Multispecific molecules and uses thereof

1. A multispecific antibody molecule comprising:

(i) a single anti-CSF1R binding moiety, wherein the anti-CSF1R binding moiety comprises three complementarity-determining regions (CDRs) from a heavy chain variable region sequence of: SEQ ID NO: 48, SEQ ID NO: 66, or SEQ ID NO: 69; and three CDRs from a light chain variable region sequence of: SEQ ID NO: 50, SEQ ID NO: 67, or SEQ ID NO: 70; and

(ii) an anti-CCR2 binding moiety, wherein the anti-CCR2 binding moiety comprise comprises three CDRs from a heavy chain variable region sequence of: SEQ ID NO: 44, SEQ ID NO: 54, SEQ ID NO: 59, SEQ ID NO: 62, or SEQ ID NO: 64; and three CDRs from a light chain variable region sequence of: SEQ ID NO: 45, SEQ ID NO: 57, SEQ ID NO: 60, SEQ ID NO: 63, or SEQ ID NO: 65;

wherein the multispecific antibody molecule:

binds to CSF1R monovalently,

does not reduce CSF1-dependent bone marrow-derived monocyte differentiation in vitro by more than 10%, and

does not reduce the number of tissue-resident macrophages in vivo by more than 15% when administered to a mammalian subject.

2. The multispecific antibody molecule of claim 1 ,

wherein the anti-CCR2 binding moiety is a full antibody, or an antigen-binding fragment, wherein the antigen-binding fragment comprises a Fab, F(ab′)2, Fv, a scFv, a single domain antibody, or a diabody (dAb); and

wherein the anti-CSFIR binding moiety is an antigen-binding fragment, and wherein the antigen-binding fragment comprises a Fab, Fv, a scFv, or a single domain antibody.

3. The multispecific antibody molecule of claim 1 , wherein the multispecific antibody molecule binds to CCR2 monovalently.

4. A pharmaceutical composition comprising the multispecific antibody molecule of claim 1 , and a pharmaceutically acceptable carrier, excipient, or stabilizer.

5. The multispecific antibody molecule of claim 1 , wherein the anti-CSF1R binding moiety, the anti-CCR2 binding moiety, or a combination thereof comprises a heavy chain constant region selected from the group consisting of IgG1 or a fragment thereof, IgG2 or a fragment thereof, IgG3 or a fragment thereof, and IgG4 or a fragment thereof.

6. The multispecific antibody molecule of claim 1 , wherein the multispecific antibody molecule comprises a heavy chain constant region that can mediate antibody-dependent cellular cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC).

7. The multispecific antibody molecule of claim 1 , wherein the anti-CSF1R binding moiety comprises a first heavy chain constant region and the anti-CCR2 binding moiety comprises a second heavy chain constant region,

wherein the first heavy chain constant region comprises one or more mutations that increase heterodimerization of the first heavy chain constant region and the second heavy chain constant region, relative to a naturally-existing heavy chain constant region; the second heavy chain constant region comprises one or more mutations that increase heterodimerization of the second heavy chain constant region and the first heavy chain constant region, relative to a naturally-existing heavy chain constant region; or a combination thereof.

8. The multispecific antibody molecule of claim 1 , wherein the anti-CSFIR binding moiety and the anti-CCR2 binding moiety comprises a kappa light chain constant region or a fragment thereof; the anti-CSFIR binding moiety and the anti-CCR2 binding moiety comprises a lambda light chain constant region or a fragment thereof; the anti-CSFIR binding moiety comprises a kappa light chain constant region or a fragment thereof, and the anti-CCR2 binding moiety comprises a lambda light chain constant region or a fragment thereof; or the anti-CSFIR binding moiety comprises a lambda light chain constant region or a fragment thereof, and the anti-CCR2 binding moiety comprises a kappa light chain constant region or a fragment thereof.

9. The multispecific antibody molecule of claim 1 , wherein the anti-CSF1R binding moiety comprises an anti-CSFIR antibody molecule comprising a first polypeptide and a second polypeptide, wherein the first polypeptide comprises a first light chain variable region (VL) and a first light chain constant region (CL), and the second polypeptide comprises a first heavy chain variable region (VH), and a first heavy chain constant region 1 (CH1); and the anti-CCR2 binding moiety comprises an anti-CCR2 antibody molecule comprising a third polypeptide and a fourth polypeptide, wherein the third polypeptide comprises a second VL and a second CL, and the fourth polypeptide comprises a second VH, and a second CH1.

10. The multispecific antibody molecule of claim 9 , wherein the second polypeptide further comprises a first CH2 and a first CH3, the fourth polypeptide further comprises a second CH2 and a second CH3, or a combination thereof.

11. The multispecific antibody molecule of claim 1 , further comprising a cytokine molecule, wherein the cytokine molecule is selected from the group consisting of interleukin-2 (IL-2) or a functional variant thereof, interleukin-7 (IL-7) or a functional variant thereof, interleukin-12 (IL-12) or a functional variant thereof, interleukin-15 (IL-15) or a functional variant thereof, interleukin-18 (IL-18) or a functional variant thereof, interleukin-21 (IL-21) or a functional variant thereof, interferon gamma or a functional variant thereof, or any combination thereof.

12. The multispecific antibody molecule of claim 1 ,

wherein the anti-CSFIR binding moiety comprises a heavy chain variable region sequence at least 95% identical to the heavy chain variable region sequence of: SEQ ID NO: 48, SEQ ID NO: 66, or SEQ ID NO: 69; and a light chain variable region sequence at least 95% identical to the light chain variable region sequence of: SEQ ID NO: 50, SEQ ID NO: 67, or SEQ ID NO: 70, and

wherein the anti-CCR2 binding moiety comprises a heavy chain variable region sequence at least 95% identical to the heavy chain variable region sequence of: SEQ ID NO: 44, SEQ ID NO: 54, SEQ ID NO: 59, SEQ ID NO: 62, or SEQ ID NO: 64; and a light chain variable region sequence at least 95% identical to the light chain variable region sequence of: SEQ ID NO: 45, SEQ ID NO: 57, SEQ ID NO: 60, SEQ ID NO: 63, or SEQ ID NO: 65.