WO2021132746A1

WO2021132746A1 - Anti-bcma/anti-4-1bb bispecific antibodies and uses thereof

Info

Publication number: WO2021132746A1
Application number: PCT/KR2019/018357
Authority: WO
Inventors: Kyungjin PARK; Eunjung Kim; Minji PARK; Seonggyu SEON; Yong-Gyu Son; Jaehyun EOM; Yangsoon Lee; Saeyi LIM; Ui-Jung Jung; Hyejin Chung; Junghyeon Hong
Original assignee: Abl Bio, Inc.
Priority date: 2019-12-24
Filing date: 2019-12-24
Publication date: 2021-07-01

Abstract

An anti-B-cell maturation antigen (BCMA)/anti-4-1BB bispecific antibody or an antigen-binding fragment thereof, and use thereof, are provided. The bispecific antibody or an antigen-binding fragment thereof may have high binding affinity to both of a BCMA protein and a 4-1BB protein and may be effectively used to prevent or treat a disease related to BCMA, 4-1BB, or both thereof (e.g., cancer).

Description

ANTI-BCMA/ANTI-4-1BB BISPECIFIC ANTIBODIES AND USES THEREOF

The present disclosure relates to anti-BCMA/anti-4-1BB bispecific antibodies capable to effectively block the interactions between BCMA and its ligand, and activate 4-1BB signaling; a method of preparing the same; and use thereof. The bispecific antibody may have high binding affinity to both of a BCMA protein and a 4-1BB protein.

B-cell maturation antigen (BCMA) is a protein of about 20 KDa and belongs to the tumor necrosis factor-receptor (TNFR) superfamily. BCMA is also known to be a ligand of B-cell Activating Factor belonging to the Tumor Necrosis Factor family (BAFF) and A Proliferation Inducing Ligand (APRIL). In pathological situations, BCMA is expressed in neoplastic plasma cells of patients with multiple myeloma (MM), and survival rates in patients with multiple myeloma are lower with higher BCMA expression (Moreaux et al., Eur J Haematol 2009 83: 119-129). Multiple myeloma is a neoplastic disease caused by monoclonal proliferation of plasma cells. The initial treatment rate has increased due to the development of drugs such as thalidomide, bortezomib, lenalidomide, and the development of treatment methods. However, the survival of patients with multiple myeloma has not been significantly improved.

4-1BB is a member of TNF-receptor superfamily (TNFRSF) and is a co-stimulatory molecule which is expressed following the activation of immune cells, both innate and adaptive immune cells. 4-1BB plays important role in modulate the activity of various immune cells. Agonistic 4-1BB antibody enhances immune cell proliferation, survival, secretion of cytokines and cytolytic activity CD8 T cells. Many other studies showed that activation of 4-1BB enhances immune response to eliminate tumors in mice. Therefore, it suggests that 4-1BB is a promising target molecule in cancer immunology. Despite of their anti-tumor efficacy, anti-4-1BB antibody induced severe liver toxicity in clinical application.

Multispecific antibodies targeting two or more antigens have been developed in various kinds and forms and are expected as a new drug antibody having excellent therapeutic effects compared to a monoclonal antibody. Accordingly, there is a need for the development of a multispecific antibody which is effective in the treatment of cacner such as multiple myeloma.

Provided is an anti-B-cell maturation antigen (BCMA)/anti-4-1BB bispecific antibody or an antigen-binding fragment thereof.

Provided is a pharmaceutical composition for prevention or treatment of a disease related to BCMA, 4-1BB, or both thereof.

Privided is a method of prevention or treatment of a disease related to BCMA, 4-1BB, or both thereof in an individual.

Reference will now be made in detail to example embodiments, which are illustrated in the accompanying drawings, wherein like reference numerals refer to like elements throughout. In this regard, the present example embodiments may have different forms and should not be construed as being limited to the descriptions set forth herein. Accordingly, the example embodiments are merely described below, by referring to the figures, to explain aspects of the present description. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items. Expressions such as "at least one of," when preceding a list of elements, modify the entire list of elements and do not modify the individual elements of the list.

According to an aspect of the present disclosure, anti-B-cell maturation antigen (BCMA)/anti-4-1BB bispecific antibody or an antigen-binding fragment thereof includes an anti-BCMA antibody or an antigen-binding fragment thereof, and an anti-4-1BB antibody or an antigen-binding fragment thereof.

The term "antibody" is interchangeably used with "immunoglobulin (Ig)." The whole antibody has a structure including two full-length light chains and two full-length heavy chains, which are connected by disulfide (SS) bonds. The antibody may be, for example, IgA, IgD, IgE, IgG, or IgM. The antibody may be a monoclonal antibody or a polyclonal antibody. The antibody may be an animal-derived antibody, a mouse-human chimeric antibody, a humanized antibody, or a human antibody.

The term "antigen-binding fragment" refers to a fragment of the whole immunoglobulin structure, which may be a part of a polypeptide including an antigen-binding site. For example, the antigen-binding fragment may be scFv, (scFv)₂, Fv, Fab, Fab', Fv F(ab')₂, or a combination thereof.

There are five types of heavy chains denoted by γ, δ, α, μ, and ε. The type of heavy chain defines the class of antibody. The heavy chain types α and γ each chain consists of approximately 450 amino acids, whereas μ and ε each chain consists of approximately 550 amino acids. Each heavy chain has two regions, i.e., the variable region and the constant region.

There are two types of light chains denoted by λ and κ. Each light chain consists of approximately 211 to 217 amino acids. Each human antibody contains only one type of light chain. Each light chain contains two successive domains including one constant region and one variable region.

The variable region refers to a region of the antibody which binds to an antigen.

The antibody or the antigen-binding fragment thereof may be modified. For example, the antibody or the antigen-binding fragment thereof may be modified by conjugation or binding, glycosylation, tag attachment, or a combination thereof. The antibody may be conjugated with other drugs such as anti-cancer drug. For example, the antibody or the antigen-binding fragment thereof may be conjugated with horseradish peroxidase (HRP), alkaline phosphatase, hapten, biotin, streptavidin, a fluorescent material, a radioactive material, quantum dots, polyethylene glycol (PEG), a histidine tag, or a combination thereof. The fluorescent material may be Alexa Fluor®532, Alexa Fluor®546, Alexa Fluor®568, Alexa Fluor®680, Alexa Fluor®750, Alexa Fluor®790, or Alexa Fluor™350.

Anti-BCMA antibody or the antigen-binding fragment thereof

The anti-BCMA antibody or the antigen-binding fragment thereof may include a heavy chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 10 to 21, a light chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 22 to 32 and 54 to 64, or the heavy chain variable region and the light chain variable region.

The anti-4-1BB antibody or the antigen-binding fragment thereof may include a heavy chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 81 to 91, a light chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 92 to 97, or the heavy chain variable region and the light chain variable region.

The heavy chain variable region of the anti-BCMA antibody or the antigen-binding fragment thereof may include a complementarity-determining region-H1 (CDR-H1) including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 10 to 13; a CDR-H2 including an amino acid sequence selected from SEQ ID NOs: 14 to 17; and a CDR-H3 including an amino acid sequence selected from SEQ ID NOs: 18 to 21. The term "complementarity-determining region (CDR)" refers to a site of the variable region of an antibody that imparts binding specificity of the antibody or antigen-binding fragment thereof to an antigen.

The light chain variable region of the anti-BCMA antibody or the antigen-binding fragment thereof may include a complementarity-determining region-L1 (CDR-L1) including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 22 to 25 and 54 to 62; a CDR-L2 including an amino acid sequence selected from SEQ ID NOs: 26 to 28; and a CDR-L3 including an amino acid sequence selected from SEQ ID NOs: 29 to 32, 63, and 64.

The anti-BCMA antibody or the antigen-binding fragment thereof may be selected from the group consisting of:

(1) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 10, a CDR-H2 having the amino acid sequence of SEQ ID NO: 14, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 18;

(2) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 11, a CDR-H2 having the amino acid sequence of SEQ ID NO: 15, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 19;

(3) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 12, a CDR-H2 having the amino acid sequence of SEQ ID NO: 16, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 20; and

(4) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 13, a CDR-H2 having the amino acid sequence of SEQ ID NO: 17, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 21.

(1) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 22, a CDR-L2 having the amino acid sequence of SEQ ID NO: 26, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 29;

(2) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 23, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 30;

(3) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 24, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(4) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 25, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 32;

(5) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 54, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(6) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 55, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(7) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 56, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(8) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 57, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(9) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 58, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(10) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 59, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 32;

(11) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 60, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 32;

(12) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 25, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 63;

(13) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 25, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 64;

(14) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 61, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 63;

(15) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 61, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 64;

(16) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 62, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 63; and

(17) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 62, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 64.

The anti-BCMA antibody or the antigen-binding fragment thereof may include a heavy chain variable region comprising ans amino acid sequences selected from the group consisting SEQ ID NOs: 2 to 5.

The anti-BCMA antibody or the antigen-binding fragment thereof may include a light chain variable region comprising ans amino acid sequences selected from the group consisting SEQ ID NOs: 6 to 9 and 41 to 53.

The B Cell Maturation Antigen (BCMA) may be a BCMA polypeptide or a fragment thereof. BCMA may also be referred to as tumor necrosis factor receptor superfamily member 17 (TNFRSF17), BCM, CD269, TNFRSF13A, or TNF receptor superfamily member 17. The BCMA polypeptide may include amino acid sequence of GenBank Accession No. NP_001183 (human) or amino acid sequence of GenBank Accession No. NP_035738 (mouse). The BCMA polypeptide may include amino acid sequence encoded by polynucleotide of GenBank Accession No. NM_001192 (human) or GenBank Accession No. NM_011608 (mouse). The fragment may be a polypeptide comprising any part of amino acid sequence of a BCMA polypeptide.

The anti-BCMA antibody or the antigen-binding fragment thereof may have affinity to an BCMA polypeptide or a fragment thereof, thereby specifically binding to BCMA.

The anti-BCMA antibody or antigen-binding fragment thereof may inhibit the binding between a BCMA protein and a substance specifically binding to the BCMA protein. Substances that specifically bind to the BCMA protein may also be referred to as ligands, for example B-cell Activating Factor belonging to the Tumor Necrosis Factor family (BAFF), A Proliferation Inducing Ligand (APRIL), or a combination thereof.

Anti-4-1BB antibody or the antigen-binding fragment thereof

The heavy chain variable region of the anti-4-1BB antibody or the antigen-binding fragment thereof may include a CDR-H1 including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 81 to 83; a CDR-H2 including an amino acid sequence selected from SEQ ID NOs: 84 to 86; and a CDR-H3 including an amino acid sequence selected from SEQ ID NOs: 87 to 91.

The light chain variable region of the anti-4-1BB antibody or the antigen-binding fragment thereof may include a CDR-L1 including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 92 and 93; a CDR-L2 including an amino acid sequence selected from SEQ ID NOs: 94 and 95; and a CDR-L3 including an amino acid sequence selected from SEQ ID NOs: 96 and 97.

The anti-4-1BB antibody or the antigen-binding fragment thereof may be selected from the group consisting of:

(1) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 81, a CDR-H2 having the amino acid sequence of SEQ ID NO: 84, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 87;

(2) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 81, a CDR-H2 having the amino acid sequence of SEQ ID NO: 84, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 88;

(3) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 81, a CDR-H2 having the amino acid sequence of SEQ ID NO: 84, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 89;

(4) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 82, a CDR-H2 having the amino acid sequence of SEQ ID NO: 85, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 90; and

(5) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 83, a CDR-H2 having the amino acid sequence of SEQ ID NO: 86, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 91.

(1) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 92, a CDR-L2 having the amino acid sequence of SEQ ID NO: 94, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 96; and

(2) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 93, a CDR-L2 having the amino acid sequence of SEQ ID NO: 95, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 97.

The anti-4-1BB antibody or the antigen-binding fragment thereof may include a light chain variable region comprising ans amino acid sequences selected from the group consisting SEQ ID NOs: 73 to 80.

The 4-1BB may be a 4-1BB polypeptide or a fragment thereof. 4-1BB may also be referred to as CD137, CDw137, ILA, tumor necrosis factor receptor superfamily member 9 (TNFRSF9), or TNF receptor superfamily member 9. The 4-1BB polypeptide may include amino acid sequence of GenBank Accession No. NP_001552 (human), or amino acid sequence of GenBank Accession No. NP_001070976, NP_001070977, or NP_035742 (mouse). The BCMA polypeptide may include amino acid sequence encoded by polynucleotide of GenBank Accession No. NM_001561 (human), or GenBank Accession No. NM_001077508, NM_001077509, or NM_011612 (mouse). The fragment may be a polypeptide comprising any part of amino acid sequence of a 4-1BB polypeptide.

The anti-4-1BB antibody or the antigen-binding fragment thereof may have affinity to an 4-1BB polypeptide or a fragment thereof, thereby specifically binding to 4-1BB. The anti-4-1BB antibody or an antigen-binding fragment thereof is capable of enhancing immune response and/or treating tumor (cancer) in a mammal. The anti-4-1BB antibody or an antigen-binding fragment thereof is characterized by localizing and/or activating only in tumor microenvironment (TME) and/or considerably reducing liver toxicities compared to pre-existing anti-4-1BB antibodies, with maintaining the efficacies of enhancing immune response enhancement and/or tumor treatment.

Anti-BCMA /anti-4-1BB bispecific antibody or or the antigen-binding fragment

In the anti-BCMA/anti-4-1BB bispecific antibody or an antigen-binding fragment thereof, each of the anti- BCMA antibody or antigen-binding fragment thereof and the anti-4-1BB antibody or antigen-binding fragment thereof is independently a chimeric antibody, a humanized antibody, or a human antibody.

In the bispecific antibody, one of the BCMA targeting moiety and the 4-1BB targeting moiety can be a full-length antibody, and the other can be an antigen-binding fragment (e.g., scFv) comprising heavy chain CDRs, light chain CDRs, or a combination thereof. The full-length antibody targeting one of BCMA and 4-1BB proteins, and the antigen-binding fragment targeting the other protein may be chemically linked (e.g., covalently linked) directly or via a peptide linker. The antigen-binding fragment (e.g., scFv) may be linked directly or via a peptide linker to N-terminus of the full-length antibody (e.g., N-terminus of a light chain or a heavy chain of the full-length antibody), C-terminus of the full-length antibody (e.g., C-terminus of a heavy chain (or Fc or CH3 domain) of the full-length antibody), or both thereof (see FIG. 1).

The anti-BCMA/anti-4-1BB bispecific bispecific antibody or the antigen-binding fragment may include further at least one of a pepetide linker. The term "peptide linker" may be those including any amino acids of 1 to 100, particularly 2 to 50, and any kinds of amino acids may be included without any restrictions. The peptide linker may include a peptide having an amino acid sequence selected from the group consisting of SEQ ID NO: 98 and SEQ ID NO: 99.

In an embodiment, the bispecific antibody may comprise a full-length anti-BCMA antibody, an antigen-binding fragment (e.g., scFv) of an anti-4-1BB antibody, and a peptide linker therebetween. In other embodiment, the bispecific antibody may comprise a full-length anti-4-1BB antibody, an antigen-binding fragment (e.g., scFv) of an anti-BCMA antibody, and a peptide linker therebetween.

In the anti-BCMA/anti-4-1BB bispecific antibody or an antigen-binding fragment thereof, the antibody may be IgA, IgD, IgE, IgG, or IgM. The antibody may be a monoclonal antibody or a polyclonal antibody. The antigen-binding fragment may be scFv, (scFv)₂, Fv, Fab, Fab', F(ab')₂, or a combination thereof. The antibody or the antigen-binding fragment thereof is modified by conjugation or binding, glycosylation, tag attachment, or a combination thereof.

In an embodiment, the scFv contained in the bispecific antibody may comprise a heavy chain variable region and a light chain variable region in any order. For example, the scFv contained in the bispecific antibody may comprise a heavy chain variable region and a light chain variable region, in a direction from N-terminus to C-terminus, and optionally a peptide linker therebetween, or alternatively, the scFv contained in the bispecific antibody may comprise a light chain variable region and a heavy chain variable region, in a direction from N-terminus to C-terminus, and optionally a peptide linker therebetween.

The anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment may be in the form of IgG-scFv, triomab, knobs into holes (kih) IgG with common light chain, crossmab, ortho-Fab IgG, dual variable domain immunoglobulin (DVD-Ig), 2 in 1-IgG, scFv2- Fc, bi-nanobody, bispecific T cell engager (BiTE), tandAbs, dual affinity retargeting (DART), DART-Fc, scFv-human serum albumin (HSA)-scFv, dock-and-lock (DNL)-Fab3, minibody, scFv-Fc, scFv-zipper, scFv, Fab, Fab2 (bispecific), Fab3 (trispecific), scFab, Bis-scFv (bispecific), sdAb (VH/VHH), tetrabody, triabody, diabody, diabody, camel Ig, IgNAR, IgG, bispecific construct comprising a Knob in Hole, a bispecific construct comprising a duobody, a tetravalent multispecific antibody, tetravalent construct, tetravalent dual variable domain (DVD) construct, tetravalent IgGScv construct, tetravalent Mbatryn construct, or a composite antibody, or a combination thereof.

The anti-BCMA /anti-4-1BB bispecific antibody or or the antigen-binding fragment may activate 4-1BB signaling depending on BCMA expressed on cell surfaces.

According to another aspect of the present disclosure, a pharmaceutical composition for prevention or treatment of a disease related to BCMA, 4-1BB, or both thereof includes the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment according to any one of the above-described embodiments, and a pharmaceutically acceptable carrier.

The BCMA, 4-1BB, anti-BCMA/anti-4-1BB bispecific antibody, and antigen-binding fragment are the same as described above.

The disease related to BCMA, 4-1BB, or both thereof may be cancer. The cancer may be a solid cancer or a non-solid cancer. Solid cancers refer to the incidence of cancerous tumors in solid organs such as the liver, lung, breast, or skin, whereas non-solid cancers refer to cancers affecting the blood, and so are called blood cancer. For example, the cancer may be selected from the group consisting of breast cancer, skin cancer, head and neck cancer, pancreatic cancer, lung cancer, colon cancer, colorectal cancer, gastric cancer, ovarian cancer, prostate cancer, bladder cancer, uterine cancer, liver cancer, kidney cancer, clear cell sarcoma, melanoma, cerebrospinal tumors, brain cancer, thymoma, mesothelioma, esophageal cancer, biliary tract cancer, testicular cancer, germinal cancer, thyroid cancer, parathyroid cancer, cervical cancer, endometrial cancer, lymphoma, myelodysplastic syndromes (MDS), myelofibrosis, acute leukemia, chronic leukemia, multiple myeloma, Hodgkin's disease, endocrine cancer, and sarcoma.

The term "prevention" refers to any act that suppresses or delays the onset of a disease related to BCMA, 4-1BB, or both thereof by administration of the pharmaceutical composition. The term "treatment" refers to any act that alleviates symptoms of a disease related to BCMA, 4-1BB, or both thereof by administration of the pharmaceutical composition.

The pharmaceutical composition may include a pharmaceutically acceptable carrier. The carrier may be construed as meaning an excipient, a diluent, or an adjuvant. For example, the carrier may be selected from the group consisting of lactose, dextrose, sucrose, sorbitol, mannitol, xylitol, erythritol, maltitol, starch, acacia rubber, alginate, gelatin, calcium phosphate, calcium silicate, cellulose, methyl cellulose, polyvinylpyrrolidone, water, physiological saline, a buffer such as phosphate-buffered saline (PBS), methyl hydroxybenzoate, propyl hydroxybenzoate, talc, magnesium stearate, glycine, histidine, serine, polysorbate, and mineral oil. The pharmaceutical composition may include a filler, an anti-coagulant, a lubricant, a wetting agent, a flavoring agent, an emulsifier, a preservative, or a combination thereof.

The pharmaceutical composition may be formulated in any form using any common method in the art. For example, the pharmaceutical composition may be formulated in oral dosage form (for example, powders, tablets, capsules, syrups, pills, or granules), or parenteral dosage form (for example, injection). The pharmaceutical ccomposition may be prepared in formulation for systemic delivery, or in a formulation for local delivery.

The pharmaceutical composition may further include an anti-cancer drug. The anti-cancer drug may be Cetuximab, Panitumumab, Erlotinib, Gefitinib, Trastuzumab, T-DM1, Pertuzumab, Lapatinib, Paclitaxel, Tamoxifen, Cisplatin, anti-CTLA-4 antibody, anti-PD-1 antibody, anti-PD-L1 antibody, 5-fluorouracil (5FU), Gemcitabine, or a combination thereof. The pharmaceutical composition may include a single composition or separate compositions. For example, the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment thereof of the pharmaceutical composition may be a composition in parenteral dosage form, and the anti-cancer drug may be a composition in oral dosage form.

The pharmaceutical composition may include an effective amount of the antibody or the antigen-binding fragment thereof, an anti-cancer drug, or a combination thereof. The term "effective amount" used herein refers to an amount sufficient to prevent or treat a disease related to BCMA, 4-1BB, or both thereof when administered to an individual who needs such prevention or treatment. The effective amount may be appropriately selected depending on a selected cell or individual by one of ordinary skill in the art. For example, the effective amount may be determined depending on disease severity, a patient's age, body weight, health conditions, gender, a patient's drug sensitivity, administration duration, administration route, excretion rate, treatment duration, and other factors, including use of a drug in combination with or at the same time as the pharmaceutical composition, and other factors known in the medical field. The effective amount may be about 0.5 ㎍ to about 2 g of the pharmaceutical composition.

A dose of the pharmaceutical composition may be, for example, about 0.001 ㎎/kg to about 100 ㎎/kg when administered to an adult. The number of administrations may be, for example, once or multiple times in a day, once in a week to four weeks, or once to twelve times in a year.

According to another aspect of the present disclosure, a method of prevention or treatment of a disease related to BCMA, 4-1BB, or both thereof in an individual includes administering the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment according to any one of the above-described embodiments to the individual.

The BCMA, 4-1BB, anti-BCMA/anti-4-1BB bispecific antibody, antigen-binding fragment, prevention, and treatment are the same as described above.

The individual may be a mammal, for example, a human, monkey, cow, horse, pig, dog, sheep, goat, or cat. The individual may be an individual who suffers from a disease related to BCMA, 4-1BB, or both thereof or who is susceptible to the disease, which may be cancer.

The method may further include administering an anti-cancer drug to the individual in need thereof. The anti-cancer drug may be administered at the same time with, separately from, or sequentially with the anti-BCMA/anti-4-1BB bispecific antibody or an antigen-binding fragment thereof according to any of the above-described example embodiments.

For example, the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment thereof, an anti-cancer drug, or a combination thereof may be directly administered to the individual by any method, for example, by oral, intravenous, intramuscular, transdermal, mucosal, intranasal, intratracheal, or subcutaneous administration. The antibody or the antigen-binding fragment thereof, an anti-cancer drug, or a combination thereof may be administered systemically or locally. The antibody or the antigen-binding fragment thereof, an anti-cancer drug, or a combination thereof may be administered alone or together with a pharmaceutically active compound.

A dose of the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment thereof, an anti-cancer drug, or a combination thereof may vary depending on a patient's condition, body weight, disease severity, drug formulation, administration route, and administration duration, and may be appropriately selected by one of ordinary skill in the art. For example, a dose of the antibody or the antigen-binding fragment thereof, an anti-cancer drug, or a combination thereof may be about 0.001 ㎎/kg to about 100 ㎎/kg when administered to an adult. The number of administrations may be, for example, once or multiple times in a day, once in a week to four weeks, or once to twelve times in a year.

As described above, according to the one or more example embodiments, the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment thereof, and use thereof, are provided. The anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment thereof may be effectively used to prevent or treat a disease related to BCMA, 4-1BB, or both thereof.

These and/or other aspects will become apparent and more readily appreciated from the following description of the example embodiments, taken in conjunction with the accompanying drawings in which:

FIG 1 is a schematic diagram of the bispecific antibody according to an embodiment of the present disclosure;

FIGs 2a-2c are graphs showing results of target protein binding test by using DACE and FIGs 2d-2f are graphs showing cell surface binding test by using FACS system;

FIGs 3a-3d are graphs showing results of 4-1BB reporter bioassay;

FIGs 4a-4c are graphs showing results of PBMC-based study;

FIG 5a is graphs showing results of target protein binding test by using DACE (5D5 WT and 5D5 Mutants), FIG 5b is graphs showing results of target protein binding test by using DACE (5A6 WT and 5A6 Mutants), FIG 5c is a graph showing results of target protein binding test by using DACE (WT and Mutants), and FIG 5d is graphs showing cell surface binding test by using FACS system (WT and Mutants);

FIGs 6a-6c are graphs showing results of in vitro 4-1BB activation test;

FIG 7 is a graph showing results of monkey cross reactivity test by DACE;

FIGs 8a-8c are graphs showing tumor growth inhibition by BCMAx4-1BB bispecific antibody in humanized NOG Mice bearing H929;

FIG 9a is images showing tumor-infiltrating lymphocytes (TIL) and FIG 9b is graphs showing results of analysis of tumor-infiltrating lymphocytes; and

FIG 10a and FIG 10b are graphs showing individual results (n=3) and summing results (n=3) for pharmacokinetics of anti-BCMA/anti-4-1BB bispecific antibodies in cynomolgus monkey, respectively.

One or more embodiments of the present disclosure will now be described in detail with reference to the following examples. However, these examples are only for illustrative purposes and are not intended to limit the scope of the one or more embodiments of the present disclosure.

Example 1. Preparation of anti-BCMA monoclonal antibodies

1-1. Preparation of antigen

Antigens were prepared as follows for the preparation of anti-BCMA antibodies. Polypeptides comprising amino acid residues 5-54, 1-51, 1-54, and 4-48, respectively, from the N-terminus of the amino acid sequence of human BCMA (GenBank Accession No. NP_001183.2, SEQ ID NO: 1), were used as antigens.

Specifically, an antigen containing amino acid residues 5-54 of human BCMA (GENSCRIPT®, Z02731) ("human BCMA (5-54)"); an antigen containing amino acid residues 1-51 of human BCMA (made in house, expressed in CHO cells) fused to the Fc region of the human IgG1 ("human BCMA-Fc (1-51)"); an antigen containing amino acid residues 1-54 of human BCMA fused to the Fc region and His tag to the C-terminus thereof (10620-H03H, Sino Biological Inc.) ("human BCMA-Fc / His (1-54)"); and an antigen containing amino acid residues 4-48 of human BCMA (made in house, expressed in HEK293 cells) fused to the Fc region ("human BCMA-Fc (4-48)") were prepared.

Human BCMA-Fc (4-48) was prepared as follows. Polynucleotides encoding amino acid residues 4-48 of human BCMA were cloned into pAB1-Fc which is an animal cell expression vector including a CMV promoter. The cloned vector was transformed into HEK293E cells, and human BCMA-Fc (4-48) was purified using Protein A affinity chromatography. Human BCMA-Fc (1-51) was prepared in the same manner as described above.

1-2. Library phage preparation and phage-display panning

Human-derived single-chain fragment variable (ScFv) phage library cells (Mol. Cells OT, 225-235, February 28, 2009), which are able to bind to various antigens, were prepared. The prepared phage library was infected with the helper phage, and then, phage packing was induced. Thereafter, the culture product was centrifuged at 4,500 rpm for 15 minutes at 4℃, and then, 4%(w/v) PEG 6000 (Fluka, 81253) and 3%(w/v) NaCl (Sigma, S7653) were added to the supernatant and dissolved well, followed by incubating on ice for 1 hour. The resultant product was centrifuged at 4℃ at 8,000 rpm for 20 minutes, pellets were suspended in PBS, and then centrifused again at 4℃ at 12,000 rpm for 10 minutes to obtain a supernatant containing a library phage. The obtained library phage was stored at 4℃ before use.

Panning was performed a total of three times in the following manner to screen for antibodies that are reactive to human BCMA or cross-reactive to human BCMA and monkey BCMA. 5 ㎍ of the antigen prepared according to Example 1-1 was added to an immunotube (maxisorp 444202) and incubated at 4℃ for 16 hours to coat the surface of the test tube with a protein. The supernatant was removed therefrom, and bovine serum albumin (BSA) was added thereto to block nonspecific binding.

10¹² CFU of the phage library of prepared according to Example 1-2 was mixed with 1.5%(w/v) BSA, and the mixture was added to the target protein-coated immunoassay tube and reacted at 37℃ for 1 hour to allow a BCMA-specific phage to bind to the target protein. Subsequently, after multiple washing with a PBS-T (phosphate buffered saline including 0.05%(v/v) Tween 20) solution, phages bound to BCMA were recovered by using a 100 mM triethylamine solution. The recovered phages were neutralized with 1M Tris buffer (pH 7.4), and then, K12 ER2738 Escherichia coli was infected therewith, and the phages were recovered again. This cycle including target binding, eluting, neutralizing, infecting, and recovering was repeatedly performed four times. As the panning round progressed, the number of washing process using PBS-T was increased to amplify and concentrate the antigen-specific phage.

1-3. Single clone phage antibody screening

A single clone phage antibody screening procedure was performed to select, from a phage pool, a monoclonal antibody that specifically binds to BCMA.

Specifically, the phage pool obtained according to Example 1-2 was sequentially diluted, and cultured on a solid medium containing LB-tetracycline/cabenicillin to obtain single colonies. Each colony was cultured on a 96-deep well plate so that OD600 was from 0.5 to 0.7. 20 MOI of helper phage was added to each well, and reacted at 37℃ for 1 hour. Thereafter, kanamycin was added to each well and incubated overnight at 30℃. On the next day, the culture was centrifuged and the supernatant thereof was collected, and then, ELISA was performed to select BCMA-specific phages. Each well of the ELISA plate was coated with 100 ng of recombinant BCMA, and then incubated with PBS-B (3% BSA containing PBS) to prevent nonspecific binding. Thereafter, the plate was washed with PBS. The prepared single clone phage was added to each well and incubated at 37℃ for 1 hour, and the plate was washed three times with PBS-T. For detacting the bounded phages, horseradish peroxidase (HRP) conjugated anti-hemagglutinin (HA) antibody was added to each well. After washing step with PBS-T, tetramethylbenzidine (TMB, Sigma, T0440) was added. Clones, which are with an absorbance that is 0.5 or more at the wavelength of 450 nm and also the absobance is at least 5 times greater than that of the control with anti-HA HRP alone, were selected. Four antibody clones (B58, 5B5, 5D5, and 5A6), which specifically bind to human BCMA, were selected.

From the nucleotide sequences encoding the selected antibodies, the amino acid sequences of the heavy chain variable region (SEQ ID NOs: 2 to 5) and the amino acid sequences of the light chain variable region (SEQ ID NOs: 6 to 9) were analyzed, and complementarity determining regions (CDR) was determined according to Kabat definition. The determined CDR amino acid sequences (N->C) of the heavy chains and light chains are shown in Tables 1 and 2, respectively.

Nucleotide sequences encoding heavy chain variable regions and nucleotide sequences encoding light chain variable regions are shown in Table 3 below.

1-4. Production of anti-BCMA IgG antibodies from selected anti-BCMA phages

Polynucleotides having nucleotide sequences encoding the antibodies selected according to Example 1-3 were synthesized. The prepared polynucleotides were cloned into animal cell culture vectors (heavy chain expression vector: pAB1-HC, and light chain expression vector: pAB1-LC). Prepared were a total of 8 vectors containing polynucleotides encoding heavy and light chains for each of the four antibody clones (B58, 5A6, 5D5, and 5B5). Each of the prepared vectors for pAB1-HC contained an IgG1-type sequence.

CHO-S cells were cultured in a CD-CHO (Gibco, 10743) medium, and the prepared vectors were introduced into the CHO-S cells using polyethylenimine (PEI). Transduced CHO-S cells were cultured in CD-CHO medium for about 7 days at 8% CO₂, at 37℃ with shacking (110 rpm).

After collecting the culured supernatant, then it was passed through a MabSelect SuRe column (GE healthcare, 5 mL) equilibrated with equilibration buffer (50 mM Tris-HCl, pH7.5, 100 mM NaCl) to allow the expressed antibody to bind to the column. The antibody was eluted with a solution of 50 mM Na-citrate (pH 3.4) and 100 mM NaCl, and then, neutralized using 1M Tris-HCl (pH 9.0) to obtain a final pH of 7.2. The buffer was then exchanged with PBS (pH 7.4) and the anti-BCMA IgG antibodies B58, 5A6, 5D5, and 5B5 were stored at 4℃ until use.

1-5. Preparation of mutations of 5A6 and 5D5

In order to improve the productivity of the selected 5A6 and 5D5 antibodies, mutated antibodies were prepared in accordance with the nucleotide sequences of Table 3 by mutating one or two amino acid residues in the light chain CDR of the antibody.

The amino acid sequences of CDR-L1, CDR-L2, and CDR-L3 of the 5D5 mutant antibodies and the 5A6 mutant antibodies are shown in Table 4 and Table 5, respectively. In Tables 4 and 5, the underlined and bold amino acid residues are mutated moieties (WT: wild type, LM: light chain mutants). The light chain variable regions of the 5D5 mutant antibodies and the 5A6 mutant antibodies have the amino acid sequences of SEQ ID NOs: 41 to 45 and SEQ ID NOs: 46 to 53, respectively.

Example 2. Preparation of anti-4-1BB monoclonal antibodies

2-1. Screening of full human monoclonal antibodies against 4-1BB (Phage library immunotube panning)

For panning of the library against target molecules, a total of four rounds of panning were carried out using 4-1BB coated immunotubes.

Bacterial colonies from the 3rd rounds of panning output were grown in SB-Carbenicilin in 96 deepwell plate until turbid, at which point 1011 pfu of VCSM13 helper phage was added to each well. After 1-hour infection at 37℃ with gentle shaking (80 rpm), 70 ㎍/mL of kanamycin was added and the cells were cultured overnight at 30℃ with shaking at 200 rpm.

Next day, the plates were centrifuged and the supernatants containing the phages were added to 4-1BB antigen-coated ELISA plates blocked with 3%(w/v) BSA in PBST. After 1-hour incubation at room temperature, the plates were washed three times with PBST, and anti-M13 antibody was added. The plates were incubated for 1 hour, washed three times with PBST, and the binding activity was measured using tetramethylbenzidine (TMB).

The 4-1BB specific antibodies were amplified for plasmid DNA sequencing. Ig light chain V genes (VL) and VH sequences were analyzed to identify unique sequences and determine sequence diversity. Three antibody clones (41B01, 41B02, and AB41), which specifically bind to human 4-1BB, were selected. 41B01 M4, 41B01 M11, 41B01 M12, 41B01 M13, and 41B02 M1 mutants were prepared from the selected antibodies, as described in Example 1-5. 41B01 and 41B02 are also referred to as 1A10 and 1A12, respectively.

From the nucleotide sequences encoding the selected antibodies, the amino acid sequences of the antibody heavy chain variable region (SEQ ID NOs: 65 to 72) and the amino acid sequences of the light chain variable region (SEQ ID NOs: 73 to 80) were analyzed, and CDRs were determined according to Kabat definition. The determined CDR amino acid sequences (N->C) of the heavy chains and light chains are shown in Tables 6 and 7, respectively.

2-2. Antigen Binding Abilities of Anti-4-1BB Antibodies to human 4-1BB

(1) Antigen binding measured by ELISA

To evaluate the antigen binding activity, the antibody candidates were subjected to ELISA test. Briefly, microtiter plates were coated with human 4-1BB-Fc protein at 0.1 ㎍/mL in PBS, 100 μl/well at 4℃ overnight, then blocked with 100 ㎕/well of 5%(w/v) BSA. Five-fold dilutions of humanized antibodies 41B01 and 41B02 starting from 10 ㎍/mL were added to each well and incubated for 1-2 hours at RT. The plates were washed with PBS/Tween and then incubate with goat-anti-human IgG antibody conjugated with Horse Radish Peroxidase (HRP) for 1 hour at RT. After washing, the plates were developed with TMB substrate and analyzed by spectrophotometer at OD 450-630 nm.

(2) Cell binding measured by FACS

To evaluate the antigen binding property, the antibody candidates were analyzed for its binding to mammalian expressed 4-1BB by FACS. Briefly, 4-1BB-Jurkat cells were incubated with antibodies (41B01 and 41B02). After wash by FACS buffer (1%(w/v) BSA in PBS), the FITC-anti-human IgG antibody was added to each well and incubated at 4℃ for 1 hour. The MFI of FITC was evaluated by FACS Caliber.

(3) Protein kinetic for 4-1BB

To explore the binding kinetics of the humanized antibody, this example performed the affinity ranking by using Octet Red 96. As shown in Table 8 below, 41B01 and 41B02.

As shown in Table 8, the tested anti-4-1BB antibodies showed high 4-1BB binding affinities.

Example 3. Characterization of anti-BCMA/anti-4-1BB bispecific antibodies

3-1. Preparation of bispecific antibodies anti-BCMA/anti-4-1BB bispecific antibodies

Various anti-BCMA/anti-4-1BB bispecific antibody candidates were prepared in full-length IgG (anti-BCMA antibody)-scFv(anti-4-1BB antibody) format as presented in Table 9. The constant region of the anti-BCMA antibody contained in the bispecific antibody can still be modified by introducing more than one mutation or change into human IgG1. In an example, NA mutation (N297A) has been introduced.

The anti-BCMA IgG and anti-4-1BB scFv clones prepared in Example 1 and Example 2, respectively, were exemplarily selected, to prepare anti-BCMA/anti-4-1BB bispecific antibodies in a IgG-scFv fusion form, in which a scFv antibody fragment of one antigen being fused to the c-terminal of IgG of another antigen. When BCMA is placed in full IgG part, IgG1 with ADCC reduced mutant backbone (N297A mutation; Cancer Cell, vol.19, issue 1, pp.101-113, etc.) was used, and when 4-1BB is placed in full IgG part, IgG4 was used. The amino acid sequences of anti-BCMA IgG and the 41BB scF scFv are presented in Table 10 and Table 11, respectively.

A DNA segment 1 having a nucleotide sequence encoding a heavy chain of an IgG antibody of the anti-BCMA/anti-4-1BB bispecific antibody was inserted into pcDNA 3.4 (Invitrogen, A14697; plasmid 1), and a DNA segment 2 having a nucleotide sequence encoding a light chain of an IgG antibody of the anti-BCMA/anti-4-1BB bispecific antibody was inserted into pcDNA 3.4 (Invitrogen, A14697; plasmid 2). Thereafter, a DNA segment 3 encoding a scFv was fused at a part of the DNA segment 1 corresponding to the c-terminus of the Fc region of the IgG antibody inserted into the plasmid 1, using a DNA segment 4 encoding a linker peptide having 15 amino acid lengths consisting of (GGGGS)4 (SEQ ID NO: 98) or using a DNA segment 5 encoding a linker peptide having 18 amino acid lengths consisting of (GS)9 (SEQ ID NO: 99), to construct vectors for the expression of bispecific antibodies. Furthermore, in order to stabilize scFv, as described in Example 2, additional modification was applied to generate disulfide bridge fusing VL103-VH44(VL103: VL having G->C mutation at the position 103; VH 44: VH having G->C mutation at the position 44) to C-terminus of light chain and C-terminus of heavy chain, respectively.

The amino acid sequences of the prepared bispecific antibodies are presented in Table 12.

One or more than one point mutations in amino acid sequences can be applied in the antibodies presented below, for the purpose of improved stability and potency, decreased immunogenicity, and etc.

3-2. Antigen Binding Abilities of Anti-BCMA/anti-4-1BB Antibodies (full-length IgG form) to target protein

(1) Antigen binding measured by DACE (Dual Antigen Captured ELISA)

To evaluate the antigen binding activity, the antibody candidates were subjected to ELISA test. Briefly, microtiter plates were coated with human BCMA-Fc protein at 0.5 ㎍/mL in PBS, to 100 ㎕/well at 4℃ overnight, and then blocked with 100 ㎕/well of 1%(w/v) BSA. Three-fold dilutions of bispecific antibodies starting from 20 ㎍/mL were added to each well and incubated for 1 hour at 37℃. The plates were washed with PBS/Tween and then incubate with 1%(w/v) BSA contained human 4-1BB his protein 0.8 ㎍/mL for 1 hour at 37℃. The plates were washed with PBST (0.05%(v/v) Tween 20 in PBS) developed with TMB substrate and analyzed by spectrophotometer at OD 450-630 nm.

As shown in FIGs. 2a-2c, all the bispecific antibodies can bind to human BCMA and 4-1BB protein simultaneously with dose dependent manner. EC50 (nM) value are summarized in Table 13.

(2) Cell surface binding test by flow cytometry

To evaluate the antigen binding property, the antibody candidates were analyzed for their bindings to BCMA expressed cells by FACS. Briefly, CHOK1 expressing human BCMA (CHOK1-hBCMA) or H929 expressing endogenous BCMA cells were treated with the 100 nM of indicated antibodies at 4℃ for 1 hr. CHOK1 cells were used for BCMA-negative control. After washing by FACS buffer (1%(w/v) BSA in PBS), cells were incubated with the FITC-anti-human IgG antibody at 4℃ for 1 hr and then subjected to FACS analysis. As shown in FIGs 2d-2f, the anti-BCMAx4-1BB antibodies bind to BCMA expressed CHOK1-hBCMA and H929 cell lines but not BCMA negative CHOK1. This result means that Anti-BCMA/anti-4-1BB Bispecific antibodies can bind to tumor targeting antigen (BCMA) specifically. The results of FIGs 2d-2f are quantified and summarized in Table 14.

3-3. In Vitro 4-1BB activation test of anti-BCMA/anti-4-1BB bispecific antibodies (4-1BB Reporter Bioassay)

In this assay, GloResponse^TM NFκB-luc2/4-1BB Jurkat cell line, genetically modified to stably express human 4-1BB and luciferase downstream of a response element, was used as effector cell and cancer cells expressing or not expressing BCMA were used as target cells. In brief, plate CHOK1-hBCMA (BCMA positive, 2.5 x10⁴), or CHOK1 (BCMA negative, 2.5 x10⁴) in a white 96-well assay plate in 100 ㎕ culture medium each. Culture overnight in 37℃ + 5% CO₂ humidified incubator. After overnight culture, remove 100 ㎕ of culture medium and dispense 25 ㎕ of Assay Medium (RPMI1640 + 1%(v/v) FBS) to pre-plated target cells. In case of suspension cells, plate H929 (BCMA positive, 2.5 x10⁵) or Jurkat (BCMA negative, 2.5 x10⁵) in a white 96-well assay plate in 25 ㎕ of Assay Medium. 25 ㎕ of each bispecific antibody (starting from 50 nM diluted for 5-fold or 200 nM diluted for 4-fold) were added to the plate. Harvest GloResponse™ NFκB-luc2/4-1BB Jurkat cell line and resuspend with Assay Medium. Dispense 25 ㎕ of GloResponse™ NFκB-luc2/4-1BB Jurkat cell line to make 2.5x10⁴ cells per well to plate. Culture 6 hrs in 37℃ + 5% CO₂ humidified incubator. During incubation time reconstitute Bio-Glo™ reagent according to the manufacturer's instruction. After 6 hrs incubation, add 75 per well of Bio-Glo™ Reagent to the assay plate. Wait 5 minutes and measure luminescence using microplate reader. Four-parameter logistic curve analysis was performed with GraphPad software. The experimental results using CHOK1-hBCMA, CHOK1, H929 and Jurkat cells are shown in FIGs. 3a-3d, respectively.

As shown in FIGs. 3a-3d, the BCMAx4-1BB bispecific antibodies tested showed stronger 4-1BB signal activation in the presence of tumor antigen (BCMA), compared to anti 4-1BB monoclonal antibodies alone or cross-linked 4-1BB applied. And also BMUR which is agonistic anti 4-1BB monoclonal antibody (Reference antibody) had an in vitro 4-1BB activation effect in the absence of BCMA (FIGs. 3b and 3d).

This means that anti-BCMA/anti-4-1BB antibodies can only act specifically in the presence of BCMA-expressing cancer cells but not agonistic anti 4-1BB antibody. The results of FIGs. 3a-3d are quantified and summarized in Tables 15 and 16 (Table 15: CHOK1-hBCMA (EC50, nM), Table 16: H929 (EC50, nM)).

3-4. In Vitro 4-1BB activation test of anti-BCMA/anti-4-1BB bispecific antibodies (Human PBMC Based Test)

Human PBMCs were co-cultured with CHOK1 cell line (not expressing human BCMA) or genetically modified CHOK1-hBCMA (stably expressing human BCMA) in the presence of anti-human CD3 antibody and antibodies to be tested. In brief, PBMCs were plated at 3x10⁴ cells per well and either CHOK1 or CHOK1-hBCMA were co-plated at 1x10⁴ cells per well. Bispecific antibodies (starting from 20 nM (=4 ㎍/mL) diluted for 10 dose) and monoclonal antibodies (starting from 26.67 nM (=4 ㎍/mL) diluted for 10 dose) were added to the mixed culture. After culture, the concentration of IFN-gamma in supernatant was measured by Human IFN-gamma Quantikine Kit (R&D system, SIF50).

As shown in FIGs. 4a-4c anti-BCMA/anti-4-1BB antibodies induced more cytokine release than monoclonal antibodies or BMUR (Agonistic anti-4-1BB monoclonal antibody).

3-5. Target protein binding activity comparison (Wilde type vs Mutants)

In order to stabilize anti-BCMA/anti-4-1BB bispecific antibodies, one or more than one point mutations in amino acid sequences was introduced in the Heavy chain or Light chain CDR of antibodies as shown Table 4. To evaluate the antigen binding activity, the antibody candidates (Wild type clone and Mutant clones) were subjected to DACE (Dual Antigen Captured ELISA) test as performed in Example 3-2(1). The obtained results are shown in FIGs. 5a-5b.

As shown in FIG 5a-5b, all the bispecific antibodies can bind to human BCMA and 4-1BB protein simultaneously with dose dependent manner. And several mutants were found to improve target protein binding. Among the mutants, 5D5M4(NA)x41B01 M12 and 5A6M6(NA)x41B01 M12 showed superior antigen binding activity compared with Wild type clone (FIG 5c). To evaluate the native antigen binding property, 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 were analyzed for its binding to mammalian expressed BCMA by FACS as performed in Example 2-2(2). As shown in FIG 5d, 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 showed increased native antigen binding activity compared with Wild type. The results of the protein binding test and the cell binding test are quantified and summarized in Tables 17 and 18 (Table 17: Protein binding (EC50, nM)).

3-6. Binding Affinity of mutant bispecific antibodies to target protein BCMA and 4-1BB (SPR)

In the SPR experiment, the anti-BCMA/anti-4-1BB bispecific antibodies obtained in Example 3-5 were individually captured on flow-

cells

2, 3 and 4, keeping the flow-cell 1 as reference, on a Protein A Chip on which an anti-BCMA/anti-4-1BB Bispecific antibody (5D5M4(NA)X1A10 M12 or 5A6M6(NA)X1A10 M12) had been immobilized by amine coupling. Recombinant Human BCMA or Human 4-1BB protein was flowed across the chip at concentration range from 100 nM to 6.25 nM for human BCMA or 250 nM to 15.625 nM for human 4-1BB and 0.78 nM at 30 μl/min for 300 seconds, followed by a dissociation phase of 400 seconds. Regeneration was performed with 10 mM Glycine-HCl (pH 2.0). The obtained results are shown in following Tables 19 and 20. As shown in Tables 19 and 20, 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 showed high affinity against BCMA and 4-1BB (Table 19: Affinity measurement result for 5D5M4(NA)X1A10 M12, Table 20: Affinity measurement result for 5A6M6(NA)X1A10 M12).

3-7. in vitro 4-1BB activation test for mutant bispecific antibodies

The antibody candidates were analyzed for their in vitro 4-1BB activity by using Promega kit system as in Example 2-3.

As shown in FIGs. 6a-6c, mutant format of Anti-BCMA/anti-4-1BB Bispecific antibodies showed improved potency compared to the wilde type format in BCMA positive cancer cells while all clones did not activate 4-1BB signaling in BCMA negative cancer cells (Jurkat)(Table 21: In vitro 4-1BB activation result (EC50, nM)). Therefore, 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 showed improved target mediated 4-1BB activation .

3-8. Monkey cross reactivity test for mutant bispecific antibodies

To evaluate the cross reactivity, the antibody candidates (5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12) were subjected to ELISA test. Briefly, microtiter plates were coated with Rhesus BCMA-Fc protein (50 ng/well) at 4℃ overnight, then blocked with 200 μl/well PBSB (1%(w/v) BSA in PBS). Three-fold dilutions of 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 starting from 100 nM were added to each well and incubated at 37℃ for 1 hours. The plates were washed with PBST (0.05%(v/v) Tween20 in PBS) and then incubate for 1 hours at 37℃ with Rhesus 4-1BB-His protein (80 ng/well). The plates were washed with PBST (0.05%(v/v) Tween20 in PBS) and then incubated with HRP (Horse Radish Peroxidase) conjugated Anti-his antibody for 1 hr at 37℃. After washing, the plates were developed with TMB substrate and analyzed by spectrophotometer at 450-630 nm. As shown in FIG. 7, 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 bind to Rhesus BCMA and 4-1BB simultaneously with dose dependent manner (Table 22: Protein binding (EC50, nM)).

3-9. Tumor growth inhibition by mutant bispecific antibodies in humanized NOG mice bearing H929

The anti-tumor effect of the anti-BCMA/anti-4-1BB antibody was tested in Humanized NOG mice which were injected with H929 cells. In brief, H929 cell were injected by Subcutaneous injection of NCI-H929 cells (5x10⁶) into the right flank of 74 non-irradiated female animals. On Day 11, Purified T-Cells (10x10⁶) from three donors were injected Intraperitoneal injection into mice. When tumors reached a mean volume of 154 ㎣ (on day 12), Animals were randomized four groups of 14 mice each. Mouse were intravenously administered Q3D for five times (five time injection of the antibody every three days) with following antibodies: Human IgG type control (7.5 mg/kg_No T-cell injected: Isotype Control_7.5 mpk_No PBMC), Human IgG type control (7.5 mg/kg: Isotype Control_7.5 mpk), Anti-BCMA/anti-4-1BB Bispecific antibody (5D5M4(NA)X1A10 M12, 10 mg/kg) and Anti-BCMA/anti-4-1BB Bispecific antibody (5A6M6(NA)X1A10 M12, 10 mg/kg). Tumor volumes were monitored by caliper measurement twice per week for the duration of the experiment, and the obtained results are shown in FIG 8a-8c. As shown FIGs 8a and 8b, 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 showed significant anti-tumor effect. Tumor growth inhibition rate (TGI %) was 44.8% for 5D5M4(NA)X1A10 M12, 49.4% for 5A6M6(NA)X1A10 M12. Therefore, Efficacy of two bispecific antibodies was similar.

3-10. Analysis of tumor-infiltrating lymphocytes (TIL)

To evaluate TIL, formalin-fixed, paraffin-embedded tumor tissue sections from H929 bearing hPBMC engraft mice were immunostained with anti-CD45 antibody (human leukocyte marker) and anti-CD8 antibody (human cytotoxic T-lymphocyte marker). The immunohistochemical technique was performed by applying the avidin-biotin detection kit. The obtained result is shown in FIGs 9a and 9b. As shown in FIGs 9a and 9b, anti-BCMA/anti-4-1BB bispecific antibodies effectively enhanced infiltration of immune cells including CD45+ cells and CD8+ T cells into tumor tissues compared to peritumor. These results shown that CD45+ and CD8+ cells are increased in anti-BCMA/anti-4-1BB bispecific treatment group especially in the tumor compartment.

3-11. Pharmacokinetics of Anti-BCMA/anti-4-1BB bispecific antibodies in Cynomolgus Monkey

10 mg/mL of Anti-BCMA/anti-4-1BB bispecific antibodies (5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12) were injected via the saphenous vein in Cynomolgus Monkeys. Blood samples were collected from each animal via a femoral vein prior to dosing and at scheduled intervals from 0.05 to 504 hours after administration of the dose. The blood samples were centrifuged to obtain serum. Concentrations of 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 in cynomolgus monkey serum were measured using enzyme-linked immunosorbent assay (ELISA). 96-well plates were coated with human BCMA-Fc protein, then blocked with blocking buffer. Afterwards, the plates were washed and the standards, quality control samples, and study samples were added to the plates, then incubated for 2 hours at 37℃. The plates were then washed again and incubated with human 4-1BB his protein. After washing, the bound molecules were detected with a horseradish peroxidase conjugated anti-His tagged antibody. The plates were developed with TMB substrate and analyzed by spectrophotometer at OD 450-650 nm. Concentrations from serum samples were determined from a standard curve prepared with known amounts of 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 in the appropriate cynomolgus monkey serum using a 4-parameter algorithm. The standard curve range for 5D5M4(NA)X1A10 M12 and 5A6M6(NA)X1A10 M12 was from 46 to 300,000 ng/mL, and the lower limit of quantitation (LLOQ) was defined as 300 ng/mL. The pharmacokinetic parameters were estimated by a non-compartment model using WinNonlin software (Phoenix WinNonlin 8.0). The obtained result is shown in FIGs 10a and 10b. The results of FIGs 10a and 10b are quantified and summarized in Tables 23 and 24, respectively (WinNonlin setting, NCA, Linear Trapezoidal Linear Interpolation, IV Bolus, half-life calculation time: 24 hr to 240 hr). The results showed that 5D5M4(NA)X1A10 M12 has even superior PK property than 5A6M6(NA)X1A10 M12.

Claims

An anti-B-cell maturation antigen (BCMA)/anti-4-1BB bispecific antibody or an antigen-binding fragment thereof, comprising:

an anti-BCMA antibody or an antigen-binding fragment thereof; and

an anti-4-1BB antibody or an antigen-binding fragment thereof,

wherein the anti-BCMA antibody or the antigen-binding fragment thereof comprises a heavy chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 10 to 21, a light chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 22 to 32 and 54 to 64, or the heavy chain variable region and the light chain variable region,

wherein the anti-4-1BB antibody or the antigen-binding fragment thereof comprises a heavy chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 81 to 91, a light chain variable region including at least one amino acid sequence selected from the group consisting of SEQ ID NOs: 92 to 97, or the heavy chain variable region and the light chain variable region.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the heavy chain variable region of the anti-BCMA antibody or the antigen-binding fragment thereof comprises:

a complementarity-determining region-H1 (CDR-H1) including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 10 to 13;

a CDR-H2 including an amino acid sequence selected from SEQ ID NOs: 14 to 17; and

a CDR-H3 including an amino acid sequence selected from SEQ ID NOs: 18 to 21.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the light chain variable region of the anti-BCMA antibody or the antigen-binding fragment thereof comprises:

a complementarity-determining region-L1 (CDR-L1) including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 22 to 25 and 54 to 62;

a CDR-L2 including an amino acid sequence selected from SEQ ID NOs: 26 to 28; and

a CDR-L3 including an amino acid sequence selected from SEQ ID NOs: 29 to 32, 63, and 64.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the anti-BCMA antibody or the antigen-binding fragment thereof is selected from the group consisting of:

(1) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 10, a CDR-H2 having the amino acid sequence of SEQ ID NO: 14, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 18;

(2) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 11, a CDR-H2 having the amino acid sequence of SEQ ID NO: 15, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 19;

(3) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 12, a CDR-H2 having the amino acid sequence of SEQ ID NO: 16, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 20; and

(4) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 13, a CDR-H2 having the amino acid sequence of SEQ ID NO: 17, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 21.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the anti-BCMA antibody or the antigen-binding fragment thereof is selected from the group consisting of:

(1) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 22, a CDR-L2 having the amino acid sequence of SEQ ID NO: 26, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 29;

(2) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 23, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 30;

(3) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 24, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(4) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 25, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 32;

(5) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 54, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(6) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 55, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(7) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 56, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(8) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 57, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(9) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 58, a CDR-L2 having the amino acid sequence of SEQ ID NO: 27, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 31;

(10) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 59, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 32;

(11) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 60, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 32;

(12) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 25, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 63;

(13) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 25, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 64;

(14) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 61, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 63;

(15) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 61, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 64;

(16) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 62, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 63; and

(17) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 62, a CDR-L2 having the amino acid sequence of SEQ ID NO: 28, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 64.
The bispecific antibody or the antigen-binding fragment of claim 1,

wherein the anti-BCMA antibody or the antigen-binding fragment thereof comprises a heavy chain variable region comprising ans amino acid sequences selected from the group consisting SEQ ID NOs: 2 to 5.
The bispecific antibody or the antigen-binding fragment of claim 1,

wherein the anti-BCMA antibody or the antigen-binding fragment thereof comprises a light chain variable region comprising ans amino acid sequences selected from the group consisting SEQ ID NOs: 6 to 9 and 41 to 53.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the heavy chain variable region of the anti-4-1BB antibody or the antigen-binding fragment thereof comprises:

a CDR-H1 including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 81 to 83;

a CDR-H2 including an amino acid sequence selected from SEQ ID NOs: 84 to 86; and

a CDR-H3 including an amino acid sequence selected from SEQ ID NOs: 87 to 91.
The bispecific bispecific antibody or the antigen-binding fragment of claim 1, wherein the light chain variable region of the anti-4-1BB antibody or the antigen-binding fragment thereof comprises:

a CDR-L1 including an amino acid sequence selected from the group consisting of SEQ ID. NOs: 92 and 93;

a CDR-L2 including an amino acid sequence selected from SEQ ID NOs: 94 and 95; and

a CDR-L3 including an amino acid sequence selected from SEQ ID NOs: 96 and 97.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the anti-4-1BB antibody or the antigen-binding fragment thereof is selected from the group consisting of:

(1) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 81, a CDR-H2 having the amino acid sequence of SEQ ID NO: 84, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 87;

(2) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 81, a CDR-H2 having the amino acid sequence of SEQ ID NO: 84, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 88;

(3) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 81, a CDR-H2 having the amino acid sequence of SEQ ID NO: 84, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 89;

(4) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 82, a CDR-H2 having the amino acid sequence of SEQ ID NO: 85, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 90; and

(5) an antibody or an antigen-binding fragment comprising a CDR-H1 having the amino acid sequence of SEQ ID NO: 83, a CDR-H2 having the amino acid sequence of SEQ ID NO: 86, and a CDR-H3 having the amino acid sequence of SEQ ID NO: 91.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the anti-4-1BB antibody or the antigen-binding fragment thereof is selected from the group consisting of:

(1) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 92, a CDR-L2 having the amino acid sequence of SEQ ID NO: 94, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 96; and

(2) an antibody or an antigen-binding fragment comprising a CDR-L1 having the amino acid sequence of SEQ ID NO: 93, a CDR-L2 having the amino acid sequence of SEQ ID NO: 95, and a CDR-L3 having the amino acid sequence of SEQ ID NO: 97.
The bispecific antibody or the antigen-binding fragment of claim 1,

wherein the anti-4-1BB antibody or the antigen-binding fragment thereof comprises a heavy chain variable region comprising ans amino acid sequences selected from the group consisting SEQ ID NOs: 65 to 72.
The bispecific antibody or the antigen-binding fragment of claim 1,

wherein the anti-4-1BB antibody or the antigen-binding fragment thereof comprises a light chain variable region comprising ans amino acid sequences selected from the group consisting SEQ ID NOs: 73 to 80.
The bispecific bispecific antibody or the antigen-binding fragment of claim 1, further comprising at least one of a pepetide linker.
The bispecific antibody or the antigen-binding fragment of claim 1, wherein the peptide linker comprises a peptide having an amino acid sequence selected from the group consisting of SEQ ID NO: 98 and SEQ ID NO: 99.
The bispecific antibody or the antigen-binding fragment of claim 1,

wherein the antibody is IgA, IgD, IgE, IgG, or IgM;

wherein the antibody is a monoclonal antibody or a polyclonal antibody;

wherein the antigen-binding fragment is scFv, (scFv)2, Fv, Fab, Fab', F(ab')2, or a combination thereof; or

wherein the antibody or the antigen-binding fragment thereof is modified by conjugation or binding, glycosylation, tag attachment, or a combination thereof.
The bispecific antibody or the antigen-binding fragment of claim 1,

wherein each of the anti- BCMA antibody or antigen-binding fragment thereof and the anti-4-1BB antibody or antigen-binding fragment thereof is independently a chimeric antibody, a humanized antibody, or a human antibody.
The bispecific antibody or the antigen-binding fragment of claim 1,

wherein the bispecific antibody or the antigen-binding fragment is in the form of IgG-scFv, triomab, knobs into holes (kih) IgG with common light chain, crossmab, ortho-Fab IgG, dual variable domain immunoglobulin (DVD-Ig), 2 in 1-IgG, scFv₂- Fc, bi-nanobody, bispecific T cell engager (BiTE), tandAbs, dual affinity retargeting (DART), DART-Fc, scFv-human serum albumin (HSA)-scFv, dock-and-lock (DNL)-Fab3, minibody, scFv-Fc, scFv-zipper, scFv, Fab, Fab2 (bispecific), Fab3 (trispecific), scFab, Bis-scFv (bispecific), sdAb (VH/VHH), tetrabody, triabody, diabody, diabody, camel Ig, IgNAR, IgG, bispecific construct comprising a Knob in Hole, a bispecific construct comprising a duobody, a tetravalent multispecific antibody, tetravalent construct, tetravalent dual variable domain (DVD) construct, tetravalent IgGScv construct, tetravalent Mbatryn construct, or a composite antibody, or a combination thereof.
A pharmaceutical composition for prevention or treatment of a disease related to BCMA, 4-1BB, or both thereof, the composition comprising the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment of any one of claims 1 to 18, and a pharmaceutically acceptable carrier.
The pharmaceutical composition of claim 2, wherein the disease related to BCMA, 4-1BB, or both thereof is cancer.
The pharmaceutical composition of claim 20, wherein the cancer is multiple myeloma.
A method of prevention or treatment of a disease related to BCMA, 4-1BB, or both thereof in an individual, the method comprising administering the anti-BCMA/anti-4-1BB bispecific antibody or the antigen-binding fragment of any one of claims 1 to 18 to the individual.