Drug-conjugated bi-specific antigen-binding constructs
Bispecific antigen-binding constructs e.g., antibodies conjugated to drugs (ADCs), which bind CD3 and other cell-surface target antigen such as tumor antigens e.g., CD19, CDH3, HER2, HER3 and EGFR antigens and methods of use are disclosed.
1. A method of killing target cells that express a target antigen on the cell surface comprising:
contacting the target cells with an effective amount of a drug-conjugated antigen-binding construct in the presence of effector T cells, wherein the drug-conjugated antigen-binding construct comprises an antigen binding construct conjugated to mertansine (DM1) with a N-succinimidyl 4-(maleimidomethyl)cyclohexanecarboxylate (SMCC) linker and the antigen-binding polypeptide construct comprises a first antigen-binding polypeptide construct operably linked to a second antigen-binding polypeptide construct, wherein
the first antigen-binding polypeptide construct specifically binds a CD3 epsilon antigen expressed on the effector T cells and is an scFv and comprises a first heavy chain variable (VH) region comprising SEQ ID NO:213 and a first light chain variable (VL) region comprising SEQ ID NO:221; and
the second antigen-binding polypeptide construct comprising a second VH region comprising a CDR1, a CDR2, and a CDR3 and a second VL region comprising a CDR1, a CDR2, and a CDR3, wherein the second antigen binding polypeptide is an scFv or a Fab and specifically binds the target antigen and
the target antigen is CD19, and the second VH CDR1 comprises SEQ ID NO:591, the second VH CDR2 comprises SEQ ID NO:595, the second VH CDR3 comprises SEQ ID NO:593, the second VL CDR1 comprises SEQ ID NO:607, the second VL CDR2 comprises SEQ ID NO:611, and the second VL CDR3 comprises SEQ ID NO:609; or
the target antigen is CDH3, and the second VH CDR1 comprises SEQ ID NO:139, the second VH CDR2 comprises SEQ ID NO:143, the second VH CDR3 comprises SEQ ID NO:141, the second VL CDR1 comprises SEQ ID NO:683, the second VL CDR2 comprises SEQ ID NO:687, and the second VL CDR3 comprises SEQ ID NO:685; or
the target antigen is HER2, and the second VH CDR1 comprises SEQ ID NO:199, the second VH CDR2 comprises SEQ ID NO:203, the second VH CDR3 comprises SEQ ID NO:201, the second VL CDR1 comprises SEQ ID NO:823, the second VL CDR2 comprises SEQ ID NO:827, and the second VL CDR3 comprises SEQ ID NO:825; or
the target antigen is HER3 and the second VH CDR1 comprises SEQ ID NO:667, the second VH CDR2 comprises SEQ ID NO:671, the second VH CDR3 comprises SEQ ID NO:669, the second VL CDR1 comprises SEQ ID NO:795 the second VL CDR2 comprises SEQ ID NO:799, and the second VL CDR3 comprises SEQ ID NO:797; or
the target antigen is EGFR, and the second VH CDR1 comprises SEQ ID NO:651, the second VH CDR2 comprises SEQ ID NO:653, the second VH CDR3 comprises SEQ ID NO:655, the second VL CDR1 comprises SEQ ID NO:403, the second VL CDR2 comprises SEQ ID NO:407, and the second VL CDR3 comprises SEQ ID NO:405.
2. The method of claim 1 , wherein the target cells that express the target antigen on the cell surface are in a subject, and wherein the method comprises administering to the subject an effective amount of the drug-conjugated antigen-binding construct.
3. The method of claim 1 , wherein the second antigen-binding polypeptide is a Fab.
4. The method of claim 1 , wherein the antigen-binding construct further comprises a scaffold operably linking the first and second antigen binding polypeptide constructs.
5. The method of claim 4 , wherein the scaffold is a dimeric Fc.
6. The method of claim 5 , wherein the dimeric Fc is a heterodimeric Fc comprising a first Fc polypeptide linked to the first antigen-binding polypeptide construct with or without a first linker and a second Fc polypeptide linked to the second antigen-binding polypeptide construct with or without a second linker.
7. The method of claim 6 , wherein the first Fc polypeptide is linked to the first antigen-binding polypeptide construct with the first linker and the second Fc polypeptide is linked to the second antigen-binding polypeptide construct with the second linker and the first and second linkers are polypeptides comprising an IgG1 hinge region.
8. The method of claim 6 , wherein the first Fc polypeptide comprises a first modified CH 3 domain comprising T350V_L351Y_F405A_Y407V and the second Fc polypeptide comprises a second modified CH 3 domain comprising T350V_T366L_K392L_T394W using EU numbering.
9. The method of claim 6 , wherein both Fc polypeptides comprise CH 2 domains comprising the amino acid modifications L234A, L235A and D265S wherein the numbering is according to the EU numbering system.
10. The method of claim 1 , wherein the drug to antigen-binding construct ratio (DAR) is in the range of 2 to 4.
11. The method of claim 2 , wherein the subject is a human.
12. The method of claim 1 , wherein the target antigen is CD19 and the second VH comprises SEQ ID NO:589 and the second VL comprises SEQ ID NO:605.
13. A method of killing target cells that express a target antigen on the cell surface, the method comprising contacting the target cells with an effective amount of a drug-conjugated antigen-binding construct in the presence of effector T cells, wherein the drug-conjugated antigen-binding construct comprises an antigen binding construct conjugated to mertansine (DM1) with a N-succinimidyl 4-(maleimidomethyl)cyclohexanecarboxylate (SMCC) linker and the antigen-binding polypeptide construct comprises a first antigen-binding polypeptide construct operably linked to a second antigen-binding polypeptide construct, wherein
the first antigen-binding polypeptide construct specifically binds a CD3 epsilon antigen expressed on the effector T cells and is an scFv and comprises a first heavy chain variable (VH) region comprising SEQ ID NO:877 and a first light chain variable (VL) region comprising SEQ ID NO:885; and
the second antigen-binding polypeptide construct specifically binds the target antigen expressed on the effector T cells and the target antigen is CDH3, and the second antigen-binding polypeptide construct is an scFv or a Fab and comprises a second heavy chain variable (VH) region comprising SEQ ID NO:137 and a second light chain variable (VL) region comprising SEQ ID NO:681.
14. The method of claim 1 , wherein the target antigen is HER2 and the second VH comprises SEQ ID NO:197 and the second VL comprises SEQ ID NO:821.
15. The method of claim 1 , wherein the target antigen is HER3 and the second VH comprises SEQ ID NO:665 and the second VL comprises SEQ ID NO:793.