WO2018106645A1 - β-1,6-GLUCAN THERAPEUTIC ANTIBODY CONJUGATES - Google Patents

β-1,6-GLUCAN THERAPEUTIC ANTIBODY CONJUGATES Download PDF

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Publication number
WO2018106645A1
WO2018106645A1 PCT/US2017/064631 US2017064631W WO2018106645A1 WO 2018106645 A1 WO2018106645 A1 WO 2018106645A1 US 2017064631 W US2017064631 W US 2017064631W WO 2018106645 A1 WO2018106645 A1 WO 2018106645A1
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Prior art keywords
antibody
glucan
composition
cetuximab
oligomers
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English (en)
French (fr)
Inventor
Gabriel Oscar REZNIK
John James KANE
James Michael SIEDLECKI
Zuzana DOSTALOVA
Isabelle SANSAL-CASTELLANO
Ifat Rubin-Bejerano
Hua Miao
Eric Steven Furfine
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Innate Biotherapeutics LLC
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Innate Biotherapeutics LLC
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Priority to US16/466,927 priority Critical patent/US11865135B2/en
Priority to EP17879636.3A priority patent/EP3582810A4/en
Priority to JP2019531127A priority patent/JP7254350B2/ja
Publication of WO2018106645A1 publication Critical patent/WO2018106645A1/en
Anticipated expiration legal-status Critical
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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/70—Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715—Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • A61K31/716—Glucans
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/56—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule
    • A61K47/61—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule the organic macromolecular compound being a polysaccharide or a derivative thereof
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • 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
    • C07K16/2863—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against receptors for growth factors, growth regulators
    • 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
    • C07K16/32—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes
    • 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
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
    • C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
    • 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
    • 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

Definitions

  • trastuzumab is a HER2 inhibitor monoclonal antibody used for the treatment of breast and gastric cancers.
  • Kadcyla® (ado-trastuzumab emtansine) is an antibody- drug conjugate consisting of the monoclonal antibody trastuzumab linked to the cytotoxic agent emtansine (DM1), and is approved for the treatment of metastatic breast cancer.
  • trastuzumab and Kadcyla® have efficacy for the treatment of these types of cancer in some but not all patients and/or under some but not all conditions. There is therefore a need for new forms of trastuzumab antibodies that have improved efficacy in cancer patients and/or efficacy across a broader set of cancer patients.
  • cetuximab is an epidermal growth factor receptor (EGFR) inhibitor used for the treatment of squamous cell Carcinoma of the head and neck (SCCHN) and colorectal cancer (e.g., KRAS wild-type EGFR-expressing colorectal cancer).
  • EGFR epidermal growth factor receptor
  • SCCHN head and neck
  • colorectal cancer e.g., KRAS wild-type EGFR-expressing colorectal cancer.
  • cetuximab has efficacy for the treatment of these types of cancer in some but not all patients and/or under some but not all conditions. There is therefore a need for new forms of cetuximab antibodies that have improved efficacy in patients and/or efficacy across a broader set of cancer patients.
  • the present invention encompasses embodiments in which a therapeutic antibody is conjugated to ⁇ - ⁇ , ⁇ -glucan oligomers.
  • the present invention includes, among other things, compositions including a therapeutic antibody conjugated to one or more ⁇ - ⁇ , ⁇ -glucan oligomers.
  • the present invention further includes, among other things, methods of making and/or using these ⁇ - ⁇ , ⁇ -glucan conjugates.
  • a ⁇ - ⁇ , ⁇ -glucan conjugate of the present invention is useful as a therapeutic or in a method of therapy.
  • the present invention encompasses a composition including a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers (e.g., between 1 and 5, 1 and 4, or 1 and 3 ⁇ - ⁇ , ⁇ -glucan oligomers), wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units.
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers e.g., between 1 and 5, 1 and 4, or 1 and 3 ⁇ - ⁇ , ⁇ -glucan oligomers
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units.
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is independently comprised of between 2 and 8 glucose monomer units
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is independently comprised of between 2 and 6 glucose monomer units
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is independently comprised of between 4 and 6 glucose monomer units
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is comprised of 8 glucose monomer units
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is comprised of 7 glucose monomer units
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is comprised of 6 glucose monomer units
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is comprised of 5 glucose monomer units
  • each of the ⁇ - 1,6-glucan oligomers is comprised of 4 glucose monomer units
  • each of the ⁇ - ⁇ , ⁇ -glucan oligomers is comprised of 3 glucose monomer units, or
  • the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of between 2 and 10 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ -1,6- glucan oligomers are each independently comprised of between 2 and 8 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to between 2 and 4 ⁇ - 1,6-glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of between 2 and 6 glucose monomer units.
  • the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of between 4 and 6 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to between 2 and 4 ⁇ -1,6- glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 8 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 7 glucose monomer units.
  • the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 6 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 5 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to between 2 and 4 ⁇ - 1,6-glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 4 glucose monomer units.
  • the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 3 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ -1,6- glucan oligomers are each independently comprised of 2 glucose monomer units.
  • the therapeutic antibody is conjugated to 3 ⁇ -
  • 1,6-glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of between 2 and 10 glucose monomer units.
  • the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of between 2 and 8 glucose monomer units.
  • the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ -1,6- glucan oligomers are each independently comprised of between 2 and 6 glucose monomer units.
  • the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of between 4 and 6 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 8 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 7 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 6 glucose monomer units. In certain particular embodiments,
  • the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ -1,6- glucan oligomers are each independently comprised of 5 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 4 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 3 glucose monomer units. In certain particular embodiments, the therapeutic antibody is conjugated to 3 ⁇ - 1,6-glucan oligomers, and the ⁇ - ⁇ , ⁇ -glucan oligomers are each independently comprised of 2 glucose monomer units.
  • the therapeutic antibody is conjugated to the ⁇ - ⁇ , ⁇ -glucan oligomers according to Formula II:
  • Lys is a lysine residue
  • b is between 1 and 6, 1 and 5, 1 and 4, or 1 and 3; and compound of Formula I:
  • a is between 1 and 9, 1 and 8, 1 and 7, 1 and 6, 1 and 5, 1 and 4 or 1 and 3;
  • L is a linker; and
  • - ⁇ w represents a point of attachment between two atoms.
  • ⁇ i s a compound of Formula la:
  • a 1 is between 1 and 9, 1 and 8, 1 and 7, 1 and 6, 1 and 5, 1 and 4 or 1 and 3; and " " represents a point of attachment between two atoms.
  • a therapeutic antibody is cergutuzumab; ibritumomab tiuxetan; rituximab; tositumomab; gemtuzumab; alemtuzumab; cetuximab; panitumumab; depatuxizumab; sibrotuzumab; codrituzumab; trastuzumab;
  • patritumab figitumumab; ganitumab; cantuzumab; ABX-MAl; bavituximab; J591; palivizumab; or bevacizumab.
  • a therapeutic antibody is cergutuzumab; ibritumomab tiuxetan; rituximab; tositumomab; gemtuzumab; alemtuzumab; panitumumab; depatuxizumab; sibrotuzumab; codrituzumab; trastuzumab; patritumab;
  • a therapeutic antibody is cergutuzumab; ibritumomab tiuxetan; rituximab; tositumomab; gemtuzumab; alemtuzumab; panitumumab; depatuxizumab; sibrotuzumab; codrituzumab; patritumab; figitumumab;
  • ganitumab cantuzumab; ABX-MA1; bavituximab; J591; palivizumab; or bevacizumab.
  • a therapeutic antibody is a cergutuzumab antibody; a ibritumomab tiuxetan antibody; a rituximab antibody; a tositumomab antibody; a gemtuzumab antibody; an alemtuzumab antibody; a cetuximab antibody; a panitumumab antibody; a depatuxizumab antibody; a sibrotuzumab antibody; a codrituzumab antibody; a trastuzumab antibody; a patritumab antibody; a figitumumab antibody; a ganitumab antibody; a cantuzumab antibody; an ABX-MA1 antibody; a bavituximab antibody; a J591 antibody; a palivizumab antibody; a bevacizumab antibody, as defined herein.
  • a therapeutic antibody is a cergutuzumab antibody; a ibritumomab tiuxetan antibody; a rituximab antibody; a tositumomab antibody; a gemtuzumab antibody; an alemtuzumab antibody; a panitumumab antibody; a depatuxizumab antibody; a sibrotuzumab antibody; a codrituzumab antibody; a trastuzumab antibody; a patritumab antibody; a figitumumab antibody; a ganitumab antibody; a cantuzumab antibody; an ABX-MA1 antibody; a bavituximab antibody; a J591 antibody; a palivizumab antibody; a bevacizumab antibody, as defined herein.
  • a therapeutic antibody is a cergutuzumab antibody; a ibritumomab tiuxetan antibody; a rituximab antibody; a tositumomab antibody; a gemtuzumab antibody; an alemtuzumab antibody; a panitumumab antibody; a depatuxizumab antibody; a sibrotuzumab antibody; a codrituzumab antibody; a patritumab antibody; a figitumumab antibody; a ganitumab antibody; a cantuzumab antibody; an ABX-MA1 antibody; a bavituximab antibody; a J591 antibody; a palivizumab antibody; a bevacizumab antibody, as defined herein.
  • a therapeutic antibody includes a sequence having at least 80% identity with a sequence listed in Table I. In some embodiments of the present invention, a therapeutic antibody includes a sequence having at least 80% identity with a portion of a sequence listed in Table I. [0017] In some embodiments of the present invention, a therapeutic antibody includes a variable domain comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I. In some embodiments of the present invention, a therapeutic antibody includes a heavy chain variable domain comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I. In some embodiments of the present invention, a therapeutic antibody includes a light chain variable domain comprising a sequence having at least 80%) identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody includes a
  • a therapeutic antibody includes a heavy chain CDR comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody includes a light chain CDR comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody includes a heavy chain CDR comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody includes a constant region comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody includes a light chain constant region comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody includes a heavy chain constant region comprising a sequence having at least 80%) identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody includes a hinge domain comprising a sequence having at least 80% identity with at least a portion of a sequence listed in Table I.
  • a therapeutic antibody competes with its parent therapeutic antibody for binding to its target.
  • a cergutuzumab antibody competes with cergutuzumab for binding to CEACAM5, etc.
  • the ⁇ - ⁇ , ⁇ -glucan oligomers are chemically synthesized.
  • At least 90% of the dry weight of glucan contained in the composition is ⁇ - ⁇ , ⁇ -glucan. In various embodiments, less than 10% of the dry weight of glucan contained in the composition is P-l,3-glucan. In various embodiments, the composition is substantially free of P-l,3-glucan.
  • the present invention further provides methods of treating a cancer associated with expression of a tumor antigen (e.g., CEACAM5, etc.) which involves administering a composition of the present invention to a subject in need thereof.
  • a tumor antigen e.g., CEACAM5, etc.
  • the methods involve administering a therapeutically effective amount of a composition that includes a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers (e.g., between 1 and 5, 1 and 4, or 1 and 3 ⁇ - ⁇ , ⁇ -glucan oligomers), where each ⁇ -1,6- glucan oligomer is independently comprised of between 2 and 10 glucose monomer units.
  • the cancer is breast cancer. In some embodiments, the cancer is ovarian cancer. In some embodiments, the cancer is bladder cancer. In some embodiments, the cancer is salivary gland cancer. In some embodiments, the cancer is endometrial cancer. In some embodiments, the cancer is pancreatic cancer. In some
  • the cancer is non-small-cell lung cancer (NSCLC). In some embodiments, the cancer is prostate cancer. In some embodiments the cancer is metastatic.
  • NSCLC non-small-cell lung cancer
  • the cancer is prostate cancer. In some embodiments the cancer is metastatic.
  • antibody means an immunoglobulin molecule that recognizes and specifically binds to a target through at least one antigen recognition site within a variable, optimized, or selected region of an immunoglobulin molecule.
  • antibody means an immunoglobulin molecule that recognizes and specifically binds to a target through at least one antigen recognition site within a variable, optimized, or selected region of an immunoglobulin molecule.
  • antibody encompasses intact polyclonal antibodies, intact monoclonal antibodies, antibody fragments (such as Fab, Fab', Fab'2, Fab 2 , Fab 3 , F(ab') 2 , Fd, Fv, Feb, scFv, SMTP, antibody, diabody, triabody, tetrabody, minibody, maxibody, tandab, DVD, BiTe, TandAb, or the like, or any combination thereof), single chain Fv (scFv) mutants, multispecific antibodies such as bispecific antibodies generated from at least two intact antibodies, chimeric antibodies, humanized antibodies, human antibodies, fusion proteins comprising an antigen determination portion of an antibody, and any other modified immunoglobulin molecule comprising an antigen recognition site so long as the antibodies exhibit the desired biological activity.
  • antibody fragments such as Fab, Fab', Fab'2, Fab 2 , Fab 3 , F(ab') 2 , Fd, Fv, Feb, scFv,
  • An antibody can be of any the five major classes of immunoglobulins: IgA, IgD, IgE, IgG, and IgM, or subclasses (isotypes) thereof (e.g., IgGl, IgG2, IgG3, IgG4, IgAl and IgA2), based on the identity of their heavy-chain constant domains referred to as alpha, delta, epsilon, gamma, and mu, respectively.
  • the different classes of immunoglobulins have different and well known subunit structures and three-dimensional configurations.
  • Antibodies can be naked or conjugated to other molecules such as glucans, toxins, radioisotopes, and the like.
  • an antibody can be, e.g., an "intact antibody” or an "antibody fragment.”
  • antibody additionally
  • an antibody or intact antibody can be an immunoglobulin molecule comprising four polypeptide chains, two heavy (H) chains and two light (L) chains inter-connected by disulfide bonds.
  • Each heavy chain comprises a heavy chain variable (V H ) region and a heavy chain constant region (C H ).
  • the heavy chain constant region comprises three domains, C H I , C H and C H 3.
  • Each light chain comprises a light chain variable (V L ) region and a light chain constant region (C L ).
  • V H and V L regions can be further subdivided into regions of hypervariability, termed complementarity determining regions (CDR), interspersed with regions that are more conserved, termed framework regions (FR).
  • CDR complementarity determining regions
  • FR framework regions
  • antibody fragment means a molecule comprising at least a portion derived from or having significant identity to all or a portion of an
  • immunoglobulin protein such as, for example, an antigen-binding or variable region of an antibody.
  • antibody fragments include Fab, Fab', F(ab') 2 , and Fv fragments;
  • antibody fragment does not imply and is not restricted to any particular mode of generation.
  • An antibody fragment may be produced through use of any appropriate methodology, including but not limited to cleavage of an intact antibody, chemical synthesis, recombinant production, etc.
  • glucan means any polymeric or oligomeric molecule composed largely or entirely of glucose monomer units.
  • a glucan can be a free molecule or may be a molecule that is conjugated with one or more other molecules, such as an antibody.
  • conjugated refers to an antibody that is covalently linked to one or more glucans.
  • glucan-conjugated or "glucan-linked” as well as grammatical equivalents thereof refer to an antibody molecule that is covalently linked to one or more glucans.
  • identity refers to the overall relatedness between a reference nucleic acid or amino acid sequence and one or more other nucleic acid or amino acid sequences. Identity may be expressed as a percentage. Methods for calculating percent identity are known in the art. Calculation of identity does not require that sequences be of same or similar length. Calculation of the percent identity can be performed by aligning the two sequences for optimal comparison purposes (e.g., gaps can be introduced in one or both of a first and a second nucleic acid sequences for optimal alignment and non-identical sequences can be disregarded for comparison purposes); nucleotides at corresponding nucleotide positions can then be compared.
  • sequences are identical at that position.
  • the percent identity between the two sequences is a function of the number of identical positions shared by the sequences, typically taking into account, e.g., the number and/or length of any gaps introduced for optimal alignment of the sequences.
  • determination of percent identity between two sequences can be accomplished using a mathematical algorithm, such as BLAST ® .
  • linker refers to that portion of a multi-element agent that connects different elements to one another.
  • a linker may be derived from or synthesized from any source and/or by any procedure, e.g., any source and/or by any procedure known in the art.
  • a linker joins a therapeutic antibody (e.g., one selected from Table I) and a ⁇ - ⁇ , ⁇ -glucan oligomer.
  • a linker is characterized in that it tends not to adopt a rigid three-dimensional structure, but rather provides flexibility between the joined elements.
  • treatment refers to any administration of a therapeutic molecule (e.g., a conjugate) that partially or completely alleviates, ameliorates, relieves, inhibits, delays onset of, reduces severity of and/or reduces incidence of one or more symptoms or features of a particular disease, disorder, and/or condition.
  • a therapeutic molecule e.g., a conjugate
  • Such treatment may be of a subject who does not exhibit signs of the relevant disease, disorder and/or condition and/or of a subject who exhibits only early signs of the disease, disorder, and/or condition.
  • such treatment may be of a subject who exhibits one or more established signs of the relevant disease, disorder and/or condition.
  • the term "therapeutically effective amount” is meant an amount that produces the desired effect for which it is administered. In some embodiments, the term refers to an amount that is sufficient, when administered to a population suffering from or susceptible to a disease, disorder, and/or condition in accordance with a therapeutic dosing regimen, to treat the disease, disorder, and/or condition. In some embodiments, a therapeutically effective amount is one that reduces the incidence and/or severity of, and/or delays onset of, one or more symptoms of the disease, disorder, and/or condition. Those of ordinary skill in the art will appreciate that the term “therapeutically effective amount” does not in fact require successful treatment be achieved in a particular subject.
  • a therapeutically effective amount may be that amount that provides a particular desired pharmacological response in a significant number of subjects when administered to subjects in need of such treatment.
  • reference to a therapeutically effective amount may be a reference to an amount as measured in one or more specific tissues (e.g., a tissue affected by the disease, disorder or condition) or fluids (e.g., blood, saliva, serum, sweat, tears, urine, etc.).
  • tissue e.g., a tissue affected by the disease, disorder or condition
  • fluids e.g., blood, saliva, serum, sweat, tears, urine, etc.
  • a therapeutically effective amount of a particular conjugate may be formulated and/or administered in a single dose.
  • a therapeutically effective amount of a particular conjugate may be formulated and/or administered in a plurality of doses, for example, as part of a dosing regimen.
  • the present invention involves compounds (e.g., ⁇ -1,6- glucan oligomers and optional linkers) including those described generally for Formula I, above, and which are further illustrated by the classes, subclasses, and species disclosed herein. It will be appreciated that preferred subsets described for each variable herein can be used for any of the structural subsets as well. As used herein, the following definitions shall apply to these compounds unless otherwise indicated.
  • compounds e.g., ⁇ -1,6- glucan oligomers and optional linkers
  • compounds used in the present invention may be optionally substituted with one or more substituents, such as are illustrated generally above, or as exemplified by particular classes, subclasses, and species of the invention.
  • substituents such as are illustrated generally above, or as exemplified by particular classes, subclasses, and species of the invention.
  • phrase “optionally substituted” is used interchangeably with the phrase “substituted or unsubstituted.”
  • substituted whether preceded by the term “optionally” or not, means that a hydrogen radical of the designated moiety is replaced with the radical of a specified substituent, provided that the substitution results in a stable or chemically feasible compound.
  • substituted when used in reference to a designated atom, means that attached to the atom is a hydrogen radical, which hydrogen atom can be replaced with the radical of a suitable substituent.
  • an "optionally substituted” group may have a substituent at each substitutable position of the group, and when more than one position in any given structure may be substituted with more than one substituent selected from a specified group, the substituent may be either the same or different at every position. Combinations of substituents envisioned by this invention are preferably those that result in the formation of stable or chemically feasible compounds.
  • a stable compound or chemically feasible compound is one in which the chemical structure is not substantially altered when kept at a temperature from about -80°C to about +40°, in the absence of moisture or other chemically reactive conditions, for at least a week, or a compound which maintains its integrity long enough to be useful for therapeutic or prophylactic administration to a patient.
  • a stable compound or chemically feasible compound is one in which the chemical structure is not substantially altered when kept at a temperature from about -80°C to about +25°.
  • a stable compound or chemically feasible compound is one in which the chemical structure is not substantially altered when kept at a temperature from about -80°C to about +4°.
  • substituents refers to a number of substituents that equals from one to the maximum number of substituents possible based on the number of available bonding sites, provided that the above conditions of stability and chemical feasibility are met.
  • aliphatic or "aliphatic group”, as used herein, means an optionally substituted straight-chain or branched C 1-12 hydrocarbon which is completely saturated or which contains one or more units of unsaturation.
  • suitable aliphatic groups include optionally substituted linear or branched alkyl, alkenyl, and alkynyl groups. Unless otherwise specified, in various embodiments, aliphatic groups have 1-12, 1-10, 1-8, 1-6, 1-4, 1-3, or 1-2 carbon atoms.
  • alkyl used alone or as part of a larger moiety, refers to a saturated, optionally substituted straight or branched chain hydrocarbon group having 1-12, 1-10, 1-8, 1- 6, 1-4, 1-3, or 1-2 carbon atoms, e.g., methyl, ethyl, n-propyl.
  • n-propyl n-butyl, i-butyl, s-butyl, t-butyl, n-pentyl, 1-methylbutyl, 2-methylbutyl, 3-methylbutyl, neopentyl, 3,3-dimethyipropyl, hexyl, 2-methylpentyl, heptyl, and the like.
  • alkenyl used alone or as part of a larger moiety, refers to an optionally substituted straight or branched chain hydrocarbon group having at least one double bond and having 2-12, 2-10, 2-8, 2-6, 2-4, or 2-3 carbon atoms.
  • alkenyl groups include vinyl, prop-l-enyl, prop-2-enyl, allenyl, 2-methylprop-2-enyl, 3-methylbut-2-enyl, butadienyl, and the like.
  • alkynyl used alone or as part of a larger moiety, refers to an optionally substituted straight or branched chain hydrocarbon group having at least one triple bond and having 2-12, 2-10, 2-8, 2-6, 2-4, or 2-3 carbon atoms.
  • exemplary alkynyl groups include CH 3 -C ⁇ C-, H-C ⁇ C-CH 2 -, CH 3 -C ⁇ C-CH 2 -, H-C ⁇ C-CH 2 CH 2 -, H-C ⁇ C-CH(CH 3 )CH 2 -, H-C ⁇ C-CH 2 -C ⁇ C-CH 2 -,
  • alkylene refers to a bivalent alkyl group.
  • An "alkylene chain” is a polymethylene group, e.g., -(CH 2 ) n -, wherein n is a positive integer, e.g., from 1 to 6, from 1 to 4, from 1 to 3, from 1 to 2, or from 2 to 3.
  • An optionally substituted alkylene chain is a polymethylene group in which one or more methylene hydrogen atoms is optionally replaced with a substituent. Suitable substituents include those described below for a substituted aliphatic group and also include those described in the specification herein. It will be appreciated that two substituents of the alkylene group may be taken together to form a ring system. In certain embodiments, two substituents can be taken together to form a 3-7-membered ring. The substituents can be on the same or different atoms.
  • alkenylene refers to a bivalent alkenyl group.
  • a substituted alkenylene chain is a polymethylene group containing at least one double bond in which one or more hydrogen atoms are replaced with a substituent. Suitable substituents include those described below for a substituted aliphatic group.
  • alkynylene refers to a bivalent alkynyl group.
  • a substituted alkynylene chain is a polymethylene group containing at least one triple bond in which one or more hydrogen atoms are replaced with a substituent. Suitable substituents include those described below for a substituted aliphatic group.
  • aryl and "ar-”, used alone or as part of a larger moiety, e.g.,
  • aralkyl refers to an optionally substituted C6-i 4 romatic hydrocarbon moiety comprising one to three aromatic rings.
  • the aryl group is a C 6- ioaryl group (e.g., phenyl and naphthyl).
  • Aryl groups include, without limitation, optionally substituted phenyl, naphthyl, anthracenyl, and phenanthrenyl.
  • aryl and "ar-”, as used herein, also include groups in which an aryl ring is fused to one or more cycloaliphatic rings to form an optionally substituted cyclic structure (e.g., 2,3-dihydroindenyl; 1,2,3,4- tetrahydroaphetalenyl; 1,2-dihydronaphthalenyl; 2,3-dihydronaphthalenyl; 8,10- dihydroanthracenyl, fluorenyl, and the like.
  • groups in which an aryl ring is fused to one or more cycloaliphatic rings to form an optionally substituted cyclic structure e.g., 2,3-dihydroindenyl; 1,2,3,4- tetrahydroaphetalenyl; 1,2-dihydronaphthalenyl; 2,3-dihydronaphthalenyl; 8,10- dihydroanthracenyl, fluorenyl, and the like
  • heteroalkyl refers to straight, branched and cyclic alkyl groups, as defined herein, which are optionally substituted with one or more functional groups, and that contain one or more oxygen, sulfur, nitrogen, phosphorus, or silicon atoms, e.g., in place of carbon atoms.
  • An analogous convention applies to other generic terms such as “heteroalkenyl”, “heteroalkynyl”, and the like.
  • heteroalkyl encompass both substituted and unsubstituted groups.
  • heterocycle As used herein, the terms “heterocycle”, “heterocyclyl”, “heterocyclic radical”, and “heterocyclic ring” are used interchangeably and refer to a stable 3- to 8-membered monocyclic or 7-10-membered bicyclic heterocyclic moiety that is either saturated or partially unsaturated, and having, in addition to carbon atoms, one or more, such as one to four, heteroatoms, as defined above.
  • nitrogen includes a substituted nitrogen.
  • the nitrogen may be N (as in 3,4-dihydro-2H-pyrrolyl), H (as in pyrrolidinyl), or R + (as in N-substituted pyrrolidinyl).
  • a heterocyclic ring can be attached to its pendant group at any heteroatom or carbon atom that results in a stable structure and any of the ring atoms can be optionally substituted.
  • saturated or partially unsaturated heterocyclic radicals include, without limitation, tetrahydrofuranyl, tetrahydrothienyl, piperidinyl, decahydroquinolinyl, oxazolidinyl, piperazinyl, dioxanyl, dioxolanyl, diazepinyl, oxazepinyl, thiazepinyl, morpholinyl, and thiamorpholinyl.
  • a heterocyclyl group may be mono-, bi-, tri-, or poly cyclic, preferably mono-, bi-, or tricyclic, more preferably mono- or bicyclic.
  • heterocyclylalkyl refers to an alkyl group substituted by a heterocyclyl, wherein the alkyl and heterocyclyl portions independently are optionally substituted.
  • a heterocyclic ring also includes groups in which the heterocyclic ring is fused to one or more aryl rings.
  • heteroaryl and “heteroar-”, used alone or as part of a larger moiety refer to groups having 5 to 14 ring atoms, preferably 5, 6, 9, or 10 ring atoms; having 6, 10, or 14 ⁇ electrons shared in a cyclic array; and having, in addition to carbon atoms, from one to five heteroatoms.
  • a heteroaryl group may be mono-, bi-, tri-, or polycyclic, for example, mono-, bi-, or tricyclic, (e.g., mono- or bicyclic).
  • heteroatom refers to nitrogen, oxygen, or sulfur, and includes any oxidized form of nitrogen or sulfur, and any quaternized form of a basic nitrogen.
  • a nitrogen atom of a heteroaryl may be a basic nitrogen atom and may also be optionally oxidized to the
  • heteroaryl When a heteroaryl is substituted by a hydroxy group, it also includes its corresponding tautomer.
  • heteroaryl and hetero- as used herein, also include groups in which a heteroaromatic ring is fused to one or more aryl, cycloaliphatic, or
  • heteroaryl groups include thienyl, furanyl, pyrrolyl, imidazolyl, pyrazolyl, triazolyl, tetrazolyl, oxazolyl, isoxazolyl, oxadiazolyl, thiazolyl, isothiazolyl, thiadiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, indolizinyl, purinyl, naphthyridinyl, pteridinyl, indolyl, isoindolyl, benzothienyl, benzofuranyl, dibenzofuranyl, indazolyl, benzimidazolyl, benzthiazolyl, quinolyl, isoquinolyl, cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl,
  • heteroaryl may be used interchangeably with the terms “heteroaryl ring”, “heteroaryl group”, or “heteroaromatic”, any of which terms include rings that are optionally substituted.
  • heteroarylkyl refers to an alkyl group substituted by a heteroaryl, wherein the alkyl and heteroaryl portions independently are optionally substituted.
  • An aliphatic or heteroaliphatic group, or a non-aromatic carbocyclic or heterocyclic ring may contain one or more substituents and thus may be "optionally substituted".
  • optional substituents on the nitrogen of a non-aromatic heterocyclic ring also include and are generally selected from -R + , -N(R + ) 2 , -C(0)R + , -C(0)OR + , -C(0)C(0)R + , -C(0)CH 2 C(0)R + , -S(0) 2 R + ,
  • a ring nitrogen atom of a heteroaryl or non-aromatic heterocyclic ring also may be oxidized to form the corresponding N-hydroxy or N-oxide compound.
  • a nonlimiting example of such a heteroaryl having an oxidized ring nitrogen atom is N-oxidopyridyl.
  • two independent occurrences of R + are taken together with their intervening atom(s) to form a monocyclic or bicyclic ring selected from 3—13- membered cycloaliphatic, 3-12-membered heterocyclyl having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur, 6-10-membered aryl, or 5-10-membered heteroaryl having 1-5 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
  • Exemplary rings that are formed when two independent occurrences of R + (or any other variable similarly defined in the specification and claims herein), are taken together with their intervening atom(s) include, but are not limited to the following: a) two independent occurrences of R + (or any other variable similarly defined in the specification or claims herein) that are bound to the same atom and are taken together with that atom to form a ring, for example, N(R + ) 2 , where both occurrences of R + are taken together with the nitrogen atom to form a piperidin-l-yl, piperazin-l-yl, or morpholin-4-yl group; and b) two independent occurrences of R + (or any other variable similarly defined in the specification or claims herein) that are bound to different atoms and are taken together with both of those atoms to form a ring, for example
  • fused 6-membered oxygen containing ring fused 6-membered oxygen containing ring: It will be appreciated that a variety of other rings (e.g., spiro and bridged rings) can be formed when two independent occurrences of R + (or any other variable similarly defined in the specification and claims herein) are taken together with their intervening atom(s) and that the examples detailed above are not intended to be limiting.
  • rings e.g., spiro and bridged rings
  • structures depicted herein are also meant to include all isomeric (e.g., enantiomeric, diastereomeric, and geometric (or conformational)) forms of the structure; for example, the R and S configurations for each asymmetric center, (Z) and (E) double bond isomers, and (Z) and (E) conformational isomers. Therefore, single stereochemical isomers as well as enantiomeric, diastereomeric, and geometric (or conformational) mixtures of the present compounds are within the scope of the invention. Unless otherwise stated, all tautomeric forms of the compounds of the invention are within the scope of the invention.
  • structures depicted herein are also meant to include compounds that differ only in the presence of one or more isotopically enriched atoms.
  • compounds having the present structures where there is a replacement of hydrogen by deuterium or tritium, or a replacement of a carbon by a 13 C- or 14 C-enriched carbon are within the scope of this invention.
  • Such compounds are useful, as a nonlimiting example, as analytical tools or probes in biological assays.
  • Figure 1 depicts the results of an ELISA studying HER2 binding capability of trastuzumab, HER2-mAbXcite (5-mer), and HER2-mAbXcite (6-mer).
  • Figure 2 depicts the results of an ELISA detecting the presence of human anti- ⁇ -
  • Figure 3 depicts the mean tumor size results of a study of the efficacy of trastuzumab, HER2-mAbXcite (5-mer), HER2-mAbXcite (6-mer) and Kadcyla® (T-DM1) in a nude mouse model implanted with the trastuzumab-resistant human cell line JIMT-1.
  • Figure 4 depicts the median tumor size results of a study of the efficacy of trastuzumab, HER2-mAbXcite (5-mer), HER2-mAbXcite (6-mer) and Kadcyla® (T-DM1) in a nude mouse model implanted with the trastuzumab-resistant human cell line JIMT-1.
  • Figure 5 depicts the mean tumor size of tumors in a nude mouse model implanted with the trastuzumab-resistant human cell line JIMT-1 on day 37 after treatment with
  • trastuzumab and HER2-mAbXcite (6-mer).
  • Figure 6 depicts the mean tumor size of tumors in a nude mouse model implanted with the trastuzumab-resistant human cell line JIMT-1 on day 51 after treatment with
  • trastuzumab and HER2-mAbXcite (6-mer).
  • Figure 7 is a graph showing that ⁇ - ⁇ , ⁇ -glucan conjugation does not affect cetuximab binding to EGF receptor.
  • Figure 8 is a graph showing that ⁇ - ⁇ , ⁇ -glucan conjugation does not affect cetuximab binding to EGF receptor.
  • Figure 9 is a graph showing that ⁇ - ⁇ , ⁇ -glucan conjugation does not affect cetuximab binding to EGF receptor.
  • Figure 10 is a graph showing that ⁇ - ⁇ , ⁇ -glucan conjugation does not affect cetuximab ADCC.
  • Figure 11 is a graph showing that ⁇ - ⁇ , ⁇ -glucan conjugation does not affect cetuximab ADCC.
  • Figure 12 is a chart showing an evaluation of anti ⁇ -l,6-glucan IgG2 binding to a m AbXcite-cetuximab .
  • Figure 13 is a chart showing an evaluation of anti ⁇ -l,6-glucan IgG2 binding to a m AbXcite-cetuximab .
  • Figure 14 is a set of two graphs showing an evaluation of anti ⁇ -l,6-glucan IgG2 binding to a m AbXcite-cetuximab.
  • Figure 15 is a set of three graphs showing an evaluation of anti ⁇ -l,6-glucan
  • Figure 16 is a set of seven images showing neutrophil activation by a mAbXcite- cetuximab. Neutrophil activation was observed with all ⁇ - ⁇ , ⁇ -glucan sizes.
  • Figure 17 is a set of six images showing neutrophil infiltration by a mAbXcite- cetuximab.
  • Figure 18 is a chart showing an evaluation of anti ⁇ -l,6-glucan IgG2 binding to a m AbXcite-cetuximab .
  • Figure 19 is a set of five graphs showing that ⁇ - ⁇ , ⁇ -glucan conjugation does not affect cetuximab binding to EGFR.
  • Figure 20 is a set of five graphs showing an evaluation of anti-P-l,6-glucan IgG2 binding to a mAbXcite-cetuximab.
  • Figure 21 is a set of four graphs showing an evaluation of anti-P-l,6-glucan IgG2 binding to a mAbXcite-cetuximab.
  • Figure 22 is a graph showing an evaluation of anti-P-l,6-glucan IgG2 binding to a mAbXcite-cetuximab.
  • Figure 23 is a chart showing an evaluation of anti-P-l,6-glucan IgG2 binding to a mAbXcite-cetuximab .
  • Figure 24 is a set of two graphs showing the effect of ⁇ - ⁇ , ⁇ -glucan conjugation on antibody binding to EGF receptor and on anti-P-l,6-glucan IgG2 binding to ⁇ - ⁇ , ⁇ -glucan.
  • Graph 1 of Figure 18 shows the effect of conjugation on antibody binding to EGF receptor.
  • Graph 2 of Figure 18 shows the effect of conjugation on anti-P-l,6-glucan IgG2 binding to ⁇ -1,6- glucan.
  • Figure 25 is a set of two graphs showing that a mAbXcite-cetuximab is stable in human serum.
  • the left graph of Figure 19 shows antibody detection in human serum.
  • the right graph of Figure 19 shows ⁇ - ⁇ , ⁇ -glucan detection in human serum.
  • Figure 26 is a is a set of two graphs showing that a mAbXcite-cetuximab is stable in mouse serum.
  • the left graph of Figure 20 shows antibody detection in mouse serum.
  • the right graph of Figure 20 shows ⁇ - ⁇ , ⁇ -glucan detection in mouse serum.
  • Figure 27 is a set of two graphs showing that a mAbXcite-cetuximab is stable in human serum.
  • the left graph of Figure 21 shows antibody detection in human serum.
  • the right graph of Figure 21 shows ⁇ - ⁇ , ⁇ -glucan detection in human serum.
  • Figure 28 is a set of two graphs showing that a mAbXcite-cetuximab is stable in heat inactivated human serum.
  • the left graph of Figure 22 shows antibody detection in heat inactivated human serum.
  • the right graph of Figure 22 shows ⁇ - ⁇ , ⁇ -glucan detection in heat inactivated human serum.
  • Figure 29 is a set of two graphs showing that a mAbXcite-cetuximab is stable in mouse serum.
  • the left graph of Figure 23 shows antibody detection in mouse serum.
  • the right graph of Figure 23 shows ⁇ - ⁇ , ⁇ -glucan detection in mouse serum.
  • Figure 30 is a chart showing an evaluation of in vitro activity (anti-P-l,6-glucan
  • Figure 31 is a graph showing pharmacokinetic antibody stability of a mAbXcite- cetuximab in the absence of tumor. The graph shows that conjugation with ⁇ - ⁇ , ⁇ -glucan 5-mer does not affect cetuximab PK.
  • Figure 32 is a graph showing pharmacokinetic antibody stability of a mAbXcite- cetuximab in the absence of tumor. The graph shows that conjugation with ⁇ - ⁇ , ⁇ -glucan 5-mer does not affect cetuximab PK.
  • Figure 33 is a graph showing pharmacokinetic analysis of ⁇ - ⁇ , ⁇ -glucan detection in the absence of tumor.
  • Figure 34 is a graph showing pharmacokinetic analysis of ⁇ - ⁇ , ⁇ -glucan detection in the absence of tumor.
  • Figure 35 is a graph showing pharmacokinetic analysis of ⁇ - ⁇ , ⁇ -glucan detection in the absence of tumor.
  • Figure 36 is a graph showing pharmacokinetic analysis of mAbXcite-cetuximab stability in the absence of tumor.
  • a mAbXcite-cetuximab loaded with ⁇ - ⁇ , ⁇ -glucan 5-mer was stable based on PK with load up to 2.4.
  • Figure 37 is a graph showing pharmacokinetic analysis of mAbXcite-cetuximab stability in the absence of tumor.
  • Figure 38 is a graph showing pharmacokinetic analysis of mAbXcite-cetuximab stability in the absence of tumor.
  • Figure 39 is a graph showing pharmacokinetic analysis of ⁇ - ⁇ , ⁇ -glucan detection in the absence of tumor.
  • Figure 40 is a graph showing pharmacokinetic analysis of ⁇ - ⁇ , ⁇ -glucan detection in the absence of tumor.
  • Figure 41 is a graph showing pharmacokinetic analysis of ⁇ - ⁇ , ⁇ -glucan detection in the absence of tumor.
  • Figure 42 is a set of two graphs showing pharmacokinetics of a mAbXcite- cetuximab in tumor bearing animals. The left graph shows mAbXcite-cetuximab antibody detection in tumor bearing animals. The right graph shows ⁇ - ⁇ , ⁇ -glucan detection in tumor bearing animals.
  • Figure 43 is a set of two graphs showing pharmacokinetics of a mAbXcite- cetuximab in tumor bearing animals.
  • the left graph shows mAbXcite-cetuximab antibody detection in tumor bearing animals.
  • the right graph shows ⁇ - ⁇ , ⁇ -glucan detection in tumor bearing animals.
  • Figure 44 is a set of two graphs showing pharmacokinetic analysis of ⁇ -1,6- glucan detection in absence of tumor or in tumor bearing mice.
  • the left graph shows
  • the left graph shows pharmacokinetic analysis of ⁇ - ⁇ , ⁇ -glucan detection in absence of tumor.
  • Figure 45 is a set of two graphs showing pharmacokinetic analysis of a mAbXcite-cetuximab.
  • the left graph shows mAbXcite-cetuximab antibody detection.
  • the right graph shows ⁇ - ⁇ , ⁇ -glucan detection.
  • Figure 46 is a set of two graphs showing a pharmacokinetic analysis of mAbXcite-cetuximab accumulation with twice weekly treatment.
  • the left graph shows mAbXcite-cetuximab antibody detection.
  • the right graph shows ⁇ - ⁇ , ⁇ -glucan detection. No accumulation was observed with twice weekly treatment.
  • Figure 47 is a set of two graphs showing a pharmacokinetic analysis of a mAbXcite-cetuximab in tumor bearing animals.
  • the left graph shows antibody stability.
  • the right graph shows ⁇ - ⁇ , ⁇ -glucan detection.
  • Figure 48 is a set of two graphs showing a pharmacokinetic analysis of mAbXcite-cetuximab stability in absence of tumor or in tumor bearing mice.
  • the left graph shows antibody stability in mice with tumor.
  • the right graph shows antibody stability in absence of tumor.
  • Figure 49 is a set of two graphs showing a pharmacokinetic analysis of mAbXcite-cetuximab in absence of tumor or in tumor bearing mice.
  • the left graph shows ⁇ -1,6- glucan detection in tumor bearing mice.
  • the right graph shows ⁇ - ⁇ , ⁇ -glucan detection in absence of tumor.
  • Figure 50 is a set of two graphs showing a pharmacokinetic analysis comparing mAbXcite-cetuximab having DBCO or direct conjugation chemistry.
  • the left graph shows antibody stability.
  • the right graph shows ⁇ - ⁇ , ⁇ -glucan detection.
  • Figure 51 is a graph showing mAbXcite-cetuximab efficacy in a BRAF mutant colorectal tumor model.
  • Figure 52 is a graph showing mAbXcite-cetuximab efficacy in a BRAF mutant colorectal tumor model.
  • Figure 53 is a graph showing mAbXcite-cetuximab efficacy in a BRAF mutant colorectal tumor model.
  • Figure 54 is a graph showing mAbXcite-cetuximab efficacy in a KRAS mutant colorectal tumor model.
  • Figure 55 is a graph showing mAbXcite-cetuximab efficacy in a KRAS mutant colorectal tumor model.
  • Figure 56 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth.
  • Figure 57 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth.
  • Figure 58 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth.
  • Figure 59 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth.
  • Figure 60 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth.
  • Figure 61 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth.
  • Figure 62 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth (mean).
  • Figure 63 is a graph showing that a mAbXcite-cetuximab inhibits KRAS mutant colorectal tumor growth (median).
  • Figure 64 is a graph showing that a mAbXcite-cetuximab increases survival in a
  • Figure 65 is a set of six graphs showing tumor regression or stasis is observed with direct conjugate mAbXcite-cetuximab and correlates with immune memory. Individual graphs represent individual mice.
  • Figure 66 is a set of five graphs showing no tumor regression or stasis with 4-mer
  • Figure 67 is a graph showing evidence for involvement of T cells in stasis.
  • Figure 68 is a graph showing KRAS mutant colorectal tumor growth.
  • Figure 69 is a graph showing KRAS mutant colorectal tumor growth.
  • Figure 70 is a graph showing KRAS mutant colorectal tumor growth.
  • Figure 71 is a graph showing KRAS mutant colorectal tumor growth.
  • Figure 72 is a graph showing mean tumor growth.
  • Figure 73 is a graph showing median tumor growth.
  • the present invention encompasses embodiments in which a therapeutic antibody is conjugated to ⁇ - ⁇ , ⁇ -glucan oligomers.
  • the present invention includes, among other things, compositions including a therapeutic antibody conjugated to one or more ⁇ - ⁇ , ⁇ -glucan oligomers.
  • the present invention further includes, among other things, methods of making and/or using these ⁇ - ⁇ , ⁇ -glucan conjugates.
  • a ⁇ - ⁇ , ⁇ -glucan conjugate of the present invention is useful as a therapeutic or in a method of therapy.
  • Monoclonal antibodies are useful in the treatment of various cancers. Some antibodies target cell surface moieties. Some antibodies include two heavy chains and two light chains. The heavy chain and light chain sequences listed in Table I are known in the art. Moreover, the various domains in the heavy and light chain domains, such as the variable domains, constant domains, CDRs and FWs are known in the art. Table I provides some sources for the sequences listed therein . The contents of all of these are herein incorporated by reference in their entireties.
  • the term "therapeutic antibody” encompasses a therapeutic antibody (e.g., one described in Table I) and any antibody or antibody fragment that recognizes and specifically binds the same target as a therapeutic antibody, and has at least a heavy chain variable domain or light chain variable domain having at least 80% identity (e.g., at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% identity) to a corresponding sequence of a therapeutic antibody listed in Table I.
  • a therapeutic antibody includes two such variable domains, three such variable domains, four such variable domains, two such heavy chain variable domains, two such light chain variable domains, and/or two such heavy chain variable domains and two such light chain variable domains.
  • a therapeutic antibody includes a heavy chain or light chain having at least 80% identity (e.g., at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% identity) to a corresponding sequence of therapeutic (e.g., one or more of the sequences or a portion of the sequences listed in Table I).
  • a therapeutic antibody includes two such chains, three such chains, four such chains, two such heavy chains, two such light chains, and/or two such heavy chains and two such light chains.
  • a therapeutic antibody may be, e.g., an intact antibody, antibody fragment (such as a Fab, Fab', F(ab') 2 , Fd, or Fv), single chain Fv (scFv), or multispecific antibody such as a bispecific antibody.
  • a therapeutic antibody comprises a heavy chain sequence listed in Table I. In some embodiments, a therapeutic antibody comprises a portion of a heavy chain sequence listed in Table I. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain variable domain. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain CDR1. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain CDR2. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain CDR3. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain FWl . In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain FW2.
  • a heavy chain sequence listed in Table I includes a heavy chain FW3. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain FW4. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain CHI constant domain. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain CH2 constant domain. In some embodiments, a heavy chain sequence listed in Table I includes a heavy chain CH3 constant domain.
  • a light chain sequence listed in Table I includes a light chain variable domain.
  • a therapeutic antibody comprises a portion of a light chain sequence listed in Table I.
  • a light chain sequence listed in Table I includes a light chain CDR1.
  • a light chain sequence listed in Table I includes a light chain CDR2.
  • a light chain sequence listed in Table I includes a light chain CDR3.
  • a light chain sequence listed in Table I includes a light chain FWl .
  • a light chain sequence listed in Table I includes a light chain FW2.
  • a light chain sequence listed in Table I includes a light chain FW3.
  • a light chain sequence listed in Table I includes a light chain FW4. In some embodiments, a light chain sequence listed in Table I includes a light chain constant domain. In some embodiments, a therapeutic antibody comprises a kappa light chain. In some embodiments, a therapeutic antibody comprises a lambda light chain.
  • a therapeutic antibody includes a heavy chain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to a heavy chain sequence listed in Table I.
  • a therapeutic antibody includes a light chain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to a light chain sequence listed in Table I.
  • a therapeutic antibody includes a heavy chain that includes at least one heavy chain variable domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%), at least 97%, at least 98%, or at least 99% identity to a heavy chain variable domain included in a heavy chain sequence listed in Table I.
  • a therapeutic antibody includes a light chain that includes at least one light chain variable domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%), at least 97%, at least 98%, or at least 99% identity to a light chain variable domain included in a light chain sequence listed in Table I.
  • a therapeutic antibody includes a
  • CDR sequence having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of a CDR sequence included in a heavy chain sequence listed in Table I.
  • a therapeutic antibody includes a heavy chain including such a CDR sequence.
  • a therapeutic antibody includes two such heavy chains.
  • a therapeutic antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to two CDR sequences included the same heavy chain sequence listed in Table I.
  • a therapeutic antibody includes a heavy chain including such CDR sequences.
  • a therapeutic antibody includes two such heavy chains.
  • a therapeutic antibody includes CDR sequences having at least 80%, at least 85%>, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to three CDR sequences included in the same heavy chain sequence listed in Table I.
  • a therapeutic antibody includes a heavy chain including such CDR sequences.
  • a therapeutic antibody includes two such heavy chains.
  • a therapeutic antibody includes a
  • a therapeutic antibody having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence included in a light chain sequence listed in Table I.
  • a therapeutic antibody includes a light chain including such a CDR sequence.
  • a therapeutic antibody includes two such light chains.
  • a therapeutic antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to a CDR sequence included in a light chain sequence listed in Table I.
  • a therapeutic antibody includes a light chain including such CDR sequences.
  • a therapeutic antibody includes two such light chains.
  • a therapeutic antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to two CDR sequences included in the same light chain sequence listed in Table I.
  • a therapeutic antibody includes a light chain including such CDR sequences.
  • a therapeutic antibody includes two such light chains.
  • a therapeutic antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% homology or identity to three CDR sequences included in the same light chain sequence listed in Table I.
  • a therapeutic antibody includes a light chain including such CDR sequences.
  • a therapeutic antibody includes two such light chains.
  • a therapeutic antibody includes a heavy chain that includes at least one FW domain having at least 80%, at least 85%>, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%), at least 98%>, or at least 99% identity to the sequence of a FW domain included in a heavy chain sequence listed in Table I.
  • a therapeutic antibody includes a light chain that includes at least one FW domain having at least 80%>, at least 85%>, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%), or at least 99% identity to the sequence of a FW domain included in a light chain sequence listed in Table I.
  • a therapeutic antibody includes a heavy chain that includes at least one constant or hinge domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%), at least 97%, at least 98%, or at least 99% identity to the sequence of one or more of a constant or hinge domain of a heavy chain listed in Table I.
  • a therapeutic antibody includes a light chain that includes at least one constant domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%), at least 98%, or at least 99% identity to the sequence of a constant domain included in a light chain listed in Table I.
  • Various antibodies or antibody fragments as described herein incorporate one or more amino acid mutations, e.g., one or more amino acid substitutions, in a sequence corresponding to any of the sequences or portions of the sequences listed in Table I.
  • the one or more amino acid substitutions may be conservative substitutions as is known in the art.
  • Various heavy chains and light chains described herein can be utilized in the production of an antibody, e.g., a monoclonal antibody including two heavy chains and light chains.
  • therapeutic antibody applies equally to the specific therapeutic antibodies described herein, e.g., where a “cergutuzumab antibody” corresponds to both cergutuzumab and also the types of antibodies and antibody fragments described above under the definition of "therapeutic antibody” when based on the sequences of cergutuzumab as set forth in Table I.
  • a "ibritumomab tiuxetan antibody” a "rituximab antibody”; a “tositumomab antibody”; a “gemtuzumab antibody”; a “alemtuzumab antibody”; a “cetuximab antibody”; a “panitumumab antibody”; a “depatuxizumab antibody”; a “sibrotuzumab antibody”; a “codrituzumab antibody”; a
  • traszumab antibody a “patritumab antibody”; a “figitumumab antibody”; a “ganitumab antibody”; a “cantuzumab antibody”; an "ABX-MA1 antibody”; a “bavituximab antibody”; a “J591 antibody”; a “palivizumab antibody”; a “bevacizumab antibody”.
  • cetuximab antibody and "trastuzumab antibody”.
  • the conjugates of the present invention do not include conjugates of cetuximab antibodies. In some embodiments, the conjugates of the present invention do not include conjugates of trastuzumab antibodies. In some embodiments, the conjugates of the present invention do not include conjugates of cetuximab antibodies or conjugates of trastuzumab antibodies.
  • cetuximab and cetuximab antibodies are examples of cetuximab and cetuximab antibodies.
  • Cetuximab is an IgGl mouse-human chimeric monocolonal antibody that targets epidermal growth factor receptor (EGFR). Cetuximab is used for the treatment of metastatic colorectal cancer, metastatic non-small cell lung cancer and head and neck cancer.
  • EGFR epidermal growth factor receptor
  • Cetuximab includes two heavy chains and two light chains. Cetuximab heavy chain and light chain sequences are known in the art. For instance, a cetuximab heavy chain or light chain can have a cetuximab heavy chain sequence or cetuximab light chain sequence as disclosed in any of (1) Li et al., Cancer Cell 7:301-11, 2005; (2) Dubois et al., Anal. Chem. 80: 1737-45, 2008; (3) the art-recognized EVIGT database, sequence available online at www.imgt.org/3Dstructure-DB/cgi/details.
  • SEQ ID NO: 2 is a cetuximab kappa light chain sequence from the IMGT database ⁇ supra) while SEQ ID NO: 3 is an alternative cetuximab kappa light chain sequence from Ayoub et al. ⁇ supra).
  • SEQ ID NOs: 24 and SEQ ID NO: 25 are, respectively, the constant domains of SEQ ID NO: 2 and SEQ ID NO: 3.
  • cetuximab antibody encompasses cetuximab and any antibody or antibody fragment that recognizes and specifically binds EGFR and has at least a heavy chain variable domain or light chain variable domain having at least 80% identity (e.g., at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% identity) to a corresponding sequence of cetuximab (i.e., SEQ ID NO:4 or SEQ ID NO: 5).
  • a cetuximab antibody includes two such variable domains, three such variable domains, four such variable domains, two such heavy chain variable domains, two such light chain variable domains, and/or two such heavy chain variable domains and two such light chain variable domains.
  • a cetuximab antibody includes a heavy chain or light chain having at least 80% identity (e.g., at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%), or 100%) identity) to a corresponding sequence of cetuximab (i.e., one or more of SEQ ID NOs: 1-3).
  • a cetuximab antibody includes two such chains, three such chains, four such chains, two such heavy chains, two such light chains, and/or two such heavy chains and two such light chains.
  • a cetuximab antibody may be, e.g., an intact antibody, antibody fragment (such as a Fab, Fab', F(ab') 2 , Fd, or Fv), single chain Fv (scFv), or multispecific antibody such as a bispecific antibody.
  • a cetuximab antibody includes a heavy chain having at least 80%, at least 85%>, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 1.
  • a cetuximab antibody includes a light chain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 2 or SEQ ID NO: 3.
  • a cetuximab antibody includes a heavy chain that includes at least one heavy chain variable domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 4.
  • a cetuximab antibody includes a light chain that includes at least one light chain variable domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 5
  • a cetuximab antibody includes a
  • CDR sequence having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 6, SEQ ID NO: 7, or SEQ ID NO: 8.
  • a cetuximab antibody includes a heavy chain including such a CDR sequence. In certain instances a cetuximab antibody includes two such heavy chains.
  • a cetuximab antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to each of SEQ ID NO: 6 and SEQ ID NO: 7.
  • a cetuximab antibody includes a heavy chain including such CDR sequences.
  • a cetuximab antibody includes two such heavy chains.
  • a cetuximab antibody includes CDR sequences having at least 80%, at least 85%>, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to each of SEQ ID NO: 6 and SEQ ID NO: 8.
  • a cetuximab antibody includes a heavy chain including such CDR sequences.
  • a cetuximab antibody includes two such heavy chains.
  • a cetuximab antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to each of SEQ ID NO: 7 and SEQ ID NO: 8.
  • a cetuximab antibody includes a heavy chain including such CDR sequences.
  • a cetuximab antibody includes two such heavy chains.
  • a cetuximab antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to each of SEQ ID NO: 6, SEQ ID NO: 7, and SEQ ID NO: 8.
  • a cetuximab antibody includes a heavy chain including such CDR sequences.
  • a cetuximab antibody includes two such heavy chains.
  • a cetuximab antibody includes a
  • a cetuximab antibody includes a light chain including such a CDR sequence. In certain instances a cetuximab antibody includes two such light chains.
  • a cetuximab antibody includes a
  • CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to each of SEQ ID NO: 9 and SEQ ID NO: 10.
  • a cetuximab antibody includes a light chain including such CDR sequences. In certain instances a cetuximab antibody includes two such light chains.
  • a cetuximab antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to each of SEQ ID NO: 9 and SEQ ID NO: 11.
  • a cetuximab antibody includes a light chain including such CDR sequences.
  • a cetuximab antibody includes two such light chains.
  • a cetuximab antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to each of SEQ ID NO: 10 and SEQ ID NO: 11.
  • a cetuximab antibody includes a light chain including such CDR sequences.
  • a cetuximab antibody includes two such light chains.
  • a cetuximab antibody includes CDR sequences having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% homology or identity to each of SEQ ID NO: 9, SEQ ID NO: 10, and SEQ ID NO: 11.
  • a cetuximab antibody includes a light chain including such CDR sequences.
  • a cetuximab antibody includes two such light chains.
  • a cetuximab antibody includes a heavy chain that includes at least one FW domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 12, SEQ ID NO: 13, SEQ ID NO: 14, or SEQ ID NO: 15.
  • a cetuximab antibody includes a light chain that includes at least one FW domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 16, SEQ ID NO: 17, SEQ ID NO: 18, or SEQ ID NO: 19.
  • a cetuximab antibody includes a heavy chain that includes at least one constant or hinge domain having at least 80%>, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%), at least 97%, at least 98%>, or at least 99% identity to the sequence of one or more of SEQ ID NO: 20, SEQ ID NO: 21, SEQ ID NO: 22, or SEQ ID NO: 23.
  • a cetuximab antibody includes a light chain that includes at least one constant domain having at least 80%>, at least 85%>, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 24 or SEQ ID NO: 25.
  • cetuximab antibodies or antibody fragments as described herein incorporate one or more amino acid mutations, e.g., one or more amino acid substitutions, in a sequence corresponding to any of SEQ ID NOs: 1-25.
  • the one or more amino acid substitutions may be conservative substitutions as is known in the art.
  • Various heavy chains and light chains described herein can be utilized in the production of a cetuximab antibody, e.g., a monocolonal antibody including two heavy chains and light chains.
  • trastuzumab trastuzumab antibodies
  • Trastuzumab is an IgGl mouse-human chimeric monoclonal antibody that targets
  • trastuzumab is indicated for the treatment of breast cancer and gastric cancer.
  • Trastuzumab includes two heavy chains and two light chains. Trastuzumab heavy chain and light chain sequences are known in the art. For instance, a trastuzumab heavy chain or light chain can have a trastuzumab heavy chain sequence or trastuzumab light chain sequence as disclosed in any of (1) sequence varients described in patents (e.g. U.S. Patent Nos. 5,821,337; 7,879,325; 8,937,159; U.S. Patent Publication No. 2006/0275305; EP Patent Publication No.
  • trastuzumab antibody encompasses trastuzumab and any antibody or antibody fragment that recognizes and specifically binds HER2 and has at least a heavy chain variable domain or light chain variable domain having at least 80% identity (e.g., at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% identity) to a corresponding sequence of trastuzumab (e.g., SEQ ID NO: 28 or SEQ ID NO: 29).
  • a trastuzumab antibody includes two such variable domains, three such variable domains, four such variable domains, two such heavy chain variable domains, two such light chain variable domains, and/or two such heavy chain variable domains and two such light chain variable domains.
  • a trastuzumab antibody includes a heavy chain or light chain having at least 80% identity (e.g., at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%), 98%), 99%), or 100% identity) to a corresponding sequence of trastuzumab (e.g., one or more of SEQ ID NO: 26 or SEQ ID NO: 27).
  • a trastuzumab antibody includes two such chains, three such chains, four such chains, two such heavy chains, two such light chains, and/or two such heavy chains and two such light chains.
  • a trastuzumab antibody may be, e.g., an intact antibody, antibody fragment (such as a Fab, Fab', F(ab') 2 , Fd, or Fv), single chain Fv (scFv), or multispecific antibody such as a bispecific antibody.
  • a trastuzumab antibody includes a heavy chain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 26.
  • a trastuzumab antibody includes a light chain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 27.
  • a trastuzumab antibody includes a heavy chain that includes at least one heavy chain variable domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 28.
  • a trastuzumab antibody includes a light chain that includes at least one light chain variable domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 29.
  • a trastuzumab antibody includes a
  • a trastuzumab antibody includes a heavy chain including such a CDR sequence. In certain instances a trastuzumab antibody includes two such heavy chains.
  • a trastuzumab antibody includes
  • a trastuzumab antibody includes a heavy chain including such CDR sequences. In certain instances a trastuzumab antibody includes two such heavy chains.
  • a trastuzumab antibody includes
  • a trastuzumab antibody includes a heavy chain including such CDR sequences. In certain instances a trastuzumab antibody includes two such heavy chains.
  • a trastuzumab antibody includes
  • a trastuzumab antibody includes a heavy chain including such CDR sequences. In certain instances a trastuzumab antibody includes two such heavy chains.
  • a trastuzumab antibody includes
  • a trastuzumab antibody includes a heavy chain including such CDR sequences. In certain instances a trastuzumab antibody includes two such heavy chains.
  • a trastuzumab antibody includes a
  • a trastuzumab antibody includes a light chain including such a CDR sequence. In certain instances a trastuzumab antibody includes two such light chains.
  • a trastuzumab antibody includes a
  • a trastuzumab antibody includes a light chain including such CDR sequences.
  • a trastuzumab antibody includes a light chain including such CDR sequences.
  • trastuzumab antibody includes two such light chains.
  • a trastuzumab antibody includes
  • a trastuzumab antibody includes a light chain including such CDR sequences. In certain instances a trastuzumab antibody includes two such light chains.
  • a trastuzumab antibody includes
  • a trastuzumab antibody includes a light chain including such CDR sequences. In certain instances a trastuzumab antibody includes two such light chains.
  • a trastuzumab antibody includes
  • a trastuzumab antibody includes a light chain including such CDR sequences. In certain instances a trastuzumab antibody includes two such light chains.
  • a trastuzumab antibody includes a heavy chain that includes at least one FW domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 36, SEQ ID NO: 37, SEQ ID NO: 38, or SEQ ID NO: 39.
  • a trastuzumab antibody includes a light chain that includes at least one FW domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 40, SEQ ID NO: 41, SEQ ID NO: 42, or SEQ ID NO: 43.
  • a trastuzumab antibody includes a heavy chain that includes at least one constant or hinge domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%), at least 97%, at least 98%, or at least 99% identity to the sequence of one or more of SEQ ID NO: 44, SEQ ID NO: 45, SEQ ID NO: 46, or SEQ ID NO: 47.
  • a trastuzumab antibody includes a light chain that includes at least one constant domain having at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity to the sequence of SEQ ID NO: 48.
  • Various antibodies or antibody fragments as described herein incorporate one or more amino acid mutations, e.g., one or more amino acid substitutions, in a sequence
  • the one or more amino acid substitutions may be conservative substitutions as is known in the art.
  • Various heavy chains and light chains described herein can be utilized in the production of an antibody, e.g., a monoclonal antibody including two heavy chains and light chains.
  • a ⁇ - ⁇ , ⁇ -glucan oligomer of the present invention can be derived from or synthesized from any source and/or by any procedure, e.g., any source and/or by any procedure known in the art.
  • the ⁇ - ⁇ , ⁇ -glucan oligomer is derived from a lichen, which in one embodiment is from the genus Umbilicariaceae (e.g., from U. pustulata and U. hirsute, U. angulata, U. caroliniana, or U. polyphylla).
  • the ⁇ - ⁇ , ⁇ -glucan is derived from a fungus, which in one embodiment is from the genus Candida (e.g., from C. albicans).
  • Other organisms from which the glucan may be derived include Coccidioides immitis,
  • Trichophyton verrucosum Blastomyces dermatidis, Cryptococcus neoformans, Histoplasma capsulatum, Saccharomyces cerevisiae, Paracoccidioides brasiliensis, Botryosphaeria rhodina, Lasiodiplodia theobromae, and Pythiumn insidiosum.
  • Pure ⁇ -glucans are commercially available, e.g., pustulan is a ⁇ - ⁇ , ⁇ -glucan purified from Umbilicaria papullosa which is available from Calbiochem and Elicityl.
  • ⁇ -glucans can also be purified from fungal cell walls in various ways, for example, as described in Tokunaka et al., Carbohydr. Res. 316: 161-172, 1999, and the product may be enriched for ⁇ - ⁇ , ⁇ -glucan moieties by methods as are known in the art.
  • a ⁇ - ⁇ , ⁇ -glucan may be isolated from an organism and then chemically or enzymatically altered, for example, to increase solubility. Indeed, full-length native glucans are insoluble and have a molecular weight in the megadalton range.
  • this invention uses soluble ⁇ - ⁇ , ⁇ -glucan oligomers.
  • solubilization may be achieved by fragmenting long insoluble glucans. This may be achieved by, for example, hydrolysis or, in some embodiments, by digestion with a glucanase (e.g., with a ⁇ -1,3 glucanase or limited digestion with a ⁇ -1,6 glucanase).
  • a glucanase e.g., with a ⁇ -1,3 glucanase or limited digestion with a ⁇ -1,6 glucanase.
  • the ⁇ - ⁇ , ⁇ -glucan oligomer is chemically synthesized, as is known in the art.
  • the ⁇ - ⁇ , ⁇ -glucan oligomer is synthesized from glucose monomers, gentiobiose dimers, or amygdalin joined via glycolysation reactions.
  • the length of the ⁇ - ⁇ , ⁇ -glucan oligomer is controlled by selecting the number of "building blocks" to use. In an example embodiment, three different "building blocks" can be selected, from:
  • the glucose monomers or building blocks are joined via Schmidt reaction conditions.
  • Exemplary Schmidt reaction conditions include, but are not limited to, converting a free hydroxyl group of the glucan monomer to its respective
  • the free hydroxyl groups of the glucose monomer are selectively protected.
  • the free hydroxyl groups are protected by reaction with benzoyl chloride or thexyl dimethyl silyl chloride.
  • the present invention encompasses certain intermediate compounds which are represented by structural Formula V and that can be used in the chemical synthesis of certain ⁇ - ⁇ , ⁇ -glucan oligomers or oligomer precursors:
  • R 1 is hydrogen or a hydroxyl protecting group
  • R 2 is hydrogen or a hydroxyl protecting group
  • R 3 is hydrogen, a hydroxyl protecting group, 3 ,
  • a 2 is between 0 and 8.
  • Hydroxyl protecting groups are well known in the art and include those described in detail in Protecting Groups in Organic Synthesis, T. W. Greene and P. G. M. Wuts, 3 rd edition, John Wiley & Sons, 1999, the entirety of which is incorporated herein by reference.
  • suitably hydroxyl protecting groups further include, but are not limited to, esters, carbonates, sulfonates allyl ethers, ethers, silyl ethers, alkyl ethers, arylalkyl ethers, and alkoxyalkyl ethers.
  • suitable esters include formates, acetates, proprionates, pentanoates, crotonates, and benzoates.
  • esters include formate, benzoyl formate, chloroacetate, trifluoroacetate, methoxyacetate, triphenylmethoxyacetate, p- chlorophenoxyacetate, 3-phenylpropionate, 4-oxopentanoate, 4,4-(ethylenedithio)pentanoate, pivaloate (trimethylacetate), crotonate, 4-methoxy-crotonate, benzoate, p-benylbenzoate, 2,4,6- trimethylbenzoate.
  • Examples of suitable carbonates include 9-fluorenylmethyl, ethyl, 2,2,2- trichloroethyl, 2-(trimethylsilyl)ethyl, 2-(phenylsulfonyl)ethyl, vinyl, allyl, and p-nitrobenzyl carbonate.
  • Examples of suitable silyl ethers include trimethylsilyl, triethylsilyl,
  • t-butyldimethylsilyl t-butyldiphenylsilyl, triisopropyl silyl ether, dimethylthexyl silyl, and other trialkylsilyl ethers.
  • suitable alkyl ethers include methyl, benzyl, p-methoxybenzyl, 3,4-dimethoxybenzyl, trityl, t-butyl, and allyl ether, or derivatives thereof.
  • Alkoxyalkyl ethers include acetals such as methoxymethyl, methylthiomethyl, (2-methoxyethoxy)methyl, benzyloxymethyl, beta-(trimethylsilyl)ethoxymethyl, and tetrahydropyran-2-yl ether.
  • suitable arylalkyl ethers include benzyl, p-methoxybenzyl (MPM), 3,4-dimethoxybenzyl, O- nitrobenzyl, p-nitrobenzyl, p-halobenzyl, 2,6-dichlorobenzyl, p-cyanobenzyl, 2- and 4-picolyl ethers. It is to be understood that any chemical terms used herein are intended to have their ordinary meaning as commonly used in the chemical arts.
  • R 1 is hydrogen.
  • R 1 is a hydroxyl protecting group. In another embodiment, R 1 is a hydroxyl protecting group, and the hydroxyl protecting group is dimethylthexyl silyl ("ThexDMS"). In another embodiment, R 1 is a hydroxyl protecting group, and the hydroxyl protecting group is benzoyl formate ("Bz"). In another embodiment, R 2 is hydrogen. In another embodiment, R 2 is a hydroxyl protecting group. In another embodiment, R 2 is a hydroxyl protecting group, and the hydroxyl protecting group is benzoyl formate.
  • R 3 is hydrogen. In another embodiment, R 3 is 3 ⁇ 4T ⁇ / ⁇ 3
  • R is 3 .
  • R is a hydroxyl protecting group.
  • R 3 is a hydroxyl protecting group, and the hydroxyl protecting group is benzoyl formate.
  • R 3 is a hydroxyl protecting group, and the hydroxyl protecting group is allyl ether.
  • a 2 is 0, 1, 2, 3, 4, 5, 6, 7, or 8.
  • - ⁇ w appearing on a structure and joining a functional group to the structure in the position of a bond generally indicates a mixture of, or either of, the possible isomers, e.g., containing (R)- and (S)- stereochemistry.
  • the possible isomers e.g., containing (R)- and (S)- stereochemistry.
  • - ⁇ > ⁇ appearing across a bond indicates a point of attachment between two atoms.
  • a ⁇ -1-6 glucan oligomer of the present invention includes a low molecular weight ⁇ -1-6 glucan oligomer, e.g., a ⁇ -1-6 glucan oligomer containing 10 or fewer (e.g., 9, 8, 7, 6, 5, 4, 3 or 2) glucose monomer units.
  • a composition of the present invention comprises ⁇ - ⁇ , ⁇ -glucan oligomers which comprise, consist essentially of or consist of low molecular weight ⁇ - ⁇ , ⁇ -glucan oligomers, e.g., ⁇ -1-6 glucan oligomers containing 10 or fewer (e.g., 9, 8, 7, 6, 5, 4, 3 or 2) glucose monomer units.
  • At least 80%, 90%, 95%, 98%, 99% or 100% of the ⁇ - ⁇ , ⁇ -glucan oligomers contained in a composition of the invention by weight is low molecular weight ⁇ -1,6- glucan oligomers, e.g., ⁇ -1-6 glucan oligomers containing 10 or fewer (e.g., 9, 8, 7, 6, 5, 4, 3 or 2) glucose monomer units.
  • weight refers to "dry weight”.
  • At least 80%, 90%, 95%, 98%, 99% or 100% of the glucan contained in a composition of the invention by weight is ⁇ -1,6 glucan.
  • weight refers to "dry weight”. In certain embodiments, less than 20%, 10%, 5%), 2% or 1%) of the glucan contained in a composition of the invention by weight is ⁇ -1,3 glucan. In certain embodiments, "weight” refers to "dry weight”.
  • a therapeutic antibody disclosed herein may be conjugated to one or more ⁇ -1,6- glucan oligomers.
  • the present application relates, among other things, to the length of ⁇ -1,6- glucan oligomers to be conjugated to a therapeutic antibody, the load of ⁇ - ⁇ , ⁇ -glucan oligomers to be conjugated to a therapeutic antibody (e.g., the number of ⁇ - ⁇ , ⁇ -glucan oligomers to be conjugated to each antibody), and to the type of conjugation by which ⁇ - ⁇ , ⁇ -glucan oligomers are linked with a therapeutic antibody.
  • the a therapeutic antibody disclosed herein may be conjugated to one or more ⁇ - ⁇ , ⁇ -glucan oligomers via a linker.
  • a conjugate of the present invention includes a ⁇ -1,6- glucan oligomer which is comprised of between 2 and 10 glucose monomer units (e.g., 2, 3, 4, 5, 6, 7, 8, 9, or 10 glucose monomer units).
  • a conjugate of the present invention includes a ⁇ - ⁇ , ⁇ -glucan oligomer which is comprised of between 3 to 10, 3 to 9, 3 to 8, 3 to 7, 3 to 6, 3 to 5, 3 to 4, 4 to 10, 4 to 9, 4 to 8, 4 to 7, 4 to 6, 4 to 5, 4 to 8, 5 to 8, 5 to 7, 5 to 6, 6 to 7, or 7 to 8 glucose monomer units.
  • a conjugate of the present invention includes a ⁇ -1,6- glucan oligomer covalently linked to a therapeutic antibody via a linker L as shown in Formula I:
  • a is between 1 and 9, 1 and 8, 1 and 7, 1 and 6, 1 and 5, 1 and 4 or 1 and 3
  • L is a linker
  • - ⁇ w represents a point of attachment between two atoms (e.g., an atom of the linker and an atom of a therapeutic antibody).
  • the linker L can be a ring-opened glucose monomer as shown in Formula la:
  • a 1 is between 1 and 9, 1 and 8, 1 and 7, 1 and 6, 1 and 5, 1 and 4 or 1 and 3, and " represents a point of attachment between two atoms.
  • the term "conjugate" and grammatical forms thereof refers to any association between the indicated molecules.
  • the conjugation is covalent.
  • the conjugation is non-covalent.
  • the conjugation is direct.
  • the conjugation is via a linker molecule.
  • the conjugation will be via any means known in the art and as described herein.
  • the conjugation may be via amide formation, urethane, imine or disulfide linkage between the respective molecules, or between a linker moiety with the respective molecules.
  • the chemical backbone of the linker molecules may be biocompatible, non- immunogenic and/or water soluble.
  • the linker may comprise poly ethylene glycol (PEG), further comprising active chemical groups which facilitate linkage as herein described.
  • the linker L is alkyl, alkylenyl, alkynyl, aryl, heteroalkyl, heterocyclyl, or heteroaryl, optionally substituted with alkyl, aryl, heteroaryl, heteroalkyl, -N 3 (azidyl), -C(0)H, -C(0)OH, -C(0)-alkyl, -C(0)-aryl.
  • the linker L is polyester, polyimine, poly-acid, protein, or peptides.
  • the linker molecule comprises an alkylene, alkenylene, alkynylene, heteroalkylene, heteroalkenylene, or
  • the conjugates are formed from or derived from the following structural formula:
  • R 1 is H, alkyl, aryl, or heteroaryl
  • R 2 is alkyl optionally substituted with azidyl, alkyl optionally substituted with R 3 , -C(0)-alkyl, -C(0)-aryl.
  • R 3 is heteroaryl, optionally substituted with alkyl-C(0)H, aryl- C(0)H, alkyl-C(0)OH, or aryl-C(0)OH.
  • the conjugates can comprise the following structural formula:
  • the conjugates can comprise the following structural formula:
  • R 4 is alkyl optionally substituted with R 5 , -C(0)-alkyl, -C(0)-aryl. - C(0)0-alkyl, -C(0)0-aryl; R 5 is heteroaryl, optionally substituted with alkyl-C(0)H, aryl- C(0)H, alkyl-C(0)OH, or aryl-C(0)OH.
  • the conjugates can comprise the following structural
  • the conjugates are formed from or derived from the following structural formula:
  • the conjugates are formed from or derived from the followin structural formula:
  • the conjugates are formed from or derived from the following structural formula: wherein a and R 1 are defined above.
  • the conjugates are formed from or derived from the followin structural formula:
  • the conjugates are formed from or derived from the following structural formula:
  • the conjugates are formed from or derived from the following structural formula:
  • the conjugates are formed from or derived from the following structural form la:
  • the conjugates are formed from or derived from the following structural formula:
  • ⁇ -1,6- glucan oligomers may be a whole number, e.g., when referring to a single ⁇ - ⁇ , ⁇ -glucan oligomer or a population of ⁇ - ⁇ , ⁇ -glucan oligomers each having the same length.
  • the length of the ⁇ - ⁇ , ⁇ -glucan oligomers may also be a whole number when referring to the length of a population of ⁇ - ⁇ , ⁇ -glucan oligomers wherein the whole number length is representative of the actual length of at least 90% of the ⁇ - ⁇ , ⁇ -glucan oligomers in the population (e.g., at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) of the ⁇ - ⁇ , ⁇ -glucan oligomers in the population).
  • the length of the ⁇ - ⁇ , ⁇ -glucan oligomers may be presented as a fraction when a population includes a mixture of ⁇ - ⁇ , ⁇ -glucan oligomers having two or more different lengths.
  • the fraction may be indicative of a hypothetical, expected, approximate, or measured average length of ⁇ - ⁇ , ⁇ -glucan oligomers in the population.
  • a length expressed as being between two whole numbers encompasses any intervening fraction of a whole number.
  • 1,6-glucan oligomer are known in the art.
  • the number of monomeric glucose units in a ⁇ - ⁇ , ⁇ -glucan oligomer is provided or determined prior to conjugation with a therapeutic antibody.
  • a ⁇ - ⁇ , ⁇ -glucan oligomer or ⁇ - ⁇ , ⁇ -glucan oligomer precursor is synthesized to have a particular known length.
  • Example 28 describes synthesis of gentiopentose.
  • Example 29 describes synthesis of 2-azidoethylgentiotetrose.
  • Example 30 describes synthesis of 2-azidoethylgentiohexose. It will be appreciated that ⁇ -1,6- glucan oligomers and other ⁇ - ⁇ , ⁇ -glucan oligomer precursors having different lengths can be made in accordance with known synthetic methods (e.g., those described herein) using these and other building blocks that are described herein. In certain instances, ⁇ - ⁇ , ⁇ -glucan oligomers having a particular number (or range) of monomeric glucose units are isolated from a population of oligomers, e.g., a population of oligomers derived from pustulan, e.g., by breakdown or modification of pustulan.
  • a population of oligomers e.g., a population of oligomers derived from pustulan, e.g., by breakdown or modification of pustulan.
  • a population of ⁇ - ⁇ , ⁇ -glucan oligomers each having a particular number of monomeric glucose units is provided and the number of monomeric glucose units per oligomer is determined by chromatography (e.g., size exclusion chromatograph) and/or mass spectrometry (e.g., MALDI).
  • chromatography e.g., size exclusion chromatograph
  • mass spectrometry e.g., MALDI
  • a population of ⁇ - ⁇ , ⁇ -glucan oligomers including oligomers having various numbers of monomeric glucose units is provided and the number of monomeric glucose units per oligomer is determined by chromatography (e.g., size exclusion chromatograph) and/or mass spectrometry (e.g., MALDI).
  • one or more ⁇ - ⁇ , ⁇ -glucan oligomers having a particular number of monomelic glucose units are selected or isolated.
  • the number of monomelic glucose units in a ⁇ - ⁇ , ⁇ -glucan oligomer is provided or determined after conjugation with a therapeutic antibody for example by mass spectrometry (e.g., MALDI).
  • a therapeutic antibody molecule present in a conjugate of the present invention may be conjugated to one or more ⁇ - ⁇ , ⁇ -glucan oligomers. In certain embodiments, it is conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers (e.g., between 1 and 5, 1 and 4 or 1 and 3 ⁇ - ⁇ , ⁇ -glucan oligomers, e.g., 1, 2, 3, 4, 5, or 6 ⁇ - ⁇ , ⁇ -glucan oligomers). In certain embodiments, it is conjugated to between 2 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers. In certain embodiments, it is conjugated to 2 or 3 ⁇ - ⁇ , ⁇ -glucan oligomers.
  • it is conjugated to 3 or 4 ⁇ - ⁇ , ⁇ -glucan oligomers. In certain embodiments, it is conjugated to 3 ⁇ -1,6- glucan oligomers. It is to be understood that when two or more ⁇ - ⁇ , ⁇ -glucan oligomers are conjugated to the same therapeutic antibody molecule, the two or more ⁇ - ⁇ , ⁇ -glucan oligomers may have the same or different lengths. In some embodiments, the two or more ⁇ - ⁇ , ⁇ -glucan oligomers have the same length.
  • Formula Ila refers to the actual or average number of individual ⁇ - ⁇ , ⁇ -glucan oligomers that are conjugated to each therapeutic antibody molecule.
  • a glucan load may be a whole number, e.g., when referring to the load of a single conjugate or a population of conjugates each having the same load.
  • a glucan load may also be a whole number when referring to the load of a population of conjugates wherein the whole number load is representative of the actual load found on at least 90% of conjugates in the population (e.g., at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% of molecules in the population).
  • a glucan load may be presented as a fraction when a population includes a mixture of conjugates having two or more different loads.
  • the fraction may be indicative of a hypothetical, expected, approximate, or measured average load of conjugates in the population. Accordingly, a glucan load expressed as being between two whole numbers encompasses any intervening fraction of a whole number.
  • Various methods of determining load of ⁇ - ⁇ , ⁇ -glucan oligomers are known in the art. In various instances, a conjugate is synthesized to have a particular load.
  • a conjugate or population of conjugates each having a particular load is provided and the load is determined by chromatography (e.g., size exclusion chromatograph) and/or mass spectrometry (e.g., MALDI) and/or SDS-PAGE.
  • chromatography e.g., size exclusion chromatograph
  • mass spectrometry e.g., MALDI
  • SDS-PAGE e.g., SDS-PAGE.
  • conjugates having a particular load are selected or isolated.
  • aforementioned ⁇ - ⁇ , ⁇ -glucan oligomers are conjugated as described herein to a therapeutic antibody.
  • one or more ⁇ - ⁇ , ⁇ -glucan oligomers are conjugated via a linker.
  • the one or more ⁇ - ⁇ , ⁇ -glucan oligomers are each independently conjugated to a therapeutic antibody, e.g., via a lysine residue.
  • a conjugate of the present invention is of the Formula II:
  • Lys is a lysine residue
  • b is between 1 and 6, 1 and 5, 1 and 4 or 1 and 3;
  • Formula II is intended to be a schematic illustration of the conjugation of a compound of Formula I or Formula la to a therapeutic antibody. Accordingly, when b is 1, and
  • ⁇ is a compound of Formula la, the conjugate of Formula II can be drawn as: wherein "Lys” illustrates the aliphatic chain and terminal amine portion of the lysine residue.
  • a therapeutic antibody may be conjugated to one or more ⁇ - ⁇ , ⁇ -glucan oligomers.
  • the present application relates, among other things, to the length of ⁇ - ⁇ , ⁇ -glucan oligomers to be conjugated to a therapeutic antibody, the load of ⁇ - ⁇ , ⁇ -glucan oligomers to be conjugated to a therapeutic antibody (e.g., the number of ⁇ - ⁇ , ⁇ -glucan oligomers to be conjugated to each antibody), and to the type of conjugation by which ⁇ - ⁇ , ⁇ -glucan oligomers are linked with a therapeutic antibody.
  • a therapeutic antibody may be conjugated to one or more ⁇ - ⁇ , ⁇ -glucan oligomers via a linker.
  • a conjugate may have
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 5 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 4 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 3 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 10 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of between 2 and 10 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of between 2 and 8 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of between 3 and 7 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of between 4 and 6 glucose monomer units; • a therapeutic antibody conjugated to 3 ⁇ - ⁇ , ⁇ -glucan oligomers, wherein each ⁇ -1,6- glucan oligomer is independently comprised of 4 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 5 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 6 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 7 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 8 glucose monomer units.
  • a conjugate may have
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 6 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 5 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 6 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 6 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 2 and 6 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of between 2 and 6 glucose monomer units.
  • a conjugate may have (or a composition may comprise conjugates having) the following features: • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers, wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 8 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 5 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 8 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 8 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 8 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of between 4 and 8 glucose monomer units.
  • a conjugate may have (or a composition may comprise conjugates having) the following features:
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 6 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 5 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 6 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 6 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4 and 6 glucose monomer units;
  • a conjugate may have
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4.5 and 5.5 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4.5 and 6.5 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4.5 and 5.5 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of between 4.5 and 5.5 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of between 4.5 and 5.5 glucose monomer units.
  • a conjugate may have (or a composition may comprise conjugates having) the following features:
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 8 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 8 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 8 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 8 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 8 glucose monomer units.
  • a conjugate may have
  • compositions may comprise conjugates having) the following features: • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers, wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 7 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 5 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 7glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 7 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 7 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 7 glucose monomer units.
  • a conjugate may have
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 6 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 6 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 6 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 6 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 6 glucose monomer units.
  • a conjugate may have
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 5 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 5 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 5 glucose monomer units
  • a therapeutic antibody conjugated to between 2.5 and 3.5 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 5 glucose monomer units
  • each ⁇ -1,6- glucan oligomer is independently comprised of 5 glucose monomer units.
  • a conjugate may have
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 4 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 4 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 4 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 4 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 4 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 4 glucose monomer units.
  • a conjugate may have (or a composition may comprise conjugates having) the following features:
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 3 glucose monomer units;
  • a therapeutic antibody conjugated to between 1 and 5 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 3 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 3 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 3 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 3 glucose monomer units; or • a therapeutic antibody conjugated to between 2 and 3 ⁇ - ⁇ , ⁇ -glucan oligomers, wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 3 glucose monomer units.
  • a conjugate may have (or a composition may comprise conjugates having) the following features:
  • a therapeutic antibody conjugated to between 1 and 6 ⁇ - ⁇ , ⁇ -glucan oligomers wherein each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 2 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 2 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 2 glucose monomer units;
  • each ⁇ -1,6- glucan oligomer is independently comprised of 2 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 2 glucose monomer units;
  • each ⁇ - ⁇ , ⁇ -glucan oligomer is independently comprised of 2 glucose monomer units.
  • a conjugate may be represented by Formula Ila:
  • a 1 is between 1 and 9; and b is between 1 and 6.
  • a 1 is 1, 2, 3, 4, 5, 6, 7, 8 or 9.
  • b is 1, 2, 3, 4, 5, or 6.
  • the conjugate is represented by Formula Ila, wherein a 1 is between 1 and 9, and b is between 2 and 4.
  • the conjugate is represented by Formula Ila, wherein a 1 is between 1 and 9, and b is 3.
  • the conjugate is represented by Formula Ila, wherein a 1 is between 1 and 3, and b is between 1 and 6. In other embodiments, a is 1, 2, or 3. In other embodiments, b is 1, 2, 3, 4, 5, or 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is between 1 and 3, and b is between 2 and 4.
  • the conjugate is represented by Formula Ila, wherein a 1 is between 1 and 3, and b is 3.
  • the conjugate is represented by Formula Ila, wherein a 1 is between 2 and 4, and b is between 1 and 6. In other embodiments, a 1 is 2, 3, or 4. In other embodiments, b is 1, 2, 3, 4, 5, or 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is between 2 and 4, and b is between 2 and 4.
  • the conjugate is represented by Formula Ila, wherein a 1 is between 2 and 4, and b is 3.
  • the conjugate is represented by Formula Ila, wherein a 1 is
  • the conjugate is represented by Formula Ila, wherein a 1 is 3 , and b is between 2 and
  • the conjugate is represented by Formula Ila, wherein a 1 is
  • the conjugate is represented by Formula Ila, wherein a 1 is
  • the conjugate is represented by Formula Ila, wherein a 1 is 4, and b is between 2 and 4 or between 4 and 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 4, and b is 3. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 4, and b is 5.
  • the conjugate is represented by Formula Ila, wherein a 1 is
  • the conjugate is represented by Formula Ila, wherein a 1 is 5, and b is between 2 and 4 or between 4 and 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 5 , and b is 3. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 5, and b is 5. [0255] In another embodiment, the conjugate is represented by Formula Ila, wherein a 1 is
  • 6, and b is between 1 and 6. In other embodiments, b is 1, 2, 3, 4, 5, 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 6, and b is between 2 and 4 or between 4 and 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 6, and b is 3. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 6, and b is 5.
  • conjugate is represented by Formula Ila, wherein a 1 is
  • 7, and b is between 1 and 6. In other embodiments, b is 1, 2, 3, 4, 5, 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 7, and b is between 2 and 4 or between 4 and 6. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 7, and b is 3. In another exemplary embodiment, the conjugate is represented by Formula Ila, wherein a 1 is 7, and b is 5.
  • a therapeutic antibody conjugate of the present invention may be capable of binding its target.
  • the target is amplified and/or overexpressed by a cancer or tumor cell.
  • a therapeutic antibody conjugate of the present invention competes with its parent antibody for binding its target.
  • conjugation enhances complement (C3) deposition.
  • C3 deposition can be assayed by any known method, including Western analysis or FACS analysis using monoclonal antibodies directed against the alpha or beta chains of C3.
  • conjugation enhances binding by anti-P-l,6-glucan antibodies.
  • Binding by anti- ⁇ - 1,6-glucan antibodies can be assayed by any known method, including ELISA analysis using anti-human IgG2 antibodies.
  • the enhancement as compared to an unconjugated counterpart may be at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 75%, at least 100%, or more.
  • a therapeutic antibody conjugate of the present invention may be used, e.g., in the treatment of cancer, e.g., a cancer associated with amplification and/or overexpression of a target antigen (e.g., protein or other moiety).
  • a conjugate of the present invention may be used, e.g., in the treatment of cancer.
  • the cancer is breast cancer.
  • the cancer is ovarian cancer.
  • the cancer is bladder cancer.
  • the cancer is salivary gland cancer.
  • the cancer is endometrial cancer.
  • the cancer is pancreatic cancer.
  • the cancer is prostate cancer. In some embodiments, the cancer is non-small-cell lung cancer (NSCLC). In some embodiments, the cancer is a blood cancer. In some
  • the cancer is a skin cancer.
  • the cancer is metastatic.
  • a cancer or tumor treated by administration of a therapeutic antibody conjugate described herein is a recurrent or treatment-resistant cancer or tumor (e.g., a cancer or tumor resistant to treatment by unconjugated therapeutic antibody ).
  • Such treatment may be, e.g., in a subject having, suspected of having, or diagnosed as having such cancer.
  • a conjugate described herein, upon administration to a subject having, suspected of having, or diagnosed as having a cancer or tumor is cytostatic, cytotoxic, or slows, delays, or inhibits growth of the cancer or tumor.
  • a conjugate described herein upon administration to a subject having, suspected of having, or diagnosed as having a cancer or tumor, increases the length or likelihood survival of the subject. In various embodiments, a conjugate described herein, upon administration to a subject having, suspected of having, or diagnosed as having a cancer or tumor, induces regression or stasis of a cancer or tumor. In various embodiments, a conjugate described herein, upon administration to a subject having, suspected of having, or diagnosed as having a cancer or tumor, induces an immune response that is effective in inhibiting recurrence of a cancer or tumor. In various embodiments, a conjugate described herein recruits neutrophils, e.g., to a targeted cancer or tumor.
  • a conjugate described herein causes or promotes neutrophil infiltration, e.g., of a targeted cancer or tumor.
  • administration of a conjugate described herein to a subject having, suspected of having, or diagnosed as having a cancer or tumor does not elicit an adverse effect, e.g., a cytokine storm or sepsis.
  • a conjugate of the present invention produces an enhanced therapeutic response in a subject with a tumor as compared to its unconjugated counterpart (e.g., a therapeutic antibody).
  • conjugation enhances phagocytosis and/or cytotoxic responses to tumor cells, or in some embodiments, enhances complement-mediated lysis of the tumor cells. In some embodiments, these responses are mediated by neutrophils and/or macrophages. Phagocytosis and/or lysis can be assessed by any known method, including time-lapse microscopy or Fluorescence- Activated Cell Sorting
  • the enhancement as compared to an unconjugated counterpart may be at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 75%, at least 100%, or more.
  • conjugates described herein can be incorporated into a pharmaceutical composition.
  • a pharmaceutical composition can be useful, e.g., for the treatment of a cancer or tumor, e.g., a cancer or tumor described herein.
  • Pharmaceutical compositions of the present invention can be formulated by methods known to those skilled in the art (e.g., as described in Remington: The Science and Practice of Pharmacy, 22nd edition, ed. Lloyd Allen, Pharmaceutical Press and Philadelphia College of Pharmacy at University of the Sciences, 2012, the contents of which are incorporated herein by reference).
  • a pharmaceutical composition can include a therapeutically effective amount of a conjugate described herein.
  • Such effective amounts can be readily determined by one of ordinary skill in the art based, in part, on the effect of the administered composition, or the combinatorial effect of the conjugate and one or more additional active agents, if more than one agent is used.
  • a therapeutically effective amount of a conjugate described herein can also vary according to factors such as the disease state, age, sex, and weight of the individual, and the ability of the composition (and one or more additional active agents) to elicit a desired response in the individual, e.g., amelioration of at least one condition parameter, e.g., amelioration of at least one symptom of the disease or disorder.
  • Suitable human doses of any of the compositions described herein can further be evaluated in, e.g., Phase I dose escalation studies.
  • the route of administration can be parenteral, for example, administration by injection.
  • a pharmaceutical composition can be administered parenterally in the form of an injectable formulation comprising a sterile solution or suspension in water or another
  • the pharmaceutical composition can be formulated by suitably combining the therapeutic molecule with pharmaceutically acceptable vehicles or media, such as sterile water and physiological saline, and other suitable excipients followed by mixing in a unit dose form required for generally accepted pharmaceutical practices.
  • pharmaceutically acceptable vehicles or media such as sterile water and physiological saline, and other suitable excipients followed by mixing in a unit dose form required for generally accepted pharmaceutical practices.
  • the amount of conjugate included in the pharmaceutical compositions is such that a suitable dose within the designated range is provided.
  • the formulated injection can be packaged in a suitable ampule.
  • the examples described herein demonstrate, among other things, the purification of glucans from pustulan for use in making various mAbXcite-conjugates, (a therapeutic antibody linked to one or more ⁇ - ⁇ , ⁇ -glucan oligomers), the production and characterization of various mAbXcite-conjugates, methods of making synthetic ⁇ - ⁇ , ⁇ -glucans, and suitable linking chemistries for conjugating a therapeutic antibody to one or more ⁇ - ⁇ , ⁇ -glucan oligomers.
  • HER2-mAbXcite-conjugates or mAbXcite- trastuzumab conjugates relating to the effect of conjugation with ⁇ - ⁇ , ⁇ -glucan oligomers of different length, e.g., from 4 to 6 glucose monomer units with about 3 ⁇ - ⁇ , ⁇ -glucan oligomers per trastuzumab molecule.
  • Binding of trastuzumab to HER2 when conjugated to ⁇ - ⁇ , ⁇ -glucan oligomers was tested and found to be similar to unconjugated trastuzumab.
  • results described in the present Examples include successful preclinical results in trastuzumab-resistant tumor xenograft mouse models treated with HER2-mAbXcite-conjugates.
  • the present invention encompasses the realization that these results that were generated using two different therapeutic antibodies (trastuzumab and cetuximab), e.g., the improvements observed when using particular lengths of ⁇ - ⁇ , ⁇ -glucan oligomers and particular loads of ⁇ - ⁇ , ⁇ -glucan oligomers can be generalized to other therapeutic antibodies including those described herein.
  • mice were selected as a useful model for testing ⁇ - ⁇ , ⁇ -glucan conjugates, as these mammals have only low titers of endogenous anti- ⁇ - 1,6-glucan. Levels of anti ⁇ -l,6-glucan antibodies could therefore be controlled via
  • the glucans are sometimes referred to as "#- mers” wherein "#” is the number of glucose monomer units that were present prior to conjugation with trastuzumab or cetuximab.
  • # is the number of glucose monomer units that were present prior to conjugation with trastuzumab or cetuximab.
  • a glucan including three glucose monomer units prior to conjugation may be identified as a "3-mer” or "3mer”
  • a glucan including four glucose monomer units may be identified as a "4-mer” or “4mer”
  • a glucan including five glucose monomer units may be identified as a "5-mer” or "5mer”
  • so forth without limitation.
  • the resulting conjugate would include the following structure:
  • Pustulan (Elicityl-Oligotech) was suspended in concentrated hydrochloric acid at
  • oligosaccharides ranged from 3mer to >14mer with the higher oligosaccharides (>14) present by LC but outside the detection limit of the MS, as determined by LC-MS analysis of the mixture via XBridge BEH HILIC Amide OBD Prep Column (XBridge BEH Amide HILIC OBD Prep Column, 13 ⁇ , 5 ⁇ , 19 mm X 250 mm and XBridge BEH Amide HILIC analytical column, 3.5 ⁇ , 3 mm x 100 mm acquired from Waters, pre-washed as described by the manufacturer prior to use; 95-40% acetonitrile/water w/ 0.1% formic acid, 50C, 0.75mL/min for 15min).
  • the bulk of material consisted of 3mer to 8mer, as determined by ELSD analysis.
  • oligosaccharides of distinct sizes as determined by LC/MS were frozen and lypholized. After drying to completion, the oligosaccharides were redissolved in minimal water containing 0.1% formic acid and passed through a CI 8 AQ and a CI 8 column (CI 8 and C18AQ cartridges acquired from Teledyne ISCO and pre-washed as recommended by the manufacturer prior to use; 10X wt/wt bed size) linked in sequence and the product was eluted with water with 0.1% formic acid (10 column volumes). The flow through was frozen and lypholized to a white powder.
  • ⁇ - ⁇ , ⁇ -glucan oligomers obtained from pustulan as described in Example 1 were conjugated to trastuzumab via reductive amination.
  • the ⁇ - ⁇ , ⁇ -glucan oligomers were of Formula V:
  • Trastuzumab was buffer exchanged from storage solution into 0.2 M Na-Borate, pH 8.0 by TFF (50 kDa membrane) and making the concentration of Trastuzumab (10-20 mg/ml).
  • the P-l,6-oligomers were prepared as a 0.1M solution in endotoxin-free water.
  • trastuzumab was added until the concentration of trastuzumab was 5mg/mL.
  • a 230x molar excess of the P-l,6-oligomer solution was added at 21 °C and the reaction was allowed to stir for 23 hours.
  • the conjugation was stopped by adding a 100-fold molar ratio of lysine to
  • reaction quench solution was 1 M lysine in 0.1 M Na-Borate, pH 8.0.
  • reaction mixture was diluted 1 to 10 into 46.7%
  • Final trastuzumab- oligosaccharide conjugate was adjusted to 1 mg/ml.
  • Storage buffer was 46.7% Trehalose dehydrate, 0.74% L-Histidine, 1.15% L-Histidine hydrochloride monohydrate, and 0.01% Polysorbate 20 at 4°C.
  • Unconjugated oligosaccharide was ⁇ 0.1%) of the concentration of oligosacchande-trastuzumab conjugate.
  • PEG of average MW 2000 was ⁇ 0.1% of the concentration of oligosaccharide-trastuzumab conjugate.
  • HIC is not able to resolve individual loads due to hydrophilicity of oligosaccharides a.
  • This example describes a study of the ability of F£ER2-mAbXcite conjugates, prepared as described in Example 2, to bind HER2.
  • the wells of an ELISA plate were coated with HER2 antigen.
  • PBS control, trastuzumab, F£ER2-mAbXcite (5-mer), and F£ER2-mAbXcite (6-mer) were added to wells and incubated.
  • the wells were washed and labeled anti-human IgG antibodies were added to the wells. After incubation, the wells were washed, a detection reagent applied, and the plate read.
  • the PBS control was negative for signal, and binding of trastuzumab, HER2-mAbXcite (5-mer), and HER2-mAbXcite (6-mer) was detected.
  • This example describes a selective ELISA for detection of HER2-mAbXcite conjugates, prepared as described in Example 2.
  • the wells of an ELISA plate were coated with HER2 antigen.
  • PBS control, trastuzumab, HER2-mAbXcite (5-mer), and HER2-mAbXcite (6- mer) were added to wells and incubated.
  • the wells were washed and human anti-P-l,6-glucan polyclonal antibodies were added to the wells. After incubation, the wells were washed and labeled anti-human IgG2 antibodies were added to the wells. After incubation, the wells were washed, a detection reagent applied, and the plate read.
  • Example 2 the efficacy of HER2-m AbXcite conjugates, prepared as described in Example 2, was studied in a nude mouse model implanted with the trastuzumab- resistant human cell line JIMT-1.
  • the study was of HER2-m AbXcite in which the conjugation utilized reductive amination (direct) chemistry, a 5-mer or 6-mer oligomer, with a load of about 3 oligomers per antibody.
  • mice were randomly assigned into five study treatment groups, such that the mean tumor volume for each group was about 160 mm 3 .
  • IP intraperitoneal
  • IVIG pooled human antibodies
  • each group was administered one of the following treatments via an IP injection: PBS control; 15 mg/kg trastuzumab; 15 mg/kg HER2-mAbXcite (5-mer); 15 mg/kg HER2- mAbXcite (6-mer); or Kadcyla® (T-DMI).
  • mice were monitored twice weekly to determine tumor growth rates using external calipers. Tumors were measured prior to and following the first day of treatment. Body weights were also collected twice a week. Mice were euthanized when the maximum tumor volume reached 2000 mm 3 . Mice were also euthanized if the tumor became ulcerated, if the tumor impeded ambulation, or there was a deterioration of body condition. Mice were also euthanized if they lost > 15% of their original body weight.
  • Figure 3 shows the results expressed as mean tumor size.
  • Figure 4 shows the results expressed as median tumor size.
  • HER2-mAbXcite (6-mer) was observed to be more effective than HER2- mAbXcite (5-mer) at reducing mean and median tumor size over the course of the study. As shown in Figures 5 and 6, HER2-mAbXcite (6-mer) was shown to be more effective than trastuzumab at 37 days and 51 days after treatment, respectively.
  • Example 6 Efficacy study of HER2-mAbXcite (5-mer), (6-mer), and (7-mer) in nude mice
  • Example 2 the efficacy of HER2-m AbXcite conjugates, prepared as described in Example 2, is studied in a nude mouse model implanted with the trastuzumab- resistant human cell line JEVIT-l .
  • the study is of HER2-m AbXcite in which the conjugation utilizes reductive amination (direct) chemistry, a 5-mer, 6-mer, or 7-mer oligomer, with a load of about 3 oligomers per antibody.
  • mice are randomly assigned into five study treatment groups. Prior to each antibody administration, all mice receive about 500 mg/kg ( 0.1 mL) intraperitoneal (IP) injection of pooled human antibodies (IVIG). Two hours post-IVIG administration, each group is administered one of the following treatments via an IP injection: PBS control; trastuzumab; HER2-mAbXcite (5-mer); HER2-mAbXcite (6-mer); or HER2-mAbXcite (7-mer).
  • IP intraperitoneal
  • cetuximab (1 mg/mL in PBS, pH 7.2) by adding a 12x excess of the compound of the compound above to a reaction solution of PBS (pH 7.2 containing 3% DMSO) and allowing the reaction to stir for 30 minutes at 21 °C. The reaction was quenched by adding a 100-fold ratio of lysine to NHS-DBCO- oligosaccharide. Then, the mixture was buffer- exchanged using PBS, pH 7.2 with a 50 kDa TFF membrane. Final cetuximab-oligosaccharide conjugate was adjusted to 1 mg/ml. Storage buffer is PBS, pH 7.2 at 4°C. Unconjugated oligosaccharide ⁇ 0.1% of the concentration of oligosaccharide-cetuximab conjugate.
  • ⁇ - ⁇ , ⁇ -glucan oligomers were conjugated to cetuximab via reductive amination.
  • the ⁇ - ⁇ , ⁇ - lucan oligomers were of the Formula V:
  • Cetuximab was buffer exchanged from storage solution into 0.2 M Na-Borate, pH 8.0 by TFF (50 kDa membrane) and making the concentration of Cetuximab (10-20 mg/ml).
  • the P-l,6-oligomers were prepared as a 0.1M solution in endotoxin-free water. [0289] To a solution of 0.3 M sodium cyanoborohydride in endotoxin-free water, and
  • reaction quench solution is 1 M lysine in 0.1 M Na-Borate, pH 8.0.
  • the reaction mixture was diluted 1 to 10 in PBS, pH 7.2 and buffer-exchanged using PBS, pH7.2 with a 50 kDa TFF membrane.
  • Final Cetuximab- oligosaccharide conjugate was adjusted to 1 mg/ml.
  • Storage buffer was PBS, pH 7.2 at 4°C.
  • Unconjugated oligosaccharide ⁇ 0.1% of the concentration of oligosaccharide-Cetuximab conjugate.
  • PEG of average MW 2000 ⁇ 0.1% of the concentration of oligosaccharide-Cetuximab conjugate.
  • HIC is not able to resolve individual loads due to hydrophilicity of oligosaccharides e.
  • BSA MW 66341
  • AB Sciex the calibration standard
  • Example 8 Conjugation of cetuximab to glucan does not change binding to EGFR
  • 2xl0 5 A431 Epidermoid carcinoma cells were blocked for 1 hour at room temperature in PBS-BSA, followed by an incubation with mAbXcite-cetuximab, cetuximab or rituximab (negative control) in staining buffer for 1 hour at RT. Cells were then washed (x3), and a detection antibody (mouse anti -human IgG-FITC) was added at 1 : 100 dilution. After three more washes, cells were spun down, re-suspended in PBS and analyzed by FACS using FACSCalibur (BD Biosciences). The cells were analyzed by FACS (FL1 for FITC).
  • ⁇ - ⁇ , ⁇ -glucan conjugation did not impair cetuximab binding to EGFR.
  • mAbXcite- cetuximab binding to EGFR was assessed by FACS using rituximab as a non-specific control ("No Ab"), cetuximab and mAbXcite-cetuximab (6-mer, 7-mer, or 8-mer ⁇ - ⁇ , ⁇ -glucan oligomers), and for loads ranging from 1 to 5 ⁇ - ⁇ , ⁇ -glucan oligomers per antibody ( Figures 7, 8, and 9).
  • ADCC cetuximab antibody-dependent cell-mediated cytotoxicity
  • ADCC Reporter Bioassay response to mAbXcite-cetuximab was studied using ADCC Bioassay Effector human and epithelial carcinoma cell line A431 as target cells. Experiments were performed using an ADCC Reporter Bioassay (Promega). Briefly, target cells (A431) were plated at the density of 5,000 cells per well in complete culture medium overnight. On the day of bioassay, antibodies (cetuximab, cetuximab-mAbXcite and rituximab as a control) were serially diluted.
  • Example 10 ⁇ - ⁇ , ⁇ -glucan oligomer length and load with mAbXcite-cetuximab conjugates
  • EGFR peptide (rhEGFR /Fc Chimera peptide from R&D) was absorbed on an ELISA plate (MaxiSorp) overnight at 4°C. After 3 washes, non-specific binding sites were blocked for 1 hour at room temperature. Cetuximab or mAbXcite-cetuximab were then added and incubation performed on a plate shaker for 1 hour at room temperature, followed by 3 additional washes.
  • anti- ⁇ - ⁇ , ⁇ -glucan antibodies polyclonal human anti-P-l,6-glucan antibodies
  • the wells were washed 3 times and incubated with a 1 : 5000 dilution of anti-human IgG2 (Fc)-HRP antibody (mouse anti-human IgG2 (Fc)-HRP) for 45 min at RT. Extensive washes were performed (x5) and visualization was carried out with lOOuL of TMB substrate.
  • FACS assay [0304] The present studies were undertaken to identify whether all ⁇ - ⁇ , ⁇ -glucan oligomer lengths are recognized by anti-P-l,6-glucan antibodies when mAbXcite-cetuximab is bound to EGFR on live cells. Data was acquired using the conjugate mAbXcite-cetuximab with cetuximab as a control. In the present experiment, the ⁇ - ⁇ , ⁇ -glucan oligomer load was 1 to 6, the oligomer length ranges from 4-mer to 9-mer, and the linkage of glucan to cetuximab was DBCO.
  • 2xl0 5 A431 Epidermoid carcinoma cells were blocked for 1 hour at room temperature in PBS-BSA (PBS pH 7.2 + 2% BSA) followed by an incubation with mAbXcite-cetuximab and cetuximab or rituximab (negative control) in staining buffer for 1 hour at RT. After 3 washes (PBS pH 7.2), cells were incubated with purified anti-P-l,6-glucan antibodies (polyclonal human anti-P-l,6-glucan antibodies) for 1 hour at RT.
  • Example 11 mAbXcite-cetuximab neutrophil infiltration
  • PD pharmacodynamics
  • mice When the tumors reached a volume of 300-400 mm 3 , which we have found to be ideal for imaging, mice were dosed with IVIG followed 2 hours later with mAbXcite- cetuximab, cetuximab, or vehicle control. 5 hours after treatment started, mice were anesthetized by isoflurane inhalation, administered with luminol (200mg/kg IP) and imaged on IVIS 100 bioluminescence imaging system (Caliper Life sciences) within 7-15 minutes.
  • luminol 200mg/kg IP
  • mice unconjugated ⁇ - ⁇ , ⁇ -glucan of undefined size
  • Mice were implanted SC with 2xl0 6 A431 (Epithelial cells, Epidermoid carcinoma) cells.
  • mAbXcite-cetuximab, cetuximab, or vehicle control mice were dosed with IVIG followed 2 hours later with mAbXcite-cetuximab, cetuximab, or vehicle control. 5 hours after treatment started, tumor were collected and sent to histology for evaluating neutrophil infiltration. Tumors were fixed in formalin, embedded in paraffin blocks, and stained with a neutrophil-specific detection antibody (anti-neutrophil (Ly6G) antibody (Abeam No. 2557)). Neutrophil infiltration was assessed by
  • ELISA was used to evaluate the binding of anti-P-l,6-glucan antibodies to mAbXcite-cetuximab, using cetuximab as a control.
  • the present study utilized mAbXcite- cetuximab in which the conjugation utilized click chemistry (DBCO) using 6-mer oligomers at a load of 1-3 oligomers per antibody.
  • DBCO click chemistry
  • ELISA was carried out using 1-StepTM Ultra TMB - ELISA (Pierce).
  • a human recombinant EGFR peptide (rhEGFR IFc Chimera (peptide from R&D)) was absorbed on an ELISA plate (MaxiSorp) overnight at 4°C.
  • non-specific binding site were blocked in PBS-BSA buffer (blocking and staining buffer: PBS pH 7.2 + 2% BSA) for 1 hour at room temperature.
  • Cetuximab or mAbXcite-cetuximab were then added and the plate placed in a plate shaker for 1 hour at room temperature, followed by 3 more washes.
  • anti-P-l,6-glucan antibodies polyclonal human anti- ⁇ - 1,6-glucan antibodies
  • the well were washed 3 times (PBS-Tween buffer (PH 7.2, 0.05% Tween)) and incubated with a 1 :5000 dilution of anti -human IgG2 (Fc)-HRP antibody (mouse anti-human IgG2 (Fc)-HRP) for 45 min at RT. Extensive washes were performed (x5) and visualization was carried out with lOOuL of TMB substrate.
  • 2xl0 5 A431 Epidermoid carcinoma cells were blocked for 1 hour at room temperature in PBS-BSA followed by an incubation with mAbXcite-cetuximab, cetuximab or rituximab (negative control) in staining buffer (PBS pH 7.2 + 2% BSA) for 1 hour at RT. Cells were then washed (x3; PBS pH 7.2), and a detection antibody (mouse anti-human IgG2-PE or mouse anti -human IgG-FITC) was added at 1 : 100 dilution. After three more washes, cells were spun down, re-suspended in PBS and analyzed by FACS. The cells were analyzed by FACS (FL2 for PE or FL1 for FITC) in FACSCalibur (BD Biosciences).
  • cetuximab a load ranging from 1 to 6
  • Conjugation of cetuximab with various loads of oligomer did not affect cetuximab binding to EGFR.
  • deposition of anti-P-l,6-glucan antibody was not impaired with either low or high load of oligomer. A minimum load of 1, was detected by anti-P-l,6-glucan IgG2 in these assays. See Figures 19, 20, 21, and 22
  • Example 13 Binding of mAbXcite-cetuximab having various oligomer loads with anti-P-l,6-glucan antibody or EGFR
  • the present study utilized mAbXcite-cetuximab in which the conjugation was performed by direct reductive amination chemistry, a 5-mer oligomer, and a load of 1-5 oligomers per antibody.
  • Anti- ⁇ - ⁇ , ⁇ -glucan binding to mAbXcite-cetuximab was assayed using ELISA. Cetuximab was used as a control.
  • ELISA was carried out using 1-StepTM Ultra TMB - ELISA (Pierce). Detecting antibodies included polyclonal human anti-P-l,6-glucan antibodies and mouse anti-human IgG2 (Fc)-HRP.
  • rhEGFR /Fc Chimera (peptide from R&D) was absorbed on an ELISA plate (MaxiSorp) overnight at 4°C. Following a couple of washes, non-specific binding sites were blocked in PBS-BSA buffer (PBS pH 7.2 + 2% BSA) for 1 hour at room temperature. Cetuximab or mAbXcite-cetuximab were then added and the plate placed in a plate shaker for 1 hour at room temperature, followed by 3 more washes (pH 7.2, 0.05% Tween).
  • anti-P-l,6-glucan antibodies were added to the plate (3ug/well) and incubated for 45 min at RT. The wells were washed 3 times and incubated with a 1 : 5000 dilution of anti -human IgG2 (Fc)-HRP antibody for 45 min at RT.
  • 4xl0 5 A431 Epidermoid carcinoma cells were blocked for 1 hour at room temperature in PBS-BSA followed by an incubation with mAbXcite-cetuximab, cetuximab or rituximab (negative control) in staining buffer (PBS pH 7.2 + 2% BSA) for 1 hour at RT. Cell were then washed (x3; PBS pH 7.2), resuspended in staining buffer and half of the cells were analyzed for binding to EGFR and half for deposition of the anti-P-l,6-glucan antibody.
  • a detection antibody (mouse anti-human IgG2-PE or mouse anti-human IgG-FITC) was added to the cells at 1 : 100 dilution and incubated for 45 minutes at RT. After three more washes, cells were spin down re-suspend in PBS and analyzed by FACS using FACSCalibur (BD Biosciences). mAbXcite-cetuximab binding was assessed by FACS (FLl for FITC; FL2 for PE) using buffer control ("No Ab"), cetuximab, and mAbXcite-cetuximab (various loads)
  • mAbXcite-cetuximab stability analysis was performed on mAbXcite-cetuximab, using cetuximab as a control.
  • the present study utilized mAbXcite-cetuximab in which the conjugation utilized DBCO or direct chemistry, a 4-mer to 5-mer oligomer, and a load of 3 oligomers per antibody.
  • ELISA was carried out using 1-StepTM Ultra TMB - ELISA (Pierce) detection kit. Detecting antibodies included polyclonal human anti-P-l,6-glucan antibodies, mouse anti-human IgG2 (Fc)-HRP, and goat anti-human IgG (H&L)-HRP. Also utilized were a blocking and staining buffer (casein in PBS (Pierce)) and a PBS-Tween buffer (PH 7.2, 0.05% Tween).
  • mAbXcite-cetuximab, or cetuximab control were added to serum (human or mouse serum) at concentrations equivalent to a dosage of 5mg/kg in mice (50 ⁇ g/mL) and incubated for 1, 2, 3, 4, 5, 14, 48, 72 or 96 hours at 37°C.
  • serum human or mouse serum
  • the antibody (IgG concentration) and the presence of ⁇ - ⁇ , ⁇ -glucan oligomers were then determined by ELISA.
  • Sera were incubated in 96-well plates coated with recombinant EGFR (hEGFR peptide from Sino Biological). Dilution was 1 :500 for detection of the antibody and 1 : 10 in order to detect ⁇ - ⁇ , ⁇ -glucan conjugated to cetuximab.
  • Total human antibody binding cetuximab or mAbXcite-cetuximab was detected using HRP-conjugated anti-human IgG (H&L). The color was developed by TMB Substrate Kit (Pierce).
  • affinity purified human anti-P-l,6-glucan antibodies (polyclonal human anti-P-l,6-glucan antibodies) were used ⁇ g per well for 1 hour at RT). The detection was carried out with anti- human IgG2 (Fc)-HRP antibody (mouse anti-human IgG2 (Fc)-HRP).
  • Fc human IgG2
  • Fc human IgG2
  • Fc human IgG2
  • Fc human IgG2
  • Fc human IgG2
  • Fc human IgG2
  • Fc human IgG2
  • SuperSignal ELISA Substrate SuperSignal ELISA Pico Chemiluminescent Substrate (Pierce) was added and luminescence determined using an Envision luminometer. OD at 620nm was read for one hour, every minute.
  • IgGs present in all human sera tested, as well as proteins of the complement system.
  • the small size of the ⁇ - ⁇ , ⁇ -glucan oligomers that are linked to cetuximab is too short for unconjugated versions to bind these endogenous IgGs and complement proteins in circulation. They are however readily recognize by the endogenous antibodies when conjugated to cetuximab due to avidity either in plate assays or with high density of EGFR on cells.
  • the following studies were performed to investigate the effect of oligomer length and load on PK.
  • This study utilized mAbXcite-cetuximab in which 5-mer to 8-mer oligomers were conjugated using direct chemistry at a load of 1, 2 and 2.5 oligomers per antibody. Cetuximab was used as a control. Detecting antibodies included polyclonal human anti-P-l,6-glucan antibodies and mouse anti-human IgG2 (Fc)-HRP. ELISA was carried out using 1-StepTM Ultra TMB - ELISA (Pierce).
  • rhEGFR /Fc Chimera (peptide from R&D) was absorbed on an ELISA plate (MaxiSorp) overnight at 4°C. Following a couple of washes, non-specific binding sites were blocked in PBS-BSA buffer (PBS pH 7.2 + 2% BSA) for 1 hour at room temperature. Cetuximab or mAbXcite-cetuximab were then added and the plate placed in a plate shaker for 1 hour at room temperature, followed by 3 more washes (PBS-Tween buffer (PH 7.2, 0.05% Tween)).
  • anti-P-l,6-glucan antibodies were added to the plate (3ug/well) and incubated for 45 min at RT. The wells were washed 3 times and incubated with a 1 : 5000 dilution of anti-human IgG2 (Fc)-HRP antibody for 45 min at RT. Extensive washes were performed (x5) and visualization was carried out with lOOuL of TMB substrate. Plate was read immediately at OD620nm.
  • OD was read at 620nm for one hour, every minute. Data shown are the mean +/- standard deviation of 3 replicate wells. All direct conjugates tested were active in this in vitro assay and therefore tested for their PK properties. See Figure 30; this graph is representative of what was also observed with a load of 1 and 2.5 oligomers per antibody.
  • the present study utilized mAbXcite-cetuximab in which 5-mer to 8-mer oligomers were conjugated using direct chemistry at different loads of oligomer per antibody. Cetuximab was used as a control.
  • the experiment further utilized a blocking and staining buffer: Casein in PBS (Pierce) and a PBS-Tween buffer (PH 7.2, 0.05% Tween). Elisa was carried out using 1-StepTM Ultra TMB - ELISA (Pierce) with SuperSignal ELISA Pico Chemiluminescent Substrate (Pierce).
  • PK of mAbXcite-cetuximab conjugates was determined in tumor-free nude mice in the presence of anti-P-l,6-glucan antibodies (IVIG), as they might affect the half-life of the conjugates.
  • IVIG anti-P-l,6-glucan antibodies
  • 7 week old female nude mice were injected IP with anti- ⁇ - ⁇ , ⁇ - glucan antibodies (polyclonal human anti-P-l,6-glucan antibodies) and, 2 hours later, with 5 mg/kg of mAbXcite-cetuximab or of cetuximab (three mice per group).
  • blood was collected by terminal bleeding at various time points post injection (from 1 hour to 96 hours). Plasma was obtained using anticoagulant-treated tubes (EDTA-treated rubes) and stored at -70 °C.
  • the antibody (IgG concentration) and the presence of the ⁇ - ⁇ , ⁇ -glucan oligomers were then determined by ELISA.
  • Plasma or mAbXcite-cetuximab control (as a standard) were incubated in 96-well plates coated with recombinant EGFR (hEGFR (peptide from SinoBiological)). Dilutions were 1 :500 for detection of the antibody and 1 : 10 in order to detect ⁇ - ⁇ , ⁇ -glucan oligomers conjugated to cetuximab.
  • Total human antibody binding (cetuximab or mAbXcite-cetuximab) were detected using HRP-conjugated anti-human IgG (goat anti-human IgG (H&L)-HRP).
  • HRP-conjugated anti-human IgG goat anti-human IgG (H&L)-HRP.
  • affinity purified human anti-P-l,6-glucan antibodies were used ⁇ g per well for 1 hour at RT). The detection was carried out with anti- human IgG2 (Fc)-HRP antibody (mouse anti-human IgG2 (Fc)-HRP).
  • the color was developed by TMB Substrate Kit (Pierce). OD was read at 620nm for one hour, every minute.
  • Example 16 Pharmacokinetics (PK) of mAbXcite-cetuximab with various loads in tumor-free mice
  • This study utilized mAbXcite-cetuximab in which 5-mer to 8-mer oligomers were conjugated using direct chemistry at different loads of oligomer per antibody. Cetuximab was used as a control.
  • the present experiment included a blocking and staining buffer: Casein in PBS (Pierce) and a PBS-Tween buffer (PH 7.2, 0.05% Tween).
  • Plasma or mAbXcite-cetuximab control (as a standard) were incubated in 96-well plates coated with recombinant EGFR (hEGFR (peptide from SinoBiological)). Dilutions were 1 :500 for detection of the antibody and 1 : 10 in order to detect ⁇ - ⁇ , ⁇ -glucan conjugated to cetuximab.
  • Total human antibody binding (cetuximab or mAbXcite-cetuximab) were detected using HRP-conjugated anti-human IgG (goat anti-human IgG (H&L)-HRP ).
  • HRP-conjugated anti-human IgG goat anti-human IgG (H&L)-HRP .
  • affinity purified human anti-P-l,6-glucan antibodies were used ( ⁇ per well for 1 hour at RT). The detection was carried out with anti- human IgG2 (Fc)-HRP antibody (mouse anti-human IgG2 (Fc)-HRP).
  • the color was developed by TMB Substrate Kit (SuperSignal ELISA Pico Chemiluminescent Substrate (Pierce)). OD was read at 620nm for one hour, every minute. Results from three mice in each time point were averaged and standard error determined. The antibody level was plotted as function of time for cetuximab or mAbXcite-cetuximab. The half-life of each antibody was determined as the period of time it takes to decrease by half. See Figures 36 to 41. The PK profile of mAbXcite- cetuximab conjugated with a 5-mer at different loads was similar to the PK profile of cetuximab.
  • mAbXcite-cetuximab clearance was however increased when longer oligomers were conjugated to the antibody, even at low load level.
  • ⁇ - ⁇ , ⁇ -glucan (5 to 8-mer) were stable when conjugated cetuximab.
  • mAbXcite-cetuximab conjugates were stable with load of around 3. Oligomers were also stable with a load of around 3.
  • Example 17 Pharmacokinetics (PK) of mAbXcite-cetuximab in tumor bearing mice
  • the present study utilized mAbXcite-cetuximab in which 5-mer oligomers were conjugated using direct chemistry at a load of 3 and 4 oligomers per antibody. Cetuximab was used as a control. This study further included a blocking and staining buffer: Casein in PBS (Pierce) and a PBS-Tween buffer (PH 7.2, 0.05% Tween). ELISA was carried out using a 1- StepTM Ultra TMB - ELISA (Pierce) detection kit with SuperSignal ELISA Pico
  • HCT-116 KRAS mutant colorectal cancer cells were used.
  • mice When tumor reached a volume superior to 120 mm 3 , mice were randomly divided into groups (3 mice/group) and treated with IVIG (as a source for polyclonal human anti- ⁇ - ⁇ , ⁇ -glucan antibodies) followed 2 hours later by vehicle control, cetuximab or mAbXcite- cetuximab (5 mg/kg , IP). mAbXcite-cetuximab plasma pharmacokinetics were studied at various time points (1 to 96 hours) following treatment.
  • IVIG as a source for polyclonal human anti- ⁇ - ⁇ , ⁇ -glucan antibodies
  • Plasma or mAbXcite-cetuximab control (as a standard) were incubated in 96-well plates coated with recombinant EGFR (hEGFR (peptide from SinoBiological)). Dilutions were 1 :500 for detection of the antibody and 1 : 10 in order to detect ⁇ - ⁇ , ⁇ -glucan oligomers conjugated to cetuximab.
  • Total human antibody binding (cetuximab or mAbXcite-cetuximab) were detected using HRP-conjugated anti-human IgG (Goat anti-human IgG (H&L)-ffRP).
  • affinity purified human anti-P-l,6-glucan antibodies were used ⁇ g per well for 1 hour at RT). The detection was carried out with anti- human IgG2 (Fc)-FIRP antibody (mouse anti-human IgG2 (Fc)-HRP). The color was developed by TMB Substrate Kit (Pierce).
  • OD was read at 620nm for one hour, every minute. Results from three mice at each time point were averaged and standard error determined. See Figures 42 to 44.
  • the antibody level was plotted as function of time for cetuximab or mAbXcite-cetuximab. The half- life of each antibody was determined as the period of time it takes to decrease by half.
  • Figure 44 provides a comparison of mAbXcite-cetuximab PK in tumor-free and tumor bearing mice. Stability of the antibody and ⁇ - ⁇ , ⁇ -glucan detection were assessed by ELISA.
  • Figure 45 provides a comparison of mAbXcite-cetuximab conjugated with 3 or 4 P-l,6-oligomers in tumor bearing mice. Stability of the antibody and ⁇ - ⁇ , ⁇ -glucan detection were assessed by ELISA. PK of mAbXcite-cetuximab directly conjugated to a 5-mer oligomer was more stable with a load of 3 than with a load of 4 oligomers per antibody. Tumor-dependent degradation may explain lower PK in tumor bearing animals with higher load of oligomers.
  • Example 18 Accumulation of mAbXcite-cetuximab in tumor bearing mice
  • the present Example utilized mAbXcite-cetuximab in which 5-mer oligomers were conjugated using direct chemistry at a load of 3 oligomers per antibody. Cetuximab was used as a control. Also utilized were a blocking and staining buffer (casein in PBS (Pierce)) and a PBS-Tween buffer (pH 7.2, 0.05% Tween). ELISA was carried out using a 1-StepTM Ultra TMB - ELISA (Pierce) detection kit.
  • HCT-116 KRAS mutant colorectal cancer cells.
  • IVIG as a source for polyclonal human anti-P-l,6-glucan antibodies
  • vehicle control cetuximab
  • mAbXcite-cetuximab a source for polyclonal human anti-P-l,6-glucan antibodies
  • mice were randomly divided into groups (3 mice/group) and treated with IVIG (as a source for polyclonal human anti-P-l,6-glucan antibodies) followed 2 hours later by vehicle control, cetuximab, or mAbXcite-cetuximab. The dosing was determined by the half-life and was twice weekly (5 mg/kg). Mice were dosed 3 times and mAbXcite-cetuximab plasma collected to study conjugate accumulation following treatment.
  • Plasma or mAbXcite-cetuximab control (as a standard) were incubated in 96-well plates coated with recombinant EGFR (hEGFR (peptide from SinoBiological)). Dilutions were 1 :500 for detection of the antibody and 1 : 10 in order to detect ⁇ - ⁇ , ⁇ -glucan oligomers conjugated to cetuximab.
  • Total human antibody binding (cetuximab or mAbXcite-cetuximab) was detected using HRP-conjugated anti-human IgG (goat anti-human IgG (H&L) -HRP).
  • HRP-conjugated anti-human IgG goat anti-human IgG (H&L) -HRP.
  • affinity purified human anti-P-l,6-glucan antibodies were used ⁇ g per well for 1 hour at RT).
  • the detection was carried out with anti- human IgG2 (Fc)-HRP antibody (mouse anti-human IgG2 (Fc) -HRP).
  • the color was developed by TMB Substrate Kit (SuperSignal ELISA Pico Chemiluminescent Substrate (Pierce)).
  • OD was read at 620nm for one hour, every minute.
  • HCT-116 KRAS mutant colorectal cancer cells.
  • IVIG as a source for polyclonal human anti-P-l,6-glucan antibodies
  • mAbXcite-cetuximab 5 mg/kg , IP.
  • Plasma or mAbXcite-cetuximab control (as a standard) were incubated in 96-well plates coated with recombinant EGFR (hEGFR (peptide from SinoBiological)). Dilutions were 1 :500 for detection of the antibody and 1 : 10 in order to detect ⁇ - ⁇ , ⁇ -glucan oligomers conjugated to cetuximab.
  • Total human antibody binding (cetuximab or mAbXcite-cetuximab) were detected using HRP-conjugated anti-human IgG (goat anti-human IgG (H&L)-HRP).
  • HRP-conjugated anti-human IgG goat anti-human IgG (H&L)-HRP.
  • affinity purified human anti-P-l,6-glucan antibodies were used ⁇ g per well for 1 hour at RT).
  • the detection was carried out with anti- human IgG2 (Fc)-HRP antibody (mouse anti-human IgG2 (Fc)-HRP).
  • the color was developed using SuperSignal ELISA Pico Chemiluminescent Substrate (Pierce). For ELISA analysis, OD was read at 620nm for one hour, every minute.
  • the present study utilized mAbXcite-cetuximab in which the conjugation of the glucan utilized click chemistry (DBCO), 4-mer and 6-mer oligomers, and loads of 3 and 4 oligomer per antibody.
  • DBCO click chemistry
  • IP intraperitoneal
  • mAbXcite-cetuximab, cetuximab (5mg/kg) and control were administered via an IP injection a minimum of 2 hours post-IVIG administration.
  • tumors were monitored twice weekly to determine tumor growth rates using external calipers. Tumors were measured prior to and following the first day of treatment. Body weights were also collected twice a week. Mice were euthanized when the maximum tumor volume reached 2000 mm 3 . Mice were also to be euthanized if the tumor became ulcerated, if the tumor impeded ambulation, or there was a deterioration of body condition. Mice were also to be euthanized if they lost > 15% of their original body weight. Animals were euthanized via carbon dioxide (C0 2 ) inhalation.
  • C0 2 carbon dioxide
  • HCT-116 cells HCT-116 is a human KRAS mutant colorectal cancer cell line.
  • IVIG an anti-P-l,6-glucan antibodies
  • cetuximab or mAbXcite-cetuximab The dosing was determined by the half-life and was twice weekly (5 mg/kg). Tumor volumes were assessed by caliper measurement twice weekly. Body weights were monitored twice weekly. Mice were euthanized after tumors reached a volume of 2000 mm 3 or if their body weight dropped by more than 15%.
  • IP intraperitoneal
  • mAbXcite-cetuximab, cetuximab 5 mg/kg
  • control were administered via an IP injection a minimum of 2 hours post-IVIG administration.
  • tumors were monitored twice weekly to determine tumor growth rates using external calipers. Tumors were measured prior to and following the first day of treatment. Body weights were also collected twice a week.
  • mice were euthanized when the maximum tumor volume reaches 2000 mm 3 . Mice were also to be euthanized if the tumor became ulcerated, if the tumor impeded ambulation, or there was a deterioration of body condition. Mice were also to be euthanized if they lost > 15% of their original body weight.
  • HCT-116 cells HCT-116 is a human KRAS mutant colorectal cancer cell line.
  • IVIG an anti-P-l,6-glucan antibodies
  • cetuximab or mAbXcite EGFR The dosing was determined by the half-life and was twice weekly. Various doses were assessed: 5, 10, 15 mg/kg for each antibody. Tumor volume was assessed by caliper measurement twice weekly. Body weight was monitored twice weekly. Mice were euthanized after tumors reached a volume of 2000 mm or if their body weight dropped by more than 15%.
  • mAbXcite-cetuximab treatment with a 5-mer direct conjugate demonstrated a dose-dependent tumor growth delay.
  • the present study utilized mAbXcite- cetuximab in which the conjugation utilized reductive amination (direct) chemistry, a 5-mer oligomer, and a load of about 3 oligomers per antibody.
  • This study utilized nude mice with KRAS CRC - repeat.
  • HCT-116 is a human KRAS mutant colorectal cancer cell line.
  • IP intraperitoneal
  • IVIG pooled human antibodies
  • mAbXcite-cetuximab, cetuximab (5 mg/kg) and control were administered via an IP injection a minimum of 2 hours post-IVIG administration.
  • mice were monitored twice weekly to determine tumor growth rates using external calipers. Tumors were measured prior to and following the first day of treatment. Body weights were also collected twice a week. Mice were euthanized when the maximum tumor volume reached 2000 mm 3 . Mice were also to be euthanized if the tumor became ulcerated, if the tumor impeded ambulation, or there was a deterioration of body condition. Mice were also to be euthanized if they lost > 15% of their original body weight.
  • TGI greater than 50% is considered to be significant.
  • Tumor volume results see Figures 62 and 63
  • a survival curve see Figure 64
  • mAbXcite-cetuximab treatment with a 5-mer direct conjugate showed enhanced tumor growth delay on average and also by looking at the median.
  • Example 25 Tumor re-challenge assays in nude mice with KRAS CRC
  • mice receiving mAbXcite-cetuximab showed longer survival in mice receiving mAbXcite-cetuximab than in mice treated with cetuximab. This survival was associated with mice exhibiting either regression or stasis of their tumors.
  • Tumor Volume was calculated based on the following formula: TV
  • mice that exhibit either regression or stasis of their tumors are not growing secondary tumors upon rechallenge with cancer cells, suggesting that neutrophils initiate a response that confers memory. This effect was not observed in mice initially treated with cetuximab or mAbXcite-cetuximab conjugated utilizing the click DBCO linker.
  • CD8 + T lymphocytes are the major cell population involved in controlling the growth of many tumors.
  • CTL cytotoxic T-lymphocyte
  • CD8 + CD4 -depleting antibody were administered to three mice, two of which had tumors that completely regressed and one whose tumor still showed stasis over 40 days upon treatment cessation and after being re-challenged.
  • CD8 and a CD4-depleting antibody were administered twice weekly for the duration of the experiment. Tumor volume was assessed by caliper measurement twice weekly. Body weight was monitored twice weekly. Mice were euthanized after tumors reached a volume of 2000 mm 3 or if their body weight dropped by more than 15%.
  • Tumor Volume was calculated based on the following formula: TV
  • mice 7 week old female nude mice implanted with 2.5xl0 6 HCT-l 16 cells (HCT-116 is a human KRAS mutant colorectal cancer cell line). Once tumors reached approximately 46-79 mm 3 , mice were randomly assigned into four study treatment groups, such that the mean tumor volumes for each group were similar. Prior to each antibody administration, all mice received a 500 mg/kg ( ⁇ 0.1 mL) intraperitoneal (IP) injection of pooled human antibodies (IVIG). mAbXcite-cetuximab, cetuximab (5 mg/kg) and control were administered via an IP injection a minimum of 2 hours post-IVIG administration. Throughout the study, tumors were monitored twice weekly to determine tumor growth rates using external calipers.
  • IP intraperitoneal
  • Tumors were measured prior to and following the first day of treatment. Body weights were also collected twice a week. Mice were euthanized when the maximum tumor volume reaches 2000 mm 3 . Mice were also to be euthanized if the tumor became ulcerated, if the tumor impeded ambulation, or there was a deterioration of body condition. Mice were also to be euthanized if they lost > 15% of their original body weight.
  • suitable glucans may be prepared by synthetic methods.
  • gentiopentose may be prepared by the following method.
  • building blocks (building block 1, building block 2, and building block 3). Two of the building blocks (building block 1 and building block 2) are protected dimers prepared from D- amygdalin. Building block 3 is prepared from glucose. [0382] Scheme 1 illustrates the synthesis of building block 1.
  • Scheme 2 illustrates the synthesis of building block 2.
  • Benzoyl ester 4 was then dissolved in a toluene/acetone mixture (3 :2 ratio), and reduced by exposure to a catalytic amount of Pd(OH) 2 on carbon, 50% wetted, in the presence of H 2 to give oligosaccharide 5 (93%) ("building block 2").
  • the overall yield for the process was 61%.
  • Scheme 4 illustrates the synthesis of gentiotriose.
  • Scheme 5 illustrates the glycosylation to form gentiopentose 12.
  • Gentiotriose 9 was treated with borontrifluoride etherate in methanol at 0°C followed by warming to room temperature to afford the compound 10.
  • Compound 3 (building block 1) was reacted with CI 3 CCN in the presence of catalytic DBU in dichloromethane to give trichloroimidate 11.
  • Trichloroimidate 11 and compound 10 were reacted under Schmidt glycosylation conditions to afford the fully protected gentiopentose 12. The overall yield for these steps were 60%.
  • Gentiopentose 12 was contacted with a catalytic amount of palladium chloride in a mixture of methanol and dioxane to remove the allyl moiety.
  • the resulting product was globally deprotected by reacting the product with a catalytic amount of sodium methoxide in a mixture of methanol and THF to provide gentiopentose 13.
  • the overall yield for the 10 linear steps (16 total steps) was 14%.
  • Scheme 7 illustrates the incorporation of the azido moiety into building block 2, prepared as described in example 7.
  • Scheme 8 illustrates the synthesis of 2-azidoethylgentiotetrose.
  • Scheme 10 illustrates incorporate of the 2-azidoethyl moiety into gentiotriose 9.
  • Gentiotriose 9 was deprotected by exposure to a catalytic amount of palladium (0) tetrakistriphenylphosphine in acetic acid at 80°C to afford the compound 18. Utilization of palladium chloride in methanol resulted in the loss of the silyl moiety in addition to reduction of the allyl moiety. The glycosylation of the 2-azidoethanol under typical lewis acid conditions occurs after functionalization of the free hydroxyl moiety as the trichloroimidate 19 to afford the product 20. This sequence yielded 56% overall yield of 2-azidoethylgentiotriose.
  • Schemes 1 la-c illustrates the synthesis of 2-azidoethylgentiohexose 24.
  • the sugar oligomers can further comprise a linker moiety bound to a functional group useful in conjugating the oligomer to the antibody. Therefore, the following synthetic examples illustrate methods of using sugar oligomers (for example, the sugar oligomers isolated from pustulan as in Example 1 or prepared as described above in Examples 7- 9), and adding functionality to assist with the conjugation of the oligomer to the antibody.
  • Conjugate Precursors are referred to herein as "Conjugate Precursors.” Below are provided three exemplary precursors suitable for conjugating with the antibodies described above.
  • B-1 was contacted with 4-(aminomethyl)benzoic acid in the presence of
  • D-2 was dissolved in DMSO and contacted with pent-4-ynal and Cul at 50 °C.

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