Antibodies useful in passive influenza immunization, and compositions, combinations and methods for use thereof

1. An isolated human antibody, or antigen-binding fragment thereof that binds to one or more strains of each of influenza B Yamagata and influenza B Victoria clades, comprising:

(a) a heavy chain amino acid sequence comprising a heavy chain variable region (HCVR) comprising:

a heavy chain complementarity determining region 1 (HCDR1) comprising the amino acid sequence of SEQ ID NO: 201, a heavy chain complementarity determining region 2 (HCDR2) comprising the amino acid sequence of SEQ ID NO:202, and a heavy chain complementarity determining region 3 (HCDR3) comprising the amino acid sequence of SEQ ID NO: 203 and

a light chain amino acid sequence comprising a light chain variable region (LCVR) comprising:

a light chain complementarity determining region 1 (LCDR1) comprising the amino acid sequence of SEQ ID NO: 204, a light chain complementarity determining region 2 (LCDR2) comprising the amino acid sequence of SEQ ID NO: 205, and a light chain complementarity determining region 3 (LCDR3) comprising the amino acid sequence of SEQ ID NO: 206;

(b) a heavy chain amino acid sequence comprising a HCVR comprising:

a HCDR1 comprising the amino acid sequence of SEQ ID NO:221, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 222, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 223 and

a light chain amino acid sequence comprising a LCVR comprising:

a LCDR1 comprising the amino acid sequence of SEQ ID NO: 224, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 225, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 226;

(c) a heavy chain amino acid sequence comprising a HCVR comprising:

a HCDR1 comprising the amino acid sequence of SEQ ID NO:231, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 232, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 233 and

a light chain amino acid sequence comprising a LCVR comprising:

a LCDR1 comprising the amino acid sequence of SEQ ID NO: 234, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 235, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 236;

(d) a heavy chain amino acid sequence comprising a HCVR comprising:

a HCDR1 comprising the amino acid sequence of SEQ ID NO:241, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 242, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 243 and

a light chain amino acid sequence comprising a LCVR comprising:

a LCDR1 comprising the amino acid sequence of SEQ ID NO: 244, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 245, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 246; or

(e) a heavy chain amino acid sequence comprising a HCVR comprising:

a HCDR1 comprising the amino acid sequence of SEQ ID NO:261, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 262, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 263 and

a light chain amino acid sequence comprising a LCVR comprising:

a LCDR1 comprising the amino acid sequence of SEQ ID NO: 264, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 265, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 266.

2. An isolated human antibody or antigen binding-fragment thereof that binds to one or more strains of each of influenza B Yamagata and influenza B Victoria clades, comprising a heavy chain variable region and a light chain variable sequence sequence pair selected from the group consisting of:

(i) SEQ ID NOs: 209 and 210;

(ii) SEQ ID NOs: 229 and 230;

(iii) SEQ ID NOs: 239 and 240;

(iv) SEQ ID NOs: 249 and 250; and

(v) SEQ ID NOs: 269 and 270.

3. The antibody or antigen binding fragment of claim 1 , that binds to one or more epitopes selected from the group consisting of SEQ ID NO: 307, 308, 309, 310, 311, 312, and 313, or a discontinuous epitope thereof.

4. An isolated codon optimized nucleic acid molecule encoding the antibody of claim 1 .

5. An expression vector comprising the nucleic acid molecule of claim 4 .

6. A host cell for expression of a recombinant polypeptide comprising the expression vector of claim 5 .

7. A method of producing an anti-influenza B antibody or antigen-binding fragment thereof, comprising growing the host cell of claim 6 under conditions permitting production of the antibody or fragment thereof, and recovering the antibody or fragment thereof so produced.

8. A pharmaceutical composition comprising the antibody or antigen-binding fragment of claim 1 and a pharmaceutically acceptable carrier.

9. The pharmaceutical composition of claim 8 , wherein said antibody or fragment exhibits a first melting temperature (Tm1) as measured in phosphate buffered saline (PBS) of greater than or equal to 55° C.

10. The pharmaceutical composition of claim 9 , further comprising one or more human antibodies or antigen-binding fragments thereof with binding specificity to at least one strain of influenza A.

11. The pharmaceutical composition of claim 10 , wherein the antibody or antigen-binding fragment with specificity to influenza A includes specificity to one or more strains of both Group 1 and Group 2.

12. A pharmaceutical composition comprising:

(a) a first antibody or antigen-binding fragment thereof that binds to and/or inhibits influenza virus comprising:

a heavy chain amino acid sequence comprising a heavy chain variable region (HCVR) comprising a heavy chain complementarity determining region 1 (HCDR1) comprising the amino acid sequence of SEQ ID NO: 11, a heavy chain complementarity determining region 2 (HCDR2) comprising the amino acid sequence of SEQ ID NO: 12 and a heavy chain complementarity determining region 3 (HCDR3) comprising the amino acid sequence of SEQ ID NO:13 and a light chain amino acid sequence comprising a light chain variable region (LCVR) comprising a light chain complementarity determining region 1 (LCDR1) comprising the amino acid sequence of SEQ ID NO: 14, a light chain complementarity determining region 2 (LCDR2) comprising the amino acid sequence of SEQ ID NO: 15, and a light chain complementarity determining region 3 (LCDR3) comprising the amino acid sequence of SEQ ID NO: 16; a HCDR1 of SEQ ID NO: 11, a HCDR2 of SEQ ID NO: 12, and a HCDR3 of SEQ ID NO:

(b) a second antibody or antigen-binding fragment thereof that binds to and/or inhibits influenza virus comprising: a heavy chain amino acid sequence comprising a HCVR comprising a HCDR1 comprising the amino acid sequence of SEQ ID NO: 21, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 22, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 23 and a light chain amino acid sequence comprising a LCVR comprising a LCDR1 comprising the amino acid sequence of SEQ ID NO: 24, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 25, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 26; said; and

(c) a third antibody or antigen-binding fragment thereof that binds to one or more strains of each of influenza B Yamagata and influenza B Victoria clades comprising: (i) a heavy chain amino acid sequence comprising a HCVR comprising:

a HCDR1 comprising the amino acid sequence of SEQ ID NO: 201, a HCDR2 comprising the amino acid sequence of SEQ ID NO:202, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 203 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 204, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 205, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 206;

(ii) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO:221, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 222, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 223 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 224, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 225, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 226;

(iii) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO:231, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 232, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 233 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 234, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 235, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 236;

(iv) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO:241, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 242, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 243 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 244, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 245, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 246; or

(v) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO:261, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 262, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 263 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 264, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 265, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 266.

13. The pharmaceutical composition of claim 12 , wherein said first antibody or fragment comprises a HCVR/LCVR pair of SEQ ID NOs: 19 and 20.

14. The pharmaceutical composition of claim 12 , wherein said second antibody or fragment comprises a HCVR/LCVR pair of SEQ ID NOs: 29 and 30.

15. The pharmaceutical composition of claim 12 , wherein each of said first, second and third antibodies or fragments exhibit isoelectric points (pI) all within a 2 pI point range.

16. The pharmaceutical composition of claim 12 , wherein said first antibody is TRL053/Mab53 comprising heavy chain (HC)/light chain (LC) amino acid sequences of SEQ ID NOs: 17 and 18, said second antibody is antibody TRL579/Mab579 comprising a HC/LC amino acid sequences of SEQ ID NOs: 27 and 28, and said third antibody is selected from the group consisting of:

(i) TRL845 comprising HC/LC amino acid sequences of SEQ ID NOs: 207 and 208;

(ii) TRL847 comprising HC/LC amino acid sequences of SEQ ID NOs: 227 and 228;

(iii) TRL848 comprising HC/LC amino acid sequences of SEQ ID NOs: 237 and 238;

(iv) TRL849 comprising HC/LC amino acid sequences of SEQ ID NOs: 247 and 248; and

(v) TRL854 comprising HC/LC amino acid sequences of SEQ ID NOs: 267 and 268.

17. The pharmaceutical composition of claim 16 , wherein each of said first, second and third antibodies or fragments are formulated in a single dose in an effective amount for treating or preventing influenza A and influenza B infection or disease in a subject in need thereof.

18. The pharmaceutical composition of claim 17 , wherein each of said first, second and third antibodies or fragments are each present in the composition in an amount of 100 mg/kg or less of each of said first, second and third antibodies or fragments per dose.

19. The pharmaceutical composition of claim 17 , wherein each of said first, second and third antibodies or fragments are each present in the composition in an amount of 10 mg/kg or less of each of said first, second and third antibodies or fragments per dose.

20. The pharmaceutical composition of claim 17 , wherein each of said first, second and third antibodies or fragments are each present in the composition in an amount of 1 mg/kg or less of each of said first, second and third antibodies or fragments per dose.

21. The pharmaceutical composition of claim 17 , wherein each of said first, second and third antibodies or fragments are each present in the composition in an amount of total antibody or antibody fragment of 10 mg/kg or less per dose.

22. The pharmaceutical composition of claim 17 , wherein said carrier comprises a diluent and/or excipient for nasal or pulmonary delivery.

23. The pharmaceutical composition of claim 17 , further comprising one or more of an antiviral therapeutic, viral replication inhibitor, protease inhibitor, polymerase inhibitor, hemagglutinin inhibitor, bronchodilator, immune modulator, or inhaled corticosteroid.

24. The pharmaceutical composition of claim 22 , wherein one or more of said antibodies or antigen binding fragments thereof is an antibody fragment selected from Fab, Fab', and F(ab') 2 , scFv, dAb, or a multispecific antibody, comprising:

(a) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO: 201, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 202, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 203 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 204, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 205, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 206;

(b) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO: 221, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 222, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 223 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 224, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 225, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 226;

(c) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO: 231, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 232, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 233 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 234, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 235, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 236;

(d) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO: 241, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 242, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 243 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 244, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 245, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 246; or

(e) a heavy chain amino acid sequence comprising a HCVR comprising: a HCDR1 comprising the amino acid sequence of SEQ ID NO: 261, a HCDR2 comprising the amino acid sequence of SEQ ID NO: 262, and a HCDR3 comprising the amino acid sequence of SEQ ID NO: 263 and a light chain amino acid sequence comprising a LCVR comprising: a LCDR1 comprising the amino acid sequence of SEQ ID NO: 264, a LCDR2 comprising the amino acid sequence of SEQ ID NO: 265, and a LCDR3 comprising the amino acid sequence of SEQ ID NO: 266.

25. A method for the treatment or prophylaxis of influenza infection in a subject which method comprises administering to a subject the pharmaceutical composition of claim 12 .

26. The method of claim 25 , wherein influenza infection status of said subject is determined without the need for detailed viral strain determination.

27. The method of claim 25 , wherein the subject is protected against influenza infection or disease.

28. The method of claim 25 , wherein each of said first, second and third antibodies or fragments are administered simultaneously, or sequentially.

29. The pharmaceutical composition of claim 23 , wherein said immune modulator is Interferon beta 1a.

30. The pharmaceutical composition of claim 23 , wherein said antiviral therapeutic is a neuraminidase inhibitor selected from the group consisting of Oseltamivir, Zanamivir, Peramivir, and Laninamivir.

31. The pharmaceutical composition of claim 23 , wherein said antiviral therapeutic is an RNA polymerase inhibitor selected from the group consisting of Favipiravir (T-705) and VX 787.

32. The pharmaceutical composition of claim 23 , wherein said antiviral therapeutic is a host-cell targeting therapeutic selected from the group consisting of Das181 and AB-103 (p2TA).

33. The pharmaceutical composition of claim 23 , wherein said antiviral therapeutic is an ion channel inhibitor selected from the group consisting of Ramantadine and Amantadine.

34. The pharmaceutical composition of claim 23 , wherein the bronchodilator is selected from albuterol, levalbuterol, or salmeterol.

35. The isolated antibody or fragment of claim 1 , that is a recombinant antibody or fragment thereof.