WO2010142990A1 - ANTI-EpCAM ANTIBODIES - Google Patents
ANTI-EpCAM ANTIBODIES Download PDFInfo
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- WO2010142990A1 WO2010142990A1 PCT/GB2010/050969 GB2010050969W WO2010142990A1 WO 2010142990 A1 WO2010142990 A1 WO 2010142990A1 GB 2010050969 W GB2010050969 W GB 2010050969W WO 2010142990 A1 WO2010142990 A1 WO 2010142990A1
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/21—Immunoglobulins specific features characterized by taxonomic origin from primates, e.g. man
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
- C07K2317/565—Complementarity determining region [CDR]
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/60—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
- C07K2317/62—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
- C07K2317/622—Single chain antibody (scFv)
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/73—Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
- C07K2317/732—Antibody-dependent cellular cytotoxicity [ADCC]
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/73—Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
- C07K2317/734—Complement-dependent cytotoxicity [CDC]
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
- C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
Definitions
- the invention relates to binding proteins which bind to Epithelial Cell Adhesion Molecule (EpCAM) and all uses thereof.
- EpCAM Epithelial Cell Adhesion Molecule
- the invention relates to antibodies or antibody fragments that bind to EpCAM and to methods of use thereof, including cancer treatment.
- Surgical resection always involves the removal of apparently normal tissue as a "safety margin" which can increase morbidity and risk of complications. It also always removes some of the healthy tissue that may be interspersed with tumor cells and that could potentially maintain or restore the function of the affected organ or tissue. Radiation and chemotherapy will kill or damage many normal cells due to their non-specific mode of action. This can result in serious side-effects such as severe nausea, weight loss and reduced stamina, loss of hair etc., as well as increasing the risk of developing secondary cancer later in life. Treatment with greater selectivity for cancer cells would leave normal cells unharmed thus improving outcome, side-effect profile and quality of life.
- the selectivity of cancer treatment can be improved by using antibodies that are specific for molecules present only or mostly on cancer cells or which are present in higher levels on cancer cells or overexpressed in cancer cells.
- immunotherapy treatments e.g. involving antibodies, of various diseases, including cancer, are currently a very active field of research and development, and show much promise in terms of achieving successful therapeutic regimes.
- Such antibodies can be used to modulate the immune system and enhance the recognition and destruction of the cancer by the patient's own immune system.
- EpCAM (CD326) is also referred as EGP-2, 17-1 A, HEA125, MK-1 , GA733-2, EGP34, KSA, TROP-1 , ESA, TACSTD1 and KS1/4 and is one of the first identified tumor-associated antigens.
- the EpCAM antigen is unique in that it is not a member of any of the major families of adhesion molecules such as cadherins, selectins, or integrins. It is a type I membrane protein of 314 amino acids (aa) of which only 26 aa are facing the cytoplasm.
- EpCAM has been postulated to function as a homophilic cell adhesion molecule that interferes with cadherin-mediated cell-cell contact. EpCAM upregulates c-myc, cyclin A and E, promotes cell cycling and enhances cell proliferation (Munz et al., 2004, Oncogene 23: 5748-58).
- EpCAM is abundantly and homogeneously expressed on human carcinomas of different origin (Went et al., 2008, Br J Cancer 94: 128-35). lmmunohistochemical studies of prostate cancer and cervical intraepithelial neoplasia have shown that EpCAM expression can increase with disease progression and proliferation. This apparent overexpression has also been described in patients with invasive breast and ovarian cancers and was a strong predictor of poor disease-free and overall survival (Spizzo et ai, 2004, Breast Cancer Res Treat 86: 207-13; Spizzo et al., 2006, Gynecol Oncol 103: 483-8).
- EpCAM is overexpressed in cancer-initiating or cancer stem cells isolated from colon, breast, pancreas and prostate carcinomas (O'Brien et al., 2007, Nature 445: 106-10; Marhaba et al., 2008, Curr MoI Med 8: 784-804).
- EpCAM is also a validated target for carcinoma-directed immunotherapy.
- a number of antibodies to EpCAM have been used in immunotherapy, although it should be noted that several of these have failed in clinical trials for various reasons.
- These EpCAM antibodies take a number of formats, including naked antibodies, immunotoxins and bi or tri-specific antibodies (Baeuerle and Gires, Br. J. Cancer, 2007, 96: 417-423).
- bi-specific antibody approach e.g. as used by Micromet in the case of their MT1 10 antibody and by Trion Pharma in the case of Catumaxomab (Removab®)
- Trion Pharma in the case of Catumaxomab (Removab®)
- a bi- or tri-specific antibody is fundamentally different from that of a monospecific format, direct comparison is simply not possible or relevant.
- EpCAM antibody Another format of EpCAM antibody which has been used in clinical trials is an immunotoxin format (e.g. as used by Viventia in the case of ProxiniumTM/
- ViciniumTM i.e. where an antibody moiety is conjugated to a toxic molecule to effect tumor cell killing.
- ProxiniumTM/ ViciniumTM is a fusion protein of humanized scFv (MOC31 derived) and Pseudomonas exotoxin (Di Paolo et al., 2003, Clin Cancer Res 9: 2837-48).
- This antibody has shown some encouraging results in the clinic, due to immunogenic side effects systemic administration is not possible and direct/local administration to the tumor site is required. Again, as the mechanism of action of an immunotoxin is fundamentally different from that of a naked antibody, direct comparison is not really possible or relevant.
- the most effective naked format anti EpCAM antibody currently in clinical trials is MT201 (Adecatumumab, developed by Micromet, Inc. and out-licensed to Merck Serono), which is fully human IgGI monoclonal antibody.
- This antibody has shown some promising results in phase I and Il clinical trials in prostate and metastatic breast cancer and, unlike the case with some other naked EpCAM antibodies (e.g. ING-1 , a high affinity human engineered IgGI of Xoma, Inc.) to date patients have shown no signs of pancreatitis.
- Other trialled anti EpCAM antibodies have shown clinical disadvantages.
- Edrecolomab (17-1 A; Panorex®) shows only borderline clinical activity and is rapidly neutralised by a human anti-mouse antibody (HAMA) response.
- MOC31 (a humanized version of which is being used by Viventia) is another anti-EpCAM antibody which has been studied extensively and is a chimeric antibody with mouse variable domains and human constant domains.
- EpCAM EpCAM-specific immunotoxin
- Removab® trifunctional antibodies
- acute pancreatitis as seen with high- affinity anti-EpCAM MAb ING-1
- edrecolomab Panorex®
- MT201 adecatumumab
- the therapeutic potential of anti EpCAM antibodies is clear and the challenge is to develop anti EpCAM antibodies which show alternative or improved properties to those known in the art, in particular to the current apparent leader, MT201.
- the present inventors have identified antibodies that bind to EpCAM and show improved properties over prior art antibodies, in particular over MT201 and MOC31 as described above.
- the antibodies of the invention show good affinity, good cross-reactivity profiles and excellent ADCC and CDCC activity.
- such antibodies are fully compatible with the patient's immune system by virtue of being fully-human proteins.
- the antibodies of the invention can be used for diagnostic or therapeutic uses (in particular for cancer) or as a basis for engineering other antibodies or binding molecules for the target antigen, EpCAM, such as bispecific antibodies, immunotoxins or antibody-drug conjugates (ADC).
- Amino acid and/or DNA sequences of antibody molecules of the invention that bind to EpCAM, their V H and V L domains including complementarity determining regions (CDRs), are set forth in the various SEQ ID NOs. listed herein. All the specific antibodies described herein have the same CDRs in their VH domains but slightly different CDRs in their VL domains.
- the present invention provides an antibody that binds to EpCAM comprising a heavy (VH) chain CDR1 domain comprising the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto.
- the antibody that binds to EpCAM comprises a heavy (VH) chain CDR2 domain comprising the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto.
- the antibody that binds to EpCAM comprises a heavy (VH) chain CDR3 domain comprising the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto.
- VH heavy chain CDR3 domain
- the presence of such a VH CDR3 domain based on SEQ ID NO:7 is particularly preferred in the antibodies of the invention. Indeed, such a sequence is present in all the specific antibodies described herein.
- the antibody that binds to EpCAM comprises a light chain (VL) CDR1 domain comprising the amino acid sequence of SEQ ID N0:8 or a sequence substantially homologous thereto.
- the antibody that binds to EpCAM comprises a light chain (VL) CDR2 domain comprising the amino acid sequence of SEQ ID N0:9 or a sequence substantially homologous thereto.
- the antibody comprises a light chain (VL) CDR2 domain comprising the amino acid sequence of SEQ ID NO:29 or a sequence substantially homologous thereto.
- the antibody that binds to EpCAM comprises a light chain (VL) CDR3 domain comprising the amino acid sequence of SEQ ID NO:10 or a sequence substantially homologous thereto.
- the antibody comprises a light chain (VL) CDR3 domain comprising the amino acid sequence of SEQ ID NO:30, SEQ ID NO: 43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- VL light chain
- the invention provides an antibody that binds to EpCAM comprising one or more heavy chain CDR domains, wherein the heavy chain CDR domain is selected from the group consisting of: (a) a heavy chain CDR1 domain comprising the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto;
- a heavy chain CDR3 domain comprising the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto.
- the invention also provides, in certain embodiments, an antibody that binds to EpCAM comprising one or more light chain CDR domains, wherein the light chain CDR domain is selected from the group consisting of:
- a light chain CDR3 domain comprising the amino acid sequence of SEQ ID NO:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- the antibody that binds to EpCAM comprises both
- a heavy chain CDR3 comprising the amino acid sequence of SEQ ID N0:7 or a sequence substantially homologous thereto
- a light chain CDR3 comprising the amino acid sequence of SEQ ID N0:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- a heavy chain CDR1 domain comprising the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto and/or a light chain CDR1 domain comprising the amino acid sequence of SEQ ID NO:8 or a sequence substantially homologous thereto
- a heavy chain CDR2 domain comprising the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto and/or a light chain CDR2 domain comprising the amino acid sequence of SEQ ID NO:9 or SEQ ID NO:29, or a sequence substantially homologous thereto
- the heavy chain CDR1 comprising the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto
- CDR2 comprising the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto
- CDR3 comprising the amino acid sequence of SEQ ID NO:7, or a sequence substantially homologous thereto
- the light chain CDR1 comprising the amino acid sequence of SEQ ID NO:8 or a sequence substantially homologous thereto
- CDR2 comprising the amino acid sequence of SEQ ID NO:9 or SEQ ID NO:29, or a sequence substantially homologous thereto
- CDR3 comprising the amino acid sequence of SEQ ID NO:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto, are present individually or in combination.
- the present invention provides an antibody that binds to EpCAM comprising: a heavy chain CDR3 domain comprising the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto and/or a light chain CDR3 domain comprising the amino acid sequence of SEQ ID NO:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- Said antibody optionally further comprises: a heavy chain CDR2 domain comprising the amino acid sequence of SEQ ID N0:6 or a sequence substantially homologous thereto and/or a light chain CDR2 domain comprising the amino acid sequence of SEQ ID N0:9 or SEQ ID NO:29, or a sequence substantially homologous thereto and/or further comprises: a heavy chain CDR1 domain comprising the amino acid sequence of SEQ ID N0:5 or a sequence substantially homologous thereto and/or a light chain CDR1 domain comprising the amino acid sequence of SEQ ID N0:8 or a sequence substantially homologous thereto.
- the present invention provides an antibody that binds to EpCAM comprising: a heavy chain CDR2 domain comprising the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto and/or a light chain CDR2 domain comprising the amino acid sequence of SEQ ID NO:9 or SEQ ID NO:29, or a sequence substantially homologous thereto.
- Said antibody optionally further comprises: a heavy chain CDR3 domain comprising the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto and/or a light chain CDR3 domain comprising the amino acid sequence of SEQ ID NO:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto and/or further comprises: a heavy chain CDR1 domain comprising the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto and/or a light chain CDR1 domain comprising the amino acid sequence of SEQ ID NO:8 or a sequence substantially homologous thereto.
- the present invention provides an antibody that binds to EpCAM comprising: a heavy chain CDR1 domain comprising the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto and/or a light chain CDR1 domain comprising the amino acid sequence of SEQ ID N0:8 or a sequence substantially homologous thereto.
- Said antibody optionally further comprises: a heavy chain CDR3 domain comprising the amino acid sequence of SEQ ID N0:7 or a sequence substantially homologous thereto and/or a light chain CDR3 domain comprising the amino acid sequence of SEQ ID N0:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto and/or further comprises: a heavy chain CDR2 domain comprising the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto and/or a light chain CDR2 domain comprising the amino acid sequence of SEQ ID NO:9 or SEQ ID NO:29, or a sequence substantially homologous thereto.
- Certain preferred antibodies of the invention comprise one or more of the CDRs selected from the group consisting of SEQ ID NOs:5, 6, 7, 8, 9 and 10 or a sequence substantially homologous to any one of the foregoing SEQ ID NOs.
- Other preferred CDRs are selected from the group consisting of SEQ ID NOs:29 (for VL CDR2), and SEQ ID NOs: 30, 43, 56, 69 and 82 (for VL CDR3).
- Certain preferred antibodies comprise two or more of the heavy chain CDRs of SEQ ID NOs:5, 6 or 7, or sequences substantially homologous to any one of the foregoing SEQ ID NOs.
- Especially preferred binding molecules comprise 3 of the heavy chain CDRs of SEQ ID NOs:5, 6 and 7, or sequences substantially homologous to any one of the foregoing SEQ ID NOs (i.e. one of each of the aforementioned heavy chain CDR1 and CDR2 and CDR3 or sequences substantially homologous thereto).
- Certain preferred antibodies comprise two or more of the light chain CDRs of SEQ ID NOs:8 (for VL CDR1 ), 9 or 29 (for VL CDR2), or 10, 30, 43, 56, 69 or 82 (for VL CDR3), or sequences substantially homologous to any one of the foregoing SEQ ID NOs.
- Especially preferred binding molecules comprise 3 of the light chain CDRs of SEQ ID NOs:8 (for VL CDR1 ), 9 or 29 (for VL CDR2), or 10, 30, 43, 56, 69 or 82 (for VL CDR3), or sequences substantially homologous to any one of the foregoing SEQ ID NOs (i.e. one of each of the aforementioned light chain CDR1 and CDR2 and CDR3 or sequences substantially homologous thereto).
- Certain more especially preferred antibodies comprise 3 of the light chain
- CDRs of SEQ ID NOs:5, 6 or 7, or sequences substantially homologous any one of these sequences i.e., one of each of the aforementioned heavy chain CDR1 and CDR2 and CDR3 or sequences substantially homologous thereto).
- Certain especially preferred antibodies comprise: a heavy chain CDR1 domain of SEQ ID NO:5, a heavy chain CDR2 domain of SEQ ID NO:6, and a heavy chain CDR3 domain of SEQ ID NO:7, or sequences substantially homologous to any one of the aforementioned sequences; and/or comprise: a light chain CDR1 domain of SEQ ID NO:8, a light chain CDR2 domain of SEQ ID NO:9, and a light chain CDR 3 domain of SEQ ID NO:10, or sequences substantially homologous to any one of the aforementioned sequences.
- the invention provides an antibody that binds to
- EpCAM and that comprises at least one heavy chain variable region that comprises three CDRs and at least one light chain variable region that comprises three CDRs, wherein said heavy chain variable region comprises:
- VH CDR3 that has the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto.
- the invention provides an antibody that binds to
- EpCAM and that comprises at least one heavy chain variable region that comprises three CDRs and at least one light chain variable region that comprises three CDRs, wherein said heavy chain variable region comprises:
- VH CDR1 that has the amino acid sequence of SEQ ID N0:5 or a sequence substantially homologous thereto
- VH CDR2 that has the amino acid sequence of SEQ ID N0:6 or a sequence substantially homologous thereto
- VH CDR3 that has the amino acid sequence of SEQ ID N0:7 or a sequence substantially homologous thereto.
- one or more of said light chain variable region CDRs are selected from the group consisting of:
- VL variable light
- VL CDR2 that has the amino acid sequence of SEQ ID N0:9 or SEQ ID NO:29, or a sequence substantially homologous thereto
- VL CDR3 that has the amino acid sequence of SEQ ID N0:10, SEQ ID NO:30
- SEQ ID NO:43 SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- two of said light chain variable region CDRs are selected from the group consisting of: (d) a variable light (VL) CDR1 that has the amino acid sequence of SEQ ID NO:8 or a sequence substantially homologous thereto,
- VL CDR2 that has the amino acid sequence of SEQ ID NO:9 or SEQ ID NO:29 or a sequence substantially homologous thereto
- VL CDR3 a VL CDR3 that has the amino acid sequence of SEQ ID NO:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- three of said light chain variable region CDRs are selected from the group consisting of:
- VL variable light
- VL CDR2 that has the amino acid sequence of SEQ ID NO:9 or SEQ ID NO:29, or a sequence substantially homologous thereto
- VL CDR3 that has the amino acid sequence of SEQ ID NO:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- the invention provides an antibody that binds to
- EpCAM and that comprises at least one heavy chain variable region that comprises three CDRs and at least one light chain variable region that comprises three CDRs, wherein said light chain variable region comprises: (i) a variable light (VL) CDR1 that has the amino acid sequence of SEQ ID N0:8 or a sequence substantially homologous thereto,
- VL CDR2 that has the amino acid sequence of SEQ ID N0:9 or SEQ ID NO:29, or a sequence substantially homologous thereto
- VL CDR3 a VL CDR3 that has the amino acid sequence of SEQ ID NO:10, SEQ ID NO:30, SEQ ID NO:43, SEQ ID NO:56, SEQ ID NO:69 or SEQ ID NO:82, or a sequence substantially homologous thereto.
- one or more of said heavy chain variable region CDRs are selected from the group consisting of:
- VH CDR1 that has the amino acid sequence of SEQ ID N0:5 or a sequence substantially homologous thereto
- VH CDR2 that has the amino acid sequence of SEQ ID N0:6 or a sequence substantially homologous thereto
- VH CDR3 that has the amino acid sequence of SEQ ID N0:7 or a sequence substantially homologous thereto.
- two of said heavy chain variable region CDRs are selected from the group consisting of:
- VH CDR1 that has the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto
- VH CDR2 that has the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto
- VH CDR3 that has the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto.
- three of said heavy chain variable region CDRs are selected from the group consisting of: (i) a VH CDR1 that has the amino acid sequence of SEQ ID NO:5 or a sequence substantially homologous thereto,
- VH CDR2 that has the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto
- VH CDR3 that has the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto.
- an antibody that binds to EpCAM that comprises: a VH domain that comprises one, two or three of the heavy chain CDRs of SEQ ID NOs:5, 6, or 7, or sequences substantially homologous to one or more of SEQ ID NOs:5, 6, or 7, and/or a VL domain that comprises one, two or three of the light chain CDRs of SEQ ID NOs:8 (for VL CDR1 ), 9 or 29 (for VL CDR2), or 10, 30, 43, 56, 69 or 82 (for VL CDR3), or sequences substantially homologous to one or more of these sequences.
- Especially preferred VH domains comprise 3 of the heavy chain CDRs of SEQ ID NOs:5, 6, and 7, or sequences substantially homologous to one or more of SEQ ID NOs:5, 6, or 7 (i.e., one of each of CDR1 , CDR2 and CDR3 or sequences substantially homologous thereto).
- VL domains comprise 3 of the light chain CDRs of SEQ ID NOs:8 (for VL CDR1 ), 9 or 29 (for VL CDR2), or 10, 30, 43, 56, 69 or 82 (for VL CDR3), or sequences substantially homologous to one or more of these sequences, (i.e., one of each of CDR1 , CDR2 and CDR3 or sequences substantially homologous thereto).
- More especially preferred embodiments of the invention provide an antibody that binds to EpCAM and that comprises: a VH domain that comprises 3 heavy chain CDRs of SEQ ID NOs:5, 6 and 7, and a VL domain that comprises 3 light chain CDRs.
- a VH domain that comprises 3 heavy chain CDRs of SEQ ID NOs:5, 6 and 7, and a VL domain that comprises 3 light chain CDRs.
- one, two or three of the light chain CDRs are as defined in SEQ ID NOs:8, 9, and 10. Sequences substantially homologous thereto are also included.
- one, two or three of the light chain CDRs are as defined in SEQ ID NOs: 8, 29 and 30; 8, 29 and 43; 8, 29 and 56; 8, 29 and 69; and 8, 29 and 82. Sequences substantially homologous thereto are also included.
- Certain preferred embodiments of the invention provide an antibody that binds EpCAM comprising a VH domain that comprises the amino acid sequence of SEQ ID NO:3 or a sequence substantially homologous thereto and/or a VL domain that comprises the amino acid sequence of SEQ ID NOs:4, 27, 40, 53, 66 or 79, or a sequence substantially homologous thereto.
- an antibody that binds EpCAM comprising a VH domain that comprises the amino acid sequence of SEQ ID NO:3 and a VL domain that comprises 3 light chain CDRs.
- VL domain comprises the amino acid sequence of SEQ ID NOs:4, 27, 40, 53, 66 or 79.
- Other embodiments of the invention provide an antibody that binds to EpCAM and that comprises: a VL domain that comprises 3 light chain CDRs of SEQ ID NOs:8, 9 and 10, and a VH domain that comprises 3 heavy chain CDRs.
- one, two or three of the heavy chain CDRs are as defined in SEQ ID NOs:5, 6, and 7.
- an antibody that binds EpCAM comprising a VL domain that has the amino acid sequence of SEQ ID NOs:4, 27, 40, 53, 66 or 79, and a VH domain that comprises 3 heavy chain CDRs.
- said VH domain has the amino acid sequence of SEQ ID NO:3.
- the present invention provides an antibody that binds EpCAM comprising the amino acid sequence of SEQ ID NO:21 (said antibody also being referred to herein as 3-17I ScFv), or comprising a fragment thereof that binds EpCAM, or a sequence substantially homologous thereto.
- antibodies of the invention comprise the amino acid sequence of SEQ ID NO:36 (said antibody also being referred to herein as 7-F17 scFv), SEQ ID NO:49 (said antibody also being referred to herein as 12-C15 scFv), SEQ ID NO:62 (said antibody also being referred to herein as 16-G5 scFv), SEQ ID NO:75 (said antibody also being referred to herein as 17-C20 scFv) and SEQ ID NO:88 (said antibody also being referred to herein as 24-G6 scFv), or comprising a fragment thereof that binds EpCAM, or a sequence substantially homologous thereto.
- the invention is exemplified by monoclonal antibody 3-171, a single chain form of which is shown in Figure 1 (SEQ ID NO:21 and SEQ ID NO:20) and a full length IgG form of which is described in Example 1 and Table 1.
- the 3-171 antibody comprises a VH domain of SEQ ID No:3 and a VL domain of SEQ ID NO:4.
- the CDR domains, VH and VL domains of the 3-171 antibody are shown in Table 1 and Figure 1 .
- Antibodies comprising these CDR domains or VH and VL domains (or sequences substantially homologous thereto) are preferred aspects of the invention.
- the 7-F17 antibody comprises a VH domain of SEQ ID No:3 and a VL domain of SEQ ID NO:27.
- the 12-C15 antibody comprises a VH domain of SEQ ID No:3 and a VL domain of SEQ ID NO:40.
- the 16-G5 antibody comprises a VH domain of SEQ ID No:3 and a VL domain of SEQ ID NO:53.
- the 17-C20 antibody comprises a VH domain of SEQ ID No:3 and a VL domain of SEQ ID NO:66.
- the 24- G6 antibody comprises a VH domain of SEQ ID No:3 and a VL domain of SEQ ID NO:79.
- these antibodies have the same heavy chain as 3-171 but different light chains the sequences of which are shown in Tables 2, 3, 4, 5 and 6, respectively.
- Antibodies comprising these CDR domains or VH and VL domains (or sequences substantially homologous thereto) are preferred aspects of the invention.
- a preferred embodiment of the invention is a scFv form of the 3-17I antibody shown in SEQ ID N0:21 (amino acid), which is preferably encoded by SEQ ID NO:20 (nucleic acid).
- Another embodiment of the invention is a scFv form of the 7-F17 antibody shown in SEQ ID NO:36 (amino acid), which is preferably encoded by SEQ ID NO:35 (nucleic acid).
- Another embodiment of the invention is a scFv form of the 12-C15 antibody shown in SEQ ID NO:49 (amino acid), which is preferably encoded by SEQ ID NO:48 (nucleic acid).
- Another embodiment of the invention is a scFv form of the 16-G5 antibody shown in SEQ ID NO:62 (amino acid), which is preferably encoded by SEQ ID NO:61 (nucleic acid).
- Another embodiment of the invention is a scFv form of the 17-C20 antibody shown in SEQ ID NO:75 (amino acid), which is preferably encoded by SEQ ID NO:74 (nucleic acid).
- Another embodiment of the invention is a scFv form of the 24-G6 antibody shown in SEQ ID NO:88 (amino acid), which is preferably encoded by SEQ ID NO:87 (nucleic acid).
- Another preferred embodiment of the invention is a full length IgG form of the 3-171 antibody, the heavy chain of which is shown in SEQ ID NO:24 (amino acid), which is preferably encoded by SEQ ID NO:22 (nucleic acid); and the light chain of which is shown in SEQ ID NO:25 (amino acid), which is preferably encoded by SEQ ID NO:23 (nucleic acid).
- Full length IgG forms of the 7-F17, 12-C15, 16-G5, 17-C20 and 24-G6 antibodies are also preferred embodiments.
- preferred antibodies of the invention comprise the VH and VL domains of 3-171, i.e. comprise SEQ ID NO:3 and SEQ ID NO:4 or sequences substantially homologous thereto.
- Other preferred antibodies comprise the VH and VL domains of 7-F17, 12-C15, 16-G5, 17-C20 and 24-G6, or sequences substantially homologous thereto.
- the VL CDR2 domain has or comprises an amino acid sequence of G A S T X 5 A X 7 (SEQ ID NO:37) or a sequence substantially homologous thereto, wherein X 5 and X 7 can be any amino acid.
- X 5 can be R or T, preferably T.
- X 7 can be T or S, preferably S.
- a preferred VL CDR2 has or comprises an amino acid sequence of G A S T R/T A T/S (SEQ ID NO:38). See also Table 7.
- the VL CDR3 domain has or comprises an amino acid sequence of Q X 2 Y N X 5 W P P X 9 X 10 T (SEQ ID NO:89) or a sequence substantially homologous thereto, wherein X 2 , X 5 , X 9 and Xio can be any amino acid.
- X 2 can be Q or H or K, preferably Q.
- X 5 can be N or D, preferably N.
- X 9 can be G or T or S or M or A, preferably A.
- X 10 can be F or W or Y, preferably Y.
- a preferred VL CDR3 has or comprises an amino acid sequence of Q Q/H/K Y N N/D W P P G/T/S/M/A F/W/Y T (SEQ ID NO:90). See also Table 7.
- substantially homologous sequences are sequences that have at least 70% identity to the amino acid sequences disclosed.
- the antibodies of the invention that bind to EpCAM comprise at least one light chain variable region that includes an amino acid sequence region of at least about 70% or 75%, more preferably at least about 80%, more preferably at least about 85%, more preferably at least about 90% or 95% and most preferably at least about 97%, 98% or 99% amino acid sequence identity to the amino acid sequence of SEQ ID NOs:4, 27, 40, 53, 66 or 79; and/or at least one heavy chain variable region that includes an amino acid sequence region of at least about 70% or 75%, more preferably at least about 80%, more preferably at least about 85%, more preferably at least about 90% or 95% and most preferably at least about 97%, 98% or 99% amino acid sequence identity to the amino acid sequence of SEQ ID NO:3.
- substantially homologous sequences are sequences containing conservative amino acid substitutions of the amino acid sequences disclosed.
- Other preferred examples of substantially homologous sequences are sequences containing 1 , 2 or 3, preferably 1 or 2, altered amino acids in one or more of the CDR regions disclosed. Such alterations might be conserved or non- conserved amino acid substitutions, or a mixture thereof.
- preferred alterations are conservative amino acid substitutions.
- the antibodies containing substantially homologous sequences retain the ability to bind EpCAM and preferably retain one or more of the other properties described herein, e.g. the ability to bind at least to human EpCAM, preferably to human and monkey EpCAM.
- Other embodiments of the present invention provide binding proteins that bind to EpCAM and that comprise an antibody of the invention, a VH or VL domain of the invention, or one or more of the CDRs of the invention. In a preferred embodiment, such binding proteins are antibodies. Preferred combinations of VH, VL and CDR domains for use in such binding proteins are discussed elsewhere herein.
- EpCAM Epithelial Cell Adhesion Molecule. EpCAM may also be referred to as EGP-2, 17-1 A, HEA125, MK-1 , GA733-2, EGP34, KSA, TROP-1 , ESA, TACSTD1 or KS1/4.
- EpCAM may also refer to any form of EpCAM, particularly as EpCAM is conserved across mammalian species (Trzpis et al., 2008, Transgenic Res 17:229- 238).
- the antibodies or antibody fragments of the invention may thus bind to human, monkey (e.g. cynomolgus monkey), cow (bovine), mouse, rat, hamster, ferret, guinea pig and/or rabbit EpCAM, for example.
- the antibodies or antibody fragments of the invention will bind at least to human EpCAM.
- the antibodies or antibody fragments of the invention will bind at least to human and monkey (e.g. cynomologus monkey) EpCAM.
- the antibodies or antibody fragments of the invention will bind at least to human and mouse EpCAM. In other preferred embodiments the antibodies or antibody fragments of the invention will bind at least to human, monkey and mouse EpCAM.
- EpCAM may be free EpCAM, e.g. recombinant or purified EpCAM, or may be present in a native form, e.g. on the surface of a cell.
- the antibodies or binding proteins of the invention can also bind to fragments of EpCAM, in particular fragments comprising or consisting of the extracellular domain, or can bind to entities comprising EpCAM or fragments of EpCAM. Indeed, the epitopes of the antibodies of the invention are located in the extracellular domain of EpCAM.
- the term "that binds to EpCAM” or "anti-EpCAM” in the context of antibodies or antibody fragments of the present invention means antibodies or antibody fragments that are capable of one or more of the following; preferably, of more than one of the following; and most preferably, of all of the following:
- EpCAM binds to free EpCAM; e.g. recombinantly expressed EpCAM, on a solid support, e.g. as assessed by ELISA assay or BIAcore assay;
- (c) bind to EpCAM expressed on the surface of a cell, e.g. as assessed by flow cytometry or immunohistochemistry; (d) bind at least to human EpCAM, more preferably to human and monkey EpCAM or to human and mouse EpCAM, most preferably to human, monkey and mouse EpCAM;
- Preferred antibodies or antibody fragments of the present invention are also capable of one or more of the following; preferably, of more than one of the following; and most preferably, of all of the following functional properties:
- preferred properties include the absence of significant toxicity in vivo when the antibodies of the invention are administered and the absence of significant other side effects in vivo, e.g. side effects such as pancreatitis or other collateral damage to normal tissues which have for example been observed with other anti- EpCAM antibodies.
- the antibodies of the invention may also inhibit or significantly reduce the function of EpCAM or prevent or reduce the interaction of EpCAM with its natural ligands.
- Another preferred (but not essential) property of the antibodies of the invention is a capability to have a therapeutic effect in a monospecific format, i.e. in a format in which only one antibody specificity is present.
- an antibody as used herein, means “at least a first antibody”.
- Preferred embodiments of the invention are compositions comprising at least one anti-EpCAM antibody of the invention, or antigen binding fragment thereof.
- Nucleic acid molecules comprising nucleotide sequences that encode the antibodies of the present invention as defined herein or parts or fragments thereof, or nucleic acid molecules substantially homologous thereto, form yet further aspects of the invention.
- Preferred nucleic acid molecules comprise sequences which encode the amino acid sequence set out in SEQ ID NO:21 (which is preferably encoded by SEQ ID NO:20).
- nucleic acid molecules comprise sequences which encode the amino acid sequence set out in SEQ ID NO:36 (which is preferably encoded by SEQ ID NO:35), or sequences which encode the amino acid sequence set out in SEQ ID NO:49 (which is preferably encoded by SEQ ID NO:48), or sequences which encode the amino acid sequence set out in SEQ ID NO:62 (which is preferably encoded by SEQ ID NO:61 ), or sequences which encode the amino acid sequence set out in SEQ ID NO:75 (which is preferably encoded by SEQ ID NO:74), or sequences which encode the amino acid sequence set out in SEQ ID NO:88 (which is preferably encoded by SEQ ID NO:87).
- nucleic acid molecules comprise sequences which encode a heavy chain that has the amino acid sequence of SEQ ID NO:24 (which is preferably encoded by SEQ ID NO:22) and/or comprise sequences which encode a light chain which has the amino acid sequence of SEQ ID NO:25 (which is preferably encoded by SEQ ID NO:23), or a light chain which has the amino acid sequence of SEQ ID NO:51 (which is preferably encoded by SEQ ID NO:50), or a light chain which has the amino acid sequence of SEQ ID NO:64 (which is preferably encoded by SEQ ID NO:63), or a light chain which has the amino acid sequence of SEQ ID NO:77 (which is preferably encoded by SEQ ID NO:76).
- nucleic acid molecules comprise sequences that encode IgG forms of the antibodies of the invention, for example those as described in Example 1 , or murine chimeric forms.
- nucleic acid molecules encompassed by the present invention are those encoding parts or fragments of the human antibodies of the present invention, e.g., those encoding a heavy chain of an antibody (e.g., those encoding SEQ ID NO:24, such as SEQ ID NO:22) or those encoding a light chain of an antibody (e.g., those encoding SEQ ID NO:25, such as SEQ ID NO:23).
- Other preferred nucleic acid molecules are those encoding a VH region of an antibody of the present invention (e.g., those encoding SEQ ID NO:3, such as SEQ ID NO:1 .
- nucleic acid molecules are those encoding a VL region of an antibody of the present invention (e.g., those encoding SEQ ID NO:4, such as SEQ ID NO:2, those encoding SEQ ID NO:27, such as SEQ ID NO:26, those encoding SEQ ID NO:40, such as SEQ ID NO:39, those encoding SEQ ID NO:53, such as SEQ ID NO:52, those encoding SEQ ID NO:66, such as SEQ ID NO:65, or those encoding SEQ ID NO:79, such as SEQ ID NO:78).
- fragments of the antibodies of the invention as defined herein, or sequences substantially homologous thereto, or nucleic acid molecules comprising sequences encoding such fragments form a yet further aspect of the invention.
- the high affinity anti-EpCAM antibodies have intolerable toxicity profiles, since they cannot distinguish the malignant and normal tissues. Therefore, a therapeutic window may exist only for low affinity antibodies such as edrecolomab and MT201.
- the low affinity antibodies have relatively low efficacy in tumor eradication. For example, according to the Mircromet website, Adecatumumab (MT201 ) missed primary endpoint (i.e., 25 percent clinical benefit rate at week 24) as a single agent in Phase Il trials for treatment of metastatic breast and prostate cancer.
- the antibodies of the present invention when in IgG format, have unique features of EpCAM-binding affinity.
- the antibodies of the present invention have very high on-rates (of the order of 10 7 M " V) which determine quick recognition and binding to target cells, and, at the same time, relatively high off-rates (10 "2 -10 3 s "1 ) that determine quick antibody dissociation with half-lives on the cell surface of 3-4 min.
- This unique binding profile will potentially lead to a combination of high antitumor efficacy with low toxicity profile.
- This kinetic profile which is distinctively different from what is shown in the prior art, may result in different (and potentially superior) pharmocokinetics of the antibody when used in vivo.
- the kinetic constants are determined by testing various concentrations of the test antibody against fixed concentrations of immobilized antigen (EpCAM) in vitro by using commercially available binding model software, such as the 1 :1 binding model (e.g. the Langmuir binding model) in the BIAcore T100 model.
- a suitable assay is described in Example 3 for illustrative purposes.
- the constants are determined by immobilizing antigen (EpCAM) on a solid support, e.g. a BIAcore chip, and assessing the binding of the antibody to the antigen.
- the binding affinity is assessed at 37°C (e.g. body temperature), although it may also be assessed at other temperatures, e.g. room temperature, e.g. a temperature of 25 0 C.
- the off-rate and the antibody half-life on the surface of the EpCAM positive cell can be determined by performing the cell surface retention assay (Adams et al., 1998, Br J Cancer 77: 1405-12; Le GaII et al., 1999, FEBS Lett 453: 164-8).
- the latter method allows more appropriate mimicking the real situation in human patient under the treatment conditions.
- the antibodies of the present invention when in IgG format, have a relatively high binding affinity for EpCAM, i.e., have a Kd in the range of 1x10 '8 M or 1x10 "9 M or less.
- the antibodies of the invention when in IgG format, have a binding affinity for EpCAM (preferably human EpCAM) that corresponds to a Kd of less than 20 nM, 15 nM or 10 nM, more preferably of less than 10, 9.5, 9, 8.5, 8, 7.5, 7, 6.5, 6, 5.5, 5, 4.5, 4, 3.5, 3, 2.5, 2, 1.5, 1 , 0.9, 0.8, 0.7, 0.6, 0.5, 0.4, 0.3, 0.2 or 0.1 nM,
- EpCAM preferably human EpCAM
- antibodies with higher Kds may equally be used in the present invention providing they have the appropriate functional properties as described elsewhere herein.
- Kd is determined by testing various concentrations of the test antibody against various concentrations of immobilized antigen (EpCAM) in vitro to establish a saturation curve, for example using the Lineweaver-Burk method, or preferably by using commercially available binding model software, such as the 1 :1 binding model (e.g. the Langmuir binding model) in the BIAcore T100 model.
- EpCAM immobilized antigen
- the Kd is determined by immobilizing antigen (EpCAM), preferably free antigen, e.g.
- the binding affinity is assessed at 37 0 C (e.g. body temperature), although it may also be assessed at other temperatures, e.g. room temperature, e.g. a temperature of 25 0 C.
- IgG forms of the antibodies are used to determine binding affinity.
- preferred antibodies of the invention bind to both human EpCAM and monkey EpCAM. Such cross-reactivity between species and in particular between humans and species commonly used as pre-clinical animal models is an important advantage as it allows a more effective translation from preclinical studies to clinical use.
- having an antibody which cross reacts with the native EpCAM present in the particular animal model used means that the results in this model are more likely to reflect the situation in a human patient, thereby allowing a more accurate assessment of for example dosing to be made and an increased likelihood of identifying any potentially relevant or problematic side effects. This is especially the case if the antibody has similar affinity to both monkey and human EpCAM.
- an antibody of the invention to bind to both human EpCAM and monkey EpCAM means that such antibodies can be tested in preclinical toxicity studies to assess adverse side effects of the treatment and to find appropriate tolerated dosages.
- the ability to bind both human EpCAM and mouse EpCAM means that the results shown by such antibodies of the invention in mouse models, e.g. mouse syngeneic models using immunocompetent mice, are more likely to be representative of the activity of the antibodies in human subjects. This is especially the case if the antibody has similar affinity to both murine and human EpCAM.
- the antitumor effect seen in a mouse xenograft system with an antibody which can bind to human EpCAM but not mouse EpCAM might look better than the clinical reality.
- this will bind to all forms of EpCAM present in the mouse model system and is likely to be more representative of the situation when the antibody is put into humans. This is especially the case if the antibody has similar affinity to both murine and human EpCAM.
- preferred antibodies of the invention bind to human and monkey EpCAM or to human and mouse EpCAM with similar affinities or similar on-rates or similar off-rates, e.g. as described elsewhere herein.
- similar affinity By “similar affinity”, “similar on-rate” or “similar off-rate” is also meant that the binding affinity, on-rate or off-rate, as appropriate, of the antibody for human EpCAM and for one or more of the other species of interest (e.g. monkey or mouse) is comparable, e.g. is not more than a factor of 20 different. More preferably the difference between the binding affinities is less than a factor of 15, more preferably less than a factor of 10, most preferably less than a factor of 5, 4, 3 or 2.
- the antibodies of the invention may bind to a different epitope to the known anti-EpCAM antibodies which have been analysed.
- the epitope appears to be different from the epitope of the MOC31 antibody, as the MOC31 epitope on human EpCAM is still present after subjecting EpCAM to reducing conditions, whereas the epitope of the preferred antibody of the present invention, 3-171, is apparently destroyed under such conditions (see Example 3).
- the epitope recognised by the antibodies of the invention e.g. 3-171
- the results showing that the 3-17I antibody (and other antibodies of the invention) binds to both human and monkey EpCAM, whereas the MT201 antbody only binds to human EpCAM are indirect evidence of this.
- a yet further embodiment of the invention provides an antibody, preferably an isolated antibody, more preferably a human antibody, which binds to an epitope in the extracellular domain of EpCAM and which has the ability to compete with the 3-171 antibody (i.e. an antibody comprising the VL of SEQ ID NO:4 and the VH of SEQ ID NO:3) as described herein, or the ability to compete with an antibody comprising the same CDRs as 3-171, i.e. an antibody comprising VL CDR sequences of SEQ ID NOs: 8, 9 and 10 and VH CDR sequences of SEQ ID NOs: 5, 6 and 7, for binding to EpCAM.
- Antibodies which compete with the 7-F17, 12-C15, 16-G5, 17- C20 or 24-G6 antibodies for binding to EpCAM are also preferred.
- Binding to the same epitope/antigen can be readily tested by methods well known and described in the art, e.g. using binding assays, e.g. a competitive inhibition assay.
- binding assays can be used to identify other antibodies and antibody fragments with the same binding specificities as the antibodies and antibody fragments of the invention.
- a competition binding assay can be used to find such other antibodies. The method described below is only one example of a suitable competition assay. The skilled person will be aware of other suitable methods and variations.
- a competition assay is performed using flow cytometry, some quantities of the tested antibody should be labeled, e.g. by biotinylation.
- the functionality (retention of the cell-binding properties) of the biotinylated product and the minimal concentration of the biotinylated antibody of the invention (Ab1 ) that gives sub-maximal binding against a fixed number of tumor cells, e.g. breast cancer cells, is determined.
- a total of 10 6 cells are harvested from exponentially growing cultures and incubated with various antibody concentrations for 1 hr at 4 Q C. The cells are washed and incubated with a suitable detection antibody for an additional hour at 4 Q C. After washing, the cells are analyzed by flow cytometry. For each test antibody, a saturation curve is generated from the data by plotting median fluorescence intensity (MFI) against the antibody concentration.
- MFI median fluorescence intensity
- tumor cells e.g. breast cancer cells
- bio-Ab1 labeled (biotinylated) antibody
- the fixed concentration is the minimal concentration of antibody that generates reasonable fluorescence signal against a fixed number of tumor cells as determined above.
- this fixed concentration in nM should be below the affinity of the teated antibody at equilibrium (K D ).
- the described method can be used for estimation of affinities of competitive antibodies (Schodin and Kranz, 1993, J Biol Chem 268: 25722-7).
- the antibody mixture is incubated with target cells for 1 hr at 4 Q C.
- % inhibition (1 - MFI blo Ab1+ Ab2 c / MFI blo Ab1 ) x 100. is calculated.
- the percent inhibition is compared to a control value and a percent inhibition that has a statistically significant difference from the control percent inhibition indicates that the test antibody is capable of binding the same epitope/antigen.
- the statistically significant difference has a probability value of ⁇ 0.05. Appropriate methods of determining statistical significance are well known and documented in the art and any of these may be used.
- the test antibody reduces the amount of antibody of the invention that binds to EpCAM by at least about 95%.
- such antibodies have one or more of the other binding and functional properties as defined elsewhere herein, for example in points (a) to (j) above.
- the antibodies of the invention bind to EpCAM.
- the antibodies or binding proteins of the invention can be used to detect EpCAM in vivo or in vitro.
- the antibodies or binding proteins of the invention can be used to detect tumor cells in vivo or in vitro.
- the ability of the antibodies to localize to tumor cells means that the antibodies of the invention can target body sites at which tumor cells are present, whereupon the antibody can act at the target site.
- the antibody may induce an anti-tumor effect itself i.e. as a naked antibody, e.g.
- the antibody can induce an anti-tumor effect by virtue of being conjugated to an additional therapeutic molecule, e.g. a toxin or other anti-cancer molecule as described herein.
- an additional therapeutic molecule e.g. a toxin or other anti-cancer molecule as described herein.
- the antibodies of the invention preferably have the ability to induce ADCC of tumor cells in vitro, e.g. tumor cells which express EpCAM, e.g. breast cancer cells or gastric cancer cells, etc.
- a suitable in vitro test for ADCC is described in Example 4 .
- the antibodies of the invention may for example cause at least 30%, 40%, 50%, 60%, 70%, 80% or 90% killing of tumor cells in vitro, e.g., in the presence of human PBMCs. Examples of appropriate tumor cells which can be used in such tests or assays are provided in Example 4, but generally any tumor cell which expresses EpCAM can be used.
- the 3-171 antibody of the invention has been shown to have the ability to cause at least 30%, 40%, 50% or 60% killing of the breast cancer cell line BT-474 in vitro in the presence of human PBMCs; at least 30%, 40%, 50%, 60% or 70% killing of the breast cancer cell line MDA-MB-453 in vitro in the presence of human PBMCs and at least 30%, 40%, 50%, 60%, 70%, 80% or 90% killing of the breast cancer cell line MDA-MB-231 in vitro in the presence of human PBMCs.
- levels of killing are preferred for the antibodies of the invention.
- Such levels of killing are significantly higher than those observed for the current best anti-EpCAM antibody undergoing clinical trials (i.e. MT201 ), see Example 4.
- the antibodies of the invention are preferably also shown to be particularly potent in terms of the low concentration of antibody required to achieve such ADCC levels.
- EC 50 half maximal cell lysis
- the antibody concentration required for half maximal cell lysis (EC 50 ) of tumor cells, e.g. breast cancer cells, in vitro is preferably less than 30ng/ml, 25ng/ml, 20ng/ml, 15ng/ml, 10ng/ml, 5ng/ml, 2ng/ml, 1 ng/ml, 0.5ng/ml or 0.25ng/ml or 0.20ng/ml or 0.15ng/ml.
- the 3-171 antibody of the invention has been shown to have an EC 50 of as low as 0.08 ng/ml for MDA-MB-453 cells, 0.12 ng/ml for B7474 cells and 15ng/ml for MDA-MB-231 cells, all of which are significantly lower than the EC 50 values measured in parallel experiments for MT201 . Again, these results show a clear superiority of the preferred antibodies of the present invention over the MT201 prior art antibody.
- the antibodies of the invention preferably have the ability to induce CDC of tumor cells in vitro, e.g. tumor cells which express EpCAM, e.g. breast cancer cells or gastric cancer cells, etc.
- a suitable in vitro test for CDC is described in Example 4 .
- the antibodies of the invention may for example cause at least 70%, 80%, 90%, 95% or even up to 100% killing of tumor cells in vitro, e.g., in the presence of human serum. Examples of appropriate tumor cells which can be used in such tests or assays are provided in Example 4 but generally any tumor cell which expresses EpCAM can be used.
- the 3-17I antibody of the invention has been shown to have the ability to cause at least 70%, 80%, 90% or 95% killing of the breast cancer cell line MT-3 in vitro in the presence of human serum, indeed approximately 100% killing was shown; and to cause at least at least 70%, 80%, 90% or 95% killing of the gastric cancer cell line KATO III in vitro in the presence of human serum, indeed again approximately 100% killing was shown.
- levels of killing are preferred for the antibodies of the invention and are comparable to those observed for the current best anti-EpCAM antibody undergoing clinical trials (i.e. MT201 ), see Example 4.
- the antibodies of the invention are preferably also shown to be particularly potent in terms of the low concentration of antibody required to achieve such CDC levels. Again, a suitable in vitro test is described in Example 4 .
- EC 50 half maximal cell lysis
- breast cancer cells or gastric cancer cells, etc., in vitro is preferably less than 60ng/ml, 50ng/ml, 40ng/ml, 30ng/ml, 25ng/ml, 20ng/ml, 15ng/ml, 10ng/ml, 5ng/ml, 2ng/ml, 1 ng/ml, 0.75ng/ml, 0.5ng/ml, 0.4ng/ml or 0.3ng/ml.
- the 3-171 antibody of the invention has been shown to have an EC 50 of as low as 0.28 ng/ml for KATO III cells and 0.38 ng/ml for MT-3 cells, all of which are significantly lower than the EC 50 values measured in parallel experiments for MT201 .
- the antibodies of the invention show improved ATCC and CDC activity over at least the prior art antibody MT201 , which is recognized as being particularly effective in this regard.
- Such an effect demonstrates that the antibodies of the invention may be used to recruit the patients' immune system to combat tumor cells (i.e. can be useful therapeutically without the need for an additional active agent).
- the ability to induce ATCC to such a high level and with such a high potency is clearly an advantagous property.
- preferred antibodies of the invention have the ability to induce ADCC and/or CDC.
- ADCC and/or CDC activity may be assayed in vivo or in vitro.
- preferred antibodies of the invention display anti-tumor activity. Such anti-tumor activity may be assayed in vitro or in vivo.
- the antibodies of the invention preferably have the ability to inhibit the growth of tumor cells, e.g. breast cancer cells. Said inhibition might be demonstrated in vitro or in vivo.
- the above described abilities and properties are observed at a measurable or significant level and more preferably at a statistically significant level, when compared to appropriate control levels. Appropriate significance levels are discussed elsewhere herein. More preferably, one or more of the above described abilities and properties are observed at a level which is measurably better, or more preferably significantly better, when compared to the abilities observed for prior art antibodies.
- Some antibodies are capable of being internalized into the cells to which they become bound. Thus, in some embodiments of the invention the antibodies are capable of being internalized. This property is particularly advantageous for use in immunoconjugates as any other agent attached to the antibody molecule should be internalized with the antibody molecule. In other embodiments no signficant internalization is seen.
- antibody and "immunoglobulin”, as used herein, refer broadly to any immunological binding agent or molecule that comprises a human antigen binding domain, including polyclonal and monoclonal antibodies. Depending on the type of constant domain in the heavy chains, whole antibodies are assigned to one of five major classes: IgA, IgD, IgE, IgG, and IgM and the antibodies of the invention may be in any one of these classes. Several of these are further divided into subclasses or isotypes, such as IgGI , lgG2, lgG3, lgG4, and the like.
- the heavy- chain constant domains that correspond to the difference classes of immunoglobulins are termed ⁇ , ⁇ , ⁇ , ⁇ and ⁇ , respectively.
- the subunit structures and three- dimensional configurations of different classes of immunoglobulins are well known.
- IgG and/or IgM are preferred because they are the most common antibodies in the physiological situation and because they are most easily made in a laboratory setting. In some embodiments however IgA antibodies are preferred.
- the "light chains” of mammalian antibodies are assigned to one of two clearly distinct types: kappa (K) and lambda ( ⁇ ), based on the amino acid sequences of their constant domains and some amino acids in the framework regions of their variable domains. There is essentially no preference to the use of K or ⁇ light chain constant regions in the antibodies of the present invention.
- the immunological binding reagents encompassed by the term "antibody” extend to all human antibodies and antigen binding fragments thereof, including whole antibodies, dimeric, trimeric and multimeric antibodies; bispecific antibodies; chimeric antibodies; recombinant and engineered antibodies, and fragments thereof.
- antibody is thus used to refer to any antibody-like molecule that has an antigen binding region, and this term includes antibody fragments that comprise an antigen binding domain such as Fab', Fab, F(ab') 2 , single domain antibodies (DABs), TandAbs dimer, Fv, scFv (single chain Fv), dsFv, ds-scFv, Fd, linear antibodies, minibodies, diabodies, bispecific antibody fragments, bibody, tribody (scFv-Fab fusions, bispecific or trispecific, respectively); sc-diabody; kappa(lamda) bodies (scFv-CL fusions); BiTE (Bispecific T-cell Engager, scFv-scFv tandems to attract T cells); DVD-Ig (dual variable domain antibody, bispecific format); SIP (small immunoprotein, a kind of minibody); SMIP ("small modular immunopharmaceutical" scFv-
- F(ab') 2 fragments can be generated by treating the antibody with pepsin.
- the resulting F(ab') 2 fragment can be treated to reduce disulfide bridges to produce Fab' fragments.
- Papain digestion can lead to the formation of Fab fragments.
- Fab, Fab' and F(ab') 2 , scFv, Fv, dsFv, Fd, dAbs, TandAbs, ds-scFv, dimers, minibodies, diabodies, bispecific antibody fragments and other fragments can also be synthesized by recombinant techniques or can be chemically synthesized. Techniques for producing antibody fragments are well known and described in the art.
- the antibodies or antibody fragments can be produced naturally or can be wholly or partially synthetically produced.
- the antibody may be from any appropriate source, for example recombinant sources and/or produced in transgenic animals or transgenic plants, or in eggs using the IgY technology.
- the antibody molecules can be produced in vitro or in vivo.
- the antibody or antibody fragment comprises an antibody light chain variable region (V L ) that comprises three CDR domains and an antibody heavy chain variable region (V H ) that comprises three CDR domains.
- V L and VH generally form the antigen binding site.
- An "Fv" fragment is the minimum antibody fragment that contains a complete antigen-recognition and binding site. This region has a dimer of one heavy chain and one light chain variable domain in tight, non-covalent association. It is in this configuration that the three hypervariable regions (CDRs) of each variable domain interact to define an antigen-binding site on the surface of the V H -V L dimer. Collectively, the six hypervariable regions (CDRs) confer antigen-binding specificity to the antibody.
- camelid antibodies Hamers-Casterman et al., 1993; Arbabi Ghahroudi et al., 1997) have an extensive antigen binding repertoire but are devoid of light chains.
- results with single domain antibodies comprising VH domains alone show that these domains can bind to antigen with acceptably high affinities.
- VH domains alone Ward et al., 1989; Davies and Riechmann, 1995
- VL domains alone van den Beucken et al., 2001
- van den Beucken et al., 2001 show that these domains can bind to antigen with acceptably high affinities.
- three CDRs can effectively bind antigen.
- a single CDR can effectively bind antigen.
- a single CDR can be inserted into a heterologous protein and confer antigen binding ability on the heterologous protein, as exemplified by showing that a VH CDR3 region inserted into a heterologous protein, such as GFP, confers antigen binding ability on the heterologous protein (Kiss et al., 2006; Nicaise et al., 2004).
- two CDRs can effectively bind antigen, and even confer superior properties than possessed by the parent antibody.
- two CDRs from a parent antibody a VH CDR1 and a VL CDR3 region
- Joining these CDR domains with an appropriate linker sequence e.g., from VH FR2 to orientate the CDRs in a manner resembling the native parent antibody produced even better antigen recognition.
- antigen binding antibody mimetics comprising two CDR domains (preferably one from a VH domain and one from a VL domain, more preferably, with one of the two CDR domains being a CDR3 domain) orientated by means of an appropriate framework region to maintain the conformation found in the parent antibody.
- preferred antibodies of the invention might comprise six CDR regions (three from a light chain and three from a heavy chain), antibodies with fewer than six CDR regions and as few as one or two CDR regions are encompassed by the invention.
- antibodies with CDRs from only the heavy chain or light chain are also contemplated.
- Preferred antibodies of the invention that bind to EpCAM comprise at least one heavy chain variable region that comprises three CDRs and at least one light chain variable region that comprises three CDRs, wherein said heavy chain variable region comprises:
- VH CDR3 that has the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto;
- VH variable heavy
- VH CDR2 that has the amino acid sequence of SEQ ID NO:6 or a sequence substantially homologous thereto
- VH CDR3 that has the amino acid sequence of SEQ ID NO:7 or a sequence substantially homologous thereto.
- light chain variable regions that comprise three CDRs for use in conjunction with the heavy chain variable regions of the invention are also contemplated.
- Appropriate light chain variable regions which can be used in combination with the heavy chain variable regions of the invention and which give rise to an antibody which binds EpCAM can be readily identified by a person skilled in the art.
- a heavy chain variable region of the invention can be combined with a single light chain variable region or a repertoire of light chain variable regions and the resulting antibodies tested for binding to EpCAM. If desired, similar methods could be used to identify alternative heavy chain variable regions for use in combination with preferred light chain variable regions of the invention.
- the antibody or antibody fragment comprises all or a portion of a heavy chain constant region, such as an IgGI , lgG2, lgG3, lgG4, IgAI , lgA2, IgE, IgM or IgD constant region.
- the heavy chain constant region is an IgGI heavy chain constant region, or a portion thereof.
- the antibody or antibody fragment can comprise all or a portion of a kappa light chain constant region or a lambda light chain constant region, or a portion thereof. All or part of such constant regions may be produced naturally or may be wholly or partially synthetic. Appropriate sequences for such constant regions are well known and documented in the art. When a full complement of constant regions from the heavy and light chains are included in the antibodies of the invention, such antibodies are typically referred to herein as "full length" antibodies or "whole" antibodies
- Antibodies containing an Fc region are preferred for certain uses, particularly therapeutic uses in vivo, where the Fc region mediates effector functions such as ADCC and CDC.
- substantially homologous as used herein in connection with an amino acid or nucleic acid sequence includes sequences having at least 70% or 75%, preferably at least 80%, and even more preferably at least 85%, 90%, 95%, 96%, 97%, 98% or 99%, sequence identity to the amino acid or nucleic acid sequence disclosed.
- Substantially homologous sequences of the invention thus include single or multiple base or amino acid alterations (additions, substitutions, insertions or deletions) to the sequences of the invention.
- preferred substantially homologous sequences contain up to 5, e.g.
- the amino acid substitutions of the substantially homologous sequences may be in residues other than the X residues, e.g. in 1 , 2 or 3 residues other than the X residues, or the substitutions may be in the X residues, e.g. in 1 , 2, or 3 of the X residues.
- the substantially homologous nucleic acid sequences also include nucleotide sequences that hybridize to the nucleic acid sequences disclosed (or their complementary sequences), e.g., hybridize to nucleotide sequences encoding one or more of the light chain or heavy chain CDRs of the invention, the light or heavy chain variable regions of the invention, or the antibodies of the invention (or hybridize to their complementary sequences), under at least moderately stringent hybridization conditions.
- substantially homologous also includes modifications or chemical equivalents of the amino acid and nucleotide sequences of the present invention that perform substantially the same function as the proteins or nucleic acid molecules of the invention in substantially the same way.
- any substantially homologous antibody (or the substantially homologous nucleic acid encoding it) should retain the ability to bind to EpCAM as described above.
- any substantially homologous antibody should retain the functional capabilities of the antibody, e.g. as defined elsewhere herein, for example the ability to bind to at least human and monkey EpCAM.
- any substantially homologous antibody should retain the ability to specifically bind to the same epitope of EpCAM as recognized by the antibody in question, for example, the same epitope recognized by the CDR domains of the invention or the VH and VL domains of the invention as described herein. Binding to the same epitope/antigen can be readily tested by methods well known and described in the art, e.g., using binding assays, e.g., a competition assay. Retention of other functional properties can also readily be tested by methods well known and described in the art.
- binding assays can be used to test whether “substantially homologous" antibodies have the same binding specificities as the antibodies and antibody fragments of the invention, for example, binding assays such as ELISA assays or BIAcore assays can readily be used to establish whether such "substantially homologous" antibodies can bind to EpCAM.
- binding assays such as ELISA assays or BIAcore assays can readily be used to establish whether such "substantially homologous” antibodies can bind to EpCAM.
- a competition binding assay can be used to test whether "substantially homologous" antibodies retain the ability to specifically bind to substantially the same epitope of EpCAM as recognized by the antibodies of the invention, or have the ability to compete with one or more of the various antibodies of the invention (e.g. 3-171). The method described below is only one example of a suitable competition assay.
- An exemplary competition assay involves assessing the binding of various effective concentrations of an antibody of the invention to EpCAM in the presence of varying concentrations of a test antibody ⁇ e.g., a substantially homologous antibody). The amount of inhibition of binding induced by the test antibody can then be assessed.
- a test antibody that shows increased competition with an antibody of the invention at increasing concentrations i.e., increasing concentrations of the test antibody result in a corresponding reduction in the amount of antibody of the invention binding to EpCAM
- the test antibody significantly reduces the amount of antibody of the invention that binds to EpCAM.
- the test antibody reduces the amount of antibody of the invention that binds to EpCAM by at least about 95%.
- ELISA and flow cytometry assays are appropriate for assessing inhibition of binding in such a competition assay but other suitable techniques would be well known to a person skilled in the art.
- Substantially homologous sequences of proteins of the invention include, without limitation, conservative amino acid substitutions, or for example alterations that do not effect the VH, VL or CDR domains of the antibodies, e.g., include scFv antibodies where a different linker sequence is used or antibodies where tag sequences or other components are added that do not contribute to the binding of antigen, or alterations to convert one type or format of antibody molecule or fragment to another type or format of antibody molecule or fragment (e.g., conversion from Fab to scFv or vice versa), or the conversion of an antibody molecule to a particular class or subclass of antibody molecule ⁇ e.g., the conversion of an antibody molecule to IgG or a subclass thereof, e.g., IgGI or lgG3).
- a “conservative amino acid substitution”, as used herein, is one in which the amino acid residue is replaced with another amino acid residue having a similar side chain.
- Families of amino acid residues having similar side chains have been defined in the art, including basic side chains ⁇ e.g., lysine, arginine, histidine), acidic side chains ⁇ e.g., aspartic acid, glutamic acid), uncharged polar side chains ⁇ e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine), nonpolar side chains ⁇ e.g., glycine, cysteine, alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan), beta-branched side chains ⁇ e.g., threonine, valine, isoleucine) and aromatic side chains ⁇ e.g., tyrosine, pheny
- Homology may be assessed by any convenient method. However, for determining the degree of homology between sequences, computer programs that make multiple alignments of sequences are useful, for instance Clustal W (Thompson et ai, 1994). If desired, the Clustal W algorithm can be used together with BLOSUM 62 scoring matrix (Henikoff and Henikoff, 1992) and a gap opening penalty of 10 and gap extension penalty of 0.1 , so that the highest order match is obtained between two sequences wherein at least 50% of the total length of one of the sequences is involved in the alignment.
- Clustal W Thompson et ai, 1994
- BLOSUM 62 scoring matrix Henikoff and Henikoff, 1992
- gap opening penalty 10
- gap extension penalty of 0.1
- sequences according to the present invention having 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98% or 99% homology, sequence identity etc. may be determined using the ALIGN program with default parameters (for instance available on Internet at the GENESTREAM network server, IGH, adjoin, France).
- At least moderately stringent hybridization conditions conditions are selected that promote selective hybridization between two complementary nucleic acid molecules in solution. Hybridization may occur to all or a portion of a nucleic acid sequence molecule. The hybridizing portion is typically at least 15 (e.g., 20, 25, 30, 40 or 50) nucleotides in length.
- the parameters in the wash conditions that determine hybrid stability are sodium ion concentration and temperature.
- a 1% mismatch may be assumed to result in about a 1 0 C decrease in Tm.
- the final wash temperature will be reduced by about 5 0 C.
- stringent hybridization conditions are selected.
- Moderately stringent hybridization conditions include a washing step in 3x SSC at 42 0 C.
- sequences that hybridize under conditions of high stringency are preferred, as are sequences which, but for the degeneracy of the code, would hybridize under high stringency conditions.
- second generation antibodies are provided that have enhanced or superior properties in comparison to an original anti-EpCAM antibody, such as 3-171, 7-F17, 12-C15, 16-G5, 17-C20 or 24-G6.
- the second generation antibodies may have a different binding affinity or superior kinetic constants (e.g. on-rate and/or off-rate), a superior cross reactivity profile, superior ability to target tumor cells, e.g. an improved ability to induce ADCC or CDC, or an improved treatment of tumors in vivo, or a higher production level.
- Second generation antibodies that have an enhanced biological property or activity of at least about 2-fold, 5-fold, 10-fold, 20-fold, and preferably, at least about 50-fold, in comparison to the anti-EpCAM antibodies of the present invention, as exemplified by the 3-171 antibody (or the antibodies 7-F17, 12- C15, 16-G5, 17-C20 or 24-G6), are encompassed by the present invention.
- the antibody, binding protein and nucleic acid molecules of the invention are generally "isolated” or “purified” molecules insofar as they are distinguished from any such components that may be present in situ within a human or animal body or a tissue sample derived from a human or animal body.
- the sequences may, however, correspond to or be substantially homologous to sequences as found in a human or animal body.
- isolated or purified refers to such molecules when isolated from, purified from, or substantially free of their natural environment, e.g., isolated from or purified from the human or animal body (if indeed they occur naturally), or refers to such molecules when produced by a technical process, i.e., includes recombinant and synthetically produced molecules.
- nucleic acid molecule when used in connection with a nucleic acid molecule, such terms may refer to a nucleic acid substantially free of material with which it is naturally associated such as other nucleic acids/genes or polypeptides. These terms may also refer to a nucleic acid substantially free of cellular material or culture medium when produced by recombinant DNA techniques, or substantially free of chemical precursors, or other chemicals when chemically synthesized.
- An isolated or purified nucleic acid may also be substantially free of sequences that naturally flank the nucleic acid (i.e., sequences located at the 5' and 3' ends of the nucleic acid) from which the nucleic acid is derived or sequences that have been made to flank the nucleic acid (e.g., tag sequences or other sequence that have no therapeutic value) by, for example, genetic engineering.
- isolated or purified typically refers to a protein substantially free of cellular material or other proteins from the source from which it is derived.
- isolated or purified proteins are substantially free of culture medium when produced by recombinant techniques, or chemical precursors or other chemicals when chemically synthesized.
- isolated or purified proteins may also be free of flanking sequences such as those described above for the isolated nucleic acid molecules.
- nucleic acid sequence or “nucleic acid molecule” as used herein refers to a sequence of nucleoside or nucleotide monomers composed of naturally occurring bases, sugars and intersugar (backbone) linkages. The term also includes modified or substituted sequences comprising non-naturally occurring monomers or portions thereof.
- the nucleic acid sequences of the present invention may be deoxyribonucleic acid sequences (DNA) or ribonucleic acid sequences (RNA) and may include naturally occurring bases including adenine, guanine, cytosine, thymidine and uracil. The sequences may also contain modified bases.
- modified bases include aza and deaza adenine, guanine, cytosine, thymidine and uracil; and xanthine and hypoxanthine.
- the nucleic acid molecules may be double stranded or single stranded.
- the nucleic acid molecules may be wholly or partially synthetic or recombinant.
- the antibodies of the invention are human antibodies, more preferably fully human antibodies.
- human antibodies generally have at least three potential advantages for use in human therapy.
- the human immune system should not recognize the antibody as foreign.
- the half-life in the human circulation will be similar to naturally occurring human antibodies, allowing smaller and less frequent doses to be given.
- CDC complement- dependent cytotoxicity
- ADCC antibody-dependent cellular cytotoxicity
- human antibodies are generally recognized to display these advantages, it is known that the development of human antibodies that have high enough affinities and appropriate functional properties to make them candidates for successful human therapy is by no means straightforward. The art therefore still lacks anti-EpCAM for the safe and effective treatment of humans, and poses challenges to the development of such agents.
- human as used herein in connection with antibody molecules and binding proteins first refers to antibodies and binding proteins having variable regions ⁇ e.g., V H , V L , CDR or FR regions) and, optionally, constant antibody regions, isolated or derived from a human repertoire or derived from or corresponding to sequences found in humans, e.g., in the human germline or somatic cells.
- the 3-17I antibody (and the 7-F17, 12-C15, 16-G5, 17-C20 or 24-G6 antibodies) is an example of such a human antibody molecule wherein the variable regions have been isolated from a human repertoire.
- the "human" antibodies and binding proteins of the invention further include amino acid residues not encoded by human sequences, e.g., mutations introduced by random or site directed mutations in vitro, for example mutations introduced by in vitro cloning or PCR.
- mutations are mutations that involve conservative substitutions or other mutations in a small number of residues of the antibody or binding protein, e.g., in up to 5, e.g. in 5, 4, 3, 2 or 1 of the residues of the antibody or binding protein, preferably e.g., in up to 5, e.g. in 5, 4, 3, 2 or 1 of the residues making up one or more of the CDRs of the antibody or binding protein.
- human antibodies include antibodies and variable regions that have been subjected to standard modification techniques to reduce the amount of potentially immunogenic sites.
- the "human” antibodies of the invention include sequences derived from and related to sequences found in humans, but which may not naturally exist within the human antibody germline repertoire in vivo.
- the human antibodies and binding proteins of the present invention include proteins comprising human consensus sequences identified from human sequences, or sequences substantially homologous to human sequences.
- the human antibodies and binding proteins of the present invention are not limited to combinations of V H , V L CDR or FR regions that are themselves found in combination in human antibody molecules.
- the human antibodies and binding proteins of the invention can include or correspond to combinations of such regions that do not necessarily exist naturally in humans.
- the human antibodies will be fully human antibodies.
- “Fully human” antibodies are antibodies comprising "human” variable region domains and/or CDRs, as defined above, without substantial non-human antibody sequences or without any non-human antibody sequences.
- antibodies comprising human variable region domains and/or CDRs are antibodies comprising human variable region domains and/or CDRs, as defined above, without substantial non-human antibody sequences or without any non-human antibody sequences.
- “without substantial non-human antibody sequences” are antibodies, domains and/or CDRs in which up to 5, e.g. only about 5, 4, 3, 2 or 1 amino acids are amino acids that are not encoded by human antibody sequences.
- “fully human” antibodies are distinguished from “humanized” antibodies, which are based on substantially non-human variable region domains, e.g., mouse variable region domains, in which certain amino acids have been changed to better correspond with the amino acids typically present in human antibodies.
- the "fully human” antibodies of the invention may be human variable region domains and/or CDRs without any other substantial antibody sequences, such as being single chain antibodies.
- the "fully human” antibodies of the invention may be human variable region domains and/or CDRs integral with or operatively attached to one or more human antibody constant regions.
- Certain preferred fully human antibodies are IgG antibodies with the full complement of IgG constant regions.
- "human” antibodies of the invention will be part-human chimeric antibodies.
- Part-human chimeric" antibodies, as used herein, are antibodies comprising "human” variable region domains and/or CDRs operatively attached to, or grafted onto, all or part of a constant region of a non-human species, such as rat or mouse.
- Such part-human chimeric antibodies may be used, for example, in pre-clinical studies, wherein the constant region will preferably be of the same species of animal used in the pre-clinical testing. These part-human chimeric antibodies may also be used, for example, in ex vivo diagnostics, wherein the constant region of the non-human species may provide additional options for antibody detection.
- fragment refers to fragments of biological relevance, e.g., fragments that contribute to antigen binding, e.g., form part of the antigen binding site, and/or contribute to the inhibition or reduction in function of the EpCAM antigen.
- Certain preferred fragments comprise a heavy chain variable region (V H domain) and/or a light chain variable region (V L domain) of the antibodies of the invention.
- Other preferred fragments comprise one or more of the heavy chain CDRs of the antibodies of the invention (or of the V H domains of the invention), or one or more of the light chain CDRs of the antibodies of the invention (or of the V L domains of the invention).
- Certain preferred fragments are at least 5 amino acids in length and comprise at least one CDR region, preferably a CDR3 region, more preferably a heavy chain CDR3 region.
- the antibodies of the invention comprise a fragment of any of the defined sequences (for example comprise a fragment of SEQ ID NOs:21 , 36, 49, 62, 75 or 88), e.g., are antibodies comprising V H and/or V L domains of the invention, or are antibodies or binding proteins comprising one or more CDRs of the invention, then these regions/domains are generally separated within the antibody or binding protein so that each region/domain can perform its biological function and so that the contribution to antigen binding is retained.
- the V H and V L domains are preferably separated by appropriate scaffold sequences/linker sequences and the CDRs are preferably separated by appropriate framework regions such as those found in naturally occurring antibodies and/or effective engineered antibodies.
- the V H , V L and individual CDR sequences of the invention are preferably provided within or incorporated into an appropriate framework or scaffold to enable antigen binding.
- Such framework sequences or regions may correspond to naturally occurring framework regions, FR1 , FR2, FR3 and/or FR4, as appropriate to form an appropriate scaffold, or may correspond to consensus framework regions, for example identified by comparing various naturally occurring framework regions.
- non-antibody scaffolds or frameworks e.g., T cell receptor frameworks can be used.
- Appropriate sequences that can be used for framework regions are well known and documented in the art and any of these may be used.
- Preferred sequences for framework regions are one or more (i.e.
- framework regions making up the V H and/or V L domains of the invention i.e., one or more of the framework regions disclosed in SEQ ID NOs:21 , 36, 49, 62, 75 or 88, or in Tables 1 to 6, or framework regions substantially homologous thereto, and in particular framework regions that allow the maintenance of antigen specificity, for example framework regions that result in substantially the same or the same 3D structure of the antibody.
- variable light chain SEQ ID NOs:15, 16, 17 and 18
- variable heavy chain SEQ ID NOs:1 1 , 12, 13 and 14
- FR regions of SEQ ID NO:21 also shown in Table 1
- FR regions substantially homologous thereto are found in the antibodies of the invention.
- Other preferred combinations of variable light chain framework regions are shown in Tables 2 to 6.
- antibodies of the invention are made up of V H , V L or CDRs of the invention, it should be noted that the antibodies of the invention also encompass one or more V H , V L or CDRs of the invention in combination with other V H , V L or CDRs not of the invention, provided that the EpCAM binding properties or anti-EpCAM properties of the antibodies of the invention as outlined herein are still present.
- the term "heavy chain complementarity determining region" (“heavy chain
- CDR refers to regions of hypervariability within the heavy chain variable region (V H domain) of an antibody molecule.
- the heavy chain variable region has three CDRs termed heavy chain CDR1 , heavy chain CDR2 and heavy chain CDR3 from the amino terminus to carboxy terminus.
- the heavy chain variable region also has four framework regions (FR1 , FR2, FR3 and FR4 from the amino terminus to carboxy terminus). These framework regions separate the CDRs.
- V H domain refers to the variable region of a heavy chain of an antibody molecule.
- light chain complementarity determining region refers to regions of hypervariability within the light chain variable region (V L domain) of an antibody molecule.
- Light chain variable regions have three CDRs termed light chain CDR1 , light chain CDR2 and light chain CDR3 from the amino terminus to the carboxy terminus.
- the light chain variable region also has four framework regions (FR1 , FR2, FR3 and FR4 from the amino terminus to carboxy terminus). These framework regions separate the CDRs.
- V L domain light chain variable region
- proteins and polypeptides of the invention may be prepared in any of several ways well known and described in the art, but are most preferably prepared using recombinant methods.
- Nucleic acid fragments encoding the light and heavy chain variable regions of the antibodies of the invention can be derived or produced by any appropriate method, e.g., by cloning or synthesis. Such sequences could, for example, be prepared by cloning appropriate sequences from e.g., human germ line genes and then making any necessary modifications to the germ line sequences to obtain the sequences of the invention using methods well known and described in the art.
- An alternative and more efficient method would be to synthesize the appropriate light or heavy chain variable region sequence as overlapping primers, and use primer extension to obtain the full sequence. This full sequence could then be amplified via PCR with primers containing appropriate restriction sites for further cloning and manipulation, e.g., for cloning into an appropriate expression vector. Five to seven overlapping primers per variable region are normally be sufficient, thereby making this technique very efficient and precise.
- nucleic acid fragments encoding the light and heavy chain variable regions of the antibodies of the invention can be further manipulated by standard recombinant DNA techniques, for example to convert the variable region fragments into full length antibody molecules with appropriate constant region domains, or into particular formats of antibody fragment discussed elsewhere herein, e.g., Fab fragments, scFv fragments, etc.
- the nucleic acid fragments encoding the antibody molecules of the invention are generally incorporated into an appropriate expression vector in order to facilitate production of the antibodies of the invention.
- Possible expression vectors include but are not limited to cosmids, plasmids, or modified viruses ⁇ e.g., replication defective retroviruses, adenoviruses and adeno- associated viruses), so long as the vector is compatible with the host cell used.
- the expression vectors are "suitable for transformation of a host cell", which means that the expression vectors contain a nucleic acid molecule of the invention and regulatory sequences selected on the basis of the host cells to be used for expression, which are operatively linked to the nucleic acid molecule. Operatively linked is intended to mean that the nucleic acid is linked to regulatory sequences in a manner that allows expression of the nucleic acid.
- the invention therefore contemplates a recombinant expression vector containing a nucleic acid molecule of the invention, or a fragment thereof, and the necessary regulatory sequences for the transcription and translation of the protein sequence encoded by the nucleic acid molecule of the invention.
- Suitable regulatory sequences may be derived from a variety of sources, including bacterial, fungal, viral, mammalian, or insect genes (for example, see the regulatory sequences described in Goeddel, 1990). Selection of appropriate regulatory sequences is dependent on the host cell chosen as discussed below, and may be readily accomplished by one of ordinary skill in the art. Examples of such regulatory sequences include: a transcriptional promoter and enhancer or RNA polymerase binding sequence, a ribosomal binding sequence, including a translation initiation signal. Additionally, depending on the host cell chosen and the vector employed, other sequences, such as an origin of replication, additional DNA restriction sites, enhancers, and sequences conferring inducibility of transcription may be incorporated into the expression vector.
- the recombinant expression vectors of the invention may also contain a selectable marker gene that facilitates the selection of host cells transformed or transfected with a recombinant molecule of the invention.
- selectable marker genes are genes encoding a protein such as neomycin and hygromycin that confer resistance to certain drugs, ⁇ -galactosidase, chloramphenicol acetyltransferase, firefly luciferase, or an immunoglobulin or portion thereof such as the Fc portion of an immunoglobulin preferably IgG.
- selectable marker gene Transcription of the selectable marker gene is monitored by changes in the concentration of the selectable marker protein such as ⁇ -galactosidase, chloramphenicol acetyltransferase, or firefly luciferase. If the selectable marker gene encodes a protein conferring antibiotic resistance such as neomycin resistance transformant cells can be selected with G418. Cells that have incorporated the selectable marker gene will survive, while the other cells die. This makes it possible to visualize and assay for expression of recombinant expression vectors of the invention and in particular to determine the effect of a mutation on expression and phenotype. It will be appreciated that selectable markers can be introduced on a separate vector from the nucleic acid of interest.
- the recombinant expression vectors may also contain genes that encode a fusion moiety that provides increased expression of the recombinant protein; increased solubility of the recombinant protein; and aid in the purification of the target recombinant protein by acting as a ligand in affinity purification (for example appropriate "tags" to enable purification and/or identification may be present, e.g., His tags or myc tags).
- appropriate "tags" to enable purification and/or identification may be present, e.g., His tags or myc tags.
- a proteolytic cleavage site may be added to the target recombinant protein to allow separation of the recombinant protein from the fusion moiety subsequent to purification of the fusion protein.
- Typical fusion expression vectors include pGEX (Amrad Corp., Melbourne, Australia), pMal (New England Biolabs, Beverly, MA) and pRIT5 (Pharmacia, Piscataway, NJ) which fuse glutathione S-transferase (GST), maltose E binding protein, or protein A, respectively, to the recombinant protein.
- GST glutathione S-transferase
- Recombinant expression vectors can be introduced into host cells to produce a transformed host cell.
- the terms “transformed with”, “transfected with”, “transformation” and “transfection” are intended to encompass introduction of nucleic acid (e.g., a vector) into a cell by one of many possible techniques known in the art.
- the term “transformed host cell” as used herein is intended to also include cells capable of glycosylation that have been transformed with a recombinant expression vector of the invention.
- Prokaryotic cells can be transformed with nucleic acid by, for example, electroporation or calcium-chloride mediated transformation.
- nucleic acid can be introduced into mammalian cells via conventional techniques such as calcium phosphate or calcium chloride co-precipitation, DEAE-dextran mediated transfection, lipofection, electroporation or microinjection. Suitable methods for transforming and transfecting host cells can be found in Sambrook et al., 1989, and other laboratory textbooks.
- Suitable host cells include a wide variety of eukaryotic host cells and prokaryotic cells.
- the proteins of the invention may be expressed in yeast cells or mammalian cells. Other suitable host cells can be found in Goeddel, 1990.
- the proteins of the invention may be expressed in prokaryotic cells, such as Escherichia coli (Zhang et al., 2004).
- Yeast and fungi host cells suitable for carrying out the present invention include, but are not limited to Saccharomyces cerevisiae, the genera Pichia or Kluyveromyces and various species of the genus Aspergillus.
- yeast S. cerevisiae examples include pYepSed (Baldari. et al., 1987), pMFa (Kurjan and Herskowitz, 1982), pJRY88 (Schultz et al., 1987), and pYES2 (Invitrogen Corporation, San Diego, CA). Protocols for the transformation of yeast and fungi are well known to those of ordinary skill in the art (see Hinnen et al., 1978; lto et al., 1983, and Cullen et al. 1987).
- Mammalian cells suitable for carrying out the present invention include, among others: COS ⁇ e.g., ATCC No. CRL 1650 or 1651 ), BHK ⁇ e.g., ATCC No. CRL 6281 ), CHO (ATCC No. CCL 61 ), HeLa ⁇ e.g., ATCC No. CCL 2), 293 (ATCC No. 1573), NS- 1 cells, NSO (ATCC CRL-1 1 177), HEK-293 (human kidney, ATCC number CRL-1 1268) and Per.C6® (Crucell, Leiden, Netherlands.
- COS ⁇ e.g., ATCC No. CRL 1650 or 1651
- BHK ⁇ e.g., ATCC No. CRL 6281 CHO
- HeLa ⁇ e.g., ATCC No. CCL 293
- NSO ATCC CRL-1 1 177
- HEK-293 human kidney, ATCC number CRL-1 1268
- Per.C6® Cell,
- Suitable expression vectors for directing expression in mammalian cells generally include a promoter ⁇ e.g., derived from viral material such as polyoma, Adenovirus 2, cytomegalovirus and Simian Virus 40), as well as other transcriptional and translational control sequences.
- a promoter e.g., derived from viral material such as polyoma, Adenovirus 2, cytomegalovirus and Simian Virus 40
- mammalian expression vectors include pCDM ⁇ (Seed, B., 1987) and pMT2PC (Kaufman et al., 1987).
- promoters, terminators, and methods for introducing expression vectors of an appropriate type into plant, avian, and insect cells may also be readily accomplished.
- the proteins of the invention may be expressed from plant cells (see Sinkar et al., 1987, which reviews the use of Agrobacterium rhizogenes vectors; see also Zambryski et ai, 1984, which describes the use of expression vectors for plant cells, including, among others, PAPS2022, PAPS2023, and PAPS2034).
- Insect cells suitable for carrying out the present invention include cells and cell lines from Bombyx, Trichoplusia or Spodotera species.
- Baculovirus vectors available for expression of proteins in cultured insect cells (SF 9 cells) include the pAc series (Smith et al., 1983) and the pVL series (Luckow and Summers 1989).
- Some baculovirus-insect cell expression systems suitable for expression of the recombinant proteins of the invention are described in PCT/US/02442.
- proteins of the invention may also be expressed in non- human transgenic animals such as, rats, rabbits, sheep and pigs (Hammer et al. 1985; Palmiter et al. 1983; Brinster et al. 1985; Palmiter and Brinster 1985, and U.S. Patent No. 4,736,866).
- the proteins of the invention may also be prepared by chemical synthesis using techniques well known in the chemistry of proteins such as solid phase synthesis (Merrifield (1964); Frische et al., 1996) or synthesis in homogenous solution (Houbenweyl, 1987).
- N-terminal or C-terminal fusion proteins comprising the antibodies and proteins of the invention conjugated to other molecules, such as proteins, may be prepared by fusing through recombinant techniques.
- the resultant fusion proteins contain an antibody or protein of the invention fused to the selected protein or marker protein, or tag protein as described herein.
- the antibodies and proteins of the invention may also be conjugated to other proteins by known techniques.
- the proteins may be coupled using heterobifunctional thiol-containing linkers as described in WO 90/10457, N-succinimidyl-3-(2-pyridyldithio-proprionate) or N-succinimidyl-5 thioacetate.
- proteins that may be used to prepare fusion proteins or conjugates include cell binding proteins such as immunoglobulins, hormones, growth factors, lectins, insulin, low density lipoprotein, glucagon, endorphins, transferrin, bombesin, asialoglycoprotein glutathione-S-transferase (GST), hemagglutinin (HA), and truncated myc.
- nucleic acid segment will be tested to confirm expression of an anti-EpCAM antibody in accordance with the present invention.
- the variant, mutant or second generation nucleic acid segment will also be tested to confirm hybridization under standard, more preferably, standard stringent hybridization conditions.
- Exemplary suitable hybridization conditions include hybridization in about 7% sodium dodecyl sulfate (SDS), about 0.5 M NaPO 4 , about 1 mM EDTA at about 5O 0 C; and washing with about 1% SDS at about 42 0 C.
- SDS sodium dodecyl sulfate
- the treatment methods of the invention may be executed by providing to the animal or patient at least a first nucleic acid segment or molecule that expresses a therapeutically effective amount of at least a first anti-EpCAM antibody of the invention in the patient.
- nucleic acid segment or molecule that expresses an anti-EpCAM antibody will generally be in the form of at least an expression construct or vector, and may be in the form of an expression construct or vector comprised within a virus or within a recombinant host cell.
- Preferred gene therapy vectors of the present invention will generally be viral vectors, such as comprised within a recombinant retrovirus, herpes simplex virus (HSV), adenovirus, adeno-associated virus (AAV), cytomegalovirus (CMV), and the like.
- HSV herpes simplex virus
- AAV adenovirus
- AAV adeno-associated virus
- CMV cytomegalovirus
- a yet further aspect provides an expression construct or expression vector comprising one or more of the nucleic acid segments or molecules of the invention.
- the expression constructs or vectors are recombinant.
- said constructs or vectors further comprise the necessary regulatory sequences for the transcription and translation of the protein sequence encoded by the
- a yet further aspect provides a host cell or virus comprising one or more expression constructs or expression vectors of the invention. Also provided are host cells or viruses comprising one or more of the nucleic acid molecules of the invention. A host cell or virus expressing an antibody of the invention forms a yet further aspect.
- a yet further aspect of the invention provides a method of producing an antibody of the present invention comprising a step of culturing the host cells of the invention.
- Preferred methods comprise the steps of (i) culturing a host cell comprising one or more of the recombinant expression vectors or one or more of the nucleic acid sequences of the invention under conditions suitable for the expression of the encoded antibody or protein; and optionally (ii) isolating or obtaining the antibody or protein from the host cell or from the growth medium/supernatant.
- Such methods of production may also comprise a step of purification of the antibody or protein product and/or formulating the antibody or product into a composition including at least one additional component, such as a pharmaceutically acceptable carrier or excipient.
- the antibody or protein of the invention is made up of more than one polypeptide chain (e.g., certain fragments such as Fab fragments), then all the polypeptides are preferably expressed in the host cell, either from the same or a different expression vector, so that the complete proteins, e.g., binding proteins of the invention, can assemble in the host cell and be isolated or purified therefrom.
- polypeptide chain e.g., certain fragments such as Fab fragments
- the antibodies of the invention may also be used to produce further antibodies that bind to EpCAM.
- Such uses involve for example the addition, deletion, substitution or insertion of one or more amino acids in the amino acid sequence of a parent antibody to form a new antibody, wherein said parent antibody is one of the antibodies of the invention as defined elsewhere herein, and testing the resulting new antibody to identify antibodies that bind to EpCAM.
- Such methods can be used to form multiple new antibodies that can all be tested for their ability to bind EpCAM.
- said addition, deletion, substitution or insertion of one or more amino acids takes place in one or more of the CDR domains.
- Such modification or mutation to a parent antibody can be carried out in any appropriate manner using techniques well known and documented in the art, for example by carrying out methods of random or directed mutagenesis.
- directed mutagenesis is to be used then one strategy to identify appropriate residues for mutagenesis utilizes the resolution of the crystal structure of the binding protein- antigen complex, e.g., the Ab-Ag complex, to identify the key residues involved in the antigen binding (Davies and Cohen, 1996). Subsequently, those residues can be mutated to enhance the interaction. Alternatively, one or more amino acid residues can simply be targeted for directed mutagenesis and the effect on binding to EpCAM assessed.
- Random mutagenesis can be carried out in any appropriate way, e.g., by error-prone PCR, chain shuffling or mutator E. coli strains.
- one or more of the V H domains of the invention can be combined with a single V L domain or a repertoire of V L domains from any appropriate source and the resulting new antibodies tested to identify antibodies specific for EpCAM.
- one or more of the V L domains of the invention can be combined with a single V H domain or repertoire of V H domains from any appropriate source and the resulting new antibodies tested to identify antibodies that bind to EpCAM.
- one or more, or preferably all three CDRs of the V H and/or V L domains of the invention can be grafted into a single V H and/or V L domain or a repertoire of V H and/or V L domains, as appropriate, and the resulting new antibodies tested to identify antibodies that bind to EpCAM.
- the targeted mutations of the CDRs, especially CDR3 of the light and/or heavy chains, have been shown to be an effective technique for increasing antibody affinity and are preferred.
- blocks of 3 to 4 amino acids of the CDR3 or specific regions called "hot-spots" are targeted for mutagenesis.
- Hot spots are the sequences where somatic hypermutation takes place in vivo (and below Neuberger and Milstein, 1995).
- the hotspot sequences can be defined as consensus nucleotide sequences in certain codons.
- the consensus sequence is the tetranucleotide, RGYW, in which R can be either A or G, Y can be C or T and W can be either A or T (Neuberger and Milstein, 1995).
- the serine residues encoded by the nucleotides AGY are predominantly present in the CDRs regions of the variable domain over those encoded by TCN corresponding to a potential hot-spot sequences (Wagner et al., 1995).
- nucleotide sequence of the CDRs of the heavy and light chains of each antibody of the invention can be scanned for the presence of the hot-spot sequences and AGY codons.
- the identified hot-spots of the CDR regions of the light and heavy chain can then optionally be compared to the germinal sequences of the heavy and light chains using the International ImMunoGen Tics database (IMGT, http://imgt.cines.fr/textes/vquest/) (Davies et al., 1990).
- IMGT International ImMunoGen Tics database
- Preferred hot-spots for mutation are those that code for exposed amino acids and preferably those that encode amino acids that form part of the antigen binding sites. Other preferred hot-spots for mutation are those that code for non-conserved amino acids.
- the hot-spots that code for buried or conserved amino acids within the CDRs are preferably not mutagenized. These residues are usually critical for the overall structure and are unlikely to interact with the antigen since they are buried.
- the new antibodies produced by these methods will preferably have improved functional properties, e.g. a higher or enhanced affinity (or at least an equivalent affinity) for EpCAM as the parent antibodies, and can be treated and used in the same way as the antibodies of the invention as described elsewhere herein (e.g., for therapy, diagnosis, in compositions etc). Alternatively, or additionally, the new antibodies will have one or more other improved functional properties as described elsewhere herein.
- EpCAM samples for example recombinant EpCAM from various species, are commercially available (e.g. from R&D Systems Inc, Minneapolis, MN, USA) or can readily be generated from the sequence information for EpCAM molecules available in the art (see the Examples) and these can readily be used to assay binding, for example by conventional methods such as ELISA, BIAcore, etc., in which for example EpCAM is attached to a solid support and the ability of antibodies to bind thereto is measured by standard techniques. Alternatively, binding to EpCAM can be assessed by Western blot. EpCAM samples comprising the extracellular domain of EpCAM are ideally used for these purposes.
- cells which express high levels of EpCAM e.g. gastric carcinoma lines such as Kato III, breast cancer cell lines such as MT-3, BT474, MDA-MB-453 and MDA-MB-231
- EpCAM e.g. gastric carcinoma lines such as Kato III
- breast cancer cell lines such as MT-3, BT474, MDA-MB-453 and MDA-MB-231
- EpCAM can be used to assess for antibodies which bind to EpCAM, e.g. using flow cytometry or IHC.
- an ability of an antibody to bind to EpCAM generally refers to the ability of an antibody to show measurable and preferably significant binding to EpCAM compared to an appropriate control, e.g. an antibody which does not bind to EpCAM.
- an appropriate control e.g. an antibody which does not bind to EpCAM.
- an antibody to be considered as not binding to EpCAM e.g. to EpCAM of a particular species
- generally such antibodies show insignificant or undetectable or unmeasurable binding to EpCAM, for example at a level which is not measurably or significantly higher or different than that of an appropriate control, e.g. an antibody which does not bind to EpCAM.
- the statistically significant difference over a relevant control has a probability value of ⁇ 0.1 , preferably ⁇ 0.05, more preferably ⁇ 0.01.
- Appropriate methods of determining statistical significance are well known and documented in the art and any of these may be used.
- compositions comprising at least one antibody or antibody fragment of the invention, optionally including a diluent.
- Such compositions may be pharmaceutically acceptable compositions or compositions for use in laboratory studies.
- they may preferably be formulated for parenteral administration, such as for intravenous or even subcutaneous administration.
- the present invention provides a number of methods and uses of the human antibodies and antibody fragments of the invention. Concerning all methods, the terms “a” and “an” are used to mean “at least one”, “at least a first”, “one or more” or “a plurality” of steps in the recited methods, except where specifically stated. This is particularly relevant to the administration steps in the treatment methods. Thus, not only may different doses be employed with the present invention, but different numbers of doses, e.g., injections, may be used, up to and including multiple injections. Combined therapeutics may be used, administered before, after or during administration of the anti-EpCAM therapeutic antibody.
- Suitable in vitro methods and uses of the antibodies or immunoconjugates of the invention are provided that have important biological implications.
- the antibodies of the invention, or immunoconjugates thereof can thus be used in binding assays.
- Suitably useful binding assays thus include those commonly employed in the art, such as in immunoblots, Western blots, dot blots, RIAs, ELISAs, immunohistochemistry, fluorescent activated cell sorting (FACS), immunoprecipitation, affinity chromatography, and the like.
- Methods of, and uses in, detecting EpCAM are provided, which generally comprise contacting a composition suspected of containing EpCAM with at least a first antibody or immunoconjugate of the invention, or antigen-binding fragment thereof, under conditions effective to allow the formation of EpCAM/antibody complexes and detecting the complexes so formed.
- the detection methods and uses may be used in connection with biological samples, e.g., in diagnostics for tumors, and diagnostic kits based thereon are also provided.
- the methods and uses of the present invention are particularly intended for use in animals and patients that have, or are at risk for developing, any disease or condition associated with EpCAM or in which EpCAM plays a biological role, e.g.
- cancers or carcinomas preferably one or more cancers or carcinomas selected from the group consisting of breast, colorectal, prostate, ovary, bladder, gallbladder, pancreas, lung, gastric tissue or organs (e.g. stomach, esophagus), liver (e.g. hepatocellular carcinoma), kidney (e.g. renal cell carcinoma), skin neoplasms, head and neck (e.g. glioma), lips, mouth, vagina and cervix. Any reference to "tumor(s)” herein also refers to "cancer(s)" or “carcinoma(s)”.
- Metastatic cancers can also be treated, as can the reduction of metastases from a primary tumor.
- MRD minimal residual disease
- Patients which have tumors which show detectable levels, preferably high detectable levels of EpCAM expression are likely to be particularly appropriate for therapy with the anti-EpCAM antibodies of the invention.
- patients with tumors which do not express very high levels of Her-2 and are thus not ideal candidates for Herceptin therapy might be particularly appropriate for such anti- EpCAM therapy.
- Tumors can be tested for expression levels by appropriate methods well known in the art.
- the present invention thus further provides methods of, and uses in, treating a disease as defined above, comprising administering to an animal or patient with such a disease, a therapeutically effective amount of an anti-EpCAM antibody of the invention, or an antigen-binding fragment or immunoconjugate of such an anti- EpCAM antibody.
- a yet further aspect of the invention provides the use of the antibodies of the invention or an antigen-binding fragment or immunoconjugate of such an antibody in the manufacture of a composition or medicament for use in therapy, imaging or diagnosis.
- a yet further aspect provides the antibodies of the invention or an antigen- binding fragment or immunoconjugate of such an antibody for use in therapy, diagnosis or imaging.
- compositions comprising the antibodies of the invention or an antigen-binding fragment or immunoconjugate of such an antibody with one or more pharmaceutically acceptable excipient, carrier, diluent, buffer or stabilizer.
- the in vivo methods as described herein are generally carried out in a mammal.
- Any mammal may be treated, for example humans and any livestock, domestic or laboratory animal. Specific examples include mice, rats, pigs, cats, dogs, sheep, rabbits, cows and monkeys. Preferably, however, the mammal is a human.
- animal or patient includes any mammal, for example humans and any livestock, domestic or laboratory animal. Specific examples include mice, rats, pigs, cats, dogs, sheep, rabbits, cows and monkeys. Preferably, however, the animal or patient is a human subject.
- This invention links both anti-cancer methods using unconjugated or naked antibodies and fragments thereof, and cancer targeting methods using immunoconjugates in which an antibody of the invention or antigen-binding fragment thereof, is operatively attached to a therapeutic agent or diagnostic agent.
- an antibody of the invention or antigen-binding fragment thereof is operatively attached to a therapeutic agent or diagnostic agent.
- the terms "antibody and fragment thereof”, as used herein therefore mean an "unconjugated or naked" antibody or fragment, which is not attached to another agent, particularly a therapeutic or diagnostic agent.
- modifications of the antibody such as, by way of example only, modifications to improve the biological half life, affinity, avidity or other properties of the antibody, or combinations of the antibody with other effectors.
- the anti-cancer treatment methods and uses of the invention also encompass the use of both unconjugated or naked antibodies and immunoconjugates.
- an antibody of the invention, or antigen-binding fragment thereof is preferably operatively attached to a second anti-cancer agent (the anti-EpCAM antibody itself, being the first anti-cancer agent).
- the attached anti-cancer agents may be those that have a direct or indirect anti-cancer effect.
- the foregoing treatment methods and uses will generally involve the administration of the pharmaceutically effective composition to the animal or patient systemically, such as by transdermal, intramuscular, intravenous injection and the like. However, any route of administration that allows the therapeutic agent to localize to the tumor site or sites, will be acceptable. Therefore, other suitable routes of delivery include oral, nasal or respiratory and topical.
- administering means provision or delivery of anti-EpCAM antibody therapeutics in an amount(s) and for a period of time(s) effective to exert therapeutic, e.g. anti-tumor effects.
- the passive administration of proteinaceous therapeutics is generally preferred, in part, for its simplicity and reproducibility.
- administration is herein used to refer to any and all means by which anti-EpCAM antibodies of the invention are delivered or otherwise provided to the tumor.
- administering therefore includes the provision of cells that produce the anti-EpCAM antibody of the invention in a manner effective to result in delivery to the tumor.
- the cells in a selectively permeable membrane, structure or implantable device, generally one that can be removed to cease therapy.
- Exogenous anti- EpCAM antibody of the invention will still generally be preferred, as this represents a non-invasive method that allows the dose to be closely monitored and controlled.
- the therapeutic methods and uses of the invention also extend to the provision of nucleic acids that encode an anti-EpCAM antibody of the invention in a manner effective to result in their expression in the vicinity of the tumor or their localization to the tumor.
- Any gene therapy technique may be employed, such as naked DNA delivery, recombinant genes and vectors, cell-based delivery, including ex vivo manipulation of patients' cells, and the like.
- the anti-EpCAM antibodies of the invention can also be used to deliver other therapeutic or diagnostic agents to tumors.
- the other therapeutic or diagnostic agents are generally operatively attached to the anti- EpCAM antibodies of the invention.
- the terms "therapy” or “treatment” as used herein include prophylactic therapy, which may result in the prevention of disease.
- the terms “therapy” and “treatment” include combating or cure of disease but also include the controlling, reduction or alleviation of disease or one or more of the symptoms associated therewith.
- the antibodies of the invention may also be used in prognostic applications, e.g. for diseases in which EpCAM levels are altered. Thus, the antibodies of the present invention can be used to prognose cancer.
- the terms “preferentially” and “specifically”, as used herein in the context of killing or inducing apoptosis or of inducing necrosis of tumor cells or of inducing tumor regression or remission thus mean that the anti-EpCAM antibody of the invention or immunoconjugates thereof, function to achieve tumor destruction and/or tumor necrosis that is substantially confined to the tumor site, and does not substantially extend to causing destruction and/or tissue necrosis in normal, healthy tissues of the animal or subject. The structure and function of healthy cells and tissues is therefore maintained substantially unimpaired by the practice of the invention.
- Anti-EpCAM antibodies of the invention or therapeutic conjugates are preferably linked to one or more radiotherapeutic agents, chemotherapeutic agents, anti-angiogenic agents, apoptosis-inducing agents, anti-tubulin drugs, anti-cellular or cytotoxic agents, steroids, cytokines, chemokines, ATPase inhibitors, other antibodies (e.g. as bispecific antibodies or diabodies) or coagulants (coagulation factors).
- the invention thus provides a range of conjugated antibodies and fragments thereof in which the anti-EpCAM antibody is operatively attached to at least one other therapeutic or diagnostic agent.
- the term "immunoconjugate” is broadly used to define the operative association of the antibody with another effective agent and is not intended to refer solely to any type of operative association, and is particularly not limited to chemical "conjugation”. Recombinant fusion proteins are particularly contemplated. So long as the delivery or targeting agent is able to bind to the target and the therapeutic or diagnostic agent is sufficiently functional upon delivery, the mode of attachment will be suitable. Attachment of agents via the carbohydrate moieties on antibodies is also contemplated. Glycosylation, both O-linked and N-linked, naturally occurs in antibodies.
- Recombinant antibodies can be modified to recreate or create additional glycosylation sites if desired, which is simply achieved by engineering the appropriate amino acid sequences (such as Asn-X-Ser, Asn-X-Thr, Ser, or Thr where X is not Pro) into the primary sequence of the antibody.
- appropriate amino acid sequences such as Asn-X-Ser, Asn-X-Thr, Ser, or Thr where X is not Pro
- agents for use in anti-EpCAM antibody or therapeutic conjugates of the invention and related methods and uses are those that complement or enhance the effects of the antibody and/or those selected for a particular tumor type or patient.
- "Therapeutic agents that complement or enhance the effects of the antibody” include radiotherapeutic agents, chemotherapeutic agents, anti-angiogenic agents, apoptosis-inducing agents, anti-tubulin drugs, anti- cellular or cytotoxic agents, steroids, coagulants, cytokines, chemokines, ATPase inhibitors, other antibodies, (e.g. as bispecific antibodies or diabodies), any one or more of which are preferred for use herewith.
- preferred anti-angiogenic agents include angiostatin, endostatin, any one of the angiopoietins, vasculostatin, canstatin and maspin.
- Anti-tubulin drug(s) means any agent, drug, prodrug or combination thereof that inhibits cell mitosis, preferably by directly or indirectly inhibiting tubulin activities necessary for cell mitosis, preferably tubulin polymerization or depolymerization.
- preferred anti-tubulin drugs include colchicine, taxol, vinblastine, vincristine, vindescine and one or more of the combretastatins.
- ADC antibody-drug conjugates
- anti-cellular and cytotoxic agents results in anti-EpCAM antibody "immunotoxins" of the invention, whereas the use of coagulation factors results in anti-EpCAM antibody "coaguligands" of the invention.
- the use of at least two therapeutic agents is also contemplated, such as combinations of one or more radiotherapeutic agents, chemotherapeutic agents, anti- angiogenic agents, apoptosis-inducing agents, anti-tubulin drugs, anti-cellular and cytotoxic agents, steroids, cytokines, chemokines, ATPase inhibitors, other antibodies, (e.g. as bispecific antibodies or diabodies) and coagulation factors.
- the anti-EpCAM antibody therapeutics of the invention will be operatively attached to cytotoxic, cytostatic or otherwise anti-cellular agents that have the ability to kill or suppress the growth or cell division of cells.
- Suitable anti-cellular agents include chemotherapeutic agents, as well as cytotoxins and cytostatic agents.
- Cytostatic agents are generally those that disturb the natural cell cycle of a target cell, preferably so that the cell is taken out of the cell cycle.
- chemotherapeutic agents include: hormones, such as steroids; cytokines; anti-metabolites, such as cytosine arabinoside, fluorouracil, methotrexate or aminopterin; anthracyclines; mitomycin C; vinca alkaloids; antibiotics; demecolcine; etoposide; mithramycin; and anti-tumor alkylating agents, such as chlorambucil or melphalan.
- hormones such as steroids
- cytokines such as cytosine arabinoside, fluorouracil, methotrexate or aminopterin
- anthracyclines such as cytosine arabinoside, fluorouracil, methotrexate or aminopterin
- anthracyclines mitomycin C
- vinca alkaloids antibiotics
- antibiotics demecolcine
- etoposide mithramycin
- anti-tumor alkylating agents such as chlorambucil or mel
- taxol/paclitaxel, docetaxel, cisplatin, gemcitabine, a combretastatin and doxorubicin/adriamycin are currently preferred anti-cancer agents.
- cytokines and chemokines currently preferred agents are IL-2, IL-12,
- V-type ATPase inhibitors are also currently preferred, such as salicylihalamide, concanamycin or bafilomycin, as are protein synthesis inhibitors, such as psymberin, pederin, irciniastatin A.
- toxin moieties will be preferred, due to the much greater ability of most toxins to deliver a cell killing effect, as compared to other potential agents. Therefore, certain preferred anti-cellular agents for anti-EpCAM antibody constructs of the invention are plant-, fungus- or bacteria-derived toxins.
- Exemplary toxins include epipodophyllotoxins; bacterial endotoxin or the lipid A moiety of bacterial endotoxin; ribosome inactivating proteins, such as saporin or gelonin; a-sarcin; aspergillin; restrictocin; ribonucleases, such as placental ribonuclease; diphtheria toxin and pseudomonas exotoxin.
- ribosome inactivating proteins such as saporin or gelonin
- a-sarcin aspergillin
- restrictocin ribonucleases, such as placental ribonuclease
- diphtheria toxin and pseudomonas exotoxin diphtheria toxin and pseudomonas exotoxin.
- ricin gelonin, abrin, diphtheria, pseudomonas and pertussis toxins.
- Certain preferred toxins are the A chain toxins, such as
- the most preferred toxin moiety is often ricin A chain that has been treated to modify or remove carbohydrate residues, so called “deglycosylated A chain" (dgA).
- Deglycosylated ricin A chain is preferred because of its extreme potency, longer half- life, and because it is economically feasible to manufacture it a clinical grade and scale.
- Recombinant and/or truncated ricin A chain may also be used.
- the anti-EpCAM antibody therapeutics of the invention may comprise a component that is capable of promoting coagulation, i.e., a coagulant.
- the targeting antibody may be directly or indirectly, e.g., via another antibody, linked to a factor that directly or indirectly stimulates coagulation.
- coagulation factors for such uses are Tissue Factor (TF) and TF derivatives, such as truncated TF (UF), dimeric, trimeric, polymeric/multimeric TF, and mutant TF deficient in the ability to activate Factor VII.
- TF Tissue Factor
- TF derivatives such as truncated TF (UF), dimeric, trimeric, polymeric/multimeric TF, and mutant TF deficient in the ability to activate Factor VII.
- Suitable coagulation factors include vitamin K-dependent coagulants, such as Factor ll/lla, Factor Vll/Vlla, Factor IX/IXa and Factor X/Xa; vitamin K-dependent coagulation factors that lack the GIa modification; Russell's viper venom Factor X activator; platelet-activating compounds, such as thromboxane A 2 and thromboxane A 2 synthase; and inhibitors of fibrinolysis, such as oc2-antiplasmin.
- tTF truncated Tissue Factor
- chemotherapeutic and other pharmacological agents can also be successfully conjugated to anti-EpCAM antibody therapeutics of the invention.
- exemplary antineoplastic agents that have been conjugated to antibodies include doxorubicin, daunomycin, methotrexate and vinblastine.
- doxorubicin doxorubicin
- daunomycin daunomycin
- methotrexate methotrexate
- vinblastine cytoplasmin-1-proliferatives
- the preparation of coaguligands is also easily practiced.
- the operable association of one or more coagulation factors with an anti-EpCAM antibody of the invention may be a direct linkage, such as those described above for the immunotoxins.
- the operative association may be an indirect attachment, such as where the antibody is operatively attached to a second binding region, preferably an antibody or antigen binding region of an antibody, which binds to the coagulation factor.
- the coagulation factor should be attached to the anti- EpCAM antibody of the invention at a site distinct from its functional coagulating site, particularly where a covalent linkage is used to join the molecules.
- Bispecific or trispecific antibodies may also be employed in the methods of the invention. In such antibodies one arm binds to EpCAM and is an antibody of the present invention.
- specifities for the other arm(s) of the bispecific or trispecific antibodies are anti-CD3, -CD16, -CD28, -NKG2D, NKp30, NKp44, NKp46 or anti-VEGF to block tumor vascularization.
- Methods for preparing bispecific antibodies are well known and described in the art.
- immunotoxins and coaguligands In the preparation of immunoconjugates, immunotoxins and coaguligands, recombinant expression may be employed.
- the nucleic acid sequences encoding the chosen anti-EpCAM antibody of the invention, and therapeutic agent, toxin or coagulant, are attached in-frame in an expression vector. Recombinant expression thus results in translation of the nucleic acid to yield the desired immunoconjugate.
- Chemical cross-linkers and avidin:biotin bridges may also join the therapeutic agents to the anti-EpCAM antibody of the invention.
- compositions and methods of the present invention may be used in combination with other therapeutics and diagnostics.
- biological agents preferably diagnostic or therapeutic agents
- the term “in combination” is succinctly used to cover a range of embodiments.
- the "in combination” terminology unless otherwise specifically stated or made clear from the scientific terminology, thus applies to various formats of combined compositions, pharmaceuticals, cocktails, kits, methods, and first and second medical uses.
- the “combined” embodiments of the invention thus include, for example, where the anti-EpCAM of the invention is a naked antibody and is used in combination with an agent or therapeutic agent that is not operatively attached thereto.
- the agent or therapeutic agent may be used in a non- targeted or targeted form.
- non-targeted form the agent, particularly therapeutic agents, will generally be used according to their standard use in the art.
- targeted form the agent will generally be operatively attached to a distinct antibody or targeting region that delivers the agent or therapeutic agent to the angiogenic disease site or tumor.
- targeted forms of biological agents, both diagnostics and therapeutics is also quite standard in the art.
- the anti-EpCAM antibody of the invention is an immunoconjugate wherein the antibody is itself operatively associated or combined with the agent or therapeutic agent.
- the operative attachment includes all forms of direct and indirect attachment as described herein and known in the art.
- the “combined” uses particularly in terms of an anti-EpCAM antibody of the invention in combination with therapeutic agents, also include combined compositions, pharmaceuticals, cocktails, kits, methods, and first and second medical uses wherein the therapeutic agent is in the form of a prodrug.
- the activating component able to convert the prodrug to the functional form of the drug may again be operatively associated with the anti-EpCAM antibodies of the present invention.
- the therapeutic compositions, combinations, pharmaceuticals, cocktails, kits, methods, and first and second medical uses will be "prodrug combinations".
- prodrug combination means that the antibody of the invention is operatively attached to a component capable of converting the prodrug to the active drug, not that the antibody is attached to the prodrug itself.
- prodrug embodiments of the invention need to be used as prodrug combinations.
- prodrugs may be used in any manner that they are used in the art, including in ADEPT and other forms.
- compositions, pharmaceuticals, cocktails, kits, methods, and first and second medical uses are described, preferably in terms of diagnostic agents, and more preferably therapeutic agents
- the combinations include anti-EpCAM antibodies that are naked antibodies and immunoconjugates, and wherein practice of the in vivo embodiments of the invention involves the prior, simultaneous or subsequent administration of the naked antibodies or immunoconjugate and the biological, diagnostic or therapeutic agent; so long as, in some conjugated or unconjugated form, the overall provision of some form of the antibody and some form of the biological, diagnostic or therapeutic agent is achieved.
- compositions, pharmaceutical compositions, therapeutic kits and medicinal cocktails comprising, optionally in at least a first composition or container, a therapeutically effective amount of at least a first anti- EpCAM antibody of the invention, or an antigen-binding fragment or immunoconjugate of such an anti-EpCAM antibody; and a therapeutically effective amount of at least a second biological agent, component or system.
- the "at least a second biological agent, component or system” will often be a therapeutic or diagnostic agent, component or system, but it need not be.
- the at least a second biological agent, component or system may comprise components for modification of the antibody and/or for attaching other agents to the antibody.
- Certain preferred second biological agents, components or systems are prodrugs or components for making and using prodrugs, including components for making the prodrug itself and components for adapting the antibodies of the invention to function in such prodrug or ADEPT embodiments.
- therapeutic or diagnostic agents are included as the at least a second biological agent, component or system, such therapeutics and/or diagnostics will typically be those for use in connection with cancer treatment or diagnosis.
- the term "at least a second anti-cancer agent” will be included in the therapeutic kit or cocktail.
- the term “at least a second anti-cancer agent” is chosen in reference to the anti-EpCAM antibody of the invention being the first anti-cancer agent.
- the antibodies of the invention may thus be combined with chemotherapeutic agents, radiotherapeutic agents, cytokines, anti-angiogenic agents, apoptosis-inducing agents or anti-cancer immunotoxins or coaguligands, some examples of which are discussed elsewhere herein.
- anti-cancer agent examples include, e.g., neomycin, podophyllotoxin(s), TNF- ⁇ , ⁇ v ⁇ 3 antagonists, calcium ionophores, calcium-flux inducing agents, and any derivative or prodrug thereof.
- preferred anti- tubulin drugs include colchicine, taxol, vinblastine, vincristine, vindescine, a combretastatin or a derivative or prodrug thereof.
- the combined effective amounts of the therapeutic agents may be comprised within a single container or container means, or comprised within distinct containers or container means. The cocktails will generally be admixed together for combined use.
- Agents formulated for intravenous administration will often be preferred. Imaging components may also be included.
- the kits may also comprise instructions for using the at least a first antibody and the one or more other biological agents included.
- the at least a second anti-cancer agent (or any other second agent) may be administered to the animal or patient substantially simultaneously with the anti-EpCAM antibody of the invention; such as from a single pharmaceutical composition or from two pharmaceutical compositions administered closely together.
- the at least a second anti-cancer agent may be administered to the animal or patient at a time sequential to the administration of the anti-EpCAM antibody of the invention.
- "At a time sequential", as used herein, means “staggered", such that the at least a second anti-cancer agent is administered to the animal or patient at a time distinct to the administration of the anti-EpCAM antibody of the invention.
- the two agents are administered at times effectively spaced apart to allow the two agents to exert their respective therapeutic effects, i.e., they are administered at "biologically effective time intervals".
- the at least a second anti-cancer agent (or other second agent) may be administered to the animal or patient at a biologically effective time prior to the anti- EpCAM antibody of the invention, or at a biologically effective time subsequent to that therapeutic.
- the present invention provides methods for treating an animal or patient with a tumor, comprising:
- Preferred first treatments include surgical resection and chemotherapeutic intervention.
- the antibodies and immunoconjugates of the invention may be combined with one or more diagnostic agents, typically diagnostic agents for use in connection with the diagnosis of cancer.
- diagnostic agents typically diagnostic agents for use in connection with the diagnosis of cancer.
- a range of diagnostic compositions, kits and methods are thus included within the invention.
- Yet further aspects are methods of diagnosis or imaging of a subject comprising the administration of an appropriate amount of an antibody or other protein of the invention as defined herein to the subject and detecting the presence and/or amount and/or the location of the antibody or other protein of the invention in the subject.
- Appropriate diseases to be imaged or diagnosed in accordance with the above described uses and methods include any disease and preferably any cancer as described elsewhere herein.
- the invention provides a method of diagnosing disease, e.g. cancer in an animal comprising the step of:
- the invention provides a method of diagnosing disease, e.g. cancer in an animal comprising the steps of: (a) contacting a test sample taken from said animal with an antibody of the invention or an immunoconjugate thereof; (b) measuring or detecting the presence and/or amount and/or location of antibody-antigen complex in the test sample; and, optionally (c) comparing the presence and/or amount of antibody-antigen complex in the test sample to a control.
- said contacting step is carried out under conditions that permit the formation of an antibody-antigen complex.
- Appropriate conditions can readily be determined by a person skilled in the art.
- any appropriate test sample may be used, for example biopsy cells, tissues or organs suspected of being affected by disease or histological sections.
- the presence of any amount of antibody- antigen complex in the test sample would be indicative of the presence of disease.
- the amount of antibody-antigen complex in the test sample is greater or increased than, preferably significantly greater or increased than, the amount found in an appropriate control sample. More preferably, the significantly greater or increased levels are statistically significant, preferably with a probability value of ⁇ 0.05. Appropriate methods of determining statistical significance are well known and documented in the art and any of these may be used.
- control samples could be readily chosen by a person skilled in the art, for example, in the case of diagnosis of a particular disease, an appropriate control would be a sample from a subject that did not have that disease.
- Appropriate control "values" could also be readily determined without running a control "sample” in every test, e.g., by reference to the range for normal subjects known in the art.
- the antibodies of the invention may be labeled with a detectable marker such as a radio-opaque or radioisotope, such as 3 H, 14 C, 32 P, 35 S, 123 1, 125 1, 131 I; a radioactive emitter ⁇ e.g., ⁇ , ⁇ or ⁇ emitters); a fluorescent (fluorophore) or chemiluminescent (chromophore) compound, such as fluorescein isothiocyanate, rhodamine or luciferin; an enzyme, such as alkaline phosphatase, beta-galactosidase or horseradish peroxidase; an imaging agent; or a metal ion; or a chemical moiety such as biotin which may be detected by binding to a specific cognate detectable moiety, e.g., labelled avidin/streptavidin.
- a detectable marker such as a radio-opaque or radioisotope, such as 3 H, 14 C
- Preferred detectable markers for in vivo use include an X-ray detectable compound, such as bismuth (III), gold (III), lanthanum (III) or lead (II); a radioactive ion, such as copper 67 , gallium 67 , gallium 68 , indium 111 , indium 113 , iodine 123 , iodine 125 , iodine 131 , mercury 197 , mercury 203 , rhenium 186 , rhenium 188 , rubidium 97 , rubidium 103 , technetium 99m or yttrium 90 ; a nuclear magnetic spin-resonance isotope, such as cobalt (II), copper (II), chromium (III), dysprosium (III), erbium (III), gadolinium (III), holmium (III), iron (II), iron (III), manganese (II), neodymium (III),
- the invention also includes diagnostic or imaging agents comprising the antibodies of the invention attached to a label that produces a detectable signal, directly or indirectly. Appropriate labels are described elsewhere herein. Cancer treatment may also be carried out by:
- EpCAM antibody of the invention thereby forming a detectable image of the tumor
- kits comprising one or more of the antibodies, immunoconjugates or compositions of the invention or one or more of the nucleic acid molecules encoding the antibodies of the invention, or one or more recombinant expression vectors comprising the nucleic acid sequences of the invention, or one or more host cells or viruses comprising the recombinant expression vectors or nucleic acid sequences of the invention.
- kits are for use in the methods and uses as described herein, e.g., the therapeutic, diagnostic or imaging methods as described herein, or are for use in the in vitro assays or methods as described herein.
- kits may preferably be an antibody conjugate as described elsewhere herein, e.g., may be conjugated to a detectable moiety or may be an immumoconjugate.
- kits comprise instructions for use of the kit components, for example in diagnosis.
- kits are for diagnosing or treating diseases as described elsewhere herein, e.g. cancer and optionally comprise instructions for use of the kit components to diagnose or treat such diseases.
- the antibodies of the invention as defined herein may also be used as molecular tools for in vitro or in vivo applications and assays. As the antibodies have an antigen binding site, these can function as members of specific binding pairs and these molecules can be used in any assay where the particular binding pair member is required.
- yet further aspects of the invention provide a reagent that comprises an antibody of the invention as defined herein and the use of such antibodies as molecular tools, for example in in vitro or in vivo assays.
- the heavy chain sequences (nucleotide and amino acid) of antibody 7-F17 (VH domain, Heavy CDR1 , Heavy CDR2, Heavy CDR3, Heavy FR1 , Heavy FR2, Heavy FR3 and Heavy FR4) and the linker sequence are identical to the sequences set out in Table 1.
- the heavy chain sequences (nucleotide and amino acid) of antibody 12-C15 (VH domain, Heavy CDR1 , Heavy CDR2, Heavy CDR3, Heavy FR1 , Heavy FR2, Heavy FR3, Heavy FR4 and IgG heavy chain) and the linker sequence are identical to the sequences set out in Table 1 .
- the heavy chain sequences (nucleotide and amino acid) of antibody 16-G5 (VH domain, Heavy CDR1 , Heavy CDR2, Heavy CDR3, Heavy FR1 , Heavy FR2, Heavy FR3, Heavy FR4 and IgG heavy chain) and the linker sequence are identical to the sequences set out in Table 1 .
- the heavy chain sequences (nucleotide and amino acid) of antibody 17-C20 (VH domain, Heavy CDR1 , Heavy CDR2, Heavy CDR3, Heavy FR1 , Heavy FR2, Heavy FR3, Heavy FR4 and IgG heavy chain) and the linker sequence are identical to the sequences set out in Table 1 .
- the heavy chain sequences (nucleotide and amino acid) of antibody 24-G6 (VH domain, Heavy CDR1 , Heavy CDR2, Heavy CDR3, Heavy FR1 , Heavy FR2, Heavy FR3 and Heavy FR4) and the linker sequence are identical to the sequences set out in Table 1.
- Figure 1 shows the nucleotide and amino acid sequences of the heavy (VH) and light (VL) chain variable region of an scFv form of clone 3-171.
- the ScFv genes were cloned via Nco/Notl site into pHOG21 plasmid vector (3.7 Kb).
- the restriction sites used for initial gene cloning (Ncol, Hindi 11, MIuI and Notl) are underlined.
- the linker sequence between VH and VL is shown in italics.
- Figure 2 shows flow cytometric analysis of 3-171 IgG, MOC31 IgG and MT201 IgG binding to the naturally EpCAM + Kato III cell line.
- Anti-green fluorescent protein (GFP) antibody is used as a negative control.
- MFI Median Fluorescence Intensity.
- Figures 3A, 3B and 3C show Western blot binding analysis of 3-171 IgG (Figure 3A), MT201 IgG ( Figure 3B) and MOC31 IgG ( Figure 3C) binding to human (Hu) and Cynomolgus (Cy) EpCAM-Fc variants under non-reducing and reducing conditions.
- M Molecular weight markers.
- Figures 4A, 4B and 4C show ELISA binding analysis of 3-171 IgG (Figure 4A), MT201 IgG ( Figure 4B) and MOC31 IgG ( Figure 4C) to human and cynomolgus EpCAM-Fc variants.
- MAXI-Sorb plates were coated with human and cynomolgus EpCAM-Fc at a concentration of 1 ⁇ g/ml. The antibody was added in 2-fold dilutions from 133 nM to 32 fM.
- Figures 5A and 5B show BIAcore analysis of 3-171 IgG binding to recombinant human EpCAM antigen (Figure 5A) or to recombinant cynomolgus EpCAM antigen (Figure 5B).
- the shown binding curves correspond to 3-171 IgG concentrations of 7.8, 3.9, 2.0, 0.98, 0.49 and 0.24 nM.
- Figures 6A, 6B and 6C show that 3-171 IgG induces ADCC in MDA-MB-453 (Figure 6A), MDA-MB-231 ( Figure 6B) and BT-474 ( Figure 6C) cells in the presence of human PBMCs. Furthermore, these data demonstrate that 3-171 Ig possesses superior ADCC activity over the positive control antibody, MT201 IgG.
- Figures 7A and 7B show that 3-17I IgG induces CDC in the cell lines KATO III ( Figure 7A) and MT-3 ( Figure 7B) in the presence of human serum. Furthermore, these data clearly demonstrate the superiority of 3-171 IgG over positive control antibody, MT201 IgG, in inducing CDC.
- Figure 8A and 8B show the scFv expression vector.
- Figure 8A shows the scFv expression vector pHOG21 .
- Figure 9 shows ELISA binding analysis of 12-C15 IgG, 16-G5 IgG and 17-C20 IgG to human EpCAM-Fc.
- MAXI-Sorb plates were coated with human EpCAM-Fc at a concentration of 1 ⁇ g/ml. The antibody was added in 2-fold dilutions from 133 nM to 65 pM.
- Figures 10A and 10B show ELISA binding analysis of 3-17I scFv, 7-F17 scFv, 17- C20 scFv and 24-G6 scFv to human EpCAM-Fc ( Figure 10A) and to cynomolgus EpCAM-Fc ( Figure 10B).
- MAXI-Sorb plates were coated with human or cynomolgus EpCAM-Fc at a concentration of 5 ⁇ g/ml.
- the antibody was added in 2-fold dilutions from 667 nM to 3.2 nM.
- a human antibody which specifically recognizes colon cancer cell lines such as HT29.
- the antibody can specifically bind to EpCAM.
- a single chain form of the antibody was cloned in the pHOG21 plasmid ( Figure 8) which contains a c-myc and 6xHis tag epitopes.
- TG1 bacteria were transformed and the scFv was expressed upon IPTG induction.
- the binding of the purified scFv was confirmed by flow cytometry using an Easycyte flow cytometer.
- the nucleotide sequences of the heavy and light chain of the antibody producing clone were sequenced.
- the antibody is designated as 3-171 (scFv).
- the nucleotide sequence and amino acid sequence of the light and heavy chain of 3-171 (scFv) are shown in Figure 1 and Table 1.
- the CDR regions of the light and heavy chains of 3- 171 are shown in Table 1.
- the IgG form of this antibody has also been made.
- the IgG form is of the IgGI isotype and it comprises two heavy chains and two light chains. Each heavy chain comprises a VH domain of SEQ ID NO: 3 and an IgGI constant region. Each light chain comprises a VL domain of SEQ ID NO: 4 and a kappa light constant region.
- the components of the IgG form of the antibody were cloned into vectors based on a vector published by Lars Norderhaug et al, JIM 204 (1997) 77-87 and using the method described in this citation.
- the vector contains a standard CMV promoter.
- An IgG leader sequence (mgwsciilflvatatgvhs) was introduced into each vector.
- the VH and VL domains were cloned into separate vectors containing genomic copies (introns + exons) of the human IgGI and Kappa genes, respectively into Bsml and BSiWI sites which had been introduced by PCR.
- the IgGI vector contains a hygromycin resistance gene, whereas the Kappa vector contains a neomycin resistance gene.
- HEK293/T cells were transiently transfected and after 5-6 days, the IgG was purified via Protein-A followed by size exclusion to isolate the monomeric IgG fraction.
- amino acid sequences of the complete heavy and light chains of the 3-17I IgG antibody are shown below.
- amino acid sequences of the complete heavy and light chains of the MT201 IgG and MOC31 IgG antibodies used are shown below.
- the constant regions are in bold italics.
- the anti-green fluorescent protein (GFP) antibody was used as a negative control.
- Kato III cells ATCC number (gastric carcinoma, ATCC number HTB-103)
- PBS fetal bovine serum
- BSA fetal bovine serum
- NaN 3 0.09% NaN 3
- Cells were centrifuged at 400 x gfor 5 min and then incubated at 4 0 C for 45 min with 50 ⁇ l_ of each different antibody dilution (all dilutions made in PBS with 0.2% BSA and 0.09% NaN 3 ). After washing in PBS with 0.2% BSA and 0.09% NaN 3 , the cells were stained with 10 ⁇ g/mL of RPE-conjugated goat anti-human IgG (AbDSerotec, D ⁇ sseldorf, Germany) for 30 min at 4 0 C.
- RPE-conjugated goat anti-human IgG AbDSerotec, D ⁇ sseldorf, Germany
- the stained cells were washed, re-suspended in 200 ⁇ l_ PBS with 0.2 % BSA and 0.09% NaN 3 and transferred to a U-shaped 96-well plate (Corning, Schiphol-Rijk, The Netherlands) for analysis on EasyCyte flow cytometer (Guava Technologies, Hayward, CA, USA).
- the results shown in Figure 2 clearly demonstrate that the antibody 3-171 specifically interacts with the naturally EpCAM + Kato III cell line with an affinity comparable to that of MOC31.
- the antibody MT201 demonstrated significantly weaker binding to the EpCAM-positive Kato III cells.
- MOC31 to human and cynomolgus EpCAM, sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and Western blot analysis were performed under reducing and non-reducing conditions. All the antibodies were in IgG format and were produced in transiently transfected HEK-293 cells. The antibodies were then purified on Protein A Sepharose (GE Healthcare, Uppsala, Sweden) followed by fractionation on two serial coupled size exclusion columns, Superdex 200 and Superdex 75. The resultant IgG preparations appeared to be monomeric with >95% purity.
- EpCAM antigens were also produced in HEK- 293 cells and purified in one step on a Protein A Sepharose column. The determined purity of the antigen preparation was above 90%. Both EpCAM constructs consist of the extracellular domains of EpCAM fused to a human Fc region from IgGI .
- the human EpCAM sequence was derived from NCBI databse NP-002345 and the Cynomolgus from CS611076.
- the amino acid sequences of the human EpCAM/Fc fusion and the Cynomolgus EpCAM/Fc fusion are shown below:
- the samples of the recombinant human and cynomolgus EpCAM-Fc antigens were either reduced or non-reduced before loading on SDS-PAA gels (1 ⁇ g/well). The samples were run in duplicate. After electroblotting, the membranes were blocked with 5% skimmed milk powder (Merck product no 1.15363.0500) in PBS (block solution) for 1 hr. The membrane was then incubated with the IgGs 3-171 ( Figure 3A), MT201 ( Figure 3B) or MOC 31 ( Figure 3C) at a concentration of 1 ⁇ g/ml diluted in block solution. To detect the membrane bound IgG, the filter was incubated for 1 hr with a goat anti-human kappa-HRP antibody (Southern Biotech, cat no 2060-05) diluted 1 :5000 in block solution.
- a goat anti-human kappa-HRP antibody Pacificn Biotech, cat no 2060-05
- the Western blots were developed using DAB (Thermo Scientific #1856090) substrate diluted according to the recommendations of the manufacturer.
- an SDS-PAA gel was stained with Coomassie Instant Blue (Expedeon #ISB01 L), to verify the loaded amounts of the EpCAM variants.
- the successful transfer to the membrane was verified by detecting the EpCAM-Fc on the membrane with a goat anti-human IgG-HRP conjugate (Southern Biotech cat no 2040-05) and DAB staining (data not shown).
- the expected sizes for EpCAM-Fc were approximately 1 10 kDa and 55 kDa under non-reducing and reducing conditions, respectively.
- the specificity of antibody clones 12-C15 IgG, 16-G5 IgG and 17-C20 IgG for human EpCAM were determined in ELISA experiments.
- the specificity and affinity of antibody clones 7-F17, 17-C20 and 24-G6 in scFv format for human and cynomolgus EpCAM were determined in ELISA experiments.
- the MAXI-sorb plate was coated with 1 ⁇ g/ml (100 ⁇ l per well) of human or cynomolgus EpCAM-Fc in PBS overnight at 4 0 C. The plates were blocked with 3% BSA in PBS for 2 hrs. The IgGs to be tested were added in 2-fold dilutions from 133 nM to 32 fM and incubated for 1 hr at room temperature. For detection of bound IgG, a goat anti-human kappa-HRP antibody (Southern Biotech, cat no 2060-05) was added in 1 :5000 dilution in block solution and incubated for 1 hr at room temperature.
- the MAXI-sorb plate was coated with 5 ⁇ g/ml (100 ⁇ l per well) of human or cynomolgus EpCAM-Fc in PBS overnight at 4 0 C. The plates were blocked with 4% skimmed milk (Merck product no 1.15363.0500) in PBS for 2 hrs. The scFvs to be tested were added in 2-fold dilutions from 667 nM to 3.2 nM and incubated with 0.125 ⁇ g mouse anti-cMyc IgG (clone 9E10 Diatec) for 1 hr at room temperature. For detection of bound scFv, a rabbit anti-mouse-HRP antibody (Dako, cat no P0260) was added in 1 :3000 dilution in block solution and incubated for 1 hr at room temperature.
- the ELISA of antibodies in IgG format was developed using a 1 -step ABTS Kit (Thermo Scientific prod #37615) and a 25 min incubation time. The absorbance was measured on a SLT SPECTRA plate reader. The software Prism (GraphPad, San Diego, CA) was used to estimate the affinities using a non-linear fit of one-site model on the retrieved ELISA data.
- the ELISA of antibodies in scFv format was developed using a TMB substrate kit (Thermo Scientific, prod #34021 ) and a 10 min incubation time. The reaction was stopped by adding H2SO4. The absorbance was measured on a SLT SPECTRA plate reader. The software Prism (GraphPad, San Diego, CA) was used to estimate the affinities using a non-linear fit of one-site model on the retrieved ELISA data.
- the IgG format of antibody clones 12-C15, 16-G5 and 17-C20 also bound to human EpCAM ( Figure 9).
- the scFv format of antibody clones 7-F17, 17-C20 and 24-G6 bound to human and cynomolgus EpCAM and displayed affinities for both human and cynomolgus EpCAM which were comparable to the affinity of the scFv format of 3-171 for both human and cynomolgus EpCAM ( Figures 10A and 10B).
- AFFINITIES Binding of 3-171 to human and cynomolgus monkey EpCAM was analyzed using surface plasmon resonance (SPR) on a BIAcore T100 (BIAcore, Inc, Piscataway, NJ).
- SPR surface plasmon resonance
- the extracellular domains of human or cynomolgus monkey EpCAM fused to human Fc (IgGI ) were coupled to a CM5 chip (BIAcore, Inc, Piscataway, NJ) at density of 100 RU.
- the SPR studies were performed using standard techniques at 37 0C with a flow rate of 50 ⁇ l/min. The data were analyzed using the 1 :1 Langmuir binding model of the BIAcore software.
- the binding affinity of the 3-171 IgG antibody of the invention as measured by BIAcore analysis is approximately 1 nM for binding to both human and monkey EpCAM.
- Example 4 3-171 IqG mediates ADCC and CDC Functional assays were carried out in order to determine the ability of 3-171 IgG to mediate target cell killing via ADCC and/or CDC. Results from these studies show that 3-17I IgG does mediate ADCC and CDC. In addition, these data clearly show the superiority of 3-171 IgG over MT201 IgG in inducing both ADCC and CDC.
- ADCC Antibody-Dependent Cellular Cytotoxicity
- 3-171 IgG The ability of 3-171 IgG to induce ADCC was analyzed using three different breast cancer cell lines MDA-MB-231 , MDA-453 and BT-474 which cover a range of more than 100-fold difference in surface density of EpCAM (Prang et al., 2005).
- MT201 IgG was used as a positive control antibody as it was reported by Prang et alto induce ADCC on all these cell lines.
- MDA-MB-453 (breast mammary gland, ATCC number HTB-131 ), MDA-MB-231 (breast mammary gland, ATCC number HTB-26) and BT-474 (breast mammary gland, ATCC number HTB-20) cell lines were obtained from the American Type Culture Collection (ATCC, Rockville, MD).
- the MDA-MB-453 and BT-474 cells were maintained in RPMI-1640 culture medium and the MDA-MB-231 cells were maintained in Leibovitz's culture medium. All media were supplemented with 10% fetal calf serum (FCS), Penicillin and Streptomycin. All cell media and supplements were obtained from PAA (Pasching, Austria).
- FCS fetal calf serum
- All cell media and supplements were obtained from PAA (Pasching, Austria).
- the target cells cultivated under regular conditions, were harvested by Trypsin-EDTA, sedimented by centrifugation and resuspended twice in RPMI-1640 culture medium.
- the peripheral blood mononuclear cells were prepared from blood of a single healthy volunteer by Ficoll-Hypaque gradient centrifugation.
- the isolated PBMC were washed in RPMI-1640 with 10% FCS and resuspended at 6x10 6 cells per ml.
- 50 ⁇ l of each target and effector cell suspension were added to the same wells in a 96-well microtiter plate providing a ratio of effector (E) to target (T) cells (E:T) of 20:1 .
- the antibody dilutions were added in a volume of 20 ⁇ l in quadruplicates for each concentration.
- the microtiter plate was then incubated for 4 hrs at 37 0 C, and 20 ⁇ l 0.9% TritonX-100 was added to some of the wells after 3 hrs 45 minutes to achieve complete lysis of the target cells.
- 100 ⁇ l of the supernatant of each sample was then transferred to a black microtiter plate and the fluorescence (excitation: 488 nm, emission: 518 nm) was analyzed in a TECAN M200 plate reader.
- the fluorescence intensity in the samples with no antibodies was subtracted from the intensity of all other samples.
- the percentage of lysis in samples with antibodies was estimated on the basis of fluorescence intensity in the samples with 100% cell lysis after treatment with TritonX-100.
- the dose-response curves were generated by nonlinear regression analysis using a three-parameter fit model of software Prism (GraphPad, San Diego, CA, USA).
- KATO III gastric carcinoma, ATCC number HTB-103
- MT-3 breast carcinoma, DSMZ number ACC 403
- the KATO III and MT-3 cells were maintained in RPMI-1640 culture medium with the addition of fetal calf serum (FCS) at 20% and 10%, respectively. All media were supplemented with Penicillin and Streptomycin. All cell media and supplements were obtained from PAA (Pasching, Austria).
- FCS fetal calf serum
- the target cells cultivated under regular conditions were sedimented by centrifugation and resuspended twice in RPMI-1640 culture medium.
- 5 ml containing 12.5x10 6 cells were mixed with calcein-AM (Invitrogen, Carlsbad, California) to a final concentration of 10 ⁇ M and then incubated at 37 0 C for 30 min on a vertical rotating wheel (7 rpm).
- the cells were washed three times in RPMI-1640 with 10% heat inactivated fetal calf serum (MFCS) and the cell density was adjusted to 4x10 6 AnI.
- 25 ⁇ l of target cell suspension was mixed with 25 ⁇ l human serum and 50 ⁇ l antibody dilutions in RPMI-1640 with 10% hiFCS.
- the final antibody concentrations in the wells ranged from 0.8 ng/ml to 50 ⁇ g/ml.
- the final antibody concentration in the wells ranged from 0.19 ⁇ g/ml to 1.5 ⁇ g/ml.
- the assays were performed in quadruplicate. 20 ⁇ l of 0.9% TritonX-100 was added to some wells to achieve complete lysis of the target cells and the plate was then incubated for one hour at 37 ⁇ €.
- Ep-CAM epithelial cell adhesion molecule
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JP2012514538A JP2012529281A (en) | 2009-06-09 | 2010-06-09 | Anti-EpCAM antibody |
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EA201171463A EA201171463A1 (en) | 2009-06-09 | 2010-06-09 | ANTIBODIES AGAINST EpCAM |
EP10724121A EP2440580A1 (en) | 2009-06-09 | 2010-06-09 | ANTI-EpCAM ANTIBODIES |
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EA201171463A1 (en) | 2012-07-30 |
US8637017B2 (en) | 2014-01-28 |
US20100310463A1 (en) | 2010-12-09 |
GB0909904D0 (en) | 2009-07-22 |
CN102549017A (en) | 2012-07-04 |
EP2440580A1 (en) | 2012-04-18 |
BRPI1011005A2 (en) | 2018-03-06 |
JP2012529281A (en) | 2012-11-22 |
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