IP Library › Granted Patent US 12,514,927
Granted Patent B2
US 12,514,927 · App. 17/773,494 · Granted Jan 6, 2026

Immunotherapy with combination therapy comprising an immunotoxin

Inventors: Darell Bigner (Mebane, NC); Vidyalakshmi Chandramohan (Durham, NC); Ira H. Pastan (Potomac, MD)
Assignees: Duke University; United States of America, as Represented by the Secretary Department of Health and Human Services
A61K47/6829A61K47/6849A61K47/6851A61P35/00C07K16/2863C07K16/2878A61K2039/507C07K2317/622C07K2317/75
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Quick Facts
Patent No.
US 12,514,927
App. No.
17/773,494
Granted
Jan 6, 2026
Kind
B2
Abstract

Provided is a combination and a method of using combination therapy to treat tumor in an individual. An immunotoxin and an immunostimulator are administered to the individual, wherein the immunotoxin comprises a single chain variable region antibody fused to a PE38 truncated Pseudomonas exotoxin, and the immunostimulator comprises an anti-CD40 agonist antibody. The combination may further comprise a checkpoint inhibitor comprising one or more of an anti-PD-1 antibody and an anti-PD-L1 antibody.

Claims (20)

1 . A method of treating a solid tumor expressing one or more of EGFRwt and EGFRvIII in an individual, comprising:

administering to the individual a therapeutically effective amount of an immunotoxin comprising a single chain variable region antibody fused to a truncated Pseudomonas exotoxin comprising PE38, wherein the single chain variable region antibody comprises a variable heavy chain comprising CDR1 of SEQ ID NO: 1, CDR2 of SEQ ID NO: 2, and CDR3 of SEQ ID NO: 3 and a variable light chain comprising CDR1 of SEQ ID NO: 4, CDR2 of SEQ ID NO: 5 and CDR3 of SEQ ID NO: 6; and

concurrently administering a therapeutically effective amount of an anti-CD40 agonist antibody to the individual, wherein the immunotoxin and anti-CD40 agonist antibody are administered intratumorally.

2 . The method of claim 1 , further comprising administering to the individual a therapeutically effective amount of a checkpoint inhibitor comprising one or more of an anti-PD1 antibody or anti-PD-L1 antibody.

3 . The method of claim 2 , wherein the checkpoint inhibitor is administered within 30 days of administering the immunotoxin.

4 . The method of claim 2 , wherein the checkpoint inhibitor is administered within between 7 and 14 days of administering the immunotoxin.

5 . The method of claim 1 , wherein the tumor is a malignant glioma.

6 . The method of claim 1 , wherein the tumor is breast cancer.

7 . The method of claim 1 , wherein the tumor is head and neck squamous cell carcinoma.

8 . The method of claim 1 , wherein the tumor is lung cancer.

9 . The method of claim 1 , wherein the truncated Pseudomonas exotoxin is fused to a KDEL (SEQ ID NO:14) peptide.

10 . The method of claim 1 , further comprising repeated administration of a therapeutically effective amount of an anti-CD40 agonist antibody to the individual.

11 . The method of claim 10 , wherein the repeated administration of the anti-CD40 agonist antibody is administered subcutaneously.

12 . A kit for treating a tumor, comprising:

an immunotoxin comprising a single chain variable region antibody fused to a truncated Pseudomonas exotoxin comprising PE38, wherein the single chain variable region antibody has a variable heavy chain comprising CDR1 of SEQ ID NO: 1, CDR2 of SEQ ID NO: 2, and CDR3 of SEQ ID NO: 3 and a variable light chain comprising CDR1 of SEQ ID NO: 4, CDR2 of SEQ ID NO: 5, and CDR3 of SEQ ID NO: 6; and

an anti-CD40 agonist antibody, wherein the immunotoxin and anti-CD40 agonist antibody are formulated for intratumoral delivery.

13 . The kit of claim 12 , wherein the truncated Pseudomonas exotoxin is fused to a KDEL (SEQ ID NO: 14) peptide.

14 . The kit of claim 12 , further comprising a checkpoint inhibitor comprising one or more of an anti-PD-1 antibody and an anti-PD-L1 antibody.

15 . A composition formulated for intratumoral delivery comprising an immunotoxin comprising a single chain variable region antibody fused to a truncated Pseudomonas exotoxin comprising PE38, wherein the single chain variable region antibody has a variable heavy chain comprising CDR1 of SEQ ID NO: 1, CDR2 of SEQ ID NO: 2, and CDR3 of SEQ ID NO: 3 and a variable light chain comprising CDR1 of SEQ ID NO: 4, CDR2 of SEQ ID NO: 5, and CDR3 of SEQ ID NO: 6; and an anti-CD40 agonist antibody.

16 . The composition of claim 15 , further comprising a checkpoint inhibitor comprising one or more of an anti-PD-1 antibody and an anti-PD-L1 antibody.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 29, 2022
From: BIGNER, DARELL; CHANDRAMOHAN, VIDYALAKSHMI
To: DUKE UNIVERSITY
Reel/Frame 059716/0844 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 29, 2022
From: PASTAN, IRA H.
To: THE UNITED STATES OF AMERICA, AS REPRESENTED BY THE SECRETARY, DEPARTMENT OF HEALTH AND HUMAN SERVICES, NATIONAL INSTITUTES OF HEALTH
Reel/Frame 059716/0966 →
Continuity (3)
Provisional Application 63046738 · Jul 1, 2020
Provisional Application 62927753 · Oct 30, 2019
Related Publication 20230141413A1 · May 11, 2023
References Cited (119)
US 5811097A · Allison · 1998 [cited by applicant]
US 6264940B1 · Gromeier · 2001 [cited by applicant]
US 6518033B1 · Gromeier · 2003 [cited by applicant]
US 6682736B1 · Hanson · 2004 [cited by applicant]
US 6984720B1 · Korman · 2006 [cited by applicant]
US 7595048B2 · Honjo · 2009 [cited by applicant]
US 7605238B2 · Korman · 2009 [cited by applicant]
US 8008449B2 · Korman · 2011 [cited by applicant]
US 8066983B2 · Wimmer · 2011 [cited by applicant]
US 8182813B2 · Brasel · 2012 [cited by applicant]
US 8217149B2 · Irving · 2012 [cited by applicant]
US 8354509B2 · Carven et al. · 2013 [cited by applicant]
US 8728474B2 · Honjo · 2014 [cited by applicant]
US 8735553B1 · Li · 2014 [cited by applicant]
US 8779105B2 · Korman · 2014 [cited by applicant]
US 8900587B2 · Carven · 2014 [cited by applicant]
US 8952136B2 · Carven · 2015 [cited by applicant]
US 9067999B1 · Honjo · 2015 [cited by applicant]
US 9073994B2 · Honjo · 2015 [cited by applicant]
US 9492564B2 · Bigner · 2016 [cited by applicant]
US 9499624B2 · Dimoudis · 2016 [cited by applicant]
US 9499625B2 · Dimoudis · 2016 [cited by applicant]
US 9499626B2 · Dimoudis · 2016 [cited by applicant]
US 9938345B2 · Papadopoulos · 2018 [cited by applicant]
US 9987500B2 · Papadopoulos · 2018 [cited by applicant]
US 10072084B2 · Bigner · 2018 [cited by applicant]
US 20050261170A1 · Hansen · 2005 [cited by applicant]
US 20090269343A1 · Bigner · 2009 [cited by applicant]
US 20110165156A1 · Dimoudis · 2011 [cited by applicant]
US 20170051064A1 · Bigner · 2017 [cited by applicant]
US 20170121409A1 · Verona · 2017 [cited by examiner]
US 20170209574A1 · Cao et al. · 2017 [cited by applicant]
US 20170216382A1 · Gromeier et al. · 2017 [cited by applicant]
US 20180085319A1 · Kishimoto · 2018 [cited by applicant]
US 20180186882A1 · Freeman · 2018 [cited by applicant]
US 20180296614A1 · Bigner · 2018 [cited by applicant]
US 20180311346A1 · Bigner · 2018 [cited by applicant]
US 20200046847A1 · Bigner · 2020 [cited by applicant]
US 20210214442A1 · Bigner · 2021 [cited by applicant]
US 20210338811A1 · Bigner · 2021 [cited by applicant]
AU 2008266951B2 · 2008 [cited by applicant]
EP 1212422B1 · 2007 [cited by applicant]
EP 1141028B1 · 2010 [cited by applicant]
EP 2301575A1 · 2011 [cited by applicant]
EP 2170959B1 · 2013 [cited by applicant]
WO 2002078766A2 · 2002 [cited by applicant]
WO 2007016240A2 · 2007 [cited by applicant]
WO 2007112047A2 · 2007 [cited by applicant]
WO 2011066389A1 · 2011 [cited by applicant]
WO 2011123381A1 · 2011 [cited by applicant]
WO 2012015912 · 2012 [cited by applicant]
WO 2015171965A2 · 2015 [cited by applicant]
WO 2016106180A1 · 2016 [cited by applicant]
WO 2017020801A1 · 2017 [cited by applicant]
WO 2017066557A1 · 2017 [cited by applicant]
WO WO2017079520A1 · 2017 [cited by examiner]
WO 2017097407A1 · 2017 [cited by applicant]
WO 2017122098A2 · 2017 [cited by applicant]
WO 2017165266A1 · 2017 [cited by applicant]
WO 2017214182A1 · 2017 [cited by applicant]
WO 2018031507A1 · 2018 [cited by applicant]
WO 2018064215A1 · 2018 [cited by applicant]
WO 2018067446A1 · 2018 [cited by applicant]
WO 2018075357A1 · 2018 [cited by applicant]
WO 2018156448A1 · 2018 [cited by applicant]
WO 2019222504A1 · 2019 [cited by applicant]
Vajdos et al. “Comprehensive Functional Maps of the Antigen-binding Site of an Anti-ErbB2 Antibody Obtained with Shotgun Scanning Mutagenesis”, 2002, Journal of Molecular Biology, vol. 320, p. 415-428. (Year: 2002). [cited by examiner]
Casset et al. “A peptide mimetic of an anti-CD4 monoclonal antibody by rational design” 2003, Biochemical and Biophysical Research Communications, vol. 307, p. 198-205. (Year: 2003). [cited by examiner]
Bigner et al. 2017. Sequence Listing for WO2017/079520. As obtained online at wipo.int/portal/en/ [retrieved on Dec. 20, 2024]. Retrieved from the internet: <https://patentscope.wipo.int/search/en/detail.jsf?docId=WO201… [cited by examiner]
D'Amico Randy et al. “Extent of resection in Glioma—A Review of the Cutting Edge,” Word Neurosurgery, 2017; 103:538-549. [cited by applicant]
Arita, N., et al., Epidermal growth factor receptor in human glioma. J Neurosurg, 1989. 70(6): p. 916-919. [cited by applicant]
Bao X, Pastan I, Bigner DD, Chandramohan V. EGFR/EGFRvIII-targeted immunotoxin therapy for the treatment of glioblastomas via convection-enhanced delivery. Receptors Clin Investig. 2016;3(4):e1430. doi: 10.14800/rci.143… [cited by applicant]
Bao, X. et al. “Antitumor efficacy of D2C7-(scdsFv)-PE38KDEL, a novel immunotoxin targeting EGFRwt and EGFRvIII, by convection-enhanced delivery in orthotopic brain tumor mouse models,” Journal for Immunotherapy of Canc… [cited by applicant]
Bao, Xuhui, et al. “Preclinical toxicity evaluation of a novel immunotoxin, D2C7-(scdsFv)-PE38KDEL, administered via intracerebral convection-enhanced delivery in rats.” Investigational new drugs 34.2 (2016): 149-158. [cited by applicant]
Bartlett, J.M., et al., The prognostic value of epidermal growth factor receptor mRNA expression in primary ovarian cancer. Br J Cancer, 1996. 73(3): p. 301-306. [cited by applicant]
Brennan, C.W., et al., The somatic genomic landscape of glioblastoma. Cell, 2013. 155(2): p. 462-477. [cited by applicant]
Brown MC, et al. “Cancer immunotherapy with recombinant poliovirus induces IFN-dominant activation of dendritic cells and tumor antigen-specific CTLs.” Science translational medicine 9.408 (2017): eaan4220. [cited by applicant]
Brown MC, et al. Oncolytic polio virotherapy of cancer. Cancer. 2014; 120(21):3277-3286. [cited by applicant]
Buchner, J. et al. “A Method for Increasing the Yield of Properly Folded Recombinant Fusion Proteins: Single-Chain Immunotoxins from Renaturation of Bacterial Inclusion Bodies,” Analytical Biochemistry (1992) 205(2):263… [cited by applicant]
Casset F, Roux F, Mouchet P, Bes C, Chardes T, Granier C, Mani JC, Pugnière M, Laune D, Pau B, Kaczorek M, Lahana R, Rees A. A peptide mimetic of an anti-CD4 monoclonal antibody by rational design. Biochem Biophys Res C… [cited by applicant]
Chaffanet, M., et al., EGF receptor amplification and expression in human brain tumours. Eur J Cancer, 1992. 28(1): p. 11-17. [cited by applicant]
Chandramohan V, Bao X, Keir ST, Pegram CN, Szafranski SE, Piao H, Wikstrand CJ, McLendon RE, Kuan CT, Pastan IH, Bigner DD. Construction of an immunotoxin, D2C7-(scdsFv)-PE38KDEL, targeting EGFRwt and EGFRvIII for brain… [cited by applicant]
Chandramohan, V. et al. “Production and quality control assessment of a GLP-grade immunotoxin, D2C7-(scdsFv)-PE38KDL, for a phase I/II clinical trial,” Applied Microbiology and Biotechnology (2016) 101(7):2747-2766. [cited by applicant]
Chandramohan, V., et al. “Improved efficacy against malignant brain tumors with EGFRwt/EGFRvIII targeting immunotoxin and checkpoint inhibitor combinations.” Journal for immunotherapy of cancer 7.1 (2019): 1-14. [cited by applicant]
Cheson et al., Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification J. Clin. Oncology, 2014; 32(27):3059-3068. [cited by applicant]
Choi N, Shin DY, Kim HJ, Moon UY, Baek KH, Jeong HS. Postoperative anti-PD-1 antibody treatment to reduce recurrence in a cancer ablation surgical wound. J Surg Res. Jan. 2018;221:95-103. doi: 10.1016/j.jss.2017.08.022.… [cited by applicant]
European Patent Office. Extended European Search Report for application 19802992.8. Mailed on Jan. 26, 2022. 8 pages. [cited by applicant]
Fox, S.B., et al., Prognostic value of c-erbB-2 and epidermal growth factor receptor in stage A1 (Tla) prostatic adenocarcinoma. Br J Urol, 1994. 74(2): p. 214-220. [cited by applicant]
Frederick, L., et al., Diversity and frequency of epidermal growth factor receptor mutations in human glioblastomas. Cancer Res, 2000. 60(5): p. 1383-1387. [cited by applicant]
Gardai SJ, et al. Abstract 2472: SEA-CD40, a sugar engineered non-fucosylated anti-CD40 antibody with improved immune activating capabilities. Proceedings of the 106th Annual Meeting of the American Association for Canc… [cited by applicant]
Grandis, J.R. et al., Quantitative immunohistochemical analysis of transforming growth factor-alpha and epidermal growth factor receptor in patients with squamous cell carcinoma of the head and neck Cancer, 1996. 78(6):… [cited by applicant]
Immunotixon monotherapy and combinatiorial therapy with immune checkpoint inhibitors for malignant brain tumors. Xuhui Bao. Dept. Pathology Duke University. Dissertation 2016. [cited by applicant]
International Searching Authority. International Search Report and Written Opinion for application PCT/US2019/032671. Mailed on Aug. 9, 2019. 12 pages. [cited by applicant]
International Searching Authority. International Search Report and Written Opinion for application PCT/US2020/057949. Mailed on Feb. 10, 2021. 9 pages. [cited by applicant]
Johnson P, Challis R, Chowdhury F, et al. . Clinical and biological effects of an agonist anti-CD40 antibody: a Cancer Research UK phase I study. Clin Cancer Res 2015;21:1321-8. 10.1158/1078-0432.CCR-14-2355. [cited by applicant]
Klijn, J.G., et al., The clinical significance of epidermal growth factor receptor (EGF-R) in human breast cancer: a review on 5232 patients. Endocr Rev, 1992.13(1): p. 3-17. [cited by applicant]
Kreitman R J et al: “Recombinant Immunotoxins Containing Anti-Tac(FV) and Derivatives of Pseudomonas Exotoxin Produce Complete Regression in Mice of an Interleukin-2 Receptor-Expressing Human Carcinoma”, Blood, American… [cited by applicant]
Lammering G, Valerie K, Lin PS, Hewit TH, Schmidt-Ullrich RK. Radiation-induced activation of a common variant of EGFR confers enhanced radioresistance. Radiother Oncol. Sep. 2004;72(3):267-73. doi: 10.1016/j.radonc.200… [cited by applicant]
Landi Daniel B. et al: “Immunotherapy for pediatric brain tumors”, Neuroimmunology and Neuroinflammation, vol. 5, No. 7, Jul. 10, 2018 (Jul. 10, 2018), p. 29, XP93091702, ISSN: 2347-8659, DOI: 10.20517/2347-8659.2018.35. [cited by applicant]
Lecocq, Quentin, et al. “Theranostics in immuno-oncology using nanobody derivatives.” Theranostics 9.25 (2019): 7772. [cited by applicant]
Libermann, T.A., et al., Amplification, enhanced expression and possible rearrangement of EGF receptor gene in primary human brain tumours of glial origin. Nature, 1985. 313(5998): p. 144-147. [cited by applicant]
Libermann, T.A., et al., Expression of epidermal growth factor receptors in human brain tumors. Cancer Res, 1984. 44(2): p. 753-760. [cited by applicant]
Liu, SV, et al., Neoadjuvant therapy for breast cancer. J Surg Oncol. Mar. 15, 2010;101(4):283-291. doi: 10.1002/jso.21446. PMID: 20187061. [cited by applicant]
MacCallum RM, Martin AC, Thornton JM. Antibody-antigen interactions: contact analysis and binding site topography. J Mol Biol. Oct. 11, 1996;262(5):732-45. doi: 10.1006/jmbi.1996.0548. PMID: 8876650. [cited by applicant]
National Cancer Institute. NCI Drug Dictionary. Immunotoxin D2C7-(scdsFv)-PE38KDEL. Available online at https://.cancer.gov/publications/dictionaries/cancer-drug/def/immunotoxin-d2c7-scdsfv-pe38kdel. Version accessed da… [cited by applicant]
Nicholson RI, Gee JM, Harper ME. EGFR and cancer prognosis. Eur J Cancer. Sep. 2001;37 Suppl 4:S9-15. doi: 10.1016/s0959-8049(01)00231-3. PMID: 11597399. [cited by applicant]
Nigam et al. “Development of high affinity engineered antibody fragments targeting PD-L1 for immunoPET,” J Nucl Med May 1, 2018 vol. 59 No. supplement 1 1101. [cited by applicant]
Pavelic, K., et al., Evidence for a role of EGF receptor in the progression of human lung carcinoma. Anticancer Res, 1993.13(4): p. 1133-1137. [cited by applicant]
Piechutta M, Berghoff AS. New emerging targets in cancer immunotherapy: the role of Cluster of Differentiation 40 (CD40/TNFR5). ESMO Open. 2019;4(Suppl 3):e000510. Published Jun. 12, 2019. doi: 10.1136/esmoopen-2019-000… [cited by applicant]
Razpotnik, Rok et al: “Targeting Malignant Brain Tumors with Antibodies”, Frontiers in Immunology, vol. 8, Sep. 25, 2017 (Sep. 25, 2017), XP055899394. [cited by applicant]
Seetharam, S., et al., Increased cytotoxic activity of Pseudomonas exotoxin and two chimeric toxins ending in Kdel. J Biol Chem, 1991. 266(26): p. 17376-17381. [cited by applicant]
Sela-Culang I, Kunik V, Ofran Y. The structural basis of antibody-antigen recognition. Front Immunol. Oct. 8, 2013;4:302. doi: 10.3389/fimmu.2013.00302. PMID: 24115948; PMCID: PMC3792396. [cited by applicant]
Solomon J, Csontos L, Clarke D, Bonyhadi M, Zylberberg C, McNiece I, Kurtzberg J, Bell R, Deans R. Current perspectives on the use of ancillary materials for the manufacture of cellular therapies. Cytotherapy. Jan. 2016… [cited by applicant]
Vajdos FF, Adams CW, Breece TN, Presta LG, de Vos AM, Sidhu SS. Comprehensive functional maps of the antigen-binding site of an anti-ErbB2 antibody obtained with shotgun scanning mutagenesis. J Mol Biol. Jul. 5, 2002;32… [cited by applicant]
Vitale et al. . Development of CDX-1140, an agonist CD40 antibody for cancer immunotherapy. Cancer Immunol Immunother 2019;68:233-45. 10.1007/s00262-018-2267-0. [cited by applicant]
Wang, C., Sun, W., Ye, Y. et al. In situ activation of platelets with checkpoint inhibitors for post-surgical cancer immunotherapy. Nat Biomed Eng 1, 0011 (2017). [cited by applicant]
Weldon, J.E. et al, A guide to taming a toxin—recombinant immunotoxins constructed from Pseudomonas exotoxin A for the treatment of cancer. Febs J, 2011. 278(23): p. 4683-4700. [cited by applicant]
Wikstrand CJ, et al. Cell surface localization and density of the tumor-associated variant of the epidermal growth factor receptor, EGFRvIII. Cancer Res. 1997;57(18):4130-4140. [cited by applicant]
Zalutsky et al. Radioimmunotargeting of malignant glioma by monoclonal antibody D2C7 reactive against both wild-type and variant III mutant epidermal growth factor receptors. Nucl Med Biol. 2012;39(1):23-34. [cited by applicant]