METHODS FOR TREATING CANCER USING ANTI-PD-1 ANTIBODIES IN COMBINATION WITH ANTI-CTLA-4 ANTIBODIES
First Claim
1. A method for treating a cancer in a subject comprising administering to the subject a combination of an anti-PD-1 antibody, or an antigen-binding portion thereof, and an anti-CTLA-4 antibody, or an antigen-binding portion thereof, wherein the combination of the anti-PD-1 antibody or antigen-binding portion thereof and the anti-CTLA-4 antibody or antigen-binding portion thereof exhibits a synergistic therapeutic effect on cancer treatment.
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0 Petitions
Accused Products
Abstract
The present invention provides isolated monoclonal antibodies, particularly human monoclonal antibodies, that specifically bind to PD-1 with high affinity. Nucleic acid molecules encoding the antibodies of the invention, expression vectors, host cells and methods for expressing the antibodies of the invention are also provided. Immunoconjugates, bispecific molecules and pharmaceutical compositions comprising the antibodies of the invention are also provided. The invention also provides methods for detecting PD-1, as well as methods for treating various diseases, including cancer and infectious diseases, using anti-PD-1 antibodies. The present invention further provides methods for using a combination immunotherapy, such as the combination of anti-CTLA-4 and anti-PD-1 antibodies, to treat hyperproliferative disease, such as cancer. The invention also provides methods for altering adverse events related to treatment with such antibodies individually.
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Citations
46 Claims
- 1. A method for treating a cancer in a subject comprising administering to the subject a combination of an anti-PD-1 antibody, or an antigen-binding portion thereof, and an anti-CTLA-4 antibody, or an antigen-binding portion thereof, wherein the combination of the anti-PD-1 antibody or antigen-binding portion thereof and the anti-CTLA-4 antibody or antigen-binding portion thereof exhibits a synergistic therapeutic effect on cancer treatment.
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4. A method for treating a cancer in a subject comprising administering to the subject a combination of an anti-PD-1 monoclonal antibody, or an antigen-binding portion thereof, and an anti-CTLA-4 monoclonal antibody, or an antigen-binding portion thereof, wherein the anti-PD-1 monoclonal antibody or antigen-binding portion thereof cross-competes for binding to PD-1 with a reference antibody, or antigen-binding portion thereof, comprising:
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(a) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
15;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
22;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
29;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
36;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
43; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
50;(b) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
16;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
23;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
30;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
37;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
44; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
51;(c) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
17;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
24;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
31;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
38;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
45; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
52;(d) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
18;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
25;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
32;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
39;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
46; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
53;(e) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
19;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
26;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
33;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
40;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
47; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
54;(f) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
20;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
27;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
34;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
41;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
48; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
55;
or(g) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
21;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
28;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
35;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
42;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
49; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
56,wherein the anti-PD-1 monoclonal antibody or antigen-binding portion thereof exhibits at least one of the following properties; (i) binds to human PD-1 with a KD of 1×
10−
7 M or less, wherein the KD is measured by surface plasmon resonance (Biacore) analysis;(ii) binds to human PD-1 with an on rate (kon) of about 0.76×
105 l/Ms or more, wherein the on rate (kon) is measured by surface plasmon resonance (Biacore) analysis; and(iii) binds to human PD-1 with an off rate (koff) of about 4.5×
10−
4 l/s or less, wherein the off rate (koff) is measured by surface plasmon resonance (Biacore) analysis. - View Dependent Claims (5, 6, 7, 15, 17, 19, 21, 23, 25)
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8. A method for treating a cancer in a subject comprising administering to the subject a combination of an anti-PD-1 monoclonal antibody, or an antigen-binding portion thereof, and an anti-CTLA-4 monoclonal antibody, or an antigen-binding portion thereof, wherein the anti-PD-1 monoclonal antibody or antigen-binding portion thereof binds to the same epitope on human PD-1 as does a reference antibody, or antigen-binding portion thereof, comprising:
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(a) a heavy chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
1 and a light chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
8;(b) a heavy chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
2 and a light chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
9;(c) a heavy chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
3 and a light chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
10;(d) a heavy chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
4 and a light chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
11;(e) a heavy chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
5 and a light chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
12;(f) a heavy chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
6 and a light chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
13;
or(g) a heavy chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
7 and a light chain variable region comprising amino acids having the sequence set forth in SEQ ID NO;
14. - View Dependent Claims (9)
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10. A method for treating a cancer in a subject comprising administering to the subject a combination of an anti-PD-1 monoclonal antibody, or an antigen-binding portion thereof, and an anti-CTLA-4 monoclonal antibody, or an antigen-binding portion thereof, wherein the anti-PD-1 monoclonal antibody or antigen-binding portion thereof comprises:
-
(a) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
15;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
22;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
29;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
36;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
43; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
50;(b) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
16;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
23;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
30;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
37;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
44; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
51;(c) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
17;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
24;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
31;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
38;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
45; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
52;(d) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
18;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
25;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
32;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
39;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
46; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
53;(e) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
19;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
26;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
33;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
40;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
47; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
54;(f) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
20;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
27;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
34;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
41;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
48; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
55;
or(g) a heavy chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
21;
a heavy chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
28;
a heavy chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
35;
a light chain CDR1 comprising amino acids having the sequence set forth in SEQ ID NO;
42;
a light chain CDR2 comprising amino acids having the sequence set forth in SEQ ID NO;
49; and
a light chain CDR3 comprising amino acids having the sequence set forth in SEQ ID NO;
56. - View Dependent Claims (11, 12, 13, 34)
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32. A method for treating a cancer in a subject comprising administering to the subject a combination of an anti-PD-1 monoclonal antibody, or an antigen-binding portion thereof, and an anti-CTLA-4 monoclonal antibody designated 10D1, wherein the anti-PD-1 monoclonal antibody or antigen-binding portion thereof cross-competes for binding to human PD-1 with a reference antibody or antigen-binding portion thereof comprising a heavy chain variable region having the amino acid sequence set forth in SEQ ID NO:
- 4 and a light chain variable region having the amino acid sequence set forth in SEQ ID NO;
11. - View Dependent Claims (33, 35, 36, 37)
- 4 and a light chain variable region having the amino acid sequence set forth in SEQ ID NO;
Specification