WO2008131575A2 - Anti-alk antibodies suitable for treating metastatic cancers or tumors - Google Patents
Anti-alk antibodies suitable for treating metastatic cancers or tumors Download PDFInfo
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- A61P35/00—Antineoplastic agents
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- C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
Definitions
- ALK is highly similar to the RTK called Leukocyte Tyrosine Kinase (LTK) and belongs to the insulin receptor superfamily. ALK exhibits 57% aa identity and 71% aa similarity with LTK in their regions of overlap (Morris 2001). ALK is highly N-glycosylated and con- tains 21 putative N-glycosylation sites. Amino acids 687 to 1034 have significant similarity (50% aa identity) to LTK.
- LTK Leukocyte Tyrosine Kinase
- the amino acid sequence of the kinase domain of murine ALK shows 98% aa-identity to human ALK, 78% iden- tity to mouse LTK, 52% to mouse ros, 47% to human insulin-like growth factor receptor and 46% to human insulin receptor (Iwahara 1997; Ladanyi 2000) .
- No splice variants of ALK have been described to date.
- ALK is often associated with chromosomal translocations (see below) .
- the ALK gene spans about 315kb and has 26 ex- ons. Much of the gene consists of two large introns that span about 170kb.
- the ALK transcript is 6.5kb of length (Kutok 2002) .
- NPM normally undergoes self-oligomerization (hexamers) as well as hetero- oligomerization with NPM-ALK (Duyster 2001).
- the 2;5 translocation brings the ALK gene portion encoding the tyrosine kinase on chromosome 2 under the control of the strong NPM promoter on chromosome 5, producing permanent expression of the chimeric NPM-ALK protein (p80) (Duyster 2001) .
- ALK kinase is deregulated and ectopic, both in terms of cell type (lymphoid) and cellular compartment (nucleus/nucleolus and cytoplasm) (Ladanyi 2000).
- the antibody molecules are fully human.
- Treatment of humans with human monoclonal antibodies offers several advantages.
- the antibodies are likely to be less immunogenic in humans than non-human antibodies.
- the therapy is also rapid because ALK inac- tivation can occur as soon as the antibody reaches a cancer site (where ALK is expressed) .
- amino acids with basic side chains e.g., lysine, arginine, histidine
- acidic side chains e.g., aspartic acid, glutamic acid
- uncharged polar side chains e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine, tryptophan
- nonpolar side chains e.g., alanine, valine, leucine, isoleucine, proline, phenyla- lanine, methionine
- beta-branched side chains e.g., threonine, valine, isoleucine
- aromatic side chains e.g., tyrosine, phenylalanine, tryptophan, histidine
- the membranes were then incubated with the anti-Flag M2-HRP (Sigma-Aldrich Corporation; diluted according to the manufacturers' recommendations) and visualized using Su- perSignal West Pico Chemiluminescent Substrate (Pierce Biotechnology, Rockford, IL) .
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Abstract
The present invention concerns an antibody specific for human ALK (Anaplastic Lymphoma Kinase), in particular a scFv, a nucleic acid sequence encoding it, its production and its use as a pharmaceutical or for diagnostic purposes. Said antibody is suitable for the local treatment of tumors, for example, metastatic cancer or tumors, in particular, glioblastoma.
Description
Anti-ALK Antibodies Suitable for Treating Metastatic Cancers or Tumors
Related Information The contents of any patents, patent applications, and references cited throughout this specification are hereby incorporated by reference in their entireties.
Technical Field The present invention concerns an antibody specific for human ALK (Anaplastic Lymphoma Kinase) , in particular a scFv, a nucleic acid sequence encoding it, its production and its use as a pharmaceutical or for diagnostic purposes. Said antibody is suitable for the lo- cal treatment of tumors or cancer, in particular glioblastoma .
Background Art
ALK (Anaplastic Lymphoma Kinase; CD246) is a member of the receptor tyrosine kinase (RTK) family. As a typical member of this family, it is a type-I transmembrane protein essentially consisting of three domains: the extracellular ligand-binding domain (aal9-1038), which contains one LDL-receptor class A domain and two MAM domains (MAM: Meprin, A5 antigen, protein tyrosine phosphatase μ) , a transmembrane domain (aal039-1059) and a cytoplasmic domain (aa 1060-1620) , containing the tyrosine kinase domain. A signal peptide is present at the N- terminus of the nascent protein (aa 1-18), which is cleaved upon secretion.
The full-length human and mouse ALK were cloned in 1997 by two independent groups (Iwahara 1997; Morris 1997) . ALK is highly similar to the RTK called
Leukocyte Tyrosine Kinase (LTK) and belongs to the insulin receptor superfamily. ALK exhibits 57% aa identity and 71% aa similarity with LTK in their regions of overlap (Morris 2001). ALK is highly N-glycosylated and con- tains 21 putative N-glycosylation sites. Amino acids 687 to 1034 have significant similarity (50% aa identity) to LTK. However, the N-terminus proximal 686 aa sequence shows no homology to any known proteins with the exception of a very short sequence also found in the LDL re- ceptor (Duyster 2001/SWISSPROT) . In addition, it contains two MAM domains at aa264-427 and aa478-636 (Meprin, A5 antigen, protein tyrosine phosphatase μ) . These domains are thought to have an adhesive function, as they are widespread among various adhesive proteins implicated in cell-to-cell interaction (De Juan 2002). Furthermore, there is a binding site for the ALK putative ligands corresponding to amino acids 396-406 (Stoica 2001; see below) . The amino acid sequence of the kinase domain of murine ALK shows 98% aa-identity to human ALK, 78% iden- tity to mouse LTK, 52% to mouse ros, 47% to human insulin-like growth factor receptor and 46% to human insulin receptor (Iwahara 1997; Ladanyi 2000) . No splice variants of ALK have been described to date. However, ALK is often associated with chromosomal translocations (see below) . The ALK gene spans about 315kb and has 26 ex- ons. Much of the gene consists of two large introns that span about 170kb. The ALK transcript is 6.5kb of length (Kutok 2002) . According to Morris, the cDNA spans 6226bp (Morris 2001) . ALK expression in mice starts during embryo- genesis around the development stage Ell and is persisting in the neonatal periods of development where it is expressed in the nervous system. In the adult, its
physiological expression is restricted to certain neuronal (neural and glial cells and probably endothelial cells) regions of the CNS at low levels (Morris 1997; Duyster 2001; Stoica 2001) . Actually, the abundance of ALK decreases in the postnatal period (Morris 2001) .
Based on its expression pattern, a role for the receptor in brain development is suggested (Duyster 2001). The neural-restricted expression of ALK suggests that it serves as a receptor for neurotrophic factors (see later) . Consistent with this, its expression pattern overlaps with the genes encoding the TRK family of neuro- trophin receptors (Morris 2001) . However, ALK knockout mice do not show any obvious phenotype (unpublished data) , which might be due to some functional redundancy with TRK family members or other neurotrophin receptors. Notably, hematopoietic tissues show no detectable expression of ALK (see Morris 2001) .
Two potential ligands for ALK have recently been described, "pleiotrophin" (PTN) and "midkine" (MK) (Stoica 2001; Duyster 2001; Stoica 2002) . The PTN-ALK interaction was identified by using purified human plei- otrophin protein to screen a phage display peptide library. By this method, a sequence of ALK present in its extracellular domain (aa 396-406) was identified. Impor- tantly, this sequence is not shared with LTK, the RTK most closely related to ALK. This ligand-binding region is also conserved in the potential homologue of ALK in Drosophila (Loren 2001) . ALK is phosphorylated rapidly upon PTN binding (Bowden 2002) . Moreover, ALK has been shown to be stimulated by pleiotrophin in cell culture. This makes the pleiotrophin/ALK interaction particularly interesting in the light of the pathological implications pleiotrophin has (Stoica 2001) . Cell lines that lack ALK
expression also fail to show a growth response to plei- otrophin and vice versa (Stoica 2001) . In vivo, elevated pleiotrophin levels in the serum of patients suffering from various solid tumors have been demonstrated, and animal studies have suggested a contribution of pleiotrophin to tumor growth (Stoica 2001) . The role of PTN as rate-limiting angiogenic factor in tumor growth is well established in animal models (Choudhuri 1997) . In 1996 Czubayko et al. demonstrated the importance of PTN in tu- mor angiogenesis, in prevention of apoptosis and metastasis by modulating PTN levels with a ribozyme targeting approach (Czubayko 1996) . Serum level measurements of PTN in mice demonstrated a clear correlation with the size of the tumor. PTN plays a significant role in some of the most aggressive human cancer types such as melanoma and pancreatic cancer thus giving interesting perspectives for potential further applications of an ALK inhibitor (Weber 2000; Stoica 2001) . In human patients, elevated serum pleiotrophin levels were found in patients with pancreatic cancer (n = 41; P<.0001) and colon cancer (n = 65; P = .0079). In healthy individuals, PTN is expressed in a tightly regulated manner during perinatal organ development and in selective populations of neurons and glia in the adult. Co-expression of PTN and ALK, as found in several cancer cell lines, indicates that they could form an autocrine loop of growth stimulation (Stoica 2001). In spite of all these data, the literature indicates that is not yet clear if the effects of PTN are mediated by ALK alone and/or by other unidentified PTN receptors (Duyster 2001) . At least two other potential receptors of PTN have been suggested: the receptor tyrosine phosphatase RPTPβ and the heparan sulfate proteoglycan N-syndecan. However,
RPTPβ might act as a signalling modulator of PTN/ALK signalling and N-syndecan as a chaperone for the ligand (Bowden 2002) .
Recently, another secreted growth factor re- lated to pleiotrophin called midkine (MK) has been identified as a second ligand for ALK. Similarly to PTN, binding and activating functions (e.g. induction of soft agar colony formation in cell cultures) of MK can be blocked by the same antibody raised against the ALK-ECD (Stoica 2001) . Like pleiotrophin, midkine is upregulated in many tumors, although its physiological expression is very restricted in adult normal tissues (Stoica 2002). Analysis of 47 bladder tumor samples revealed that MK expression is significantly (about four times) enhanced as compared to normal bladder tissue. Furthermore, pronounced overexpression correlates with poor patient survival (O'Brien 1996) .
However, the affinity of MK for ALK is about 5 times lower than the one of pleiotrophin (Stoica 2002) . Interestingly, as with pleiotrophin, inhibition of ALK via ribozymes also inhibits the effects of MK in cell culture (Stoica 2002) . The authors of these studies also come to the conclusion that inhibition of the PTK/MK/ALK pathway opens very attractive possibilities for the treatment of various diseases, some of them having very limited treatment options so far, such as, for example, glioblastoma and pancreatic cancer (Stoica 2002).
In healthy individuals, ALK mRNA expression peaks during the neonatal period and persists in adults in a few selected portions of the nervous system. Recently, expression of the ALK protein was also detected in endothelial cells that were associated to neuronal and glial cells. Evidence that at least a part of the malig-
nant activities described for pleiotrophin are mediated through ALK came from experiments in which the expression of ALK was depleted by a ribozyme targeting approach. Such depletion of ALK prevented pleiotrophin-stimulated phosphorylation of the anti-apoptopic protein Akt and led to a prolonged survival of mice that had received xenografts. Indeed, the number of apoptopic cells in the tumor grafts was significantly increased, when ALK expression was depleted (Powers 2002). Evidence that malignant activities described for MK are mediated through ALK came from experiments with monoclonal antibodies directed against the ALK ECD. Addition of a 1:25 dilution of hybridoma cell supernatant from two anti-ALK ECD antibodies leads to a significant decrease in colony formation of SW-13 cells in soft agar (Stoica 2002) . Analysis of ten different cell lines revealed that the ability for a growth response to PTN perfectly correlated with the expression of ALK mRNA (the following cell lines responded to PTN and were found to express ALK mRNA: HUVEC, NIH3T3, SW-13, Colo357, ME-180, U87, MD-MB 231; Stoica 2001) . Interestingly, in some cancer cell lines (Colo357 pancreatic cancer, Hs578T breast cancer and U87 glioblastoma) , PTN and ALK are co- expressed, indicating that PTN and ALK form an autocrine loop of growth stimulation (Stoica 2001) .
Interestingly, both PTN and MK have been shown to cause transcriptional up-regulation of the anti- apoptotic bcl-2 protein (Stoica 2002) . In addition activated Akt (which is a crucial downstream target of aber- rant ALK signalling) phosphorylates the pro-apoptotic factor called bad, thus leading to dissociation from bcl- xl, which, when liberated from bad, can suppress apop-
tosis by blocking the release of cytochrome c (see Bowden 2002 for references) .
Aberrant expression of ALK might be involved in the development of several cancers. However, it was first associated with a subgroup of high-malignant Non- Hodgkin lymphomas (NHLs) , the so-called Anaplastic Large Cell Lymphomas (ALCLs) . Non-Hodgkin lymphomas represent clonal neoplasias originating from various cells of lymphatic origin. Most patients with the primary systemic clinical subtype of ALCL have the t2,5 translocation, expressing a fusion protein that joins the N-terminus of nucleophosmin (NPM) to the C-terminus of ALK. The fusion consists of aa 1-117 of NPM fused to aa 1058-1620 of ALK and the chromosomal breakage is located in an intron located between the exons encoding the TM and juxtamembrane domain of ALK (Duyster 2001) . NPM-ALK is a transcript containing an ORF of 2040bp encoding a 680aa protein (Morris 2001). This corresponds to a breakage in intron 4 of NPM, which spans 911 bp and intron 16 of ALK which spans 2094bp (Kutok 2002) . Most likely the ALK sequence in this fusion protein is the minimal sequence required for the protein to lead to ALCL (Duyster 2001) . The inverse fusion (ALK-NPM) is not expressed, at least not in lymphoid cells (Kutok 2002) . The wild-type NPM protein demonstrates ubiquitous expression and functions as a carrier of proteins from the cytoplasm into the nucleolus. As a matter of fact, NPM is a 38kDa nuclear protein encoded on chromosome 5 that contains a NLS, binds nu- clear proteins and engages in cytoplasm/nuclear trafficking (Duyster 2001) . NPM is one of the most abundant nucleolar proteins and is normally present as a hexamer (Morris 2001) . Most importantly NPM normally undergoes
self-oligomerization (hexamers) as well as hetero- oligomerization with NPM-ALK (Duyster 2001). The 2;5 translocation brings the ALK gene portion encoding the tyrosine kinase on chromosome 2 under the control of the strong NPM promoter on chromosome 5, producing permanent expression of the chimeric NPM-ALK protein (p80) (Duyster 2001) . Hence, ALK kinase is deregulated and ectopic, both in terms of cell type (lymphoid) and cellular compartment (nucleus/nucleolus and cytoplasm) (Ladanyi 2000). The lo- calization (cytoplasm or nucleus) of NPM seems not to affect its effect on lymphomagenesis (Duyster 2001) . The resultant aberrant tyrosine kinase activity triggers malignant transformation via constitutive phosphorylation of intracellular targets. Various other less common ALK fusion proteins are associated with ALCL. All variants demonstrate linkage of the ALK tyrosine kinase domain to an alternative promoter that regulates its expression.
Full-length ALK has been reported to be also expressed in about 92% of primary neuroblastoma cells and in some rhabdomyosarcomas (Lamant 2000). However, no correlation between ALK expression and tumor biology has been demonstrated so far. This fact, taken together with the lack of evidence regarding significant levels of endogenously phosphorylated ALK in these tumors, suggest that ALK expression in neuroblastoma reflects its normal expression in immature neural cells rather than a primary oncogenic role and ALK in these tumors is not constitu- tively phosphorylated thus questioning an important role for ALK in these tumors (Duyster 2001; Pulford 2001) . Nevertheless, ALK signalling might be important in at least some neuroblastomas, as suggested by Miyake et al., who found overexpression and constitutive phosphorylation of ALK due to gene amplification in neuroblastoma-derived
cell lines (Miyake 2002). However, other neuroblastoma- derived cell lines do not show constitutive activation of ALK, thus arguing against a general pathological involvement of ALK (Dirks 2002; Pulford 2004) . Most interestingly, ALK seems to be important for growth of glioblastoma multiforme, a highly malignant brain tumor that offers very limited therapeutic options (Powers 2002) . Multiple genetic alterations have been shown to occur in these devastating tumors including loss or mutations of PTEN, p53 and INK4a-ARF. In addition, RTK signalling plays a particularly important role in growth and development of these tumors, which overexpress various growth factors such as PDGF, HGF, NGF and VEGF suggesting autocrine RTK signalling loops. Powers and col- leagues have shown mRNA and protein expression of ALK in glioblastoma patient tumor samples, whereas the signals were not detectable in normal adjacent brain tissue (Powers 2002). Furthermore, human U87MG glioblastoma cells (which are derived from a patient and represent a well- characterized model system to study tumorigenesis and signalling in glioblastoma) show ALK-dependent anti- apoptotic behaviour in xenograft studies. When ALK is depleted in these tumor cells by the use of ribozymes, mice injected with these tumor cells survive at least twice as long as when injected with wild-type tumor cells, and these tumor cells show drastically increased apoptosis. Thus, ALK and its ligand(s) provide an essential survival signal that is rate-limiting for tumor growth of U87MG cells in vivo (Powers 2002) . These finding indicate that inhibition of ALK signalling could be a promising approach to improve life expectancy of glioblastoma patients.
Glioblastoma multiforme is by far the most common and malignant primary glial tumor with an incidence of about 2/100'000/y (about 15O00 cases in US and Western Europe per year) . It affects preferentially the cerebral hemispheres, but can also affect the brain stem (mainly in children) or the spinal cord. The tumors may manifest de novo (primary glioblastoma) or may develop from lower grade astrocytomas (secondary glioblastoma) . Primary and secondary glioblastomas show little molecular overlap and constitute different disease entities on molecular level. They both contain many genetic abnormalities including affection of p53, EGFR, MDM2, PDGF, PTEN, pl6, RB.
No significant therapy advancement has oc- curred in the last 25 years. Therapies are only palliative and can expand the life expectance from 3 months to 1 year. Patients usually present with slowly progressive neurological deficit, e.g. motor weakness, intracranial pressure symptoms, e.g. headache, nausea, vomiting, cog- nitive impairment, or seizures. Changes in personality can also be early signs. The etiology of glioblastoma is unknown, familial cases represent less than 1%. The only consistent risk factor identified is exposure to petrochemicals. Diagnosis is made mainly by imaging studies (CT, NMR) and biopsy. Completely staging most glioblastomas is neither practical nor possible because these tumors do not have clearly defined margins. Rather they exhibit well-known tendencies to invade locally and spread along compact white matter pathways. The primary reason why no curative treatment is possible is because the tumor is beyond the reach of local control when diagnosed. The primary chemotherapeutic agents are carmustine (an
alkylating agent) and cisplatinum but only 40% of patients show some response.
Although there are quite some uncertainties regarding the role of ALK in glioblastoma, this disease offers various approaches for ALK-directed drugs. In fact, for this devastating disease even a small improvement of current therapy options would serve an enormous medical need. It is important to note that since glioblastoma cells express the full-length ALK, for treating this cancer ALK could be considered as a target not only for small molecule kinase inhibitors but also for antibodies and/or antibody fragments such as scFvs , i.e. to induce apoptosis of tumor cells. The strict localization of glioblastoma to the CNS supports the use of scFvs, if they can be delivered efficiently to the CNS (no rapid clearance due to compartimentalization, but better tumor penetration compared to IgGs due to their smaller size) . Antibodies and/or antibody fragments could be directed against the ligand-binding sequence of ALK (aa 396-406) or against other parts of the extracellular parts of the receptor.
The very limited expression of ALK in healthy tissues under physiological conditions indicates that tumors expressing ALK might be an excellent target for dis- ease treatment using radioactive or toxin-labelled antibodies and/or antibody fragments, irrespective of whether ALK is involved in the pathogenesis of these tumors or not. In addition to glioblastoma cells, ALK expression has been found with high significance in melanoma cell lines and breast carcinoma cell lines (without being con- stitutively phosphorylated) (Dirks 2002) . The fact that a large portion of the extracellular domain of ALK seems to
be rather unique in the human proteome should make this approach highly specific.
WO9515331/US5529925 discloses the cloning and sequencing of the human nucleic acid sequences, which are rearranged in the t (2; 5) (p23; q35) chromosomal translocation event which occurs in human t(2;5) lymphoma. The rearrangement was found to bring sequences from the nucleolar phosphoprotein gene (the NPM gene) on chromosome 5q35 to those from a previously unidentified protein tyrosine kinase gene (hereinafter the ALK gene) on chromosome
2p23. The sequence of the fusion gene and fusion protein (NPM/ALK fusion gene or protein, respectively) were also disclosed.
The full-length ALK sequence is patented in US5770421, entitled "Human ALK Protein Tyrosine Kinase." Furthermore, the patent US6174674B1 entitled "Method of detecting a chromosomal rearrangement involving a breakpoint in the ALK or NPM gene", discloses primers for detecting the NPM-ALK fusion sequence in patient samples. In another patent, US6696548 entitled "ALK protein tyrosine kinase/receptor and ligands thereof", the use of ALK for detection of ALK ligands and antibodies binding to specific sequences of ALK is disclosed. It also discloses a method of identifying an agent capable of binding to the isolated ALK polypeptide. WO0196394/US20020034768 discloses ALK as receptor of pleiotrophin. US20040234519 discloses anti-pleiotrophin antibodies, and WO2006020684 describes the detection of pleitrophin.
Disclosure of the Invention
It is a general object of the invention to provide an antibody for the treatment of cancers or tumors, in particular of metastatic cancers or tumors.
It has surprisingly been found that an antibody which binds to the human ALK protein in vitro and in vivo, in particular the antibody disclosed in WO07/124610, is suitable for the treatment of cancers or tumors, in particular of metastatic cancers or tumors.
Most preferably, the antibody is specifically targeted against the ligand-binding domain of ALK (amino acids 396-406) and hence will block both the biologic effects of MK, which has a Kd for ALK of about 170 pM, as well as the biologic effects of PTN, which has a Kd for ALK of about 20 -30 pM (Stoica 2002; Stoica 2001) . In a preferred embodiment said antibody or antibody fragment is a scFv antibody or a Fab fragment and suitable for use in treating or preventing metastatic cancers or tumors. In the following the term antibody comprises full-length antibodies as well as other antibody derivatives.
Now, in order to implement these and still further objects of the invention, which will become more readily apparent as the description proceeds, said anti- body is manifested by the features that it comprises a variable heavy chain CDR3 of a sequence of at least 50% identity to the sequence SEQ. ID. No. 2. Preferably, the sequence identity is at least 60%, 65%, 75%, 85%, or more preferably at least 92%. Most preferably, said antibody has a VH CDR3 of the sequence SEQ. ID. No.2.
In one embodiment, the antibody or antigen binding portion thereof of the invention specifically binds to a particular epitope of the ALK protein. Such epitopes reside, for example, within amino acids 1-50, 50-100, 100-150, 150-200, 200-250, 250-300, 300-350, 350- 400, 400-450, 450-500, 500-550, 550-600, 600-650, 650- 700, 700-750, 750-800, 800-900, 900-1000, 1000-1100, 1100-1200, 1200-1300, 1300-1400, 1400-1500, or 1500-1620
of the ALK protein, or any interval, portion or range thereof. In one embodiment, the antibody or antigen binding portion thereof specifically binds to an epitope comprising, essentially consisting of or a fragment of the region spanning amino acid residues 391 ± 3 and 406 ± 3 (SEQ. ID No: 91 shows amino acid residues 388 to 409 of the human ALK protein) , preferably amino acids 391-406 (SEQ. ID. NO: 1) of the ALK protein (SEQ ID NO: 1) . It is understood that the indicated range is not to be consid- ered as having sharp boundaries, but that the antibody or antigen binding portion thereof may bind or partially bind in a region closely situated to or within the ligand-binding domain of ALK. Preferably, the antibodies or antibody-derivatives bind to an epitope of the ALK protein of 10 to 20 amino acids in length.
In another embodiment the antibody or antigen binding portion thereof can be characterized as specifically binding to an ALK protein with a KD of less than about 10 x 10"6 M. In a particular embodiment, the anti- body or antigen binding portion thereof specifically binds to an ALK protein (or fragment thereof) with a KD of at least about 10 x 10"7 M, at least about 10 x 10"8 M, at least about 10 x 10"9 M, at least about 10 x 10"10 M, at least about 10 x 10"11 M, or at least about 10 x 10'12 M or a KD even more favorable.
In various other embodiments, the antibody or antigen binding portion thereof includes a variable heavy chain region comprising an amino acid sequence at least 80%, 85%, 90%, 95%, 98%, or more preferably at least 99% identical to a variable heavy chain region amino acid sequence as set forth in SEQ ID NO: 4.
In other embodiments, the antibody or antigen binding portion thereof includes a variable light chain
region comprising an amino acid sequence at least 80%, 85%, 90%, 95%, 98% or more preferably at least 99% identical to a variable light chain region amino acid sequence as set forth in SEQ ID NO: 5. In still other embodiments, the antibody or antigen binding portion thereof includes both a variable heavy chain region comprising an amino acid sequence at least 80%, 85%, 90%, 95%, 98% or more preferably at least 99% identical to a variable heavy chain region amino acid sequence as set forth in SEQ ID NO: 4 and a variable light chain region comprising an amino acid sequence at least 80%, 85%, 90%, 95%, 98% or more preferably at least 99% identical to a variable light chain amino acid sequence as set forth in SEQ ID NO: 5. In certain other embodiments, the antibody or antigen binding portion thereof specifically bind to an epitope that overlaps with an epitope bound by an antibody or antibody derivative of ESBA521 (Seq. ID. No. 19) and/or competes for binding to an ALK protein, or portion thereof, with an antibody or antibody derivative of
ESBA521. In a related embodiment, the antibody or antigen binding portion thereof specifically binds to an epitope comprising residues 391-406 (SEQ ID NO: 1) of an ALK protein, or portion thereof. The variable heavy and light chain regions of the antibodies or antigen binding portions thereof typically include one or more complementarity determining regions (CDRs) . These include the CDRl, CDR2, and CDR3 regions. In particular embodiments, the variable heavy chain CDRs are at least 80%, 85%, 90%, 95%, or more preferably 100% identical to a CDR of the ESBA521 antibody. In other particular embodiments, variable light chain CDRs are at least 80%, 85%, 90%, 95%, or more preferably
100%, identical to a CDR of a variable light chain region of the ESBA521 antibody.
Accordingly, particular antibodies or fragments of the invention comprise a variable heavy chain region that includes one or more complementarity determining regions (CDRs) that are at least 80%, 85%, 90%, 95%, or more preferably 100%, identical to a CDR of a variable heavy chain region of the ESBA521 and a variable light chain region that includes one or more CDRs that are at least 80%, 85%, 90%, 95% or more preferably 100%, identical to a CDR of a variable light chain region of the ESBA521 antibody.
The variable heavy chain region of the antibodies or antigen binding portions thereof can also in- elude all three CDRs that are at least 80%, 85%, 90%, 95%, or more preferably 100%, identical to the CDRs of the variable heavy chain region of the ESBA521 antibody and/or all three CDRs that are at least 80%, 85%, 90%, 95% or more preferably 100%, identical to the CDRs of the variable light chain region of the ESBA521 antibody.
In another embodiment of the invention, the antibodies or antigen binding portions thereof (a) include a heavy chain variable region that is encoded by or derived from (i.e. is the product of) a human VH gene (e.g., H3 type); and/or (b) include a light chain variable region that is encoded by or derived from a human V kappa or lambda gene (e.g., lambdal type).
The antibodies of the present invention include full-length antibodies, for example, monoclonal an- tibodies, that include an effector domain, (e.g., an Fc domain) , as well as antibody portions or fragments, such as single-chain antibodies and Fab fragments. The antibodies can also be linked to a variety of therapeutic
agents (e.g., anticancer agents, chemotherapeutics, or toxins) and/or a label (e.g., radiolabel) .
In another aspect, the invention features isolated nucleic acids including a sequence encoding an an- tibody heavy chain variable region which is at least 75%, 80%, 85%, 90%, 95%, or more preferably at least 99%, identical to SEQ ID NO: 22. The invention also features isolated nucleic acids that include a sequence encoding an antibody light chain variable region which is at least 75%, 80%, 85%, 90%, 95%, or more preferably at least 99%, identical to SEQ ID NO: 21.
The invention also features expression vectors including any of the foregoing nucleic acids either alone or in combination (e.g., expressed from one or more vec- tors) , as well as host cells comprising such expression vectors .
Suitable host cells for expressing antibodies of the invention include a variety of eukaryotic cells, e.g., yeast cells, mammalian cells, e.g., Chinese hamster ovary (CHO) cells, NSO cells, myeloma cells, or plant cells. The molecules of the invention can also be expressed in prokaryotic cells, e.g., E. coll.
The invention also features methods for making the antibodies or antigen binding portions thereof by ex- pressing nucleic acids encoding antibodies in a host cell (e.g., nucleic acids encoding the antigen binding region portion of an antibody) . In yet another aspect, the invention features a hybridoma or transfectoma including the aforementioned nucleic acids. In another embodiment, the invention provides an antigen comprising an epitope of the ALK protein, preferably of the PTN ligand binding domain, more preferably a fragment comprising, essentially consisting of
or a fragment of the region spanning amino acid residues 391 ± 3 and 406 ± 3 (see SEQ. ID No: 91 which shows amino acid residues 388 to 409 of the human ALK protein) , most preferably amino acids 391-406 (SEQ. ID. No: 1) . The an- tigen can be used for raising, screening, or detecting the presence of an anti-ALK antibody or can be used as an agent in active immunotherapy, i.e. as a vaccine.
As a vaccine, the antigen can be used alone or in combination with an appropriate adjuvant or hapten, e.g., mixed or conjugated either chemically or genetically. The antigen when used for active immunotherapy can also be used in combination with passive immunotherapy, for example, with any of the anti-ALK antibodies disclosed herein, or in combination with a monoclonal or polyclonal preparation of anti-ALK antibodies, e.g., serum gammaglobulin from a seropositive donor.
In another embodiment, the antibody molecules (or VL and VH binding regions) are fully human. Treatment of humans with human monoclonal antibodies offers several advantages. For example, the antibodies are likely to be less immunogenic in humans than non-human antibodies. The therapy is also rapid because ALK inac- tivation can occur as soon as the antibody reaches a cancer site (where ALK is expressed) . Therefore, in a re- lated embodiment, the antibody is a scFv antibody, i.e., ESBA521 or an antibody comprising a VL and/or VH region (S) (or CDRs thereof; e.g., VL CDR3 (SEQ ID NO: 3) and/or VH CDR3 (SEQ ID NO: 2)) of ESBA521.
Human antibodies also localize to appropriate sites in humans more efficiently than non-human antibodies. Furthermore, the treatment is specific for ALK, is recombinant and highly purified and, unlike traditional therapies, avoids the potential of being contaminated
with adventitious agents. Alternatively, antibodies and antibody-derivatives of the present invention may be produced by chemical synthesis.
In a preferred embodiment, the invention pro- vides compositions for treating a cancer (or the making of a medicament so suited) that can prevent neoplasia in a subject by competing with ligands of ALK such as mid- kine (MK) and/or pleiotrophin (PTN) and thereby block ALK-signaling mediated by such ligands. In particular, the invention provides compositions and methods for preventing, treating, or ameliorating the progression of a metastatic cancer or tumour, for example, a metastatic glioblastoma. The term "metastatic" refers to tumor cells that are able to establish secondary tumor lesions at an- other site, for example, in the lungs, liver, bone or brain of a subject or an animal model. In a related embodiment, the compositions and methods of the invention inhibit metastasis by, for example, preventing or lowering levels of the occurrence of secondary site lesions, inhibiting angiogenesis, and/or inducing apoptosis. Such a composition can be administered alone or in combination with art recognized anti-cancer agents, for example, methotrexate, and the like.
The antibody of the invention and/or ALK vac- cine can be used alone or in combined with a known therapeutic, e.g., an anti-cancer agent, e.g., methotrexate and the like.
Other features and advantages of the invention will be apparent from the following detailed description, and from the claims.
Brief Description of the Drawings
The invention will be better understood and objects other than those set forth above will become apparent when consideration is given to the following detailed description thereof. Such description makes refer- ence to the annexed drawings, wherein:
Figure 1 shows a scheme of the human ALK protein used. A 16 amino acid peptide of the PTN binding site (dashed) is used as the epitope in a two hybrid screen for scFv binders. Figure 2 shows the stepwise randomization of
VH CDR3, VL CDR 3 and VH CDR 2 portions to obtain ESBA521 as secondary binder and a set of scFvs as tertiary binders (see Tab. 1) . X stands for any amino acid residue.
Fig. 3 shows an ELISA experiment wherein the binding characteristics of improved scFvs are compared to that of the framework they originate from.
Fig. 4 shows immunostaining of transiently transfected HeLa cells with ESBA521 (left panels) and a polyclonal ALK specific antibody (right panels) . Middle panel: same cells visualized by light microscopy.
Figure 5 shows an ELISA experiment comparing the ESBA512 to the improved tertiary binders.
Figure 6A shows the effects of different concentrations of His-tagged ESBA521 (ESBA521 is referred to as scFv-107 in this figure; circles) , scFv-14-His (scFv- 14 has an affinity to ALK in the micromolar range; triangles) and scFv-FW-His (a unspecific scFv_control having the identical framework 4.4 as ESBA521 or scFv-14, but different CDRs; squares) on cell proliferation in vitro of SW13 cells stably expressing PTN in the absence of serum. One representative of three independent experiments with mean + S. E. of triplicate wells is shown.
Figure 6B shows Anchorage independent growth. The effects of scFv-107-His (ESBA521-His; circles) and scFv-FW-His (squares) on colony formation in soft agar of SW13 cells stimulated with PTN are shown relative to the background. One representative of two independent experiments with mean + S. E. of triplicate dishes is shown. Inset, Number of colonies formed in the absence (Co.) and presence of PTN (PTN) .
Figure 6C shows the results of an invasion assay. 4 x 105 HUVEC cells were seeded in each chamber and allowed to form an endothelial monolayer. As indicated, U87MG glioblastoma cells (1.8 x 105) were seeded over the endothelial monolayer approximately 20 hours post plating, in the presence or absence (referred to as Control) of scFvs as indicated. Disruption of the endothelial monolayer by U87MG cells was recorded over 25 hours. One representative of two independent experiments is shown. The tracings are the average of duplicate chambers. Resistance was plotted as fold change relative to the resistance value of the monolayer at the time of U87MG seeding.
Figure 7A shows a schematic representation of the inducible expression vector that was stably integrated into the U87MG genom. FLAG-scFv-107 (ESBA521 is referred to as scFv-107 in this figure) and FLAG-scFv-FW were subcloned in the expression vector T-Rex-DEST-30 for stable, inducible expression in mammalian cells. As indicated, the T-Rex-DEST-30 expression vector carries a CMV promoter with two copies of the tetracycline operator 2 sequence. The preprotrypsin leader sequence and N- terminal FLAG tag of the scFvs were preserved after sub- cloning.
Figure 7B shows a Western blot evidencing the tet-inducible expression of FLAG-scFv framework control and FLAG-scFv-107 (FLAG-ESBA521) from the stably trans- fected U87MG cell lines. 24 hours post-plating the U87MG cells stably transfected TRex-DEST-30-FLAG-scFv-FW or T- Rex-DEST-30-FLAG-scFv-107 with cells were induced with lμg/ml of tetracycline for 24 hours. The presence of FLAG-scFv-FW and FLAG-scFv-107 in conditioned media from uninduced (-) and induced (+) cell lines was detected by immunoblotting with anti-FLAG HRP.
Figure 7C shows xenograft tumor growth of
U87MG stable, inducible cells lines expressing FLAG-scFv- FW or FLAG-scFv-107 (FLAG-ESBA521) . Tumor volume (mm3) of induced FLAG-scFv-FW (grey squares) , uninduced FLAG-scFv- 107 (open circles) and induced FLAG-scFv-107 (closed circles) is given as a function of time from the day of induction (day 0). One representative of two independent experiments with mean + S. E. is shown. ***, p<0.001 relative to induced FLAG-scFv-FW and to uninduced FLAG-scFv- 107.
Detailed Description of the Invention In order that the present invention may be more readily understood, certain terms are first defined. Definitions
The term "ALK" and "AIk-I" includes the human ALK protein encoded by the ALK (Anaplastic Lymphoma Kinase) gene which is a membrane-spanning protein tyrosine kinase (PTK) /receptor . The term "antibody" refers to whole antibodies and any antigen binding fragment (i.e., "antigen-binding portion," "antigen binding polypeptide," or "immuno- binder") or single chain thereof. An "antibody" refers
to a glycoprotein comprising at least two heavy (H) chains and two light (L) chains inter-connected by disulfide bonds, or an antigen binding portion thereof. Each heavy chain is comprised of a heavy chain variable region (abbreviated herein as VH) and a heavy chain constant region. The heavy chain constant region is comprised of three domains, CHl, CH2 and CH3. Each light chain is comprised of a light chain variable region (abbreviated herein as VL) and a light chain constant region. The light chain constant region is comprised of one domain, CL. The VH and VL regions can be further subdivided into regions of hypervariability, termed complementarity determining regions (CDR) , interspersed with regions that are more conserved, termed framework regions (FR) . Each VH and VL is composed of three CDRs and four FRs, arranged from amino-terminus to carboxy-terminus in the following order: FRl, CDRl, FR2, CDR2, FR3, CDR3, FR4. The variable regions of the heavy and light chains contain a binding domain that interacts with an antigen. The con- stant regions of the antibodies may mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system (e.g., effector cells) and the first component (CIq) of the classical complement system. The term "antigen-binding portion" of an antibody (or simply "antibody portion") refer to one or more fragments of an antibody that retain the ability to specifically bind to an antigen (e.g., ALK). It has been shown that the antigen-binding function of an antibody can be performed by fragments of a full-length antibody. Examples of binding fragments encompassed within the term "antigen-binding portion" of an antibody include (i) a Fab fragment, a monovalent fragment consisting of the VL,
VH, CL and CHl domains; (ii) a F(ab')2 fragment, a bivalent fragment comprising two Fab fragments linked by a disulfide bridge at the hinge region; (iii) a Fd fragment consisting of the VH and CHl domains; (iv) a Fv fragment consisting of the VL and VH domains of a single arm of an antibody, (v) a single domain or dAb fragment (Ward et al.r (1989) Nature 341:544-546), which consists of a VH domain; and (vi) an isolated complementarity determining region (CDR) or (vii) a combination of two or more iso- lated CDRs which may optionally be joined by a synthetic linker. Furthermore, although the two domains of the Fv fragment, VL and VH, are coded for by separate genes, they can be joined, using recombinant methods, by a synthetic linker that enables them to be made as a single protein chain in which the VL and VH regions pair to form monovalent molecules (known as single chain Fv (scFv); see e.g., Bird et al. (1988) Science 242:423-426; and Huston et al. (1988) Proc. Natl. Acad. Sci. USA 85:5879-5883). Such single chain antibodies are also intended to be en- compassed within the term "antigen-binding portion" of an antibody. These antibody fragments are obtained using conventional techniques known to those with skill in the art, and the fragments are screened for utility in the same manner as are intact antibodies. Antigen-binding portions can be produced by recombinant DNA techniques, or by enzymatic or chemical cleavage of intact immunoglobulins. Antibodies can be of different isotype, for example, an IgG (e.g., an IgGl, IgG2, IgG3, or IgG4 subtype), IgAl, IgA2, IgD, IgE, or IgM antibody. The term "frameworks" refers to the art recognized portions of an antibody variable region that exist between the more divergent CDR regions. Such framework regions are typically referred to as frameworks 1 through
4 (FRl, FR2, FR3, and FR4 ) and provide a scaffold for holding, in three-dimensional space, the three CDRs found in a heavy or light chain antibody variable region, such that the CDRs can form an antigen-binding surface. Such frameworks can also be referred to as scaffolds as they provide support for the presentation of the more divergent CDRs. Other CDRs and frameworks of the immunoglobulin superfamily, such as ankyrin repeats and fibronectin, can be used as antigen binding molecules (see also, for example, U.S. Patent Nos. 6,300,064, 6,815,540 and U.S. Pub. No. 20040132028) .
The term "epitope" or "antigenic determinant" refers to a site on an antigen to which an immunoglobulin or antibody specifically binds (e.g., ALK, for example, amino acid residues 391-406 of human ALK-I (see e.g., SEQ ID NO: 1) . An epitope typically includes at least 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 or 15 amino acids in a unique spatial conformation. See, e.g., Epitope Mapping Protocols in Methods in Molecular Biology, Vol. 66, G. E. Morris, Ed. (1996) .
The terms "specific binding," "selective binding," "selectively binds," and "specifically binds," refer to antibody binding to an epitope on a predetermined antigen. Typically, the antibody binds with an affinity (Kp) of approximately less than 10"7 M, such as approximately less than 10 "8 M, 10"9 M or 10"10 M or even lower .
The term "KDf" refers to the dissociation equilibrium constant of a particular antibody-antigen interaction. Typically, the antibodies of the invention bind to ALK with a dissociation equilibrium constant (KD) of less than approximately 10~7 M, such as less than approximately 10"8 M, 10"9 M or 10'10 M or even lower, for
example, as determined using surface plasmon resonance (SPR) technology in a BIACORE instrument.
The terms "neutralizes ALK," "inhibits ALK," and "blocks ALK" are used interchangeably to refer to the ability of an antibody of the invention to prevent ALK from interacting with one or more target ligands and, for example, triggering signal transduction.
The term "nucleic acid molecule," refers to DNA molecules and RNA molecules. A nucleic acid molecule may be single-stranded or double-stranded, but preferably is double-stranded DNA. A nucleic acid is "operably linked" when it is placed into a functional relationship with another nucleic acid sequence. For instance, a promoter or enhancer is operably linked to a coding sequence if it affects the transcription of the sequence.
For nucleic acids, the term "substantial homology" indicates that two nucleic acids, or designated sequences thereof, when optimally aligned and compared, are identical, with appropriate nucleotide insertions or deletions, in at least about 80% of the nucleotides, usually at least about 90% to 95%, and more preferably at least about 98% to 99.5% of the nucleotides. Alternatively, substantial homology exists when the segments will hybridize under selective hybridization conditions, to the complement of the strand. Such hybridization conditions are know in the art, and described, e.g., in Sam- brook et al. infra.
The percent identity between two sequences is a function of the number of identical positions shared by the sequences, taking into account the number of gaps, and the length of each gap, which need to be introduced for optimal alignment of the two sequences. The comparison of sequences and determination of percent identity
between two sequences can be accomplished using a mathematical algorithm, as described in the non-limiting examples below.
The percent identity between two nucleotide sequences can be determined using the GAP program in the GCG software package, using a NWSgapdna. CMP matrix and a gap weight of 40, 50, 60, 70, or 80 and a length weight of 1, 2, 3, 4, 5, or 6. The percent identity between two nucleotide or amino acid sequences can also be determined using the algorithm of E. Meyers and W. Miller (CABIOS, 4:11-17 (1989)) which has been incorporated into the ALIGN program (version 2.0), using a PAM120 weight residue table, a gap length penalty of 12 and a gap penalty of 4. In addition, the percent identity between two amino acid sequences can be determined using the Needle- man and Wunsch (J. MoI. Biol. (48):444-453 (1970)) algorithm which has been incorporated into the GAP program in the GCG software package, using either a Blossum 62 matrix or a PAM250 matrix, and a gap weight of 16, 14, 12, 10, 8, 6, or 4 and a length weight of 1, 2, 3, 4, 5, or 6.
The nucleic acid and protein sequences of the present invention can further be used as a "query sequence" to perform a search against public databases to, for example, identify related sequences. Such searches can be performed using the NBLAST and XBLAST programs (version 2.0) of Altschul, et al. (1990) J. MoI. Biol. 215:403-10. BLAST nucleotide searches can be performed with the NBLAST program, score = 100, wordlength = 12 to obtain nucleotide sequences homologous to the nucleic acid molecules of the invention. BLAST protein searches can be performed with the XBLAST program, score = 50, wordlength = 3 to obtain amino acid sequences homologous
to the protein molecules of the invention. To obtain gapped alignments for comparison purposes, Gapped BLAST can be utilized as described in Altschul et al., (1997) Nucleic Acids Res. 25 (17 ): 3389-3402. When utilizing BLAST and Gapped BLAST programs, the default parameters of the respective programs (e.g., XBLAST and NBLAST) can be used.
The present invention also encompasses "conservative sequence modifications" of the sequences set forth in the SEQ ID NOs of the present invention, i.e., nucleotide and amino acid sequence modifications which do not abrogate the binding of the antibody encoded by the nucleotide sequence or containing the amino acid sequence, to the antigen. Such conservative sequence modi- fications include nucleotide and amino acid substitutions, additions and deletions. For example, modifications can be introduced by standard techniques known in the art, such as site-directed mutagenesis and PCR- mediated mutagenesis. Conservative amino acid substitu- tions include ones in which the amino acid residue is replaced with an amino acid residue having a similar side chain. Families of amino acid residues having similar side chains have been defined in the art. These families include amino acids with basic side chains (e.g., lysine, arginine, histidine) , acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine, tryptophan), nonpolar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenyla- lanine, methionine), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine). Thus, a predicted nonessential amino acid residue in a
human anti-ALK antibody is preferably replaced with another amino acid residue from the same side chain family. Methods of identifying nucleotide and amino acid conservative substitutions which do not eliminate antigen bind- ing are well-known in the art (see, e.g., Brummell et al., Biochem. 32:1180-1187 (1993); Kobayashi et al. Protein Eng. 12 (10) : 879-884 (1999); and Burks et al. Proc. Natl. Acad. Sci. USA 94:412-417 (1997))
Alternatively, in another embodiment, muta- tions are randomly introduced along all or part of an anti-ALK antibody coding sequence, such as by saturation mutagenesis, and the resulting modified anti-ALK antibodies can be screened for binding activity. A "consensus sequence" is a sequence formed from the most frequently occurring amino acids (or nucleotides) in a family of related sequences (See e.g., Winnaker, From Genes to Clones (Verlagsgesellschaft, Weinheim, Germany 1987) . In a family of proteins, each position in the consensus sequence is occupied by the amino acid occurring most frequently at that position in the family. If two amino acids occur equally frequently, either can be included in the consensus sequence.
By reference to the tables and figures provided herein a consensus sequence for the antibody heavy / light chain variable region CDR (s) can be derived by optimal alignment of the amino acid sequences of the variable region CDRs of the antibodies which are reactive against epitope 390-406 of the human ALK-I protein.
The term "vector, " refers to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked. One type of vector is a "plas- mid, " which refers to a circular double stranded DNA loop into which additional DNA segments may be ligated. An-
other type of vector is a viral vector, wherein additional DNA segments may be ligated into the viral genome. Certain vectors are capable of autonomous replication in a host cell into which they are introduced (e.g., bacte- rial vectors having a bacterial origin of replication and episomal mammalian vectors). Other vectors (e.g., non- episomal mammalian vectors) can be integrated into the genome of a host cell upon introduction into the host cell, and thereby are replicated along with the host ge- nome .
The term "host cell" refers to a cell into which and expression vector has been introduced. Host cells can include bacterial, microbial, plant or animal cells. Bacteria, which are susceptible to transforma- tion, include members of the enterobacteriaceae, such as strains of Escherichia coli or Salmonella; Bacillaceae, such as Bacillus subtilis; Pneumococcus; Streptococcus, and Haemophilus influenzae. Suitable microbes include Saccharomyces cerevisiae and Pichia pastoris . Suitable animal host cell lines include CHO (Chinese Hamster Ovary lines) and NSO cells.
The terms "treat," "treating," and "treatment," refer to therapeutic or preventative measures described herein, such as the treatment, prevention and the delay of progression of a disorder as described herein. The methods of "treatment" employ administration to a subject, in need of such treatment, an antibody of the present invention, for example, a subject having an ALK- mediated disorder or a subject who ultimately may acquire such a disorder, in order to prevent, cure, delay, reduce the severity of, or ameliorate one or more symptoms of the disorder or recurring disorder, or in order to pro-
long the survival of a subject beyond that expected in the absence of such treatment.
The term "ALK-mediated disorder" refers to disease states and/or symptoms associated with ALK- mediated cancers or tumors. In general, the term "ALK- mediated disorder" refers to any disorder, the onset, progression or the persistence of the symptoms of which requires the participation of ALK. Exemplary ALK- mediated disorders include, but are not limited to, for example, cancer, in particular, glioblastoma.
The term "effective dose" or "effective dosage" refers to an amount sufficient to achieve or at least partially achieve the desired effect. The term "therapeutically effective dose" is defined as an amount sufficient to cure or at least partially arrest the disease and its complications in a patient already suffering from the disease. Amounts effective for this use will depend upon the severity of the disorder being treated and the general state of the patient's own immune system. The term "subject" refers to any human or non- human animal. For example, the methods and compositions of the present invention can be used to treat a subject with a cancer, e.g., glioblastoma.
Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, suitable methods and materials are described below. In case of conflict, the present specification, including definitions, will control. In addition, the
materials, methods, and examples are illustrative only and not intended to be limiting.
Various aspects of the invention are described in further detail in the following subsections. It is understood that the various embodiments, preferences and ranges may be combined at will. Further, depending of the specific embodiment, selected definitions, embodiments or ranges may not apply.
The present invention provides in a first as- pect an antibody binding the human ALK protein for the treatment of cancers or tumors, in particular of metastatic cancers or metastatic tumors.
In particular, the antibody is suitable for the inhibition of MK and/or PTN binding to ALK and/or ALK-mediated signaling.
Preferably, the antibody inhibits metastasis or lowers occurrence levels of secondary cancer or tumor lesions .
In one preferred embodiment, the antibody in- hibits angiogenesis .
In another preferred embodiment, the antibody induces apoptosis.
In a preferred embodiment, the cancers or tumors are neuroblastoma, glioblastoma, rhabdomyosarcoma, breast carcinoma, melanoma, pancreatic cancer, B-cell
NHL, thyroid carcinoma, small cell lung carcinoma, retinoblastoma, ewing sarcoma, prostate cancer, colon cancer, pancreatic cancer. Metastatic cancers or metastatic tumors further include lipoma, liposarcoma, fibrosarcoma, metastatic tumors, in particular glioblastoma, neuroblastoma and other metastatic tumors.
Said antibody comprises a variable heavy chain CDR3 of a sequence with at least 50% sequence iden-
tity to the sequence SEQ. ID. No. 2. Preferably, the sequence identity is at least 60%, 70%, 75%, 80%, or more preferably at least 90%. Most preferably, the CDR3 has the precise sequence of SEQ. ID. No. 2. In a preferred embodiment of the present invention the antibody binds specifically to the human ALK protein, i.e., it does not bind to the mouse ALK protein, whose PTN binding site differs in only 2 amino acid residues compared to the PTN binding site (SEQ. ID. No. 1) of the human ALK protein. The human isoleucine at position 3 is a valine and the aspartate is an alanine in the corresponding mouse sequence.
The antibody of the present invention can be a full-length antibody, but also an antibody fragment, such as, for example, a scFv or a Fab fragment. Antigen binding fragments are well known in the art. Preferably, a scFv antibody is used.
The heavy chain and the light chain are composed of framework sequences, each comprising three CDRs, CDRl, CDR2 and CDR3, which are predominantly involved in antigen binding. The antibody of the present invention comprises the VH domain of the H3 type and a VL domain of the lambdal type.
The VH and VL framework of the antibody of the present invention are stable and soluble so as to be functional in an intracellular reducing environment. Preferably it is the framework 4.4 that has previously been isolated by a yeast screening system referred to as the "Quality control system" (Auf der Maur et al., 2001; Auf der Maur et al. 2004). The sequence of the framework can be deduced for example from SEQ. ID. No. 20 (see below) , where the framework portions are represented by non-underlined and straight letters, while the CDR se-
quences are underlined and the linker sequence is in italics .
The antibody of the present invention is able to bind a 16-amino acid ALK epitope peptide of a sequence that is at least 75%, preferably 80%, 85%, 90%, 95%, or most preferably 100%, identical to the sequence of SEQ. ID. No. 1. This sequence is also referred to as PTN binding site and is a unique sequence in the entire human genome. The corresponding mouse sequence varies in 2 out of 16 amino acids, i.e., V at position 3 and A at position 7 instead of I or D, respectively. Preferably, the antibody of the present invention binds human but not mouse ALK, i.e., is specific for the human protein. The ALK epitope comprising about residues 391-406 or consist- ing of these residues is uniquely suited for selecting an antibody or antigen binding fragment that can specifically bind ALK and block or inhibit ALK-mediated activity. This epitope is also suitable for screening or raising antibodies that specifically block ALK activity. Thus, this epitope, especially an epitope comprising about residues 391-406 or consisting of about these residues, is uniquely suited for use as an active immuno- therapeutic agent or vaccine as further described herein. The antibody of the present invention has an affinity for the ALK epitope peptide with a K^ of 30 nM or less, preferably 10 nM or less, most preferably below 3 nM.
In another embodiment of the present invention, the antibody comprising a variable light chain CDR3 of a sequence with at least 50% sequence identity to the sequence SEQ. ID. No. 3. Preferably, the sequence identity is at least 60%, 70%, 80%, 85%, more preferably at least 90%. Most preferably, CDR3 is identical to SEQ. ID.
No. 3. Again, this antibody binds a lβ-amino-acid ALK epitope peptide of a sequence with at least 75%, preferably 80%, 85%, 90%, 95%, or most preferably 100%, amino acid identity to the sequence SEQ. ID. No. 1. Also, the antibody has an affinity for the ALK epitope peptide with a K0J of less than 10 nM, preferably less than 7 nM.
In a preferred embodiment of the present invention the antibody comprises a VH sequence of SEQ. ID. No. 4 and a VL sequence of SEQ. ID. No. 5. Additionally, it can comprise at least one mutation in at least one of the CDRs resulting in a higher affinity characterized by a K0I of less than about 3 nM. Said at least one mutation is preferably in CDRl or CDR2 of VH and/or VL, most preferably in CDR2 of VH. In another preferred embodiment of the present invention the antibody comprises a variable heavy- chain CDR2 comprising a sequence selected from the group of SEQ. ID. No. 7, SEQ. ID. No. 8, SEQ. ID. No. 9, SEQ. ID. No. 10, SEQ. ID. No. 11, SEQ. ID. No. 12, or SEQ. ID. No. 13. Preferably these defined CDR2 sequences are preceded by the amino acids residues AI and followed by the sequences of SEQ. ID. No. 17, so that the entire CDR2 is defined.
A preferred antibody of the present invention comprises a VH sequence of SEQ. ID. No. 4 and a VL sequence of SEQ. ID. No. 5. In scFv antibodies, the domain structure can NH2-VL-linker-VH-COOH or NH2"VH-linker-VL- COOH; preferably, the linker has the sequence SEQ. ID. No. 16. Alternatively, the variable regions represented by SEQ ID NOS: 4 and 5 can be engineered into a full length antibody, e.g., IgG or IgM. Constant regions suitable for combining with the variable regions are known in the art.
For the use disclosed herein, said antibody may optionally be pegylated, selected, or engineered for having a long half-life. Furthermore, said antibody may also be radiolabeled or toxin-labeled. Within the scope of the present invention is the use of the antibody or antibody derivative as a medicament or as a diagnostic tool for tumors and cancers. Preferably, a medicament for the treatment of metastatic cancers or metastatic tumors is envisaged. For this pur- pose an antibody can be radiolabelled using radionuclides or radiometal labeling. This is particularly valuable for tumor targeting, imaging and biodistribution studies. Also, recombinant DNA technology makes it possible to genetically fuse coding regions of variable V genes to modified toxin domains. For example, a scFv-toxin fusion wherein the scFv is specific for a tumor marker protein can target the toxin to the tumor, where the toxin causes cytotoxicity. Such targeted therapy results in the selective concentration of cytotoxic agents or radionu- elides in tumors and should lessen the toxicity to normal tissues .
In a preferred embodiment of the present invention the antibody and/or the medicament disclosed herein is used for a treatment of neuroblastoma, glioblastoma, rhabdomyosarcoma, breast carcinoma, melanoma, pancreatic cancer, B-cell NHL, thyroid carcinoma, small cell lung carcinoma, retinoblastoma, ewing sarcoma, prostate cancer, colon cancer and pancreatic cancer. Metastatic cancers and tumors further include lipoma, Ii- posarcoma, fibrosarcoma, metastatic tumors, in particular glioblastoma, neuroblastoma and other metastatic tumors.
The antibody and/or the medicament disclosed herein is preferably used for the treatment of metastatic cancers and tumors .
As the antibody itself, the medicament is suitable the inhibition of MK binding and/or PTN binding to ALK and/or ALK-mediated signaling.
The antibody and/or the medicament may be combined with one or more anticancer agents, e.g. methotrexate, suitable for administration in combination with the antibody disclosed herein.
Another aspect of the present invention is to provide a DNA sequence encoding the antibody of the present invention. A suitable prokaryotic expression vector for ESBA512 (SEQ. ID. No: 19) is pTFT74 (see SEQ. ID. No: 90 for the sequence including the ESBA512 coding sequence) . Therein, the ESBA512 coding sequence is under the control of the T7-promotor and the recombinant gene product is usually purified over inclusion bodies. Another preferred prokaryotic expression vector is pAK400, wherein the ESBA512 sequence is his-tagged for simplified purification (see SEQ. ID. No: 89 for the sequence including the ESBA512 coding sequence) . The gene product is secreted by the host cell into the periplasm.
In addition, an expression vector comprising said DNA sequence and a suitable host cell transformed with said expression vector is provided. Preferably, said host cell is an E. coli cell.
Yet another aspect of the present invention is the production of the antibody of the present inven- tion, comprising culturing the host cell that is transformed with the expression vector for said antibody, under conditions that allow the synthesis of said antibody and recovering it from said culture.
Another aspect of the present invention is to provide an ALK epitope, comprising or consisting essentially of residues 391-406 of SEQ ID NO: 1. Said epitope is suitable for identifying, screening, or raising anti- ALK antibodies or fragments thereof. Preferably, the antibody or antigen binding fragment thereof that is capable of specifically binding residues 391-406 (SEQ ID N0:l) of an isolated ALK protein or fragment thereof. More preferably, the antibody is a single chain antibody (scFv) , Fab fragment, IgG, or IgM.
In a further aspect, an ALK vaccine comprising an isolated ALK protein or a fragment thereof, or a nucleic acid encoding an epitope of ALK is provided. Preferably, the vaccine comprises residues 391-406 of an isolated ALK protein. Said vaccine is preferably formulated with a carrier, adjuvant, and/or hapten to enhance the immune response.
In still a further aspect, the invention provides a method of treatment of cancers and tumors, in particular of metastatic cancers and tumors, comprising the step of administering to a subject in need thereof an effective amount of an antibody as disclosed herein.
The subject is preferably a mammal, such as a rodent, a dog, a pig or a primate. Most preferably, the subject is a human being.
The sequences of the present invention are the following ones:
SEQ. ID. No. 1: GRI_GRPDNPFRVALEY Human ALK epitope peptide (amino acids 391-
406 of the ALK protein) ; underlined residues are different in the mouse homologue.
SEQ. ID. No. 2: RDAWLDVLSDGFDY ESBA521 CDR 3 of VH. Residues obtained after randomization are underlined.
SEQ. ID. No. 3: ATWDNDKWGVV
ESBA521 CDR 3 of VL. Residues obtained after randomization are underlined.
SEQ. ID. No. 4: EVQLVESGGGLVQPGGSLRLSCAASGFTFSSYAMSWVRQAPGKGLEWVSAISGSGGS TYYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARDAWLDVLSDGFDYWGQ GTLVTVSS
VH of ESBA521. CDRs are underlined.
SEQ. ID. No. 5:
QSVLTQPPSVSAAPGQKVTISCSGSTSNIGDNYVSWYQQLPGTAPQLLIYDNTKRPS GIPDRFSGSKSGTSATLGITGLQTGDEADYYCATWDNDKWGVVFGGGTKLEVLG VL of ESBA521. CDRs are underlined.
SEQ. ID. No. 6:
AISGSGGSTYYADSVKG VH CDR 2 of ESBA521
SEQ. ID. No. 7: AINMKGNDRYYADSVGK
VH CDR 2 of scFv 265.1
SEQ. ID. No. 8: AIRTNSKEYYADSVKG VH CDR 2 of scFv 43.2
SEQ. ID. No. 9 AIKTDGNHKYYADSVKG
VH CDR 2 of scFv 100.2
SEQ. ID. No. 10: RTDSKEQYYADSVKG VH CDR 2 of scFv 2.11
SEQ. ID. No. 11: ETSSGSTYYADSVKG VH CDR 2 of scFv 28.11
SEQ. ID. No. 12: NTGGGSTYYADSVKG VH CDR 2 of scFv 33.11
SEQ. ID. No. 13:
NTRGQNEYYADSVKG VH CDR 2 of scFv 4.12
SEQ. ID. No. 14: GTWDSSLSGVV
CDR3 of the light chain variable region of framework 4.4
SEQ. ID. No. 15: EIVLTQSPATLSLSPGERATLSCRASQTLTHYLAWYQQKPGQAPR
LLIYDTSKRATGTPARFSGSGSGTDFTLTISSLEPEDSALYYCQQRNSWPHTFGGGT KLEIKRGGGGGSGGGGSGGGGSSGGGSEVQLVESGGGVAQPGGSLRVSCAASGFSFS SYAMQWVRQAPGKGLEWVAVISNDGRIEHYADAVRGRFTISRDNSQNTVFLQMNSLR SDDTALYYCAREIGATGYLDNWGQGTLVTVSS Sequence of framework 5.2
SEQ. ID. No. 16 GGGGSGGGGSGGGGSSGGGS
Linker connecting VL and VH
SEQ. ID. No. 17 YYADSVKG C-terminal half of CDR2 of ESBA521 and its derivatives .
SEQ. ID. No. 18 DAGIAVAGTGFDY VH CDR3 of FW4.4
SEQ. ID. No. 19
QSVLTQPPSVSAAPGQKVTISCSGSTSNIGDNYVSWYQQLPGTAPQLLIYDNTKRPS GIPDRFSGSKSGTSATLGITGLQTGDEADYYCATWDNDKWGVVFGGGTKLEVLGGGG GSGGGGSGGGGSSGGGSEVQLVESGGGLVQPGGSLRLSCAASGFTFSSYAMSWVRQA PGKGLEWVSAISGSGGSTYYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCA RDAWLDVLSDGFDYWGQGTLVTVSS scFv ESBA521, CDRs underlined, linker in italics
SEQ. ID. No. 20
QSVLTQPPSVSAAPGQKVTISCSGSTSNIGDNYVSWYQQLPGTAPQLLIYDNTKRPS GIPDRFSGSKSGTSATLGITGLQTGDEADYYCGTWDSSLSGVVFGGGTKLTVLGGGG GSGGGGSGGGGSSGGGSEVQLVESGGGLVQPGGSLRLSCAASGFTFSSYAMSWVRQA PGKGLEWVSAISGSGGSTYYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCA RDAGIAVAGTGFDYWGQGTLVTVSS
FW4.4, CDRs are underlined, linker in italics
SEQ ID No. 21 cagtctgtgctgacgcagccgccctcagtgtctgcggccccagga cagaaggtcaccatctcctgctccggaagcacctccaacattggcgataattatgta tcctggtaccaacaactcccaggaacagccccccaactcctcatttatgacaatact aaacgaccctcagggattcctgaccggttctctggctccaagtctggcacgtcaqcc
accctgggcatcaccggactccagactggggacgaggccgattattactgcgcgacc tgggataatgataagtggggtgtggttttcggcggagggaccaagctcgaggtcc- taggt
Nucleic acid sequence of ESBA521 VL CDRs are underlined
SEQ ID No. 22 gaggtgcagctggtggagtccgggggaggcttggtacagcctggg qqgtccctqaqactctcctgtgcagcctctggattcacctttagcagctatgccatg aqctqqqtccqccaqqctccaqqqaaqqqqctqqaqtqqqtctcagctattagtggt agtggtggtagcacatactacgcagactccgtgaagggccggttcaccatctccaga gacaattccaagaacacgctgtatctgcaaatgaacagcctgagagccgaggacacg gccgtatattactgcgcgcgtgatgcgtggttggatgtgctttcggatggctttgac tactggggccagggaaccctggtcaccgtctcctcg Nucleic acid sequence of ESBA521 VH
CDRs are underlined
SEQ ID No. 23 cagtctgtgctgacgcagccgccctcagtgtctgcggccccagga cagaaggtcaccatctcctgctccggaagcacctccaacattggcgataattatgta tcctggtaccaacaactcccaggaacagccccccaactcctcatttatgacaatact aaacgaccctcagggattcctgaccggttctctggctccaagtctggcacgtcagcc accctgggcatcaccggactccagactggggacgaggccgattattactgcgcgacc tgggataatgataagtggggtgtggttttcggcggagqgaccaagctcgaggtccta qqtggtggtggtggttctggtggtggtggttctggcggcggcggctccagtggtggt ggatccgaggtgcagctggtggagtccgggggaggcttgqtacagcctggggggtcc ctgagactctcctgtgcagcctctggattcacctttagcagctatgccatgagctgg gtccgccaggctccagggaaggggctggagtgggtctcagctattagtggtagtggt ggtagcacatactacgcagactccgtgaagggccggttcaccatctccagagacaat tccaagaacacgctgtatctgcaaatgaacagcctgagagccgaggacacggccgta tattactgcgcgcgtgatgcgtggttggatgtgctttcggatggctttgactactgg ggccagggaaccctggtcaccgtctcctcg
Nucleic acid sequence of ESBA521
CDRs are underlined, linker in italics
The invention is now further described by means of examples:
Materials and Methods
In general, the practice of the present invention employs, unless otherwise indicated, conventional techniques of chemistry, molecular biology, recombinant DNA technology, immunology (especially, e.g., antibody technology) , and standard techniques in polypeptide preparation. See, e.g., Sambrook, Fritsch and Maniatis, Molecular Cloning: Cold Spring Harbor Laboratory Press (1989); Antibody Engineering Protocols (Methods in Mo- lecular Biology), 510, Paul, S., Humana Pr (1996); Antibody Engineering: A Practical Approach (Practical Approach Series, 169), McCafferty, Ed., IrI Pr (1996); Antibodies: A Laboratory Manual, Harlow et al., C. S. H. L. Press, Pub. (1999); and Current Protocols in Molecular Biology, eds . Ausubel et al., John Wiley & Sons (1992).
Experiment 1; Screening to identify AIk- binding scFvs
In a wealth of structural studies on anti- body-antigen interactions it was found that residues in the complementarity-determining region 3 (CDR-H3) of the heavy chain generally contribute the most substantial contacts to the antigen (Chothia and Lesk, 1987; Chothia et al., 1985; Padlan, 1994). We applied our recently de- scribed yeast two-hybrid antigen-antibody interaction screening technology to directly isolate antigen-binding scFvs by screening of four scFv libraries of randomized synthetic CDR-H3 sequences (Auf der Maur et al., 2002).
The four libraries are based on four different stable human scFv frameworks in which 7 amino acids within the third CDR loop of the variable heavy chain (VH-CDR3) were randomized. The randomized parts were introduced by stan- dard PCR cloning techniques. The scFv libraries were screened against a 16 amino acid peptide derived from the extracellular domain of the human tyrosine receptor kinase Anaplastic Lymphoma Kinase (ALK) by a yeast screening system called "Quality Control" (Auf der Maur et al., 2001; Auf der Maur et al., 2004). Briefly, the
Quality Control technology is an antigen-independent in- trabody selection system for identifying from a natural pool of human variable-light (VL) and variable-heavy (VH) chains those VL and VH combinations with favourable bio- physical properties, such as stability, solubility and expression yield. One promising and specific binder from one of the four scFv libraries was isolated after the first screening round. This particular scFv was derived from the framework FW4.4 library. FW4.4 (SEQ. ID. No. 20) consists of a VL domain (lambdal) connected by a classical flexible glycine-serine linker (GGGGS)4 to a VH3 domain. The VH CDR3 of FW4.4 comprises 13 amino acids (DAGIAVAGTGFDY; SEQ. ID. NO. 18). To construct the library, the central part of the VH CDR3 (DAXXXXXXXGFDY) was randomized by standard PCR-cloning methods using a degenerated oligonucleotide. The last two residues (Asp and Tyr) were kept constant, because their structural importance was demonstrated in many cases (Chothia and Lesk, 1987). The remaining residues were not modified in order to keep the complexity of the library in manageable dimensions. The scFv library was cloned in a yeast expression vector (pLibl) as C-terminal fusion to the tran-
scriptional activation domain of Gal4 (Auf der Maur et al., 2002) .
The ligand-binding domain (LBD) of human AIk was chosen as antigen for the interaction screen (Stoica et al., 2001). This 16 amino acid peptide was cloned into another yeast expression vector (pBaitl) as C-terminal fusion to the DNA-binding protein LexA.
The reporter yeast strain YDE173 (Auf der Maur et al., 2002) containing the stably integrated re- porter genes HIS3 and lacZ under the control of six LexA- binding sites was transformed with the bait vector ex¬ pressing the AIk LBD fused to LexA together with the ran¬ dom CDR-H3 scFv library fused to the Gal4 activation do¬ main. Transformed cells were selected on plates lacking histidine and containing 2.5 rtiM 3-amino-triazole (3-AT), which is a competitive inhibitor of the HIS3 gene prod¬ uct. Growing colonies were picked over a period of six days and the library plasmids were isolated. The same reporter strain was transformed with the rescued plasmids to confirm antigen-dependent gene activation. A quantitative liquid β-galactosidase assay was performed to meas¬ ure binding-strength between the AIk LBD, i.e. the 16 amino acid ALK peptide, and the selected scFv. The scFv with highest reporter gene activation also demonstrated best affinity (~31nM) for the AIk LBD peptide in ELISA (data not shown) .
The sequences of other VH CDR3 sequences identified as contributing to ALK binding are provided below in Table Ia.
The sequences of other suitable frameworks are provided below in Table Ib.
FW Sequence
5.2 EIVLTQSPATLSLSPGERATLSCRASQTLTHYLAWYQQKPGQAPRLLIYD
TSKRATGTPARFSGSGSGTDFTLTISSLEPEDSALYYCQQRNSWPHTFGG
GTKLEIKRGGGGGSGGGGSGGGGSSGGGSEVQLVESGGGVAQPGGSLRVS
CAASGFSFSSYAMQWVRQAPGKGLEWVAVISNDGRIEHYADAVRGRFTIS
RDNSQNTVFLQMNSLRSDDTALYYCAREIGATGYLDNWGQGTLVTVSS
(SEQ. ID. No. 15)
Experiment 2 : Affinity maturation
In order to obtain an scFv with higher affinity, this primary binder was subjected to a further affinity maturation process by mutagenesis and a second screening round in yeast. Enabling affinity maturation, the expression level of the LexA AIk LBD peptide fusion protein was reduced in order to lessen reporter gene activation driven by the interaction of the primary binder with the AIk LBD peptide. The strong actin promoter on the pBaitl vector was exchanged with the truncated and thus less active version of the ADH promoter (alcohol dehydrogenase) resulting in pBait3. This reduction of the bait expression level, in the presence of the primary binder, was sufficient to inhibit growth on plates lacking histidine and containing 5 mM 3-AT. Mutagenesis of the primary binder for affinity maturation was accomplished by ran-
domizing parts of the CDR3 within the variable light chain. This was performed directly in yeast by homologous recombination (Schaerer-Brodbeck and Barberis, 2004). The VL CDR3 of FW4.4 comprises 11 amino acids (SEQ. ID. No. 14: GTWDSSLSGVV). The first two positions were partially randomized, such that the first position either encodes GIy, Ala or Gin, and the second position Thr, Ser or Ala. At the positions 5 to 8 within VL CDR3 all amino acid residues were allowed. The remaining positions were kept constant. Randomization was introduced by PCR. The resulting PCR product had a size of 356 bp and comprised the randomized CDR cassette with 267 bp upstream and 27 bp downstream framework sequences. This product is the so-called donor PCR fragment, which bears homologies to the target vector. The target vector is the yeast plasmid (pLibl) encoding the primary binder fused to the activation domain of Gal4. In order to improve efficiency of homologous recombination and to exclude false positives in the subsequent screening, the CDR-L3 in the target vector was slightly modified. A unique Sacl restriction site was introduced in the middle of VL CDR3, which leads to a frameshift in the scFv encoding part of the fusion protein and results in a truncated protein unable to bind to the AIk LBD. In addition, the Sacl site enables lin- earization of the target vector, which enhances recombination efficiency in yeast.
The screening was launched by pre- transformation of the reporter yeast strain YDE173 with the plasmid (pBait3) expressing the LexA AIk LBD from the truncated ADH promoter. This pre-transformed yeast cells were made competent again and co-transformed with the linearized target vector and with the donor PCR fragment, which bears homologies upstream and downstream of the VL
CDR3. Upon homologous recombination between the PCR product and the target vector, the novel VL CDR3 sequence is integrated into the corresponding site of the target vector. As a net result of this event the primordial VL CDR3 gets exchanged with the randomized VL CDR3. This allows reconstitution of a circular plasmid that expresses a fully functional fusion protein with a novel VL CDR3 sequence, which will activate reporter gene expression and enable growth on selective plates upon interaction with the AIk LBD peptide.
A total of 119 clones grew on selective plates over an observation period of 6 days. These clones were picked and the library plasmids were isolated and retransformed into the same reporter yeast strain. A quantitative liquid β-galactosidase assay was performed to measure binding strength between the AIk LBD (antigen) and the affinity-matured scFv. 20 clones with highest lacZ activation were also tested in ELISA with AIk LBD peptide. The best candidate revealed a KD of about 7nM (Fig. 3) and was named ESBA521.
The sequences of other VL CDR3 sequences identified as contributing to ALK binding are provided below in Table Ic.
Experiment 3: The scFv ESBA521 specifically binds to the transmembrane form of human ALK
In order to test whether the newly identified scFv was able to also recognize the transmembrane human ALK protein on the surface of living cells, immunostain- ing experiments of transiently transfected HELA cells were performed. ESBA521 reacts with the ALK protein in a comparable way as a polyclonal antibody (Fig. 4) . In a control experiment it was shown that the framework 4.4
scFv does not react with human ALK. Surprisingly, ESBA521 only binds to the human AIk protein, but not to the corresponding mouse protein, although the mouse antigenic peptide only differs in two amino acid positions from the human peptide sequence. By contrast, the polyclonal ALK antibody recognizes both human and mouse protein. Therefore, binding of ESBA521 is specific for the human ALK protein at the cell surface.
Experiment 4: Isolation of improved binders by PCR mutagenesis of VH CDR 2
To further improve antigen binding, ESBA521 was used as the starting scFv in a further round of affinity maturation using the same two-hybrid approach as described for the first round of affinity maturation, except in this case CDR2 of VH was changed by PCR mutagenesis and transformed into the yeast recipient, wherein homologous recombination at CDR2 is enforced in analogous way. Again, a restriction site was introduced in CDR2 to enable linearization of the target plasmid. The mutations introduced in CDR2 are given in Table 2.
scFv (performing VH CDR 2 (mutated residues) best)
WT (ESBA521) AISGSGGSTYYADSVKG (SEQ. ID. No. 63)
1.1 AI-KTDGQNYYADSVKG (SEQ. ID. No. 64)
17.1 AIRSDGNERYYADSVKG (SEQ. ID. No. 65)
35.1 AINTNGNEKYYADSVKG (SEQ. ID. No. 66)
64.1 AISTNGKERYYADSVKG (SEQ. ID. No. 67)
130.1 AIRTQSQEEYYADSVKG (SEQ. ID. No. 68)
152.1 AIKSRSQEQYYADSVKG (SEQ. ID. No. 69)
167.1 AIKSHSQQQYYADSVKG (SEQ. ID. No. 70)
214.1 AINSEGQQRYYADSVKG (SEQ. ID. No. 71)
225.1 AIKSKGQNKYYADSVKG (SEQ. ID. No. 72)
262.1 AIRTNSEEKYYADSVKG (SEQ. ID. No. 73)
265.1 AINMKGNDRYYADSVKG (SEQ. ID. No. 74)
43.2 AI-RTNSKEYYADSVKG (SEQ. ID. No. 75)
70.2 AIKTESQQRYYADSVKG (SEQ. ID. No. 76)
99.2 AINSNGKQDYYADSVKG (SEQ. ID. No. 77)
100.2 AIKTDGNHKYYADSVKG (SEQ. ID. No. 78)
109.2 AIDTKGNGQYYADSVKG (SEQ. ID. No. 79)
146.2 AIRSDSSHKYYADSVKG (SEQ. ID. No. 80)
173.2 AINTKSNEQYYADSVKG (SEQ. ID. No. 81)
199.2 AIRTDSKNSYYADSVKG (SEQ. ID. No. 82)
2.11 AIRTDSKEQYYADSVKG (SEQ. ID. No. 83)
19.11 AIRTNSKEEYYADSVKG (SEQ. ID. No. 84)
28.11 AIETSSGSTYYADSVKG (SEQ. ID. No. 85)
33.11 AINTGGGSTYYADSVKG (SEQ. ID. No. 86)
4.12 AINTRGQNEYYADSVKG (SEQ. ID. No. 87)
6.12 AISTSG-STYYADSVKG (SEQ. ID. No. 88)
Among the isolated scFvs obtained after this procedure, seven turned out to have significantly improved affinity with a K^ in the range of 2-3 nM (Fig. 5), the best of them being 28.11.
Experiment 5: Prevention of tumor-growth upon administration of anti-ALK antibody
The progenitors of the antibody ESBA521 were selected to bind to amino acids 391-406 of ALK, which comprises the amino acids (396-406) that are known to bind pleiotrophin (Stoica 2001) . ESBA521 was obtained by randomizing additional amino acids in the CDRs of its progenitor and by selecting for binders that bind to the 391-406 amino acid stretch contained in its natural context of the ALK extracellular domain (ECD) . These pro-
ceedings resulted in an antibody, which binds the ALK ECD with high affinity at the same site that binds PTN. To our knowledge. This is the first monoclonal antibody that specifically targets the PTN binding site of ALK. Ac- cordingly, ESBA521 is predicted to have high affinity to the ALK ECD and efficiently competes with pleiotrophin (PTN) and midkine (MK) for binding to the ALK receptor, and thus, the ESBA521 antibody is suitable for inhibiting both MK and PTN ligand binding to the ALK protein. Because ALK and its ligands are involved in neoplasia, tumor invasion and angiogenesis, inhibition of the interaction between ALK and its cognate ligands disrupts ALK mediated tumorgenesis .
The effect of ESBA521 on a specific tumor can be determined by the following two assays described below.
In a first assay, xenograft experiments are prepared in order to determine the cancer growth rate- limiting role of ALK (Powers 2002) . Briefly, a U87MG cell suspension of 20 million cells/ml media supplemented with 10% fetal calf serum are prepared. These are injected into NU/NU mice and resultant tumors are measured. Test antibodies, preferably full length antibodies, more preferably, pegylated antibodies, are introduced and tumor growth is assessed.
Experiment 6: Prevention of tumor metastasis, angiogenesis, and apoptoais upon administration of anti- ALK antibody The in vivo evaluation of anti-ALK antibody inhibition of metastasis, tumor angiogenesis and apop- tosis is evaluated in this example.
Test antibodies, preferably full length antibodies, more preferably, pegylated antibodies, in par¬ ticular, antibodies with a long half-life, are introduced and tumor growth is assessed. Briefly, tumor cells, which are known to express ALK mRNA (Stoica 2001) : ME-180, MDA-MB 231 and U87 (invasive) , in parallel with cells which are known not to express ALK mRNA such as MCF-7 or JEG-3 (Stoica 2001), or 1205LU are assayed by injection of one million tumor cells in 0.1 ml of growth medium into two subcutaneous sites on the flanks of athymic nude mice and observed for up to 3 months for tumor growth.
Macroscopic, as well as microscopic (paraffin embedding and hematoxylin / eosin staining) inspection for metastasis in metastasis-prone tissues and organs such as lung or liver, is performed. The degree of tumor angiogenesis is quantitated by staining the endothelial cell marker (PECAM, platelet-endothelial cell adhesion molecule, CD31) . Stainable capillaries at x400 magnifica- tion by as compared to samples from mice that received an unspecific control antibody are quantified. The extent of apoptosis in tumor tissues is assessed by an ELISA (cell death detection; Boehringer Mannheim) that quantitates apoptotic DNA fragmentation in cells by de- tection DNA-histone complexes or by TUNEL assay in samples from mice that received ESBA521 or a derivative thereof, as compared to samples from mice that received a negative control antibody.
Experiment 7: Biological effects of ESBA521 in vitro.
Materials and Methods
Antibodies used. The sequence of the single- chain antibody ESBA521, also named scFv-107 in this example, is disclosed in SEQ. ID. No. 19. As a control, framework 4.4 (SEQ. ID. No. 20) was used. ScFv-14 corre- sponds to framework 4.4, wherein CDR3 of the variable heavy chain is replaced by SEQ. ID. No. 31. All antibody sequences were His-tagged(a sequence of six histidine residues linked to the N-term of the scFvs) .
Proliferation Assays. Briefly, 1,000 cells were seeded in each well of a 96-well tissue culture plate in a 100 μL volume of improved minimal medium with 10% FBS. After overnight incubation the culture media was aspirated and replaced with improved minimal medium in the presence or absence of 0.052mg/ml of scFvs. Cell growth was measured by the WST-I assay 96 hours post- treatment according to manufacturer's protocol (Roche Applied Science) .
Colony formation Assays. Anchorage independent growth was assayed by colony formation assay as pre- viously described (Fang 1992) . Briefly, SW13 cells were trypsinized and 1.5 x 104 cells were seeded in 35 mm culture dishes in the presence of growth factors. Colonies with a minimum diameter of 60 μm were counted after 5-9 days using an image analyzer. Invasion Assays. The ability of U87MG cells to disrupt an endothelial monolayer was determined using the electrical cell-substrate impedance sensor system ECIS MODEL 1600R using the attachment program settings at 40, 000 Hrz (Applied Biophysics, Troy, NY) . HUVEC cells were detached from culture plates by EDTA and resuspended at 1.6 X 106 cells/mL in endothelial cell medium (Cambrex Biosciences) . 250 mL of this suspension was added to each well of 8-well electrode arrays (8W10E; Applied BioPhys-
ics) . Once a confluent monolayer was established, 105 U87MG cells were added to each well in 200 μL of IMEM (Invitrogen) supplemented with 10% FBS. For exogenous scFv treatment (0.052 mg/itiL) , the scFvs were added to the U87MG cell suspension immediately before seeding over the HUVEC monolayer at a final concentration of 0.052mg/mL. Disruption of the HUVEC monolayer due to the U87MG cells was detected in real-time as changes in electrical resistance over 24 hours. Results were normalized and graphed as normalized resistance over time from the time the U87MG cells were added to the wells. All samples were tested in duplicate and the results were graphed to represent their average. Results Proliferation Assays. In vitro studies showed that ALK signaling can be activated or inhibited by anti- ALK antibodies (Bowden 2002, Moog-Lutz 2005, Motegi 2004). To determine whether the scFv could impact receptor activation, the biological effects of the two His- tagged scFvs scFv-14-His and ESBA521-His on ALK- expressing cells were studied. scFv-14 has an affinity to human ALK in the micromolar range, whereas the affinity of ESBA521 ranges between 5 - 10 nM. It was previously demonstrated that SW13 adrenal carcinoma cells can serve as an appropriate model for studying ALK-dependent proliferation as a response to PTN stimulation. SW13 cells express ALK (Powers 2002) but do not express PTN or Mid- kine (Schulte 1997) . As a response to exogenous PTN stimulation (Fang 1992) or to overexpression of ALK (Pow- ers 2002), however, these cells show increased proliferation in colony formation assays. These findings have also been verified by ribozyme targeting where depletion of endogenous ALK ablated the ability of PTN to induce col-
ony formation in SW13 cells (Bowden 2002) . To determine the effects of ESBA521 on cell proliferation in vitro, we used SW13 cells stably transfected to express PTN (Fang 1992) in WST-I assay. As shown in Figure 6A, ESBA521-His inhibited cell proliferation compared to untreated and control treated cells, whereas the scFv-14-His, which has a lower binding affinity for ALK than ESBA521-His, inhibited the cells to a lesser extent. It is important to note that the control scFv used in this study (referred to as scFv-FW, or FW4.4 ) has the same framework as the anti-ALK scFvs and only differs in the CDR regions which confer antigen specificity.
Colony formation Assays. To assess whether ESBA521-His could inhibit anchorage independent growth in vitro, we used colony formation assays in SW-13 cells stimulated with exogenous PTN. As shown in Figure 6B, there was a dose-dependent inhibition of colony formation in cells treated with increasing amounts of ESBA521-His compared to cells treated with scFv-FW-His. Treatment of U87MG human glioblastoma cells with the ESBA521-His in
WST-I and colony formation assays did not result in inhibition of these cells. This data corresponds with our previous observations where ribozyme targeting of ALK did not impact cell proliferation of the cells in vitro. These results demonstrate that scFvs targeting the ALK LBD, can inhibit ALK-dependent proliferation in vitro.
Invasion Assays. Next, we studied the ability of ESBA521-His to inhibit the invasive ability of U87MG cells. The ability to disrupt an endothelial monolayer is one of the hallmarks of invasive tumor cells, which in turn are a hallmark of malignant tumor cells that eventually will form metastases. Using electric cell-substrate impedance sensing (ECIS) (Applied Biophysics) the ability
of the glioblastoma cell line U87MG to invade an endothelial monolayer when treated with scFvs was studied. U87MG is a well characterized system for studying ALK signaling. It was previously demonstrated that U87MG cells ex- press both ALK (Stoica 2002) and PTN (Stoica 2001) and that PTN stimulation of these cells results in activation of Akt (Stoica 2002, Lu 2005) and MAPK (Lu 2005) . The ECIS invasion assay has previously been used to follow the invasive activities of metastatic cell lines in real time (Keese 2002) . Similarly, in this experiment human umbilical vein endothelial cells (HUVEC) were plated in an eight-well array and monitored attachment. Once the HUVEC cells formed a confluent monolayer, U87MG cells were seeded over the monolayer in the presence of scFvs. Disruption of the tight junctions between endothelial cells due to invading cancer cells was detected as a decrease in electrical resistance. As shown in Figure 6C, cells treated with scFv-14-His or ESBA521-His, were less invasive than untreated (control) cells and cells treated with scFv-FW-His. The conclusion from this data is that ALK is rate limiting in the invasive process of U87MG cells in vitro. Furthermore, it appears not unlikely that also in the in vivo situation ALK plays a central role during invasive processes, which can finally lead to the development of metastases.
FLAG-scFv-107 inhibits ALK-dependent tumor growth in vivo. It was previously demonstrated that ri- bozyme depletion of ALK levels in U87MG cells inhibited xenograft tumor growth in nude mice(Powers 2002). To de- termine whether reduction of ALK signaling, instead of decrease in ALK expression could also impact tumor growth in vivo we generated U87MG stable, inducible cell lines. FLAG-ESBA521 and FLAG-scFv-FW were subcloned in T-REx-
DEST-30 expression vector which allowed for tetracycline- inducible expression of the scFvs (Figure 7A) . For further studies, pooled cell lines secreting equal levels of scFv in the extracellular milieu upon induction with tet- racycline were selected (Figure 7B) . The cell lines were examined for differences in proliferation rate and colony formation in soft agar but no detectable differences were observed. This finding is in accordance with the previous observations in U87MG cell lines with ribozyme-depleted ALK where the inhibitory effects of ALK depletion were only observable in vivo (Powers 2002) . Therefore it seemed reasonable to test, whether inhibition of ALK activation by FLAG-ESBA521 in U87MG tumor xenografts would also impede growth in vivo. The cell lines were grown as tumor xenografts in nude mice and once measurable tumors were established we induced expression of the scFvs (Figure 7C) by feeding chow containing doxycycline. As expected uninduced FLAG-ESBA521 cells formed tumors with a growth rate equal to induced cells expressing the control scFv. In contrast, tumors expressing FLAG-ESBA521 had a significantly lower growth rate (p<0.001). The results shown are representative of two independent studies. Overall these studies further support the role of ALK in tumor growth and suggest a possible role of anti-ALK scFvs as therapeutic agents.
Materials and Methods
Plasmid Constructs and Transfactions . For protein expression in mammalian cells, the scFvs were cloned into the Not I and BgI II sites of pFLAG-CMV™-3 vector (Sigma-Aldrich Corporation, St. Louis, MO), which also contains a secretory signal peptide and an N- terminal Flag tag. The C-terminal His-tag of the scFvs included in the bacterial expression vector was omitted
from the mammalian expression vectors. For tetracycline- dependent stable expression, the scFvs including the secretory signal peptide and Flag tag were cloned into pCR®8/GW/TOPO® TA and then transferred to pTRExTM-DEST30 according to the manufacturer's protocol (Invitrogen) . To obtain U87MG-tet-ESBA521 and U87MG-tet-scFv-FW tetracycline-inducible, stable cell lines. U87MG cells were transfected with pcDNATM6/TR (Invitrogen) by Fugene 6 (Roche Applied Science, Indianapolis, IN) according to manufacturer's protocol and cultured for three weeks in media containing 25 μg/ml of blasticidin. These cells were subsequently transfected with pFLAG-CMV™-3-FW4.4 or pFLAG-CMV™-3-ESBA521 vectors and selected with 750mg/ml of Geneticin for three weeks. Pooled cell lines were screened by western blot to identify cell lines with comparable scFv expression after induction with tetracycline (1 μg/ml). To express the cell lines were induced overnight with tetracycline and the conditioned media containing scFv was collected for further testing. Stable transfection of SW13 with a PTN expression vector was previously described (Fang 1992) .
Cell Extracts and Immunoblotting. To prepare cells lysates, the cells were washed once with cold Ix phosphate buffered saline and lysed as previously de- scribed (6). Protein was quantitated with the Bio-Rad Protein Assay (Bio-rad, Hercules, CA) and 15-20 mg of each sample was subjected to SDS polyacrylamide gel electrophoresis and immunoblotting. Nonspecific binding was blocked with 5 % milk in PBS-O.05 % Tween for 1 hour. The membranes were then incubated with the anti-Flag M2-HRP (Sigma-Aldrich Corporation; diluted according to the manufacturers' recommendations) and visualized using Su-
perSignal West Pico Chemiluminescent Substrate (Pierce Biotechnology, Rockford, IL) .
Tumor Xenograft Studies. Plated cells were washed once with Ix phosphate buffered saline and brought into suspension in PBS by gentle scraping. The concentration of cells was brought to 2 x 107 cells/ml and 0.1 mL of the cell suspension was injected subcutaneously in each flank of approximately 2-month old female athymic nude mice (Ncr nu/nu; Harlan Sprague-Dawley, Indianapo- lis, IN) . Once measurable tumors were established the mice were randomized into control and treatment groups. To induce scFv expression in the tetracycline-regulated U87MG cell lines, mice injected with these cells were fed with Doxycycline-supplemented diet (Bio-Serv, Frenchtown, NJ) . Tumor measurements were taken every 3-4 days and tumor volumes were calculated using the formula (X x Y x Z) /2. Statistical significance between groups was assessed one way ANOVA using GraphPad Prism (GraphPad Software, San Diego, CA) .
While there are shown and described presently preferred embodiments of the invention, it is to be distinctly understood that the invention is not limited thereto but may be otherwise variously embodied and practiced within the scope of the following claims.
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SWISSPROT: www.expasy.org www . emedicine . com/med/topic2692 , htm (glioblastoma) www. emedicine . com/MED/topic3205.htm (ALCL)
Claims
I. An antibody which binds the human ALK protein for the treatment of cancers and tumors.
2. The antibody of claim 1, for the treatment of metastatic cancers and tumors.
3. The antibody of anyone of the preceding claims, said antibody comprising a variable heavy chain CDR3 of a sequence with at least 50% sequence identity, preferably at least 60%, 70%, 75%, 85%, more preferably at least 90%, to the sequence SEQ. ID. No. 2.
4. The antibody of anyone of the preceding claims comprising a variable heavy chain CDR3 of the sequence SEQ. ID. No. 2.
5. The antibody of anyone of the preceding claims , wherein binding the human ALK protein is specific.
6. The antibody of anyone of the preceding claims which is an antibody fragment, scFv antibody or a Fab fragment.
7. The antibody of anyone of the preceding claims which is an scFv antibody.
8. The antibody of anyone of the preceding claims comprising a H3 VH domain and a lambdal VL domain.
9. The antibody of anyone 'of the preceding claims, wherein the framework of VH and VL is stable and soluble so as to be functional in an intracellular reducing environment.
10. The antibody of anyone of the preceding claims comprising the framework 4.4 (SEQ. ID. No. 20).
II. The antibody of anyone of the preceding claims, said antibody binding a 16-amino acid ALK epitope peptide of a sequence of at least 75% sequence identity to the sequence SEQ. ID. No. 1.
12. The antibody of claim 11, wherein the ALK epitope peptide has the sequence SEQ. ID. No 1.
13. The antibody of claim 11 or 12, whose affinity for the ALK epitope peptide is characterized by a K0J of 30 nM or less, preferably 10 nM or less, most preferably below 3 nM.
14. The antibody of anyone of the preceding claims comprising a variable light chain CDR3 of a sequence with at least 50% sequence identity, preferably at least 60%, 70%, 80%, 85%, or more preferably at least 90%, to the sequence SEQ. ID, No. 3.
15. The antibody of anyone of the preceding claims comprising a variable light chain CDR3 of the sequence SEQ. ID. No. 3.
16. The antibody of anyone of the preceding claims, which binds a 16-amino-acid ALK epitope peptide of a sequence with at least 75% , preferably 100%, amino acid identity to the sequence SEQ. ID. No. 1.
17. The antibody of anyone of the preceding claims whose affinity for the ALK epitope peptide is given by a K1^ of less than 10 nM, preferably less than 7 nM.
18. The antibody of anyone of the preceding claims, said antibody comprising a VH sequence of SEQ. ID. No. 4 and a VL sequence of SEQ. ID. No. 5.
19. The antibody of anyone of the preceding claims comprising at least one mutation in at least one of the CDRs resulting in a higher affinity characterized by a K0; of less than about 3 nM.
20. The antibody of claim 19, wherein said mutation is in CDRl or CDR2 of VH and/or VL.
21. The antibody of claim 19, wherein said mutation or said mutations are in CDR2 of VH.
22. The antibody of anyone of the preceding claims comprising a variable heavy chain CDR2 comprising a sequence selected from the group of SEQ. ID. No. 7,
SEQ. ID. No. 8, SEQ. ID. No. 9, SEQ. ID. No. 10, SEQ. ID. No. 11, SEQ. ID. No. 12, or SEQ. ID. No. 13.
23. The antibody of claim 22 wherein said defined sequences of CDR2 are preceded by the amino acids residues AI and followed by the sequences of SEQ. ID. No. 17.
24. The antibody of anyone of the preceding claims, said antibody comprising a VH sequence of SEQ. ID. No. 14 and a VL sequence of SEQ. ID. No. 15.
25. The antibody of anyone of claims 7 to 24, said antibody comprising the structure NH2-VL-linker-VH- COOH or NH2-VH-linker-VL-C00H, wherein the linker has the sequence SEQ. ID. No. 16.
26. The antibody of anyone of the preceding claims, said antibody being radiolabeled or toxin- labeled.
27. The antibody of anyone of the preceding claims as a medicament or a diagnostic tool.
28. The use of the antibody of anyone of the preceding claims for the production of a medicament for the treatment of metastatic cancers or metastatic tumors.
29. The use according to claim 28, wherein the medicament is suitable the inhibition of MK and/or PTN binding to ALK and/or ALK-mediated signaling.
30. The use of claim 28 or 29, wherein the medicament is a combined medicament suitable for administering said antibody in combination with an anticancer agent, e.g., methotrexate.
31. The use of anyone of claims 28 to 30, wherein the metastatic cancers or metastatic tumors are neuroblastoma, glioblastoma, rhabdomyosarcoma, breast carcinoma, melanoma, pancreatic cancer, B-cell NHL, thy- roid carcinoma, small cell lung carcinoma, retinoblastoma, ewing sarcoma, prostate cancer, colon cancer, pancreatic cancer, lipoma, liposarcoma, fibrosarcoma, metastatic tumors, in particular glioblastoma, neuroblastoma and other metastatic tumors.
32. A medicament comprising the antibody of anyone of claims 1 to 27.
33. The medicament of claim 32, wherein the medicament for the treatment of cancers or tumors inhibits metastasis or lowers occurrence levels of secondary cancer or tumor lesions.
34. The medicament of anyone of claims 32 to 33, wherein the medicament for the treatment of metastatic cancers or tumors inhibits angiogenesis .
35. The medicament of anyone of claims 32 to 34, wherein the medicament for the treatment of metastatic cancers or tumors induces apoptosis.
36. The medicament of anyone of claims 32 to 35, wherein the antibody is a single chain antibody (scFv), Fab fragment, IgG, or IgM and said antibody is optionally pegylated, selected, or engineered for having a long half-life.
37. A method of treatment of cancers and tumors comprising the step of administering to a subject in need thereof a suitable amount of an antibody as defined in claims 3 to 27.
38. The antibody of claim 2, wherein the metastatic cancers or metastatic tumors are neuroblastoma, glioblastoma, rhabdomyosarcoma, breast carcinoma, mela- noma, pancreatic cancer, B-cell NHL, thyroid carcinoma, small cell lung carcinoma, retinoblastoma, ewing sarcoma, prostate cancer, colon cancer, pancreatic cancer, lipoma, liposarcoma, fibrosarcoma, metastatic tumors, in particu- lar glioblastoma, neuroblastoma and other metastatic tumors .
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WO2013033008A2 (en) | 2011-08-26 | 2013-03-07 | Merrimack Pharmaceuticals, Inc. | Tandem fc bispecific antibodies |
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