Method for treating cancer in a human patient by administering an anti-CD37 immunoconjugate using various dosing regimens
Methods of administering immunoconjugates that bind to CD37 are provided. The methods comprise administering an anti-CD37 immunoconjugate, optionally in combination with an anti-CD20 therapy, to a person in need thereof, for example, a cancer patient, at a therapeutically effective dosing regimen that results in minimal adverse effects.
1. A method for treating a cancer in a human patient comprising administering to the patient a pharmaceutical composition comprising an anti-CD37 immunoconjugate once a week in a three-week cycle, wherein:
a) 0.4 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
b) 0.2 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
c) 0.3 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.3 mg/kg are administered in the third week;
d) 0.3 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
e) 0.3 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
f) 0.4 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.3 mg/kg are administered in the third week;
g) 0.4 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
h) 0.5 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg is administered in the second week, and 0.2 mg/kg are administered in the third week;
i) 0.5 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week; or
j) 0.6 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
wherein the immunoconjugate comprises (i) an antibody or antigen-binding fragment thereof comprising a VH-CDR1 comprising the amino acid sequence of SEQ ID NO:2, a VH-CDR2 comprising the amino acid sequence of SEQ ID NO:3, a VH-CDR3 comprising the amino acid sequence of SEQ ID NO:4, a VL-CDR1 comprising the amino acid sequence of SEQ ID NO:5, a VL-CDR2 comprising the amino acid sequence of SEQ ID NO:6, and a VL-CDR3 comprising the amino acid sequence of SEQ ID NO:7 and (ii) a maytansinoid.
2. The method of claim 1 , wherein the antibody or antigen-binding fragment comprises a variable heavy chain comprising the amino acid sequence of SEQ ID NO:8 and a variable light chain comprising the amino acid sequence of SEQ ID NO:10.
3. The method of claim 1 , wherein the maytansinoid is DM1.
4. The method of claim 1 , wherein the maytansinoid is linked to the antibody or antigen-binding fragment by an SMCC linker.
5. The method of claim 1 , wherein the antibody comprises a full-length heavy chain comprising the amino acid sequence of SEQ ID NO: 11 and a full-length light chain comprising the amino acid sequence of SEQ ID NO: 12, wherein the maytansinoid is DM1, and wherein the DM1 is linked to the antibody by an SMCC linker.
6. The method of claim 1 , wherein the pharmaceutical composition comprises at least two of the immunoconjugates and the immunoconjugates comprise an average of 3 to 4 maytansinoids per antibody.
7. The method of claim 1 , wherein the immunoconjugate is administered for six three-week cycles.
8. The method of claim 1 , wherein the pharmaceutical composition comprises at least two of the immunoconjugates and the immunoconjugates comprise an average of 3 to 4 maytansinoids per antibody wherein the antibody comprises a full-length heavy chain comprising the amino acid sequence of SEQ ID NO: 11 and a full-length light chain comprising the amino acid sequence of SEQ ID NO:12, wherein the maytansinoid is DM1, and wherein the DM1 is linked to the antibody by an SMCC linker, wherein the immunoconjugate is administered in combination with 375 mg/m 2 of rituximab administered once every three weeks on day one of the three-week cycle after administration of the immunoconjugate.
9. The method of claim 1 , further comprising administering a corticosteroid to the patient and/or a growth factor to the patient.
10. The method of claim 1 , wherein the cancer is a B cell malignancy.
11. The method of claim 1 , wherein the cancer is leukemia or lymphoma.
12. The method of claim 1 , wherein the cancer is diffuse large B-cell lymphoma (DLBCL).
13. The method of claim 1 , wherein the cancer is selected from the group consisting of relapsed and/or refractory DLBCL, Follicular Lymphoma (FL), Marginal Zone Lymphoma/Mucosa-associated lymphoid tissue (MZL/MALT), or Mantle Cell Lymphoma (MCL).
14. The method of claim 1 , wherein the cancer is selected from the group consisting of precursor B-cell lymphoblastic leukemia/lymphoma and mature B-cell neoplasms, such as B-cell chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL), B-cell prolymphocytic leukemia, lymphoplasmacytic lymphoma, mantle cell lymphoma (MCL), follicular lymphoma (FL), including low-grade, intermediate-grade and high-grade FL, cutaneous follicle center lymphoma, marginal zone B-cell lymphoma (MALT type, nodal and splenic type), hairy cell leukemia, diffuse large B-cell lymphoma (DLBCL), Burkitt's lymphoma, plasmacytoma, plasma cell myeloma, post-transplant lymphoproliferative disorder, Waldenstrom's macroglobulinemia, and anaplastic large-cell lymphoma (ALCL).
15. The method of claim 1 , wherein the anti-CD37 immunoconjugate is administered once a week in a three-week cycle for at least one, at least two, at least three, at least four, at least five, at least six, at least seven, at least eight, at least nine, at least ten, at least eleven, or at least twelve three-week cycles.
16. The method of claim 15 , comprising administering the anti-CD37 immunoconjugate at a dose of 0.7 mg/kg once every three weeks after the at least one, at least two, at least three, at least four, at least five, at least six, at least seven, at least eight, at least nine, at least ten, at least eleven or at least twelve three-week cycles of weekly administration.
17. A method for treating a cancer in a human patient comprising administering to the patient a pharmaceutical composition comprising an anti-CD37 immunoconjugate once a week in a three-week cycle, wherein:
a) 0.4 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
b) 0.2 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
c) 0.3 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.3 mg/kg are administered in the third week;
d) 0.3 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
e) 0.3 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
f) 0.4 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.3 mg/kg are administered in the third week;
g) 0.4 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
h) 0.5 mg/kg of the immunoconjugate are administered in the first week, 0.3 mg/kg is administered in the second week, and 0.2 mg/kg are administered in the third week;
i) 0.5 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week; or
j) 0.6 mg/kg of the immunoconjugate are administered in the first week, 0.2 mg/kg are administered in the second week, and 0.2 mg/kg are administered in the third week;
wherein the immunoconjugate comprises (i) an antibody or antigen-binding fragment thereof comprising a VH-CDR1 comprising the amino acid sequence of SEQ ID NO:2, a VH-CDR2 comprising the amino acid sequence of SEQ ID NO:3, a VH-CDR3 comprising the amino acid sequence of SEQ ID NO:4, a VL-CDR1 comprising the amino acid sequence of SEQ ID NO:5, a VL-CDR2 comprising the amino acid sequence of SEQ ID NO:6, and a VL-CDR3 comprising the amino acid sequence of SEQ ID NO:7 and (ii) a maytansinoid, wherein the immunoconjugate is administered in combination with an anti-CD20 therapy.
18. The method of claim 17 , wherein the anti-CD20 therapy is rituximab.
19. The method of claim 18 , wherein 375 mg/m 2 of the rituximab is administered once every three weeks.
20. The method of claim 17 , wherein the anti-CD20 therapy is an antigen-binding fragment of rituximab or a biosimilar of rituximab, ofatumumab, obinutuzumab, veltuzumab, an antigen-binding fragment of ofatumumab, obinutuzumab, or veltuzumab, or a biosimilar of ofatumumab, obinutuzumab, or veltuzumab.