Methods and compositions for cancer treatment
US-2024424094-A1 · Dec 26, 2024 · US
US9556259B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9556259-B2 |
| Application number | US-201414156441-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jan 15, 2014 |
| Priority date | Oct 28, 2011 |
| Publication date | Jan 31, 2017 |
| Grant date | Jan 31, 2017 |
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The present application discloses humanized 9E4 antibodies. The antibodies bind to human alpha synuclein and can be used for immunotherapy of Lewy body disease.
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What is claimed is: 1. A method of treating a patient having or at risk of a synucleinopathy, comprising administering to the patient an effective regime of an antibody that binds alpha synuclein, the antibody comprising a humanized heavy chain comprising the three Kabat CDRs of SEQ ID NO:11 and a humanized light chain comprising the three Kabat CDRs of SEQ ID NO:4, provided that position L36 (Kabat numbering) is occupied by F and/or position L83 (Kabat numbering) is occupied by L and/or position H73 (Kabat numbering) is occupied by D, and/or position H93 (Kabat numbering) is occupied by S; wherein a patient at risk of a synucleinopathy has a risk factor conferring a statistically significant risk of developing the synucleinopathy compared with subjects lacking the risk factor. 2. The method of claim 1 , wherein the patient has REM sleep behavior disorder (RBD). 3. A method of detecting Lewy bodies in a patient having or at risk of a Lewy body disease, comprising administering to the patient an effective amount of an antibody that binds alpha synuclein, the antibody comprising a humanized heavy chain comprising the three Kabat CDRs of SEQ ID NO:11 and a humanized light chain comprising the three Kabat CDRs of SEQ ID NO:4, provided that position L36 (Kabat numbering) is occupied by F and/or position L83 (Kabat numbering) is occupied by L and/or position H73 (Kabat numbering) is occupied by D, and/or position H93 (Kabat numbering) is occupied by S; wherein a patient at risk of a synucleinopathy has a risk factor conferring a statistically significant risk of developing the synucleinopathy compared with subjects lacking the risk factor; and detecting bound antibody in the patient. 4. A method of reducing Lewy body formation in a patient having or at risk of a Lewy body disease, comprising administering to the patient an effective amount of an antibody that binds alpha synuclein, the antibody comprising a humanized heavy chain comprising the three Kabat CDRs of SEQ ID NO:11 and a humanized light chain comprising the three Kabat CDRs of SEQ ID NO:4, provided that position L36 (Kabat numbering) is occupied by F and/or position L83 (Kabat numbering) is occupied by L and/or position H73 (Kabat numbering) is occupied by D, and/or position H93 (Kabat numbering) is occupied by S; wherein a patient at risk of a synucleinopathy has a risk factor conferring a statistically significant risk of developing the synucleinopathy compared with subjects lacking the risk factor. 5. A method of inhibiting synuclein aggregation or reducing Lewy bodies or synuclein aggregates in a patient having or at risk of a Lewy body disease, comprising administering to the patient an effective amount of an antibody that binds alpha synuclein, the antibody comprising a humanized heavy chain comprising the three Kabat CDRs of SEQ ID NO:11 and a humanized light chain comprising the three Kabat CDRs of SEQ ID NO:4, provided that position L36 (Kabat numbering) is occupied by F and/or position L83 (Kabat numbering) is occupied by L and/or position H73 (Kabat numbering) is occupied by D, and/or position H93 (Kabat numbering) is occupied by S; wherein a patient at risk of a synucleinopathy has a risk factor conferring a statistically significant risk of developing the synucleinopathy compared with subjects lacking the risk factor. 6. The method of any of claims 1 - 3 , and 4 - 5 , wherein the synucleinopathy or Lewy body disease is Parkinson's disease. 7. The method of claim 1 , wherein the antibody comprises a mature heavy chain variable region having an amino acid sequence designated SEQ ID NO:10 and a mature light chain variable region having an amino acid sequence designated SEQ ID NO:5. 8. The method of claim 1 , wherein position L36 (Kabat numbering) is occupied by F and position L83 (Kabat numbering) is occupied by L. 9. The method of claim 1 , wherein position L36 (Kabat numbering) is occupied by F. 10. The method of claim 1 , wherein position L83 (Kabat numbering) is occupied by L. 11. The method of claim 1 , wherein position H73 (Kabat numbering) is occupied by D. 12. The method of claim 1 , wherein the antibody comprises a mature heavy chain variable region having an amino acid sequence of SEQ ID NO:11 and a mature light chain variable region having an amino acid sequence of SEQ ID NO:4. 13. The method of claim 1 , wherein the mature heavy chain variable region has an amino acid sequence designated SEQ ID NO:10. 14. The method of claim 1 , wherein the mature light chain variable region has an amino acid sequence designated SEQ ID NO: 5. 15. The method of claim 1 , wherein position H73 (Kabat numbering) is occupied by D and position H93 (Kabat numbering) is occupied by A. 16. The method of claim 1 , wherein the mature light chain variable region has an amino acid sequence of SEQ ID NO:3, 4, or 5, and the mature heavy chain variable region has an amino acid sequence of SEQ ID NO:8, 9, or 10. 17. The method of claim 16 , wherein the antibody further comprises a heavy chain constant region having the amino acid sequence of SEQ ID NO:32. 18. The method of claim 16 , wherein the antibody further comprises a light chain constant region having the amino acid sequence of SEQ ID NO:13. 19. The method of claim 1 , wherein the antibody further comprises a heavy chain constant region of human IgG1 isotype. 20. The method of claim 1 , wherein the antibody is a Fab fragment. 21. The method of claim 3 , wherein position L36 (Kabat numbering) is occupied by F and position L83 (Kabat numbering) is occupied by L. 22. The method of claim 3 , wherein position L36 (Kabat numbering) is occupied by F. 23. The method of claim 3 , wherein position L83 (Kabat numbering) is occupied by L. 24. The method of claim 3 , wherein position H73 (Kabat numbering) is occupied by D. 25. The method of claim 3 , wherein the antibody comprises a mature heavy chain variable region having an amino acid sequence of SEQ ID NO:11 and a mature light chain variable region having an amino acid sequence of SEQ ID NO:4. 26. The method of claim 3 , wherein the mature heavy chain variable region has an amino acid sequence designated SEQ ID NO:10 and the mature light chain variable region has an amino acid sequence designated SEQ ID NO: 5. 27. The method of claim 3 , wherein position H73 (Kabat numbering) is occupied by D and position H93 (Kabat numbering) is occupied by A. 28. The method of claim 3 , wherein the mature light chain variable region has an amino acid sequence of SEQ ID NO:3, 4, or 5, and the mature heavy chain variable region has an amino acid sequence of SEQ ID NO:8, 9, or 10. 29. The method of claim 28 , wherein the antibody further comprises a heavy chain constant region having the amino acid sequence of SEQ ID NO:32. 30. The method of claim 28 , wherein the antibody further comprises a light chain constant region having the amino acid sequence of SEQ ID NO:13. 31. The method of claim 3 , wherein the antibody further comprises a heavy chain constant region of human IgG1 isotype. 32. The method of claim 3 , wherein the antibody is a Fab fragment. 33. The method of claim 4 , wherein the antibody comprises a mature heavy chain variable region having an amino acid sequence designated SEQ ID NO:10 and a mature light chain variable region having an amino
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