US2023279088A1PendingUtilityA1

Fusion protein comprising a blood-brain barrier (bbb)-crossing single domain antibody fc5, an immunoglobulin fc fragment and a beta-amyloid binding polypeptide (abp)

Assignee: NAT RES COUNCIL CANADAPriority: Jan 30, 2017Filed: Mar 14, 2023Published: Sep 7, 2023
Est. expiryJan 30, 2037(~10.5 yrs left)· nominal 20-yr term from priority
C07K 2317/622C07K 16/2863C07K 14/4711C07K 16/28C07K 16/18A61K 9/0019C07K 2317/569C07K 2317/24C07K 2319/70C07K 2319/33C07K 2317/565C07K 2319/10C07K 2319/30A61P 25/28A61K 47/68A61K 2039/505C07K 2317/94C07K 16/1282C07K 14/001
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Claims

Abstract

A brain-penetrating composition of amyloid-β binding peptide is disclosed. This may be useful in the treatment of Alzheimer's disease, for example as a bifunctional molecule, comprising a blood-brain barrier crossing antibody and an amyloid-β targeting peptide linked via an Fc fragment that is able to transmigrate across the blood-brain barrier into the brain, and compositions comprising same. Methods of using this composition for treating Alzheimer's disease are disclosed.

Claims

exact text as granted — not AI-modified
1 . A compound comprising a fusion protein, comprising an antibody or fragment thereof that transmigrates the blood brain barrier (BBB) a polypeptide that binds β-amyloid. 
     
     
         2 . The compound of  claim 1  further comprising a Fc fragment. 
     
     
         3 . The compound of  claim 1  or  2 , wherein the polypeptide that binds β-amyloid comprises a sequence 
       
         
           
                 
                 
               
                     
                   (SEQ ID NO: 31) 
                 
                     
                   X 1 TFX 2 TX 3 X 4 ASAQASLASKDKTPKSKSKKX 5 X 6 STQLX 7 SX 8 VX 9 NI 
                 
                     
                   wherein X 1  = G or A, X 2  = G or V, X 3  = G or A, 
                 
                     
                   X 4  = G or A, X 5  = G or V, X 6  = G or V, X 7  = 
                 
                     
                   G or V, X 8  = G or A, X 9  = G or A. 
                 
             
                
                
                
                
                
               
            
           
         
       
     
     
         3 . The compound of  claim 2 , wherein the polypeptide that binds β-amyloid comprises a sequence selected from the group consisting of: 
       
         
           
                 
               
                   (SEQ ID NO:27) 
                 
                   SGKTEYMAFPKPFESSSSIGAEKPRNKKLPEEEVESSRTPWLYEQEGEVE 
                 
                     
                 
                   KPFIKTGFSVSVEKSTSSNRKNQLDTNGRRRQFDEESLESFSSMPDPVDP 
                 
                     
                 
                   TTVTKTFKTRKASAQASLASKDKTPKSKSKKRNSTQLKSRVKNITHARRI 
                 
                     
                 
                   LQQSNRNACNEAPETGSDFSMFEA; 
                 
                     
                 
                   (SEQ ID NO: 28) 
                 
                   FSSMPDPVDPTTVTKTFKTRKASAQASLASKDKTPKSKSK; 
                 
                     
                 
                   (SEQ ID NO: 29) 
                 
                   KDKTPKSKSKKRNSTQLKSRVKNITHARRILQQSNRNACN; 
                 
                     
                 
                   (SEQ ID NO: 30) 
                 
                   KTFKTRKASAQASLASKDKTPKSKSKKRNSTQLKSRVKNI; 
                 
                     
                 
                   (SEQ ID NO: 32) 
                 
                   KTFKTRKASAQASLASKDKTPKSKSKKRGSTQLKSRVKNI; 
                 
                     
                 
                   (SEQ ID NO: 33) 
                 
                   KTFKTRKASAQASLASKDKTPKSKSKKGGSTQLKSRVKNI; 
                 
                     
                 
                   (SEQ ID NO: 34) 
                 
                   KTFKTRGASAQASLASKDKTPKSKSKKRGSTQLKSRVKNI; 
                 
                     
                 
                   (SEQ ID NO: 35) 
                 
                   KTFKTGGASAQASLASKDKTPKSKSKKRGSTQLKSRVKNI; 
                 
                     
                 
                   (SEQ ID NO: 36) 
                 
                   GTFGTGGASAQASLASKDKTPKSKSKKGGSTQLKSRVKNI; 
                 
                     
                 
                   (SEQ ID NO: 37) 
                 
                   KTFKTRKASAQASLASKDKTPKSKSKKGGSTVKNI; 
                 
                     
                 
                   (SEQ ID NO: 38) 
                 
                   KTFKTRKASAQASLASKDKTPKSKSKKRG; 
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       and
 a sequence substantially identical to any of the above sequences. 
 
     
     
         4 . The compound of any one of  claims 1  to  3 , wherein the antibody or fragment thereof comprises a sequence selected from the group consisting of:
 an antibody or fragment thereof comprising a complementarity determining region (CDR) 1 sequence of GFKITHYTMG (SEQ ID NO:1), a CDR2 sequence of RITWGGDNTFYSNSVKG (SEQ ID NO:2), a CDR3 sequence of GSTSTATPLRVDY (SEQ ID NO:3); 
 an antibody or fragment thereof comprising CDR1 sequence of EYPSNFYA (SEQ ID NO:4), a CDR2 sequence of VSRDGLTT (SEQ ID NO:5), a CDR3 sequence of AIVITGVWNKVDVNSRSYHY (SEQ ID NO:6); 
 an antibody or fragment thereof comprising CDR1 sequence of GGTVSPTA (SEQ ID NO:7), a CDR2 sequence of ITWSRGTT (SEQ ID NO:8), a CDR3 sequence of AASTFLRILPEESAYTY (SEQ ID NO:9); and 
 an antibody or fragment thereof comprising CDR1 sequence of GRTIDNYA (SEQ ID NO:10), a CDR2 sequence of IDWGDGGX; where X is A or T (SEQ ID NO:11), a CDR3 sequence of AMARQSRVNLDVARYDY (SEQ ID NO:12). 
 
     
     
         5 . The compound of  claim 4 , wherein the antibody or fragment thereof is humanized. 
     
     
         6 . The compound of any one of  claims 1  to  5 , wherein the antibody or fragment thereof comprises a sequence selected from the group consisting of: 
       
         
           
                 
               
                   (SEQ ID NO: 13) 
                 
                   X 1 VQLVX 2 SGGGLVQPGGSLRLSCAASGFKITHYTMGWX 3 RQAPGKX 4 X 5   
                 
                     
                 
                   EX 6 VSRITWGGDNTFYSNSVKGRFTISRDNSKNTX 7 YLQMNSLRAEDTAV 
                 
                     
                 
                   YYCAAGSTSTATPLRVDYWGQGTLVTVSS, 
                 
                   where X 1  = D or E, X 2  = A or E, X 3  = F or V, X 4  = 
                 
                   E or G, X 5  = R or L, X 6  = F or W, X 7  = L or V; 
                 
                     
                 
                   (SEQ ID NO: 18) 
                 
                   X 1 VX 2 LX 3 ESGGGLVQX 4 GGSLRLSCX 5 ASEYPSNFYAMSWX 6 RQAPGKX 7   
                 
                     
                 
                   X 8 EX 9 VX 10 GVSRDGLTTLYADSVKGRFTX 11 SRDNX 12 KNTX 13 X 14 LQM 
                 
                     
                 
                   NSX 15 X 16 AEDTAVYYCAIVI TGVWNKVDVNSRSYHYWGQGTX 17 VTVSS, 
                 
                   where X 1  is E or Q; X 2  is K or Q; X 3  is V or E; 
                 
                   X 4  is A or P; X 5  is V or A; X 6  is F or V; X 7  is 
                 
                   E or G; X 8  is R or L; X 9  is F or W; X 10  is A or S; 
                 
                   X 11  is M or I; X 12  is A or S; X 13  is V or L; X 14  is 
                 
                   D or Y; X 15  is V or L; X 16  is K or R; and X 17  is 
                 
                   Q or L; 
                 
                     
                 
                   (SEQ ID NO: 21) 
                 
                   X 1 VX 2 LX 3 ESGGGLVQX 4 GGSLRLSCX 5 X 6 SGGTVSPTAMGWX 7 RQAPGKX 8   
                 
                     
                 
                   X 9 EX 10 VX 11 HITWSRGTTRX 12 ASSVKX 13 RFTISRDX 14 X 15 KNTX 16 Y 
                 
                     
                 
                   LQMNSLX 17 X 18 EDTAVYYC AASTFLRILPEESAYTYWGQGT X 19 VTVSS, 
                 
                   where X 1  is E or Q; X 2  is K or Q; X 3  is V or E; X 4   
                 
                   is A or P; X 5  is A or E; X 6  is V or A; X 7  is V or F; 
                 
                   X 8  is G or E; X 9  is L or R; X 10  is F or W; X 11  is G 
                 
                   or S; X 12  is V or Y; X 13  is D or G; X 14  is N or S; 
                 
                   X 15  is A or S; X 16  is L or V; X 17  is K or R; X 18  is 
                 
                   A or S; and X 19  is L or Q; 
                 
                   and 
                 
                     
                 
                   (SEQ ID NO: 24) 
                 
                   X 1 VX 2 LX 3 ESGGGLVQX 4 GGSLRLSCAASGRTIDNYAMAWX 5 RQAPGKX 6   
                 
                     
                 
                   X 7 EX 8 VX 9 TIDWGDGGX 10 RYANSVKGRFTISRDNX 11 KX 12 TX 13 YLQMN 
                 
                     
                 
                   X 14 LX 15 X 16 EDTAVYX 17 CAMARQSRVNLDVARYDYWGQGTX 18 VTVSS, 
                 
                   where X 1  is E or Q; X 2  is K or Q; X 3  is V or E; X 4   
                 
                   is A or P; X 5  is V or S; X 6  is D or G; X 7  is L or 
                 
                   R; X 8  is F or W; X 9  is A or S; X 10  is A or T; X 11  is 
                 
                   A or S; X 12  is G or N; X 13  is M or L; X 14  is N or R; 
                 
                   X 15  is E or R; X 16  is P or A; X 17  is S or Y; and X 18   
                 
                   is Q or L. 
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         7 . The compound of any one of  claims 1  to  6 , wherein the antibody or fragment thereof comprises a sequence selected from any one of: 
       
         
           
                 
               
                   (SEQ ID NO: 14) 
                 
                   DVQLQASGGGLVQAGGSLRLSCAASGFKITHYTMGWFRQAPGKEREFVSR 
                 
                     
                 
                   ITWGGDNTFYSNSVKGRFTISRDNAKNTVYLQMNSLKPEDTADYYCAAGS 
                 
                     
                 
                   TSTATPLRVDYWGKGTQVTVSS; 
                 
                     
                 
                   (SEQ ID NO: 15) 
                 
                   EVQLVESGGGLVQPGGSLRLSCAASGFKITHYTMGWVRQAPGKGLEWVSR 
                 
                     
                 
                   ITWGGDNTFYSNSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAAGS 
                 
                     
                 
                   TSTATPLRVDYWGQGTLVTVSS 
                 
                     
                 
                   (SEQ ID NO: 16) 
                 
                   EVQLVESGGGLVQPGGSLRLSCAASGFKITHYTMGWVRQAPGKGLEWVSR 
                 
                     
                 
                   ITWGGDNTFYSNSVKGRFTISRDNSKNTVYLQMNSLRAEDTAVYYCAAGS 
                 
                     
                 
                   TSTATPLRVDYWGQGTLVTVSS; 
                 
                     
                 
                   (SEQ ID NO: 17) 
                 
                   EVQLVESGGGLVQPGGSLRLSCAASGFKITHYTMGWFRQAPGKGLEFVSR 
                 
                     
                 
                   ITWGGDNTFYSNSVKGRFTISRDNSKNTVYLQMNSLRAEDTAVYYCAAGS 
                 
                     
                 
                   TSTATPLRVDYWGQGTLVTVSS; 
                 
                     
                 
                   (SEQ ID NO: 19) 
                 
                   QVKLEESGGGLVQAGGSLRLSCVASEYPSNFYAMSWFRQAPGKEREFVAG 
                 
                     
                 
                   VSRDGLTTLYADSVKGRFTMSRDNAKNTVDLQMNSVKAEDTAVYYCAIVI 
                 
                     
                 
                   TGVWNKVDVNSRSYHYWGQGTQVTVSS; 
                 
                     
                 
                   (SEQ ID NO: 20) 
                 
                   EVQLVESGGGLVQPGGSLRLSCAASEYPSNFYAMSWFRQAPGKEREFVSG 
                 
                     
                 
                   VSRDGLTTLYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAIVI 
                 
                     
                 
                   TGVWNKVDVNSRSYHYWGQGTLVTVSS; 
                 
                     
                 
                   (SEQ ID NO: 22) 
                 
                   QVKLEESGGGLVQAGGSLRLSCEVSGGTVSPTAMGWFRQAPGKEREFVGH 
                 
                     
                 
                   ITWSRGTTRVASSVKDRFTISRDSAKNTVYLQMNSLKSEDTAVYYCAAST 
                 
                     
                 
                   FLRILPEESAYTYWGQGTQVTVSS; 
                 
                     
                 
                   (SEQ ID NO 23) 
                 
                   QVQLVESGGGLVQPGGSLRLSCAVSGGTVSPTAMGWFRQAPGKGLEFVGH 
                 
                     
                 
                   ITWSRGTTRYASSVKGRFTISRDNSKNTVYLQMNSLRAEDTAVYYCAAST 
                 
                     
                 
                   FLRILPEESAYTYWGQGTLVTVSS 
                 
                     
                 
                   (SEQ ID NO: 25) 
                 
                   QVKLEESGGGLVQAGGSLRLSCAASGRTIDNYAMAWSRQAPGKDREFVAT 
                 
                     
                 
                   IDWGDGGARYANSVKGRFTISRDNAKGTMYLQMNNLEPEDTAVYSCAMAR 
                 
                     
                 
                   QSRVNLDVARYDYWGQGTQVTVSS; 
                 
                     
                 
                   (SEQ ID NO: 26) 
                 
                   QVQLVESGGGLVQPGGSLRLSCAASGRTIDNYAMAWVRQAPGKGLEWVAT 
                 
                     
                 
                   IDWGDGGTRYANSVKGRFTISRDNSKNTMYLQMNSLRAEDTAVYYCAMAR 
                 
                     
                 
                   QSRVNLDVARYDYWGQGTLVTVSS;  
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
       and
 a sequence substantially identical to any of the above sequences. 
 
     
     
         8 . The compound of any one of  claims 1  and  7 , wherein the antibody or fragment thereof is a single-domain antibody (sdAb). 
     
     
         9 . The compound of any one of  claims 1  to  8 , wherein the Fc fragment is mouse Fc2a or human Fc1. 
     
     
         10 . The compound of  claim 9 , wherein the Fc fragment comprises SEQ ID NO: 39, SEQ ID NO: 40, SEQ ID NO: 41. 
     
     
         11 . The compound of any one of  claim 1  to  claim 10 , wherein the fusion protein forms a dimer. 
     
     
         12 . The compound of claim any one of  claims 10  to  11 , wherein the fusion protein comprises an antibody or fragment thereof, an Fc fragment, and the polypeptide that binds β-amyloid. 
     
     
         13 . The compound of  claim 12 , wherein the fusion protein comprises the antibody or fragment thereof linked to the N-terminus of the Fc fragment, and the polypeptide that binds β-amyloid is linked to the C-terminus of the Fc fragment. 
     
     
         14 . The compound of  claim 12 , wherein the antibody or fragment thereof is linked to the C-terminus of the Fc fragment and the polypeptide that binds β-amyloid linked to the N-terminus of the Fc fragment. 
     
     
         15 . The compound of  claim 13  or  14 , wherein the fusion protein further comprises a linker. 
     
     
         16 . The compound of  claim 15 , wherein the linker is an independently selected linker sequence linking the antibody or fragment thereof and/or linking the polypeptide that binds β-amyloid to the Fc. 
     
     
         17 . The compound of  claim 16  wherein the linker sequence is GGGSGGGGS, or any suitable linker and in SEQ ID NO: 53. 
     
     
         18 . The compound of  claim 13 , wherein the fusion protein comprises an antibody or fragment thereof selected from the group consisting of SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:16, SEQ ID NO:17, SEQ ID NO:19, SEQ ID NO:20, SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO: 25, SEQ ID NO:26; a polypeptide that binds b-amyloid selected from the group consisting of SEQ ID NO:32, SEQ ID NO:33, SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ ID NO:37, SEQ ID NO:38; and an Fc fragment selected from the group consisting of SEQ ID NO: 39, SEQ ID NO: 40, SEQ ID NO: 41. 
     
     
         19 . The compound of  claim 18 , wherein the fusion protein comprises any one of SEQ ID NO: 42 to SEQ ID NO: 53, and a sequence substantially identical to any of these sequences, and/or dimers thereof. 
     
     
         20 . The compound of  claim 19 , wherein the fusion protein comprises a linker sequence that may be substituted for any suitable linker sequence. 
     
     
         21 . The compound of any one of  claims 1  to  20 , wherein the compound comprises dimers of the fusion protein. 
     
     
         22 . The compound of any one of  claims 1  to  20 , wherein the antibody or fragment thereof transmigrates the blood-brain barrier. 
     
     
         23 . A nucleic acid molecule encoding a compound of any one of  claims 1  to  20 . 
     
     
         24 . A vector comprising the nucleic acid molecule of  claim 23 . 
     
     
         25 . A composition comprising a compound of any one of  claims 1  to  22  and a pharmaceutically-acceptable carrier, diluent, or excipient. 
     
     
         26 . A kit comprising the pharmaceutical composition of  claim 25 . 
     
     
         27 . A composition according to  claim 25  for treating Alzheimer's disease in a patient. 
     
     
         28 . A method of treating Alzheimer's diseases, comprising administering a compound of any one of  claims 1  to  22  or the composition of  claim 25  to a subject in need thereof. 
     
     
         29 . A method of reducing toxic β-amyloid levels in the brain of a subject having increased levels of brain amyloid beta comprising the steps of repeated parenteral administration of a sufficient amount of a pharmaceutical composition of  claim 25  to a subject. 
     
     
         30 . A method of  claim 29 , wherein parenteral administration is subcutaneous or intravenous administration. 
     
     
         31 . A method of  claim 29  or  30  wherein toxic β-amyloid levels are reduced, after repeated parenteral administration of the composition of  claim 25 , in the brains of subjects having increased brain levels of amyloid beta. 
     
     
         32 . A method according to  claim 31  wherein toxic β-amyloid are reduced within four weeks of repeated parenteral administration of the composition of  claim 22 . 
     
     
         33 . A method according to  claim 29 , wherein toxic β-amyloid levels in the cerebrospinal fluid (CSF) of subjects having increased CSF is reduced after parenteral administration of the composition of  claim 25 . 
     
     
         34 . A method according to  claim 30 , wherein toxic β-amyloid levels in the cerebrospinal fluid (CSF) of subjects having increased CSF is reduced within 24 hours of a single parenteral administration of the composition of  claim 25 . 
     
     
         35 . A method of reducing toxic β-amyloid levels in the brains of subjects having increased levels of brain amyloid beta comprising the administration of a compound of any one of  claims 1  to  22 . 
     
     
         36 . An isolated polypeptide comprising an amino acid sequence 
       
         
           
                 
                 
               
                     
                   (SEQ ID NO: 31) 
                 
                     
                   X 1 TFX 2 TX 3 X 4 ASAQASLASKDKTPKSKSKKX 5 X 6 STQLX 7 SX 8 VX 9 NI 
                 
                     
                   wherein X 1  = G or A, X 2  = G or V, X 3  = G or A, 
                 
                     
                   X 4  = G or A, X 5  = G or V, X 6  = G or V, X 7  = 
                 
                     
                   G or V, X 8  = G or A, X 9  = G or A. 
                 
             
                
                
                
                
                
               
            
           
         
       
     
     
         37 . An isolated polypeptide according to  claim 36 , wherein the polypeptide sequence is selected from the group consisting of SEQ ID NO: 32, SEQ ID NO: 33, SEQ ID NO: 34, SEQ ID NO: 35, SEQ ID NO: 36, SEQ ID NO: 37, SEQ ID NO: 38, and sequence substantially equivalent thereto. 
     
     
         38 . An isolated polypeptide according to  claim 36  or  37 , fused to an antibody or fragment capable of transmigrating the blood brain barrier. 
     
     
         39 . A isolated polypeptide according to  claim 36  or  37 , further comprising an antibody or fragment capable of transmigrating the blood brain barrier. 
     
     
         40 . A isolated polypeptide according to  claim 36  or  37 , further comprising an Fc fragment. 
     
     
         41 . A fusion protein comprising an antibody or fragment thereof selected from the group consisting of SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:16, SEQ ID NO:17, SEQ ID NO:19, SEQ ID NO:20, SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO: 25, SEQ ID NO:26; a polypeptide that binds b-amyloid selected from the group consisting of SEQ ID NO: 32, SEQ ID NO:33, SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ ID NO:37, SEQ ID NO:38; and an Fc fragment selected from the group consisting of SEQ ID NO: SEQ ID NO: 39, SEQ ID NO: 40, SEQ ID NO: 41. 
     
     
         42 . A fusion protein according to  claim 41 , wherein the fusion protein further comprises a linker peptide (for example GGGSGGGGS); wherein the fusion protein is a single chain polypeptide. 
     
     
         43 . A fusion protein according to  claim 42 , wherein the fusion protein forms a dimeric polypeptide. 
     
     
         44 . A composition comprising the fusion protein of any one of  claims 41  to  43 , and a pharmacologically acceptable carrier. 
     
     
         45 . A fusion protein of any one of  claims 41  to  43 , comprising an Fc with attenuated effector functions. 
     
     
         46 . A nucleic acid, or vector comprising a nucleic acid, encoding a fusion protein of any one of  claims 41  to  43  and  45 . 
     
     
         47 . A pharmaceutical composition comprising the isolated polypeptide of any one of  claims 36  to  40 , and a pharmaceutically acceptable diluent, carrier, vehicle or excipient for ameliorating the symptoms of Alzheimer's disease. 
     
     
         48 . A pharmaceutical composition of  claim 47  for use in reducing toxic β-amyloid levels in the brains of subjects having increased levels of brain amyloid beta. 
     
     
         49 . A method of reducing toxic I3-amyloid levels in the brains of subjects having increased levels of brain amyloid beta comprising the step of introducing a pharmaceutical composition of  claim 48  into a subject's body.

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