/mL (FIG. 3). The clearance was approx. 0.13 L/h, the mean terminal half-life approx. 4.5 days, and the distribution volume approx. 20 L, the latter indicating some extravascular distribution. The s.c. administration of 60 mg Peptide 1 showed a Cmax of 1.1 μg/mL at 2.3 days, and a half-life of 5.0 days. The bioavailability after s.c. administration of Peptide 1 was calculated to be approx. 50%.
The i.v. administration of 75, 300, and 750 mg to CD patients in remission showed very similar results as for the healthy subjects (FIG. 4). The AUC and Cmax were dose proportional with Cmax concentrations of 16, 76, and 186 μg/mL (16, 77, and 161 μg/mL for healthy subjects). The clearance was approx. 0.13 L/h, the mean terminal half-life approx. 4.6 days, and the distribution volume approx. 22 L.
The safety profile of Peptide 1 was favourable with few adverse events occurring in all treatment groups, including the placebo group, all being mild or moderate. No apparent dose-related trends in incidence or frequency of adverse events were observed. The infusions were discontinued in two subjects, one due to mild (Part 1, 300 mg group) and one due to moderate (Part 2, 75 mg group) infusion reactions.
There were no apparent dose-related trends or treatment-related changes in vital signs, ECG, or clinical chemistry parameters.
One healthy subject in the 300 mg group showed non-neutralising treatment emergent anti-Peptide 1 antibodies at the follow-up visit 5-6 weeks after administration.
Overall, Peptide was safe and well tolerated when administered intravenously up to 750 mg as a single i.v. dose, and at 60 mg as a single s.c. dose.

Example 3

Clinical Trial 000115 (Multiple Ascending Dose)

Design

This was a placebo controlled, double-blind, within dose-group randomised, parallel group trial with the objective to investigate the safety, tolerability, and pharmacokinetics of multiple ascending doses of Peptide 1. The doses investigated were 75, 300 and 600 mg Peptide 1 administered once a week, for 4 weeks, by i.v. infusion over 30 minutes (75 mg) or 1 hour (300 mg and 600 mg).
Twenty-four (24) healthy subjects were included, of whom 18 (11 men and 7 women) received active treatment and 6 (2 men and 4 women) received placebo.

Results

The PK evaluation showed very close characteristics on the first and last treatment days, and similar to the results in the single-dose study. The AUC and Cmax were dose proportional after first and fourth dosing with Cmax concentrations of 19, 78, and 148 μg/mL after the first dose, and 19, 79, and 142 μg/mL after the fourth dose (16, 77, and 161 μg/mL for single dose in healthy subjects; FIG. 5). The corresponding trough values were 0.66, 2.68, 4.56 μg/mL and 0.98, 3.95 and 7.67 μg/mL for the three dose levels. The mean terminal half-life as calculated after the last dose was approx. 5.5 days.
The safety profile of Peptide 1 was favourable with few adverse events occurring in all treatment groups, including the placebo group, all being mild or moderate. No apparent dose-related trends in incidence or frequency of adverse events were observed. One subject (600 mg group) was withdrawn due to mild infusion reactions.
There were no apparent dose-related trends or treatment related changes in vital signs, ECG, or clinical chemistry parameters.
No anti-Peptide 1 antibodies were detected in any of the subjects.
Overall, Peptide 1 was safe and well tolerated when administered i.v. up to 600 mg once weekly for 4 weeks.


SEQUENCE LISTING

SEQ ID NO: 1
Glu Leu Leu Asp Pro Cys Gly Tyr Ile Ser Pro Glu Ser Pro Val Val
1 5 10 15

Gln Leu His Ser Asn Phe Thr Ala Val Cys Val Leu Lys Glu Lys Cys
20 25 30

Met Asp Tyr Phe His Val Asn Ala Asn Tyr Ile Val Trp Lys Thr Asn
35 40 45

His Phe Thr Ile Pro Lys Glu Gln Tyr Thr Ile Ile Asn Arg Thr Ala
50 55 60

Ser Ser Val Thr Phe Thr Asp Ile Ala Ser Leu Asn Ile Gln Leu Thr
65 70 75 80

Cys Asn Ile Leu Thr Phe Gly Gln Leu Glu Gln Asn Val Tyr Gly Ile
85 90 95

Thr Ile Ile Ser Gly Leu Pro Pro Glu Lys Pro Lys Asn Leu Ser Cys
100 105 110

Ile Val Asn Glu Gly Lys Lys Met Arg Cys Glu Trp Asp Gly Gly Arg
115 120 125

Glu Thr His Leu Glu Thr Asn Phe Thr Leu Lys Ser Glu Trp Ala Thr
130 135 140

His Lys Phe Ala Asp Cys Lys Ala Lys Arg Asp Thr Pro Thr Ser Cys
145 150 155 160

Thr Val Asp Tyr Ser Thr Val Tyr Phe Val Asn Ile Glu Val Trp Val
165 170 175

Glu Ala Glu Asn Ala Leu Gly Lys Val Thr Ser Asp His Ile Asn Phe
180 185 190

Asp Pro Val Tyr Lys Val Lys Pro Asn Pro Pro His Asn Leu Ser Val
195 200 205

Ile Asn Ser Glu Glu Leu Ser Ser Ile Leu Lys Leu Thr Trp Thr Asn
210 215 220

Pro Ser Ile Lys Ser Val Ile Ile Leu Lys Tyr Asn Ile Gln Tyr Arg
225 230 235 240

Thr Lys Asp Ala Ser Thr Trp Ser Gln Ile Pro Pro Glu Asp Thr Ala
245 250 255

Ser Thr Arg Ser Ser Phe Thr Val Gln Asp Leu Lys Pro Phe Thr Glu
260 265 270

Tyr Val Phe Arg Ile Arg Cys Met Lys Glu Asp Gly Lys Gly Tyr Trp
275 280 285

Ser Asp Trp Ser Glu Glu Ala Ser Gly Ile Thr Tyr Glu Asp Arg Pro
290 295 300

Ser Lys Ala Pro Ser Phe Trp Tyr Lys Ile Asp Pro Ser His Thr Gln
305 310 315 320

Gly Tyr Arg Thr Val Gln Leu Val Trp Lys Thr Leu Pro Pro Phe Glu
325 330 335

Ala Asn Gly Lys Ile Leu Asp Tyr Glu Val Thr Leu Thr Arg Trp Lys
340 345 350

Ser His Leu Gln Asn Tyr Thr Val Asn Ala Thr Lys Leu Thr Val Asn
355 360 365

Leu Thr Asn Asp Arg Tyr Leu Ala Thr Leu Thr Val Arg Asn Leu Val
370 375 380

Gly Lys Ser Asp Ala Ala Val Leu Thr Ile Pro Ala Cys Asp Phe Gln
385 390 395 400

Ala Thr His Pro Val Met Asp Leu Lys Ala Phe Pro Lys Asp Asn Met
405 410 415

Leu Trp Val Glu Trp Thr Thr Pro Arg Glu Ser Val Lys Lys Tyr Ile
420 425 430

Leu Glu Trp Cys Val Leu Ser Asp Lys Ala Pro Cys Ile Thr Asp Trp
435 440 445

Gln Gln Glu Asp Gly Thr Val His Arg Thr Tyr Leu Arg Gly Asn Leu
450 455 460

Ala Glu Ser Lys Cys Tyr Leu Ile Thr Val Thr Pro Val Tyr Ala Asp
465 470 475 480

Gly Pro Gly Ser Pro Glu Ser Ile Lys Ala Tyr Leu Lys Gln Ala Pro
485 490 495

Pro Ser Lys Gly Pro Thr Val Arg Thr Lys Lys Val Gly Lys Asn Glu
500 505 510

Ala Val Leu Glu Trp Asp Gln Leu Pro Val Asp Val Gln Asn Gly Phe
515 520 525

Ile Arg Asn Tyr Thr Ile Phe Tyr Arg Thr Ile Ile Gly Asn Glu Thr
530 535 540

Ala Val Asn Val Asp Ser Ser His Thr Glu Tyr Thr Leu Ser Ser Leu
545 550 555 560

Thr Ser Asp Thr Leu Tyr Met Val Arg Met Ala Ala Tyr Thr Asp Glu
565 570 575

Gly Gly Lys Asp Gly Pro Glu Phe Thr Phe Thr Thr Pro Lys Phe Ala
580 585 590

Gln Gly Glu Asp Lys Thr His Thr Cys Pro Pro Cys Pro Ala Pro Glu
595 600 605

Ala Glu Gly Ala Pro Ser Val Phe Leu Phe Pro Pro Lys Pro Lys Asp
610 615 620

Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val Val Asp
625 630 635 640

Val Ser His Glu Asp Pro Glu Val Lys Phe Asn Trp Tyr Val Asp Gly
645 650 655

Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu Gln Tyr Asn
660 665 670

Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu His Gln Asp Trp
675 680 685

Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn Lys Ala Leu Pro
690 695 700

Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro Arg Glu
705 710 715 720

Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Glu Glu Met Thr Lys Asn
725 730 735

Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser Asp Ile
740 745 750

Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr Lys Thr
755 760 765

Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr Ser Lys
770 775 780

Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val Phe Ser Cys
785 790 795 800

Ser Val Met His Glu Ala Leu His Asn His Tyr Thr Gln Lys Ser Leu
805 810 815

Ser Leu Ser Pro Gly Lys
820

SEQ ID NO: 2
Met Leu Thr Leu Gln Thr Trp Leu Val Gln Ala Leu Phe Ile Phe Leu
1 5 10 15

Thr Thr Glu Ser Thr Gly Glu Leu Leu Asp Pro Cys Gly Tyr Ile Ser
20 25 30

Pro Glu Ser Pro Val Val Gln Leu His Ser Asn Phe Thr Ala Val Cys
35 40 45

Val Leu Lys Glu Lys Cys Met Asp Tyr Phe His Val Asn Ala Asn Tyr
50 55 60

Ile Val Trp Lys Thr Asn His Phe Thr Ile Pro Lys Glu Gln Tyr Thr
65 70 75 80

Ile Ile Asn Arg Thr Ala Ser Ser Val Thr Phe Thr Asp Ile Ala Ser
85 90 95

Leu Asn Ile Gln Leu Thr Cys Asn Ile Leu Thr Phe Gly Gln Leu Glu
100 105 110

Gln Asn Val Tyr Gly Ile Thr Ile Ile Ser Gly Leu Pro Pro Glu Lys
115 120 125

Pro Lys Asn Leu Ser Cys Ile Val Asn Glu Gly Lys Lys Met Arg Cys
130 135 140

Glu Trp Asp Gly Gly Arg Glu Thr His Leu Glu Thr Asn Phe Thr Leu
145 150 155 160

Lys Ser Glu Trp Ala Thr His Lys Phe Ala Asp Cys Lys Ala Lys Arg
165 170 175

Asp Thr Pro Thr Ser Cys Thr Val Asp Tyr Ser Thr Val Tyr Phe Val
180 185 190

Asn Ile Glu Val Trp Val Glu Ala Glu Asn Ala Leu Gly Lys Val Thr
195 200 205

Ser Asp His Ile Asn Phe Asp Pro Val Tyr Lys Val Lys Pro Asn Pro
210 215 220

Pro His Asn Leu Ser Val Ile Asn Ser Glu Glu Leu Ser Ser Ile Leu
225 230 235 240

Lys Leu Thr Trp Thr Asn Pro Ser Ile Lys Ser Val Ile Ile Leu Lys
245 250 255

Tyr Asn Ile Gln Tyr Arg Thr Lys Asp Ala Ser Thr Trp Ser Gln Ile
260 265 270

Pro Pro Glu Asp Thr Ala Ser Thr Arg Ser Ser Phe Thr Val Gln Asp
275 280 285

Leu Lys Pro Phe Thr Glu Tyr Val Phe Arg Ile Arg Cys Met Lys Glu
290 295 300

Asp Gly Lys Gly Tyr Trp Ser Asp Trp Ser Glu Glu Ala Ser Gly Ile
305 310 315 320

Thr Tyr Glu Asp Arg Pro Ser Lys Ala Pro Ser Phe Trp Tyr Lys Ile
325 330 335

Asp Pro Ser His Thr Gln Gly Tyr Arg Thr Val Gln Leu Val Trp Lys
340 345 350

Thr Leu Pro Pro Phe Glu Ala Asn Gly Lys Ile Leu Asp Tyr Glu Val
355 360 365

Thr Leu Thr Arg Trp Lys Ser His Leu Gln Asn Tyr Thr Val Asn Ala
370 375 380

Thr Lys Leu Thr Val Asn Leu Thr Asn Asp Arg Tyr Leu Ala Thr Leu
385 390 395 400

Thr Val Arg Asn Leu Val Gly Lys Ser Asp Ala Ala Val Leu Thr Ile
405 410 415

Pro Ala Cys Asp Phe Gln Ala Thr His Pro Val Met Asp Leu Lys Ala
420 425 430

Phe Pro Lys Asp Asn Met Leu Trp Val Glu Trp Thr Thr Pro Arg Glu
435 440 445

Ser Val Lys Lys Tyr Ile Leu Glu Trp Cys Val Leu Ser Asp Lys Ala
450 455 460

Pro Cys Ile Thr Asp Trp Gln Gln Glu Asp Gly Thr Val His Arg Thr
465 470 475 480

Tyr Leu Arg Gly Asn Leu Ala Glu Ser Lys Cys Tyr Leu Ile Thr Val
485 490 495

Thr Pro Val Tyr Ala Asp Gly Pro Gly Ser Pro Glu Ser Ile Lys Ala
500 505 510

Tyr Leu Lys Gln Ala Pro Pro Ser Lys Gly Pro Thr Val Arg Thr Lys
515 520 525

Lys Val Gly Lys Asn Glu Ala Val Leu Glu Trp Asp Gln Leu Pro Val
530 535 540

Asp Val Gln Asn Gly Phe Ile Arg Asn Tyr Thr Ile Phe Tyr Arg Thr
545 550 555 560

Ile Ile Gly Asn Glu Thr Ala Val Asn Val Asp Ser Ser His Thr Glu
565 570 575

Tyr Thr Leu Ser Ser Leu Thr Ser Asp Thr Leu Tyr Met Val Arg Met
580 585 590

Ala Ala Tyr Thr Asp Glu Gly Gly Lys Asp Gly Pro Glu Phe Thr Phe
595 600 605

Thr Thr Pro Lys Phe Ala Gln Gly Glu Asp Lys Thr His Thr Cys Pro
610 615 620

Pro Cys Pro Ala Pro Glu Ala Glu Gly Ala Pro Ser Val Phe Leu Phe
625 630 635 640

Pro Pro Lys Pro Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val
645 650 655

Thr Cys Val Val Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe
660 665 670

Asn Trp Tyr Val Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro
675 680 685

Arg Glu Glu Gln Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr
690 695 700

Val Leu His Gln Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val
705 710 715 720

Ser Asn Lys Ala Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala
725 730 735

Lys Gly Gln Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg
740 745 750

Glu Glu Met Thr Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly
755 760 765

Phe Tyr Pro Ser Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro
770 775 780

Glu Asn Asn Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser
785 790 795 800

Phe Phe Leu Tyr Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gln Gln
805 810 815

Gly Asn Val Phe Ser Cys Ser Val Met His Glu Ala Leu His Asn His
820 825 830

Tyr Thr Gln Lys Ser Leu Ser Leu Ser Pro Gly Lys
835 840

Claims

1-16. (canceled)

17. A polypeptide dimer comprising two gp130-Fc monomers having at least 90% sequence identity to SEQ ID NO: 1, wherein the polypeptide dimer comprises no greater than 6% of galactose-alpha-1,3-galactose per mole polypeptide.

18. The polypeptide dimer of claim 17, wherein the polypeptide dimer comprises glycans, and wherein a mean of at least 52% of the glycans include one or more sialic acid residues.

19. The polypeptide dimer of claim 17 obtainable by expressing a polypeptide having at least 90% sequence identity to SEQ ID NO: 1 in cells, culturing the cells in culture media, and collecting said polypeptide dimers from said cells and/or cell culture media.

20. The polypeptide dimer of claim 17 obtainable by expressing a polypeptide having at least 90% sequence identity to SEQ ID NO: 1 in mammalian cells, performing multiple rounds of cell line selection, selecting a cell line producing said polypeptide dimer, culturing the cells in culture media, and collecting said polypeptide dimers from said cells and/or cell culture media.

21. The polypeptide dimer of claim 20, wherein the mammalian cells are Chinese Hamster Ovary (CHO) cells.

22. A composition comprising the polypeptide dimer of claim 17, wherein:

a. no greater than 5% of the polypeptide dimer is present as an oligomeric aggregate,

b. the composition comprises no greater than 4.0% by weight of polypeptides that are a truncated variation of the polypeptide of SEQ ID NO: 1 with respect to polypeptides of SEQ ID NO: 1 or

c. both.

23. A composition according to claim 22, wherein the composition further comprises a nonionic surfactant.

24. A composition according to claim 17, wherein the composition further comprises a buffering agent and a sugar.

25. A method for producing a polypeptide dimer according to claim 17, comprising expressing a polypeptide having at least 90% sequence identity to SEQ ID NO: 1 in cells, culturing the cells in culture media, and collecting said polypeptide dimers from said cells and/or cell culture media.

26. The method of claim 25, wherein said cells are Chinese Hamster Ovary (CHO) cells.

27. The method of claim 25, comprising expressing a polypeptide having at least 90% sequence identity to SEQ ID NO: 1 in cells, performing multiple rounds of cell line selection, selecting a cell line producing said polypeptide dimer, culturing the cells in culture media, and collecting said polypeptide dimers from said cells and/or cell culture media.

28. The method of claim 27, wherein said cells are mammalian cells.

29. The method of claim 27, wherein said cells are Chinese Hamster Ovary (CHO) cells.

30. A method for treating an inflammatory disease or an IL-6-mediated condition in a human comprising administering to a human in need thereof the polypeptide dimers according to claim 17.

31. The method according to claim 30, wherein the inflammatory disease or IL-6-mediated condition is inflammatory bowel disease.

32. The method according to claim 30, wherein the inflammatory disease or IL-6-mediated condition is rheumatoid arthritis, psoriasis, uveitis or atherosclerosis; or wherein the inflammatory disease or IL-6-mediated condition is colitis not associated with inflammatory bowel disease.

33. The method according to claim 32, wherein the colitis is radiation colitis, diverticular colitis, ischemic colitis, infectious colitis, celiac disease, autoimmune colitis, or colitis resulting from allergies affecting the colon.