Treatment for primary amyloidosis with anti-BCMA binding protein
Disclosed herein is a method of treating cancer, such as multiple myeloma, involving the combination of an anti-BCMA antigen binding protein (e.g., an anti-BCMA antibody) and a proteasome inhibitor (e.g. bortezomib). The combinations can also include an anti-inflammatory compound (e.g. dexamethasone).
1. A method of treating primary amyloidosis (AL) in a subject in need thereof, the method comprising: administering to the subject in need thereof a dose of 1.9 mg/kg or 2.5 mg/kg of an anti-B-cell maturation antigen (BCMA) antibody conjugated to monomethyl auristatin F (MMAF), wherein the anti-BCMA antibody comprises a heavy chain comprising the amino acid sequence set forth in SEQ ID NO:9 and a light chain comprising the amino acid sequence set forth in SEQ ID NO:10.
2. The method of claim 1 , wherein 1.9 mg/kg of the anti-BCMA antibody conjugated to MMAF is administered to the subject in need thereof.
3. The method of claim 1 , wherein 2.5 mg/kg of the anti-BCMA antibody conjugated to MMAF is administered to the subject in need thereof.
4. The method of claim 1 further comprising administering to the subject in need thereof a proteasome inhibitor.
5. The method of claim 4 , wherein the proteasome inhibitor is bortezomib.
6. The method of claim 5 , wherein 1.3 mg/m 2 bortezomib is administered to the subject in need thereof.
7. The method of claim 6 , wherein 1.3 mg/m 2 bortezomib is administered to the subject in need thereof on days 1, 4, 8, and 11 of a 21-day cycle.
8. The method of claim 4 , wherein the proteasome inhibitor is carfilzomib.
9. The method of claim 4 , wherein the proteasome inhibitor is ixazomib.
10. The method of claim 4 , wherein the proteasome inhibitor is oprozomib.
11. A method of treating primary amyloidosis (AL) in a subject in need thereof, the method comprising: administering to the subject in need thereof (a) a dose of 1.9 mg/kg or 2.5 mg/kg of an anti-B-cell maturation antigen (BCMA) antibody conjugated to monomethyl auristatin F (MMAF), wherein the anti-BCMA antibody comprises a heavy chain comprising the amino acid sequence set forth in SEQ ID NO:9 and a light chain comprising the amino acid sequence set forth in SEQ ID NO:10, (b) a proteasome inhibitor, and (c) an anti-inflammatory compound.
12. The method of claim 11 , wherein 1.9 mg/kg of the anti-BCMA antibody conjugated to MMAF is administered to the subject in need thereof.
13. The method of claim 11 , wherein 2.5 mg/kg of the anti-BCMA antibody conjugated to MMAF is administered to the subject in need thereof.
14. The method of claim 11 , wherein the proteasome inhibitor is bortezomib.
15. The method of claim 14 , wherein 1.3 mg/m 2 of bortezomib is administered to the subject in need thereof.
16. The method of claim 15 , wherein 1.3 mg/m 2 of bortezomib is administered to the subject in need thereof on days 1, 4, 8, and 11 of a 21-day cycle.
17. The method of claim 11 , wherein the anti-inflammatory compound is dexamethasone.
18. The method of claim 17 , wherein 20 mg or 40 mg of dexamethasone is administered to the subject in need thereof.
19. The method of claim 18 , wherein 20 mg or 40 mg of dexamethasone is administered to the subject in need thereof on days 1, 2, 4, 5, 8, 9, 11, and 12 of a 21-day cycle.