WO2025150482A1 - Antigen-binding molecules that bind pdgf-b and pdgf-d, and methods of use - Google Patents
Antigen-binding molecules that bind pdgf-b and pdgf-d, and methods of useInfo
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- WO2025150482A1 WO2025150482A1 PCT/JP2025/000122 JP2025000122W WO2025150482A1 WO 2025150482 A1 WO2025150482 A1 WO 2025150482A1 JP 2025000122 W JP2025000122 W JP 2025000122W WO 2025150482 A1 WO2025150482 A1 WO 2025150482A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/12—Drugs for disorders of the urinary system of the kidneys
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/22—Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies against material from animals or humans against growth factors ; against growth regulators
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
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- 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
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- 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
- C07K2317/33—Crossreactivity, e.g. for species or epitope, or lack of said crossreactivity
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/52—Constant or Fc region; Isotype
- C07K2317/526—CH3 domain
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/73—Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/76—Antagonist effect on antigen, e.g. neutralization or inhibition of binding
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
- C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
Definitions
- the present invention relates to antigen-binding molecules that bind to PDGF-B and/or PDGF-D, pharmaceutical compositions comprising the same, and methods of using the same.
- nephropathy diabetic nephropathy
- IgA nephropathy proliferative lupus nephritis
- histological features such as mesangial cell expansion and glomerular and tubulointerstitial fibrosis.
- the PDGF family includes five isoforms: PDGF-AA, -AB, -BB, -CC, and -DD. These isoforms bind to the tyrosine kinase PDGF receptor (PDGFR) dimers alpha-alpha, alpha-beta, or beta-beta. Specifically, PDGF-A and -C predominantly bind to the PDGFR-alpha chain, PDGF-B binds to both -alpha and -beta chains, while PDGF-D binds to the -beta chain only (NPL6). Upon ligand binding, PDGFRs become phosphorylated and activate various downstream signaling pathways and transcription factors, e.g.
- phospholipase C ras GTPase activating protein, phosphatidyl inositol 3-kinase (PI3K), Janus kinase, mitogen activated protein kinase, p38, or calcium release, which drive gene expression and cellular effects of PDGF (NPL7).
- PI3K phosphatidyl inositol 3-kinase
- Janus kinase Janus kinase
- mitogen activated protein kinase p38
- calcium release which drive gene expression and cellular effects of PDGF (NPL7).
- Fibrosis is a hallmark of pathologic remodeling in numerous tissues and contributes to numerous clinical diseases. Virtually all chronic progressive diseases are associated with fibrosis, representing a huge number of patients worldwide. However, there are few effective treatment options available (NPL8). Therefore, there is a long-felt need for novel potential therapeutics that can effectively treat or ameliorate these diseases/disorders, and the present invention meets this need.
- NPL 1 B.M. Klinkhammer et al. Molecular Aspects of Medicine 62 (2016) 44-62
- NPL 2 Trojanowska, 2008, Rheumatology 47:v2-v4
- NPL 3 Andrae et al. 2008 Genes Dev. 22: 1276-1312.
- NPL 4 Ying et al. Mol Med Rep. 2017 Dec; 16(6): 7879-7889
- NPL 5 P. Boor et al. Nephrology Dialysis Transplantation, Volume 29, issue suppl_1, February 2014 i45-i54
- NPL 6 Chen et al. Biochim Biophys Acta. 2013 October; 1834(10): 2176-2186.
- NPL 7 Heldin Cell Communication and Signaling 2013 11:97
- NPL 8 Don C. Rockey et al. N Engl J Med 2015; 372:1138-1149
- antigen-binding molecules are effective at blocking the activity of both PDGF-B and PDGF-D, and the combined inhibitory effect is effective in inhibiting, preventing, or treating PDGF-mediated diseases or disorders including but not limited to fibrotic diseases or fibrosis such as chronic kidney disease.
- Another aspect of the invention relates to compositions comprising an aforementioned antigen-binding molecule or multispecific antigen-binding molecule, and methods of use thereof as a medicament.
- the present disclosure provides antigen-binding molecules with favorable plasma PK, manufacturability/producibility and structural homogeneity, as well as low immunogenicity.
- A-4) The multispecific antigen-binding molecule of (A-2) or (A-3), wherein the first antigen-binding domain specifically binds to PDGF-D (preferably human PDGF-D) and the second antigen-binding domain specifically binds to PDGF-B (preferably human PDGF-B).
- A-4a The multispecific antigen-binding molecule of any one of (A-1) to (A-4), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
- (A-5) The multispecific antigen-binding molecule of any one of (A-1) to (A-4a), wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising any one of (a1) to (a2) below: (a1) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in S
- (A-7) The multispecific antigen-binding molecule of any one of (A-1) to (A-6), wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 299; and wherein the second antigen-binding domain comprises any one of (a1) to (a5) below: (a1) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 257; (a2) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 265; (a3) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence
- A-7a A multispecific antigen-binding molecule that binds to the same epitope in PDGF-B and/or PDGF-D as that of the multispecific antigen-binding molecule of any one of (A-1) to (A-7).
- A-7b A multispecific antigen-binding molecule that competes with the multispecific antigen-binding molecule of any one of (A-1) to (A-7) for binding to PDGF-B and/or PDGF-D protein.
- A-10) The multispecific antigen-binding molecule of any one of (A-1) to (A-9), wherein the multispecific antigen-binding molecule exhibits at least one of the features selected from the group consisting of (a) to (k): (a) neutralize PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro, (b) neutralize the combination of PDGF-BB and PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro, (c) suppress PDGF-DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells, (d) inhibit the combination of PDGF-BB/DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells, (e) inhibit PDGF-AB induced PDGFR alpha phosphorylation in vivo or in vitro, optionally in IMR90 cells (f) suppress
- A-16 The multispecific antigen-binding molecule of any one of (A-11) to (A-15), wherein the first heavy chain constant region comprises at least one of Lys at position 399 and Glu at position 439 (EU numbering), and the second heavy chain constant region comprises at least one of Lys at position 356; Glu at position 409; and Glu at position 419 (EU numbering).
- A-17 The multispecific antigen-binding molecule of any one of (A-11) to (A-16), wherein at least one of the first heavy chain constant region or second heavy chain constant region comprises Arg at position 235 and Arg at position 236 (according to EU numbering).
- A-25 An isolated polynucleotide or plurality of polynucleotides encoding the multispecific antigen-binding molecule of any one of (A-1) to (A-20).
- A-26 A host cell comprising the polynucleotide or plurality of polynucleotides of (A-25).
- A-27 A method of producing the multispecific antigen-binding molecule of any one of (A-1) to (A-20), comprising the steps of (a) culturing the host cell of (A-26) under conditions suitable for the expression of the multispecific antigen-binding molecule and (b) recovering the multispecific antigen-binding molecule.
- a multispecific antigen-binding molecule comprising: a first antigen-binding domain and a second antigen-binding domain, wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in
- (B-2) The multispecific antigen-binding molecule of (B-1), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
- (B-3) The multispecific antigen-binding molecule of (B-1) or (B-2), wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having
- (B-4) The multispecific antigen-binding molecule of any one of (B-1) to (B-3), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
- (B-5) The multispecific antigen-binding molecule of (B-4), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
- (B-7) The multispecific antigen-binding molecule of any one of (B-4) to (B-6), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below: (a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering, (b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering, (c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, (d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue
- (B-9) The multispecific antigen-binding molecule of any one of (B-4) to (B-8), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of: (a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region, (b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region, (c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region, (d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region, (e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and (f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
- the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (
- (B-10) The multispecific antigen-binding molecule of any one of (B-4) to (B-9), wherein the first heavy chain constant region comprises at least one of Lys at position 399 and Glu at position 439 (EU numbering), and the second heavy chain constant region comprises at least one of Lys at position 356; Glu at position 409; and Glu at position 419 (EU numbering).
- (B-11) The multispecific antigen-binding molecule of any one of (B-4) to (B-10), wherein the antibody Fc domain comprises at least one of Arg at position 235 and Arg at position 236 (according to EU numbering).
- (B-12) The multispecific antigen-binding molecule of any one of (B-4) to (B-11), wherein the antibody Fc domain comprises at least one of Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
- a multispecific antigen-binding molecule comprising a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 372, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 373, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 370, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 371.
- a multispecific antigen-binding molecule comprising: a first antigen-binding domain and a second antigen-binding domain, wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in
- (B-15) The multispecific antigen-binding molecule of (B-14), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
- (B-16) The multispecific antigen-binding molecule of (B-14) or (B-15), wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having
- (B-17) The multispecific antigen-binding molecule of any one of (B-15) to (B-16), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
- (B-18) The multispecific antigen-binding molecule of (B-17), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
- the multispecific antigen-binding molecule of any one of (B-56) to (B-58), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below: (a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering, (b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering, (c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, (d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which
- (C-8) The multispecific antigen-binding molecule of any one of (C-3) to (C-7), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of: (a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region, (b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region, (c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region, (d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region, (e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and (f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
- the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (
- (C-23) The multispecific antigen-binding molecule of any one of (C-1) to (C-22), wherein the multispecific antibody exhibits at least one of the features selected from the group consisting of (a) to (j): (a) neutralize PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro, (b) neutralize the combination of PDGF-BB and PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro, (c) suppress PDGF-DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells, (d) inhibit the combination of PDGF-BB/DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells, (e) inhibit PDGF-AB induced PDGFR alpha phosphorylation in vivo or in vitro, optionally in IMR90 cells (f) suppress PDGF-AB
- (C-27) A method of treating an individual having a medical condition comprising administering to the individual an effective amount of the multispecific antigen-binding molecule of any one of (C-1) to (C-24) or the pharmaceutical composition of (C-25), wherein the medical condition is fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis,
- fibrosis such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis
- fibrosis such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis
- nephritis chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, ne
- (D-1) An antigen-binding molecule comprising an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302.
- CDR heavy chain complementarity determining region
- D-2 An antigen-binding molecule comprising a heavy chain variable region comprising HCDR1, HCDR2 and HCDR3 amino acid sequences as set forth in Table 1, and a light chain variable region comprising LCDR1, LCDR2 and LCDR3 amino acid sequences as set forth in Table 1.
- D-3 An antigen-binding molecule comprising a heavy chain variable region comprising HCDR1, HCDR2 and HCDR3 amino acid sequences as set forth in Table 1, and a light chain variable region comprising LCDR1, LCDR2 and LCDR3 amino acid sequences as set forth in Table 1, wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences further comprise one or more conservative amino acid substitutions.
- (D-4) The antigen-binding molecule of any one of (D-1) to (D-3), wherein the heavy chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and the light chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299.
- (D-5) The antigen-binding molecule of any one of (D-1) to (D-4), wherein the heavy chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to a VH amino acid sequence as set forth in Table 1, and the light chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to a VL amino acid sequence as set forth in Table 1.
- An antigen-binding molecule comprising a heavy chain variable region comprising an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299.
- (D-7) An antigen-binding molecule comprising a heavy chain variable region comprising an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to an amino acid sequence as set forth in Table 1, and a light chain variable region comprising amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to an amino acid sequence as set forth in Table 1.
- (D-8) The antigen-binding molecule of any one of (D-1) to (D-7), wherein the antigen-binding molecule specifically binds to PDGF-D (preferably human PDGF-D).
- (D-9) The antigen-binding molecule of any one of (D-1) to (D-8), wherein the antigen-binding molecule exhibits at least one of the features selected from the group consisting of (a) to (f): (a) neutralize PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro, (b) suppress PDGF-DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells, (c) capable of blocking the function of human PDGF-DD (d) binds hPDGF-DD with a KD of 10 -7 M or less, even more preferably 10 -8 M or less, even more preferably 10 -9 M or less, and most preferably between 10 -8 M and 10 -10 M or less, (e) capable of cross-reactive binding towards human, mouse, cynomolgus PDGF-DD, or (f) capable of suppressing, inhibiting, treating or preventing fibros
- (D-10) The antigen-binding molecule of any one of (D-1) to (D-9), further comprising at least one heavy chain constant region and at least one light chain constant region.
- (D-11) The antigen-binding molecule of (D-10), wherein the antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below: (i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region; (ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region; (iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region; (iv) asparagine at position 145 (EU numbering) in the light chain constant region; (v) lysine at position 152 (EU numbering) in the light chain constant region; (vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region; (vii)
- (E-1) An antigen-binding molecule comprising an antibody heavy chain variable region and an antibody light chain variable region, wherein the antibody heavy chain variable region comprises any one of (a1) to (a2) below: (a1) heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, or (a2) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244; and the antibody light chain variable region comprises any one of (b1) to (b4) below: (b1) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID
- (E-3) The antigen-binding molecule of (E-1) or (E-2), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences further comprise one or more conservative amino acid substitutions.
- (E-8) The antigen-binding molecule of any one of (E-1) to (E-7), wherein the antigen-binding molecule exhibits at least one of the features selected from the group consisting of (a) to (d): (a) capable of cross-reactive binding towards human, mouse, cynomolgus and rat PDGF-BB (b) binds hPDGF-BB with a KD of 10 -7 M or less, even more preferably 10 -8 M or less, even more preferably 10 -9 M or less, and most preferably between 10 -8 M and 10 -10 M or less, (c) capable of blocking the function of human PDGF-AB and/or PDGF-BB, or (d) capable of suppressing, inhibiting, treating or preventing fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease
- E-14 A method of treating an individual having a medical condition comprising administering to the individual an effective amount of the antigen-binding molecule of any one of (D-1) to (E-11) or the pharmaceutical composition of (E-12), wherein the medical condition is fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis
- fibrosis
- (E-15) Use of the antigen-binding molecule of any one of (D-1) to (E-11) or the pharmaceutical composition of (E-12) in the manufacture of a medicament for the treatment or prevention of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephros
- a cell-free translation system (Clover Direct (Protein Express)) containing a tRNA which has a non-natural amino acid bound to a complementary amber suppressor tRNA of one of the stop codons, the UAG codon (amber codon).
- an expression that combines a number (indicating the position of the altered amino acid) and one-letter or three-letter amino acid codes (indicating the amino acids before and after the alteration) may be used appropriately, which expression may be organized in the following order: code for the amino acid before the alteration - number indicating the position - code for the amino acid after the alteration.
- code for the amino acid before the alteration - number indicating the position - code for the amino acid after the alteration.
- N100bL or Asn100bLeu used to refer to a substitution of an amino acid contained in an antibody variable region indicates substitution of Asn at position 100b (according to Kabat numbering) with Leu.
- antigen-binding molecule refers to any molecule that comprises one or more antigen-binding domains or any molecule that has binding activity to an antigen, and may further refer to molecules such as a peptide or protein having a length of about five amino acids or more.
- the peptide and protein are not limited to those derived from an organism, and for example, may be a polypeptide produced from an artificially designed sequence. They may also be any of a naturally-occurring polypeptide, synthetic polypeptide, recombinant polypeptide, and such.
- an antigen-binding molecule of the present invention is an antigen-binding molecule that comprises a plurality of antigen-binding domains.
- the antigen-binding molecule of the present invention comprises two antigen-binding domains with the same antigen-binding specificity.
- the antigen-binding molecule of the present invention comprises two antigen-binding domains with the same antigen-binding specificity, and an FcRn-binding domain contained in an antibody Fc region.
- the antigen-binding molecule of the present invention comprises two antigen-binding domains with different antigen-binding specificities.
- the antigen-binding molecule of the present invention comprises two antigen-binding domains with different antigen-binding specificities, and an FcRn-binding domain contained in an antibody Fc region.
- an FcRn-binding domain contained in an antibody Fc region.
- antigen-binding domain refers to a portion of an antibody which portion comprises a region that specifically binds and is complementary to the whole or a portion of an antigen. When the molecular weight of an antigen is large, an antibody can only bind to a particular portion of the antigen. The particular portion is called "epitope".
- An antigen-binding domain can be provided from one or more antibody variable domains. Preferably, the antigen-binding domains contain an antibody variable region that comprises both an antibody light chain variable region (VL) and an antibody heavy chain variable region (VH).
- VL antibody light chain variable region
- VH antibody heavy chain variable region
- the phrase “has binding activity” refers to the activity of an antigen-binding domain, antibody, antigen-binding molecule, antibody variable fragment, or such (hereinafter, "antigen-binding domain or such”) to bind to an antigen of interest at a level of specific binding, higher than the level of non-specific or background binding.
- antigen-binding domain or such to bind to an antigen of interest at a level of specific binding, higher than the level of non-specific or background binding.
- antigen-binding domain or such has a specific/significant binding activity” towards the antigen of interest.
- the specificity can be measured by any methods for detecting affinity or binding activity as described herein or known in the art.
- the above-mentioned level of specific binding may be high enough to be recognized by a skilled person as being significant.
- the antigen-binding domain or such has a "specific/significant binding activity” towards the antigen of interest.
- “have a specific/significant binding activity” can be rephrased as “specifically/significantly bind” (to the antigen of interest).
- the phrase “having binding activity” has substantially the same meaning as the phrase “having a specific/significant binding activity” in the art.
- an antigen-binding molecule or an antibody that "specifically binds" to an antigen refers to an antigen-binding molecule or an antibody that binds to the antigen and substantially identical antigens with high affinity, which means having a KD of 10 -7 M or less, preferably 10 -8 M or less, even more preferably 10 -9 M or less, and most preferably between 10 -8 M and 10 -10 M or less, but does not bind with high affinity to unrelated antigens, as measured by a surface plasmon resonance assay or a cell binding assay.
- binding activity or binding affinity (KD) of the antigen-binding domains of the present invention to the antigen of interest are assessed at 25 degrees C using e.g., Biacore T200 instrument (GE Healthcare).
- Anti-human Fc e.g., GE Healthcare
- amine coupling kit e.g, GE Healthcare
- the antigen-binding molecules or antigen-binding domains are captured onto the anti-Fc sensor surfaces, then the antigen (e.g. PDGF-B or PDGF-D) is injected over the flow cell.
- the antigen-binding molecule of the present invention comprises an antigen-binding domain that specifically binds to PDGF-D (e.g., PDGF-D and PDGF-DD).
- PDGF-D e.g., PDGF-D and PDGF-DD.
- the antigen-binding molecule of the present invention thus binds to PDGF-D and inhibits its interaction with PDGFR, thereby inhibiting PDGF-D activity.
- the antigen-binding molecule of the present invention that specifically binds to PDGF-D exhibits any one or more of the following properties: increased neutralizing activity against PDGF-D, relative to a reference antibody that binds to PDGF-D; increased activity of inhibiting or reducing the binding of PDGF-D to PDGF receptor, relative to a reference antibody that binds to PDGF-D; increased activity of inhibiting or reducing PDGF-D mediated phosphorylation of PDGF receptor, relative to a reference antibody that binds to PDGF-D; increased activity of inhibiting or reducing PDGF-D induced dimerization of PDGF receptor, relative to a reference antibody that binds to PDGF-D; and increased activity of inhibiting or reducing PDGF-D induced proliferation of cells expressing PDGF receptor, relative to a reference antibody that binds to PDGF-D.
- the "reference antibody that binds to PDGF-D” may be any known antibody that specifically binds to PDGF-D.
- the reference antibody is an antibody that comprises a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 165 and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 166, such as CR002 used in the Examples.
- Known methods can be used to determine if an antigen-binding molecule has increased activity of inhibiting or reducing the binding of PDGF-D to PDGF receptor, has increased activity of inhibiting or reducing PDGF-D mediated phosphorylation of PDGF receptor, has increased activity of inhibiting or reducing PDGF-D induced dimerization of PDGF receptor, or has increased activity of inhibiting or reducing PDGF-D induced proliferation of cells expressing PDGF receptor, relative to a reference antibody that binds to PDGF-D.
- Such methods include those used in the Examples described herein.
- cell-based receptor tyrosine kinase activity assay can be used to determine the activity of an antigen-binding molecule to inhibit or reduce PDGF-D mediated phosphorylation of PDGF receptor.
- suitable cells are serum-starved and treated with a test antigen-binding molecule, which has been pretreated with a ligand (PDGF-D).
- PDGFR beta phosphorylation is measured using commercially available test kit, such as PathScan Phospho-PDGF Receptor beta (Tyr751) ELISA kit (Cell Signaling Technology).
- the test antigen-binding molecule's inhibitory effect on PDGF-D mediated phosphorylation of PDGF receptor can be determined in various known ways (e.g., percentage (%) of inhibition, IC50, etc.) based on the PDGF receptor phosphorylation level, for example, when the test antigen-binding molecule is present and the test antigen-binding molecule is absent.
- the reference antibody's inhibitory effect on PDGF-D mediated phosphorylation of PDGF receptor can also be determined in the same manner.
- test antigen-binding molecule's inhibitory effect is stronger than the reference antibody, the test antigen-binding molecule is judged as having increased activity of inhibiting or reducing PDGF-D mediated phosphorylation of PDGF receptor relative to the reference antibody, which also indicates that the test antigen-binding molecule has increased activity of inhibiting or reducing binding of PDGF-D to PDGF receptor relative to the reference antibody.
- test antigen-binding molecule's inhibitory effect is stronger than the reference antibody, the test antigen-binding molecule is judged as having increased activity of inhibiting or reducing PDGF-D induced proliferation of cells expressing PDGF receptor relative to the reference antibody, which also indicates that the test antigen-binding molecule has increased activity of inhibiting or reducing binding of PDGF-D to PDGF receptor relative to the reference antibody.
- PDGF-D induced dimerization of PDGF receptor can be measured using commercially available kit.
- the test antigen-binding molecule's inhibitory effect on PDGF-D induced dimerization of PDGF receptor can be determined in various known ways based on the dimerization signal detected, for example, when the test antigen-binding molecule is present and the test antigen-binding molecule is absent.
- the reference antibody's inhibitory effect on PDGF-D induced dimerization of PDGF receptor can also be determined in the same manner.
- test antigen-binding molecule's inhibitory effect is stronger than the reference antibody, the test antigen-binding molecule is judged as having increased activity of inhibiting or reducing PDGF-D induced dimerization of PDGF receptor relative to the reference antibody, which also indicates that the test antigen-binding molecule has increased activity of inhibiting or reducing binding of PDGF-D to PDGF receptor relative to the reference antibody.
- the antigen-binding domain that specifically binds to PDGF-B inhibits the interaction of PDGF-B with PDGFR, thereby inhibiting PDGF-B activity.
- PDGF-B mediated activity By the terms “PDGF-B mediated activity”, “PDGF-B mediated effect”, “PDGF-B activity”, “PDGF-B biological activity”, or “PDGF-B function”, as used interchangeably herein, is meant any activity mediated by PDGF-B interaction with a cognate receptor, the activity including, but not limited to, binding of PDGF-B to PDGFR, phosphorylation of PDGFR, dimerization of PDGFR, increase in cell migration, increase in cell proliferation, increase in extracellular matrix deposition, and any other activity of PDGF-B either known in the art or to be elucidated in the future.
- an antigen-binding domain that binds to PDGF-B has a dissociation constant (Kd) of 1 micro M or less, 100 nM or less, 10 nM or less, 1 nM or less, 0.1 nM or less, 0.01 nM or less, or 0.001 nM or less (e.g. 10 -8 M or less, e.g. from 10 -8 M to 10 -13 M, e.g., from 10 -9 M to 10 -13 M).
- Kd dissociation constant
- an antigen-binding domain binds to an epitope of PDGF-B that is conserved among PDGF-B from different species.
- the antigen-binding molecule or antibody of the present invention preferably reacts with PDGF-D in a manner that blocks PDGF-D interaction with a cell surface receptor, e.g., PDGFR.
- the methods of the present invention use the multispecific antigen-binding molecule or antibody of the present invention that blocks, suppresses, or reduces (including significantly reduces) PDGF-B and PDGF-D activity, including downstream events mediated by PDGF-B and/or PDGF-D.
- the antigen-binding molecule or antibody of the present invention preferably reacts with PDGF-B and/or PDGF-D in a manner that blocks PDGF-B and/or PDGF-D interaction with a cell surface receptor, e.g., PDGFR.
- a cell surface receptor e.g., PDGFR.
- Binding affinity refers to intrinsic binding affinity which reflects a 1:1 interaction between members of a binding pair (e.g., antigen-binding molecule and antigen, or antibody and antigen).
- the affinity of a molecule X for its partner Y can generally be represented by the dissociation constant (KD). Affinity can be measured by common methods known in the art, including those described herein. Specific illustrative and exemplary embodiments for measuring binding affinity are described in the following. Methods to determine affinity
- the KD value of the first antigen-binding domain of the antibody/antigen-binding molecule for PDGF-B or PDGF-D falls within the range of 0.1-40, 1-50, 1-70, 1-80, 30-50, 30-70, 30-80, 40-70, 40-80, or 60-80 nM.
- KD is measured by a radiolabeled antigen binding assay (RIA).
- RIA radiolabeled antigen binding assay
- an RIA is performed with the Fab version of an antibody of interest and its antigen.
- solution binding affinity of Fabs for antigen is measured by equilibrating Fab with a minimal concentration of ( 125 I)-labeled antigen in the presence of a titration series of unlabeled antigen, then capturing bound antigen with an anti-Fab antibody-coated plate (see, e.g., Chen et al., J. Mol. Biol. 293:865-881(1999)).
- MICROTITER registered trademark multi-well plates (Thermo Scientific) are coated overnight with 5 micro g/ml of a capturing anti-Fab antibody (Cappel Labs) in 50 mM sodium carbonate (pH 9.6), and subsequently blocked with 2% (w/v) bovine serum albumin in PBS for two to five hours at room temperature (approximately 23 degrees C).
- a non-adsorbent plate (Nunc #269620)
- 100 pM or 26 pM [ 125 I]-antigen are mixed with serial dilutions of a Fab of interest (e.g., consistent with assessment of the anti-VEGF antibody, Fab-12, in Presta et al., Cancer Res.
- the Fab of interest is then incubated overnight; however, the incubation may continue for a longer period (e.g., about 65 hours) to ensure that equilibrium is reached. Thereafter, the mixtures are transferred to the capture plate for incubation at room temperature (e.g., for one hour). The solution is then removed and the plate is washed eight times with 0.1% polysorbate 20 (TWEEN-20 (registered trademark)) in PBS. When the plates have dried, 150 micro l/well of scintillant (MICROSCINT-20 TM ; Packard) is added, and the plates are counted on a TOPCOUNT TM gamma counter (Packard) for ten minutes. Concentrations of each Fab that give less than or equal to 20% of maximal binding are chosen for use in competitive binding assays.
- TWEEN-20 registered trademark
- KD is measured using a BIACORE (registered trademark) surface plasmon resonance assay.
- a BIACORE registered trademark
- an assay using a BIACORE (registered trademark)-2000 or a BIACORE (registered trademark)-3000 (BIAcore, Inc., Piscataway, NJ) is performed at 25 degrees C with immobilized antigen CM5 chips at ⁇ 10 response units (RU).
- CM5 carboxymethylated dextran biosensor chips
- EDC N-ethyl-N'- (3-dimethylaminopropyl)-carbodiimide hydrochloride
- NHS N-hydroxysuccinimide
- association rates (k on ) and dissociation rates (k off ) are calculated using a simple one-to-one Langmuir binding model (BIACORE (registered trademark) Evaluation Software version 3.2) by simultaneously fitting the association and dissociation sensorgrams.
- the equilibrium dissociation constant (KD) is calculated as the ratio k off /k on . See, e.g., Chen et al., J. Mol. Biol. 293:865-881 (1999).
- antibody herein is used in the broadest sense and encompasses various antibody structures, including but not limited to monoclonal antibodies, polyclonal antibodies, multispecific antibodies (e.g., bispecific antibodies), and antibody fragments so long as they exhibit the desired antigen-binding activity.
- Class of antibody e.g., monoclonal antibodies, polyclonal antibodies, multispecific antibodies (e.g., bispecific antibodies), and antibody fragments so long as they exhibit the desired antigen-binding activity.
- the "class" of an antibody refers to the type of constant domain or constant region possessed by its heavy chain.
- the heavy chain constant domains that correspond to the different classes of immunoglobulins are called alpha, delta, epsilon, gamma, and mu, respectively.
- FR Framework or "FR” refers to variable domain residues other than hypervariable region (HVR) residues.
- the FR of a variable domain generally consists of four FR domains: FR1, FR2, FR3, and FR4. Accordingly, the HVR and FR sequences generally appear in the following sequence in VH (or VL): FR1-H1(L1)-FR2-H2(L2)-FR3-H3(L3)-FR4.
- a "human consensus framework” is a framework which represents the most commonly occurring amino acid residues in a selection of human immunoglobulin VL or VH framework sequences.
- the selection of human immunoglobulin VL or VH sequences is from a subgroup of variable domain sequences.
- the subgroup of sequences is a subgroup as in Kabat et al., Sequences of Proteins of Immunological Interest, Fifth Edition, NIH Publication 91-3242, Bethesda MD (1991), vols. 1-3.
- the subgroup is subgroup kappa I as in Kabat et al., supra.
- the subgroup is subgroup III as in Kabat et al., supra. HVR
- Exemplary HVRs herein include: (a) hypervariable loops occurring at amino acid residues 26-32 (L1), 50-52 (L2), 91-96 (L3), 26-32 (H1), 53-55 (H2), and 96-101 (H3) (Chothia and Lesk, J. Mol. Biol. 196:901-917 (1987)); (b) CDRs occurring at amino acid residues 24-34 (L1), 50-56 (L2), 89-97 (L3), 31-35b (H1), 50-65 (H2), and 95-102 (H3) (Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed.
- 262 732-745 (1996)); and (d) combinations of (a), (b), and/or (c), including HVR amino acid residues 46-56 (L2), 47-56 (L2), 48-56 (L2), 49-56 (L2), 26-35 (H1), 26-35b (H1), 49-65 (H2), 93-102 (H3), and 94-102 (H3).
- HVR residues and other residues in the variable domain are numbered herein according to Kabat et al., supra.
- HVR-H1, HVR-H2, HVR-H3, HVR-L1, HVR-L2, and HVR-L3 may also be called as “HCDR1”, “HCDR2”, “HCDR3”, LCDR1", “LCDR2”, and “LCDR3”, respectively.
- variable region refers to the domain of an antibody heavy or light chain that is involved in binding the antibody to antigen.
- the variable domains of the heavy chain and light chain (VH and VL, respectively) of a native antibody generally have similar structures, with each domain comprising four conserved framework regions (FRs) and three hypervariable regions (HVRs).
- FRs conserved framework regions
- HVRs hypervariable regions
- antibodies that bind a particular antigen may be isolated using a VH or VL domain from an antibody that binds the antigen to screen a library of complementary VL or VH domains, respectively. See, e.g., Portolano et al., J. Immunol. 150:880-887 (1993); Clarkson et al., Nature 352:624-628 (1991). Identity (Sequence identity)
- Percent (%) amino acid sequence identity with respect to a reference polypeptide sequence is defined as the percentage of amino acid residues in a candidate sequence that are identical with the amino acid residues in the reference polypeptide sequence, after aligning the sequences and introducing gaps, if necessary, to achieve the maximum percent sequence identity, and not considering any conservative substitutions as part of the sequence identity. Alignment for purposes of determining percent amino acid sequence identity can be achieved in various ways that are within the skill in the art, for instance, using publicly available computer software such as BLAST, BLAST-2, ALIGN, Megalign (DNASTAR) software, or GENETYX (registered trademark) (Genetyx Co., Ltd.). Those skilled in the art can determine appropriate parameters for aligning sequences, including any algorithms needed to achieve maximal alignment over the full length of the sequences being compared.
- the ALIGN-2 sequence comparison computer program was authored by Genentech, Inc., and the source code has been filed with user documentation in the U.S. Copyright Office, Washington D.C., 20559, where it is registered under U.S. Copyright Registration No. TXU510087.
- the ALIGN-2 program is publicly available from Genentech, Inc., South San Francisco, California, or may be compiled from the source code.
- the ALIGN-2 program should be compiled for use on a UNIX operating system, including digital UNIX V4.0D. All sequence comparison parameters are set by the ALIGN-2 program and do not vary.
- the % amino acid sequence identity of a given amino acid sequence A to, with, or against a given amino acid sequence B is calculated as follows: 100 times the fraction X/Y where X is the number of amino acid residues scored as identical matches by the sequence alignment program ALIGN-2 in that program's alignment of A and B, and where Y is the total number of amino acid residues in B.
- chimeric antibody refers to an antibody in which a portion of the heavy and/or light chain is derived from a particular source or species, while the remainder of the heavy and/or light chain is derived from a different source or species.
- chimeric antibody variable domain refers to an antibody variable region in which a portion of the heavy and/or light chain variable region is derived from a particular source or species, while the remainder of the heavy and/or light chain variable region is derived from a different source or species.
- a “humanized” antibody refers to a chimeric antibody comprising amino acid residues from non-human HVRs and amino acid residues from human FRs.
- a humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the HVRs (e.g., CDRs) correspond to those of a non-human antibody, and all or substantially all of the FRs correspond to those of a human antibody.
- a humanized antibody optionally may comprise at least a portion of an antibody constant region derived from a human antibody.
- a "humanized form" of an antibody, e.g., a non-human antibody refers to an antibody that has undergone humanization.
- a “humanized antibody variable region” refers to the variable region of a humanized antibody. Human antibody
- a “human antibody” is one which possesses an amino acid sequence which corresponds to that of an antibody produced by a human or a human cell or derived from a non-human source that utilizes human antibody repertoires or other human antibody-encoding sequences. This definition of a human antibody specifically excludes a humanized antibody comprising non-human antigen-binding residues.
- a “human antibody variable region” refers to the variable region of a human antibody.
- Anti-PDGF-B or PDGF-D antibodies can be obtained as polyclonal or monoclonal antibodies using known methods.
- the anti-PDGF-B or PDGF-D antibodies produced are preferably monoclonal antibodies derived from mammals.
- Such mammal-derived monoclonal antibodies include antibodies produced by hybridomas or host cells transformed with an expression vector carrying an antibody gene by genetic engineering techniques.
- Monoclonal antibody-producing hybridomas can be produced using known techniques, for example, as described below. Specifically, mammals are immunized by conventional immunization methods using a PDGF-B or PDGF-D protein as a sensitizing antigen. Resulting immune cells are fused with known parental cells by conventional cell fusion methods. Then, hybridomas producing an anti-PDGF-B or PDGF-D antibody can be selected by screening for monoclonal antibody-producing cells using conventional screening methods.
- the above animals are immunized with a sensitizing antigen by known methods.
- Generally performed immunization methods include, for example, intraperitoneal or subcutaneous injection of a sensitizing antigen into mammals.
- a sensitizing antigen is appropriately diluted with PBS (Phosphate-Buffered Saline), physiological saline, or the like.
- a conventional adjuvant such as Freund's complete adjuvant is mixed with the antigen, and the mixture is emulsified.
- the sensitizing antigen is administered to a mammal several times at 4- to 21-day intervals.
- Appropriate carriers may be used in immunization with the sensitizing antigen.
- sensitizing antigen peptide when a low-molecular-weight partial peptide is used as the sensitizing antigen, it is sometimes desirable to couple the sensitizing antigen peptide to a carrier protein such as albumin or keyhole limpet hemocyanin for immunization.
- a carrier protein such as albumin or keyhole limpet hemocyanin for immunization.
- hybridomas producing a desired antibody can be prepared using DNA immunization as mentioned below.
- DNA immunization is an immunization method that confers immunostimulation by expressing a sensitizing antigen in an animal immunized as a result of administering a vector DNA constructed to allow expression of an antigen protein-encoding gene in the animal.
- a DNA for the expression of a PDGF-B or PDGF-D protein is administered to an animal to be immunized.
- the PDGF-B or PDGF-D-encoding DNA can be synthesized by known methods such as PCR.
- the obtained DNA is inserted into an appropriate expression vector, and then this is administered to an animal to be immunized.
- Preferably used expression vectors include, for example, commercially-available expression vectors such as pcDNA3.1. Vectors can be administered to an organism using conventional methods. For example, DNA immunization is performed by using a gene gun to introduce expression vector-coated gold particles into cells in the body of an animal to be immunized.
- a mammalian myeloma cell is used as a cell to be fused with the above-mentioned immunocyte.
- the myeloma cells preferably comprise a suitable selection marker for screening.
- a selection marker confers characteristics to cells for their survival (or death) under a specific culture condition.
- Hypoxanthine-guanine phosphoribosyltransferase deficiency hereinafter abbreviated as HGPRT deficiency
- TK deficiency thymidine kinase deficiency
- HGPRT-deficient cells can be selected in a medium containing 6-thioguanine or 8-azaguanine (hereinafter abbreviated as 8AG), and TK-deficient cells can be selected in a medium containing 5'-bromodeoxyuridine.
- Normal cells are killed in the selection medium because they incorporate these pyrimidine analogs into their DNA. Meanwhile, cells that are deficient in these enzymes can survive in the selection medium, since they cannot incorporate these pyrimidine analogs.
- a selection marker referred to as G418 resistance provided by the neomycin-resistant gene confers resistance to 2-deoxystreptamine antibiotics (gentamycin analogs).
- gentamycin analogs gentamycin analogs
- myeloma cells including the following cells can be preferably used: P3(P3x63Ag8.653) (J. Immunol. (1979) 123 (4), 1548-1550); P3x63Ag8U.1 (Current Topics in Microbiology and Immunology (1978)81, 1-7); NS-1 (C. Eur. J. Immunol. (1976)6 (7), 511-519); MPC-11 (Cell (1976) 8 (3), 405-415); SP2/0 (Nature (1978) 276 (5685), 269-270); FO (J. Immunol. Methods (1980) 35 (1-2), 1-21); S194/5.XX0.BU.1 (J. Exp. Med. (1978) 148 (1), 313-323); R210 (Nature (1979) 277 (5692), 131-133), etc.
- P3x63Ag8.653 J. Immunol. (1979) 123 (4), 1548-1550
- Cell fusions between the immunocytes and myeloma cells are essentially carried out using known methods, for example, a method by Kohler and Milstein et al. (Methods Enzymol. (1981) 73: 3-46).
- cell fusion can be carried out, for example, in a conventional culture medium in the presence of a cell fusion-promoting agent.
- fusion-promoting agents include, for example, polyethylene glycol (PEG) and Sendai virus (HVJ).
- PEG polyethylene glycol
- HVJ Sendai virus
- an auxiliary substance such as dimethyl sulfoxide is also added to improve fusion efficiency.
- a PEG solution for example, the average molecular weight is about 1,000 to 6,000
- a concentration of generally 30% to 60% w/v.
- This is gently mixed to produce desired fusion cells (hybridomas).
- an appropriate culture medium mentioned above is gradually added to the cells, and this is repeatedly centrifuged to remove the supernatant.
- the hybridomas thus obtained can be selected by culturing using a conventional selective medium, for example, HAT medium (a culture medium containing hypoxanthine, aminopterin, and thymidine). Cells other than the desired hybridomas (non-fused cells) can be killed by continuing culturing in the above HAT medium for a sufficient period of time. Typically, the period is several days to several weeks. Then, hybridomas producing the desired antibody are screened for and singly cloned by conventional limiting dilution methods.
- HAT medium a culture medium containing hypoxanthine, aminopterin, and thymidine
- the hybridomas thus obtained can be selected using a selection medium based on the selection marker possessed by the myeloma used for cell fusion.
- HGPRT- or TK-deficient cells can be selected by culturing using the HAT medium (a culture medium containing hypoxanthine, aminopterin, and thymidine).
- HAT medium a culture medium containing hypoxanthine, aminopterin, and thymidine
- HAT medium a culture medium containing hypoxanthine, aminopterin, and thymidine
- HAT medium a culture medium containing hypoxanthine, aminopterin, and thymidine
- HAT medium a culture medium containing hypoxanthine, aminopterin, and thymidine
- HAT medium a culture medium containing hypoxanthine, aminopterin, and thymidine
- HAT medium a culture medium containing hypoxanthine, aminopterin, and thymidine
- Monoclonal antibody-producing hybridomas thus prepared can be passaged in a conventional culture medium and stored in liquid nitrogen for a long period of time.
- the above hybridomas are cultured by a conventional method, and desired monoclonal antibodies can be prepared from the culture supernatants. Alternatively, the hybridomas are administered to and grown in compatible mammals, and monoclonal antibodies are prepared from the ascites.
- the former method is suitable for preparing antibodies with high purity.
- Antibodies encoded by antibody genes that are cloned from antibody-producing cells such as the above hybridomas can also be preferably used.
- a cloned antibody gene is inserted into an appropriate vector, and this is introduced into a host to express the antibody encoded by the gene.
- Methods for isolating antibody genes, inserting the genes into vectors, and transforming host cells have already been established, for example, by Vandamme et al. (Eur. J. Biochem. (1990) 192(3), 767-775). Methods for producing recombinant antibodies are also known as described below.
- the present invention provides nucleic acids that encode an antigen-binding molecule or a multispecific antigen-binding molecule of the present invention.
- the present invention also provides a vector into which the nucleic acid encoding the antigen-binding molecule or multispecific antigen-binding molecule is introduced, i.e., a vector comprising the nucleic acid.
- the present invention provides a cell comprising the nucleic acid or the vector.
- the present invention also provides a method for producing the antigen-binding molecule or multispecific antigen-binding molecule by culturing the cell.
- the present invention further provides antigen-binding molecules or multispecific antigen-binding molecules produced by the method.
- Extracted mRNAs can be purified using the mRNA Purification Kit (GE Healthcare Bioscience) or such. Alternatively, kits for extracting total mRNA directly from cells, such as the QuickPrep mRNA Purification Kit (GE Healthcare Bioscience), are also commercially available. mRNAs can be prepared from hybridomas using such kits. cDNAs encoding the antibody V region can be synthesized from the prepared mRNAs using a reverse transcriptase. cDNAs can be synthesized using the AMV Reverse Transcriptase First-strand cDNA Synthesis Kit (Seikagaku Co.) or such. Furthermore, the SMART RACE cDNA amplification kit (Clontech) and the PCR-based 5'-RACE method (Proc.
- the cDNA fragment of interest is purified from the resulting PCR product, and then this is ligated to a vector DNA.
- a recombinant vector is thus constructed and introduced into E. coli or such. After colony selection, the desired recombinant vector can be prepared from the colony-forming E. coli. Then, whether the recombinant vector has the cDNA nucleotide sequence of interest is tested by a known method such as the dideoxy nucleotide chain termination method.
- the 5'-RACE method which uses primers to amplify the variable region gene is conveniently used for isolating the gene encoding the variable region.
- a 5'-RACE cDNA library is constructed by cDNA synthesis using RNAs extracted from hybridoma cells as a template.
- a commercially available kit such as the SMART RACE cDNA amplification kit is appropriately used to synthesize the 5'-RACE cDNA library.
- PCR products thus amplified are used to reshape immunoglobulins composed of a combination of heavy and light chains.
- a desired antibody can be selected using the PDGF-B or PDGF-D-binding activity of a reshaped immunoglobulin as an indicator. For example, when the objective is to isolate an antibody against PDGF-B or PDGF-D, it is more preferred that the binding of the antibody to PDGF-B or PDGF-D is specific.
- Preferred antibody screening methods that use the binding activity as an indicator also include panning methods using phage vectors. Screening methods using phage vectors are advantageous when the antibody genes are isolated from heavy-chain and light-chain subclass libraries from a polyclonal antibody-expressing cell population. Genes encoding the heavy-chain and light-chain variable regions can be linked by an appropriate linker sequence to form a single-chain Fv (scFv). Phages presenting scFv on their surface can be produced by inserting a gene encoding scFv into a phage vector. The phages are contacted with an antigen of interest. Then, a DNA encoding scFv having the binding activity of interest can be isolated by collecting phages bound to the antigen. This process can be repeated as necessary to enrich scFv having a desired binding activity.
- scFv single-chain Fv
- antibody genes are inserted into an expression vector so that the genes are expressed under the control of an expression regulatory region.
- the expression regulatory region for antibody expression includes, for example, enhancers and promoters.
- an appropriate signal sequence may be attached to the amino terminus so that the expressed antibody is secreted to the outside of cells. Meanwhile, other appropriate signal sequences may be attached.
- the expressed polypeptide is cleaved at the carboxyl terminus of the above sequence, and the resulting polypeptide is secreted to the outside of cells as a mature polypeptide. Then, appropriate host cells are transformed with the expression vector, and recombinant cells expressing the anti-PDGF-B or PDGF-D antibody-encoding DNA are obtained.
- DNAs encoding the antibody heavy chain (H chain) and light chain (L chain) are separately inserted into different expression vectors to express the antibody gene.
- An antibody molecule having the H and L chains can be expressed by co-transfecting the same host cell with vectors into which the H-chain and L-chain genes are respectively inserted.
- host cells can be transformed with a single expression vector into which DNAs encoding the H and L chains are inserted (see WO 94/11523).
- yeasts the Saccharomyces genus such as Saccharomyces cerevisiae, and the Pichia genus such as Pichia pastoris
- filamentous fungi the Aspergillus genus such as Aspergillus niger.
- an antigen-binding molecule described herein When an antigen-binding molecule described herein is administered to human, a domain derived from a genetically recombinant antibody that has been artificially modified to reduce the heterologous antigenicity against human and such, can be appropriately used as the domain of the antigen-binding molecule including an antibody variable region.
- Such genetically recombinant antibodies include, for example, humanized antibodies. These modified antibodies are appropriately produced by known methods.
- the binding specificity of a certain antibody can be introduced into another antibody by CDR grafting.
- the full-length V region gene in which three CDRs and four FRs are ligated, is amplified using primers that anneal to its 5'- or 3'-end, which are added with suitable restriction enzyme recognition sequences.
- An expression vector for humanized antibody can be produced by inserting the DNA obtained as described above and a DNA that encodes a human antibody C region into an expression vector so that they will ligate in-frame. After the recombinant vector is transfected into a host to establish recombinant cells, the recombinant cells are cultured, and the DNA encoding the humanized antibody is expressed to produce the humanized antibody in the cell culture (see, European Patent Publication No. EP 239400 and International Patent Publication No. WO 1996/002576).
- FRs that allow CDRs to form a favorable antigen-binding site when ligated through the CDRs.
- Amino acid residues in FRs may be substituted as necessary, so that the CDRs of a reshaped human antibody form an appropriate antigen-binding site.
- amino acid sequence mutations can be introduced into FRs by applying the PCR method used for grafting a mouse CDR into a human FR. More specifically, partial nucleotide sequence mutations can be introduced into primers that anneal to the FR.
- desired human antibodies can be obtained by immunizing transgenic animals having the entire repertoire of human antibody genes (see WO 1993/012227; WO 1992/003918; WO 1994/002602; WO 1994/025585; WO 1996/034096; WO 1996/033735) by DNA immunization.
- the V region of a human antibody is expressed as a single-chain antibody (scFv) on phage surface by the phage display method.
- Phages expressing a scFv that binds to the antigen can be selected.
- the DNA sequence encoding the human antibody V region that binds to the antigen can be determined by analyzing the genes of selected phages.
- the DNA sequence of the scFv that binds to the antigen is determined.
- An expression vector is prepared by fusing the V region sequence in-frame with the C region sequence of a desired human antibody, and inserting this into an appropriate expression vector.
- the expression vector is introduced into cells appropriate for the expression such as those described above.
- Epitope means an antigenic determinant in an antigen, and refers to an antigen site to which the antigen-binding domain of an antigen-binding molecule or antibody disclosed herein binds.
- the epitope can be defined according to its structure.
- the epitope may be defined according to the antigen-binding activity of an antigen-binding molecule or antibody that recognizes the epitope.
- the antigen is a peptide or polypeptide
- the epitope can be specified by the amino acid residues forming the epitope.
- the epitope is a sugar chain
- the epitope can be specified by its specific sugar chain structure.
- Examples of a method for assessing the epitope binding by a test antigen-binding molecule or antibody containing an anti-PDGF-B or PDGF-D antigen-binding domain are described below. According to the examples below, methods for assessing the epitope binding by a test antigen-binding molecule or antibody containing an antigen-binding domain for an antigen other than PDGF-B or PDGF-D, can also be appropriately conducted.
- test antigen-binding molecule or antibody containing an anti-PDGF-B or PDGF-D antigen-binding domain recognizes a linear epitope in the PDGF-B or PDGF-D molecule can be confirmed for example as mentioned below.
- a linear peptide comprising an amino acid sequence of PDGF-B or PDGF-D is synthesized for the above purpose.
- the peptide can be synthesized chemically or obtained by genetic engineering techniques using a region of a PDGF-B or PDGF-D cDNA encoding the amino acid sequence.
- a test antigen-binding molecule or antibody containing an anti-PDGF-B or PDGF-D antigen-binding domain is assessed for its binding activity towards a linear peptide comprising the amino acid sequence.
- an immobilized linear peptide can be used as an antigen in ELISA to evaluate the binding activity of the polypeptide complex towards the peptide.
- the binding activity towards a linear peptide can be assessed based on the level that the linear peptide inhibits the binding of the antigen-binding molecule or antibody to PDGF-B or PDGF-D.
- test antigen-binding molecule or antibody containing an anti-PDGF-B or PDGF-D antigen-binding domain recognizes a conformational epitope can be assessed as follows.
- a test antigen-binding molecule or antibody containing an anti-PDGF-B or PDGF-D antigen-binding domain can be determined to recognize a conformational epitope when it strongly binds to PDGF-B or PDGF-D upon contact, but does not substantially bind to an immobilized linear peptide comprising an amino acid sequence of PDGF-B or PDGF-D.
- “not substantially bind” means that the binding activity is 80% or less, generally 50% or less, preferably 30% or less, and particularly preferably 15% or less compared to the binding activity towards PDGF-B or PDGF-D.
- Methods for assaying the binding activity of a test antigen-binding molecule or antibody containing an anti-PDGF-B or PDGF-D antigen-binding domain towards PDGF-B or PDGF-D include, for example, the methods described in Antibodies: A Laboratory Manual (Ed Harlow, David Lane, Cold Spring Harbor Laboratory (1988) 359-420).
- test antigen-binding molecule or antibody containing an anti-PDGF-B or PDGF-D antigen-binding domain shares a common epitope with another antigen-binding molecule or antibody can be assessed based on the competition between the two antigen-binding molecules or antibodies for the same epitope.
- the competition between the antigen-binding molecules or antibodies can be detected by cross-blocking assay or the like.
- the competitive ELISA assay is a preferred cross-blocking assay.
- the PDGF-B or PDGF-D protein immobilized to the wells of a microtiter plate is pre-incubated in the presence or absence of a candidate competitor antigen-binding molecule or antibody, and then a test antigen-binding molecule or antibody is added thereto.
- the quantity of test antigen-binding molecule or antibody bound to the PDGF-B or PDGF-D protein in the wells is indirectly correlated with the binding ability of a candidate competitor antigen-binding molecule or antibody that competes for the binding to the same epitope. That is, the greater the affinity of the competitor antigen-binding molecule or antibody for the same epitope, the lower the binding activity of the test antigen-binding molecule or antibody towards the PDGF-B or PDGF-D protein-coated wells.
- the quantity of the test antigen-binding molecule or antibody bound to the wells via the PDGF-B or PDGF-D protein can be readily determined by labeling the antigen-binding molecule or antibody in advance.
- a biotin-labeled antigen-binding molecule or antibody is measured using an avidin / peroxidase conjugate and appropriate substrate.
- cross-blocking assay that uses enzyme labels such as peroxidase is called "competitive ELISA assay”.
- the antigen-binding molecule or antibody can also be labeled with other labeling substances that enable detection or measurement. Specifically, radiolabels, fluorescent labels, and such are known.
- variable fragment refers to the minimum unit of an antibody-derived antigen-binding domain that is composed of a pair of the antibody light chain variable region (VL) and antibody heavy chain variable region (VH).
- VL antibody light chain variable region
- VH antibody heavy chain variable region
- sc(Fv) 2 is a single-chain antibody in which four variable regions, i.e. two VL and two VH, are linked by linkers such as peptide linkers to form a single chain (J Immunol. Methods (1999) 231(1-2), 177-189). The two VH and two VL may be derived from different monoclonal antibodies.
- Such sc(Fv) 2 preferably includes, for example, a bispecific sc(Fv) 2 that recognizes two epitopes present in a single antigen as disclosed in the Journal of Immunology (1994) 152(11), 5368-5374.
- sc(Fv) 2 can be produced by methods known to those skilled in the art. For example, sc(Fv) 2 can be produced by linking scFv by a linker such as a peptide linker.
- the form of an antigen-binding domain forming an sc(Fv) 2 include an antibody in which the two VH units and two VL units are arranged in the order of VH, VL, VH, and VL ([VH]-linker-[VL]-linker-[VH]-linker-[VL]) beginning from the N terminus of a single-chain polypeptide.
- the order of the two VH units and two VL units is not limited to the above form, and they may be arranged in any order. Examples of the form are listed below.
- the antigen-binding molecules or antibodies of the present invention may be conjugated with a carrier polymer such as PEG or an organic compound such as an anticancer agent.
- a sugar chain addition sequence is preferably inserted into the antigen-binding molecules or antibodies such that the sugar chain produces a desired effect.
- Fab consists of a single light chain, and a CH1 domain and variable region from a single heavy chain.
- the heavy chain of Fab molecule cannot form disulfide bonds with another heavy chain molecule.
- numbering of amino acid residues in the Fc region or constant region is according to the EU numbering system, also called the EU index, as described in Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD, 1991.
- EU index as described in Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD, 1991.
- Fc gamma RII receptors include Fc gamma RIIA (an “activating receptor”) and Fc gamma RIIB (an “inhibiting receptor”), which have similar amino acid sequences that differ primarily in the cytoplasmic domains thereof.
- Activating receptor Fc gamma RIIA contains an immunoreceptor tyrosine-based activation motif (ITAM) in its cytoplasmic domain.
- Inhibiting receptor Fc gamma RIIB contains an immunoreceptor tyrosine-based inhibition motif (ITIM) in its cytoplasmic domain.
- ITAM immunoreceptor tyrosine-based activation motif
- ITIM immunoreceptor tyrosine-based inhibition motif
- Such preferred Fc gamma receptors include, for example, human Fc gamma RI (CD64), Fc gamma RIIA (CD32), Fc gamma RIIB (CD32), Fc gamma RIIIA (CD16), and/or Fc gamma RIIIB (CD16).
- the polynucleotide sequence and amino acid sequence of Fc gamma RI are shown in SEQ ID NOs: 178 (NM_000566.3) and 173 (NP_000557.1), respectively; the polynucleotide sequence and amino acid sequence of Fc gamma RIIA are shown in SEQ ID NOs: 179 (BC020823.1) and 174 (AAH20823.1), respectively; the polynucleotide sequence and amino acid sequence of Fc gamma RIIB are shown in SEQ ID NOs: 180 (BC146678.1) and 175 (AAI46679.1), respectively; the polynucleotide sequence and amino acid sequence of Fc gamma RIIIA are shown in SEQ ID NOs: 181 (BC033678.1) and 176 (AAH33678.1), respectively; and the polynucleotide sequence and amino acid sequence of Fc gamma RIIIB are shown in SEQ ID NOs: 182 (BC128562.1)
- an Fc gamma receptor has binding activity to the Fc domain of a monoclonal IgG1, IgG2, IgG3, or IgG4 antibody can be assessed by ALPHA screen (Amplified Luminescent Proximity Homogeneous Assay), surface plasmon resonance (SPR)-based BIACORE method, and others (Proc. Natl. Acad. Sci. USA (2006) 103(11), 4005-4010), in addition to the above-described FACS and ELISA formats.
- ALPHA screen Aminescent Proximity Homogeneous Assay
- SPR surface plasmon resonance
- Fc ligand refers to a molecule and preferably a polypeptide that binds to an antibody Fc domain, forming an Fc/Fc ligand complex.
- the molecule may be derived from any organisms.
- the binding of an Fc ligand to Fc preferably induces one or more effector functions.
- Fc ligands include, but are not limited to, Fc receptors, Fc gamma receptor, Fc alpha receptor, Fc beta receptor, FcRn, C1q, and C3, mannan-binding lectin, mannose receptor, Staphylococcus Protein A, Staphylococcus Protein G, and viral Fc gamma receptors.
- ALPHA screen is performed by the ALPHA technology based on the principle described below using two types of beads: donor and acceptor beads.
- a luminescent signal is detected only when the two beads are located in close proximity through the biological interaction between the molecules linked to the donor beads and the acceptor beads.
- the photosensitizer in a donor bead converts oxygen around the bead into excited singlet oxygen.
- the singlet oxygen diffuses around the donor beads and reaches the acceptor beads located in close proximity, a chemiluminescent reaction within the acceptor beads is induced. This reaction ultimately results in light emission. If molecules linked to the donor beads do not interact with molecules linked to the acceptor beads, the singlet oxygen produced by donor beads do not reach the acceptor beads and chemiluminescent reaction does not occur.
- an antigen-binding molecule or antibody having a non-tagged mutant Fc domain competes with the antigen-binding molecule or antibody comprising a wild-type Fc domain for the interaction with Fc gamma receptor, reduction of fluorescence will be observed as a result of competition and the reduction can be quantified to thereby determine the relative binding affinity.
- Methods for biotinylating the antigen-binding molecules or antibodies such as antibodies using Sulfo-NHS-biotin or the like are known.
- Appropriate methods for adding the GST tag to an Fc gamma receptor include methods that involve the steps of fusing genes encoding Fc gamma receptor and GST in-frame, expressing the fused gene using cells to which a vector carrying the fused gene is introduced, and then purifying the fused protein using a glutathione column.
- the induced signal can be preferably analyzed, for example, by fitting to a one-site competition model based on nonlinear regression analysis using software such as GRAPHPAD PRISM (GraphPad; San Diego).
- One of the substances for observing their interaction is immobilized as a ligand onto a gold thin layer of a sensor chip.
- SPR signal When light is shed on the rear surface of the sensor chip so that total reflection occurs at the interface between the gold thin layer and glass, the intensity of reflected light is partially reduced at a certain site (SPR signal).
- the other substance for observing their interaction is injected as an analyte onto the surface of the sensor chip.
- the mass of immobilized ligand molecule increases when the analyte binds to the ligand. This alters the refraction index of solvent on the surface of the sensor chip.
- the change in refraction index causes a positional shift of SPR signal (conversely, the dissociation shifts the signal back to the original position).
- the amount of shift described above i.e., the change of mass on the sensor chip surface
- Kinetic parameters association rate constant (ka) and dissociation rate constant (kd)
- affinity KD is determined from the ratio between these two constants.
- Inhibition assay is preferably used in the BIACORE methods. Examples of such inhibition assay are described in Proc. Natl. Acad. Sci. USA (2006) 103(11), 4005-4010. Fc region with a reduced Fc gamma receptor-binding activity
- a reduced Fc gamma receptor-binding activity means, for example, that based on the above-described analysis method the competitive activity of a test antigen-binding molecule or antibody is 50% or less, preferably 45% or less, 40% or less, 35% or less, 30% or less, 20% or less, or 15% or less, and particularly preferably 10% or less, 9% or less, 8% or less, 7% or less, 6% or less, 5% or less, 4% or less, 3% or less, 2% or less, or 1% or less than the competitive activity of a control antigen-binding molecule or antibody.
- Antigen-binding molecules or antibodies comprising the Fc domain of a monoclonal IgG1, IgG2, IgG3, or IgG4 antibody can be appropriately used as control antigen-binding molecules or antibodies.
- the Fc domain structures are shown in SEQ ID NOs: 183 (A is added to the N terminus of RefSeq accession number AAC82527.1), 184 (A is added to the N terminus of RefSeq accession number AAB59393.1), 185 (RefSeq accession number CAA27268.1), and 186 (A is added to the N terminus of RefSeq accession number AAB59394.1).
- an antigen-binding molecule or antibody comprising an Fc domain mutant of an antibody of a particular isotype is used as a test substance, the effect of the mutation of the mutant on the Fc gamma receptor-binding activity is assessed using as a control an antigen-binding molecule or antibody comprising an Fc domain of the same isotype.
- antigen-binding molecules or antibodies comprising an Fc domain mutant whose Fc gamma receptor-binding activity has been judged to be reduced are appropriately prepared.
- mutants include, for example, mutants having a deletion of amino acids 231A-238S (EU numbering) (WO 2009/011941), as well as mutants C226S, C229S, P238S, (C220S) (J. Rheumatol (2007) 34, 11); C226S and C229S (Hum. Antibod. Hybridomas (1990) 1(1), 47-54); C226S, C229S, E233P, L234V, and L235A (Blood (2007) 109, 1185-1192).
- the preferred antigen-binding molecules or antibodies include those comprising an Fc domain with a mutation (such as substitution) of at least one amino acid selected from the following amino acid positions: 220, 226, 229, 231, 232, 233, 234, 235, 236, 237, 238, 239, 240, 264, 265, 266, 267, 269, 270, 295, 296, 297, 298, 299, 300, 325, 327, 328, 329, 330, 331, or 332 (EU numbering), in the amino acids forming the Fc domain of an antibody of a particular isotype.
- a mutation such as substitution
- the isotype of antibody from which the Fc domain originates is not particularly limited, and an appropriate Fc domain derived from a monoclonal IgG1, IgG2, IgG3, or IgG4 antibody may be used. It is preferable to use Fc domains derived from IgG1 antibodies.
- the preferred antigen-binding molecules or antibodies also include those comprising an Fc domain that has any one of the substitutions shown below, whose positions are specified according to EU numbering in the amino acids forming the Fc domain of an IgG2 antibody: (e) H268Q, V309L, A330S, and P331S; (f) V234A; (g) G237A; (h) V234A and G237A; (i) A235E and G237A; or (j) V234A, A235E, and G237A.
- Each number represents the position of an amino acid residue in EU numbering; and the one-letter amino acid symbol before the number represents the amino acid residue before substitution, while the one-letter amino acid symbol after the number represents the amino acid residue after the substitution.
- the preferred antigen-binding molecules or antibodies also include, for example, those comprising an Fc domain in which any one or more of the amino acids at positions 234, 235, and 297 (EU numbering) in the amino acids forming the Fc domain of an IgG1 antibody is substituted with other amino acids.
- the type of amino acid after substitution is not particularly limited; however, the antigen-binding molecules or antibodies comprising an Fc domain in which any one or more of the amino acids at positions 234, 235, and 297 are substituted with alanine are particularly preferred.
- the preferred antigen-binding molecules or antibodies also include, for example, those comprising an Fc domain in which an amino acid at position 265 (EU numbering) in the amino acids forming the Fc domain of an IgG1 antibody is substituted with another amino acid.
- the type of amino acid after substitution is not particularly limited; however, antigen-binding molecules or antibodies comprising an Fc domain in which an amino acid at position 265 is substituted with alanine are particularly preferred.
- the preferred antigen-binding molecules or antibodies also include an Fc domain which exhibits reduced binding affinity to human Fc gamma receptor, as compared to a native human IgG1 Fc domain, wherein the Fc region subunit comprised in the Fc domain comprises Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440, wherein the amino acid positions are numbered according to EU numbering.
- an antigen-binding domain that binds to PDGF-B
- an anti-PDGF-B antigen-binding domain refers to an antigen-binding domain that specifically binds to the above-mentioned PDGF-B protein, or the whole or a portion of a partial peptide of the PDGF-B protein, for example, an epitope on human PDGF-B (an exemplary human PDGF-B is shown in SEQ ID NO: 172).
- the antigen-binding domain that binds to PDGF-B comprises 3 CDRS in the heavy-chain variable region and 3 CDRS in the light-chain variable region of an anti-PDGF-B antibody. In certain embodiments, the antigen-binding domain that binds to PDGF-B comprises the heavy-chain variable region and light-chain variable region of an anti-PDGF-B antibody. In certain embodiments, the antigen-binding domain that binds to PDGF-B comprises a Fab structure.
- the anti-PDGF-B antibody comprises an H chain comprising the amino acid sequence (of the CDRs of the H-chain variable region) as described in any one of Embodiments (A-1)-(A-7) or in Table 5A below and an L chain comprising the amino acid sequence (of the CDRs of the L-chain variable region) as described in any one of Embodiments (A-1)-(A-7) or in Table 5A.
- the antigen-binding domain that binds to PDGF-B comprises an antibody variable fragment that competes for binding to human PDGF-B with any one of the antibody variable fragments shown in Table 5A.
- the antigen-binding domain that binds to PDGF-D comprises any one of the antibody variable fragments shown in Table 5B below.
- the antigen-binding domain that binds to PDGF-D comprises an antibody variable fragment that does not compete for binding to PDGF-D with a reference antibody which comprises a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 165 and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 166.
- the present invention provides multispecific antigen-binding molecules comprising a first antigen-binding domain that comprises an antibody variable fragment that binds to PDGF-D, and a second antigen-binding domain that comprises an antibody variable fragment that binds to PDGF-B.
- the present invention provides bispecific antigen-binding molecules that comprise a first antigen-binding domain that binds to PDGF-D, a second antigen-binding domain that binds to PDGF-B, and a third domain comprising an Fc region that has a reduced Fc gamma receptor-binding activity.
- the Fc region may have a reduced Fc gamma receptor-binding activity compared with the Fc domain of an IgG1, IgG2, IgG3, or IgG4 antibody.
- the present invention provides bispecific antibodies that comprise a first antibody variable fragment that binds to human PDGF-D, a second antibody variable fragment that binds to human PDGF-B, and an Fc region that has a reduced Fc gamma receptor-binding activity compared with naturally occurring IgG Fc regions.
- multispecific antigen-binding molecule examples include multispecific antibodies.
- an Fc region with reduced Fc gamma receptor-binding activity is used as the multispecific antibody Fc region
- an Fc region derived from the multispecific antibody may be used appropriately.
- Bispecific antibodies are particularly preferred as the multispecific antibodies of the present invention.
- a bispecific antibody is an antibody having two different specificities. IgG-type bispecific antibodies can be secreted from a hybrid hybridoma (quadroma) produced by fusing two types of hybridomas that produce IgG antibodies (Milstein et al., Nature (1983) 305, 537-540).
- examples include an antibody comprising two types of H-chain CH3 regions, in which one to three pairs of amino acid residues in the first H-chain CH3 region, selected from the pairs of amino acid residues indicated in (1) to (3) below, carry the same type of charge: (1) amino acid residues comprised in the H chain CH3 region at EU numbering positions 356 and 439; (2) amino acid residues comprised in the H-chain CH3 region at EU numbering positions 357 and 370; and (3) amino acid residues comprised in the H-chain CH3 region at EU numbering positions 399 and 409.
- charged amino acid residues are preferably selected, for example, from amino acid residues included in either one of the following groups: (a) glutamic acid (E) and aspartic acid (D); and (b) lysine (K), arginine (R), and histidine (H).
- Fc region-containing polypeptides comprising different amino acids can be efficiently associated with each other by substituting an amino acid side chain present in one of the H-chain Fc regions of the antibody with a larger side chain (knob), and substituting an amino acid side chain present in the corresponding Fc region of the other H chain with a smaller side chain (hole) to allow placement of the knob within the hole (WO1996/027011; Ridgway JB et al., Protein Engineering (1996) 9, 617-621; Merchant A. M. et al. Nature Biotechnology (1998) 16, 677-681; and US20130336973).
- association of polypeptides having different sequences can be induced efficiently by complementary association of CH3 using a strand-exchange engineered domain CH3 produced by changing part of one of the H-chain CH3s of an antibody to a corresponding IgA-derived sequence and introducing a corresponding IgA-derived sequence into the complementary portion of the other H-chain CH3 (Protein Engineering Design & Selection, 23; 195-202, 2010).
- This known technique can also be used to efficiently form multispecific antibodies of interest.
- compositions of an antigen-binding molecule (e.g. antibody) binding to PDGF-D or of a multispecific antigen-binding molecule (e.g. bispecific antibody) binding to PDGF-D and PDGF-B as described herein are prepared by mixing such an antigen-binding molecule (e.g. antibody) or a multispecific antigen-binding molecule (e.g. bispecific antibody) having the desired degree of purity with one or more optional pharmaceutically acceptable carriers (Remington's Pharmaceutical Sciences 16th edition, Osol, A. Ed. (1980)), in the form of lyophilized formulations or aqueous solutions.
- an antigen-binding molecule e.g. antibody
- a multispecific antigen-binding molecule e.g. bispecific antibody
- Pharmaceutically acceptable carriers are generally nontoxic to recipients at the dosages and concentrations employed, and include, but are not limited to: buffers such as phosphate, citrate, and other organic acids; antioxidants including ascorbic acid and methionine; preservatives (such as octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride; benzalkonium chloride; benzethonium chloride; phenol, butyl or benzyl alcohol; alkyl parabens such as methyl or propyl paraben; catechol; resorcinol; cyclohexanol; 3-pentanol; and m-cresol); low molecular weight (less than about 10 residues) polypeptides; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, histidine, arg
- sHASEGP soluble neutral-active hyaluronidase glycoproteins
- rHuPH20 HYLENEX (registered trademark), Baxter International, Inc.
- Certain exemplary sHASEGPs and methods of use, including rHuPH20, are described in US Patent Publication Nos. 2005/0260186 and 2006/0104968.
- a sHASEGP is combined with one or more additional glycosaminoglycanases such as chondroitinases.
- Active ingredients may be entrapped in microcapsules prepared, for example, by coacervation techniques or by interfacial polymerization, for example, hydroxymethylcellulose or gelatin-microcapsules and poly-(methylmethacrylate) microcapsules, respectively, in colloidal drug delivery systems (for example, liposomes, albumin microspheres, microemulsions, nano-particles and nanocapsules) or in macroemulsions.
- colloidal drug delivery systems for example, liposomes, albumin microspheres, microemulsions, nano-particles and nanocapsules
- Sustained-release preparations may be prepared. Suitable examples of sustained-release preparations include semipermeable matrices of solid hydrophobic polymers containing the antibody, which matrices are in the form of shaped articles, e.g. films, or microcapsules.
- any of the multispecific antigen-binding molecule (e.g. bispecific antibody) binding to PDGF-D and PDGF-B, or the antigen-binding molecule (e.g. antibody) binding to PDGF-D, or the antigen-binding molecule (e.g. antibody) binding to PDGF-B, provided herein may be used in therapeutic methods.
- a multispecific antigen-binding molecule e.g. bispecific antibody
- a multispecific antigen-binding molecule comprising a first antigen-binding domain that binds to PDGF-D and a second antigen-binding domain that binds to PDGF-B, for use as a medicament is provided.
- an antigen-binding molecule e.g.
- an antigen-binding molecule (e.g. antibody) binding to PDGF-D for use as a medicament is provided.
- the medicament is used alone or in combination with an antigen-binding molecule (e.g. antibody) binding to PDGF-B.
- an antigen-binding molecule (e.g. antibody) binding to PDGF-B for use as a medicament is provided.
- the medicament is used alone or in combination with an antigen-binding molecule (e.g. antibody) binding to PDGF-D.
- a multispecific antigen-binding molecule comprising a first antigen-binding domain that binds to PDGF-D and a second antigen-binding domain that binds to PDGF-B, for use in fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis (e.g. bispecific antibody) compris
- an antigen-binding molecule e.g. antibody binding to PDGF-B for use in treating the above-mentioned diseases/conditions.
- the antigen-binding molecule (e.g. antibody) binding to PDGF-B for use in treating any of the above-mentioned diseases/conditions may be used alone or in combination with an antigen-binding molecule (e.g. antibody) binding to PDGF-D.
- an antigen-binding molecule (e.g. antibody) binding to PDGF-D is provided for use in any of the above therapeutic methods.
- the antigen-binding molecule (e.g. antibody) binding to PDGF-D for use in a method of treating any of the above-mentioned diseases/conditions may be used alone or in combination with an antigen-binding molecule (e.g. antibody) binding to PDGF-B, which means that the above-mentioned therapeutic methods may further comprise administering to the individual an effective amount of an antigen-binding molecule (e.g. antibody) binding to PDGF-B.
- an antigen-binding molecule (e.g. antibody) binding to PDGF-B is provided for use in any of the above therapeutic methods.
- the antigen-binding molecule (e.g. antibody) binding to PDGF-B for use in a method of treating any of the above-mentioned diseases/conditions may be used alone or in combination with an antigen-binding molecule (e.g. antibody) binding to PDGF-D, which means that the above-mentioned therapeutic methods may further comprise administering to the individual an effective amount of an antigen-binding molecule (e.g. antibody) binding to PDGF-D.
- An "individual” according to any of the above embodiments is preferably a human.
- the invention provides a multispecific antigen-binding molecule (e.g. bispecific antibody) comprising a first antigen-binding domain that binds to PDGF-D and a second antigen-binding domain that binds to PDGF-B for use in the manufacture or preparation of a medicament.
- a multispecific antigen-binding molecule e.g. bispecific antibody
- the medicament is for fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohe
- the medicament is for treating vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP).
- PVR proliferative vitreoretinopathy
- ROP retinopathy of prematurity
- NVAMD neovascular age-related macular degeneration
- RP retinitis pigmentosa
- the invention provides use of an antigen-binding molecule (e.g. antibody) binding to PDGF-D in the manufacture or preparation of a medicament for treating any of the above diseases/conditions.
- the medicament may further comprise an antigen-binding molecule (e.g. antibody) binding to PDGF-B or may be prepared specifically for combined use with an antigen-binding molecule (e.g. antibody) binding to PDGF-B.
- the invention provides use of an antigen-binding molecule (e.g. antibody) binding to PDGF-B in the manufacture or preparation of a medicament for treating any of the above diseases/conditions.
- the medicament may further comprise an antigen-binding molecule (e.g. antibody) binding to PDGF-D or may be prepared specifically for combined use with an antigen-binding molecule (e.g. antibody) binding to PDGF-D.
- the invention provides a pharmaceutical formulation comprising an antigen-binding molecule which binds to PDGF-D provided herein, e.g., for use in any of the above therapeutic methods.
- the invention provides a pharmaceutical formulation comprising an antigen-binding molecule which binds to PDGF-B provided herein, e.g., for use in any of the above therapeutic methods.
- the invention provides a pharmaceutical composition comprising an antigen-binding molecule which binds to PDGF-D provided herein, in combination with a pharmaceutical composition comprising an antigen-binding molecule which binds to PDGF-B.
- the antigen-binding molecule which binds to PDGF-D is administered to the subject simultaneously, separately, or sequentially with the antigen-binding molecule which binds to PDGF-B.
- a pharmaceutical formulation comprises any of the multispecific antigen-binding molecule (e.g. bispecific antibody) binding to PDGF-D and PDGF-B provided herein or the antigen-binding molecule (e.g. antibody) binding to PDGF-D provided herein or the antigen-binding molecule (e.g. antibody) binding to PDGF-B provided herein, and at least one additional therapeutic agent.
- the multispecific antigen-binding molecule e.g. bispecific antibody binding to PDGF-D and PDGF-B provided herein
- the antigen-binding molecule e.g. antibody binding to PDGF-D provided herein
- the antigen-binding molecule e.g. antibody binding to PDGF-B provided herein
- administration of the multispecific antigen-binding molecule (e.g. bispecific antibody) binding to PDGF-D and PDGF-B provided herein, or the antigen-binding molecule (e.g. antibody) binding to PDGF-D provided herein, or the antigen-binding molecule (e.g. antibody) binding to PDGF-B provided herein, and administration of an additional therapeutic agent occur within about one month, or within about one, two or three weeks, or within about one, two, three, four, five, or six days, of each other.
- a multispecific antigen-binding molecule e.g. bispecific antibody
- an antigen-binding molecule e.g. antibody
- any additional therapeutic agent can be administered by any suitable means, including parenteral, intrapulmonary, and intranasal, and, if desired for local treatment, intralesional administration.
- Parenteral infusions include intramuscular, intravenous, intraarterial, intraperitoneal, or subcutaneous administration. Dosing can be by any suitable route, e.g. by injections, such as intravenous or subcutaneous injections, depending in part on whether the administration is brief or chronic.
- Various dosing schedules including but not limited to single or multiple administrations over various time-points, bolus administration, and pulse infusion are contemplated herein.
- Multispecific antigen-binding molecules e.g. bispecific antibodies
- antigen-binding molecules e.g. antibodies
- the antibody needs not be, but is optionally formulated with one or more agents currently used to prevent or treat the disorder in question.
- the effective amount of such other agents depends on the amount of antibody present in the formulation, the type of disorder or treatment, and other factors discussed above.
- a multispecific antigen-binding molecule e.g. bispecific antibody
- an antigen-binding molecule e.g. antibody
- the appropriate dosage of a multispecific antigen-binding molecule will depend on the type of disease to be treated, the type of molecule, the severity and course of the disease, whether the molecule is administered for preventive or therapeutic purposes, previous therapy, the patient's clinical history and response to the molecule, and the discretion of the attending physician.
- the multispecific antigen-binding molecule or the antigen-binding molecule is suitably administered to the patient at one time or over a series of treatments.
- one or more doses of about 0.5 mg/kg, 2.0 mg/kg, 4.0 mg/kg or 10 mg/kg (or any combination thereof) may be administered to the patient.
- Such doses may be administered intermittently, e.g. every week or every three weeks (e.g. such that the patient receives from about two to about twenty, or e.g. about six doses of the antibody).
- An initial higher loading dose, followed by one or more lower doses may be administered.
- other dosage regimens may be useful. The progress of this therapy is easily monitored by conventional techniques and assays.
- the construct for PDGF-DD with linker and biotin acceptor peptide (BAP, GLNDIFEAQKIEWHE (SEQ ID NO: 398)) on its C-terminus was prepared and co-expressed with BirA (biotin protein ligase)-encoding plasmids using FreeStyle293F cell line (Thermo Fisher) in a media supplemented with biotin.
- BirA biotin protein ligase
- FreeStyle293F cell line FreeStyle293F cell line
- Conditioned media containing expressed recombinant human PDGF-DD was first applied to a cationic exchanger SP HP column (GE healthcare) followed by the digestion using Factor Xa protease. Digested mixture was subsequently subjected to reverse phase chromatography and fractions containing recombinant human PDGF-DD mature dimers (SEQ ID NO: 170) were collected for lyophilization.
- Anti-PDGF-DD antibodies were prepared, selected, and assayed. Briefly, three NZW rabbits were immunized intradermally with the recombinant human PDGF-DD mature dimers (SEQ ID NO: 170). Five repeated doses were given over a 2-month period followed by blood and spleen collection. B-cells that can bind to biotinylated recombinant human PDGF-DD mature dimers were sorted using a cell sorter and then plated and cultured according to the procedure described in WO2016098356A1. After cultivation, 10,006 of the B cell culture supernatants were collected for further analysis and corresponding B cell pellets were cryopreserved.
- RNA of selected B cell lines with desired binding characteristics were purified from corresponding cryopreserved cell pellets using ZR-96 Quick-RNA kits (ZYMO RESEARCH, Cat No. R1053).
- DNA encoding antibody heavy chain variable regions in the selected lines were amplified by reverse transcription PCR and recombined with DNA encoding SG181 heavy chain constant region (SEQ ID NO: 167).
- DNA encoding antibody light chain variable regions were also amplified by reverse transcription PCR and recombined with DNA encoding k0MC light chain constant region (SEQ ID NO: 168).
- Cloned antibodies were expressed and purified from culture supernatants, following the procedure described in Example 1.
- Purified monoclonal antibodies were tested for their neutralizing activity against PDGF-D in cell-based receptor tyrosine kinase activity assay.
- Cells were cultured and seeded onto 384-well plates for overnight.
- Cells were treated with anti-PDGF-D antibodies and/or ligands (recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) or human PDGF-DD (R&D Systems Cat. No. 1159-SB-025)) for 3 hours at room temperature.
- IMR90 human lung fibroblast cell line
- NIH3T3 mouse fibroblast cell line
- Cells were treated with antibodies and ligands (recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) or human PDGF-DD (R&D Systems Cat. No. 1159-SB-025)) for 16-24 hours at 37 degrees C.
- anti-PDGF-D antibodies prepared in Example 2 such as PNC0004, PNC0019, PNC0024, PNC0089, PNC0139, and PNC0154 exhibited stronger inhibition of PDGF-DD-induced cell proliferation in NIH3T3 cells than that of CR002 (a known anti-PDGF-D antibody described in WO2007059234).
- Anti-PDGF-D antibodies inhibited PDGF-DD induced proliferation of human fibroblast Neutralization of recombinant human PDGF-DD by anti-PDGF-D antibodies (CR002, PNC0004, PNC0019, PNC0024, PNC0089, PNC0139, and PNC0154 listed in Tables 1 and 2) was tested in human lung fibroblast cell line IMR90 by BrdU incorporation. Anti-KLH antibody IC17 was used as a negative control. IMR90 cells were cultured and seeded onto 96-well plates and serum-starved under 0.1% FBS condition for 2 days. Cells were treated with antibodies and recombinant human PDGF-DD (R&D Systems Cat. No.
- anti-PDGF-D antibodies prepared in Example 2 such as PNC0004, PNC0019, PNC0024, PNC0089, PNC0139, and PNC0154 exhibited stronger inhibition of PDGF-DD-induced cell proliferation in IMR90 cells than that of CR002.
- VHs 49 types were designed by substituting the frameworks of heavy chain of PNC0139 with human germline frameworks (SEQ ID NO: 195, 196, 197, 198, 199, 200 or 201 as FR1, SEQ ID NO: 202 as FR2, SEQ ID NO: 203, 204, 205, 206, 207, 208 or 209 as FR3, SEQ ID NO: 210 as FR4).
- VLs 16 types were designed by substituting the frameworks of light chain of PNC0139 with human germline frameworks (SEQ ID NO: 211, 212, 213 or 214 as FR1, SEQ ID NO: 215 as FR2, SEQ ID NO: 216, 217, 218 or 219 as FR3, SEQ ID NO: 220 as FR4).
- the polynucleotides encoding VH of PNC0139 and the designed VHs were cloned into expression vectors containing polynucleotides encoding for the heavy chain constant region SG181 (SEQ ID NO: 221), respectively.
- Heavy chain constant region SG181 is a human heavy chain constant region of isotype IgG1.
- the polynucleotides encoding VL of PNC0139 and the designed VLs were cloned into expression vectors containing polynucleotides encoding for the light chain constant region SK1 (SEQ ID NO: 222), respectively.
- Light chain constant region SK1 is a kappa type human light chain constant region.
- heavy chains comprising VH of PNC0139, together with the respective designed VHs were transiently expressed with their corresponding light chains, VL of PNC0139 or the respective designed VLs, into Expi293 (Invitrogen) followed by Protein A purification.
- hPNC139ff0023H SEQ ID NO: 291
- hPNC139ff001L SEQ ID NO: 299
- the selected humanized antibody was named as hPNC139 (hPNC139ff0023H/ hPNC139ff001L).
- Ro006 is an anti-PDGF-B antibody.
- Biacore analysis for binding affinity evaluation of bispecific anti-PDGF-BB/DD antibodies Binding affinity of bispecific anti-PDGF-BB/DD variants (CPR001//CR002, Ro006//hPNC139, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) towards recombinant human PDGF-BB/DD protein were determined at 37 degrees C using Biacore T200 instrument (GE Healthcare).
- hPNC139-SG191FAST arm of the bispecific anti-PDGF-BB/DD showed stronger binding towards human PDGF-DD as compared with CR002.
- Recombinant PDGF-BB or PDGF-DD from human, mouse, cynomolgus and rat were injected at 10 nM concentration. Binding response of Ro006vk2AM1//hPNC139-SG191FAST to recombinant PDGF-BB and PDGF-DD of different species were normalized to capture level.
- Figure 7 showed normalized binding response of PDGF-BB and PDGF-DD from different species for Ro006vk2AM1//hPNC139-SG191FAST.
- Ro006vk2AM1//hPNC139-SG191FAST showed similar binding against PDGF-BB or PDGF-DD from all four species tested.
- Immunogenicity assessment of anti-PDGF-B/anti-PDGF-D bispecific antibodies was evaluated by using as an indicator the proportion of IL-2 secreting CD4 + T cells before active proliferation is exhibited as described in WO2018/124005 (Kubo C. et al). Specifically, CD8 - CD25 low peripheral blood mononuclear cells (PBMCs) were prepared from human PBMCs, and the cells were cultured for 67 hours in the presence of the antibodies.
- PBMCs peripheral blood mononuclear cells
- Figure 8 shows the results of determining the proportions of IL-2-secreting cells in the cultured cell populations.
- the frequencies of positive donors for Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST were similar to or slightly higher compared to that for negative control.
- the frequency of positive donors for Ro006vk2AM3//hPNC139-SG191FAST was higher than that for negative control.
- Anti-PDGF-B/D bi-specific antibodies inhibited PDGF-DD induced PDGFR beta kinase activation in receptor tyrosine kinase assay
- Neutralization of recombinant mouse or human PDGF-DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in cell-based receptor tyrosine kinase activity assay.
- Cells were cultured and seeded onto 384-well plates for overnight (O/N). Cells were treated with antibodies and ligands (recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) or recombinant human PDGF-DD (R&D Systems Cat. No. 1159-SB-025)) for 3 hours at room temperature. Different concentrations of antibodies were pre-incubated with 10 ng/mL of each ligands for 30 minutes at room temperature before treatment to cells. PDGFR beta kinase activity was measured by chemiluminescent signal.
- antibodies and ligands recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) or recombinant human PDGF-DD (R&D Systems Cat. No. 1159-SB-025)
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 9, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bispecific antibodies were more potent in neutralizing PDGF-DD induced PDGFR beta phosphorylation compared to CPR001//CR002.
- Anti-PDGF-B/D bi-specific antibodies inhibited PDGF-BB and -DD induced PDGFR beta kinase activation in receptor tyrosine kinase assay
- Neutralization of recombinant mouse or human PDGF-BB and -DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in cell-based receptor tyrosine kinase activity assay.
- Cells were cultured and seeded onto 384-well plates for O/N.
- Cells were treated with antibodies and ligands (recombinant mouse PDGF-BB (Thermo Cat. No. PMG0045) and recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) or recombinant human PDGF-BB (R&D Systems Cat. No. 220-BB) and recombinant human PDGF-DD (R&D Systems Cat. No. 1159-SB-025)) for 3 hours at room temperature.
- Different concentrations of antibodies were pre-incubated with 10 ng/mL of both ligands for 30 minutes at room temperature before treatment to cells.
- PDGFR beta kinase activity was measured by chemiluminescent signal.
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 10, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bispecific antibodies were more potent in neutralizing the combination of PDGF-BB and -DD induced PDGFR beta phosphorylation compared to CPR001//CR002.
- Anti-PDGF-B/D bi-specific antibodies inhibited PDGF-DD induced proliferation of mouse fibroblast Neutralization of recombinant mouse PDGF-DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in mouse fibroblast cell line NIH3T3 by BrdU incorporation.
- NIH3T3 cells were cultured and seeded onto 96-well plates and serum-starved under 0.1% FBS condition O/N.
- Cells were treated with antibodies and recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) for 16-24 hours at 37 degrees C.
- Different concentrations of antibodies were pre-incubated with 10 ng/mL of mouse PDGF-DD for 30 minutes at room temperature before treatment to cells.
- DNA synthesis during the last 3 hours of culture was determined based on 5-bromo-2'-deoxyuridine (BrdU) incorporation using Cell Proliferation ELISA BrdU kit (Roche Applied Science Cat. No. 11647229001) according to the manufacturer's procedure.
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 11, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bi-specific antibodies suppressed PDGF-DD induced cell proliferation in NIH3T3 cells while CPR001//CR002 did not.
- Anti-PDGF-B/D bi-specific antibodies inhibited PDGF-DD induced proliferation of human fibroblast Neutralization of recombinant human PDGF-DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human lung fibroblast cell line IMR90 by BrdU incorporation.
- IMR90 cells were cultured and seeded onto 96-well plates and serum-starved under
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 12, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bi-specific antibodies suppressed PDGF-DD induced cell proliferation in IMR90 cells while CPR001//CR002 did not.
- Anti-PDGF-B/D bi-specific antibodies inhibited PDGF-BB and -DD induced proliferation of mouse fibroblast Neutralization of recombinant mouse PDGF-BB and -DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in mouse fibroblast cell line NIH3T3 by BrdU incorporation.
- NIH3T3 cells were cultured and seeded onto 96-well plates and serum-starved under 0.1% FBS condition O/N.
- Cells were treated with antibodies and recombinant mouse PDGF-BB (Thermo Cat. No. PMG0045) and recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) for 16-24 hours at 37 degrees C.
- Different concentrations of antibodies were pre-incubated with 10 ng/mL of both recombinant mouse PDGF-BB and PDGF-DD for 30 minutes at room temperature before treatment to cells.
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 13, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bispecific antibodies were more potent in inhibiting the combination of PDGF-BB/DD induced NIH3T3 cell proliferation compared to CPR001//CR002.
- Anti-PDGF-B/D bi-specific antibodies inhibited PDGF-BB and -DD induced proliferation of human fibroblast Neutralization of recombinant human PDGF-BB and -DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human lung fibroblast cell line IMR90 by BrdU incorporation.
- Anti-PDGF-B/D bi-specific antibodies inhibited PDGF-AB induced PDGFR alpha kinase activation in ELISA
- Neutralization of recombinant human PDGF-AB by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human fibroblast cell line IMR90 by phospho-PDGFR alpha ELISA.
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 15, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bispecific antibodies were more potent in inhibiting PDGF-AB induced PDGFR alpha phosphorylation in IMR90 cells compared to CPR001//CR002.
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 16, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bi-specific antibodies suppressed PDGF-AB induced cell proliferation in IMR90 cells while CPR001//CR002 did not.
- Ro006vk2//hPNC139-SG191 FAST As shown in Figure 17, Ro006vk2//hPNC139-SG191 FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST bi-specific antibodies suppressed the combination PDGF-BB, PDGF-DD and PDGF-AB induced cell proliferation in IMR90 cells while CPR001//CR002 did not.
- Anti-PDGF-B/D bi-specific antibodies prevented kidney fibrosis in UUO mouse model
- the in vivo efficacy of bi-specific antibodies (Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were evaluated in UUO (unilateral ureteral obstruction) mouse model which develops progressive renal fibrosis.
- UUO surgery was operated under isoflurane anesthetized condition. The left side of the abdomen was shaved and a vertical incision was made through the skin. A second incision was made through the peritoneum and that skin was also retracted to reveal the kidney. Using forceps the kidney was brought to the surface and the left ureter was tied with surgical silk, twice, below the kidney. The ligated kidney was placed gently back into its correct anatomical position then peritoneum and skin were sutured. Analgesic agent was added to reduce animal affliction. In sham operated group, peritoneum and skin were only incised and sutured.
- hydroxyproline which is one of the amino acids included in collagen, in kidney was measured to evaluate the extracellular matrix deposition to the tissue.
- Wet kidney tissues were dried up at 110 degrees C for 3 hours and weighed. Then, 6N HCl (100 micro-L/1 mg dry tissue) was added to the dried tissue and these were boiled overnight. Samples were cleaned up by filtration and 10 micro-L of each sample was plated onto a 96-well plate. The plate with samples was dried out at room temperature overnight and hydroxyproline was measured using hydroxyproline assay kit (BioVision).
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Abstract
Description
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[NPL 5] P. Boor et al. Nephrology Dialysis Transplantation, Volume 29, issue suppl_1, February 2014 i45-i54
[NPL 6] Chen et al. Biochim Biophys Acta. 2013 October; 1834(10): 2176-2186.
[NPL 7] Heldin Cell Communication and Signaling 2013 11:97
[NPL 8] Don C. Rockey et al. N Engl J Med 2015; 372:1138-1149
(A-1)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain specifically binds to PDGF-D and comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302;
and wherein the second antigen-binding domain specifically binds to PDGF-B and comprises any one of (a1) to (a5) below:
(a1) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 259, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 260;
(a2) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 266, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 267, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 268;
(a3) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276;
(a4) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276; and
(a5) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 282, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 283, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 284.
(A-2)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302; and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising any one of (a1) to (a2) below:
(a1) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236; and
(a2) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244, and
wherein the second antigen-binding domain comprises an antibody light chain variable region comprising any one of (b1) to (b4) below:
(b1) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 259, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 260,
(b2) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 266, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 267, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 268,
(b3) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276; and
(b4) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 282, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 283, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 284.
(A-3)
The multispecific antigen-binding molecule of (A-2), wherein the second antigen-binding domain comprises any one of (a1) to (a5) below:
(a1) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 259, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 260;
(a2) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 266, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 267, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 268;
(a3) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276;
(a4) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276; and
(a5) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 282, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 283, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 284.
(A-4)
The multispecific antigen-binding molecule of (A-2) or (A-3), wherein the first antigen-binding domain specifically binds to PDGF-D (preferably human PDGF-D) and the second antigen-binding domain specifically binds to PDGF-B (preferably human PDGF-B).
(A-4a)
The multispecific antigen-binding molecule of any one of (A-1) to (A-4), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
(A-5)
The multispecific antigen-binding molecule of any one of (A-1) to (A-4a),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising any one of (a1) to (a2) below:
(a1) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and
(a2) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 241; and
wherein the second antigen-binding domain comprises an antibody light chain variable region comprising any one of (b1) to (b4) below:
(b1) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 257,
(b2) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 265,
(b3) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273, and
(b4) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 281.
(A-6)
The multispecific antigen-binding molecule of any one of (A-1) to (A-5),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises any one of (a1) to (a5) below:
(a1) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 257;
(a2) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 265;
(a3) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273;
(a4) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 241, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273; and
(a5) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 281.
(A-7)
The multispecific antigen-binding molecule of any one of (A-1) to (A-6),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises any one of (a1) to (a5) below:
(a1) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 257;
(a2) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 265;
(a3) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 273;
(a4) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 241, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 273; and
(a5) a heavy chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence as set forth in SEQ ID NO: 281.
(A-7a)
A multispecific antigen-binding molecule that binds to the same epitope in PDGF-B and/or PDGF-D as that of the multispecific antigen-binding molecule of any one of (A-1) to (A-7).
(A-7b)
A multispecific antigen-binding molecule that competes with the multispecific antigen-binding molecule of any one of (A-1) to (A-7) for binding to PDGF-B and/or PDGF-D protein.
(A-8)
The multispecific antigen-binding molecule of any one of (A-1) to (A-7), wherein the second antigen-binding domain comprises a Protein-L non-binding motif, optionally comprising a human variable kappa subgroup 2 or any subgroup of human or mouse variable lambda.
(A-9)
The multispecific antigen-binding molecule of any one of (A-1) to (A-8), wherein the second antigen-binding domain comprises the framework region 1 of human variable kappa subgroup 2.
(A-10)
The multispecific antigen-binding molecule of any one of (A-1) to (A-9), wherein the multispecific antigen-binding molecule exhibits at least one of the features selected from the group consisting of (a) to (k):
(a) neutralize PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro,
(b) neutralize the combination of PDGF-BB and PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro,
(c) suppress PDGF-DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells,
(d) inhibit the combination of PDGF-BB/DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells,
(e) inhibit PDGF-AB induced PDGFR alpha phosphorylation in vivo or in vitro, optionally in IMR90 cells
(f) suppress PDGF-AB induced cell proliferation in vivo or in vitro, optionally in in IMR90 cells
(g) suppress the combination PDGF-BB, PDGF-DD and PDGF-AB induced cell proliferation in vivo or in vitro, optionally in IMR90 cells,
(h) capable of cross-reactive binding towards human, mouse, cynomolgus and rat PDGF-BB and/or PDGF-DD,
(i) binds hPDGF-BB and hPDGF-DD with a KD of 10-7 M or less, even more preferably 10-8 M or less, even more preferably 10-9 M or less, and most preferably between 10-8 M and 10-10 M or less,
(j) capable of blocking the function of human PDGF-AB, PDGF-BB, and/or PDGF-DD, or
(k) capable of suppressing, inhibiting, treating or preventing fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis in vivo.
(A-11)
The multispecific antigen-binding molecule of any one of (A-1) to (A-10), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
(A-11a)
The multispecific antigen-binding molecule of any one of (A-1) to (A-11), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
(A-12)
The multispecific antigen-binding molecule of (A-11) or (A-11a), wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(A-13)
The multispecific antigen-binding molecule of any one of (A-11) to (A-12), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below:
(a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering,
(b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering,
(d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(e) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, and
(f) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
wherein the first amino acid residue and second amino acid residue are oppositely charged amino acid residues.
(A-14)
The multispecific antigen-binding molecule of any one of (A-11) to (A-13), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises at least one of Lys at position 175 and Lys at position 196 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Glu at position 131, Glu at position 160, and Lys at position 152 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Glu at position 147 and Glu at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering).
(A-15)
The multispecific antigen-binding molecule of any one of (A-11) to (A-14), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of:
(a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region,
(b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region,
(c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region,
(d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region,
(e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and
(f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
(A-16)
The multispecific antigen-binding molecule of any one of (A-11) to (A-15), wherein
the first heavy chain constant region comprises at least one of Lys at position 399 and Glu at position 439 (EU numbering), and
the second heavy chain constant region comprises at least one of Lys at position 356; Glu at position 409; and Glu at position 419 (EU numbering).
(A-17)
The multispecific antigen-binding molecule of any one of (A-11) to (A-16), wherein at least one of the first heavy chain constant region or second heavy chain constant region comprises Arg at position 235 and Arg at position 236 (according to EU numbering).
(A-18)
The multispecific antigen-binding molecule of any one of (A-11) to (A-17), wherein at least one of the first heavy chain constant region or second heavy chain constant region comprises Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(A-19)
A multispecific antigen-binding molecule, comprising or consisting of any one of (a) to (e) below:
(a) a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 372, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 373, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 370, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 371;
(b) a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 376, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 377, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 374, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 375;
(c) a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 380, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 381, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 378, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 379,
(d) a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 384, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 385, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 382, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 383; and
(e) a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 388, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 389, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 386, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 387.
(A-20)
The multispecific antigen-binding molecule of any one of (A-1) to (A-19), wherein the multispecific antigen-binding molecule comprises a Fab, single chain Fv (scFv), single chain antibody, Fv, single chain Fv2 (scFv2) or F(ab')2 structure.
(A-21)
A pharmaceutical composition comprising the multispecific antigen-binding molecule of any one of (A-1) to (A20).
(A-22)
The multispecific antigen-binding molecule of any one of (A-1) to (A-20) or the pharmaceutical composition of (A-21) for use in therapy, optionally for use in the treatment of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(A-23)
A method of treating an individual having a medical condition comprising administering to the individual an effective amount of the multispecific antigen-binding molecule of any one of (A-1) to (A-20) or the pharmaceutical composition of (A-21), wherein the medical condition is fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(A-24)
Use of the multispecific antigen-binding molecule of any one of (A-1) to (A-20) or the pharmaceutical composition of (A-21) in the manufacture of a medicament for the treatment or prevention of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(A-25)
An isolated polynucleotide or plurality of polynucleotides encoding the multispecific antigen-binding molecule of any one of (A-1) to (A-20).
(A-26)
A host cell comprising the polynucleotide or plurality of polynucleotides of (A-25).
(A-27)
A method of producing the multispecific antigen-binding molecule of any one of (A-1) to (A-20), comprising the steps of (a) culturing the host cell of (A-26) under conditions suitable for the expression of the multispecific antigen-binding molecule and (b) recovering the multispecific antigen-binding molecule.
(B-1)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 259, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 260.
(B-2)
The multispecific antigen-binding molecule of (B-1), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
(B-3)
The multispecific antigen-binding molecule of (B-1) or (B-2),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 257.
(B-4)
The multispecific antigen-binding molecule of any one of (B-1) to (B-3), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
(B-5)
The multispecific antigen-binding molecule of (B-4), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
(B-6)
The multispecific antigen-binding molecule of (B-4) or (B-5), wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(B-7)
The multispecific antigen-binding molecule of any one of (B-4) to (B-6), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below:
(a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering,
(b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering,
(d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(e) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, and
(f) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
wherein the first amino acid residue and second amino acid residue are oppositely charged amino acid residues.
(B-8)
The multispecific antigen-binding molecule of any one of (B-4) to (B-7), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises at least one of Lys at position 175 and Lys at position 196 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Glu at position 131, Glu at position 160, and Lys at position 152 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Glu at position 147 and Glu at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering).
(B-9)
The multispecific antigen-binding molecule of any one of (B-4) to (B-8), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of:
(a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region,
(b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region,
(c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region,
(d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region,
(e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and
(f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
(B-10)
The multispecific antigen-binding molecule of any one of (B-4) to (B-9), wherein
the first heavy chain constant region comprises at least one of Lys at position 399 and Glu at position 439 (EU numbering), and
the second heavy chain constant region comprises at least one of Lys at position 356; Glu at position 409; and Glu at position 419 (EU numbering).
(B-11)
The multispecific antigen-binding molecule of any one of (B-4) to (B-10), wherein the antibody Fc domain comprises at least one of Arg at position 235 and Arg at position 236 (according to EU numbering).
(B-12)
The multispecific antigen-binding molecule of any one of (B-4) to (B-11), wherein the antibody Fc domain comprises at least one of Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(B-13)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 372, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 373, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 370, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 371.
(B-14)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 266, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 267, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 268.
(B-15)
The multispecific antigen-binding molecule of (B-14), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
(B-16)
The multispecific antigen-binding molecule of (B-14) or (B-15),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 265.
(B-17)
The multispecific antigen-binding molecule of any one of (B-15) to (B-16), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
(B-18)
The multispecific antigen-binding molecule of (B-17), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
(B-19)
The multispecific antigen-binding molecule of (B-17) or (B-18), wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(B-20)
The multispecific antigen-binding molecule of any one of (B-17) to (B-19), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below:
(a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering,
(b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering,
(d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(e) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, and
(f) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
wherein the first amino acid residue and second amino acid residue are oppositely charged amino acid residues.
(B-21)
The multispecific antigen-binding molecule of any one of (B-17) to (B-20), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises at least one of Lys at position 175 and Lys at position 196 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Glu at position 131, Glu at position 160, and Lys at position 152 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Glu at position 147 and Glu at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering).
(B-22)
The multispecific antigen-binding molecule of any one of (B-17) to (B-21), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of:
(a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region,
(b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region,
(c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region,
(d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region,
(e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and
(f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
(B-23)
The multispecific antigen-binding molecule of any one of (B-17) to (B-22), wherein
the first heavy chain constant region comprises at least one of Lys at position 399 and Glu at position 439 (EU numbering), and
the second heavy chain constant region comprises at least one of Lys at position 356; Glu at position 409; and Glu at position 419 (EU numbering).
(B-24)
The multispecific antigen-binding molecule of any one of (B-17) to (B-23), wherein the antibody Fc domain comprises at least one of Arg at position 235 and Arg at position 236 (according to EU numbering).
(B-25)
The multispecific antigen-binding molecule of any one of (B-17) to (B-24), wherein the antibody Fc domain comprises at least one of Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(B-26)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 376, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 377, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 374, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 375.
(B-27)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276.
(B-28)
The multispecific antigen-binding molecule of (B-27), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
(B-29)
The multispecific antigen-binding molecule of (B-27) or (B-28),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273.
(B-30)
The multispecific antigen-binding molecule of any one of (B-27) to (B-29), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
(B-31)
The multispecific antigen-binding molecule of (B-30), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
(B-32)
The multispecific antigen-binding molecule of (B-30) or (B-31), wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(B-33)
The multispecific antigen-binding molecule of any one of (B-30) to (B-32), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below:
(a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering,
(b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering,
(d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(e) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, and
(f) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
wherein the first amino acid residue and second amino acid residue are oppositely charged amino acid residues.
(B-34)
The multispecific antigen-binding molecule of any one of (B-30) to (B-33), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises Lys at position 175 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Glu at position 131, Glu at position 160, and Asn at position 145 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Glu at position 147 and Glu at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering).
(B-35)
The multispecific antigen-binding molecule of any one of (B-30) to (B-34), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of:
(a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region,
(b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region,
(c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region,
(d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region,
(e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and
(f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
(B-36)
The multispecific antigen-binding molecule of any one of (B-30) to (B-35), wherein
the first heavy chain constant region comprises Glu at position 439 (EU numbering), and
the second heavy chain constant region comprises at least one of Lys at position 356 and Glu at position 419 (EU numbering).
(B-37)
The multispecific antigen-binding molecule of any one of (B-30) to (B-36), wherein the antibody Fc domain comprises at least one of Arg at position 235 and Arg at position 236 (according to EU numbering).
(B-38)
The multispecific antigen-binding molecule of any one of (B-30) to (B-37), wherein the antibody Fc domain comprises at least one of Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(B-39)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 380, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 381, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 378, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 379.
(B-40)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276.
(B-41)
The multispecific antigen-binding molecule of (B-40), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
(B-42)
The multispecific antigen-binding molecule of (B-40) or (B-41),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 241, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273.
(B-43)
The multispecific antigen-binding molecule of any one of (B-40) to (B-42), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
(B-44)
The multispecific antigen-binding molecule of (B-43), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
(B-45)
The multispecific antigen-binding molecule of (B-43) or (B-44), wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(B-46)
The multispecific antigen-binding molecule of any one of (B-43) to (B-45), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below:
(a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering,
(b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering,
(d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(e) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, and
(f) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
wherein the first amino acid residue and second amino acid residue are oppositely charged amino acid residues.
(B-47)
The multispecific antigen-binding molecule of any one of (B-43) to (B-46), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises Lys at position 175 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Glu at position 131, Glu at position 160, and Asn at position 145 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Glu at position 147 and Glu at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering).
(B-48)
The multispecific antigen-binding molecule of any one of (B-43) to (B-47), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of:
(a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region,
(b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region,
(c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region,
(d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region,
(e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and
(f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
(B-49)
The multispecific antigen-binding molecule of any one of (B-43) to (B-48), wherein
the first heavy chain constant region comprises Glu at position 439 (EU numbering), and
the second heavy chain constant region comprises at least one of Lys at position 356 and Glu at position 419 (EU numbering).
(B-50)
The multispecific antigen-binding molecule of any one of (B-43) to (B-49), wherein the antibody Fc domain comprises at least one of Arg at position 235 and Arg at position 236 (according to EU numbering).
(B-51)
The multispecific antigen-binding molecule of any one of (B-43) to (B-50), wherein the antibody Fc domain comprises at least one of Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(B-52)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 384, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 385, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 382, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 383.
(B-53)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 282, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 283, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 284.
(B-54)
The multispecific antigen-binding molecule of (B-53), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences comprise one or more conservative amino acid substitutions.
(B-55)
The multispecific antigen-binding molecule of (B-53) or (B-54),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 281.
(B-56)
The multispecific antigen-binding molecule of any one of (B-53) to (B-55), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
(B-57)
The multispecific antigen-binding molecule of (B-56), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
(B-58)
The multispecific antigen-binding molecule of (B-56) or (B-57), wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(B-59)
The multispecific antigen-binding molecule of any one of (B-56) to (B-58), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below:
(a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering,
(b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering,
(d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(e) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, and
(f) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
wherein the first amino acid residue and second amino acid residue are oppositely charged amino acid residues.
(B-60)
The multispecific antigen-binding molecule of any one of (B-56) to (B-59), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises at least one of Lys at position 175 and Lys at position 196 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Glu at position 131, Glu at position 160, and Lys at position 152 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Glu at position 147 and Glu at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering).
(B-61)
The multispecific antigen-binding molecule of any one of (B-56) to (B-60), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of:
(a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region,
(b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region,
(c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region,
(d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region,
(e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and
(f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
(B-62)
The multispecific antigen-binding molecule of any one of (B-56) to (B-61), wherein
the first heavy chain constant region comprises at least one of Lys at position 399 and Glu at position 439 (EU numbering), and
the second heavy chain constant region comprises at least one of Lys at position 356; Glu at position 409; and Glu at position 419 (EU numbering).
(B-63)
The multispecific antigen-binding molecule of any one of (B-56) to (B-62), wherein the antibody Fc domain comprises at least one of Arg at position 235 and Arg at position 236 (according to EU numbering).
(B-64)
The multispecific antigen-binding molecule of any one of (B-56) to (B-63), wherein the antibody Fc domain comprises at least one of Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(B-65)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 388, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 389, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 386, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 387.
(B-66)
The multispecific antigen-binding molecule of any one of (B-1) to (B-65), wherein the first antigen-binding domain specifically binds to PDGF-D (preferably human PDGF-D) and the second antigen-binding domain specifically binds to PDGF-B (preferably human PDGF-B).
(B-66a)
A multispecific antigen-binding molecule that binds to the same epitope in PDGF-B and/or PDGF-D as that of the multispecific antigen-binding molecule of any one of (B-1) to (B-66).
(B-66b)
A multispecific antigen-binding molecule that competes with the multispecific antigen-binding molecule of any one of (B-1) to (B-66) for binding to PDGF-B and/or PDGF-D protein.
(B-66c)
A multispecific antigen-binding molecule that binds PDGF-D (preferably human PDGF-D) with a KD of 10-8 M or less, more preferably 10-9 M or less, and most preferably between 10-8 M and 10-10 M, and binds PDGF-B (preferably human PDGF-B) with a KD of 10-8 M or less, more preferably 10-9 M or less, and most preferably between 10-8 M and 10-10 M.
(B-67)
The multispecific antigen-binding molecule of any one of (B-1) to (B-66b), wherein the second antigen-binding domain comprises a Protein-L non-binding motif, optionally comprising a human variable kappa subgroup 2 or any subgroup of human or mouse variable lambda.
(B-68)
The multispecific antigen-binding molecule of any one of (B-1) to (B-67), wherein the second antigen-binding domain comprises the framework region 1 of human variable kappa subgroup 2.
(B-69)
The multispecific antigen-binding molecule of any one of (B-1) to (B-68), wherein the multispecific antibody exhibits at least one of the features selected from the group consisting of (a) to (j):
(a) neutralize PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro,
(b) neutralize the combination of PDGF-BB and PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro,
(c) suppress PDGF-DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells,
(d) inhibit the combination of PDGF-BB/DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells,
(e) inhibit PDGF-AB induced PDGFR alpha phosphorylation in vivo or in vitro, optionally in IMR90 cells
(f) suppress PDGF-AB induced cell proliferation in vivo or in vitro, optionally in in IMR90 cells
(g) suppress the combination PDGF-BB, PDGF-DD and PDGF-AB induced cell proliferation in vivo or in vitro, optionally in IMR90 cells,
(h) binds hPDGF-BB and hPDGF-DD with a KD of 10-7 M or less, even more preferably 10-8 M or less, even more preferably 10-9 M or less, and most preferably between 10-8 M and 10-10 M or less,
(i) capable of cross-reactive binding towards human, mouse, cynomolgus and rat PDGF-BB and/or PDGF-DD, or
(j) capable of suppressing, inhibiting, treating or preventing fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis in vivo.
(B-70)
The multispecific antigen-binding molecule of any one of (B-1) to (B-69), wherein the multispecific antigen-binding molecule comprises a Fab, single chain Fv (scFv), single chain antibody, Fv, single chain Fv2 (scFv2) or F(ab')2 structure.
(B-71)
A pharmaceutical composition comprising the multispecific antigen-binding molecule of any one of (B-1) to (B-70).
(B-72)
The multispecific antigen-binding molecule of any one of (B-1) to (B-70) or the pharmaceutical composition of (B-71) for use in therapy, optionally for use in the treatment of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(B-73)
A method of treating an individual having a medical condition comprising administering to the individual an effective amount of the multispecific antigen-binding molecule of any one of (B-1) to (B-70) or the pharmaceutical composition of (B-71), wherein the medical condition is fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(B-74)
Use of the multispecific antigen-binding molecule of any one of (B-1) to (B-70) or the pharmaceutical composition of (B-71) in the manufacture of a medicament for the treatment or prevention of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(B-75)
An isolated polynucleotide or plurality of polynucleotides encoding the multispecific antigen-binding molecule of any one of (B-1) to (B-70).
(B-76)
A host cell comprising the polynucleotide or plurality of polynucleotides of (B-75).
(B-77)
A method of producing the multispecific antigen-binding molecule of any one of (B-1) to (B-70), comprising the steps of (a) culturing the host cell of (B-76) under conditions suitable for the expression of the multispecific antigen-binding molecule and (b) recovering the multispecific antigen-binding molecule.
(C-1)
A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO:300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO:301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302, and
wherein the second antigen-binding domain comprises an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 226, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 227, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 228, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 250, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 251, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 252.
(C-2)
The multispecific antigen-binding molecule of (C-1),
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 225, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 249.
(C-3)
The multispecific antigen-binding molecule of any one of (C-1) to (C-2), wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, optionally wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
(C-4)
The multispecific antigen-binding molecule of (C-3), wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
(C-5)
The multispecific antigen-binding molecule of (C-3) or (C-4), wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(C-6)
The multispecific antigen-binding molecule of any one of (C-3) to (C-5), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (f) below:
(a) a first amino acid residue in a heavy chain constant region (CH1) which is at position 147 according to EU numbering, and a second amino acid residue in a light chain constant region (CL) which is at position 131 according to EU numbering,
(b) a first amino acid residue in CH1 which is at position 147 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to Kabat numbering,
(c) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering,
(d) a first amino acid residue in CH1 which is at position 175 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
(e) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 131 according to EU numbering, and
(f) a first amino acid residue in CH1 which is at position 196 according to EU numbering, and a second amino acid residue in CL which is at position 160 according to EU numbering,
wherein the first amino acid residue and second amino acid residue are oppositely charged amino acid residues.
(C-7)
The multispecific antigen-binding molecule of any one of (C-3) to (C-6), wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises at least one of Glu at position 147, Glu at position 175 and Lys at position 196 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Lys at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Glu at position 131, Lys at position 152 and Glu at position 160 (EU numbering).
(C-8)
The multispecific antigen-binding molecule of any one of (C-3) to (C-7), wherein the first heavy chain constant region and/or the second heavy chain constant region comprises an amino acid substitution at least one of the amino acid positions (according to EU numbering) of the group consisting of:
(a) position 356 of the first heavy chain constant region and position 439 of the second heavy chain constant region,
(b) position 439 of the first heavy chain constant region and position 356 of the second heavy chain constant region,
(c) position 357 of the first heavy chain constant region and position 370 of the second heavy chain constant region,
(d) position 370 of the first heavy chain constant region and position 357 of the second heavy chain constant region,
(e) position 399 of the first heavy chain constant region and position 409 of the second heavy chain constant region, and
(f) position 409 of the first heavy chain constant region and position 399 of the second heavy chain constant region.
(C-9)
The multispecific antigen-binding molecule of any one of (C-3) to (C-8), wherein
the first heavy chain constant region comprises Lys at position 356 (EU numbering), and
the second heavy chain constant region comprises at least one of Glu at position 419; and Glu at position 439 (EU numbering).
(C-10)
The multispecific antigen-binding molecule of any one of (C-3) to (C-9), wherein the antibody Fc domain comprises at least one of Arg at position 235 and Arg at position 236 (according to EU numbering).
(C-11)
The multispecific antigen-binding molecule of any one of (C-3) to (C-10), wherein the antibody Fc domain comprises at least one of Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(C-12)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 368, a first light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 369, a second heavy chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 366, and a second light chain comprising or consisting of an amino acid sequence as set forth in SEQ ID NO: 367.
(C-13)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 368, a first light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 369, a second heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 366, and a second light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 367.
(C-14)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 372, a first light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 373, a second heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 370, and a second light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 371.
(C-15)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 376, a first light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 377, a second heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 374, and a second light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 375.
(C-16)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 380, a first light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 381, a second heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 378, and a second light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 379.
(C-17)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 384, a first light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 385, a second heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 382, and a second light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 383.
(C-18)
A multispecific antigen-binding molecule, comprising a first heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 388, a first light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 389, a second heavy chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 386, and a second light chain comprising or consisting of an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 387.
(C-19)
The multispecific antigen-binding molecule of any one of (C-12) to (C-18), wherein the first light chain and first heavy chain are comprised within a first antigen-binding domain that specifically binds to PDGF-D (preferably human PDGF-D) and the second light chain and second heavy chain are comprised within a second antigen-binding domain that specifically binds to PDGF-B (preferably human PDGF-B).
(C-20)
The multispecific antigen-binding molecule of any one of (C-1) to (C-11), wherein the first antigen-binding domain specifically binds to PDGF-D (preferably human PDGF-D) and the second antigen-binding domain specifically binds to PDGF-B (preferably human PDGF-B).
(C-20a)
A multispecific antigen-binding molecule that binds to the same epitope in PDGF-B and/or PDGF-D as that of the multispecific antigen-binding molecule of any one of (C-1) to (C-20).
(C-20b)
A multispecific antigen-binding molecule that competes with the multispecific antigen-binding molecule of any one of (C-1) to (C-20) for binding to PDGF-B and/or PDGF-D protein.
(C-21)
The multispecific antigen-binding molecule of any one of (C-1) to (C-20), wherein the second antigen-binding domain comprises a Protein-L non-binding motif, optionally comprising a human variable kappa subgroup 2 or any subgroup of human or mouse variable lambda.
(C-22)
The multispecific antigen-binding molecule of any one of (C-1) or to (C-21), wherein the second antigen-binding domain comprises the framework region 1 of human variable kappa subgroup 2.
(C-23)
The multispecific antigen-binding molecule of any one of (C-1) to (C-22), wherein the multispecific antibody exhibits at least one of the features selected from the group consisting of (a) to (j):
(a) neutralize PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro,
(b) neutralize the combination of PDGF-BB and PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro,
(c) suppress PDGF-DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells,
(d) inhibit the combination of PDGF-BB/DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells,
(e) inhibit PDGF-AB induced PDGFR alpha phosphorylation in vivo or in vitro, optionally in IMR90 cells
(f) suppress PDGF-AB induced cell proliferation in vivo or in vitro, optionally in in IMR90 cells
(g) suppress the combination PDGF-BB, PDGF-DD and PDGF-AB induced cell proliferation in vivo or in vitro, optionally in IMR90 cells,
(h) binds hPDGF-BB and hPDGF-DD with a KD of 10-7 M or less, even more preferably 10-8 M or less, even more preferably 10-9 M or less, and most preferably between 10-8 M and 10-10 M or less,
(i) capable of cross-reactive binding towards human, mouse, cynomolgus and rat PDGF-BB and/or PDGF-DD, or
(j) capable of suppressing, inhibiting, treating or preventing fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis in vivo.
(C-24)
The multispecific antigen-binding molecule of any one of (C-1) to (C-23), wherein the multispecific antigen-binding molecule comprises a Fab, single chain Fv (scFv), single chain antibody, Fv, single chain Fv2 (scFv2) or F(ab')2 structure.
(C-25)
A pharmaceutical composition comprising the multispecific antigen-binding molecule of any one of (C-1) to (C-24).
(C-26)
The multispecific antigen-binding molecule of any one of (C-1) to (C-24) or the pharmaceutical composition of (C-25) for use in therapy, optionally for use in the treatment of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(C-27)
A method of treating an individual having a medical condition comprising administering to the individual an effective amount of the multispecific antigen-binding molecule of any one of (C-1) to (C-24) or the pharmaceutical composition of (C-25), wherein the medical condition is fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(C-28)
Use of the multispecific antigen-binding molecule of any one of (C-1) to (C-24) or the pharmaceutical composition of (C-25) in the manufacture of a medicament for the treatment or prevention of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(C-29)
An isolated polynucleotide or plurality of polynucleotides encoding the multispecific antigen-binding molecule of any one of (C-1) to (C-24).
(C-30)
A host cell comprising the polynucleotide or plurality of polynucleotides of (C-29).
(C-31)
A method of producing the multispecific antigen-binding molecule of any one of (C-1) to (C-24), comprising the steps of (a) culturing the host cell of (C-30) under conditions suitable for the expression of the multispecific antigen-binding molecule and (b) recovering the multispecific antigen-binding molecule.
(D-1)
An antigen-binding molecule comprising an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302.
(D-2)
An antigen-binding molecule comprising a heavy chain variable region comprising HCDR1, HCDR2 and HCDR3 amino acid sequences as set forth in Table 1, and a light chain variable region comprising LCDR1, LCDR2 and LCDR3 amino acid sequences as set forth in Table 1.
(D-3)
An antigen-binding molecule comprising a heavy chain variable region comprising HCDR1, HCDR2 and HCDR3 amino acid sequences as set forth in Table 1, and a light chain variable region comprising LCDR1, LCDR2 and LCDR3 amino acid sequences as set forth in Table 1, wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences further comprise one or more conservative amino acid substitutions.
(D-4)
The antigen-binding molecule of any one of (D-1) to (D-3), wherein the heavy chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and the light chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299.
(D-5)
The antigen-binding molecule of any one of (D-1) to (D-4), wherein the heavy chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to a VH amino acid sequence as set forth in Table 1, and the light chain variable region comprises the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to a VL amino acid sequence as set forth in Table 1.
(D-6)
An antigen-binding molecule comprising a heavy chain variable region comprising an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299.
(D-7)
An antigen-binding molecule comprising a heavy chain variable region comprising an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to an amino acid sequence as set forth in Table 1, and a light chain variable region comprising amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to an amino acid sequence as set forth in Table 1.
(D-8)
The antigen-binding molecule of any one of (D-1) to (D-7), wherein the antigen-binding molecule specifically binds to PDGF-D (preferably human PDGF-D).
(D-8a)
An antigen-binding molecule that binds to the same epitope in PDGF-D as that of the antigen-binding molecule of any one of (D-1) to (D-8).
(D-8b)
An antigen-binding molecule that competes with the antigen-binding molecule of any one of (D-1) to (D-8) for binding to PDGF-D protein.
(D-9)
The antigen-binding molecule of any one of (D-1) to (D-8), wherein the antigen-binding molecule exhibits at least one of the features selected from the group consisting of (a) to (f):
(a) neutralize PDGF-DD induced PDGFR beta phosphorylation in vivo or in vitro,
(b) suppress PDGF-DD induced cell proliferation in vivo or in vitro, optionally in NIH3T3 cells and/or IMR90 cells,
(c) capable of blocking the function of human PDGF-DD
(d) binds hPDGF-DD with a KD of 10-7 M or less, even more preferably 10-8 M or less, even more preferably 10-9 M or less, and most preferably between 10-8 M and 10-10 M or less,
(e) capable of cross-reactive binding towards human, mouse, cynomolgus PDGF-DD, or
(f) capable of suppressing, inhibiting, treating or preventing fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis in vivo.
(D-10)
The antigen-binding molecule of any one of (D-1) to (D-9), further comprising at least one heavy chain constant region and at least one light chain constant region.
(D-11)
The antigen-binding molecule of (D-10), wherein the antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(D-12)
The antigen-binding molecule of (D-10) or (D-11), wherein the at least one heavy chain constant region comprises Arg at position 235 and Arg at position 236 (according to EU numbering).
(D-13)
The antigen-binding molecule of any one of (D-10) to (D-12), wherein the at least one heavy chain constant region comprises Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (according to EU numbering).
(E-1)
An antigen-binding molecule comprising an antibody heavy chain variable region and an antibody light chain variable region, wherein
the antibody heavy chain variable region comprises any one of (a1) to (a2) below:
(a1) heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, or
(a2) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244; and
the antibody light chain variable region comprises any one of (b1) to (b4) below:
(b1) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 259, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 260,
(b2) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 266, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 267, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 268
(b3) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276, or
(b4) light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 282, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 283, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 284.
(E-2)
The antigen-binding molecule of (E-1), comprising any one of (a) to (e) below:
(a) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 259, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 260,
(b) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 266, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 267, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 268,
(c) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276,
(d) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244, light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276, or
(e) heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 282, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 283, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 284.
(E-3)
The antigen-binding molecule of (E-1) or (E-2), wherein at least one of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 or LCDR3 amino acid sequences further comprise one or more conservative amino acid substitutions.
(E-4)
The antigen-binding molecule of any one of (E-1) to (E-3), wherein the heavy chain variable region comprises any one of (a1) to (a2) below:
(a1) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and
(a2) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 241; and
wherein the antibody light chain variable region comprises any one of (b1) to (b4) below:
(b1) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 257,
(b2) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 265,
(b3) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273, and
(b4) an amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 281.
(E-5)
The antigen-binding molecule of any one of (E-1) to (E-4), comprising any one of (a1) to (a5) below:
(a1) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 257;
(a2) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 265;
(a3) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273;
(a4) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 241, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273; and
(a5) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 281.
(E-6)
An antigen-binding molecule comprising any one of (a1) to (a5) below:
(a1) a heavy chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 257;
(a2) a heavy chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 265;
(a3) a heavy chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273;
(a4) a heavy chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 241, and a light chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273; and
(a5) a heavy chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising or consisting of the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 281.
(E-7)
The antigen-binding molecule of any one of (E-1) to (E-6), wherein the antigen-binding molecule specifically binds to PDGF-B (preferably human PDGF-B).
(E-7a)
An antigen-binding molecule that binds to the same epitope in PDGF-B as that of the antigen-binding molecule of any one of (E-1) to (E-7).
(E-7b)
An antigen-binding molecule that competes with the antigen-binding molecule of any one of (E-1) to (E-7) for binding to PDGF-B protein.
(E-8)
The antigen-binding molecule of any one of (E-1) to (E-7), wherein the antigen-binding molecule exhibits at least one of the features selected from the group consisting of (a) to (d):
(a) capable of cross-reactive binding towards human, mouse, cynomolgus and rat PDGF-BB
(b) binds hPDGF-BB with a KD of 10-7 M or less, even more preferably 10-8 M or less, even more preferably 10-9 M or less, and most preferably between 10-8 M and 10-10 M or less,
(c) capable of blocking the function of human PDGF-AB and/or PDGF-BB, or
(d) capable of suppressing, inhibiting, treating or preventing fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis in vivo.
(E-9)
The antigen-binding molecule of any one of (E-1) to (E-8), further comprising at least one heavy chain constant region and at least one light chain constant region.
(E-10)
The antigen-binding molecule of (E-9), wherein the antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region.
(E-11)
The antigen-binding molecule of any one of (D-1) to (E-10), wherein the antigen-binding molecule comprises a Fab, single chain Fv (scFv), single chain antibody, Fv, single chain Fv2 (scFv2) or F(ab')2 structure.
(E-12)
A pharmaceutical composition comprising the antigen-binding molecule of any one of (D-1) to (E-11).
(E-13)
The antigen-binding molecule of any one of (D-1) to (E-11) or the pharmaceutical composition of (E-12) for use in therapy, optionally for use in the treatment of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis. in vivo.
(E-14)
A method of treating an individual having a medical condition comprising administering to the individual an effective amount of the antigen-binding molecule of any one of (D-1) to (E-11) or the pharmaceutical composition of (E-12), wherein the medical condition is fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(E-15)
Use of the antigen-binding molecule of any one of (D-1) to (E-11) or the pharmaceutical composition of (E-12) in the manufacture of a medicament for the treatment or prevention of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
(E-16)
An isolated polynucleotide or plurality of polynucleotides encoding the antigen-binding molecule of any one of (D-1) to (E-11).
(E-17)
A host cell comprising the polynucleotide or plurality of polynucleotides of (E-16).
(E-18)
A method of producing the antigen-binding molecule of any one of (D-1) to (E-11), comprising the steps of (a) culturing the host cell of (E-17) under conditions suitable for the expression of the antigen-binding molecule and (b) recovering the antigen-binding molecule.
The techniques and procedures described or referenced herein are generally well understood and commonly employed using conventional methodology by those skilled in the art, such as, for example, the widely utilized methodologies described in Sambrook et al., Molecular Cloning: A Laboratory Manual 3d edition (2001) Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y.; Current Protocols in Molecular Biology (F.M. Ausubel, et al. eds., (2003)); the series Methods in Enzymology (Academic Press, Inc.): PCR 2: A Practical Approach (M.J. MacPherson, B.D. Hames and G.R. Taylor eds. (1995)), Harlow and Lane, eds. (1988) Antibodies, A Laboratory Manual, and Animal Cell Culture (R.I. Freshney, ed. (1987)); Oligonucleotide Synthesis (M.J. Gait, ed., 1984); Methods in Molecular Biology, Humana Press; Cell Biology: A Laboratory Notebook (J.E. Cellis, ed., 1998) Academic Press; Animal Cell Culture (R.I. Freshney), ed., 1987); Introduction to Cell and Tissue Culture (J. P. Mather and P.E. Roberts, 1998) Plenum Press; Cell and Tissue Culture: Laboratory Procedures (A. Doyle, J.B. Griffiths, and D.G. Newell, eds., 1993-8) J. Wiley and Sons; Handbook of Experimental Immunology (D.M. Weir and C.C. Blackwell, eds.); Gene Transfer Vectors for Mammalian Cells (J.M. Miller and M.P. Calos, eds., 1987); PCR: The Polymerase Chain Reaction, (Mullis et al., eds., 1994); Current Protocols in Immunology (J.E. Coligan et al., eds., 1991); Short Protocols in Molecular Biology (Wiley and Sons, 1999); Immunobiology (C.A. Janeway and P. Travers, 1997); Antibodies (P. Finch, 1997); Antibodies: A Practical Approach (D. Catty., ed., IRL Press, 1988-1989); Monoclonal Antibodies: A Practical Approach (P. Shepherd and C. Dean, eds., Oxford University Press, 2000); Using Antibodies: A Laboratory Manual (E. Harlow and D. Lane (Cold Spring Harbor Laboratory Press, 1999); The Antibodies (M. Zanetti and J. D. Capra, eds., Harwood Academic Publishers, 1995); and Cancer: Principles and Practice of Oncology (V.T. DeVita et al., eds., J.B. Lippincott Company, 1993).
Definitions
Amino acids
Alteration of Amino Acids
And/or
Antigen-binding molecule and multispecific antigen-binding molecule
Antigen-binding domain
Binding activity
PDGF-B and PDGF-D
Affinity
Methods to determine affinity
Antibody
Class of antibody
Framework
Human consensus framework
HVR
(a) hypervariable loops occurring at amino acid residues 26-32 (L1), 50-52 (L2), 91-96 (L3), 26-32 (H1), 53-55 (H2), and 96-101 (H3) (Chothia and Lesk, J. Mol. Biol. 196:901-917 (1987));
(b) CDRs occurring at amino acid residues 24-34 (L1), 50-56 (L2), 89-97 (L3), 31-35b (H1), 50-65 (H2), and 95-102 (H3) (Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD (1991));
(c) antigen contacts occurring at amino acid residues 27c-36 (L1), 46-55 (L2), 89-96 (L3), 30-35b (H1), 47-58 (H2), and 93-101 (H3) (MacCallum et al. J. Mol. Biol. 262: 732-745 (1996)); and
(d) combinations of (a), (b), and/or (c), including HVR amino acid residues 46-56 (L2), 47-56 (L2), 48-56 (L2), 49-56 (L2), 26-35 (H1), 26-35b (H1), 49-65 (H2), 93-102 (H3), and 94-102 (H3).
Variable region
Identity (Sequence identity)
100 times the fraction X/Y
where X is the number of amino acid residues scored as identical matches by the sequence alignment program ALIGN-2 in that program's alignment of A and B, and where Y is the total number of amino acid residues in B. It will be appreciated that where the length of amino acid sequence A is not equal to the length of amino acid sequence B, the % amino acid sequence identity of A to B will not equal the % amino acid sequence identity of B to A. Unless specifically stated otherwise, all % amino acid sequence identity values used herein are obtained as described in the immediately preceding paragraph using the ALIGN-2 computer program.
Chimeric antibody
Humanized antibody
Human antibody
Methods for producing an antibody with desired binding activity
P3(P3x63Ag8.653) (J. Immunol. (1979) 123 (4), 1548-1550);
P3x63Ag8U.1 (Current Topics in Microbiology and Immunology (1978)81, 1-7);
NS-1 (C. Eur. J. Immunol. (1976)6 (7), 511-519);
MPC-11 (Cell (1976) 8 (3), 405-415);
SP2/0 (Nature (1978) 276 (5685), 269-270);
FO (J. Immunol. Methods (1980) 35 (1-2), 1-21);
S194/5.XX0.BU.1 (J. Exp. Med. (1978) 148 (1), 313-323);
R210 (Nature (1979) 277 (5692), 131-133), etc.
- the guanidine ultracentrifugation method (Biochemistry (1979) 18(24), 5294-5299), and
- the AGPC method (Anal. Biochem. (1987) 162(1), 156-159).
(1) contacting a PDGF-B or PDGF-D with an antibody comprising the V region encoded by a cDNA isolated from a hybridoma;
(2) detecting the binding of the antibody to the PDGF-B or PDGF-D;
(3) selecting an antibody that specifically binds to the PDGF-B or PDGF-D; and preferably
(4) selecting an antibody that shows strong binding to PDGF-B or PDGF-D.
(1) mammalian cells: CHO, COS, myeloma, baby hamster kidney (BHK), HeLa, Vero, or such;
(2) amphibian cells: Xenopus oocytes, or such; and
(3) insect cells: sf9, sf21, Tn5, or such.
yeasts: the Saccharomyces genus such as Saccharomyces cerevisiae, and the Pichia genus such as Pichia pastoris; and
filamentous fungi: the Aspergillus genus such as Aspergillus niger.
Methods for producing a humanized antibody
Methods for producing a human antibody.
Vector
Host cell
Epitope
Specificity
Monospecific antigen-binding molecules
Antibody fragment
Variable fragment (Fv)
scFv, single-chain antibody, and sc(Fv) 2
[VL]-linker-[VH]-linker-[VH]-linker-[VL]
[VH]-linker-[VL]-linker-[VL]-linker-[VH]
[VH]-linker-[VH]-linker-[VL]-linker-[VL]
[VL]-linker-[VL]-linker-[VH]-linker-[VH]
[VL]-linker-[VH]-linker-[VL]-linker-[VH]
Ser
Gly Ser
Gly Gly Ser
Ser Gly Gly
Gly Gly Gly Ser (SEQ ID NO: 187)
Ser Gly Gly Gly (SEQ ID NO: 188)
Gly Gly Gly Gly Ser (SEQ ID NO: 189)
Ser Gly Gly Gly Gly (SEQ ID NO: 190)
Gly Gly Gly Gly Gly Ser (SEQ ID NO: 191)
Ser Gly Gly Gly Gly Gly (SEQ ID NO: 192)
Gly Gly Gly Gly Gly Gly Ser (SEQ ID NO: 193)
Ser Gly Gly Gly Gly Gly Gly (SEQ ID NO: 194)
(Gly Gly Gly Gly Ser (SEQ ID NO: 189))n
(Ser Gly Gly Gly Gly (SEQ ID NO: 190))n
where n is an integer of 1 or larger. The length or sequences of peptide linkers can be selected accordingly by those skilled in the art depending on the purpose.
N-hydroxy succinimide (NHS),
disuccinimidyl suberate (DSS),
bis(sulfosuccinimidyl) suberate (BS3),
dithiobis(succinimidyl propionate) (DSP),
dithiobis(sulfosuccinimidyl propionate) (DTSSP),
ethylene glycol bis(succinimidyl succinate) (EGS),
ethylene glycol bis(sulfosuccinimidyl succinate) (sulfo-EGS),
disuccinimidyl tartrate (DST), disulfosuccinimidyl tartrate (sulfo-DST),
bis[2-(succinimidoxycarbonyloxy)ethyl] sulfone (BSOCOES), and
bis[2-(sulfosuccinimidoxycarbonyloxy)ethyl] sulfone (sulfo-BSOCOES).
These crosslinking agents are commercially available.
Fab, F(ab') 2 , and Fab'
Fc region
Fc receptor
Fc gamma receptor
Fc gamma receptor-binding activity
Fc region with a reduced Fc gamma receptor-binding activity
(a) L234F, L235E, P331S;
(b) C226S, C229S, P238S;
(c) C226S, C229S; or
(d) C226S, C229S, E233P, L234V, L235A;
as well as those having an Fc domain which has a deletion of the amino acid sequence at positions 231 to 238.
(e) H268Q, V309L, A330S, and P331S;
(f) V234A;
(g) G237A;
(h) V234A and G237A;
(i) A235E and G237A; or
(j) V234A, A235E, and G237A. Each number represents the position of an amino acid residue in EU numbering; and the one-letter amino acid symbol before the number represents the amino acid residue before substitution, while the one-letter amino acid symbol after the number represents the amino acid residue after the substitution.
(k) F241A;
(l) D265A; or
(m) V264A. Each number represents the position of an amino acid residue in EU numbering; and the one-letter amino acid symbol before the number represents the amino acid residue before substitution, while the one-letter amino acid symbol after the number represents the amino acid residue after the substitution.
(n) L235A, G237A, and E318A;
(o) L235E; or
(p) F234A and L235A. Each number represents the position of an amino acid residue in EU numbering; and the one-letter amino acid symbol before the number represents the amino acid residue before substitution, while the one-letter amino acid symbol after the number represents the amino acid residue after the substitution.
Antigen-binding domains binding to PDGF-B
Antigen-binding domains binding to PDGF-D
Multispecific antigen-binding molecules binding to PDGF-D and PDGF-B
(a) glutamic acid (E) and aspartic acid (D); and
(b) lysine (K), arginine (R), and histidine (H).
Pharmaceutical Formulations
Therapeutic Methods and Compositions
Articles of Manufacture
Construct for expressing full length human PDGF-DD which is inserted with a tandem repeat of the Factor Xa cleavage sites between CUB domain and mature domain was prepared (SEQ ID NO: 169). For in vivo site specific biotinylation of recombinant human PDGF-DD proteins, the construct for PDGF-DD with linker and biotin acceptor peptide (BAP, GLNDIFEAQKIEWHE (SEQ ID NO: 398)) on its C-terminus was prepared and co-expressed with BirA (biotin protein ligase)-encoding plasmids using FreeStyle293F cell line (Thermo Fisher) in a media supplemented with biotin. Conditioned media containing expressed recombinant human PDGF-DD was first applied to a cationic exchanger SP HP column (GE healthcare) followed by the digestion using Factor Xa protease. Digested mixture was subsequently subjected to reverse phase chromatography and fractions containing recombinant human PDGF-DD mature dimers (SEQ ID NO: 170) were collected for lyophilization.
Anti-PDGF-DD antibodies were prepared, selected, and assayed. Briefly, three NZW rabbits were immunized intradermally with the recombinant human PDGF-DD mature dimers (SEQ ID NO: 170). Five repeated doses were given over a 2-month period followed by blood and spleen collection. B-cells that can bind to biotinylated recombinant human PDGF-DD mature dimers were sorted using a cell sorter and then plated and cultured according to the procedure described in WO2016098356A1. After cultivation, 10,006 of the B cell culture supernatants were collected for further analysis and corresponding B cell pellets were cryopreserved.
(2.2) Selection of anti-PDGF-D antibodies which inhibit PDGF-DD-induced PDGFR beta kinase activation in receptor tyrosine kinase assay
% inhibition = (ligand only signal - sample signal) / (ligand only signal - non treatment signal) *100
(2.3) Selection of anti-PDGF-D antibodies which inhibit PDGF-DD-induced proliferation of fibroblast cells
% inhibition = (ligand + isotype ctrl. Ab sample signal - sample signal) / (ligand + isotype ctrl. Ab sample signal - non treatment signal) *100
Neutralization of recombinant mouse and human PDGF-DD by anti-PDGF-D antibodies (CR002, PNC0004, PNC0019, PNC0024, PNC0089, PNC0139, and PNC0154 listed in Tables 1 and 2) were tested in cell-based receptor tyrosine kinase activity assay. Anti-KLH antibody IC17 was used as a negative control. Cells were cultured and seeded onto 384-well plates for overnight. Cells were treated with antibodies and ligands (recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) or human PDGF-DD (R&D Systems Cat. No. 1159-SB-025)) for 3 hours at room temperature. Different concentrations of antibodies were pre-incubated with each ligand (10 ng/mL) for 30 minutes at room temperature before treatment to cells. PDGFR beta kinase activity was measured by chemiluminescent signal.
Neutralization of recombinant mouse PDGF-DD by anti-PDGF-D antibodies (CR002, PNC0004, PNC0019, PNC0024, PNC0089, PNC0139, and PNC0154 listed in Tables 1 and 2) were tested in mouse fibroblast cell line NIH3T3 by BrdU incorporation. Anti-KLH antibody IC17 was used as a negative control. NIH3T3 cells were cultured and seeded onto 96-well plates and serum-starved under 0.1% FBS condition overnight. Cells were treated with antibodies and recombinant mouse PDGF-DD (R&D Systems Cat. No. 9738-SB-050) for 16-24 hours at 37 degrees C. Different concentrations of antibodies were pre-incubated with mouse PDGF-DD (100 ng/mL) for 30 minutes at room temperature before treatment to cells. DNA synthesis during the last 3 hours of culture was determined based on 5-bromo-2'-deoxyuridine (BrdU) incorporation using Cell Proliferation ELISA BrdU kit (Roche Applied Science Cat. No. 11647229001) according to the manufacturer's procedure.
Neutralization of recombinant human PDGF-DD by anti-PDGF-D antibodies (CR002, PNC0004, PNC0019, PNC0024, PNC0089, PNC0139, and PNC0154 listed in Tables 1 and 2) was tested in human lung fibroblast cell line IMR90 by BrdU incorporation. Anti-KLH antibody IC17 was used as a negative control. IMR90 cells were cultured and seeded onto 96-well plates and serum-starved under 0.1% FBS condition for 2 days. Cells were treated with antibodies and recombinant human PDGF-DD (R&D Systems Cat. No. 1159-SB-025) for 16-24 hours at 37 degrees C. Different concentrations of antibodies were pre-incubated with human PDGF-DD (10 ng/mL) for 30 minutes at room temperature before treatment to cells. DNA synthesis during the last 3 hours of culture was determined based on 5-bromo-2'-deoxyuridine (BrdU) incorporation using Cell Proliferation ELISA BrdU kit (Roche Applied Science Cat. No. 11647229001) according to the manufacturer's procedure.
Humanization of the variable regions of PNC0139 was performed to reduce immunogenicity.
Ro006 is an anti-PDGF-B antibody. To improve the binding affinity of Ro006 (PGB92H/PGB79L; cf Table 6C) towards PDGF-BB, comprehensive mutagenesis in the CDRs and several positions in FRs, CH1 and CL region was performed. To facilitate removal of certain mispaired samples via affinity purification using Protein L chromatography resin (Cytiva), Framework 1 (FR1) of PGB79L was changed to human germline sequence of IGKV2 type. Selected mutant variants showed desired multidimensional properties such as cross-reactivity to mouse and cyno PDGF-BB, Protein L binding property as well as physicochemical properties such as minimized antibody aggregation and fragmentation and low ECM binding (Figures 6A, 6B, and 6C), which may affect the antibody pharmacokinetics (US2014/0080153). Cross-reactivity to mouse and cyno PDGF-BB is a desired property because it allows in vivo testing in mouse and cyno animal models.
Bispecific antibodies with one arm targeting PDGF-B and the other arm targeting PDGF-D were generated by utilizing Fab-arm exchange technology or charge mutations as described in WO2013065708. The sequence information of the bispecific antibodies is shown in Tables 5A, 5B and 5C. Sequence of each variable region is shown in Tables 6A, 6B and 6C.
The heavy and light chain variable regions of anti-PDGF-B and anti-PDGF-D were cloned into expression vectors containing the heavy chain and light chain constant regions with respective mutations for hetero-dimerization.
Binding affinity of bispecific anti-PDGF-BB/DD variants (CPR001//CR002, Ro006//hPNC139, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) towards recombinant human PDGF-BB/DD protein were determined at 37 degrees C using Biacore T200 instrument (GE Healthcare). Human PDGF-BB (R&D) and human PDGF-DD were immobilized onto flow cell 2 and flow cell 4 of a CM4 sensor chip using amine coupling kit (GE Healthcare). Then bispecific anti-PDGF-BB/DD variants were injected at different concentration (15.6 nM -250 nM, two-fold serial dilution). All antibodies were prepared in PBS pH 7.4 containing 10 mM Phosphate, 287 mM NaCl, 2.7 mM KCl, 3.2 mM EDTA, 0.05% Tween 20. Sensor surface was regenerated each cycle with 10mM Gly-HCl pH 1.5. Binding kinetic and affinity was determined by processing and fitting the data to 1:1 binding model using Biacore T200 Evaluation software, version 2.0 (GE Healthcare).
PDGF-BB and PDGF-DD from human, mouse, cynomolgus and rat was tested for binding against Ro006vk2AM1//hPNC139-SG191FAST using Biacore 8K+ instrument (GE Healthcare). Ro006vk2AM1//hPNC139-SG191FAST was captured onto anti-human IgK sensor surfaces to around 50RU capture level. Recombinant PDGF-BB or PDGF-DD from human, mouse, cynomolgus and rat were injected at 10 nM concentration. Binding response of Ro006vk2AM1//hPNC139-SG191FAST to recombinant PDGF-BB and PDGF-DD of different species were normalized to capture level.
The immunogenic potential of the antibodies was evaluated by using as an indicator the proportion of IL-2 secreting CD4+ T cells before active proliferation is exhibited as described in WO2018/124005 (Kubo C. et al). Specifically, CD8-CD25low peripheral blood mononuclear cells (PBMCs) were prepared from human PBMCs, and the cells were cultured for 67 hours in the presence of the antibodies.
Neutralization of recombinant mouse or human PDGF-DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in cell-based receptor tyrosine kinase activity assay.
Neutralization of recombinant mouse or human PDGF-BB and -DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in cell-based receptor tyrosine kinase activity assay.
Neutralization of recombinant mouse PDGF-DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in mouse fibroblast cell line NIH3T3 by BrdU incorporation.
Neutralization of recombinant human PDGF-DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human lung fibroblast cell line IMR90 by BrdU incorporation.
Neutralization of recombinant mouse PDGF-BB and -DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in mouse fibroblast cell line NIH3T3 by BrdU incorporation.
Neutralization of recombinant human PDGF-BB and -DD by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human lung fibroblast cell line IMR90 by BrdU incorporation.
Neutralization of recombinant human PDGF-AB by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human fibroblast cell line IMR90 by phospho-PDGFR alpha ELISA.
Neutralization of recombinant human PDGF-AB by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human lung fibroblast cell line IMR90 by BrdU incorporation.
Neutralization of recombinant human PDGF-BB, -DD and - AB by anti-PDGF-B/D bi-specific antibodies (CPR001//CR002, Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were tested in human lung fibroblast cell line IMR90 by BrdU incorporation.
The in vivo efficacy of bi-specific antibodies (Ro006vk2//hPNC139-SG191FAST, Ro006vk2AM1//hPNC139-SG191FAST, Ro006vk2AM3//hPNC139-SG191FAST, Ro006vk2AM5//hPNC139-SG191FAST, Ro006vk2AM7//hPNC139-SG191FAST and Ro006vk2AM8//hPNC139-SG191FAST) were evaluated in UUO (unilateral ureteral obstruction) mouse model which develops progressive renal fibrosis.
Claims (15)
- A multispecific antigen-binding molecule comprising:
a first antigen-binding domain and a second antigen-binding domain,
wherein the first antigen-binding domain specifically binds to PDGF-D and comprises an antibody heavy chain variable region comprising heavy chain complementarity determining region (CDR) 1 having the amino acid sequence as set forth in SEQ ID NO: 292, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 293, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 294, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 300, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 301, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 302; and wherein the second antigen-binding domain specifically binds to PDGF-B and comprises any one of (a1) to (a5) below:
(a1) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 258, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 259, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 260;
(a2) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 266, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 267, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 268;
(a3) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276;
(a4) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 242, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 243, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 244, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 274, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 275, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 276; and
(a5) an antibody heavy chain variable region comprising heavy chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 234, heavy chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 235, heavy chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 236, and an antibody light chain variable region comprising light chain CDR 1 having the amino acid sequence as set forth in SEQ ID NO: 282, light chain CDR 2 having the amino acid sequence as set forth in SEQ ID NO: 283, and light chain CDR 3 having the amino acid sequence as set forth in SEQ ID NO: 284. - The multispecific antigen-binding molecule of claim 1,
wherein the first antigen-binding domain comprises a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 291, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 299; and
wherein the second antigen-binding domain comprises any one of (a1) to (a5) below:
(a1) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 257;
(a2) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 265;
(a3) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273;
(a4) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 241, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 273; and
(a5) a heavy chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 233, and a light chain variable region comprising the amino acid sequence having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence as set forth in SEQ ID NO: 281. - The multispecific antigen-binding molecule of claim 1 or claim 2, wherein the second antigen-binding domain comprises the framework region 1 of human variable kappa subgroup 2.
- The multispecific antigen-binding molecule of any one of claims 1 to 3, wherein each of the first antigen-binding domain and the second antigen-binding domain comprise a heavy chain constant region and a light chain constant region, wherein the heavy chain constant region of the first antigen-binding domain and the second antigen-binding domain associate to form an antibody Fc domain.
- The multispecific antigen-binding molecule of claim 4, wherein the antibody Fc domain is a human Fc domain derived from IgG1, IgG2, IgG3, or IgG4, preferably IgG1.
- The multispecific antigen-binding molecule of claim 4 or claim 5, wherein the multispecific antigen-binding molecule comprises one or more of the amino acid residues of (i) to (xviii) below:
(i) glutamic acid or lysine at position 175 (EU numbering) in the heavy chain constant region;
(ii) glutamic acid at position 147 (EU numbering) in the heavy chain constant region;
(iii) glutamic acid or lysine at position 131 (EU numbering) in the light chain constant region;
(iv) asparagine at position 145 (EU numbering) in the light chain constant region;
(v) lysine at position 152 (EU numbering) in the light chain constant region;
(vi) glutamic acid or lysine at position 160 (EU numbering) in the light chain constant region;
(vii) lysine at position 196 (EU numbering) in the heavy chain constant region;
(viii) arginine at position 235 (EU numbering) in the heavy chain constant region;
(ix) arginine at position 236 (EU numbering) in the heavy chain constant region;
(x) lysine at position 356 (EU numbering) in the heavy chain constant region;
(xi) lysine at position 399 (EU numbering) in the heavy chain constant region;
(xii) glutamic acid at position 409 (EU numbering) in the heavy chain constant region;
(xiii) glutamic acid at position 419 (EU numbering) in the heavy chain constant region;
(xiv) leucine at position 428 (EU numbering) in the heavy chain constant region;
(xv) alanine at position 434 (EU numbering) in the heavy chain constant region;
(xvi) arginine at position 438 (EU numbering) in the heavy chain constant region;
(xvii) glutamic acid at position 439 (EU numbering) in the heavy chain constant region;
(xviii) glutamic acid at position 440 (EU numbering) in the heavy chain constant region. - The multispecific antigen-binding molecule of any one of claims 4 to 6, wherein the heavy chain constant region and the light chain constant region of each of the first antigen-binding domain and the second antigen-binding domain comprises at least one of (a) to (d) below:
(a) the heavy chain constant region of the first antigen-binding domain comprises at least one of Lys at position 175 and Lys at position 196 (EU numbering),
(b) the light chain constant region of the first antigen-binding domain comprises at least one of Glu at position 131, Glu at position 160, and Lys at position 152 (EU numbering),
(c) the heavy chain constant region of the second antigen-binding domain comprises at least one of Glu at position 147 and Glu at position 175 (EU numbering), and
(d) the light chain constant region of the second antigen-binding domain comprises at least one of Lys at position 131 and Lys at position 160 (EU numbering). - The multispecific antigen-binding molecule of any one of claims 4 to 7, wherein
the first heavy chain constant region comprises at least one of Lys at position 399 and Glu at position 439 (EU numbering), and
the second heavy chain constant region comprises at least one of Lys at position 356; Glu at position 409; and Glu at position 419 (EU numbering). - The multispecific antigen-binding molecule of any one of claim 4 to 8, wherein the antibody Fc domain comprises at least one of Arg at position 235, Arg at position 236, Leu at position 428, Ala at position 434, Arg at position 438, and Glu at position 440 (EU numbering).
- A multispecific antigen-binding molecule, comprising any one of (a) to (e) below:
(a) a first heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 372, a first light chain comprising an amino acid sequence as set forth in SEQ ID NO: 373, a second heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 370, and a second light chain comprising an amino acid sequence as set forth in SEQ ID NO: 371;
(b) a first heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 376, a first light chain comprising an amino acid sequence as set forth in SEQ ID NO: 377, a second heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 374, and a second light chain comprising an amino acid sequence as set forth in SEQ ID NO: 375;
(c) a first heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 380, a first light chain comprising an amino acid sequence as set forth in SEQ ID NO: 381, a second heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 378, and a second light chain comprising an amino acid sequence as set forth in SEQ ID NO: 379,
(d) a first heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 384, a first light chain comprising an amino acid sequence as set forth in SEQ ID NO: 385, a second heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 382, and a second light chain comprising an amino acid sequence as set forth in SEQ ID NO: 383; and
(e) a first heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 388, a first light chain comprising an amino acid sequence as set forth in SEQ ID NO: 389, a second heavy chain comprising an amino acid sequence as set forth in SEQ ID NO: 386, and a second light chain comprising an amino acid sequence as set forth in SEQ ID NO: 387. - A pharmaceutical composition comprising the multispecific antigen-binding molecule of any one of claims 1 to 10.
- The multispecific antigen-binding molecule of any one of claims 1 to 10 or the pharmaceutical composition of claim 11 for use in therapy, optionally for use in the treatment of fibrosis (such as myocardial fibrosis, liver fibrosis, renal fibrosis, skin fibrosis, ocular fibrosis and myelofibrosis), nephritis, chronic kidney disease, progressive renal diseases, and/or related diseases, such as IgA nephropathy, glomerulonephritis, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, mesangiocapillary glomerulonephritis, systemic lupus erythematosus, lupus nephritis, glomerular nephritis, renal interstitial fibrosis, renal failure, diabetic nephropathy, nephrosclerosis, polycystic kidney disease, Alport syndrome, focal segmental glomerular sclerosis, membranous nephropathy, non-alcoholic steatohepatitis (NASH), vascular diseases, atherosclerosis, restenosis, stroke, ocular diseases, proliferative vitreoretinopathy (PVR), retinopathy of prematurity (ROP), neovascular age-related macular degeneration (NVAMD), glaucoma and retinitis pigmentosa (RP), preferably chronic kidney disease (CKD), especially glomerulonephritis with mesangial cell proliferation such as IgA nephropathy, focal segmental glomerular sclerosis, membranous nephropathy, mesangial proliferative nephritis, mesangial proliferative glomerulonephritis, and/or lupus nephritis.
- An isolated polynucleotide or plurality of polynucleotides encoding the multispecific antigen-binding molecule of any one of claims 1 to 10.
- A host cell comprising the polynucleotide or plurality of polynucleotides of claim 13.
- A method of producing the multispecific antigen-binding molecule of any one of claims 1 to 10, comprising the steps of (a) culturing the host cell of claim 14 under conditions suitable for the expression of the multispecific antigen-binding molecule and (b) recovering the multispecific antigen-binding molecule.
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| WO2005087812A1 (en) * | 2004-03-05 | 2005-09-22 | Ludwig Institute For Cancer Research | Multivalent antibody materials and methods for vegf/pdgf family of growth factors |
| WO2014072876A1 (en) * | 2012-11-09 | 2014-05-15 | Pfizer Inc. | Platelet-derived growth factor b specific antibodies and compositions and uses thereof |
| WO2016075036A1 (en) * | 2014-11-10 | 2016-05-19 | F. Hoffmann-La Roche Ag | Anti-pdgf-b antibodies and methods of use |
| WO2020262576A1 (en) * | 2019-06-28 | 2020-12-30 | Chugai Seiyaku Kabushiki Kaisha | Antigen binding molecules that bind pdgf-b and pdgf-d and uses thereof |
Also Published As
| Publication number | Publication date |
|---|---|
| TW202540203A (en) | 2025-10-16 |
| CN122459334A (en) | 2026-07-24 |
| AR134862A1 (en) | 2026-04-29 |
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