Use of mRNAs encoding OX40L, IL-23 and IL-36gamma in combination with immune checkpoint blockade for treating particular cancers
The disclosure features methods for treating solid tumor malignancies and lymphomas by administering LNP encapsulated mRNAs encoding human OX40L, IL-23 and IL-36γ polypeptides alone or in combination with checkpoint blockade. The disclosure also features compositions for use in the methods.
1. A method for treating triple negative breast cancer, head and neck squamous cell carcinoma, melanoma, or Non-Hodgkin lymphoma in a human patient, comprising administering to the patient by intratumoral injection an LNP encapsulated mRNA composition comprising:
(i) a first mRNA comprising an open reading frame (ORF) encoding a human OX40L polypeptide comprising the amino acid sequence of SEQ ID NO: 1;
(ii) a second mRNA comprising an ORF encoding a human IL-23 polypeptide comprising the amino acid sequence of SEQ ID NO: 32; and
(iii) a third mRNA comprising an ORF encoding a human IL-36γ polypeptide comprising the amino acid sequence of SEQ ID NO: 35,
wherein the patient is administered a dose of 0.25 mg to 8 mg of the LNP encapsulated mRNA composition, and
wherein the first, second, and third mRNAs comprise modified uridines,
thereby treating the triple negative breast cancer, head and neck squamous cell carcinoma, melanoma, or Non-Hodgkin lymphoma in the patient.
2. The method of claim 1 , wherein the patient is administered the LNP encapsulated mRNA composition in a dosing regimen from 7 to 28 days.
3. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition selected from 0.25-4.0 mg; 0.25-2.0 mg; 0.25-1.0 mg; 0.5-8.0 mg; 0.5-4.0 mg; 0.5-2.0 mg; 0.5-1.0 mg; 1.0-8.0 mg; 1.0-4.0 mg; 1.0-2.0 mg; 2.0-8.0 mg; 2.0-4.0 mg; and 4.0-8.0 mg.
4. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition of 0.25 mg.
5. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition of 0.5 mg.
6. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition of 1 mg.
7. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition of 2 mg.
8. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition of 4 mg.
9. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition of 8 mg.
10. The method of claim 1 , wherein the patient is administered a dose of the LNP encapsulated mRNA composition in combination with a checkpoint inhibitor polypeptide.
11. The method of claim 10 , wherein the checkpoint inhibitor polypeptide is a PD-1 antagonist.
12. The method of claim 10 , wherein the checkpoint inhibitor polypeptide is a PD-L1 antagonist.
13. The method of claim 12 , wherein the PD-L1 antagonist is an antibody or antigen-binding fragment thereof that specifically binds to PD-L1.
14. The method of claim 12 , wherein the PD-L1 antagonist is durvalumab.
15. The method of claim 10 , wherein the checkpoint inhibitor polypeptide is a CTLA-4 antagonist.
16. The method of claim 15 , wherein the CTLA-4 antagonist is an antibody or antigen-binding fragment thereof that specifically binds to CTLA-4.
17. The method of claim 1 , wherein each of the first mRNA, second mRNA, and third mRNA comprise a 3′ untranslated region (UTR) comprising at least one microRNA-122 (miR-122) binding site, wherein the miR-122 binding site is a miR-122-3p binding site or a miR-122-5p binding site.
18. The method of claim 1 , wherein the modified uridine is selected from N1-methylpseudouridines (m1ψ) and pseudouridine (ψ).
19. The method of claim 1 , wherein treatment results in a reduction in size or inhibition of growth of an injected tumor and/or an uninjected tumor.
20. The method of claim 1 , wherein the patient is administered the LNP encapsulated mRNA composition at a dose of 0.1 mg, 0.25 mg, 0.5 mg, 1 mg, 2 mg, 4 mg, or 8 mg once every two weeks (Q2W).
21. The method of claim 14 , wherein the patient is administered the LNP encapsulated mRNA composition at a dose of 0.1 mg, 0.25 mg, 0.5 mg, 1 mg, 2 mg, 4 mg, or 8 mg once every four weeks (Q4W).
22. The method of claim 21 , wherein the patient is administered durvalumab at a dose of 1500 mg once every four weeks (Q4W).
23. The method of claim 16 , wherein the antibody or antigen-binding fragment thereof that specifically binds to CTLA-4 is tremelimumab.
24. The method of claim 23 , wherein the patient is administered the LNP encapsulated mRNA composition at a dose of 0.1 mg, 0.25 mg, 0.5 mg, 1 mg, 2 mg, 4 mg, or 8 mg once every four weeks (Q4W).
25. The method of claim 24 , wherein the patient is administered tremelimumab at a dose of 225 mg once every four weeks (Q4W).