WO2014081202A1 - Vegfr-2와 dll4를 표적으로 하는 이중표적항체 및 이를 포함하는 약학적 조성물 - Google Patents
Vegfr-2와 dll4를 표적으로 하는 이중표적항체 및 이를 포함하는 약학적 조성물 Download PDFInfo
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Definitions
- the present invention is a novel type of dual target antibody that further targets human DLL4 by connecting an antagonist to DLL4 at the terminal of the antibody targeting VEGFR-2, DNA encoding the antibody, and recombinant comprising the same.
- An expression vector, and a host cell transformed with the recombinant expression vector, a method for producing the dual target antibody using the same, a pharmaceutical composition comprising the dual target antibody, and a method for measuring the DLL4 antagonistic efficacy of the dual target antibody will be.
- Angiogenesis is the mechanism by which new blood vessels are formed from existing blood vessels by the growth, division, and migration of endothelial cells, and plays an important role in normal growth processes including healing of wounds and women's menstrual cycles.
- Risau, Nature, 386: 671, 1997), as well as abnormally excessive angiogenesis, are associated with tumor growth and metastasis, age-related macular degeneration (ARMD), and diabetic retinopathy.
- Psoriasis, rheumatoid arthritis, and chronic inflammation are known to play a decisive role (Carmeliet and Jain, Nature , 407: 249, 2000).
- VEGF Vascular Endothelial Growth Factor
- vascular endothelial cells Activate the cells to increase the permeability of vascular endothelial cells, secrete proteolytic enzymes such as matrix metalloproteinase (MMP) to break down the basal membrane and extracellular matrix around vascular endothelial cells, They escape from existing capillaries and migrate / proliferate toward tissues that secrete angiogenic factors.
- MMP matrix metalloproteinase
- the migrated and proliferated vascular endothelial cells form a vascular tube structure, and finally, peristetic cells (pericyte), which is a structural support of vascular endothelial cells, are introduced to achieve stable and mature angiogenesis.
- peristetic cells pericyte
- VEGF vascular endothelial growth factor receptor
- VEGF was developed by Genentech in 1989. Protein isolation and purification and cDNA cloning were performed by the N. Ferrara group (Leung et al., Science, 246: 1306, 1989). VEGF, also called VEGF-A, is known to have four isotypes (VEGF121, VEGF165, VEGF189, VEGF206) to date, and VEGF165 has been reported to be the most abundant in all human tissues except placenta (Tisher et. al., J. Biol. Chem., 266: 11947, 1991).
- VEGF binds to its receptors VEGFR-1 and VEGFR-2 / KDR with very high affinity, but mainly transmits its signals through VEGFR-2, leading to angiogenesis such as proliferation and migration of vascular endothelial cells. It is known to induce related mechanisms. For this reason, VEGF and VEGFR-2 have been the main targets for inhibiting VEGF-induced angiogenesis, and a number of articles deal with them (Ellis and Hicklin, Nature Rev. Cancer , 8: 579, 2008; Youssoufian et al., Clin. Cancer Res ., 13: 5544s, 2007).
- Genentech's Avastin is a humanized antibody targeting VEGF-A (Ferrara et al., Biochem. Biophy.Res. Comm ., 333: 328, 2005). (metastatic colorectal cancer), non-small cell lung cancer in 2006, and Her-2 negative metastatic breast cancer in 2008.
- Approved multiform Glioblastoma mutiforme, GBM
- renal cancer renal cancer
- Lucentis which was released by the same company, cuts only Fab fragments from Avastin in order to prevent excessive angiogenesis around the macula, which is a major aspect of senile macular degeneration, and to improve its permeability when injected into the retina.
- a manufactured antibody Eter et al., Biodrgus , 20: 167, 2006
- a drug for wet age-related macular degeneration (wet-ARMD), obtained US FDA approval in 2006.
- VEGF-trap Another therapeutic antibody that targets VEGF is Regeneron's VEGF-trap (Holash et al., PNAS , 99: 11393, 2002). It is a water-soluble 'decoy receptor' in the form of a fusion of the second immunoglobulin domain of VEGFR-1 and the third immunoglobulin domain of VEGFR-2 to human Fc, which has not yet been approved by the US FDA, but is a metastatic breast cancer. Hyperplasia, metastatic colorectal cancer, and hormone refractory prostate cancer are currently in Phase III.
- Angiogenesis-inhibiting antibodies targeting VEGFR-2, the VEGF receptor include IMC-1121B (EP 1916001A2) from Iclone, CDP-791 (PCT / GB02 / 04619) from UCB, and the inventors have developed and clinically Tanibirumab (TTAC-0001) (PCT / KR07 / 003077), which is under test.
- IMC-1121B is a monoclonal antibody selected from a complete human Fab library. It is currently undergoing Phase III for metastatic breast cancer and entered Phase III for gastric cancer in 2010.
- UCB CDP-791 is a humanized antibody.
- PEGylated Di-Fab non-small cell lung cancer is currently undergoing Phase II. Because the antibody does not have an Fc, antibody-dependent cell-mediated cytotoxicity or complement-dependent cytotoxicity cannot be expected.
- Tanibirumab (TTAC-0001) developed by the present inventors is a monoclonal antibody selected from a complete human ScFv library, and simultaneously targets VEGFR-2 and flk-1 (VEGFR-2 derived from mouse or rat). Homologues), which is one of the important features that distinguishes it from IMC-1121B from Imclones (PCT / KR07 / 003077).
- the cross-species cross reactivity shown by Tanivirumab enables the study of animal disease models, helping to complete the related studies more easily by gradually progressing anticancer drugs for specific cancer types in the future. Can give
- VEGF / VEGFR-2 signaling strongly express DLL4 and bind to Notch1 receptors present in surrounding cells, and thus the cells activated by Notch1 signaling system differentiate into stalk cells. It forms a normal vascular tube structure, demonstrating that the DLL4 / Notch1 signaling system is one of the most important mechanisms for angiogenesis along with the VEGF / VEGFR-2 pathway (Dufraine et al., Oncogene, 27: 5132). ⁇ 5137, 2008).
- the DLL4 is one of ligands for the Notch receptor.
- Notch1 to 4 four types of Notch receptors (Notch1 to 4) and five types of Notch ligands (Jagged-1, Jagged-2, DLL1, DLL3, and DLL4) are present.
- Notch signaling system the Notch ligand of one cell starts by binding to the Notch receptor of another cell, and is activated only by direct interaction between different cells (Bray SJ, Nat Rev Mol Cell Biol. , 7 (9): 678, 2006).
- Notch ligand When the Notch ligand binds to the Notch receptor, it first activates ADAM metalloprotease to break the outer proximal region of the Notch receptor, followed by the activation of the gamma-secretase complex to break the proximal region of the Notch receptor into the Notch Intracellular Domain (NICD).
- This NICD is released into the nucleus and binds to the RBPJ / CSL transcription factor to induce expression of Notch target genes such as basic helix-loop-helix proteins such as Hes and Hey.
- Notch signaling system determines fate of proliferation / differentiation / apoptosis according to the situation of the cell and plays an important role in maintaining normal and cancer stem cells.
- all Notch receptors can bind to all Notch ligands, but the combination of these various bindings is selectively regulated in the microenvironment in which the cells are located.
- DLL4 is strongly expressed in endothelial cells during angiogenesis during fetal development, and binds Notch1 and Notch4 expressed in peripheral endothelial cells, but DLL4-Notch1 binding is the most important of these (Yan M, Vasc Cell). , 2011), through which the angiogenesis progresses. This is well documented through genetic deficient experiments (Duarte et al., Genes Dev , 2004; Gale et al., PNAS , 2004; Krebs et al., Genes Dev , 2004).
- DLL4-Notch1 binding can inhibit angiogenesis, thereby treating various diseases such as tumors.
- the inhibition of VEGF using Avastin (bevacizumab), etc. inhibits angiogenesis and decreases tumor size as tumor perfusion decreases, while inhibiting binding to Notch1 expressed in surrounding cells by targeting DLL4.
- Blood vessels are abnormally hyperprouted but non-functional, resulting in reduced tumor perfusion and consequently reduced tumor size (Thurston et al, Nat Rev Cancer , 7 (5): 327, 2007).
- DLL4 inhibition has also been shown to be effective in both tumors sensitive to and resistant to VEGF / VEGFR-2 pathway inhibitors (Ridgway et al., Nature. , 444 (7122): 1083, 2006; Noguera-Troise et al. ., Nature ., 444 (7122): 1032. 2006), which is currently the most common resistance to drug administration, such as Avastin, which blocks VEGF (intrinsic resistance that Avastin does not initially hear, and the efficacy of Avastin is increasing over time. Falling acquired resistance in both cases) provides a very important clue to overcoming.
- DLL4 inhibition directly reduces the frequency of cancer stem cells in tumors and inhibits tumor growth (Hoey et al., Cell Stem Cell ., 2009). It suggests that there is a possibility of fundamental blocking.
- chemotherapy currently used in cancer therapy and resistance to antibody therapies such as Herceptin are highly related to the Notch signaling system. Inhibition of the DLL4 / Notch1 pathway is associated with chemotherapy or antibodies such as Herceptin. The resistance of therapeutic agents is also likely to be overcome (Wang et al., Biochim Biophys Acta ., 1806 (2): 258, 2010).
- angiogenesis-related diseases such as more efficient tumors by simultaneously inhibiting signaling along two pathways of VEGF / VEGFR-2 and DLL4 / Notch1. As it is not achieved, development of this situation is urgently required.
- the present inventors have developed a therapeutic agent capable of treating various angiogenesis-related diseases such as tumors by more effectively simultaneously inhibiting signaling along two pathways of VEGF / VEGFR-2 and DLL4 / Notch1.
- a therapeutic agent capable of treating various angiogenesis-related diseases such as tumors by more effectively simultaneously inhibiting signaling along two pathways of VEGF / VEGFR-2 and DLL4 / Notch1.
- one object of the present invention is to provide a double-target antibody that targets VEGFR and DLL4 simultaneously by combining an antibody against VEGFR-2 and an antagonist against DLL4.
- Another object of the present invention is to provide a DNA encoding the dual target antibody and a recombinant expression vector comprising the same.
- Still another object of the present invention is to provide a host cell transformed with the recombinant expression vector and a method for producing a dual target antibody according to the present invention using the same.
- Still another object of the present invention is to provide a pharmaceutical composition of the dual target antibody.
- 1 shows the amino acid sequence of the 11th and 12th EGF-like domains of Notch1 binding to DLL4.
- FIG. 2 is a diagram showing a vector PMC-201 v213 according to the present invention.
- Figure 3 is a diagram showing the results confirmed by SDS-PAGE the production of purified double-target antibody after random expression of the vector according to the present invention using 293-T cells.
- Figure 4 is a diagram showing the results of the ELISA analysis of the binding ability of the dual target antibody to VEGFR-2 and human DLL4 according to the present invention.
- FIG. 5 is a diagram showing the results of analyzing the binding capacity of the dual target antibody to human DLL4 according to the present invention with Biacore.
- Figure 6 shows the results of analyzing the binding capacity of the dual target antibody to human DLL4 according to the present invention with a flow cytometer.
- Figure 7 is a diagram showing the results of proliferation assay (proliferation assay) for HUVEC of the dual target antibody according to the present invention.
- FIG. 8 is a diagram showing the results of analyzing a phenomenon in which a dual target antibody according to the present invention competitively inhibits the binding of Notch-Fc binding to human DLL4 using FACS.
- Figure 9 shows the results of analysis by luciferase luminescence value that the dual target antibody according to the present invention inhibits promoter activation by Notch-1.
- FIG. 11 is a Western blot analysis of the inhibition of the increase of intracellular domain (NICD) by activation of Notch-1 when co-cultured with dual target antibody and HUVEC according to the present invention with 293 cell lines expressing hDLL4. Figure showing one result.
- NBD intracellular domain
- the present invention provides a dual target antibody in which an antagonist of DLL4 is bound to a terminal of an antibody that specifically binds to VEGFR-2.
- the dual target antibody according to the present invention has the effect of inhibiting the disease caused by angiogenesis by inhibiting angiogenesis more efficiently, and the dual target antibody according to the present invention is capable of binding to the target of VEGFR-2 and DLL4, respectively. It was confirmed that the HUVEC proliferation inhibitory experiments, compared with the antibody targeting only VEGFR-2 alone, for example, Tanibirumab (Tanibirumab) has a superior HUVEC proliferation inhibitory ability.
- double-target antibody means an antibody having binding ability or antagonism to one or more targets, and in which the antibody having binding ability or antagonism to two different targets is bound or to one target.
- the antibody refers to an antibody in which an antibody having a binding ability and a substance having an antagonistic ability to another target are bound.
- antibody includes both polyclonal and monoclonal antibodies, and fragments of antibody molecules may be used as well as complete forms having two full length light chains and two full length heavy chains.
- a fragment of an antibody molecule refers to a fragment having at least antigen binding function, such as single-chain Fv (scFv), Fab, F (ab '), F (ab') 2, single domain, etc. It includes.
- the dual target antibody according to the present invention is a form in which an angiogenic factor or an antibody specific for a receptor for such angiogenic factor is combined with an angiogenic antagonist, ie an angiogenic factor or an antagonist for such an angiogenic factor receptor. .
- the antibody that specifically binds to VEGFR-2 can be used without limitation as long as the antibody has the property of binding to VEGFR-2 and inhibiting VEGF / VEGFR-2 signaling.
- Tanibirumab or bevacizumab, or variants thereof, are preferred but not limited thereto.
- the antagonist of DLL4 may be used without limitation as long as it has a property of inhibiting DLL4 / Notch1 signaling, and particularly, but not limited to, a soluble receptor in which the intracellular domain of Notch1 is deleted, but is not limited thereto.
- an antagonist of DLL4 in particular the 11th to 12th EGF-like domain of the Notch1 receptor for DLL4 (hereinafter referred to as "notch1 minimal decoy”) can be used.
- the antagonist of DLL4 may be bound without limitation to the N-terminus or C-terminus of the heavy or light chain of the antibody that specifically binds VEGFR-2, but preferably the N-terminus of the heavy or light chain, more preferably the light chain. May be bound to the N-terminus of.
- the most preferred dual target antibody designated PMC-201 provided in the present invention is the antagonist of DLL4 at the end of the antibody that specifically binds VEGFR-2, especially the light chain N-terminus, particularly Notch1 minimal decoy for DLL4.
- VEGFR-2 specific antibody is characterized in that it is Tanivirumab and its variants.
- Angiogenesis in the present invention refers to a cellular phenomenon in which vascular endothelial cells proliferate and reorganize to form new blood vessels from existing vascular networks.
- Such angiogenesis involves angiogenesis factors that promote angiogenesis, endothelial cell growth, vascular stability and angiogenesis.
- the angiogenic factors are for example VEGF and VEGF family, placental growth factor (PIGF), members of the platelet-derived growth factor (PDGF) family, DLL4, fibroblast growth factor family (FGF), TIE ligand (Angiopoietin) ), Ephrin, Del-1, fibroblast growth factor (acidic (aFGF) and basic (bFGF)), follistatin, granulocyte colony-stimulating factor (G-CSF), hepatocyte growth factor (HGF) / scattering factor (SF ), Interleukin-8 (IL-8), leptin, midkine, placental growth factor, platelet derived endothelial growth factor (PD-ECGF), platelet derived growth factor, especially PDGF-BB or PDGFR-beta, playotropin (PTN), progranulin, prolipin, transforming growth factor-alpha (TGF-alpha), transforming growth factor-beta (TGF-beta), tumor
- angiogenesis inhibitor refers to a low molecular weight substance, polynucleotide, polypeptide, isolated protein, recombinant protein, antibody, or that directly or indirectly inhibits angiogenesis, angiogenesis, or undesirable vascular permeability.
- the angiogenesis inhibitors include substances that bind angiogenesis factors or receptors thereof and block angiogenic activity.
- angiogenesis inhibitors can be antibodies or other antagonists to angiogenesis agents, such as VEGF-A or water soluble receptors of VEGF-A (eg, water soluble KDR receptors or Flt-1 water soluble receptors), VEGF-traps. , Angiopoietin 2, Notch1 water soluble receptor and decoy, or fragments that maintain the binding ability of the above substances to the ligand, and the like.
- the present invention provides a dual target antibody in a form in which an antagonist of DLL4 is linked to a terminal of an antibody that specifically binds to VEGFR-2, particularly Notch1 minimal decoy to DLL4.
- the antibody specific for VEGFR-2 in the present invention is preferably Tanivirumab or a variant thereof, and the antibody specific for VEGFR-2 according to the present invention has a heavy chain having any one sequence selected from SEQ ID NOs: 1 to 3 It is preferred that the variable region and any one light chain variable region selected from SEQ ID NO: 4 to SEQ ID NO: 6.
- the heavy chain variable region of SEQ ID NO: 1 and the light chain variable region of SEQ ID NO: 4 the heavy chain variable region of SEQ ID NO: 2 and the light chain variable region of SEQ ID NO: 5 or the heavy chain variable region of SEQ ID NO: 3 and the light chain variable of SEQ ID NO: 6
- the antibody comprises a constant region in addition to the variable region, and a fragment or amino acid variation thereof is used as long as the antibody has a constant region in addition to the variable region, and has a binding ability to VEGFR-2. Also included in the scope of the present invention will be apparent to those skilled in the art.
- the Notch1 minimal decoy for DLL4 in the present invention is preferably composed of the amino acid sequence shown in SEQ ID NO: 7, but as long as the antagonistic ability to DLL4 is maintained, the variant in which amino acid mutations, deletions, and insertions occur is also performed in the present invention. It is obvious to those skilled in the art that it is included in the scope of rights of the person skilled in the art.
- the antibody specifically binding to VEGFR-2 and the antagonist of DLL4 may be linked by various methods such as binding by a linker, chemical direct binding or genetic fusion, Preferably by linker, more preferably by amino acid linker.
- linker Preferably by linker, more preferably by amino acid linker.
- Preferred amino acid linkers according to the invention have the sequence set forth in SEQ ID NO: 8.
- the light chain-amino acid linker-Notch1 minimal decoy protein of the double target antibody linked to the Notch1 minimal decoy for DLL4 via the amino acid linker at the light chain N-terminus of the double target antibody according to the present invention is amino acid of SEQ ID NO: 9 or SEQ ID NO: 10 Has a sequence.
- the present invention also provides a polynucleotide sequence encoding the dual target antibody and a recombinant vector comprising the same.
- the polynucleotide sequence encoding the dual target antibody can be easily derived by those skilled in the art from the amino acid sequence described in SEQ ID NO: 1 to 10.
- the polynucleotide encoding the leader sequence (located at the N-terminal end of the double target antibody can be used in the production of the double target antibody according to the present invention.
- the term "recombinant vector” refers to a gene construct, which is an expression vector capable of expressing a protein of interest in a suitable host cell, and which contains essential regulatory elements operably linked to express the gene insert.
- operably linked means that the nucleic acid expression control sequence and the nucleic acid sequence encoding the protein of interest is functionally linked to perform a general function.
- Operative linkage with recombinant vectors can be prepared using genetic recombination techniques well known in the art, and site-specific DNA cleavage and ligation can be facilitated using enzymes commonly known in the art, and the like. have.
- Suitable expression vectors of the invention may include signal sequences for membrane targeting or secretion in addition to expression control elements such as promoters, initiation codons, termination codons, polyadenylation signals and enhancers. Initiation codons and termination codons are generally considered part of the nucleotide sequence encoding the immunogenic target protein and must be functional in the individual when the gene construct is administered and must be in frame with the coding sequence.
- Generic promoters can be either constitutive or inducible.
- Prokaryotic cells include, but are not limited to, lac, tac, T3 and T7 promoters.
- Eukaryotic cells include monkey virus 40 (SV40), mouse mammary tumor virus (MMTV) promoter, human immunodeficiency virus (HIV), for example the long terminal repeat (LTR) promoter of HIV, moronivirus, cytomegalovirus (CMV) ), Epstein Barr virus (EBV), Loose sacoma virus (RSV) promoters, as well as promoters derived from ⁇ -actin promoter, human heroglobin, human muscle creatine, human metallothionein, but are not limited thereto. .
- SV40 monkey virus 40
- MMTV mouse mammary tumor virus
- HSV human immunodeficiency virus
- LTR long terminal repeat
- CMV cytomegalovirus
- EBV Epstein Barr virus
- RSV Loose sacoma virus
- the expression vector may comprise a selectable marker for selecting a host cell containing the vector.
- the selection marker is for selecting cells transformed with the vector, and markers conferring a selectable phenotype such as drug resistance, nutritional requirements, resistance to cytotoxic agents or expression of surface proteins can be used. Since only cells expressing a selection marker survive in an environment treated with a selective agent, transformed cells can be selected.
- the vector when the vector is a replicable expression vector, the vector may include a replication origin, which is a specific nucleic acid sequence from which replication is initiated.
- a recombinant expression vector for inserting a foreign gene various forms of vectors such as plasmids, viruses, and cosmids can be used.
- the type of recombinant vector is not particularly limited as long as it functions to express a desired gene and to produce a desired protein in various host cells of prokaryotic and eukaryotic cells, but has a promoter with strong activity and strong expression, similar to natural state. Vectors that can produce large amounts of foreign protein in form are preferred.
- Suitable expression vectors for eukaryotic hosts include, but are not limited to, expression control sequences derived from SV40, bovine papilloma virus, adenovirus, adeno-associated virus, cytomegalovirus and retrovirus.
- Expression vectors that can be used in bacterial hosts include broader hosts such as bacterial plasmids derived from Escherichia coli , such as pET, pRSET, pBluescript, pGEX2T, pUC vectors, col E1, pCR1, pBR322, pMB9 and derivatives thereof, RP4.
- Useful expression vectors for yeast cells are 2 plasmids and derivatives thereof.
- a useful vector for insect cells is pVL941.
- the present invention provides a host cell transformed with the recombinant vector.
- the recombinant vector is inserted into a host cell to form a transformant.
- Suitable host cells of the vector are Escherichia coli, Bacillus subtilis , Streptomyces sp. , Pseudomonas sp. , Proteus mirabilis or Staphylococcus spp. Prokaryotic cells such as Staphylococcus sp .
- fungi such as Aspergillus sp. , Pichia pastoris , Saccharomyces cerevisiae , Schizosaccharomyces sp.
- Eukaryotic cells such as yeast such as Neurospora crassa , other lower eukaryotic cells, and cells of higher eukaryotes such as cells from insects. It can also be derived from plants, mammals.
- COS7 monkey kidney cells 7
- NSO cells SP2 / 0, Chinese hamster ovary (CHO) cells, W138, baby hamster kidney (BHK) cells, MDCK, myeloma cell lines, HuT 78 cells and HEK293 cells and the like are available, but are not limited to these.
- transformation into host cells includes any method of introducing a nucleic acid into an organism, cell, tissue, or organ, and may be performed by selecting a suitable standard technique according to the host cell as known in the art. . These methods include electroporation, protoplast fusion, calcium phosphate (CaPO 4 ) precipitation, calcium chloride (CaCl 2 ) precipitation, agitation with silicon carbide fibers, agro bacteria mediated transformation, PEG (polyethyleneglycol), PEI (polyethyleneimine), dextran sulfate, lipofectamine, and drying / inhibiting mediated transformation methods, and the like.
- the present invention provides a method for producing a dual target antibody according to the present invention by culturing the host cell transformed with the recombinant vector described above.
- the dual target antibody according to the present invention is preferably obtained by expression and purification by gene recombination method, specifically, the gene sequence encoding the heavy chain variable region or the entire heavy chain region and the light chain variable region or the light chain entire region Gene sequences may be expressed separately in one vector or two vectors, wherein the gene sequences encoding amino acid linkers and / or antagonists of DLL4 are linked to sites corresponding to the N-terminus of heavy or light chains in a cell expression system. Expression can be made to the dual target antibody according to the present invention, but is not limited thereto.
- the method for producing a dual target antibody comprises the steps of preparing a recombinant vector by inserting a nucleotide sequence encoding a dual target antibody of the present invention into a vector; Culturing the recombinant vector in a host cell; It may comprise the step of separating and purifying the dual target antibody from the cultured transformant.
- the medium and culture conditions can be appropriately selected and used according to the host cell. Conditions such as temperature, pH of the medium and incubation time can be appropriately adjusted to be suitable for the growth of cells and the mass production of proteins during the culture.
- the recombinantly produced peptide or protein as described above may be recovered from the medium or cell lysate. If membrane bound, it may be liberated from the membrane using a suitable surfactant solution (eg Triton-X 100) or by enzymatic cleavage.
- a suitable surfactant solution eg Triton-X 100
- Cells used for dual target antibody expression can be disrupted by various physical or chemical means such as freeze-thaw purification, sonication, mechanical disruption or cytolytic agents, and can be isolated and purified by conventional biochemical separation techniques.
- Electrophoresis centrifugation, gel filtration, precipitation, dialysis, chromatography (ion exchange chromatography, affinity chromatography, immunosorbent chromatography, size exclusion chromatography, etc.), isoelectric focusing and various variations and combinations thereof Possible but not limited to.
- the present invention provides a composition for inhibiting angiogenesis or cancer, comprising the dual target antibody.
- anticancer includes “prophylaxis” and “treatment”, where “prevention” means any action in which cancer is inhibited or delayed by administration of a composition comprising an antibody of the invention, and “treatment” Is any action that improves or advantageously changes the symptoms of cancer by administration of the antibody of the present invention.
- Cancers or carcinomas that can be treated with the compositions of the present invention are not particularly limited and include solid and hematological cancers.
- the anticancer composition of the present invention may further comprise a pharmaceutically acceptable carrier.
- a pharmaceutically acceptable carrier In the case of oral administration, binders, lubricants, disintegrants, excipients, solubilizers, dispersants, stabilizers, suspending agents, pigments, fragrances and the like can be used.
- buffers, preservatives, analgesics, solubilizers, isotonic agents , Stabilizers and the like can be mixed and used, and for topical administration, bases, excipients, lubricants, preservatives and the like can be used.
- the formulation of the pharmaceutical composition of the present invention may be prepared in various ways by mixing with a pharmaceutically acceptable carrier as described above.
- the anticancer composition may typically include a surfactant that facilitates movement across the membrane.
- surfactants are steroid derived or cationic lipids such as N- [1- (2,3-dioleoyl) propyl-N, N, N-trimethylammonium chloride (DOTMA), or cholesterol hemisuccinate
- DOTMA steroid derived or cationic lipids
- the present invention provides a method of treating cancer and inhibiting cancer growth by administering to the subject a dual target antibody or a composition comprising the dual target antibody.
- the composition comprising the dual target antibody according to the present invention may be administered in a pharmaceutically effective amount to treat cancer cells or their metastases, or to inhibit the growth of cancer. It may vary depending on various factors such as the type of cancer, the age, weight of the patient, the nature and extent of symptoms, the type of current treatment, the number of treatments, the dosage form and the route, and can be easily determined by experts in the field.
- the compositions of the present invention may be administered together or sequentially with the pharmacological or physiological components described above, and may also be administered in combination with additional conventional therapeutic agents and may be administered sequentially or simultaneously with conventional therapeutic agents. Such administration may be single or multiple administration. Taking all of the above factors into consideration, it is important to administer an amount that can obtain the maximum effect in a minimum amount without side effects, and can be easily determined by those skilled in the art.
- “individual” means a mammal suffering from or at risk of a condition or disease that can be alleviated, inhibited or treated by administering the dual target antibody of the present invention, preferably human.
- administration means introducing a predetermined substance into an individual by any suitable method, so that the route of administration of the composition comprising the dual target antibody of the present invention is through any general route as long as it can reach the target tissue. May be administered. Intraperitoneal administration, intravenous administration, intramuscular administration, subcutaneous administration, intradermal administration, oral administration, topical administration, nasal administration, pulmonary administration, rectal administration, but is not limited thereto. However, when orally administered, the protein is digested, so the oral composition is preferably formulated to coat the active agent or to protect it from degradation in the stomach. In addition, the pharmaceutical composition may be administered by any device in which the active agent may migrate to the target cell.
- the present invention provides a method for measuring the DLL4 antagonistic efficacy of the dual target antibody, characterized in that Notch 1 activity is measured by co-culture of a cell line or recombinant cell line expressing human DLL4 (hDLL4) and human umbilical endothelial cells (HUVEC). to provide.
- Notch 1 activity is measured by co-culture of a cell line or recombinant cell line expressing human DLL4 (hDLL4) and human umbilical endothelial cells (HUVEC).
- the Notch 1 activity is characterized by measuring the amount of NICD expression, when the Notch ligand binds to the Notch receptor, ADAM metalloprotease is activated first, the proximal portion of the outer membrane of the Notch receptor is cut off, and then gamma Notch Intracellular Domain (NICD) is released by activating the secretase complex to break down the inner membrane of the Notch receptor, which migrates to the nucleus and binds to the RBPJ / CSL transcription factor and binds to basic helix-loop-helix such as Hes and Hey. Induce expression of Notch target genes such as proteins.
- NICD Notch Intracellular Domain
- the expression level of NICD can be directly measured by SDS-PAGE, western blotting, immunohistochemical staining, immunostaining, immunofluorescence, and enzyme immunoassay (ELISA assay). And indirectly characterized by using a method selected from the group consisting of luciferase assay (luciferase assay), but is not limited to the protein expression measurement method known in the art can be used without limitation.
- Western blot method was preferably used to measure the amount of NICD expression.
- Co-culture of the cell line or recombinant cell line expressing human DLL4 (hDLL4) and human umbilical cord endothelial cells (HUVEC) is specifically, (a) culturing human umbilical endothelial cells; And (b) reacting the 293 cell line (293-hDLL4) expressing hDLL4 with a dual target antibody and then co-culturing the human umbilical endothelial cells cultured in step (a). It was confirmed that the amount of NICD expression exhibited by Notch-1 activation by the dual target antibody PMC-201 was reduced using the co-culture method in Examples of the present invention.
- the method of measuring hDLL4 antagonistic efficacy of the dual target antibody, wherein Notch 1 activity measures the expression amount of NICD as confirmed in another embodiment of the present invention, the NICD amount by using the luciferase assay method, NICD promoter The degree of activity can be measured, and cultured by treatment of human umbilical endothelial cells and dual target antibody PMC-201 on a hDLL4 coated plate, and then the amount of NICD in HUVEC cells was measured to measure the hDLL4 antagonistic efficacy of the dual target antibody. can do.
- DNA encoding Notch1 minimal decoy (Notch1's 11th-12th calcium-binding EGF-like domain) that binds to hDLL4 is determined by determining the amino acid sequence (Fig. 1 and SEQ ID NO: 7) of the domain. GeneArt, Germany).
- the DNA and lipofectamin TM 2000 dilutions were mixed and allowed to react at room temperature for 20 minutes to form the DNA-lipofectamin TM 2000 complex. After removing the existing medium from the cultured cells, 500 ⁇ l of DNA-lipofectamin TM 2000 complex and 500 ⁇ l of serum-free ⁇ MEM medium were added to each well and incubated for 6 hours in a CO 2 incubator at 37 ° C. After incubation for 48-72 hours by adding 1 ml of ⁇ MEM medium containing 20% of dialysis fetal calf serum, only the supernatant was isolated and confirmed by SDS-PAGE.
- SDS-PAGE was applied according to the methods commonly used in the art, and the samples used were: 12% SDS-polyacrylamide Gel, PVDF membrane (Millipore # IPVH00010, USA), HRP-conjugated goat anti-human IgG ( kappa) antibodies, and HRP-conjugated goat anti-human IgG (Fc) antibodies (Pierce, USA).
- the dual target antibody PMC-201 was expressed through SDS-PAGE and Western blotting, and purified by 95% or more purity through FPLC using Protein A affinity column, SP-sepharose column and size exclusion column. Antibodies could be obtained (FIG. 3).
- VEGFR-2 ECD extracellular domains 1 to 3 of VEGFR-2
- DLL4 were dispensed into wells at a concentration of 1 ⁇ g / ml in 96-well plates for 2 hours at room temperature, followed by 2% skim milk / The blocking reaction was performed for 2 hours at room temperature using PBS.
- Tanibirumab and PMC-201 of various concentrations (0.18 to 3000 ng / ml) prepared in advance at room temperature were placed in a well coated with VEGFR-2 ECD or hDLL4, and then at room temperature for 1 hour. Reacted. After the reaction, the cells were washed with PBS, and then HRP-conjugated goat anti-human IgG antibody (Pierce, USA) was diluted 1: 2000 as a secondary antibody, and reacted at room temperature for 30 minutes. The color reaction was induced using TMB substrate reagent (BD Biosciences # 555214, USA), and 50 ⁇ l of 2N sulfuric acid (H 2 SO 4 ) solution was added to stop the color reaction. The color reaction was measured at absorbance 450 nm and 650 nm using a microplate reader (Tecan, Switzerland).
- Tanibirumab and PMC-201 showed similar binding capacity in VEGFR-2, whereas only PMC-201 had binding capacity in hDLL4 (FIG. 4).
- dissociation constant Kd, dissociation constant
- BIACORE® 3000 GE Healthcare
- CM5 chip was used.
- the dissociation constant is a similar value of the Km value and is used as an indicator of the affinity of the enzyme in the enzyme-substrate complex. The lower the value, the higher the affinity between the enzyme and the substrate.
- Immobilization of the sample was performed using Amine Coupling Kit (GE Healthcare) 400 mM N-ethyl-N '-(dimethylaminopropyl) Carbodiimide (EDM), 100 mM NHS (N-Hydroxysuccinimide), and 1 M Ethanolamine hydrocholoride (pH 8.5). After dilution with 20 mM sodium hydroxide as the regeneration buffer and 1 XPBS as the immobilization buffer, the assay sample was diluted to 1/40 in 10 mM acetate (GE Healthcare) at pH 5.0. The immobilization range was immobilized at 4000RU (Response Unit).
- HBS-EP buffer GE Healthcare
- DLL4 was diluted stepwise to a final volume of 200 ⁇ l using HBS-EP buffer at measurement concentrations of 4.9, 9.7, 19.5, 39.1, 78.1, 156.3, 312.5 nM. Five of the seven concentrations were selected and fitted.
- the regeneration buffer was selected after the 156.3nM sample was preliminarily analyzed for binding and dissociation, and then confirmed that the sodium hydroxide was regenerated by about 10% of the baseline using sodium hydroxide.
- the assay flow rate was 30 ⁇ l / min, binding time was 60 seconds, dissociation time was 300 seconds, and the affinity of the sample was measured.
- ELISA and Biacore examined the binding capacity of PMC-201 to solid-phase immobilized hDLL4, and FACS analysis was performed to see whether PMC-201 binds to hDLL4 expressed on the cell surface (FIG. 6).
- hDLL4 the gene coding sequence (SEQ ID NO: 11 nucleotide sequence) of hDLL4 which performed gene optimization through Geneoptimizer of GeneArt, was added to pcDNA3.1 (+ The restriction enzymes Bam HI and Eco RI were cloned to construct pcDNA-hDLL4.
- the pcDNA-hDLL4 vector was then transduced into 293 cells. Transduction was performed using lipofectamine TM 2000 (Invitrogen # 11668-019, USA), the method following the manufacturer's instructions.
- the G418 concentration was changed to the medium increased to 1 mg / ml under the same conditions, and cultured around one week until colonies were formed.
- Each colony was treated with Trypsine-EDTA in a colony-formed plate, transferred to a 24-well plate, incubated with DMEM medium containing 10% of dialysate serum and neomycin (G418, 500 ⁇ g / ml), and all grown. Colonies were collected and cultured in a pool.
- FACS analysis was performed to determine whether PMC-201 binds to the 293-DLL4 pool.
- HUVEC human umbilical vein endothelial cells
- Cultures of HUVEC were 20% fetal bovine serum (Hyclone, USA), penicillin 100 units / mL (Hyclone, USA), streptomycin 100 ⁇ g / mL (Hyclone, USA), fibroblast growth factor (Upstate Biotechnology, USA) 3 ng / Phenol red-free M199 medium (Invitrogen, USA) with 5 mL / ml heparin (Sigma-Aldrich, USA) was used, and the cell culture was incubated in a humidified 5% CO 2 mixed air in a 37 ° C.
- vascular endothelial cells were incubated for 24 hours at a density of 2 ⁇ 10 4 cells / well in 24-well plates. Then, after washing twice with M199 medium, and cultured for 6 hours at low serum concentration conditions of M199 medium containing 1% fetal bovine serum (Hyclone, USA). Antibodies of various concentrations were pretreated with cells for 30 min, followed by 20 ng / ml VEGF (R & D systems, USA). After 48 hours of incubation, WST-8 (Dojindo, Japan) was treated for 2 hours and the absorbance at 450 nm was measured to compare cell proliferation capacity under each condition.
- the dual target antibody PMC-201 can more strongly inhibit the proliferative capacity of HUVEC cells caused by VEGF compared with the parent antibody Tanibirumab. It was confirmed (Fig. 7).
- FACS analysis was performed to see if PMC-201 competitively binds hNotch1-Fc that binds to the 293-hDLL4 cell line.
- RhNotch1-Fc labeled with -25402 was added together at 1 ⁇ g / ml, first stained on ice for 30 minutes, washed with 1 ⁇ FACS buffer, and then measured by flow cytometry (FACSCalibur).
- LS174T cells colon cancer cell line (ATCC, CL-188 TM) were incubated for 24 hours in RPMI medium containing 10% fetal calf serum and Cignal Reporter Assay Kit (# 336841 CCS-014L, QIAGEN) 0.8 ⁇ g of Notch Cignal reporter DNA and 2 ⁇ l of lipofectamine (# 11668-500; Invitrogen) are mixed with 100 ⁇ l of opti-MEM media and allowed to stand for 20 minutes before mixing. For transfection, 400 ⁇ l of opti-MEM is added. Incubated for 6 hours. After 6 hours, 10% fetal bovine serum was included. The medium was changed to MEM medium, and then cultured overnight.
- DAPT N- [N- (3,5-Difluorophenacetyl) -L-alanyl] -S-phenylglycine t-butyl ester
- Notch 1 activity N- [N- (3,5-Difluorophenacetyl) -L-alanyl] -S-phenylglycine t-butyl ester
- DAPT N- [N- (3,5-Difluorophenacetyl) -L-alanyl] -S-phenylglycine t-butyl ester
- the cells were lysed using a lysis buffer (final 1% SDS, 1 mM Na3VO4, 1 ⁇ protease inhibitor cocktail), and the cell lysates were collected, transferred to an eppendorf tube, and heated at 95 ° C. for 10 minutes. After cooling on ice, the total protein was quantified using BCA quantification, and then NICD was measured in the same manner as in Western blot.
- a lysis buffer final 1% SDS, 1 mM Na3VO4, 1 ⁇ protease inhibitor cocktail
- the Cleaved Notch1 (Val1744) (D3B8) antibody (Rabbit) was 1: 1000 and the ⁇ -actin antibody (Rabbit) was diluted to skim milk containing 5% 0.05% TBST at 1: 2000 as the primary antibody.
- anti-Rabbit IgG R & D HAF008 was diluted 1: 1000.
- HUVECs were incubated for 24 hours at 5 ⁇ 10 5 cells / well in 6-well plates.
- 293-hDLL4 human DLL4 overexpression 293 cell line
- 2.5x105 cells / well and hIgG, PMC-201 (10 ⁇ g / ml) DAPT (5 uM) were treated for 1 hour, followed by antibody (hIgG, PMC-201)
- DAPT treated 293-hDLL4 cells were cocultured for 24 hours by addition to HUVECs initially cultured in the 6-well plates without removing antibody solutions.
- the control group was treated with 293-T cell line and co-cultured with HUVEC.
- the cells were co-cultured for 24 hours using a lysis buffer (final 1% SDS, 1 mM Na3VO4, 1x protease inhibitor cocktail), and then the cell lysates were collected and transferred to an eppendorf tube. After heating for a minute and cooling on ice, the total protein was quantified by BCA quantification, and NICD was measured in the same manner as in the Western blot method of Example 2.
- a lysis buffer final 1% SDS, 1 mM Na3VO4, 1x protease inhibitor cocktail
- the dual target antibody according to the present invention can treat various angiogenesis-related diseases such as tumors by inhibiting signal transduction according to two pathways of VEGF / VEGFR-2 and DLL4 / Notch1 at the same time. It can overcome the resistance generated by using, there is an advantage that can prevent the recurrence of cancer fundamentally by targeting cancer stem cells directly.
- the dual target antibody and the pharmaceutical composition comprising the same according to the present invention can be usefully used to treat diseases related to angiogenesis, especially cancer.
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Abstract
Description
| SEQ ID No. | 구분 | 서열 |
| 1 | 중쇄 가변영역 | AQPAMAQMQL VQSGAEVKKP GASVKLSCKA SGYTFSSYWM HWVRQAPGQR LEWMGEINPG NGHTNYNEKF KSRVTITVDK SASTAYMELS SLRSEDTAVY YCAKIWGPSL TSPFDYWGQG TL |
| 2 | 중쇄 가변영역 | QMQLVQSGAE VKKPGASVKL SCKASGYTFS SYWMHWVRQA PGQRLEWMGE INPGNGHTNY NEKFKSRVTI TVDKSASTAY MELSSLRSED TAVYYCAKIW GPSLTSPFDY WGQGTL |
| 3 | 중쇄 가변영역 | QMQLVQSGAE VKKPGASVKL SCKASGYTFS SYWMHWVRQA PGQRLEWMGE INPGNGHTNY NEKFKSRVTI TVDKSASTAY MELSSLRSED TAVYYCAKIW GPSLTSPFDY WGQGTL |
| 4 | 경쇄 가변영역 | SGVGSNFMLT QPPSVSVSPG KTARITCRGD NLGDVNVHWY QQRPGQAPVL VMYYDADRPS GIPERFSGSN SGNTATLTIS GVEAGDEADY YCQVWDRTSE YVFGTGTKVT VLG |
| 5 | 경쇄 가변영역 | NFMLTQPPSV SVSPGKTARI TCRGDNLGDV NVHWYQQRPG QAPVLVMYYD ADRPSGIPER FSGSNSGNTA TLTISGVEAG DEADYYCQVW DRTSEYVFGT GTKVTVLG |
| 6 | 경쇄 가변영역 | NFMLTQPPSV SVSPGKTARI TCRGDNLGDV NVHWYQQRPG QAPVLVMYYD ADRPSGIPER FSGSNSGNTA TLTISGVEAG DEADYYCQVW DRTSEYVFGT GTKVEIKRT |
| SEQ ID No, | 구분 | 서열 |
| 7 | Notch1 수용체의 11 내지 12 번째의 EGF-유사 도메인 | DVDECSLGAN PCEHAGKCIN TLGSFECQCL QGYTGPRCEI DVNECVSNPC QNDATCLDQI GEFQCICMPG YEGVHCE |
| 8 | 아미노산 링커 | SGGGGSGGGGSGS |
| SEQ ID No. | 서열 |
| 9 | DVDECSLGAN PCEHAGKCIN TLGSFECQCL QGYTGPRCEI DVNECVSNPC QNDATCLDQI GEFQCICMPG YEGVHCE SGG GGSGGGGSGS NFMLTQPPSV SVSPGKTARI TCRGDNLGDV NVHWYQQRPG QAPVLVMYYD ADRPSGIPER FSGSNSGNTA TLTISGVEAG DEADYYCQVW DRTSEYVFGT GTKVTVLG |
| 10 | DVDECSLGAN PCEHAGKCIN TLGSFECQCL QGYTGPRCEI DVNECVSNPC QNDATCLDQI GEFQCICMPG YEGVHCE SGG GGSGGGGSGS NFMLTQPPSV SVSPGKTARI TCRGDNLGDV NVHWYQQRPG QAPVLVMYYD ADRPSGIPER FSGSNSGNTA TLTISGVEAG DEADYYCQVW DRTSEYVFGT GTKVEIKRT |
Claims (22)
- VEGFR-2와 DLL4를 표적으로 하는 이중표적항체.
- 제1항에 있어서, VEGFR-2에 특이적으로 결합하는 항체의 말단에 DLL4의 길항제(antagonist)가 결합된 것을 특징으로 하는 이중표적항체.
- 제2항에 있어서, VEGFR-2를 표적으로 하는 항체는 타니비루맵(Tanibirumab) 또는 이의 변이체인 것을 특징으로 하는 이중표적항체.
- 제2항에 있어서, DLL4의 길항제는 인간 Notch1의 11~12번째 칼슘 결합(calcium-binding) EGF-유사 도메인인 것을 특징으로 하는 이중표적항체.
- 제2항에 있어서, VEGFR-2를 표적으로 하는 항체의 경쇄 N-말단에 DLL4의 길항제가 결합된 것을 특징으로 하는 이중표적항체.
- 제5항에 있어서, VEGFR-2를 표적으로 하는 항체와 DLL4의 길항제는 아미노산 링커를 통해 결합된 것을 특징으로 하는 이중표적항체.
- 제3항에 있어서, VEGFR-2에 특이적인 항체는 서열번호 1 내지 서열번호 3에서 선택된 어느 하나의 서열을 가지는 중쇄 가변영역과, 서열번호 4 내지 서열번호 6에서 선택된 어느 하나의 경쇄 가변영역으로 이루어진 것을 특징으로 하는 이중표적항체.
- 제7항에 있어서, VEGFR-2에 특이적인 항체는 서열번호 1의 중쇄 가변영역과 서열번호 4의 경쇄 가변영역, 서열번호 2의 중쇄 가변영역과 서열번호 5의 경쇄 가변영역 또는 서열번호 3의 중쇄 가변영역과 서열번호 6의 경쇄 가변영역으로 이루어진 것을 특징으로 하는 이중표적항체.
- 제4항에 있어서, DLL4의 길항제인 인간 Notch1의 11~12번째 칼슘 결합(calcium-binding) EGF-유사 도메인은 서열번호 7의 아미노산 서열을 가지는 것을 특징으로 하는 이중표적항체.
- 제1항 내지 제9항 중 어느 한 항에 따른 이중표적항체를 코딩하는 DNA.
- 제10항에 따른 DNA를 포함하는 재조합 발현 벡터.
- 제11항에 따른 재조합 발현 벡터로 형질전환된 숙주세포.
- 제12항에 따른 숙주세포를 배양하고, 이의 배양물로부터 이중표적항체를 분리하는 것을 특징으로 하는 이중표적항체의 제조 방법.
- 제13항에 있어서, 이중표적항체는 Protein A 친화성 컬럼, SP-sepharose 컬럼 및 크기배제크로마토그래피를 가지고 FPLC를 이용해서 추가로 정제하는 것을 특징으로 하는 이중표적항체의 제조 방법.
- 제1항 내지 제9항 중 어느 한 항에 따른 이중표적항체를 포함하는 신생혈관 관련 질환 치료용 약제학적 조성물.
- 제15항에 있어서, 상기 신생혈관 관련 질환은 혈관신생은 종양(암), 종양의 전이 (metastasis), 연령관련 황반변성 (age-related macular degeneration, ARMD), 당뇨병성 망막병증 (diabetic retinopathy), 건선 (psoriasis), 류마티스성 관절염 (rheumatoid arthritis) 및 만성염증 (chronic inflammation)에서 선택된 1 종 이상임을 특징으로 하는 약제학적 조성물.
- 제16항에 있어서, 상기 암은 대장암, 결장암, 위암, 유방암, 폐암, 난소암, 간암, 기관지암, 비인두암, 후두암, 췌장암, 방광암, 이자암, 자궁경부암, 뇌암, 전립선암, 골암, 피부암, 갑상선암, 부갑상선암, 신장암, 식도암, 담도암, 고환암, 직장암, 두경부암, 경추암, 요관암, 골육종, 신경세포아종, 흑색종, 섬유육종, 횡문근육종, 성상세포종, 신경모세포종 또는 신경교종 중에서 선택된 1 종 이상임을 특징으로 하는 약제학적 조성물.
- 인간 DLL4(hDLL4)를 발현하는 세포주 또는 재조합 세포주와 인간탯줄내피세포(HUVEC)의 공배양을 통해 Notch 1 활성을 측정하는 것을 특징으로 하는 제1항 내지 제9항 중 어느 한 항에 따른 이중표적항체의 DLL4 길항 효능 측정방법.
- 제18항에 있어서, Notch 1 활성은 NICD의 발현양을 측정하는 것을 특징으로 하는 이중표적항체의 DLL4 길항 효능 측정방법.
- 제19항에 있어서, NICD의 발현양은 SDS-PAGE, 웨스턴 블랏(western blotting), 면역조직화학염색법(immunohistochemical staining), 면역염색법(immuno-staining), 면역형광염색법(immunofluorescence) 및 루시퍼레이즈 어세이(luciferase assay)로 구성된 군에서 선택되는 방법으로 측정하는 것을 특징으로 하는 이중표적항체의 DLL4 길항 효능 측정방법.
- 제18항에 있어서, hDLL4를 발현하는 재조합 세포주는 hDLL4 과발현 293 세포주(293-hDLL4)인 것을 특징으로 하는 이중표적항체의 DLL4 길항 효능 측정방법.
- 제18항에 있어서, 상기 공배양은 (a) 인간탯줄내피세포를 배양하는 단계; 및 (b) hDLL4를 발현하는 세포주 또는 재조합 세포주와 이중표적항체를 반응시킨 다음, 상기 (a) 단계에서 배양된 인간탯줄내피세포에 처리하여 공배양하는 단계;를 포함하는 것을 특징으로 하는 이중표적항체의 DLL4 길항 효능 측정방법.
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| ES13857338T ES2744267T3 (es) | 2012-11-21 | 2013-11-20 | Anticuerpo de doble diana que se dirige a VEGFR-2 y DLL4, y composición farmacéutica que comprende el mismo |
| CA2892193A CA2892193C (en) | 2012-11-21 | 2013-11-20 | Dual-target antibody targeting vegfr-2 and dll4, and pharmaceutical composition including the same |
| EP13857338.1A EP2924052B1 (en) | 2012-11-21 | 2013-11-20 | Dual-target antibody targeting vegfr-2 and dll4, and pharmaceutical composition comprising same |
| AU2013348570A AU2013348570B2 (en) | 2012-11-21 | 2013-11-20 | Dual-target antibody targeting VEGFR-2 and DLL4, and pharmaceutical composition comprising same |
| CN201380065951.0A CN104870476B (zh) | 2012-11-21 | 2013-11-20 | 靶向vegfr‑2和dll4的双靶向抗体及包含它的药物组合物 |
| JP2015543969A JP6144771B2 (ja) | 2012-11-21 | 2013-11-20 | Vegfr−2とdll4を標的とする二重標的抗体及びこれを含む薬学的組成物 |
| US14/443,617 US9963512B2 (en) | 2012-11-21 | 2013-11-20 | Dual-target antibody targeting VEGFR-2 and DLL4, and pharmaceutical composition including same |
| US15/920,751 US10155817B2 (en) | 2012-11-21 | 2018-03-14 | Dual-target antibody targeting VEGFR-2 and DLL4 and pharmaceutical composition including same |
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| US15/920,751 Division US10155817B2 (en) | 2012-11-21 | 2018-03-14 | Dual-target antibody targeting VEGFR-2 and DLL4 and pharmaceutical composition including same |
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| EP (1) | EP2924052B1 (ko) |
| JP (1) | JP6144771B2 (ko) |
| KR (1) | KR101569083B1 (ko) |
| CN (1) | CN104870476B (ko) |
| AU (1) | AU2013348570B2 (ko) |
| CA (1) | CA2892193C (ko) |
| DK (1) | DK2924052T3 (ko) |
| ES (1) | ES2744267T3 (ko) |
| WO (1) | WO2014081202A1 (ko) |
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Also Published As
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| US20180208660A1 (en) | 2018-07-26 |
| AU2013348570A1 (en) | 2015-06-11 |
| EP2924052B1 (en) | 2019-07-17 |
| ES2744267T3 (es) | 2020-02-24 |
| DK2924052T3 (da) | 2019-09-30 |
| US10155817B2 (en) | 2018-12-18 |
| KR101569083B1 (ko) | 2015-11-16 |
| EP2924052A1 (en) | 2015-09-30 |
| KR20140065352A (ko) | 2014-05-29 |
| CN104870476A (zh) | 2015-08-26 |
| US9963512B2 (en) | 2018-05-08 |
| CN104870476B (zh) | 2018-04-13 |
| US20150315277A1 (en) | 2015-11-05 |
| JP2016505244A (ja) | 2016-02-25 |
| AU2013348570B2 (en) | 2017-01-12 |
| JP6144771B2 (ja) | 2017-06-07 |
| CA2892193A1 (en) | 2014-05-30 |
| EP2924052A4 (en) | 2016-06-22 |
| CA2892193C (en) | 2018-06-19 |
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