KR20110112307A - 알부민을 상승시키고 및/또는 crp를 낮추는 il6의 길항제 - Google Patents
알부민을 상승시키고 및/또는 crp를 낮추는 il6의 길항제 Download PDFInfo
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Abstract
Description
서열 번호: | 설명 |
1 | 인간 IL-6 |
586 | 카파 불변 경쇄 폴리펩티드 서열 |
587 | 카파 불변 경쇄 폴리뉴클레오티드 서열 |
588 | 감마-1 불변 중쇄 폴리펩티드 서열 |
589 | 감마-1 불변 중쇄 폴리뉴클레오티드 서열 |
590 - 646 | 인간 IL-6 펩티드(도 12와 실시예 14 참조) |
719 | 감마-1 불변 중쇄 폴리펩티드 서열(두 위치에서 서열 번호: 518과 상이함) |
726 | C-반응성 단백질 폴리펩티드 서열 |
727 | IL-6 수용체 알파 |
728 | IL-6 수용체 베타 / gp130 |
폴리펩티드 서열 번호: NO | 전형적인 코딩 서열 번호: NO |
4 | 12, 111, 694 |
5 | 13, 112, 389, 501 |
6 | 14, 113, 695 |
9 | 17, 116, 697 |
39 | 47, 260 |
40 | 48, 261 |
60 | 68, 265 |
72 | 80, 325, 565, 581 |
89 | 97, 134, 166 |
103 | 12, 111, 694 |
104 | 13, 112, 389, 501 |
105 | 14, 113, 695 |
108 | 17, 116, 697 |
126 | 97, 134, 166 |
158 | 97, 134, 166 |
190 | 198, 214 |
191 | 199, 215 |
205 | 213, 469, 485 |
206 | 198, 214 |
207 | 199, 215 |
252 | 47, 260 |
253 | 48, 261 |
257 | 68, 265 |
317 | 80, 325, 565, 581 |
333 | 341, 533 |
381 | 13, 112, 389, 501 |
415 | 423, 439 |
431 | 423, 439 |
461 | 213, 469, 485 |
475 | 483, 499 |
476 | 484, 500 |
477 | 213, 469, 485 |
478 | 486, 502 |
479 | 487, 503 |
480 | 488, 504 |
481 | 489, 505 |
491 | 483, 499 |
492 | 484, 500 |
493 | 13, 112, 389, 501 |
494 | 486, 502 |
495 | 487, 503 |
496 | 488, 504 |
497 | 489, 505 |
525 | 341, 533 |
545 | 553, 585 |
554 | 562, 578 |
556 | 564, 580 |
557 | 80, 325, 565, 581 |
558 | 566, 582 |
570 | 562, 578 |
572 | 564, 580 |
573 | 80, 325, 565, 581 |
574 | 566, 582 |
577 | 553, 585 |
반복 서열의 서열 번호: NO |
4, 103 |
5, 104, 381, 493 |
6, 105 |
9, 108 |
12, 111 |
13, 112 |
14, 113 |
17, 116 |
39, 252 |
40, 253 |
48, 261 |
60, 257 |
68, 265 |
72, 317, 557, 573 |
80, 325, 565, 581 |
89, 126, 158 |
97, 134, 166 |
120, 659 |
190, 206 |
191, 207 |
198, 214 |
199, 215 |
205, 461, 477 |
213, 469 |
333, 525 |
415, 431 |
423, 439 |
475, 491 |
476, 492 |
478, 494 |
479, 495 |
480, 496 |
481, 497 |
483, 499 |
484, 500 |
486, 502 |
487, 503 |
488, 504 |
489, 505 |
545, 577 |
554, 570 |
556, 572 |
558, 574 |
562, 578 |
564, 580 |
566, 582 |
도 1에서는 다수의 독특한 에피토프가 항체 선별 프로토콜에 의해 제조된 항-IL-6 항체의 집합에 의해 인식된다는 것을 보여준다. 에피토프 변이성은 항체-IL-6 결합 경쟁 연구(ForteBio Octet)에 의해 확증되었다.
도 2에서는 토끼 항체 가변 경쇄와 가변 중쇄 및 상동성 인간 서열 및 인간화된 서열 사이에 가변 경쇄와 가변 중쇄의 정렬을 도시한다. 골격 영역은 FR1-FR4로서 확인된다. 상보성 결정 영역은 CDR1-CDR3으로서 확인된다. 아미노산 잔기는 도시된 바와 같이 번호가 매겨진다. 최초 토끼 서열은 가변 경쇄와 가변 중쇄에 대하여 각각 RbtVL과 RbtVH로 불린다. 골격 1에서부터 골격 3의 말단까지 걸쳐있는 가장 유사한 인간 생식세포 항체 서열 중에서 3가지가 토끼 서열 아래에 정렬된다. 토끼 서열에 가장 유사한 것으로 간주되는 인간 서열이 가장 먼저 도시된다. 이러한 실례에서, 가장 유사한 서열은 경쇄의 경우에 L12A, 그리고 중쇄의 경우에 3-64-04이다. 인간 CDR3 서열은 도시되지 않는다. 가장 가까운 인간 골격 4 서열이 토끼 골격 4 서열 아래에 정렬된다. 수직선은 토끼 잔기가 동일한 위치에서 하나 이상의 인간 잔기와 일치하는 잔기를 지시한다. 굵게 표시된 잔기는 이 위치에서 인간 잔기가 동일한 위치에서 토끼 잔기와 일치한다는 것을 지시한다. 최종 인간화된 서열은 가변 경쇄와 가변 중쇄에 대하여 각각 VLh와 VHh로 불린다. 밑줄로 표시된 잔기는 이 위치에서 잔기가 토끼 잔기와 동일하지만 3개의 정렬된 인간 서열 내에 상기 위치에서 인간 잔기와 상이하다는 것을 지시한다.
도 3에서는 생산된 IgG 및 예시적인 IL-6 프로토콜에 대한 항원 특이성 사이에 높은 상관관계를 증명한다. 11개의 웰(well) 중에서 9개가 항원 인식과의 특이적 IgG 상관관계를 보였다.
도 4에서는 인간 IL-6의 100 ㎍/㎏ s.c. 투약후 1시간 시점에, 상이한 용량에서 정맥내 투여된 항체 Ab1에 대한 α-2-마크로글로불린(A2M) 용량 반응 곡선을 도시한다.
도 5에서는 항체 Ab1 진행 군 대(對) 대조 군에 대한 생존 데이터를 제공한다.
도 6에서는 항체 Ab1 역행 군 대(對) 대조 군에 대한 추가의 생존 데이터를 제공한다.
도 7에서는 3일마다 10 ㎎/㎏ i.v.에서 다중클론 인간 IgG(270-320 ㎎ 종양 크기) 대(對) 3일마다 10 ㎎/㎏ i.v.에서 항체 Ab1(270-320 ㎎ 종양 크기)에 대한 생존 데이터를 제공한다.
도 8에서는 3일마다 10 ㎎/㎏ i.v.에서 다중클론 인간 IgG(400-527 ㎎ 종양 크기) 대(對) 3일마다 10 ㎎/㎏ i.v.에서 항체 Ab1(400-527 ㎎ 종양 크기)에 대한 생존 데이터를 제공한다.
도 9에서는 필리핀 원숭이에서 항체 Ab1의 약동학적 프로필을 제공한다. 항체 Ab1의 혈장 수준은 항원 포획 ELISA를 통해 정량되었다. 상기 단백질은 다른 전장 인간화된 항체와 일치하는 12일 내지 17일의 반감기를 보인다.
도 10(A-D)에서는 각각, 항체 Ab4, Ab3, Ab8과 Ab2에 대한 결합 데이터를 제공한다. 도 10E에서는 항체 Ab1, Ab6과 Ab7에 대한 결합 데이터를 제공한다.
도 11에서는 표 형태로, 도 10(A-E)의 결합 데이터를 요약한다.
도 12에서는 실시예 14의 펩티드 맵핑 실험에 이용된 15개 아미노산 펩티드의 서열을 제공한다.
도 13에서는 실시예 14에서 준비된 블롯(blot)의 결과를 제공한다.
도 14에서는 실시예 14에서 준비된 블롯의 결과를 제공한다.
도 15A에서는 다양한 종의 IL-6에 대한 Ab1의 친화성과 결합 동역학을 도시한다.
도 15B에서는 T1165 세포 증식 분석에서 Ab1에 의한 IL-6의 저해를 증명한다.
도 16에서는 여러 용량 군에서 건강한 수컷 개체에 Ab1의 단일 투여에 기인하는 Ab1의 평균 혈장 농도를 도시한다.
도 17에서는 도 16에 도시된 용량 군에 대한 혈장 Ab1 농도 시간 곡선 아래 평균 면적(AUC)을 도시한다.
도 18에서는 도 16에서 도시된 용량 군에 대한 평균 피크 혈장 Ab1 농도(Cmax)를 도시한다.
도 19에서는 도 16에 도시된 용량 군의 Ab1 약동학적 치수를 요약한다.
도 20에서는 진행된 암 환자에 Ab1의 단일 투여에 기인하는 Ab1의 평균 혈장 농도를 도시한다.
도 21에서는 다른 항-IL-6 항체와 비교하여 Ab1의 선례가 없는 소실 반감기를 도시한다.
도 22에서는 진행된 암 환자에 Ab1의 투여 이후에, 증가된 헤모글로빈 농도를 도시한다.
도 23에서는 진행된 암 환자에 Ab1의 투여 이후에, 평균 혈장 지질 농도를 도시한다.
도 24에서는 진행된 암 환자에 Ab1의 투여 이후에, 평균 호중구 숫자를 도시한다.
도 25에서는 건강한 개체에서 혈청 CRP 수준의 억제를 증명한다.
도 26(A-B)에서는 진행된 암 환자에서 혈청 CRP 수준의 억제를 증명한다.
도 27에서는 생쥐 암 악액질 모형에서 Ab1에 의한 체중 감소의 예방을 증명한다.
도 28에서는 암 악액질 모형에서 대표적인 Ab1-치료된 생쥐와 대조 생쥐의 신체 외관을 도시한다.
도 29에서는 Ab1이 진행된 암 환자에서 체중 증가를 촉진한다는 것을 증명한다.
도 30에서는 Ab1이 진행된 암 환자에서 피로를 감소시킨다는 것을 증명한다.
도 31에서는 Ab1이 진행된 암 환자에서 손 악력을 증진한다는 것을 증명한다.
도 32에서는 Ab1이 생쥐에서 급성 상(phase) 단백질(혈청 아밀로이드 A)을 억제한다는 것을 증명한다.
도 33에서는 Ab1이 진행된 암 환자에서 혈장 알부민 농도를 증가시킨다는 것을 증명한다.
도 34와 35에서는 토끼 항체 경쇄와 가변 중쇄 및 상동성 인간 서열 및 최종 인간화된 서열 사이에 정렬을 도시한다. 골격 영역은 FR1-FR4로서 확인된다. 상보성 결정 영역은 CDR1-CDR3으로서 확인된다.
도 36과 37에서는 각각, 상이한 형태의 Ab1의 경쇄와 가변 중쇄 사이에 정렬을 도시한다. 골격 영역은 FR1-FR4로서 확인된다. 상보성 결정 영역은 CDR1-CDR3으로서 확인된다. CDR 영역 내에서 서열 차이는 강조된다.
도 38에서는 Ab1 단일클론 항체의 각 투약 농도(위약, 80 ㎎, 160 ㎎, 그리고 320 ㎎)에 대한 평균 CRP 값을 도시한다.
도 39에서는 도 38에 상응하는 각 투약 농도 군으로부터 CRP의 중앙 값(median value)에서 변화를 도시한다.
도 40에서는 80, 160 또는 320 ㎎으로 12주 동안 투약후, 다양한 암을 앓는 환자에서 혈청 CRP 수준의 감소를 도시한다.
도 41에서는 80, 160과 320 ㎎으로 12주 동안 투약후, 류머티스성 관절염을 앓는 환자 집단에서 혈청 CRP 수준의 감소를 도시한다.
도 42에서는 80, 160과 320 ㎎으로 12주 동안 투약후, Ab1이 평균 헤모글로빈을 증가시킨다는 것을 증명한다.
도 43에서는 도 42에 제공된 데이터에 대한 기준선 헤모글로빈으로부터 평균 변화를 도시한다.
도 44에서는 11 g/ℓ 미만의 기준선 헤모글로빈을 갖는 환자에서 160과 320 ㎎으로 12주 동안 투약후, Ab1이 평균 헤모글로빈을 증가시킨다는 것을 증명한다.
도 45에서는 80, 160과 320 ㎎으로 16주 동안 투약후, Ab1이 평균 헤모글로빈을 증가시킨다는 것을 증명한다.
도 46에서는 80, 160과 320 ㎎으로 12주 동안 투약후, Ab1이 평균 알부민 농도를 증가시킨다는 것을 증명한다.
도 47에서는 도 46에 상응하는 각 투약 농도 군으로부터 평균 알부민 농도에 대한 기준선으로부터 변화를 도시한다.
도 48에서는 35 g/ℓ 미만의 기준선 알부민을 갖는 환자에서 160과 320 ㎎으로 12주 동안 투약후, Ab1이 평균 알부민 농도에서 지속적인 증가를 제공한다는 것을 증명한다.
도 49에서는 12주 동안 Ab1 단일클론 항체의 각 투약 농도 군(위약, 80 ㎎, 160 ㎎, 그리고 320 ㎎)으로부터 평균화된 체중 변화 데이터를 제공한다.
도 50에서는 도 49에 상응하는 각 투약 농도 군으로부터 체중의 평균화된 변화 비율을 제공한다.
도 51에서는 도 49에 상응하는 투약 농도 군에 대한 평균화된 제지방량(lean body mass) 데이터를 제공한다.
도 52에서는 80, 160과 320 ㎎으로 8주 동안 투약후, 환자 집단에서 일부 투약 농도 군에 대한 평균 Facit-F FS 하위척도 점수(subscale score)의 증가를 증명한다.
도 53에서는 도 52에 상응하는 기준선 Facit-F FS 하위척도 점수로부터 변화를 도시한다.
5일자 평균 혈장 SAA±SEM (㎍/㎖) |
13일자 평균 혈장 SAA±SEM (㎍/㎖) |
최종 채혈 평균 혈장 SAA±SEM (㎍/㎖) |
|
1일자부터 주1회씩 다중클론 IgG iv | 675 ± 240 (n=5) | 3198 ± 628 (n=4) | 13371 ± 2413 (n=4) |
1일자부터 주1회씩 PBS iv |
355 ± 207 (n=5) | 4844 ± 1126 (n=5) | 15826 ± 802 (n=3) |
1일자부터 주1회씩 Ab1 30 ㎎/㎏ iv |
246 ± 100 (n=5) | 2979 ± 170 (n=5) | 841 ± 469 (n=10) |
1일자부터 주1회씩 Ab1 10 ㎎/㎏ iv |
3629 ± 624 (n=5) | 3096 ± 690 (n=5) | 996 ± 348 (n=10) |
1일자부터 주1회씩 Ab1 3 ㎎/㎏ iv |
106 ± 9 (n=5) | 1623 ± 595 (n=4) | 435 ± 70 (n=9) |
8일자부터 주1회씩 Ab1 30 ㎎/㎏ iv |
375 ± 177 (n=5) | 1492 ± 418 (n=4) | 498 ± 83 (n=9) |
8일자부터 주1회씩 Ab1 10 ㎎/㎏ iv |
487 ± 170 (n=5) | 1403 ± 187 (n=5) | 396 ± 58 (n=10) |
8일자부터 주1회씩 Ab1 3 ㎎/㎏ iv |
1255 ± 516 (n=5) | 466± 157 (n=5) | 685 ± 350 (n=5) |
Claims (90)
- 병든 환자의 생존력 또는 삶의 질을 개선하는 방법으로서, 상기 방법은 환자에게 IL-6 길항제를 투여하여 환자의 혈청 C-반응성 단백질("CRP") 수준을 감소시키는 단계, 그리고 환자의 혈청 CRP 수준의 감소를 평가하기 위하여 환자를 모니터하는 단계를 포함하는 것을 특징으로 하는 방법.
- 병든 환자의 생존력 또는 삶의 질을 개선하는 방법으로서, 상기 방법은 환자에게 IL-6 길항제를 투여하여 환자의 혈청 알부민 수준을 증가시키는 단계, 그리고 환자의 혈청 알부민 수준의 증가를 평가하기 위하여 환자를 모니터하는 단계를 포함하는 것을 특징으로 하는 방법.
- 병든 환자의 생존력 또는 삶의 질을 개선하는 방법으로서, 상기 방법은 환자에게 IL-6 길항제를 투여하여 환자의 혈청 C-반응성 단백질("CRP") 수준을 감소시키고 환자의 혈청 알부민 수준을 증가시키는 단계, 그리고 환자의 혈청 CRP 수준의 감소 및 환자의 혈청 알부민 수준의 증가를 평가하기 위하여 환자를 모니터하는 단계를 포함하는 것을 특징으로 하는 방법.
- 청구항 1 또는 3에 있어서, 환자는 치료 이전에 상승된 혈청 CRP 수준을 가지는 것을 특징으로 하는 방법.
- 청구항 2 또는 3에 있어서, 환자는 치료 이전에 감소된 혈청 알부민 수준을 가지는 것을 특징으로 하는 방법.
- 청구항 4 또는 5에 있어서, 치료 이후에 환자의 Glasgow 예후 점수(GPS)가 개선되는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, IL-6 길항제는 IL-6, IL-6 수용체 알파, gp130, p38 MAP 키나아제, JAK1, JAK2, JAK3, SYK, 또는 이들의 임의의 조합을 표적으로 하는 것을 특징으로 하는 방법.
- 청구항 7에 있어서, IL-6 길항제는 항체, 항체 단편, 펩티드, 글리코알코이드, 안티센스(antisense) 핵산, 리보자임, 레티노이드, 아베미르(avemir), 소분자, 또는 이들의 임의의 조합을 포함하는 것을 특징으로 하는 방법.
- 청구항 8에 있어서, IL-6 길항제는 항-IL-6R, 항-gp130, 항-p38 MAP 키나아제, 항-JAK1, 항-JAK2, 항-JAK3, 또는 항-SYK 항체 또는 항체 단편을 포함하는 것을 특징으로 하는 방법.
- 청구항 8에 있어서, 소분자는 탈리도미드, 레날리도미드, 또는 이들의 임의의 조합을 포함하는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, 길항제는 항-IL-6 항체 또는 항체 단편을 포함하는 것을 특징으로 하는 방법.
- 청구항 11에 있어서, 항-IL-6 항체 또는 항체 단편은 완전한(intact) 인간 IL-6 폴리펩티드 또는 이의 단편 상에 존재하는, Ab1, Ab2, Ab3, Ab4, Ab5, Ab6, Ab7, Ab8, Ab9, Ab10, Ab11, Ab12, Ab13, Ab14, Ab15, Ab16, Ab17, Ab18, Ab19, Ab20, Ab21, Ab22, Ab23, Ab24, Ab25, Ab26, Ab27, Ab28, Ab29, Ab30, Ab31, Ab32, Ab33, Ab34, Ab35, 또는 Ab36을 포함하는 항-IL-6 항체, 그리고 IL-6에 특이적으로 결합하는 이의 키메라, 인간화, 단일 쇄 항체 또는 단편과 동일한 선형(linear) 또는 입체형태적(conformational) 에피토프(들)에 특이적으로 결합하고 및/또는 상기 선형 또는 입체형태적 에피토프(들)에 결합하는 것에 대해 경쟁하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체는 완전한 인간 IL-6 폴리펩티드 또는 이의 단편 상에 존재하는, Ab1과 동일한 선형 또는 입체형태적 에피토프(들)에 결합하고 및/또는 상기 선형 또는 입체형태적 에피토프(들)에 결합하는 것에 대해 경쟁하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체는 각각, 서열 번호:657의 가변 중쇄 및 서열 번호:709의 가변 경쇄, 또는 이들의 변이체를 포함하고, 여기서 상기 가변 중쇄 및/또는 경쇄 서열은 하나 이상의 치환 돌연변이를 포함하고, 이들 돌연변이는 이러한 돌연변이가 없는 항-IL-6 항체와 비교하여 IL-6 항체 결합에 실질적으로 영향을 주지 않는 것을 특징으로 하는 방법.
- 청구항 14에 있어서, 항-IL-6 항체는 서열 번호:657의 가변 중쇄 및 서열 번호:709의 가변 경쇄를 포함하는 것을 특징으로 하는 방법.
- 청구항 14 또는 15에 있어서, 항-IL-6 항체는 각각, 서열 번호:588과 586에 포함된 중쇄와 경쇄 불변 영역을 추가로 포함하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 완전한 인간 IL-6 폴리펩티드 또는 이의 단편 상에 존재하는, Ab1, Ab2, Ab3, Ab4, Ab5, Ab6, Ab7, Ab8, Ab9, Ab10, Ab11, Ab12, Ab13, Ab14, Ab15, Ab16, Ab17, Ab18, Ab19, Ab20, Ab21, Ab22, Ab23, Ab24, Ab25, Ab26, Ab27, Ab28, Ab29, Ab30, Ab31, Ab32, Ab33, Ab34, Ab35, 또는 Ab36을 포함하는 항-IL-6 항체, 그리고 IL-6에 특이적으로 결합하는 이의 키메라, 인간화, 단일 쇄 항체 또는 단편과 동일한 선형 또는 입체형태적 에피토프(들)에 특이적으로 결합하는 것을 특징으로 하는 방법.
- 청구항 17에 있어서, 항-IL-6 항체 또는 항체 단편은 완전한 인간 IL-6 폴리펩티드 또는 이의 단편 상에 존재하는, Ab1과 동일한 선형 또는 입체형태적 에피토프(들)에 특이적으로 결합하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 Ab1에 의해 특이적으로 결합되는 완전한 IL-6 폴리펩티드 또는 이의 단편 상에 존재하는 동일한 선형 또는 입체형태적 에피토프에 특이적으로 결합하고, 상기 에피토프(들)은, 본래의 인간 IL-6 폴리펩티드의 전장에 걸쳐있는 겹쳐지는 선형 펩티드 단편들을 이용한 에피토프 매핑에 의해 확인될 때, 아미노산 잔기 37-51, 아미노산 잔기 70-84, 아미노산 잔기 169-183, 아미노산 잔기 31-45 및/또는 아미노산 잔기 58-72를 각각 포함하는 것들에서 선택되는 IL-6 단편에 포함된 하나 이상의 잔기를 포함하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은, Ab1, Ab2, Ab3, Ab4, Ab5, Ab6, Ab7, Ab8, Ab9, Ab10, Ab11, Ab12, Ab13, Ab14, Ab15, Ab16, Ab17, Ab18, Ab19, Ab20, Ab21, Ab22, Ab23, Ab24, Ab25, Ab26, Ab27, Ab28, Ab29, Ab30, Ab31, Ab32, Ab33, Ab34, Ab35, 또는 Ab36을 포함하는 항-IL-6 항체에 함유된 것들과 동일한 가변 경쇄 및 가변 중쇄 영역 각각에서 적어도 2개의 상보성 결정 영역(CDR)을 포함하는 것을 특징으로 하는 방법.
- 청구항 20에 있어서, 항-IL-6 항체 또는 항체 단편은 Ab1에 함유된 것들과 동일한 가변 경쇄 및 가변 중쇄 영역 각각에서 적어도 2개의 상보성 결정 영역(CDR)을 포함하는 것을 특징으로 하는 방법.
- 청구항 20에 있어서, 항-IL-6 항체 또는 항체 단편 내에 모든 CDR은 Ab1, Ab2, Ab3, Ab4, Ab5, Ab6, Ab7, Ab8, Ab9, Ab10, Ab11, Ab12, Ab13, Ab14, Ab15, Ab16, Ab17, Ab18, Ab19, Ab20, Ab21, Ab22, Ab23, Ab24, Ab25, Ab26, Ab27, Ab28, Ab29, Ab30, Ab31, Ab32, Ab33, Ab34, Ab35, 또는 Ab36을 포함하는 항-IL-6 항체 내에 포함된 CDR과 동일한 것을 특징으로 하는 방법.
- 청구항 20에 있어서, 항-IL-6 항체 또는 항체 단편 내의 모든 CDR은 Ab1에 함유된 CDR과 동일한 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 비당화되는(aglycosylated) 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 이펙터 기능, 반감기, 단백질가수분해, 및/또는 당화(glycosylation)를 변화시키기 위하여 변형된 Fc 영역을 함유하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 인간 항체, 인간화 항체, 단일 쇄 항체 또는 키메라 항체인 것을 특징으로 하는 방법.
- 청구항 26에 있어서, 항-IL-6 항체 또는 항체 단편은 토끼(모(parent)) 항-IL-6 항체로부터 유래된 인간화 항체인 것을 특징으로 하는 방법.
- 청구항 27에 있어서, 항-IL-6 항체 또는 항체 단편의 가변 경쇄 영역 및 가변 중쇄 영역 내의 골격 영역(FR) 각각은 변형되지 않거나, 또는 가변 경쇄 또는 중쇄 영역 내의 2개 또는 3개 정도의 인간 FR 잔기를 모 토끼 항체의 상응하는 FR 잔기에 의해 치환함으로써 변형된 인간 FR이고, 그리고 상기 인간 FR은, 인간 생식선 항체 서열의 라이브러리에 함유된 다른 인간 생식선 항체 서열에 비하여, 상응하는 토끼 가변 중쇄 또는 경쇄 영역에 대한 높은 상동성 수준에 기초하여 상기 인간 생식선 항체 서열의 라이브러리로부터 선택된 인간 가변 중쇄와 경쇄 항체 서열로부터 유래되는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 대략 4주의 기간 마다 1회 정도의 빈도로 환자에 투여되는 것을 특징으로 하는 방법.
- 청구항 29에 있어서, 항-IL-6 항체 또는 항체 단편은 대략 8주의 기간 마다 1회 정도의 빈도로 환자에 투여되는 것을 특징으로 하는 방법.
- 청구항 30에 있어서, 항-IL-6 항체 또는 항체 단편은 대략 12주의 기간 마다 1회 정도의 빈도로 환자에 투여되는 것을 특징으로 하는 방법.
- 청구항 31에 있어서, 항-IL-6 항체 또는 항체 단편은 대략 16주의 기간 마다 1회 정도의 빈도로 환자에 투여되는 것을 특징으로 하는 방법.
- 청구항 29 내지 32중 어느 한 항에 있어서, 투여된 항체는 Ab1과 동일한 CDR, 또는 도 34-37에 포함된 임의의 가변 중쇄와 경쇄 항체 서열을 포함하는 것을 특징으로 하는 방법.
- 청구항 33에 있어서, 항체는 서열 번호:657 또는 서열 번호:709의 가변 중쇄 및 가변 경쇄 서열, 또는 도 34-37의 임의의 가변 중쇄와 경쇄 항체 서열을 포함하는 것을 특징으로 하는 방법.
- 청구항 33 또는 34에 있어서, 항체는 각각, 서열 번호:588 및 서열 번호:586의 중쇄와 경쇄 불변 서열을 추가로 포함하는 것을 특징으로 하는 방법.
- 청구항 29 내지 35중 어느 한 항에 있어서, 2회의 연속 항-IL-6 항체 투여 사이에 존재하는 전체 기간 동안 환자의 혈청 CRP 수준은 감소된 상태로 유지되고 및/또는 혈청 알부민 수준은 상승된 상태로 유지되는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, 환자는 가시세포종(Acanthoma), 선방 세포 암종(Acinic cell carcinoma), 청신견종(Acoustic neuroma), 선단 흑자성 흑색종(Acral lentiginous melanoma), 선단한선종(Acrospiroma), 급성 호산성 백혈병(Acute eosinophilic leukemia), 급성 림프모구성 백혈병(Acute lymphoblastic leukemia), 급성 거핵모구성 백혈병(Acute megakaryoblastic leukemia), 급성 단구성 백혈병(Acute monocytic leukemia), 성숙을 동반한 급성 골수모구성 백혈병(Acute myeloblastic leukemia with maturation), 급성 골수성 수상돌기 세포 백혈병(Acute myeloid dendritic cell leukemia), 급성 골수성 백혈병(Acute myeloid leukemia), 급성 전골수성 백혈병(Acute promyelocytic leukemia), 사기질종(Adamantinoma), 선암종(Adenocarcinoma), 선양 낭성 암종(Adenoid cystic carcinoma), 선종(Adenoma), 선양 치성 종양(Adenomatoid odontogenic tumor), 부신피질 암종(Adrenocortical carcinoma), 성체 T-세포 백혈병(Adult T-cell leukemia), 공격성 NK-세포 백혈병(Aggressive NK-cell leukemia), AIDS-관련된 암(AIDS-Related Cancers), AIDS-관련된 림프종(AIDS-related lymphoma), 포상 연부 육종(Alveolar soft part sarcoma), 법랑아세포 섬유치아종(Ameloblastic fibroma), 항문 암(Anal cancer), 퇴행성 대세포 림프종(Anaplastic large cell lymphoma), 역형성 갑상선 암(Anaplastic thyroid cancer), 혈관면역모세포형 T-세포 림프종(Angioimmunoblastic T-cell lymphoma), 혈관근육지방종(Angiomyolipoma), 맥관육종(Angiosarcoma), 충수 암(Appendix cancer), 별아교세포종(Astrocytoma), 비정형 기형 횡문근양 종양(Atypical teratoid rhabdoid tumor), 기저 세포 암종(Basal cell carcinoma), 기저-유사 암종(Basal-like carcinoma), B-세포 백혈병(B-cell leukemia), B-세포 림프종(B-cell lymphoma), 집합관 암종(Bellini duct carcinoma), 담도 암(Biliary tract cancer), 방광 암(Bladder cancer), 모세포종(Blastoma), 골 암(Bone Cancer), 골 종양(Bone tumor), 뇌간 교종(Brain Stem Glioma), 뇌 종양(Brain Tumor), 유방암(Breast Cancer), 브렌너 종양(Brenner tumor), 기관지 종양(Bronchial Tumor), 세기관지폐포 암종(Bronchioloalveolar carcinoma), 갈색 종양(Brown tumor), 버킷 림프종(Burkitt's lymphoma), 원발부위 불명암(Cancer of Unknown Primary Site), 유암종(Carcinoid Tumor), 암종(Carcinoma), 인 시튜 암종(Carcinoma in situ), 음경 암종(Carcinoma of the penis), 원발부위 불명 암종(Carcinoma of Unknown Primary Site), 암육종(Carcinosarcoma), 캐슬만씨병(Castleman's Disease), 중추신경계 배아성 종양(Central Nervous System Embryonal Tumor), 소뇌 별아교세포종(Cerebellar Astrocytoma), 대뇌 별아교세포종(Cerebral Astrocytoma), 자궁경부 암(Cervical Cancer), 담관암(Cholangiocarcinoma), 연골종(Chondroma), 연골육종(Chondrosarcoma), 척삭종(Chordoma), 융모막암종(Choriocarcinoma), 맥락막총 유두종(Choroid plexus papilloma), 만성 림프성 백혈병(Chronic Lymphocytic Leukemia), 만성 단구성 백혈병(Chronic monocytic leukemia), 만성 골수성 백혈병(Chronic myelogenous leukemia), 만성 골수증식성 질환(Chronic Myeloproliferative Disorder), 만성 호중구성 백혈병(Chronic neutrophilic leukemia), 투명-세포 종양(Clear-cell tumor), 대장 암(Colon Cancer), 결장직장 암(Colorectal cancer), 머리인두종(Craniopharyngioma), 피부 T-세포 림프종(Cutaneous T-cell lymphoma), 데고스 질환(Degos disease), 융기성 피부섬유육종(Dermatofibrosarcoma protuberans), 유피낭종(Dermoid cyst), 복부 결합조직형성 소원형세포 종양(Desmoplastic small round cell tumor), 미만성 거대 B 세포 림프종(Diffuse large B cell lymphoma), 배아형성장애 신경상피 종양(Dysembryoplastic neuroepithelial tumor), 배아 암종(Embryonal carcinoma), 내배엽동 종양(Endodermal sinus tumor), 자궁내막 암(Endometrial cancer), 자궁내막 자궁 암(Endometrial Uterine Cancer), 자궁내막양 종양(Endometrioid tumor), 장병증 연관 T-세포 림프종(Enteropathy-associated T-cell lymphoma), 상의모세포종(Ependymoblastoma), 상의세포종(Ependymoma), 상피양 육종(Epithelioid sarcoma), 적백혈병(Erythroleukemia), 식도 암(Esophageal cancer), 감각신경모세포종(Esthesioneuroblastoma), 유잉 계통 종양(Ewing Family of Tumor), 유잉 계통 육종(Ewing Family Sarcoma), 유잉 육종(Ewing's sarcoma), 두개외 생식세포 종양(Extracranial Germ Cell Tumor), 생식샘외 생식세포 종양(Extragonadal Germ Cell Tumor), 간외 담도 암(Extrahepatic Bile Duct Cancer), 유방외성 파제트병(Extramammary Paget's disease), 난관 암(Fallopian tube cancer), 태아속 태아(Fetus in fetu), 섬유종(Fibroma), 섬유육종(Fibrosarcoma), 소포성 림프종(Follicular lymphoma), 소포성 갑상선 암(Follicular thyroid cancer), 담낭 암(Gallbladder Cancer), 담낭 암(Gallbladder cancer), 신경절교종(Ganglioglioma), 신경절신경종(Ganglioneuroma), 위 암(Gastric Cancer), 위 림프종(Gastric lymphoma), 위장 암(Gastrointestinal cancer), 위장 유암종(Gastrointestinal Carcinoid Tumor), 위장 기질 종양(Gastrointestinal Stromal Tumor), 위장 기질 종양(Gastrointestinal stromal tumor), 생식세포 종양(Germ cell tumor), 배세포종(Germinoma), 임신성 융모막암종(Gestational choriocarcinoma), 임신성 융모성 종양(Gestational Trophoblastic Tumor), 뼈의 거대 세포 종양(Giant cell tumor of bone), 다형성교모세포종(Glioblastoma multiforme), 신경교종(Glioma), 대뇌신경교종증(Gliomatosis cerebri), 사구 종양(Glomus tumor), 글루카곤종(Glucagonoma), 생식아세포종(Gonadoblastoma), 과립층 세포 종양(Granulosa cell tumor), 모상 세포 백혈병(Hairy Cell Leukemia), 모상 세포 백혈병(Hairy cell leukemia), 두경부 암(Head and Neck Cancer), 두경부 암(Head and neck cancer), 심장 암(Heart cancer), 혈관모세포종(Hemangioblastoma), 혈관주위세포종(Hemangiopericytoma), 혈관육종(Hemangiosarcoma), 혈액학적 악성종양(Hematological malignancy), 간세포 암종(Hepatocellular carcinoma), 간비 T-세포 림프종(Hepatosplenic T-cell lymphoma), 유전성 유방-난소암 증후군(Hereditary breast-ovarian cancer syndrome), 호지킨 림프종(Hodgkin Lymphoma), 호지킨 림프종(Hodgkin's lymphoma), 하인두 암(Hypopharyngeal Cancer), 시상하부 신경교종(Hypothalamic Glioma), 염증 유방암(Inflammatory breast cancer), 안구내 흑색종(Intraocular Melanoma), 섬 세포 암종(Islet cell carcinoma), 섬 세포 종양(Islet Cell Tumor), 연소형 골수단구성 백혈병(Juvenile myelomonocytic leukemia), 카포시 육종(Kaposi Sarcoma), 카포시 육종(Kaposi's sarcoma), 신장 암(Kidney Cancer), 클라츠킨씨 종양(Klatskin tumor), 크루켄버그 종양(Krukenberg tumor), 후두 암(Laryngeal cancer), 후두 암(Laryngeal cancer), 악성 흑자 흑색종(Lentigo maligna melanoma), 백혈병(Leukemia), 백혈병(Leukemia), 입술과 구강 암(Lip and Oral Cavity Cancer), 지방육종(Liposarcoma), 폐암(Lung cancer), 황체종(Luteoma), 림프관종(Lymphangioma), 림프관육종(Lymphangiosarcoma), 림프상피종(Lymphoepithelioma), 림프성 백혈병(Lymphoid leukemia), 림프종(Lymphoma), 마크로글로불린혈증(Macroglobulinemia), 악성 섬유성 조직구종(Malignant Fibrous Histiocytoma), 악성 섬유성 조직구종(Malignant fibrous histiocytoma), 뼈의 악성 섬유성 조직구종(Malignant Fibrous Histiocytoma of Bone), 악성 신경교종(Malignant Glioma), 악성 중피종(Malignant Mesothelioma), 악성 말초신경초 종양(Malignant peripheral nerve sheath tumor), 악성 횡문근양 종양(Malignant rhabdoid tumor), 악성 트리톤 종양(Malignant triton tumor), MALT 림프종(MALT lymphoma), 덮개 세포 림프종(Mantle cell lymphoma), 비만 세포 백혈병(Mast cell leukemia), 종격동 생식세포 종양(Mediastinal germ cell tumor), 종격동 종양(Mediastinal tumor), 갑상선 수질암(Medullary thyroid cancer), 속질모세포종(Medulloblastoma), 속질모세포종(Medulloblastoma), 속질상피종(Medulloepithelioma), 흑색종(Melanoma), 흑색종(Melanoma), 수막종(Meningioma), 메르켈 세포 암종(Merkel Cell Carcinoma), 중피종(Mesothelioma), 중피종(Mesothelioma), 잠복원발성 전이성 편평 목 암(Metastatic Squamous Neck Cancer with Occult Primary), 전이성 요로상피 암종(Metastatic urothelial carcinoma), 혼합 뮬러 종양(Mixed Mullerian tumor), 단구성 백혈병(Monocytic leukemia), 구강 암(Mouth Cancer), 점액 종양(Mucinous tumor), 다발성 내분비 종양 증후군(Multiple Endocrine Neoplasia Syndrome), 다발성 골수종(Multiple Myeloma), 다발성 골수종(Multiple myeloma), 균상식육종(Mycosis Fungoides), 균상식육종(Mycosis fungoides), 골수형성이상 질환(Myelodysplastic Disease), 골수형성이상 증후군(Myelodysplastic Syndromes), 골수성 백혈병(Myeloid leukemia), 골수성 육종(Myeloid sarcoma), 골수증식 질환(Myeloproliferative Disease), 점액종(Myxoma), 비강 암(Nasal Cavity Cancer), 코인두 암(Nasopharyngeal Cancer), 코인두 암종(Nasopharyngeal carcinoma), 신생물(Neoplasm), 신경집종(Neurinoma), 신경모세포종(Neuroblastoma), 신경모세포종(Neuroblastoma), 신경섬유종(Neurofibroma), 신경종(Neuroma), 결절성 흑색종(Nodular melanoma), 비-호지킨 림프종(Non-Hodgkin Lymphoma), 비-호지킨 림프종(Non-Hodgkin lymphoma), 비-흑색종 피부 암(Nonmelanoma Skin Cancer), 비-소세포 폐암(Non-Small Cell Lung Cancer), 안종양(Ocular oncology), 희소별아교세포종(Oligoastrocytoma), 핍지교종(Oligodendroglioma), 호산성세포종(Oncocytoma), 시신경초 수막종(Optic nerve sheath meningioma), 구강 암(Oral Cancer), 구강 암(Oral cancer), 입인두 암(Oropharyngeal Cancer), 골육종(Osteosarcoma), 골육종(Osteosarcoma), 난소암(Ovarian Cancer), 난소암(Ovarian cancer), 난소 상피 암(Ovarian Epithelial Cancer), 난소 생식세포 종양(Ovarian Germ Cell Tumor), 난소 저급성 악성 종양(Ovarian Low Malignant Potential Tumor), 유방의 파제트병(Paget's disease of the breast), 판코스트 종양(Pancoast tumor), 췌장암(Pancreatic Cancer), 췌장암(Pancreatic cancer), 갑상샘 유두 암(Papillary thyroid cancer), 유두종증(Papillomatosis), 곁신경절종(Paraganglioma), 부비동 암(Paranasal Sinus Cancer), 부갑상선 암(Parathyroid Cancer), 음경 암(Penile Cancer), 혈관주위 상피모양 세포 종양(Perivascular epithelioid cell tumor), 인두 암(Pharyngeal Cancer), 갈색세포종(Pheochromocytoma), 중간 분화의 송과체 실질 종양(Pineal Parenchymal Tumor of Intermediate Differentiation), 송과체모세포종(Pineoblastoma), 하수체세포종(Pituicytoma), 뇌하수체 선종(Pituitary adenoma), 뇌하수체 종양(Pituitary tumor), 혈장 세포 신생물(Plasma Cell Neoplasm), 흉막폐아세포종(Pleuropulmonary blastoma), 다배아종(Polyembryoma), 전구 T-림프모구성 림프종(Precursor T-lymphoblastic lymphoma), 원발성 중추신경계 림프종(Primary central nervous system lymphoma), 원발성 삼출성 림프종(Primary effusion lymphoma), 원발성 간세포 암(Primary Hepatocellular Cancer), 원발성 간 암(Primary Liver Cancer), 원발성 복막 암(Primary peritoneal cancer), 원시 신경외배엽 종양(Primitive neuroectodermal tumor), 전립선암(Prostate cancer), 복막가성점액종(Pseudomyxoma peritonei), 직장 암(Rectal Cancer), 신장 세포 암종(Renal cell carcinoma), 염색체 15에서 NUT 유전자가 관련된 호흡기 암종(Respiratory Tract Carcinoma Involving the NUT Gene on Chromosome 15), 망막모세포종(Retinoblastoma), 횡문근종(Rhabdomyoma), 횡문근육종(Rhabdomyosarcoma), 리히터 변형(Richter's transformation), 천미골 기형종(Sacrococcygeal teratoma), 타액선 암(Salivary Gland Cancer), 육종(Sarcoma), 다발성신경초종(Schwannomatosis), 피지선 암종(Sebaceous gland carcinoma), 속발성 신생물(Secondary neoplasm), 정상피종(Seminoma), 장액 종양(Serous tumor), 세르톨리 라이디히 세포 종양(Sertoli-Leydig cell tumor), 성삭-기질 종양(Sex cord-stromal tumor), 세자리 증후군(Sezary Syndrome), 인환 세포 암종(Signet ring cell carcinoma), 피부 암(Skin Cancer), 청색 소원형세포 종양(Small blue round cell tumor), 소세포 암종(Small cell carcinoma), 소세포 폐암(Small Cell Lung Cancer), 소세포 림프종(Small cell lymphoma), 소장 암(Small intestine cancer), 연부 조직 육종(Soft tissue sarcoma), 소마토스타틴종(Somatostatinoma), 매연 사마귀(Soot wart), 척추 종양(Spinal Cord Tumor), 척추 종양(Spinal tumor), 비장 번연 림프종(Splenic marginal zone lymphoma), 편평 세포 암종(Squamous cell carcinoma), 위 암(Stomach cancer), 표재 확장성 흑색종(Superficial spreading melanoma), 천막위 원시 신경외배엽 종양(Supratentorial Primitive Neuroectodermal Tumor), 표면 상피-기질 종양(Surface epithelial-stromal tumor), 활액 육종(Synovial sarcoma), T-세포 급성 림프모구성 백혈병(T-cell acute lymphoblastic leukemia), T-세포 큰 과립성 림프구 백혈병(T-cell large granular lymphocyte leukemia), T-세포 백혈병(T-cell leukemia), T-세포 림프종(T-cell lymphoma), T-세포 전림프성 백혈병(T-cell prolymphocytic leukemia), 기형종(Teratoma), 말기 림프성 암(Terminal lymphatic cancer), 고환 암(Testicular cancer), 난포막종(Thecoma), 인후 암(Throat Cancer), 흉선 암종(Thymic Carcinoma), 가슴샘종(Thymoma), 갑상선 암(Thyroid cancer), 신우와 요관의 이행 세포 암(Transitional Cell Cancer of Renal Pelvis and Ureter), 이행 세포 암종(Transitional cell carcinoma), 요막관 암(Urachal cancer), 요도 암(Urethral cancer), 비뇨생식기 신생물(Urogenital neoplasm), 자궁 육종(Uterine sarcoma), 포도막 흑색종(Uveal melanoma), 질 암(Vaginal Cancer), 버너-모리슨 증후군(Verner Morrison syndrome), 사마귀모양 암종(Verrucous carcinoma), 시각경로 신경교종(Visual Pathway Glioma), 외음부 암(Vulvar Cancer), 왈덴스트룀 마크로글로불린혈증(Waldenstrom's macroglobulinemia), 바르틴 종양(Warthin's tumor), 윌름 종양(Wilms' tumor), 또는 이들의 임의의 조합에서 선택되는 암으로 진단되는 것을 특징으로 하는 방법.
- 청구항 37에 있어서, 암은 결장직장 암, 비-소세포 폐암, 담관암, 중피종, 캐슬만씨병, 신장 세포 암종, 또는 이들의 임의의 조합에서 선택되는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 서열 번호: 3, 18, 19, 22, 38, 54, 70, 86, 102, 117, 118, 123, 139, 155, 171, 187, 203, 219, 235, 251, 267, 283, 299, 315, 331, 347, 363, 379, 395, 411, 427, 443, 459, 475, 491, 507, 523, 539, 555, 571, 652, 656, 657, 658, 661, 664, 665, 668, 672, 676, 680, 684, 688, 691, 692, 704, 또는 708을 포함하는 VH 폴리펩티드 서열, 또는 도 34-37의 VH 서열 또는 이의 변이체를 포함하고; 그리고 서열 번호: 2, 20, 21, 37, 53, 69, 85, 101, 119, 122, 138, 154, 170, 186, 202, 218, 234, 250, 266, 282, 298, 314, 330, 346, 362, 378, 394, 410, 426, 442, 458, 474, 490, 506, 522, 538, 554, 570, 647, 651, 660, 666, 667, 671, 675, 679, 683, 687, 693, 699, 702, 706, 또는 709를 포함하는 VL 폴리펩티드 서열, 또는 도 34-37의 VL 서열 또는 이의 변이체를 추가로 포함하고, 여기서 상기 VH 또는 VL 폴리펩티드 내의 하나 이상의 골격 잔기(FR 잔기)가 또 다른 아미노산 잔기로 치환되어, 인간 IL-6에 특이적으로 결합하는 항-IL-6 항체 또는 항체 단편을 생성시키는 것을 특징으로 하는 방법.
- 청구항 39에 있어서, 하나 이상의 FR 잔기는, 상기 VH 또는 VL 폴리펩티드에 함유된 상보성 결정 영역(CDR)이 유래되는 모 토끼 항-IL-6 항체내의 상응하는 부위에 존재하는 아미노산으로 치환되거나, 보존적 아미노산 치환에 의해 치환되는 것을 특징으로 하는 방법.
- 청구항 39에 있어서, 항-IL-6 항체 또는 항체 단편은 인간화되는 것을 특징으로 하는 방법.
- 청구항 39에 있어서, 항-IL-6 항체 또는 항체 단편은 키메라인 것을 특징으로 하는 방법.
- 청구항 42에 있어서, 항-IL-6 항체 또는 항체 단편은 인간 Fc를 추가로 포함하는 것을 특징으로 하는 방법.
- 청구항 43에 있어서, 인간 Fc는 IgG1, IgG2, IgG3, IgG4, IgG5, IgG6, IgG7, IgG8, IgG9, IgG10, IgG11, IgG12, IgG13, IgG14, IgG15, IgG16, IgG17, IgG18 또는 IgG19로부터 유래되는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 서열 번호: 3, 18, 19, 22, 38, 54, 70, 86, 102, 117, 118, 123, 139, 155, 171, 187, 203, 219, 235, 251, 267, 283, 299, 315, 331, 347, 363, 379, 395, 411, 427, 443, 459, 475, 491, 507, 523, 539, 555, 571, 652, 656, 657, 658, 661, 664, 665, 668, 672, 676, 680, 684, 688, 691, 692, 704, 708, 2, 20, 21, 37, 53, 69, 85, 101, 119, 122, 138, 154, 170, 186, 202, 218, 234, 250, 266, 282, 298, 314, 330, 346, 362, 378, 394, 410, 426, 442, 458, 474, 490, 506, 522, 538, 554, 570, 647, 651, 660, 666, 667, 671, 675, 679, 683, 687, 693, 699, 702, 706, 또는 709의 폴리펩티드 서열 중 하나 이상, 또는 도 34-37의 임의의 가변 중쇄 및 가변 경쇄 서열에 적어도 90% 서열 상동성을 갖는 폴리펩티드를 포함하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 적어도 대략 22일의 소실 반감기를 가지는 것을 특징으로 하는 방법.
- 청구항 46에 있어서, 항-IL-6 항체 또는 항체 단편은 적어도 대략 25일의 소실 반감기를 가지는 것을 특징으로 하는 방법.
- 청구항 47에 있어서, 항-IL-6 항체 또는 항체 단편은 적어도 대략 30일의 소실 반감기를 가지는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, IL-6 길항제는 화학요법제와 공동-투여되는 것을 특징으로 하는 방법.
- 청구항 49에 있어서, 화학요법제는 VEGF 길항제, EGFR 길항제, 플라틴, 탁솔, 이리노테칸, 5-플루오르우라실, 젬시타빈, 류코보린, 스테로이드, 시클로포스파미드, 멜팔란, 빈카 알칼로이드, 무스틴, 티로신 키나아제 저해제, 방사선요법, 성 호르몬 길항제, 선택성 안드로겐 수용체 조절제, 선택성 에스트로겐 수용체 조절제, PDGF 길항제, TNF 길항제, IL-1 길항제, 인터루킨, IL-12R 길항제, 독소 접합된 단일클론 항체, 종양 항원 특이적 단일클론 항체, Erbitux™, Avastin™, Pertuzumab, 항-CD20 항체, Rituxan®, 오크렐리주맙, 오파투무맙, DXL625, Herceptin®, 또는 이들의 임의의 조합에서 선택되는 것을 특징으로 하는 방법.
- 청구항 50에 있어서, 화학요법제는 JAK1, JAK2, JAK3, 또는 SYK의 저해제를 포함하는 것을 특징으로 하는 방법.
- 청구항 50에 있어서, 상기 인터루킨은 IL-12와 IL-2를 포함하는 것을 특징으로 하는 방법.
- 청구항 50에 있어서, 빈카 알칼로이드는 빈블라스틴, 빈크리스틴, 빈데신 또는 비노렐빈을 포함하는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 검출가능 라벨 또는 치료제에 직접적으로 또는 간접적으로 부착되는 것을 특징으로 하는 방법.
- 청구항 12에 있어서, 항-IL-6 항체 또는 항체 단편은 Ab1 또는 이의 단편인 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, IL-6 길항제는 안티센스 핵산인 것을 특징으로 하는 방법.
- 청구항 56에 있어서, 안티센스 핵산은 IL-6, IL-6 수용체 알파, gp130, p38 MAP 키나아제, JAK1, JAK2, JAK3, 또는 SYK를 인코딩하는 서열의 적어도 대략 10개의 뉴클레오티드를 포함하는 것을 특징으로 하는 방법.
- 청구항 56에 있어서, 안티센스 핵산은 DNA, RNA, 펩티드 핵산, 잠금(locked) 핵산, 모르폴리노(포스포로디아미데이트 모르폴리노 올리고), 글리세롤 핵산, 트레오즈(threose) 핵산, 또는 이들의 임의의 조합을 포함하는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, IL-6 길항제는 Actemra™(토클리주맙), Remicade®, Zenapax™, 또는 이들의 임의의 조합을 포함하는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, IL-6 길항제는 IL-6, IL-6 수용체 알파, gp130, p38 MAP 키나아제, JAK1, JAK2, JAK3, SYK, 또는 이들의 임의의 조합의 단편을 포함하는 서열을 갖는 폴리펩티드를 포함하는 것을 특징으로 하는 방법.
- 청구항 60에 있어서, IL-6 길항제는 적어도 40개의 아미노산 길이를 가지는 것을 특징으로 하는 방법.
- 청구항 60에 있어서, IL-6 길항제는 가용성 IL-6 수용체 알파, 가용성 gp130, 또는 이들의 임의의 조합을 포함하는 것을 특징으로 하는 방법.
- 청구항 60에 있어서, IL-6 길항제는 반감기 증가 모이어티(moiety)에 결합되는 것을 특징으로 하는 방법.
- 청구항 1 또는 3에 있어서, IL-6 길항제의 투여 이전에 환자의 혈청 CRP 수준을 측정하는 단계, 그리고 환자의 혈청 CRP 수준이 적어도 대략 5 ㎎/ℓ인 경우 IL-6 길항제를 투여하는 단계를 추가로 포함하는 것을 특징으로 하는 방법.
- 청구항 64에 있어서, 환자의 혈청 CRP 수준은 IL-6 길항제 투여후 1주 이내에 대략 5 ㎎/ℓ 미만으로 감소되는 것을 특징으로 하는 방법.
- 청구항 1에 있어서, 환자의 혈청 CRP 수준은 IL-6 길항제 투여후 1주 이내에 1 ㎎/ℓ 미만으로 감소되는 것을 특징으로 하는 방법.
- 청구항 1 또는 3중 어느 한 항에 있어서, 환자의 혈청 CRP 수준의 연장된 감소를 유발하는 것을 특징으로 하는 방법.
- 청구항 1 또는 3에 있어서, 환자의 혈청 CRP 수준은 IL-6 길항제 투여후 대략 1주 이내에 10 ㎎/ℓ 미만으로 감소되는 것을 특징으로 하는 방법.
- 청구항 68에 있어서, IL-6 길항제 투여후 14일 시점에, 환자의 혈청 CRP 수준은 10 ㎎/ℓ 미만으로 유지되는 것을 특징으로 하는 방법.
- 청구항 68에 있어서, IL-6 길항제 투여후 21일 시점에, 환자의 혈청 CRP 수준은 10 ㎎/ℓ 미만으로 유지되는 것을 특징으로 하는 방법.
- 청구항 68에 있어서, IL-6 길항제 투여후 28일 시점에, 환자의 혈청 CRP 수준은 10 ㎎/ℓ 미만으로 유지되는 것을 특징으로 하는 방법.
- 청구항 68에 있어서, IL-6 길항제 투여후 35일 시점에, 환자의 혈청 CRP 수준은 10 ㎎/ℓ 미만으로 유지되는 것을 특징으로 하는 방법.
- 청구항 68에 있어서, IL-6 길항제 투여후 42일 시점에, 환자의 혈청 CRP 수준은 10 ㎎/ℓ 미만으로 유지되는 것을 특징으로 하는 방법.
- 청구항 68에 있어서, IL-6 길항제 투여후 49일 시점에, 환자의 혈청 CRP 수준은 10 ㎎/ℓ 미만으로 유지되는 것을 특징으로 하는 방법.
- 청구항 68에 있어서, IL-6 길항제 투여후 56일 시점에, 환자의 혈청 CRP 수준은 10 ㎎/ℓ 미만으로 유지되는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, 환자의 생존력이 개선되는 것을 특징으로 하는 방법.
- 청구항 2 또는 3에 있어서, IL-6 길항제의 투여 이전에 환자의 혈청 알부민 수준을 측정하는 단계, 그리고 환자의 혈청 알부민 수준이 대략 35 g/ℓ 이하인 경우 IL-6 길항제를 투여하는 단계를 추가로 포함하는 것을 특징으로 하는 방법.
- 청구항 77에 있어서, 환자의 혈청 알부민 수준은 IL-6 길항제 투여후 대략 5주 이내에 대략 35 g/ℓ가 넘게 증가되는 것을 특징으로 하는 방법.
- 청구항 2 또는 3에 있어서, 환자의 혈청 알부민 수준의 연장된 증가를 유발하는 것을 특징으로 하는 방법.
- 청구항 78에 있어서, IL-6 길항제 투여후 42일 시점에, 환자의 혈청 알부민 수준은 35 g/ℓ 초과로 유지되는 것을 특징으로 하는 방법.
- 청구항 78에 있어서, IL-6 길항제 투여후 49일 시점에, 환자의 혈청 알부민 수준은 35 g/ℓ 초과로 유지되는 것을 특징으로 하는 방법.
- 청구항 78에 있어서, IL-6 길항제 투여후 56일 시점에, 환자의 혈청 알부민 수준은 35 g/ℓ 초과로 유지되는 것을 특징으로 하는 방법.
- 청구항 2 또는 3에 있어서, 환자의 혈청 알부민 수준은 IL-6 길항제 투여후 대략 5주 이내에 대략 5 g/ℓ 증가되는 것을 특징으로 하는 방법.
- 청구항 2 또는 3에 있어서, 환자는 류머티스성 관절염, 암, 진행된 암, 간 질환, 신장 질환, 염증성 장 질환, 셀리악병(celiac's disease), 외상(trauma), 화상, 감소된 혈청 알부민과 연관된 기타 질환, 또는 이들의 임의의 조합으로 진단되는 것을 특징으로 하는 방법.
- 청구항 1 또는 3에 있어서, 환자는 류머티스성 관절염(rheumatoid arthritis), 유년형 류머티스성 관절염(juvenile rheumatoid arthritis), 건선(psoriasis), 건선성 관절병증(psoriatic arthropathy), 강직성 척추염(ankylosing spondylitis), 전신성 홍반성 루푸스(systemic lupus erythematosis), 크론병(Crohn's disease), 궤양성 대장염(ulcerative colitis), 천포창(pemphigus), 피부근염(dermatomyositis), 다발근육염(polymyositis), 류머티스성 다발성 근육통(polymyalgia rheumatica), 거대 세포 동맥염(giant cell arteritis), 혈관염(vasculitis), 결절성 다발동맥염(polyarteritis nodosa), 베게너 육아종증(Wegener's granulomatosis), 가와사키병(Kawasaki disease), 고립형 CNS 혈관염(isolated CNS vasculitis), 척-스트라우스 관절염(Churg-Strauss arteritis), 현미경적 다발동맥염(microscopic polyarteritis), 현미경적 다발혈관염(microscopic polyangiitis), 헤노호-쉐라인 자반증(Henoch-Schonlein purpura), 본태성 한랭글로불린혈증성 혈관염(essential cryoglobulinemic vasculitis), 류머티스성 혈관염(rheumatoid vasculitis), 한랭글로불린혈증(cryoglobulinemia), 재발성 다발연골염(relapsing polychondritis), 베체트병(Behcet's disease), 다까야수 동맥염(Takayasu's arteritis), 허혈성 심장 질환(ischemic heart disease), 뇌졸중(stroke), 다발성 경화증(multiple sclerosis), 패혈증(sepsis), 바이러스 감염에 속발성인 혈관염(vasculitis secondary to viral infection), 버거스씨병(Buerger's Disease), 암(cancer), 진행된 암(advanced cancer), 골관절염(Osteoarthritis), 전신 경화증(systemic sclerosis), 크레스트 증후군(CREST syndrome), 라이터병(Reiter's disease), 뼈의 파제트병(Paget's disease of bone), 쇼그렌 증후군(Sjogran's syndrome), 1형 당뇨병(diabetes type 1), 2형 당뇨병(diabetes type 2), 가족성 지중해열(familial Mediterranean fever), 자가면역 혈소판감소증(autoimmune thrombocytopenia), 자가면역 용혈성 빈혈(autoimmune hemolytic anemia), 자가면역 갑상선 질환(autoimmune thyroid diseases), 악성 빈혈(pernicious anemia), 백반(vitiligo), 원형탈모증(alopecia greata), 원발성 담도 경화증(primary biliary cirrhosis), 자가면역 만성 활성 간염(autoimmune chronic active hepatitis), 알코올성 간경화증(alcoholic cirrhosis), B형과 C형 간염을 비롯한 바이러스 간염(viral hepatitis), 다른 장기 특이적 자가면역 질환(organ specific autoimmune diseases), 화상(burns), 특발성 폐 섬유증(idiopathic pulmonary fibrosis), 만성 폐쇄성 폐 질환(chronic obstructive pulmonary disease), 알레르기 천식(allergic asthma), 다른 알레르기 질환 또는 이들의 임의의 조합으로 진단되는 것을 특징으로 하는 방법.
- 청구항 85에 있어서, 바이러스 감염은 B형 간염, C형 간염, HIV, 거대세포바이러스, 엡스타인-바 바이러스, 또는 파보(Parvo) B19 바이러스를 포함하는 것을 특징으로 하는 방법.
- 청구항 1 내지 6중 어느 한 항에 있어서, 한 가지 이상의 스타틴을 환자에게 투여하는 단계를 추가로 포함하는 것을 특징으로 하는 방법.
- 청구항 87에 있어서, 한 가지 이상의 스타틴은 아토르바스타틴, 체리바스타틴, 플루바스타틴, 로바스타틴, 메바스타틴, 피타바스타틴, 프라바스타틴, 로수바스타틴, 심바스타틴, 또는 이들의 임의의 조합에서 선택되는 것을 특징으로 하는 방법.
- 청구항 1 내지 88중 어느 한 항에 있어서, 항-IL-6 항체는 도 34-37 내에 포함된 인간화 항체에 함유된 모든 CDR을 함유하는 것을 특징으로 하는 방법.
- 청구항 1 내지 89중 어느 한 항에 있어서, 항-IL-6 항체는 서열 번호: 657과 서열 번호: 709, 또는 도 34-37의 가변 중쇄와 경쇄 서열 중에서 적어도 하나를 함유하는 것을 특징으로 하는 방법.
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