Compositions and methods for immunooncology
US-2024417722-A1 · Dec 19, 2024 · US
US12054529B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12054529-B2 |
| Application number | US-201917048928-A |
| Country | US |
| Kind code | B2 |
| Filing date | Apr 17, 2019 |
| Priority date | Apr 20, 2018 |
| Publication date | Aug 6, 2024 |
| Grant date | Aug 6, 2024 |
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An isolated chimeric antigen receptor (CAR) polypeptide, wherein the CAR includes an extracellular antigen-binding domain, including an antibody or antibody fragment that binds to a protein encoded by a herpes virus, or to a protein complex including the protein (herpes virus antigen), wherein the herpes virus antigen is present on the surface of a human cell that is latently infected with said herpes virus and supports the lytic phase of viral replication. The invention further relates to a nucleic acid molecule encoding the CAR of the invention, a genetically modified immune cell, preferably a T cell, expressing the CAR of the invention and the use of the cell in the treatment of a medical disorder associated with human herpesvirus, such as herpes virus-associated cancers, chronic active herpes virus infections or primary herpes virus infections. In preferred embodiments the herpes virus is Epstein-Barr virus (EBV) and a preferred herpes virus antigen target of the CAR is the EBV glycoprotein 350/220 (gp350/gp220).
Opening claim text (preview).
The invention claimed is: 1. A chimeric antigen receptor polypeptide (CAR), comprising: i. an extracellular antigen-binding domain, comprising an antibody or antibody fragment that binds to an Epstein-Barr virus (EBV) glycoprotein 350/220 (gp350/gp220), ii. a transmembrane domain, and iii. an intracellular signaling domain, wherein the antigen-binding domain comprises a variable heavy chain (VH), said VH comprising heavy chain complementary determining regions H-CDR1 according to SEQ ID NO: 1 (GLSLTSN), H-CDR2 according to SEQ ID NO: 2 (WSNGG), and H-CDR3 according to SEQ ID NO: 3 (PRYNSGYFFDY), and a variable light chain (VL), said VL comprising light chain complementary determining regions L-CDR1 according to SEQ ID NO: 4 (KASESVSTRMH), L-CDR2 according to SEQ ID NO: 5 (KTSNLAS), and L-CDR3 according to SEQ ID NO: 6 (QQSWNGPLT), or wherein the antigen-binding domain comprises a variable heavy chain (VH), said VH comprising heavy chain complementary determining regions H-CDR1 according to SEQ ID NO: 7 (GFSLTSY), H-CDR2 according to SEQ ID NO: 8 (WSDGD), and H-CDR3 according to SEQ ID NO: 9 (LQSEDTATYYCARLQVFGYPGIRDYVMDA), and a variable light chain (VL), said VL comprising light chain complementary determining regions L-CDR1 according to SEQ ID NO: 10 (KSSQSLLSSRHQKNFLA), L-CDR2 according to SEQ ID NO: 11 (HASTRQS), and L-CDR3 according to SEQ ID NO: 12 (LQHYTSPYT). 2. The CAR polypeptide according to claim 1 , wherein the EBV glycoprotein gp350/gp220 is present on the surface of EBV-infected cells. 3. The CAR polypeptide according to claim 2 , wherein the EBV-infected cells are selected from the group consisting of EBV-infected cancer cells, EBV-infected B cells and EBV-infected epithelial cells. 4. The CAR polypeptide according to claim 1 : wherein the CAR comprises a leader polypeptide positioned N-terminally of the VH and VL domains, and/or wherein the extracellular antigen-binding domain comprises a linker polypeptide positioned between the VH and VL domains, and/or comprising additionally a spacer polypeptide positioned between the extracellular antigen-binding domain and the transmembrane domain, and/or wherein the transmembrane domain is a CD28 or a CD8 alpha transmembrane domain; and/or wherein the intracellular domain comprises a CD28 or a 4-1BB co-stimulatory domain; and/or wherein the intracellular domain comprises a CD3 zeta chain signaling domain; and/or wherein the CAR comprises one or more linker polypeptides positioned between the VH and VL domains and the spacer, and/or between the spacer and the transmembrane domain. 5. The CAR polypeptide according to claim 4 , wherein the leader polypeptide is an IgHL leader, wherein the linker is a G4S linker, and wherein the spacer is an IgG1 CH3 or a IgG1 CH2-CH3 spacer. 6. An isolated nucleic acid molecule, comprising a nucleotide sequence which encodes a CAR polypeptide according to claim 1 . 7. A genetically modified immune cell comprising a nucleic acid molecule according to claim 6 and/or expressing a CAR according to claim 1 . 8. The genetically modified immune cell according to claim 7 , wherein the immune cell is selected from the group consisting of a T lymphocyte, an NK cell, a macrophage, a dendritic cell, a cytotoxic T lymphocyte and a T helper cell. 9. A method for the treatment of a medical condition associated with an EBV infection in a subject comprising administering to the subject a genetically modified immune cell according to claim 7 . 10. The method according to claim 9 , wherein the medical condition is an EBV-associated cancer. 11. The method according to claim 10 , wherein the medical condition is selected from the group consisting of a lymphoproliferative disorder (LPD), B-cell lymphoma, Burkitt lymphoma (BL), Hodgkin lymphoma (HL), a diffuse large B cell lymphoma (DLBCL), a post-transplant lymphoproliferative disorder (PTLD), an epithelial carcinoma, a lymphoepithelioma, a carcinoma with lymphoid stroma and a glioma. 12. The method according to claim 9 , wherein the medical condition associated with EBV infection is chronic active EBV infection (CAEBV) or primary EBV infection. 13. The method according to claim 9 for use in the treatment of immune deficient or immune compromised patients after chemotherapy, radiation, immune suppression or transplantation.
Viral antigens · CPC title
Chimeric antigen receptors [CAR] · CPC title
T-cells, e.g. tumour infiltrating lymphocytes [TIL] or regulatory T [Treg] cells; Lymphokine-activated killer [LAK] cells · CPC title
characterised by the dose, timing or administration schedule · CPC title
characterized by the route of administration · CPC title
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