MULTISPECIFIC ANTIBODIES FOR IMMUNO-ONCOLOGY
Multispecific antibody having a binding site for ICOS and a binding site for a second antigen, e.g., an immune checkpoint molecule such as PD-L1. Use of the multispecific antibody in immuno-oncology, including for treatment of solid tumours.
1 . A multispecific antibody which binds ICOS and another target antigen.
2 . (canceled)
3 . The multispecific antibody according to claim 1 , which comprises a VH domain comprising a CDRH1, a CDRH2 and a CDRH3 which VH domain binds human (hICOS).
4 . The multispecific antibody according to claim 1 , which comprises a VL domain comprising a CDRL1, a CDRL2 and a CDRL3, which VL domain binds human (hICOS).
5 - 6 . (canceled)
7 . The multispecific antibody of claim 1 , which has agonistic activity against ICOS.
8 . (canceled)
9 . The multispecific antibody of claim 1 , which is a bispecific antibody.
10 . The multispecific antibody according to claim 9 , which is a dual binding antibody.
11 . The multispecific antibody according to claim 10 , which is a FIT-Ig.
12 . The multispecific antibody of claim 1 , wherein the another target antigen is selected from immune checkpoint inhibitors, immune modulators and immune activators.
13 - 14 . (canceled)
15 . The multispecific antibody according to claim 1 , wherein the another target antigen is PD-L1.
16 . (canceled)
17 . The multispecific antibody of claim 15 , which comprises a VH domain comprising a CDRH1, a CDRH2 and a CDRH3 which VH domain has specificity for human PD-L1.
18 . The multispecific antibody according to claim 15 , which comprises a VL domain comprising a CDRL1, a CDRL2 and a CDRL3, which VL domain has specificity for human PD-L1.
19 - 20 . (canceled)
21 . The multispecific antibody according to claim 15 , which binds mouse PD-L1 and/or cynomolgus PD-L1.
22 . A composition comprising the multispecific antibody of claim 1 and a pharmaceutically acceptable excipient, diluent or carrier and, optionally, further comprising a further therapeutic agent independently selected from the group consisting of:
a) other immune checkpoint inhibitors;
b) immune stimulators;
c) chemokine receptor antagonists;
d) targeted kinase inhibitors;
e) angiogenesis inhibitors;
f) immune stimulating peptides or chemokines;
g) cytokines;
h) bispecific T-cell engagers (BiTEs) having at least one specificity against CD3;
i) other bi-specific molecules;
j) oncolytic viruses;
k) vaccination with tumour associated antigens;
l) cell-based therapies; and
m) adoptive transfer of tumour specific T-cells or LAK cells.
23 - 24 . (canceled)
25 . A method of treating or preventing a disease or condition selected from neurological disease, neoplastic or non-neoplastic disease, chronic viral infections, and malignant tumours, such as melanoma, Merkel cell carcinoma, non-small cell lung cancer (squamous and non-squamous), renal cell cancer, bladder cancer, head and neck squamous cell carcinoma, mesothelioma, virally induced cancers, soft tissue sarcomas, haematological malignancies such as Hodgkin's and non-Hodgkin's disease and diffuse large B-cell lymphoma in a human, comprising administering to said human a therapeutically effective amount of the multispecific antibody of claim 1 , wherein the disease or condition is thereby treated or prevented.
26 . (canceled)
27 . The method according to claim 25 , wherein the cancer is selected from melanoma, Merkel cell carcinoma, non-small cell lung cancer (squamous and non-squamous), renal cell cancer, bladder cancer, head and neck squamous cell carcinoma and mesothelioma or is selected from virally induced cancers and soft tissue sarcomas.
28 . The method according to claim 25 , further comprising administering to the human a further therapy, for example a further therapeutic agent, optionally wherein the further therapeutic agent is independently selected from the group consisting of:
a) other immune checkpoint inhibitors;
b) immune stimulators;
c) chemokine receptor antagonists;
d) targeted kinase inhibitors;
e) angiogenesis inhibitors;
f) immune stimulating peptides or chemokines;
g) cytokines;
h) bispecific T-cell engagers (BiTEs) having at least one specificity against CD3;
i) other bi-specific molecules;
j) oncolytic viruses;
k) vaccination with tumour associated antigens;
l) cell-based therapies (such as chimeric Antigen Receptor-T-cells (CAR-T) for example expressing anti-CD19, anti-EpCam or anti-mesothelin); and
m) adoptive transfer of tumour specific T-cells or LAK cells,
or optionally wherein the further therapy is chemotherapy, radiotherapy and surgical removal of tumours.
29 . A nucleic acid that encodes a heavy chain and/or a light chain of the multispecific antibody of claim 1 .
30 . A vector comprising the nucleic acid as defined in claim 29 ;.
31 . A host cell comprising the vector as defined in claim 30 .
32 . A multispecific which binds ICOS; wherein the multispecific antibody comprises a binding arm that binds PD-L1, wherein the binding arm that binds PD-L1 comprises a heavy chain variable region (VH) and a light chain variable region (VL), wherein
the anti-PD-L1 VH and VL domains are 1D05 VH and VL domains comprising a heavy chain amino acid sequence of Seq ID No:299 and a light chain amino acid sequence of Seq ID No:300 respectively, and wherein
the antibody is an immunocytokine comprising human wild type or variant IL-2.