TWI596115B

Anti-pcsk9 antibodies with ph-dependent binding characteristics

Abstract

The present invention provides antibodies and antigen-binding fragments thereof that specifically bind to the proprotein convertase subtilisin/kexin 9 (PCSK9) with greater affinity at neutral pH than at acidic pH. Compared with antibodies without pH-dependent binding properties, the antibodies of the present invention have one or more amino acid changes. For example, the present invention includes anti-PCSK9 antibodies, which have one or more histidine substitutions in one or more complementarity determining regions. The antibodies of the present invention have pH-dependent binding properties, compared to those that do not have pH-dependent Sex-binding anti-PCSK9 antibody, which persists in the circulation of animal subjects and exhibits long-term cholesterol-lowering activity. The antibody of the present invention can therefore be used for the treatment of diseases and disorders related to elevated HDL cholesterol. The antibody of the present invention can be used in lower doses and/or lower frequency than antibodies without pH-dependent binding properties. Vote to patients.

TWI596115B, drawing sheet 1
Sheet 1 of 956

Term

No projected expiry on record.

  1. Priority
  2. Filed
  3. Granted
  4. Today

11 claims: 11 independent, 0 dependent

  1. 1
    An isolated antibody or antigen-binding fragment thereof that binds to human proprotein convertase subtilisin/kexin type 9 (PCSK9), wherein:(a) as measured by surface plasmon resonance, the antibody or antigen-binding fragment is It binds to PCSK9 with at least 13 times higher affinity at neutral pH than at acidic pH: (b) As measured by surface plasmon resonance, the acidic/medium binding of the antibody or its antigen-binding fragment to PCSK9 at 25°C Sex KDThe ratio is greater than about 12.5;(c) as measured by surface plasmon resonance, the acidic/neutral K of the antibody or its antigen-binding fragment bound to PCSK9 at 25°CdThe ratio is greater than about 7.5;(d) as measured by surface plasmon resonance, the acid/neutral t½ ratio of the antibody or its antigen-binding fragment bound to PCSK9 at 25°C is less than about 0.14;(e) the antibody or Its antigen-binding fragment binds to PCSK9 with a dissociation half-life (t½) of less than about 4.5 minutes at 25°C and acidic pH, and the antibody or antigen-binding fragment thereof binds to PCSK9 with a dissociation half-life (t½) greater than about 35 minutes at 25°C and neutral pH. Binding to PCSK9;(f) As measured by surface plasmon resonance, the t½ of the antibody or its antigen-binding fragment that binds to PCSK9 at acidic pH is at least 10 times shorter than the t½ at which the antibody binds to PCSK9 at neutral pH;(g) ) The antibody or its antigen-binding fragment binds to PCSK9 with at least 12 times higher affinity at neutral pH than at acidic pH, wherein the antibody or its antigen-binding fragment binds to PCSK9 at acidic pH with a t½ ratio that is neutral The t½ of the antibody binding to PCSK9 at pH is at least 10 times shorter;and the antibody or its antigen-binding fragment contains 3 heavy chain complementarity determining regions (HCDR1, HCDR2 and HCDR3) and 3 light chain complementarity determining regions (LCDR1, LCDR2 and LCDR3), wherein HCDR1 contains SEQ ID NO: 220;wherein HCDR2 contains SEQ ID NO: 222;wherein HCDR3 contains SEQ ID NO: 224 or 788;wherein LCDR1 contains SEQ ID NO: ID NO: 802;where LCDR2 series comprises SEQ ID NO: 230;and where LCDR3 series comprises SEQ ID NO: 232. 一種與人類前蛋白轉化酶枯草桿菌蛋白酶/kexin 9型(PCSK9)結合之分離的抗體或其抗原結合片段,其中:(a)如表面電漿子共振所測,該抗體或其抗原結合片段係以在中性pH時比酸性pH時高至少13倍的親和力與PCSK9結合:(b)如表面電漿子共振所測,在25℃時該抗體或其抗原結合片段與PCSK9結合之酸性/中性KD比率係大於約12.5;(c)如表面電漿子共振所測,在25℃時該抗體或其抗原結合片段與PCSK9結合之酸性/中性Kd比率係大於約7.5;(d)如表面電漿子共振所測,在25℃時該抗體或其抗原結合片段與PCSK9結合之酸性/中性t½比率係小於約0.14;(e)該抗體或其抗原結合片段在25℃及酸性pH係以低於約4.5分鐘之解離半衰期(t½)與PCSK9結合,其中該抗體或其抗原結合片段在25℃及中性pH係以大於約35分鐘之t½與PCSK9結合;(f)如表面電漿子共振所測,該抗體或其抗原結合片段在酸性pH時與PCSK9結合之t½比中性pH時抗體與PCSK9結合之t½短至少10倍;(g)該抗體或其抗原結合片段其係以在中性pH時比酸性pH時高至少12倍的親和力與PCSK9結合,其中該抗體或其抗原結合片段在酸性pH時與PCSK9結合之t½比中性pH時該抗體與PCSK9結合之t½短至少10倍;且其中該抗體或其抗原結合片段係包含3個重鏈互補決定區(HCDR1、HCDR2和HCDR3)及3個輕鏈互補決定區(LCDR1、LCDR2和LCDR3),其中HCDR1係包含SEQ ID NO:220;其中HCDR2係包含SEQ ID NO:222;其中HCDR3係包含SEQ ID NO:224或788;其中LCDR1係包含SEQ ID NO:802;其中LCDR2係包含SEQ ID NO:230;及其中LCDR3係包含SEQ ID NO:232。
  2. 2
    For example, the isolated antibody or antigen-binding fragment thereof in item 1 of the patent application, wherein in (a), the antibody or antigen-binding fragment is at least 14 times or 15 times higher at neutral pH than at acidic pH Affinity binds to PCSK9. 如申請專利範圍第1項之分離的抗體或其抗原結合片段,其中於(a)中,該抗體或其抗原結合片段係以在中性pH時比酸性pH時高至少14倍或15倍的親和力與PCSK9結合。
  3. 3
    For example, the isolated antibody or antigen-binding fragment of item 1 in the scope of the patent application, wherein in (e), the antibody or antigen-binding fragment is kept at 25°C and acidic pH for less than about 2 minutes or less than about 1.5 minutes The dissociation half-life (t½) binds to PCSK9, where the antibody or antigen-binding fragment thereof binds to PCSK9 with a t½ greater than about 35 minutes at 25°C and neutral pH. 如申請專利範圍第1項之分離的抗體或抗原結合片段,其中於(e)中,該抗體或其抗原結合片段在25℃及酸性pH係以低於約2分鐘或低於約1.5分鐘之解離半衰期(t½)與PCSK9結合,其中該抗體或其抗原結合片段在25℃及中性pH係以大於約35分鐘之t½與PCSK9結合。
  4. 4
    Such as the isolated antibody or antigen-binding fragment of the first item of the patent application, wherein in (f), the t½ of the antibody or its antigen-binding fragment binds to PCSK9 at acidic pH is less than the ratio of the antibody to PCSK9 at neutral pH. t½ is at least 15 times shorter or at least 20 times shorter. 如申請專利範圍第1項之分離的抗體或抗原結合片段,其中於(f)中,該抗體或其抗原結合片段在酸性pH時與PCSK9結合之t½比中性pH時該抗體與PCSK9結合之t½短至少15倍或至少20倍。
  5. 5
    For example, the antibody or antigen-binding fragment thereof according to any one of items 1 to 4 in the scope of patent application, wherein the antibody or antigen-binding fragment blocks the human proprotein convertase subtilisin/kexin type 9 (PCSK9 ) And the interaction between low-density lipoprotein receptor (LDLR), its IC50The value is higher than the PCSK9/LDLR blocking IC of the antibody or its antigen-binding fragment at acidic pH50The value is at least 36 times lower. 如申請專利範圍第1至4項中任一項之抗體或其抗原結合片段,其中該抗體或其抗原結合片段在中性pH時阻斷人類前蛋白轉化酶枯草桿菌蛋白酶/kexin 9型(PCSK9)和低密度脂前蛋白受體(LDLR)間的相互作用,其IC50值比在酸性pH時該抗體或其抗原結合片段之PCSK9/LDLR阻斷IC50值低至少36倍。
  6. 6
    Such as the isolated antibody or antigen-binding fragment of any one of claims 1 to 4, wherein the antibody or antigen-binding fragment thereof, when administered to a subject at a single dose of about 10 mg/kg, is reduced compared to baseline The serum LDL-C is at least 33%, and the reduction of the serum LDL-C lasts for at least 26 days or at least 33 days after administration. 如申請專利範圍第1至4項中任一項之分離的抗體或抗原結合片段,其中該抗體或其抗原結合片段當以約10mg/kg之單一劑量投予一對象時,與基線相比降低血清LDL-C至少33%,且其中該血清LDL-C之降低係在投藥後持續至少26天或至少33天。
  7. 7
    Such as the isolated antibody or antigen-binding fragment of any one of claims 1 to 4, wherein the antibody or antigen-binding fragment thereof, when administered to a subject at a single dose of about 10 mg/kg, is reduced compared to baseline The serum LDL-C is at least 15%, and the reduction of the serum LDL-C lasts for at least 42 days or at least 55 days after administration. 如申請專利範圍第1至4項中任一項之分離的抗體或抗原結合片段,其中該抗體或其抗原結合片段當以約10mg/kg之單一劑量投予一對象時,與基線相比降低血清LDL-C至少15%,且其中該血清LDL-C之降低係在投藥後持續至少42天或至少55天。
  8. 8
    Such as the isolated antibody or antigen-binding fragment of any one of items 1 to 4 in the scope of the patent application, wherein the antibody or antigen-binding fragment thereof comprises a heavy chain variable region (HCVR) and a light chain variable region (LCVR) , Wherein (a) HCVR contains SEQ ID NO; 218; and LCVR contains a variant of SEQ ID NO:226 containing L30H amino acid substitution;or (b) HCVR contains SEQ ID containing D106H amino acid substitution NO:218 variant;and the LCVR system contains the SEQ ID NO:226 variant containing the L30H amino acid substitution. 如申請專利範圍第1至4項中任一項之分離的抗體或抗原結合片段,其中該抗體或其抗原結合片段係包含一重鏈可變區(HCVR)和一輕鏈可變區(LCVR),其中(a)HCVR係包含SEQ ID NO;218;及其中LCVR係包含含有L30H胺基酸取代之SEQ ID NO:226變體;或(b)HCVR係包含含有D106H胺基酸取代之SEQ ID NO:218變體;及其中LCVR係包含含有L30H胺基酸取代之SEQ ID NO:226變體。
  9. 9
    For example, the isolated antibody or antigen-binding fragment of any one of items 1 to 4 in the scope of patent application is used for medical treatment. 如申請專利範圍第1至4項中任一項之分離的抗體或抗原結合片段,其係用於醫療。
  10. 10
    For example, the isolated antibody or antigen-binding fragment of any one of items 1 to 4 in the scope of patent application is used to treat hypercholesterolemia or to reduce serum LDL-C content. 如申請專利範圍第1至4項中任一項之分離的抗體或抗原結合片段,其係用於治療高膽固醇血症或用於降低血清LDL-C含量。
  11. 11
    A pharmaceutical composition comprising an isolated antibody or antigen-binding fragment as described in any one of items 1 to 8 of the scope of the patent application, which is used to treat hypercholesterolemia or to reduce serum LDL-C content. 一種包含如申請專利範圍第1至8項中任一項之分離的抗體或抗原結合片段之醫藥組成物,其係用於治療高膽固醇血症或用於降低血清LDL-C含量。