Title of Invention

"A FULLY HUMAN MONOCLONAL ANTIBODY"

Abstract A fully human monoclonal antibody that specifically binds to 4-1BB comprising a light chain and a heavy chain, wherein said light chain comprises amino acid residues 21-236 of SEQ ID NO:6 and said heavy chain comprises amino acid residues 20-467 of SEQ ID NO:3.
Full Text FULLY HUMAN ANTIBODIES AGAINST HUMAN 4-lBB(CD137)
Field of the Invention:
The invention is directed to fully human antibodies and, more specifically, to fully human antibodies to human 4-1BB (CD137).
BACKGROUND OF THE INVENTION:
An extensive body of evidence has unequivocally demonstrated that some degree of immune response against cancer exists in humans and animals. In cancer patients, cellular components of the immune system are able to recognize antigens expressed by tumor cells, such as differentiation of oncofetal antigens or mutated gene products (S. Rosenberg, Nature, 411:380-4 (2001); P. van der Bruggen et al., Immunological Rev., 188:51-64 (2002)). A number of clinical studies have shown that tumor-infiltrating lymphocytes have favorable prognostic significance (E. Halapi, Med. Oncol., 15(4):203-11 (1998); Y. Naito et al. Cancer Res., 58(16):3491-4 (1998); L. Zhang et al, N.E. J. Med., 348(3):203-13 (2003)). Furthermore, treatment with immunomodulators, such as cytokines or bacterial products, cancer vaccines, or adoptive immunotherapy has led to tumor regression in a number of patients (S. Rosenberg, Cancer J. Sci. Am. 6(.S):2 (2000); P. Bassi, Surg. Oncol., 1 l(l-2):77-83 (2002); S. Antonia et al. Current Opinion in Immunol., 16:130-6 (2004)). Despite these responses, immunity against cancer frequently fails to effectively eliminate tumor cells. The causes for this failure can be grouped into three major categories: (i) impaired tumor recognition by immune cells, either by variable expression of tumor antigens or reduced expression of class I major histocompatibility complex (MHC); (ii) immunosuppressive tumor microenvkonment, as a result of secretion of inhibitory cytokines by tumor cells (e.g., TGF-J3); and (iii) poor tumor immunogenicity due to the lack of expression of co-stimulatory molecules on tumor cells, which results in the inability of the tumor cells to effectively stimulate T-cells. Advances in our understanding of the requirements for tumor antigen recognition and immune effector function indicate that a potential strategy to enhance an anti-tumor immune response is to provide co-stimulation through an auxiliary molecule. Tumor antigen-specific T-cells require costimulation to initiate and maintain effector

functions. This, therapies that target costimulatory molecules can be applied to modulate and enhance the immune response to tumors.
The current model for T-cell activation postulates that naive T-cells require two signals for full activation: (i) a signal provided through the binding of processed antigens presented to the T-cell receptor by major histocompatibility complex (MHC) class I molecules; and (ii) an additional signal provided by the interaction of costimulatory molecules on the surface of Tcells and their ligands on antigen presenting cells. Recognition of an antigen by a naive T-cell is insufficient in itself to trigger T-cell activation. Without a co-stimulatory signal, T-cells may be eliminated either by death or by induction of anergy. Signaling through the CD28 costimulatory molecule appears to be key for the initiation of T-cell responses. However, CD137 (4-1BB) signaling has been shown to be primordial for the maintenance and expansion of the immune response to antigens, as well as, for the generation of memory T-cells.
CD137 (4-1BB) is a member of the tumor necrosis receptor (TNF-R) gene family, which includes proteins involved hi regulation of cell proliferation, differentiation, and programmed cell death. CDI37 is a 30 kDa type I membrane glycoprotein expressed as a 55 kDa homodimer. The receptor was initially described in mice (B. Kwon et al., P.N.A.S. USA, 86:1963-7 (1989)), and later identified in humans (M. Alderson et al., Eur. J. Immunol., 24: 2219-27 (1994); Z. Zhou et al., Immunol. Lett., 45:67 (1995)) (See, also, Published PCT Applications WO95/07984 and WO96/29348, and U.S. Patent No. 6,569,997, hereby incorporated by reference (See, SEQ ED N0:2.)). The human and murine forms of CD137 are 60% identical at the amino acid level. Conserved sequences occur in the cytoplasmic domain, as well as 5 other regions of the molecule, indicating that these residues might be important for function of the CD137 molecule (Z. Zhou et al., Immunol. Lett., 45:67 (1995)). Expression of CD137 has been shown to be predominantly on cells of lymphoid lineage such as activated T-cells, activated Natural Killer (NK) cells, NKT-cells, CD4CD25 regulatory T-cells, and also on activated thymocytes, and intraepithelial lymphocytes. In addition, CDI37 has also been shown to be expressed on cells of myeloid origin like dendritic cells, monocytes, neutrophils, and eosinophils. Even though CD137 expression is mainly restricted to immune/inflammatory cells, there

have been reports describing its expression on endothelial cells associated with a small number of tissues from inflammatory sites and tumors.
Functional activities of CD137 on T-cells have been amply characterized. Signaling through CD 137 hi the presence of suboptimal doses of anti-CD3 has been demonstrated to induce T-cell proliferation and cytokine synthesis (mainly IFN-y), and to inhibit activated cell death. These effects have been observed with both murine and human T-cells (W. Shuford et al, J. Exp. Med., 186(l):47-55 (1997); D. Vinay et al., Semin. ImmunoL, 10(6):481-9 (1998); D. Laderach et al., Int. Immunol., 14(10):! 155-67 (2002)). In both humans and mice, co-stimulation enhances effector functions, such as IFN-y production and cytotoxicity, by augmenting the numbers of antigen-specific and effector CD8+ T-cells. In the absence of anti-CD3 signaling, stimulation through CD 137 does not alter T-cell function, indicating that CD137 is a co-stimulatory molecule.
The physiological events observed following CD 137 stimulation on T-cells are mediated by NF-icB and PI3K/ERK1/2 signals with separate physiological functions. NF-KB signals trigger expression of Bcl-xL, an anti-apopotic molecule, thus resulting in increased survival, whereas PI3K and ERK1/2 signals are specifically responsible for CD137-mediated cell cycle progression (H. Lee et al., J. Immunol., 169(9):4882-8 (2002)). The effect of CD137 activation on the inhibition of activation-induced cell death was shown in vitro by Hurtado et al. (J. Hurtado et al., J. Immunol., 158(6):2600-9 (1997)), and in an in vivo system hi which anti-CD137 monoclonal antibodies (mabs) were shown to produce long-term survival of superantigen-activated CD8+ T-cells by preventing clonal deletion (C. Takahashi et al., J. LnmunoL, 162:5037 (1999)). Later, two reports demonstrated, under different experimental conditions, that the CD137 signal regulated both clonal expansion and survival of CD8+ T-cells (D. Cooper et al., Eur. J. Immunol., 32(2):521-9 (2002); M. Maus et al., Nat. Biotechnol., 20:143 (2002)). Reduced apoptosis observed after co-stimulation correlated with increased levels of Bcl-xt, in CD8+ T-cells, while Bcl-2 expression remained unchanged. Up-regulation of the anti-apoptotic genes Bcl-xL and bfl-1 via 4-lBB was shown to be mediated by NF-KB activation, since PDTC, an NF-KB-specific blocker, inhibited 4-lBB-mediated up-regulation of Bcl-xL (H. Lee et al., J. Immunol., 169(9):4882-8 (2002)). On the other hand, clonal expansion of activated

T-cells appears to be mediated by increased expression of cyclins D2, D3, and E, and down-regulation of the p27kipl protein. This effect occurs hi both an IL-2 dependent and independent fashion (H. Lee et al, J. Immunol., 169(9):4882-8 (2002)).
Altogether, GDI37 stimulation results hi enhanced expansion, survival, and effector functions of newly primed CD8+ T-cells, acting, hi part, directly on these cells. Both CD4+ and CD8+ T-cells have been shown to respond to CD137 sthnulation, however, it appears that enhancement of T-cell function is greater hi CD8+ cells (W. Shuford et al., J. Exp. Med., 186(l):47-55 (1997); I. Gramaglia et al., Eur. J. ImmunoL, 30(2):392-402 (2000); C. Takahashi et al., J. ImmunoL, 162:5037 (1999)). Based on the critical role of CD137 stimulation hi CD8+ T-cell function and survival, manipulation of the CD137/CD137L system provides a plausible approach for the treatment of tumors and viral pathogens.
Recently, the constitutive expression of CD137 on freshly isolated dendritic cells (DCs) was demonstrated hi mice (R. Wilcox et al., J. ImmunoL, 169(8):4230-6 (2002); T. Futagawa et al., Int. ImmunoL, 14(3):275-86 (2002)) and humans (S. Pauly et al., J. Leukoc. Biol. 72(l):35-42 (2002)). These reports showed that stimulation of GDI37 on DCs resulted in secretion of IL-6 and IL-12, and, more importantly, it enhanced DC ability to stimulate T-cell responses to alloantigens. Furthermore, Pan et al. demonstrated that GDI37 signaling hi DCs resulted hi upregulation of MHC Class I and costimulatory molecules, and produced an increased ability of DCs to infiltrate tumors (P. Pan et al., J. ImmunoL, 172(8):4779-89 (2004)). Therefore, CD137 costirnulation on DCs appears to be a novel pathway for proliferation, maturation, and migration of DCs.
Activated Natural Killer (NK) cells express CD 137 following stimulation with cytokines (I. Melero et al., Cell ImmunoL, 190(2):167-72 (1998); R. Wilcox et al., J. ImmunoL, 169(8):4230-6 (2002)). Several reports demonstrated that NK cells appear to be critical for the modulation of the antitumor immune response induced by agonistic CD137 antibodies ((I. Melero et al., Cell ImmunoL, 190(2):167-72 (1998); R. Miller et al., J. ImmunoL, 169(4):1792-800 (2002); R. Wilcox et al., J. ImmunoL, 169(8):4230-6 (2002)). Depletion of NK cells significantly reduces the antitumor activity of anti-CD137 mabs. Ligation of CD137 on NK cells induces proliferation and IFN-y secretion, but does not affect their cytolytic activity. Notably, in vitro,

CD137-stimulated NEC cells presented an immunoregulatory or "helper" activity for CD8+ cytolytic T-cells resulting in expansion of activated T-cells. Therefore, CD137 signaling on NK cells may modulate innate immunity to tumors.
A paradoxical effect has been described for CD137 stimulation in that agonistic CD137 antibodies can induce suppression of the humoral responses to T-cell antigens in primates and mouse models (H. Hong et al., J. Immunother., 23(6):613-21 (2000); R. Mittler et al., J. Exp. Med, 190(10): 1535-40 (1999)). Notably, CD137 agonistic antibodies were shown to produce significant amelioration of the symptoms associated with antibody dependent autoimmune diseases such as systemic lupus erythematosus and experimental autoimmune encephalomyelitis (J. Foell et.al., N.Y. Acad. Sci, 987:230-5 (2003); Y. Sun et al., Nat. Med., 8(12): 1405-13 (2002)). Recently, Seo et al. demonstrated that, in a mouse model of rheumatoid arthritis, treatment with an agonistic anti-CD 137 antibody prevented the development of the disease, and remarkably, blocked disease progression (S. K. Seo et al., Nat Med. 10;1099-94 (2004)). The mechanism responsible for this effect has not been well defined, but in the model of rheumatoid arthritis it was shown that treatment with a CD 137 agonistic antibody resulted in the expansion of IFN-y-producing GDI 1C-CD8+ T cells. IFN-y in turn stimulated dendritic cells to produce indolamine-2,3-dioxygenase (IDO), which exerts immuno-suppressive activities. It has also been postulated that CD 137 signaling on antigen-activated CD4 + T-cells results in induction of IFN-y secretion which activates macrophages. Activated macrophages can in turn produce death signals for B cells. Continuous signaling through CD 137 on CD4+ T-cells may subsequently induce activation-induced cell death (AICD) of these CD4+ activated T-cells. Therefore, by eliminating antigen-activated T-cells and B cells, a reduced antibody response is observed and, consequently, a dramatic reduction of Th2-mediated inflammatory diseases is observed (B. Kwon et al., J. Immunol., 168(11):5483-90 (2002)). These studies suggest a role for the use of agonistic CD 13 7 antibodies for the treatment of inflammatory or autoimmune diseases, without inducing a general suppression of the immune system.
The natural ligand for CD137, CD137 ligand (CD137L), a 34kDa glycoprotein member of the TNF superfamily, is detected mainly on activated antigen-presenting cells (APC), such as B cells, macrophages, dendritic cells, and also on murine B-cell

lymphomas, activated T-cells, and human carcinoma lines of epithelial origin (R. Goodwin et al., Eur. J. Immunol., 23(10):2631-41 (1993); Z. Zhou et al.5 Immunol. Lett., 45:67 (1995); H. Salih et al., J. ImmunoL, 165(5):2903-10 (2000)). Human CD137L shares 36% homology with its murine counterpart (M. Alderson et al., Eur. J. Immunol., 24:2219-27 (1994)).
In addition to delivering signals to CD137-expressing cells, binding of CD137 to CD137L initiates a bidirectional signal resulting hi functional effects on CD137L-expressing cells. Langstein et al. demonstrated that binding of CD137-Ig fusion protein to CD137L on activated monocytes induced the production of IL-6, IL-8, and TNF-oc, upregulated ICAM, and inhibited IL-10, resulting in increased adherence (J. Langstein et al., J. Immunol., 160(5):2488-94 (1998)). In addition, proliferation of monocytes was demonstrated along with a higher rate of apoptosis (J. Langstein et al., J. Leukoc. Biol., 65(6):829-33 (1999)). These observations were confirmed by the studies of Ju et al. (S. Ju et al., Efybrid Hybridomics, 22(5):333-8 (2003)), which showed that a functional anti-CD 13 7L antibody induced a high rate of proliferation of peripheral blood monocytes. Blocking the ligand resulted in inhibition of T-cell activation. In addition, soluble CD137L was found in the serum of patients with rheumatoid arthritis and hematological malignancies (H. Salih et al., J. Immunol., 167(7):4059-66 (2001)). Thus, the interaction of CD137 with CD137L influences and produces functional effects on T-cells and APC.
In another important aspect of T-cell function, it has been demonstrated that agonistic anti-CD137 antibodies rescued T-cell responses to protein antigens in aged mice. It has been well documented that an age-related decline in the immune response to antigens occurs, a process known as immunosenescence (R. Miller, Science, 273:70-4 (1996); R. Miller, Vaccine, 18:1654-60 (2000); F. Hakim et al., Curr. Opinion Immunol., 16:151-156 (2004)). This phenomenon appears to be due to alterations in the equilibrium between the extent of cellular expansion and cellular survival or death. Bansal-Pakala et al. tested the hypothesis that secondary costimulation through CD 137 can be used to enhance T-cell responses in situations where T-cells do not receive sufficient stimulation, due to either reduced expression of CD3 or CD28, or reduced quality of signals. Then- studies showed that aged mice had a deficient in vitro recall response compared to young mice (P. Bansal-Pakala et

al., J. Immunol., 169(9):5005-9 (2002)). However, when aged mice were treated with anti-CD 13 7 mabs, the proliferative and cytokine responses of T-cells were identical to the responses observed in young mice. While the specific mechanism responsible for this effect was not elucidated, it was speculated that enhancing both the expression of anti-apoptotic molecules like Bcl-xL, and the promotion of iL-2 secretion in vivo may play a role in rescuing defective T-cell responses. These studies demonstrated the potential for agonistic anti-CD137 antibodies to rescue weak T-cell responses in elderly immuno-compromised individuals, and has profound implications for the use of anti-CD137 antibodies in cancer patients.
A role for CD137 targeted therapy in the treatment of cancer was suggested by in vivo efficacy studies in mice utilizing agonistic anti-murine GDI37 monoclonal antibodies. In a paper by Melero et al., agonistic anti-mouse CD137 antibody produced cures in P815 mastocytoma tumors, and in the low immunogenic tumor model Agl04 (I. Melero et al., Nat. Med., 3(6):682-5 (1997)). The anti-tumor effect required both CD4+ and CD8+ T-cells and NK. cells, since selective in vivo depletion of each subpopulation resulted in the reduction or complete loss of the anti-tumor effect. It was also demonstrated that a minimal induction of an immune response was necessary for anti-CD137 therapy to be effective. Several investigators have used anti-CD137 antibodies to demonstrate the viability of this approach for cancer therapy (J. Kim et al., Cancer Res., 61(5):2031-7 (2001); O. Martinet et al., Gene Ther., 9(12):786-92 (2002); R. Miller et al., J. Immunol., 169(4): 1792-800 (2002); R. Wilcox et al., Cancer Res., 62(15):4413-8 (2002)).
In support of the anti-tumor efficacy data with agonistic CD 137 antibodies, signals provided by CD137L have been shown to elicit CTL activity and anti-tumor responses (M. DeBenedette et al., J. Immunol., 163(9):4833-41 (1999); B. Guinn et al., J. Immunol., 162(8):5003-10 (1999)). Several reports demonstrated that gene transfer of CD137 ligand into murine carcinomas resulted in tumor rejection, demonstrating the requirement of costimulation in generating an efficient immune response (S. Mogi et al., Immunology, 101(4):541-7 (2000); I. Melero et al., Cell Immunol., 190(2):167-72 (1998); B. Guinn et al., J. Immunol., 162(8):5003-10 (1999)). Salih et al. reported the expression of CD137L in human carcinomas and human carcinoma cell lines (H. Salih et al., J. Immunol., 165(5):2903-10 (2000)), and

demonstrated that tumors cells expressing the ligand were able to deliver a co-stimulatory signal to T-cells which resulted in the release of IFN-y and IL-2, and that this effect correlated with the levels of CDI STL on tumors. Whether expression of CD137L in human tumors could make these tumors more susceptible to agonistic CD 137 antibodies is not known.
CD137L -/- mice have underscored the importance of the CD137/CD137L system in T-cell responses to both viruses and tumors (M. DeBenedette et al., J. Immunol, 163(9):4833-41 (1999); J. Tan etal, J. Immunol., 164(5):2320-5 (2000); B. Kwon et al., J. Immunol., 168(11):5483-90 (2002)). Studies using CD137- and CD137L-deficient mice have demonstrated the importance of CD 137 costimulation in graft-vs-host disease, and anti-viral cytolytic T-cell responses. CD137-deficient mice had an enhanced proliferation of T-cells, but a reduction hi cytokine production-and cytotoxic T-cell activity (B. Kwon et al., J. Immunol., 168(11):5483-90 (2002); D. Vinay et al., Immunol. Cell BioL, 81(3): 176-84 (2003)). More recently, it was shown that knockout mice (CD137-/-) had a higher frequency of tumor metastases (4-fold) compared to control mice. These data suggest that restoration of CD137 signaling by the use of agonistic anti-CD137 antibodies is a feasible approach for augmenting cellular immune responses to viral pathogens and cancers.
In addition to the data in mouse in vivo models which supports the involvement of CD 137 signaling in antitumor immune responses, studies conducted in primary human tumor samples have confirmed the role of CD137 in generating effector T-cells. In patients with Ewing sarcoma, Zhang et al. showed that intratumoral effector T-cells presented the CD3+/CD8+/CD28-/CD137+ phenotype. Unexpectedly, coexistence of progressive tumor growth and anti-tumor immunity (effector T-cells) was observed. Ex vivo stimulation studies with patients' cells demonstrated that tumor-induced T-cell proliferation and activation required costimulation with CD137L. Stimulation of PBL with anti-CD3/CD137L, but not anti-CD3/anti-CD28, induced tumor lytic effectors. These studies provided further evidence that CD 137 mediated costimulation could result in expansion of tumor reactive CTLs (H. Zhang et al., Cancer Biol. Ther., 2(5):579-86 (2003)). Furthermore, expression of CD 137 was demonstrated in tumor infiltrating lymphocytes in hepatocellular carcinomas (HCC) (Y. Wan et al., World J.

Gastroenterol, 10(2):195-9 (2004)). CD137 expression was detected in 19 out of 19 HCC by RT-PCR, and in 13/19 by immunofluorescence staining. Conversely, CD137 was not detected in the peripheral mononuclear cells of the same patients. Analyses conducted in healthy donor liver tissues failed to demonstrate expression of CD137. These studies did not attempt to correlate clinical disease with GCDI 37 expression. Thus, studies conducted in Ewing sarcoma and hepatocellular carcinoma revealed the presence of TIL that express CD137, with concomitant disease progression. In Ewing sarcomas it was demonstrated that CD137+TILs were able to kill tumor cells ex-vivo suggesting that the CD137 pathway was intact hi these patients, and that perhaps suppressive factors hi the tumor microenvironment inhibited their function. Hence, it can be postulated that systemic administration of agonistic CD 13 7 antibodies may provide the signal necessary for expansion of these effector T-cells.
In addition to its role in the development of immunity to cancer, experimental data supports the use of CD 137 agonistic antibodies for the treatment of autoimmune and viral diseases (B. Kwon et al., Exp. Mol. Med., 35(1):8-16 (2003); H. Salih et al, J. Immunol., 167(7):4059-66 (2001); E. Kwon et al., P.N.A.S. USA, 96:15074-79 (1999); J. Foell et al., N.Y. Acad. Sci., 987:230-5 (2003); Y. Sun et al., Nat. Med., 8(12):1405-13 (2002) S. K. Seo et al, Nat. Med. 10;1099-94 (2004)).
Consequently, based on the roles of 4-1BB in modulating immune response, it would be desirable to produce anti-human 4-IBB antibodies with agonistic activities that could be used for the treatment or prevention of human diseases such as cancer, infectious diseases, and autoimmune diseases.
BRIEF SUMMARY OF THE INVENTION:
The present invention provides folly human antibodies that bind to human 4-1BB (H4-1BB) and that allow binding of H4-1BB to-a human 4-1BB ligand (H4-1BBL). Thus, the invention is directed to antibodies that bind to H4-1BB and that do not block the binding of H4-1BB to H4-1BBL, thereby permitting the binding of both an antibody of the invention and H4-1BBL to H4-1BB. The invention also provides antibodies with agonistic activities hi that binding of the antibodies to H4-1BB results in an enhancement and stimulation of H4-1BB mediated immune responses. These antibodies can be used as immuno-enhancers of an anti-tumor or anti-viral immune

response, or as immunomodulators of T cell mediated autoimmune diseases. The antibodies can also be used as diagnostic tools for the detection of H4-1BB in blood or tissues of patients with cancer, autoimmune, or other diseases.
In one aspect, the invention provides a monoclonal antibody or antigen-binding portion thereof that specifically binds to H4-1BB, comprising a light chain variable region and a heavy chain variable region, wherein the light chain variable region comprises a CDR1 (complementary determining region 1), a CDR2 (complementary determining region 2), and a CDR3 (complementary determining region 3) as depicted in FIG. 4, and the heavy chain variable region comprises a CDR1 (complementary determining region 1), a CDR2 (complementary determining region 2), and a CDR3 (complementary determining region 3) as depicted in FIp. 3 or FIG. 7. The monoclonal antibody (mab) can be, for example, an IgG4 antibody or IgGl antibody.
In another aspect, the invention provides a monoclonal antibody or antigen-binding portion thereof, wherein the light chain comprises a variable region as depicted in FIG. 4, and the heavy chain comprises a variable region as depicted in FIG. 3 or FIG. 7.
In another aspect the invention provides a monoclonal antibody comprising a light chain and a heavy chain, wherein the light chain comprises amino acid residues 21-236 of SEQ ID NO:6 and the heavy chain comprises amino acid residues 20-467 of SEQ ID NO:3. In another aspect, the invention provides a monoclonal antibody comprising a light chain and a heavy chain, wherein the light chain comprises amino acid residues 21-236 of SEQ ID NO:6 and the heavy chain comprises amino acid residues 20-470 of SEQ ID NO:9.
The antibodies of the invention have wide therapeutic applications as immunomodulators of diseases such as cancer, autoimmune diseases, inflammatory diseases, and infectious diseases.
The invention further provides methods for treating cancer in a subject comprising administering a therapeutically effective amount of an antibody of the invention to the subject. In one aspect, this method further comprises administering a vaccine. Suitable vaccines include, for example, a tumor cell vaccine, a DNA vaccine, a GM-CSF-modified tumor cell vaccine, or an antigen-loaded dendritic cell

vaccine. The cancer can be, for example, prostate cancer, melanoma, or epithelial cancer.
In another aspect, the invention provides a method for enhancing the immune response, comprising administration of an antibody of the invention and a SIV gag vaccine. In another aspect, the invention provides a method for enhancing the immune response, comprising administration of an antibody of the invention and a PSA vaccine. In another aspect, the invention provides a method for enhancing the immune response to a SIV gag vaccine, comprising administration of an antibody of the invention. In another aspect, the invention provides a method for enhancing the immune response to a PSA vaccine, comprising administration of an antibody of the invention.
The invention also'provides pharmaceutical compositions comprising an antibody of the invention, or an antigen-binding portion thereof, and a pharmaceutically acceptable carrier. The pharmaceutical composition can be administered alone or in combination with an agent, e.g., an agent for treating cancer such as a chemotherapeutic agent or a vaccine or other immunomodulatory agent.
The invention also provides isolated polynucleotides comprising a nucleotide sequence selected from: (a) nucleotides that encode the amino acid sequence of amino acid residues 20-467 of SEQ ID NO:3; (b) nucleotides that encode the amino acid sequence of SEQ ID NO:3; (c) nucleotides that encode the amino acid sequence of amino acid residues 21-236 of SEQ ID NO:6; (d) nucleotides that encode the amino acid sequence of SEQ ID NO:6; (e) nucleotides that encode the amino acid sequence of amino acid residues 20-470 of SEQ ID NO:9; (f) nucleotides that encode the amino acid sequence of SEQ ID NO:9; and (g) nucleotides that encode a fragment of an amino acid sequence of (a) to (f), such as a variable region, constant region, or one or more CDRs. The isolated polynucleotides of the invention further comprise nucleotide sequences encoding at least one CDR of FIG. 3, at least one CDR of FIG. 4, or at least one CDR of FIG. 7. The invention further provides isolated polynucleotides that comprise the nucleotide sequence of SEQ ID NO:1, SEQ ED NO:4,or SEQI DNO:7.
The invention also provides isolated polypeptides comprising an amino acid sequence selected from the group consisting of SEQ ID NO:3, SEQ ID NO:6, and

SEQ ID NO:9. In another aspect, the invention provides isolated polypeptides comprising the amino acid sequence of amino acid residues 20-467 of SEQ ID NO:3, isolated polypeptides comprising the amino acid sequence of amino acid residues 21-236 of SEQ ID NO:6, and isolated polypeptides comprising the amino acid sequence of amino acid residues 20-470 of SEQ ID NO:9. In another aspect, the invention provides isolated polypeptides comprising the amino acid sequence of at least one CDR of FIG. 3, FIG. 4, or FIG. 7, or at least the variable or constant region of FIG. 3, FIG. 4, or FIG. 7.
The invention further includes an immunoglobulin having binding specificity for H4-1BB, said immunoglobulin comprising an antigen binding region. In one aspect, the immunoglobulin is a Fab or F(ab')2 of an antibody of the invention.
The invention also includes a cell line that produces an antibody or antigen-binding portion thereof of the invention, reconabinant expression vectors that include the nucleotides of the invention, and methods to make the antibodies of the invention by culturing an antibody-producing cell line.
BRIEF DESCRIPTION OF THE DRAWINGS:
FIG. 1 showsaplasmidmapofpD17-20H4.9.h4a.
FIG. 2 shows a plasmid map of pD16gate-20H4.9XC.
FIG. 3 (FIGS. 3A-3H) shows the nucleotide sequence of the plasmid pD17-20H4.9.h4a, including the coding strand (SEQ ID NO:1), complementary strand (SEQ ID NO:2), and amino acid sequence (leader peptide is amino acid residues 1-19 of SEQ ID NO:3; heavy chain is amino acid residues 20-467 of SEQ ID N0:3) encoded by the coding strand.
FIG. 4 (FIGS. 4A-4F) shows the nucleotide sequence of the plasmid pD16gate-20H4.9.LC, including the coding strand (SEQ ID NO:4), complementary strand (SEQ ID NO:5), and amino acid sequence (leader peptide is amino acid residues 1-20 of SEQ ID NO:6; light chain is amino acid residues 21-236 of SEQ ID NO:6) encoded by the coding strand.
FIG. 5 shows a schematic of the 20H4.9-IgGl heavy chain sequence construct.
FIG. 6 shows a schematic of the 20H4.9 light chain sequence construct.

FIG. 7 (FIGS. 7A-7D shows the nucleotide and amino acid sequences of the 20H4.9-IgGl heavy chain construct, including the coding strand (SEQ ID NO:7), complementary strand (SEQ ID NO:8). and amino acid sequence (leader peptide is amino acid residues 1-19 of SEQ ID NO:9; heavy chain is amino acid residues 20-470 of SEQ ID NO:9) encoded by the coding strand.
FIG. 8 (FIGS. 8A-8B) illustrates the results obtained from the binding of mab 20H4.9-IgGl to human CD137 by ELISA (FIG. 8A) and the effect of mab 20H4.9-IgGl on CD137-CD137L interaction (FIG. SB).
FIG. 9 (FIGS. 9A-9B) illustrates the results obtained from the binding of mab 20H4.9-IgGl to PMA-ionomycin stimulated human or cynomolgus monkey cells. Human CEM (FIG. 9A) or monkey PBMC (FIG. 9B) were incubated with 20H4.9-IgGl or human CD137L fusion protein.
FIG. 10 (FIGS. 10A-10B) illustrates the results obtained by induction of IFN-y in co-stimulatory studies with anti-CD 13 7 antibodies, which are expressed as fold increase hi pg/ml over controls. Due to the variable background response among donors, data was normalized relative to control treatments (=1). Median IFN-y baseline level for human T-cells (FIG. 10 A) or monkey PBMC (FIG. 10B) stimulated with anti-CD3 alone was 592 pg/ml and 505 pg/ml respectively.
FIG. 11 provides plasmon resonance plots of binding of mab 20H4.9-IgG4 and mab 20H4.9-IgGl to human CD137.
FIG. 12 illustrates the concentration-dependent binding of 20H4.9-IgG4 to PMA ionomycin stimulated human CEM cells, but no binding to unstimulated CEM cells.
FIG. 13 (FIGS. 13A-B) illustrates the induction of IFN-y in co-stimulatory studies with anti-CD137 antibodies. The results are expressed as fold increase in pg/ml over controls. Due to the variable background response among donors, data was normalized relative to control treatments (=1). Median IFN-y baseline level for human T-cells (FIG. 13A) or monkey PBMC (FIG. 13B) stimulated with anti-CD3 done was 592 pg/ml and 505 pg/ml respectively.
FIG. 14 (FIGS. 14A-14B) illustrates the results obtained of dose-dependent enhancement of IFN-y synthesis by mab 20H4.9-IgG4 (FIG. 14A), and effect of

antibody crosslinking by addition of crosslinking anti-human IgG antibody (7 jig/ml) (FIG. 14B).
FIG. 15 illustrates the effect of mab 20H4.9-IgG4 on T-cell survival and cell cycle progression. Human T-cells were costimulated with anti-CD3 (1 ug/ml) ± mab 20H4.9-IgG4 at the concentrations listed. Six days after initiation of the assa3's, cells were collected and stained with Annexin-V and propidium iodide to determine the number of live cells (Annexin V/PI negative), or PE-conjugated cyclin D2 to detect cycling cells. Results represent the mean (+SD) of 4 lots of mab 20H4.9-IgG4 tested in parallel.
FIG. 16 (FIGS. 16A-16D) shows in cynomolgus monkeys the antigen-specific IFN-y response as measured by ELISPOT after treatment with a DNA vaccine ± anti-human 4-1BB antibodies. Animals were treated with a SIV gag vaccine (day 0,28, 56; FIG. 16A), SIV gag vaccine (day 0,28, 56) and mab 20H4.9-IgG4 (day 12, 15 and 19; FIG. 16B), or SIV gag vaccine (day 0, 28, 56) and hu39E3.G4 (day 12,15 and 19; FIG 16C). A group of animals was left untreated (FIG. 16D). At various times following treatment, blood was collected, and PBMC were separated and evaluated for their ability to secrete IFN-y in the presence of antigen stimulation.
DETAILED DESCRIPTION OF THE INVENTION:
The invention is directed to the preparation and characterization of antibodies, and antigen binding fragments thereof (including fusion proteins that comprise an antigen binding fragment of an antibody of the invention), for use in the treatment of a disease, such as a cancer, infectious disease, inflammatory disease, or autoimmune disease. The cancer can be, for example, prostate cancer, melanoma, or epithelial cancer.
The antibodies are capable of binding to H4-1BB, and can present high affinity for H4-1BB and effectively enhance T cell responses. In one aspect, the antibody induces IFN-y production in co-stimulatory assays, but does not affect the binding of H4-1BB to its corresponding ligand, H4-1BBL, and does not fix complement.

The antibodies of the invention may be produced by methods well known in the art. In one aspect, the antibodies can be produced by expression in transfected cells, such as immortalized eukaryotic cells, such as myeloma or hybridoma cells.
The antibodies of the invention may be used alone, or together with other therapeutic agents such as radiotherapy (including radiation), hormonal therapy, cytotoxic agents, vaccines, and other immunomodulatory agents, such us cytokines and biological response modifiers. These agents are particularly useful in treating cancer and immune-proliferative disorders.
In one aspect, the invention provides the monoclonal antibody (mab) 20H4.9-IgG4. FIGS. 1 and 2 provide plasmid maps of pD17-20H4.9.h4a and pD16gate-20H4.9.LC, respectively, that can be used to produce mab 20H4.9-IgG4. FIG. 3 (FIGS. 3A-3H) provides the nucleotide sequence of the plasmid pD17-20H4.9.h4a, including the coding strand (SEQ ED NO:1), complementary strand (SEQ ID NO:2), and amino acid sequence (leader peptide is ammo acid residues 1-19 of SEQ ID NO:3; heavy chain is amino acid residues 20-467 of SEQ ID NO:3) encoded by the coding strand. FIG. 4 (FIGS. 4A-4F) shows the nucleotide sequence of the plasmid pD 16gate-20H4.9.LC, including the coding strand (SEQ ID NO:4), complementary strand (SEQ ID NO:5), and ammo acid sequence (leader peptide is amino acid residues 1-20 of SEQ ID NO:6; light chain is amino acid residues 21-236 of SEQ ID NO:6) encoded by the coding strand.
hi another aspect, the invention provides the monoclonal antibody (mab) 20H4.9-IgGl. FIG. 5 schematically shows a heavy chain sequence construct of mab 20H4.9-IgGl. FIG. 6 schematically shows a light chain sequence construct of mab 20H4.9, for both mab 20H4.9-IgG4 and 20 H4.9-IgGl. FIG. 7 provides the nucleotide sequence (coding strand (SEQ ID NO: 7) and complementary strand (SEQ ID NO: 8)) of the heavy chain sequence construct of FIG. 5, and the ammo acid sequence (leader peptide is amino acid residues 1-19 of SEQ ID NO:9; heavy chain is amino acid residues 20-470 of SEQ ID NO:9) encoded by the coding strand. The light chain of mab 20H4.9-IgGl is the same as the light chain of mab 20H4.9-IgG4.
The invention also encompasses antibodies with conservative amino acid substitutions from the heavy and light chain amino acid sequences depicted in SEQ ID NOS:3, 6, and 9 that have substantially no effect on H4-1BB binding.

Conservative substitutions typically include the substitution of one ammo acid for another with similar characteristics, e.g., substitutions within the following groups: valine, glycine; glycine, alanine; valine, isoleucine, leucine; aspartic acid, glutamic acid; asparagine, glutamine; serine, threonine; lysine, arginine; and phenylalanine, tyrosine.
The polynucleotides encoding the polypeptides of the invention typically further comprise an expression control sequence operably linked to the porypeptide coding sequences, including naturally-associated or heterologous promoter regions. Preferably, the expression control sequences will be eukaryotic promoter systems in vectors capable of transforming or transfecting eukaryotic host cells, but control sequences for prokaryotic hosts may also be used. Once the vector has been incorporated into an appropriate host, the host is maintained under conditions suitable for high level expression of the nucleotide sequences and, as desired, the collection and purification of the light chain, heavy chain, light/heavy chain dimers or intact antibody, binding fragments or other immunoglobulin form may follow. (See, S. Beychok, Cells of Immunoglobulin Synthesis, Academic Press, N.Y. (1979)). Single chain antibodies or mmibodies (single chain antibodies fused to one or more CH domains) may also be produced by joining nucleic acid sequences encoding the VL and VH regions disclosed herein with DNA encoding a polypeptide linker.
Prokaryotic hosts, such as E. coli, and other microbes, such as yeast, may be used to express an antibody of the invention. In addition to microorganisms, mammalian tissue cell culture may also be used to express and produce the antibodies of the invention. Eukaryotic cells may be preferred, because a number of suitable host cell lines capable of secreting intact immunoglobulins have been developed including, for example, CHO (chinese hamster ovary) cell lines, COS (African green monkey fibroblast cell line) cell lines, HeLa cells, myeloma cell lines, and hybridomas. Expression vectors for these cells can include expression control sequences, such as a promoter or enhancer, and necessary processing information sites, such as ribosome binding sites, RNA splice sites, polyadenylation sites, and transcriptional terminator sequences, all well known in the art.
The vectors containing the DNA segments of interest (e.g., the heavy and/or light chain encoding sequences and expression control sequences) can be transferred

into the host cell by well-known methods, which vary depending on the type of cellular host. For example, calcium chloride transfection is commonly used for prokaryotic cells, whereas calcium phosphate treatment, lipofection, or electroporation may be used for other cellular hosts. (See, e>g., T. Maniatis et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Press (1982)).
Once expressed, the antibodies, their dimers, individual light and heavy chains, or other immunoglobulin forms, can be purified according to standard procedures in the art, such as ammonium sulfate precipitation, affinity columns, column chromatography, gel electrophoresis, and the like. Substantially pure immunoglobulins of at least 90 to 95% homogeneity are desirable, and 98 to 99% or more homogeneity are more desirable.
The antibodies of the invention are useful for modulating T cell and antibody-mediated immune responses. Typical disease states suitable for treatment include cancers, infectious diseases, inflammatory diseases, and autoimmune diseases such as multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus, and myaesthenia gravis.
The invention also provides pharmaceutical compositions comprising at least one antibody of the invention and a pharmaceutically acceptable carrier. The pharmaceutical compositions may be sterilized by conventional well known sterilization techniques. The pharmaceutical compositions can also contain pharmaceutically acceptable auxiliary substances as required to approximate physiological conditions such as pH adjusting and buffering agents, stability enhancing agents such as mannitol or tween 80, toxiciry adjusting agents and the like, for example, sodium acetate, sodium chloride, potassium chloride, calcium chloride, sodium lactate, or human albumin.
The antibodies and pharmaceutical compositions of the invention are particularly useful for parenteral administration, including subcutaneous, intramuscular, and intravenous administration. The pharmaceutical compositions for parenteral administration can comprise a solution of the antibody dissolved in an acceptable carrier, preferably an aqueous carrier. A variety of aqueous carriers can be used, all well known in the art, e.g., water, buffered water, saline, glycine and the like. These solutions are sterile and generally free of particulate matter. It is especially

advantageous to formulate parenteral compositions in dosage unit form for ease of administration and uniformity of dosage.
The pharmaceutical composition can further comprise an additional agent for treatment of a disease. In one aspect, the pharmaceutical composition includes an agent for treatment of a cancer, an infectious disease, inflammatory disease, or autoimmune disease. The antibody of the invention can also be co-administered or separately administered with an additional agent for treatment of a disease.
The antibodies of the invention can be used with other agents to enhance the immune response to cancerous cells in a patient. In one aspect, the antibody is used in combination with an immunpgenic agent, such as cancerous cells, purified tumor antigens (including recombinant proteins, peptides, and carbohydrate molecules), or cells transfected with genes encoding immune stimulating cytokines and cell surface antigens. In another aspect, the antibody is used in combination with a vaccine such as, for example, a tumor cell vaccine, a DNA vaccine, a gene-modified tumor cell vaccine, such as GM-CSF-modified tumor cell vaccine, a peptide vaccine, or an antigen-loaded dendritic cell vaccine.
Many experimental strategies for vaccination against tumors have been devised. In one of these strategies, a vaccine is prepared using autologous or allogeneic tumor cells. These cellular vaccines have been shown to be most effective when the tumor cells are transduced to express GM-CSF. GM-CSF has been shown to be a potent activator of antigen presentation for tumor vaccination (Dranoff et al., P.N.A.S., 90:3539-43 (1993); E. Jafee et al., J. Clin. Oncol., 19:145-56 (2001); R. Salgia et al., J. Clin. Oncol., 21:624-30 (2003)).
The study of gene expression and large scale gene expression patterns in various tumors has led to the definition of so called tumor specific antigens (S. Rosenberg, Immunity 10:281-7 (1999)). In many cases, these tumor specific antigens are differentiation antigens expressed in the tumors and hi the cell from which the tumor arose, for example melanocyte antigens gp 100, MAGE antigens, Trp-2. Many of these antigens can be shown to be the targets of tumor specific T cells found in the host. The antibodies of the invention may be used in conjunction with a collection of recombinant proteins and/or peptides expressed in a tumor in order to amplify and direct the immune response to these antigens towards a Thl response. These proteins

are normally viewed by the immune system as self antigens and are therefore tolerant to them.
In one aspect of the invention, the antibody is combined with an immunodulatory agent comprising the SIV gag antigen (as a model for HTV DNA vaccine) or prostate specific antigen (PSA), or a DNA vaccine comprising a nucleotide sequence that encodes the SIV gag antigen or prostate specific antigen (PSA). PSA vaccines are described in, for example, M. Pavlenko et al., Br. J. Cancer, 91(4):688-94 (2004); J. Wolchok et al., Semin. Oncol., 30(5):659-66 (2003); J. Kim et al., Clin. Cancer Res., 7(3 Suppl.):882s-889s (2001). SIV gag vaccines are described in, for example, B. Makitalo et al., J. Gen. Virol., 85(Pt 8):2407-19 (2004); N. Letvin et al., J. Virol., 78(14):7490-7 (2004); S. Mossman et al., AIDS Res. Hum. Retroviruses., 20(4):425-34 (2004); F. Bertley et al., J. Immunol., 172(6):3745-57 (2004); L. Patterson et al., J. Virol., 78(5):2212-21 (2004); E. O'Neill et al., AIDS Res. Hum. Retroviruses, 19(10):883-90 (2003); Z. Bu et al., Virology, 309(2):272-81 (2003).
The tumor antigen may also include, for example, the protein telomerase, which is required for the synthesis of telomeres of chromosomes and which is expressed in more than 85% of human cancers and in only a limited number of somatic tissues (N. Kim et al., Science, 266,2011-2013 (1994)). Tumor antigen may also be "neo-antigens" expressed in cancer cells because of somatic mutations that alter protein sequence or create fusion proteins between two unrelated sequences, or idiotype from B cell tumors. Other tumor vaccines ma}' include the proteins from viruses implicated in human cancers such a Human Papilloma Viruses (HPV), Hepatitis Viruses (HBV and HCV), and Kaposi's Herpes Sarcoma Virus (KHSV). Another form of tumor specific antigen which may be used with an antibody of the invention is purified heat shock proteins (HSP) isolated from the tumor tissue itself. These heat shock proteins contain fragments of proteins from the tumor cells and these HSPs are highly efficient at delivery to antigen presenting cells for eliciting tumor immunity (R. Suot et al., Science 269: 1585-1588 (1995); Y. Tamura et al., Science 278: 117-120(1997)).
The antibodies of the invention can also be used to enhance the immune response to vaccines to viral antigens, such as HTV or HCV. The antibodies of the

invention can also be used to enhance the immune response to other immunomodulatory agents, and to elicit a memory immune response. Examples of these agents are cytokines such as GM-CSF, IL-2, IL-15, JJL-12, F13 ligand, CD40 ligand, adjuvants such as CpG-oligodeoxynucleotide (bacterial DNA), or antibodies to OX-40 or CTLA-4.
The pharmaceutical compositions of the invention can be administered for prophylactic and/or therapeutic treatments. In therapeutic application, the pharmaceutical composition is administered to a patient already suffering from a disease, in an amount sufficient to cure or at least partially arrest or treat the disease. An amount adequate to accomplish this is defined as a "therapeutically effective dose." Amounts effective for flu's use will depend upon the severity of the disease state and the patient (including, for example, the general state of the patient's own immune system), and can be determined by one skilled in the art. In prophylactic applications, the pharmaceutical composition is administered to a patient not already in the disease state, to enhance the patient's resistance to the disease state. Such an amount is defined to be a "prophylactically effective dose." In this use, the precise amounts depend upon the patient's state of health (including, for example, the general state of the patient's own immune system), and can be determined by one skilled in the art. In one aspect, the prophylactic use is for the prevention of tumor recurrence.
Examples:
Example 1: Generation of Antibodies
Materials and Methods
Fully human monoclonal antibodies to the human CD137 (4-1BB) receptor were generated in the HuMAb-Mouse® (Medarex, Inc., Princeton, New Jersey). HuMAb mice were immunized five times intraperitoneally (i.p.) and subcutaneously (s.c.) with 25 ug of the extracellular domain of human CD137 in RJBI adjuvant (Ribi Immunochemical). Prior to fusion, mice were boosted intravenously (i.v.) with the same amount of antigen. Spleen cells from immunized mice with adequate titers of antibodies to huCD137 were fused to mouse myeloma cells following standard procedures.

Anti-human CDS mab (clone:HIT3a), ELISA kits for human and monkey IFN-y, C3'tometric bead array (CBA) kits, and all conjugated antibodies for flow cytometry were purchased from BD Pharmingen (San Diego, California). Human IgGi A, and Human IgGi K were purchased from Sigma-Aldrich (St. Louis, Missouri). CEM cells (ATCC-CRL 2265) were purchased from ATCC. Culture media (RPMT), and fetal bovine serum (FBS) were purchased from Mediatech Inc. (Herndon, Virginia). Sheep Red Blood Alsevers was purchased from Colorado Serum Co. (Denver, Colorado).
Hybridoma screening: Detection of binding to huCD137 by ELISA: To identify hybridomas secreting anti-human CD137 antibodies, ELISA plates (Nunc MaxiSorp) were coated with human CD137-mouse IgG2b fusion protein at 1 |Jg/ml in PBS overnight at 4°C. Plates were then washed 3 times with PBS with 0.01% Tween-80 (PBS-T), and subsequently blocked with PBS-T plus 1% bovine serum albumin (BSA), for 20 mm at room temperature. Fifty microliters of supernatants diluted 1:3 in PBS-T were added to the plates and incubated for 1-2 hr at ambient temperature. Afterwards, plates were washed as before, and binding of antibodies was detected by an incubation with alkaline phosphatase-conjugated goat F(ab')2 anti-human IgG antibody (Jackson Laboratories, West Grove, Pennsylvania). Plates were developed with pNPP and read at 405 nm.
Blocking assay: Twenty-six hybridomas secreting antibodies mat recognized huCD137 by ELISA were evaluated for their ability to allow CD137-CD137L interactions. These analyses were conducted initially in an ELISA format. Plates were coated with human CD137-muIgG2b at 0.2 ug/ml, 100 uJ/well. Serial dilutions of the mab 20H4.9-IgGl, or control antibodies, diluted in PBS-T and 1% bovine serum albumin, were added to the plate. CD137L-CD8 fusion protein was added to the wells at a concentration of 0.2 ug/ml. Binding of antibodies was detected with a biotinylated anti-CD8 antibody (0.2'ug/ml, Ancell Corporation, Bayport, Minnesota). After several washes, streptavidin-alkalme phosphatase (1:2000) and pNPP for the detection of bound antibodies were added, and the plates were read at 405 nm.
To confirm that the selected antibodies did not alter CD137-CD137L binding, purified antibodies were further characterized by BIAcore analyses. All experiments were carried out on a BIAcore 3000 instrument (BIAcore Inc., Piscataway, New

Jersey). Human CD137 was immobilized covalently at a high density on a carboxy-methylated dextran surface of a BIAcore sensorchip (BIAcore Inc., Piscataway, New Jersey). Injections were conducted at 2 ng/mL in 10 mM acetate buffer, pH 5.0. Unoccupied active esters were subsequently blocked by injection of an excess of ethanolamine. Regeneration of the surface was done with 10 mM glycine, pH 2.0.
Purified samples of anti-CD137 antibodies were diluted to concentrations between 200 and 1000 nM using HEPES buffered saline, pH 7.4, supplemented with 0.15 M NaCl and 0.005% surfactant P20 (HBS-EP). Human CD137L-CD8 fusion proteins (huCD137L) were used as source of GDI 37 ligand. Experiments were conducted in which huCD137L was injected prior to anti-CD137 antibodies, or vice versa. Injections were performed at a flow rate of 5 joL/min. Bound ligand and antibodies were removed by regeneration with 10 mM glycine buffer, pH 2.0.
Human T-cell purification: T-cells or PBMCs were obtained from healthy human donors. Blood was collected in EDTA, suspended in elutriation buffer (RPMI containing 2.5 mM EDTA, 10 pg/ml polymyxin B), underlayed with Lymphocyte Separation Medium (LSM, Mediatech Inc., Herndon, Virginia), and centrifuged at 1800 rpm for 25 minutes. Cellular interfaces were collected, and centrifuged at 1500 rpm for 10 minutes. Afterwards, cell pellets were resuspended hi elutriation buffer and washed Sheep Red Blood Cells (SRBC, 1:10 dilution), and incubated on ice for 1 hour. Cells were then underlayed with LSM and centrifuged at 2500 rpm for 25 minutes. Interfaces were removed and SRBC were lysed with SRBC Lysis Buffer. Isolated T-cells were washed and resuspended in 10% FBS/RPMI.
Flow Cytometric analyses: Binding of anti-human CD 137 antibodies to CD 137 expressed on cells was determined by flow cytometry. A human T-cell leukemia cell line (CEM) or cynomolgus monkey peripheral blood monocytic cells (PBMC) were used for these studies. These cells do not express CD137 constitutively, but the receptor can be induced by stimulation with phorbol myristate (PMA, 10 ng/ml) and ionomycin (1 uM) for 18 hr. Cells were then washed and incubated with various concentrations of the antibodies in staining buffer (phosphate buffer saline, PBS, plus 1 % PCS, and 0.01 % sodium azide). Binding of the antibodies to stimulated or non-stimulated cells was detected by a fluorescein (FITC) or phycoerithrin (PE) conjugated goat anti-human IgG (Jackson Immunoresearch,

West Grove, Pennsylvania). To confirm expression of CD137, a fusion protein consisting of the extracellular domain of CD 137 ligand and mouse CDS was used (Ancell Corporation, Bayport, Minnesota), followed by incubation-with PE-conjugated anti-mouse CDS (BD Pharmingen, San Diego, California). Samples were fixed in 1% formalin, kept at 4 °C, and read by flow cytometry.
Functional assays: Primary human T-cells or monkey PBMC obtained from healthy donors were stimulated with immobilized anti-CD3 antibody to provide the first signal for T-cell activation, and co-stimulated with human anti-human CD137 antibodies. As a non-specific control, a humanized anti-carcinoma antibody (BR96) was used at the same antibody concentration. Plates were coated with anti-CD3 antibody (0.5-1 jig/ml) at 4 °C overnight. The next day T-cells or PBMC were plated at 1-1.5 xlO5 /well concentrations. Synthesis of IFN-y was measured after 72 hours of culture at 37 °C either by cytometric bead array (CBA) or by ELISA. Cytokine assays
ELISA: After stimulation of T-cells at various times, plates were centrifuged and media was removed. Cytokine levels were detected by an ELISA in accordance with the manufacturer's instructions (BD Pharmingen, San Diego, California). In brief, test samples and standards were added to anti-cytokine-coated 96-well plates. After incubation for 2 hr at ambient temperature, plates were washed 3 times in PBS-T and then incubated first with a working detector antibody, followed by the addition of substrate. Absorbance was read at 405 nm, and concentrations were calculated based on the standard curve.
Cytometric Bead Array: Another method used to determine cytokine production in vitro was flow cytometry using the Cytometric Bead array (CBA) developed by BD Pharmingen. Levels of EFN-y, IL-2, EL-5, IL-4, IL-10, andTNF-cc were measured in culture supernatants following manufacturers' instructions. Results were analyzed by flow cytometry with the CBA analysis software. Results
Hybridomas secreting antibodies that showed binding to human CD137 were further expanded, and subcloned. Secreted antibodies were purified and tested for their ability to bind to huCD137 and to allow the interaction of CD137-CD137L. Of the panel of anti-human CD137 antibodies evaluated, mab 20H4.9-IgGl was selected

for further evaluation based on its binding profile and non-blocking properties. The 20H4.9-IgGl antibody is IgGl kappa as determined by ELISA using alkaline phosphatase anti-human IgGl, 2, 3,4, and anti-kappa and lambda reagents (Southern Biotech, Birmingham, Alabama). FIG. 8 (FIG. 8A - binding to human CD137 by ELISA; FIG. 8B - effect of mab 20H4.9-IgGl on CD137-CD137L interaction) provides the initial characterization of mab 20H4.9-IgGl. Serial dilutions of mab 20H4.9-IgGl, 26G6 (a blocking anti-CD137 antibody), or tetanus toxoid (IT, negative control) were evaluated for their ability to alter binding of GDI 37 to CD137L. Mab 20H4.9-IgGl at concentrations up to 10 ju.g/ml did not block CD137L binding, whereas mab 26G6 inhibited binding at concentrations > 0.37 ug/ml.
Mab 20H4.9-IgGl was also tested for reactivity towards CD 13 7 expressed on human T-cells (CEM) and in cynomolgus monkey peripheral blood monocytic cells (PBMC) stimulated wilt PMA and ionomycin. Previous studies determined that CD137 is upregulated on T-cells following activation with PMA and ionomycin. Control molecules consisted of an irrelevant human IgG antibody (negative control) or CD137L-CD8 fusion protein (positive control, BD Pharmingen, San Diego, California). Results from these studies indicated that mab 20H4.9-IgGl bound to activated human CEM and PBMCs from cynomolgus monkeys, with minimum binding to unstimulated cells. Similar percentages of positive cells were detected with either mab 20H4.9-IgGl or CD137L. FIG. 9 provides the results obtained demonstrating the binding of mab 20H4.9-IgGl to PMA-ionomycin stimulated human or cynomolgus monkey cells. Human CEM (FIG. 9A) or monkey PBMC (FIG. 9B) were incubated with 20H4.9-IgGl or human CD137L fusion protein. Secondary antibodies were added and samples were read by flow cytometry.
Next, it was determined whether mab 20H4.9-IgGl could induce enhancement of EFN-y in costimulatory assays in the presence of anti-CD3 stimulation, the key functional effect desired for an agonistic CD137 antibody. Mab 20H4.9-IgGl was evaluated for its co-stimulatory activity in functional studies in human and monkey lymphocytes. Based on initial data, a concentration of 20 ug/ml anti-CD 137 antibody (excess antibody) was used in these studies. Levels of anti-CD3 antibody between 0.2-1 p.g/ml were tested which resulted in 10-20% CD137-positive lymphocytes. Levels of IFN-y in supernatants were measured after 72 h of culture. As shown in

FIG. 10, mab 20H4.9-IgGl enhanced IFN-y sjoithesis in both human and monkey costimulatory assays to levels significantly higher than controls. Results of studies conducted with T-cells isolated from 8 healthy human donors showed that hi six of them, mab 20H4.9-IgGlenhanced IFN-Y synthesis between 2.2 - 4.3-fold compared to controls. One of the other two donors showed a 1.6-fold increase. The level of enhancement was superior to that observed with hu39E3.G4, a humanized anti-CD137 antibody provided in published PCT Application WO04/010947 (herein incorporated by reference) which showed augmentation of IFN-y in 5 out of 8 donors and at levels lower than mab 20H4.9-IgGl (1.5 - 2-fold increase) (FIG. 10A). In monkey costimulatory studies, mab 20H4.9-IgGl also demonstrated enhanced functional activity resulting in significant augmentation of IFN-y over controls (FIG. 10B). As in the human studies, enhancement of IFN-y was consistently higher than with hu39E3.G4.
Induction of TNF-a synthesis above control levels was also observed in human cultures, albeit at much lower levels than IFN-y. TNF-a levels induced by anti-CD3 antibody alone (baseline) were about 20-50 fold lower than baseline levels for IFN-y. Mab 20H4.9-IgGl induced an increase of ~2 to 4.7-fold in 3 out of 8 donors. Again, hu39E3.G4 (tested in parallel) induced ~2-fold increase in the same donors but at lower levels. Other cytokines tested, DL-2, IL-5, IL-10, and IL-4 did not change significantly with either treatment.
Together these studies demonstrated that mab 20H4.9-IgGl presented the functional activity desired in both humans and monkeys by inducing a Tkl-type of response. Significantly, since in vivo anti-tumor activity is associated with the ability of anti-CD137 antibodies to induce IFN-y synthesis, these results supported the selection of mab 20H4.9-IgGl for isotype switching. Example 2: In vitro characterization of mab 20H4.9-IgG4
Based on its binding kinetics, inability to block CD137-CD137L interaction, and functional effects on human T-cells, mab 20H4.9-IgGl was selected for switching to an IgG4 form. The IgG4 form of mab 20H4.9-IgGl is 20H4.9-IgG4 (depicted in FIGS. 3 and 4).
The second phase of these studies involved the comparison of the in vitro properties of mab 20H4.9-IgG4 and mab 20H4.9-IgGl. In this section, the binding

kinetic properties, and functional effects of both antibodies in human and monkey lymphocytes are described.
Binding kinetics
Kinetic properties of anti-human CD 137 antibodies were evaluated by surface plasmon resonance using a BIAcore 3000 instrument. The antigen, human CD137-murine IgG2a, was immobilized covalently at a low density on the surface of a CMS sensorchip. Mab 20H4.9-IgG4 and mab 20H4.9-IgGl were injected at concentrations between 25 and 200 nM. FIG. 11 depicts injections at 100 nM for both mab 20H4.9-IgGl and mab 20H4.9-IgG4. Data calculated using BIAevaluation software (bivalent model, global curve fit analysis) resulted in kinetic parameters that were similar for both antibodies (see Table 1). Dissociation constants KD for mab 20H4.9-IgGl and mab 20H4.9-IgG4 were determined as 11.2 and 16.6 nM, respectively. Under similar experimental conditions, mab 20H4.9-IgG4 did not bind to murine 4-IBB.
Table 1 - Comparison of the binding kinetics of mab 20H4.9-IgG4 and mab 20H4.9-(Table Removed)
Flow cytometric analyses
Biotinylated mab 20H4.9-IgG4 at concentrations ranging from 0.32 ng/ml to 5 ug/ml was tested for binding to CEM cells ± PMA-ionomycin. Mab 20H4.9-IgG4 bound to PMA-ionomycin stimulated CEM cells in a concentration-dependent manner. Saturation was achieved at 0.2 ug/ml. On the other hand, as shown for its parental molecule, mab 20H4.9-IgGl, mab 20H4.9-IgG4 did not bind to CEM cells that were not stimulated with PMA-ionomycin (FIG. 12). Concentration-dependent binding of mab 20H4-.9-IgG4 was demonstrated in PMA-ionomycin stimulated CEM cells (FIG. 12). Samples were read by flow cytometry.

Cellular/Functional Assays
To confirm that the process of switching the isotype of mab 20H4.9-IgGl did not alter the activity of the antibody, in vifro studies were conducted to compare the activity of mab 20H4.9-IgG4 to the parent mab 20H4.9-IgGl in monkey PBMC and human T-cells. The functional effects of mab 20H4.9-IgG4 on human and monkey T-cells or PBMC were determined and compared to its parental molecule, mab 20H4.9-IgGl. Primary human T-cells or monkey PBMC obtained from healthy donors were stimulated with anti-CD3 antibody (0,5 ug/ml-1 u.g/ml) +/- anti-human CD137 antibodies. Synthesis of EFN-y was measured after 72 h of culture at 37 °C by cytometric bead array (CBA) for human samples or by ELISA for monkey samples. Antibodies were tested hi costimulatory assays to the presence of suboptimal concentrations of anti-CD3 antibody (1 ug/ml) or Concavalin A (1 fig/ml) (donors M5170 and 81 only). Results are expressed as fold increase hi pg/ml over controls. Due to the variable background response among donors, data was normalized relative
t
to control treatments (=1). FIG. 13 A provides the human T-cell results and FIG. 13B provides the monkey PBMC results. As shown in FIGS. 13A-13B, mab 20H4.9-IgG4 demonstrated costimulatory properties yielding higher levels of IFN-y in human and monkey cells compared to controls. The level of enhancement of IFN-y synthesis was comparable to its parental molecule in human and monkey samples.
Subsequently,'the effect of antibody cross-linking on the functional effect of mab 20H4.9-TgG4 was evaluated. It has been shown that cross-linking of antibodies may result in potentiation of their signaling ability. Thus, a study was conducted to determine the functional activity of several batches of mab 20H4.9-IgG4 ± an anti-human IgG antibody. As shown in FIG. 14A, significant enhancement of IFN-y synthesis was observed'for all lots tested in the absence of cross-linking antibodies, with a plateau at concentrations of 400 ng/ml. The augmentation of IFNy synthesis by mab 20H4.9-IgG4 was further enhanced by the addition of anti-human IgG cross-linking antibody as shown in FIG. 14B. Different batches of mab 20H4.9-IgG4 had comparable cellular activities.
Thus, cross-linking of mab 20H4.9-IgG4 resulted in an enhancement of the ability of the antibody to induce IFN-y synthesis. Antibody cross-linking in vivo may

occur by cellular receptors for the Fc portion of immunoglobulins or by antibody dimerization. Mab 20H4.9-IgG4 is of the IgG4 isorype, which, compared to other
IgG isorypes, has low affinity for Fc receptors. However, IgG4 can bind to FcyRI
r (CD64) expressed on monocytes and neutrophils.
Two other approaches were used to further characterize mab 20H4.9-IgG4: (i) effect on T-cell survival and (ii) effect on cyclin D2 expression. To determine whether mab 20H4.9-IgG4 could elicit signaling through CD137 on human T-cells and provide co-stimulatory signals to T-cells leading to cell survival and expansion, human T-cells stimulated with anti-CD3 antibodies +/- mab 20H4.9-IgG4 at concentrations known to induce EFN-y synthesis were stained with annexin-V and propidium iodide to determine the number of live cells (Annexin V/Propidium iodide negative), and with Cyclin D2 to determine its effect on cell progression. FIG. 15 shows the average results of 4 different lots of mab 20H4.9-IgG4 on cyclin D2 expression and survival of T-cells. Concentrations of raab 20H4.9-IgG4 of 0.4-10 µg/ml resulted in an increase hi the number of live cells by approximately 1.8-2 fold, and yielded a significant increase in the number of cyclin D2-expressing T-cells (2.5 -3 fold).
Example 3: In vivo evaluation of 4-1BB antibodies in a pharmacodynamic model in cynomolgus monkeys.
This example illustrates the ability of mab 20H4.9-IgG4 and mab hu39E3.G4 to- enhance the antigen specific immune response elicited by DNA vaccines. Materials and Methods
Experimental animal groups: Female and male cynomolgus monkeys (2.5 to 5-.0 kg) were purchased from Charles River BRF (Houston, Texas) for this study and were housed in pairs. Each experimental group consisted of 4 males and 2 females which were randomized into groups by body weight. Experimental groups were as follows:
' Group 1 - SIV gag and PSA DNA vaccine (2 mg each), day 0, 28, 56, i.m., plus saline control, i.v., on days 12,15 and 19;
Group 2 - SIV gag and PSA DNA vaccine (2 mg each), day 0,28, 56, i.m., plus mab hu39E3.G4s i.v., on days 12, 15 and 19;

Group 3 - SIV gag and PSA DNA vaccine (2 mg each), day 0, 28, 56, i.m., plus mab 20H4.9-IgG4, i.v., on days 12, 15 and 19; Group 4 - untreated control group.
• Immunizations and antibody treatments: PSA and SIV gag DNA vaccines were obtained from David B. Weiner, Department of Pathology and Laboratory of Medicine, University of Pennsylvania. (See, Kim et al., Oncogene 20, 4497-4506 (2001); Muthumani et al., Vaccine 21,629-637 (2003).)
Monkeys were immunized by the intramuscular route with both PSA and SIV gag DNA constructs (2 nig/construct/immunization) simultaneously, followed by two boosts 4 weeks apart (days 0,28, and 56). Twelve days after the initial immunization, treatment with mab 20H4.9-IgG4 or mab hu39E3.G4 was initiated. Antibodies were administered i.v, at 50 mg/kg, on days 12,15, and 19 after the first immunization. This schedule was chosen because it was shown to suppress the antibody response to mab hu39E3.G4. Clinical and Clinical pathology
Throughout the course of the stud)', physical examinations were conducted on all monkeys by the attending veterinarians. Blood samples for hematology and serum chemistry analyses were collected prior to vaccinations and then 12,42, 70,97,134, and 168 days after immunizations. Immunological assays
To determine the effect on the.immune responses induced by these therapeutic . regimens, an enzyme-linked immune spot assay (ELISPOT) was used for the detection of IFN-y production by antigen-specific stimulated lymphocytes. Blood samples for ELISPOT analyses were collected prior to vaccinations and then 12, 42, 70, 97,134, and 168 days after immunizations. Synthetic peptides corresponding to the complete sequences of SIV gag and the PSA antigen were used for ex-vivo stimulation of PBMC. Results
Antigen-specific IFN-y secreting cells in response to PSA or SIV gag peptides were quantitated by ELISPOT. FIG. 16 (FIGS. 16A-16D) illustrates the results obtained from Groups 1-4, respectively. The level of response to PSA was very low in all groups, indicating that the vaccine by itself did not induce a measurable and

consistent immune response when compared to non-vaccinated animals. On the other hand, SIV gag vaccination alone resulted in significant number of antigen-specific IFN-y secreting cells that augmented over time (FIG. 16A). Untreated animals (not vaccinated) showed 100-1,000 spots/106 PBMC throughout the course of the study (FIG. 16D). These results established the threshold response to the vaccine; animals that presented Treatment with both mab 20H4.9-IgG4 and mab hu9E3.G4 was well tolerated and did not result hi any significant changes hi clinical signs, clinical chemistry, or hematological parameters relative to control monkeys.
These data show that mab 20H4.9-IgG4 treatment in combination with a DNA vaccine elicited an in vivo enhancement of the magnitude of the specific'cellular response to the test antigen relative to controls or to treatment with mab hu39E3.G4, as measured by antigen specific IFN-y-secreting cells. Since only one dose level of the antibodies and one dosing regimen were used inthese preliminary studies, it is unlikely that maximal responses were induced, and further work to optimize

conditions is required. Clearly, however, even with this non-optimized protocol, an enhancement of the cellular response to test antigens was achieved with mab 20H4.9-IgG4, suggesting that modulation of CD137 function may be an attractive approach for augmenting the effectiveness of DNA vaccines.
Although the invention has been described in some detail by way of illustration and example for purposes of clarity and understanding, it will be apparent that certain changes and modifications may be practiced within the scope of the appended claims.





WE CLAIM:
1. A fully human monoclonal antibody that specifically binds to 4-IBB comprising a light chain and a heavy chain, wherein said light chain comprises amino acid residues 21-236 of SEQ ID NO:6 and said heavy chain comprises amino acid residues 20-467 of SEQ ID NO:3.
2. A pharmaceutical composition comprising:
the monoclonal antibody or antigen-binding portion thereof as claimed in claim 1; and a pharmaceutically acceptable carrier.


Documents:

1432-DELNP-2006-Abstract-(03-06-2009).pdf

1432-DELNP-2006-Abstract-(04-09-2008).pdf

1432-DELNP-2006-Abstract-(26-08-2009).pdf

1432-delnp-2006-abstract.pdf

1432-DELNP-2006-Assignment.pdf

1432-DELNP-2006-Claims-(03-06-2009).pdf

1432-DELNP-2006-Claims-(04-09-2008).pdf

1432-DELNP-2006-Claims-(26-08-2009).pdf

1432-delnp-2006-claims.pdf

1432-delnp-2006-correspondence-others 1..pdf

1432-DELNP-2006-Correspondence-Others-(03-06-2009).pdf

1432-DELNP-2006-Correspondence-Others-(04-09-2008).pdf

1432-DELNP-2006-Correspondence-Others-(24-09-2009).pdf

1432-DELNP-2006-Correspondence-Others-(26-08-2009).pdf

1432-delnp-2006-correspondence-others.pdf

1432-delnp-2006-description (complete)-04-09-2008.pdf

1432-delnp-2006-description (complete).pdf

1432-DELNP-2006-Drawings-(03-06-2009).pdf

1432-DELNP-2006-Drawings-(04-09-2008).pdf

1432-delnp-2006-drawings.pdf

1432-DELNP-2006-Form-1-(03-06-2009).pdf

1432-DELNP-2006-Form-1-(04-09-2008).pdf

1432-DELNP-2006-Form-1-(26-08-2009).pdf

1432-delnp-2006-form-1.pdf

1432-DELNP-2006-Form-18.pdf

1432-DELNP-2006-Form-2-(03-06-2009).pdf

1432-DELNP-2006-Form-2-(04-09-2008).pdf

1432-DELNP-2006-Form-2-(26-08-2009).pdf

1432-delnp-2006-form-2.pdf

1432-DELNP-2006-Form-3-(04-09-2008).pdf

1432-DELNP-2006-Form-3-(24-09-2009).pdf

1432-DELNP-2006-Form-3.pdf

1432-delnp-2006-form-5.pdf

1432-DELNP-2006-GPA-(04-09-2008).pdf

1432-delnp-2006-pct-101.pdf

1432-delnp-2006-pct-111.pdf

1432-delnp-2006-pct-304.pdf

1432-delnp-2006-pct-306.pdf

1432-delnp-2006-pct-311.pdf

1432-delnp-2006-pct-318.pdf

1432-delnp-2006-pct-345.pdf


Patent Number 237972
Indian Patent Application Number 1432/DELNP/2006
PG Journal Number 4/2010
Publication Date 22-Jan-2010
Grant Date 15-Jan-2010
Date of Filing 16-Mar-2006
Name of Patentee BRISTOL-MYERS SQUIBB COMPANY
Applicant Address P.O. BOX 4000, ROUTE 206 AND PROVINCE LINE ROAD, PRINCETON, NEW JERSEY 08543-4000, U.S.A.
Inventors:
# Inventor's Name Inventor's Address
1 MARC SANTORO 149 NORTH MAIN STREET, YARDLEY, PA 19067, U.S.A.
2 SUBINAY GANGULY 7 THORNBURY LANE, NEWTOWN, PA 18940, U.S.A.
3 EDWARD L HALK 1004 EDMONDS COURT, SUNNYVALE, CA 94087, U.S.A.
4 LAURA J. HEFTA 18 PARK AVENUE, PENNINGTON, NJ 08534, USA
5 MARIA JURE-KUNKEL 31 SILVERS LANE, PLAINSBORO, NJ 08536, USA
PCT International Classification Number C07K 16/28
PCT International Application Number PCT/US2004/033587
PCT International Filing date 2004-10-12
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 10/961,567 2004-10-08 U.S.A.
2 60/510,193 2003-10-10 U.S.A.