IP Library Granted Patent US 12,258,403
Granted Patent B2
US 12,258,403 · App. 18/164,252 · Granted Mar 25, 2025

Methods for treating myeloma by achieving therapeutically effective doses of anti-CD47 antibody

Inventors: Stephen Willingham (Sammamish, WA); Maureen Howard (Los Altos Hills, CA); Jie Liu (Palo Alto, CA); Ravindra Majeti (Palo Alto, CA); Susan Sweeney Prohaska (Mountain View, CA); Anne K. Volkmer (Duesseldorf, DE); Jens-Peter Volkmer (Menlo Park, CA); Irving L. Weissman (Stanford, CA)
Assignee: The Board of Trustees of the Leland Stanford Junior University
C07K16/2803A61K38/1774A61K39/3955C07K16/2896A61K38/1816A61K2039/505A61K2039/54A61K2039/545C07K2317/24C07K2317/33C07K2317/73C07K2317/76C07K2317/92C07K2319/30Y02A50/30
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,258,403
App. No.
18/164,252
Granted
Mar 25, 2025
Kind
B2
Abstract

Methods are provided for treating a subject with a therapeutic dose of anti-CD47 agent by administering a primer agent prior to administering a therapeutically effective dose of an anti-CD47 agent to the subject.

Claims (22)

1. A method for treating myeloma in a human subject, the method comprising:

(a) administering a sub-therapeutic dose of an anti-CD47 antibody or a fragment thereof to the subject, wherein the sub-therapeutic dose is capable of increasing production of reticulocytes; and

(b) administering a therapeutically effective dose of the anti-CD47 antibody or the fragment thereof to the subject,

wherein the anti-CD47 antibody or the fragment thereof blocks an interaction between CD47 and SIRPα, wherein the myeloma is treated.

2. The method according to claim 1 , wherein the sub-therapeutic dose is administered at a dose from 0.05 mg/kg to 7.5 mg/kg.

3. The method according to claim 1 , wherein the sub-therapeutic dose is administered at a dose from 0.05 mg/kg to 5 mg/kg.

4. The method according to claim 1 , wherein the sub-therapeutic dose is administered at a dose from 0.1 mg/kg to 7.5 mg/kg.

5. The method according to claim 1 , wherein the sub-therapeutic dose is administered at a dose from 0.1 mg/kg to 5 mg/kg.

6. The method according to claim 1 , wherein the sub-therapeutic dose is administered at a dose from 1 mg/kg to 7.5 mg/kg.

7. The method according to claim 1 , wherein the sub-therapeutic dose is administered at a dose from 1 mg/kg to 5 mg/kg.

8. The method according to claim 1 , wherein the sub-therapeutic dose is administered at a dose of 1 mg/kg.

9. The method according to claim 1 , wherein the therapeutically effective dose is administered at a dose from 10 mg/kg to 40 mg/kg.

10. The method according to claim 1 , wherein the therapeutically effective dose is administered at a dose of 30 mg/kg.

11. The method according to claim 1 , wherein step (b) is performed in a range from 3 days to 21 days after beginning step (a).

12. The method according to claim 1 , wherein the sub-therapeutic dose increases the production of the reticulocytes.

13. The method according to claim 1 , wherein in step (a), the sub-therapeutic dose is determined to be effective by measuring in a blood sample from the human subject at least one of: an increase in an absolute or relative number of reticulocytes, an increase in a level of erythropoietin, or a decrease in a level of hemoglobin levels.

14. The method of claim 13 , wherein following step (a) the number of a reticulocytes is at least 400×10 9 reticulocytes per liter (L).

15. The method of claim 1 , wherein step (b) comprises administering the anti-CD47 antibody or the fragment thereof in two or more doses of escalating concentration until a therapeutically effective dose is administered.

16. The method according to claim 1 , wherein step (b) comprises administering two or more therapeutically effective doses of the anti-CD47 antibody or the fragment thereof.

17. The method of claim 1 , wherein the anti-CD47 antibody is a monoclonal antibody.

18. The method of claim 1 , wherein the anti-CD47 antibody is a humanized antibody or a chimeric antibody.

19. The method of claim 18 , wherein the anti-CD47 antibody comprises a variable heavy (VH) region containing the VH complementarity regions, CDR1, CDR2 and CDR3, respectively set forth in SEQ ID NO:6, 7 and 8; and a variable light (VL) region a containing the VL complementary regions, CDR1, CDR2 and CDR3, respectively set forth in SEQ ID NO:9, 10 and 11.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 11, 2023
From: WILLINGHAM, STEPHEN; HOWARD, MAUREEN; LIU, JIE; MAJETI, RAVINDRA; PROHASKA, SUSAN; VOLKMER, ANNE K.; VOLKMER, JENS-PETER; WEISSMAN, IRVING L.
To: THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
Reel/Frame 063290/0454 →
Continuity (8)
Continuation 17734904 · May 2, 2022
Continuation 17401046 · Aug 12, 2021
Continuation 17102183 · Nov 23, 2020
Continuation 16375238 · Apr 4, 2019
Division 15423325 · Feb 2, 2017
Continuation 14769069
Provisional Application 61800102 · Mar 15, 2013
Related Publication 20230303688A1 · Sep 28, 2023
References Cited (53)
US 5922674A · Anagnostou et al. · 1999 [cited by applicant]
US 7531501B1 · Anagnostou et al. · 2009 [cited by applicant]
US 9045541B2 · Eckelman · 2015 [cited by examiner]
US 9151760B2 · Weissman et al. · 2015 [cited by applicant]
US 9352037B2 · Van den Berg · 2016 [cited by applicant]
US 11518806B2 · Willingham · 2022 [cited by examiner]
US 20040213792A1 · Clemmons et al. · 2004 [cited by applicant]
US 20070113297A1 · Yang et al. · 2007 [cited by applicant]
US 20100239578A1 · Danska et al. · 2010 [cited by applicant]
US 20100323949A1 · Lu et al. · 2010 [cited by applicant]
US 20120282174A1 · Weissman et al. · 2012 [cited by applicant]
US 20140140989A1 · Eckelman et al. · 2014 [cited by applicant]
WO WO2009091547 · 2009 [cited by applicant]
WO WO2009091601 · 2009 [cited by applicant]
WO WO2011143624 · 2011 [cited by applicant]
WO WO2013109752 · 2013 [cited by applicant]
WO WO2014123580 · 2014 [cited by applicant]
Jaiswal et al., CD47 Is Upregulated on Circulating Hematopoietic Stem Cells and Leukemia Cells to Avoid Phagocytosis, Cell, 138: 271-285, Jul. 24, 2009. [cited by examiner]
Adamson et al(1999) Predicting the hematopoietic response to recombinant human erythropoietin (Epoetin alfa) in the treatment of the anemia of cancer, Oncology (Basel), vol. 56, No. 1, Jan. 1999 (Jan. 1999), pp. 46-53. [cited by applicant]
Alinari et ai., “Alemtuzumab (Campath-1H) in the treatment of chronic lymphocytic leukemia”, Oncogene, 2007, pp. 3644-3653, 26, Nature Publishing Group, London, United Kingdom. [cited by applicant]
Amegen, Prescribing information: Epogen (epoetin alfa), [Retrieved online Jul. 16, 2018: «URL: https://pi.amgen.com/media/amgen/.../pi.../epogen/epogen_pi hcp_english.pdf»], updated Sep. 20, 2017, 40 Pages. [cited by applicant]
Burger et al., “Phase II Trial of Bevacizumab in Persistent or Recurrent Epithelial Ovarian Cancer or Primary Peritoneal Cancer: A Gynecologic Oncology Group Study”, Journal of Clinical Oncology, Nov. 20, 2007, pp. 5165… [cited by applicant]
Chao et al., “Anti-CD47 antibody synergizes with rituximab to promote phagocytosis and eradicate Non-Hodgkin ymphoma”, Cell, Sep. 3, 2010, pp. 699-713, vol. 142, Issue 5, Elsevier, New York City, NY. [cited by applicant]
Chen et al., “The update clinical research advancement of cancer and treatment related anemia”, Journal of Modern Oncology, Nov. 25, 2008, pp. 1995-1998, vol. 16, No. 11 (English Abstract is provided), Journal of Modern… [cited by applicant]
Clynes et al., “Inhibitory Fc receptors modulate in vivo cytoxicity against tumor targets”, Nature Medicine, Apr. 2000, pp. 443-446, vol. 6, No. 4, Nature Publishing Group, London, United Kingdom. [cited by applicant]
Curriculum Vitae Randolph Wall, Ph.D., Filed: Aug. 5, 2016, 9 pages. [cited by applicant]
Declaration of Randolph Wall, Ph.D., Filed: Aug. 5, 2016, 107 Pages. [cited by applicant]
Del Mastro et al., “Randomized phase III trial evaluating the role of erythropoietin in the prevention of hemotherapy-induced anemia”, . J. Clin. Oncol., Jul. 1, 1997, pp. 2715-2721, 15, No. 7, American Society Clinical… [cited by applicant]
Engert, “Recombinant human erythropoietin in oncology: current status and further development”, Ann. Oncol, Oct. 2005, pp. 1584-1595, vol. 16, Issue 10, Oxford University Press, Oxford, United Kingdom. [cited by applicant]
Forty Seven, Inc., Petition For Inter Partes Review of U.S. Pat. No. 9,352,037, Filed: Aug. 5, 2016, Case No. PR2016-01529, 74 Pages. [cited by applicant]
Forty Seven, Inc., Petition for Inter Partes Review of U.S. Pat. No. 9,352,037, Filed: Aug. 8, 2016, Case No. PR2016-01530, 76 Pages. [cited by applicant]
Imai et al., “Comparing antibody and small-molecule therapies for cancer”, Nature Reviews/Cancer, Sep. 2006, pp. 714-727, vol. 6, Nature Publishing Group, London, United Kingdom. [cited by applicant]
Kasper C et al: “Recombinant human erythropoietin in the treatment of cancer-related anemia”. European Journal of Haematology. vol. 58. No. 4. 1997. pp. 251-256. [cited by applicant]
Kim et al., “Antibody Engineering for the Development of Therapeutic Antibodies”, Molecules and Cells, Aug. 18, 2005, pp. 17-29, vol. 20, No. 1, Korean Society for Molecular and Cellular Biology, Seoul, Korea. [cited by applicant]
Kim et al., “Anti-CD47 antibodies promote phagocytosis and inhibit the growth of human myeloma cells”, Leukemia, May 30, 2012, pp. 2538-2545, 26(12), Springer Nature, Basingstoke, United Kingdom. [cited by applicant]
Liu et al., “Pre-clinical development of a humanized anti-CD47 antibody with anti-cancer therapeutic potential”, PLo One, Sep. 21, 2015, pp. 1-23, e0137345, 10(9), Plos One, San Francisco, CA. [cited by applicant]
Majeti et al., “CD47 is an adverse prognostic factor and therapeutic antibody target on human acute myeloid leukemia stem cells”, Cell, Jul. 23, 2009, pp. 286-299, vol. 138, Issue 2, Elsevier, New York City, NY. [cited by applicant]
Mawby et al., “Isolation and characterization of CD47 glycoprotein: a multispanning membrane protein which is the same as integrin-associated protein (IAP) and the ovarian tumour marker OA3”, Biochem. J., 1994, pp. 525-… [cited by applicant]
Nowrousian et al. (1998) Recombinant human erythropoietin in the treatment of cancer-related or chemotherapy-induced anemia in patients with solid tumors. 11 Medical Oncology, vol. 15 Suppl 1, pp. S19-S28. [cited by applicant]
Musolino et al., Immunoglobulin G Fragment C Receptor Polymorphisms and Clinical Efficacy of Trastuzumab-Based Therapy in Patients With HER-2/neu-Positive Metastatic Breast Cancer, Journal of Clinical Oncology, Apr. 10,… [cited by applicant]
Okazawa et al., “Negative Regulation of Phagocytosis in Macrophages by the CD47-SHPS-1 System”, The Journal Jf Immunology, 2005, pp. 2004-2011, 174, The American Association of Immunologists, Inc., Bethesda, MD. [cited by applicant]
Oldenborg, “Role of CD47 in Erythroid Cells and in Autoimmunity”, Leukemia & Lymphoma, 2004, pp. 319-1327, vol. 45, No. 7, Taylor and Francis, Abingdon United Kingdom. [cited by applicant]
Ozols, “Challenges for chemotherapy in ovarian cancer”, Annals of Oncology, May 2006, pp. v181-v187, vol. 7, Supplement 5, European Society for Medical Oncology, Lugano, Switzerland. [cited by applicant]
Pietsch et al., “Anti-leukemic activity and tolerability of anti-human CD47 monoclonal antibodies” Blood Cancer Journal, Feb. 24, 2017, vol. 7, No. 2, pp. 1-8, 7(2), e536, Nature Publishing, London, United Kingdom. [cited by applicant]
Procirit and Epogen Labels, pp. 1-68, Retrieved online from<URL:https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/ 103234s51991bl.pdf>, Retrieved on Feb. 22, 20201. [cited by applicant]
Szenajch et al , “The role of erythropoietin and its receptor in growth, survival and therapeutic response of human Tumor cells”, BBA-Revives on Cancer, Aug. 1, 2010, pp. 82-95, Vo1l 806, No. 1, Elsevier Science, Amster… [cited by applicant]
The Jackson Laboratory, (2021) , pp. 1-2, NOD.Cg-Prkdc<scid> 112rg<tm1Wji>/SzJ, [retrieved online from <URL:https://www.jax.org/ jax-mice-and-services/strain-data-sheet-pages/body-weight-chart-005557> Retrieved on Feb. … [cited by applicant]
Tibes et al., “Activity of Alemtuzumab in Patients with CD52-Positive Acute Leukemia”, Cancer, Jun. 15, 2006, pp. 2645-2651, vol. 106, No. 12, American Cancer Society, Atlanta, GA. [cited by applicant]
Vectibix Prescribing Information, pp. 1-14, Retrieved online from <URL:https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/ 125147s0801bl.pdf>, Retrieved on Feb. 22, 2021. [cited by applicant]
Veillette et al., “High Expression of Inhibitory Receptor SHPS-1 and Its Association with Protein-tyrosine Phosphatase SHP-1 in Macrophages”, The Journal of Biological Chemistry, Aug. 28, 1998, pp. 22719-22728, vol. 273… [cited by applicant]
Weiskopf et al. (2013) “SIR alpha Variants as Immunotherapeutic Adjuvants to Anticancer Antibodies” Science, vol. 341. No. 6141, pp. 88-91. [cited by applicant]
Willingham et al., “The CD47-signal regulatory protein alpha (SIRPa) interaction is a therapeutic target for human solid tumors”, Proc. Natl. Acad. Sci. USA, Apr. 24, 2012, pp. 6662-6667, 109 (17), National Academy of S… [cited by applicant]
Zheng et al., “Gene expression profiling of CD34p cells identifies a molecular signature of chronic myeloid leukemia blast crisis”, Leukemia, Apr. 13, 2006, pp. 1028-1034, 20, Nature Publishing Group, London, United Kin… [cited by applicant]