Methods for treating cancer with bispecific anti-CD3xMUC16 antibodies and anti-PD-1 antibodies
The present invention provides methods for treating, reducing the severity, or inhibiting the growth of cancer (e.g., ovarian cancer or pancreatic cancer). The methods of the present invention comprise administering to a subject in need thereof a therapeutically effective amount of an antibody or antigen-binding fragment thereof that specifically binds to programmed death 1 (PD-1) receptor in combination with a therapeutically effective amount of a bispecific antibody that specifically binds Mucin 16 (MUC16) and CD3.
1. A method of treating or inhibiting the growth of a MUC16-expressing tumor comprising administering to a subject in need thereof (a) a therapeutically effective amount of an antibody or antigen-binding fragment thereof that specifically binds programmed death 1 (PD-1); and (b) a therapeutically effective amount of a bispecific antibody comprising a first antigen-binding arm that specifically binds MUC16 and a second antigen-binding arm that specifically binds CD3, wherein:
(a) the anti-PD-1 antibody or antigen-binding fragment thereof comprises the heavy chain complementarity determining regions (HCDR1, HCDR2 and HCDR3) of a heavy chain variable region (HCVR) comprising the amino acid sequence of SEQ ID NO: 33, and three light chain complementarity determining regions (LCDR1, LCDR2 and LCDR3) of a light chain variable region (LCVR) comprising the amino acid sequence of SEQ ID NO: 34;
(b) the first antigen-binding arm of the bispecific antibody comprises three heavy chain CDRs (A-HCDR1, A-HCDR2 and A-HCDR3) of a heavy chain variable region (A-HCVR) comprising the amino acid sequence of SEQ ID NO: 1 and three light chain CDRs (A-LCDR1, A-LCDR2 and A-LCDR3) of a light chain variable region (A-LCVR) comprising the amino acid sequence of SEQ ID NO: 2; and
(c) the second antigen-binding arm of the bispecific antibody comprises three heavy chain CDRs (B-HCDR1, B-HCDR2 and B-HCDR3) of a heavy chain variable region (B-HCVR) comprising the amino acid sequence of SEQ ID NO: 3, and three light chain CDRs (B-LCDR1, B-LCDR2 and B-LCDR3) of a light chain variable region (B-LCVR) comprising the amino acid sequence of SEQ ID NO: 2.
2. The method of claim 1 , wherein:
(a) the anti-PD-1 antibody is administered prior to, concurrent with or after the bispecific antibody;
(b) the anti-PD-1 antibody is administered prior to the bispecific antibody; or
(c) the anti-PD-1 antibody is administered at least 1 week prior to the bispecific antibody.
3. The method of claim 1 , wherein:
(a) one or more doses of the anti-PD-1 antibody are administered in combination with one or more doses of the bispecific antibody;
(b) the anti-PD-1 antibody is administered at a dose of between 0.1 mg/kg and 20 mg/kg of the subject's body weight;
(c) each dose of the anti-PD-1 antibody comprises between 10-8000 micrograms;
(d) the bispecific antibody is administered at a dose of between 0.1 mg/kg and 20 mg/kg of the subject's body weight;
(e) each dose of the bispecific antibody comprises between 10-8000 micrograms;
(f) each dose of the anti-PD-1 antibody is administered 0.5-12 weeks after the immediately preceding dose;
(g) each dose of the bispecific antibody is administered 0.5-12 weeks after the immediately preceding dose; or
(h) the antibodies are administered intravenously, subcutaneously, or intraperitoneally.
4. The method of claim 1 , wherein the tumor comprises a pancreatic cancer.
5. The method of claim 1 , wherein the subject is resistant or inadequately responsive to, or relapsed after, prior therapy.
6. The method of claim 1 , further comprising administering to the subject a third therapeutic agent or therapy, optionally wherein the third therapeutic agent or therapy is selected from the group consisting of radiation, surgery, a chemotherapeutic agent, a cancer vaccine, a PD-L1 inhibitor, a LAG-3 inhibitor, a CTLA-4 inhibitor, a TIM3 inhibitor, a BTLA inhibitor, a TIGIT inhibitor, a CD47 inhibitor, an indoleamine-2,3-dioxygenase (IDO) inhibitor, a vascular endothelial growth factor (VEGF) antagonist, an angiopoietin-2 (Ang2) inhibitor, a transforming growth factor beta (TGF.beta.) inhibitor, an epidermal growth factor receptor (EGFR) inhibitor, an antibody to a tumor-specific antigen, Bacillus Calmette-Guerin vaccine, granulocyte-macrophage colony-stimulating factor, a cytotoxin, an interleukin 6 receptor (IL-6R) inhibitor, an interleukin 4 receptor (IL-4R) inhibitor, an IL-10 inhibitor, IL-2, IL-7, IL-21, IL-15, an antibody-drug conjugate, an anti-inflammatory drug, and a dietary supplement.
7. The method of claim 1 , wherein the anti-PD-1 antibody, the bispecific antibody, or both, comprise a human IgG1 or IgG4 heavy chain constant region.
8. The method of claim 1 , wherein:
(a) HCDR1 comprises the amino acid sequence of SEQ ID NO: 35; HCDR2 comprises the amino acid sequence of SEQ ID NO: 36; HCDR3 comprises the amino acid sequence of SEQ ID NO: 37; LCDR1 comprises the amino acid sequence of SEQ ID NO: 38; LCDR2 comprises the amino acid sequence of SEQ ID NO: 39; and LCDR3 comprises the amino acid sequence of SEQ ID NO: 40;
(b) A-HCDR1 comprises the amino acid sequence of SEQ ID NO: 8; A-HCDR2 comprises the amino acid sequence of SEQ ID NO: 9; A-HCDR3 comprises the amino acid sequence of SEQ ID NO: 10; A-LCDR1 comprises the amino acid sequence of SEQ ID NO: 11; A-LCDR2 comprises the amino acid sequence of SEQ ID NO: 12; and A-LCDR3 comprises the amino acid sequence of SEQ ID NO: 13; and
(c) B-HCDR1 comprises the amino acid sequence of SEQ ID NO: 14; B-HCDR2 comprises the amino acid sequence of SEQ ID NO: 15; B-HCDR3 comprises the amino acid sequence of SEQ ID NO: 16; B-LCDR1 comprises the amino acid sequence of SEQ ID NO: 11; B-LCDR2 comprises the amino acid sequence of SEQ ID NO: 12; and B-LCDR3 comprises the amino acid sequence of SEQ ID NO: 13.
9. The method of claim 8 , wherein:
(a) the HCVR comprises the amino acid sequence of SEQ ID NO: 33, and the LCVR comprises the amino acid sequence of SEQ ID NO: 34;
(b) the A-HCVR comprises the amino acid sequence of SEQ ID NO:1 and the A-LCVR comprises the amino acid sequence of SEQ ID NO:2; and
(c) the B-HCVR comprises the amino acid sequence of SEQ ID NO: 3, and the B-LCVR comprises the amino acid sequence of SEQ ID NO: 2.
10. The method of claim 9 , wherein:
(a) the anti-PD-1 antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 41, and a light chain comprising the amino acid sequence of SEQ ID NO: 42;
(b) the first antigen binding arm of the bispecific antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 29, and a light chain comprising the amino acid sequence of SEQ ID NO: 30; and
(c) the second antigen binding arm of the bispecific antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 31, and a light chain comprising the amino acid sequence of SEQ ID NO: 30.
11. The method of claim 1 , wherein the tumor comprises an ovarian cancer.
12. A method of treating or inhibiting the growth of a MUC16-expressing tumor comprising administering to a subject in need thereof (a) a therapeutically effective amount of an antibody or antigen-binding fragment thereof that specifically binds programmed death 1 (PD-1); and (b) a therapeutically effective amount of a bispecific antibody comprising a first antigen-binding arm that specifically binds MUC16 and a second antigen-binding arm that specifically binds CD3, wherein:
(a) the anti-PD-1 antibody or antigen-binding fragment thereof comprises the heavy chain complementarity determining regions (HCDR1, HCDR2 and HCDR3) of a heavy chain variable region (HCVR) comprising the amino acid sequence of SEQ ID NO: 33, and three light chain complementarity determining regions (LCDR1, LCDR2 and LCDR3) of a light chain variable region (LCVR) comprising the amino acid sequence of SEQ ID NO: 34;
(b) the first antigen-binding arm of the bispecific antibody comprises three heavy chain CDRs (A-HCDR1, A-HCDR2 and A-HCDR3) of a heavy chain variable region (A-HCVR) comprising the amino acid sequence of SEQ ID NO: 1 and three light chain CDRs (A-LCDR1, A-LCDR2 and A-LCDR3) of a light chain variable region (A-LCVR) comprising the amino acid sequence of SEQ ID NO: 2; and
(c) the second antigen-binding arm of the bispecific antibody comprises three heavy chain CDRs (B-HCDR1, B-HCDR2 and B-HCDR3) of a heavy chain variable region (B-HCVR) comprising the amino acid sequence of SEQ ID NO: 7, and three light chain CDRs (B-LCDR1, B-LCDR2 and B-LCDR3) of a light chain variable region (B-LCVR) comprising the amino acid sequence of SEQ ID NO: 2.
13. The method of claim 12 , wherein:
(a) HCDR1 comprises the amino acid sequence of SEQ ID NO: 35; HCDR2 comprises the amino acid sequence of SEQ ID NO: 36; HCDR3 comprises the amino acid sequence of SEQ ID NO: 37; LCDR1 comprises the amino acid sequence of SEQ ID NO: 38; LCDR2 comprises the amino acid sequence of SEQ ID NO: 39; and LCDR3 comprises the amino acid sequence of SEQ ID NO: 40;
(b) A-HCDR1 comprises the amino acid sequence of SEQ ID NO: 8; A-HCDR2 comprises the amino acid sequence of SEQ ID NO: 9; A-HCDR3 comprises the amino acid sequence of SEQ ID NO: 10; A-LCDR1 comprises the amino acid sequence of SEQ ID NO: 11; A-LCDR2 comprises the amino acid sequence of SEQ ID NO: 12; and A-LCDR3 comprises the amino acid sequence of SEQ ID NO: 13; and
(c) B-HCDR1 comprises the amino acid sequence of SEQ ID NO: 26; B-HCDR2 comprises the amino acid sequence of SEQ ID NO: 27; B-HCDR3 comprises the amino acid sequence of SEQ ID NO: 28; B-LCDR1 comprises the amino acid sequence of SEQ ID NO: 11; B-LCDR2 comprises the amino acid sequence of SEQ ID NO: 12; and B-LCDR3 comprises the amino acid sequence of SEQ ID NO: 13.
14. The method of claim 13 , wherein:
(a) the HCVR comprises the amino acid sequence of SEQ ID NO: 33, and the LCVR comprises the amino acid sequence of SEQ ID NO: 34;
(b) the A-HCVR comprises the amino acid sequence of SEQ ID NO:1 and the A-LCVR comprises the amino acid sequence of SEQ ID NO:2; and
(c) the B-HCVR comprises the amino acid sequence of SEQ ID NO: 7, and the B-LCVR comprises the amino acid sequence of SEQ ID NO: 2.
15. The method of claim 14 , wherein:
(a) the anti-PD-1 antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 41, and a light chain comprising the amino acid sequence of SEQ ID NO: 42;
(b) the first antigen binding arm of the bispecific antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 29, and a light chain comprising the amino acid sequence of SEQ ID NO: 30; and
(c) the second antigen binding arm of the bispecific antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 32, and a light chain comprising the amino acid sequence of SEQ ID NO: 30.
16. The method of claim 12 , wherein the tumor comprises an ovarian cancer.
17. The method of claim 12 , wherein:
(a) the anti-PD-1 antibody is administered prior to, concurrent with or after the bispecific antibody;
(b) the anti-PD-1 antibody is administered prior to the bispecific antibody; or
(c) the anti-PD-1 antibody is administered at least 1 week prior to the bispecific antibody.
18. The method of claim 12 , wherein:
(a) one or more doses of the anti-PD-1 antibody are administered in combination with one or more doses of the bispecific antibody;
(b) the anti-PD-1 antibody is administered at a dose of between 0.1 mg/kg and 20 mg/kg of the subject's body weight;
(c) each dose of the anti-PD-1 antibody comprises between 10-8000 micrograms;
(d) the bispecific antibody is administered at a dose of between 0.1 mg/kg and 20 mg/kg of the subject's body weight;
(e) each dose of the bispecific antibody comprises between 10-8000 micrograms;
(f) each dose of the anti-PD-1 antibody is administered 0.5-12 weeks after the immediately preceding dose;
(g) each dose of the bispecific antibody is administered 0.5-12 weeks after the immediately preceding dose; or
(h) the antibodies are administered intravenously, subcutaneously, or intraperitoneally.
19. The method of claim 12 , wherein the tumor comprises a pancreatic cancer.
20. The method of claim 12 , wherein the subject is resistant or inadequately responsive to, or relapsed after, prior therapy.
21. The method of claim 12 , further comprising administering to the subject a third therapeutic agent or therapy, optionally wherein the third therapeutic agent or therapy is selected from the group consisting of radiation, surgery, a chemotherapeutic agent, a cancer vaccine, a PD-L1 inhibitor, a LAG-3 inhibitor, a CTLA-4 inhibitor, a TIM3 inhibitor, a BTLA inhibitor, a TIGIT inhibitor, a CD47 inhibitor, an indoleamine-2,3-dioxygenase (IDO) inhibitor, a vascular endothelial growth factor (VEGF) antagonist, an angiopoietin-2 (Ang2) inhibitor, a transforming growth factor beta (TGF.beta.) inhibitor, an epidermal growth factor receptor (EGFR) inhibitor, an antibody to a tumor-specific antigen, Bacillus Calmette-Guerin vaccine, granulocyte-macrophage colony-stimulating factor, a cytotoxin, an interleukin 6 receptor (IL-6R) inhibitor, an interleukin 4 receptor (IL-4R) inhibitor, an IL-10 inhibitor, IL-2, IL-7, IL-21, IL-15, an antibody-drug conjugate, an anti-inflammatory drug, and a dietary supplement.
22. The method of claim 12 , wherein the anti-PD-1 antibody, the bispecific antibody, or both, comprise a human IgG1 or IgG4 heavy chain constant region.