Treatment of immunosuppressed subjects
An IL-15 super agonist (IL-15N72D:IL-15RαSU/IgG1Fc; N-803) increases circulating NK cells, effector memory and effector memory RA cells in post-allogeneic hematopoietic stem cell transplant patients (HCT). Methods of treatment include administration of N-803 to subjects in need of such treatment.
1. A method of treating a JC polyomavirus virus (JCV) infection in a subject, the method comprising administering to the subject a composition comprising a therapeutically effective amount of an IL-15:IL-15Rα complex, wherein the IL-15:IL-15Rα complex increases the number of circulating immune effector cells and/or activates immune effector cells.
2. The method of claim 1 , wherein the IL-15:IL-15Rα complex is an IL-15N72D:IL-15RαSu/Fc complex (N-803) comprising a dimeric IL-15RαSu/Fc and two IL-15N72D molecules.
3. The method of claim 1 , wherein the immune effector cells comprise natural killer cells (NK), effector memory (T EM ) T cells (CD45RA − /CCR7 − ), effector memory RA (T EMRA ) T cells (CD45RA + /CCR7 − ), cytolytic T cells (CTLs), T helper cells (T H ) or combinations thereof.
4. The method of claim 1 , wherein activated immune effector cells comprise one or more markers comprising CD38, perforin, granzyme B, Ki-67, HLA-DR or combinations thereof.
5. The method of claim 1 , optionally comprising administering one or more chemotherapeutic agents, compounds, cytokine antagonist, cytokine receptor antagonist, cytokines, adoptive cell therapy, anti-viral agents, checkpoint inhibitors, adjuvants or combinations thereof.
6. The method of claim 1 , wherein the subject is suffering from a human immunodeficiency virus (HIV) infection.
7. The method of claim 6 , wherein the HIV infection is a latent infection.
8. The method of claim 6 , wherein the IL-15:IL-15Rα complex decreases JCV virus count in the subject.
9. The method of claim 6 , wherein the IL-15:IL-15Rα complex, decreases JCV DNA copy number.
10. The method of claim 1 , wherein the therapeutically effective amount of the IL-15:IL-15Rα complex is from about 1 mcg/kg to about 6.0 mcg/kg.
11. The method of claim 10 , wherein the IL-15:IL-15Rα complex is administered subcutaneously or intravenously.
12. The method of claim 1 , wherein the IL-15:IL-15Rα complex decreases JCV virus count in the subject.
13. The method of claim 1 , wherein the IL-15:IL-15Rα complex, decreases JCV DNA copy number.