Anti-cd20 antibody compositions
Patent Information
- Authority / Receiving Office
- EP · EP
- Patent Type
- Applications
- Current Assignee / Owner
- TG THERAPEUTICS INC
- Filing Date
- 2023-05-31
- Publication Date
- 2026-07-08
AI Technical Summary
The biopharmaceutical industry faces challenges in maintaining consistent product quality and efficacy of therapeutic monoclonal antibodies due to post-translational modifications (PTMs) during production, purification, storage, and administration, which can impact pharmacokinetics and pharmacodynamics properties.
Compositions of anti-CD20 antibody proteins with specific N-glycan profiles, including 20-40% fucosylated and 10-20% galactosylated glycans, are developed to ensure consistent product quality and enhanced clinical efficacy, with methods for determining these profiles using enzymes and analytical techniques like chromatography and mass spectrometry.
The anti-CD20 antibody compositions demonstrate increased cytotoxicity, potency, and binding affinity, leading to improved clinical outcomes in treating multiple sclerosis and other autoimmune diseases, with reduced immunogenicity and improved pharmacokinetic parameters.
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Figure 1.1
Abstract
Description
ANTLCD20 ANTIBODY COMPOSITIONS1. CLAIM OF PRIORITY
[0001] This application claims the benefit of U.S. Provisional Application Serial No. 63 / 347,852, filed on June 1, 2022, U.S. Provisional Application Serial No. 63 / 421,078, filed on October 31, 2022, and U.S. Provisional Application Serial No. 63 / 445,082, filed on February 13, 2023. The entire contents of the foregoing are hereby incorporated by reference.2. REFERENCE TO SEQUENCE LISTING SUBMITTED ELECTRONICALLY
[0002] This application contains a Sequence Listing that has been submitted electronically as an XML file named “50581 -0004W01. XML.” The XML file, created on May 22, 2023, is 39,114 bytes in size. The material in the XML file is hereby incorporated by reference in its entirety.3. FIELD OF THE DISCLOSURE
[0003] The present disclosure is in the field of recombinant anti-CD20 antibodies, methods of producing such antibodies, and uses of such antibodies.4. BACKGROUND OF THE DISCLOSURE
[0004] Therapeutic monoclonal antibodies (mAbs) produced in mammalian cells are heterogeneous as a result of post-translational modifications (PTMs). PTMs can occur during mAb production, purification, storage, and post-administration. PTMs are therapeutic mAb product quality attributes (PQAs). Controlling PQAs within predefined acceptance criteria is vital to the biopharmaceutical industry because it ensures consistent product quality and reduces potential impacts on drug safety and efficacy (Xu, X. el al., Journal of Applied Bioanalysis 3(2):21-5 (2017)).
[0005] The critical importance of sequence variation in antibodies is well recognized. Sequence diversity in antibody variable domains is essential for specific antigen recognition while linkage to different constant domains leads to distinct Fc-mediated effector activities. PTMs of these domains provide an additional immune mechanism by which the binding and activity of antibodies can be modulated. PTMs vary from chain additions, such as N- and O- linked glycosylation, glycation, cysteinylation and sulfation; chain trimming, such as C-terminallysine clipping; amino acid modifications such as cyclization (into a N-terminal pyroglutamic acid), deamidation, oxidation, isomerization and carbamylation; to disulfide scrambling of hinge region interchain disulfide bonds. Each antibody can therefore give rise to a myriad of distinct antibody molecules with large activity and potency differences. Although post-translational modifications of antibodies have been observed and studied for decades, the full impact of the microheterogeneity is yet to be further studied. PTMs can impact antibody functions, for example, pharmacokinetics and pharmacodynamics properties and clinical efficacy.
[0006] Having specified ranges of post-translational modifications can be critical for a population of mAbs to possess consistent product quality, clinical safety, and efficacy.5. SUMMARY OF THE DISCLOSURE
[0007] Provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising about 20 to 40% fucosylated glycans and optionally about 10 to 20% galactosylated glycans.
[0008] In some embodiments, the N-glycan profile comprises 23% to 36% fucosylated glycans, optionally about 30% fucosylated glycans. In some embodiments, the N-glycan profile comprises 16% to 18% galactosylated glycans, optionally about 17% galactosylated glycans.
[0009] In some embodiments, the relative abundance of fucosylated glycans is the percent of fucosylated glycans among all glycans in the N-glycan profile. In some embodiments, the relative abundance of galactosylated glycans is the percent of galactosylated glycans among all glycans in the N-glycan profile.
[0010] In some embodiments, the N-glycan profile comprises 12% to 30% bisecting N- glycans, optionally about 18% bisecting N-glycans. In some embodiments, the bisecting N- glycans comprise one or more of GOB, G0FB, G1FB, G2FBS1, and G2FBS2.In some embodiments, the population of anti-CD20 antibody proteins has an N-glycan profile comprising less than 5% sialylated glycans. In some embodiments, the N-glycan profile comprises less than 4%, 3%, 2.5%, 2%, 1%, or 0.5% sialylated glycan. In some embodiments, the N-glycan profile comprises no detectable amount of sialylated glycan.
[0011] In some embodiments, the population of anti-CD20 antibody proteins has an N- glycan profile comprising 0.1% to 1.5% Man5 N-glycan. In some embodiments, the N-glycan profile comprises 0.4% to 0.7% Man5 N-glycan. In some embodiments, the N-glycan profile comprises about 0.6% Man5 N-glycan. In some embodiments, Man5 N-glycan is the only high mannose species in the N-glycan profile.
[0012] In some embodiments, the population of anti-CD20 antibody proteins comprises 0.20 to 0.40 mol isoaspartate per mol protein. In some embodiments, the population of anti-CD20 antibody proteins comprises 0.25 to 0.35 mol isoaspartate per mol protein.
[0013] In some embodiments, glutamate at position 1 of the heavy chain is a pyroglutamate and glutamate at position 1 of the light chain is a pyroglutamate.
[0014] In some embodiments, the population of anti-CD20 antibody proteins has an N- glycan profile comprising a relative abundance ratio of 0.1 to 0.15 G1 to GO N-glycans. In some embodiments, the population of anti-CD20 antibody proteins has an N-glycan profile comprising a relative abundance ratio of 0.5 to 0.9 GIF to G1 N-glycans.
[0015] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least two N-glycans within the following relative abundance ranges:(a) 0.3% to 2% G0-GN;(b) 0.1% to 2% G0F-GN;(c) 30% to 60% GO;(d) 0.1% to 1% G1-GN;(e) 5% to 20% GOB;(f) 5% to 30% G0F;(g) 0.1% to 1.5% Man5;(h) l% to 15% G0FB;(i) l% to 13% Gl;(j) 0.5% to 10% Gl’;(k) 0.5% to 6% GIB;(l) 0.5% to 12% GIF;(m) 0.1% to 3% GIF’;(n) 0.1% to 3% G1FB;(o) 0.1% to 2% G2; and(p) 0.1% to 2% G2F.
[0016] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least two N-glycans in the following relative abundance ranges:(a) 0.8% to 1.1% GO-GN;(b) 0.5% to 1.1% G0F-GN;(c) 42.5% to 48.8% GO;(d) 0.3% to 0.6% Gl-GN;(e) 9.5% to 14.1% GOB;(f) 12.8% to 19.7% G0F;(g) 0.4% to 0.7% Man5;(h) 5.1% to 7.0% G0FB;(i) 5.7% to 6.4% Gl;(j) 2.7% to 3.3% Gl’;(k) 1.4% to 2.0% GIB;(l) 2.6% to 4.2% GIF;(m) 1.1% to 1.6% GIF’;(n) 1.1% to 1.8% G1FB;(o) 0.5% to 0.7% G2; and(p) 0.3% to 0.5% G2F.
[0017] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least two N-glycans in the following relative abundance ranges:(a) 0.9% G0-GN;(b) 0.8% G0F-GN;(c) 46.1% GO;(d) 0.5% Gl-GN;(e) 10.9% GOB;(f) 17.0% G0F;(g) 0.6% Man5;(h) 6.0% G0FB;(i) 6.1% Gl;(j) 2.9% Gl’;(k) 1.6% GIB;(l) 3.2% GIF;(m) 1.3% GIF’;(n) 1.3 G1FB;(o) 0.5% G2; and(p) 0.3% G2F.
[0018] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least three, four or five N-glycans within the following relative abundance ranges:(a) 0.3% to 2% G0-GN;(b) 0.1% to 2% G0F-GN;(c) 30% to 60% GO;(d) 0.1% to 1% G1-GN;(e) 5% to 20% GOB;(f) 5% to 30% G0F;(g) 0.1% to 1.5% Man5;(h) l% to 15% G0FB;(i) l% to 13% Gl;(j) 0.5% to 10% Gl’;(k) 0.5% to 6% GIB;(l) 0.5% to 12% GIF;(m) 0.1% to 3% GIF’;(n) 0.1% to 3% G1FB;(o) 0.1% to 2% G2; and(p) 0.1% to 2% G2F.
[0019] In some embodiments, the N-glycan profile of the population of anti-CD20 antibody proteins is determined using a method comprising: (a) incubating the population of anti-CD20 antibody proteins with an enzyme, wherein the enzyme catalyzes releasing of the N-glycans from the anti-CD20 antibody; (b) measuring the relevant abundance of the released N-gylcans using one or more methods selected from chromatography, mass spectrometry, capillary electrophoresis, and the combination thereof. In some embodiments, the method furthercomprises after step (a) and before step (b) the following steps: (c) purifying the N-glycans; and (d) labeling the N-glycans with a fluorescent compound. In some embodiments, the enzyme is PNGase F. In some embodiments, the fluorescent compound is 2-aminobenzamide (2- AB).
[0020] In some embodiments, less than 10% of the anti-CD20 antibody proteins in the population is non-glycosylated. In some embodiments, less than 5% of the anti-CD20 antibody proteins in the population is non-glycosylated. In some embodiments, less than 1% of the anti- CD20 antibody proteins in the population is non-glycosylated.
[0021] In some embodiments, the population of anti-CD20 antibody proteins comprises two or more secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows:(a) 8.0% to 10.0% a-helix;(b) 32.0% to 36.0% Anti-parallel P-sheet;(c) 5.0% to 6.0% Parallel P-sheet;(d) 16.0% to 18.0% P-Turn; and(e) 35.0% to 36.0% random coil.
[0022] In some embodiments, the population of anti-CD20 antibody proteins comprises secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows:(a) 8.0% to 10.0% a-helix;(b) 32.0% to 36.0% Anti-parallel P-sheet;(c) 5.0% to 6.0% Parallel P-sheet;(d) 16.0% to 18.0% P-Turn; and(e) 35.0% to 36.0% random coil.
[0023] In some embodiments, the population of anti-CD20 antibody proteins comprises two or more secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows:(a) about 9.0% a-helix;(b) about 33.0% Anti-parallel P-sheet;(c) about 5.6% Parallel P-sheet;(d) about 17.5% P-Turn; and(e) about 35.2% random coil.
[0024] In some embodiments, the population of anti-CD20 antibody proteins further comprises one or more of the following post-translational modifications at the specified abundance:
[0025] In some embodiments, the one or more of the post-translational modifications are measured by peptide mapping using liquid chromatography-mass spectrometry (LC-MS).
[0026] In some embodiments, the population has an amount of total protein of 25.5-25.8 mg / mL as measured by absorbance at 280 nm.
[0027] In some embodiments, the anti-CD20 antibody proteins in the population induces greater cytotoxicity in a cell-based antibody-dependent cellular cytotoxicity (ADCC) assaycompared to obinutuzumab, ofatumumab, rituximab, veltuzumab, ibritumomab tiuxetan and / or ocrelizumab.
[0028] In some embodiments, the population has a relative potency of 90 to 163% in a cellbased ADCC assay compared to a commercial reference standard. In some embodiments, the population has a relative potency of 78% to 116% or 73% to 128% in a cell-based complement dependent cytotoxicity (CDC) assay compared to that of a commercial reference standard. In some embodiments, the population has a relative potency of 92 to 118% or 82 to 138% in a cellbased CD20 binding activity bioassay compared to that of a commercial reference standard. In some embodiments, the population has a KD value 30 to 70 nM in an FcyRIIIa-158V binding assay as measured by surface plasmon resonance. In some embodiments, the population has a KD value 500 to 1000 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance. In some embodiments, the population has significantly higher binding affinity to FcyRIIIa 158V or FcyRIIIa 158F than rituximab. In some embodiments, the population has a relative potency of 88 to 113% or 86 to 116% in a Cl q binding assay as measured by ELISA compared to a commercial reference standard. In some embodiments, the population has a relative potency of 106 to 126% in a CD 16 activity assay compared to a commercial reference standard.
[0029] In some embodiments, the population has 99.2 to 99.9% monomers as detected by size exclusion chromatography (SEC). In some embodiments, the population has 0.1 to 0.8% dimers as detected by SEC. In some embodiments, the population has undetectable level of aggregates as detected by SEC; and / or undetectable level of fragments as detected by SEC.
[0030] In some embodiments, the population has 93.6 to 95.9% IgG after purification by non-reduced capillary gel electrophoresis (CGE). In some embodiments, the population has 0.1 to 0.3% high molecular weight species (HMWS) after purification by non-reduced CGE. In some embodiments, the population has 0.7 to 1.2% free light chain (LC) after purification by non-reduced CGE. In some embodiments, the population has 97.7 to 98.0% heavy chain plus light chain species (HC + LC) after purification by reduced CGE.
[0031] In some embodiments, the population has 20 to 25% acidic isoforms as detected by imaged capillary isoelectric focusing (iCIEF). In some embodiments, the population has 50 to 60% main isoforms as detected by iCIEF. In some embodiments, the population has 20 to 30%basic isoforms as detected by iCIEF. In some embodiments, the population has an average molar ratio of free thiol to anti-CD20 antibody of about 2.0 to 2.2.
[0032] In some embodiments, the amino acid sequence of the anti-CD20 antibody in the population comprises a deletion of the N-terminal residue. In some embodiments, the amino acid sequence of the anti-CD20 antibody in the population comprises a deletion of up to 5 N- terminal residues. In some embodiments, the amino acid sequence of the anti-CD20 antibody in the population comprises a deletion of up to 10 N-terminal residues. In some embodiments, terminal lysine amino acid residue of the heavy chain in the anti-CD20 antibody in the population is truncated.
[0033] Also provided here are pharmaceutical formulations comprising the compositions described herein, wherein the anti-CD20 antibody is present in the pharmaceutical formulation at a concentration of about 10 mg / mL to 50 mg / mL. In some embodiments, the anti-CD20 antibody is present in the pharmaceutical formulation at a concentration of about 25 mg / mL.
[0034] In some embodiments, the pharmaceutical formulation further comprises one or more of the following: sodium chloride, trisodium citrate dehydrate, polysorbate 80, and hydrochloric acid. In some embodiments, the pharmaceutical formulation comprises about 9.0 mg / mL of sodium chloride, about 7.4 mg / mL of trisodium citrate dehydrate, about 0.7 mg / mL of polysorbate 80, and / or about 0.4 mg / mL of hydrochloric acid.
[0035] In some embodiments, the anti-CD20 antibody is present in a single dosage form.
[0036] Also provided here are pharmaceutical formulations comprising:(i) the compositions described herein, wherein the composition comprises a single dosage form of the population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody is present in the pharmaceutical formulation at a concentration of about 25 mg / mL,(ii) about 9.0 mg / mL of sodium chloride,(iii) about 7.4 mg / mL of trisodium citrate dehydrate,(iv) about 0.7 mg / mL of polysorbate 80, and(v) about 0.4 mg / mL of hydrochloric acid.
[0037] Also provided here are single batch preparations of populations of anti-CD20 antibody proteins or pharmaceutical formulations described herein, wherein the single batch comprises at least 100 g, at least 120 g, or at least 150 g of the anti-CD20 antibody proteins.
[0038] Also provided here are populations of anti-CD20 antibody proteins or pharmaceutical formulations described herein, produced in a 15,000 L or 20,000 L bioreactor.
[0039] Also provided here are methods of treating multiple sclerosis (MS) in a subject in need thereof by administering to the subject a therapeutically effective amount of compositions or pharmaceutical formulations described herein.
[0040] In some embodiments, the composition or the pharmaceutical formulation is administered as i) a first infusion at a dose of about 150 mg of the the anti-CD20 antibody protein, ii) a second infusion two weeks later at a dose of about 450 mg of the the anti-CD20 antibody protein, and iii) subsequent infusions every 24 weeks or six months at a dose of about 450 mg of the the anti-CD20 antibody protein.
[0041] In some embodiments, administration of the composition or the pharmaceutical formulation to the subject results in one or more of the following pharmacokinetic parameters:(a) an AUC between 2,160 pg / mL and 3,840 pg / mL;(b) a Cmax between 118,011 ng / mL and 159,989 ng / mL;(c) a Cmin between 40 ng / mL and 375 ng / mL; and(d) a Cavg is between 6,437 ng / mL and 11,443 ng / mL.
[0042] In some embodiments, administration of the composition or the pharmaceutical formulation to the subject results in one or more of the following pharmacokinetic parameters:(a) an AUC about 3,000 pg / mL;(b) a Cmax about 139,000 ng / mL;(c) a Cmin about 139 ng / mL; and(d) a Cavg about 8,940 ng / mL.
[0043] In some embodiments, the method comprises a treatment period of at least 96 weeks.
[0044] In some embodiments, the subject has been pre-medicated with a corticosteroid 30-60 minutes prior to administration of the composition or the pharmaceutical formulation. In some embodiments, the corticosteroid is methylprednisone or dexamethasone. In some embodiments, the methylprednisone is administered at a dose of about 100 mg and / or the dexamethasone is administered at a dose of about 10-20 mg.
[0045] In some embodiments, the subject has been pre-medicated with an antihistamine 30- 60 minutes prior to administration of the composition or the pharmaceutical formulation. Insome embodiments, the antihistamine is diphenhydramine HC1. In some embodiments, the diphenhydramine HC1 is administered at a dose of about 25-50 mg.
[0046] In some embodiments, the subject has been pre-medicated with an antipyretic 30-60 minutes prior to administration of the composition or the pharmaceutical formulation. In some embodiments, the antipyretic is acetaminophen or an antipyretic bioequivalent thereto.
[0047] In some embodiments, the subject has an Expanded Disability Status Scale (EDSS) score of from 0 to 5.5 prior to treatment.
[0048] Also provided here are methods of treating multiple sclerosis (MS) in a subject in need thereof by administering to the subject a therapeutically effective amount of a composition or pharmaceutical formulation described herein, wherein administration of the composition or the pharmaceutical formulation results in no evidence of disease activity (NED A) in the subject 24-96 weeks after the administration.
[0049] In some embodiments, administration of the composition or the pharmaceutical formulation results in NED A in the subject 24 weeks after the administration.
[0050] Also provided here are methods of treating multiple sclerosis (MS) in a subject in need thereof by administering to the subject a therapeutically effective amount of a composition or pharmaceutical formulation described herein, wherein administration of the composition or the pharmaceutical formulation results in a transient decrease in lymphocyte count in the subject.
[0051] In some embodiments, the lymphocyte count is normalized by day 8 of the administration.
[0052] In some embodiments, the MS is a relapsing form of MS (RMS).
[0053] Also provided here are methods of reducing annualized relapse rate (ARR) in a subject with relapsing forms of multiple sclerosis (MS) by administering to the subject an effective amount of a composition or pharmaceutical formulation described herein, the method comprising: administering an intravenous infusion of the composition or the pharmaceutical formulation in a multi-infusion dosage regimen, the dosage regimen comprising: a) a first infusion comprising 150 mg of the anti-CD20 antibody protein at day 1; b) a second infusion comprising 450 mg of the anti-CD20 antibody protein at about 2 weeks after the first infusion; c) a first subsequent infusion comprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the first infusion; and d) one or more subsequent infusionscomprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the prior infusion.
[0054] In some embodiments, the effective amount of the composition or the pharmaceutical formulation is sufficient to result in an ARR of 0.091 or an ARR of 0.076.
[0055] In some embodiments, duration of the second infusion, the first subsequent infusion, and the one or more subsequent infusions of the anti-CD20 antibody protein is about one hour.
[0056] Also provided here are methods of treating relapsing forms of multiple sclerosis (MS) in a subject in need thereof by administering to the subject an effective amount of a composition or pharmaceutical formulation described herein, the method comprising: administering an intravenous infusion of the composition or the pharmaceutical formulation in a multi-infusion dosage regimen, the dosage regimen comprising: a) a first infusion comprising 150 mg of the anti-CD20 antibody protein at day 1; b) a second infusion comprising 450 mg of the anti-CD20 antibody protein at about 2 weeks after the first infusion; c) a first subsequent infusion comprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the first infusion; and d) one or more subsequent infusions comprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the prior infusion, wherein duration of the second infusion, the first subsequent infusion, and the one or more subsequent infusions of the anti-CD20 antibody protein is about one hour.
[0057] In some embodiments, the method further comprises pre-medicating the subject with a corticosteroid and an antihistamine, 30-60 minutes prior to administration of the composition or the pharmaceutical formulation. In some embodiments, the corticosteroid is methylprednisone or dexamethasone. In some embodiments, the methylprednisone is administered at a dose of about 100 mg and / or the dexamethasone is administered at a dose of about 10-20 mg.
[0058] In some embodiments, the intravenous infusion of the composition or the pharmaceutical formulation is prepared in 250 mb of 0.9% Sodium Chloride Injection.
[0059] In some embodiments, the first subsequent infusion is at about 24 weeks from the first infusion. In some embodiments, the one or more subsequent infusions is at about 24 weeks from the prior infusion. In some embodiments, the first subsequent infusion is at about 6 monthsfrom the first infusion. In some embodiments, the one or more subsequent infusions is at about 6 months from the prior infusion.
[0060] In some embodiments, duration of the first infusion of the anti-CD20 antibody protein is about four hours. In some embodiments, the first infusion of the anti-CD20 antibody protein is infused at a rate of 10 mb per hour for the first 30 minutes; 20 mb per hour for the next 30 minutes; 35 mb per hour for the next hour; and 100 mb per hour for the remaining two hours.
[0061] In some embodiments, the second infusion, the first subsequent infusion, and the one or more subsequent infusion of the anti-CD20 antibody protein is infused at a rate of 100 mb per hour for the first 30 minutes, and 400 mb for the remaining 30 minutes.
[0062] In some embodiments, the multi-infusion dosage regimen of the anti-CD20 antibody protein alleviates or delays progression of the symptoms of MS.
[0063] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves a reduced total number of gadolinium-enhancing T1 lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0064] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves a reduced total number of new and enlarging T2 hyperintense lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0065] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves increased no evidence of disease activity (NED A) status, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0066] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves increased Confirmed Disability Improvement (CDI), as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0067] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves an increased Multiple Sclerosis Functional Composite (MSFC) score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0068] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves an improved timed 25-Foot Walk (T25FW) Score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0069] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves an improved 9-Hole Peg test (9-HPT) Score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0070] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves a significant reduction in both volume and number of new T1 hypointense lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0071] In some embodiments, the multi-infusion dosage regimen of the anti-CD20 antibody protein results in a geometric mean steady-state AUC of 3000 mcg / mL per day (CV = 28%) and a mean maximum concentration of 139 mcg / mL (CV =15%).
[0072] Also provided here are methods for inactivating a virus or adventitious agents in rat myeloma cells expressing the anti-CD20 antibody proteins recited in the composition described herein, wherein the method maintains suitability for antibody production in a 15,000 L or 20,000 L bioreactor.
[0073] Also provided here are methods for reducing immunogenicity of the anti-CD20 antibody proteins recited in the composition described herein, wherein the method maintains suitability for antibody production in a 15,000 L or 20,000 L bioreactor.
[0074] Also provided herein are methods of treating multiple sclerosis, wherein the methods comprise administering a therapeutically effective amount of a pharmaceutical formulation comprising a population of anti-CD20 antibody proteins to a subject in need thereof, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein administration of the pharmaceutical formulation results in no evidence of disease activity (NED A) in the subject 24 weeks after the administration. In some embodiments, administration of the pharmaceutical formulation results in NED A in the subject 24-96 weeks after the administration.
[0075] Also disclosed herein are methods of treating multiple sclerosis, wherein the methods comprise administering a therapeutically effective amount of a pharmaceutical formulation comprising a population of anti-CD20 antibody proteins to a subject in need thereof, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein administration of the pharmaceutical formulation results in a transient decrease in lymphocyte count in the subject. In some embodiments, the lymphocyte count is normalized by day 8 of the administration.
[0076] In some embodiments of any of the methods described herein, the population of anti- CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans.
[0077] In some embodiments of any of the methods described herein, the multiple sclerosis (MS) is a relapsing form of MS (RMS). In certain embodiments, the RMS comprises a clinically isolated syndrome ("CIS"); relapsing-remitting MS ("RRMS"); or active secondary progressive MS ("SPMS"). In some embodiments of any of the methods described herein, the subject is diagnosed with RMS in accordance to McDonald Criteria (2010), or by another suitable method known by one skilled in the art. In some embodiments of any of the methods described herein, the subject is a human.
[0078] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans.
[0079] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 35% fucosylated glycans.
[0080] In some embodiments, the N-glycan profile comprises 28 to 33% fucosylated glycans. In some embodiments, the N-glycan profile comprises about 30% fucosylated glycans.
[0081] In some embodiments, the N-glycan profile comprises 16 to 18% galactosylated glycans. In some embodiments, the N-glycan profile comprises about 17% galactosylated glycans.
[0082] In some embodiments, the relative abundance of fucosylated glycans is the percent of fucosylated glycans among all glycans in the N-glycan profile. In some embodiments, the relative abundance of galactosylated glycans is the percent of galactosylated glycans among all glycans in the N-glycan profile.
[0083] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising at least about 10% bisecting N-glycans.
[0084] In some embodiments, the N-glycan profile comprises 12% to 30% bisecting N- glycans. In some embodiments, the N-glycan profile comprises about 18% bisecting N-glycans. In some embodiments, the bisecting N-glycan comprises one or more of GOB, G0FB, G1FB, G2FBS1, and G2FBS2.
[0085] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising less than 5% sialylated glycans.
[0086] In some embodiments, the N-glycan profile comprises less than 4%, 3%, 2.5%, 2%, 1%, or 0.5% sialylated glycan. In some embodiments, the N-glycan profile comprises no detectable amount of sialylated glycan.
[0087] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence ofSEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 5 to 15% GOB N-glycan.
[0088] In some embodiments, the N-glycan profile comprises 9 to 11% GOB N-glycan. In some embodiments, the N-glycan profile comprises about 10% GOB N-glycan.
[0089] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 0.1% to 1.5% Man5 N-glycan.
[0090] In some embodiments, the N-glycan profile comprises 0.4% to 0.7% Man5 N-glycan. In some embodiments, the N-glycan profile comprises about 0.6% Man5 N-glycan. In some embodiments, Man5 N-glycan is the only high mannose species in the N-glycan profile.
[0091] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins comprises 0.20 to 0.40 mol isoaspartate per mol protein.
[0092] In some embodiments, the population of anti-CD20 antibody proteins comprises 0.25 to 0.35 mol isoaspartate per mol protein.
[0093] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the glutamate at position 1 of the heavy chain is a pyroglutamate and wherein the glutamate at position 1 of the light chain is a pyroglutamate.
[0094] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence ofSEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising a relative abundance ratio of 0.1 to 0.15 G1 to GO N-glycans.
[0095] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising a relative abundance ratio of 0.5 to 0.9 GIF to G1 N-glycans.
[0096] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least two N-glycans within the following relative abundance range: (a) 0.3% to 2% G0-GN; (b) 0.1% to 2% G0F-GN; (c) 0.1% to 1% Gl-GN; (d) 5% to 20% GOB; (e) 5% to 30% G0F; (f) 0.1% to 1.5% Man5; (g) 1% to 15% G0FB; (h) 1% to 13% Gl; (i) 0.5% to 10% GF; (j) 0.5% to 6% GIB; (k) 0.5% to 12% GIF; (1) 0.1% to 3% GIF’; (m) 0.1% to 3% G1FB; (n) 0.1% to 2% G2; and (o) 0.1% to 2% G2F.
[0097] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least two N-glycans within the following relative abundance range: (a) 0.8% to 1.1% G0-GN; (b) 0.5% to 1.1% G0F-GN; (c) 0.3% to 0.6% Gl-GN; (d) 9.5% to 14.1% GOB; (e) 12.8% to 19.7% G0F; (f) 0.4% to 0.7% Man5; (g) 5.1% to 7.0% G0FB; (h) 5.7% to 6.4% Gl; (i) 2.7% to 3.3% GF; (j) 1.4% to 2.0% GIB; (k) 2.6% to 4.2% GIF; (1) 1.1% to 1.6% GIF’; (m) 1.1% to 1.8% G1FB; (n) 0.5% to 0.7% G2; and (o) 0.3% to 0.5% G2F.
[0098] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least two N-glycans in the following relative abundance: (a) 0.9% G0-GN; (b) 0.8% G0F-GN; (c) 0.5% Gl-GN; (d) 10.9% GOB; (e) 17.0% G0F; (f) 0.6% Man5; (g) 6.0% G0FB; (h) 6.1% Gl; (i) 2.9% GF; (j) 1.6% GIB; (k) 3.2% GIF; (1) 1.3% GIF’; (m) 1.3 G1FB; (n) 0.5% G2; and (o) 0.3% G2F.
[0099] In some embodiments, the population of anti-CD20 antibody proteins further comprises at least three, four or five N-glycans within the relative abundance or relative abundance range as described herein.
[0100] In some embodiments, the N-glycan profile of the population of anti-CD20 antibody proteins is determined using a method comprising: (a) incubate the population of anti-CD20antibody proteins with an enzyme, wherein the enzyme catalyzes releasing of the N-glycans from the anti-CD20 antibody; (b) measure the relevant abundance of the released N-gylcans using one or more methods selected from chromatography, mass spectrometry, capillary electrophoresis, and the combination thereof. In some embodiments, the enzyme is PNGase F.
[0101] In some embodiments, the method further comprises after step (a) and before step (b) the following steps: (c) purify the N-glycans; and (d) label the N-glycans with a fluorescent compound. In some embodiments, the fluorescent compound is 2-aminobenzamide (2-AB).
[0102] In some embodiments, less than 10% of the anti-CD20 antibody proteins in the population is non-glycosylated. In some embodiments, less than 5% of the anti-CD20 antibody proteins in the population is non-glycosylated. In some embodiments, less than 1% of the anti- CD20 antibody proteins in the population is non-glycosylated.
[0103] In some embodiments, the N-glycan profile of the population of anti-CD20 antibody proteins is substantially as shown in Figure 2.
[0104] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO:1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins comprises two or more secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows: (a) 8.0% to 10.0% a-helix; (b) 32.0% to 36.0% Anti-parallel |3-sheet; (c) 5.0% to 6.0% Parallel |3-sheet; (d) 16.0% to 18.0% |3- Turn; and (e) 35.0% to 36.0% random coil.
[0105] In some embodiments, the population of anti-CD20 antibody proteins comprises secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows: (a) 8.0% to 10.0% a-helix; (b) 32.0% to 36.0% Anti-parallel |3-sheet; (c) 5.0% to 6.0% Parallel |3- sheet; (d) 16.0% to 18.0% |3-Turn; and (e) 35.0% to 36.0% random coil.
[0106] In some embodiments, the population of anti-CD20 antibody proteins comprises two or more secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows: (a) about 9.0% a-helix; (b) about 33.0% Anti-parallel |3-sheet; (c) about 5.6% Parallel |3- sheet; (d) about 17.5% |3-Turn; and (e) about 35.2% random coil.
[0107] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one ormore nucleic acid sequences encoding a heavy chain (“HC”) comprising the amino acid sequence of SEQ ID NO: 1 and a light chain (“LC”) comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins further comprises one or more of the following post-translational modifications at the specified abundance:
[0108] In some embodiments, the population of anti-CD20 antibody proteins comprises two, three, four, five or more of the post translational modifications.
[0109] In some embodiments, the population of anti-CD20 antibody proteins comprises the following post-translational modification at the specified abundance:
[0110] In some embodiments, the population of anti-CD20 antibody proteins comprises the following post-translational modification at the specified abundance:
[0111] In some embodiments, one or more of the post-translational modifications are measured by peptide mapping using liquid chromatography-mass spectrometry (LC-MS). In some embodiments, the deamidation is measured by isoaspartate detection or peptide mapping using LC-MS.
[0112] Also provided herein are compositions comprising a population of anti-CD20 antibody proteins described herein, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain (“HC”) comprising the amino acid sequence of SEQ ID NO: 1 and a light chain (“LC”) comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has the following properties:
[0113] In some embodiments, the population has an amount of total protein of 25.5-25.8 mg / mL as measured by absorbance at 280 nm. In some embodiments, the population has an amount of total protein of about 25.6 mg / mL as measured by absorbance at 280 nm.
[0114] In some embodiments, the population induces greater cytotoxicity in a cell-based antibody-dependent cellular cytotoxicity (ADCC) assay compared to obinutuzumab, ofatumumab, rituximab, veltuzumab, ibritumomab tiuxetan and / or ocrelizumab. In some embodiments, the population has a relative potency of 90 to 163% in a cell-based ADCC assay compared to a commercial reference standard. In some embodiments, the population has a relative potency of about 117% in a cell-based ADCC assay compared to a commercial reference standard. In some embodiments, the cell-based ADCC assay uses effector cells selected from CD 16 effector cells and primary NK cells. In some embodiments, the population performs in a cell-based ADCC using CD 16 effector cells at more than 100% of that of a commercial reference standard.
[0115] In some embodiments, the population exhibits greater B cell depletion activity in a human whole blood B cell depletion assay compared to obinutuzumab, ofatumumab, rituximab, veltuzumab, ibritumomab tiuxetan and / or ocrelizumab.
[0116] In some embodiments, the population has a relative potency of 78% to 116% or 73% to 128% in a cell-based complement dependent cytotoxicity (CDC) assay compared to that of a commercial reference standard. In some embodiments, the population has a relative potency of about 91% in a cell-based CDC assay compared to that of a commercial reference standard.
[0117] In some embodiments, the population has a relative potency of 92 to 118% or 82 to 138% in a cell-based CD20 binding activity bioassay compared to that of a commercial reference standard. In some embodiments, the population has a relative potency of about 109% in a cellbased CD20 binding activity bioassay compared to that of a commercial reference standard.
[0118] In some embodiments, the population has a KD value 30 to 70 nM in an FcyRIIIa- 158V binding assay as measured by surface plasmon resonance. In some embodiments, the population has a KD value about 59 nM in an FcyRIIIa- 158 V binding assay as measured by surface plasmon resonance.
[0119] In some embodiments, the population has a KD value 500 to 1000 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance. In some embodiments, the population has a KD value 760 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance.
[0120] In some embodiments, the population has significantly higher binding affinity to FcyRIIIa 158V or FcyRIIIa 158F than rituximab.
[0121] In some embodiments, the population has a relative potency of 88 to 113% or 86 to 116% in a Cl q binding assay as measured by ELISA compared to a commercial reference standard. In some embodiments, the population has a relative potency of about 99% in a Cl q binding assay as measured by ELISA compared to a commercial reference standard.
[0122] In some embodiments, the population has a relative potency of 106 to 126% in a CD 16 activity assay compared to a commercial reference standard. In some embodiments, the population has a relative potency of about 115% in a CD 16 activity assay compared to a commercial reference standard.
[0123] In some embodiments, the population of anti-CD20 antibody proteins has a purification profile as follows:
[0124] In some embodiments, the population has 99.2 to 99.9% monomers as detected by size exclusion chromatography (SEC). In some embodiments, the population has 0.1 to 0.8% dimers as detected by SEC. In some embodiments, the population has undetectable level of aggregates as detected by SEC. In some embodiments, the population has undetectable level of fragments as detected by SEC.
[0125] In some embodiments, the population has 93.6 to 95.9% IgG after purification by non-reduced capillary gel electrophoresis (CGE). In some embodiments, the population has 0.1 to 0.3% high molecular weight species (HMWS) after purification by non-reduced CGE. In some embodiments, the population has 0.7 to 1.2% free light chain (LC) after purification by non-reduced CGE.
[0126] In some embodiments, the population has 97.7 to 98.0% heavy chain plus light chain species (HC + LC) after purification by reduced CGE.
[0127] In some embodiments, the population of anti-CD20 antibody proteins has a distribution of charged isoforms as follows:
[0128] In some embodiments, the population has 20 to 25% acidic isoforms as detected by imaged capillary isoelectric focusing (iCIEF). In some embodiments, the population has 50 to 60% main isoforms as detected by iCIEF. In some embodiments, the population has 20 to 30% basic isoforms as detected by iCIEF.
[0129] In some embodiments, the population has an average molar ratio of free thiol to anti- CD20 antibody of about 2.0 to 2.2.
[0130] In some embodiments, the amino acid sequence of the anti-CD20 antibody in the population comprises a deletion of the N-terminal residue. In some embodiments, the amino acid sequence of the anti-CD20 antibody in the population comprises a deletion of up to 5 N- terminal residues. In some embodiments, the amino acid sequence of the anti-CD20 antibody in the population comprises a deletion of up to 10 N-terminal residues.
[0131] In some embodiments, the terminal lysine amino acid residue of the heavy chain in the anti-CD20 antibody in said population is truncated.In some embodiments, the administration of the anti-CD20 antibody to a human patient results in one or more of the following pharmacokinetic parameters: (a) an AUC between 2,160 pg / mL and 3,840 pg / mL; (b) a Cmax between 118,011 ng / mL and 159,989 ng / mL; (c) a Cmin between 40 ng / mL and 375 ng / mL; and (d) a Cavg is between 6,437 ng / mL and 11,443 ng / mL, and wherein the anti-CD20 antibody is administered as i) a first infusion at a dose of about 150 mg, ii) a second infusion two weeks later at a dose of about 450 mg, and iii) subsequent infusions every six months at a dose of about 450 mg.
[0132] In some embodiments, the administration of the anti-CD20 antibody to a human patient results in one or more of the following pharmacokinetic parameters: (a) an AUC about 3,000 pg / mL; (b) a Cmax about 139,000 ng / mL; (c) a Cmin about 139 ng / mL; and (d) a Cavg about 8,940 ng / mL.
[0133] In some embodiments, the antibody proteins of the population are present in a single dosage form.
[0134] Also provided here are pharmaceutical formulations comprising compositions described herein, wherein the anti-CD20 antibody is present in the pharmaceutical formulation at a concentration of about 25 mg / mL.
[0135] Also provided here are pharmaceutical formulations comprising anti-CD20 antibody described herein, wherein the anti-CD20 antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the pharmaceutical formulation comprises one or more of the following: sodium chloride, trisodium citrate dehydrate, polysorbate 80, and hydrochloric acid.
[0136] In some embodiments, the pharmaceutical formulation comprises about 9.0 mg / mL of sodium chloride. In some embodiments, the pharmaceutical formulation comprises about 7.4 mg / mL of trisodium citrate dehydrate. In some embodiments, the pharmaceutical formulation comprises about 0.7 mg / mL of polysorbate 80. In some embodiments, the pharmaceutical formulation comprises about 0.4 mg / mL of hydrochloric acid.
[0137] Also provided here are single batch preparations of a population of anti-CD20 antibody proteins described herein, wherein the anti-CD20 antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the single batch comprises at least 100 g of the anti- CD20 antibody proteins.
[0138] Also provided here are single batch preparations of a population of anti-CD20 antibody proteins described herein, wherein the anti-CD20 antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the single batch comprises at least 120 g of the anti- CD20 antibody proteins.
[0139] Also provided here are single batch preparations of a population of anti-CD20 antibody proteins described herein, wherein the anti-CD20 antibody comprises a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the single batch comprises at least 150 g of the anti- CD20 antibody proteins.
[0140] Also provided here are populations of anti-CD20 antibody proteins described herein, produced in a 15,000 L or 20,000 L bioreactor.
[0141] Also provided here are methods of treating an autoimmune disease, wherein the method comprises administering the compositions described herein to a subject in need thereof, and wherein the autoimmune disease is selected from the group consisting of psoriasis, rheumatoid arthritis, vasculitis, inflammatory bowel disease, dermatitis, osteoarthritis, inflammatory muscle disease, allergic rhinitis, vaginitis, interstitial cystitis, scleroderma, osteoporosis, eczema, allogenic or xenogenic transplantation, graft rejection, graft- versus-host disease, lupus erythematosus, inflammatory disease, type 1 diabetes, pulmonary fibrosis, dermatomyositis, Sjogren's syndrome, thyroiditis, myasthenia gravis, autoimmune hemolytic anemia, cystic fibrosis, chronic relapsing hepatitis, primary biliary cirrhosis, allergic conjunctivitis, atopic dermatitis, chronic obstructive pulmonary disease, glomerulonephritis, neuroinflammatory diseases, and uveitis.
[0142] Also provided here are methods of treating multiple sclerosis, wherein the method comprises administering the compositions described herein to a subject in need thereof.
[0143] In some embodiments, the multiple sclerosis (MS) is a relapsing form of MS. In some embodiments, the relapsing form of MS is selected from clinically isolated syndrome (CIS), relapsing-remitting MS (RRMS) and active secondary progressive MS (SPMS). In some embodiments, the relapsing form of MS is a clinically isolated syndrome (CIS). In some embodiments, the relapsing form of MS is relapse-remitting multiple sclerosis (RRMS). In some embodiments, the relapsing form of MS is active secondary progressive multiple sclerosis (SPMS).
[0144] Also provided here are methods of treating a neoplastic disease, wherein the method comprises administering the compositions described herein to a subject in need thereof.
[0145] In some embodiments, the neoplastic disease is acute B lymphoblastic leukaemia, B- cell lymphoma, mature B-cell lymphoma, including B-type Chronic Lymphocytic Leukaemia (B-CLL), small B-cell lymphoma, B-cell prolymphocytic leukaemia, lymphoplasmocytic lymphoma, mantle cell lymphoma, follicular lymphoma, marginal zone MALT-type lymphoma, lymph node marginal zone lymphoma with or without monocytoid B cells, splenic marginal zone lymphoma (with or without villous lymphocytes), tricholeucocytic leukaemia, diffuse large B- cell lymphoma, or Burkitt's lymphoma.
[0146] In some embodiments, the subject is a human.
[0147] Also provided here are methods for inactivating a virus or adventitious agents in rat myeloma cells expressing the anti-CD20 antibody proteins in the compositions described herein, wherein the method maintains suitability for antibody production in a 15,000 L or 20,000 L bioreactor.
[0148] Also provided here are methods of reducing immunogenicity of the anti-CD20 antibody proteins in the compositions described herein, wherein the method maintains suitability for antibody production in a 15,000 L or 20,000 L bioreactor.
[0149] Also provided here are methods of analyzing an TG-1101 (TG Therapeutics, Inc.) preparation, comprising:(i) providing an isolated N-glycan fraction from the TG-1101 (TG Therapeutics, Inc.) preparation;(ii) analyzing the N-glycan fraction to determine if one or more N-glycans are the following N- glycans within the following relative abundance range: (a) 0.3% to 2% G0-GN; (b) 0.1% to 2% G0F-GN; (c) 0.1% to 1% Gl-GN; (d) 5% to 20% GOB; (e) 5% to 30% G0F; (f) 0.1% to 1.5% Man5; (g) 1% to 15% G0FB; (h) 1% to 13% Gl; (i) 0.5% to 10% Gl’; (j) 0.5% to 6% GIB; (k) 0.5% to 12% GIF; (1) 0.1% to 3% GIF’; (m) 0.1% to 3% G1FB; (n) 0.1% to 2% G2; and (o) 0.1% to 2% G2F.In some embodiments, the method comprises analyzing the N-glycan fraction to determine if one or more N-glycans are the following N-glycans within the following relative abundance range:(a) 0.8% to 1.1% G0-GN; (b) 0.5% to 1.1% G0F-GN; (c) 0.3% to 0.6% Gl-GN; (d) 9.5% to 14.1% GOB; (e) 12.8% to 19.7% G0F; (f) 0.4% to 0.7% Man5; (g) 5.1% to 7.0% G0FB; (h) 5.7% to 6.4% Gl; (i) 2.7% to 3.3% Gl’; (j) 1.4% to 2.0% GIB; (k) 2.6% to 4.2% GIF; (1) 1.1% to 1.6% GIF’; (m) 1.1% to 1.8% G1FB; (n) 0.5% to 0.7% G2; and (o) 0.3% to 0.5% G2F.
[0150] In some embodiments, the method comprises analyzing the N-glycan fraction to determine if one or more N-glycans are in the following relative abundance: (a) 0.9% G0-GN;(b) 0.8% G0F-GN; (c) 0.5% Gl-GN; (d) 10.9% GOB; (e) 17.0% G0F; (f) 0.6% Man5; (g) 6.0% G0FB; (h) 6.1% Gl; (i) 2.9% Gl’; (j) 1.6% GIB; (k) 3.2% GIF; (1) 1.3% GIF’; (m) 1.3 G1FB; (n) 0.5% G2; and (o) 0.3% G2F.
[0151] Also provided here are compositions comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or morenucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins further comprises at least two N-glycans in the following relative abundance: (a) 0.9% GO-GN; (b) 0.8% GOF-GN; (c) 0.5% Gl-GN; (d) 10.9% GOB; (e) 17.0% G0F; (f) 0.6% Man5; (g) 6.0% G0FB; (h) 6.1% Gl; (i) 2.9% G1 ’ ; (j) 1-6% GIB; (k) 3.2% GIF; (1) 1.3% GIF’; (m) 1.3 G1FB; (n) 0.5% G2; and (o) 0.3% G2F, and wherein the population of anti-CD20 antibody proteins is made in a rat hybridoma cell.
[0152] In some embodiments, the rat hybridoma cell is YB2 / 0 cell.6. BRIEF DESCRIPTION OF THE DRAWINGS
[0153] Figure 1 illustrates the structure and abbreviations for various N-glycans.
[0154] Figure 2 illustrates the glycosylation profile of a sample of anti-CD20 antibody proteins provided herein.
[0155] Figure 3 illustrates the intact MS Spectra of a sample of anti-CD20 antibody proteins provided herein.
[0156] Figure 4 illustrates antibody-dependent cellular cytotoxicity (ADCC) activity dose response curves using Raji cells and KILR CD16a cells.
[0157] Figure 5 illustrates ADCC activity dose response curves using Raji cells and primary NK cells.
[0158] Figure 6 illustrates antibody-dependent cellular phagocytosis (ADCP) activity dose response curves.
[0159] Figure 7 illustrates complement dependent cytotoxicity (CDC) activity dose response curves.
[0160] Figure 8 illustrates CD20 binding dose response curves.
[0161] Figure 9 illustrates CD20 binding dose response curves using FACS.
[0162] Figure 10 illustrates Clq binding dose response curves.
[0163] Figures 11A-C illustrate human whole blood B cell depletion from three donors. B cell depletion calculated based on data using CD 19 as B cell marker.
[0164] Figure 12 illustrates the Goodness-of-Fit (GOF) diagnostics of the TG-1101 final model.
[0165] Figure 13 illustrates the pcVPC for the TG-1101 final PK model by study. The blue dots are prediction-corrected observed concentrations; the blue lines are the 50th (solid), 5th (dashed), and 95th (dashed) percentiles of observed concentrations; and the black lines are the 50th (solid), 5th (dashed), and 95th (dashed) percentiles of simulations. The gray bands are the 95% Pls for the corresponding black lines based on 500 simulations. The short yellow lines indicate bin intervals. The numbers 201,301,302 and 101-304-703 represent the study numbers, TG1101-RMS201, TG1101-RMS301 and TG1101-RMS302 and the studies in the previous analysis set in subjects with hematologic malignancies, respectively. Abbreviations: pcVPC - prediction-corrected visual predictive check; PI - prediction interval; pred-corr - prediction- corrected; popPK - population pharmacokinetic(s).
[0166] Figure 14 illustrates the forest plot of covariate effects on TG-1101 drug exposure. The first and second dashed vertical lines correspond to ratios of 0.8 and 1.25, respectively. The solid vertical line corresponds to a ratio of 1 and represents a typical subject. Points and whiskers represent the estimate and 90% confidence interval, respectively. The blue-gray horizontal bar shows the range of exposures due to between-subject variability. A typical subject is defined as a male subject from North America / Western Europe with a body weight of 73 kg, is ADA negative and has been on treatment for < 416 days. Abbreviations: ADA - antidrug antibody; AUCss - area under the serum TG-1101 concentration-time curve at steady state; BSV - between-subject or inter-individual variability; CI - confidence interval; CMAXSS - maximum TG-1101 concentration at steady state; CMINSS - minimum TG-1101 concentration at steady state; N / A - not applicable.
[0167] Figure 15 depicts the map of expression vector, HK463-25, containing the immunoglobulin heavy and light chain cDNA sequences of source anti-CD20 antibody, TG- 1101, described herein.
[0168] Figures 16A-16C depict the onset and maintenance of no evidence of disease activity (NED A) with ublituximab. Figure 16A is a bar graph showing NEDA-3 rates by treatment EPOCH (Weeks 0-24 vs Weeks 24-96). denominator based on participants in the Weeks 24-96 analysis. Pooled post hoc analysis. Modified intention-to-treat population. Figure 16B is a bar graph showing NEDA-3 rates by treatment EPOCH (Weeks 24-48 vs Weeks 48-96). denominator based on participants in the Weeks 48-96 analysis. Pooled post hoc analysis. Modified intention-to-treat population. Figure 16C is a bar graph showing components drivingEDA in ublituximab-treated participants3.3Participants may have >1 component of EDA. Pooled post hoc analysis. Modified intention-to-treat population. CDP, confirmed disability progression; EDA, evidence of disease activity; Gd+, gadolinium-enhancing; n / e, new / enlarging; NED A, no evidence of disease activity; NEDA-3, 3-parameter NED A; EPOCH, combination of etoposide phosphate, prednisone, vincristine sulfate (Oncovin), cyclophosphamide, and doxorubicin hydrochloride (hydroxy daunorubicin).
[0169] Figures 17A-17C depict characterization of cytopenias with ublituximab in the ULTMATE I and II Phase 3 studies in participants with relapsing multiple sclerosis. Figure 17A is a bar graph showing hematologic laboratory abnormalities in ublituximab-treated participants (all study visits).a(493 / 543). Percentages are based on number of participants with non-missing baseline and at least 1 postbaseline assessment. Pooled post hoc analysis. Safety population. Figure 17B is a bar graph showing hematologic laboratory abnormalities in ublituximab-treated participants (excluding Day 2).a(l 75 / 543). Percentages are based on number of participants with non-missing baseline and at least 1 postbaseline assessment. Pooled post hoc analysis. Safety population. Figure 17C is a bar graph showing proportion of ublituximab-treated participants with low lymphocyte count by visit.a(476 / 523). Pooled post hoc analysis. Safety population. Percentages are based on number of participants in the population / treatment group. BL, baseline.
[0170] Figures 18A-18B are bar graphs showing the relative reduction in Annualized Relapse Result (ARR) in RMS patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The ARR results from ULTIMATE I (Figure 18A) and ULTIMATE II (Figure 18B) are shown.
[0171] Figures 19A-19B are bar graphs showing the relative reduction in Total Number of Gadolinium (Gd)+ T1 Lesions on MRI in RMS patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The results from ULTIMATE I (Figure 19A) and ULTIMATE II (Figure 19B) are shown.
[0172] Figures 20A-20B are bar graphs showing the relative reduction in the number of New or Enlarging T2 Lesions on MRI in RMS patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in theExamples. The results from ULTIMATE I (Figure 20A) and ULTIMATE II (Figure 20B) are shown.
[0173] Figures 21A-21B are bar graphs showing the improvement in the proportion (%) of patients with No Evidence of Disease Activity (NED A) status in RMS patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The NEDA results from ULTIMATE I (Figure 21A) and ULTIMATE II (Figure 21B) are shown.
[0174] Figures 22A-22B are graphs comparing the percentage of RMS patients having Confirmed Disability Progression (CDP) in a pre-specified pooled analysis of patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. Figure 22A shows 12- week CDP and Figure 22B shows 24-week CDP.
[0175] Figures 23A-23B are graphs comparing the percentage of RMS patients achieving Confirmed Disability Improvement (CDI) in a pre-specified pooled analysis of patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. Figure 23A shows 12- week CDI and Figure 23B shows 24-week CDI.
[0176] Figures 24A-24B are bar graphs showing significant improvements from baseline to 96 weeks in mean Multiple Sclerosis Functional Composite (MSFC) scores in RMS patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The results from ULTIMATE I (Figure 24A) and ULTIMATE II (Figure 24B) are shown.
[0177] Figures 25A-25B are bar graphs showing significant improvements in mean Timed 25-Foot Walk (T25FW) scores from baseline to 96 weeks in RMS patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The results from ULTIMATE I (Figure 25A) and ULTIMATE II (Figure 25B) are shown.
[0178] Figures 26A-26B are bar graphs showing the changes in mean Paced Auditory Serial Additional Test (PAS AT) scores from baseline to 96 weeks in RMS patients administered ublituximab and teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The results from ULTIMATE I (Figure 26A) and ULTIMATE II(Figure 26B) are shown. The change in mean PASAT scores was similar between the treatment groups.
[0179] Figures 27A-27B are bar graphs showing significant increases in mean 9-Hole Peg Test (9-HPT) scores from baseline to 96 weeks in RMS patients administered ublituximab vs. teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The results from ULTIMATE I (Figure 27 A) and ULTIMATE II (Figure 27B) are shown.
[0180] Figures 28A-28B are graphs showing Percent Brain Volume Change (PBVC) on MRI from week 24 to week 96 (post-hoc analysis) of RMS patients administered ublituximab and teriflunomide in the Phase 3 clinical studies, ULTIMATE I and ULTIMATE II, described in the Examples. The results from ULTIMATE I (Figure 28A) and ULTIMATE II (Figure 28B) are shown.7. DETAILED DESCRIPTION OF THE DISCLOSURE
[0181] Provided herein are populations of anti-CD20 antibody proteins with specified ranges of post-translational modifications. The primary amino acid sequences of such antibodies are provided in Section 7.3. Types of such post-translational modifications and their respective abundance in the anti-CD20 antibody populations are described in Section 7.4. Compositions, including single-batch compositions, of such populations of anti-CD20 antibody proteins with specified ranges of post-translational modifications and ranges of purity are described in Section 7.5(e). Assays for quantifying such post-translational modifications in a population of anti- CD20 antibody proteins are described in Section 7.5. Assays for analyzing populations of anti- CD20 antibody proteins are described in Section 7.5. Assays for demonstrating the biological and clinical significance of such post-translational modifications in a population of anti-CD20 antibody proteins are described in Section 7.7(a). Methods of using such populations of anti- CD20 antibody proteins for the treatment and prevention of medical conditions are described in Section 7.8. Pharmacokinetic and pharmacodynamic properties of the compositions provided herein in human patients are described in Section 7.9. Methods of making such populations of anti-CD20 antibody proteins are described in Section 7.10.
[0182] As used herein, “TG-1101” (TG Therapeutics, Inc.) (also known as ublituximab, UBX, UTX, TG-1101, TGTX-1101, Utuxin™, LFB-R603, TG20, EMAB603) is the sourceantibody for the anti-CD20 antibody described herein having a unique glycosylation profile that is produced by the disclosed methods.
[0183] The source antibody, TG-1101, is a monoclonal antibody that targets epitopes on CD20, e g., IRAHT (SEQ ID NO: 37), and EPAN (SEQ ID NO: 38). See, Fox, E. et al., Mult.Scler. 27:420-429 (March 2021); Babiker et al., Expert Opin Investig Drugs 27:407-412 (2018);Cotchett, KR et al., Multiple Sclerosis and Related Disorders 9: 102787 (2021); Miller et al., Blood / 20: Abstract No. 2756 (2012); Deng, C. et. al., J. Clin. Oncol. 31 Abstract No. 8575 (2013). TG-1101 is also described in U.S. Patent Nos. 9,234,045 and 9,873,745.7.1 Abbreviations and Conventions
[0184] The following abbreviations are used throughout this application.7.2 Definitions
[0185] As used herein, the term “population of anti-CD20 antibody proteins” refers to a composition of anti-CD20 antibody proteins that is being tested for the abundance of post- translational modifications. The individual anti-CD20 antibody proteins in a population can comprise similar or different post-translational modifications. In some embodiments, a population of anti-CD20 antibody proteins refers to all anti-CD20 antibody proteins that are present in a single dosage form. In some embodiments, a population of anti-CD20 antibody proteins refers to all anti-CD20 antibody proteins that are present in a single batch. In some embodiments, a population of anti-CD20 antibody proteins is an amount sufficient to determine whether the batch of anti-CD20 antibody proteins, when compared to a reference standard, meets or fails a predetermined acceptable range of comparison value or values.
[0186] As used herein, the term “single batch” in the context of anti-CD20 antibody proteins refers to a composition derived from a single production or run from a single bioreactor of a specified volume. For example, the anti-CD20 antibody proteins obtained from a single run of a 15,000L bioreactor can be referred to as a single batch. In certain embodiments, the bioreactor has a capacity of at least 100; 200; 300; 400; 500; 750; 1,000; 2,000; 3,000; 4,000; 5,000; 7,500; 10,000; 15,000; 20,000; or at least 25,000 L.
[0187] As used herein, and unless otherwise specified, the term “about” or “approximately” means an acceptable error for a particular value as determined by one of ordinary skill in the art, which depends in part on how the value is measured or determined. In certain embodiments, the term “about” or “approximately” means within 1 or 2 standard deviations. In certain embodiments, the term “about” or “approximately” means within 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2%, 1%, 0.5%, or 0.05% of a given value or range.7.3 Primary Amino Acid Sequence of the Anti-CD20 Antibody
[0188] In some aspects, the anti-CD20 antibody proteins provided herein are expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2. Sequences are provided below in the Sequence Table.
[0189] In some aspects, the anti-CD20 antibody proteins provided herein are expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequenceof SEQ ID NO: 1 or an amino acid that is at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or at least 99% identical to SEQ ID NO: 1; and a light chain comprising the amino acid sequence of SEQ ID NO:2 or an amino acid that is at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or at least 99% identical to SEQ ID NO:2.
[0190] In some aspects, the anti-CD20 antibody proteins provided herein comprises the VH CDR1, CDR2, and CDR3 region of sequences SEQ ID NOs: 3, 4, and 5, and the VL CDR1, CDR2, and CDR3 region of sequences SEQ ID NOs: 8, 9, and 10.
[0191] In some aspects, the anti-CD20 antibody proteins provided herein comprises the VH of SEQ ID NO: 6 and the VL of SEQ ID NO: 11.
[0192] In some aspect, the nucleic acid sequence encoding the heavy chain of the anti-CD20 antibody proteins provided herein comprises the nucleic acid sequence of SEQ ID NO:35. In some aspect, the nucleic acid sequence encoding the light chain of the anti-CD20 antibody proteins provided herein comprises the nucleic acid sequence of SEQ ID NO: 36.
[0193] In some aspects, the anti-CD20 antibody proteins provided herein bind to the same epitope as TG-1101 (TG Therapeutics, Inc.).
[0194] In some aspects, the anti-CD20 antibody proteins provided herein are chimeric immunoglobulin G1 (IgGl) anti-CD20 monoclonal antibody proteins, each comprised of a tetrameric assembly from two light chains (213 amino acids) and two heavy chains (448 amino acids).
[0195] In some aspects, the anti-CD20 antibody proteins provided herein are expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2 and comprise a pyroglutamate at position 1 of light chain and / or heavy chain instead of glutamine, thus resulting in an amino acid sequence of SEQ ID NO: 13 for the heavy chain and / or an amino acid sequence of SEQ ID NO: 14 for the light chain.
[0196] In some aspects, the anti-CD20 antibody proteins provided herein are expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2 and comprise a deletion of the C-terminal lysine at the heavy chain thus resulting in the amino acid sequence of SEQ ID NO: 15.
[0197] In some embodiments, provided herein is a composition or population of anti-CD20 antibody proteins wherein at least 50%, 60%, 70%, 80%, 90%, 95%, or 98% comprises (i) a pyroglutamate at position 1 (instead of glutamine) of the heavy chain, (ii) a pyroglutamate at position 1 (instead of glutamine) of the light chain, and / or (iii) a deletion of the C-terminal lysine of the heavy chain.
[0198] In some aspects, an anti-CD20 antibody is expressed from one or more nucleic acid sequences encoding a light chain comprising the amino acid sequence of SEQ ID NO: 16.7.4 Anti-CD20 Antibody Compositions
[0199] The anti-CD20 antibody compositions provided herein can be described by various post-translational modifications and / or by their three-dimensional conformation (see Section 7.5(e)). The respective levels of the various post-translational modifications can be quantified as described in Section 7.5. Without being bound by theory, these structural properties of the anti- CD20 antibody compositions provided herein result in the biological and clinical properties described below in Sections 7.7 and 7.9.
[0200] The anti-CD20 antibody compositions produced in vitro have various post- translational modifications. It is understood that each individual anti-CD20 antibody protein may have its own specific pattern of post-translational modifications. To describe the properties of a population of multiple anti-CD20 antibody proteins, the overall presence of a specific post- translational modification can be quantified. Without being bound by theory, the levels of a specific post-translational modification in a population of anti-CD20 proteins can determine the biological and clinical properties of the composition (such as a dose of a pharmaceutical formulation). Without being bound by theory, the post-translational modifications are rendered by the expression in a rat hybridoma cell (e.g., YB2 / 0 cell) in cell culture.
[0201] In some embodiments, a type of post-translational modification that can be used to describe the anti-CD20 antibody compositions provided herein is glycosylation. Various glycosylations are known. In one aspect, the glycosylation is N-glycosylation. N-glycans that can be present can be any one of the N-glycans shown in Figure 1. Levels of N-glycosylation are discussed in the Section 7.4(a) below and can be quantified using the assays in Section 7.5.
[0202] In some embodiments, a type of post-translational modification that can be used to describe the anti-CD20 antibody compositions provided herein is deamidation. Deamidation is a31chemical reaction in which an amide functional group in the side chain of the amino acid asparagine or glutamine is removed or converted to another functional group. Typically, asparagine is converted to aspartic acid or isoaspartic acid. Levels of deamidation at a specific amino acid position in the anti-CD20 antibody compositions provided herein are described in Section 7.4(b) below and can be determined as described in Section 7.5 herein.(a) N-glycosylation
[0203] Various forms of N-glycosylation can be present in the anti-CD20 antibody compositions provided herein. Without being bound by theory, the relative distribution of the various N-glycans, or individual sugar residues present in those N-glycans, among the individual anti-CD20 antibody proteins in a population of anti-CD20 antibody proteins can determine the biological and clinical properties (such as the biological and clinical properties discussed in Sections 7.7 and 7.9) of the anti-CD20 antibody composition provided herein. The anti-CD20 antibody composition provided herein can be described by any one, two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty or all of the N-glycans or individual sugar residues described in the following subsections.
[0204] In some embodiments, an anti-CD20 antibody composition provided herein comprises at least two, three, four, five, six, seven, eight, nine, ten, 11, 12, 13, 14, or 15 N- glycans within the following relative abundance range:(a) 0.3% to 2% G0-GN;(b) 0.1% to 2% G0F-GN;(c) 30% to 60% GO;(d) 0.1% to 1% G1-GN;(e) 5% to 20% GOB;(f) 5% to 30% G0F;(g) 0.1% to 1.5% Man5;(h) l% to 15% G0FB;(i) l% to 13% Gl;(j) 0.5% to 10% GL;(k) 0.5% to 6% GIB;(l) 0.5% to 12% GIF;(m) 0.1% to 3% GIF’;(n) 0.1% to 3% G1FB;(o) 0.1% to 2% G2; and(p) 0.1% to 2% G2F.
[0205] In some embodiments, an anti-CD20 antibody composition provided herein comprises at least two, three, four, five, six, seven, eight, nine, ten, 11, 12, 13, 14, or 15 N- glycans within the following relative abundance range:(a) 0.8% to 1.1% GO-GN;(b) 0.5% to 1.1% G0F-GN;(c) 42.5% to 48.8% GO;(d) 0.3% to 0.6% Gl-GN;(e) 9.5% to 14.1% GOB;(f) 12.8% to 19.7% G0F;(g) 0.4% to 0.7% Man5;(h) 5.1% to 7.0% G0FB;(i) 5.7% to 6.4% Gl;(j) 2.7% to 3.3% Gl’;(k) 1.4% to 2.0% GIB;(l) 2.6% to 4.2% GIF;(m) 1.1% to 1.6% GIF’;(n) 1.1% to 1.8% G1FB;(o) 0.5% to 0.7% G2; and(p) 0.3% to 0.5% G2F.
[0206] In some embodiments, an anti-CD20 antibody composition provided herein comprises at least two, three, four, five, six, seven, eight, nine, ten, 11, 12, 13, 14, or 15 N- glycans within the following relative abundance range:(a) 0.9% G0-GN;(b) 0.8% G0F-GN;(c) 46.1% GO;(d) 0.5% Gl-GN;(e) 10.9% GOB;(f) 17.0% GOF;(g) 0.6% Man5;(h) 6.0% GOFB;(i) 6.1% Gl;(j) 2.9% Gl’;(k) 1.6% GIB;(l) 3.2% GIF;(m) 1.3% GIF’;(n) 1.3 G1FB;(o) 0.5% G2; and(p) 0.3% G2F.
[0207] In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.3% to about 2% G0-GN, from about 0.8% to about 1.1% G0-GN, or about 0.9% G0-GN. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.1% to about 2% G0F-GN, from about 0.5% to about 1.1% G0F-GN, or about 0.8% G0F-GN. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 30% to 60% GO, from about 42.5% to 48.8% GO, or about 46.1% GO. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.1% to about 1% Gl-GN, from about 0.3% to about 0.6% Gl-GN, or about 0.5% Gl-GN. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 5% to about 20% GOB, from about 5% to about 15% GOB, from about 9.5% to about 14.1% GOB, about 10.9% GOB, or about 10% GOB. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 5% to about 30% GOF, from about 12.8% to about 19.7% GOF, or about 17.0% GOF. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.1% to about 1.5% Man5, from about 0.4% to about 0.7% Man5, or about 0.6% Man5. In some embodiments, Man5 is the only high mannose N-glycan in the N-glycan profile. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profilecomprising a relative abundance of from about 1% to about 15% GOFB, from about 5.1% to about 7.0% GOFB, or about 6.0% GOFB. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 1% to about 13% Gl, from about 5.7% to about 6.4% Gl, or about 6.1% Gl. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.5% to about 10% Gl ’, from about 2.7% to about 3.3% Gl’, or about 2.9% Gl ’. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.5% to about 6% GIB, from about 1.4% to about 2.0% GIB, or about 1.6% GIB. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.5% to about 12% GIF, from about 2.6% to about 4.2% GIF, or about 3.2% GIF. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.1% to about 3% GIF’, from about 1.1% to about 1.6% GIF’, or about 1.3% GIF’. In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.1% to about 3% G1FB, from about 1.1% to about 1.8% G1FB, or about 1.3 G1FB. In certain embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.1% to about 2% G2, from about 0.5% to about 0.7% G2, or about 0.5% G2. In some embodiments, the population of anti-CD20 antibody proteins comprises a relative abundance of from an N-glycan profile comprising about 0.1% to about 2% G2F, from about 0.3% to about 0.5% G2F, or about 0.3% G2F.
[0208] In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.3% to about 2% G0-GN, from about 0.1% to about 2% G0F-GN, from about 30% to 60% GO, from about 0.1% to about 1% Gl-GN, from about 5% to about 20% GOB, from about 5% to about 30% G0F, from about 0.1% to about 1.5% Man5, from about 1% to about 15% GOFB, from about 1% to about 13% Gl, from about 0.5% to about 10% Gl’, from about 0.5% to about 6% GIB, from about 0.5% to about 12% GIF, from about 0.1% to about 3% GIF’, from about 0.1% to about 3% G1FB, from about 0.1% to about 2% G2, and from about 0.1% to about 2% G2F. In some embodiments, Man5 is the only high mannose N-glycan in the N-glycan profile.
[0209] In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of from about 0.8% to about 1.1% GO-GN, from about 0.5% to about 1.1% G0F-GN, from about 42.5% to 48.8% GO, from about 0.3% to about 0.6% Gl-GN, from about 9.5% to about 14.1% GOB, from about 12.8% to about 19.7% G0F, from about 0.4% to about 0.7% Man5, from about 5.1% to about 7.0% G0FB, from about 5.7% to about 6.4% Gl, from about 2.7% to about 3.3% Gl’, from about 1.4% to about 2.0% GIB, from about 2.6% to about 4.2% GIF, from about 1.1% to about 1.6% GIF’, from about 1.1% to about 1.8% G1FB, from about 0.5% to about 0.7% G2, and from about 0.3% to about 0.5% G2F. In some embodiments, Man5 is the only high mannose N-glycan in the N-glycan profile.
[0210] In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance of about 0.9% GO-GN, about 0.8% G0F-GN, about 46.1% GO, about 0.5% Gl-GN, about 10.9% GOB, about 17.0% G0F, about 0.6% Man5, about 6.0% G0FB, about 6.1% Gl, about 2.9% Gl ’, about 1.6% GIB, about 3.2% GIF, about 1.3% GIF’, about 1.3 G1FB, about 0.5% G2, and about 0.3% G2F. In some embodiments, Man5 is the only high mannose N-glycan in the N-glycan profile.
[0211] In some embodiments, the population of anti-CD20 antibody proteins comprises an N-glycan profile comprising a relative abundance ratio of about 0.1 to about 0.15 Gl to GO N- glycans. In some embodiments, the population of anti-CD20 antibody proteins comprises an N- glycan profile comprising a relative abundance ratio of about 0.5 to about 0.9 GIF to Gl N- glycans.
[0212] In one embodiment, an anti-CD20 antibody composition has an N-glycan profile as shown in Figure 2.
[0213] Specific ranges and values for various N-glycans are provided below. The compositions or populations of anti-CD20 antibody proteins provided herein can be described by any one of the prevalence of any of these N-glycans or by any group or by all of these N-glycans.(i) Galactosylation
[0214] In some embodiments, an anti-CD20 antibody composition provided herein comprises between 10-20% galactosylated glycans. Galactosylated glycans are those N-glycans shown in Figure 1 that carry a galactose residue (shown as open circle in Figure 1). Assays for determining the percentage of galactosylation (or galactosylated N-glycans) are described inSection 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N- glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of galactosylated N-glycans is the percent of galactosylated N-glycans among N-glycans that were cleaved using the enzymatic digest.
[0215] In some embodiments, an anti-CD20 antibody composition provided herein comprises between at least 10%, 11%, 12%, 13%, 14%, 15%, 16%, 17%, or at least 18% and at most 12%, 13%, 14%, 15%, 16%, 17%, 18%, 19%, or at most 20% galactosylated glycans. In some embodiments, an anti-CD20 antibody composition provided herein comprises between 11% and 19%, 12% and 18%, 13% and 17%, or 14% and 16% of galactosylated glycans. For example, an anti-CD20 antibody composition provided herein can comprise about 17% galactosylated glycans (wherein “about” means + / - 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10%).(ii) Fucosylation
[0216] In some embodiments, an anti-CD20 antibody composition provided herein comprises between 20% to 40% fucosylated glycans; between 23% to 36% fucosylated glycans; between 20% and 35% fucosylated glycans; between 28% and 33% fucosylated glycans; or about 33% fucosylated glycans (wherein “about” means + / - 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10%). Fucosylated glycans are those N-glycans shown in Figure 1 that carry a fucose residue (shown as open triangle in Figure 1). Assays for determining the percentage of fucosylation (or fucosylated N-glycans) are described in Section 7.5. In short, a sample or a population of anti- CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of fucosylated N-glycans is the percent of fucosylated N-glycans among N-glycans that were cleaved using the enzymatic digest.
[0217] In some embodiments, an anti-CD20 antibody composition provided herein comprises between at least 20%, 21%, 22%, 23%, 24%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, or at least 33% and at most 22%, 23%, 24%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34%, 35%, 36%, 37%, 39%, 40%, 41%, or at most 42% fucosylated glycans.(iii) Galactosylation to Fucosylation Ratio
[0218] In some embodiments, an anti-CD20 antibody composition provided is characterized by a specified ratio of total fucosylated glycans to total galactosylated glycans (or“Fucose / Galactose ratio”). This Fucose / Galactose ratio can be between 1.5 and 2.1 ; between 1.5 and 2; between 1.5 and 1.9; between 1.5 and 1.8; between 1.6 and 2.1; between 1.7 and 2.1; between 1.8 and 2.8; between 1.6 and 2.0; between 1.7 and 1.9; between 1.6 and 1.8; or the Fucose / Galactose ratio can be about 1.75 (wherein “about” means + / - 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10%). Fucosy lated glycans are those N-glycans shown in Figure 1 that carry a fucose residue (shown as open triangle in Figure 1). Galactosylated glycans are those N-glycans shown in Figure 1 that carry a galactose residue (shown as open circle in Figure 1). Assays for determining the percentage of fucosylation (or fucosylated N-glycans) are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of fucosylated N-glycans is the percent of fucosylated N-glycans among N-glycans that were cleaved using the enzymatic digest.(iv) Bisecting N-glycans
[0219] In some embodiments, an anti-CD20 antibody composition provided herein comprises at least 10%, 15%, 20%, 25%, or at least 30% bisecting N-glycans; between 10% and 30%, between 12% and 30%, between 12% and 25%, between 12% and 20%, between 15% and 30%, between 15% and 25%, between 15% and 20%, between 18% and 30%, or between 18% and 25% bisecting N-glycans. Bisecting N-glycans are those N-glycans shown in Figure 1 that have a third GlcNAc attached to the mannose residue closest to the protein backbone (shown as open triangle in Figure 1). Assays for determining the percentage of bisecting N-glycans) are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of fucosylated N-glycans is the percent of bisecting N-glycans among N-glycans that were cleaved using the enzymatic digest.(v) Sialylation
[0220] In some embodiments, an anti-CD20 antibody composition provided herein comprises less than 10%, 8%, 5%, 4%, 3%, 2.5%, 2%, 1%, or 0.5% sialylated glycans. In some embodiments, an anti-CD20 antibody composition provided herein comprises between 10% and 0.5% sialylated glycans; between 10% and 5% sialylated glycans; between 5% and 0.5%sialylated glycans; between 4% and 0.5% sialylated glycans; between 2% and 0.5% sialylated glycans; or no detectable amount of sialylated glycans. Assays for determining the percentage of sialylation (or sialylated N-glycans) are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of sialylated N-glycans is the percent of sialylated N- glycans among N-glycans that were cleaved using the enzymatic digest.
[0221] In some embodiments, an anti-CD20 antibody composition provided herein comprises between at least no detectable amount, 0.5%, 1%, 2%, 3%, 4%, or at least 5% and at most 0.5%, 1%, 2%, 3%, 4%, 5% or at most 10% sialylated glycans. In some embodiments, an anti-CD20 antibody composition provided herein comprises no detectable amount of sialylated glycans.(vi) GOB N-glycan
[0222] In some embodiments, an anti-CD20 antibody composition provided herein comprises between 5% and 15% GOB N-glycans; between 9% and 11% GOB N-glycan; or about 10% GOB N-glycans (wherein “about” means + / - 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10%). GOB N- glycans are shown in Figure 1. Assays for determining the percentage of GOB N-glycans are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of GOB N-glycans is the percent of GOB N-glycans among N-glycans that were cleaved using the enzymatic digest.
[0223] In some embodiments, an anti-CD20 antibody composition provided herein comprises between at least 5%, 6%, 7%, 8%, 9%, 10%, or at least 11% and at most 7%, 8%, 9%, 10%, 11%, 12% or at most 13% GOB N-glycans.(vii) Man5 N-glycan
[0224] In some embodiments, an anti-CD20 antibody composition provided herein comprises between 0.1% and 1.5% Man5 N-glycans; between 0.4% and 0.7% GOB N-glycan; or about 0.6% Man5 N-glycans (wherein “about” means + / - 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10%). Man5 N-glycans are shown in Figure 1. Assays for determining the percentage of Man5 N-glycans are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins issubjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of Man5 N-glycans is the percent of Man5 N-glycans among N-glycans that were cleaved using the enzymatic digest.
[0225] In some embodiments, an anti-CD20 antibody composition provided herein comprises between at least 0.05%, 0.1%, 0.2%, 0.3%, 0.4%, 0.5%, 0.6%, or at least 0.7% and at most 0.2%, 0.3%, 0.4%, 0.5%, 0.6%, 0.7%, 0.8%, or at most 0.9% Man5 N-glycans.
[0226] In some embodiments, Man5 N-gylcan is the only high mannose species in the N- glycan profile.(viii) GO N-glycan
[0227] In some embodiments, an anti-CD20 antibody composition provided herein comprises between about 42% and about 52.8% GO N-glycans (wherein “about” means + / - 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10%). GO N-glycans are shown in Figure 1. Assays for determining the percentage of GO N-glycans are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of GO N-glycans is the percent of GO N-glycans among N-glycans that were cleaved using the enzymatic digest.
[0228] In some embodiments, an anti-CD20 antibody composition provided herein comprises between at least 35%, 36%, 37%, 38%, 39%, 40%, 41%, 42%, 43%, 44%, 45%, 46%, 47% or at least 48% and at most 45%, 46%, 47%, 48%, 49%, 50%, 51%, 52%, 52.8%, 53%, 54%, 55%, 56%, 57% or at most 58% GO N-glycans.(ix) G1 to GO N-glycans Ratio
[0229] In some embodiments, an anti-CD20 antibody composition provided is characterized by a specified abundance ratio of G1 to GO N-glycans. The abundance ratio of G1 to GO N- glycans can be between 0.02 and 0.3; between 0.05 and 0.25; between 0.08 and 0.22; between 0.09 and 0.2; between 0.1 and 0.19; between 0.1 and 0.18; between 0.1 and 0.17; between 0.1 and 0.16; or the abundance ratio of G1 to GO N-glycans can be between 0.1 and 0.15. G1 and G1 N-glycans are shown in Figure 1. Assays for determining the percentage of G1 or GO glycans are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from thecore. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of G1 or GO glycans is the percent of G1 or GO glycans, respectively, among N-glycans that were cleaved using the enzymatic digest.(x) GIF to G1 N-glycans Ratio
[0230] In some embodiments, an anti-CD20 antibody composition provided is characterized by a specified abundance ratio of GIF to G1 N-glycans. The abundance ratio of GIF to G1 N- glycans can be between 0.1 and 1.2; between 0.2 and 1.1; between 0.3 and 1; between 0.4 and 1; between 0.5 and 1; or the abundance ratio of G1 to GO N-glycans can be between 0.5 and 0.9. GIF and G1 N-glycans are shown in Figure 1. Assays for determining the percentage of GIF or G1 glycans are described in Section 7.5. In short, a sample or a population of anti-CD20 antibody proteins is subjected to enzymatic deglycosylation so that all N-glycans are cleaved from the core. The resulting N-glycans can subsequently be analyzed, e.g., by mass spectrometry. The percent of GIF or G1 glycans is the percent of GIF or G1 glycans, respectively, among N-glycans that were cleaved using the enzymatic digest.(b) Deamidation
[0231] In some embodiments, the population of anti-CD20 antibody proteins as described herein comprises asparagine deamidation at one or more asparagine residues present in a heavy chain. In some embodiments, the one or more deamidated asparagine residues present in the heavy chain are selected from Asn-33 (as shown in SEQ ID NO: 18), Asn-55 (as shown in SEQ ID NO:19), Asn-61 (as shown in SEQ ID NO: 19), Asn-160 (as shown in SEQ ID NO:22), Asn-202 (as shown in SEQ ID NO:22), Asn-204 (as shown in SEQ ID NO:22), Asn-277 (as shown in SEQ ID NO:25), Asn-287 (as shown in SEQ ID NO:25), Asn-362 (as shown in SEQ ID NO:27), or Asn-385 (as shown in SEQ ID NO:28). In some embodiments, the population of anti-CD20 antibody proteins as described herein comprises asparagine deamidation at one or more asparagine residues present in a light chain. In some embodiments, the one or more deamidated asparagine residues present in the light chain are selected from Asn-136 (as shown in SEQ ID NO:31), Asn-137 (as shown in SEQ ID NO:31), Asn-151 (as shown in SEQ ID NO:32), or Asn-157 (as shown in SEQ ID NO:32).(c) Oxidation
[0232] In some embodiments, the population of anti-CD20 antibody proteins comprises methionine oxidation at one or more methionine residues present in a heavy chain. In some embodiments, the one or more methionine residues present in the heavy chain are selected from Met-20, Met-34, Met-81, Met-253 or Met-428 as shown in SEQ ID NO: 17, 18, 21, 24, or 29, respectively. In some embodiments, the population of anti-CD20 antibody proteins comprises methionine oxidation at one or more methionine residues present in a light chain. In some embodiments, the one or more methionine residues present in the light chain are selected from Met-21 or Met-32 as shown in SEQ ID NO:30.(d) Pyroglutamation
[0233] In some embodiments, the population of anti-CD20 antibody proteins comprises pyroglutamation at the N-terminal glutamine residue present in a heavy chain or a light chain. In some embodiments, the pyroglutamation at the N-terminal glutamine residue is present in the heavy chain, for example, pGlu-1 as shown in SEQ ID NO: 13. In some embodiments, the pyroglutamation at the N-terminal glutamine residue is present in the light chain, for example, pGlu-1 as shown in SEQ ID NO: 14. In some embodiments, the glutamate at position 1 of the heavy chain is a pyroglutamate and the glutamate at position 1 of the light chain is a pyroglutamate.(e) Lysine truncation
[0234] In some embodiments, the population of anti-CD20 antibody proteins comprises a deletion of the C-terminal lysine amino acid residue present in a heavy chain or a light chain. In some embodiments, the C-terminal lysine amino acid residue of the heavy chain in the anti- CD20 antibody in said population is truncated. In some embodiments, the population of anti- CD20 antibody proteins comprises a deletion of the C-terminal lysine at the heavy chain. In some embodiments, the heavy chain of the anti-CD20 antibody proteins comprises the amino acid sequence of SEQ ID NO: 15.(f) Conformation
[0235] Three-dimensional conformation or protein folding can be determined using the assay described in Section 7.5(e).
[0236] In some embodiments, a composition or population of anti-CD20 antibody proteins provided herein (e.g., such that are expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2) have a specified three-dimensional folding pattern or confirmation. In some embodiments, the population of anti-CD20 antibody proteins comprises two or more of the following secondary structures as determined by circular dichroism (CD) spectroscopy at 205 nm to 260 nm: a-helix at a range of 3.0% to 15.0%; Anti-parallel P-sheet at a range of 25.0% to 40.0%; Parallel P-sheet at a range of 0.5% to 12.0%; P-Turn at a range of 10.0% to 25.0%; and random coil at a range of 30.0% to 42.0%.
[0237] In some embodiments, the population of anti-CD20 antibody proteins comprises two or more of the following secondary structures as determined by circular dichroism (CD) spectroscopy at 205 nm to 260 nm: a-helix at a range of 8.0% to 10.0%; Anti-parallel P-sheet at a range of 32.0% to 36.0%; Parallel P-sheet at a range of 5.0% to 6.0%; P-Turn at a range of 16.0% to 18.0%; and random coil at a range of 35.0% to 36.0%.
[0238] In some embodiments, the population of anti-CD20 antibody proteins comprises two or more of the following secondary structures as determined by circular dichroism (CD) spectroscopy at 205 nm to 260 nm: a-helix at about 9.0%; Anti-parallel P-sheet at about 33.0%; Parallel P-sheet at about 5.6%; P-Turn at about 17.5%; and random coil at about 35.2%, wherein the term “about” means ± 5%.7.5 Assays for Quantifying Post-Translational Modifications
[0239] In some embodiments, provided herein is a method of determining the amount of post-translational modifications in a population of anti-CD20 antibody proteins. In some embodiments, the post-translational modification is selected from asparagine deamidation, methionine oxidation, glycosylation, pyroglutamate formation, and lysine truncation.(a) General digestion
[0240] In some embodiments, the method of determining the amount of post-translational modifications in a population of anti-CD20 antibody proteins comprises a step of digesting the population of anti-CD20 antibody proteins with an endoproteinase. In some embodiments, the population of anti-CD20 antibody proteins is reduced prior to digestion. In some embodiments, the population of anti-CD20 antibody proteins is alkylated prior to digestion. In someembodiments, the endoproteinase is selected from Asp-N, Lys-C, or trypsin. In some embodiments, the step of digestion occurs at 37°C for at least 8 hours, at least 12 hours, at least 16 hours, at least 20 hours, overnight, and / or less than 24 hours. In some embodiments, the population of anti-CD20 antibody proteins is digested using Asp-N or Lys-C at 37°C overnight. In some embodiments, the population of anti-CD20 antibody proteins is digested using trypsin at ratio of 50: 1 (w:w) at 37°C overnight. In some embodiments, the digested population of anti- CD20 antibody proteins is purified from digestion reaction components and / or undigested anti- CD20 antibody proteins.(b) Methods of Determining N-glycosylation
[0241] Exemplary assays and their results are discussed in the Examples in Sections 8.1 and 8.2 below.
[0242] In some embodiments, the method comprises a step for deglycosylating a population of anti-CD20 antibody proteins, thereby producing released N-glycans for labeling. In some embodiments, deglycosylating comprises breaking the glycosidic bond between one or more or all N-glycans from a population of anti-CD20 antibody proteins. In some embodiments, deglycosylating comprises releasing some or most or substantially all of the N-glycans from a population of anti-CD20 antibody proteins. In some embodiments, deglycosylating releases greater than 50 percent, greater than 60 percent, greater than 70 percent, greater than 80 percent, greater than 90 percent, greater than 95 percent, greater than 97 percent, greater than 98 percent, greater than 99 percent, or 100 percent of N-glycans present on a population of anti-CD20 antibody proteins.
[0243] In some embodiments, deglycosylating comprises contacting the population of anti- CD20 antibody proteins with one or more deglycosylating reagent, which cleaves N-glycans or N-linked oligosaccharides. In some embodiments, the deglycosylating reagent is a deglycosylating enzyme or chemical agent. In some embodiments, the deglycosylating enzyme is PNGase F.
[0244] In some embodiments, deglycosylating comprises contacting the population of anti- CD20 antibody proteins with one or more deglycosylating enzyme or chemical agent at a deglycosylation temperature of from about 25°C to about 50°C, from about 37°C to about 50°C, about 25 C, about 37°C, about 42°C, or about 50°C. In some embodiments, the deglycosylation temperature is 37°C. The rate of deglycosylation may be increased by increasing thedeglycosylation temperature. In some embodiments, deglycosylation comprises contacting a population of anti-CD20 antibody proteins with one or more deglycosylating enzyme or chemical agent for a period of time sufficient to release some or most or substantially all of the N-glycans from the population of anti-CD20 antibody proteins. In some embodiments, deglycosylating comprises contacting a population of anti-CD20 antibody proteins with said one or more deglycosylating enzyme or chemical agent for at least 30 minutes, at least 1 hour, at least 2 hours, at least 4 hours, at least 8 hours, at least 12 hours, at least 16 hours, at least 20 hours, at least 24 hours, at least 30 hours, and / or less than 48 hours. In some embodiments, deglycosylating comprises contacting a population of anti-CD20 antibody proteins with said one or more deglycosylating enzyme or chemical agent for a period of time of from about 30 minutes to about 2 hours, about 2 hours to about 4 hours, about 4 hours to about 8 hours, about 8 hours to about 12 hours, about 12 hours to about 20 hours, about 20 to about 30 hours, greater than about 30 hours, and / or less than 48 hours. In some embodiments, deglycosylating comprises contacting a population of anti-CD20 antibody proteins with one or more deglycosylating enzyme or chemical agent for about 12 to about 20 hours. In some embodiments, deglycosylation comprises contacting a population of anti-CD20 antibody proteins with PNGase F at about 37 °C for about 12 to about 20 hours. In some embodiments, deglycosylation comprises contacting an anti- CD20 antibody with PNGase F at 37 °C for a time period of from 12-20 hours. In some embodiments, deglycosylation with PNGase F occurs in the presence of a non-ionic detergent (i.e., NP-40).
[0245] In some embodiments, deglycosylation comprises denaturing the population of anti- CD20 antibody proteins prior to contacting the population with said one or more deglycosylating enzyme or chemical agent. In some embodiments, denaturing comprises thermal denaturation, chemical denaturation, or a combination of both. In some embodiments, thermal denaturation comprises incubating a population of anti-CD20 antibody proteins at a denaturation temperature and denaturation time sufficient to unfold some or most or all of the immunoglobulin fold domains of anti-CD20 antibody proteins of said population. In some embodiments, the denaturation temperature is at least 50°C, at least 60 °C, at least 65 °C, at least 70 °C, at least 75 °C, at least 80 °C, at least 85 °C, at least 90 °C, and / or less than about 100 °C. In some embodiments, the denaturation temperature is from about 50 °C to about 60 °C, from about 60 °C to about 70 °C, from about 70 °C to about 80 °C, from about 80 °C to about 90°C, or from 90°C to about 100 °C. In some embodiments, the denaturation temperature is about 50 °C, about 60 °C, about 65 °C, about 70 °C, about 75 °C, about 80 °C, about 85 °C, about 90 °C, or about 100 °C. In some embodiments, the denaturation temperature is 70 °C. In some embodiments, chemical denaturation comprises incubating a population of anti-CD20 antibody proteins at a denaturation temperature of at least 25 °C, at least 30 °C, at least 37 °C, or an elevated temperature (i.e., a thermal denaturation temperature). In some embodiments, the denaturation time is at least 5 minutes, at least 10 minutes, at least 15 minutes, at least 30 minutes, at least 1 hour, at least 2 hours, at least 4 hours, at least 10 hours, or at least 24 hours. In some embodiments, the denaturation time is about 5 minutes, about 10 minutes, about 15 minutes, about 30 minutes, about 1 hour, about 2 hours, about 4 hours, about 10 hours, or about 24 hours. In some embodiments, the denaturation time is 10 minutes. In some embodiments, chemical denaturation comprises contacting the population of anti-CD20 antibody proteins with one or more chemical denaturant. In some embodiments, the one or more chemical denaturant is selected from an ionic detergent, non-ionic detergent, zwitterionic detergent, chaotropic detergent, or reducing agent. In some embodiments, the chemical denaturant is selected from sodium dodecyl sulfate (SDS), urea, or dithiothreitol (DDT). The effects of certain chemical denaturants may interfere with deglycosylation (i.e., enzymatic deglycosylation) and can be countered in solution. In some embodiments, the chemical denaturant is countered by addition of a non-ionic detergent to the solution. In some embodiments, the chemical denaturant is SDS and the additional non-ionic detergent is NP-40. In some embodiments, denaturing a population of anti-CD20 antibody proteins comprises thermal denaturation at 70 °C for 10 minutes.
[0246] In some embodiments, the method comprises purifying released N-glycans of a population of anti-CD20 antibody proteins from a deglycosylation reaction mixture. In some embodiments, the released N-glycans are substantially pure of deglycosylating reagent and deglycosylated or unreacted anti-CD20 antibodies. In some embodiments, the released N- glycans are substantially pure of salts and / or detergents. In some embodiments, the released N- glycans are purified by hydrophilic interaction. In some embodiments, the released N-glycans are purified by chromatography comprising a hydrophilic stationary phase and reversed-phase eluent. In some embodiments, the released N-glycans are purified by hydrophilic interaction liquid chromatography (HILIC). In some embodiments, the released N-glycans are purified via a Waters HILIC MassPrep pElution plate, in accordance to manufacturer’s protocol. In someembodiments, the released N-glycans are purified to a purity level equivalent to the purity level obtained when purifying via a Waters HILIC MassPrep pElution plate, in accordance to manufacturer’s protocol.
[0247] In some embodiments, the method comprises a step for labeling released N-glycans of a population of anti-CD20 antibody proteins, thereby producing labeled N-glycans for detection. In some embodiments, labeling released N-glycans comprises chemical derivatization, for example to provide a detectable charge, ultraviolet activity, or fluorescent characteristic to the released N-glycans. In some embodiments, labeling released N-glycans comprises reductive amination, hydrazide labeling, methylation, Michael addition, or permethylation. In some embodiments, labeling released N-glycans comprises contacting the released N-glycans with a label selected from 2-aminobenzamide (2- AB), 2-aminobenzoic acid (2-AA), 2-aminopyridine (PA), 2-aminonaphthalene trisulfonic acid (ANTS), or 1 -aminopyrene- 3,6,8-trisulfonic acid (APTS). In some embodiments, the label is 2-AB. In some embodiments, labeling of released N-glycans by reductive amination comprises the use of a reducing agent. In some embodiments, the reducing agent is selected from sodium cyanoborohydride or 2-picoline borane. In some embodiments, the reducing agent is cyanoborohydride. In some embodiments, labeling released N-glycans by reductive amination comprises contacting the released N-glycans with a label suitable for reductive amination and a reducing agent, at a reaction temperature and reaction time sufficient for labeling to occur. In some embodiments, the reaction temperature is of from about 25 °C to about 40 °C, from about 40 °C to about 50 °C, from about 50 °C to about 60 °C, from about 60 °C to about 70 °C, or from about 70°C to about 80 °C. In certain embodiments, the reaction temperature is about 25 °C, about 30 °C, about 35 °C, about 40 °C, about 45 °C, about 50 °C, about 55 °C, about 60 °C, about 65 °C, about 70 °C, or about 75°C. In some embodiments, the reaction temperature is 65 °C. In some embodiments, the reaction time is at least 30 minutes, at least 1 hour, at least 2 hours, at least 3 hours, at least 4 hours, or at least 6 hours. In some embodiments, the reaction time is of from about 30 minutes to about 1 hour, from about 1 hours to about 2 hours, from about 2 hours to about 3 hours, from about 3 hours to about 4 hours, or from about 4 hours to about 6 hours. In some embodiments, the reaction time is about 30 minutes, about 1 hours, about 2 hours, about 3 hours, about 4 hours, or about 6 hours. In some embodiments, the reaction time is 3 hours. In some embodiments, labeling released N-glycans from a population of anti-CD20 antibody proteins comprises reductive amination using 2- AB and cyanoborohydride at 65 °C for 3 hours, thereby producing labeled N-glycans.
[0248] In some embodiments, the method comprises purifying labeled N-glycans of a population of anti-CD20 antibody proteins from a labeling reaction mixture. In certain embodiments, the labeled N-glycans are substantially pure of unreacted label. In certain embodiments, the labeled N-glycans are substantially pure of unreacted released N-glycans. In certain embodiments, the labeled N-glycans are substantially pure of reducing agent (i.e., cyanoborohydride). In certain embodiments, the labeled N-glycans are purified by hydrophilic interaction. In certain embodiments, the labeled N-glycans are purified by chromatography comprising a hydrophilic stationary phase and reversed-phase eluent. In certain embodiments, the labeled N-glycans are purified by hydrophilic interaction liquid chromatography (HILIC). In some embodiments, the labeled N-glycans are purified via a Waters HILIC MassPrep pElution plate, in accordance to manufacturer’s protocol. In some embodiments, the labeled N-glycans are purified to a purity level equivalent to the purity level obtained when purifying via a Waters HILIC MassPrep pElution plate, in accordance to manufacturer’s protocol.
[0249] In some embodiments, the method comprises a step for separating labeled N-glycans of a population of anti-CD20 antibody proteins and determining an N-glycan profile of the population. In some embodiments, separating labeled N-glycans comprises separation by hydrophilicity. In some embodiments, separating labeled N-glycans comprises chromatography, which comprises a hydrophilic stationary phase and a reversed-phase eluent. In specific embodiments, the chromatography is hydrophilic interaction liquid chromatography (HILIC). In some embodiments of the method, separating labeled N-glycans comprises chromatography comprising an amide stationary phase. In some embodiments, the amide stationary phase is a glycan BEH amide column. In certain embodiments, the reversed-phase eluent comprises one or more mobile phase, wherein the mobile phase comprises an acidic ammonium buffer and / or acetonitrile.
[0250] In some embodiments, chromatography is performed using parameters for flow rate, stationary phase (i.e., column) temperature, mobile phase gradient, and period of time, wherein the parameters in combination are sufficient to separate labeled N-glycans. In some embodiments, chromatography is performed using a chromatography system that controls these parameters (i.e., an HPLC or UPLC system). In some embodiments, the chromatography systemis coupled to a detector, for detecting labeled N-glycans of a population of anti-CD20 antibody proteins. In some embodiments, the detector is a fluorescence detector that detects fluorescence from the label (e.g., the label that is contacted with the released N-glycans of a population of anti-CD20 antibody proteins in a labeling step). In some embodiments, the label is 2-AB. In some embodiments, detecting fluorescence comprises exciting with 360 nm wavelength light and observing fluorescent emission at 428 nm wavelength light. In some embodiments, the chromatography system is a HILIC-UPLC system. In some embodiments, separation and detection of labeled N-glycans is performed using a hydrophilic interaction stationary phase, a revers ed-phase eluent, and a Waters UPLC equipped with fluorescence detector. In some embodiments, the hydrophilic interaction stationary phase comprises a glycan BEH amide column (130A, 1.7 pm, 2.1 mm X 150 mm). In some embodiments, the stationary phase (i.e., column) temperature is 50 °C. In some embodiments, the flow rate is 0.50 mL / min. In some embodiments, the reversed-phase eluent comprises one or more mobile phases comprising a first mobile phase comprising about 250 mM ammonium formate, at a pH of about 4.4, and a second mobile phase comprising acetonitrile. In some embodiments, the mobile phase gradient comprises an increase of said first mobile phase of from 22.0% to 44.1% over 38.5 minutes.
[0251] In some embodiments, detecting fluorescence comprises generating a chromatogram, wherein the dependent variable is selected from mobile phase volume, eluent volume passed through the chromatographic column, or time, and the observable is fluorescence. In certain embodiments, determining an N-glycan profile of a population of anti-CD20 antibody proteins comprises quantifying the relative amounts of labeled G0-GN, G0F-GN, GO, Gl-GN, GOB, G0F, Man5, G0FB, Gl, Gl', GIB, GIF, GIF', G1FB, G2, and G2F N-glycans of said population. In certain embodiments, chromatography (i.e., HILIC-UPLC) is performed using a flow rate, column temperature, mobile phase gradient, and period of time parameters sufficient to separate the N-glycans of G0-GN, G0F-GN, GO, Gl-GN, GOB, G0F, Man5, G0FB, Gl, Gl', GIB, GIF, GIF', G1FB, G2, and G2F for quantification. In certain embodiments, the amount of an N- glycan is quantified by calculating its area under a curve comprising labeled G0-GN, G0F-GN, GO, Gl-GN, GOB, G0F, Man5, G0FB, Gl, Gl', GIB, GIF, GIF', G1FB, G2, and G2F N-glycans in a chromatograph separating said N-glycans. In certain embodiments, the relative abundance of an N-glycan selected from G0-GN, G0F-GN, GO, Gl-GN, GOB, G0F, Man5, G0FB, Gl, Gl', GIB, GIF, GIF', G1FB, G2, or G2F is quantified by calculating the percent peak area of said N-glycan relative to total peak area of GO-GN, GOF-GN, GO, Gl-GN, GOB, GOF, Man5, GOFB, Gl, Gl', GIB, GIF, GIF', G1FB, G2, and G2F N-glycans in a chromatograph separating said N- glycans. In certain embodiments, the peak area of an N-glycan in the chromatograph is greater than or equal to 0.25%. In certain embodiments, the peak area of an N-glycan in the chromatograph has a signal-to-noise ratio of greater than or equal to 3.0.
[0252] An N-glycan profile of a population of anti-CD20 antibody proteins may be determining the relative amounts of glycosylation of the population via a liquid chromatography- coupled mass spectrometer (LC-MS) peptide mapping method, for example, by summing site specific glycosylation results of a digested population of anti-CD20 antibody proteins.
[0253] In some embodiments, the LC-MS peptide mapping comprises determining the molecular weight of peptides derived from a Lys-C digested population of anti-CD20 antibody proteins to determine the presence and amount of glycosylated residues (i.e., GO, GOF, GOB, GOFB, Gl, or GIF). In some embodiments, the population of anti-CD20 antibody proteins is reduced and alkylated prior to digestion. In certain embodiments, the LC is performed using parameters for flow rate, stationary phase (i.e., column) temperature, mobile phase gradient, and period of time, wherein the parameters in combination are sufficient to separate the peptides of the Lys-C digest. In certain embodiments, the relative abundance of a peptide of a Lys-C digest is calculated by integrating its area under the curve compared to total area.
[0254] In some embodiments, the observed molecular weights are compared to theoretical masses for glycosylated peptides selected from Table 1, column 2. In certain embodiments, the observed molecular weights are compared to theoretical masses selected from Table 1, column 4. Table 1: Peptides for determining glycosylation following Lys-C digestion
[0255] In some embodiments, the population of anti-CD20 antibody proteins comprises glycosylation at residue Asn-298 of SEQ ID NO: 33 present in a heavy chain.(c) Methods of Determining Deamidation(i) Deamidation In General
[0256] Also provided herein is a method of determining the amount of asparagine deamidation in a population of anti-CD20 antibody proteins. In some embodiments, the amount of asparagine deamidation in a population of anti-CD20 antibody proteins is the amount of isoaspartate residues in the population. In some embodiments, the method comprises detecting the amount of isoaspartate residues in a digested population of anti-CD20 antibody proteins.(ii) Deamidation By Isoquant
[0257] The amount of asparagine deamidation or isoaspartate in a population or digested population of anti-CD20 antibody proteins may determined via enzymatic method, for example, by the addition of a methyltransferase (i.e., protein isoaspartyl methyltransferase (PIMT)), which catalyzes the transfer of a methyl group from S-adenosyl methionine (SAM) to isoaspartic acid. This PIMT- catalyzed reaction produces S-adenosyl homocysteine (SAH) in an amount that is directly proportional (~1 : 1 stoichiometry) to the level of isoaspartate present in a sample. SAH can be directly measured by separating SAH (i.e., via ultra performance liquid chromatography (UPLC) or reversed-phase high performance liquid chromatography (RP-HPLC)), detecting at 260 nm, and quantifying the amount of SAH by comparing to a SAH standard curve (i.e., Trp- Ala-Gly-Gly-isoAsp-Ala-Ser-Gly-Glu peptide).
[0258] In some embodiments, the method comprises a step of derivatization comprising contacting the population of anti-CD20 antibody proteins with PIMT and SAM. In some embodiments, the population of anti-CD20 antibody proteins is contacted with PIMT and SAM at a temperature and for a period of time sufficient for derivatization (i.e., methylation) of substantially all of the aspartate residues present in the population. In some embodiments, the method optionally comprises a step of quenching the derivatization reaction. In certain embodiments, the method comprises a step of separating SAH by hydrophobicity for quantification of isoaspartate. In some embodiments, separating SAH comprises chromatography, which comprises a hydrophobic interaction stationary phase and a reversed- phase eluent. In some embodiments, separating SAH comprises chromatography using a Cl 8stationary phase. In some embodiments, the Cl 8 stationary phase is a Hydro-RP column. In certain embodiments, the revers ed-phase eluent comprises one or more mobile phase (i.e., a weakly acidic phosphate buffer and / or methanol). In certain embodiments, chromatography is performed using parameters for flow rate, stationary phase (i.e., column) temperature, mobile phase gradient, and period of time, wherein the parameters in combination are sufficient to separate SAH from the derivatization reaction components. In some embodiments, chromatography is performed using a chromatography system that controls these parameters (i.e., an HPLC or UPLC system). In certain embodiments, the chromatography system is coupled to a detector, for detecting SAH after derivatization (i.e., absorbance at 260 nm). In some embodiments, separation and detection of SAM is performed using a hydrophilic interaction stationary phase, a reversed-phase eluent, and a RP-HPLC or UPLC system equipped with detector for absorbance of SAH at about 260 nm. In some embodiments, the hydrophobic interaction stationary phase comprises a Synergi Hydro-RP (4.6 mm X 150 mm). In some embodiments, the stationary phase (i.e., column) temperature is about 25 °C or room temperature. In specific embodiments, the flow rate is 1 mL / min. In some embodiments, the reversed-phase eluent comprises one or more mobile phases comprising a first mobile phase comprising about 50 mM potassium phosphate, at a pH of about 6.2, and a second mobile phase comprising methanol. In some embodiments, the mobile phase gradient comprises said second mobile phase at 10.0% at 0 minutes, 40% at 7.5 minutes, 80% at 10.5 minutes, 80% at 12.5 minutes, 10% at 13.5 minutes, 10% at 20 minutes, and 10% at 25 minutes. In some embodiments, the amount of SAH is quantified by comparing its integrated curve area to a SAH standard curve. In some embodiments, the SAH standard curve is prepared using Trp-Ala-Gly- Gly-isoAsp-Ala-Ser-Gly-Glu. In some embodiments, the amount of asparagine deamidation or isoaspartate in a population of anti-CD20 antibody proteins is determined using the Promega Isoquant kit along with Isoasp-DSIP standard, in accordance to manufacturer’s protocol.(iii) Deamidation by LC-MS
[0259] The amount of asparagine deamidation or isoaspartate in a population or digested population of anti-CD20 antibody proteins may determined via a liquid chromatography-coupled mass spectrometer (LC-MS) peptide mapping method, for example, by summing site specific deamidation results of a digested population of anti-CD20 antibody proteins.
[0260] In some embodiments, the LC-MS peptide mapping comprises determining the molecular weight and / or relative abundance of peptides derived from a Lys-C digested population of anti-CD20 antibody proteins to determine the presence and amount of deamidation or isoaspartate residues. In some embodiments, the population of anti-CD20 antibody proteins is reduced and alkylated prior to digestion. In certain embodiments, the LC is performed using parameters for flow rate, stationary phase (i.e., column) temperature, mobile phase gradient, and period of time, wherein the parameters in combination are sufficient to separate the peptides of the Lys-C digest. In certain embodiments, the relative abundance of a peptide of a Lys-C digest is calculated by integrating its area under the curve compared to total area.
[0261] In some embodiments, the observed molecular weights are compared to theoretical masses for deamidated peptides selected from Table 2, column 2. In certain embodiments, the observed molecular weights are compared to theoretical masses selected from Table 2, column 3. Table 2: Peptides for determining deamidation following Lys-C digestion
[0262] In some embodiments, the LC-MS peptide mapping comprises determining the molecular weight and / or relative abundance of peptides derived from an Asp-N digested population of anti-CD20 antibody proteins to determine the presence and amount of deamidation or isoaspartate residues. In some embodiments, the population of anti-CD20 antibody proteins is reduced and alkylated prior to digestion. In certain embodiments, the LC is performed using parameters for flow rate, stationary phase (i.e., column) temperature, mobile phase gradient, andperiod of time, wherein the parameters in combination are sufficient to separate the peptides of the Asp-N digest. In certain embodiments, the relative abundance of a peptide of an Asp-N digest is calculated by integrating its area under the curve compared to total area.
[0263] In certain embodiments, the observed molecular weights are compared to theoretical masses for deamidated peptides selected from Table 3, column 2. In certain embodiments, the observed molecular weights are compared to theoretical masses selected from Table 3, column 3.Table 3: Peptides for determining deamidation following Asn-N digestion(d) Method of Determining Oxidation(i) Oxidation In General
[0264] Also provided here is a method of determining the level of methionine oxidation in a population of anti-CD20 antibody proteins as described herein. In some embodiments, the amount of methionine oxidation in a population of anti-CD20 antibody proteins is the amount of Met sulfoxide (MetO) residues in the population. In some embodiments, the method comprises detecting the amount of Met sulfoxide (MetO) residues in the population.(ii) Oxidation by LC-MS
[0265] The amount of methionine oxidation or Met sulfoxide (MetO) residues in a population or digested population of anti-CD20 antibody proteins may be determined via a liquid chromatography-coupled mass spectrometer (LC-MS) peptide mapping method, for example, by summing site specific oxidation results of a digested population of anti-CD20 antibody proteins.
[0266] In some embodiments, the LC-MS peptide mapping comprises determining the molecular weight of peptides derived from a Lys-C digested population of anti-CD20 antibody proteins to determine the presence and amount of oxidation or MetO residues. In some embodiments, the population of anti-CD20 antibody proteins is reduced and alkylated prior to digestion. In some embodiments, the LC is performed using parameters for flow rate, stationary phase (i.e., column) temperature, mobile phase gradient, and period of time, wherein the parameters in combination are sufficient to separate the peptides of the Lys-C digest. In someembodiments, the relative abundance of a peptide of a Lys-C digest is calculated by integrating its area under the curve compared to total area.
[0267] In some embodiments, the observed molecular weights are compared to theoretical masses for oxidized peptides selected from Table 4, column 2. In some embodiments, the observed molecular weights are compared to theoretical masses selected from Table 4, column 3.Table 4: Peptides for determining oxidation following Lys-C digestion
[0268] In some embodiments, the population of anti-CD20 antibody proteins comprises methionine oxidation at one or more methionine residues present in a heavy chain. In some embodiments, the one or more methionine residues present in the heavy chain are selected from Met-20, Met-34, Met-81, Met-253 or Met-428 as shown in SEQ ID NO: 17, 18, 21, 24, or 29, respectively. In certain embodiments, the population of anti-CD20 antibody proteins comprises methionine oxidation at one or more methionine residues present in a light chain. In some embodiments, the one or more methionine residues present in the light chain are selected from Met-21 or Met-32 as shown in SEQ ID NO:30.(e) Assay for Determining Protein Conformation— Circular dichroism
[0269] In some embodiments, the secondary structures of anti-CD20 antibody proteins are analyzed using Circular Dichroism (CD) spectroscopy by measuring the difference in absorption between left and right circularly polarized light due to structural asymmetry. The CD spectroscopy using far-ultraviolet spectra with a wavelength between approximately 170 and 260 nm. At these wavelengths, the different secondary structures commonly found in protein can be analyzed, since a-helix, parallel and anti-parallel |3-sheet, |3-Turn, and random coil conformationseach give rise to a characteristic spectra, the spectrum of a given protein can be used to estimate its percentage content on the secondary structures.7.6 Single Batch Compositions
[0270] Provided herein are compositions or populations of anti-CD20 antibody proteins described in Section 7.4 at scaled up quantities. In certain embodiments, these scaled up quantities are present in a single batch, ie, a composition derived from a single run from a single bioreactor of a specified volume. For example, the anti-CD20 antibody proteins obtained from a single run of a 15,000L bioreactor can be referred to as a single batch. In certain embodiments, the bioreactor has a capacity of at least 100; 200; 300; 400; 500; 750; 1,000; 2,000; 3,000; 4,000; 5,000; 7,500; 10,000; 15,000; 20,000; or at least 25,000 L. In certain embodiments, anti-CD20 antibody proteins are present in such a single batch at a concentration of at least 10 mg / ml;15mg / ml; 20mg / ml; 25mg / ml; or at least 30mg / ml as determined using an assay described in Section 7.6(a). In certain embodiments, anti-CD20 antibody proteins are present in such a single batch at a concentration of at between 10 to 35 mg / ml; 10 to 30 mg / ml; 10 to 25 mg / ml; 10 to 20 mg / ml; 10 to 15 mg / ml; 15 to 35 mg / ml; 15 to 30 mg / ml; 15 to 25 mg / ml; 15 to 20 mg / ml; 20 to 35 mg / ml; 20 to 30 mg / ml; 20 to 25 mg / ml; 25 to 35 mg / ml; or 25 to 30 mg / ml as determined using an assay described in Section 7.6(a). In certain embodiments, anti-CD20 antibody proteins are present in such a single batch at a concentration of about 15mg / ml; about 20mg / ml; about about 25mg / ml; about 30mg / ml; or about 35mg / ml as determined using an assay described in Section 7.6(a) (wherein “about” means + / - 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10%).
[0271] In some aspects, the anti-CD20 antibody proteins disclosed herein are produced at a commercial scale. In certain embodiments, the commercial scale is 10,000 to 25,000 L.(a) Total protein
[0272] In some embodiments, the amount of total protein is measured using spectrophotometry. In certain embodiments, the amount of total protein is measured by absorbance at 280 nm.
[0273] In some embodiments, the amount of total protein can be measured using the following assay procedures. This method determines the concentration of the anti-CD20 antibody proteins using an ultraviolet absorbance measurement at 280 nm with a light scattering correction at 320 nm. The calculation of concentration is based on the Beer-Lambert law. Theextinction coefficient of the anti-CD20 antibody protein at 280 nm is 1.61 mL / mg / cm as determined by the amino acid composition. The extinction coefficient can be used. The method is suitable for use for post Protein A purification in-process sample testing, release testing, and stability testing. Test samples are diluted gravimetrically in triplicate with 0.9% sodium chloride to a target protein concentration of 0.4 mg / mL. Saline is used as a blank for the instrument. Bovine serum albumin is used as a system suitability control and is tested before and after sample measurements. Test samples are loaded into a quartz cuvette with a 1 cm pathlength and the absorbances at 280 and 320 nm are measured. The test samples are tested in triplicate. In certain embodiments, the amount of total protein can be measured using the critical material and equipment listed in Table 5. In certain embodiments, the amount of total protein can be measured using the protein concentration system suitability criteria listed in Table 6.Table 5: Critical Material and Equipment Used in the Protein Concentration AssayUV = ultraviolet; Vis = visible lightTable 6: Protein Concentration System Suitability CriteriaAU = absorbance unit; CV = coefficient of variation
[0274] In some embodiments, the population of anti-CD20 antibody proteins provided herein has an amount of total protein of 25.5-25.8 mg / mL. In certain embodiments, the population has an amount of total protein of about 25.6 mg / mL.7.7 Biological Properties
[0275] In some embodiments, the populations of anti-CD20 antibody proteins provided herein possess biological properties detailed in this section. In certain embodiments, the biological properties can be measured using the assays described in Section 7.7(a). Thebiological properties of the anti-CD20 antibody protein compositions provided herein are described in Section 7.7(b).(a) Assays(i) Cell-based antibody-dependent cellular cytotoxicity (ADCC)
[0276] In some embodiments, the cell-based ADCC assay uses Raji cells as target cells. In certain embodiments, the Raji cells express CD20. In certain embodiments, the cell-based ADCC assay uses effector cells selected from CD 16 effector cells and primary NK cells. In certain embodiments, the cell-based ADCC assay uses Raji cells as target cells and KILR CD16a effector cells effector cells. In certain embodiments, the cell-based ADCC assay uses Raji cells as target cells and primary NK cells as effector cells. In certain embodiments, the KILR CD 16a effector cells are single donor-derived human CD 8+ T-lymphocytes engineered to express CD16 / FcyRIII on their plasma membrane surface.
[0277] In aome embodiments, the cell-based ADCC assay uses target cell lysis as the read out. In some embodiments, the target cell lysis is quantified using CytoTox Gio™ (Promega). In some embodiments, the cell-based ADCC assay shows relative potency of the population against a commercial reference standard. In some embodiments, the cell-based ADCC assay produces a dose-response curve and an EC50 value. In some embodiments, a composition or population of anti-CD20 antibody proteins provided herein performs in a cell-based ADCC using CD 16 effector cells at more than 100% of that of commercial reference standard RS-117808.
[0278] In some embodiments, the ADCC activity can be measured using a CD 16 activity assay. In some embodiments, the CD 16 activity assay assesses ADCC activity using a surrogate read-out. In some embodiments, the CD 16 activity assay uses WIL2-S as target cells. In certain embodiments, the effector cells used are a stably transformed Jurkat cell line expressing a chimeric molecule comprising of the extracellular domain of FcyRIIIa joined to the transmembrane and intracellular domains of the gamma chain of the mast cell / basophil Fc receptor for IgE. In certain embodiments, cells are combined and treated with a serial dilution of the anti-CD20 antibody in the presence of PMA (Phorbol 12- Myristate 13-Acetate). In certain embodiments, the activation of the effector cells induces the release of IL-2, which is measured by a commercial ELISA kit. In certain embodiments, the potency is reported as a percentage relative to a reference standard.
[0279] In some embodiments, the population has a relative potency of 106 to 126% in a CD 16 activity assay compared to a commercial reference standard. In some embodiments, the population has a relative potency of about 115% in a CD 16 activity assay compared to a commercial reference standard. In some embodiments, the commercial reference standard is RS- 117808.
[0280] In some embodiments, the cell-based ADCC assay uses the following assay procedures. Eight-point dilution series of the Reference Standard, QC Reference Control, and Test Materials are used in the concentration range of 250.00 pg / mL to 0.04 pg / mL (250, 50, 16.7, 5.6, 1.9, 0.6, 0.2, 0.04 pg / mL). Two independent preparations of the materials are prepared and assayed across duplicate plates. Assay controls are prepared in triplicates and include: Target Cells Alone Control, Target Cells Death Control, Effector Cells Alone Control, and Effector & Target Cells Control. KILR cells are obtained from Eurofins. They come from a master cell bank made from a unique human donor. A Master and Working cell bank system and qualification protocol allows the vendor to create many thousands of vials in a reproducible manner and TG maintains a secure supply of this critical reagent. Procedures, such as incoming material qualification process, provide assurance that highly reproducible cells are used in every assay. KILR cells are thawed and cultured at 1x10A6 cells / mL in media supplemented with IL-2, and are rested for a minimum of 6 days before use and are not be used beyond 14 days post thaw. To perform the KILR ADCC assay, Raji cells, also managed through a master and working cell banking system, are seeded at 1x105cells / mL, and reference standard, internal assay control, and testing samples dilutions are added to the Raji cells. KILR Effector cells are seeded at 5x105cells / mL to a final effector: target (E:T) ratio of 5: 1. Cells are cultured at 36±1°C, 5±1%CO2 for 18 to 22 hours. At the end of the incubation, a CytoTox GLo™ preparation is added, and plates are incubated for 30±10 minutes. The plates are read using the SpectraMax plate reader. SoftMax Pro is used to analyze the data with weighted nonlinear regression using a 4-parameter logistic fit. The resulting data is evaluated using the SoftMax Pro software for potency against the reference standard. Representative reference standard and sample dose response curves are shown. Results are reported as percentage potency relative to the primary reference standard or its derivative.
[0281] In some embodiments, the cell-based ADCC assay is used as a potency assay for batch release. In some embodiments, the cell-based ADCC assay is used as a potency assay forstability testing. In some embodiments, the cell-based ADCC assay is used as a potency assay in the manufacturing quality controls and processes. In some embodiments, the cell-based ADCC assay is used in comparison studies (for example, in research and development or clinical studies).
[0282] In some embodiments, the higher potency of the population in a cell-based ADCC assay is related to the lower level of fucose content in the N-glycan profile of the population. In some embodiments, the higher potency of the population in a cell-based ADCC assay is due to the lower level of fucose content in the N-glycan profile of the population.(ii) Antibody-dependent cellular phagocytosis (ADCP)
[0283] In some embodiments, the antibody-dependent cellular phagocytosis (ADCP) activity can be measured using CD20 expressing Daudi cells as target cells (labeled by PKH26). In some embodiments, human monocytes are isolated from PBMC and differentiated in vitro using GM- CSF to yield macrophages. In some embodiments, macrophages are co-cultured with PKH26- labeled target cells previously incubated with serial diluted anti-CD20 antibody samples. In some embodiments, target cell phagocytosis was assessed by flow cytometry. In some embodiments, the dose response curves, as well as calculated IC50s of the samples tested can be shown.(iii) Complement dependent cytotoxicity (CDC)
[0284] In some embodiments, the cell-based CDC assay uses Jeko-1 cells as target cells and rabbit compliment system. In certain embodiments, the cell-based CDC assay uses Raji cells as target cells and human complement system. In some embodiments, the cell-based CDC assay uses target cell lysis as the read out.
[0285] In some embodiments, the cell-based CDC assay uses the following assay procedures. Nine-point dilution series of the Reference Standard, QC Reference Control, and Test Materials are used in the concentration range of 10,000 ng / mL to 10.42 ng / mL (10,000.00, 3333.33, 1666.67, 833.33, 416.67, 208.33, 104.17, 52.08, 10.42 ng / mL). Two independent preparations of the materials are prepared and assayed across duplicate plates. Assay negative controls are prepared in triplicates and include target cells and complement control and target cells alone control. In this assay, Jeko-1 cells, obtained from the ATCC and maintained through a master banking system, are seeded at 3x105cells / mL and incubated for 60-90 minutes. Reference standard, internal assay control, and test samples diluted in duplicate in cell culture medium areadded. Complement is then added to the wells and the plates are incubated for approximately 2 hours at 36°C±1 °C followed by 25±5 minutes at room temperature. Controls include a target cells with complement only control and a target cell only control to provide a basal level of target cell viability over the course of the assay. The Cell Titer-Gio reagent is then added and incubated an additional 30±10 minutes at room temperature. At the end of the assay, the plates are read using a SpectraMax M5 plate reader. SoftMax Pro is used to analyze the data with weighted nonlinear regression using a 4-parameter logistic fit. The resulting data are evaluated using the Softmax Pro software for potency against the reference standard. Results are reported as % potency relative to the reference standard. Representative reference standard and sample dose response curves are shown.(iv) CD20 binding activity
[0286] In some embodiments, the cell-based CD20 binding assay uses Jeko-1 cells and an MSD assays. In some embodiments, the cell-based CD20 binding assay produces a dose dependent binding curve and a EC50 value.
[0287] In some embodiments, the cell-based CD20 binding assay uses the following assay procedures. Eight-point dilution series of the Reference Standard, QC Reference Control, and Test Materials are prepared in the concentration range of 40,000.00 ug / mL to 0.23 ng / mL (40,000.00, 4,000.00, 1,000.00, 333.30, 111.10, 37.00, 4.60, 0.23 ng / mL). Two independent preparations of the Test Material are prepared for each 2-plate Test Material assessment. Assay controls include No cell control (Reference Standard / Test Material dilution + detection reagent, omitting cells) and Cell only control (Cells + detection reagent, omitting Reference Standard / Test Material). Jeko-1 cells are seeded onto MSD high bind plate in PBS at 3 x 105cells per mL, in a final volume of 100 pL per well, and incubated at 35 to 37°C for 2 hours ±10 minutes. Unbound cells are removed by a PBS wash, the plates are blocked with 45% FBS. Fifty pL of Reference Standard, QC Reference Control, or Test Materials dilutions are added, and the plate is incubated at room temperature for 1 hour ±10 min while shaking. Following incubation and three PBS washes, 50 pL anti-human Fc detection antibody conjugated with STREP- SULFOTAG is added and incubated for 1 hour ± 5 minutes at room temperature while shaking. The plates are washed again with PBS and 150 pL of the MesoScale read buffer, containing tripropylamine (TP A), is added as a co-reactant for light generation for an electrochemiluminescence read out. Plates are read immediately on a MSD Reader usingWorkbench 4.0. The resulting data are evaluated using the PLA software and analyzed using a constrained 4 parameter logistic model to generate a relative binding, 95% confidence intervals and results relative to the reference standard. Binding activity results are reported as percentage potency relative to the reference standard. Representative reference standard and testing sample dose response curves, from which relative potency test result is calculated.(v) FcyRIIIa 158V and FcyRIIIa 158F binding activity
[0288] In some embodiments, the FcyRIIIa binding assay uses Surface Plasmon Resonance (SPR). In certain embodiments, the FcyRIIIa binding assay produces sensorgrams showing a dose dependent binding, saturation, and dissociation. In certain embodiments, the FcyRIIIa binding assay calculates dissociation constant by the on and off rate and steady state kinetics. In certain embodiments, the binding affinity to FcyRIIIa 158V of the population is approximately one order of magnitude higher than binding affinity to FcyRIIIa 158F of the population. In certain embodiments, the binding affinity to FcyRIIIa 158V of the population is significantly higher than Rituxan. In certain embodiments, the binding affinity to FcyRIIIa 158F of the population is significantly higher than Rituxan. In certain embodiments, the binding affinities of the population to both FcyRIIIa 158V and FcyRIIIa 158F are significantly higher than Rituxan.
[0289] In some embodiments, the FcyRIIIa binding assay uses the following assay procedure. FcyRIIIa 158V receptor (1.2 pg / ml) is immobilized on the chip surface using covalent amine coupling chemistry. Eight-point dilution series of the Reference Standard, QC Reference Control, and Test Materials are prepared in the concentration range of 2000 nM to 15.6 nM with a dilution factor of 2. Independent duplicates of sample dilutions are injected over the chip, followed by surface regeneration between each cycle. The binding is measured in response units (RU). The kinetics of the binding reaction is determined by measuring changes in SPR due to the increase in mass in the close proximity to the biosensor chip surface. Change in the mass of the complex as a function of time is visualized as a sensorgram. The equilibrium dissociation constants (KD) and the relative affinities of each sample relative to the Reference Standard are determined for each receptor. The rates of change of the SPR signal are analyzed using a 1 : 1 Langmuir model for FcyRIIIa 158V variant to yield apparent rate constants for the association and dissociation phases of the reaction, and equilibrium dissociation constants. KD is determined using steady state affinity for the FcyRIIIa 158F variant. The binding signals areexported into PLA to determine the relative binding response. Results are reported as % potency relative to the reference standard for each FcyRIIIa variant, 158V and 158F.(vi) Cl q binding activity
[0290] In some embodiments, the Clq binding activity can be as measured using ELISA. In certain embodiments, the Clq binding activity can be as measured using the following assay procedure. A 7-point dilution series of the reference standard, QC reference control, and test materials are prepared in the concentration range of 15.00 pg / mL to 0.12 pg / mL. Reference standard, QC reference control, and test materials dilutions are coated onto an ELISA plates, and the plates incubated for 1 hour ± 30 minutes at room temperature (shaking 150 to 200 rpm). After coating, the plates are washed (3x with PBS / 0.05% Tween), blocked (with 1% BSA and incubated for 1 hour ± 10 minutes at room temperature and shaking 150 to 200 rpm), and washed (3x with PBS / 0.05% Tween). Clq that has been conjugated with peroxidase is then added, and the plates incubated for 1.5 hours ± 30 minutes at room temperature (shaking 150 to 200 rpm). After incubation and washing, a tetramethylbenzidine (TMB) substrate solution is added and plates incubated at room temperature for 7 minutes (-1 minute / ±30 seconds). This produces a colorimetric reaction which is proportional to the level of Clq bound. The reaction is stopped with the addition of IM sulfuric acid and the color is measured at 450 nm using a Molecular Devices SpectraMax microplate reader. SoftMax Pro is used to analyze the data with weighted nonlinear regression using a 4-parameter logistic fit. The resulting data are evaluated using the SoftMax Pro software for potency against the reference standard. Clq binding activity results are reported as percentage potency relative to the reference standard. Representative dose response curves from one assay can be shown.(vii) B-cell depletion activity
[0291] In some embodiments, the B-cell depletion activity can be measured in a human whole blood B-cell depletion assay. In certain embodiments, the B-cell depletion activity can be measured in an autologous normal human whole blood B-cell depletion assay. In certain embodiments, the B-cell depletion can be measured by displaying cells in the CD45-positive lymphocyte gate, and enumerating CD3 -positive T cells, CD 19-positive B-cells, and CD20- positive B-cells. In certain embodiments, percent of B-cell depletion (100-([100 / B- / T-cell ratio in sample without antibody] x [B- / T-cell ratio in sample containing antibody])) can be calculated and plotted against sample concentration.
[0292] In some embodiments, the B-cell depletion activity can be measured using blood from three healthy donor(s). In certain embodiments, the B-cell depletion can be measured by displaying cells in the CD45-positive lymphocyte gate, and enumerating CD3-positive T cells, CD 19-positive B-cells, and CD20-positive B-cells.(b) Biological Properties
[0293] In some embodiments, the biological properties of a composition or population of anti-CD20 antibody proteins provided herein can be measured and described in an assay described in Section 7.7(a) and with the use of a comparison with a reference standard. In certain embodiments, the reference standard is a commercial reference standard.
[0294] In some embodiments, the reference standard is an anti-CD20 antibody. In certain embodiments, the reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab).
[0295] In some embodiments, the commercial reference standard is RS-117808. In certain embodiments, the populations of anti-CD20 antibody proteins provided herein possess the biological properties as shown in Table 7. RS-117808 (“antibody Ublituximab (TG-1101)”) was deposited according to the terms of the Budapest Treaty at the American Type Culture Collection (ATCC), located at 10801 University Boulevard, Manassas, VA 20110, received by the ATCC on April 15, 2022, and assigned unofficial patent deposit number PTA-127294.Table 7: Biological Properties in Comparison to Reference Standard(i) Cell-based antibody-dependent cellular cytotoxicity (ADCC)
[0296] In some embodiments, a composition or population of anti-CD20 antibody proteins provided herein performs in a cell-based ADCC using CD 16 effector cells assay (see Section 7.7(a)(i)) with are relevant potency that is at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, or at at least 200% of that of the commercial reference standard RS-117808. In certain embodiments, a composition or population of anti-CD20 antibody proteins provided herein performs in a cell-based ADCC using CD 16 effector cells assay (see Section 7.7(a)(i)) with are relevant potency that is at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150- fold, or at least 200-fold of that of the commercially available Rituxan® (Genentech / Biogen).
[0297] In some embodiments, the population induces cytotoxicity in a cell-based antibodydependent cellular cytotoxicity (ADCC) assay. In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to a commercial reference standard.
[0298] In some embodiments, the population induces greater cytotoxicity in an ADCC assay compared to an anti-CD20 antibody. In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to ARZERRA (ofatumumab). In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to RITUXAN (rituximab). In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to veltuzumab (IMMU-106). In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to ZEVALIN (ibritumomab tiuxetan). In certain embodiments, the population induces greater cytotoxicity in an ADCC assay compared to OCREVUS (ocrelizumab).
[0299] In some embodiments, the population has a relative potency of at least 1000%, 750%, 500%, 250%, 100%, 75%, 50%, or at least 25% in a cell-based ADCC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold in acell-based ADCC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least more than 100% in a cell-based ADCC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of more than 100% in a cell-based ADCC assay compared to a commercial reference standard.
[0300] In some embodiments, the population has a relative potency of between at least 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30- fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50- fold, 75-fold, 100-fold, 125-fold, 150-fold, 200-fold or at most 300-fold in a cell-based ADCC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of between 5% and 50%, 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold, 50-fold and 100-fold, 100-fold and 150-fold, or between 150-fold and 300- fold in a cell-based ADCC assay compared to a commercial reference standard.
[0301] In some embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab). In certain embodiments, the population has a relative potency of about 38% to about 3 -fold in a cell-based ADCC assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population has a relative potency of about 10-fold to about 31 -fold in a cell-based ADCC assay compared to ARZERRA (ofatumumab). In certain embodiments, the population has a relative potency of about 28-fold to about 2250-fold in a cell-based ADCC assay compared to RITUXAN (rituximab). In certain embodiments, the population has a relative potency of about 25-fold in a cell-based ADCC assay compared to OCREVUS (ocrelizumab).
[0302] In some embodiments, the population has a relative potency of 60 to 200%, 70 to 190%, 80% to 180%, 85 to 170%, or 90 to 163% in a cell-based ADCC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of 90 to 163% in a cell-based ADCC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of about 117% in a cell-based ADCCassay compared to a commercial reference standard. In certain embodiments, the commercial reference standard is RS-117808.
[0303] In some embodiments, the EC50 value for the ADCC potency as measured in a cellbased ADCC assay of the population is between 2 and 6 pg / mL. In certain embodiments, the EC50 value for the ADCC potency as measured in a cell-based ADCC assay of the population is between 0.2 and 20 pg / mL, 0.3 and 18 pg / mL, 0.4 and 15 pg / mL, 0.5 and 12 pg / mL, 0.6 and 10 pg / mL, 0.7 and 9 pg / mL, 0.8 and 8 pg / mL, 0.9 and 7 pg / mL, or 1 and 6 pg / mL. In certain embodiments, the EC50 value for the ADCC potency is the average EC50 value calculated from the EC50 values obtained in two, three, four, five, six, seven, eight, nine, ten, fifteen, twenty, thirty, forty, fifty, sixty or more repeated cell-based ADCC assays. In certain embodiments, the EC50 value for the ADCC potency as measured in a cell-based ADCC assay (e.g., using the Eurofins / DiscoverX KILR CD16a effector cells) of the population is about 5.45 pg / mL. In certain embodiments, the EC50 value for the ADCC potency as measured in a cell-based ADCC assay (e.g., using the Eurofins / DiscoverX KILR CD16a effector cells) of the population is about 2.42 pg / mL.(ii) Antibody-dependent cellular phagocytosis (ADCP)
[0304] In some embodiments, the population induces antibody-dependent cellular phagocytosis (ADCP). In certain embodiments, the population induces greater phagocytosis in an ADCP assay compared to a commercial reference standard. In certain embodiments, the population induces greater phagocytosis in an ADCP assay compared to an anti-CD20 antibody.
[0305] In some embodiments, the population induces greater phagocytosis in an ADCP assay compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, the population induces phagocytosis in an ADCP assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to ARZERRA (ofatumumab). In certain embodiments, the population induces greater phagocytosis in an ADCP assay compared to RITUXAN (rituximab). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to veltuzumab (IMMU-106). In certain embodiments, the population induces greater phagocytosis in an ADCP assay compared to ZEVALIN (ibritumomab tiuxetan). In certain embodiments, the1population induces greater phagocytosis in an ADCP assay compared to OCREVUS (ocrelizumab).
[0306] In some embodiments, the population has a relative potency of at least 1000%, 750%, 500%, 250%, 100%, 75%, 50%, or at least 25% in an ADCP assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75- fold, 100-fold, 125-fold, 150-fold, or at least 200-fold in an ADCP assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least more than 100% in an ADCP assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of more than 100% in an ADCP assay compared to a commercial reference standard.
[0307] In some embodiments, the population has a relative potency of between at least 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75- fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150- fold, 200-fold or at most 300-fold in an ADCP assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of between 5% and 50%, 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold, 50-fold and 100- fold, 100-fold and 150-fold, or between 150-fold and 300-fold in an ADCP assay compared to a commercial reference standard.
[0308] In some embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab). In certain embodiments, the population has a relative potency of about 7-fold in an ADCP assay compared to ARZERRA (ofatumumab). In certain embodiments, the population has a relative potency of about 15-fold in an ADCP assay compared to RITUXAN (rituximab). In certain embodiments, the population has a relative potency of about 23 -fold in an ADCP assay compared to GAZYVA (obinutuzumab).
[0309] In some embodiments, the EC50 value for the ADCP potency as measured in an ADCP assay of the population is between 0.1 and 1 ng / mL. In certain embodiments, the EC50 value for the ADCP potency as measured in an ADCP assay of the population is between 1 and10, 2 and 9, 3 and 8, 4 and 7, or 5 and 6 ng / mL. In certain embodiments, the EC50 value for the ADCP potency as measured in an ADCP assay of the population is between 0.05 and 20 ng / mL, 0.1 and 19 ng / mL, 0.15 and 18 ng / mL, 0.2 and 18 ng / mL, 0.25 and 15 ng / mL, 0.3 and 12 ng / mL, 0.3 and 10 ng / mL, 0.3 and 9 ng / mL, 0.3 and 8 ng / mL, 0.3 and 7 ng / mL, or 0.3 and 6 ng / mL. In certain embodiments, the EC50 value for the ADCP potency is the average EC50 value calculated from the EC50 values obtained in two, three, four, five, six, seven, eight, nine, ten, or more repeated ADCP assays. In certain embodiments, the EC50 value for the ADCP potency as measured in an ADCP assay of the population is about 5.50 ng / mL.(iii) Complement dependent cytotoxicity (CDC)
[0310] In some embodiments, the population induces complement dependent cytotoxicity (CDC). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to a commercial reference standard. In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to an anti-CD20 antibody.
[0311] In some embodiments, the population induces greater cytotoxicity in a CDC assay compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to ARZERRA (ofatumumab). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to RITUXAN (rituximab). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to veltuzumab (IMMU-106). In certain embodiments, the population induces greater cytotoxicity in a CDC assay compared to ZEVALIN (ibritumomab tiuxetan). In certain embodiments, the population induces greater cytotoxicity in a CDC assay assay compared to OCREVUS (ocrelizumab).
[0312] In some embodiments, the population has a relative potency of at least 1000%, 750%, 500%, 250%, 100%, 75%, 50%, 25%, 12%, or at least 5% in a cell-based CDC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200- fold in a cell-based CDC assay compared to a commercial reference standard. In certainembodiments, the population has a relative potency of at least more than 100% in a cell-based CDC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of more than 100% in a cell-based CDC assay compared to a commercial reference standard.
[0313] In some embodiments, the population has a relative potency of between at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, 200-fold or at most 300-fold in a cell-based CDC assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of between 5% and 50%, 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold, 50-fold and 100-fold, 100-fold and 150-fold, or between 150-fold and 300-fold in a cell-based CDC assay compared to a commercial reference standard.
[0314] In some embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab). In certain embodiments, the population has a relative potency of about 50% in a cell-based CDC assay compared to ARZERRA (ofatumumab). In certain embodiments, the population has a relative potency of about 37% in a cell-based CDC assay compared to RITUXAN (rituximab). In certain embodiments, the population has a relative potency of about 1.8-fold in a cell-based CDC assay compared to OCREVUS (ocrelizumab).
[0315] In some embodiments, the population has a relative potency of 50 to 150%, 60 to 140%, 70 to 130%, 75 to 120%, or 78 to 116% in a cell-based CDC assay compared to that of a commercial reference standard. In certain embodiments, the population has a relative potency of 78 to 116% in a cell-based CDC assay compared to that of a commercial reference standard. In certain embodiments, the population has a relative potency of 73 to 128% or 74 to 127% in a cell-based CDC assay compared to that of a commercial reference standard. In certain embodiments, the population has a relative potency of about 91% in a cell-based CDC assay compared to that of a commercial reference standard. In certain embodiments, the commercial reference standard is RS-117808.
[0316] In some embodiments, the EC50 value for the CDC potency as measured in a cellbased CDC assay of the population is between 0.4 and 0.7 pg / mL or between 0.4 and 0.6 pg / mL. In certain embodiments, the EC50 value for the CDC potency as measured in a cell-based CDC assay of the population is between 0.05 and 5 pg / mL, 0.1 and 4 pg / mL, 0.15 and 3 pg / mL, 0.2 and 2 pg / mL, 0.25 and 1 pg / mL, 0.3 and 0.9 pg / mL, 0.3 and 0.8 pg / mL, or 0.3 and 0.7 pg / mL. In certain embodiments, the EC50 value for the CDC potency is the average EC50 value calculated from the EC50 values obtained in two, three, four, five, six, seven, eight, nine, ten, or more repeated cell-based CDC assays. In certain embodiments, the EC50 value for the CDC potency as measured in a cell-based CDC assay of the population is about 0.5 pg / mL.(iv) CD20 binding activity
[0317] In some embodiments, the population possesses CD20 binding activity in a cell-based CD20 binding assay. In certain embodiments, the population possesses greater CD20 binding activity in a cell-based CD20 binding assay compared to a commercial reference standard.
[0318] In some embodiments, the population possesses greater CD20 binding activity in a cell-based CD20 binding assay compared to an anti-CD20 antibody. In certain embodiments, the population possesses greater CD20 binding activity in a cell-based CD20 binding assay compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, the population possesses greater CD20 binding activity compared to GAZYVA (obinutuzumab). In certain embodiments, the population possesses greater CD20 binding activity compared to ARZERRA (ofatumumab). In certain embodiments, the population possesses greater CD20 binding activity compared to RITUXAN (rituximab). In certain embodiments, the population possesses greater CD20 binding activity compared to veltuzumab (IMMU-106). In certain embodiments, the population possesses greater CD20 binding activity compared to ZEVALIN (ibritumomab tiuxetan). In certain embodiments, the population induces possesses greater CD20 binding activity compared to OCREVUS (ocrelizumab).
[0319] In some embodiments, the population has a relative potency of at least 1000%, 750%, 500%, 250%, 100%, 75%, 50%, 25%, 12%, or at least 5% in a CD20 binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold in aCD20 binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least more than 100% in a CD20 binding compared to a commercial reference standard. In certain embodiments, the population has a relative potency of more than 100% in a CD20 binding compared to a commercial reference standard.
[0320] In some embodiments, the population has a relative potency of between at least 5%,10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, 200-fold or at most 300-fold in a CD20 binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of between 5% and 50%, 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold, 50-fold and 100-fold, 100-fold and 150-fold, or between 150-fold and 300-fold in a CD20 binding assay compared to a commercial reference standard.
[0321] In some embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab). In certain embodiments, the population has a relative potency of about 1.6-fold to about 5.8-fold in a CD20 binding assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population has a relative potency of about 81% to about 4.3 -fold in a CD20 binding assay compared to ARZERRA (ofatumumab). In certain embodiments, the population has a relative potency of about 1.6-fold to about 4.1 -fold in a CD20 binding assay compared to RITUXAN (rituximab).
[0322] In some embodiments, the population has a relative potency of 50 to 150%, 60 to 140%, 70 to 130%, 80 to 120%, 90 to 120%, or 92 to 118% in a cell-based CD20 binding activity bioassay compared to that of a commercial reference standard. In certain embodiments, the population has a relative potency of 92 to 118% in a cell-based CD20 binding activity bioassay compared to that of a commercial reference standard. In certain embodiments, the population has a relative potency of 82 to 138% in a cell-based CD20 binding activity bioassay compared to that of a commercial reference standard. In certain embodiments, the population has a relative potency of about 109% in a cell-based CD20 binding activity bioassay compared tothat of a commercial reference standard. In certain embodiments, the commercial reference standard is RS-117808.
[0323] In some embodiments, the EC50 value for the CD20 binding potency as measured in a cell-based CD20 binding activity bioassay of the population is between 0.05 and 0.1 pg / mL. In certain embodiments, the EC50 value for the CD20 binding potency as measured in a cell-based CD20 binding activity bioassay of the population is between 0.01 and 0.5 pg / mL, 0.02 and 0.4 pg / mL, 0.03 and 0.3 pg / mL, 0.04 and 0.2 pg / mL, or 0.05 and 0.1 pg / mL. In certain embodiments, the EC50 value for the CD20 binding potency is the average EC50 value calculated from the EC50 values obtained in two, three, four, five, six, seven, eight, nine, ten, or more repeated cell-based CD20 binding activity bioassays. In certain embodiments, the EC50 value for the CD20 binding potency as measured in a cell-based CD20 binding activity bioassay of the population is about 0.093 pg / mL. In certain embodiments, the EC50 value for the CD20 binding potency as measured in a cell-based CD20 binding activity bioassay of the population is about 0.063 pg / mL.(v) FcyRIIIa 158V and FcyRIIIa 158F binding activity
[0324] In some embodiments, the population possesses FcyRIIIa 158V binding activity in an FcyRIIIa binding assay. In certain embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to a commercial reference standard.
[0325] In some embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to an anti-CD20 antibody. In certain embodiments, the population possesses greater CD20 binding activity in a cell-based CD20 binding assay compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to ARZERRA (ofatumumab). In certain embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to RITUXAN (rituximab). In certain embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to veltuzumab (IMMU-106). Incertain embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to ZE VALIN (ibritumomab tiuxetan). In certain embodiments, the population possesses greater FcyRIIIa 158V binding activity in an FcyRIIIa binding assay compared to OCREVUS (ocrelizumab).
[0326] In some embodiments, the population has a relative FcyRIIIa 158V binding activity of at least 1000%, 750%, 500%, 250%, 100%, 75%, or at least 50% in an FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative FcyRIIIa 158V binding activity of at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold in an FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative FcyRIIIa 158V binding activity of at least more than 100% in a cell-based ADCC assay compared to a commercial reference standard. In certain embodiments, the population has a relative relative FcyRIIIa 158V binding activity of more than 100% in an FcyRIIIa binding assay compared to a commercial reference standard.
[0327] In some embodiments, the population has a relative FcyRIIIa 158V binding activity of at least 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30- fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100- fold, 125-fold, 150-fold, 200-fold or at most 300-fold in an FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative FcyRIIIa 158V binding activity of at least between 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold, 50-fold and 100-fold, 100-fold and 150-fold, or between 150-fold and 300- fold in an FcyRIIIa binding assay compared to a commercial reference standard.
[0328] In some embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab). In certain embodiments, the population has a relative FcyRIIIa 158V binding activity of about 3.8-fold in an FcyRIIIa binding assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population has a relative FcyRIIIa 158V binding activity of about 25.6-fold in an FcyRIIIa binding assay compared toARZERRA (ofatumumab). In certain embodiments, the population has a relative FcyRIIIa 158V binding activity of about 18.7-fold in an FcyRIIIa binding assay compared to RITUXAN (rituximab). In certain embodiments, the population has a relative FcyRIIIa 158V binding activity of about 16-fold in an FcyRIIIa binding assay compared to OCREVUS (ocrelizumab).
[0329] In some embodiments, the population possesses FcyRIIIa 158F binding activity in a FcyRIIIa binding assay. In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to an anti-CD20 antibody. In certain embodiments, the population possesses greater CD20 binding activity in a cell-based CD20 binding assay compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to ARZERRA (ofatumumab). In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to RITUXAN (rituximab). In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to veltuzumab (IMMU-106). In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to ZEVALIN (ibritumomab tiuxetan). In certain embodiments, the population possesses greater FcyRIIIa 158F binding activity in an FcyRIIIa binding assay compared to OCREVUS (ocrelizumab).
[0330] In some embodiments, the population has a relative FcyRIIIa 158F binding activity of at least 1000%, 750%, 500%, 250%, 100%, 75%, or at least 50% in an FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative FcyRIIIa 158F binding activity of at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold in an FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative FcyRIIIa 158F binding activity of at least more than 100% in a cell-FcyRIIIa binding assay compared to a commercialreference standard. In certain embodiments, the population has a relative relative FcyRIIIa 158F binding activity of more than 100% in an FcyRIIIa binding assay compared to a commercial reference standard.
[0331] In some embodiments, the population has a relative FcyRIIIa 158F binding activity of at least 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30- fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100- fold, 125-fold, 150-fold, 200-fold or at most 300-fold in an FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative FcyRIIIa 158F binding activity of at least between 5% and 50%, 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold, 50-fold and 100-fold, 100-fold and 150-fold, or between 150- fold and 300-fold in an FcyRIIIa binding assay compared to a commercial reference standard.
[0332] In certain embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab). In certain embodiments, the population has a relative FcyRIIIa 158F binding activity of about 2.6-fold in an FcyRIIIa binding assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population has a relative FcyRIIIa 158F binding activity of about 21.8-fold in an FcyRIIIa binding assay compared to ARZERRA (ofatumumab). In certain embodiments, the population has a relative FcyRIIIa 158F binding activity of about 10.2-fold in an FcyRIIIa binding assay compared to RITUXAN (rituximab). In certain embodiments, the population has a relative FcyRIIIa 158F binding activity of about 9.9-fold in an FcyRIIIa binding assay compared to OCREVUS (ocrelizumab). In certain embodiments, the population has significantly higher binding affinity to FcyRIIIa 158V or FcyRIIIa 158F than rituximab.
[0333] In some embodiments, the population has a relative potency of 20 to 300%, 30 to 250%, 40% to 220%, or 50 to 200% in a cell-based FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of 50 to 200% in a cell-based FcyRIIIa binding assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of 76 to 130% or 82 to 130% in acell-based FcyRIIIa 158V binding assay compared to a commercial reference standard. In certain embodiments, the commercial reference standard is RS-117808.
[0334] In some embodiments, the population has a KD value 55 to 70 nM in an FcyRIIIa- 158V binding assay as measured by surface plasmon resonance. In certain embodiments, the population has a KD value 10 to 100 nM, 15 to 90 nM, 10 to 80 nM, or 30 to 70 nM in an FcyRIIIa- 158V binding assay as measured by surface plasmon resonance. In certain embodiments, the population has a KD value 30 to 70 nM in an FcyRIIIa-158V binding assay as measured by surface plasmon resonance. In certain embodiments, the KD value is the average KD value calculated from the KD values obtained in two, three, four, five, six, seven, eight, nine, ten, or more repeated FcyRIIIa- 158V binding assays. In certain embodiments, the population has a KD value about 59 nM in an FcyRIIIa- 158V binding assay as measured by surface plasmon resonance. In certain embodiments, the population has a KD value about 64.1 nM in an FcyRIIIa- 158V binding assay as measured by surface plasmon resonance.
[0335] In some embodiments, the population has a KD value 600 to 800 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance. In certain embodiments, the population has a KD value 100 to 2000 nM, 200 to 1800 nM, 300 to 1700 nM, 400 to 1600 nM, 500 to 1500 nM, 500 to 1200 nM, 600 to 1000 nM, or 600 to 800 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance. In certain embodiments, the population has a KD value 500 to 1000 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance. In certain embodiments, the KD value is the average KD value calculated from the KD values obtained in two, three, four, five, six, seven, eight, nine, ten, or more repeated FcyRIIIa- 158V binding assays. In certain embodiments, the population has a KD value 760 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance. In certain embodiments, the population has a KD value 680.3 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance.(vi) Cl q binding activity
[0336] In some embodiments, the population possesses Clq binding activity as measured by ELISA. In certain embodiments, the population possesses greater Clq binding activity as measured by ELISA compared to a commercial reference standard.
[0337] In some embodiments, the population possesses greater Clq binding activity as measured by ELISA compared to an anti-CD20 antibody. In certain embodiments, thepopulation possesses greater Clq binding activity as measured by ELISA compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, possesses greater Clq binding activity as measured by ELISA compared to GAZYVA (obinutuzumab). In certain embodiments, possesses greater Clq binding activity as measured by ELISA compared to ARZERRA (ofatumumab). In certain embodiments, possesses greater Clq binding activity as measured by ELISA compared to RITUXAN (rituximab). In certain embodiments, the population possesses greater Clq binding activity as measured by ELISA compared to veltuzumab (IMMU-106). In certain embodiments, the population possesses greater Clq binding activity as measured by ELISA compared to ZEVALIN (ibritumomab tiuxetan). In certain embodiments, the population induces possesses possesses greater Clq binding activity as measured by ELISA compared to compared to OCREVUS (ocrelizumab).
[0338] In some embodiments, the population has a relative potency of at least 1000%, 750%, 500%, 250%, 100%, 75%, 50%, or at least 25% in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least more than 100% in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the population has a relative potency of more than 100% in a Clq binding assay as measured by ELISA compared to a commercial reference standard.
[0339] In some embodiments, the population has a relative potency of between at least 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75- fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150- fold, 200-fold or at most 300-fold in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the population has a relative potency of between 5% and 50%, 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold,50-fold and 100-fold, 100-fold and 150-fold, or between 150-fold and 300-fold in a Clq binding assay as measured by ELISA compared to a commercial reference standard.
[0340] In some embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab). In certain embodiments, the population has a relative potency of about 142% in a Clq binding assay as measured by ELISA compared to ARZERRA (ofatumumab). In certain embodiments, the population has a relative potency of about 123% in a Clq binding assay as measured by ELISA compared to RITUXAN (rituximab). In certain embodiments, the population has a relative potency of about 112% in a Clq binding assay as measured by ELISA compared to OCREVUS (ocrelizumab).
[0341] In some embodiments, the population has a relative potency of 30 to 180%, 40 to 170%, 50 to 160%, 60 to 150%, 70 to 140%, 80 to 130%, 85% to 120%, or 88 to 113% in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the population has a relative potency of 88 to 113% or 86 to 117% in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the population has a relative potency of 86 to 116% in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the population has a relative potency of about 99% in a Clq binding assay as measured by ELISA compared to a commercial reference standard. In certain embodiments, the commercial reference standard is RS-117808.
[0342] In some embodiments, the EC50 value for the Clq binding activity as measured by ELISA of the population is between 1.5 and 3 pg / mL. In certain embodiments, the EC50 value for the Clq binding activity as measured by ELISA of the population is between 0.2 and 9 pg / mL, 0.3 and 8 pg / mL, 0.4 and 7 pg / mL, 0.5 and 6 pg / mL, 0.6 and 5 pg / mL, 0.7 and 4 pg / mL, 0.8 and 3 pg / mL, 0.9 and 2.9 pg / mL, or 1 and 2.8 pg / mL. In certain embodiments, the EC50 value for the Clq binding activity is the average EC50 value calculated from the EC50 values obtained in two, three, four, five, six, seven, eight, nine, ten, or more repeated ELISA experiments. In certain embodiments, the EC50 value for the Clq binding activity as measured by ELISA of the population is about 1.92 pg / mL. In certain embodiments, the EC50 value for the Clq binding activity as measured by ELISA of the population is about 2.6 pg / mL.(vii) B cell depletion activity
[0343] In some embodiments, the population possesses B cell depletion activity as measured in a human whole blood B cell depletion assay. In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to a commercial reference standard.
[0344] In some embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to an anti-CD20 antibody. In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) and / or OCREVUS (ocrelizumab). In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to GAZYVA (obinutuzumab). In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to ARZERRA (ofatumumab). In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to RITUXAN (rituximab). In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to veltuzumab (IMMU-106). In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to ZEVALIN (ibritumomab tiuxetan). In certain embodiments, the population possesses greater B cell depletion activity as measured in a human whole blood B cell depletion assay compared to OCREVUS (ocrelizumab).
[0345] In some embodiments, the population has a relative potency of at least 1000%, 750%, 500%, 250%, 100%, 75%, 50%, 25%, 12%, or at least 5% in a human whole blood B cell depletion assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least 110%, 120%, 130%, 140%, 150%, 160%, 170%, 180%, 190%, 200%, 5-fold, 10-fold, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125- fold, 150-fold, or at least 200-fold in a human whole blood B cell depletion assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of at least more than 100% in a human whole blood B cell depletion assay compared to acommercial reference standard. In certain embodiments, the population has a relative potency of more than 100% in a human whole blood B cell depletion assay compared to a commercial reference standard.
[0346] In some embodiments, the population has a relative potency of between at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750% 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, or at least 200-fold and at most 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%, 200%, 500%, 750%, 1000%, 15-fold, 20-fold, 30-fold, 50-fold, 75-fold, 100-fold, 125-fold, 150-fold, 200-fold or at most 300-fold in a human whole blood B cell depletion assay compared to a commercial reference standard. In certain embodiments, the population has a relative potency of between 5% and 50%, 50% and 100%, 100% and 500%, 500% and 1000%, 10-fold and 50-fold, 50-fold and 100-fold, 100-fold and 150-fold, or between 150-fold and 300-fold in a human whole blood B cell depletion assay compared to a commercial reference standard.
[0347] In certain embodiments, the commercial reference standard is an anti-CD20 antibody. In certain embodiments, the commercial reference standard is GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab).7.8 Methods of Treating and Preventing Medical ConditionsMethods of Treating Multiple Sclerosis
[0348] Provided herein are methods of treating a relapsing form of multiple sclerosis (RMS) in a subject in need thereof, by administering to the subject an effective amount of an anti-CD20 antibody composition as described herein. In some embodiments, the relapsing form of multiple sclerosis (RMS) is selected from a clinically isolated syndrome (“CIS”), relapsing-remitting (“RRMS”), or active secondary progressive disease (“SPMS”). In some embodiments, the RMS is a CIS. In some embodiments, the RMS is RRMS. In some embodiments, the RMS is SPMS. In some embodiments, the subject is diagnosed with RMS in accordance to McDonald Criteria (2010), or by another suitable method known by one skilled in the art.
[0349] In some embodiments, the method comprises administering to the subject the anti- CD20 antibody composition as described herein in a multi-dosage regimen. In certain embodiments, the method comprises administering to the subject the anti-CD20 antibodycomposition as described herein by intravenous infusion. For example, anti-CD20 antibody composition described herein can be administered to the subject in a multi-infusion dosage regimen by intravenous infusion. Anti-CD20 antibody compositions described herein can be administered to the subject by intravenous infusion in a multi-infusion dosage regimen for 48 weeks. Additionally, or in the alternative, the anti-CD20 antibody composition described herein can be administered to the subject by intravenous infusion in a multi-infusion dosage regimen for 96 weeks. In some embodiments, the multi-infusion dosage regimen comprises first, second, and subsequent intravenous infusions of ublituximab. In some embodiments, “subsequent infusions” of ublituximab is any number of infusions after the second infusion.
[0350] In some embodiments, the intravenous infusion comprises a multi-dosage regimen (e.g., a multi-infusion dosage regimen), comprising: a) a first infusion comprising about 100 to about 200 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1 ; b) a second infusion comprising about 400 to about 500 mg of the anti-CD20 antibody composition described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 2 weeks after the first infusion; c) a first subsequent infusion comprising about 400 to about 500 mg of the anti-CD20 antibody composition described herein (i.e., the anti- CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the first infusion; and d) one or more subsequent infusions comprising about 400 to about 500 mg of the anti-CD20 antibody composition described herein (i.e., the anti-CD20 antibody in the population isexpressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the prior infusion.
[0351] In some embodiments, the intravenous infusion comprises a multi-dosage regimen (e.g., a multi-infusion dosage regimen), comprising: a) a first infusion comprising 150 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1; b) a second infusion comprising 450 mg of the anti-CD20 antibody composition at described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) about 2 weeks after the first infusion; c) a first subsequent infusion comprising 450 mg of the anti-CD20 antibody composition described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the first infusion; and d) one or more subsequent infusions comprising 450 mg of the anti-CD20 antibody composition described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the prior infusion. In some embodiments,the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; and subsequent infusions (e.g., the first subsequent infusion and / or the one or more subsequent infusions) are administered over 1 hour.
[0352] In some embodiments, the method comprises a first administration of an anti-CD20 antibody composition (e.g., GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab)) by intravenous infusion to the subject and then a second administration of the anti-CD20 antibody as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) to the subject. In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising a prescribed dosage of an anti-CD20 antibody composition (e.g., GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab)) herein at day 1; b) a second infusion comprising about 400 to about 500 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 2 weeks after the first infusion; c) a first subsequent infusion comprising about 400 to about 500 mg of the anti-CD20 antibody composition as described herein (i.e., the anti- CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the first infusion; and d) one or more subsequent infusions comprising about 400 to about 500 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population isexpressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the prior infusion.
[0353] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising a prescribed dosage of an anti-CD20 antibody composition (e.g., GAZYVA (obinutuzumab), ARZERRA (ofatumumab), RITUXAN (rituximab), veltuzumab (IMMU-106), ZEVALIN (ibritumomab tiuxetan) or OCREVUS (ocrelizumab)) herein at day 1; b) a second infusion comprising 450 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 2 weeks after the first infusion; c) a first subsequent infusion comprising 450 mg of the anti- CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the first infusion; and d) one or more subsequent infusions comprising 450 mg of the anti-CD20 antibody composition as described herein (i.e., the anti- CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at about 24 weeks or about six months after the prior infusion. In some embodiments, the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; and subsequent infusions (e.g., the first subsequent infusion and / or the one or more subsequent infusions) are administered over 1 hour.
[0354] In some embodiments, the method comprises a treatment period of at least 48 weeks. In some embodiments, the method comprises a treatment period of at least 96 weeks.
[0355] In some embodiments, the subject is a human. In some embodiments, the human subject is an adult. In some embodiments, the subject has experienced at least one relapse in the previous year prior to treatment or two relapses in the previous two years prior to treatment. In some embodiments, the subject has or had the presence of a T1 gadolinium (Gd)-enhancing lesion in the previous year prior to treatment with the anti-CD20 antibody composition as described herein. In some embodiments, the subject has an Expanded Disability Status Scale (EDSS) score of from 0 to 5.5 prior to treatment with the anti-CD20 antibody composition as described herein.
[0356] In some embodiments of the method, the subject has not been treated with a nonsteroid therapy for MS in the previous five years prior to treatment with the anti-CD20 antibody composition as described herein. In some embodiments, the subject is naive to treatment for MS. In certain embodiments, the subject is negative for hepatitis B virus (HBV). In some embodiments, the subject is negative for hepatitis B virus surface antigen (HBsAg). In some embodiments, the subject is negative for anti-hepatitis B virus core antibodies. In certain embodiments, the subject has not been immunized with a vaccine for at least 2 weeks or at least 4 weeks prior to treatment with the anti-CD20 antibody composition as described herein.
[0357] In some embodiments of the method, the subject is pre-medicated with an amount of a corticosteroid about 30 to about 60 minutes prior to administration of the anti-CD20 antibody composition as described herein. In some embodiments, the corticosteroid is methylprednisone or a corticosteroid bioequivalent thereto. In some embodiments, the amount of a corticosteroid is about 100 mg methylprednisone. In some embodiments, the corticosteroid is dexamethasone or a corticosteroid bioequivalent thereto. In some embodiments, the amount of a corticosteroid is from about 10 to 20 mg dexamethasone. In certain embodiments, the subject is pre-medicated with an amount of an antipyretic about 30 to about 60 minutes prior to administration of the anti- CD20 antibody composition as described herein. In some embodiments, the antipyretic is acetaminophen or an antipyretic bioequivalent thereto. In some embodiments, the subject is premedicated with an amout of an antihistamine about 30 to about 60 minutes prior to administration of the anti-CD20 antibody composition as described herein. In some embodiments, the antihistamine is diphenhydramine HC1 or an antihistamine bioequivalentthereof. In some embodiments, the amount of an antihistamine is from about 25 to 50 mg diphenhydramine HC1. In some embodiments, the subject is pre-medicated with an amount of a corticosteroid (as described above) and an amount of an antihistamine (as described above) about 30 to about 60 minutes prior to administration of the anti-CD20 antibody composition as described herein. In some embodiments, the corticosteroid and / or antihistamine are administered to the subject orally.
[0358] In some embodiments, the method alleviates or delays progression of one or more symptoms of MS in the subject. In certain embodiments, the method reduces the annualized relapse rate (ARR) in the subject following administration of the anti-CD20 antibody (e.g., ublituximab) composition as described herein. In some embodiments, ARR is the total number of relapse for a subject divided by the sum of treatment duration (i.e., it is the ratio of the sum of the subject’s RMS relapse counts divided by the sum of the subject’s treatment duration (in years)). In some embodiments, ARR is number of Independent Relapse Adjudication Panel (IRAP)- confirmed relapses for a subject per year. In some embodiments, reduction of ARR is assessed at about 96 weeks after the first infusion. In some embodiments, the subject achieves a significantly reduced ARR following administration of the multi-infusion dosage regimen of the anti-CD20 antibody composition described here, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period. For example, as compared to teriflunomide administration, administration of the anti-CD20 antibody composition described here can significantly reduce ARR with a relative reduction in relapse rate of 59%.Additionally, or in the alternative, as compared to teriflunomide administration, administration of the anti-CD20 antibody composition described here can significantly reduce ARR with a relative reduction in relapse rate of 49%. In some embodiments, treatment with the anti-CD20 antibody composition described here results in an ARR of about 0.100 to about 0.050; such as, about 0.100 to about 0.090, about 0.090 to about 0.080, about 0.080 to about 0.070, about 0.070 to about 0.060, or about 0.060 to about 0.050 (e.g., about 0.099, 0.098, 0.097, 0.096, 0.095, 0.094,0.093, 0.092, 0.091, 0.090, 0.089, 0.088, 0.087, 0.086, 0.085, 0.084, 0.083, 0.082, 0.081, 0.080,0.079, 0.078, 0.077, 0.076, 0.075, 0.074, 0.073, 0.072, 0.071, 0.070, 0.069, 0.068, 0.067, 0.066,0.065, 0.064, 0.063, 0.062, 0.061, 0.060, 0.059, 0.058, 0.057, 0.056, 0.055, 0.054, 0.053, 0.052,0.051, or 0.050).
[0359] In some embodiments, the method reduces the total number of T1 gadolinium (Gd)- enhancing lesions in the subject following administration of the anti-CD20 antibody composition as described herein. In some embodiments, reduction of Gd-enhancing T1 lesions is assessed by MRI scan. In some embodiments, reduction of Gd-enhancing T1 lesions is assessed at about 96 weeks after the first infusion. In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody achieves a reduced total number of Gd-enhancing T1 lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period. In some embodiments, administration of the anti-CD20 antibody (e.g., ublituximab), as compared to teriflunomide administration, significantly reduced the total number of gadolinium-enhancing T1 lesions, with a relative reduction of about 97%.
[0360] In some embodiments, the method reduces the number of new or enlarging T2 hyperintense lesions in the subject following administration of the anti-CD20 antibody composition as described herein. In some embodiments, reduction of the number of new or enlarging T2 hyperintense lesions is assessed by MRI scan. In some embodiments, reduction of the number of new or enlarging T2 hyperintense lesions is assessed at about 96 weeks after the first infusion. In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody (e.g., ublituximab) achieves a reduced total number of new and enlarging T2 hyperintense lesions per MRI scan, as compared to a subject that receive orally administered 14 mg of teriflunomide daily during the same treatment period. In some embodiments, administration of the anti-CD20 antibody (e.g., ublituximab), as compared to teriflunomide administration, reduced the total number of new or enlarging T2 hyperintense lesions, with a relative reduction of about 90-92%.
[0361] In some embodiments, the method achieves confirmed disability progression in the subject following administration of the anti-CD20 antibody composition as described herein. In some embodiments, confirmation of disability progression comprises an increase of greater than or equal to 1.0 point from a baseline EDSS score of the subject attributable to MS, wherein said baseline EDSS score is 5.5 or less. In some embodiments, confirmation of disability progression comprises an increase of greater than or equal to 0.5 point from a baseline EDSS score of the subject attributable to MS, wherein said baseline EDSS score is greater than 5.5.
[0362] In some embodiments, the method results in no evidence of disease activity (NED A) in the subject. In certain instances, NED A comprises one or more of no confirmed relapses, no gadolinium-enhancing (Gd+) T1 lesions, no new and / or enlarging T2 lesions, and no 12-week confirmed disability progression. In some embodiments, methods of the present disclosure results in NED A in the subject about 24 weeks after administration of a pharmaceutical formulation (e.g., an anti-CD20 antibody composition) as described herein. For example, administration of a pharmaceutical formulation described herein can result in NEDA in the subject about 24-96 weeks (e.g., 24-48 weeks, 24-72 weeks, 48-72 weeks, 72-96 weeks, or 48-96 weeks (e.g., 24 weeks, 36 weeks, 48 weeks, 60 weeks, 72 weeks, 84 weeks, 96 weeks, or any range in between)) after the administration. In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody (e.g., ublituximab) achieves increased NEDA status compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period. In some embodiments, administration of the anti-CD20 antibody (e.g., ublituximab), as compared to teriflunomide administration, increases NEDA status by 197%. In some embodiments, administration of the anti-CD20 antibody (e.g., ublituximab), as compared to teriflunomide administration, increases NEDA status by 277%.
[0363] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody (e.g., ublituximab) achieves increased Confirmed Disability Improvement (CDI), as compared to a subjects that received orally administered 14 mg of teriflunomide daily during the same treatment period. In some embodiments, administration of the anti-CD20 antibody (e.g., ublituximab), as compared to teriflunomide, increased CDI by 116% at 12 weeks. In some embodiments, administration of the anti-CD20 antibody (e.g., ublituximab), as compared to teriflunomide administration, increased CDI by 103% at 24 weeks.
[0364] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody (e.g., ublituximab) achieves an increased Multiple Sclerosis Functional Composite (MSFC) score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period. In some embodiments, administration of the anti-CD20 antibody (e.g., ublituximab), as compared to teriflunomide administration, increased the MSFC score by about 76%- 90%.
[0365] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody (e.g., ublituximab) achieves an improved timed 25-Foot Walk (T25FW)Score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period. In some embodiments, the subject administered the multiinfusion dosage regimen of the anti-CD20 antibody (e.g., ublituximab) achieves an improved 9- Hole Peg test (9-HPT) Score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0366] In some embodiments, the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody (e.g., ublituximab) achieves a significant reduction in both volume and number of new T1 hypointense lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
[0367] In some embodiments, the treatment for MS (e.g., RMS), as disclosed herein, further comprises administering the anti-CD20 antibody in combination with one or more additional therapeutic agents. For example, the anti-CD20 antibody used in the present methods of treating RMS, can be given in combination with other compounds, drugs, and / or agents useful for the treatment of RMS. Such compounds, drugs, and / or agents can include, for example, small molecule drugs, monoclonal antibodies, or other B-cell depleting agents. In some embodiments, the methods described herein are used in combination with current standard of care MS treatment. In some instances, the anti-CD20 antibody is used in combination with a Bruton’s tyrosine kinase (BTK) inhibitor for treating RMS, including, e.g., fenebrutinib, evobrutinib, tolebrutinib, orelabrutinib BIIB091, AC0058, PRN473 (Dolgin, Nature Biotechnology 39:3-12 (2021), as well as those compounds described in U.S. Patent No. 9,951,077. In some instances, the anti-CD20 antibody is used in combination regimens that take advantage of non-overlapping mechanisms from ublituximab for B-cell depletion.
[0368] The anti-CD20 antibody (e.g., ublituximab) can be combined with injectable medications, oral medications, or infused medications. Injectable medications for combination therapy with the anti-CD20 antibody can include interferons, including but not limited to AVONEX (interferon beta-la), BETASERON (interferon beta-lb), EXTAYIA (interferon betalb), PLEGRIDY (peginterferon beta- la), and REBIF (interferon beta- la). Other injectable medications can include COPAXONE (glatiramer acetate). Orally available medications for combination with ublituximab can inlucde AUBAGIO (teriflunomide), fumarate based compositions including BAFIERTAM, dimethyl fumarate, TECFIDERA, and VUMERITY. Additionally, or in the altyernative, the anti-CD20 antibody (e.g., ublituximab) can be used incombination with the monoclonal antibody Tysabri (natalizumab). Orally administered agents that can be used in combination with the anti-CD20 antibody include GILENYI (fingolimod), MAYZENT (Siponimod), ZEPOSIA (ozanimod), and PONVORY (ponesimod). Additional orally administered agents include MAVENCLAD (cladribine).
[0369] The anti-CD20 antibody (e.g., ublituximab) can also be used in combination with infused medications, including, LEMTRADE (alemtuzumab) and NOVANTRONE (mitoxantrone).
[0370] In some embodiments, in subjects (e.g., patients) with a known resistance to one or more anti-CD20 antibodies, an anti-CD20 antibody of the present disclosure (e.g., ublituximab or an anti-CD20 antiody that binds the same epitope as ublituximab) can be administered, as ublituximab targets a unique epitope region on the CD20 antigen that is not targeted by other anti-CD20 monoclonal antibodies.
[0371] In some embodiments, additional therapeutic agents can comprises a B-cell depleting agent that is not an anti-CD20 antibody. In some instances, the B-cell depleting agent is a PI3K inhibitor.
[0372] In some embodiments, the additional therapeutic agent comprises a B-cell depleting agent that, like the anti-CD20 antibody (e.g., ublituximab) described here, is an anti-CD20 antibody. For example, ublituximab can be used in combination with additional anti-CD20 antibody compositions, such as, e.g., OCREVUS® (ocrelizumab), KESIMPTA® (ofatumumab), and Rituxan (rituximab).
[0373] The additional therapeutic agent can be administered orally, parenterally, intravenously, or subcutaneously.
[0374] In some embodiments, the method described herein can result in treatment-emergent adverse events (TEAEs). In some instances, TEAE comprises cytopenia or reduction in blood cell count in the subject. Blood cell count can be evaluated by blood tests, such as a complete blood count (CBC). Blood cell count can be obtained by cell counting methods known in the art, including, but not limited to manual methods (e.g., by using a hemocytometer) and automated methods (e.g., by using an automated cell counter). In some instances, cytopenia comprises about 20-100% (e.g., about 20-30%, about 20-40%, about 30-40%, about 30-50%, about 40- 50%, about 40-60%, about 50-60%, about 50-70%, about 60-70%, about 60-80%, about 70-80%, about 70-90%, about 80-90%, about 80-100%, about 90-100%, or any range in between (e.g.,about 20%, about 25%, about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 97%, about 98%, about 99%, about 100%, or any range in between)) reduction or decrease in blood cell count in a subject, as compared to a control or normal blood cell count. A control or normal blood cell count may comprise the blood cell count of a healthy subject who has not been administered the pharmaceutical formulation of the present disclosure. Additionally, or in the alternative, blood cell count of a subject prior to treatment by the present methods may serve as the control or normal blood cell count. Cytopenia or reduction in blood cell count can comprise one or more of lymphopenia, neutropenia, leukopenia, and anemia.
[0375] In some instances, administration of a pharmaceutical formulation (e.g., an anti-CD20 antibody composition), as described herein, results in cytopenia in the subject about 1-3 days (e.g., about 1 day, about 2 days, or about 3 days) after the administration. For example, administration of the pharmaceutical formulation can result in lymphopenia in the subject about 2 days after the administration. In certain instances, the cytopenia (e.g., lymphopenia, neutropenia, leukopenia, and / or anemia) is transient, such that blood cell count in the subject is normalized (e.g., becomes same or similar to control or normal blood cell count) by about 15 days (e.g., by 14 days, by 13 days, by 12 days, by 11 days, by 10 days, by 9 days, by 8 days, by 7 days, by 6 days, by 5 days, or by 4 days) after administration of the pharmaceutical formulation. For example, lymphocyte count in the subject can be normalized in the subject by 8 days after administration of the pharmaceutical formulation.Methods of Treating Cancer
[0376] Also provided herein are methods of treating a cancer in a subject in need thereof, comprising administering to the subject an effective amount of an anti-CD20 antibody composition as described herein. In some embodiments, the cancer is a bladder cancer, a breast cancer, a cervical cancer, a colorectal cancer, a gynecologic cancer (i.e., cervical, ovarian, uterine, vaginal, or vulvar cancer), head and neck cancer, kidney cancer, liver cancer, lung cancer, lymphoma, mesothelioma, myeloma, prostate cancer, skin cancer, or thyroid cancer.
[0377] Also provided herein are methods of treating a disease or disorder associated with excessive B-cell proliferation in a subject in need thereof, comprising administering to the subject an effective amount of an anti-CD20 antibody composition as described herein. In someembodiments, the disease or disorder associated with excessive B-cell proliferation is a hematological cancer. In some embodiments, the hematological cancer is lymphoma, leukemia, or myeloma. In some embodiments, the hematological cancer is selected from B-cell lymphoma, acute lymphocytic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), multiple myeloma (MM), non-Hodgkin's lymphoma (NHL), mantle cell lymphoma (MCL), follicular lymphoma (FL), Waldenstrom's macroglobulinemia (WM), diffuse large B-cell lymphoma (DLBCL), marginal zone lymphoma (MZL), hairy cell leukemia (HCL), Burkitt's lymphoma (BL), Richter's transformation, or primary central nervous system lymphoma (PCNSL). In various aspects of the method, the anti- CD20 antibody composition as described herein comprises anti-CD20 antibodies, which are IgGl antibodies comprising heavy chains each comprising the amino acid sequence of SEQ ID NO:1, and light chains each comprising the amino acid sequence of SEQ ID NO:2.
[0378] In some embodiments, the hematological cancer is B-cell lymphoma. In some embodiments, the B-cell lymphoma is relapsed or refractory. In certain embodiments, the hematological cancer is non-Hodgkin's lymphoma (NHL). In some embodiments, the NHL is relapsed or refractory. In certain embodiments, the hematological cancer is Waldenstrom's macroglobulinemia (WM). In some embodiments, the WM is relapsed or refractory. In certain embodiments, the hematological cancer is marginal zone lymphoma (MZL). In some embodiments, the MZL is relapsed or refractory. In certain embodiments, the hematological cancer is chronic lymphocytic leukemia (CLL). In some embodiments, the CLL is relapsed or refractory. In certain embodiments, the hematological cancer is small lymphocytic lymphoma (SLL). In some embodiments, the SLL is relapsed or refractory. In certain embodiments, the hematological cancer is primary central nervous system lymphoma (PCNSL). In some embodiments, the PCNSL is relapsed or refractory.
[0379] In some embodiments, the method of treating a hematological cancer comprises administering to the subject the anti-CD20 antibody composition as described herein by intravenous infusion. In some embodiments, the intravenous infusion comprises: a) an infusion comprising about 900 mg of the anti-CD20 antibody composition as described herein on days 1 and 2 (split into a 150 mg dose on day 1 and a 750 mg dose on day 2), day 8, and day 15 of Cycle 1 (each Cycle being 28 days); day 1 of Cycles 2-6; and day 1 of every 3 cycles after Cycle 6 (e.g., Cycle 9, 12, 15, etc.). In some embodiments, the hematological cancer is CLL.
[0380] In some embodiments, the method described herein can result in treatment-emergent adverse events (TEAEs). In some instances, TEAE comprises cytopenia or reduction in blood cell count in the subject. Blood cell count can be evaluated by blood tests, such as a complete blood count (CBC). Blood cell count can be obtained by cell counting methods known in the art, including, but not limited to manual methods (e.g., by using a hemocytometer) and automated methods (e.g., by using an automated cell counter). In some instances, cytopenia comprises about 20-100% (e.g., about 20-30%, about 20-40%, about 30-40%, about 30-50%, about 40- 50%, about 40-60%, about 50-60%, about 50-70%, about 60-70%, about 60-80%, about 70-80%, about 70-90%, about 80-90%, about 80-100%, about 90-100%, or any range in between (e.g., about 20%, about 25%, about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 97%, about 98%, about 99%, about 100%, or any range in between)) reduction or decrease in blood cell count in a subject, as compared to a control or normal blood cell count. A control or normal blood cell count may comprise the blood cell count of a healthy subject who has not been administered the pharmaceutical formulation of the present disclosure. Additionally, or in the alternative, blood cell count of a subject prior to treatment by the present methods may serve as the control or normal blood cell count. Cytopenia or reduction in blood cell count can comprise one or more of lymphopenia, neutropenia, leukopenia, and anemia.Multi-infusion Dosage
[0381] In any of the embodiments described herein, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising about 400 to about 500 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1; b) a second infusion comprising about 500 to about 700 mg, about 800 to about 1000 mg, or about 1100 to about 1300 mg of the anti-CD20 antibody composition at about 1 week after the first infusion; c) a third infusion comprising about 500 to about 700 mg, about 800 to about 1000 mg, or about 1100 to about 1300 mg of the anti-CD20 antibody compositionat about 2 weeks after the first infusion; d) a fourth infusion comprising about 500 to about 700 mg, about 800 to about 1000 mg, or about 1100 to about 1300 mg of the anti-CD20 antibody composition at about 3 weeks after the first infusion; and e) one or more subsequent infusions comprising about 400 to about 500 mg, about 500 to about 700 mg, about 800 to about 1000 mg, or about 1100 to about 1300 mg of the anti-CD20 antibody composition at about one month after the prior infusion. In some instances, the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; the third infusion is administered over 1 hour; the fourth infusion is administered over 1 hour; and the one or more subsequent infusions are administered over 1 hour.
[0382] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising 450 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosy lated glycans) at day 1 ; b) a second infusion comprising 600, 900, or 1200 mg of the anti-CD20 antibody composition at about 1 week after the first infusion; c) a third infusion comprising 600, 900, or 1200 mg of the anti- CD20 antibody composition at about 2 weeks after the first infusion; d) a fourth infusion comprising 600, 900, or 1200 mg of the anti-CD20 antibody composition at about 3 weeks after the first infusion; and e) one or more subsequent infusions comprising 450, 600, 900, or 1200 mg of the anti-CD20 antibody composition at about one month after the prior infusion. In some instances, the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; the third infusion is administered over 1 hour; the fourth infusion is administered over 1 hour; and the one or more subsequent infusions are administered over 1 hour.
[0383] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising about 400 to about 500 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profilecomprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1 ; b) a second infusion comprising about 500 to about 700 mg of the anti-CD20 antibody composition at about 1 week after the first infusion; c) a third infusion comprising about 800 to about 1000 mg of the anti-CD20 antibody composition at about 2 weeks after the first infusion; and d) one or more subsequent infusions comprising about 400 to about 1000 mg of the anti- CD20 antibody composition at about one month after the prior infusion. In some instances, the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; the third infusion is administered over 1 hour; and the one or more subsequent infusions are administered over 1 hour.
[0384] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising 450 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1 ; b) a second infusion comprising 600 mg of the anti-CD20 antibody composition at about 1 week after the first infusion; c) a third infusion comprising 900 mg of the anti-CD20 antibody composition at about 2 weeks after the first infusion; and d) one or more subsequent infusions comprising 450, 600, or 900 mg of the anti-CD20 antibody composition at about one month after the prior infusion. In some instances, the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; the third infusion is administered over 1 hour; and the one or more subsequent infusions are administered over 1 hour.
[0385] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising about 5 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1 ; and b) one or more subsequent infusions comprising about 5 to about 450 mg of the anti-CD20 antibodycomposition at about one week after the prior infusion, wherein each subsequent infusion is at higher dose than the prior infusion. In some instances, the first infusion is administered over 4 hours; and the one or more subsequent infusions are administered over 1 hour.
[0386] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising about 100 to about 200 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1 ; and b) one or more subsequent infusions comprising about 400 to about 500 mg of the anti-CD20 antibody composition at about one week after the prior infusion. In some instances, the first infusion is administered over 4 hours; and the one or more subsequent infusions are administered over 1 hour.
[0387] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising 150 mg of the anti-CD20 antibody composition at day 1; and b) one or more subsequent infusions comprising 450 mg of the anti- CD20 antibody composition at about one week after the prior infusion. In some embodiments, the method comprises seven or more subsequent infusions. In some embodiments, the method comprises seven subsequent infusions. In some instances, the first infusion is administered over 4 hours; and the one or more subsequent infusions are administered over 1 hour.
[0388] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising about 500 to about 1000 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1 ; b) a second infusion comprising about 500 to about 1000 mg of the anti-CD20 antibody at about 1 week after the first infusion; c) a third infusion comprising about 500 to about 1000 mg of the anti-CD20 antibody composition at about 2 weeks after the first infusion; and d) one or moresubsequent infusions comprising about 500 to about 1000 mg of the anti-CD20 antibody composition at about one month after the prior infusion. In certain embodiments, the one or more subsequent infusions each comprise 600 mg of the anti-CD20 antibody composition as described herein. In certain embodiments, the first infusion, second infusion, third infusion, and one or more subsequent infusions each comprise 600 mg of the anti-CD20 antibody composition as described herein. In some embodiments, the first infusion, second infusion, third infusion, and one or more subsequent infusions each comprise 900 mg of the anti-CD20 antibody composition as described herein. In some instances, the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; the third infusion is administered over 1 hour; and the one or more subsequent infusions are administered over 1 hour.
[0389] In some embodiments, the intravenous infusion comprises a multi-infusion dosage regimen, comprising: a) a first infusion comprising about 100 to about 200 mg of the anti-CD20 antibody composition as described herein (i.e., the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 10 to 20% galactosylated glycans and about 20 to 40% fucosylated glycans) at day 1 ; b) a second infusion comprising about 700 to about 800 mg of the anti-CD20 antibody composition at about 1 week after the first infusion; c) a third infusion comprising about 850 to about 950 mg of the anti-CD20 antibody composition at about 2 weeks after the first infusion; and d) one or more subsequent infusions comprising about 850 to about 950 mg of the anti-CD20 antibody composition at about one month after the prior infusion. In some embodiments, the first infusion comprises 150 mg of the anti-CD20 antibody composition, the second infusion comprises 750 mg of the anti-CD20 antibody composition, the third and one or more subsequent infusions comprise 900 mg of the anti-CD20 antibody composition. In some instances, the first infusion is administered over 4 hours; the second infusion is administered over 1 hour; the third infusion is administered over 1 hour; and the one or more subsequent infusions are administered over 1 hour.Subject
[0390] In some embodiments, the subject is a human. In some embodiments, the human subject is an adult. In some embodiments, the subject has relapsed or refractory B-cell lymphoma. In some embodiments, the subject has been previously treated with at least one prior course of rituximab or a rituximab-based therapy. In some embodiments, the subject has been previously treated with at least one prior course of fludarabine or a fludarabine-based therapy. In some embodiments, the subject is naive to treatment for a B-cell lymphoma. In some embodiments, the subject is eligible for high dose or combination chemotherapy and / or stem cell transplant. In some embodiments, the subject has an Eastern Cooperative Oncology Group (ECOG) score of from 0 to 2 prior to treatment with the anti-CD20 antibody composition as described herein. In some embodiments, the subject has a peripheral blood lymphocyte count of greater than 5,000 / pL prior to treatment with the anti-CD20 antibody composition as described herein.
[0391] In some embodiments, the anti-CD20 antibody compositions provided herein can be used to treat and / or prevent Chronic inflammatory demyelinating polyneuropathy (CIDP); Myositis; Lupus Nephritis; other forms of MS- PPMS, SPMS; Myasthenia Gravis (MG); Antiphospholipid Syndrome; Thrombotic Thrombocytopenic Purpura (TTP); Ulcerative Colitis; Minimal Change Nephrotic Syndrome (MCNS); Aplastic Anemia; Autoimmune Glomerulopathies; Rheumatoid Arthritis (RA); Interstitial Lung Disease; Myasthenia Gravis (MG); Subepidermal Autoimmune Blistering Disease; Pulmonary Infectious Diseases; Acquired Hemophilia; Refractory Mixed Cryoglobulinemia; Primary Immune Thrombocytopenia; Graft Versus Host Disease (GVHD); Autoimmune Blistering Disease; Anti-Myelin Associated Glycoprotein (MAG) Polyneuropathy; Granulomatosis with Pollyangiitis (GPA); Neuromyelitis Optica; Systemic Lupus Erythematosus; Pemphigus; Post-Transplant Lymphoproliferative Disorders; Autoimmune Hemolytic Anemia; Cerebral Vasculitis; Microscopic Polyangiitis (MPA); or Idiopathic Nephritic Syndrome.7.9 Pharmacokinetic Properties
[0392] Also provided herein are methods of treating a human patient afflicted with a disease (e.g., an autoimmune disease) comprising administering to the patient the anti-CD20 antibody provided herein.
[0393] In some embodiments, the anti-CD20 antibody are administered as i) a first infusion at a dose of about 150 mg, ii) a second infusion two week later at a dose of about 450 mg, and iii) subsequent infusions every six months at a dose of about 450 mg.
[0394] In some embodiments, the administration of the anti-CD20 antibody produces an area under the curve (AUC) of between about 2,160 pg / mL and about 3,840 pg / mL. In certain embodiments, the AUC is about 3,000 pg / mL. In certain embodiments, the AUC is the steady state AUC.
[0395] In some embodiments, the administration of the anti-CD20 antibody produces a Cmax of between about 118,011 ng / mL and about 159,989 ng / mL. In certain embodiments, the Cmax is about 139,000 ng / mL. In certain embodiments, the Cmax is the steady state Cmax.
[0396] In some embodiments, the administration of the anti-CD20 antibody produces a Cmin of about 0 ng / mL and about 375 ng / mL. In certain embodiments, the Cmin is about 139 ng / mL. In certain embodiments, the Cmin is the steady state Cmin.
[0397] In some embodiments, the administration of the anti-CD20 antibody produces a Cavg of between about 6,437 ng / mL and about 11,443 ng / mL. In certain embodiments, the Cavg is about 8,940 ng / mL. In certain embodiments, the Cavg is the steady state Cavg.
[0398] In some embodiments, the autoimmune disease is selected from the group consisting of multiple sclerosis, psoriasis, rheumatoid arthritis, vasculitis, inflammatory bowel disease, dermatitis, osteoarthritis, inflammatory muscle disease, allergic rhinitis, vaginitis, interstitial cystitis, scleroderma, osteoporosis, eczema, allogenic or xenogenic transplantation (organ, bone marrow, stem cells and other cells and tissues), graft rejection, graft-versus-host disease, lupus erythematosus, inflammatory disease, type 1 diabetes, pulmonary fibrosis, dermatomyositis, Sjogren's syndrome, thyroiditis (e.g., Hasimoto's and autoimmune thyroiditis), myasthenia gravis, autoimmune hemolytic anemia, cystic fibrosis, chronic relapsing hepatitis, primary biliary cirrhosis, allergic conjunctivitis, atopic dermatitis, chronic obstructive pulmonary disease, glomerulonephritis, neuroinflammatory diseases, and uveitis.
[0399] In some embodiments, the autoimmune disease is multiple sclerosis. In certain embodiments, the multiple sclerosis is a relapsing form of multiple sclerosis. In certain embodiments, the relapsing form of multiple sclerosis is a clinically isolated syndrome (CIS); relapsing-remitting MS (RRMS); active secondary progressive MS (SPMS); or primary progressive MS (PPMS). In certain embodiments, the relapsing form of MS is a clinicallyisolated syndrome (CIS). In certain embodiments, the relapsing form of MS is relapse-remitting multiple sclerosis (RRMS). In certain embodiments, the relapsing form of MS is active secondary progressive multiple sclerosis (SPMS). In certain embodiments, the relapsing form of MS is primary progressive MS (PPMS).
[0400] In certain embodiments, the anti-CD20 antibody is administered intravenously.7.10 Methods of Making
[0401] Also povided herein are methods of making the populations of anti-CD20 antibody proteins with specified ranges of post-translational modifications provided herein. Example 15 provides exemplary methods of making the populations of anti-CD20 antibody proteins provided herein.
[0402] In some embodiments, the methods of making the populations of anti-CD20 antibody proteins with specified ranges of post-translational modifications as described above comprises: i) culturing the rat hybridoma cells at a first culture pH of about 7.0 to about 7.55 for 0 to 3 days, ii) culturing the rat hybridoma cells at a second culture pH of about 6.5 to about 6.99 on day 3, iii) maintaining the culture pH at the second culture pH of about 6.5 to about 6.99 from culture day 3 until day 14 of the cell culture, and iv) controlling culture pCCh levels to less than about 200 mmHg throughout the culture period. In some embodiments, the second culture pH is about 6.60 to about 6.96 (e.g., the second culture pH is 6.8).
[0403] In some embodiments, the second culture pH results in higher integrated viable cell density (IVCD) and higher titer at harvest.
[0404] In some embodiments, the second culture pH results in lower percent fucosylation.
[0405] In some embodiments, the rat hybridoma cells expressing the recombinant protein are cultured in a basal media that is chemically defined and animal-derived component free (ADCF) culture medium
[0406] In some embodiments, the basal medium is supplemented with a feed medium.
[0407] In some embodiments, the method further comprises an initial temperature set point of about 37°C, wherein said initial temperature set point is set on culture day 0 to culture day 1.
[0408] In some aspects, the method further comprises a second temperature set point of about 35°C, wherein said second temperature set point is set at the end of culture day 1 to culture day 3.
[0409] In some embodiments, the method further comprises comprising a third temperature set point of about 32°C to about 33°C, wherein said third temperature set point is set on culture day 3 and is maintained though harvest. The term “harvest” refers to the point of time in the mammalian cell culture process when cells containing the recombinant protein are separated and removed from the cell culture media and subject to additional processing, such as, e.g., centrifugation, filtration, or purification.
[0410] In some embodiments, harvest of the cells will occur on process day 12, 13, or 14 of the cell culture, or when cell viability drops below 20%, whichever comes first.
[0411] In some embodiments, the method further comprises harvesting the recombinant protein produced by the rat hybridoma cell.
[0412] In some embodiments, the method further comprises purifying the recombinant protein by affinity chromatography and / or ion exchange chromatography. In some embodiments, the affinity chromatography comprises protein A purification.
[0413] In some embodiments, the methods result in an increased yield of recombinant protein. For example, the recombinant protein is increased by at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 100%, at least about 110 %, at least about 120%, at least about 130%, at least about 140%, or at least about 150%, relative to a recombinant protein produced by a culturing process that does not employ the culture conditions as recited above.Sequence TableIll7.11 Preparing Ublituximab for Intravenous Infusion in the Disclosed Methods of Treatment
[0414] In some embodiments, the ublituximab infusions are prepared in 250 mb of 0.9% Sodium Chloride Injection. For example, ublituximab infusions can be prepared in infusion bags containing 0.9% Sodium Chloride Injection.
[0415] In some embodiments, the first infusion of 150 mg ublituximab is prepared by: (1) inspecting one vial of 150 mg / 6 mL of ublituximab solution for any particulate matter or discoloration, and not using the solution if the solution contains discrete foreign particulate matter; (2) if no particulate matter in said vial, preparing 250 mL infusion bag for first infusionby using one vial of 150 mg / 6 mL ublituximab solution; (3) withdrawing 6 mb 0.9% Sodium Injection from the infusion bag, and discarding; (4) withdrawing 6 mL ublituximab from said vial; (5) diluting 6 mL (150 mg) of ublituximab into said 250 mL infusion bag containing 0.9% Sodium Injection for immediate administration; and (6) mixing said infusion bag by gentle inversion, without shaking.
[0416] In some embodiments, the second or subsequent infusions of 450 mg ublituximab are prepared by: (1) inspecting three vials of 150 mg / 6 mL of ublituximab solution for any particulate matter or discoloration, and not using the solution if the solution contains discrete foreign particulate matter; (2) if no particulate matter in said vial, preparing 250 mL infusion bag for second or subsequent infusion by using three vials of 150 mg / 6 mL ublituximab solution; (3) withdrawing 18 mL 0.9% Sodium Injection from the infusion bag, and discarding; (4) withdrawing 18 mL ublituximab from said vial; (5) diluting 18 mL (450 mg) of ublituximab into said 250 mL infusion bag containing 0.9% Sodium Injection for immediate administration; and (6) mixing said infusion bag by gentle inversion, without shaking.
[0417] In some embodiments, prior to the start of ublituximab intravenous infusion, the content of the infusion bag is at room temperature.7.12 Administration of Ublituximab in the Methods of Treatment Dislosed Herein
[0418] In some embodiments, prior to intitiating ublituximab administration, the subject is pre-screened for Hepatitis B virus (HBV). If the subject tests positive for Hepatitis B surface antigen (HbsAg), ublituximab should not be administered. In some embodiments, the subject being administered the ublituximab infusion is hepatitis B virus surface antigen (HBsAg) negative.
[0419] In some embodiments, the subject is pre-medicated with a corticosteroid and an antihistamine, 30-60 minutes prior to administration of ublituximab or an anti-CD20 antibody that binds the same epitope as ublituximab, both of which may be administered orally or intravenously. In some embodiments, the corticosteroid and / or antihistamine are administered to the subject orally. In some instances, the pre-treatment dosage of corticosteroid is about 100 mg methylprednisone, 10-20 mg dexamethasone, or an equivalent corticosteroid.
[0420] In some embodiments, ublituximab is administered in a multi-dosage regimen. In certain instances, ublituximab is administered by intravenous infusion. For example, ublituximab can be administered in a multi-infusion dosage regimen by intravenous infusion.
[0421] In some embodiments, ublituximab is administered to a patient with RMS by intravenous infusion in a multi-infusion dosage regimen for 48 weeks. In some embodiments, ublituximab is administered to a patient with RMS by intravenous infusion in a multi-infusion dosage regimen for 96 weeks.
[0422] The multi-infusion dosage regimen can comprise first, second, and subsequent intravenous infusions of ublituximab. In some embodiments, “subsequent infusions” of ublituximab can be any number of infusions after the first and second infusion.
[0423] In some embodiments, the multi-infusion dosage regimen comprises first and second infusions of 150 mg ublituximab intravenous infusion (First Infusion), followed two weeks later by a 450 mg ublituximab intravenous infusion (Second Infusion). In some embodiments, the multi-infusion dosage regimen further comprises subsequent infusions of 450 mg ublituximab intravenous infusion every 6 months.
[0424] In some embodiments, the duration of the first infusion of ublituximab, or an anti- CD20 antibody that binds the same epitope as ublituximab, is about four hours. For example, the infusion rate of the first infusion of ublituximab, or an anti-CD20 antibody that binds the same epitope as ublituximab, can be 10 mb per hour for the first 30 minutes; 20 mb per hour for the next 30 minutes; 35 mb per hour for the next hour; and 100 mb per hour for the remaining two hours. In some embodiments, the duration of the second and subsequent infusions of ublituximab is about one hour. For example, the infusion rate of the second and / or subsequent infusion of ublituximab can be 100 mb per hour for the first 30 minutes, and 400 mb for the remaining 30 minutes. The infusion duration may take longer if infusion is interrupted or slowed.
[0425] In some embodiments, the subject is monitored for at least one hour after the completion of the first two ublituximab infusions. Subsequent infusions do not require monitoring post-infusion unless an infusion-related reaction (IRR) and / or hypersensitivity has been observed.
[0426] In some embodiments, the ublituximab intravenous infusion is stopped and permanently discontinued if the subject has symptoms of a life-threatening infusion-relatedreaction. In some embodiments, the ublituximab intravenous infusion is discontinued if the subject has symptoms of a severe infusion-related reaction, and restarted once the subject’s infusion-related reaction symptoms have resolved. In some embodiments, the ublituximab intravenous infusion is restarted at half the infusion rate at the time of onset of the infusion- related reaction. The ublituximab infusion rate can be increased to the original infusion rate if the subject tolerates the half infusion rate. In some embodiments, the ublituximab infusion rate is reduced in half if the subject has symptoms of a mild to moderate infusion-related reaction, wherein the half infusion rate is maintained for at least 30 minutes. The ublituximab infusion rate can be increased to the original infusion rate if the subject tolerates the half infusion rate.
[0427] In some embodiments, the administration of ublituximab by intravenous infusion results in a geometric mean steady-state AUC of 3000 mcg / mL per day (CV = 28%) and a mean maximum concentration of 139 mcg / mL (CV =15%).
[0428] In some embodiments, the administration of ublituximab can be via routes of admistration other that intravenous infusion (e.g., subcutaneous injection, intramuscular injection, oral, epidermal, spinal, or inhalation).7.13 Pharmaceutical Compositions
[0429] " Pharmaceutical composition" can refer to a composition that is acceptable for pharmaceutical administration, such as to a human being. Such a composition can include substances that are impurities at a level not exceeding an acceptable level for pharmaceutical administration (such level including an absence of such impurities), and can include pharmaceutically acceptable excipients, vehicles, carriers, stabilizers, and other inactive ingredients, for example, to formulate such composition for ease of administration, in addition to any active agent(s).
[0430] The present disclosure provides pharmaceutical compositions comprising ublituximab, or an antibody that binds the same epitope as ublituximab, for use in the treatment of subjects with relapsing forms of Multiple Sclerosis, according to any of the methods disclosed herein.
[0431] In some embodiments, the pharmaceutical composition comprises ublituximab. In some embodiments, the pharmaceutical composition comprising ublituximab is formulated together with a pharmaceutical carrier. Suitable pharmaceutical carriers are known to thoseskilled in the art (Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, PA (1990)).
[0432] The pharmaceutical composition can comprise any number of excipients. Excipients that can be used include carriers, surface active agents, thickening or emulsifying agents, solid binders, dispersion or suspension aids, solubilizers, colorants, flavoring agents, coatings, disintegrating agents, lubricants, sweeteners, preservatives, isotonic agents, and combinations thereof. The selection and use of suitable excipients is taught in Gennaro, ed., Remington: The Science and Practice of Pharmacy, 20th Ed. (Lippincott Williams & Wilkins 2003), the disclosure of which is incorporated herein by reference.
[0433] Pharmaceutical compositions described here can be suitable for intravenous, intramuscular, subcutaneous, parenteral, spinal or epidermal administration (e.g., by injection or infusion). Depending on the route of administration, the active compound can be coated in a material to protect it from the action of acids and other natural conditions that may inactivate it. As used herein, "parenteral administration" can mean modes of administration other than enteral and topical administration, usually by injection, and can include, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal, epidural and intrasternal injection and infusion. Additionally, or in the alternative, pharmaceutical compositions described here can be administered via a non-parenteral route, such as a topical, epidermal or mucosal route of administration, e.g., intranasally, orally, vaginally, rectally, sublingually or topically.
[0434] In some embodiments, the pharmaceutical composition comprising ublituximab is for administration to a subject by intravenous infusion.
[0435] The following examples are offered by way of illustration, and not by way of limitation.8. EXAMPLES8.1 Example 1 — Glycosylation Profile
[0436] The glycosylation profile of a sample of anti-CD20 antibody proteins provided herein was determined by measuring fluorescently labeled N-glycans (fluorescent label is 2-aminobenzamide) that were enzymatically cleaved from the anti-CD20 antibody proteins using PNGase F. The labeled glycans are resolved using a hydrophilic interaction column equipped. The glycans flow through a fluorescence detector after separation. Peak identification from the test sample chromatograms is identified based on retention time and relative to peaks in the glycan standard which have been confirmed by mass spectrometry. The relative percentage of each N-glycan is calculated based on the N-glycan peak area divided by the total peak area of all N-glycans. The glycosylation profile is shown in Figure 2.8.2 Example 2 — Intact mass method
[0437] The glycosylation profile of anti-CD20 antibody proteins provided herein was assessed by intact mass analysis (LC-MS) under non-reducing conditions. The sample of anti- CD20 antibody proteins provided herein is first exchanged into MS appropriate buffers during the chromatography step using SEC and a mobile phase containing TFA, acetonitrile, and water. The sample is then introduced into an ESI-QTOF for intact mass analysis. The mass spectra are deconvoluted and the peaks are assigned based on mass. The relative abundance of each anti- CD20 antibody proteins provided herein containing N-glycan was calculated by taking the abundance of an N-glycan and dividing by the total abundance of all identified peaks. Results are provided in the table below and in Figure 3.Table 8: Intact Molecular Weights for Sample of anti-CD20 antibody proteins by LC-MSAbbreviation: ND = not detected.8.3 Example 3 — Cell-Based ADCC Assay(a) Materials and Method
[0438] Antibody dependent cytotoxicity (ADCC) is mediated through binding of the Fc portion of TG-1101 (TG Therapeutics, Inc.) to the FcylllA Receptor on the effector cells. The assay used for this analysis employs Eurofins- DiscoverX’s “KILR CD 16a effector cells”, which are single donor-derived human CD8+ T-lymphocytes engineered to express CD16 (FcyRIII) on their plasma membrane surface. These cytotoxic T cells provide reduced background killing, increased accuracy and reproducibility compared to PMBC preparations isolated from fresh blood. Raji cells are used as target cells, and ADCC activity is determined from the lysis of the target cells.
[0439] KILR cells are obtained from Eurofins, and Raji cells from ATCC. Master and Working cell bank system was used to ensure quality of the reagents. Raji cells were seeded at 1x105cells / mL, KILR Effector cells were seeded at 5x105cells / mL, and final effector: target (E:T) ratio was 5:1. An eight-point dilution series of the samples were used in the concentration range of 250.00 pg / ml - 0.04 pg / ml (250, 50, 16.7, 5.6, 1.9, 0.6, 0.2, 0.04 pg / ml). Cell mixtures and testing samples were cultured at 36±1°C, 5±1%CO2 for 18-22 hours. At the end of the incubation, a CytoTox GLo™ preparation is added, and plates are incubated for 30±10 minutes. The plates are read using the SpectraMax plate reader. Two independent preparations of the materials are prepared and assayed across duplicate plates. Assay controls are prepared in triplicates and include: Target Cells Alone Control, Target Cells Death Control, Effector Cells Alone Control, and Effector & Target Cells Control. SoftMax Pro was used to analyze the data with weighted nonlinear regression using a 4-parameter logistic fit. Results are reported as percentage ADCC activity compared to Ublituximan reference standard. EC50 of each testing sample, based on the 4-parameter logistic fitted curve, were generated for additional information. This test method is a validated assay, CTSOP482, used for TG-1101 (TG Therapeutics, Inc.) drug substance and drug product release and stability testing.(b) Results
[0440] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, Ocrevus, and Arzerra. TG-1101 (TG Therapeutics, Inc.) commercial reference standard RS-117808 (117808) was used as control, As shown in Figure 4, all anti-CD20 samples exhibited dose-dependent ADCC activity, TG-1101 (TG Therapeutics, Inc.) has highest ADCC activity compared to other anti-CD20. The ADCC activity expressed as percentage of the TG-1101 (TG Therapeutics, Inc.) reference standard is shown in Table 9, compared to TG-1101 (TG Therapeutics, Inc.), Gazava has ADCC activity that is relative similar to TG-1101 (TG Therapeutics, Inc.), while the ADCC activities of Rituxan, Ocrevus, and Arzerra are significantly lower. The ED50s of each anti-CD20 are also shown in Table 9, overall TG-1101 (TG Therapeutics, Inc.) and Gazyva have lower EC50 than Arzerra, Rituxan, and Ocrevus. EC50 of TG-1101 (TG Therapeutics, Inc.) is approximately 25 fold lower than Ocrevus.Table 9: ADCC Activity and EC508.4 Example 4 — Cell-Based ADCC Assay Using Primary NK Cells(a) Materials and Method
[0441] This ADCC assay was performed using CD20 expressing Raji cells as target cells, primary NK cells as effector cells, and LDH as target cell lysis read-out. Raji cells (ATCC, Cat# CCL-86TM) were seeded atlxl05 cells / well on plates. Primary NK cells isolated from human donor PBMC using Miltenyibiotec kit (Cat# 130-092-657) . E / T ratio of 5: 1 for NK92 / CD16a cells and primary NK cells was used in the assay. An eight-point dilution series of the samples, in triplicates, were used in the concentration range of 0.01 pg / ml - 0 ug / ml with a dilution factor of 10. The target cells were incubated with test sample dilutions for 30 min in 37°C incubator. Effector cells were added to the target cell cultures followed by 6 hours incubation after which supernatants were collected. The background (OD650nm) subtracted OD492nm data were used to calculate the LDH release. The percentages of cell lysis was calculated according the formula below: Cell lysis %=100*(ODSample data- ODtumor cells plus effector cells) / (ODMaximum release - OD Minimum release).(b) Results
[0442] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, and Arzerra. As shown in Figure 5, all anti-CD20 samples exhibited dose-dependent ADCC activity. The calculated EC50 values are summarized in Table 10. TG-1101 (TG Therapeutics, Inc.) and Gazyva displayed higher ADCC activities and lower EC50 than Rituxan and Arzerra.Table 10: EC50 of ADCC assay Using Primary NK Cells8.5 Example 5 — Cell-Based ADCP Assay(a) Materials and Method
[0443] Antibody dependent cellular phagocytosis (ADCP) is another potential mechanisms of action (MO As) for anti-CD20s. ADCP activity was assessed using an assay in which CD20 expressing Daudi cells were used as target cells (ATCC, Cat# CCL-213, labeled by PKH26). Human monocytes were isolated from PBMC from 20 human donors (using human Pan Monocyte Isolation Kit, MiltenyiB iotec, Cat#130-096-537) and differentiated in vitro using GM- CSF to yield macrophages. An E / T ratio of 5:1 was used; and the ADCP was assessed by flow cytometry in this assay. An eight-point dilution series of the samples, in duplicates and in the concentration range of 100 pg / ml - 0 ug / ml with a dilution factor of 10, were incubated with PKH26-labeled target cells. Macrophages were then co-cultured with PKH26-labeled target cells for 22 hours. Target cell phagocytosis was assessed by flow cytometry. Controls in the assay included Target cell control of PKH26 stained Daudi cells only; Effector cell control of PKH67 stained MDM only.
[0444] Effector and target cells control with a non-specific IgGl antibody; Effector and target cells control (background control). ADCP was determined by FACS as a percentage of PKH26 / PKH67 double positive cell counts / PKH26.(b) Results
[0445] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, and Arzerra. As shown in Figure 6, all anti-CD20 samples exhibited dose-dependent ADCP activity.The calculated EC50 values are summarized in Table 11. The EC50s are in the ng / ml range, and given the nature of the test method, the ADCP activities of all samples are considered similar.Table 11: EC50 of ADCP AssayBlinding Code: 50K068:70T:2003=Gazyva; 52W243:70T:2003=ARZERRA;54A157:70T:2003=Rituxan8.6 Example 6 — Cell Based CDC Assay(a) Materials and Method
[0446] The Complement Dependent Cytotoxicity (CDC) is mediated through binding of the Fc portion of TG-1101 (TG Therapeutics, Inc.) to Cl q Receptor in the complement system. The CDC activity assay used in this analysis is a cell-based assay using the CD20 expressing human mantle cell lymphoma cell line, Jeko-1 and rabbit serum as the source of complement. CDC mediated cell lysis is measured by the Cell Titer-Gio™ reagent (Promega). A nine-point dilution series of the samples are used in the concentration range of 10,000 ng / ml - 10.42 ng / ml (10,000.00, 3333.33, 1666.67, 833.33, 416.67, 208.33, 104.17, 52.08, 10.42 ng / ml). Two independent preparations of each sample are prepared and assayed across duplicate plates. Assay negative controls are prepared in triplicates and include target cells & complement control and target cells alone control.
[0447] Jeko-1 cells, obtained from the ATCC and maintained through a master banking system, were seeded at 3x105cells / mL and incubated for 60-90 minutes. Samples dilutions, and then complement were added, and the plates were incubated for approximately 2 hours at 37°C and 25 minutes at room temperature. Target cells with complement only control and target cell only control provided a basal level of target cell viability over the course of the assay. The Cell Titer-Gio reagent is then added and incubated an additional 30 minutes at room temperature. At the end of the assay the plates are read using a SpectraMax M5 plate reader. SoftMax Pro is used to analyze the data with weighted nonlinear regression using a 4-parameter logistic fit. The resulting data is evaluated using the PLA software for parallelism and potency against the reference standard. Results are reported as % potency relative to the reference standard. EC50 of each testing sample, based on the 4-parameter logistic fitted curve, were generated for additionalinformation. This test method is a validated assay, CTSOP463, used for TG-1101 (TG Therapeutics, Inc.) drug substance and drug product release and stability testing.(b) Results
[0448] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, Ocrevus, and Arzerra. TG-1101 (TG Therapeutics, Inc.) commercial reference standard RS-117808 (117808) was used as control, As shown in Figure 7, all samples exhibited dose-dependent CDC activity, except for Gazyva, which is known to have reduced CDC activity. Rituxan and Arzerra have comparable CDC activity; Ubli and Ocrevus have comparable CDC activity. The CDC activity expressed as percentage of the TG-1101 (TG Therapeutics, Inc.) reference standard is shown in Table 12, compared to TG-1101 (TG Therapeutics, Inc.), Gazava has ADCC activity that is relative similar to TG-1101 (TG Therapeutics, Inc.), while the ADCC activities of Rituxan, Ocrevus, and Arzerra are significantly lower. The ED50s of each anti-CD20 are also shown in Table 12, which shows similar comparisons as the level of CDC activities.Table 12: CDC Activity and EC508.7 Example 7 — Cell Based CD20 Binding Assay(a) Materials and Method
[0449] The CD20 binding used for this analysis is a cell based binding assay that uses a CD20 expressing human mantle cell lymphoma cell line, Jeko-1, and an MSD (MesoScale Discovery) assay format. Jeko-1 target cells are seeded onto MSD plates, test samples are incubated and allowed to bind to Jeko-1 cells, anti- human Fc detection antibody conjugated with streptavidin-SULFOTAG™ is used to emit electrochemiluminescence signal. An eight-pointdilution series of test samples were used in the concentration range of 40,000.00 pg / ml - 0.23 ng / ml (40,000.00, 4,000.00, 1,000.00, 333.30, 111.10, 37.00, 4.60, 0.23 ng / ml). Two independent preparations of the Test Material are prepared for each 2-plate assessment. Assay controls include No cell control (Reference Standard / Test Material dilution + detection reagent, omitting cells) and Cell only control (Cells + detection reagent, omitting Reference Standard / Test Material).
[0450] Jeko-1 cells, obtained from the ATCC and managed through a master banking system, are seeded onto MSD high bind plate in PBS at 3 x 105cells per mL, in a final volume of 100 pL per well, and incubated at 35-37°C for 2 hours ±10 min. Unbound cells are removed by a PBS wash, the plates are blocked then washed. Fifty pL of sample dilutions were added, and the plate is incubated at room temperature for 1 hour ±10 min while shaking. Following incubation and three washes, 50 pL anti-human Fc detection antibody conjugated with STREP-SULFOTAG is added and incubated for 1 hour ± 10 min at room temperature while shaking. The plates are washed again, and 150 pL of the MesoScale read buffer, containing tripropylamine (TP A), is added as a co-reactant for light generation for an electrochemiluminescence read out. Plates are read immediately on a MSD Reader using Workbench 4.0. The resulting data is evaluated using the PLA software and analyzed using a constrained 4 parameter logistic model. Binding activity results are reported as percentage potency relative to the reference standard. EC50 of each testing sample, based on the 4-parameter logistic fitted curve, were generated for additional information. This test method is a validated assay, CTSOP466, used for TG-1101 (TG Therapeutics, Inc.) drug substance and drug product release and stability testing.(b) Results
[0451] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, Ocrevus, and Arzerra. TG-1101 (TG Therapeutics, Inc.) commercial reference standard RS-117808 (117808) was used as control. As shown in Figure 8, all samples exhibited dose-dependent CD20 binding. With the exception of Gazyva, which is a Type II anti-CD20 and is known to have approximately 50% of target occupancy, Ubituximab, Rituxan, Ocrevus, and Arzerra have similar maximum binding. The CD20 binding activity expressed as percentage of the TG-1101 (TG Therapeutics, Inc.) reference standard and binding EC50s are shown in Table 13. The CD20 binding affinity of the 4 anti-CD20s are similar.Table 13: CD20 Binding Activity and EC50
[0452] EC50s values listed are negative, rising from the PLA software log transforms the concentrations to base 2. The actual ED50 (in pg / ml) is 2n, where n = the number listed.8.8 Example 8 — Cell Surface CD20 Binding By FACS(a) Materials and Method
[0453] The binding of TG-1101 (TG Therapeutics, Inc.) to cell surface CD20 on Raji and Daudi cells was characterized by FACS analysis at LakePharma. A six-point dilution series of the samples, in duplicates and in the concentration range of 40 pg / ml - 0 ug / ml with a dilution factor of 5 were used. Cells were incubated with sample dilutions; binding was detected using a PE conjugated anti-human secondary antibody.(b) Results
[0454] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Arzerra, and Rituxan. As shown in Figure 9, all anti-CD20 samples exhibited dose-dependent CD20 binding to both Daudi and Raji cells. The binding characteristics as evaluated by the FACS assay are similar to that evaluated by the MSD assay. With the exception of Gazyva, which is a Type II anti-CD20 and is known to have approximately 50% of target occupancy, Ubituximab, Rituxan, and Arzerra have similar maximum binding. The calculated EC50 values are summarized in Table 14. The CD20 binding affinity of the four anti-CD20 antibodies are similar.Table 14: EC50 of Cell Surface CD20 Binding by FACS8.9 Example 9 — FcyRIIIA Binding Assay(a) Materials and Method
[0455] The assay used in this analysis is a surface plasmon resonance (SPR)-based method that measures the binding to both FcyRIIIa 158V and FcyRIIIa 158F receptors. The method follows a direct binding assay methodology where the FcyRIIIa receptor is directly immobilized onto the flow cell on a sensor chip surface and samples are injected over the chip to assess binding. FcyRIIIa 158V receptor (3pg / ml) or FcyRIIIa 158F receptor (6 pg / ml) is immobilized on the chip surface using covalent amine coupling chemistry. Eight-point dilution series of the testing samples are prepared in the concentration range of 1000 nM - 15.6 nM with a dilution factor of 2. Independent duplicates of sample dilutions are injected over the chip, followed by surface regeneration between each cycle. The binding is measured in response units (RU). The kinetics of the binding reaction is determined by measuring changes in SPR due to the increase in mass in the close proximity to the biosensor chip surface. Change in the mass of the complex as a function of time is visualized as a sensorgram.
[0456] The equilibrium dissociation constants (KD) of each sample is determined for each receptor. The rates of change of the SPR signal is analyzed using a 1 : 1 Langmuir model for FcyRIIIa 158V variant to yield apparent rate constants for the association and dissociation phases of the reaction, and equilibrium dissociation constants. KD is determined using steady state affinity for the FcyRIIIa 158F variant. The binding signals are exported into PLA to determine the relative binding response, elative affinity and relative binding for samples are also reported relative to the TG-1101 (TG Therapeutics, Inc.) reference standard. This test method is a validated assay, CTSOP477, used for TG-1101 (TG Therapeutics, Inc.) drug substance release testing.(b) Results
[0457] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, Ocrevus, and Arzerra. As shown in Table 15, among the anti-CD20 antibodies tested, TG-1101 (TG Therapeutics, Inc.) has the highest binding affinities to both FcyRIIIa 158V and FcyRIIIa 158F receptors. Gazyva ranks the 2nd in binding affinities. For the high affinity receptor FcyRIIIal58V, TG-1101 (TG Therapeutics, Inc.) has ~15 folder higher affinity than Ocrevus; for the low affinity receptor FcyRIIIal58F TG-1101 (TG Therapeutics, Inc.) has ~10 folder higher affinity than Ocrevus. Shown in Table 16 are relative affinity and relative binding values using TG-1101 (TG Therapeutics, Inc.) ref. std. as reference. Results show that TG-1101 (TG Therapeutics, Inc.) has higher relative binding and relative affinity than all the other anti-CD20s.Table 15: KD for FcyRIIIa 158V and FcyRIIIa 158V Binding by SPRTable 16: Summary of Relative Affinity and Relative Binding Results8.10 Example 10 — Fc Receptor Binding by Octet(a) Materials and Method
[0458] This analysis was performed by LakePharma. Binding characterization were carried out on Octet HTX instrument at 25°C. Human Fc receptor panel were loaded onto Anti-Penta His (HIS IK) biosensors. Loaded sensors were dipped into a serial dilutions of the testing samples (300 nM start, 1 :3 dilution, 7 points). Kinetic constants were calculated using a monovalent (1 :1) binding model.(b) Results
[0459] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, Ocrevus, and Arzerra. As shown in Table 17, among the anti-CD20 antibodies tested, TG-1101 (TG Therapeutics, Inc.) has the highest binding affinities to both FcyRIIIa 158V and FcyRIIIa 158F receptors, corroborating the SPR data. Binding affinities to FCRN, which can affect PK, are similar among all the anti-CD20s. Compare to Ocrevus, TG-1101 (TG Therapeutics, Inc.) also has higher affinities for FcyRIIA and FcyRIIIB.Table 17: Summary of Ko results against Fc Receptors8.11 Example 11 — Clq Binding Assay(a) Materials and Method
[0460] The Clq binding assay used for this analysis is an ELISA assay. Samples were coated on ELISA plates, HRP conjugated human Clq is incubated with samples on the plate. The bound HRP, in the presence of substrate TMB, generates a colorimetric signal. A 7-point dilution series of Test Materials were prepared in the concentration range of 15.00 ug / ml - 0.12 ug / ml with a dilution factor of 2. Sample dilutions are coated onto ELISA plates, and the plates incubated for1 hour ± 30 min at room temperature. After coating, the plates are washed, blocked, and washed again. Peroxidase conjugated Clq was added, and the plates incubated for 1.5 hours ± 30 minutes at room temperature. After incubation and washing, a tetramethylbenzidine (TMB) substrate solution was added and plates incubated at room temperature for 7 minutes (-1 min / ±30 seconds). This produces a colorimetric reaction which is proportional to the level of Clq bound. The reaction is stopped with the addition of IM sulfuric acid and the color is measured at 450 nm using a Molecular Devices SpectraMax microplate reader. SoftMax Pro is used to analyze the data with weighted nonlinear regression using a 4-parameter logistic fit. Binding activity results are reported as percentage potency relative to the TG-1101 (TG Therapeutics, Inc.) reference standard. EC50 of each test sample, based on the 4-parameter logistic fitted curve, were generated for additional information. This test method is a validated assay, CTSOP455, used for TG-1101 (TG Therapeutics, Inc.) drug substance and drug product release and stability testing.(b) Results
[0461] Samples tested include TG-1101 (TG Therapeutics, Inc.), Gazyva, Rituxan, Ocrevus, and Arzerra. TG-1101 (TG Therapeutics, Inc.) commercial reference standard RS-117808 (117808) was used as control, As shown in Figure 10, Gazyva has minimal Clq binding (as expected), and the other 4 anti-CD20s exhibit dose dependent Clq binding. TG-1101 (TG Therapeutics, Inc.) has slightly higher maximum binding. The Clq binding activity expressed as percentage of the TG-1101 (TG Therapeutics, Inc.) reference standard is shown in Table 18. The ED50s of each anti-CD20 are also shown in Table 18, EC50 of TG-1101 (TG Therapeutics, Inc.) is slightly lower than the all anti-CD20s, suggesting TG-1101 (TG Therapeutics, Inc.) has higher affinity for Clq.Table 18: Clq Binding Activity and EC508.12 Example 12 — Human Whole Blood B-Cell Depletion Assay(a) Material and Method
[0462] TG-1101 (TG Therapeutics, Inc.) was characterized in an autologous normal human whole blood B-cell depletion assay in comparison to Gazyva, Rituxan, Ocrevus, and Arzerra. Whole blood from three human donors was used, and donors were selected to have the 158V / 158V genotype for FCGR3A_SNP target (rs396991). Sample dilutions, in the concentration range of 0.000001 - 100 pg / ml, was added to the whole blood and incubated at 37°C for 24 hours in a humidified cell incubator. Aliquots of the blood were stained for markers including CD45 (lymphocyte population), CD3 (T cells), CD19 (B cells), and CD20 (B cells). B- cell depletion was evaluated by displaying cells in the CD45-positive lymphocyte gate, and enumerating CD3-positive T cells, CD19-positive B-cells, and CD20-positive B-cells. Percent of B-cell depletion (100-([100 / B- / T-cell ratio in sample without antibody] x [B- / T-cell ratio in sample containing antibody])) was calculated and plotted against sample concentration.(b) Results
[0463] Samples tested include TG-1101 (TG Therapeutics, Inc.) commercial reference standard RS-117808 (117808), A drug substance batch manufactured by the commercial process (C2) at Samsung Biologies (PPQ1), Gazyva, Rituxan, Ocrevus, and Arzerra. As shown in Figures 11A-C, all samples exhibited dose-dependent B-cell depletion activity, even though there are some minor donor to donor differences. Overall, TG-1101 (TG Therapeutics, Inc.) and Gazyva have higher B cell depletion activities than Arzerra, Rituxan, and Ocrevus. Three anti- CD20 antibodies and one anti-CD19 antibody were used in this experiment. The B-cell depletionED50s calculated using each of the antibodies for B cell labeling are summarized in Table 19. Overall, TG-1101 (TG Therapeutics, Inc.) and Gazyva also have lower EC50 than Arzerra, Rituxan, and Ocrevus. On average, EC50 of TG-1101 (TG Therapeutics, Inc.) is more than tenfold lower than Ocrevus.Table 19: Summary of ED50 of B Cell Depletion from Multiple B Cell Markers8.13 Example 13 — Calculation of Pharmacokinetic (PK) Values
[0464] Relevant steady state PK parameters were calculated according to methods known in the art. A steady-state is reached when the quantity of drug eliminated in the unit of time equals the quantity of the drug that reaches the systemic circulation in the unit of time. Consequently, the half-life represents the time required to reduce the plasma concentration of the drug reached in steady-state by 50%. Wherein; t=Time, Vd= volume of distribution, and Cl= clearance. The half-life was calculated with the following formula:
[0465] The AUC is representative of the total dosage of the drug exposure over time. AUC is utilized as a metric when determining the formulations of an equivalent dosage, and theirresulting tissue or plasma exposure. AUC is equivalent to the average concentration over a time interval. Wherein t=Time, and Cpt= the last measured drug concentration with respect to time. The AUC was calculated with the following formula:
[0466] The Cmax was obtained by the measurement of the highest point during the time of observation of drug concentration following the end of the absorption phase and the beginning of the elimination phase. The Cmin was obtained by the measurement of the highest point during the time of observation of drug concentration following the end of the absorption phase and the beginning of the elimination phase.8.14 Example 14 — Methods for Determining Population Pharmacokinetic (PPK) Values for TG-1101 For Treatment of Autoimmune Disorders
[0467] TG-1101 serum concentration-time, dose, demographic, and covariate data from one Phase 2 study (TG1101-RMS201) and two Phase 3 studies (TG1101-RMS301 and TGI 101- RMS302) in subjects with RMS were pooled for the Pop PK analysis of TG-1101. The dataset was combined with a previous dataset of TG-1101 in subjects with hematologic malignancies.
[0468] All subjects in Studies TGI 101-RMS201, TGI 101-RMS301 and TGI 101-RMS302 with at least one TG-1101 dose administration were included in the dataset for the PK analysis. Subjects that did not have at least one quantifiable post-dose TG-1101 concentration were included in the dataset and flagged. Exposures for these subjects were determined based on typical population PK parameters.
[0469] In the Phase 2a clinical trial, TGI 101-RMS201, TG-1101 was administered as a single agent and compared with placebo to examine the level of B cell depletion by TG-1101 as well as determine the optimal dose and infusion time for TG-1101 in subjects with RMS. Based on the results of this study, a dose of 150 mg (infused over 4 hours) on Week 1 Day 1 followed by a dose of 450 mg (infused over one hour) on Week 3 Day 15 resulted in a median of >99% B cell depletion that was achieved on Week 4 and sustained until Week 24. The dosing regimen was well tolerated by the subjects with infusion-related reactions (Grade 1 and 2) being the commonly reported adverse event. Two Phase 3 studies in subjects with RMS have been completed. Two phase 3 studies, TGI 101-RMS301 (aka ULTIMATE I) and TGI 101-RMS302 (ULTIMATE II), were randomized, double-blind, double-dummy, active-controlled studies ofTG-1101 compared with oral teriflunomide to assess ARR, safety and tolerability in subjects with RMS.
[0470] Overall, the dataset for PopPK analysis included a total of 8672 PK samples collected from 931 subjects. Pre-dose samples accounted for 10.02% of PK samples and records with missing information or outliers (> 10 standard deviations from the mean TG-1101 concentration at the nominal dosing time) accounted for 0.20% and were excluded. Post-dose samples that were BLQ accounted for 3.47% of the data. Exclusions resulted in no quantifiable post-dose PK samples for 36 subjects. Consequently, the PK analysis dataset included 7485 PK samples from 895 subjects, of which 5624 PK samples were from 591 subjects with RMS.
[0471] The final PopPK parameter estimates are presented in Table 20. PK parameter estimates for a typical subject (defined as a male subject that is ADA negative with a body weight of 73 kg from North America or Western Europe) were as follows: CL was estimated to be 11.6 mL / h, with IIV of 38.1%; Ve was estimated to be 3.18 L(IIV=15.0%); Vp was estimated to be 3.60 L (IIV=21.3%); and Q was estimated to be 11.6 mL / h.
[0472] Body weight and ADA were found to be statistically significant predictors of TG- 1101 CL. TG-1101 CL was modestly increased by 14% in subjects that were ADA positive compared to those had no quantifiable ADA. Lor the wide range of body weight in the RMS subpopulation (45.1 to 154 kg), CL ranged from 22% lower to 48% higher compared to that for a typical subject with a body weight of 73 kg. In addition at late times (417 d after the start of treatment), CL was reduced by a median of 12.5%.
[0473] Body weight, sex and region were found to be a statistically significant predictor of Vc- Subjects from Eastern Europe were found to have slightly higher (10%) Vc than Western Europeans and North Americans and females had slightly lower (7%) Vc than males. Lor the wide range of body weight in the RMS subpopulation (45.1 to 154 kg), V c ranged from 19% lower to 38% higher than that for a typical subject with a body weight of 73 kg.
[0474] After inclusion of body weight in the model, there was no effect of age, hemoglobin concentration, platelet count, white blood cell count, renal impairment or hepatic impairment on TG-1101 PK.Table 20: Parameter Estimates of the Final TG-1101 PK ModelAbbreviations: CL - clearance; CV% - percent coefficient of variation; ETA - individualspecific random effect; IIV - inter-individual variability; Q - inter-compartmental clearance; RSE - relative standard error; SD - standard deviation; SE - standard error; U2 - TG-1101 + umbralisib; Vc - volume of the central compartment; Vp - volume of the peripheral compartment.aThe RSE of the parameter estimate is calculated as 100 x (SE / typical value); the RSE of the IIV magnitude is calculated as 100 x (SE / variance estimate).bEstimates for random effects and IIV are presented in CV% and based on the estimated values, calculated as ^variance x 100.cShrinkage (%) as calculated as 100 x (1 -SD[ETA]A / [variance]).dThe correlation coefficient between CL and Vc was estimated as 0.434.
[0475] In the evaluation of the final TG-1101 PopPK model, standard errors were obtained and presented together with the parameter estimates in Table 20. Model parameters were precisely estimated with RSE < 20% for structural and covariate model parameters and RSE < 30% for random effects estimates. Shrinkage was acceptable for CL and Vc (5.32% and 32.6%, respectively) with large shrinkage on Vp (40%).
[0476] Key Goodness-of-fit (GOF) diagnostics for the TG-1101 final PopPK model suggested satisfactory fit with minimal bias in residuals over time and across predicted concentration values and showed good agreement between predicted and observed concentrations. Relative to the base model, ETA - covariate relationships were resolved and no further trends between ETAs (on CL and Vc) and covariates were evident in the RMS subpopulation, suggesting that the model adequately captured significant covariate relationships. Overall, the prediction-corrected visual predictive check (pcVPC) plots suggests that the model well predicts the central tendency of the observed TG-1101 concentrations and adequately captures the range of the data.
[0477] The relative importance of covariate effects included in the final PoPK model was evaluated with a forest plot of relative changes in exposure (Cmax,ss, Cmin,ss, and AUCss) when covariates were varied one at a time (i.e., univariate analysis). The effects of these covariates, including body weight, sex, region ADA and the fractional change in CL at late times, on TG-1101 exposures fell within the range of O. 8 to 1. 25 compared to the reference exposure (defined as the exposure for a male subject from North America / Western Europe with a body weight of 73 kg, who is ADA negative and has been on treatment for < 416 days. Consequently, none of the covariates were deemed clinically relevant. Furthermore, the covariates did not have a significant impact on the magnitude of IIV on CL or Vc. The combined effects of body weight and ADA reduced IIV by only 2.8%, from 39.2% in the base model to 38.1 % (Table 20) in the final model. Similarly, body weight, sex and region reduced IIV by 18.5% in Vc from 18.4% in the base model to 15.0% in the final model.
[0478] Figure 12 shows the Goodness-of-Fit (GOF) diagnostics of the TG-1101 final model. Figure 13 shows the pcVPC for the TG-1101 final PK model by study. Figure 14 shows the forest plot of covariate effects on TG-1101 drug exposure.
[0479] The final PopPK model was re-estimated with the dataset including excluded outliers. All structural parameters were precisely estimated with no relevant change in those estimates,while the IIV terms were inflated with the inclusion of the outliers. It can therefore be expected that exclusion of outliers during the model development eliminated the influence of these outliers and minimized spurious findings in the covariate analysis. The final PopPK model was also re- estimated including the RMS subpopulation only. The fit of the model to the RMS data resulted in similar structural parameters and random effects, with the exception of marginally lower IIV on CL; precision of parameter estimation was also similar.
[0480] Conclusions: TG-1101 PPK Analysis
[0481] The final model of TG-1101 was utilized to obtain individual post hoc estimates of PK parameters. For each subject enrolled in studies TGI 101-RMS201, TGI 101-RMS301, TGI 101-RMS302, PK parameters (AUCss, Cavg,ss, Cmax,ss, and Cmin,ss) at Week 48 were estimated based on post hoc PK parameters.
[0482] The geometric mean / 2(90% confidence interval [CI]) was calculated to be 21.8 days (21.4, 22.1 days). Median time to reach steady state was determined to be 15. 5 weeks. Accordingly, there was no accumulation for subjects that received the per- protocol regimen of 150 mg TG-1101 on Day 1 followed by 450 mg on Day 15, Week 24 and Week 48. The median Cmax ratio at Week 24 to Cmax on Day 1 was 3.04 (range 3.00 to 3.42) consistent with the 3- fold increase in the amount of the dose and indicative of no accumulation. Similarly, the Cmax ratio at Week 48 to Week 24 was 1, indicative of no accumulation.
[0483] The model-predicted geometric mean AUCss, Cavgss, Cmaxss, and Cminss was 3000 ug d / mL (±28%), 8940 ng / mL (±28%), 139000 (±15.1%), and 139 (±170%), respectively.8.15 Example 15 — Commercial-Scale Manufacturing Process of Making TG-1101 in YB2 / 0 Rat Hybridoma Cells
[0484] In this Example, the manufacturing process for TG-1101 expressed in YB2 / 0 rat hybridoma cells at 15,000 L is described. An overview of the manufacturing process for TG- 1101 is illustrated in the flow diagram of Table 21.Table 21: TG-1101 Manufacturing Process Flow Diagram
[0485] In summary, the production of each batch of TG-1101 began with the thaw of a working cell back (WCB) vial, described further below. The culture was expanded through aseries of shake flasks and seed bioreactors to meet the inoculum requirements of the 15,000 L production bioreactor, which was operated in fed-batch mode. The bioreactor was harvested and clarified by centrifugation followed by depth filtration. The clarified harvest was purified by three chromatography steps including Protein A, cation exchange, and anion exchange, designed to purify the TG-1101 and to reduce process impurities such as host cell protein and residual DNA. The purification process (as illustrated in Example 4) contained steps to ensure viral safety including viral inactivation (solvent / detergent) and a viral filtration step. Final UFDF and formulation steps are used to concentrate and buffer exchange TG-1101 into the formulation buffer and to the desired product concentration. The ready to fill drug substance was formulated to obtain TG-1 lOlat a concentration of 25.0 mg / mL in 25 mM sodium citrate, 154 mM sodium chloride, 0.07% polysorbate 80, pH 6.5. After filling, the TG-1101 drug substance was frozen at <-60°C and then stored frozen at <-35 °C.
[0486] Additional descriptions of the upstream and downstream process operations are provided below.(a) Expresion Vector, Production Cell Line, and Cell Banks
[0487] The host cell line used for generation of the TG-1101 producing cell line was the rat cell line YB2 / 0. The production cell line, R603-12D11, was developed after transfecting the expression vector HK463-25 (containing the immunoglobulin heavy and light chain cDNA sequences of TG-1101) into the YB2 / 0 host cell line. Figure 15 depicts the expression vector map of HK463-25 to produce TG-1101, in a 15,000 L bioreactor.Expression Vector
[0488] The expression vector HK463-25 included various elements that were optimized for stable expression in the YB2 / 0 host cell line. The Rous Sarcoma Virus Long Terminal Repeat (RS V LTR) promoter was used for the constitutive expression of both heavy and light chain cDNAs. This promoter corresponds to the Long Terminal Repeat of the RSV genome which contains enhancer elements in its 5’ region and has strong transcriptional activity in the YB2 / 0 cell line. Transcriptional termination and polyadenylation of both heavy and light chain cDNAs were provided by the human growth hormone polyadenylation sequence (hGH poly A). A chimeric intron was introduced 5’ to the cDNA sequence of each antibody chain to improve expression. This intron was optimized for splicing and is composed of a 5’ donor sequence fromhuman beta-globin and a 3 ’ acceptor sequence from an Ig heavy chain variable gene. The beta lactamase gene conferred ampicillin resistance (AmpR) and was provided to enable production of the plasmid in E. coli. The enzyme neomycin-phosphotransferase II (NeoR) was under the control of the SV40 promoter and confers resistance to the transfected cell line to the antibiotic G418, thus acting as a selectable marker. Dihydrofolate reductase (Dhfr) was under the control of the SV40 promoter and conferred resistance to methotrexate (MTX) and can also act as a selectable and amplifiable marker in the transfected cell line.
[0489] The HK463-25 expression vector (Figure 15) was 11.1 kb in size and contained five open reading frames for the antibody heavy chain, light chain, Dhfr, NeoR and AmpR genes in the same orientation. The restriction sites shown in the figure were used for Southern blot analysis of the integration of the construct. A unique Notl restriction site located 3’ to the NeoR gene was used for linearization of the vector prior to transfection.The production cell line, R603-12D11
[0490] The production cell line, R603-12D11, was generated after transfection of the host cell line, selection and screening of transfectants, and then limiting dilution cloning. The clones were screened, production cell line R603-12D11 was selected, and adapted to serum free medium. A pre-seed stock (PSS) cell bank was prepared. An overview of the steps involved in the generation of production cell line R603-12D11 is shown in Table 22.Table 22: Production Cell Line R603-12D11 Generation
[0491] A cryovial of the YB2 / 0 cell ba...
Claims
WHAT IS CLAIMED IS:
1. A composition comprising a population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody in the population is expressed from one or more nucleic acid sequences encoding a heavy chain comprising the amino acid sequence of SEQ ID NO: 1 and a light chain comprising the amino acid sequence of SEQ ID NO:2, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising about 20 to 40% fucosylated glycans and optionally about 10 to 20% galactosylated glycans.
2. The composition of claim 1 , wherein: the N-glycan profile comprises 23% to 36% fucosylated glycans, optionally about 30% fucosylated glycans; and / or the N-glycan profile comprises 16% to 18% galactosylated glycans, optionally about 17% galactosylated glycans.
3. The composition of claim 1 or 2, wherein: the relative abundance of fucosylated glycans is the percent of fucosylated glycans among all glycans in the N-glycan profile; and / or the relative abundance of galactosylated glycans is the percent of galactosylated glycans among all glycans in the N-glycan profile.
4. The composition of any one of claims 1-3, wherein the N-glycan profile comprises 12% to 30% bisecting N-glycans, optionally about 18% bisecting N-glycans.
5. The composition of claim 4, wherein the bisecting N-glycans comprise one or more of GOB, G0FB, G1FB, G2FBS1, and G2FBS2.
6. The composition of any one of claims 1-5, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising less than 5% sialylated glycans, optionally wherein the N-glycan profile comprises less than 4%, 3%, 2.5%, 2%, 1%, or 0.5% sialylated glycan,optionally wherein the N-glycan profile comprises no detectable amount of sialylated glycan.
7. The composition of any one of claims 1 -6, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising 0.1% to 1.5% Man5 N-glycan, optionally wherein the N-glycan profile comprises 0.4% to 0.7% Man5 N-glycan, optionally wherein the N-glycan profile comprises about 0.6% Man5 N-glycan, optionally wherein Man5 N-glycan is the only high mannose species in the N-glycan profile.
8. The composition of any one of claims 1-7, wherein the population of anti-CD20 antibody proteins comprises 0.20 to 0.40 mol isoaspartate per mol protein, optionally 0.25 to 0.35 mol isoaspartate per mol protein.
9. The composition of any one of claims 1-8, wherein glutamate at position 1 of the heavy chain is a pyroglutamate and glutamate at position 1 of the light chain is a pyroglutamate.
10. The composition of any one of claims 1-9, wherein the population of anti-CD20 antibody proteins has an N-glycan profile comprising a relative abundance ratio of 0.1 to 0.15 G1 to GO N-glycans and / or a relative abundance ratio of 0.5 to 0.9 GIF to G1 N-glycans.
11. The composition of any one of claims 1-10, wherein the population of anti-CD20 antibody proteins further comprises at least two N-glycans within the following relative abundance ranges:(a) 0.3% to 2% G0-GN;(b) 0.1% to 2% G0F-GN;(c) 30% to 60% GO;(d) 0.1% to 1% G1-GN;(e) 5% to 20% GOB;(f) 5% to 30% G0F;(g) 0.1% to 1.5% Man5;(h) l% to 15% G0FB;(i) l% to 13% Gl;(j) 0.5% to 10% Gl’;(k) 0.5% to 6% GIB;(l) 0.5% to 12% GIF;(m) 0.1% to 3% GIF’;(n) 0.1% to 3% G1FB;(o) 0.1% to 2% G2; and(p) 0.1% to 2% G2F. optionally wherein the population of anti-CD20 antibody proteins further comprises at least two N-glycans in the following relative abundance ranges:(a) 0.8% to 1.1% GO-GN;(b) 0.5% to 1.1% G0F-GN;(c) 42.5% to 48.8% GO;(d) 0.3% to 0.6% Gl-GN;(e) 9.5% to 14.1% GOB;(f) 12.8% to 19.7% G0F;(g) 0.4% to 0.7% Man5;(h) 5.1% to 7.0% G0FB;(i) 5.7% to 6.4% Gl;(j) 2.7% to 3.3% Gl’;(k) 1.4% to 2.0% GIB;(l) 2.6% to 4.2% GIF;(m) 1.1% to 1.6% GIF’;(n) 1.1% to 1.8% G1FB;(o) 0.5% to 0.7% G2; and(p) 0.3% to 0.5% G2F, optionally wherein the population of anti-CD20 antibody proteins further comprises at least two N-glycans in the following relative abundance ranges:(a) 0.9% G0-GN;(b) 0.8% G0F-GN;(c) 46.1% GO;(d) 0.5% Gl-GN;(e) 10.9% GOB;(f) 17.0% G0F;(g) 0.6% Man5;(h) 6.0% G0FB;(i) 6.1% Gl;(j) 2.9% Gl’;(k) 1.6% GIB;(l) 3.2% GIF;(m) 1.3% GIF’;(n) 1.3 G1FB;(o) 0.5% G2; and(p) 0.3% G2F.
12. The composition of claim 11, wherein the population of anti-CD20 antibody proteins further comprises at least three, four or five N-glycans within the following relative abundance ranges:(a) 0.3% to 2% GO-GN;(b) 0.1% to 2% GOF-GN;(c) 30% to 60% GO;(d) 0.1% to 1% G1-GN;(e) 5% to 20% GOB;(f) 5% to 30% G0F;(g) 0.1% to 1.5% Man5;(h) l% to 15% G0FB;(i) l% to 13% Gl;(j) 0.5% to 10% Gl’;(k) 0.5% to 6% GIB;(l) 0.5% to 12% GIF;(m) 0.1% to 3% GIF’;(n) 0.1% to 3% G1FB;(o) 0.1% to 2% G2; and(p) 0.1% to 2% G2F.
13. The composition of any one of claims 1-12, wherein the N-glycan profile of the population of anti-CD20 antibody proteins is determined using a method comprising:(a) incubating the population of anti-CD20 antibody proteins with an enzyme, wherein the enzyme catalyzes releasing of the N-glycans from the anti-CD20 antibody;(b) measuring the relevant abundance of the released N-gylcans using one or more methods selected from chromatography, mass spectrometry, capillary electrophoresis, and the combination thereof, optionally wherein the method further comprises after step (a) and before step (b) the following steps:(c) purifying the N-glycans; and(d) labeling the N-glycans with a fluorescent compound, optionally wherein the enzyme is PNGase F and / or the fluorescent compound is 2- aminobenzamide (2-AB).
14. The composition of any one of claims 1-13, wherein less than 10% of the anti- CD20 antibody proteins in the population is non-glycosylated, optionally wherein less than 5% of the anti-CD20 antibody proteins in the population is non-glycosylated, optionally wherein less than 1% of the anti-CD20 antibody proteins in the population is non-glycosylated.
15. The composition of any one of claims 1-14, wherein the population of anti-CD20 antibody proteins comprises two or more secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows:(a) 8.0% to 10.0% a-helix;(b) 32.0% to 36.0% Anti-parallel P-sheet;(c) 5.0% to 6.0% Parallel P-sheet;(d) 16.0% to 18.0% P-Turn; and(e) 35.0% to 36.0% random coil, optionally wherein the population of anti-CD20 antibody proteins comprises secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows:(a) 8.0% to 10.0% a-helix;(b) 32.0% to 36.0% Anti-parallel P-sheet;(c) 5.0% to 6.0% Parallel P-sheet;(d) 16.0% to 18.0% P-Turn; and(e) 35.0% to 36.0% random coil, optionally wherein the population of anti-CD20 antibody proteins comprises two or more secondary structures as determined by circular dichroism at 205 nm to 260 nm as follows:(a) about 9.0% a-helix;(b) about 33.0% Anti-parallel P-sheet;(c) about 5.6% Parallel P-sheet;(d) about 17.5% P-Turn; and(e) about 35.2% random coil.
16. The composition of any one of claims 1-15, wherein the population of anti-CD20 antibody proteins further comprises one or more of the following post-translational modifications at the specified abundance:optionally wherein the one or more of the post-translational modifications are measured by peptide mapping using liquid chromatography-mass spectrometry (LC-MS).
17. The composition of any one of claims 1-16, wherein the population has an amount of total protein of 25.5-25.8 mg / mL as measured by absorbance at 280 nm.
18. The composition of any one of claims 1-17, wherein the anti-CD20 antibody proteins in the population induces greater cytotoxicity in a cell-based antibody-dependent cellular cytotoxicity (ADCC) assay compared to obinutuzumab, ofatumumab, rituximab, veltuzumab, ibritumomab tiuxetan and / or ocrelizumab.
19. The composition of any one of claims 1-18, wherein the population has: a relative potency of 90 to 163% in a cell-based ADCC assay compared to a commercial reference standard; a relative potency of 78% to 116% or 73% to 128% in a cell-based complement dependent cytotoxicity (CDC) assay compared to that of a commercial reference standard; a relative potency of 92 to 118% or 82 to 138% in a cell-based CD20 binding activity bioassay compared to that of a commercial reference standard;a KD value 30 to 70 nM in an FcyRIIIa- 158V binding assay as measured by surface plasmon resonance; a KD value 500 to 1000 nM in an FcyRIIIa 158F binding assay as measured by surface plasmon resonance; significantly higher binding affinity to FcyRIIIa 158V or FcyRIIIa 158F than rituximab; a relative potency of 88 to 113% or 86 to 116% in a Clq binding assay as measured by ELISA compared to a commercial reference standard; and / or a relative potency of 106 to 126% in a CD 16 activity assay compared to a commercial reference standard.
20. The composition of any one of claims 1-19, wherein the population has: 99.2 to 99.9% monomers as detected by size exclusion chromatography (SEC); 0.1 to 0.8% dimers as detected by SEC; undetectable level of aggregates as detected by SEC; and / or undetectable level of fragments as detected by SEC.
21. The composition of any one of claims 1-20, wherein the population has: 93.6 to 95.9% IgG after purification by non-reduced capillary gel electrophoresis (CGE); 0.1 to 0.3% high molecular weight species (HMWS) after purification by non-reduced CGE; 0.7 to 1.2% free light chain (LC) after purification by non-reduced CGE; and / or 97.7 to 98.0% heavy chain plus light chain species (HC + LC) after purification by reduced CGE.
22. The composition of any one of claims 1-21, wherein the population has: 20 to 25% acidic isoforms as detected by imaged capillary isoelectric focusing (iCIEF); 50 to 60% main isoforms as detected by iCIEF; 20 to 30% basic isoforms as detected by iCIEF; and / or an average molar ratio of free thiol to anti-CD20 antibody of about 2.0 to 2.2.
23. The composition of any one of claims 1-22, wherein: the amino acid sequence of the anti-CD20 antibody in the population comprises a deletion of the N-terminal residue, optionally a deletion of up to 5 N-terminal residues, optionally a deletion of up to 10 N-terminal residues; and / orterminal lysine amino acid residue of the heavy chain in the anti-CD20 antibody in the population is truncated.
24. A pharmaceutical formulation comprising the composition of any one of claims 1 - 23, wherein the anti-CD20 antibody is present in the pharmaceutical formulation at a concentration of about 10 mg / mL to 50 mg / mL, optionally wherein the anti-CD20 antibody is present in the pharmaceutical formulation at a concentration of about 25 mg / mL.
25. The pharmaceutical formulation of claim 24, further comprising one or more of the following: sodium chloride, trisodium citrate dehydrate, polysorbate 80, and hydrochloric acid.
26. The pharmaceutical formulation of claim 25, comprising about 9.0 mg / mL of sodium chloride, about 7.4 mg / mL of trisodium citrate dehydrate, about 0.7 mg / mL of polysorbate 80, and / or about 0.4 mg / mL of hydrochloric acid.
27. The pharmaceutical formulation of any one of claims 24-26, wherein the anti- CD20 antibody is present in a single dosage form.
28. A pharmaceutical formulation comprising:(i) the composition of any one of claims 1-23, wherein the composition comprises a single dosage form of the population of anti-CD20 antibody proteins, wherein the anti-CD20 antibody is present in the pharmaceutical formulation at a concentration of about 25 mg / mL,(ii) about 9.0 mg / mL of sodium chloride,(iii) about 7.4 mg / mL of trisodium citrate dehydrate,(iv) about 0.7 mg / mL of polysorbate 80, and(v) about 0.4 mg / mL of hydrochloric acid.
29. A single batch preparation of the population of anti-CD20 antibody proteins as recited in the method of any one of claims 1 -23 or the pharmaceutical formulation of any one ofclaims 24-28, wherein the single batch comprises at least 100 g, at least 120 g, or at least 150 g of the anti-CD20 antibody proteins.
30. A population of anti-CD20 antibody proteins as recited in the method of any one of claims 1-23 or the pharmaceutical formulation of any one of claims 24-28, produced in a 15,000 L or 20,000 L bioreactor.
31. A method of treating multiple sclerosis (MS) in a subject in need thereof, wherein the method comprises administering to the subject a therapeutically effective amount of the composition of any one of claims 1-23 or the pharmaceutical formulation of any one of claims 24-28.
32. The method of claim 31, wherein the MS is a relapsing form of MS (RMS), optionally wherein the RMS is selected from clinically isolated syndrome (CIS), relapsing-remitting MS (RRMS) and active secondary progressive MS (SPMS).
33. The method of claim 31 or 32, wherein the composition or the pharmaceutical formulation is administered as i) a first infusion at a dose of about 150 mg of the the anti-CD20 antibody protein, ii) a second infusion two weeks later at a dose of about 450 mg of the the anti- CD20 antibody protein, and iii) subsequent infusions every 24 weeks or six months at a dose of about 450 mg of the the anti-CD20 antibody protein.
34. The method of any one of claims 31-33, wherein administration of the composition or the pharmaceutical formulation to the subject results in one or more of the following pharmacokinetic parameters:(a) an AUC between 2,160 pg / mL and 3,840 pg / mL;(b) a Cmax between 118,011 ng / mL and 159,989 ng / mL;(c) a Cmin between 40 ng / mL and 375 ng / mL; and(d) a Cavg is between 6,437 ng / mL and 11,443 ng / mL, optionally wherein administration of the composition or the pharmaceutical formulation to the subject results in one or more of the following pharmacokinetic parameters:(a) an AUC about 3,000 pg / mL;(b) a Cmax about 139,000 ng / mL;(c) a Cmin about 139 ng / mL; and(d) a Cavg about 8,940 ng / mL.
35. The method of any one of claims 31-34, wherein the method comprises a treatment period of at least 96 weeks.
36. The method of any one of claims 31-35, wherein the subject has been premedicated with a corticosteroid 30-60 minutes prior to administration of the composition or the pharmaceutical formulation, optionally wherein the corticosteroid is methylprednisone or dexamethasone, optionally wherein the methylprednisone is administered at a dose of about 100 mg and / or the dexamethasone is administered at a dose of about 10-20 mg.
37. The method of any one of claims 31-36, wherein the subject has been premedicated with an antihistamine 30-60 minutes prior to administration of the composition or the pharmaceutical formulation, optionally wherein, the antihistamine is diphenhydramine HC1, optionally wherein the diphenhydramine HC1 is administered at a dose of about 25-50 mg.
38. The method of any one of claims 31-37, wherein the subject has been premedicated with an antipyretic 30-60 minutes prior to administration of the composition or the pharmaceutical formulation, optionally wherein the antipyretic is acetaminophen or an antipyretic bioequivalent thereto.
39. The method of any one of claims 31-38, wherein the subject has an Expanded Disability Status Scale (EDSS) score of from 0 to 5.5 prior to treatment.
40. The method of any one of claims 31-39, wherein the subject is diagnosed with RMS in accordance to McDonald Criteria (2010).
41. A method of treating multiple sclerosis (MS) in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of the composition of any one of claims 1-23 or the pharmaceutical formulation of any one of claims 24-28, wherein administration of the composition or the pharmaceutical formulation results in no evidence of disease activity (NED A) in the subject 24-96 weeks after the administration.
42. The method of claim 41, wherein administration of the composition or the pharmaceutical formulation results in NED A in the subject 24 weeks after the administration.
43. A method of treating multiple sclerosis (MS) in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of the composition of any one of claims 1-23 or the pharmaceutical formulation of any one of claims 24-28, wherein administration of the composition or the pharmaceutical formulation results in a transient decrease in lymphocyte count in the subject.
44. The method of claim 43, wherein the lymphocyte count is normalized by day 8 of the administration.
45. The method of any one of claims 41-44, wherein the MS is a relapsing form of MS (RMS).
46. A method of reducing annualized relapse rate (ARR) in a subject with relapsing forms of multiple sclerosis (MS), comprising administering to the subject an effective amount of the composition of any one of claims 1-23 or the pharmaceutical formulation of any one of claims 24-28, the method comprising: administering an intravenous infusion of the composition or the pharmaceutical formulation in a multi-infusion dosage regimen, the dosage regimen comprising: a) a first infusion comprising 150 mg of the anti-CD20 antibody protein at day 1 ; b) a second infusion comprising 450 mg of the anti-CD20 antibody protein at about 2 weeks after the first infusion;c) a first subsequent infusion comprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the first infusion; and d) one or more subsequent infusions comprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the prior infusion,.
47. The method of claim 46, wherein the effective amount of the composition or the pharmaceutical formulation is sufficient to result in an ARR of 0.091 or an ARR of 0.076.
48. The method of claim 46 or 47, wherein duration of the second infusion, the first subsequent infusion, and the one or more subsequent infusions of the anti-CD20 antibody protein is about one hour.
49. A method of treating relapsing forms of multiple sclerosis (MS) in a subject in need thereof, comprising administering to the subject an effective amount of the composition of any one of claims 1-23 or the pharmaceutical formulation of any one of claims 24-28, the method comprising: administering an intravenous infusion of the composition or the pharmaceutical formulation in a multi-infusion dosage regimen, the dosage regimen comprising: e) a first infusion comprising 150 mg of the anti-CD20 antibody protein at day 1; f) a second infusion comprising 450 mg of the anti-CD20 antibody protein at about 2 weeks after the first infusion; g) a first subsequent infusion comprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the first infusion; and h) one or more subsequent infusions comprising 450 mg of the anti-CD20 antibody protein at about 24 weeks or at about six months from the prior infusion, wherein duration of the second infusion, the first subsequent infusion, and the one or more subsequent infusions of the anti-CD20 antibody protein is about one hour.
50. The method of any one of claims 41-49, further comprising pre-medicating the subject with a corticosteroid and an antihistamine, 30-60 minutes prior to administration of the composition or the pharmaceutical formulation.
51. The method of claim 50, wherein the corticosteroid is methylprednisone or dexamethasone, optionally wherein the methylprednisone is administered at a dose of about 100 mg and / or the dexamethasone is administered at a dose of about 10-20 mg.
52. The method of any one of claims 46-51, wherein the intravenous infusion of the composition or the pharmaceutical formulation is prepared in 250 mL of 0.9% Sodium Chloride Injection.
53. The method of any one of claims 46-52, wherein the first subsequent infusion is at about 24 weeks from the first infusion.
54. The method of any one of claims 46-53, wherein the one or more subsequent infusions is at about 24 weeks from the prior infusion.
55. The method of any one of claims 46-54, wherein the first subsequent infusion is at about 6 months from the first infusion.
56. The method of any one of claims 46-55, wherein the one or more subsequent infusions is at about 6 months from the prior infusion.
57. The method of any one of claims 46-56, wherein duration of the first infusion of the anti-CD20 antibody protein is about four hours, optionally wherein the first infusion of the anti-CD20 antibody protein is infused at a rate of 10 mL per hour for the first 30 minutes; 20 mL per hour for the next 30 minutes; 35 mL per hour for the next hour; and 100 mL per hour for the remaining two hours.
58. The method of any one of claims 48-57, wherein the second infusion, the first subsequent infusion, and the one or more subsequent infusion of the anti-CD20 antibody protein is infused at a rate of 100 mL per hour for the first 30 minutes, and 400 mL for the remaining 30 minutes.
59. The method of any one of claims 46-58, wherein the multi-infusion dosage regimen of the anti-CD20 antibody protein alleviates or delays progression of the symptoms of MS.
60. The method of any one of claims 46-59, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves a reduced total number of gadolinium-enhancing T1 lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
61. The method of any one of claims 46-60, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves a reduced total number of new and enlarging T2 hyperintense lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
62. The method of any one of claims 46-61, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves increased no evidence of disease activity (NED A) status, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
63. The method of any one of claims 46-62, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves increased Confirmed Disability Improvement (CDI), as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
64. The method of any one of claims 46-63, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves an increased Multiple Sclerosis Functional Composite (MSFC) score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
65. The method of any one of claims 46-64, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves an improved timed 25-Foot Walk (T25FW) Score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
66. The method of any one of claims 46-65, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves an improved 9-Hole Peg test (9-HPT) Score, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
67. The method of any one of claims 46-66, wherein the subject administered the multi-infusion dosage regimen of the anti-CD20 antibody protein achieves a significant reduction in both volume and number of new T1 hypointense lesions per MRI scan, as compared to a subject that received orally administered 14 mg of teriflunomide daily during the same treatment period.
68. The method of any one of claims 46-67, wherein the multi-infusion dosage regimen of the anti-CD20 antibody protein results in a geometric mean steady-state AUC of 3000 mcg / mL per day (CV = 28%) and a mean maximum concentration of 139 mcg / mL (CV =15%).
69. The method of any one of claims 45-68, wherein the RMS comprises a clinically isolated syndrome ("CIS"); relapsing-remitting MS ("RRMS"); or active secondary progressive MS ("SPMS").
70. The method of any one of claims 45-69, wherein the subject is diagnosed with RMS in accordance to McDonald Criteria (2010).
71. The method of any one of claims 31 -70, wherein the subject is a human.
72. A method for inactivating a virus or adventitious agents in rat myeloma cells expressing the anti-CD20 antibody proteins recited in the composition of any one of claims 1-23, wherein the method maintains suitability for antibody production in a 15,000 L or 20,000 L bioreactor.
73. A method for reducing immunogenicity of the anti-CD20 antibody proteins recited in the composition of any one of claims 1-23, wherein the method maintains suitability for antibody production in a 15,000 L or 20,000 L bioreactor.