TNF-alpha immunoconjugate therapy for the treatment of brain tumors
The present invention relates to immunoconjugates, compositions, methods and uses for treating brain tumors, especially glioma, by administration of a tumour necrosis factor alpha (TNFα) immunoconjugate.
1. A method of treating a brain tumor in a patient, comprising administering a TNFα immunoconjugate, the method comprising administering the TNFα immunoconjugate in combination with chemotherapy and radiotherapy to the patient, wherein the TNFα immunoconjugate comprises TNFα linked to an antibody molecule comprising L19 complementarity determining regions (CDRs), wherein the L19 CDRs are:
VH CDR1
SEQ ID NO: 1
SFSMS
VH CDR 2
SEQ ID NO: 2
SISGSSGTTYYADSVKG
VH CDR 3
SEQ ID NO: 3
PFPYFDY
VL CDR 1
SEQ ID NO: 4
RASQSVSSSFLA
VL CDR 2
SEQ ID NO: 5
YASSRAT
VL CDR 3
SEQ ID NO: 6
QQTGRIPPT,
wherein the chemotherapy is temozolomide (TMZ), and wherein the brain tumor is a glioma.
2. The method of treatment according to claim 1 , wherein the antibody molecule comprises the L19 VH domain SEQ ID NO: 7 and the L19 VL domain SEQ ID NO: 9.
3. The method of treatment according to claim 1 , wherein the TNFα immunoconjugate comprises TNFα linked to L19 (scFv) as set forth in SEQ ID NO: 10.
4. The method of treatment according to claim 1 , wherein the TNFα immunoconjugate has an amino acid sequence of SEQ ID NO: 13.
5. The method of treatment according to claim 1 , wherein the immunoconjugate is administered by intravenous injection.
6. The according to claim 1 , wherein the immunoconjugate is administered by intratumoural injection or intrathecal injection.
7. The according to claim 1 , wherein the brain tumor is selected from a Grade III/IV glioma, a Grade III/IV glioma at first relapse, an isocitrate dehydrogenase (IDH) wildtype glioma, a Grade IV glioblastoma, a Grade IV glioblastoma at first relapse.
8. The according to claim 1 , wherein temozolomide (TMZ) is administered at 75-200 mg/m2.
9. The method of treatment according to claim 1 , wherein the radiotherapy is administered at 60 Gy/30 fractions.
10. The method of claim 1 , wherein the method comprises subsequent administrations of the TNFα immunoconjugate.
11. A method of treating a glioma in a patient, comprising administering a TNFα immunoconjugate in combination with chemotherapy and radiotherapy to the patient, wherein the TNFα immunoconjugate comprises TNFα linked to an antibody molecule comprising L19 complementarity determining regions (CDRs), wherein the L19 CDRs are:
VH CDR1
SEQ ID NO: 1
SFSMS
VH CDR 2
SEQ ID NO: 2
SISGSSGTTYYADSVKG
VH CDR 3
SEQ ID NO: 3
PFPYFDY
VL CDR 1
SEQ ID NO: 4
RASQSVSSSFLA
VL CDR 2
SEQ ID NO: 5
YASSRAT,
and
VL CDR 3
SEQ ID NO: 6
QQTGRIPPT;
wherein the chemotherapy is temozolomide (TMZ);
wherein the antibody molecule comprises the L19 VH domain SEQ ID NO: 7 and the L19 VL domain SEQ ID NO: 9;
wherein the TNFα immunoconjugate comprises TNFα linked to L19 (scFv) as set forth in SEQ ID NO: 10 and
the TNFα immunoconjugate has an amino acid sequence of SEQ ID NO: 13.
12. The method of claim 11 , wherein the immunoconjugate is administered by a route selected from intravenous injection, intratumoural injection, and intrathecal injection.
13. The method of claim 11 , wherein said glioma is selected from a Grade III/IV glioma, a Grade III/IV glioma at first relapse, an isocitrate dehydrogenase (IDH) wildtype glioma, a newly diagnosed glioblastoma, a newly diagnosed Grade IV glioblastoma, and a Grade IV glioblastoma at first relapse.
14. The method of claim 11 , wherein temozolomide (TMZ) is administered at 75-200 mg/m 2 .
15. The method of treatment according to claim 11 , wherein the radiotherapy is administered at 60 Gy/30 fractions.
16. The method of claim 11 further comprising subsequent administrations of the TNFα immunoconjugate.