Treating autoimmune diseases with humanized anti-CD40L antibody
View Patent ↗The present invention is directed to humanized antibodies which bind human gp39 and their use as therapeutic agents. These humanized antibodies are especially useful for treatment of autoimmune diseases; and an immunosuppressant during transplantation of heterologous cells, tissues or organs, cell therapy, and gene therapy.
1. A method of treating an autoimmune disorder comprising administering a therapeutically effective amount of a humanized antibody or antigen binding fragment that specifically binds CD40 ligand that contains a variable light sequence which comprises the amino acid sequence encoded by SEQ ID NO: 24 or SEQ ID NO: 25 and a variable heavy sequence which comprises the amino acid sequence encoded by the nucleic acid sequence SEQ ID NO: 26, wherein said autoimmune disorder is selected from the group consisting of diabetes mellitus, psoriasis, autoimmune glomerulonephritis, autoimmune hemolytic anemia, Addison's disease, autoimmune oophoritis, autoimmune orchitis, autoimmune polyendocrine failure, Behcet' disease, Berger's disease; Buerger's disease, bullous pemphigus, celiac sprue, Graves disease, Goodpasture's Syndrome, Hashimato's thyroiditis, chronic active hepatitis, chronic progressive hepatitis, idiopathic thrombocytopenia purpura, Job's syndrome, psoriatic arthritis, rheumatoid arthritis, Kawasaki's disease, multiple sclerosis, myasthenia gravis, pemphigoid, pemphigus, pemphigus erythematosus, pemphigus foliaceus, pemphigus vulgaris, polymyalgia rheumatica, pulmonary fibrosis, Reiter's syndrome, Reidel's thyroiditis, rheumatic fever, sarcoidosis, Sezary syndrome; Scleroderma, ulcerative colitis, autoimmune hemolytic anemia, Felty's syndrome, systemic lupus erythematosus, discoid lupus erythematosus, autoimmune polyarteritis nodosa, Caplan's syndrome, Crohn's disease, psoriasis, Sjogren's syndrome, Crest syndrome, and Wiscott-Aldrich syndrome.
2. The method of claim 1 where the autoimmune disease is rheumatoid arthritis or psoriatic arthritis.
3. The method of claim 1 wherein the humanized antibody or fragment has the variable region encoded by SEQ ID NO: 24.
4. The method of claim 1 wherein the humanized antibody has a human constant region selected from the group consisting of gamma 1, gamma 2, gamma 3, gamma 4 and mutated versions that provide for altered effector function.
5. The method of claim 4 wherein the human constant region is a mutated gamma 4 containing one or both of the following mutations:
(i) change of a leucine to a glutamic acid at position 236; and
(ii) change of a serine to a proline at position 229.
6. The method of claim 1 wherein the humanized antibody contains a human kappa or lambda constant region.
7. The method of claim 1 wherein the dosage of humanized antibody or fragment administered ranges from 0.05 to 100 mg per kilogram of body weight per day.
8. The method of claim 1 wherein the antibody or fragment is administered parentally.