Antagonist antibodies directed against calcitonin gene-related peptide and methods using same
The invention features methods for preventing or treating CGRP associated disorders such as vasomotor symptoms, including headaches (e.g., migraine, cluster headache, and tension headache) and hot flushes, by administering an anti-CGRP antagonist antibody. Antagonist antibody G1 and antibodies derived from G1 directed to CGRP are also described.
1. A method for reducing incidence of or treating sensitivity to light in an individual, comprising administering to the individual an effective amount of an anti-CGRP antagonist monoclonal antibody, wherein the monoclonal antibody decreases CGRP biological activity.
2. The method of claim 1 , wherein the monoclonal antibody is a human monoclonal antibody.
3. The method of claim 1 , wherein the monoclonal antibody is a humanized monoclonal antibody.
4. The method of claim 1 , wherein the monoclonal antibody is:
(a) an antibody having a CDR H1 as set forth in SEQ ID NO: 3; a CDR H2 as set forth in SEQ ID NO: 4; a CDR H3 as set forth in SEQ ID NO: 5; a CDR L1 as set forth in SEQ ID NO: 6; a CDR L2 as set forth in SEQ ID NO: 7 and a CDR L3 as set forth in SEQ ID NO: 8; or
(b) a variant of an antibody according to (a) as shown in Table 6.
5. The method of claim 1 , wherein the individual has a migraine.
6. The method of claim 1 , wherein the monoclonal antibody has a binding affinity (K D ) to human α-CGRP of 50 nM or less as measured by surface plasmon resonance at 37° C.
7. The method of claim 1 , wherein the monoclonal antibody comprises a V H domain comprising SEQ ID NO: 1 and a V L domain comprising SEQ ID NO: 2.
8. The method of claim 1 , wherein the monoclonal antibody comprises a light chain produced by the expression vector with ATCC Accession No. PTA-6866.
9. The method of claim 1 , wherein the monoclonal antibody comprises a heavy chain produced by the expression vector with ATCC Accession No. PTA-6867.
10. The method of claim 1 , wherein the individual is human.
11. The method of claim 1 , wherein the monoclonal antibody binds a C-terminal fragment having amino acids 25-37 of CGRP or a C-terminal epitope within amino acids 25-37 of CGRP.
12. The method of claim 1 , wherein the monoclonal antibody comprises an Fc region with an impaired effector function.
13. The method of claim 1 , wherein the route of administration of the monoclonal antibody is selected from the group consisting of systemically, intravenously, subcutaneously, intramuscularly, and transdermally.
14. The method of claim 1 , wherein the monoclonal antibody comprises a heavy chain constant region derived from a human IgG2 constant region.
15. The method of claim 1 , wherein the monoclonal antibody is an IgG, an IgM, an IgE, an IgA, or an IgD molecule, or is derived therefrom.
16. The method of claim 1 , wherein the monoclonal antibody is formulated with a pharmaceutically acceptable carrier, excipient, and/or stabilizer.
17. The method of claim 1 , wherein the dose of the monoclonal antibody is at least about 3 μg/kg.
18. The method of claim 1 , wherein the monoclonal antibody blocks CGRP from binding to its receptor.
19. The method of claim 1 , wherein the monoclonal antibody blocks the elicitation of a cellular response to CGRP.
20. The method of claim 1 , wherein the monoclonal antibody blocks CGRP receptor activation.