CKIT antibody drug conjugates
The present invention relates to anti-cKIT antibodies, antibody fragments, antibody drug conjugates, and their uses for the treatment of cancer.
1. A method of treating a cKIT positive cancer in a patient in need thereof, comprising administering to said patient an antibody drug conjugate of the formula
Ab-(L-(D)m)n
or a pharmaceutically acceptable salt thereof; wherein
Ab is an antibody or antigen binding fragment thereof that specifically binds to an epitope of human cKIT, wherein said antibody or antigen binding fragment thereof comprises:
(i) a heavy chain variable region that comprises (a) a HCDR1 (CDR-Complementarity Determining Region) of SEQ ID NO: 76, (b) a HCDR2 of SEQ ID NO: 77, (c) a HCDR3 of SEQ ID NO: 78; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO: 85, (e) a LCDR2 of SEQ ID NO: 86, and (f) a LCDR3 of SEQ ID NO: 87; wherein the CDRs of (a)-(f) are defined in accordance with the Kabat definition; or
(ii) a heavy chain variable region that comprises (a) a HCDR1 of SEQ ID NO: 79, (b) a HCDR2 of SEQ ID NO: 80, (c) a HCDR3 of SEQ ID NO: 81; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO: 88, (e) a LCDR2 of SEQ ID NO: 89, and (f) a LCDR3 of SEQ ID NO: 90; wherein the CDRs of (a)-(f) are defined in accordance with the Chothia definition;
L is a linker;
D is a drug moiety;
m is an integer from 1 to 8; and
n is an integer from 1 to 10.
2. The method of claim 1 , wherein said cancer is selected from the group consisting of gastrointestinal stromal tumors (GIST), small cell lung cancer (SCLC), acute myeloid leukemia (AML), melanoma, mast cell leukemia (MCL), mastocytosis, neurofibromatosis, breast cancer, non-small cell lung cancer (NSCLC), and pancreatic cancer.
3. The method of claim 1 , wherein the antibody drug conjugate is administered in combination with another therapeutic agent.
4. The method of claim 1 , wherein the antibody drug conjugate is administered in combination with imatinib, sunitinib, NVP-LCL16, NVP-BEZ235, NVP-BKM120, NVP-BYL719, NVP-CCG168, everolimus, NVP-HSP990 or NVP-BVB808.
5. The method of claim 1 , wherein said n is 2 or 4.
6. The method of claim 1 , wherein said antibody or antigen binding fragment thereof specifically binds the extracellular domain of human cKIT (SEQ ID NO:178).
7. The method of claim 6 , wherein said antibody or antigen binding fragment thereof specifically binds to an epitope of human cKIT at domains 1-3 (SEQ ID NO:173) of the extracellular domain.
8. The method of claim 1 , wherein one or two amino acids within a CDR have been modified, deleted or substituted.
9. The method of claim 1 , wherein said antibody or antigen binding fragment thereof comprises:
(i) a heavy chain variable region (VH) that comprises (a) SEQ ID NO: 82, and a light chain variable region (VL) that comprises (b) SEQ ID NO: 91; or
(ii) a heavy chain that comprises (a) SEQ ID NO: 83, and a light chain that comprises (b) SEQ ID NO: 92.
10. The method of claim 1 , wherein the antibody or antigen binding fragment thereof retains at least 90, 91, 92, 93, 94, 95, 96, 97, 98 or 99% identity over either the variable light chain or variable heavy chain region.
11. The method of claim 1 , wherein the antibody is a monoclonal antibody, a chimeric antibody, a humanized antibody, a human engineered antibody, a human antibody, a single chain antibody (scFv) or an antibody fragment.
12. The method of claim 1 , wherein said linker (L) is selected from the group consisting of a cleavable linker, a non-cleavable linker, a hydrophilic linker, a procharged linker and a dicarboxylic acid based linker.
13. The method of claim 1 , wherein said linker (L) comprises a group of the formula —C(O)NR21- or —NR21-C(O)— wherein R21 is of the formula —(CH2)1-4-R22, where R22 is a polar group selected from —OH, —NH2, N(R23)2, COOR23, CON(R23)2, —(OCH2CH2O)k-OCH2CH2OR23, and —SO2R23, wherein k is 0 to 4 and each R23 is independently H or C1-4 alkyl.
14. The method of claim 1 , wherein said drug moiety (D) is selected from a group consisting of: an Eg5 inhibitor, a V-ATPase inhibitor, a pro-apoptotic agent, a Bcl2 inhibitor, an MCL1 inhibitor, a HSP90 inhibitor, an IAP inhibitor, an mTor inhibitor, a microtubule stabilizer, a microtubule destabilizer, an auristatin, a dolastatin, a MetAP (methionine aminopeptidase), an inhibitor of nuclear export of proteins CRM1, a DPPIV inhibitor, proteasome inhibitors, inhibitors of phosphoryl transfer reactions in mitochondria, a protein synthesis inhibitor, a kinase inhibitor, a CDK2 inhibitor, a CDK9 inhibitor, a kinesin inhibitor, an HDAC inhibitor, a DNA damaging agent, a DNA alkylating agent, a DNA intercalator, a DNA minor groove binder, a RNA polymerase inhibitor, a topoisomerase inhibitor and a DHFR inhibitor.
15. The method of claim 1 , wherein the drug moiety (D) and linker (L) is selected from the group consisting of:
16. The method of claim 1 , wherein the antibody or antigen binding fragment thereof contains at least one non-native cysteine introduced into a constant region, and the linker (L) is attached to the non-native cysteine.
17. The method of claim 16 , wherein the at least one non-native cysteine introduced into the constant region is selected from the group consisting of SEQ ID NO: 185, SEQ ID NO:186, SEQ ID NO:187 and SEQ ID NO:188.