Anti IL-6 domain antibodies with fatty acid substituents
Inventors
Egebjerg, Thomas • Bjelke, Jais Rose • Yang, Che • Reedtz-Runge, Steffen • Kopp, Katharina Luise Maria • Balantic-Nielsen, Emma • SASSENE, PHILIP JONAS
Assignees
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Abstract
The present invention relates to compounds (e.g. ISVDs, polypeptides, polypeptide derivatives) capable of binding to Interleukin-6 (IL-6) and their use in the treatment of inflammatory diseases such as, e.g. cardiovascular disease (CVD).
Core Innovation
The invention relates to a polypeptide derivative capable of binding IL-6. The polypeptide derivative comprises a VHH or VH domain having complementarity-determining regions CDR1 EYAVG, CDR2 DIGEQAENTWYAESVLG, and CDR3 DKYGVGGNAQGYYDS according to the Kabat definition, and an extension attached to the C-terminal end of the VHH or VH domain.
The extension comprises an amino acid sequence set out in SEQ ID NO: 72, with cysteines at defined positions. A first substituent is attached to the cysteine in position 4 of SEQ ID NO: 72, and a second substituent is attached to the cysteine in position 6 of SEQ ID NO: 72. Each of the first substituent and the second substituent comprises a specified structure, including Chem. 24-based substituent structures and related variants referenced in the document.
The disclosure further describes IL-6 binding immunoglobulin single variable domain constructs fused to a C-terminal extension, including SEQ ID NO: 72 or SEQ ID NO: 78, and mentions preferred humanisation, molecular weight and pI ranges, lipid/half-life extending moieties, pharmaceutical compositions with pharmaceutically acceptable carriers, SNAC and nicotinamide, and reported binding and functional assays and pharmacokinetic and pharmacodynamic measurements using biomarker readouts such as serum amyloid A1 (SAA1).
Claims Coverage
The claim coverage centers on one independent claim directed to an IL-6 binding polypeptide derivative with defined CDR sequences, a C-terminal extension, and two substituents attached at specific cysteine positions. Dependent claims add a molecular weight constraint, pharmaceutical composition components, and treatment methods for inflammatory disease and ASCVD.
IL-6 binding VHH with specified CDR sequences
A polypeptide derivative capable of binding IL-6 comprising a VHH or VH domain with CDR1 EYAVG, CDR2 DIGEQAENTWYAESVLG, and CDR3 DKYGVGGNAQGYYDS (Kabat definition).
C-terminal extension attached to the VHH
An extension attached to the C-terminal end of the VHH or VH domain, comprising an amino acid sequence set out in SEQ ID NO: 72.
First and second substituents attached to extension cysteines 4 and 6
A first substituent attached to the cysteine in position 4 of SEQ ID NO: 72 and a second substituent attached to the cysteine in position 6 of SEQ ID NO: 72, each comprising a specified structure.
Molecular weight constraint for the polypeptide derivative
The polypeptide derivative has a molecular weight between 12–18 kDa.
Pharmaceutical composition with SNAC
A pharmaceutical composition further comprises sodium N-(8-(2-hydroxybenzoyl)amino)caprylate (SNAC).
Pharmaceutical composition with nicotinamide
The composition further comprises nicotinamide.
Treatment of inflammatory disease
A method of treating an inflammatory disease in a patient by administering an effective amount of the polypeptide derivative.
Treatment of ASCVD
A method for treating or addressing atherosclerotic cardiovascular disease (ASCVD).
Overall, the claim coverage is anchored on an IL-6 binding polypeptide derivative defined by specific VHH or VH CDR sequences, a C-terminal extension defined by SEQ ID NO: 72, and two substituents attached at cysteine positions 4 and 6 of the extension. Dependent refinements add a molecular weight range, SNAC and nicotinamide, and treatment methods for inflammatory disease and ASCVD.
Stated Advantages
Improved terminal half-life and oral bioavailability.
Half-life extension via protraction strategies using extension/substituent arrangements with protracting moieties.
Biomarker-stratified dosing based on high-sensitivity C-reactive protein (Hs-CRP) thresholds.
Documented Applications
Therapeutic use in inflammatory diseases.
Therapeutic use in atherosclerotic cardiovascular disease (ASCVD), stroke, myocardial infarction (MI), peripheral arterial disease (PAD), and chronic kidney disease (CKD).
Treatment of inflammatory disease in a patient by administering an effective amount of the polypeptide derivative.
Treating or addressing atherosclerotic cardiovascular disease (ASCVD).
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