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 human or humanized monoclonal anti-CGRP antagonist antibody that preferentially binds to human α-CGRP as compared to amylin.
2. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody binds the C-terminal fragment having amino acids 25-37 of human α-CGRP.
3. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody binds a C-terminal epitope within amino acids 25-37 of human α-CGRP.
4. The anti-CGRP antagonist antibody according to claim 3 , wherein the anti-CGRP antagonist antibody binds the C-terminal fragment having amino acids 33-37 of human α-CGRP.
5. The anti-CGRP antagonist antibody according to claim 4 , wherein the anti-CGRP antagonist antibody binds a C-terminal epitope within amino acids 33-37 of human α-CGRP.
6. The anti-CGRP antagonist antibody according to claim 3 , wherein the anti-CGRP antagonist antibody binds the C-terminal epitope having amino acids 33-37 of human α-CGRP.
7. The anti-CGRP antagonist antibody according to claim 3 , wherein the anti-CGRP antagonist antibody binds the C-terminal fragment having amino acids G33 and/or F37 of human α-CGRP.
8. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist 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 of (a) as shown in Table 6.
9. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody comprising a V H domain that is at least 90% identical in amino acid sequence to SEQ ID NO: 1 and a V L domain that is at least 90% identical in amino acid sequence to SEQ ID NO: 2.
10. The anti-CGRP antagonist antibody according to claim 9 , wherein the amino acid residue at position 99 of SEQ ID NO: 1 is L or is substituted by A, N, S, T, V or R, and wherein the amino acid residue at position 100 of SEQ ID NO: 1 is A, or is substituted by L, R, S, V, Y, C G, T, K or P.
11. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody comprises a V H domain comprising SEQ ID NO: 1 and a V L domain comprising SEQ ID NO: 2.
12. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody comprises a heavy chain produced by the expression vector with ATCC Accession No. PTA-6867.
13. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody comprises a light chain produced by the expression vector with ATCC Accession No. PTA-6866.
14. The anti-CGRP antagonist antibody according to claim 1 , consisting of a heavy chain sequence of SEQ ID NO: 11 and a light chain sequence of SEQ ID NO: 12.
15. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody comprises a heavy chain constant region derived from a human IgG2 constant region.
16. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody comprises an Fc region.
17. The anti-CGRP antagonist antibody according to claim 16 , wherein the Fc region comprises an impaired effector function.
18. The anti-CGRP antagonist antibody according claim 1 , wherein the antibody is a humanized antibody.
19. The anti-CGRP antagonist antibody according to claim 1 , wherein the anti-CGRP antagonist antibody is formulated for systemic administration.
20. A pharmaceutical composition comprising the anti-CGRP antagonist antibody of claim 1 and a pharmaceutically acceptable excipient.