Combination of anti-KIR and anti-CTLA-4 antibodies to treat cancer
Provided are methods for clinical treatment of cancer (e.g., solid tumors or hematological malignancies) using an anti-KIR antibody in combination with an anti-CTLA-4 antibody.
1. A method of treating a solid tumor in a human patient diagnosed with non-small cell lung cancer (NSCLC), castrate resistant prostate cancer (CRPC) and/or melanoma, the method comprising: administering to the patient an effective amount of each of:
(a) an anti-KIR antibody comprising the CDR1, CDR2 and CDR3 domains in a heavy chain variable region having the sequences set forth in SEQ ID NO:3, and the CDR1, CDR2 and CDR3 domains in a light chain variable region having the sequences set forth in SEQ ID NO:5 and
(b) an anti-CTLA-4 antibody comprising the CDR1, CDR2 and CDR3 domains in a heavy chain variable region having the sequences set forth in SEQ ID NO:19, and the CDR1, CDR2 and CDR3 domains in a light chain variable region having the sequences set forth in SEQ ID NO:20,
wherein the anti-KIR antibody and anti-CTLA-4 antibody are administered in combination (A) every 3 weeks for a total of 4 doses over 12 weeks during an induction phase, followed by (B) every 12 weeks for 4 doses starting at week 24 during a maintenance phase, and
wherein the anti-KIR antibody is administered at a dose of 0.1, 0.3, 1, 3 or 10 mg/kg, and the anti-CTLA-4 antibody is administered at a dose of 3 or 10 mg/kg during both phases.
2. The method of claim 1 , wherein the anti-KIR antibody and anti-CTLA-4 antibody are administered at the following doses during either the induction or maintenance phase:
(a) 0.1 mg/kg anti-KIR antibody and 3 mg/kg of anti-CTLA-4 antibody;
(b) 0.3 mg/kg anti-KIR antibody and 3 mg/kg of anti-CTLA-4 antibody;
(c) 1 mg/kg anti-KIR antibody and 3 mg/kg of anti-CTLA-4 antibody;
(d) 3 mg/kg anti-KIR antibody and 3 mg/kg of anti-CTLA-4 antibody;
(e) 10 mg/kg anti-KIR antibody and 3 mg/kg of anti-CTLA-4 antibody;
(f) 3 mg/kg anti-KIR antibody and 10 mg/kg of anti-CTLA-4 antibody; or
(g) 10 mg/kg anti-KIR antibody and 10 mg/kg of anti-CTLA-4 antibody.
3. The method of claim 1 , wherein the anti-KIR and anti-CTLA-4 antibodies are formulated for intravenous administration.
4. The method of claim 1 , wherein the anti-KIR and anti-CTLA-4 antibodies are administered on (1) day 1, week 1, (2) day 22, week 4, (3) day 43, week 7, and (4) day 64, week 10 of the induction phase.
5. The method of claim 1 , wherein the induction phase ends on day 84 of week 12.
6. The method of claim 1 , wherein the anti-KIR and anti-CTLA-4 antibodies are administered on day 1 of week 24, day 1 of week 36, day 1 of week 48, and day 1 of week 60 of the maintenance phase.
7. The method of claim 1 , wherein the anti-KIR and anti-CTLA-4 antibodies are administered simultaneously.
8. The method of claim 1 , wherein the anti-CTLA-4 antibody is administered before or after administration of the anti-KIR antibody.
9. The method of claim 1 , wherein the treatment produces at least one therapeutic effect chosen from a reduction in size of a tumor, reduction in number of metastasic lesions over time, complete response, partial response, and stable disease.
10. The method of claim 1 , wherein the anti-KIR antibody comprises
(a) a heavy chain variable region CDR1 having the sequence set forth in SEQ ID NO:7;
(b) a heavy chain variable region CDR2 having the sequence set forth in SEQ ID NO:8;
(c) a heavy chain variable region CDR3 having the sequence set forth in SEQ ID NO:9;
(d) a light chain variable region CDR1 having the sequence set forth in SEQ ID NO:10;
(e) a light chain variable region CDR2 having the sequence set forth in SEQ ID NO:11; and
(f) a light chain variable region CDR3 having the sequence set forth in SEQ ID NO:12.
11. The method of claim 1 , wherein the anti-KIR antibody comprises heavy and light chain variable regions having the sequences set forth in SEQ ID NOs:3 and 5, respectively.
12. The method of claim 1 , wherein the anti-KIR antibody comprises heavy and light chains having the sequences set forth in SEQ ID NOs:1 and 2, respectively.
13. The method of claim 1 , wherein the anti-CTLA-4 antibody comprises
(a) a heavy chain variable region CDR1 having the sequence set forth in SEQ ID NO:21;
(b) a heavy chain variable region CDR2 having the sequence set forth in SEQ ID NO:22;
(c) a heavy chain variable region CDR3 having the sequence set forth in SEQ ID NO:23;
(d) a light chain variable region CDR1 having the sequence set forth in SEQ ID NO:24;
(e) a light chain variable region CDR2 having the sequence set forth in SEQ ID NO:25; and
(f) a light chain variable region CDR3 having the sequence set forth in SEQ ID NO:26.
14. The method of claim 1 , wherein the anti-CTLA-4 antibody comprises heavy and light chain variable regions having the sequences set forth in SEQ ID NOs:19 and 20, respectively.
15. The method of claim 1 , wherein the anti-CTLA-4 antibody comprises heavy and light chains having the sequences set forth in SEQ ID NOs:17 and 18, respectively.