Multispecific antibodies against IL-5 and IL-4R
The present invention relates to combination therapies and to their use in the treatment of chronic airway disease, particularly use in the treatment of asthma. The combination therapies comprise (i) an antagonist of IL-5:IL-5R and (ii) an antagonist of IL-4:IL-4R and/or an antagonist of IL-13:IL-13R. The present invention also provides bispecific antibodies comprising an antigen binding domain that binds to IL-4Rα and an antigen binding domain that binds to IL-5. The bispecific antibodies may be used for the treatment of chronic airway disease, particularly asthma.
1. A multispecific antibody comprising:
(i) an antagonist antibody to human IL-5 comprising a heavy chain variable region (VH) comprising the HC-CDR1, HC-CDR2, and HC-CDR3 amino acid sequences of the VH of SEQ ID NO: 63; and a light chain variable region (VL) comprising the LC-CDR1, LC-CDR2 and LC-CDR3 amino acid sequences of the VL of SEQ ID NO: 65; and
(ii) an antagonist antibody to human IL-4R comprising a VH comprising the HC-CDR1, HC-CDR2, and HC-CDR3 amino acid sequences of the VH of SEQ ID NO: 23 or 107; and a VL comprising the LC-CDR1, LC-CDR2 and LC-CDR3 amino acid sequences of the VL of SEQ ID NO: 24 or 108.
2. The multispecific antibody of claim 1 , wherein the antibody to human IL-4R comprises the HC-CDR1, HC-CDR2, and HC-CDR3 amino acid sequences of the VH of SEQ ID NO: 107; and the LC-CDR1, LC-CDR2 and LC-CDR3 amino acid sequences of the VL of SEQ ID NO: 108.
3. The multispecific antibody of claim 1 , wherein the HC-CDR1, HC-CDR2, HC-CDR3, LC-CDR1, LC-CDR2, and LC-CDR3 of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 7, 8, 9, 16, 17, and 18, respectively; or SEQ ID NOs: 7, 8, 95, 16, 17, and 98, respectively.
4. The multispecific antibody of claim 1 , wherein the HC-CDR1, HC-CDR2, HC-CDR3, LC-CDR1, LC-CDR2, and LC-CDR3 of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 7, 8, 95, 16, 17, and 98, respectively.
5. The multispecific antibody of claim 1 , wherein the VH and VL of the antibody to human IL-4R comprise amino acid sequences at least 90% identical to the amino acid sequences of SEQ ID NOs: 23 and 24, respectively; or SEQ ID NOs: 107 and 108, respectively.
6. The multi specific antibody of claim 5 , wherein the VH and VL of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 23 and 24, respectively; or SEQ ID NOs: 107 and 108, respectively.
7. The multispecific antibody of claim 1 , wherein the VH and VL of the antibody to human IL-4R comprise amino acid sequences at least 90% identical to the amino acid sequences of SEQ ID NOs: 107 and 108, respectively.
8. The multispecific antibody of claim 1 , wherein the VH and VL of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 107 and 108, respectively.
9. The multispecific antibody of claim 1 , wherein the HC-CDR1, HC-CDR2, HC-CDR3, LC-CDR1, LC-CDR2, and LC-CDR3 of the antibody to human IL-5 comprise the amino acid sequences of SEQ ID NOs: 49, 50, 51, 55, 56, and 57, respectively.
10. The multispecific antibody of claim 9 , wherein the HC-CDR1, HC-CDR2, HC-CDR3, LC-CDR1, LC-CDR2, and LC-CDR3 of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 7, 8, 95, 16, 17, and 98, respectively.
11. The multispecific antibody of claim 1 , wherein the VH and VL of the antibody to human IL-5 comprise amino acid sequences at least 90% identical to the amino acid sequences of SEQ ID NOs: 63 and 65, respectively.
12. The multispecific antibody of claim 11 , wherein the VH and VL of the antibody to human IL-4R comprise amino acid sequences at least 90% identical to the amino acid sequences of SEQ ID NOs: 107 and 108, respectively.
13. The multi specific antibody of claim 11 , wherein the VH and VL of the antibody to human IL-5 comprise the amino acid sequences of SEQ ID NOs: 63 and 65, respectively.
14. The multispecific antibody of claim 13 , wherein the VH and VL of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 107 and 108, respectively.
15. The multispecific antibody of claim 1 , wherein the HC-CDR1, HC-CDR2, HC-CDR3, LC-CDR1, LC-CDR2, and LC-CDR3 of the antibody to human IL-5 comprise the amino acid sequences of SEQ ID NOs: 49, 50, 51, 55, 56, and 57, respectively; and wherein the HC-CDR1, HC-CDR2, HC-CDR3, LC-CDR1, LC-CDR2, and LC-CDR3 of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 7, 8, 9, 16, 17, and 18, respectively; or SEQ ID NOs: 7, 8, 95, 16, 17, and 98, respectively.
16. The multispecific antibody of claim 1 , wherein the VH and VL of the antibody to human IL-5 comprise amino acid sequences at least 90% identical to the amino acid sequences of SEQ ID NOs: 63 and 65, respectively; and wherein the VH and VL of the antibody to human IL-4R comprise amino acid sequences at least 90% identical to the amino acid sequences of SEQ ID NOs: 23 and 24, respectively; or SEQ ID NOs: 107 and 108, respectively.
17. The multispecific antibody of claim 1 , wherein the VH and VL of the antibody to human IL-5 comprise the amino acid sequences of SEQ ID NOs: 63 and 65, respectively, and wherein the VH and VL of the antibody to human IL-4R comprise the amino acid sequences of SEQ ID NOs: 23 and 24, respectively; or SEQ ID NOs: 107 and 108, respectively.
18. The multispecific antibody of claim 1 , wherein the multispecific antibody exhibits lower antigen-binding activity at acidic pH than at neutral pH.
19. The multispecific antibody of claim 18 , wherein the ratio of antigen-binding activity at acidic pH and at neutral pH is at least 2 as measured by KD(at acidic pH)/KD(at neutral pH).
20. The multispecific antibody of claim 1 , wherein the multispecific antibody is a bispecific antibody.