Patent Publication Number: US-2021188967-A1

Title: Polypeptides against il-23

Description:
RELATED APPLICATIONS 
     This application is a continuation of U.S. application Ser. No. 15/769,864, which is a national stage filing under 35 U.S.C. 371 of International Patent Application Serial No. PCT/EP2016/076076, filed Oct. 28, 2016, which claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application Ser. No. 62/248,468, filed Oct. 30, 2015, the contents of each of which is incorporated by reference herein in its entirety for all purposes. 
    
    
     INCORPORATION BY REFERENCE 
     This application contains a Sequence Listing which has been filed electronically in 
     ASCII format and is hereby incorporated herein by reference in its entirety. This ASCII copy, created on Feb. 18, 2021, is named A084870183US02-SEQ-JRV and is 78.418 KB in size. 
     The present invention relates to amino acid sequences that are directed against IL-23. 
     The amino acid sequences of the present invention comprise two NANOBODIES® (immunoglobulin single variable domains) against IL-23 and one NANOBODY® (immunoglobulin single variable domain) against serum albumin, linked by two linkers (9GS linkers). 
     In particular, the invention relates to the amino acid sequences of SEQ ID NO: 2 and SEQ ID NO: 3 (listed in Table 1 and  FIG. 1 ) (also referred to herein as “anti-IL 23 polypeptides of the invention”). 
     
       
         
           
               
             
               
                 TABLE 1 
               
               
                   
               
               
                 Polypeptides of the invention 
               
               
                   
               
             
            
               
                   
               
            
           
           
               
               
               
            
               
                   
                 SEQ ID 
                 DVQLLESGGGVVQPGGSLRLSCAASGRIFS 
               
               
                   
                 NO: 2 
                 LPASGNIFNLLTIAWYRQAPGKGRELVATI 
               
               
                   
                   
                 NSGSRTYYADSVKGRFTISRDNSKKTVYLQ 
               
               
                   
                   
                 MNSLRPEDTALYYCQTSGSGSPNFWGQGTL 
               
               
                   
                   
                 VTVSSGGGGSGGGSEVQLVESGGGVVQPGN 
               
               
                   
                   
                 SLRLSCAASGFTFSSFGMSWVRQAPGKGLE 
               
               
                   
                   
                 WVSSISGSGSDTLYADSVKGRFTISRDNAK 
               
               
                   
                   
                 TTLYLQMNSLRPEDTALYYCTIGGSLSRSS 
               
               
                   
                   
                 QGTLVTVSSGGGGSGGGSEVQLLESGGGVV 
               
               
                   
                   
                 QPGGSLRLSCAASGRTLSSYAMGWFRQAPG 
               
               
                   
                   
                 KGREFVARISQGGTAIYYADSVKGRFTISR 
               
               
                   
                   
                 DNSKNTLYLQMNSLRPEDTALYYCAKDPSP 
               
               
                   
                   
                 YYRGSAYLLSGSYDSWGQGTLVTVSSA 
               
               
                   
                   
               
               
                   
                 SEQ ID  
                 DVQLLESGGGVVQPGGSLRLSCAASGRIFS 
               
               
                   
                 NO: 3 
                 LPASGNIFNLLTIAWYRQAPGKGRELVATI 
               
               
                   
                   
                 NSGSRTYYADSVKGRFTISRDNSKKTVYLQ 
               
               
                   
                   
                 MNSLRPEDTALYYCQTSGSGSPNFWGQGTL 
               
               
                   
                   
                 VKVSSGGGGSGGGSEVQLVESGGGVVQPGN 
               
               
                   
                   
                 SLRLSCAASGFTFSSFGMSWVRQAPGKGLE 
               
               
                   
                   
                 WVSSISGSGSDTLYADSVKGRFTISRDNAK 
               
               
                   
                   
                 TTLYLQMNSLRPEDTALYYCTIGGSLSRSS 
               
               
                   
                   
                 QGTLVKVSSGGGGSGGGSEVQLLESGGGVV 
               
               
                   
                   
                 QPGGSLRLSCAASGRTLSSYAMGWFRQAPG 
               
               
                   
                   
                 KGREFVARISQGGTAIYYADSVKGRFTISR 
               
               
                   
                   
                 DNSKNTLYLQMNSLRPEDTALYYCAKDPSP 
               
               
                   
                   
                 YYRGSAYLLSGSYDSWGQGTLVKVSSA 
               
               
                   
                   
               
            
           
         
       
     
     Other aspects, embodiments, features, uses and advantages of the invention will be clear to the skilled person based on the disclosure herein. 
     In the present application, the amino acid residues/positions in an immunoglobulin heavy-chain variable domain will be indicated with the numbering according to Kabat. For the sake of convenience,  FIG. 2  gives a table listing some of the amino acid positions that will be specifically referred to herein and their numbering according to some alternative numbering systems (such as Aho and IMGT. Note: unless explicitly indicated otherwise, for the present description and claims, Kabat numbering is decisive; other numbering systems are given for reference only). 
     Amino acid sequences against IL-23 based on related NANOBODY® building blocks are known from WO 2009/068627, WO 2010/142534 and WO2011/135026. These prior art sequences are given in Table 1 as SEQ ID NO&#39;s: 4 to 23.  FIG. 3  shows an alignment of these prior art sequences with the sequences of SEQ ID NO: 2 and SEQ ID NO: 3 according to the invention (the sequence of SEQ ID NO:1 is a reference sequence that has been included for the purpose of making the alignment, i.e. in order to clearly show the amino acid “differences” between the amino acid sequences of the invention and the prior art sequences of SEQ ID NO:s 4 to 23. SEQ ID NO: 1 corresponds to the prior art sequence of SEQ ID NO:22, but with an N-terminal Asp-residue (D) instead of an N-terminal Glu-residue (E). This reference sequence is also used as a comparator in Example 1. 
     Compared to the amino acid sequences of SEQ ID NOs: 4 to 23, the anti-IL 23 polypeptides of the invention contain a number of specific amino acid residues/mutations (shown in the alignment of  FIG. 3 ), as well as a C-terminal alanine residue. As a result of the presence of these mutations and alanine-extension, the amino acid residues of the invention show much reduced binding by so-called “pre-existing antibodies” (for which reference is made WO 12/175741, WO 2013/024059 and also for example by Holland et al. (J. Clin. Immunol. 2013, 33(7):1192-203) as well as to the co-pending non-prepublished PCT application PCT/EP2015/060643 by Assignee filed on May 13, 2015 and entitled “Improved immunoglobulin variable domains” (published on Nov. 19, 2015 as WO 2015/173325) compared to the prior art sequences of SEQ ID NO&#39;s 4 to 23. 
     All terms not explicitly defined herein are as defined in WO 2009/068627. 
     In a first aspect, the invention relates to an amino acid sequence that is chosen from the amino acid sequences of SEQ ID NO: 2 and SEQ ID NO: 3. These amino acid sequences can bind to (and can in particular specifically bind to, as defined in WO 2009/068627) IL-23 and/or can modulate signaling mediated by IL-23 (or its receptor) and they can be used to prevent or treat diseases associated with IL-23 (as described herein and in WO 2009/068627, WO 2010/142534 and WO2011/135026). 
     In a specific aspect, the invention relates to an amino acid sequence that is the amino acid sequence of SEQ ID NO: 2. 
     In yet another specific aspect, the invention relates to an amino acid sequence that is the amino acid sequence of SEQ ID NO: 3. 
     It will be clear to the skilled person from the disclosure herein that the anti-IL-23 polypeptides of the invention are directed against (as defined WO 2009/068627) IL-23 and are improved variants of the prior art sequences referred to herein. Thus, the anti-IL-23 polypeptides of the invention can be used for the same purposes, uses and applications as the prior art sequences, for example to modulate signaling that is mediated by IL-23 and/or its receptor(s); and/or in the prevention or treatment of diseases associated with IL-23 and/or with signaling that is mediated by IL-23, such as for example inflammation and inflammatory disorders such as bowel diseases (ulcerative colitis, Crohn&#39;s disease, IBD), infectious diseases, psoriasis, cancer, autoimmune diseases (such as MS), sarcoidosis, transplant rejection, cystic fibrosis, asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, viral infection, common variable immunodeficiency, and the various diseases and disorders mentioned in the prior art cited herein. Further reference is again made to WO 2009/068627, WO 2010/142534 and WO2011/135026. 
     For example, as mentioned on pages 4-5 of WO 09/068627, IL23 was shown to be responsible for the chronic inflammation observed in inflammatory bowel disease. This was confirmed by the fact that the IL23R gene was identified as being involved in inflammatory bowel disease. It has also been found that p19 knock out mice are resistant to collagen- induced arthritis and colitis, whereas comparable p35 knock out mice were found to be more susceptible to collagen-induced arthritis. Also, when p19 knock out mice were crossed with IL-10 knock out mice, the resulting offspring were resistant to colitis, whereas similar crosses of p19 knock out mice with IL-10 knock out mice resulted in offspring that was susceptible to colitis. It was further found that a monoclonal antibody against p19 inhibits the development of EAE, a preclinical animal model for multiple sclerosis, and reduces serum levels of IL-17 (which is not regulated by IL-12). Also, IL-23 rather than IL-12 appears to be the essential cytokine in CNS autoimmune inflammation. All this results suggests that IL-23/p19 may be an attractive target for the treatment of colitis, Crohn&#39;s diseases, IBD, multiple sclerosis, rheumatoid arthritis and some of the other diseases and disorders mentioned herein. Also, IL23 and IL27—two of the other heterodimeric cytokines from the IL-12 family—also regulate TH1-cell response, albeit with distinct functions. The ability of IL-23 to stimulate CD4+T cells to produce IL-17 also has been described as having a dominant role in the development and maintenance of autoimmune inflammation. 
     Also, Example 45 of WO 09/068627 shows that the polypeptides of WO 09/068627 (and thus, by extension, the anti-IL-23 polypeptides of the invention) can also be valuable in the prevention and treatment of psoriasis (either by systemic/parenteral administration or by topical treatment, e.g. using a crème or lotion (see page 328 and 331-332 of WO 09/068627). 
     In another aspect, the invention relates to a nucleic acid that encodes an anti-IL-23 polypeptide of the invention. Such a nucleic acid will also be referred to herein as a “nucleic acid of the invention”. 
     In another aspect, the invention relates to a host or host cell that expresses (or that under suitable circumstances is capable of expressing) an anti-IL-23 polypeptide of the invention; and/or that contains a nucleic acid of the invention. Such a host or host cell may again generally be as described in WO 09/068627 (see for example pages 315-328). 
     The invention also relates to methods for the production/expression of an anti-IL-23 polypeptide of the invention. Such methods may generally comprise the steps of (i) the expression, in a suitable host cell or host organism or in another suitable expression system of a nucleic acid that encodes an anti-IL-23 polypeptide of the invention, optionally followed by: (ii) isolating and/or purifying the anti-IL-23 polypeptide of the invention thus obtained. In particular, such a method may comprise the steps of (i) cultivating and/or maintaining a host of the invention under conditions that are such that said host of the invention expresses and/or produces an anti-IL-23 polypeptide of the invention; optionally followed by (ii) isolating and/or purifying the anti-IL-23 polypeptide of the invention thus obtained. These methods again may essentially be performed as described in WO 09/068627 (see for example pages 315-328). 
     One specific method for the production/expression of the anti-IL-23 polypeptides of the invention is described in the International application of Ablynx N.V. entitled “Method for the production of domain antibodies”, which has an international filing date of Apr. 30, 2010. 
     The invention further relates to a product or composition containing or comprising an anti-IL-23 polypeptide of the invention and/or at least one nucleic acid of the invention, and optionally one or more further components of such compositions known per se, i.e. 
     depending on the intended use of the composition. Such a product or composition may for example be a pharmaceutical composition (as described herein), a veterinary composition or a product or composition for diagnostic use (as also described herein). Such products or compositions may again generally be as described in WO 09/068627 (see for example pages 329-337). 
     The invention also relates to the use of an anti-IL-23 polypeptide of the invention, or of a composition comprising the same, in (methods or compositions for) modulating (as defined in WO 09/068627) IL-23 and/or IL-23 -mediated signaling (as defined in WO 09/068627), either in vitro (e.g. in an in vitro or cellular assay) or in vivo (e.g. in an a single cell or in a multicellular organism, and in particular in a mammal, and more in particular in a human being, such as in a human being that is at risk of or suffers from a disease or disorder associated with heterodimeric cytokines and their receptors). 
     The invention also relates to methods for modulating (as defined in WO 09/068627) IL-23 and/or IL-23-mediated signaling (as defined in WO 09/068627), either in vitro (e.g. in an in vitro or cellular assay) or in vivo (e.g. in an a single cell or multicellular organism, and in particular in a mammal, and more in particular in a human being, such as in a human being that is at risk of or suffers from a disease or disorder associated with IL-23 and/or its receptors), which method comprises at least the step of contacting IL-23 with an anti-IL-23 polypeptide of the invention, in a manner and in an amount suitable to modulate IL-23 and/or IL-23 -mediated signaling. 
     The invention also relates to the use of an anti-IL-23 polypeptide of the invention in the preparation of a composition (such as, without limitation, a pharmaceutical composition or preparation as further described herein) for modulating (as defined in WO 09/068627) IL-23 and/or IL-23 -mediated signaling (as defined in WO 09/068627), either in vitro (e.g. in an in vitro or cellular assay) or in vivo (e.g. in an a single cell or multicellular organism, and in particular in a mammal, and more in particular in a human being, such as in a human being that is at risk of or suffers from a disease or disorder associated with IL-23 and/or IL-23 mediated signaling). 
     The invention also relates to an anti-IL-23 polypeptide of the invention (or a composition comprising the same) for use in modulating signaling that is mediated by IL-23 and/or its receptor(s). 
     The invention also relates to an anti-IL-23 polypeptide of the invention (or a composition comprising the same) for use in the prevention or treatment of diseases associated with IL-23 and/or with signaling that is mediated by IL-23, such as for example inflammation and inflammatory disorders such as bowel diseases (ulcerative colitis, Crohn&#39;s disease, IBD), infectious diseases, psoriasis, cancer, autoimmune diseases (such as MS), sarcoidosis, transplant rejection, cystic fibrosis, asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, viral infection, common variable immunodeficiency. 
     The invention also relates to a method for preventing or treating a disease associated with IL-23 and/or with signaling that is mediated by IL-23, such as for example inflammation and inflammatory disorders such as bowel diseases (ulcerative colitis, Crohn&#39;s disease, IBD), infectious diseases, psoriasis, cancer, autoimmune diseases (such as MS), sarcoidosis, transplant rejection, cystic fibrosis, asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, viral infection, common variable immunodeficiency, said method comprising administering to a subject in need of such treatment a prophylactic or therapeutically active amount of an anti-IL-23 polypeptide of the invention (or of a composition comprising the same). 
    
    
     
       The invention will now be further described by means of the following non-limiting preferred aspects, examples and figures, in which: 
         FIG. 1  lists the amino acid sequences referred to herein (SEQ ID NOs:1-23, see left column). The second column from left lists the reference SEQ ID NOs of the sequences if they appeared in previous applications, i.e., in WO 2009/068627, WO 2010/142534, or WO2011/135026; 
         FIG. 2  is a table listing some of the amino acid positions that will be specifically referred to herein and their numbering according to some alternative numbering systems (such as Aho and IMGT); 
         FIG. 3  shows an alignment of the amino acid sequences referred to herein. 
         FIG. 4  shows two corresponding plots of data points obtained in Example 1 when 66 serum samples from human healthy subjects and 29 samples from SLE patients were tested for binding to SEQ ID NO:1 (reference) and SEQ ID NOs: 2 and 3 (invention). Each dot represents the binding level for one of the 96 samples tested. The data points shown in the right hand panel and the left hand panel are the same; in the right hand panel the data points measured with each individual sample for each of the three compounds tested (i.e. SEQ ID NO:1, SEQ ID NO:2 and SEQ ID NO:3, respectively) are connected by means of a line (as a result, the declination of the line gives an indication of the extent to which binding by pre-existing antibodies is reduced when the mutations of the invention and the C-terminal alanine are introduced); 
         FIG. 5  details the data for binding to SEQ ID NO:1 (reference) and SEQ ID NOs: 2 and 3 (invention) of pre-existing antibodies from 10 representative samples from SLE patients tested in Example 1 and shown in  FIG. 4 . 
         FIG. 6  is a table listing the binding data (3 columns giving normalized Pre-existing antibody (“Pre-Ab”) binding levels (RU at 125) and 2 columns giving percentage of reduction in Pre-existing antibody binding compared to SEQ ID NO:1, respectively) of the data points compiled in  FIG. 4 . 
     
    
    
     EXPERIMENTAL PART 
     The human samples used in the Experimental Part below were either obtained from commercial sources or from human volunteers (after all required consents and approvals were obtained) and were used in according with the applicable legal and regulatory requirements (including but not limited to those regarding medical secret and patient privacy) 
     In the Examples below, unless explicitly indicated otherwise, the binding of pre-existing antibodies that are present in the samples used (i.e. from healthy volunteers, and SLE patients) to the NANOBODIES® tested was determined using PROTEON™ (protein interaction analysis system) as follows: 
     NANOBODIES® were captured on human serum albumin and the binding of pre- existing antibodies on the captured NANOBODIES® was evaluated using the PROTEON™ XPR36 (Bio-Rad Laboratories, Inc.). PBS/TWEEN®(polyethylene glycol sorbitan monolaurate) (phosphate buffered saline, pH7.4, 0.005% TWEEN®20) was used as running buffer and the experiments were performed at 25° C. The ligand lanes of a PROTEON™ GLC Sensor Chip were activated with EDC/NHS (flow rate 30 μ/min) and HSA was injected at 10 μg/ml in PROTEON™ Acetate buffer pH4.5 (flow rate 100 μ/min) to render immobilization levels of approximately 3200 RU. After immobilization, surfaces were deactivated with ethanolamine HCl (flow rate 30 μ/min). NANOBODIES® were injected for 2 minutes at 45 μ/min over the HSA surface to render a NANOBODY® capture level of approximately 600 RU. The samples containing pre-existing antibodies were centrifuged for 2 minutes at 14,000rpm and supernatant was diluted 1:10 in PBS-TWEEN®20 (0.005%) before being injected for 2 minutes at 45 μ/min followed by a subsequent 400 seconds dissociation step. After each cycle (i.e. before a new NANOBODY® capture and blood sample injection step) the HSA surfaces were regenerated with a 2 minute injection of HCl (100 mM) at 45 μ/min. Sensorgram processing and data analysis was performed with PROTEON™ Manager 3.1.0 (Bio-Rad Laboratories, Inc.). Sensorgrams showing pre-existing antibody binding were obtained after double referencing by subtracting 1) NANOBODY®-HSA dissociation and 2) non-specific binding to reference ligand lane. Binding levels of pre-existing antibodies were determined by setting report points at 125 seconds (5 seconds after end of association). Percentage reduction in pre-existing antibody binding was calculated relative to the binding levels at 125 seconds of a reference NANOBODY®. 
     EXAMPLE 1 
     Binding of Pre-Existing Antibodies to SEQ ID NO:1 (Reference), SEQ ID NO:2 (Invention) and SEQ ID NO:3 (Invention). 
     The amino acid sequences of SEQ ID NO:1 (reference), SEQ ID NO:2 (invention) and SEQ ID NO:3 (invention) were tested for binding by pre-existing antibodies present in serum samples obtained from 66 healthy human volunteers and 29 SLE patients using PROTEON™ using the protocol described in the preamble to the Experimental Part. The sequences tested were captured using human serum albumin. 
     The results are shown in  FIG. 4 .  FIG. 5  details the results obtained for 12 representative SLE samples (i.e. taken from the 29 tested SLE samples).  FIG. 6  gives the data shown in  FIG. 4 . 
     The results show that the compounds of SEQ ID NOs: 2 and 3 show much reduced binding by pre-existing antibodies compared to the compound of SEQ ID NO:1 in a large number of samples obtained from healthy human volunteers as well as samples from SLE patients.