Parathyroid hormone receptor 1 (PTH1R) antibodies and uses thereof
The present disclosure relates, in general, human antibodies against human parathyroid hormone receptor 1 (PTH1R) and methods of use of such antibodies in the treatment of cancer, Humoral Hypercalcemia of Malignancy (HHM), or Primary Hyperparathyroidism (PHPT) and Secondary Hyperparathyroidism (SHPT) and cachexia.
1. An antibody that binds parathyroid hormone receptor 1 (PTH1 R) with an affinity K d of 2×10 −8 M or less, wherein the antibody comprises (a) a heavy chain CDR1 amino acid sequence set forth in SEQ ID NOs: 45;
(b) a heavy chain CDR2 amino acid sequence set forth in SEQ ID NOs: 46;
(c) a heavy chain CDR3 amino acid sequence set forth SEQ ID NOs: 47;
(d) a light chain CDR1 amino acid sequence set forth in SEQ ID NOs: 149;
(e) a light chain CDR2 amino acid sequence set forth in SEQ ID NOs: 150; and
(f) a light chain CDR3 amino acid sequence set forth in SEQ ID NOs: 151, and wherein the antibody is an IgG4 antibody.
2. The antibody of claim 1 wherein the antibody binds the N-terminal portion of PTH1R.
3. The antibody of claim 1 wherein the antibody does not bind parathyroid hormone receptor 2 (PTH2R).
4. The antibody of claim 1 , wherein the antibody binds PTH1 R on the surface of a cell.
5. The antibody of claim 1 , wherein the antibody binds allosterically to PTH1R.
6. The antibody of any claim 1 , wherein the antibody is a negative modulator antibody, optionally wherein the antibody is capable of weakening the binding affinity between PTH or PTHrP and with PTH1 R by at least about 2-fold, optionally up to 1000-fold.
7. The antibody of claim 1 , wherein the antibody inhibits calcium flux in a cell in response to stimulation of the receptor with parathyroid hormone (PTH) or parathyroid hormone related protein (PTHrP).
8. The antibody of claim 1 , wherein the antibody inhibits PTH- or PTHrP-mediated cyclic adenosine mono-phosphate (CAMP) accumulation.
9. The antibody of claim 1 that is a monoclonal antibody.
10. The antibody of claim 1 , that comprises i) an amino acid sequence at least 90% identical to a heavy chain variable region amino acid sequence set forth in SEQ ID NO: 7 and comprises the heavy chain CDRs set out in claim 1 ; and
ii) an amino acid sequence at least 90% identical to a light chain variable region amino acid sequence set forth in SEQ ID NO: 111 and comprises the light chain CDRs set out in claim 1 .
11. The antibody of claim 1 , in which one or more light chain framework amino acids have been replaced with corresponding amino acid(s) from another human antibody amino acid sequence, optionally wherein the framework comprises one or more of the changes set out in SEQ ID NOs: 105-130.
12. A sterile pharmaceutical composition comprising the antibody of claim 1 and a pharmaceutically acceptable carrier.
13. A method for treating hypercalcemia associated with increased parathyroid hormone or parathyroid hormone related protein expression comprising the step of administering to a subject in need thereof a therapeutically effective amount of an antibody of claim 1 or a pharmaceutical composition of claim 12 .
14. The method of claim 13 wherein the administration reduces the incidence of cancer metastasis in the subject compared to a subject not receiving the antibody.
15. The method of claim 14 wherein the metastasis includes metastasis to the bone or skeletal tissues, liver, lung, kidney or pancreas.
16. The method of claim 13 wherein the administration ameliorates one or more symptoms of hypercalcemia.
17. The method of claim 13 , wherein the administration extends HHM survival due to reduced hypercalcemia and/or wasting syndrome.
18. The method of claim 13 wherein the antibody is administered intravenously, intraarterially, intraperitoneally, intramuscularly, intradermally or subcutaneously.
19. The method of claim 13 wherein the antibody is administered in combination with a second agent.
20. The method of claim 13 wherein the antibody is administered once per week, once every 2 weeks, twice per month, once monthly, once every two months, or once every three months.
21. A composition comprising an antibody of claim 1 or a pharmaceutical composition of claim 12 for use in treating a condition or disorder associated with increased parathyroid hormone expression or increased parathyroid hormone related protein expression.
22. A composition comprising an antibody of claim 1 or a pharmaceutical composition of claim 12 for use in treating a condition or disorder associated with hypercalcemia.
23. The antibody of claim 1 , further comprising a human light chain constant region.
24. The antibody of claim 23 , wherein the light chain constant region is a modified or unmodified lambda light chain constant region, a kappa light chain constant region, a fragment thereof, or combinations thereof.