DIAGNOSTIC TEST INVOLVING ANTI-CD25-ADC
The present disclosure relates to determining the eligibility of subjects for treatment and particularly, although not exclusively, to selecting subjects for treatment with an Antibody Drug Conjugate comprising an anti-CD25 antibody.
1 . A method comprising detecting CD25 in a sample obtained from a subject and determining that the subject is suitable for treatment with an anti-CD25-ADC if CD25 is expressed in cells in the sample.
2 . A method comprising detecting CD25 in a sample obtained from a subject and selecting the subject for treatment with an anti-CD25-ADC if CD25 is expressed in cells in the sample.
3 . The method of claim 1 or claim 2 wherein the expression of CD25 is determined to be overexpressed in the sample.
4 . The method of any one of the preceding claims wherein 10% or more of the cells in the sample express CD25.
5 . The method of any one of the preceding claims wherein the sample is a lymph node biopsy and 10% or more of the lymphocytes in the sample express CD25.
6 . The method of any one of the preceding claims wherein at least 10% of the sample is determined to exhibit grade 1 staining for CD25.
7 . The method of any one of claims 1 to 4 wherein the sample contains at least 500 pg/ml CD25.
8 . The method of any one of the preceding claims wherein expression of CD25 in the cells in the sample is determined by immunohistochemistry.
9 . The method of claim 8 wherein the sample is a formalin fixed paraffin embedded (FFPE) sample.
10 . The method of any one of the preceding claims wherein the subject has, is suspected as having, is at risk of having, or has received a diagnosis of, cancer.
11 . The method of claim 10 wherein the cancer is lymphoma.
12 . The method of any one of the preceding claims wherein the sample is a sample of lymphoid tissue, tumor tissue, blood, plasma, serum or lymph.
13 . The method of claim 5 wherein the lymphocytes are selected from one or more of activated T cells, activated B cells, thymocytes, myeloid precursors, oligodendrocytes, or tumor infiltrating lymphocytes.
14 . A method comprising administering an anti-CD25-ADC to a subject who has been determined to be suitable for, or selected for, treatment using a method according to any one of the preceding claims.
15 . A method comprising administering an anti-CD25-ADC to a subject, the subject having been determined to overexpress CD25.
16 . An anti-CD25-ADC for use in a method of treatment in a subject selected for treatment using a method according to any one of claims 2 to 13 .
17 . An anti-CD25-ADC for use in a method of treatment in a subject, the subject having been determined to overexpress CD25.
18 . Use of an anti-CD25-ADC in the manufacture of a medicament for the treatment of cancer in a subject selected for treatment using a method according to any one of claims 2 to 13 .
19 . Use of an anti-CD25-ADC in the manufacture of a medicament for the treatment of cancer in a subject, the subject having been determined to overexpress CD25
20 . The method of any one of claims 1 - 15 , or the anti-CD25-ADC for use according to claim 16 or claim 17 , or the use according to claim 18 or claim 19 , wherein the anti-CD25-ADC is ADCT-301.
21 . Use of an anti-CD25 antibody for determining the suitability of a subject for treatment with an anti-CD25-ADC.
22 . Use according to claim 21 , wherein the anti-CD25 antibody is antibody 4C9.
23 . A method comprising determining, in a sample obtained from a subject diagnosed with lymphoma, the level of expression of CD25 and, based on the level of CD25 determined, determining whether the patient is suitable for treatment with an anti-CD25-ADC and, if the patient is determined to be suitable for treatment with an anti-CD25-ADC, administering an anti-CD25-ADC to the patient.
24 . A method comprising administering an anti-CD25-ADC to a subject determined to be suitable for such treatment using a method according to any one of claims 1 to 13 , wherein the dosage of anti-CD25-ADC is selected based on the level of CD25 expressed in the sample.
25 . A method comprising:
performing an immunohistochemical analysis of a sample from a subject, the sample having been fixed and incubated with an anti-CD25 antibody; and
determining the expression of CD25 in the sample; and
selecting a patient for treatment with anti-CD25-ADC based on the expression of CD25 in the sample.