WO2019157366A1 - Antibody variable domains targeting the nkg2d receptor - Google Patents

Antibody variable domains targeting the nkg2d receptor Download PDF

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Publication number
WO2019157366A1
WO2019157366A1 PCT/US2019/017330 US2019017330W WO2019157366A1 WO 2019157366 A1 WO2019157366 A1 WO 2019157366A1 US 2019017330 W US2019017330 W US 2019017330W WO 2019157366 A1 WO2019157366 A1 WO 2019157366A1
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Prior art keywords
amino acid
acid sequence
seq
constant region
antibody
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PCT/US2019/017330
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English (en)
French (fr)
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WO2019157366A8 (en
Inventor
Gregory P. CHANG
Ann F. CHEUNG
Asya Grinberg
William Haney
Bradley M. LUNDE
Bianka Prinz
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Dragonfly Therapeutics Inc
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Dragonfly Therapeutics Inc
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Priority to EP19750602.5A priority Critical patent/EP3749346B1/en
Priority to EP24179053.4A priority patent/EP4434587A3/en
Priority to DK19750602.5T priority patent/DK3749346T3/da
Priority to SG11202007482WA priority patent/SG11202007482WA/en
Priority to AU2019218136A priority patent/AU2019218136B2/en
Priority to KR1020207024734A priority patent/KR102787591B1/ko
Priority to CN202411164987.0A priority patent/CN120137046A/zh
Priority to EA202091888A priority patent/EA202091888A1/ru
Priority to US16/967,216 priority patent/US11884733B2/en
Priority to BR112020016190-0A priority patent/BR112020016190B1/pt
Priority to FIEP19750602.5T priority patent/FI3749346T3/fi
Priority to CA3090244A priority patent/CA3090244A1/en
Priority to JP2020542863A priority patent/JP7690286B2/ja
Application filed by Dragonfly Therapeutics Inc filed Critical Dragonfly Therapeutics Inc
Priority to ES19750602T priority patent/ES2986967T3/es
Priority to PE2020001194A priority patent/PE20220278A1/es
Priority to CN201980012297.4A priority patent/CN112368012B/zh
Priority to MX2020008336A priority patent/MX2020008336A/es
Publication of WO2019157366A1 publication Critical patent/WO2019157366A1/en
Priority to IL276459A priority patent/IL276459A/en
Anticipated expiration legal-status Critical
Priority to CONC2020/0010345A priority patent/CO2020010345A2/es
Publication of WO2019157366A8 publication Critical patent/WO2019157366A8/en
Priority to US18/501,419 priority patent/US12129300B2/en
Priority to US18/501,413 priority patent/US11939384B1/en
Priority to US18/501,427 priority patent/US12264200B2/en
Priority to US18/894,660 priority patent/US20250019444A1/en
Priority to JP2024220384A priority patent/JP2025032351A/ja
Ceased legal-status Critical Current

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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/2851—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the lectin superfamily, e.g. CD23, CD72
    • 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
    • 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
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A61P35/02—Antineoplastic agents specific for leukemia
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
    • C07K14/7056—Lectin superfamily, e.g. CD23, CD72
    • 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
    • C07K16/2803—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily
    • 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
    • C07K16/2803—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily
    • C07K16/283—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily against Fc-receptors, e.g. CD16, CD32, CD64
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • 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
    • C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/31—Immunoglobulins specific features characterized by aspects of specificity or valency multispecific
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/35—Valency
    • C—CHEMISTRY; METALLURGY
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    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/52—Constant or Fc region; Isotype
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/565—Complementarity determining region [CDR]
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/60—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/62—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
    • C07K2317/622—Single chain antibody (scFv)
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/60—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/64—Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising a combination of variable region and constant region components
    • 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
    • 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
    • C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/73—Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
    • C07K2317/732—Antibody-dependent cellular cytotoxicity [ADCC]
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
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    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/76—Antagonist effect on antigen, e.g. neutralization or inhibition of binding
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
    • C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K2317/00—Immunoglobulins specific features
    • C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
    • C07K2317/94—Stability, e.g. half-life, pH, temperature or enzyme-resistance

Definitions

  • the invention provides proteins with antibody heavy chain and light chain variable domains that can be paired to form an antigen-binding site targeting the Natural Killer group 2D (NKG2D) receptor on natural killer cells, pharmaceutical compositions comprising such proteins, and therapeutic methods using such proteins and pharmaceutical compositions, including for the treatment of cancer.
  • NSG2D Natural Killer group 2D
  • Cancer continues to be a significant health problem despite the substantial research efforts and scientific advances reported in the literature for treating this disease.
  • Some of the most frequently diagnosed cancers include prostate cancer, breast cancer, and lung cancer.
  • Prostate cancer is the most common form of cancer in men.
  • Breast cancer remains a leading cause of death in women.
  • Current treatment options for these cancers are not effective for all patients and/or can have substantial adverse side effects.
  • Other types of cancer also remain challenging to treat using existing therapeutic options.
  • Cancer immunotherapies are desirable because they are highly specific and can facilitate destruction of cancer cells using the patient’s own immune system. Fusion proteins such as bi-specific T-cell engagers are cancer immunotherapies described in the literature that bind to tumor cells and T-cells to facilitate destruction of tumor cells. Antibodies that bind to certain tumor-associated antigens and to certain immune cells have been described in the literature. See, for example WO 2016/134371 and WO 2015/095412.
  • NK cells Natural killer cells are a component of the innate immune system and make up approximately 15% of circulating lymphocytes. NK cells infiltrate virtually all tissues and were originally characterized by their ability to kill tumor cells effectively without the need for priming, which distinguishes them from T cells. Activated NK cells kill target cells by means similar to cytotoxic T cells - i.e., via cytolytic granules that contain perforin and granzymes as well as via death receptor pathways. Activated NK cells also secrete
  • inflammatory cytokines such as IFN-gamma and chemokines that promote the recruitment of other leukocytes to the target tissue.
  • NK cells respond to signals through a variety of activating and inhibitory receptors on their surface. For example, when NK cells encounter healthy self-cells, their activity is inhibited through activation of the killer-cell immunoglobulin-like receptors (KIRs). Alternatively, when NK cells encounter cancer cells, they are activated via their activating receptors (e.g ., NKG2D, NCRs, DNAM1). NK cells are also activated by the constant region of some immunoglobulins through CD 16 receptors on their surface. The overall sensitivity of NK cells to activation depends on the sum of stimulatory and inhibitory signals.
  • KIRs killer-cell immunoglobulin-like receptors
  • NKG2D is a type-II transmembrane protein that is expressed by essentially all natural killer cells where NKG2D serves as an activating receptor.
  • the ability to modulate NK cell function via NKG2D is useful in various therapeutic contexts including malignancy.
  • Antibodies to NKG2D have been identified that provide important advantages in the design of therapeutic agents. For example, some of these antibodies do not merely bind human NKG2D receptor, but have one or more further advantages such as the ability to agonize the receptor; the ability to compete with a natural ligand for binding to the receptor; and/or the ability to cross-react with NKG2D from other species such as cynomolgus monkey. These advantages can be achieved across a range of affinities for NKG2D.
  • one aspect of the invention relates to an antibody heavy chain variable domain at least 90% identical to the amino acid sequence
  • the antibody heavy chain variable domain is at least 95% identical to SEQ ID NO: 1.
  • the heavy chain variable domain includes amino acid sequences
  • the heavy chain variable domain includes amino acid sequences SYYMH (SEQ ID NO:45) as CDR1, IINPSGGSTSYAQKFQG (SEQ ID NO: 12) as CDR2, and GAPNY GDTTHD YY YMD V (SEQ ID NO: 68) as CDR3 of SEQ ID NO: 1.
  • Another aspect of the invention relates to an antibody heavy chain variable domain at least 90% identical to the amino acid sequence
  • the antibody heavy chain variable domain is at least 95% identical to SEQ ID NO:3.
  • the heavy chain variable domain includes amino acid sequences
  • the heavy chain variable domain includes amino acid sequences GYYMH (SEQ ID NO: 92) as CDR1, WINPNSGGTNYAQKFQG (SEQ ID NO: 18) as CDR2, and DTGEYYDTDDHGMD V (SEQ ID NO: 69) as CDR3 of SEQ ID NO:3.
  • Another aspect of the invention relates to an antibody heavy chain variable domain at least 90% identical to the amino acid sequence
  • the antibody heavy chain variable domain is at least 95% identical to SEQ ID NO:5.
  • the heavy chain variable domain includes amino acid sequences FTFSSYAMS (SEQ ID NO:23) as the first complementarity-determining region (“CDR1”), AISGSGGSTYYADSVKG (SEQ ID NO:24) as the second CDR (“CDR2”), and AKDGGYYDSGAGDY (SEQ ID NO:25) as the third CDR (“CDR3”) of SEQ ID NO:5.
  • the heavy chain variable domain includes amino acid sequences SYAMS (SEQ ID NO:47) as CDR1,
  • AISGSGGSTYYADSVKG (SEQ ID NO:24) as CDR2
  • DGGYYDSGAGDY (SEQ ID NO: 70) as CDR3 of SEQ ID NO: 5.
  • Another aspect of the invention relates to an antibody heavy chain variable domain at least 90% identical to the amino acid sequence
  • the antibody heavy chain variable domain is at least 95% identical to SEQ ID NO:7.
  • the heavy chain variable domain includes amino acid sequences FTFSSYSMN (SEQ ID NO:29) as the first complementarity-determining region (“CDR1”), SISSSSSYIYYADSVKG (SEQ ID NO: 30) as the second CDR (“CDR2”), and ARGAPMGAAAGWFDP (SEQ ID NO:3 l) as the third CDR (“CDR3”) of SEQ ID NO:7.
  • the heavy chain variable domain includes amino acid sequences SYSMN (SEQ ID NO:48) as CDR1, SISSSSSYIYYADSVKG (SEQ ID NO: 30) as CDR2, and GAPMGAAAGWFDP (SEQ ID NO:7l) as CDR3 of SEQ ID NO:7.
  • Another aspect of the invention relates to an antibody heavy chain variable domain at least 90% identical to the amino acid sequence
  • the antibody heavy chain variable domain is at least 95% identical to SEQ ID NO:85.
  • the heavy chain variable domain includes amino acid sequences FTFSSYSMN (SEQ ID NO:29) as CDR1, SISSSSSYIYYADSVKG (SEQ ID NO: 30) as CDR2, and ARGAPIGAAAGWFDP (SEQ ID NO:77) as CDR3 of SEQ ID NO:85.
  • the heavy chain variable domain includes amino acid sequences SYSMN (SEQ ID NO:48) as CDR1, SISSSSSYIYYADSVKG (SEQ ID NO: 30) as CDR2, and GAPIGAAAGWFDP (SEQ ID NO:78) as CDR3 of SEQ ID NO:85.
  • Another aspect of the invention relates to an antibody heavy chain variable domain at least 90% identical to the amino acid sequence
  • the antibody heavy chain variable domain is at least 95% identical to SEQ ID NO:9.
  • the heavy chain variable domain includes amino acid sequences
  • YTFTSYYMH (SEQ ID NO:35) as the first complementarity-determining region (“CDR1”)
  • IINPSGGSTSYAQKFQG (SEQ ID NO: 36) as the second CDR (“CDR2”)
  • CDR1 first complementarity-determining region
  • CDR2 second CDR
  • the heavy chain variable domain includes amino acid sequences SYYMH (SEQ ID NO:45) as CDR1, IINPSGGSTSYAQKFQG (SEQ ID NO: 36) as CDR2, and EGAGF AYGMDYYYMDV (SEQ ID NO:72) as CDR3 of SEQ ID NO:9.
  • An antibody heavy chain variable domain of the invention can optionally be coupled to an amino acid sequence at least 90% identical to an antibody constant region, such as an IgG constant region including hinge, CH2 and CH3 domains with or without CH1 domain.
  • the amino acid sequence of the constant region is at least 90% identical to a human antibody constant region, such as an human IgGl constant region, an IgG2 constant region, IgG3 constant region, or IgG4 constant region. In some other embodiments, the amino acid sequence of the constant region is at least 90% identical to an antibody constant region from another mammal, such as rabbit, dog, cat, mouse, or horse.
  • One or more mutations can be included into the constant region as compared to human IgGl constant region, for example at Q347, Y349, L351, S354, E356, E357, K360, Q362, S364, T366, L368, K370, N390, K392, T394, D399, S400, D401, F405, Y407, K409, T41 1 and/or K439.
  • substitutions include, for example, Q347E, Q347R, Y349S, Y349K, Y349T, Y349D, Y349E, Y349C, T350V, L351K, L351D, L351Y, S354C, E356K, E357Q, E357L, E357W, K360E, K360W, Q362E, S364K, S364E, S364H, S364D, T366V, T366I, T366L, T366M, T366K, T366W, T366S, L368E, L368A, L368D, K370S, N390D, N390E, K392L, K392M, K392V, K392F, K392D, K392E, T394F, T394W, D399R, D399K, D399V, S400K,
  • mutations that can be included into the CH1 of a human IgGl constant region may be at amino acid V125, F126, P127, T135, T139, A140, F170, P171, and/or VI 73.
  • mutations that can be included into the CK of a human IgGl constant region may be at amino acid E123, F l 16, S 176, V163, S 174, and/or T164.
  • one of the heavy chain variable domains described herein is combined with a light chain variable domain to form an antigen-binding site capable of binding NKG2D.
  • a light chain variable domain for example, an antibody heavy chain variable domain at least 90% identical to the amino acid sequence of SEQ ID NO: 1 can be paired with an antibody light chain variable domain at least 90% identical to the amino acid sequence
  • the antibody light chain variable domain is at least 95% identical to SEQ ID NO:2.
  • the light chain variable domain includes amino acid sequences RASQSVSSNLA (SEQ ID NO: 14) as the first complementarity-determining region (“CDR”), GASTRAT (SEQ ID NO: 15) as the second CDR, and QQYDDWPFT (SEQ ID NO: 16) as the third CDR.
  • an antibody heavy chain variable domain at least 90% identical to the amino acid sequence of SEQ ID NO: 3 can be paired with an antibody light chain variable domain at least 90% identical to the amino acid sequence
  • the antibody light chain variable domain is at least 95% identical to SEQ ID NO:4.
  • the light chain variable domain includes amino acid sequences RASQSVSSNLA (SEQ ID NO:20) as the first complementarity determining region (“CDR”), GASTRAT (SEQ ID NO:2l) as the second CDR, and
  • an antibody heavy chain variable domain at least 90% identical to the amino acid sequence of SEQ ID NO: 5 can be paired with an antibody light chain variable domain at least 90% identical to the amino acid sequence
  • the antibody light chain variable domain is at least 95% identical to SEQ ID NO:6.
  • the light chain variable domain includes amino acid sequences RASQGIDSWLA (SEQ ID NO:26) as the first
  • CDR complementarity-determining region
  • AASSLQS SEQ ID NO:27
  • QQGVSYPRT SEQ ID NO:28
  • an antibody heavy chain variable domain at least 90% identical to the amino acid sequence of SEQ ID NO:7 or 85 can be paired with an antibody light chain variable domain at least 90% identical to the amino acid sequence
  • the antibody light chain variable domain is at least 95% identical to SEQ ID NO: 8.
  • the light chain variable domain includes amino acid sequences RASQGISSWLA (SEQ ID NO:32) as the first
  • CDR complementarity-determining region
  • AASSLQS SEQ ID NO:33
  • QQGVSFPRT SEQ ID NO:34
  • an antibody heavy chain variable domain at least 90% identical to the amino acid sequence of SEQ ID NO: 9 can be paired with an antibody light chain variable domain at least 90% identical to the amino acid sequence
  • the antibody light chain variable domain is at least 95% identical to SEQ ID NO: 10.
  • the light chain variable domain includes amino acid sequences RASQSVSSYLA (SEQ ID NO:38) as the first
  • CDR complementarity-determining region
  • DASNRAT SEQ ID NO: 39
  • QQSDNWPFT SEQ ID NO:40
  • the antigen-binding site can be included into a variety of structures, for example, a typical antibody structure with two identical heavy chains and two identical light chains, forming a pair of antigen-binding sites capable of binding NKG2D; a bi-specific, tri-specific, tetra-specific or other multi-specific antibody; or a smaller structure such as an scFv (in which the heavy chain variable domain is linked to the light chain variable domain).
  • any NKG2D antigen-binding site disclosed in the instant invention is included into a protein that also includes a separate antigen-binding site that binds a tumor-associated antigen, which may permit the protein to simultaneously interact with an NK cell and a tumor cell.
  • the tumor-associated antigen for example, can be CD33, HER2, EpCAM, CD2, CD3, CD8, CD10, CD19, CD20, CD21, CD22, CD23, CD24, CD25, CD30, CD37, CD38, CD40, CD45RO, CD48, CD52, CD55, CD59, CD70, CD74, CD80, CD86, CD138, CD147, HLA-DR, CSAp, CA-125, TAG-72, EFGR/ERBB1, IGF1R, HER2, HER3, HER4, IGF-1R, c-Met, PDGFR, MUC1, MUC2, MUC3, MUC4, TNFR1, TNFR2, NGFR, TRAILR1, TRAILR2, Fas (CD95), DR3, DR4, DR5, DR6, VEGF, PIGF, tenascin, ED-B fibronectin, PSA, and IL-6, MAGE- A3, B7.1, B7.2, CTLA4 or PD1.
  • any NKG2D antigen-binding site disclosed in the instant invention is included into a protein that also contain a tumor-associated antigen site and CD 16 binding site.
  • the CD 16 binding site can be an additional antigen-binding site or an antibody constant region or a portion thereof, such as an IgGl constant region (which may optionally include one or more mutations affecting, for example, effector activity or CD 16 binding affinity).
  • Another aspect of the invention provides a method of enhancing tumor cell death and treating cancer in a patient.
  • the method comprises administering to a patient in need thereof a therapeutically effective amount of a protein described herein to treat the cancer.
  • FIG. l is a representation of a multispecific binding protein that contains an NKG2D-binding domain (right arm), a tumor-associated antigen-binding domain (left arm) and an Fc domain or a portion thereof that binds to CD16.
  • FIG. 2 is a representation of a multispecific binding protein that includes a NKG2D-binding domain or a tumor-associated antigen-binding domain, either one of which can be in an scFv format, and an Fc domain or a portion thereof that binds to CD16.
  • FIGs. 3 A-3F are profiles of NKG2D-binding affinity of the NKG2D-binding domains measured by surface plasmon resonance.
  • FIG. 3 A is the NKG2D-binding affinity of the NKG2D-binding domain ADI-27744 measured by surface plasmon resonance;
  • FIG. 3B is the NKG2D-binding affinity of the NKG2D-binding domain ADI-29379 measured by surface plasmon resonance;
  • FIG. 3C is the NKG2D-binding affinity of the NKG2D-binding domain ADI-27749 measured by surface plasmon resonance;
  • FIG. 3D is the NKG2D-binding affinity of the NKG2D-binding domain ADI-29463 measured by surface plasmon resonance; and
  • FIG. 3E is the NKG2D-binding affinity of the NKG2D-binding domain ADI-29378 measured by surface plasmon resonance.
  • FIGs. 4A-H are profiles of competitive NKG2D binding by NKG2D-binding domain ADI-27744 (A44) and ETLBP6 or other NKG2D antibodies measured by surface plasmon resonance.
  • FIG. 4A shows the profile of NKG2D monoclonal antibody comprising ADI-27744 injected over immobilized NKG2D, followed by injection of EILBP6.
  • FIG. 4B shows the profile of ETLBP6 injected over immobilized NKG2D, followed by injection of NKG2D monoclonal antibody comprising ADI-27744.
  • FIG. 4C shows the profile of MS monoclonal antibody injected over immobilized NKG2D, followed by injection of ETLBP6.
  • FIG. 4D shows the profile of MS injected over the immobilized NKG2D, followed by injection of NKG2D monoclonal antibody comprising ADI-27744.
  • FIG. 4E shows the profile of 1D11 injected over the immobilized NKG2D, followed by injection of NKG2D monoclonal antibody comprising ADI-27744.
  • FIG. 4F shows the profile of MAB139 injected over the immobilized NKG2D, followed by injection of NKG2D monoclonal antibody comprising ADI-27744.
  • FIG. 4G shows the profile of NKG2D monoclonal antibody comprising ADI-27744 was injected over the immobilized NKG2D, followed by injection of NKG2D monoclonal antibody comprising ADI-27749 (A49); and FIG.
  • FIG. 5 are line graphs showing the binding profile of CD33 -targeting TriNKETs to NKG2D expressed on EL4 cells.
  • FIG. 6 are line graphs showing the binding profile of HER2 -targeting TriNKETs to NKG2D expressed on EL4 cells.
  • FIG. 7 are bar graphs showing the binding profile of CD33 -targeting TriNKETs to CD33 expressed on Mv4-l 1 cells.
  • FIG. 8 are bar graphs showing the binding profile of HER2 -targeting TriNKETs to HER2 expressed on 786-0 cells.
  • FIG. 9 are bar graphs showing the binding profile of a HER2 -targeting TriNKETs to HER2 expressed on NCI-H661 cells.
  • FIG. 10 are bar graphs showing that HER2 -targeting TriNKETs mediate activation of human NK cells co-cultured with HER2-expressing NCI-H661 cells.
  • FIG. 11 are bar graphs showing that HER2 -targeting TriNKETs mediate activation of human NK cells co-cultured with HER2 expressing SkBr-3 cells.
  • FIG. 12 are bar graphs showing that CD33 -targeting TriNKETs mediate activation of human NK cells co-cultured with CD33 -expressing human AML Mv4-l 1 cells.
  • FIG. 13 are line graphs showing that CD33 -targeting TriNKETs enable cytotoxicity of rested NK cells against CD33 -expressing Molm-l3 cancer cells.
  • FIG. 14 are line graphs showing that CD33 -targeting TriNKETs enable cytotoxicity of activated NK cells against CD33 -expressing Molm-l3 cancer cells.
  • FIG. 15 are bar graphs showing that HER2 -targeting TriNKETs enable cytotoxicity of rested NK cells against HER2-expressing 786-0 cancer cells.
  • FIG. 16 are bar graphs showing that HER2 -targeting TriNKETs enable cytotoxicity of activated NK cells against HER2-expressing 786-0 cancer cells.
  • FIG. 17 is a representation of a TriNKET in the Triomab form, which is a trifunctional, bispecific antibody that maintains an IgG-like shape.
  • This chimera consists of two half antibodies, each with one light and one heavy chain, that originate from two parental antibodies.
  • Triomab form is an heterodimeric construct containing 1 ⁇ 2 of rat antibody and 1 ⁇ 2 of mouse antibody.
  • FIG. 18 is a representation of a TriNKET in the KiH Common Light Chain (LC) form, which involves the knobs-into-holes (KIHs) technology.
  • KiH is a heterodimer containing 2 Fabs binding to target 1 and 2, and an Fc stabilized by heterodimerization mutations.
  • TriNKET in the KiH format may be an heterodimeric construct with 2 fabs binding to target 1 and target 2, containing 2 different heavy chains and a common light chain that pairs with both HC.
  • FIG. 19 is a representation of a TriNKET in the dual -variable domain
  • DVD-IgTM immunoglobulin
  • DVD-IgTM is an homodimeric construct where variable domain targeting antigen 2 is fused to the N terminus of variable domain of Fab targeting antigen 1 Construct contains normal Fc.
  • FIG. 20 is a representation of a TriNKET in the Orthogonal Fab interface (Ortho- Fab) form, which is an heterodimeric construct that contains 2 Fabs binding to targetl and target2 fused to Fc. LC-HC pairing is ensured by orthogonal interface. Heterodimerization is ensured by mutations in the Fc.
  • FIG. 21 is a representation of a TrinKET in the 2-in-l Ig format.
  • FIG. 22 is a representation of a TriNKET in the ES form, which is an
  • heterodimeric construct containing 2 different Fabs binding to target 1 and target 2 fused to the Fc. Heterodimerization is ensured by electrostatic steering mutations in the Fc.
  • FIG. 23 is a representation of a TriNKET in the Fab Arm Exchange form:
  • Fab Arm Exchange form (cFae) is a heterodimer containing 2 Fabs binding to target 1 and 2, and an Fc stabilized by heterodimerization mutations.
  • FIG. 24 is a representation of a TriNKET in the SEED Body form, which is an heterodimer containing 2 Fabs binding to target 1 and 2, and an Fc stabilized by
  • FIG. 25 is a representation of a TriNKET in the LuZ-Y form, in which leucine zipper is used to induce heterodimerization of two different HCs.
  • LuZ-Y form is a heterodimer containing 2 different scFabs binding to target 1 and 2, fused to Fc.
  • FIG. 26 is a representation of a TriNKET in the Cov-X-Body form.
  • FIGs. 27A-27B are representations of TriNKETs in the kl-Body forms, which are an heterodimeric constructs with 2 different Fabs fused to Fc stabilized by heterodimerization mutations: Fabl targeting antigen 1 contains kappa LC, while second Fab targeting antigen 2 contains lambda LC.
  • FIG. 27A is an exemplary representation of one form of a kl-Body;
  • FIG. 27B is an exemplary representation of another kl-Body.
  • FIG. 28 is an Oasc-Fab heterodimeric construct that includes Fab binding to target
  • FIG. 29 is a DuetMab, which is an heterodimeric construct containing 2 different Fabs binding to antigen 1 and 2 and Fc stabilized by heterodimerization mutations.
  • Fab 1 and Fab 2 are heterodimeric constructs containing 2 different Fabs binding to antigen 1 and 2 and Fc stabilized by heterodimerization mutations.
  • FIG. 30 is a CrossmAb, which is an heterodimeric construct with 2 different Fabs binding to Target 1 and 2 fused to Fc stabilized by heterodimerization.
  • CL and CH1 domains and VH and VL domains are switched, e.g ., CH1 is fused in-line with VL, while CL is fused in-line with VH.
  • FIG. 31 is a Fit-Ig, which is an homodimeric constructs where Fab binding to antigen 2 is fused to the N terminus of HC of Fab that binds to antigen 1.
  • the construct contains wild-type Fc.
  • FIG. 32 is a series of line graphs showing the binding of TriNKET A* and TriNKET A to human NKG2D as tested by SPR.
  • the upper panels represent kinetic fit, and the lower panels represent steady state affinity fit.
  • FIG. 33 is a line graph showing the potency of TriNKET A and TriNKET A* in mediating cytotoxicity of NK cells against target cells.
  • FIG. 34 is a line graph showing the potency of TriNKET A and TriNKET A* in mediating cytotoxicity of NK cells against target cells.
  • the invention provides antibody heavy chain variable domains that can be paired with antibody light chain variable domains to form an antigen-binding site targeting the NKG2D receptor on natural killer cells, proteins that include the NKG2D antigen-binding sites, pharmaceutical compositions comprising such proteins, and therapeutic methods using such proteins and pharmaceutical compositions for the treatment of cancer.
  • Various aspects of the invention are set forth below in sections; however, aspects of the invention described in one particular section are not to be limited to any particular section.
  • the terms“a” and“an” as used herein mean“one or more” and include the plural unless the context is inappropriate.
  • the terms“subject” and“patient” refer to an organism to be treated by the methods and compositions described herein. Such organisms preferably include, but are not limited to, mammals (e.g ., murines, simians, equines, bovines, porcines, canines, felines, and the like), and more preferably include humans.
  • the term "antigen-binding site” refers to the part of the immunoglobulin molecule that participates in antigen binding.
  • the antigen-binding site is formed by amino acid residues of the N-terminal variable ("V") regions of the heavy ("H") and light (“L”) chains.
  • V N-terminal variable
  • H heavy
  • L light
  • Three highly divergent stretches within the V regions of the heavy and light chains are referred to as “hypervariable regions" which are interposed between more conserved flanking stretches known as “framework regions,” or "FRs.”
  • FR refers to amino acid sequences which are naturally found between and adjacent to hypervariable regions in immunoglobulins.
  • the three hypervariable regions of a light chain and the three hypervariable regions of a heavy chain are disposed relative to each other in three dimensional space to form an antigen binding surface.
  • the antigen-binding surface is complementary to the three-dimensional surface of a bound antigen, and the three hypervariable regions of each of the heavy and light chains are referred to as "complementarity-determining regions," or "CDRs.”
  • CDRs complementarity-determining regions
  • the antigen-binding site is formed by a single antibody chain providing a“single domain antibody.”
  • Antigen-binding sites can exist in an intact antibody, in an antigen-binding fragment of an antibody that retains the antigen binding surface, or in a recombinant polypeptide such as an scFv, using a peptide linker to connect the heavy chain variable domain to the light chain variable domain in a single polypeptide.
  • the term“effective amount” refers to the amount of a compound (e.g., a compound of the present invention) sufficient to effect beneficial or desired results.
  • An effective amount can be administered in one or more administrations, applications or dosages and is not intended to be limited to a particular formulation or administration route.
  • the term“treating” includes any effect, e.g, lessening, reducing, modulating, ameliorating or eliminating, that results in the improvement of the condition, disease, disorder, and the like, or ameliorating a symptom thereof.
  • the term“pharmaceutical composition” refers to the combination of an active agent with a carrier, inert or active, making the composition especially suitable for diagnostic or therapeutic use in vivo or ex vivo.
  • the term“pharmaceutically acceptable carrier” refers to any of the standard pharmaceutical carriers, such as a phosphate buffered saline solution, water, emulsions ( e.g ., such as an oil/water or water/oil emulsions), and various types of wetting agents.
  • the compositions also can include stabilizers and preservatives. For examples of carriers, stabilizers and adjuvants, see e.g., Martin, Remington's Pharmaceutical Sciences, l5th Ed., Mack Publ. Co., Easton, PA [1975]
  • compositions are described as having, including, or comprising specific components, or where processes and methods are described as having, including, or comprising specific steps, it is contemplated that, additionally, there are compositions of the present invention that consist essentially of, or consist of, the recited components, and that there are processes and methods according to the present invention that consist essentially of, or consist of, the recited processing steps.
  • compositions specifying a percentage are by weight unless otherwise specified. Further, if a variable is not accompanied by a definition, then the previous definition of the variable controls.
  • the invention provides antigen-binding sites that bind NRG2D, and antigen heavy chain variable domains that can be used to create such antigen-binding sites.
  • Antibody heavy chain variable domains and the light chain variable domains which they pair to form antigen-binding sites capable of binding and agonizing the NRG2D receptor have now been identified and are provided in Table 1, below. ETnless otherwise indicated, the CDR sequences provided in Table 1 are determined under Rabat.
  • One advantage of one or more of the antibody heavy chain variable domain amino acid sequences described above is that they can bind to NKG2D from humans and cynomolgus monkeys to agonize the receptor, and compete with natural ligands for binding to the receptor. Additional antigen-binding sites that bind NKG2D and share one or more of these properties are also particularly useful and can be identified by binding competition assays known in the art. For example, the additional antigen-binding sites can be identified by competition with ADI-29379, ADI-29463, ADI-27744, ADI-27749, or ADI-29378 for binding to both human and optionally cynomolgus monkey NKG2D.
  • NKG2D-binding sites which comprise the antibody heavy chain variable domains and light chain variable domains sequences described above are that they can bind to NKG2D with high affinity.
  • NKG2D-binding sites bind to NKG2D with a K D of 0.1 to 1000 nM.
  • NKG2D-binding sites bind to NKG2D with a K D of 1 to 500 nM.
  • NKG2D-binding sites bind to NKG2D with a K D of 5 to 100 nM.
  • NKG2D-binding sites bind to NKG2D with a K D of 10 to 62 nM.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 1, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g ., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:2.
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 1, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO: 11 or SEQ ID NO:9l, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 12, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO: 13 or 68.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:2, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO: 14, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 15, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO: l6.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:3, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:4.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:3.
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:3, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO: 17 or SEQ ID NO: 92, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 18, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO: 19 or SEQ ID NO:69.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:4, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:20, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:2l, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:22.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:5, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:6.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:6.
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:5, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:23 or SEQ ID NO:93, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:24, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:25 or SEQ ID NO:70.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:6, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:26, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:27, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:28.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 7, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 7
  • an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:7 includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:29 or SEQ ID NO:94, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 30, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:3 l or SEQ ID NO:7l.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:8, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:32, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:33, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:34.
  • amino acid residue M at position 102 of SEQ ID NO:7 which is in CDR3 of the heavy chain variable domain, can be mutated.
  • M102 is substituted by a non-charged residue.
  • Ml 02 is substituted by a hydrophobic residue (Gly, Ala, Val, Leu, He, Pro, Phe, or Trp).
  • Gly, Ala, Val, Leu, He, Pro, Phe, or Trp is substituted by a hydrophobic residue.
  • Ml 02 is substituted by a polar residue (Ser, Thr, Cys, Asn, Gln, or Tyr).
  • M102 is substituted by Leu, He, Val, Gln, or Phe.
  • the present invention provides an antigen binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 83, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g ., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%,
  • amino acid sequence of SEQ ID NO: 83 includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:29 or SEQ ID NO: 94, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 30, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO: 73 or SEQ ID NO:74.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 8, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:32, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:33, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:34.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 84, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:84 includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:29 or SEQ ID NO:94, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 30, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:75 or SEQ ID NO:76.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:8, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:32, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:33, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:34.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:85, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:85
  • an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:85, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:29 or SEQ ID NO:94, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 30, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:77 or SEQ ID NO:78.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:8, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:32, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:33, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:34.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 86, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 86
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:86 includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:29 or SEQ ID NO:94, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 30, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:79 or 80.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:8, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:32, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:33, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:34.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:4l, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 8.
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:4l includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:29 or SEQ ID NO:94, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 30, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:8l or SEQ ID NO:82.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:8, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:32, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO:33, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:34.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 9, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 10.
  • an antigen-binding site that includes an antibody heavy chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:9 includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO:35 or SEQ ID NO:9l, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 36, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:37 or SEQ ID NO:72.
  • an antigen-binding site that includes an antibody light chain variable domain with an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 10, includes a CDR1 sequence represented by the amino acid sequence of SEQ ID NO: 38, a CDR2 sequence represented by the amino acid sequence of SEQ ID NO: 39, and a CDR3 sequence represented by the amino acid sequence of SEQ ID NO:40.
  • the present invention provides an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:5, and an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO: 6, that does not block the binding of anti- NKG2D antibodies MS, 1D11, and MAB139 to NKG2D.
  • an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:5
  • an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%,
  • an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%
  • an antibody light chain variable domain that includes an amino acid sequence at least 90% e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%
  • does not block binding of an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%
  • an antibody light chain variable domain that includes an amino acid sequence at least 90% e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%
  • an antigen-binding site that includes an antibody heavy chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:5
  • an antibody light chain variable domain that includes an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to SEQ ID NO:6
  • the NKG2D antigen-binding sites formed by pairing an antibody heavy chain variable domain with a light chain variable domain described herein can be included into larger proteins such as intact antibodies, multi-specific binding proteins or multi-specific binding antibodies.
  • an NKG2D-binding site can be combined with a second component, e.g., a second antigen-binding site.
  • the second antigen-binding site binds to one or more tumor-associated antigens, such as CD33, HER2, EpCAM, CD2, CD3, CD8, CD 10, CD 19, CD20, CD21, CD22, CD23, CD24, CD25, CD30, CD33, CD37, CD38, CD40, CD45RO, CD48, CD52, CD55, CD59, CD70, CD74, CD80, CD86, CD138, CD147, HLA-DR, CSAp, CA-125, TAG- 72, EFGR/ERBB1, IGF1R, HER3, HER4, IGF-1R, c-Met, PDGFR, MUC1, MUC2, MUC3, MUC4, TNFR1, TNFR2, NGFR, TRAILR1, TRAILR2, Fas (CD95), DR3, DR4, DR5, DR6, VEGF, PIGF, tenascin, ED-B fibronectin, PSA, and IL-6, MAGE- A3, B
  • a multi-specific binding protein in addition to an NKG2D-binding site and a tumor- associated antigen-binding site, can further include a domain that binds to CD 16, an Fc receptor on the surface of leukocytes including natural killer cells, macrophages, neutrophils, eosinophils, mast cells, and follicular dendritic cells.
  • the CD 16 binding domain can include an antibody Fc region or a portion thereof.
  • the domain that binds to CD 16 contains hinge, CH2 and CH3 domains of an antibody Fc region without or without CH1 domain.
  • the antibody Fc region is derived from the Fc regions in the human and/or other mammalian immunoglobulins. It is known that within the Fc region, CD 16 binding is mediated by the hinge region and the CH2 domain. For example, within human IgGl, the interaction with CD 16 is mediated through amino acid residues Asp 265 - Glu 269, Asn 297 - Thr 299, Ala 327 - He 332, Leu 234 - Ser 239, and carbohydrate residue N-acetyl-D-glucosamine in the CH2 domain (see Sondermann et al , Nature, 406(6793):267-273).
  • mutations can be selected within the CD 16 binding domain to enhance or reduce its binding affinity to CD 16.
  • Selection methods are well known methods in the art, such as phage-displayed libraries or yeast surface- displayed cDNA libraries. Appropriate selection methods can also be designed based on the known three-dimensional structure of the interaction by a skilled person in the art.
  • the multi-specific binding proteins described herein can take various formats.
  • one format is a heterodimeric, multi-specific antibody that includes a first immunoglobulin heavy chain, a first immunoglobulin light chain, a second immunoglobulin heavy chain and a second immunoglobulin light chain.
  • the first immunoglobulin heavy chain includes a first Fc (hinge-CH2-CH3) domain, a first heavy chain variable domain and optionally a first CH1 heavy chain domain.
  • the first immunoglobulin light chain includes a first light chain variable domain and a first light chain constant domain.
  • the immunoglobulin light chain together with the first immunoglobulin heavy chain, forms an antigen-binding site that binds NKG2D.
  • the second immunoglobulin heavy chain comprises a second Fc (hinge-CH2-CH3) domain, a second heavy chain variable domain and optionally a second CH1 heavy chain domain.
  • the second immunoglobulin light chain includes a second light chain variable domain and a second light chain constant domain.
  • the second immunoglobulin light chain, together with the second immunoglobulin heavy chain forms an antigen-binding site that binds a tumor antigen.
  • the first Fc domain and second Fc domain together are able to bind to CD 16 (FIG. 1).
  • Another exemplary format involves a heterodimeric, multi-specific antibody that includes a first immunoglobulin heavy chain, a second immunoglobulin heavy chain and an immunoglobulin light chain.
  • the first immunoglobulin heavy chain includes a first Fc (hinge- CH2-CH3) domain fused via either a linker or an antibody hinge to a single-chain variable fragment (scFv) composed of a heavy variable domain and light chain variable domain which pair and bind NKG2D.
  • the second immunoglobulin heavy chain includes a second Fc (hinge-CH2-CH3) domain, a second heavy chain variable domain and optionally a CH1 heavy chain domain.
  • the immunoglobulin light chain includes a light chain variable domain and a constant light chain domain.
  • the second immunoglobulin heavy chain pairs with the immunoglobulin light chain and binds to a tumor-associated antigen.
  • the first Fc domain and the second Fc domain together are able to bind to CD 16 (FIG. 2).
  • Additional formats of the multi-specific binding proteins can be devised by combining various formats of NKG2D- binding-fragments described herein.
  • One or more additional binding motifs may be fused to the C-terminus of the constant region CH3 domain, optionally via a linker sequence.
  • the antigen-binding site could be a single-chain or disulfide-stabilized variable region (scFv) or could form a tetravalent or trivalent molecule.
  • the multi-specific binding protein is in the Triomab form, which is a trifunctional, bispecific antibody that maintains an IgG-like shape. This chimera consists of two half antibodies, each with one light and one heavy chain, that originate from two parental antibodies. Triomab form is an heterodimeric construct containing 1 ⁇ 2 of rat antibody and 1 ⁇ 2 of mouse antibody.
  • the multi-specific binding protein is the KiH Common Light Chain (LC) form, which involves the knobs-into-holes (KIHs) technology. The KIH involves engineering C H 3 domains to create either a“knob” or a“hole” in each heavy chain to promote heterodimerization.
  • LC Common Light Chain
  • the KIH involves engineering C H 3 domains to create either a“knob” or a“hole” in each heavy chain to promote heterodimerization.
  • T366S/L368A/Y407VC H3B The“hole” mutation was optimized by structured-guided phage library screening (Atwell S, Ridgway JB, Wells JA, Carter P. Stable heterodimers from remodeling the domain interface of a homodimer using a phage display library. J Mol Biol (1997) 270(l):26-35). X-ray crystal structures of KiH Fc variants (Elliott JM, Ultsch M, Lee J, Tong R, Takeda K, Spiess C, et al ., Antiparallel conformation of knob and hole aglycosylated half-antibody homodimers is mediated by a CH2-CH3 hydrophobic
  • the multi-specific binding protein is in the dual-variable domain immunoglobulin (DVD-IgTM) form, which combines the target binding domains of two monoclonal antibodies via flexible naturally occurring linkers, and yields a tetravalent IgG - like molecule.
  • DVD-IgTM is an homodimeric construct where variable domain targeting antigen 2 is fused to the N terminus of variable domain of Fab targeting antigen 1 Construct contains normal Fc.
  • the multi-specific binding protein is in the Orthogonal Fab interface (Ortho-Fab) form, which is an heterodimeric construct that contains 2 Fabs binding to target 1 and target 2 fused to Fc. LC-HC pairing is ensured by orthogonal interface.
  • Orthogonal Fab interface Orthogonal Fab interface
  • the multi-specific binding protein is in the 2-in-l Ig format. In some embodiments, the multi-specific binding protein is in the ES form, which is an heterodimeric construct containing 2 different Fabs binding to target 1 and target 2 fused to the Fc. Heterodimerization is ensured by electrostatic steering mutations in the Fc.
  • the multi-specific binding protein is in the kl-Body form, which are an heterodimeric constructs with 2 different Fabs fused to Fc stabilized by heterodimerization mutations: Fabl targeting antigen 1 contains kappa LC, while second Fab targeting antigen 2 contains lambda LC.
  • the multi-specific binding protein is in Fab Arm Exchange form (antibodies that exchange Fab arms by swapping a heavy chain and attached light chain (half-molecule) with a heavy-light chain pair from another molecule, which results in bispecific antibodies).
  • Fab Arm Exchange form (cFae) is a heterodimer containing 2 Fabs binding to target 1 and 2, and an Fc stabilized by heterodimerization mutations.
  • the multi-specific binding protein is in the SEED Body form which is an heterodimer containing 2 Fabs binding to target 1 and 2, and an Fc stabilized by heterodimerization mutations.
  • the strand-exchange engineered domain (SEED) platform was designed to generate asymmetric and bispecific antibody-like molecules, a capability that expands therapeutic applications of natural antibodies. This protein engineered platform is based on exchanging structurally related sequences of immunoglobulin within the conserved CH3 domains. The SEED design allows efficient generation of AG/GA
  • the multi-specific binding protein is in the LuZ-Y form, in which leucine zipper is used to induce heterodimerization of two different HCs.
  • LuZ-Y form is a heterodimer containing 2 different scFabs binding to target 1 and 2, fused to Fc. Heterodimerization is ensured through leucine zipper motifs fused to C-terminus of Fc.
  • the multi-specific binding protein is in the Cov-X-Body form (In bispecific CovX-Bodies, two different peptides are joined together using a branched azetidinone linker and fused to the scaffold antibody under mild conditions in a site-specific manner. Whereas the pharmacophores are responsible for functional activities, the antibody scaffold imparts long half-life and Ig-like distribution. The pharmacophores can be chemically optimized or replaced with other pharmacophores to generate optimized or unique bispecific antibodies. (Doppalapudi VR et al. , PNAS (2010), 107(52);22611-22616).
  • the multi-specific binding protein is in an Oasc-Fab heterodimeric format that includes Fab binding to target 1 and scFab binding to target 2 fused to Fc. Heterodimerization is ensured by mutations in the Fc.
  • the multi-specific binding protein is in an DuetMab format containing 2 different Fabs binding to antigen 1 and 2 and Fc stabilized by heterodimerization mutations.
  • Fab 1 and 2 contain differential S-S bridges that ensure correct LC and HC pairing.
  • the multi-specific binding protein is in an CrossmAb format which is an heterodimeric construct with 2 different Fabs binding to Target 1 and 2 fused to Fc stabilized by heterodimerization.
  • CL and CH1 domains and VH and VL domains are switched, e.g. CH1 is fused in-line with VL, while CL is fused in-line with VH.
  • the multi-specific binding protein is in an CrossmAb format which is an homodimeric constructs where Fab binding to antigen 2 is fused to the N terminus of HC of Fab that binds to antigen 1.
  • the construct contains wild-recombination variants
  • Assembly of heterodimeric antibody heavy chains can be accomplished by expressing two different antibody heavy chain sequences in the same cell, which may lead to the assembly of homodimers of each antibody heavy chain as well as assembly of heterodimers.
  • Preferential assembly of heterodimeric heavy chains within the multi-specific binding proteins described herein can be promoted by incorporating distinct pairs of amino acid substitutions into the first CH3 domain within the first heavy chain polypeptide and the second CH3 domain within the second heavy chain polypeptide that allow these two chains to selectively heterodimerize with each other, as shown in US13/494870, US16/028850,
  • the multi-specific binding proteins contain the Fc domain of human IgGl.
  • Various examples of amino acid substitutions within the pair of human IgGl Fc domains are listed below to facilitate heterodimerization of two heavy chains. Each positions of amino acid substitutions is numbered according to the EU index as in Kabat.
  • an amino acid substitution in the first polypeptide replaces the original amino acid with a larger amino acid, selected from arginine (R), phenylalanine (F), tyrosine (Y) or tryptophan (W), and at least one amino acid substitution in the second polypeptide replaces the original amino acid(s) with a smaller amino acid(s), chosen from alanine (A), serine (S), threonine (T), or valine (V), such that the larger amino acid substitution (a protuberance) fits into the surface of the smaller amino acid substitutions (a cavity).
  • one polypeptide can include a T366W substitution, and the other can include three substitutions including T366S, L368A, and Y407V.
  • amino acid substitutions could be selected from the following sets of substitutions shown in Table 2.
  • amino acid substitutions could be selected from the following sets of substitutions shown in Table 3.
  • amino acid substitutions could be selected from the following set of substitutions shown in Table 4.
  • At least one amino acid substitution in each polypeptide chain could be selected from Table 5.
  • At least one amino acid substitutions could be selected from the following set of substitutions in Table 6, where the position(s) indicated in the First
  • Polypeptide column is replaced by any known negatively-charged amino acid, and the position(s) indicated in the Second Polypeptide Column is replaced by any known positively- charged amino acid.
  • At least one amino acid substitutions could be selected from the following set of in Table 7, where the position(s) indicated in the First Polypeptide column is replaced by any known positively-charged amino acid, and the position(s) indicated in the Second Polypeptide Column is replaced by any known negatively-charged amino acid.
  • amino acid substitutions could be selected from the following set of in Table 8.
  • the structural stability of heterodimeric heavy chains within the multi-specific binding proteins can be increased by introducing S354C on either of the first or second polypeptide chain, and Y349C on the opposing polypeptide chain, which forms an artificial disulfide bridge within the interface of the two polypeptides.
  • the multi-specific binding proteins described above can be made using recombinant DNA technology well known to a skilled person in the art.
  • a first nucleic acid sequence encoding the first immunoglobulin heavy chain can be cloned into a first expression vector
  • a second nucleic acid sequence encoding the second immunoglobulin heavy chain can be cloned into a second expression vector
  • a third nucleic acid sequence encoding the first immunoglobulin light chain can be cloned into a third expression vector
  • a fourth nucleic acid sequence encoding the second immunoglobulin light chain can be cloned into a fourth expression vector
  • the first, second, third and fourth expression vectors can be stably transfected together into host cells to produce the multimeric proteins.
  • Clones can be cultured under conditions suitable for bio-reactor scale-up and maintained expression of the multi-specific protein.
  • the multi-specific binding proteins can be isolated and purified using methods known in the art including centrifugation, depth filtration, cell lysis, homogenization, freeze-thawing, affinity purification, gel filtration, ion exchange chromatography, hydrophobic interaction exchange chromatography, and mixed- mode chromatography.
  • a protein comprising an antigen-binding site that competes with the NKG2D-binding sites described herein
  • the present invention provides a protein that includes an antigen-binding site that competes with the NKG2D-binding sites described herein to bind to NKG2D.
  • the NKG2D-binding sites described herein comprises amino acid sequences of SEQ ID NOs: 1 and 2; amino acid sequences of SEQ ID NOs: 3 and 4; amino acid sequences of SEQ ID NOs: 5 and 6; amino acid sequences of SEQ ID NOs: 7 and 8; amino acid sequences of SEQ ID NOs: 9 and 10; amino acid sequences of SEQ ID NOs: 83 and 8; amino acid sequences of SEQ ID NOs: 84 and 8; amino acid sequences of SEQ ID NOs: 85 and 8; amino acid sequences of SEQ ID NOs: 86 and 8; or amino acid sequences of SEQ ID NOs:
  • NKG2D-binding sites can bind to different epitopes on NKG2D mapped by surface plasmon resonance.
  • ADI-27744 binds to a different epitope on NKG2D from ADI-27749 and other existing NKG2D antibodies, as shown in Example 2.
  • an antigen-binding site of the protein that competes with the NKG2D-binding sites includes a heavy chain variable domain having an amino acid sequence at least 50% (e.g., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 1 and a light chain variable domain having an amino acid sequence at least at least 50% ( e.g ., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:2.
  • an antigen-binding site of the protein that competes with the NKG2D-binding sites includes a heavy chain variable domain having an amino acid sequence at least at least 50% (e.g., 50%, 60%, 70%, 80%,
  • an antigen-binding site of the protein that competes with the NKG2D- binding sites includes a heavy chain variable domain having an amino acid sequence at least at least 50% (e.g., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 5 and a light chain variable domain having an amino acid sequence at least at least 50% ( e.g ., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:6.
  • a heavy chain variable domain having an amino acid sequence at least at least 50% (e.g., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID
  • an antigen-binding site of the protein that competes with the NKG2D-binding sites includes a heavy chain variable domain having an amino acid sequence at least at least 50% (e.g., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 7 and a light chain variable domain having an amino acid sequence at least at least 50% (e.g., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 8.
  • a heavy chain variable domain having an amino acid sequence at least at least 50% (e.g., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:
  • an antigen-binding site of the protein that competes with the NKG2D-binding sites includes a heavy chain variable domain having an amino acid sequence at least at least 50% (e.g ., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:9 and a light chain variable domain having an amino acid sequence at least at least 50% (e.g., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 10.
  • a heavy chain variable domain having an amino acid sequence at least at least 50% (e.g ., 50%, 60%, 70%, 80%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID
  • the protein that includes an antigen-binding site that competes with NKG2D-binding sites described herein further includes a second antigen binding site that binds a tumor-associated antigen and/or a CD 16 binding site.
  • the CD 16 binding site is an antibody constant region or a portion thereof capable of binding CD 16.
  • the CD 16 binding site contains a human IgGl Fc domain.
  • the present disclosure provides a cell comprising one or more nucleic acids encoding a protein that contains: an NKG2D-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: l, and a light chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:2; a NKG2D-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:3, and a light chain variable domain having
  • the invention provides methods for enhancing tumor cell death and/or treating cancer using a multi-specific binding protein described herein and/or a pharmaceutical composition described herein.
  • the methods may be used to treat a variety of cancers.
  • the type of cancer to be treated is desirably matched with the type of cancer cell to which the protein binds. Additional aspects and embodiments of the therapeutic methods are described below.
  • compositions that contain an effective amount of a protein, which contains an NKG2D-binding site described herein or an NKG2D-binding site that competes with the NKG2D-binding sites described herein, and a pharmaceutically acceptable carrier.
  • the formulation includes a protein that comprises an antigen-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 1, and a light chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:2.
  • the formulation includes a protein that includes an antigen-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g ., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:3, and a light chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:4.
  • the formulation includes a protein that includes an antigen-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:5, and a light chain variable domain having an amino acid sequence at least 90% (e.g ., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:6.
  • the formulation includes a protein that includes an antigen-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:7, 83, 84, 85, 86, or 87, and a light chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 8.
  • a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:7, 83, 84, 85, 86, or 87, and a light chain variable domain having an amino acid sequence at least
  • the formulation includes a protein that includes an antigen-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:9, and a light chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: 10.
  • composition can be formulated for use in a variety of drug delivery systems.
  • One or more physiologically acceptable excipients or carriers can be included in the composition for proper formulation. Suitable formulations for use in the present disclosure are found in Remington's Pharmaceutical Sciences, Mack Publishing Company, Philadelphia, Pa., l7th ed., 1985. For a brief review of methods for drug delivery, see, e.g, Langer
  • an aqueous pharmaceutical formulation including a therapeutically effective amount of the protein in a buffered solution forming a formulation.
  • Aqueous carriers can include sterile water for injection (SWFI), bacteriostatic water for injection (BWFI), a pH buffered solution (e.g. phosphate-buffered saline), sterile saline solution, Ringer's solution or dextrose solution.
  • SWFI sterile water for injection
  • BWFI bacteriostatic water for injection
  • a pH buffered solution e.g. phosphate-buffered saline
  • sterile saline solution sterile saline solution
  • Ringer's solution or dextrose solution sterile saline solution
  • an aqueous formulation is prepared including the protein disclosed herein in a pH-buffered solution.
  • the pH of the preparations typically will be between 3 and 11, more preferably between 5 and 9 or between 6 and 8, and most preferably between 7 and 8, such as
  • Ranges intermediate to the above recited pH's are also intended to be part of this disclosure. For example, ranges of values using a combination of any of the above recited values as upper and/or lower limits are intended to be included.
  • buffers that will control the pH within this range include acetate (e.g. sodium acetate), succinate (such as sodium succinate), gluconate, histidine, citrate and other organic acid buffers.
  • the buffer system includes citric acid monohydrate, sodium citrate, disodium phosphate dihydrate, and/or sodium dihydrogen phosphate dihydrate.
  • the buffer system includes about 1.3 mg/ml of citric acid (e.g, 1.305 mg/ml), about 0.3 mg/ml of sodium citrate (e.g, 0.305 mg/ml), about 1.5 mg/ml of disodium phosphate dihydrate (e.g. 1.53 mg/ml), about 0.9 mg/ml of sodium dihydrogen phosphate dihydrate (e.g, 0.86), and about 6.2 mg/ml of sodium chloride (e.g, 6.165 mg/ml).
  • citric acid e.g, 1.305 mg/ml
  • sodium citrate e.g, 0.305 mg/ml
  • 1.5 mg/ml of disodium phosphate dihydrate e.g. 1.53 mg/ml
  • about 0.9 mg/ml of sodium dihydrogen phosphate dihydrate e.g, 0.86
  • sodium chloride e.g, 6.165 mg/ml
  • the buffer system includes 1-1.5 mg/ml of citric acid, 0.25 to 0.5 mg/ml of sodium citrate, 1.25 to 1.75 mg/ml of disodium phosphate dihydrate, 0.7 to 1.1 mg/ml of sodium dihydrogen phosphate dihydrate, and 6.0 to 6.4 mg/ml of sodium chloride.
  • the pH of the liquid formulation may be set by addition of a pharmaceutically acceptable acid and/or base.
  • the pharmaceutically acceptable acid may be hydrochloric acid.
  • the base may be sodium hydroxide.
  • the formulation includes an aqueous carrier, which is pharmaceutically acceptable (safe and non-toxic for administration to a human) and is useful for the preparation of a liquid formulation.
  • aqueous carrier which is pharmaceutically acceptable (safe and non-toxic for administration to a human) and is useful for the preparation of a liquid formulation.
  • aqueous carrier include sterile water for injection (SWFI), bacteriostatic water for injection (BWFI), a pH buffered solution (e.g. phosphate-buffered saline), sterile saline solution, Ringer's solution or dextrose solution.
  • a polyol which acts as a tonicifier and may stabilize the antibody, may also be included in the formulation.
  • the polyol is added to the formulation in an amount which may vary with respect to the desired isotonicity of the formulation.
  • the aqueous formulation may be isotonic.
  • the amount of polyol added may also be altered with respect to the molecular weight of the polyol. For example, a lower amount of a
  • the polyol which may be used in the formulation as a tonicity agent is mannitol.
  • the mannitol concentration may be about 5 to about 20 mg/ml.
  • the concentration of mannitol may be about 7.5 to 15 mg/ml.
  • the concentration of mannitol may be about 10-14 mg/ml.
  • the concentration of mannitol may be about 12 mg/ml.
  • the polyol sorbitol may be included in the formulation.
  • a detergent or surfactant may also be added to the formulation.
  • exemplary detergents include nonionic detergents such as polysorbates (e.g. polysorbates 20, 80 etc.) or poloxamers (e.g, poloxamer 188).
  • the amount of detergent added is such that it reduces aggregation of the formulated antibody and/or minimizes the formation of particulates in the formulation and/or reduces adsorption.
  • the formulation may include a surfactant which is a polysorbate.
  • the formulation may contain the detergent polysorbate 80 or Tween 80. Tween 80 is a term used to describe polyoxyethylene (20) sorbitanmonooleate (see Fiedler, Lexikon der Hifsstoffe, Editio Cantor Verlag
  • the formulation may contain between about 0.1 mg/mL and about 10 mg/mL of polysorbate 80, or between about 0.5 mg/mL and about 5 mg/mL. In certain embodiments, about 0.1% polysorbate 80 may be added in the formulation.
  • the liquid formulation of the disclosure may be prepared as a 10 mg/mL concentration solution in combination with a sugar at stabilizing levels.
  • the liquid formulation may be prepared in an aqueous carrier.
  • a stabilizer may be added in an amount no greater than that which may result in a viscosity undesirable or unsuitable for intravenous administration.
  • the sugar may be disaccharides, e.g, sucrose.
  • the liquid formulation may also include one or more of a buffering agent, a surfactant, and a preservative, which is added to the formulations herein to reduce bacterial action.
  • a preservative may, for example, facilitate the production of a multi-use (multiple- dose) formulation.
  • the present disclosure provides a formulation with an extended shelf life including the protein of the present disclosure, in combination with mannitol, citric acid monohydrate, sodium citrate, disodium phosphate dihydrate, sodium dihydrogen phosphate dihydrate, sodium chloride, polysorbate 80, water, and sodium hydroxide.
  • Deamidation is a common product variant of peptides and proteins that may occur during fermentation, harvest/cell clarification, purification, drug substance/drug product storage and during sample analysis. Deamidation is the loss of NH3 from a protein forming a succinimide intermediate that can undergo hydrolysis. The succinimide intermediate results in a mass decrease of 17 Da from the parent peptide. The subsequent hydrolysis results in an 18 u mass increase. Isolation of the succinimide intermediate is difficult due to instability under aqueous conditions. As such, deamidation is typically detectable as 1 u mass increase. Deamidation of an asparagine results in either aspartic or isoaspartic acid.
  • the parameters affecting the rate of deamidation include pH, temperature, solvent dielectric constant, ionic strength, primary sequence, local polypeptide conformation and tertiary structure.
  • the amino acid residues adjacent to Asn in the peptide chain affect deamidation rates. Gly and Ser following an Asn in protein sequences results in a higher susceptibility to deamidation.
  • the liquid formulation of the present disclosure may be preserved under conditions of pH and humidity to prevent deamination of the protein product.
  • the formulation is a lyophilized formulation.
  • the formulation is freeze-dried (lyophilized) and contained in about 12-60 vials.
  • the formulation is freeze-dried and 45 mg of the freeze-dried formulation may be contained in one vial.
  • the about 40 mg - about 100 mg of freeze-dried formulation is contained in one vial.
  • freeze dried formulation from 12, 27, or 45 vials are combined to obtained a therapeutic dose of the protein in the intravenous drug formulation.
  • the formulation may be a liquid formulation.
  • a liquid formulation is stored as about 250 mg/vial to about 1000 mg/vial.
  • the liquid formulation is stored as about 600 mg/vial.
  • the liquid formulation is stored as about 250 mg/vial.
  • the lyophilized formulation includes the proteins described herein and a lyoprotectant.
  • the lyoprotectant may be sugar, e.g ., disaccharides.
  • the lycoprotectant may be sucrose or maltose.
  • the lyophilized formulation may also include one or more of a buffering agent, a surfactant, a bulking agent, and/or a preservative.
  • the amount of sucrose or maltose useful for stabilization of the lyophilized drug product may be in a weight ratio of at least 1 :2 protein to sucrose or maltose.
  • the protein to sucrose or maltose weight ratio may be of from 1 :2 to 1 :5.
  • the pH of the formulation, prior to lyophilization may be set by addition of a pharmaceutically acceptable acid and/or base.
  • the pharmaceutically acceptable acid may be hydrochloric acid.
  • the pharmaceutically acceptable base may be sodium hydroxide.
  • the pH of the solution containing the protein of the present disclosure may be adjusted between 6 to 8.
  • the pH range for the lyophilized drug product may be from 7 to 8.
  • a“bulking agent” may be added.
  • A“bulking agent” is a compound which adds mass to a lyophilized mixture and contributes to the physical structure of the lyophilized cake (e.g ., facilitates the production of an essentially uniform lyophilized cake which maintains an open pore structure).
  • Illustrative bulking agents include mannitol, glycine, polyethylene glycol and sorbitol. The lyophilized formulations of the present invention may contain such bulking agents.
  • the lyophilized protein product is constituted with an aqueous carrier.
  • the aqueous carrier of interest herein is one which is pharmaceutically acceptable (e.g., safe and non-toxic for administration to a human) and is useful for the preparation of a liquid formulation, after lyophilization.
  • Illustrative diluents include sterile water for injection (SWFI), bacteriostatic water for injection (BWFI), a pH buffered solution (e.g. phosphate-buffered saline), sterile saline solution, Ringer's solution or dextrose solution.
  • the lyophilized drug product of the current disclosure is reconstituted with either Sterile Water for Injection, USP (SWFI) or 0.9% Sodium Chloride Injection,
  • the lyophilized powder dissolves into a solution.
  • the lyophilized protein product of the instant disclosure is constituted to about 4.5 mL water for injection and diluted with 0.9% saline solution (sodium chloride solution).
  • the protein compositions may be sterilized by conventional sterilization techniques, or may be sterile filtered.
  • the resulting aqueous solutions may be packaged for use as-is, or lyophilized, the lyophilized preparation being combined with a sterile aqueous carrier prior to administration.
  • the resulting compositions in solid form may be packaged in multiple single dose units, each containing a fixed amount of the above-mentioned agent or agents.
  • the composition in solid form can also be packaged in a container for a flexible quantity.
  • compositions of this invention may be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular patient, composition, and mode of administration, without being toxic to the patient.
  • the specific dose can be a uniform dose for each patient, for example, 50-5000 mg of protein.
  • a patient’s dose can be tailored to the approximate body weight or surface area of the patient.
  • Other factors in determining the appropriate dosage can include the disease or condition to be treated or prevented, the severity of the disease, the route of administration, and the age, sex and medical condition of the patient.
  • the dosage can also be determined through the use of known assays for determining dosages used in conjunction with appropriate dose-response data.
  • An individual patient's dosage can be adjusted as the progress of the disease is monitored. Blood levels of the targetable construct or complex in a patient can be measured to see if the dosage needs to be adjusted to reach or maintain an effective concentration.
  • Pharmacogenomics may be used to determine which targetable constructs and/or complexes, and dosages thereof, are most likely to be effective for a given individual (Schmitz et ah, Clinica Chimica Acta 308: 43-53, 2001; Steimer et ah, Clinica Chimica Acta 308: 33-41, 2001).
  • dosages based on body weight are from about 0.01 pg to about 100 mg per kg of body weight, such as about 0.01 pg to about 100 mg/kg of body weight, about 0.01 pg to about 50 mg/kg of body weight, about 0.01 pg to about 10 mg/kg of body weight, about 0.01 pg to about 1 mg/kg of body weight, about 0.01 pg to about 100 pg/kg of body weight, about 0.01 pg to about 50 pg/kg of body weight, about 0.01 pg to about 10 pg/kg of body weight, about 0.01 pg to about 1 pg/kg of body weight, about 0.01 pg to about 0.1 pg/kg of body weight, about 0.1 pg to about 100 mg/kg of body weight, about 0.1 pg to about 50 mg/kg of body weight, about 0.1 pg to about 10 mg/kg of body weight, about 0.1 pg to about 1 mg/kg of body weight, about 0.01 pg to about
  • Doses may be given once or more times daily, weekly, monthly or yearly, or even once every 2 to 20 years. Persons of ordinary skill in the art can easily estimate repetition rates for dosing based on measured residence times and concentrations of the targetable construct or complex in bodily fluids or tissues.
  • Administration of the present invention could be intravenous, intraarterial, intraperitoneal, intramuscular, subcutaneous, intrapleural, intrathecal, intracavitary, by perfusion through a catheter or by direct intralesional injection. This may be administered once or more times daily, once or more times weekly, once or more times monthly, and once or more times annually.
  • the invention provides methods of enhancing tumor cell death and/or treating cancer in patient.
  • the method comprises exposing a tumor and natural killer cells to a multi-specific binding protein disclosed herein.
  • the method includes administering to a patient in need thereof a therapeutically effective amount of a protein and or its desired formulation described herein.
  • the multi-specific binding protein can contain: an antigen-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO: l, and a light chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:2; an antigen-binding site with a heavy chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100%) identical to the amino acid sequence of SEQ ID NO:3 and a light chain variable domain having an amino acid sequence at least 90% (e.g., 91%, 92%, 93%, 94%,
  • the type of cancer to be treated is desirably matched with the type of cancer cell to which the multi-specific binding protein disclosed herein binds.
  • treatment of a cancer expressing epithelial cell adhesion molecule (EpCAM), such as a colon cancer expressing EpCAM is desirably treated using a multispecific-binding protein described herein that binds to EpCAM and NKG2D.
  • EpCAM epithelial cell adhesion molecule
  • patients to be treated contain cancer cells that expresses one or more of the following: CD33, HER2, CD2, CD19, CD20, CD30, CD38, CD40, CD52, CD70, EGFR/ERBB1, IGF1R, HER3/ERBB3, HER4/ERBB4, MUC1, CEA, cMET, SLAMF7, PSCA, MICA, MICB, TRAILR1, TRAILR2, MAGE- A3, B7.1, B7.2, CTLA4, and PD1.
  • CD33 HER2, CD2, CD19, CD20, CD30, CD38, CD40, CD52, CD70, EGFR/ERBB1, IGF1R, HER3/ERBB3, HER4/ERBB4, MUC1, CEA, cMET, SLAMF7, PSCA, MICA, MICB, TRAILR1, TRAILR2, MAGE- A3, B7.1, B7.2, CTLA4, and PD1.
  • the patients to be treated have a solid cancer, such as brain cancer, bladder cancer, breast cancer, cervical cancer, colon cancer, colorectal cancer, endometrial cancer, esophageal cancer, leukemia, lung cancer, liver cancer, melanoma, ovarian cancer, pancreatic cancer, prostate cancer, rectal cancer, renal cancer, stomach cancer, testicular cancer, or uterine cancer.
  • a solid cancer such as brain cancer, bladder cancer, breast cancer, cervical cancer, colon cancer, colorectal cancer, endometrial cancer, esophageal cancer, leukemia, lung cancer, liver cancer, melanoma, ovarian cancer, pancreatic cancer, prostate cancer, rectal cancer, renal cancer, stomach cancer, testicular cancer, or uterine cancer.
  • the cancer is a vascularized tumor, squamous cell carcinoma, adenocarcinoma, small cell carcinoma, melanoma, glioma, neuroblastoma, sarcoma (e.g., an angiosarcoma or chondrosarcoma), larynx cancer, parotid cancer, bilary tract cancer, thyroid cancer, acral lentiginous melanoma, actinic keratoses, acute lymphocytic leukemia, acute myeloid leukemia, adenoid cycstic carcinoma, adenomas, adenosarcoma, adenosquamous carcinoma, anal canal cancer, anal cancer, anorectum cancer, astrocytic tumor, bartholin gland carcinoma, basal cell carcinoma, biliary cancer, bone cancer, bone marrow cancer, bronchial cancer, bronchial gland carcinoma, carcinoid, cholangiocarcino
  • papilloma/carcinoma chronic lymphocytic leukemia, chronic myeloid leukemia, clear cell carcinoma, connective tissue cancer, cystadenoma, digestive system cancer, duodenum cancer, endocrine system cancer, endodermal sinus tumor, endometrial hyperplasia, endometrial stromal sarcoma, endometrioid adenocarcinoma, endothelial cell cancer, ependymal cancer, epithelial cell cancer, Ewing's sarcoma, eye and orbit cancer, female genital cancer, focal nodular hyperplasia, gallbladder cancer, gastric antrum cancer, gastric fundus cancer, gastrinoma, glioblastoma, glucagonoma, heart cancer, hemangiblastomas, hemangioendothelioma, hemangiomas, hepatic adenoma, hepatic adenomatosis, hepatobiliary cancer
  • submesothelial cancer superficial spreading melanoma, T cell leukemia, tongue cancer, undifferentiated carcinoma, ureter cancer, urethra cancer, urinary bladder cancer, urinary system cancer, uterine cervix cancer, uterine corpus cancer, uveal melanoma, vaginal cancer, verrucous carcinoma, VIPoma, vulva cancer, well differentiated carcinoma, or Wilms tumor.
  • the patients to be treated have non-Hodgkin’s lymphoma, such as a B-cell lymphoma or a T-cell lymphoma.
  • the non- Hodgkin’s lymphoma is a B-cell lymphoma, such as a diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma, follicular lymphoma, small lymphocytic lymphoma, mantle cell lymphoma, marginal zone B-cell lymphoma, extranodal marginal zone B-cell lymphoma, nodal marginal zone B-cell lymphoma, splenic marginal zone B-cell lymphoma, Burkitt lymphoma, 1 y m p h opl asm acyti c lymphoma, hairy cell leukemia, or primary central nervous system (CNS) lymphoma.
  • B-cell lymphoma such as a diffuse large B-cell lymphoma, primary
  • the non-Hodgkin’s lymphoma is a T-cell lymphoma, such as a precursor T-lymphoblastic lymphoma, peripheral T-cell lymphoma, cutaneous T-cell lymphoma, angioimmunoblastic T-cell lymphoma, extranodal natural killer/T-cell lymphoma, enteropathy type T-cell lymphoma, subcutaneous panniculitis-like T-cell lymphoma, anaplastic large cell lymphoma, or peripheral T-cell lymphoma.
  • T-cell lymphoma such as a precursor T-lymphoblastic lymphoma, peripheral T-cell lymphoma, cutaneous T-cell lymphoma, angioimmunoblastic T-cell lymphoma, extranodal natural killer/T-cell lymphoma, enteropathy type T-cell lymphoma, subcutaneous panniculitis-like T-cell lymphoma, anaplastic large cell lymphoma, or
  • proteins described herein are used in combination with additional therapeutic agents to treat patients with cancer.
  • exemplary therapeutic agents that may be used as part of a combination therapy in treating cancer, include, for example, radiation, mitomycin, tretinoin, ribomustin, gemcitabine, vincristine, etoposide, cladribine, mitobronitol, methotrexate, doxorubicin, carboquone, pentostatin, nitracrine, zinostatin, cetrorelix, letrozole, raltitrexed, daunorubicin, fadrozole, fotemustine, thymalfasin, sobuzoxane, nedaplatin, cytarabine, bicalutamide, vinorelbine, vesnarinone,
  • An additional class of agents that may be used as part of a combination therapy in treating cancer is immune checkpoint inhibitors.
  • exemplary immune checkpoint inhibitors include agents that inhibit one or more of (i) cytotoxic T- lymphocyte-associated antigen 4 (CTLA4), (ii) programmed cell death protein 1 (PD1), (iii) PDL1, (iv) LAG3, (v) B7-H3, (vi) B7-H4, and (vii) TIM3.
  • CTLA4 inhibitor ipilimumab has been approved by the ETnited States Food and Drug Administration for treating melanoma.
  • agents that may be used as part of a combination therapy in treating cancer are monoclonal antibody agents that target non-checkpoint targets (e.g ., herceptin) and non-cytotoxic agents (e.g., tyrosine-kinase inhibitors).
  • non-checkpoint targets e.g ., herceptin
  • non-cytotoxic agents e.g., tyrosine-kinase inhibitors
  • anti-cancer agents include, for example: (i) an inhibitor selected from an ALK Inhibitor, an ATR Inhibitor, an A2A Antagonist, a Base Excision Repair Inhibitor, a Bcr-Abl Tyrosine Kinase Inhibitor, a Bruton's Tyrosine Kinase Inhibitor, a CDC7 Inhibitor, a CHK1 Inhibitor, a Cyclin-Dependent Kinase Inhibitor, a DNA-PK
  • Inhibitor an Inhibitor of both DNA-PK and mTOR, a DNMT1 Inhibitor, a DNMT1 Inhibitor plus 2-chloro-deoxyadenosine, an HD AC Inhibitor, a Hedgehog Signaling Pathway Inhibitor, an IDO Inhibitor, a JAK Inhibitor, a mTOR Inhibitor, a MEK Inhibitor, a MELK Inhibitor, a MTH1 Inhibitor, a PARP Inhibitor, a Phosphoinositide 3-Kinase Inhibitor, an Inhibitor of both PARP1 and DHODH, a Proteasome Inhibitor, a Topoisomerase-II Inhibitor, a Tyrosine Kinase Inhibitor, a VEGFR Inhibitor, and a WEE1 Inhibitor; (ii) an agonist of 0X40, CD 137,
  • Proteins of the invention can also be used as an adjunct to surgical removal of the primary lesion.
  • the amount of protein and additional therapeutic agent and the relative timing of administration may be selected in order to achieve a desired combined therapeutic effect. For example, when administering a combination therapy to a patient in need of such
  • the therapeutic agents in the combination, or a pharmaceutical composition or compositions comprising the therapeutic agents may be administered in any order such as, for example, sequentially, concurrently, together, simultaneously and the like.
  • a protein described herein may be administered during a time when the additional therapeutic agent(s) exerts its prophylactic or therapeutic effect, or vice versa.
  • NKG2D monoclonal antibody comprising ADI-27744, ADI-27749, F47 (sequences listed below) or 1D11 (a commercial monoclonal NKG2D antibody), ULBP6 (sequence listed below), MS (NKG2D antibody from Novo Nordisk, sequences listed below), and MAB139 (NKG2D antibody from R&D system, clone 149810) at 30 pl/min at 25 °C.
  • Biacore 8K evaluation software was used for all data analysis.
  • FIG. 4A shows the profile that an NKG2D monoclonal antibody comprising an ADI-27744 was injected over the immobilized NKG2D, followed by injection of ULBP6.
  • FIG. 4B shows the profile of ULBP6 that was injected over an the immobilized NKG2D, followed by injection of NKG2D monoclonal antibody including ADI-27744.
  • FIG. 4C shows the profile that MS monoclonal antibody was injected over the NKG2D, followed by injection of ULBP6. MS monoclonal antibody blocks ULBP6 from binding to NKG2D.
  • FIGS. 4D-F shows the profile that MS, 1D11, or MAB139 was injected over the immobilized NKG2D, followed by injection of NKG2D monoclonal antibody comprising ADI-27744.
  • FIGS. 4G-H shows the profile that NKG2D monoclonal antibody comprising ADI-27744 was injected over immobilized NKG2D, followed by injection of NKG2D monoclonal antibody comprising ADI-27749 or F47.
  • ADI-27744 does not block the binding of MS, 1D11, and MAB139 to NKG2D.
  • ADI-27749 and F47 do not block the binding of ADI-27744 to NKG2D.
  • EL4 mouse lymphoma cell lines were engineered to express human NKG2D.
  • Trispecific binding proteins TriNKETs that each contain an NKG2D-binding domain, a tumor-associated antigen-binding domain (such as a CD33 or a HER2 -binding domain), and an Fc domain that binds to CD 16 as shown in FIG. 1, were tested for their affinity to extracellular NKG2D expressed on EL4 cells.
  • the binding of the multispecific binding proteins to NKG2D was detected using fluorophore-conjugated anti-human IgG secondary antibodies.
  • Cells were analyzed by flow cytometry, and fold-over-background (FOB) was calculated using the mean fluorescence intensity (MFI) of NKG2D expressing cells compared to parental EL4 cells.
  • MFI mean fluorescence intensity
  • TriNKETs tested include CD33 -T riNKET - A44 (ADI-27744 and a CD33 binding domain), CD33-TriNKET-A49 (ADI-27749 and a CD33 binding domain), CD33-TriNKET- F63 (ADI-29463 and a CD33 binding domain), HER2-TriNKET-A44 (ADI-27744 and a CD33 binding domain), HER2-TriNKET-A49 (ADI-27749 and a HER2 binding domain), HER2-TriNKET-F63 (ADI-29463 and a HER-binding domain), and HER2-TriNKET-E79 (ADI-29379 and a HER2 binding domain).
  • the HER2 -binding domain is composed of a heavy chain variable domain and a light chain variable domain of Trastuzumab.
  • the CD33 binding domain is composed of a heavy chain variable domain and a light chain variable domain listed below.
  • Trispecific binding proteins bind to CD33
  • CD33-TriNKET-A44, CD33-TriNKET-A49, and CD33-TriNKET-F63 show comparable levels of binding to CD33 as compared with the parental CD33 antibody (FIG.
  • Trispecific binding proteins bind to HER2
  • TriNKETs and Trastuzumab normalized to secondary antibody controls.
  • HER2-TriNKET-A44, HER2-TriNKET-A49, and HER2-TriNKET-F63 show comparable levels of binding to HER2 expressed on 786-0 cells as compared with
  • FIG. 8 Binding to HER2 expressed on NCI-H661 cells by HER2-TriNKET- E79 is shown (FIG. 9).
  • PBMCs Peripheral blood mononuclear cells
  • NK cells CD3 CD56 +
  • Isolated NK cells were cultured in media containing 100 ng/mL IL-2 for activation or rested overnight without cytokine.
  • IL-2-activated NK cells were used within 24-48 hours after activation.
  • Human cancer cells expressing a tumor antigen were harvested and resuspended in culture media at 2xl0 6 cells/mL. Monoclonal antibodies or TriNKETs targeting the tumor antigen were diluted in culture media. Activated NK cells were harvested, washed, and resuspended at 2xl0 6 cells/mL in culture media. Cancer cells were then mixed with monoclonal antibodies/TriNKETs and activated NK cells in the presence of IL-2. Brefeldin- A and monensin were also added to the mixed culture to block protein transport out of the cell for intracellular cytokine staining.
  • Fluorophore-conjugated anti-CD 107a was added to the mixed culture and the culture was incubated for 4hrs before samples were prepared for FACS analysis using fluorophore-conjugated antibodies against CD3, CD56 and IFN-gamma.
  • CDl07a and IFN-gamma staining was analyzed in CD3 CD56 + cells to assess NK cell activation.
  • the increase in CDl07a/IFN-gamma double-positive cells is indicative of better NK cell activation through engagement of two activating receptors rather than one receptor.
  • TriNKETs mediate activation of human NK cells co-cultured with HER2- expressing NCI-H66l cells (FIG. 10) and SkBr-3 cells (FIG. 11) respectively as indicated by an increase of CD 107a degranulation and IFN-gamma production. Compared to the monoclonal antibody Trastuzumab, TriNKETs show superior activation of human NK cells in the presence of human cancer cells. [0170] TriNKETs mediate activation of human NK cells co-cultured with CD33- expressing human AML Mv4-l 1 cells as shown by an increase of CD 107a degranulation and IFN-gamma production (FIG. 12). Compared to the monoclonal anti-CD33 antibody, TriNKETs show superior activation of human NK cells in the presence of human cancer cells.
  • Example 6 Trispecific binding proteins enable cytotoxicity of target cancer cells
  • PBMCs Peripheral blood mononuclear cells
  • NK cells CD3 CD56 +
  • Isolated NK cells were cultured in media containing 100 ng/mL IL-2 for activation or rested overnight without cytokine.
  • IL-2- activated or rested NK cells were used the following day in cytotoxicity assays.
  • cytoTox 96 non-radioactive cytotoxicity assay from Promega (G1780) was used according to manufacturer’s instruction. Briefly, human cancer cells expressing a tumor antigen were harvested, washed, and resuspended in culture media at l-2xl0 5 cells/mL. Rested and/or activated NK cells were harvested, washed, and resuspended at l0 5 -2.0xl0 6 cells/mL in the same culture media as that of the cancer cells.
  • lOx lysis buffer was added to wells containing only cancer cells, and to wells containing only media for the maximum lysis and negative reagent control respectively. The plate was then placed back into the incubator for an additional 45 minutes to reach a total of 4 hours incubation. Cells were then pelleted, and the culture supernatant was transferred to a new 96 well plate and mixed with a substrate for development.
  • % Specific lysis ((experimental lysis - spontaneous lysis from NK cells alone - spontaneous lysis from cancer cells alone) / (Maximum lysis - negative reagent control)) * 100%
  • TriNKETs mediate cytotoxicity of human NK cells against the CD33-positive Molm-l3 human AML cell line.
  • rested human NK cells were mixed with Molm-l3 cancer cells, and TriNKETs are able to enhance the cytotoxic activity of rested human NK cells in a dose-responsive manor against the cancer cells.
  • the dotted line indicates cytotoxic activity of rested NK cells without TriNKETs.
  • activated human NK cells were mixed with Molm-l3 cancer cells, and TriNKETs enhance the cytotoxic activity of activated human NK cells even further in a dose-responsive manor against the cancer cells.
  • TriNKETs mediate cytotoxicity of human NK cells against the HER2-positive 786-0 human renal cell carcinoma cell line.
  • rested human NK cells were mixed with 786-0 cancer cells, and TriNKETs are able to enhance the cytotoxic activity of rested human NK cells in a dose-responsive manor against the cancer cells (each TriNKET was added at 5, 1, 0.2 pg/ml in the assay and the results are represented in 3 columns from the left to the right in each TriNKET in the FIGS. 15-16).
  • Dotted line indicates the cytotoxic activity of rested NK cells against 786-0 cells in the absence of TriNKETs. As shown in FIG.
  • activated human NK cells were mixed with 786-0 cells, and TriNKETs enhance the cytotoxic activity of activated human NK cells even further in a dose-responsive manor against the cancer cells. Dotted line indicates the cytotoxic activity of activated NK cells against 786-0 cells in the absence of TriNKETs.
  • ADI-27749 contains, inter alia , a heavy chain CDR3 having the amino acid sequence of GAPMGAAAGWFDP (SEQ ID NO:7l).
  • the Met at position 102 of SEQ ID NO:7 may be replaced by Gln, Leu, Ile, Phe, or Val, thereby generating NKG2D antibodies A49MQ, A49ML, A49MI, A49MF, and A49MV, respectively, having the corresponding heavy chain variable region, light chain variable region, and CDR sequences provided in Table 1.
  • MOE2018.01 program using the parameter setting of avg pro patch cdr hyd. Residues were mutated using the protein builder module and entire Fab was minimized after tethering all residues. Dynamic property sampling was performed using the lowMD protocol in BIOMOE. As shown in Table 11, these mutations did not have a substantial negative effect on the predicted hydrophobicity of the A49 Fab.
  • TriNKET A TriNKET containing A49
  • TriNKET A a mutant form of TriNKET A having a substitution of Ile, Leu, Val, Gln, or Phe for the Met
  • TriNKET A* were tested by analytical hydrophobic interaction chromatography (HIC). Each of the TriNKETs also bound to a first tumor antigen. As shown in Table 12, the retention time of TriNKET A* was similar to that of TriNKET A.
  • T m is the midpoint transition temperature of an individual domain.
  • the Ml 02 mutation had a small effect on the T m values of the two most stable transitions (T m3 and T m4 ) by shifting them 0.6 and 0.7 °C lower, compared to the TriNKET A.
  • the earlier transitions (T ml and T m2 ) were unaffected.
  • Binding of TriNKET A and TriNKET A* to a fusion protein of human NKG2D and murine Fc (“mFc-hNKG2D”) was characterized by surface plasmon resonance (SPR) at 37 °C. Two different fits, steady state affinity fit and kinetic fit, were utilized to obtain the equilibrium affinity data (FIG. 32). The kinetic constants and equilibrium affinity constants were calculated, and data from the two independent experiments for TriNKET A* and the three independent experiments for TriNKET A were averaged.
  • KHYG-l cells expressing the high-affinity variant of CDl6a were generated through retroviral transduction. Following transduction, cells were selected in puromycin-containing growth media to generate a selected population of KHYG-1-CD16V cells. The selected population was maintained in media containing 10 ng/mL human IL-2.
  • the KHYG-1-CD16V cells were harvested from culture, pelleted, washed three times in culture media without IL-2, and resuspended in culture media without IL-2 and rested for 24 hours.
  • Human cancer cell lines expressing a target of interest were harvested from culture. The cells were washed with HBS, and were resuspended in growth media at 10 6 cells/mL for labeling with BATDA reagent (Perkin Elmer C136-100). Manufacturer instructions were followed for labeling of the target cells. After labeling, the cells were washed three times with HBS and were resuspended at 0.5xl0 5 cells /mL in culture media.
  • TriNKET s were serially diluted in culture media, and 50 m ⁇ of a diluted TriNKET was added to each well.
  • Rested NK cells were harvested from culture, washed, and resuspended at l.OxlO 6 cells/mL in culture media.
  • 50 m ⁇ of NK cells were added to each well of the plate to attain a desired E:T ratio of 10: 1 and to make a total of 200 m ⁇ culture volume in each well. The plate was incubated at 37 °C with 5% C0 2 for 2-3 hours.
  • the plate was removed from the incubator, and the cells were pelleted by centrifugation at 200xg for 5 minutes. 20 m ⁇ of culture supernatant was transferred to a clean microplate provided from the manufacturer. Supernatant from the labeled cells incubated alone without NK cells was used to measure spontaneous release of TDA.
  • % specific lysis ((Experimental release - Spontaneous release) / (Maximum release - Spontaneous release)) c 100%.
  • TriNKET A and TriNKET A* To measure the activity of TriNKET A and TriNKET A*, a cell line that expressed the first tumor antigen was selected as target cells. Two different lots of TriNKET A were used for comparison. The % specific lysis values were plotted in FIG. 33, and the EC50 and maximum % specific lysis values were summarized in Table 15. The EC50 and maximum % specific lysis values of TriNKET A* were similar to those of TriNKET A, suggesting that the Ml 02 mutation did not affect the biological activity of TriNKET A.
  • TriNKET A and TriNKET A* that bind to a second, different tumor antigen were constructed.
  • the activity of the two TriNKETs were compared in cytotoxicity assays using a cell line that expressed the second tumor antigen as target cells and KHYG-1-CD16V cells as effector cells. As shown in FIG. 34, TriNKET A*

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CA3090244A CA3090244A1 (en) 2018-02-08 2019-02-08 Antibody variable domains targeting the nkg2d receptor
ES19750602T ES2986967T3 (es) 2018-02-08 2019-02-08 Combinaciones de dominios variables de anticuerpos dirigidas al receptor NKG2D
DK19750602.5T DK3749346T3 (da) 2018-02-08 2019-02-08 Antistof variable domænekombinationer rettet mod nkg2d-receptoren
SG11202007482WA SG11202007482WA (en) 2018-02-08 2019-02-08 Antibody variable domains targeting the nkg2d receptor
AU2019218136A AU2019218136B2 (en) 2018-02-08 2019-02-08 Antibody variable domains targeting the NKG2D receptor
KR1020207024734A KR102787591B1 (ko) 2018-02-08 2019-02-08 Nkg2d 수용체를 표적화하는 항체 가변 도메인
CN202411164987.0A CN120137046A (zh) 2018-02-08 2019-02-08 靶向nkg2d受体的抗体可变结构域
EA202091888A EA202091888A1 (ru) 2018-08-08 2019-02-08 Вариабельные домены антител, нацеленные на рецептор nkg2d
US16/967,216 US11884733B2 (en) 2018-02-08 2019-02-08 Antibody variable domains targeting the NKG2D receptor
BR112020016190-0A BR112020016190B1 (pt) 2018-02-08 2019-02-08 Sítio de ligação ao antígeno que se liga a nkg2d, proteína, formulação compreendendo a mesma e seus usos
FIEP19750602.5T FI3749346T3 (fi) 2018-02-08 2019-02-08 Nkg2d-reseptoriin kohdistuvat vasta-aineen vaihtelevan domeenin yhdistelmät
EP24179053.4A EP4434587A3 (en) 2018-02-08 2019-02-08 Antibody variable domain combinations targeting the nkg2d receptor
JP2020542863A JP7690286B2 (ja) 2018-02-08 2019-02-08 Ｎｋｇ２ｄ受容体を標的とする抗体可変ドメイン
EP19750602.5A EP3749346B1 (en) 2018-02-08 2019-02-08 Antibody variable domain combinations targeting the nkg2d receptor
CN201980012297.4A CN112368012B (zh) 2018-02-08 2019-02-08 靶向nkg2d受体的抗体可变结构域
MX2020008336A MX2020008336A (es) 2018-02-08 2019-02-08 Dominios variables de anticuerpos que se dirigen al receptor nkg2d.
PE2020001194A PE20220278A1 (es) 2018-02-08 2019-02-08 Dominios variables de anticuerpos que se dirigen al receptor nkg2d
IL276459A IL276459A (en) 2018-02-08 2020-08-03 Variable regions of an antibody that targets the NKG2D receptor
CONC2020/0010345A CO2020010345A2 (es) 2018-02-08 2020-08-21 Dominios variables de anticuerpos que se dirigen al receptor nkg2d
US18/501,419 US12129300B2 (en) 2018-02-08 2023-11-03 Antibody variable domains targeting the NKG2D receptor
US18/501,427 US12264200B2 (en) 2018-02-08 2023-11-03 Antibody variable domains targeting the NKG2D receptor
US18/501,413 US11939384B1 (en) 2018-02-08 2023-11-03 Antibody variable domains targeting the NKG2D receptor
US18/894,660 US20250019444A1 (en) 2018-02-08 2024-09-24 Antibody variable domains targeting the nkg2d receptor
JP2024220384A JP2025032351A (ja) 2018-02-08 2024-12-16 Ｎｋｇ２ｄ受容体を標的とする抗体可変ドメイン

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