CD80 and CD86 binding protein compositions and uses thereof

Inventors

Liu, YangZheng, PanDEVENPORT, MartinWu, WeiDU, XuexiangLiu, MingyueTang, Fei

Assignees

Childrens National Medical Center IncOncoc4 Inc

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Publication Number

US-12227557-B2

Patent

Publication Date

2025-02-18

Expiration Date


Abstract

This invention relates to CTLA-4 protein compositions and their use in the mitigation of autoimmune adverse events associated with cancer immunotherapy.

Core Innovation

The invention relates to CTLA-4 protein compositions intended to mitigate immune-related adverse events (irAEs) associated with anti-CTLA-4 cancer immunotherapy while preserving anti-tumor efficacy. It uses CTLA-4 protein extracellular domains that retain binding to B7-1 (CD80) and B7-2 (CD86) but are altered so that binding by anti-CTLA-4 antibodies is reduced or abolished.

A core concept is engineered soluble CTLA-4 fusion proteins, including CTLA-4Fc (CTLA-4Ig)-type formats, and CTLA-4 or variant sequences that retain B7 binding. The disclosure links reduced anti-sCTLA-4 binding to improved safety in the context of cancer immunotherapy, including rationale connecting CTLA-4 biology to autoimmunity and irAEs.

The disclosure further includes identification of an antibody binding region adjacent to the B7-1 MYPPPY motif, with mutations described as selectively abolishing antibody binding while preserving B7 binding. Additional examples evaluate mutant CTLA-4Fc proteins for protection against irAE in vivo and report modulation of T-cell phenotypes, NKT cells, and Tregs in humanized mouse models.

Claims Coverage

The partial claims include two independent claims focused on CTLA-4 proteins defined by specific sequence identity to SEQ ID NO: 47 and SEQ ID NO: 43. Across these independent claims, the main inventive features are sequence-defined CTLA-4 proteins, with dependent claim coverage extending into Fc fusion formatting, binding to B7-1/B7-2, pharmaceutical composition formulation, and treatment of irAEs associated with cancer immunotherapy including anti-CTLA-4 and optionally anti-PD-1 combinations.

Sequence-defined CTLA-4 protein with SEQ ID NO: 47 extracellular domain

A CTLA-4 protein comprising an extracellular domain of CTLA-4 comprising the sequence set forth in SEQ ID NO: 47.

Sequence-defined CTLA-4 protein with SEQ ID NO: 43

A CTLA-4 protein, wherein the amino acid sequence of the CTLA-4 protein consists of the sequence set forth in SEQ ID NO: 43.

Overall claim coverage centers on CTLA-4 proteins defined by specific SEQ ID sequences (SEQ ID NO: 47 and SEQ ID NO: 43), with dependent claims further specifying CTLA-4 extracellular domain binding to B7-1/B7-2 and CTLA-4 extracellular domain C-terminal fusion to a human Ig Fc region (IgG1, IgG4, or IgM), as well as therapeutic use for treating adverse events associated with cancer immunotherapy, including anti-CTLA-4 and optionally anti-PD-1 combinations.

Stated Advantages

Mitigates immune-related adverse events (irAEs) from anti-CTLA-4 cancer immunotherapy while preserving anti-tumor efficacy.

Engineered CTLA-4 proteins retain anti-tumor activity while showing reduced toxicity, including in combination with anti-PD-1.

Mutants selectively ablate anti-CTLA-4 antibody binding while preserving B7 binding, supporting improved safety.

Supports uncoupling of checkpoint blockade from irAE mitigation, including findings that saturating blockade of B7-1/B7-2 does not prevent ipilimumab tumor rejection.

Provides in vivo protection against irAE with mutant CTLA-4Fc proteins, including modulation of immune-cell phenotypes (T cells, NKT cells, and Tregs).

Documented Applications

Treating adverse events associated with cancer immunotherapy in a subject by administering the CTLA-4 protein.

Treatment context includes cancer immunotherapy comprising an anti-CTLA-4 antibody, including Ipilimumab.

Treatment context optionally includes cancer immunotherapy comprising an anti-PD-1 antibody in combination.

Broadly described applications include pharmaceutical compositions and methods for treating autoimmune/inflammatory disease and cancer immunotherapy-associated irAEs.

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