WO2010125571A1 - Anti ceacam1 antibodies and methods of using same - Google Patents
Anti ceacam1 antibodies and methods of using same Download PDFInfo
- Publication number
- WO2010125571A1 WO2010125571A1 PCT/IL2010/000348 IL2010000348W WO2010125571A1 WO 2010125571 A1 WO2010125571 A1 WO 2010125571A1 IL 2010000348 W IL2010000348 W IL 2010000348W WO 2010125571 A1 WO2010125571 A1 WO 2010125571A1
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- antibody
- ceacaml
- cells
- cancer
- antibody fragment
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Classifications
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- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
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Definitions
- the present invention in some embodiments thereof, relates to anti-CEACAMl antibodies, hybridoma cells producing same and methods of using same.
- the transmembrane protein CEACAMl [also known as biliary glycoprotein (BGP), CD66a and C-CAMl] is a member of the carcinoembryonic antigen family (CEA) that also belongs to the immunoglobulin superfamily.
- CEACAMl interacts with other known CD66 proteins, including CD66a, CD66c, and CD66e proteins. It is expressed on a wide spectrum of cells, ranging from epithelial cells to those of hemopoietic origin (e.g. immune cells).
- CEACAMl has been attributed to many different functions. It was shown that the CEACAMl protein exhibits anti-proliferative properties in carcinomas of colon, prostate, as well as other types of cancer. Additional data support the central involvement of CEACAMl in angiogenesis and metastasis. CEACAMl also plays a role in the modulation of innate and adaptive immune responses. For example, CEACAMl was shown to be an inhibitory receptor for activated T cells contained within the human intestinal epithelium [see WO99/52552 and Morales et al. J. Immunol. 163 (1999), 1363-1370]. Additional reports have indicated that CEACAMl engagement either by TCR cross-linking with mAb or by Neisseria gonorrhoeae Opa proteins inhibits T cell activation and proliferation.
- Melanoma is a malignancy of pigment-producing cells (melanocytes), responsible for 75 % of skin cancer-related incidence worldwide, mainly due to extensive metastasis. Metastatic melanoma (MM) responds feebly to most anticancer regimens and overall survival mean for patients with MM is 8.5 months.
- CEACAMl is rarely expressed by normal melanocytes, but frequently found on melanoma cells.
- CEACAMl expression on primary cutaneous melanoma lesions strongly predicts the development of metastatic disease with poor prognosis.
- increased CEACAMl expression was observed on NK cells derived from some patients with metastatic melanoma compared with healthy donors.
- WO2007/063424 and U.S. Patent Application No. 20070110668 disclose methods for regulating the immune system, and in particular methods for the regulation of a specific immune response, including the regulation of lymphocyte activity. These methods comprise both the negative and positive modulation of CEACAMl protein function.
- U.S. Patent Application No. 20070071758 discloses methods and compositions for the treatment and diagnosis of cancers. Specifically, U.S. Patent Application No. 20070071758 teaches methods and compositions for enhancing the efficacy of tumor- infiltrating lymphocyte (TIL) therapy in the treatment of cancer by negatively modulating the activity of the CEACAMl protein, such as for example, by using an immunoglobulin specific for CEACAMl.
- TIL tumor- infiltrating lymphocyte
- U.S. Patent Application No. 20080108140 discloses methods of modulating specific immune responses to create a protective immunity in the treatment of autoimmune diseases and diseases requiring the transplantation of tissue.
- U.S. Patent Application No. 20080108140 relates to the suppression of immune responses in a targeted fashion, by increasing the functional concentration of the CEACAMl protein in the target tissue.
- U.S. Patent Application No. 20040047858 discloses specific antibodies (i.e. 34Bl, 26H7 and 5F4) which are capable of modulating T cell activity via CEACAMl and uses thereof such as in treating immune response related diseases (e.g. graft versus host disease, autoimmune diseases, cancers etc.).
- specific antibodies i.e. 34Bl, 26H7 and 5F4
- immune response related diseases e.g. graft versus host disease, autoimmune diseases, cancers etc.
- compositions which bind T cell inhibitory receptor molecules and modulate (i.e. enhance or suppress) T cell activity (e.g. cytotoxicity and proliferation), such as biliary glycoprotein binding agents, and methods of using such compositions such as for treatment of diseases (e.g. an autoimmune disease, immunodeficiency, cancer etc.).
- diseases e.g. an autoimmune disease, immunodeficiency, cancer etc.
- 5F4 mAb Regulation of human intestinal intraepithelial lymphocyte cytolytic function by biliary glycoprotein (CD66a) [Morales VM et al., J Immunol. (1999) 163(3): 1363-70].
- hybridoma cell which has been deposited under ATCC Accession Number PTA-9974.
- an isolated antibody or antibody fragment comprising an antigen recognition domain having the CDR sequences and orientation of the antibody produced from the hybridoma cell.
- a method of immunomodulation comprising contacting a CEACAMl -expressing lymphocyte with the antibody or antibody fragment.
- a method of inhibiting migration or proliferation of a CEACAMl expressing tumor cell comprising contacting the CEACAMl expressing tumor cell with the antibody or antibody fragment, thereby inhibiting migration or proliferation of a CEACAMl expressing tumor cell.
- a method for diagnosing a cancer in a subject in need thereof comprising contacting a biological sample derived from the subject with the antibody or antibody fragment, wherein a complex formation beyond a predetermined threshold is indicative of the cancer in the subject.
- a method of treating cancer comprising administering to a subject in need thereof a therapeutically effective amount of the antibody or antibody fragment, thereby treating the cancer in the subject.
- a method of inhibiting CEACAMl homotypic or heterotypic protein-protein interaction comprising contacting a CEACAMl-expressing lymphocyte with the antibody or antibody fragment, thereby inhibiting CEACAMl homotypic or heterotypic protein-protein interaction.
- a pharmaceutical composition comprising as an active ingredient the antibody or antibody fragment.
- the isolated antibody or antibody fragment is attached to a cytotoxic moiety.
- the cytotoxic moiety comprises a cytotoxin, a chemokine, a chemotherapy, a pro-apoptotic, an interferon, a radioactive moiety, or combinations thereof.
- the isolated antibody or antibody fragment is attached to an identifiable moiety.
- cells of the cancer are characterized by over expression of CEACAMl as compared to unaffected cells.
- the method of treating cancer further comprises administering to the subject lymphocytes.
- the lymphocytes comprise T cells or NK cells.
- the CEACAMl -expressing lymphocyte is a Tumor Infiltrating Lymphocyte or NK cell.
- the CEACAMl-expressing lymphocyte is a cytotoxic T cell.
- the tumor cell comprises a melanoma tumor cell.
- the cancer is melanoma.
- FIGs. IA-B depict the specificity of MRGl mAb.
- 721.221 parental B cells stably transfected with CEACAMl green
- CEACAM5 red
- CEACAM6 purple
- CEAC AM8 blue
- mock black
- MRGl mAb Figure IA
- Kat4c mAb Figure IB
- FIG. 2 depicts a dose-dependent inhibition of CEACAMl homophilic interactions by the anti-CEACAMl mAb MRGl.
- Anti-CEACAMl mAb was added to either BW/CEACAM1 (effector cells) or 221/CEACAMl (target cells) in various concentrations. Following one hour incubation on ice, the reciprocal cells (221/CEACAMl or BW/CEACAMl) were added and the secretion of mouse IL-2 was measured by ELISA. 100 % is defined as the activity in the absence of any antibody. The results of one representative experiment out of four are presented, each performed in triplicates.
- FIG. 3 depicts abolishment of CEACAMl-inhibitory function.
- MRGl mAb was pre-incubated with target cells (depicted in grey) or with effector cells (depicted in white). Cells incubated without the addition of the mAb are depicted in black.
- the melanoma lines indicated (526mel, 624mel or 09mel) were used as target cells.
- TIL014 cells were used as effector cells in an E:T ratio of 10:1. Following one hour incubation on ice, the reciprocal cells were added and co-incubated for 5 hours at 37 0 C.
- Target cells were pre-labeled with green fluorescent dye (CFSE) and specific lysis was determined by Propidium Iodide (PI) co-staining in flow cytometry. Spontaneous death was subtracted. Assay was performed in triplicates.
- CFSE green fluorescent dye
- PI Propidium Iodide
- FIG. 4 depicts blocking of melanoma invasion by MRGl mAbs.
- Melanoma cells (08mel or 09mel) were pre-incubated in the absence or presence of 1 ⁇ g/ml MRGl mAb and then tested by Matrigel invasion assays. Invasion was allowed for 24 hours and the amount of invading cells was quantified with standardized XTT.
- FIG. 5 depicts blocking of net proliferation of melanoma cells by MRGl mAbs. 526mel melanoma cells were incubated with the indicated doses (0.5 ⁇ g, 1 ⁇ g or 3 ⁇ g) of MRGl mAbs and proliferation was monitored 2 days or 5 days following treatment.
- FIGs. 6A-B depict inhibition of human tumor growth in vivo in SCID mice by systemic injections of MRGl as compared to PBS. Experiments were performed in two setups as follows: Figure 6A: simultaneous injections of the antibody (0.5 mg/mouse intraperitoneally) and inoculation of cancer cells (5,000,000 cells subcutaneously); Figure 6B: treatment of tumors generated in SCID mice (tumor volume of 75 mm 3 ) by injections of MRGl antibody (as indicated above).
- FIG. 7 depicts enhanced efficacy in inhibition of tumor growth by a combination of MRGl with intravenous administration of human reactive TIL as compared to intravenous TIL only.
- FIG. 8 depicts the superior effect of MRGl mAb over previously described anti- CEACAMl monoclonal antibodies, as well as commercially available rabbit polyclonal antibody targeting human CEACAMl (DAKO, Glostrup Denmark), as determined by functional blocking assay.
- Various anti-CEACAMl antibodies were tested for blocking of CEACAMl activity, as reported by mIL-2 secretion. 100 % was defined as activity in the absence of any antibody. The results of one representative experiment out of three are presented, each performed in triplicates.
- the present invention in some embodiments thereof, relates to anti CEACAMl monoclonal antibody and hybridoma cells producing same as well as methods of using the antibody in immunomodulation and cancer treatment.
- the present inventor has produced through laborious experimentation and screening a monoclonal antibody selective for CEACAMl. This antibody was shown to be superior to other anti CEACAMl monoclonal antibodies as demonstrated by functional blocking assays.
- the MRGl antibody produced according to the present teachings is selective to CEACAMl and does not cross react with other members of the CEACAM family (i.e., CEACAM 5, 6 and 8, see Example 2).
- the antibody inhibits CEACAMl homophilic interactions, as determined by co-incubation of immune effector cells and target melanoma cells and assaying IL-2 secretion and cell lysis (see Example 3).
- the antibody was shown effective in inhibiting melanoma cells invasion and proliferation.
- in vivo administration of the antibody either alone or in combination with reactive lymphocytes was shown effective in inhibiting growth of melanoma tumors.
- hybridoma cell which has been deposited under ATCC Accession Number PTA-9974.
- an isolated antibody or antibody fragment comprising an antigen recognition domain having the CDR segments and orientation of the antibody produced from the hybridoma cell, described above.
- the antibody of the present teachings is capable of binding CEACAMl with a minimal affinity of 10 "6 , 1(T 7 , 10 "8 , 1(T 9 M.
- CEACAMl refers to the protein product of the CEACAMl gene e.g., NP_001020083.1, NP_001703.2.
- antibody as used in this invention includes intact molecules as well as functional fragments thereof, such as Fab, F(ab')2, and Fv that are capable of binding to macrophages.
- the antibody is a monoclonal antibody such as termed herein, MRGl.
- Functional antibody fragments are defined as follows: (1) Fab, the fragment which contains a monovalent antigen-binding fragment of an antibody molecule, can be produced by digestion of whole antibody with the enzyme papain to yield an intact light chain and a portion of one heavy chain; (2) Fab', the fragment of an antibody molecule that can be obtained by treating whole antibody with pepsin, followed by reduction, to yield an intact light chain and a portion of the heavy chain; two Fab 1 fragments are obtained per antibody molecule; (3) (Fab ")2, the fragment of the antibody that can be obtained by treating whole antibody with the enzyme pepsin without subsequent reduction; F(ab)2 is a dimer of two Fab' fragments held together by two disulfide bonds; (4) Fv, defined as a genetically engineered fragment containing the variable region of the light chain and the variable region of the heavy chain expressed as two chains; and (5) Single chain antibody (“SCA”), a genetically engineered molecule containing the variable region of the light chain and the variable region of the heavy chain, linked by a
- the antibody of the present invention has the same complementarity determining regions (CDR) orientation as that of the antibody produced by hybridoma cell, having the deposit details as described above. That is CDRl, CDR2, CDR3 are placed in the same orientation on V H and V L chains.
- CDR complementarity determining regions
- Antibody fragments according to the present invention can be prepared by proteolytic hydrolysis of the antibody or by expression in E. coli or mammalian cells (e.g. Chinese hamster ovary cell culture or other protein expression systems) of DNA encoding the fragment.
- Antibody fragments can be obtained by pepsin or papain digestion of whole antibodies by conventional methods.
- antibody fragments can be produced by enzymatic cleavage of antibodies with pepsin to provide a 5S fragment denoted F(ab')2.
- This fragment can be further cleaved using a thiol reducing agent, and optionally a blocking group for the sulfhydryl groups resulting from cleavage of disulfide linkages, to produce 3.5S Fab' monovalent fragments.
- a thiol reducing agent optionally a blocking group for the sulfhydryl groups resulting from cleavage of disulfide linkages
- an enzymatic cleavage using pepsin produces two monovalent Fab 1 fragments and an Fc fragment directly.
- Fv fragments comprise an association of VH and VL chains. This association may be noncovalent, as described in Inbar et al. [Proc. Nat'l Acad. Sci. USA 69:2659-62 (1972O].
- the variable chains can be linked by an intermolecular disulfide bond or cross-linked by chemicals such as glutaraldehyde.
- the Fv fragments comprise VH and VL chains connected by a peptide linker.
- These single-chain antigen binding proteins are prepared by constructing a structural gene comprising DNA sequences encoding the VH and VL domains connected by an oligonucleotide. The structural gene is inserted into an expression vector, which is subsequently introduced into a host cell such as E. coli. The recombinant host cells synthesize a single polypeptide chain with a linker peptide bridging the two V domains.
- CDR peptides (“minimal recognition units") can be obtained by constructing genes encoding the CDR of an antibody of interest. Such genes are prepared, for example, by using the polymerase chain reaction to synthesize the variable region from RNA of antibody-producing cells. See, for example, Larrick and Fry [Methods, 2: 106-10 (1991)]. According to some embodiments of the present invention, the CDRs can be implemented in any form of an antibody such as by the use of recombinant DNA technology.
- Humanized forms of non-human (e.g., murine) antibodies are chimeric molecules of immunoglobulins, immunoglobulin chains or fragments thereof (such as Fv, Fab, Fab 1 , F(ab').sub.2 or other antigen-binding subsequences of antibodies) which contain minimal sequence derived from non-human immunoglobulin.
- Humanized antibodies include human immunoglobulins (recipient antibody) in which residues form a complementary determining region (CDR) of the recipient are replaced by residues from a CDR of a non-human species (donor antibody) such as mouse, rat or rabbit having the desired specificity, affinity and capacity.
- CDR complementary determining region
- Fv framework residues of the human immunoglobulin are replaced by corresponding non-human residues.
- Humanized antibodies may also comprise residues which are found neither in the recipient antibody nor in the imported CDR or framework sequences.
- the humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the CDR regions correspond to those of a non-human immunoglobulin and all or substantially all of the FR regions are those of a human immunoglobulin consensus sequence.
- the humanized antibody optimally also will comprise at least a portion of an immunoglobulin constant region (Fc), typically that of a human immunoglobulin [Jones et al., Nature, 321:522-525 (1986); Riechmann et al., Nature, 332:323-329 (1988); and Presta, Curr. Op. Struct. Biol., 2:593-596 (1992)].
- Fc immunoglobulin constant region
- a humanized antibody has one or more amino acid residues introduced into it from a source which is non-human. These non-human amino acid residues are often referred to as import residues, which are typically taken from an import variable domain. Humanization can be essentially performed following the method of Winter and co-workers [Jones et al., Nature, 321:522-525 (1986); Riechmann et al., Nature 332:323-327 (1988); Verhoeyen et al., Science, 239:1534-1536 (1988)], by substituting rodent CDRs or CDR sequences for the corresponding sequences of a human antibody.
- humanized antibodies are chimeric antibodies (U.S. Pat. No. 4,816,567), wherein substantially less than an intact human variable domain has been substituted by the corresponding sequence from a non-human species.
- humanized antibodies are typically human antibodies in which some CDR residues and possibly some FR residues are substituted by residues from analogous sites in rodent antibodies.
- Human antibodies can also be produced using various techniques known in the art, including phage display libraries [Hoogenboom and Winter, J. MoI. Biol., 227:381 (1991); Marks et al., J. MoI. Biol., 222:581 (1991)].
- the techniques of Cole et al. and Boerner et al. are also available for the preparation of human monoclonal antibodies (Cole et al., Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, p. 77 (1985) and Boerner et al., J. Immunol., 147(l):86-95 (1991)].
- human antibodies can be made by introduction of human immunoglobulin loci into transgenic animals, e.g., mice in which the endogenous immunoglobulin genes have been partially or completely inactivated. Upon challenge, human antibody production is observed, which closely resembles that seen in humans in all respects, including gene rearrangement, assembly, and antibody repertoire. This approach is described, for example, in U.S. Pat. Nos.
- the antibody is attached to a cytotoxic moiety.
- the antibody is attached to an identifiable moiety.
- the identifiable moiety can be a member of a binding pair, which is identifiable via its interaction with an additional member of the binding pair and a label which is directly visualized.
- the member of the binding pair is an antigen which is identified by a corresponding labeled antibody.
- the label is a fluorescent protein or an enzyme producing a colorimetric reaction.
- the cytotoxic or therapeutic moiety can be, for example, a cytotoxic moiety, a toxic moiety, a cytokine moiety, a bi-specific antibody moiety, a cytotoxin, a chemokine, a chemotherapy, a pro-apoptotic, interferon, a radioactive moiety, or combinations thereof, examples of which are provided infra.
- Table 2 provides examples of sequences of therapeutic moieties.
- the antibody of the present invention can decrease the inhibitory CEACAMl homophilic (or homotypic) or heterotypic interactions to thereby augment the activity of lymphocytes.
- CEACAMl homophilic interactions occur through the N-domain.
- Several amino acids are crucial for this interaction, including R43, Q44, D64 and R82.
- the interaction causes phosphorylation of a cytoplasmic tyrosine residue that recruits SHP-I phosphatase. This initiates an inhibitory cascade within the lymphocytes, which targets proximal mediators, such as ZAP70.
- the antibody of the present invention can be used to block CEACAMl on either or both immune effector cells (CEACAMl expressing lymphocytes e.g., tumor infiltrating cells, T cells or NK cells) and target cells (e.g., CEACAMl expressing pathological cells such as cancer cells).
- immune effector cells CEACAMl expressing lymphocytes e.g., tumor infiltrating cells, T cells or NK cells
- target cells e.g., CEACAMl expressing pathological cells such as cancer cells.
- cancer cells which are candidates for this therapy include, but are not limited to, melanoma, lung, thyroid, breast, colon, prostate, hepatic, bladder, renal, cervical, pancreatic, leukemia, lymphoma, myeloid, ovarian, uterus, sarcoma, biliary, or endometrial cells.
- the present invention also contemplates isolated antibodies or antibody fragments- that compete for binding to CEACAMl with the antibodies produced by the above-described hybridoma cell.
- Those antibodies may be humanized, xenogeneic, or chimeric antibodies (as described in detail above) being suitable for e.g. therapeutic applications.
- An antibody fragment of the antibody can be, for example, a single chain Fv fragment, an F(ab') fragment, an F(ab) fragment, and an F (ab)2 fragment.
- the method comprising contacting the CEACAMl expressing tumor cell (e.g., melanoma, lung, thyroid, breast, colon, prostate, hepatic, bladder, renal, cervical, pancreatic, leukemia, lymphoma, myeloid, ovarian, uterus, sarcoma, biliary or endometrial cell) with the antibody or antibody fragment described above, thereby rendering the CEACAMl expressing tumor cell susceptible to immunomodulation.
- the CEACAMl expressing tumor cell e.g., melanoma, lung, thyroid, breast, colon, prostate, hepatic, bladder, renal, cervical, pancreatic, leukemia, lymphoma, myeloid, ovarian, uterus, sarcoma, biliary or endometrial cell
- immunomodulation refers to lymphocyte dependent immunomodulation (e.g., by NK cells or tumor infiltrating lymphocytes).
- the present invention also envisages a method of immunomodulation (e.g., inhibiting CEACAMl homotypic or heterotypic protein- protein interaction), by contacting a CEACAMl -expressing lymphocyte with the antibody or antibody fragment described herein.
- a method of immunomodulation e.g., inhibiting CEACAMl homotypic or heterotypic protein- protein interaction
- the methods of the present teachings can be effected in-vitro, ex-vivo (e.g., used in T cell based adoptive immunotherapy) or in-vivo.
- antibodies of some embodiments of the invention can have anti cancer activity which is independent from its immunomodulatory activity described above.
- the present teachings further provide for a method of inhibiting migration or proliferation of a CEACAMl expressing tumor cell, the method comprising contacting the CEACAMl expressing tumor cell with the antibody or antibody fragment described herein, thereby inhibiting migration or proliferation of a CEACAMl expressing tumor cell.
- inhibiting refers to at least 5 % , 10 %, 20 %, 30 %, 40 %, 50 %, 60 %, 70 %, 80 % 100 % inhibition in proliferation or migration which can be assayed using methods which are well known in the art (see examples section below).
- Antibodies of the present invention can be effectively used for the treatment of cancer.
- a method of treating cancer comprising administering to a subject in need thereof a therapeutically effective amount of the antibody or antibody fragment described herein, thereby treating the cancer in the subject.
- cancer which can be diagnosed or treated according to the present teachings include, but are not limited to, melanoma, sarcoma, lung cancer, cancer of the thyroid, breast cancer, colon cancer, prostate cancer, hepatic cancer, bladder cancer, renal cancer, cervical cancer, pancreatic cancer, leukemia, lymphoma, myeloid cell related cancer, ovarian cancer, uterus cancer, biliary cancer or endometrial cancer.
- the cancer is melanoma.
- treating refers to inhibiting, preventing or arresting the development of a pathology (disease, disorder or condition) and/or causing the reduction, remission, or regression of a pathology.
- pathology disease, disorder or condition
- Those of skill in the art will understand that various methodologies and assays can be used to assess the development of a pathology, and similarly, various methodologies and assays may be used to assess the reduction, remission or regression of a pathology.
- the term "preventing” refers to keeping a disease, disorder or condition from occurring in a subject who may be at risk for the disease, but has not yet been diagnosed as having the disease.
- the term "subject” includes mammals, preferably human beings at any age which suffer from the pathology. Preferably, this term encompasses individuals who are at risk to develop the pathology.
- lymphocytes such as T cells (e.g. Tumor Infiltrating Lymphocytes) or NK cells may be administered to the subject prior to, concomitantly with or following administration of the antibody or antibody fragment of the present invention.
- lymphocytes may be obtained from the subject (e.g. from the peripheral blood or from the tumor of same) or from a donor (an allogeneic or a syngeneic lymphocyte donor), treated by ex -vivo expansion methods as to obtained viable lymphocytes [e.g.
- the subject may be treated by any other anti-cancer treatment (e.g. chemotherapy, radiation therapy, etc.) prior to administration of the antibody or antibody fragment or prior to administration of the lymphocytes.
- any other anti-cancer treatment e.g. chemotherapy, radiation therapy, etc.
- the antibody of the present invention can be administered to an organism per se, or in a pharmaceutical composition where it is mixed with suitable carriers or excipients.
- a "pharmaceutical composition” refers to a preparation of one or more of the active ingredients described herein with other chemical components such as physiologically suitable carriers and excipients.
- the purpose of a pharmaceutical composition is to facilitate administration of a compound to an organism.
- active ingredient refers to the antibody accountable for the biological effect.
- physiologically acceptable carrier and “pharmaceutically acceptable carrier” which may be interchangeably used refer to a carrier or a diluent that does not cause significant irritation to an organism and does not abrogate the biological activity and properties of the administered compound.
- An adjuvant is included under these phrases.
- excipient refers to an inert substance added to a pharmaceutical composition to further facilitate administration of an active ingredient.
- excipients include calcium carbonate, calcium phosphate, various sugars and types of starch, cellulose derivatives, gelatin, vegetable oils and polyethylene glycols.
- Suitable routes of administration may, for example, include oral, rectal, transmucosal, especially transnasal, intestinal or parenteral delivery, including intramuscular, subcutaneous and intramedullary injections as well as intrathecal, direct intraventricular, intracardiac, e.g., into the right or left ventricular cavity, into the common coronary artery, intravenous, inrtaperitoneal, intranasal, or intraocular injections.
- neurosurgical strategies e.g., intracerebral injection or intracerebroventricular infusion
- molecular manipulation of the agent e.g., production of a chimeric fusion protein that comprises a transport peptide that has an affinity for an endothelial cell surface molecule in combination with an agent that is itself incapable of crossing the BBB
- pharmacological strategies designed to increase the lipid solubility of an agent (e.g., conjugation of water-soluble agents to lipid or cholesterol carriers)
- the transitory disruption of the integrity of the BBB by hyperosmotic disruption resulting from the infusion of a mannitol solution into the carotid artery or the use of a biologically active agent such as an angiotensin peptide).
- each of these strategies has limitations, such as the inherent risks associated with an invasive surgical procedure, a size limitation imposed by a limitation inherent in the endogenous transport systems, potentially undesirable biological side effects associated with the systemic administration of a chimeric molecule comprised of a carrier motif that could be active outside of the CNS, and the possible risk of brain damage within regions of the brain where the BBB is disrupted, which renders it a suboptimal delivery method.
- tissue refers to part of an organism consisting of an aggregate of cells having a similar structure and/or a common function. Examples include, but are not limited to, brain tissue, retina, skin tissue, hepatic tissue, pancreatic tissue, bone, cartilage, connective tissue, blood tissue, muscle tissue, cardiac tissue brain tissue, vascular tissue, renal tissue, pulmonary tissue, gonadal tissue, hematopoietic tissue.
- compositions of the present invention may be manufactured by processes well known in the art, e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping or lyophilizing processes.
- compositions for use in accordance with the present invention thus may be formulated in conventional manner using one or more physiologically acceptable carriers comprising excipients and auxiliaries, which facilitate processing of the active ingredients into preparations which, can be used pharmaceutically. Proper formulation is dependent upon the route of administration chosen.
- the active ingredients of the pharmaceutical composition may be formulated in aqueous solutions, preferably in physiologically compatible buffers such as Hank's solution, Ringer's solution, or physiological salt buffer.
- physiologically compatible buffers such as Hank's solution, Ringer's solution, or physiological salt buffer.
- penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are generally known in the art.
- the pharmaceutical composition can be formulated readily by combining the active compounds with pharmaceutically acceptable carriers well known in the art.
- Such carriers enable the pharmaceutical composition to be formulated as tablets, pills, dragees, capsules, liquids, gels, syrups, slurries, suspensions, and the like, for oral ingestion by a patient.
- Pharmacological preparations for oral use can be made using a solid excipient, optionally grinding the resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries if desired, to obtain tablets or dragee cores.
- Suitable excipients are, in particular, fillers such as sugars, including lactose, sucrose, mannitol, or sorbitol; cellulose preparations such as, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, gum tragacanth, methyl cellulose, hydroxypropylmethyl-cellulose, sodium carbomethylcellulose; and/or physiologically acceptable polymers such as polyvinylpyrrolidone (PVP).
- disintegrating agents may be added, such as cross-linked polyvinyl pyrrolidone, agar, or alginic acid or a salt thereof such as sodium alginate.
- Dragee cores are provided with suitable coatings.
- suitable coatings For this purpose, concentrated sugar solutions may be used which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, titanium dioxide, lacquer solutions and suitable organic solvents or solvent mixtures.
- Dyestuffs or pigments may be added to the tablets or dragee coatings for identification or to characterize different combinations of active compound doses.
- compositions which can be used orally include push-fit capsules made of gelatin as well as soft, sealed capsules made of gelatin and a plasticizer, such as glycerol or sorbitol.
- the push-fit capsules may contain the active ingredients in admixture with filler such as lactose, binders such as starches, lubricants such as talc or magnesium stearate and, optionally, stabilizers.
- the active ingredients may be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols.
- stabilizers may be added. All formulations for oral administration should be in dosages suitable for the chosen route of administration.
- compositions may take the form of tablets or lozenges formulated in conventional manner.
- the active ingredients for use according to the present invention are conveniently delivered in the form of an aerosol spray presentation from a pressurized pack or a nebulizer with the use of a suitable propellant, e.g., dichlorodifluoromethane, trichlorofluoromethane, dichloro-tetrafluoroethane or carbon dioxide.
- a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichloro-tetrafluoroethane or carbon dioxide.
- the dosage unit may be determined by providing a valve to deliver a metered amount.
- Capsules and cartridges of, e.g., gelatin for use in a dispenser may be formulated containing a powder mix of the compound and a suitable powder base such as lactose or starch.
- compositions described herein may be formulated for parenteral administration, e.g., by bolus injection or continuos infusion.
- Formulations for injection may be presented in unit dosage form, e.g., in ampoules or in multidose containers with optionally, an added preservative.
- the compositions may be suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents.
- compositions for parenteral administration include aqueous solutions of the active preparation in water-soluble form. Additionally, suspensions of the active ingredients may be prepared as appropriate oily or water based injection suspensions. Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acids esters such as ethyl oleate, triglycerides or liposomes. Aqueous injection suspensions may contain substances, which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol or dextran. Optionally, the suspension may also contain suitable stabilizers or agents which increase the solubility of the active ingredients to allow for the preparation of highly concentrated solutions.
- the active ingredient may be in powder form for constitution with a suitable vehicle, e.g., sterile, pyrogen-free water based solution, before use.
- a suitable vehicle e.g., sterile, pyrogen-free water based solution
- the pharmaceutical composition of the present invention may also be formulated in rectal compositions such as suppositories or retention enemas, using, e.g., conventional suppository bases such as cocoa butter or other glycerides.
- compositions suitable for use in context of the present invention include compositions wherein the active ingredients are contained in an amount effective to achieve the intended purpose. More specifically, a therapeutically effective amount means an amount of active ingredients effective to prevent, alleviate or ameliorate symptoms of a disorder (e.g., cancer) or prolong the survival of the subject being treated.
- a disorder e.g., cancer
- the therapeutically effective amount or dose can be estimated initially from in vitro and cell culture assays.
- a dose can be formulated in animal models to achieve a desired concentration or titer. Such information can be used to more accurately determine useful doses in humans.
- Toxicity and therapeutic efficacy of the active ingredients described herein can be determined by standard pharmaceutical procedures in vitro, in cell cultures or experimental animals.
- the data obtained from these in vitro and cell culture assays and animal studies can be used in formulating a range of dosage for use in human.
- the dosage may vary depending upon the dosage form employed and the route of administration utilized.
- the exact formulation, route of administration and dosage can be chosen by the individual physician in view of the patient's condition. (See e.g., Fingl, et al., 1975, in "The Pharmacological Basis of Therapeutics", Ch. 1 p.l).
- Dosage amount and interval may. be adjusted individually to provide antibody levels of the active ingredient are sufficient to induce or suppress the biological effect (minimal effective concentration, MEC).
- MEC minimum effective concentration
- the MEC will vary for each preparation, but can be estimated from in vitro data. Dosages necessary to achieve the MEC will depend on individual characteristics and route of administration. Detection assays can be used to determine plasma concentrations.
- Therapeutic efficacy can be further validated in correlative animal models which are well known in the art.
- dosing can be of a single or a plurality of administrations, with course of treatment lasting from several days to several weeks or until cure is effected or diminution of the disease state is achieved.
- compositions to be administered will, of course, be dependent on the subject being treated, the severity of the affliction, the manner of administration, the judgment of the prescribing physician, etc.
- compositions of the present invention may, if desired, be presented in a pack or dispenser device, such as an FDA approved kit, which may contain one or more unit dosage forms containing the active ingredient.
- the pack may, for example, comprise metal or plastic foil, such as a blister pack.
- the pack or dispenser device may be accompanied by instructions for administration.
- the pack or dispenser may also be accommodated by a notice associated with the container in a form prescribed by a governmental agency regulating the manufacture, use or sale of pharmaceuticals, which notice is reflective of approval by the agency of the form of the compositions or human or veterinary administration. Such notice, for example, may be of labeling approved by the U.S. Food and Drug Administration for prescription drugs or of an approved product insert.
- Compositions comprising a preparation of the invention formulated in a compatible pharmaceutical carrier may also be prepared, placed in an appropriate container, and labeled for treatment of an indicated condition, as is further detailed above.
- antibodies of the present invention can also be used in diagnostic applications.
- a method for diagnosing a cancer in a subject in need thereof comprising contacting a biological sample derived from the subject (in-vivo or ex-vivo) with the antibody or antibody fragment described herein, wherein a complex formation beyond a predetermined threshold is indicative of the cancer in the subject.
- cells of the cancer are characterized by over expression of CEACAMl as compared to unaffected cells.
- the method of the invention is effected under conditions sufficient to form an immunocomplex; such conditions (e.g., appropriate concentrations, buffers, temperatures, reaction times) as well as methods to optimize such conditions are known to those skilled in the art, and examples are disclosed herein.
- immunocomplex refers to a complex which comprises the antibody of the invention and the CEACAMl.
- Determining a presence or level of the immunocomplex of the invention may be direct or by detecting an identifiable (detectable) moiety which may be attached to the antibody.
- the level of the immunocomplex in the tested cell (e.g., a cell of a subject in need thereof) is compared to a predetermined threshold.
- a predetermined threshold may be determined based on a known reference level and/or a level in a control cell or serum.
- the control cell can be obtained from a control, healthy subject (e.g., a subject not suffering from the cancer) or from the same subject prior to disease initiation or following treatment.
- the control subject is of the same species e.g. human, preferably matched with the same age, weight, sex etc. as the subject in need thereof.
- diagnosis refers to determining presence or absence of a pathology, classifying a pathology or a symptom, determining a severity of the pathology, monitoring pathology progression, forecasting an outcome of a pathology and/or prospects of recovery.
- composition or method may include additional ingredients and/or steps, but only if the additional ingredients and/or steps do not materially alter the basic and novel characteristics of the claimed composition or method.
- a compound or “at least one compound” may include a plurality of compounds, including mixtures thereof.
- range format is merely for convenience and brevity and should not be construed as an inflexible limitation on the scope of the invention. Accordingly, the description of a range should be considered to have specifically disclosed all the possible subranges as well as individual numerical values within that range. For example, description of a range such as from 1 to 6 should be considered to have specifically disclosed subranges such as from 1 to 3, from 1 to 4, from 1 to 5, from 2 to 4, from 2 to 6, from 3 to 6 etc., as well as individual numbers within that range, for example, 1, 2, 3, 4, 5, and 6. This applies regardless of the breadth of the range.
- method refers to manners, means, techniques and procedures for accomplishing a given task including, but not limited to, those manners, means, techniques and procedures either known to, or readily developed from known manners, means, techniques and procedures by practitioners of the chemical, pharmacological, biological, biochemical and medical arts.
- mice were immunized 3 times, at 2 week intervals, with 5 micrograms of recombinant human CEACAMl (entire protein, commercially available from R&D Systems). Splenocytes were harvested and fused with SP2/0 cells, to generate a hybridoma library.
- the hybridoma producing the CEACAMl-blocking antibody (MRGl mAb) was re-cloned several times to yield a stable clone.
- CEACAM-negative 721.221 human cells (parental B cells) were stably transfected with CEACAMl, CEACAM5, CEACAM6 or CEACAM8 by electroporation and selection with G418.
- the murine thymoma BW parental cells (cells that lack TCR alpha and beta chains, yet retain full secretion machinery of IL-2) were transfected with a chimeric molecule comprising the extracellular portion of human CEACAMl fused to the transmembrane and cytosolic tail of murine zeta chain. Transfection was performed by electroporation and selection with G418.
- Hybridomas were screened for CEACAMl binding activity by flow cytometry as follows:
- the MRGl mAb generated according to the present teachings is specific to human CEACAMl. It has an insignificant cross-reactivity to CEACAM5 and no binding to CEACAM6 or CEACAM8.
- Figure IB shows that all transfectants expressed CEACAM molecules, with CEACAMl being the lowest, which emphasizes the specificity pattern of MRGl.
- the mAb is capable of inhibiting CEACAMl homophilic binding MATERIALS AND EXPERIMENTAL PROCEDURES
- CEACAMl blocking activity was tested using a BW functional system.
- the BW functional system comprises a mouse cell line (BW) stably transfected with a chimeric molecule comprising the extracellular domain of human CEACAMl fused to mouse zeta chain (BW/CEACAMl-zeta, see Example 2, above). Co-incubation of the BW/CEACAMl-zeta cells with other CEACAMl-positive cells resulted in the secretion of measurable concentrations of mouse IL-2.
- BW/CEACAMl-zeta effector cells
- 221/CEACAMl target cells
- MRGl mAb 10-40 ng/ml MRGl mAb.
- the reciprocal cells (221/CEACAMl or BW/CEACAM1) were added and the secretion of mouse IL-2 was measured by sandwich ELISA (R&D systems).
- Cytotoxicity assays testing the killing of various melanoma lines by tumor infiltrating lymphocytes was performed in the presence or absence of 1 ⁇ g/ml MRGl mAb.
- CEACAMl High 526mel, 624mel and CEACAMl dim 09mel melanoma cells were used as target cells.
- TIL014 cells were used as effector cells at an E:T ratio of 10:1.
- the reciprocal cells were added and co-incubated for 5 hours at 37 0 C.
- Target cells were pre-labeled with a green fluorescent dye (CFSE) and specific lysis was determined by Propidium Iodide (PI) co- staining in flow cytometry. Spontaneous death was subtracted.
- CFSE green fluorescent dye
- the purified MRGl mAb MRGl showed a dose- dependant inhibition of CEACAMl homophilic binding.
- the mAb efficiently reduced CEACAMl interactions, effectively reaching a plateau at a concentration of 20 ng/ml.
- the two experimental settings i.e. the addition of MRGl mAb to the effector cells, BW/CEACAMl-zeta, or to the target cells, 221/CEACAMl, showed similar results (secretion of the mouse IL-2 was effectively blocked).
- MRGl mAb The blocking effect of MRGl mAb was further demonstrated in cytotoxicity assays. As shown if Figure 3, killing of the CEACAMl High 526mel and 624mel cells was enhanced by incubation of the antibody with effector cells (but not on target cells). The killing of the CEACAMl dim 09mel cells was unaffected by the presence of MRGl mAb ( Figure 3).
- melanoma cells (08mel or 09mel) were pre-incubated in the presence or absence of 1 ⁇ g/ml MRGl mAb and then tested by Matrigel invasion assays. Invasion was allowed for 24 hours and the amount of invading cells was quantified with standardized XTT.
- CEACAMl High 526mel cells were seeded on day 0 in 48-well plates (2,500 cells per well). On seeding, MRGl was added in 3 different concentrations (0.5, 1, or 3 ⁇ g/ml), or not added at all. Total viable cells were counted 2 days or 5 days after seeding. Proliferation was determined with standardized XTT and by direct cell counting.
- MRGl blocked the invasion of CEACAMl -positive 08mel cells (CEACAMl expression level was medium, i.e. median fluorescence intensity of CEACAMl expression was 50) and had little or no effect on CEACAMldim 09mel cells (CEACAMl expression level was low, i.e. median fluorescence intensity of CEACAMl expression was 15). MRGl was also tested in net proliferation assays. A dose-dependent inhibition in net proliferation of 526mel cells was observed ( Figure 5). Following 5 days of treatment, proliferation was reduced by more than 60 % (with 3 ⁇ g MRGl mAb).
- MRGl inhibits cancer cell growth in animal experimental models MATERIALS AND EXPERIMENTAL PROCEDURES
- CEACAMl + human melanoma cells were injected subcutaneously to the flank of 7 week old SCID-NOD mice. Tumor masses formed in 100 % of the mice within 14-17 days and continued to grow. Tumor dimensions were monitored non- invasively with a caliper 3 times a week and volume approximation was calculated as (dl x d2 x d3/2).
- MRGl administered by injection of 0.5 mg antibody diluted in 0.5 ml sterile PBS intraperitoneally. Injection of PBS served as control.
- MRGl is superior to previously described anti-CEACAMl antibodies MATERIALS AND EXPERIMENTAL PROCEDURES
- CEACAMl blocking activity was tested using a BW functional system as described in detail in Example 3, hereinabove.
- Example 3 the inventors demonstrated a nearly complete blocking of CEACAMl activity using 15 ng/ml MRGl mAb.
- the anti-CEACAMl monoclonal antibody Kat4c was able to yield a minor blocking effect only when 200-fold higher concentrations were tested and the polyclonal rabbit anti- CEACAM antibody yielded a similar inhibitory effect with 40-fold higher concentration (2600 ng/ml and 600ng/ml, respectively, Figure 8).
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HK12107666.4A HK1167264A1 (en) | 2009-04-30 | 2012-08-03 | Anti ceacam1 antibodies and methods of using same ceacam1 |
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