WO 2018/064255 A2 05 April 2018 (05.04.2018) W !P O PCT

WO 2018/064255 A2 05 April 2018 (05.04.2018) W !P O PCT

(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2018/064255 A2 05 April 2018 (05.04.2018) W !P O PCT (51) International Patent Classification: MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, C07K 16/24 (2006.01) OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY,TH, TJ, TM, TN, (21) International Application Number: TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. PCT/US2017/053880 (84) Designated States (unless otherwise indicated, for every (22) International Filing Date: kind of regional protection available): ARIPO (BW, GH, 28 September 2017 (28.09.2017) GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, ST, SZ, TZ, (25) Filing Language: English UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, TJ, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, (26) Publication Language: English EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, LV, (30) Priority Data: MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, SM, 62/401,158 28 September 2016 (28.09.2016) US TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, GW, 62/421,038 11November 2016 ( 11.11.2016) US KM, ML, MR, NE, SN, TD, TG). (71) Applicants: XOMA (US) LLC [US/US]; 2910 Seventh Published: Street, Berkeley, CA 94710 (US). MUSC FOUNDATION — without international search report and to be republished FOR RESEARCH DEVELOPMENT [US/US]; 19 Ha- upon receipt of that report (Rule 48.2(g)) 909, SC 29425 (US). good Avenue, Suite Charleston, — with sequence listing part of description (Rule 5.2(a)) (72) Inventors: ROELL, Marina; C/o Xoma (US) LLC, 2910 _ Seventh Street, Berkeley, CA 947 10 (US). RUBINSTEIN, — Mark; C/o Medical University Of South Carolina, 171Ash- = ley Avenue, Charleston, SC 29425 (US). ISSAFRAS, Has- = san; C/o Xoma (US) LLC, 2910 Seventh Street, Berkeley, = CA 94710 (US). LAO, Llewelyn; C/o Xoma (US) LLC, = 2910 Seventh Street, Berkeley, CA 947 10 (US). LI, Ou; C/o = Xoma (US) LLC, 2910 Seventh Street, Berkeley, CA 947 10 = (US). BEDINGER, Daniel, H.; C/o Xoma (US) LLC, 2910 = Seventh Street, Berkeley, CA 947 10 (US). LIND, Kristin, ≡ Camfield; C/o Xoma (US) LLC, 2910 Seventh Street, = Berkeley, CA 94710 (US). HOLMES, Agnes, Choppin; ≡ C/o Xoma (US) LLC, 2910 Seventh Street, Berkeley, CA = 94710 (US). TAKEUCHI, Toshihiko; C/o Xoma (US) = LLC, 2910 Seventh Street, Berkeley, CA 94710 (US). SCH- ≡ WIMMER, Lauren; C/o Xoma (US) LLC, 2910 Seventh s Street, Berkeley, CA 947 10 (US). GIANG, Hoa; C/o Xoma = (US) LLC, 2910 Seventh Street, Berkeley, CA 947 10 (US). = MIRZA, Amer, M.; C/o Xoma (US) LLC, 2910 Seventh = Street, Berkeley, CA 94710 (US). JOHNSON, Kirk, W.; = C/o Xoma (US) LLC, 2910 Seventh Street, Berkeley, CA = 94710 (US). = (74) Agent: NEVILLE, Katherine, L.; Marshall, Gerstein & = Borun LLP, 233 S. Wacker Drive, 6300 Willis Tower, = Chicago, IL 60606-6357 (US). (81) Designated States (unless otherwise indicated, for every kind of national protection available): AE, AG, AL, AM, AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DJ, DK, DM, DO, i i DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, HN, J HR, HU, ID, IL, IN, IR, IS, JO, JP, KE, KG, KH, KN, KP, KR, KW,KZ, LA, LC, LK, LR, LS, LU, LY,MA, MD, ME, © 00 (54) Title: ANTIBODIES THAT BIND INTERLEUKIN-2 AND USES THEREOF © (57) Abstract: The present disclosure relates, in general, to human antibodies against human interleukin 2 (IL-2) and methods of use of such antibodies for modulating IL-2 activity and use in the treatment of conditions such as cancer, autoimmune disease, or infection. ANTIBODIES THAT BIND INTERLEUKIN-2 AND USES THEREOF CROSS-REFERENCE TO RELATED APPLICATIONS [0001] The present application claims the priority benefit of U.S. Provisional Patent Application No. 62/401,158, filed September 28, 2016 and U. S. Provisional Patent Application No. 62/421,038, filed November 11, 2016, hereby incorporated by reference in their entirety. INCORPORATION BY REFERENCE OF MATERIAL SUBMITTED ELECTRONICALLY [0002] Incorporated by reference in its entirety is a computer-readable nucleotide/amino acid sequence listing submitted concurrently herewith and identified as follows: Filename: 51134_Seqlisting.txt; Size: 20,399 bytes; Created: September 28, 2017. FIELD OF THE INVENTION [0003] The present disclosure relates, in general, to interleukin-2 (IL-2) antibodies and therapy for treating conditions associated with IL-2 signaling comprising administering to a subject in need thereof a therapeutically effective amount of an IL-2 antibody. BACKGROUND [0004] Interleukin-2 (IL-2) is a 15 kDa peptide that is a member of the four- a helix bundle family of cytokines (Wang et a , Annual review of immunology 27, 29-60 (2009)). Originally identified in 1976 as a T cell growth factor, it has been described by a variety of names, including T-cell growth factor (TCGF), lymphocyte-conditioned medium (LCM) factor, T-cell mitogenic factor (TMF), killer helper factor (KHF), and T-cell replacing factor (TRF) (Lotze MT, Interleukin-2, In Human Cytokines: Handbook for basic and clinical research, pp 81- 96(1992); Smith et a , Cytokine Reference, pp 113-125 (2001)). IL-2 is produced by many cells including CD4 T cells, CD8 T cells, dendritic cells (DCs), natural killer (NK) cells, and natural killer T (NKT) cells. IL-2 is produced after a wide range of signals including engagement of the T cell receptor (TCR) and rapidly and transiently produced upon engaging the TCR and costimulatory molecules such as CD28 on naive T cells. The transient nature of IL-2 secretion depends on transcriptional induction by TCR signals and stabilization of IL-2 mRNA by costimulatory signals, followed by transcriptional silencing of the IL-2 gene and rapid degradation of IL-2 mRNA. A classical auto-regulatory feedback loop has recently been described in which IL-2 inhibits its own production (Malek TR, Annual review of immunology 26, 453-479 (2008)). [0005] The receptor for IL-2 (IL-2 R) consists of three chains, IL-2 Ra (also known as CD25), IL-2 R (also known as CD122), and the common gamma chain, yc (also known as CD132). The three receptor chains are expressed separately and differently on various cell types. IL-2 signals through interactions between IL-2 Rp and yc that activate cellular pathways such as the Jak/Stat, PI3K-AKT, and MAPK pathways. SUMMARY OF THE INVENTION [0006] The present disclosure provides methods and compositions for the treatment of disease or disorders associated with IL-2 signaling or where modulation of IL-2 signaling can lead to improved clinical (or immune) response. The disclosure provides antibodies that bind human IL- 2. It is provided that the antibodies described herein can have differential effects on IL-2 binding to any or all of the IL-2 R chains (IL-2 Ra, IL-2 Rp, and yc). In particular, the present disclosure provides methods of use of such antibodies in the treatment of cancer. [0007] In various embodiments, the disclosure provides an antibody specific for IL-2 with an Κ 9 affinity Ό of 2 xlO M or less. In various embodiments, the disclosure provides an antibody specific for IL-2 with an affinity of 1 xlO 10 M or less. In exemplary embodiments, an anti- IL-2 antibody described herein binds at least with an affinity of 10 10 M, 10 11 M, 10 12 M, 10 13 M or less. In certain embodiments, the affinity is measured by surface plasmon resonance or KinExA assay. [0008] In various embodiments, the antibody inhibits IL-2 signaling through IL-2 RaPy and through IL-2 RPy, and the antibody inhibits IL-2 signaling through IL-2 RaPy to a greater extent than through IL-2 RPy. [0009] In a related embodiment, the antibody binds IL-2 and inhibits binding of IL-2 with an IL-2 receptor alpha (IL-2 Ra) subunit. In various embodiments, the antibody inhibits IL-2 signaling through IL-2 RaPy to a greater extent than through IL-2 RPy. [0010] In a related embodiment, the antibody does not completely block binding of human IL- 2 to cells expressing human or mouse IL-2 Rp or IL-2 RPy complex. In a related aspect, the antibody binds at a site allosteric to binding of IL-2 to IL-2 Ra or IL-2 Rp and yc chains. [0011] In a various embodiments, the antibody is a negative modulator antibody, optionally wherein the antibody is capable of weakening the binding affinity between IL-2 and IL-2 receptor a (IL-2 Ra) by at least about 2-fold, optionally up to 1000-fold. In other embodiments, an antibody described herein is capable of weakening the binding affinity between IL-2 and IL-2 R by at least 2-1000 fold, 10-100 fold, 2-fold, 5-fold, 10-fold, 25-fold, 50-fold, 100-fold, 200- fold, 300-fold, 400-fold, 500-fold, 600-fold, 700-fold, 800-fold, 900-fold or 1000-fold. In various embodiments, the antibody complexed with IL-2 binds to cells expressing IL-2 Rp and yc with an EC50 of about 5 nM or less. In various embodiments, the antibody binds to cells expressing IL-2 Rp (but not yc) with an EC50 of about 200 nM or less.

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