Methods of use of agents that bind to NKG2a and PD-l1
Multispecific antibodies targeting NKG2A and PD-L1, combined with Compound I, address the challenge of tumor immune evasion by inhibiting suppressive interactions and enhancing anti-tumor responses in cancers like breast and colorectal cancer.
Patent Information
- Application Number
- PCT/US2025/039798
- Authority / Receiving Office
- WO · WO
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2024-07-31
- Filing Date
- 2025-07-30
- Publication Date
- 2026-02-05
AI Technical Summary
Current therapies fail to effectively inhibit the PD-1/PD-L1 interaction in cancer cells, leading to tumor immune evasion, and there is a need for new combination therapies that can enhance anti-tumor immune responses.
Multispecific binding agents, such as bispecific antibodies, that target both NKG2A and PD-L1, combined with Compound I, to inhibit the interaction between HLA-E and NKG2A and PD-1/PD-L1, thereby activating immune cells and enhancing anti-tumor responses.
The combination therapy effectively inhibits the suppressive interactions, activates immune cells, and enhances cytotoxicity against tumor cells, providing a therapeutic approach for cancers like breast and colorectal cancer.
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Figure US2025039798_05022026_PF_FP_ABST
Abstract
Description
Attorney Docket No.14529-177-228 METHODS OF USE OF AGENTS THAT BIND TO NKG2A AND PD-L1 CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims the benefit of U.S. Provisional Application No. 63 / 677,890, filed on July 31, 2024, which is incorporated by reference herein in its entirety. REFERENCE TO SEQUENCE LISTING SUBMITTED ELECTRONICALLY
[0002] This application contains an electronic Sequence Listing which has been submitted in XML file format via Patent Center, the entire content of which is incorporated by reference herein in its entirety. The Sequence Listing XML file submitted via Patent Center is entitled “14529-177-228_SEQ_LISTING.xml”, was created on July 22, 2025, and is 164,890 bytes in size. 1. FIELD
[0003] The present disclosure relates generally to methods of treating a disease or disorder with a binding agent, such as an antibody (including a fragment thereof) that binds to both NKG2A and PD-L1, including human NKG2A and human PD-L1, in combination with Compound I or a pharmaceutically acceptable salt thereof. 2. BACKGROUND
[0004] NKG2A is a cell surface molecule that is typically expressed on NK cells and may also be expressed on T cells, especially on CD8+T cells. Thus, NKG2A is a potential target for removing suppressions of immune cells and enhancing anti-tumor responses by immune cells. However, therapeutic success with binding agents targeting NKG2A has not yet been achieved.
[0005] Programmed death ligand 1 (PD-L1) is a cell surface glycoprotein ligand that specifically binds to programmed death receptor 1 (PD-1), a key immune checkpoint receptor. PD-1 is upregulated on activated T cells, B cells, and monocytes and mediates immunosuppression. While PD-L2, the other PD-1 ligand, is expressed primarily on activated antigen-presenting cells (APCs), PD-L1 is broadly expressed, including in cells of hematopoietic lineage, such as activated T cells, B cells, monocytes, dendritic cells and macrophages, and peripheral tissues such as heart, skeletal, muscle, placenta, lung, kidney and liver tissues. The binding of PD-L1 to PD-1 is a negative checkpoint that can activate the downstream signaling of PD-1 receptor in T cells, thus inhibiting the proliferation, cytokine generation and release, and cytotoxicity of T cells. This inhibition of T cell activation and secretion of effector cytokines can prevent autoimmunity and chronic infection. However, many tumor cells use this mechanism to protect themselves from immune attack, resulting in 1 NAI-5002086922v1tumor immune evasion. Many cancers overexpress PD-L1, and its overexpression is often associated with poor prognosis. In cancer, the PD-1 / PD-L1 interaction stimulates the downstream signals to suppress T cell activation, resulting in tumor cell survival. Although the blockade of PD-1 interaction with its ligands has been proposed as an immunotherapeutic method of enhancing T cell immune responses against tumor cells, there remains an urgent need in the art for agents that can inhibit or prevent PD-1 / PD-L1 interaction.
[0006] There remains a need in the art for new therapies, including, for example, combination therapies for the treatment of cancers. Provided herein are solutions to these and other problems in the art. 3. SUMMARY
[0007] The present disclosure provides combination therapy methods of treating diseases or disorders using (1) multispecific binding agents (e.g., multispecific antibodies or fragments thereof) that have a first binding domain that binds to NKG2A (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof), including human NKG2A, and one or more additional binding domains that bind to one or more targets that are not NKG2A (e.g., PD-L1); and (2) Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:multispecific binding agents include multispecific antibodies (e.g., bispecific antibodies) that bind to NKG2A and one or more additional targets that are not NKG2A (e.g., PD-L1), for example, multispecific antibodies that have a first binding domain that binds to NKG2A (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof), including human NKG2A, and one or more additional binding domains that bind to one or more targets that are not NKG2A (e.g., PD-L1). Such multispecific binding agents, in some embodiments, include multispecific antibodies (e.g., bispecific antibodies) that bind to NKG2A (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) and one or more additional targets that are not NKG2A (e.g., PD-L1), for example, multispecific antibodies that have a first binding domain that binds to NKG2A (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof), including human NKG2A, and one or more additional binding domains that bind to one or more targets that are not NKG2A (e.g., PD-L1), wherein the first binding domain comprises: a heavy chain variable (VH) 2 NAI-5002086922v1region comprising a VH CDR1, a VH CDR2, and a VH CDR3 amino acid sequence set forth in any one of Tables 1-4; and a light chain variable (VL) region comprising a VL CDR1, a VL CDR2, and a VL CDR3 amino acid sequence set forth in any one of Tables 1-4, or wherein the multispecific antibodies compete for the binding of NKG2A (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof), including human NKG2A, with an antibody having a heavy chain variable region and a light chain variable region described herein (e.g., Tables 1-4). In some embodiments, the first binding domain specifically binds to one, two, three, four, five, or all of the following NKG2A polypeptide fragments: an NKG2A polypeptide fragment comprising the amino acid sequence of TWEESL (SEQ ID NO:134), an NKG2A polypeptide fragment comprising the amino acid sequence of SIISPSSWIGV (SEQ ID NO:135), an NKG2A polypeptide fragment comprising the amino acid sequence of FRNSSHHPW (SEQ ID NO:136), an NKG2A polypeptide fragment comprising the amino acid sequence of IKDSDNAEL (SEQ ID NO:137), an NKG2A polypeptide fragment comprising the amino acid sequence of LQVNR (SEQ ID NO:138), and an NKG2A polypeptide fragment comprising the amino acid sequence of AQCGSSI (SEQ ID NO:139). In some embodiments, the first binding domain specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue (1) from one of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139), or (2) from each one of two, three, four, five or all of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the first binding domain specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue (1) from one of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139), or (2) from each one of two, three, four, five or all of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the additional binding domain binds to PD-L1 (e.g., human PD-L1), wherein the additional binding domain comprises: a heavy chain variable (VH) 3 NAI-5002086922v1region comprising a VH CDR1, a VH CDR2, and a VH CDR3 amino acid sequence set forth in Table 5; and a light chain variable (VL) region comprising a VL CDR1, a VL CDR2, and a VL CDR3 amino acid sequence set forth in Table 5, or wherein the multispecific antibodies compete for the binding of PD-L1 (including human PD-L1) with an antibody having a heavy chain variable region and a light chain variable region described in Table 5. The present disclosure also provides compositions comprising the present binding agents for use in the present methods in combination with Compound I or a pharmaceutically acceptable salt thereof.
[0008] In some embodiments, the disease or disorder is a cancer. In some embodiments, the cancer expresses HLA-E, PD-L1, or both. In some embodiments, the cancer is breast cancer (such as a triple negative breast cancer (TNBC)). In some embodiments, the cancer is colorectal cancer (CRC). 4. BRIEF DESCRIPTION OF THE DRAWINGS
[0009] FIGs.1A-1C illustrate exemplary results for A3 from cell binding assays, further described in Examples 3 and 6.
[0010] FIG.2 illustrates exemplary results for A3 from HLA-E / NKG2A inhibiting assays, further described in Examples 4 and 6.
[0011] FIGs.3A-3C illustrate exemplary results for A3 from developability assays, further described in Examples 5 and 6.
[0012] FIGs.4A-4C illustrate exemplary results for A42 from biolayer interferometry (BLI) binding assays (i.e., Octet binding assays), further described in Example and 6.
[0013] FIG.5 illustrates exemplary results for A42 from HLA-E / NKG2A inhibiting assays, further described in Examples 4 and 6.
[0014] FIGs.6A-6C illustrate exemplary results for A42 from developability assays, further described in Examples 5 and 6.
[0015] FIGs.7A-7C illustrate exemplary results for A2 from BLI binding assays, further described in Example 6.
[0016] FIG.8 illustrates exemplary results for A2 from HLA-E / NKG2A inhibiting assays, further described in Examples 4 and 6.
[0017] FIGs.9A-9C illustrate exemplary results for A2 from developability assays, further described in Examples 5 and 6.
[0018] FIGs.10A-10C illustrate exemplary results for A11 from BLI binding assays, further described in Example 6. 4 NAI-5002086922v1
[0019] FIG.11 illustrates exemplary results for A11 from HLA-E / NKG2A inhibiting assays, further described in Examples 4 and 6.
[0020] FIGs.12A-12C illustrate exemplary results for A11 from developability assays, further described in Examples 5 and 6.
[0021] FIGs.13A-13L illustrate exemplary results from cell binding assays, further described in Example 8.
[0022] FIGs.14A-14F illustrate exemplary results from HLA-E / NKG2A inhibiting assays, further described in Example 9.
[0023] FIGs.15A-15F illustrate exemplary results from PD-L1 / PD1 inhibiting assays, further described in Example 10.
[0024] FIGs.16A-16F illustrate exemplary results from cytotoxicity assays, further described in Example 11.
[0025] FIGs.17A-17E provide exemplary results (FIG.17A) of in vitro functional evaluation assays and statistical analysis thereof (FIG.17B plotting NK degranulation data shown by differences with 95% CI; FIG.17C plotting NK cytotoxicity data shown by differences with 95% CI; FIG.17D plotting NK degranulation data shown by percentages of CD107a / b+ NK cells; and FIG.17E plotting NK cytotoxicity data shown by percentages of live tumor cells), further described in Example 12.
[0026] FIGs.18A-18D provide exemplary results (FIGs.18A-18C) from a flu- stimulated CD8+ T cell assay and statistical analysis thereof (FIG.18D), further described in Example 12.
[0027] FIGs.19A-19F illustrate exemplary results from SEC chromatography, further described in Example 13.
[0028] FIGs.20A-20F illustrate exemplary results from HIC chromatography, further described in Example 13.
[0029] FIGs.21A-21F illustrate exemplary results from SMAC chromatography, further described in Example 13.
[0030] FIGs.22A-22C illustrates exemplary bispecific antibody formats used in constructing the exemplary bispecific antibodies described herein.
[0031] FIGs.23A-23C provide exemplary results of the CellTrace Far Red and CellTrace Violet labeling experiment, further described in Example 14. FIG.23A compares the P12 x A11, sFc data with various controls at the same tested dose (2nM). FIG.23B shows a dose-dependent co-engagement of tumor and NK cells by P12 x A11, sFc. FIG.23C compares various target-to-effector (T:E) ratios used in the experiments. 5 NAI-5002086922v1
[0032] FIGs.24A and 24B provide exemplary results showing expressions of human HLA-E (hHLA-E) and human PD-L1 (hPD-L1) on engineered MC38 cells (B-hHLA-E plus / hPD-L1 MC38 cells) compared to the unengineered MC38 ones in vitro (FIG.24A) and ex vivo (FIG.24B), further described in Example 15.
[0033] FIGs.25A-25H provide exemplary results of in vivo functional evaluation further described in Example 15. FIG.25A plots body weight changes in all groups, while FIG.25B shows changes in tumor volume. FIG.25C focuses on treatments at 10 mg / kg body weight. FIGs.25D-25H provide spider plots of tumor volumes of the indicated treatment at 10 mg / kg.
[0034] FIG.26 shows surface rendering of NKG2a and CD94 highlights P12 x A11, sFc epitope.
[0035] FIG.27 shows a list of regions significantly protected from Deuterium exchange.
[0036] FIGs.28A-28D provide exemplary results of cytokine release (FIG.28A, IFN-γ; FIG.28B, CXCL9; FIG.28C, Granzyme B; and FIG.28D, CXCL11) in an in vitro functional assay assessing a combination of an anti-NKG2A anti-PD-L1 bispecific antibody (P12 x A11 sFc) and Compound I along with various controls as detailed in Example 17.
[0037] FIGs.29A-29Q provide exemplary results of an in vivo mouse study evaluating the combination of P12 x A11 sFc and Compound I as detailed in Example 18. FIG.29A shows changes in tumor volume. The six black arrows indicate administration of P12 x A11 sFc, while the range noted by the two grey arrows indicates days when Compound I was administered. FIG.29B plots tumor growth inhibition rates (TGIs) of Day 32. FIGs.29C- 29N are spider plots showing tumor volumes of each mouse in the indicated study group (FIGs.29C-29H plot data obtained on Day 35 for G1-G6, respectively, and FIGs.29I-29N show the tumor volumes on Day 46 for G1-G6, respectively). FIG.29O is the corresponding survival plot, while FIG.29P and FIG.29Q plot a subset of those shown in FIG.29O. 5. DETAILED DESCRIPTION
[0038] The present disclosure provides combination therapy methods for treating diseases or disorders using (1) multispecific binding agents (e.g., multispecific antibodies or fragments thereof) that have a first binding domain that binds to NKG2A (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof), including human NKG2A, and one or more additional binding domains that bind to one or more targets that are not NKG2A (e.g., PD-L1); and (2) Compound I or a pharmaceutically acceptable salt thereof, wherein 6 NAI-5002086922v1Compound I has the structure: . Such methods are based, at least in part, on the superior effects of the multispecific binding agents that bind to both NKG2A and PD-L1 provided herein and the superior effects of combination treatment methods using such multispecific binding agents and Compound I. Such multispecific binding agents include antibodies (e.g., multispecific antibodies) that bind to NKG2A (e.g., human NKG2A) (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) and PD-L1 (e.g., human PD-L1). In certain aspects, such binding agents are useful in compositions and in methods for inhibiting the interaction between HLA- E and NKG2A and / or between PD-1 and PD-L1, thereby preventing suppression of an immune cell or activating an anti-tumor response mediated by an immune cell. In addition, the multispecific binding agents provided herein are useful for the killing and / or removal of tumor cells. The binding agents provided herein are useful in compositions and in methods for treating a disease or disorder such as cancer.
[0039] In one aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising: administering to the subject a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non- NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2). In some embodiments, the method further comprises administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:Section 5.3). In some embodiments, the subject is administered with Compound I or a pharmaceutically acceptable 7 NAI-5002086922v1salt thereof, wherein Compound I has the structure:Section 5.3).
[0040] In another aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising: (1) administering to the subject a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2), and (2) administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:Section 5.3).
[0041] In another aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising administering to the subject a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non- NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2), wherein the subject is administered with Compound I or a pharmaceutically acceptable salt thereof, and wherein Compound I has the structure:Section 5.3).
[0042] In another aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure: 8 NAI-5002086922v1., Section 5.3), wherein the subject is administered with a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2).
[0043] In another aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising: administering to the subject a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2). In some embodiments, the method further comprises administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:Section 5.3). In some embodiments, the subject is administered with Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:Section 5.3).
[0044] In another aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising: (1) administering to the subject a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2); and (2) 9 NAI-5002086922v1administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:(see, e.g., Section 5.3).
[0045] In another aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising administering to the subject a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2), wherein the subject is administered with Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:Section 5.3).
[0046] In another aspect, the present disclosure provides a method for treating a disease or disorder in a subject, the method comprising administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:Section 5.3), wherein the subject is administered with a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2).
[0047] In another aspect, the present disclosure provides use of a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A 10 NAI-5002086922v1antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2) for the manufacture of a medicament for treating a disease or disorder in a subject. In some embodiments, the medicament is for treating a disease or disorder in a subject in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0048] In another aspect, the present disclosure provides use of a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2) for the manufacture of a medicament for treating a disease or disorder in a subject, in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0049] In another aspect, the present disclosure provides use of Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3) for the manufacture of a medicament for treating a disease or disorder in a subject, in combination with a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non- NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2).
[0050] In another aspect, the present disclosure provides use of a combination of (1) a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2), and (2) Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3), for the manufacture of a medicament for treating a disease or disorder in a subject.
[0051] In another aspect, the present disclosure provides use of a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2) for the manufacture of a medicament for treating a disease or disorder in a subject. In some embodiments, the medicament is for treating a disease or disorder in a subject in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0052] In another aspect, the present disclosure provides use of a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a 11 NAI-5002086922v1multispecific binding agent described in Section 5.2) for the manufacture of a medicament for treating a disease or disorder in a subject, in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0053] In another aspect, the present disclosure provides use of Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3) for the manufacture of a medicament for treating a disease or disorder in a subject, in combination with a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2).
[0054] In another aspect, the present disclosure provides use of a combination of (1) a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2) and (2) Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3), for the manufacture of a medicament for treating a disease or disorder in a subject.
[0055] In another aspect, the present disclosure provides a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2) for use in treating a disease or disorder in a subject. In some embodiments, the multispecific binding agent is for use in treating a disease or disorder in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0056] In another aspect, the present disclosure provides a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2) for use in treating a disease or disorder in a subject, in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0057] In another aspect, the present disclosure provides Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3) for use in treating a disease or disorder in a subject, in combination with a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2). 12 NAI-5002086922v1
[0058] In another aspect, the present disclosure provides a combination of (1) a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen (such as PD-L1) (e.g., a multispecific binding agent described in Section 5.2), and (2) Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3), for use in treating a disease or disorder in a subject.
[0059] In another aspect, the present disclosure provides a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2) for use in treating a disease or disorder in a subject. In some embodiments, the multispecific binding agent is for use in treating a disease or disorder in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0060] In another aspect, the present disclosure provides a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2) for use in treating a disease or disorder in a subject, in combination with Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3).
[0061] In another aspect, the present disclosure provides Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3) for use in treating a disease or disorder in a subject, in combination with a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2).
[0062] In another aspect, the present disclosure provides a combination of (1) a multispecific binding agent, such as a multispecific antibody or fragment thereof, that comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1 (e.g., a multispecific binding agent described in Section 5.2), and (2) Compound I or a pharmaceutically acceptable salt thereof (see, e.g., Section 5.3), for use in treating a disease or disorder in a subject.
[0063] In various embodiments of any aspect as disclosed herein, the disease or disorder is a cancer. In further embodiments, the cancer expresses HLA-E, PD-L1, or both. 13 NAI-5002086922v1Additionally or alternatively, the cancer is breast cancer (such as, a triple negative breast cancer (TNBC)) or colorectal cancer (CRC).
[0064] In various embodiments, the subject is a human subject.
[0065] In one aspect, the present disclosure provides a method for treating breast cancer or colorectal cancer in a subject, the method comprising administering to the subject a multispecific antibody or fragment thereof, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen, and wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the second binding domain binds to PD-L1. In further embodiments, the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0066] In another aspect, the present disclosure provides a method for treating breast cancer or colorectal cancer in a subject, the method comprising: administering to the subject a multispecific antibody or fragment thereof, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, and wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set 14 NAI-5002086922v1forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0067] In yet another aspect, the present disclosure provides a method for treating breast cancer or colorectal cancer in a subject, the method comprising: administering to the subject a multispecific antibody or fragment thereof, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73; and wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0068] In one aspect, the present disclosure provides a multispecific antibody or fragment thereof for the manufacture of a medicament for treating breast cancer or colorectal cancer in 15 NAI-5002086922v1a subject, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen, and wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the second binding domain binds to PD-L1. In further embodiments, the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0069] In another aspect, the present disclosure provides a multispecific antibody or fragment thereof for the manufacture of a medicament for treating breast cancer or colorectal cancer in a subject, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, and wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the first binding domain comprises any one or more of (i)- (iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a 16 NAI-5002086922v1VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0070] In yet another aspect, the present disclosure provides a multispecific antibody or fragment thereof for the manufacture of a medicament for treating breast cancer or colorectal cancer in a subject, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73; and wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0071] In one aspect, the present disclosure provides a multispecific antibody or fragment thereof for use in treating breast cancer or colorectal cancer in a subject, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen, and wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, 17 NAI-5002086922v1and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the second binding domain binds to PD-L1. In further embodiments, the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0072] In another aspect, the present disclosure provides a multispecific antibody or fragment thereof for use in treating breast cancer or colorectal cancer in a subject, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, and wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0073] In yet another aspect, the present disclosure provides a multispecific antibody or fragment thereof for use in treating breast cancer or colorectal cancer in a subject, wherein 18 NAI-5002086922v1the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73; and wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the breast cancer is triple negative breast cancer (TNBC).
[0074] In various embodiments, the method further comprises administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:. In various embodiments, the treatment further comprises Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:. In some embodiments, the Compound I or a pharmaceutically acceptable salt thereof is administered orally. In some embodiments, the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered concurrently. 19 NAI-5002086922v1In some embodiments, the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered separately, wherein the multispecific antibody or fragment thereof is administered before Compound I or a pharmaceutically acceptable salt thereof. In some embodiments, the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered separately, wherein the multispecific antibody or fragment thereof is administered after Compound I or a pharmaceutically acceptable salt thereof. In some embodiments, the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered in separate compositions.
[0075] In various embodiments, the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 2, 8, 14, 19, and 24; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 3, 9, 15, and 20; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 4, 10, 16, and 21; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 11, and 22; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 6, 17, and 23. In further embodiments, the first binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:2, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:8, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:9; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:2, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of 20 NAI-5002086922v1SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:14, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:15; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:17; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:19, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:20; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:23; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:24, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6.
[0076] In various embodiments, the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 27, 32, 35, 39, and 44; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 28, 33, 36, and 40; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 29, 34, 37, and 41; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 30, 11, and 42; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 31, 38, and 43. In further embodiments, the first binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:27, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 21 NAI-5002086922v1comprising the amino acid sequence of SEQ ID NO:32, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:33; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:34, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:27, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:35, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:36; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:37, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:38; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:39, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:40; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:41, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:42, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:43; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:44, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31.
[0077] In various embodiments, the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 47, 51, 54, 55, and 59; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 48, 52, 56, 60, and 63; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 49, 53, 57, and 61; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 4, 10, 16, and 21; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 11, and 22; and (3) a VL CDR3 having an amino acid sequence selected from the group 22 NAI-5002086922v1consisting of SEQ ID NOs: 50, 58, and 62. In further embodiments, the first binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:51, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:52, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:53; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:54, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:55, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:56, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:57; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:58; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:59, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:60, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:61; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:62; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:63, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50. 23 NAI-5002086922v1
[0078] In some embodiments, the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 47, 51, 54, 55, and 59; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 48, 52, 56, 60, and 63; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 49, 53, 57, and 61; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 66, 68, 70, and 71; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 67, 69, and 72; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 50, 58, and 62. In further embodiments, the first binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:51, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:52, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:53; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:68, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:69, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:54, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:55, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:56, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:57; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:70, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:69, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:58; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:59, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:60, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:61; and 24 NAI-5002086922v1a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:71, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:72, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:62; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:63, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0079] In various embodiments, the first binding domain further comprises a framework 1 (FR1), a framework 2 (FR2), a framework 3 (FR3) and / or a framework 4 (FR4) sequence, optionally as set forth in any one of SEQ ID NOs: 25, 26, 45, 46, 64, 65, and 73.
[0080] In various embodiments, the first binding domain further comprises human framework sequences.
[0081] In various embodiments, the first binding domain comprises any one or more of (i)-(iv): (i) a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL comprising the amino acid sequence of SEQ ID NO:73.
[0082] In various embodiments, the first binding domain binds to a complex comprising NKG2A and CD94 or extracellular domains of each thereof; wherein the first binding domain does not bind to NKG2C, or a complex comprising NKG2C and CD94 or extracellular domains of each thereof; wherein the first binding domain also binds to cyno NKG2A; and / or wherein the first binding domain does not bind to cyno NKG2A.
[0083] In various embodiments, the second binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:86, 89, 91, 94, and 97; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs:87, 90, 92, and 95; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:4, 10, 16, and 21; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:5, 11, and 22; and (3)a VL CDR3 having an amino acid sequence selected from the group 25 NAI-5002086922v1consisting of SEQ ID NOs:88, 93, and 96. In further embodiments, the second binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:89, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:90; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:91, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:92; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:93; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:94, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:95; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:96; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:97, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88. In yet further embodiments, 26 NAI-5002086922v1the second binding domain comprises a VH region comprising the amino acid sequence of SEQ ID NO:98 and a VL region comprising the amino acid sequence of SEQ ID NO:99.
[0084] In various embodiments, the multispecific antibody or fragment thereof comprises any one or more of: a silent Fc, knobs-into-holes mutations, and an isoallotype mutation. Additionally or alternatively, the multispecific antibody or fragment thereof comprises one or more of the following mutations according to the EU numbering: L234A, L235A, P329K, G341A, Y349C, S354C, D356E, E357W, L358M, T366W, T366S, L368A, K370R, and Y407V.
[0085] In various embodiments, the multispecific antibody or fragment thereof comprises: (i) a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a first CH2, and a second CH3; (ii) a second polypeptide comprising from N- terminus to C-terminus: a first VH and a third CH3; (iii) a third polypeptide comprising from N-terminus to C-terminus: a second VL, a CL, a second CH2, and a fourth CH3; and (iv) a fourth polypeptide comprising from N-terminus to C-terminus: a second VH and a CH1; wherein the first polypeptide and the second polypeptide form the second binding domain that binds to PD-L1, and the third polypeptide and the fourth polypeptide form the first binding domain that binds to NKG2A.
[0086] In various embodiments, the multispecific antibody or fragment thereof further comprises a third binding domain. In further embodiments, the third binding domain binds to NKG2A. In yet further embodiments, the third binding domain is same as the first binding domain. In some embodiments, the multispecific antibody or fragment thereof comprises: (i) a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a first CH2, and a second CH3; (ii) a second polypeptide comprising from N-terminus to C- terminus: a first VH and a third CH3; (iii) a third polypeptide comprising from N-terminus to C-terminus: a second VL, a first CL, a third VL, a second CL, a second CH2, and a fourth CH3, wherein the second VL and the third VL are the same, and the first CL and the second CL are the same; (iv) a fourth polypeptide comprising from N-terminus to C-terminus: a second VH and a first CH1; and (v) a fifth polypeptide comprising from N-terminus to C- terminus: a third VH and a second CH1; wherein the second VH and the third VH are the same, and the first CH1 and the second CH1 are the same; and wherein the first polypeptide and the second polypeptide form the second binding domain that binds to PD-L1, the third polypeptide and the fourth polypeptide form the first binding domain that binds to NKG2A, and the third polypeptide and the fifth polypeptide form the third binding domain that binds to NKG2A. 27 NAI-5002086922v1
[0087] In various embodiments, the multispecific antibody or fragment thereof further comprises a third binding domain. In further embodiments, the third binding domain binds to PD-L1. In yet further embodiments, the third binding domain is same as the second binding domain. In some embodiments, the multispecific antibody or fragment thereof comprises: (i) a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a second VL, a second CH3, a first CH2, and a third CH3, wherein the first VL and the second VL are the same, and the first CH3 and the second CH3 are the same; (ii) a second polypeptide comprising from N-terminus to C-terminus: a first VH and a fourth CH3; (iii) a third polypeptide comprising from N-terminus to C-terminus: a second VH and a fifth CH3; (iv) a fourth polypeptide comprising from N-terminus to C-terminus: a third VL, a first CL, a second CH2 and a sixth CH3; and (v) a fifth polypeptide comprising from N-terminus to C- terminus: a third VH and a CH1; wherein the first VH and the second VH are the same, and the fourth CH3 and the fifth CH3 are the same; and wherein the first polypeptide and the second polypeptide form the second binding domain that binds to PD-L1, the first polypeptide and the third polypeptide form the third binding domain that binds to PD-L1, and the fourth polypeptide and the fifth polypeptide form the first binding domain that binds to NKG2A.
[0088] In various embodiments, the multispecific antibody or fragment thereof comprises a first polypeptide, a second polypeptide, a third polypeptide, and a fourth polypeptide, wherein: (1) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:121, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (2) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:123, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (3) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:119, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:121, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (4) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set 28 NAI-5002086922v1forth in SEQ ID NO:125, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (5) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:124, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (6) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:119, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:125, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (7) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:129, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (8) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:130, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (9) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:128, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:129, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (10) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:132, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (11) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:131, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (12) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:128, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:132, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126. 29 NAI-5002086922v1
[0089] In various embodiments, the multispecific antibody or fragment thereof is administered intravenously.
[0090] In various embodiments, the subject is a human subject.
[0091] As it would be understood, the section or subsection headings as used herein is for organizational purposes only and are not to be construed as limiting and / or separating the subject matter described. 5.1. Definitions
[0092] Techniques and procedures described or referenced herein include those that are generally well understood and / or commonly employed using conventional methodology by those skilled in the art, such as, for example, the widely utilized methodologies described in Sambrook et al., Molecular Cloning: A Laboratory Manual (3d ed.2001); Current Protocols in Molecular Biology (Ausubel et al. eds., 2003); Therapeutic Monoclonal Antibodies: From Bench to Clinic (An ed.2009); Monoclonal Antibodies: Methods and Protocols (Albitar ed. 2010); and Antibody Engineering Vols 1 and 2 (Kontermann and Dübel eds., 2d ed.2010). Unless otherwise defined herein, technical and scientific terms used in the present description have the meanings that are commonly understood by those of ordinary skill in the art. For purposes of interpreting this specification, the following description of terms will apply and whenever appropriate, terms used in the singular will also include the plural and vice versa. In the event that any description of a term set forth conflicts with any document incorporated herein by reference, the description of the term set forth below shall control.
[0093] The term “NKG2A” refers to a polypeptide (“polypeptide” and “protein” are used interchangeably herein) or any native NKG2A from any vertebrate source, including mammals such as primates (e.g., humans, cynomolgus monkey (cyno)), dogs, and rodents (e.g., mice and rats), unless otherwise indicated. NKG2A is also known as, for example, NK cell receptor A, NKG2A-activating NK receptor, NKG2-A / B-activating NK receptor, killer cell lectin like receptor C1 (CD159a), CD159 antigen-like family member A, or NKG2- A / NKG2-B type II integral membrane protein. NKG2A belongs to a family of lectins, which forms a heterodimer with CD94 (or KLRD1) another NK cell-expressed C-type lectin. The NKG2A / CD94 complex binds to HLA-E, a non-classical MHC I molecule, in humans and transduces inhibitory signals, which suppress NK and CD8+T cell activities. NKG2A is a protein encoded by the NKG2A gene (or KLRC1). The term NKG2A encompasses “full- length” NKG2A, as well as any form of NKG2A or any fragment thereof that results from processing in a cell. In some embodiments, an exemplary amino acid sequence of a full- length NKG2A is provided below (see, e.g., gene access no. P26715-1 in the Example section 30 NAI-5002086922v1below). In some embodiments, the NKG2A comprises a signal sequence. In some embodiments, the NKG2A does not include a signal sequence. In some embodiments, the term NKG2A refers to a fragment of the full-length NKG2A, which comprises an NKG2A extracellular domain. The term NKG2A also encompasses naturally occurring variants of NKG2A, such as SNP variants, splice variants and allelic variants. An exemplary amino acid sequence of extracellular domain of human NKG2A is provided below: PSTLIQRHNNSSLNTRTQKARHCGHCPEEWITYSNSCYYIGKERRTWEESLLACTSKN SSLLSIDNEEEMKFLSIISPSSWIGVFRNSSHHPWVTMNGLAFKHEIKDSDNAELNCA VLQVNRLKSAQCGSSIIYHCKHKL (SEQ ID NO:74). An exemplary amino acid sequence of human NKG2A is provided below: RHNNSSLNTRTQKARHCGHCPEEWITYSNSCYYIGKERRTWEESLLACTSKNSSLLSI DNEEEMKFLSIISPSSWIGVFRNSSHHPWVTMNGLAFKHEIKDSDNAELNCAVLQVN RLKSAQCGSSIIYHCKHKL (SEQ ID NO:141). An exemplary amino acid sequence of extracellular domain of cynomolgus monkey (cyno) NKG2A is provided below: PSTLTQKHNNSSLNTRTQKARHCGHCPEEWITYSNSCYYIGKEKRTWAESLLACTLK NSSLLSIDNEEEMKFLTAISPSTWTGVFRDSSQHPWVTINGLTFKHEIKDSDNAEHNC AMLHARGLKSDRCGSSKIYHCKHKL (SEQ ID NO:77).
[0094] In some embodiments, the term NKG2A as used herein refers to an NKG2A epitope. Additionally or alternatively, the term NKG2A as used herein refers to an epitope of a complex comprising NKG2A and CD94, or a complex comprising the extracellular domains of NKG2A and CD94. In further embodiments, the term NKG2A as used herein refers to an epitope of a complex comprising NKG2A and CD94, or a complex comprising the extracellular domains of NKG2A and CD94, but not an epitope solely on CD94 itself. Additionally or alternatively, the term NKG2A as used herein refers to an epitope of a complex comprising NKG2A and CD94, or a complex comprising the extracellular domains of NKG2A and CD94, but not an epitope solely on NKG2A itself. In some embodiments, the term NKG2A as used herein refers to an epitope of a complex comprising NKG2A and CD94, or a complex comprising the extracellular domains of NKG2A and CD94, but not an epitope solely on NKG2A itself or solely on CD94 itself.
[0095] In some embodiments, the term NKG2A as used herein refers to an NKG2A epitope. Additionally or alternatively, the term NKG2A as used herein refers to an NKG2A epitope located on the surface of an NKG2A stabilized by complexing with a CD94. In some embodiments, the term NKG2A as used herein refers to an NKG2A epitope located on the surface of a complex comprising NKG2A and CD94 and solely on NKG2A itself. 31 NAI-5002086922v1Additionally or alternatively, the term NKG2A as used herein refers to an NKG2A epitope located on the surface of an NKG2A extracellular domain stabilized by complexing with a CD94 extracellular domain. In some embodiments, the term NKG2A as used herein refers to an NKG2A epitope located on the surface of a complex comprising the extracellular domains of NKG2A and CD94 and solely on the extracellular domain of NKG2A itself.
[0096] The term “NKG2C” refers to a polypeptide (“polypeptide” and “protein” are used interchangeably herein) or any native NKG2C from any vertebrate source, including mammals such as primates (e.g., humans, cynomolgus monkey (cyno)), dogs, and rodents (e.g., mice and rats), unless otherwise indicated. NKG2C is also known as, for example, KLRC2, CD159c, NKG2-C, NKG2C, killer cell lectin like receptor C2. NKG2C is a protein encoded by the NKG2C gene (or KLRC2). The term NKG2C encompasses “full-length” NKG2C, as well as any form of NKG2C or any fragment thereof that results from processing in a cell. In some embodiments, the NKG2C comprises a signal sequence. In some embodiments, the NKG2C does not include a signal sequence. In some embodiments, the term NKG2C refers to a fragment of the full-length NKG2C, which comprises an NKG2C extracellular domain. The term NKG2C also encompasses naturally occurring variants of NKG2C, such as SNP variants, splice variants and allelic variants. The NKG2C gene is described in various databases with the following ID numbers: HGNC 6375; NCBI Entrez Gene 3822; Ensembl ENSG00000205809; OMIM® 602891; and UniProtKB / Swiss- Prot P26717. An exemplary extracellular domain of human NKG2C is shown in the Example section below (see SEQ ID NO:75).
[0097] In some embodiments, the term NKG2C as used herein refers to an NKG2C epitope. Additionally or alternatively, the term NKG2C as used herein refers to an epitope of a complex comprising NKG2C and CD94, or a complex comprising the extracellular domains of NKG2C and CD94. In further embodiments, the term NKG2C as used herein refers to an epitope of a complex comprising NKG2C and CD94, or a complex comprising the extracellular domains of NKG2C and CD94, but not an epitope solely on CD94 itself. Additionally or alternatively, the term NKG2C as used herein refers to an epitope of a complex comprising NKG2C and CD94, or a complex comprising the extracellular domains of NKG2C and CD94, but not an epitope solely on NKG2C itself. In some embodiments, the term NKG2C as used herein refers to an epitope of a complex comprising NKG2C and CD94, or a complex comprising the extracellular domains of NKG2C and CD94, but not an epitope solely on NKG2C itself or soley on CD94 itself. 32 NAI-5002086922v1
[0098] The term “HLA-E” refers to a polypeptide (“polypeptide” and “protein” are used interchangeably herein) or any native HLA-E or an ortholog thereof from any vertebrate source, including mammals such as primates (e.g., humans, cynomolgus monkey (cyno)), dogs, and rodents (e.g., mice and rats), unless otherwise indicated. HLA-E is also known as, for example, major histocompatibility complex Class I, E; HLA Class I histocompatibility antigen, alpha chain E; MHC Class I Antigen E; HLA-6.2; MHC Class Ib antigen; HLAE; or QA1. HLA-E is a protein that in humans is encoded by the HLA-E gene. HLA-E belongs to the HLA class I heavy chain paralogues, and is approximately 45 kDa and anchored in the membrane. The term HLA-E encompasses “full-length” HLA-E, as well as any form of HLA-E or any fragment thereof that results from processing in a cell. In some embodiments, the HLA-E comprises a signal sequence. In some embodiments, the HLA-E does not include a signal sequence. In some embodiments, the term HLA-E refers to a fragment of the full- length HLA-E, which comprises an HLA-E extracellular domain. The term HLA-E also encompasses naturally occurring variants of HLA-E, such as SNP variants, splice variants and allelic variants. The HLA-E gene is described in various databases with the following ID numbers: HGNC 4962; NCBI Entrez Gene 3133; Ensembl ENSG00000204592; OMIM® 143010; and UniProtKB / Swiss-Prot P13747.
[0099] The term “CD94” refers to a polypeptide (“polypeptide” and “protein” are used interchangeably herein) or any native CD94 from any vertebrate source, including mammals such as primates (e.g., humans, cynomolgus monkey (cyno)), dogs, and rodents (e.g., mice and rats), unless otherwise indicated. CD94 is also known as, for example, Killer Cell Lectin Like Receptor D1; Killer Cell Lectin-like Receptor Subfamily D, Member 1; Natural Killer Cells Antigen CD94; NK cell Receptor; or KP43. CD94 is a protein encoded by the KLRD1 gene. CD94 is an immune receptor involved in self-non-self discrimination. It is in complex with NKG2A or NKG2C on cytotoxic and regulatory lymphocyte subsets, recognizes non- classical major histocompatibility (MHC) class Ib molecule HLA-E loaded with self-peptides derived from the signal sequence of classical MHC class Ia and non-classical MHC class Ib molecules. CD94-NKG2A acts as an immune inhibitory receptor, and it is a key inhibitory receptor on natural killer (NK) cells that regulates their activation and effector functions. CD94-NKG2C acts as an immune activating receptor, and it is on cytotoxic lymphocyte subsets that recognizes HLA-E loaded with signal sequence-derived peptides from non- classical MHC class Ib HLA-G molecules. The term CD94 encompasses “full-length” CD94, as well as any form of CD94 or any fragment thereof that results from processing in a cell. In some embodiments, the CD94 comprises a signal sequence. In some embodiments, the CD94 33 NAI-5002086922v1does not include a signal sequence. In some embodiments, the term CD94 refers to a fragment of the full-length CD94, which comprises a CD94 extracellular domain. The term CD94 also encompasses naturally occurring variants of CD94, such as SNP variants, splice variants and allelic variants. The CD94 gene is described in various databases with the following ID numbers: HGNC 6378; NCBI Entrez Gene 3824; Ensembl ENSG00000134539; OMIM® 602894; and UniProtKB / Swiss-Prot Q13241. An exemplary amino acid sequence of human CD94 is provided below: SFTKLSIEPAFTPGPNIELQKDSDCCSCQEKWVGYRCNCYFISSEQKTWNESRHLCAS QKSSLLQLQNTDELDFMSSSQQFYWIGLSYSEEHTAWLWENGSALSQYLFPSFETFN TKNCIAYNPNGNALDESCEDKNRYICKQQLI (SEQ ID NO:140).
[0100] The term “Programmed Cell Death Ligand-1 (PD-L1),” “Programmed Death Ligand-1,” “PD-1 ligand 1” or similar terms refers to a polypeptide (“polypeptide” and “protein” are used interchangeably herein) or any native PD-L1 from any vertebrate source, including mammals such as primates (e.g., humans, cynomolgus monkey (cyno)), dogs, and rodents (e.g., mice and rats), unless otherwise indicated. PD-L1, also known as cluster of differentiation 274 (CD274) or B7 homolog 1 (B7-H1), is a protein that in humans is encoded by the CD274 gene. PD-L1 is one of two naturally-occurring cell surface glycoprotein ligands for PD-1 (the other is PD-L2). Like PD-1, PD-L1 belongs to the immunoglobulin superfamily and consists of two extracellular Ig domains, an N-terminal V domain, and a C- terminal constant domain. PD-L1 is known in the art to downregulate T cell activation and cytokine secretion upon binding to PD-1. The term PD-L1 encompasses “full-length” PD- L1, as well as any form of PD-L1 or any fragment thereof that results from processing in the cell. The term PD-L1 also encompasses naturally occurring variants of PD-L1, such as SNP variants, splice variants and allelic variants. An exemplary full-length amino acid sequence of human PD-L1 is provided below (exemplary extracellular domain = underline text): MRIFAVFIFMTYWHLLNAFTVTVPKDLYVVEYGSNMTIECKFPVEKQLDLAALIVY WEMEDKNIIQFVHGEEDLKVQHSSYRQRARLLKDQLSLGNAALQITDVKLQDAGVY RCMISYGGADYKRITVKVNAPYNKINQRILVVDPVTSEHELTCQAEGYPKAEVIWTS SDHQVLSGKTTTTNSKREEKLFNVTSTLRINTTTNEIFYCTFRRLDPEENHTAELVIPE LPLAHPPNERTHLVILGAILLCLGVALTFIFRLRKGRMMDVKKCGIQDTNSKKQSDT HLEET (SEQ ID NO:100). Other related PD-L1 polypeptides that are also encompassed by the term PD-L1 include fragments, derivatives (e.g., substitution, deletion, truncations, and insertion variants), fusion polypeptides, and interspecies homologs that retain PD-L1 activity and / or are sufficient to generate an anti-PD-L1 immune response. As those skilled in the art 34 NAI-5002086922v1will appreciate, a PD-L1 binding agent (e.g., an antibody) described herein can bind to a PD- L1 polypeptide, a PD-L1 polypeptide fragment, a PD-L1 antigen, and / or a PD-L1 epitope. An epitope may be part of a larger PD-L1 antigen, which may be part of a larger PD-L1 polypeptide fragment, which, in turn, may be part of a larger PD-L1 polypeptide. PD-L1 may exist in a native or denatured form. PD-L1 polypeptides described herein may be isolated from a variety of sources, such as from human tissue types or from another source, or prepared by recombinant or synthetic methods. A PD-L1 polypeptide may comprise a polypeptide having the same amino acid sequence as a corresponding PD-L1 polypeptide derived from nature. Orthologs to the PD-L1 polypeptide are also well known in the art.
[0101] The term “Programmed Cell Death-1 (PD-1),” “Programmed Death-1,” “PD-1 receptor” or similar terms refers to a polypeptide (“polypeptide” and “protein” are used interchangeably herein) or any native PD-1 from any vertebrate source, including mammals such as primates (e.g., humans, cynomolgus monkey (cyno)), dogs, and rodents (e.g., mice and rats), unless otherwise indicated. PD-1, also known as CD279 (cluster of differentiation 279), is an immunoinhibitory receptor belonging to the CD28 family. PD-1 is expressed predominantly on previously activated T cells in vivo, and binds to two ligands, PD-L1 and PD-L2. PD-1 belongs to the immunoglobulin superfamily and consists of two extracellular Ig domains, an N-terminal V domain, and a C-terminal constant domain. PD-1 further contains two cytoplasmic tyrosine-based signaling motifs, an immunoreceptor tyrosine-based inhibition motif (ITIM) and an immunoreceptor tyrosine-based switch motif (ITSM). The term PD-1 encompasses “full-length” PD-1, as well as any form of PD-1 or any fragment thereof that results from processing in the cell. The term PD-1 also encompasses naturally occurring variants of PD-1, such as SNP variants, splice variants and allelic variants. Following T cell stimulation, PD-1 is known in the art to recruit the tyrosine phosphatase SHP-2 to the ITSM motif within its cytoplasmic tail, leading to, among other things, the dephosphorylation of effector molecules such as CD3 Zeta, PKC theta and ZAP70 that are involved in the CD3 T cell signaling cascade (Carter et al. (2002) Eur J Immunol 32:634-43). An exemplary full-length amino acid sequence of human PD-1 is provided below: MQIPQAPWPVVWAVLQLGWRPGWFLDSPDRPWNPPTFSPALLVVTEGDNATFTCSF SNTSESFVLNWYRMSPSNQTDKLAAFPEDRSQPGQDCRFRVTQLPNGRDFHMSVVR ARRNDSGTYLCGAISLAPKAQIKESLRAELRVTERRAEVPTAHPSPSPRPAGQFQTLV VGVVGGLLGSLVLLVWVLAVICSRAARGTIGARRTGQPLKEDPSAVPVFSVDYGEL DFQWREKTPEPPVPCVPEQTEYATIVFPSGMGTSSPARRGSADGPRSAQPLRPEDGHC SWPL (SEQ ID NO:101). 35 NAI-5002086922v1
[0102] As used herein, the term “binding agent” or a grammatical equivalent thereof refers to a molecule (e.g., antibody) with one or more antigen-binding sites that binds an antigen. In some embodiments, a binding agent as described herein is an antibody (including a multispecific antibody and an antibody fragment, such as an antigen-binding fragment or an epitope-binding fragment) or other peptide-based molecule as well as a conjugate of an antibody, antibody fragment, or peptide-based molecule (e.g., an antibody-drug conjugate) that binds to NKG2A (such as human NKG2A) and / or PD-L1 (such as human PD-L1).
[0103] The terms “antibody,” “immunoglobulin,” and “Ig” are used interchangeably herein, and are used in the broadest sense and specifically cover, for example polyclonal antibodies, monoclonal antibodies (including agonist, antagonist, neutralizing antibodies, full-length monoclonal antibodies), antibody compositions with polyepitopic or monoepitopic specificity, recombinantly produced antibodies, single domain (e.g., VHH) antibodies, monospecific antibodies, multispecific antibodies (including bispecific antibodies), synthetic antibodies, chimeric antibodies, humanized antibodies, or human versions of antibodies having full-length heavy and / or light chains. VHH as used herein refers to a domain antibody derived from a variable region of a heavy chain only antibody. Exemplary single domain antibodies include, but are not limited to, antibodies naturally devoid of light chains such as those from Camelidae species (e.g., llama), single domain antibodies derived from conventional 4-chain antibodies, engineered antibodies and single domain scaffolds other than those derived from antibodies. Single domain antibodies may be derived from any species including, but not limited to mouse, human, camel, llama, goat, rabbit, and bovine. VHH can also be derived from other species besides Camelidae that may produce heavy chain antibodies naturally devoid of light chain. Antibodies also include antibody fragments (and / or polypeptides that comprise antibody fragments) that retain NKG2A and / or PD-L1 binding characteristics. Non-limiting examples of antibody fragments include antigen- binding regions and / or effector regions of the antibody, e.g., Fab, Fab’, F(ab’)2, Fv, scFv, (scFv)2, single chain antibody molecule, dual variable domain antibody, single variable domain, linear antibody, V region, a multispecific antibody formed from antibody fragments, F(ab)2, Fd, Fc, diabody, di-diabody, disulfide-linked Fvs (dsFv), single-domain antibody (e.g., nanobody) or other fragments (e.g., fragments consisting of the variable regions of the heavy and light chains that are non-covalently coupled). In general terms, a variable (V) region domain may be any suitable arrangement of immunoglobulin heavy (VH) and / or light (VL) variable domains. For example, antibodies also include tetrameric antibodies comprising two heavy chain and two light chain molecules, an antibody light chain monomer, 36 NAI-5002086922v1and an antibody heavy chain monomer. Thus, for example, the V region domain may be dimeric and contain VHH-VHH, VH-VH, VH-VL, or VL-VL dimers that bind NKG2A and / or PD-L1. If desired, the VH and VL may be covalently coupled either directly or through a linker to form a single chain Fv (scFv). For ease of reference, scFv proteins are referred to herein as included in the category “antibody fragments.” Another form of an antibody fragment is a peptide comprising one or more complementarity determining regions (CDRs) of an antibody. CDRs (also termed “minimal recognition units” or “hypervariable regions”) can be obtained by constructing polynucleotides that encode one or more CDRs of interest. Such polynucleotides are prepared, for example, by using the polymerase chain reaction to synthesize the variable region using mRNA of antibody-producing cells as a template (see, for example, Larrick et al., Methods: A Companion to Methods in Enzymology, 2:106 (1991); Courtenay-Luck, “Genetic Manipulation of Monoclonal Antibodies,” in Monoclonal Antibodies Production, Engineering and Clinical Application, Ritter et al. (eds.), page 166, Cambridge University Press (1995); and Ward et al., “Genetic Manipulation and Expression of Antibodies,” in Monoclonal Antibodies: Principles and Applications, Birch et al., (eds.), page 137, Wiley-Liss, Inc. (1995)). Antibody fragments may be incorporated, for example, into single domain antibodies, maxibodies, minibodies, intrabodies, diabodies, triabodies, tetrabodies, variable domains of new antigen receptors (v- NAR), and bis-single chain Fv regions (see, e.g., Hollinger and Hudson, Nature Biotechnology, 23(9):1126-1136, 2005). In some embodiments, antibodies comprising a VH and / or VL further contain a light chain and / or a heavy chain constant region, such as one or more constant regions, including one or more IgG1, IgG2, IgG3 and / or IgG4 constant regions. In some embodiments, antibodies can include epitope-binding fragments of any of the above. The antibodies described herein can be of any class (e.g., IgG, IgE, IgM, IgD, and IgA) or any subclass (e.g., IgG1, IgG2, IgG3, IgG4, IgA1, and IgA2) of immunoglobulin molecule.
[0104] The term “monospecific” when used in reference to a binding agent (e.g., an antibody) as used herein denotes a binding agent that has one or more binding sites each of which binds to the same epitope of the same antigen.
[0105] The term “multispecific” when used in reference to a binding agent (e.g., an antibody) means that the binding agent is able to specifically bind to at least two distinct epitopes, for example two binding sites each formed by a pair of an antibody heavy chain variable domain (VH) and an antibody light chain variable domain (VL) or each formed by a pair of VHH domains binding to different antigens or to different epitopes on the same 37 NAI-5002086922v1antigen. Such a bispecific binding agent (e.g., an antibody) may have a 1+1 format (comprising one binding site for a first antigen or epitope and one binding site for a second antigen or epitope). Other bispecific binding agent (e.g., an antibody) formats may be 2+1 or 1+2 formats (comprising two binding sites for a first antigen or epitope and one binding site for a second antigen or epitope) or 2+2 format (comprising two binding sites for a first antigen or epitope and two binding sites for a second antigen or epitope). When a bispecific binding agent (e.g., an antibody) comprises two antigen-binding sites, each may bind to a different epitope. Such a bispecific binding agent (e.g., an antibody) may bind to two different epitopes on the same antigen (e.g., epitopes on NKG2A or PD-L1).
[0106] The terms “identical” or percent “identity” in the context of two or more nucleic acids or polypeptides, refer to two or more sequences or subsequences that are the same or have a specified percentage of nucleotides or amino acid residues that are the same, when compared and aligned (introducing gaps, if necessary) for maximum correspondence, not considering any conservative amino acid substitutions as part of the sequence identity. The percent identity can be measured using sequence comparison software or algorithms or by visual inspection. Various algorithms and software that can be used to obtain alignments of amino acid or nucleotide sequences are well-known in the art. These include, but are not limited to, BLAST, ALIGN, Megalign, BestFit, GCG Wisconsin Package, and variants thereof. In some embodiments, two nucleic acids or polypeptides are substantially identical, meaning they have at least 70%, at least 75%, at least 80%, at least 85%, or at least 90%, and in some embodiments at least 95%, 96%, 97%, 98%, or 99% nucleotide or amino acid residue identity, when compared and aligned for maximum correspondence, as measured using a sequence comparison algorithm or by visual inspection. In some embodiments, identity exists over a region of the amino acid sequences that is at least about 10 residues, at least about 20 residues, at least about 40-60 residues, at least about 60-80 residues in length or any integral value there between. In some embodiments, identity exists over a longer region than 60-80 residues, such as at least about 80-100 residues, and in some embodiments the sequences are substantially identical over the full length of the sequences being compared, such as the coding region of a target protein or an antibody. In some embodiments, identity exists over a region of the nucleotide sequences that is at least about 10 bases, at least about 20 bases, at least about 40-60 bases, at least about 60-80 bases in length or any integral value there between. In some embodiments, identity exists over a longer region than 60-80 bases, such as at least about 80-1000 bases or more, and in some 38 NAI-5002086922v1embodiments the sequences are substantially identical over the full-length of the sequences being compared, such as a nucleotide sequence encoding a protein of interest.
[0107] A “conservative amino acid substitution” is one in which one amino acid residue is replaced with another amino acid residue having a side chain with similar chemical characteristics. Families of amino acid residues having similar side chains have been generally defined in the art, including basic side chains (e.g., lysine, arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine), nonpolar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine). For example, substitution of a phenylalanine for a tyrosine is a conservative substitution. Generally, conservative substitutions in the sequences of the polypeptides, soluble proteins, and / or antibodies of the disclosure do not abrogate the binding of the polypeptide, soluble protein, or antibody containing the amino acid sequence, to the target binding site. Methods of identifying amino acid conservative substitutions which do not eliminate binding are well-known in the art.
[0108] The term “polypeptide” refers to polymers of amino acids of any length. The polymer can be linear or branched, it can comprise modified amino acids, and it can include (e.g., be interrupted by) non-amino acids. The terms also encompass an amino acid polymer that has been modified naturally or by intervention; for example, disulfide bond formation, glycosylation, lipidation, acetylation, phosphorylation, or any other manipulation or modification, such as linkage to or conjugation with (directly or indirectly) a moiety such as a labeling component or a drug (e.g., toxin). Also included within the definition are, for example, polypeptides containing one or more analogs of an amino acid (including, for example, unnatural amino acids), as well as other modifications known in the art. It is understood that, because the polypeptides of this disclosure can be based upon antibodies or other members of the immunoglobulin superfamily, in some embodiments, the polypeptides can occur as single chains or dimers of single chains.
[0109] As used herein, an “antigen” is a moiety or molecule that contains an epitope to which a binding agent (e.g., an antibody) can bind. As such, an antigen can be bound by an antibody. In some embodiments, the antigen, to which a binding agent (e.g., an antibody) described herein binds, is NKG2A (e.g., human NKG2A), or a fragment thereof, including a fragment that comprises one or more domains of NKG2A. In some embodiments, the antigen, to which a binding agent (e.g., an antibody) described herein binds, is PD-L1 (e.g., 39 NAI-5002086922v1human PD-L1), or a fragment thereof, including a fragment that comprises one or more domains of PD-L1.
[0110] As used herein, an “epitope” is a term in the art and refers to a localized region of an antigen to which an antibody can bind. An epitope can be a linear epitope or a conformational, non-linear, or discontinuous, epitope. In the case of a polypeptide antigen, for example, an epitope can be contiguous amino acids of the polypeptide (a “linear” epitope) or an epitope can comprise amino acids from two or more non-contiguous regions of the polypeptide (a “conformational,” “non-linear” or “discontinuous” epitope), e.g., human NKG2A or human PD-L1. It will be appreciated by one of skill in the art that, in general, a linear epitope may or may not be dependent on secondary, tertiary, or quaternary structure. For example, in some embodiments, an antibody binds to a group of amino acids regardless of whether they are folded in a natural three-dimensional protein structure. In other embodiments, an antibody requires amino acid residues making up the epitope to exhibit a particular conformation (e.g., bend, twist, turn or fold) in order to recognize and bind the epitope.
[0111] An antibody binds “an epitope” or “essentially the same epitope” or “the same epitope” as a reference antibody, when the two antibodies recognize identical, overlapping or adjacent epitopes in a three-dimensional space. The most widely used and rapid methods for determining whether two antibodies bind to identical, overlapping or adjacent epitopes in a three-dimensional space are competition assays, which can be configured in a number of different formats, for example, using either labeled antigen or labeled antibody. In some assays, the antigen is immobilized on a 96-well plate, or expressed on a cell surface, and the ability of unlabeled antibodies to block the binding of labeled antibodies is measured using radioactive, fluorescent or enzyme labels.
[0112] “Epitope binning” is the process of grouping antibodies based on the epitopes they recognize. More particularly, epitope binning comprises methods and systems for discriminating the epitope recognition properties of different antibodies, using competition assays combined with computational processes for clustering antibodies based on their epitope recognition properties and identifying antibodies having distinct binding specificities.
[0113] As used herein, the terms “specifically binds,” “specifically recognizes,” “immunospecifically binds,” “selectively binds,” “immunospecifically recognizes” and “immunospecific” are analogous terms in the context of antibodies and refer to molecules that bind to an antigen (e.g., epitope) as such binding is understood by one skilled in the art. In some embodiments, “specifically binds” means, for instance that a polypeptide or 40 NAI-5002086922v1molecule interacts more frequently, more rapidly, with greater duration, with greater affinity, or with some combination of the above to the epitope, protein, or target molecule than with alternative substances, including related and unrelated proteins. For example, a molecule that specifically binds to an antigen may bind to other peptides or polypeptides, generally with lower affinity as determined by, e.g., immunoassays, BIACORE™, KinExA 3000 instrument (Sapidyne Instruments, Boise, ID), the OctetQK384 system (ForteBio, Menlo Park, CA), or other assays known in the art. In some embodiments, an antibody or antigen-binding domain binds to or specifically binds to an antigen when it binds to the antigen with higher affinity than to any cross-reactive antigen as determined using experimental techniques, such as radioimmunoassays (RIAs) and enzyme linked immunosorbent assays (ELISAs). Typically a specific or selective reaction will be at least twice background signal or noise and may be more than 10 times background. See, e.g., Fundamental Immunology 332-36 (Paul ed., 2d ed.1989) for a discussion regarding binding specificity. In some embodiments, the extent of binding of an antibody or antigen-binding domain to a “non-target” protein is less than about 10% of the binding of the antibody or antigen-binding domain to its particular target antigen, for example, as determined by fluorescence activated cell sorting (FACS) analysis or RIAs. In some embodiments, molecules that specifically bind to an antigen bind to the antigen with a Ka that is at least 2 logs, 2.5 logs, 3 logs, 4 logs or greater than the Ka when the molecules bind to another antigen. In some embodiments, molecules that specifically bind to an antigen do not cross react with other proteins. In another specific embodiment, molecules that specifically bind to an antigen do not cross react with other non-NKG2A proteins. In some embodiments “specifically binds” means, for instance, that a polypeptide or molecule binds a protein or target with a KDof about 0.1mM or less, but more usually less than about 1µM. In some embodiments, “specifically binds” means that a polypeptide or molecule binds a target with a KD of at least about 0.1µM or less, at least about 0.01µM or less, or at least about 1nM or less. Because of the sequence identity between homologous proteins in different species, specific binding can include a polypeptide or molecule that recognizes a protein or target in more than one species. Likewise, because of homology within certain regions of polypeptide sequences of different proteins, specific binding can include a polypeptide or molecule that recognizes more than one protein or target. It is understood that, in some embodiments, a polypeptide or molecule that specifically binds a first target may or may not specifically bind a second target. As such, “specific binding” does not necessarily require (although it can include) exclusive binding, e.g., binding to a single target. Thus, a polypeptide or molecule can, in some embodiments, specifically bind more than one target. In some embodiments, 41 NAI-5002086922v1multiple targets can be bound by the same antigen-binding site on the polypeptide or molecule. For example, an antibody can, in certain instances, comprise two identical antigen- binding sites, each of which specifically binds the same epitope on two or more proteins. In certain alternative embodiments, an antibody can be bispecific and comprise at least two antigen-binding sites with differing specificities. Generally, but not necessarily, reference to “binding” means “specific binding”.
[0114] “Binding affinity” generally refers to the strength of the sum total of noncovalent interactions between a single binding site of a molecule (e.g., a binding agent such as an antibody) and its binding partner (e.g., an antigen such as NKG2A). Unless indicated otherwise, as used herein, “binding affinity” refers to intrinsic binding affinity which reflects a 1:1 interaction between members of a binding pair (e.g., antibody and antigen). The affinity of a binding molecule X for its binding partner Y can generally be represented by the dissociation constant (KD). Affinity can be measured by common methods known in the art, including those described herein. Low-affinity antibodies generally bind antigen slowly and tend to dissociate readily, whereas high-affinity antibodies generally bind antigen faster and tend to remain bound longer. A variety of methods of measuring binding affinity are known in the art, any of which can be used for purposes of the present disclosure. In one embodiment, the “KD” or “KD value” may be measured by biolayer interferometry (BLI) using, for example, the OctetQK384 system (ForteBio, Menlo Park, CA). Alternatively, the KDmay also be measured in a radiolabeled antigen-binding assay (RIA), for example, performed with the Fab version of an antibody of interest and its antigen (Chen, et al., (1999) J. Mol Biol 293:865-881) or using surface plasmon resonance (SPR) assays by BIACORE™, using, for example, a BIACORE™-2000 or a BIACORE™-3000 (BIACORE™, Inc., Piscataway, NJ). An “on-rate” or “rate of association” or “association rate” or “kon,” as well as an “off-rate” or “rate of dissociation” or “dissociation rate” or “koff,” can also be determined with the same SPR or BLI techniques described above using, for example, the OctetQK384 system (ForteBio, Menlo Park, CA) or a BIACORE™-2000 or a BIACORE™- 3000 (BIACORE™, Inc., Piscataway, NJ), respectively.
[0115] The term “compete” or any grammatical variation thereof when used in the context of binding agents (e.g., antibodies) means binding agents that compete for the same epitope or binding site on a target, which includes competition between such binding agents as determined by an assay in which the binding agent under study prevents or inhibits the specific binding of a reference molecule (e.g., a reference ligand, or reference antigen- binding protein, such as a reference antibody) to a common antigen (e.g., NKG2A or PD-L1). 42 NAI-5002086922v1Numerous types of competitive binding assays can be used to determine if a test binding agent competes with a reference molecule for binding to NKG2A (e.g., human NKG2A) or PD-L1 (e.g., human PD-L1). Examples of assays that can be employed include solid phase direct or indirect radioimmunoassay (RIA); solid phase direct or indirect enzyme immunoassay (EIA), sandwich competition assay (see, e.g., Stahli et al., (1983) Methods in Enzymology 9:242-253); solid phase direct biotin-avidin EIA (see, e.g., Kirkland et al., (1986) J. Immunol.137:3614-3619 or Cheung, et al., (1990) Virology 176:546-552); solid phase direct labeled assay; solid phase direct labeled sandwich assay (see, e.g., Harlow and Lane, (1988) Antibodies, A Laboratory Manual, Cold Spring Harbor Press); solid phase direct label RIA using I-125 label (see, e.g., Morel et al., (1988) Molec. Immunol.25:7-15); and direct labeled RIA (Moldenhauer et al., (1990) Scand. J. Immunol.32:77-82). Typically, such an assay involves the use of a purified antigen (e.g., NKG2A, such as human NKG2A, or PD-L1, such as human PD-L1) bound to a solid surface or cells bearing either of an unlabelled test antigen-binding protein (e.g., test NKG2A antibody or test PD-L1 antibody) or a labeled reference antigen-binding protein (e.g., reference NKG2A antibody or reference PD-L1 antibody). Competitive inhibition may be measured by determining the amount of label bound to the solid surface or cells in the presence of the test antigen-binding protein. Usually, the test antigen-binding protein is present in excess. Antibodies identified by competition assay (competing antibodies) include antibodies binding to the same epitope as the reference antibody and / or antibodies binding to an adjacent epitope sufficiently proximal to the epitope bound by the reference for antibodies steric hindrance to occur (e.g., similar epitope or overlapping epitope). Usually, when a competing antibody is present in excess, it will inhibit specific binding of a reference antibody to a common antigen by at least 20%, for example, at least 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70% or 75%. In some instance, binding is inhibited by at least 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99% or more.
[0116] As used herein, the term “constant region” or “constant domain” is a well-known antibody term of art and refers to an antibody portion, for example, a carboxyl terminal portion of a light and / or heavy chain which is not directly involved in binding of an antibody to an antigen but which can exhibit various effector functions, such as interaction with an Fc receptor. The term includes the portion of an immunoglobulin molecule having a generally more conserved amino acid sequence relative to an immunoglobulin variable domain.
[0117] Antibody “effector functions” refer to those biological activities attributable to the Fc region (e.g., a native sequence Fc region or amino acid sequence variant Fc region) of an 43 NAI-5002086922v1antibody, and vary with the antibody isotype. Examples of antibody effector functions include: C1q binding and complement dependent cytotoxicity; Fc receptor binding; antibody- dependent cell-mediated cytotoxicity (ADCC); phagocytosis; down regulation of cell surface receptors (e.g., B cell receptor); and B cell activation.
[0118] The term “Fc region” herein is used to define a C-terminal region of an immunoglobulin heavy chain, including, for example, native sequence Fc regions, recombinant Fc regions, and variant Fc regions. Although the boundaries of the Fc region of an immunoglobulin heavy chain might vary, the human IgG heavy chain Fc region is often defined to stretch from an amino acid residue at position Cys226 (according to the EU numbering system), or from Pro230 (according to the EU numbering system), to the carboxyl-terminus thereof. The C-terminal lysine (residue 447 according to the EU numbering system) of the Fc region may be removed, for example, during production or purification of the antibody, or by recombinantly engineering the nucleic acid encoding a heavy chain of the antibody. An exemplary Fc region sequence is provided below (CH2 domain = bold text; CH3 domain = underline text): CPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVD GVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIE KTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENN YKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG K (SEQ ID NO:83).
[0119] A “functional Fc region” possesses an “effector function” of a native sequence Fc region. Exemplary “effector functions” include C1q binding; complement dependent cytotoxicity (CDC); Fc receptor binding; antibody-dependent cell-mediated cytotoxicity (ADCC); phagocytosis (such as antibody-dependent cellular phagocytosis, i.e., ADCP); down regulation of cell surface receptors (e.g., B cell receptor; BCR), etc. Such effector functions generally require the Fc region to be combined with a binding region or binding domain (e.g., an antibody variable region or domain) and can be assessed using various assays as disclosed.
[0120] A “native sequence Fc region” comprises an amino acid sequence identical to the amino acid sequence of an Fc region found in nature, and not manipulated, modified, and / or changed (e.g., isolated, purified, selected, including or combining with other sequences such as variable region sequences) by a human. Native sequence human Fc regions include a native sequence human IgG1 Fc region (non-A and A allotypes); native sequence human IgG2 Fc region; native sequence human IgG3 Fc region; and native sequence human IgG4 Fc region as well as naturally occurring variants thereof. 44 NAI-5002086922v1
[0121] A “variant Fc region” comprises an amino acid sequence which differs from that of a native sequence Fc region by virtue of at least one amino acid modification (e.g., substituting, addition, or deletion), preferably one or more amino acid substitution(s). In some embodiments, the variant Fc region has at least one amino acid substitution compared to a native sequence Fc region or to the Fc region of a parent polypeptide, for example, from about one to about ten amino acid substitutions, and preferably from about one to about five amino acid substitutions in a native sequence Fc region or in the Fc region of the parent polypeptide. The variant Fc region described herein can possess at least about 80% homology with a native sequence Fc region and / or with an Fc region of a parent polypeptide, or at least about 90% homology therewith, for example, at least about 95% homology therewith. The variant Fc region herein described herein may have a loss of an effector function (e.g., silent Fc). An exemplary variant Fc region (“silent Fc”) sequence is provided below (CH2 domain = bold text with amino acid changes underlined; CH3 domain = underline text): CPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVD GVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALKAPIE KTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENN YKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG K (SEQ ID NO:84).
[0122] As used herein, the term “heavy chain” when used in reference to an antibody refers to a polypeptide chain of about 50-70 kDa, wherein the amino-terminal portion includes a variable region of about 120 to 130 or more amino acids, and a carboxy-terminal portion includes one or more constant regions. The “heavy chain” can refer to any distinct types, e.g., for example, alpha (α), delta (δ), epsilon (ε), gamma (γ) and mu (µ), based on the amino acid sequence of the constant domain, which give rise to IgA, IgD, IgE, IgG and IgM classes of antibodies, respectively, including subclasses of IgG, e.g., IgG1, IgG2, IgG3 and IgG4.
[0123] As used herein, the term “light chain” when used in reference to an antibody can refer to a polypeptide chain of about 25 kDa, wherein the amino-terminal portion includes a variable region of about 100 to about 110 or more amino acids, and a carboxy-terminal portion includes a constant region. The approximate length of a light chain is 211 to 217 amino acids. There are two distinct types, e.g., kappa (κ) or lambda (λ) based on the amino acid sequence of the constant domains. Light chain amino acid sequences are well known in the art. 45 NAI-5002086922v1
[0124] The terms “antigen-binding fragment,” “antigen-binding domain,” “antigen- binding region,” and similar terms refer to that portion of an antibody, which comprises the amino acid residues that interact with an antigen and confer on the binding fragment, domain, or region its specificity and affinity for the antigen (e.g., the CDRs). “Antigen-binding fragment” as used herein includes “antibody fragment,” which comprises a portion of an antibody including one or more CDRs, such as the antigen-binding or variable region of the antibody.
[0125] Antibodies described herein include, but are not limited to, synthetic antibodies, monoclonal antibodies, recombinantly produced antibodies, multispecific antibodies (e.g., bispecific antibodies), human antibodies, humanized antibodies, chimeric antibodies, intrabodies, single-chain Fvs (scFv) (e.g., including monospecific, bispecific, etc.), camelized antibodies, Fab fragments, F(ab’) fragments, disulfide-linked Fvs (sdFv), anti-idiotypic (anti- Id) antibodies, and epitope-binding fragments of any of the above.
[0126] In some embodiments, antibodies described herein include immunoglobulin molecules and immunologically active portions of immunoglobulin molecules, including molecules that contain one or more antigen-binding sites that bind to an NKG2A antigen and / or a PD-L1 antigen.
[0127] Antibodies can be of any type (e.g., IgG, IgE, IgM, IgD, IgA or IgY), any class (e.g., IgG1, IgG2, IgG3, IgG4, IgA1 or IgA2), or any subclass (e.g., IgG2a or IgG2b) of immunoglobulin molecule. In some embodiments, antibodies described herein are IgG antibodies (e.g., human IgG), or a class (e.g., human IgG1, IgG2, IgG3 or IgG4) or a subclass thereof.
[0128] In some embodiments, an antibody is a 4-chain antibody unit comprising two heavy (H) chain / light (L) chain pairs. In further embodiments, the amino acid sequences of the H chains are identical and the amino acid sequences of the L chains are identical. In other embodiments, the amino acid sequences of the H chains are different from each other. Additionally or alternatively, the amino acid sequences of the L chains are different from each other. For example, an antibody comprises a first H / L chain pair and a second H / L chain pair, wherein the first H / L chain pair binds to an NKG2A antigen and the second H / L chain pair binds to a non-NKG2A (such as PD-L1) antigen. In some embodiments, an antibody is a 2-chain antibody unit comprising a VHH-VHH pair. In further embodiments, the amino acid sequences of the VHH are identical. In other embodiments, the amino acid sequence of the VHH are different from each other. For example, an antibody comprises a first VHH and a second VHH, wherein the first VHH binds to an NKG2A antigen and the 46 NAI-5002086922v1second VHH binds to a non-NKG2A (such as PD-L1) antigen. In some embodiments, the H and / or L chains comprise constant regions, for example, human constant regions. In some embodiments, the L chain constant region of such antibodies is a kappa or lambda light chain constant region, for example, a human kappa or lambda light chain constant region. In some embodiments, the H chain constant region of such antibodies comprises a gamma heavy chain constant region, for example, a human gamma heavy chain constant region. In some embodiments, such antibodies comprise IgG constant regions, for example, human IgG constant regions (e.g., IgG1, IgG2, IgG3, and / or IgG4 constant regions).
[0129] An antibody or fragment thereof may preferentially bind to NKG2A (such as human NKG2A) and / or PD-L1 (such as human PD-L1), meaning that the antibody or fragment thereof binds NKG2A and / or PD-L1 with greater affinity than it binds to a control protein (e.g., unrelated control proteins such as hen egg white lysozyme, or NKG2C) and / or binds human NKG2A and / or PD-L1 with greater affinity than it binds to an unrelated control protein. For example, the antibody or fragment thereof may specifically recognize and bind NKG2A and / or PD-L1, or a portion of each thereof. “Specific binding” means that the antibody or fragment thereof binds to NKG2A and / or PD-L1 with an affinity that is at least 5, 10, 15, 20, 25, 50, 100, 250, 500, 1000, or 10,000 times greater than the affinity for an unrelated control protein (e.g., hen egg white lysozyme). In some embodiments, the antibody or fragment thereof may bind NKG2A and / or PD-L1 substantially exclusively (e.g., is able to distinguish NKG2A and / or PD-L1 from other known polypeptides, for example, by virtue of measurable differences in binding affinity). In some embodiments, an NKG2A binding agent (e.g., an antibody) may react with NKG2A sequences other than human NKG2A sequences (e.g., cynomolgus monkey NKG2A sequences such as A42 described herein). In other embodiments, an NKG2A binding agent (e.g., an antibody) does not react with non-human (such as cynomolgus monkey) NKG2A sequences such as A2, A3 and A11 provided herein. In some embodiments, a PD-L1 binding agent (e.g., an antibody) may react with PD-L1 sequences other than human PD-L1 sequences (e.g., cynomolgus monkey PD-L1 sequences). In other embodiments, a PD-L1 binding agent (e.g., an antibody) does not react with non- human (such as cynomolgus monkey) PD-L1 sequences.
[0130] The term “variable region” or “variable domain” refers to a portion of the light or heavy chains of an antibody that is generally located at the amino-terminal of the light or heavy chain, has a length of about 120 to 130 amino acids in the heavy chain and about 100 to 110 amino acids in the light chain, and is used in the binding and specificity of each particular antibody for its particular antigen. The variable region of the heavy chain may be 47 NAI-5002086922v1referred to as “VH.” The variable region of the light chain may be referred to as “VL.” The term “variable” refers to the fact that certain segments of the variable regions differ extensively in sequence among antibodies. The V region mediates antigen binding and defines specificity of a particular antibody for its particular antigen. However, the variability is not evenly distributed across the 110-amino acid span of the variable regions. Instead, the V regions consist of less variable (e.g., relatively invariant) stretches called framework regions (FRs) of about 15-30 amino acids separated by shorter regions of greater variability (e.g., extreme variability) called “hypervariable regions” or alternatively called “complementarity determining regions (CDRs).” The variable regions of heavy and light chains each comprise four frameworks (FR1, FR2, FR3 and FR4), largely adopting a β sheet configuration, connected by three hypervariable regions, which form loops connecting, and in some cases forming part of, the β sheet structure. The hypervariable regions in each chain are held together in close proximity by the frameworks and, with the hypervariable regions from the other chain, contribute to the formation of the antigen-binding site of antibodies (see, e.g., Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD, (1991)). The constant regions are not involved directly in binding an antibody to an antigen, but exhibit various effector functions, such as participation of the antibody in antibody dependent cellular cytotoxicity (ADCC) and complement dependent cytotoxicity (CDC). The variable regions differ extensively in sequence between different antibodies. The variability in sequence is concentrated in the CDRs while the less variable portions in the variable region are referred to as framework regions (FR). The CDRs of the light and heavy chains are primarily responsible for the interaction of the antibody with its antigen. In specific embodiments, the variable region is a human variable region.
[0131] The term “hypervariable region,” “HVR,” “HV,” “complementarity determining region,” or “CDR” when used herein refers to the regions of an antibody variable region that are hypervariable in sequence and / or form structurally defined loops. Generally, antibodies comprise six hypervariable regions: three in the VH (H1 or VH CDR1, H2 or VH CDR2, and H3 or VH CDR3), and three in the VL (L1 or VL CDR1, L2 or VL CDR2, and L3 or VL CDR3). A number of hypervariable region delineations are in use and are encompassed herein. The Kabat CDRs are based on sequence variability and are the most commonly used (see, e.g., Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, MD. (1991)). Chothia refers instead to the location of the structural loops (see, e.g., Chothia and Lesk, J. Mol. Biol.196:901-917 48 NAI-5002086922v1(1987)). The end of the Chothia CDR-H1 loop when numbered using the Kabat numbering convention varies between H32 and H34 depending on the length of the loop (this is because the Kabat numbering scheme places the insertions at H35A and H35B; if neither 35A nor 35B is present, the loop ends at 32; if only 35A is present, the loop ends at 33; if both 35A and 35B are present, the loop ends at 34). The AbM hypervariable regions represent a compromise between the Kabat CDRs and Chothia structural loops, and are used by Oxford Molecular’s AbM antibody modeling software (see, e.g., Martin, in Antibody Engineering, Vol.2, Chapter 3, Springer Verlag). The “contact” hypervariable regions are based on an analysis of the available complex crystal structures. The residues from each of these hypervariable regions or CDRs are noted below.
[0132] A universal numbering system has been developed and widely adopted, ImMunoGeneTics (IMGT®) Information System (Lefranc et al., Dev. Comp. Immunol. 27(1):55-77 (2003)). IMGT is an integrated information system specializing in immunoglobulins (IG), T cell receptors (TR) and major histocompatibility complex (MHC) of human and other vertebrates. Herein, the CDRs are referred to in terms of both the amino acid sequence and the location within the light or heavy chain. As the “location” of the CDRs within the structure of the immunoglobulin variable domain is conserved between species and present in structures called loops, by using numbering systems that align variable domain sequences according to structural features, CDR and framework residues and are readily identified. This information can be used in grafting and replacement of CDR residues from immunoglobulins of one species into an acceptor framework from, typically, a human antibody. An additional numbering system (AHon) has been developed by Honegger and Plückthun, J. Mol. Biol.309: 657-670 (2001). Correspondence between the numbering system, including, for example, the Kabat numbering and the IMGT unique numbering system, is well known to one skilled in the art (see, e.g., Kabat, supra; Chothia and Lesk, supra; Martin, supra; Lefranc et al., supra) and is also illustrated below. Various systems known in the art or described herein represent different ways of delineating CDRs, and when they are used to define the same antibody, they are often considered equivalent. An Exemplary system, shown herein, combines Kabat and Chothia. The residues from each of these hypervariable regions or CDRs are exemplified in the table below. 49 NAI-5002086922v1
[0133] Exemplary CDRs According to Various Numbering Systems
[0134] Hypervariable regions may comprise “extended hypervariable regions” as follows: 24-36 or 24-34 (L1), 46-56 or 50-56 (L2) and 89-97 or 89-96 (L3) in the VL and 26-35 or 26- 35A (H1), 50-65 or 49-65 (H2) and 93-102, 94-102, or 95-102 (H3) in the VH. As used herein, the terms “hypervariable region,” “HVR,” “HV,” “complementarity determining region,” or “CDR” are used interchangeably.
[0135] “Polynucleotide” or “nucleic acid,” as used interchangeably herein, refers to polymers of nucleotides of any length and includes DNA and RNA. The nucleotides can be deoxyribonucleotides, ribonucleotides, modified nucleotides or bases, and / or their analogs, or any substrate that can be incorporated into a polymer by DNA or RNA polymerase or by a synthetic reaction. A polynucleotide may comprise modified nucleotides, such as methylated nucleotides and their analogs. A cell that produces a binding molecule of the present disclosure may include a parent hybridoma cell, as well as bacterial and eukaryotic host cells into which nucleic acids encoding the antibodies have been introduced. Unless specified otherwise, the left-hand end of any single-stranded polynucleotide sequence disclosed herein is the 5’ end; the left-hand direction of double-stranded polynucleotide sequences is referred to as the 5’ direction. The direction of 5’ to 3’ addition of nascent RNA transcripts is referred to as the transcription direction; sequence regions on the DNA strand having the same sequence as the RNA transcript that are 5’ to the 5’ end of the RNA transcript are referred to as “upstream sequences”; sequence regions on the DNA strand having the same sequence as the RNA transcript that are 3’ to the 3’ end of the RNA transcript are referred to as “downstream sequences.”
[0136] The term “vector” refers to a substance that is used to carry or include a nucleic acid sequence, including for example, in order to introduce a nucleic acid sequence into a host cell. Vectors applicable for use include, for example, expression vectors, plasmids, phage vectors, viral vectors, episomes and artificial chromosomes, which can include selection sequences or markers operable for stable integration into a host cell’s chromosome. Additionally, the vectors can include one or more selectable marker genes and appropriate 50 NAI-5002086922v1expression control sequences. Selectable marker genes that can be included, for example, provide resistance to antibiotics or toxins, complement auxotrophic deficiencies, or supply critical nutrients not in the culture media. Expression control sequences can include constitutive and / or inducible promoters, transcription enhancers, transcription terminators, and the like which are well known in the art. When two or more nucleic acid molecules are to be co-expressed (e.g., both an antibody heavy and light chain or an antibody VH and VL) both nucleic acid molecules can be inserted, for example, into a single expression vector or in separate expression vectors. For single vector expression, the encoding nucleic acids can be operationally linked to one common expression control sequence or linked to different expression control sequences, such as one inducible promoter and one constitutive promoter. The introduction of nucleic acid molecules into a host cell can be confirmed using methods well known in the art. Such methods include, for example, nucleic acid analysis such as Northern blots or polymerase chain reaction (PCR) amplification of mRNA, or immunoblotting for expression of gene products, or other suitable analytical methods to test the expression of an introduced nucleic acid sequence or its corresponding gene product. It is understood by those skilled in the art that the nucleic acid molecules are expressed in a sufficient amount to produce a desired product (e.g., a binding agent as described herein), and it is further understood that expression levels can be optimized to obtain sufficient expression using methods well known in the art.
[0137] The following abbreviations and acronyms can be used across this application unless specified: DSC (Differential scanning calorimetry), DVS (Dynamic (water) vapor sorption), HSM (Hot stage microscopy), NMR (Nuclear magnetic resonance spectroscopy), OM (Optical microscopy), PLM (Polarized light microscopy), TGA (Thermogravimetry or Thermogravimetric analysis), XRPD (X-ray powder diffraction), CC (Crash cooling), CP (Crash precipitation), FC (Fast cooling), FE (Fast evaporation), RC (Reaction crystallization), SC (Slow cooling), SE (Slow evaporation), VD (Vapor diffusion), VS (Vapor stress), ~ (About or approximately), API (Active pharmaceutical ingredient), B / E (Birefringence and extinction), Endo / endo (Endotherm or endothermic), eq (Equivalent), Exo / exo (Exotherm or exothermic), FB (Free base), FF (Free form), frz (Freezer), LIMS (Laboratory Information Management System), Max / max (Maximum or maxima), Obs (Observation), PO (Preferred orientation), ppt (Precipitate or precipitation), ref (Refrigerator), RH (Relative humidity), RT (Room temperature), Soln / soln (Solution), vac (Vacuum), wt% (weight percent), ACN (Acetonitrile), AcOH (Acetic acid), DCM (Dichloromethane), DMSO (Dimethylsulfoxide), EtOAc (Ethyl acetate), EtOH (Ethanol), HFIPA (Hexafluoroisopropanol), IPA (Isopropyl 51 NAI-5002086922v1alcohol, 2-propanol), MEK (Methyl ethyl ketone), MeOH (Methanol), MTBE (Methyl- tertiary-butyl ether), TFE (2,2,2-Trifluoroethanol), and THF (Tetrahydrofuran).
[0138] For purposes of this disclosure, the chemical elements are identified in accordance with the Periodic Table of the Elements, CAS version, Handbook of Chemistry and Physics, 95th Ed. Additionally, general principles of organic chemistry are described in "Organic Chemistry,” 2ndEd., Thomas Sorrell, University Science Books, Sausalito: 2006, and "March’s Advanced Organic Chemistry,” 7th Ed., Ed.: Smith, M.B. and March, J., John Wiley & Sons, New York: 2013, the entire contents of which are hereby incorporated by reference.
[0139] As used herein, a chemical term designated as a “Form” refers to a chemical compound or salt thereof that consists of a single phase.
[0140] As used herein, the term “crystalline” refers to a material that produces an XRPD pattern with sharp peaks (similar to instrumental peak widths) and weak diffuse scattering relative to the peaks and / or compounds in a solid state having a periodic and repeating three- dimensional internal arrangement of atoms, ions or molecules characteristic of crystals, for example, arranged in fixed geometric patterns or lattices that have rigid long range order. The term crystalline does not necessarily mean that the compound exists as crystals, but that it has this crystal-like internal structural arrangement.
[0141] As used herein, the term “single crystalline phase” refers to an XRPD pattern that is judged to contain evidence of a single crystalline form due to the Bragg peaks being indexed with a single unit cell. Indexing is the process of assigning Miller index labels to each peak in a diffraction pattern. Also, the size and shape of the crystal unit cell is determined during the indexing process.
[0142] As used herein, the term “substantially crystalline” refers to a solid material that is predominately arranged in fixed geometric patterns or lattices that have rigid long range order. For example, substantially crystalline materials have more than about 85% crystallinity (e.g., more than about 90% crystallinity, more than about 95% crystallinity, or more than about 99% crystallinity). It is also noted that the term ‘substantially crystalline’ includes the descriptor ‘crystalline,’ which is defined in the previous paragraph.
[0143] As used herein, the term “slurry” refers to a suspension prepared by adding enough solids to a given solvent at ambient conditions so that undissolved solids are present. A typical slurry includes agitation (typically by stirring or oscillation), an act that is also referred to as “slurrying,” in a sealed vial at a given temperature for an extended period of 52 NAI-5002086922v1time. Typically, the solids are recovered after a given period of time using a method described herein.
[0144] The term “pharmaceutically acceptable” as used herein means being approved by a regulatory agency of the federal or a state government, or listed in the U.S. Pharmacopeia, European Pharmacopeia or other generally recognized Pharmacopeia for use in animals, and more particularly in humans.
[0145] “Excipient” means a pharmaceutically-acceptable material, composition, or vehicle, such as a liquid or solid filler, diluent, solvent, or encapsulating material. Excipients include, for example, encapsulating materials or additives such as absorption accelerators, antioxidants, binders, buffers, carriers, coating agents, coloring agents, diluents, disintegrating agents, emulsifiers, extenders, fillers, flavoring agents, humectants, lubricants, perfumes, preservatives, propellants, releasing agents, sterilizing agents, sweeteners, solubilizers, wetting agents and mixtures thereof. The term “excipient” can also refer to a diluent, adjuvant (e.g., Freunds’ adjuvant (complete or incomplete)) or vehicle. In some embodiments, excipients are pharmaceutically acceptable excipients. Examples of pharmaceutically acceptable excipients include buffers, such as phosphate, citrate, and other organic acids; antioxidants, including ascorbic acid; low molecular weight (e.g., fewer than about 10 amino acid residues) polypeptide; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers, such as polyvinylpyrrolidone; amino acids, such as glycine, glutamine, asparagine, arginine, or lysine; monosaccharides, disaccharides, and other carbohydrates, including glucose, mannose, or dextrins; chelating agents, such as EDTA; sugar alcohols, such as mannitol or sorbitol; salt-forming counterions, such as sodium; and / or nonionic surfactants, such as TWEEN™, polyethylene glycol (PEG), and PLURONICS™. Other examples of pharmaceutically acceptable excipients are described in Remington and Gennaro, Remington’s Pharmaceutical Sciences (18th ed.1990). In one embodiment, each component is “pharmaceutically acceptable” in the sense of being compatible with the other ingredients of a pharmaceutical formulation, and suitable for use in contact with the tissue or organ of humans and animals without excessive toxicity, irritation, allergic response, immunogenicity, or other problems or complications, commensurate with a reasonable benefit / risk ratio. See, e.g., Lippincott Williams & Wilkins: Philadelphia, PA, 2005; Handbook of Pharmaceutical Excipients, 6th ed.; Rowe et al., Eds.; The Pharmaceutical Press and the American Pharmaceutical Association: 2009; Handbook of Pharmaceutical Additives, 3rd ed.; Ash and Ash Eds.; Gower Publishing Company: 2007; Pharmaceutical Preformulation and Formulation, 2nd ed.; Gibson Ed.; CRC Press LLC: Boca Raton, FL, 53 NAI-5002086922v12009. In some embodiments, pharmaceutically acceptable excipients are nontoxic to the cell or mammal being exposed thereto at the dosages and concentrations employed. In some embodiments, a pharmaceutically acceptable excipient is an aqueous pH buffered solution. In some embodiments, excipients are sterile liquids, such as water and oils, including those of petroleum, animal, vegetable, or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil, and the like. Water is an exemplary excipient when a composition (e.g., a pharmaceutical composition) is administered intravenously. Saline solutions and aqueous dextrose and glycerol solutions can also be employed as liquid excipients, particularly for injectable solutions. An excipient can also include starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium chloride, dried skim milk, glycerol, propylene, glycol, water, ethanol, and the like. The composition, if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents. Compositions can take the form of solutions, suspensions, emulsion, tablets, pills, capsules, powders, sustained-release formulations, and the like. Oral compositions, including formulations, can include standard excipients such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, etc. Compositions, including pharmaceutical compounds, may contain a prophylactically or therapeutically effective amount of an NKG2A and / or PD-L1 binding agent (e.g., an antibody), for example, in isolated or purified form, together with a suitable amount of excipient so as to provide the form for proper administration to the subject (e.g., patient). The formulation should suit the mode of administration.
[0146] An “effective amount” is generally an amount sufficient to reduce the severity and / or frequency of symptoms, eliminate the symptoms and / or underlying cause, prevent or delay the occurrence of symptoms and / or their underlying cause, and / or improve or remediate the damage that results from or is associated with a disease, disorder, or condition. In some embodiments, the effective amount is a therapeutically effective amount or a prophylactically effective amount.
[0147] The term “therapeutically effective amount” as used herein refers to the amount of an agent (e.g., an antibody described herein or any other agent described herein) that is sufficient to reduce and / or ameliorate the severity and / or duration of a given disease, disorder or condition, and / or a symptom related thereto. A therapeutically effective amount of an agent, including a therapeutic agent, can be an amount necessary for (i) reduction, delay or amelioration of the advancement or progression of a given disease, disorder, or condition, (ii) reduction, delay or amelioration of the recurrence, development or onset of a given disease, 54 NAI-5002086922v1disorder or conditions, and / or (iii) to improve or enhance the prophylactic or therapeutic effect of another therapy (e.g., a therapy other than the administration of an agent described herein). A “therapeutically effective amount” of a substance / molecule / agent of the present disclosure (e.g., a bispecific antibody) may vary according to factors such as the disease state, age, sex, and weight of the individual, and the ability of the substance / molecule / agent, to elicit a desired response in the individual. A therapeutically effective amount encompasses an amount in which any toxic or detrimental effects of the substance / molecule / agent are outweighed by the therapeutically beneficial effects. In certain embodiments, the term “therapeutically effective amount” refers to an amount of a multispecific binding agent effective to “treat” a disease, disorder, or condition, in a subject or mammal.
[0148] The term “treating” or any grammatical variation thereof refers to reducing and / or ameliorating the severity and / or duration of a given disease, disorder or condition, and / or a symptom related thereto, such as (i) reduction, delay or amelioration of the advancement or progression of a given disease, disorder, or condition, (ii) reduction, delay or amelioration of the recurrence, development or onset of a given disease, disorder or conditions, and / or (iii) to improve or enhance the prophylactic or therapeutic effect of another therapy (e.g., a therapy other than the administration of a multispecific binding agent described herein). In some embodiments, the term “treating,” or “treatment” excludes a prophylactic treatment.
[0149] A “prophylactically effective amount” is an amount of a pharmaceutical composition that, when administered to a subject, will have the intended prophylactic effect, e.g., preventing or delaying the onset (or reoccurrence) of a disease, disorder or condition, or reducing the likelihood of the onset (or reoccurrence) of a disease, disorder, or condition or associated symptom(s).
[0150] As used herein, the term “concurrently” in the context of administering two or more drugs or two or more treatment regimens means at the same time. For example, if the administrations of two drugs or two treatment regimens for a single patient are being conducted concurrently, then they are being conducted at the same time. It will be understood that administrations of two drugs or two treatment regimens happening at the same time, does not necessarily mean that actual delivery of two drugs happens at the same time, as each drug or regimen may call for a different dosing schedule and / or different delivery modes. For example, the deliveries of two drugs administered concurrently for a single patient can be performed within the same treatment cycle and / or performed within a certain period of time of each other. 55 NAI-5002086922v1
[0151] The term “separately” in the context of administering two or more drugs or two or more treatment regimens means not concurrently.
[0152] The full therapeutic or prophylactic effect does not necessarily occur by administration of one dose, and may occur only after administration of a series of doses. Thus, a therapeutically or prophylactically effective amount may be administered in one or more administrations.
[0153] The terms “about” and “approximately” mean within 20%, within 15%, within 10%, within 9%, within 8%, within 7%, within 6%, within 5%, within 4%, within 3%, within 2%, within 1%, or less variation of a given value or range.
[0154] As used herein, comparative terms as used herein, such as reduce, decrease, increase, or any grammatical variation thereof, can refer to certain variation from the reference. In some embodiments, such variation can refer to about 10%, or about 20%, or about 30%, or about 40%, or about 50%, or about 60%, or about 70%, or about 80%, or about 90%, or about 1 fold, or about 2 fold, or about 3 fold, or about 4 fold, or about 5 fold, or about 10 fold, or about 20 fold, or about 30 fold, or about 40 fold, or about 100 fold or higher than the reference. In some embodiments, such variation can refer to about 1%, or about 2%, or about 3%, or about 4%, or about 5%, or about 6%, or about 7%, or about 8%, or about 9%, or about 10%, or about 20%, or about 30%, or about 40%, or about 50%, or about 60%, or about 70%, or about 80%, or about 90%, or about 95%, or about 96%, or about 97%, or about 98%, or about 99% of the reference.
[0155] As used in the present disclosure and claims, the singular forms “a”, “an” and “the” include plural forms unless the context clearly dictates otherwise.
[0156] In some embodiments, the terms “first,” “second,” “third,” “fourth” and similar in a component name are used to distinguish and identify more than one component sharing certain identity in their names. For example, “first antibody” and “second antibody” are used to distinguish two antibodies.
[0157] It is understood that wherever embodiments are described herein with the term “comprising” otherwise analogous embodiments described in terms of “consisting of” and / or “consisting essentially of” are also provided. It is also understood that wherever embodiments are described herein with the phrase “consisting essentially of” otherwise analogous embodiments described in terms of “consisting of” are also provided.
[0158] The term “between” as used in a phrase as such “between A and B” or “between A-B” refers to a range including both A and B. 56 NAI-5002086922v1
[0159] The term “and / or” as used in a phrase such as “A and / or B” herein is intended to include both A and B; A or B; A (alone); and B (alone). Likewise, the term “and / or” as used in a phrase such as “A, B, and / or C” is intended to encompass each of the following embodiments: A, B, and C; A, B, or C; A or C; A or B; B or C; A and C; A and B; B and C; A (alone); B (alone); and C (alone).
[0160] The term “optional” or “optionally” means that the subsequently described circumstance may or may not occur, so that the description includes instances wherein the circumstance occurs, and the instances wherein the circumstance does not occur. 5.2. Multispecific Binding Agents for Administration in the Combination Therapy 5.2.1. NKG2A Binding Domains
[0161] The multispecific binding agents provided herein comprise one or more NKG2A binding domains. In some embodiments, described herein are multispecific binding agents (e.g., multispecific antibodies including bispecific antibodies) that bind to NKG2A. As used herein, NKG2A refers to an NKG2A polypeptide, an NKG2A polypeptide fragment, an NKG2A peptide or an NKG2A epitope. In some embodiments, the NKG2A binding domains are derived from human or humanized antibodies (e.g., comprising human framework regions) that bind NKG2A, including an NKG2A polypeptide, an NKG2A polypeptide fragment, an NKG2A peptide or an NKG2A epitope. In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) can bind to NKG2A expressed on the surface of a mammalian (e.g., human) cell, including an NKG2A expressing immune cell (e.g., an NK cell or a T cell). In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein binds an NKG2A extracellular epitope exposed on a cell such as an immune cell. In some embodiments, described herein is a multispecific binding agent (e.g., a bispecific antibody) that binds to NKG2A, such as human NKG2A or a portion thereof. In some embodiments, NKG2A is a human NKG2A. In some embodiments, the multispecific binding agent provided herein is a human NKG2A binding agent (e.g., an antibody that binds to human NKG2A). In some embodiments, multispecific binding agents (e.g., bispecific antibodies) that bind to NKG2A as disclosed herein bind to both human and cyno NKG2A. In other embodiments, multispecific binding agents (e.g., bispecific antibodies) that bind to NKG2A as disclosed herein bind to human NKG2A but not to cyno NKG2A. In some embodiments, described herein is a multispecific binding agent (e.g., a bispecific antibody) that binds to a complex comprising NKG2A and CD94, or a complex comprising extracellular domains of NKG2A and CD94. 57 NAI-5002086922v1
[0162] In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein binds to NKG2A (e.g., human NKG2A) with a dissociation constant (KD) of ≤ 1 μM, ≤ 100 nM, ≤ 10 nM, ≤ 1 nM, ≤ 0.1 nM, ≤ 0.01 nM, or ≤ 0.001 nM (e.g. 10-8M or less, e.g. from 10-8M to 10-13M, e.g., from 10-9M to 10-13M). A variety of methods of measuring binding affinity are known in the art, any of which can be used for purposes of the present disclosure, including by RIA, for example, performed with the Fab version of an antibody of interest and its antigen (Chen et al., 1999, J. Mol Biol 293:865-81); by biolayer interferometry (BLI) or surface plasmon resonance (SPR) assays by OCTET®, using, for example, an OCTET®Red96 system, or by BIACORE®, using, for example, a BIACORE®TM-2000 or a BIACORE®TM-3000. An “on-rate” or “rate of association” or “association rate” or “kon” may also be determined with the same biolayer interferometry (BLI) or surface plasmon resonance (SPR) techniques described above using, for example, the OCTET®Red96, the BIACORE®TM-2000, the BIACORE®TM-3000 system, the BIACORE®TM-8K, or the BIACORE®TM-8K+ system.
[0163] In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein does not bind to NKG2C (or a complex comprising NKG2C and CD94 or extracellular domain of each thereof) (e.g., human NKG2C and / or cyno NKG2C). In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein does not bind to human NKG2C. In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein does not bind to human NKG2C or cyno NKG2C. In other embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein binds to NKG2A (e.g., human NKG2A) (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) with higher affinity than to NKG2C (e.g., human NKG2C) (or a complex comprising NKG2C and CD94 or extracellular domain of each thereof). In some embodiments, the binding affinity of the multispecific binding agent (e.g., a bispecific antibody) provided herein to NKG2A (e.g., human NKG2A) (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) is at least 2 fold of that to NKG2C (e.g., human NKG2C) (or a complex comprising NKG2C and CD94 or extracellular domain of each thereof). In some embodiments, the binding affinity of the multispecific binding agent (e.g., a bispecific antibody) provided herein to NKG2A (e.g., human NKG2A) (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) is at least 5 fold of that to NKG2C (e.g., human NKG2C) (or a complex comprising NKG2C and CD94 or extracellular domain of each thereof). In some embodiments, the binding affinity of the multispecific binding agent (e.g., a bispecific 58 NAI-5002086922v1antibody) provided herein to NKG2A (e.g., human NKG2A) (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) is at least 10 fold of that to NKG2C (e.g., human NKG2C) (or a complex comprising NKG2C and CD94 or extracellular domain of each thereof). In some embodiments, the binding affinity of the multispecific binding agent (e.g., a bispecific antibody) provided herein to NKG2A (e.g., human NKG2A) (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) is at least 100 fold of that to NKG2C (e.g., human NKG2C) (or a complex comprising NKG2C and CD94 or extracellular domain of each thereof). In some embodiments, the binding affinity of the multispecific binding agent (e.g., a bispecific antibody) provided herein to NKG2A (e.g., human NKG2A) (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) is at least 1000 fold of that to NKG2C (e.g., human NKG2C) (or a complex comprising NKG2C and CD94 or extracellular domain of each thereof).
[0164] In some embodiments, the multispecific binding agents (e.g., bispecific antibodies) described herein comprise a VH region, VL region, VH CDR1, VH CDR2, VH CDR3, VL CDR1, VL CDR2, and / or VL CDR3 of any one of the antibodies described herein, such as an amino acid sequence of a VH region, VL region, VH CDR1, VH CDR2, VH CDR3, VL CDR1, VL CDR2, and / or VL CDR3 depicted in Tables 1-4. Accordingly, in some embodiments, a multispecific binding agent (e.g., a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and / or any one, any two, and / or all three light chain CDRs from: (a) the antibody designated A2; (b) the antibody designated A3; (c) the antibody designated A11; and (d) the antibody designated A42, as shown in Tables 1-4. In some embodiments, a multispecific binding agent (e.g., a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and any one, any two, and / or all three light chain CDRs from: (a) the antibody designated A2; (b) the antibody designated A3; (c) the antibody designated A11; and (d) the antibody designated A42, as shown in Tables 1-4.
[0165] In some embodiments, a multispecific binding agent (e.g., a bispecific antibody) comprises a VH region, which comprises a VH CDR1, a VH CDR2, and / or a VH CDR3, and / or a VL region, which comprises a VL CDR1, a VL CDR2, and / or a VL CDR3, of any one of the binding agents described herein (see, e.g., any one of Tables 1-4). Accordingly, in some embodiments, a multispecific binding agent (e.g., a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and / or any one, any two, and / or all three light chain CDRs from Table 1. In some embodiments, a multispecific binding agent (e.g., a bispecific antibody) described herein comprises any one, any two, 59 NAI-5002086922v1and / or all three heavy chain CDRs and / or any one, any two, and / or all three light chain CDRs from Table 2. In some embodiments, a multispecific binding agent (e.g., a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and / or any one, any two, and / or all three light chain CDRs from Table 3. In some embodiments, a multispecific binding agent (e.g., a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and / or one, two, and / or three light chain CDRs from Table 4.
[0166] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25, SEQ ID NO:45, or SEQ ID NO:64 and / or (ii) a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26, SEQ ID NO:46, SEQ ID NO:65, or SEQ ID NO:73.
[0167] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and / or a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and / or a VL CDR1, a VL CDR2, and / or a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26. CDR sequences can be determined according to well-known numbering systems or a combination thereof. In some embodiments, the CDRs are according to IMGT numbering. In some embodiments, the CDRs are according to Kabat numbering. In some embodiments, the CDRs are according to AbM numbering. In other embodiments, the CDRs are according to Chothia numbering. In other embodiments, the CDRs are according to Contact numbering. In some embodiments, the CDR sequences are determined according to a combination of any two or more of the above-mentioned numbering systems, for example, a combination of Kabat and Chothia. Various exemplary CDR numbering systems are described and illustrated above in Section 5.1.
[0168] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises (a) a VH region comprising a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 1, 7, 12, 13, and 18; a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 2, 60 NAI-5002086922v18, 14, 19, and 24; and a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 3, 9, 15, and 20; and / or (b) a VL region comprising a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 4, 10, 16, and 21; a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 11, and 22; and a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 6, 17, and 23.
[0169] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:2, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6.
[0170] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:8, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:9; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6.
[0171] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:2, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6.
[0172] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:14, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:15; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:17. 61 NAI-5002086922v1
[0173] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:19, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:20; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:23.
[0174] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:24, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6.
[0175] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and / or a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and / or a VL CDR1, a VL CDR2, and / or a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46. CDR sequences can be determined according to well-known numbering systems or a combination thereof. In some embodiments, the CDRs are according to IMGT numbering. In some embodiments, the CDRs are according to Kabat numbering. In some embodiments, the CDRs are according to AbM numbering. In other embodiments, the CDRs are according to Chothia numbering. In other embodiments, the CDRs are according to Contact numbering. In some embodiments, the CDR sequences are determined according to a combination of any two or more of the above-mentioned numbering systems, for example, a combination of Kabat and Chothia.
[0176] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises (a) a VH region comprising a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 1, 7, 12, 13, and 18; a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 62 NAI-5002086922v127, 32, 35, 39, and 44; and a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 28, 33, 36, and 40; and / or (b) a VL region comprising a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 29, 34, 37, and 41; a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 30, 11, and 42; and a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 31, 38, and 43.
[0177] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:27, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31.
[0178] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:32, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:33; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:34, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31.
[0179] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:27, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31.
[0180] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:35, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:36; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:37, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:38. 63 NAI-5002086922v1
[0181] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:39, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:40; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:41, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:42, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:43.
[0182] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:44, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31.
[0183] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and / or a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and / or a VL CDR1, a VL CDR2, and / or a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and / or a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65. CDR sequences can be determined according to well-known numbering systems or a combination thereof. In some embodiments, the CDRs are according to IMGT numbering. In some embodiments, the CDRs are according to Kabat numbering. In some embodiments, the CDRs are according to AbM numbering. In other embodiments, the CDRs are according to Chothia numbering. In other embodiments, the CDRs are according to Contact numbering. In some embodiments, the CDR sequences are determined according to a combination of any two or more of the above-mentioned numbering systems, for example, a combination of Kabat and Chothia.
[0184] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises (a) a VH region comprising a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 47, 51, 54, 55, and 59; a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 64 NAI-5002086922v148, 52, 56, 60, and 63; and a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 49, 53, 57, and 61; and (b) a VL region comprising a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 4, 10, 16, and 21; a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 11, and 22; and a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 50, 58, and 62.
[0185] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0186] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:51, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:52, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:53; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0187] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:54, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0188] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:55, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:56, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:57; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:58. 65 NAI-5002086922v1
[0189] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:59, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:60, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:61; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:62.
[0190] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:63, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0191] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and / or a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and / or a VL CDR1, a VL CDR2, and / or a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and / or a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. CDR sequences can be determined according to well-known numbering systems or a combination thereof. In some embodiments, the CDRs are according to IMGT numbering. In some embodiments, the CDRs are according to Kabat numbering. In some embodiments, the CDRs are according to AbM numbering. In other embodiments, the CDRs are according to Chothia numbering. In other embodiments, the CDRs are according to Contact numbering. In some embodiments, the CDR sequences are determined according to a combination of any two or more of the above-mentioned numbering systems, for example, a combination of Kabat and Chothia.
[0192] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises (a) a VH region comprising a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 47, 51, 54, 55, and 59; a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 66 NAI-5002086922v148, 52, 56, 60, and 63; and a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 49, 53, 57, and 61; and (b) a VL region comprising a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 66, 68, 70, and 71; a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 67, 69, and 72; and a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 50, 58, and 62.
[0193] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0194] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:51, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:52, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:53; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:68, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:69, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0195] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:54, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0196] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:55, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:56, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:57; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:70, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:69, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:58. 67 NAI-5002086922v1
[0197] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:59, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:60, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:61; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:71, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:72, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:62.
[0198] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:63, and a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50.
[0199] In some embodiments, the NKG2A binding domain provided herein further comprises one or more framework regions of SEQ ID NOs:25, 26, 45, 46, 64, 65, and / or 73. In some embodiments, the NKG2A binding domain further comprises a framework 1 (FR1), a framework 2 (FR2), a framework 3 (FR3) and / or a framework 4 (FR4) sequence as set forth in any one of SEQ ID NOs: 25, 26, 45, 46, 64, 65, and 73. In some embodiments, the NKG2A binding domain provided herein is derived from a humanized antibody. Framework regions described herein are determined based upon the boundaries of the CDR numbering system. In other words, if the CDRs are determined by, e.g., Kabat, IMGT, or Chothia, then the framework regions are the amino acid residues surrounding the CDRs in the variable region in the format, from the N-terminus to C-terminus: FR1-CDR1-FR2-CDR2-FR3- CDR3-FR4. For example, FR1 is defined as the amino acid residues N-terminal to the CDR1 amino acid residues as defined by, e.g., the Kabat numbering system, the IMGT numbering system, or the Chothia numbering system, FR2 is defined as the amino acid residues between CDR1 and CDR2 amino acid residues as defined by, e.g., the Kabat numbering system, the IMGT numbering system, or the Chothia numbering system, FR3 is defined as the amino acid residues between CDR2 and CDR3 amino acid residues as defined by, e.g., the Kabat numbering system, the IMGT numbering system, or the Chothia numbering system, and FR4 is defined as the amino acid residues C-terminal to the CDR3 amino acid residues as defined by, e.g., the Kabat numbering system, the IMGT numbering system, or the Chothia numbering system. 68 NAI-5002086922v1
[0200] In some embodiments, the NKG2A binding domains described herein comprise a VH region or VH domain. Additionally or alternatively, in some embodiments, the NKG2A binding domains described herein comprise a VL region or VL domain. In some embodiments, the NKG2A binding domains described herein have a combination of (i) a VH domain or VH region; and (ii) a VL domain or VL region.
[0201] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:25. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VL comprising the amino acid sequence of SEQ ID NO:26. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL comprising the amino acid sequence of SEQ ID NO:26.
[0202] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:45. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VL comprising the amino acid sequence of SEQ ID NO:46. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL comprising the amino acid sequence of SEQ ID NO:46.
[0203] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:64. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VL comprising the amino acid sequence of SEQ ID NO:65. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL comprising the amino acid sequence of SEQ ID NO:65.
[0204] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:64. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL comprising the amino acid sequence of SEQ ID NO:73. 69 NAI-5002086922v1
[0205] In certain embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein comprises amino acid sequences with certain percent identity (such as at least about 80%, or at least about 81%, or at least about 82%, or at least about 83%, or at least about 84%, or at least about 85%, or at least about 86%, or at least about 87%, or at least about 88%, or at least about 89%, or as at least about 90%, or at least about 91%, or at least about 92%, or at least about 93%, or at least about 94%, or at least about 95%, or at least about 96%, or at least about 97%, or at least about 98%, or at least about 99%, or higher) relative to any antibody or fragment thereof provided herein, for example, a CDR, VH or VL in Tables 1-4, or a full-length antibody chain as disclosed herein. In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein comprises CDRs of any antibody or fragment thereof provided herein, for example in Tables 1-4. In further embodiments, the bispecific antibody provided herein comprises amino acid sequences with certain percent identity (such as at least about 80%, or at least about 81%, or at least about 82%, or at least about 83%, or at least about 84%, or at least about 85%, or at least about 86%, or at least about 87%, or at least about 88%, or at least about 89%, or as at least about 90%, or at least about 91%, or at least about 92%, or at least about 93%, or at least about 94%, or at least about 95%, or at least about 96%, or at least about 97%, or at least about 98%, or at least about 99%, or higher) relative to any antibody or fragment thereof provided herein, for example, a VH or VL in Tables 1-4, or a full-length antibody chain as disclosed herein.
[0206] The determination of percent identity between two sequences (e.g., amino acid sequences or nucleic acid sequences) can be accomplished using a mathematical algorithm. A non-limiting example of a mathematical algorithm utilized for the comparison of two sequences is the algorithm of Karlin and Altschul, Proc. Natl. Acad. Sci. U.S.A.87:2264 2268 (1990), modified as in Karlin and Altschul, Proc. Natl. Acad. Sci. U.S.A.90:58735877 (1993). Such an algorithm is incorporated into the NBLAST and XBLAST programs of Altschul et al., J. Mol. Biol.215:403 (1990). BLAST nucleotide searches can be performed with the NBLAST nucleotide program parameters set, e.g., for score=100, word length=12 to obtain nucleotide sequences homologous to a nucleic acid molecule described herein. BLAST protein searches can be performed with the XBLAST program parameters set, e.g., to score 50, word length=3 to obtain amino acid sequences homologous to a protein molecule described herein. To obtain gapped alignments for comparison purposes, Gapped BLAST can be utilized as described in Altschul et al., Nucleic Acids Res.25:33893402 (1997). In some embodiments, the percent identity between two sequences is calculated by dividing the 70 NAI-5002086922v1number of residue(s) varied (excluding or including conservative amino acid substitution(s) or degenerate nucleotide substitution(s)) between the two sequences in the alignment with the residue number of any one of the following: (i) full length of the shorter sequence, (ii) full length of the longer sequence, (iii) mean length of the two sequences, (iv) total length of the non-gap portion of the alignment, (v) length of the alignment excluding overhangs, or (vi) length of the alignment including overhangs. Overhangs as used herein with respect to a sequence alignment refer to either or both ends of the alignment where residues of one sequence are considered as aligning to no residues (e.g., gap) in the other sequence. Alternatively, PSI BLAST can be used to perform an iterated search which detects distant relationships between molecules (Id.). When utilizing BLAST, Gapped BLAST, and PSI Blast programs, the default parameters of the respective programs (e.g., of XBLAST and NBLAST) can be used (see, e.g., National Center for Biotechnology Information (NCBI) on the worldwide web, ncbi.nlm.nih.gov). Another non-limiting example of a mathematical algorithm utilized for the comparison of sequences is the algorithm of Myers and Miller, CABIOS 4:11-17 (1998). Such an algorithm is incorporated in the ALIGN program (version 2.0) which is part of the GCG sequence alignment software package. When utilizing the ALIGN program for comparing amino acid sequences, a PAM120 weight residue table, a gap length penalty of 12, and a gap penalty of 4 can be used. The percent identity between two sequences can be determined using techniques similar to those described above, with or without allowing gaps. In calculating percent identity, typically only exact matches are counted.
[0207] In some embodiments, the multispecific binding agent (e.g., a bispecific antibody) provided herein contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but the multispecific binding agent comprising that sequence retains the ability to bind to NKG2A. In some embodiments, a total of 1 to 10 amino acids have been substituted, inserted and / or deleted in a reference amino acid sequence. In some embodiments, substitutions, insertions, or deletions occur in regions outside the CDRs (e.g., in the FRs and / or constant regions).
[0208] In some embodiments, the position of one or more CDRs along the VH (e.g., CDR1, CDR2, or CDR3) and / or VL (e.g., CDR1, CDR2, or CDR3) region of an NKG2A binding domain described herein may vary by one, two, three, four, five, or six amino acid positions so long as binding to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). For example, in some embodiments, the position defining a 71 NAI-5002086922v1CDR of any of Table 1, 2, 3, or 4 may vary by shifting the N-terminal and / or C-terminal boundary of the CDR by one, two, three, four, five, or six amino acids, relative to the current CDR position, so long as binding to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). Additionally or alternatively, in some embodiments, the length of one or more CDRs along the VH (e.g., CDR1, CDR2, or CDR3) and / or VL (e.g., CDR1, CDR2, or CDR3) region of an NKG2A binding domain described herein may vary (e.g., be shorter or longer) by one, two, three, four, five, or more amino acids, so long as binding to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). For example, in some embodiments, a VH and / or VL CDR1, CDR2, and / or CDR3 described herein may be one, two, three, four, five or more amino acids shorter than one or more of the CDRs described by SEQ ID NOS:1-24, 27-44, 47-63, or 66-72, so long as binding to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). In other embodiments, a VH and / or VL CDR1, CDR2, and / or CDR3 described herein may be one, two, three, four, five or more amino acids longer than one or more of the CDRs described by SEQ ID NOS: 1-24, 27-44, 47-63, or 66-72, so long as binding to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). In some embodiments, the amino terminus of a VH and / or VL CDR1, CDR2, and / or CDR3 described herein may be extended or shortened by one, two, three, four, five or more amino acids compared to one or more of the CDRs described by SEQ ID NOS: 1-24, 27-44, 47-63, or 66-72, so long as binding to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). Additionally or alternatively, in some embodiments, the carboxy terminus of a VH and / or VL CDR1, CDR2, and / or CDR3 described herein may be extended or shortened by one, two, three, four, five or more amino acids compared to one or more of the CDRs described by SEQ ID NOS: 1-24, 27-44, 47-63, or 66-72, so long as binding to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). Any method known in the art can be used to ascertain whether binding to NKG2A (e.g., human NKG2A) is maintained, for example, the binding assays and conditions described in the “Examples” section described herein. 72 NAI-5002086922v1
[0209] In other embodiments, the multispecific binding agents (e.g., bispecific antibodies) further comprise conservative sequence modifications (e.g., in an NKG2A binding domain). Conservative sequence modifications include conservative amino acid substitutions that include ones in which the amino acid residue is replaced with an amino acid residue having a similar side chain. Families of amino acid residues having similar side chains have been defined in the art. Thus, in some embodiments, a predicted nonessential amino acid residue in an NKG2A is replaced with another amino acid residue from the same side chain family. Methods of identifying amino acid conservative substitutions which do not eliminate antigen binding and nucleotides encoding thereof are well-known in the art (see, e.g., Brummell et al., Biochem.32:1180-1187 (1993); Kobayashi et al. Protein Eng. 12(10):879-884 (1999); and Burks et al. Proc. Natl. Acad. Sci. USA 94:412-417 (1997)). In some embodiments, the conservative sequence modifications described herein modify the amino acid sequences of the multispecific binding agents (e.g., bispecific antibodies), including human NKG2A binding agents, by 50%, or 55%, or 60%, or 65%, or 70%, or 75%, or 80%, or 85%, or 90%, or 95%, or 98%, or 99%. In some embodiments, the amino acid sequence modifications refer to at most 1, 2, 3, 4, 5, or 6 amino acid substitutions to the CDRs, such as those described in any one of Tables 1-4. Thus, for example, each such CDR may contain up to 5 conservative amino acid substitutions, for example up to (not more than) 4 conservative amino acid substitutions, for example up to (not more than) 3 conservative amino acid substitutions, for example up to (not more than) 2 conservative amino acid substitutions, or no more than 1 conservative amino acid substitution. In some embodiments, the NKG2A binding domain contains one or more, including six, CDRs having at least 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% identity to the CDRs of A3, A2, A42, or A11 (see, e.g., Tables 1, 2, 3, or 4).
[0210] In some embodiments, an NKG2A binding domain contains a VH and a VL comprising CDRs identical to those of A3, A2, A42, or A11 (see, e.g., Tables 1, 2, 3, or 4). In some embodiments, the amino acid sequence modifications do not include any modification within an SDR. In some embodiments, the amino acid sequence modifications do not include any modification within a CDR (such as CDR1, CDR2, CDR3, or any combination thereof). Additionally or alternatively, the amino acid sequence modifications are in the framework, constant region, and / or fragment crystallizable region (Fc).
[0211] In some embodiments, the multispecific binding agent provided herein comprises a VH domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or 73 NAI-5002086922v1at least 99% sequence identity to the amino acid sequence of SEQ ID NO:25, and / or a VL domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:26, and the binding of the multispecific binding agent to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%).
[0212] In some embodiments, the multispecific binding agent provided herein comprises a VH domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:45, and / or a VL domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:46, and the binding of the multispecific binding agent to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%).
[0213] In some embodiments, the multispecific binding agent provided herein comprises a VH domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:64, and / or a VL domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:65, and the binding of the multispecific binding agent to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%).
[0214] In some embodiments, the multispecific binding agent provided herein comprises a VH domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:64, and / or a VL domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:73, and the binding of 74 NAI-5002086922v1the multispecific binding agent to NKG2A (e.g., human NKG2A) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%).
[0215] In some embodiments, functional epitopes can be mapped, e.g., by combinatorial alanine scanning or hydrogen / deuterium exchange mass spectrometry (HDX-MS), to identify amino acids in the NKG2A protein (or a complex comprising NKG2A and CD94 or extracellular domain of each thereof) that are necessary for interaction with a multispecific binding agent, an NKG2A binding domain thereof, and / or an anti-NKG2A antibody provided herein (e.g., in the following paragraphs). In some embodiments, conformational and crystal structure of a multispecific binding agent, an NKG2A binding domain thereof, and / or an anti- NKG2A antibody (e.g., provided in the following paragraphs) bound to NKG2A may be employed to identify the epitopes. In some embodiments, the present disclosure provides a multispecific antibody comprising an NKG2A binding domain that specifically binds to the same epitope as any of the multispecific binding agents as disclosed herein, NKG2A binding domains thereof, and / or the anti-NKG2A antibodies or fragments thereof provided herein (e.g., provided in the following paragraphs).
[0216] For example, in some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26. In some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:25, and a VL comprising the amino acid sequence of SEQ ID NO:26.
[0217] In some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46. In some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:45, and a VL comprising the amino acid sequence of SEQ ID NO:46.
[0218] In some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH 75 NAI-5002086922v1CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65. In some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:64, and a VL comprising the amino acid sequence of SEQ ID NO:65.
[0219] In some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the NKG2A binding domain provided herein binds to the same epitope as an anti-NKG2A antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:64, and a VL comprising the amino acid sequence of SEQ ID NO:73.
[0220] In some embodiments, the NKG2A binding domain provided herein specifically binds to one of the following NKG2A polypeptide fragments: an NKG2A polypeptide fragment comprising the amino acid sequence of TWEESL (SEQ ID NO:134), an NKG2A polypeptide fragment comprising the amino acid sequence of SIISPSSWIGV (SEQ ID NO:135), an NKG2A polypeptide fragment comprising the amino acid sequence of FRNSSHHPW (SEQ ID NO:136), an NKG2A polypeptide fragment comprising the amino acid sequence of IKDSDNAEL (SEQ ID NO:137), an NKG2A polypeptide fragment comprising the amino acid sequence of LQVNR (SEQ ID NO:138), and an NKG2A polypeptide fragment comprising the amino acid sequence of AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to two of the following NKG2A polypeptide fragments: an NKG2A polypeptide fragment comprising the amino acid sequence of TWEESL (SEQ ID NO:134), an NKG2A polypeptide fragment comprising the amino acid sequence of SIISPSSWIGV (SEQ ID NO:135), an NKG2A polypeptide fragment comprising the amino acid sequence of FRNSSHHPW (SEQ ID NO:136), an NKG2A polypeptide fragment comprising the amino acid sequence of IKDSDNAEL (SEQ ID NO:137), an NKG2A polypeptide fragment comprising the amino acid sequence of LQVNR (SEQ ID NO:138), and an NKG2A polypeptide fragment comprising the amino acid sequence of AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to three of the following NKG2A polypeptide fragments: an NKG2A polypeptide fragment comprising the amino acid 76 NAI-5002086922v1sequence of TWEESL (SEQ ID NO:134), an NKG2A polypeptide fragment comprising the amino acid sequence of SIISPSSWIGV (SEQ ID NO:135), an NKG2A polypeptide fragment comprising the amino acid sequence of FRNSSHHPW (SEQ ID NO:136), an NKG2A polypeptide fragment comprising the amino acid sequence of IKDSDNAEL (SEQ ID NO:137), an NKG2A polypeptide fragment comprising the amino acid sequence of LQVNR (SEQ ID NO:138), and an NKG2A polypeptide fragment comprising the amino acid sequence of AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to four of the following NKG2A polypeptide fragments: an NKG2A polypeptide fragment comprising the amino acid sequence of TWEESL (SEQ ID NO:134), an NKG2A polypeptide fragment comprising the amino acid sequence of SIISPSSWIGV (SEQ ID NO:135), an NKG2A polypeptide fragment comprising the amino acid sequence of FRNSSHHPW (SEQ ID NO:136), an NKG2A polypeptide fragment comprising the amino acid sequence of IKDSDNAEL (SEQ ID NO:137), an NKG2A polypeptide fragment comprising the amino acid sequence of LQVNR (SEQ ID NO:138), and an NKG2A polypeptide fragment comprising the amino acid sequence of AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to five of the following NKG2A polypeptide fragments: an NKG2A polypeptide fragment comprising the amino acid sequence of TWEESL (SEQ ID NO:134), an NKG2A polypeptide fragment comprising the amino acid sequence of SIISPSSWIGV (SEQ ID NO:135), an NKG2A polypeptide fragment comprising the amino acid sequence of FRNSSHHPW (SEQ ID NO:136), an NKG2A polypeptide fragment comprising the amino acid sequence of IKDSDNAEL (SEQ ID NO:137), an NKG2A polypeptide fragment comprising the amino acid sequence of LQVNR (SEQ ID NO:138), and an NKG2A polypeptide fragment comprising the amino acid sequence of AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to all of the following NKG2A polypeptide fragments: an NKG2A polypeptide fragment comprising the amino acid sequence of TWEESL (SEQ ID NO:134), an NKG2A polypeptide fragment comprising the amino acid sequence of SIISPSSWIGV (SEQ ID NO:135), an NKG2A polypeptide fragment comprising the amino acid sequence of FRNSSHHPW (SEQ ID NO:136), an NKG2A polypeptide fragment comprising the amino acid sequence of IKDSDNAEL (SEQ ID NO:137), an NKG2A polypeptide fragment comprising the amino acid sequence of LQVNR (SEQ ID NO:138), and an NKG2A polypeptide fragment comprising the amino acid sequence of AQCGSSI (SEQ ID NO:139). 77 NAI-5002086922v1
[0221] In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from one of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of two of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of three of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of four of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of five of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of all of the following amino acid sequences: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the group of amino acid residue forming the conformational epitope comprises one amino acid residue from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope 78 NAI-5002086922v1comprises two amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises three amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises four amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises five amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises more than five amino acid residues from an amino acid sequence mentioned above in this paragraph.
[0222] In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from one of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of two of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of three of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of four of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at 79 NAI-5002086922v1least one amino acid residue from each one of five of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the NKG2A binding domain provided herein specifically binds to a conformational epitope formed by a group of amino acid residues comprising at least one amino acid residue from each one of all of the following amino acid sequences located on the surface of NKG2A: TWEESL (SEQ ID NO:134), SIISPSSWIGV (SEQ ID NO:135), FRNSSHHPW (SEQ ID NO:136), IKDSDNAEL (SEQ ID NO:137), LQVNR (SEQ ID NO:138), and AQCGSSI (SEQ ID NO:139). In some embodiments, the group of amino acid residue forming the conformational epitope comprises one amino acid residue from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises two amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises three amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises four amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises five amino acid residues from an amino acid sequence mentioned above in this paragraph. In some embodiments, the group of amino acid residue forming the conformational epitope comprises more than five amino acid residues from an amino acid sequence mentioned above in this paragraph.
[0223] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with any one of the anti- NKG2A antibodies or fragments thereof described herein.
[0224] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody 80 NAI-5002086922v1comprising a VH comprising the amino acid sequence of SEQ ID NO:25, and a VL comprising the amino acid sequence of SEQ ID NO:26.
[0225] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:45, and a VL comprising the amino acid sequence of SEQ ID NO:46.
[0226] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:64, and a VL comprising the amino acid sequence of SEQ ID NO:65.
[0227] In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73. In some embodiments, the multispecific binding agent provided herein (e.g., a bispecific antibody) specifically binds to NKG2A competitively with an anti-NKG2A antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:64, and a VL comprising the amino acid sequence of SEQ ID NO:73.
[0228] In some embodiments, the antibodies based on which the present NKG2A binding arm is derived are superior in developability based on a known assay in the art, for example, various chromatographic methods, including size exclusion chromatography (SEC), hydrophobic interaction chromatography (HIC), and standup monolayer adsorption chromatography (SMAC). In some embodiments, the antibodies based on which the present 81 NAI-5002086922v1NKG2A binding arm is derived are superior in developability based on measurement of monomer percentage, solubility, and / or antibody aggregation or precipitation. 5.2.2. PD-L1 Binding Domains
[0229] Also provided herein is a binding agent that binds to PD-L1. In some embodiments, the binding agent comprises one or more PD-L1 binding domains. In some embodiments, the multispecific binding agents provided herein further comprise one or more PD-L1 binding domains. In some embodiments, described herein are multispecific binding agents (e.g., multispecific antibodies including bispecific antibodies) that bind to PD-L1. As used herein, PD-L1 refers to a PD-L1 polypeptide, a PD-L1 polypeptide fragment, a PD-L1 peptide or a PD-L1 epitope. In some embodiments, the PD-L1 binding domains in the present binding agents, such as multispecific binding agents, are derived from human or humanized antibodies (e.g., comprising human framework regions) that bind PD-L1, including a PD-L1 polypeptide, a PD-L1 polypeptide fragment, a PD-L1 peptide or a PD-L1 epitope. In some embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) can bind to PD-L1 expressed on the surface of a mammalian (e.g., human) cell, including a PD-L1 expressing immune cell (e.g., a T cell) and / or a PD-L1 expressing cancer or tumor cell. In some embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein binds a PD-L1 extracellular epitope exposed on a cell such as an immune cell, and / or a cancer or tumor cell. In some embodiments, described herein is a binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) that binds to PD-L1, such as human PD-L1 or portions thereof. In some embodiments, PD-L1 is a human PD-L1. In some embodiments, the binding agent (such as an antibody, a multispecific binding agent, or a bispecific antibody) provided herein is a human PD-L1 binding agent (e.g., an antibody that binds to human PD-L1). In some embodiments, the binding agent provided herein binds to both human PD-L1 and cyno PD-L1. In other embodiments, the binding agent provided herein binds to human PD-L1 but not cyno PD-L1.
[0230] In some embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein binds to PD-L1 (e.g., human PD-L1) with a dissociation constant (KD) of ≤ 1 μM, ≤ 100 nM, ≤ 10 nM, ≤ 1 nM, ≤ 0.1 nM, ≤ 0.01 nM, or ≤ 0.001 nM (e.g. 10-8M or less, e.g. from 10-8M to 10-13M, e.g., from 10-9M to 10-13M). A variety of methods of measuring binding affinity are known in the art, any of which can be used for purposes of the present disclosure, including those described herein, e.g., in Section 5.2.1 above. 82 NAI-5002086922v1
[0231] In some embodiments, the binding agents (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) described herein comprise a VH region, VL region, VH CDR1, VH CDR2, VH CDR3, VL CDR1, VL CDR2, and / or VL CDR3 of any anti-PD- L1 antibody, such as an amino acid sequence of a VH region, VL region, VH CDR1, VH CDR2, VH CDR3, VL CDR1, VL CDR2, and / or VL CDR3 depicted in Table 5. Accordingly, in some embodiments, a binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and / or any one, any two, and / or all three light chain CDRs from the antibody designated P12 as shown in Table 5. In some embodiments, a binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and any one, any two, and / or all three light chain CDRs from the antibody designated P12 as shown in Table 5.
[0232] In some embodiments, a binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH region, which comprises a VH CDR1, a VH CDR2, and / or a VH CDR3, and / or a VL region, which comprises a VL CDR1, a VL CDR2, and / or a VL CDR3, of any one of the binding agents described herein (see, e.g., Table 5). Accordingly, in some embodiments, a binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) described herein comprises any one, any two, and / or all three heavy chain CDRs and / or any one, any two, and / or all three light chain CDRs from Table 5.
[0233] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and / or (ii) a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and / or a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. CDR sequences can be determined according to well-known numbering systems or a combination thereof. In some embodiments, the CDRs are according to IMGT numbering. In some embodiments, the CDRs are according to Kabat numbering. In some embodiments, the CDRs are according to AbM numbering. In other embodiments, the CDRs are according to Chothia numbering. In other embodiments, the CDRs are according to Contact numbering. In some embodiments, 83 NAI-5002086922v1the CDR sequences are determined according to a combination of any two or more of the above-mentioned numbering systems, for example, a combination of Kabat and Chothia. Various exemplary CDR numbering systems are described and illustrated above in Section 5.1.
[0234] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:86, 89, 91, 94, and 97; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs:87, 90, 92, and 95; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:4, 10, 16, and 21; (2) VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:5, 11, and 22; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs:88, 93, and 96.
[0235] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88.
[0236] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:89, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:90; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88.
[0237] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid 84 NAI-5002086922v1sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88.
[0238] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:91, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:92; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:93.
[0239] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:94, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:95; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:96.
[0240] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:97, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88.
[0241] In some embodiments, the PD-L1 binding domain in the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein further comprises one or more framework regions of SEQ ID NOs:98 and 99. In some embodiments, the PD-L1 binding domain further comprises a framework 1 (FR1), a framework 2 (FR2), a framework 3 (FR3) and / or a framework 4 (FR4) sequence as set forth in any one of SEQ ID NOs:98 and 99. In some embodiments, the PD-L1 binding domain provided herein is derived from a humanized antibody. Framework regions described herein are determined based upon the boundaries of the CDR numbering system as described in Section 5.2.1 above.
[0242] In some embodiments, the PD-L1 binding domains described herein comprise a VH region or VH domain. Additionally or alternatively, in some embodiments, the PD-L1 binding domains described herein comprise a VL region or VL domain. In some 85 NAI-5002086922v1embodiments, the PD-L1 binding domains described herein have a combination of (i) a VH domain or VH region; and (ii) a VL domain or VL region.
[0243] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:98. In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprises a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL comprising the amino acid sequence of SEQ ID NO:99.
[0244] In certain embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein comprises amino acid sequences with certain percent identity (such as at least about 80%, or at least about 81%, or at least about 82%, or at least about 83%, or at least about 84%, or at least about 85%, or at least about 86%, or at least about 87%, or at least about 88%, or at least about 89%, or as at least about 90%, or at least about 91%, or at least about 92%, or at least about 93%, or at least about 94%, or at least about 95%, or at least about 96%, or at least about 97%, or at least about 98%, or at least about 99%, or higher) relative to any antibody or fragment thereof provided herein, for example, a CDR, VH or VL in Table 5, or a full-length antibody chain as disclosed herein. In some embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein comprises CDRs of any antibody or fragment thereof provided herein, for example in Table 5. In further embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein comprises amino acid sequences with certain percent identity (such as at least about 80%, or at least about 81%, or at least about 82%, or at least about 83%, or at least about 84%, or at least about 85%, or at least about 86%, or at least about 87%, or at least about 88%, or at least about 89%, or as at least about 90%, or at least about 91%, or at least about 92%, or at least about 93%, or at least about 94%, or at least about 95%, or at least about 96%, or at least about 97%, or at least about 98%, or at least about 99%, or higher) relative to any antibody or fragment thereof provided herein, for example, a VH or VL in Table 5, or a full-length antibody chain as disclosed herein. The determination of percent identity between two sequences (e.g., amino acid sequences or nucleic acid sequences) can be accomplished using a method as described in Section 5.2.1 above. 86 NAI-5002086922v1
[0245] In some embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein contains substitutions (e.g., conservative substitutions), insertions, or deletions relative to the reference sequence, but the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprising that sequence retains the ability to bind to PD-L1. In some embodiments, a total of 1 to 10 amino acids have been substituted, inserted and / or deleted in a reference amino acid sequence. In some embodiments, substitutions, insertions, or deletions occur in regions outside the CDRs (e.g., in the FRs, constant regions, and / or Fc regions).
[0246] In some embodiments, the position of one or more CDRs along the VH (e.g., CDR1, CDR2, or CDR3) and / or VL (e.g., CDR1, CDR2, or CDR3) region of a PD-L1 binding domain described herein may vary by one, two, three, four, five, or six amino acid positions so long as binding to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). For example, in some embodiments, the position defining a CDR of Table 5 may vary by shifting the N-terminal and / or C-terminal boundary of the CDR by one, two, three, four, five, or six amino acids, relative to the current CDR position, so long as binding to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). Additionally or alternatively, in some embodiments, the length of one or more CDRs along the VH (e.g., CDR1, CDR2, or CDR3) and / or VL (e.g., CDR1, CDR2, or CDR3) region of a PD-L1 binding domain described herein may vary (e.g., be shorter or longer) by one, two, three, four, five, or more amino acids, so long as binding to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). For example, in some embodiments, a VH and / or VL CDR1, CDR2, and / or CDR3 described herein may be one, two, three, four, five or more amino acids shorter than one or more of the CDRs described by SEQ ID NOS:1, 4-5, 7, 10-13, 16, 18, 21, 22, and 86-97, so long as binding to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). In other embodiments, a VH and / or VL CDR1, CDR2, and / or CDR3 described herein may be one, two, three, four, five or more amino acids longer than one or more of the CDRs described by SEQ ID NOS:1, 4-5, 7, 10- 13, 16, 18, 21, 22, and 86-97, so long as binding to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). In some embodiments, the amino terminus of a VH 87 NAI-5002086922v1and / or VL CDR1, CDR2, and / or CDR3 described herein may be extended or shortened by one, two, three, four, five or more amino acids compared to one or more of the CDRs described by SEQ ID NOS:1, 4-5, 7, 10-13, 16, 18, 21, 22, and 86-97, so long as binding to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). Additionally or alternatively, in some embodiments, the carboxy terminus of a VH and / or VL CDR1, CDR2, and / or CDR3 described herein may be extended or shortened by one, two, three, four, five or more amino acids compared to one or more of the CDRs described by SEQ ID NOS:1, 4-5, 7, 10-13, 16, 18, 21, 22, and 86-97, so long as binding to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%). Any method known in the art can be used to ascertain whether binding to PD-L1 (e.g., human PD-L1) is maintained, for example, the binding assays and conditions described in the “Examples” section described herein.
[0247] In other embodiments, the binding agents (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) further comprise conservative sequence modifications (e.g., in a PD-L1 binding domain). Conservative sequence modifications are described in more detail in Section 5.2.1 above. In some embodiments, the conservative sequence modifications described herein modify the amino acid sequences of the binding agents (e.g., an antibody, a multispecific binding agent, or a bispecific antibody), including human PD-L1 binding agents, by 50%, or 55%, or 60%, or 65%, or 70%, or 75%, or 80%, or 85%, or 90%, or 95%, or 98%, or 99%. In some embodiments, the amino acid sequence modifications refer to at most 1, 2, 3, 4, 5, or 6 amino acid substitutions to the CDRs, such as those described in Table 5. Thus, for example, each such CDR may contain up to 5 conservative amino acid substitutions, for example up to (not more than) 4 conservative amino acid substitutions, for example up to (not more than) 3 conservative amino acid substitutions, for example up to (not more than) 2 conservative amino acid substitutions, or no more than 1 conservative amino acid substitution. In some embodiments, the PD-L1 binding domain contains one or more, including six, CDRs having at least 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% identity to the CDRs of P12 (see, e.g., Table 5).
[0248] In some embodiments, a PD-L1 binding domain contains a VH and a VL comprising CDRs identical to those of P12 (see, e.g., Table 5). In some embodiments, the amino acid sequence modifications do not include any modification within an SDR. In some embodiments, the amino acid sequence modifications do not include any modification within 88 NAI-5002086922v1a CDR (such as CDR1, CDR2, CDR3, or any combination thereof). In further embodiments, the amino acid sequence modifications are in the framework, constant region, and / or Fc region.
[0249] In some embodiments, the binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) provided herein comprises a VH domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:98, and / or a VL domain having at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:99, and the binding of the binding agent to PD-L1 (e.g., human PD-L1) is maintained (e.g., substantially maintained, for example, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 95%).
[0250] In some embodiments, functional epitopes can be mapped, e.g., by combinatorial alanine scanning or hydrogen / deuterium exchange mass spectrometry (HDX-MS), to identify amino acids in the PD-L1 protein that are necessary for interaction with a multispecific binding agent, a PD-L1 binding domain thereof, and / or an anti-PD-L1 antibody provided herein (e.g., in the following paragraphs). In some embodiments, conformational and crystal structure of a multispecific binding agent, a PD-L1 binding domain thereof, and / or an anti- PD-L1 antibody (e.g., provided in the following paragraphs) bound to PD-L1 may be employed to identify the epitopes. In some embodiments, the present disclosure provides a binding agent (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) comprising a PD-L1 binding domain that specifically binds to the same epitope as any of the multispecific binding agents as disclosed herein, PD-L1 binding domains thereof, and / or the anti-PD-L1 antibodies or fragments thereof provided herein (e.g., provided in the following paragraphs).
[0251] For example, in some embodiments, the PD-L1 binding domain provided herein binds to the same epitope as an anti-PD-L1 antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the PD-L1 binding domain provided herein binds to the same epitope as an anti-PD-L1 antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:98, and a VL comprising the amino acid sequence of SEQ ID NO:99. 89 NAI-5002086922v1
[0252] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) specifically binds to PD-L1 competitively with any one of the anti-PD-L1 antibodies or fragments thereof described herein.
[0253] In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) specifically binds to PD-L1 competitively with an anti-PD-L1 antibody comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the binding agent provided herein (e.g., an antibody, a multispecific binding agent, or a bispecific antibody) specifically binds to PD- L1 competitively with an anti-PD-L1 antibody comprising a VH comprising the amino acid sequence of SEQ ID NO:98, and a VL comprising the amino acid sequence of SEQ ID NO:99.
[0254] In yet another aspect, provided herein is a binding agent (e.g., an antibody or fragment thereof) that binds to PD-L1 comprising one or more CDR(s) described above. In some embodiments, provided herein is a binding agent (e.g., an antibody or fragment thereof) that binds to PD-L1 comprising the VH and / or VL described above. In some embodiments, the binding agent comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the VH region comprises: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:86, 89, 91, 94, and 97; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs:87, 90, 92, and 95; and the VL region comprises: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:4, 10, 16, and 21; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:5, 11, and 22; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs:88, 93, and 96.
[0255] In some embodiments, the binding agent comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid 90 NAI-5002086922v1sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88.
[0256] In some embodiments, the binding agent comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:89, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:90; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88.
[0257] In some embodiments, the binding agent comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88.
[0258] In some embodiments, the binding agent comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:91, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:92; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:93.
[0259] In some embodiments, the binding agent comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:94, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:95; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:96.
[0260] In some embodiments, the binding agent comprises a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:97, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88. 91 NAI-5002086922v1
[0261] In some embodiments, the binding agent provided herein comprises a VH region comprising the amino acid sequence of SEQ ID NO:98 and a VL region comprising the amino acid sequence of SEQ ID NO:99. 5.2.3. Multispecific Antibodies
[0262] Provided herein is a multispecific binding agent that binds to NKG2A and a non- NKG2A antigen (such as PD-L1). In some embodiments, the multispecific binding agent comprises one or more NKG2A binding domains and one or more non-NKG2A antigen binding domains (such as one or more PD-L1 binding domains). In certain embodiments, the present multispecific binding agent is a multispecific antibody comprising one or more NKG2A binding domains each independently selected from the NKG2A binding domains described in Section 5.2.1 above and one or more PD-L1 binding domains each independently selected from the PD-L1 binding domains described in Section 5.2.2 above.
[0263] In some specific embodiments, provided herein is a multispecific binding agent comprising one or more NKG2A binding domains each independently selected from NKG2A binding domains comprising: (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; or (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73; and one or more PD-L1 binding domains comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99.
[0264] In some embodiments, provided herein is a multispecific binding agent comprising one or more NKG2A binding domains, each comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; and one or more PD-L1 binding domains, each 92 NAI-5002086922v1comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises two NKG2A binding domains (e.g., with two identical pairs of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and two PD-L1 binding domains (e.g., with two identical pairs of VH and VL regions that bind to PD-L1).
[0265] In some embodiments, provided herein is a multispecific binding agent comprising one or more NKG2A binding domains, each comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; and one or more PD-L1 binding domains, each comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises two NKG2A binding domains (e.g., with two identical pairs of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and two PD-L1 binding domains (e.g., with two identical pairs of VH and VL regions that bind to PD-L1).
[0266] In some specific embodiments, provided herein is a multispecific binding agent comprising one or more NKG2A binding domains, each comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and one or more PD-L1 binding domains, each 93 NAI-5002086922v1comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises two NKG2A binding domains (e.g., with two identical pairs of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and two PD-L1 binding domains (e.g., with two identical pairs of VH and VL regions that bind to PD-L1).
[0267] In some specific embodiments, provided herein is a multispecific binding agent comprising one or more NKG2A binding domains, each comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73; and one or more PD-L1 binding domains, each comprising a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:99. In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises two NKG2A binding domains (e.g., with two identical pairs of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that bind to NKG2A) and two PD-L1 binding domains (e.g., with two identical pairs of VH and VL regions that bind to PD-L1).
[0268] In some embodiments, the multispecific binding agent provided herein comprises two NKG2A binding domains (e.g., with two identical or different pairs of VH and VL regions that bind to NKG2A) and one PD-L1 binding domain (e.g., with a pair of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises one NKG2A binding domain (e.g., with a pair of VH and VL regions that 94 NAI-5002086922v1bind to NKG2A) and two PD-L1 binding domains (e.g., with two identical or different pairs of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent provided herein comprises two NKG2A binding domains (e.g., with two identical or different pair of VH and VL regions that bind to NKG2A) and two PD-L1 binding domains (e.g., with two identical or different pairs of VH and VL regions that bind to PD-L1). In some embodiments, the multispecific binding agent further comprises one or more heavy chain constant regions (such as CH1, CH2, and / or CH3) and / or one or more light chain constant regions (such as CL).
[0269] In some embodiments, the multispecific binding agent provided herein has an antibody format shown in any of the three panels in FIGs.22A-22C. In some embodiments, the multispecific binding agent provided herein has an antibody format shown in any of the three panels in FIGs.22A-22C, but its PD-L1 arm is switched with its NKG2A arm. For example, in the 1x1 format, Chain 1 and Chain 2 as labeled form a binding site for NKG2A (accordingly referred to as an NKG2A arm, instead of a PD-L1 arm as marked in the "1x1” panel of FIG.22A), while Chain 3 and Chain 4 form a binding site for PD-L1 (accordingly referred to as a PD-L1 arm, instead of an NKG2A arm as marked in the "1x1” panel of FIG. 22A). Additionally or alternatively, in some embodiments, the multispecific binding agent provided herein has an antibody format shown in any of the three panels in FIGs.22A-22C, but its knob mutation(s) in one CH3 at the C terminus of CH2 is switched with its hole mutation(s) in the other CH3 at the C terminus of CH2. For example, in the 1x1 format, the knob mutation(s) can be in the CH3 which is at the C terminus of CH2 of Chain 1, while the hole mutation(s) can be in the CH3 which is at the C terminus of CH2 of Chain 3.
[0270] In some embodiments, mutations are introduced to one or more of the heavy chain constant regions (such as CH1, CH2, and / or CH3) and / or one or more light chain constant regions (such as CL), in order to achieve one or more of the following: (i) destabilizing a homodimer formed by a polypeptide of the multispecific antibody; (ii) stabilizing a multispecific antibody (also referred to herein as a heterodimer) as described herein; (iii) facilitating a proper assembly of a multispecific antibody as described herein; (iv) favoring heterodimerization over homodimerization of the constituent polypeptide chains; (v) improving the yield of a multispecific antibody as described herein; and (vi) improving the purity of a multispecific antibody as described herein. A variety of mutations have been developed that drive preferential heterodimerization, such as knob-in-hole (KIH or KiH) mutations (see, e.g., US Pat. Nos.5,731,168; 5,807,706; 5,821,333; and 8,216,805), disulfide-stabilized KIH mutations (see, e.g., US Pat. Nos.7,951,917; 8,642,745; and 95 NAI-5002086922v19,409,989), and others (see, e.g., WO 2022 / 125986). Each of the patents and / or patent publications cited herein is incorporated herein by reference in its entirety.
[0271] Although specific exemplary multispecific antibody formats are described in the Example section below and in any of the three panels in FIGs.22A-22C, it is contemplated that any multispecific antibody formats known in the art can be used and are included in the present disclosure.
[0272] Multispecific binding agents (e.g., bispecific antibodies) described herein may be bispecific, trispecific or of greater multispecificity. Such agents may include multispecific antibodies. In some embodiments, multispecific antibodies, such as bispecific antibodies, are monoclonal antibodies that have binding specificities for at least two different targets (e.g., antigens) or two different epitopes on the same target (e.g., a bispecific antibody directed to NKG2A with a first binding domain for a first epitope of an NKG2A, and a second binding domain for a second epitope of NKG2A). In some embodiments, the multispecific (e.g., bispecific) antibodies can be constructed based on the sequences of the antibodies described herein, e.g., the CDR sequences listed in Tables 1-5. In some embodiments, the multispecific antibodies described herein are bispecific antibodies. In some embodiments, the multispecific antibody described herein (e.g., a bispecific antibody) has binding specificities for two targets, for example, NKG2A and PD-L1. In some embodiments, bispecific antibodies are mouse, chimeric, human or humanized antibodies.
[0273] In some embodiments, one of the binding specificities of the multispecific antibody provided herein is for NKG2A, a second binding specificity of the multispecific antibody provided herein is PD-L1, and yet one or more additional binding specificities are for any other target(s) (e.g., antigen). In some embodiments, a multispecific antibody can comprise more than one target (e.g., antigen) binding domain, in which different binding domains are specific for different targets. In some embodiments, the additional target is an immune checkpoint regulator (e.g., a negative checkpoint regulator). In some embodiments, the additional target is expressed on an immune cell. In some embodiments, the additional target is expressed on a tumor or cancer cell.
[0274] In some embodiments, multispecific (e.g., bispecific) antibody molecules can bind more than one (e.g., two or more) epitopes on the same target (e.g., antigen). In some embodiments, a multispecific (e.g., bispecific) binder as disclosed herein can bind to one or more epitopes on a first target (such as NKG2A) and one or more epitopes on a second target (such as PD-L1). 96 NAI-5002086922v1
[0275] Methods for making multispecific antibodies are known in the art, such as, by co- expression of two immunoglobulin heavy chain-light chain pairs, where the two heavy chains have different specificities (see, e.g., Milstein and Cuello, 1983, Nature 305:537-40). For further details of generating multispecific antibodies (e.g., bispecific antibodies), see, for example, Bispecific Antibodies (Kontermann ed., 2011).
[0276] Exemplary structures of multispecific antibodies are known in the art and are further described in Weidle et al., 2013, Cancer Genomics & Proteomics 10: 1-18; Brinkman et al., 2017, MABS, 9:2, 182–212; Godar et al., 2018, Expert Opinion on Therapeutic Patents, 28:3, 251-276; and Spiess et al., 2015, Mol. Immunol.6795–106.
[0277] For example, bispecific antibody molecules can be classified into different structural groups: (i) bispecific immunoglobulin G (BsIgG); (ii) IgG appended with an additional antigen-binding moiety; (iii) bispecific antibody fragments; (iv) bispecific fusion proteins; and (v) bispecific antibody conjugates. As a non-limiting example, BsIgG formats can include crossMab, DAF (two-in-one), DAF (four-in-one), DutaMab, DT-IgG, knobs-in- holes common LC, knobs-in-holes assembly, charge pair, Fab-arm exchange, SEEDbody, triomab, LUZ-Y, Fcab, κλ-body, and / or orthogonal Fab.
[0278] In some embodiments, BslgG comprises heavy chains that are engineered for heterodimerization. For example, heavy chains can be engineered for heterodimerization using a “knobs-into-holes” strategy, a SEED platform, a common heavy chain (e.g., in κλ- bodies), and use of heterodimeric Fc regions. Strategies are known in the art to avoid heavy chain pairing of homodimers in BsIgG, including knobs-into-holes, duobody, azymetric, charge pair, HA-TF, SEEDbody, and differential protein A affinity.
[0279] Another bispecific antibody format is IgG appended with an additional antigen- binding moiety. For example, monospecific IgG can be engineered to have bispecificity by appending an additional antigen-binding unit onto the monospecific IgG, e.g., at the N- or C- terminus of either the heavy or light chain. Exemplary additional antigen-binding units include single domain antibodies (e.g., variable heavy chain or variable light chain), engineered protein scaffolds, and paired antibody variable domains (e.g., single chain variable fragments or variable fragments). Non-limiting examples of appended IgG formats include dual variable domain IgG (DVD-Ig), IgG(H)-scFv, scFv-(H)IgG, IgG(L)-scFv, scFv- (L)IgG, IgG(L,H)-Fv, IgG(H)-V, V(H)-IgG, IgG(L)-V, V(L)-IgG, KIH IgG-scFab, 2scFv- IgG, IgG-2scFv, scFv4-Ig, zybody, and DVI-IgG (four- in-one). See Spiess et al. Mol. Immunol.67(2015):95-106. In some embodiments, an exemplary antibody format is a B- Body format for monospecific or multispecific (e.g., bispecific antibodies) as described in 97 NAI-5002086922v1e.g. WO 2018 / 075692, U.S. Pat. Publ. No.2018 / 0118811, and U.S. Pat. Publ. No. 2021 / 0155692.
[0280] Bispecific (Bs) antibody (BsAb) fragments are a format of bispecific antibody molecules that lack some or all of the antibody constant domains. For example, some BsAb lack an Fc region. In embodiments, bispecific antibody fragments include heavy and light chain regions that are connected by a peptide linker that permits efficient expression of the BsAb in a single host cell. Non-limiting examples of bispecific antibody fragments include, but are not limited to, nanobody, nanobody- HAS, BiTE, Diabody, DART, TandAb, scDiabody, scDiabody-CH3, Diabody-CH3, triple body, miniantibody, minibody, TriBi minibody, scFv-CH3 KIH, Fab-scFv, scFv-CH-CL-scFv, F(ab’)2, F(ab’)2-scFv2, scFv-KIH, Fab-scFv-Fc, tetravalent HCAb, scDiabody-Fc, Diabody-Fc, tandem scFv-Fc, and intrabody.
[0281] Bispecific fusion proteins include antibody fragments linked to other proteins. For example, bispecific fusion proteins can be linked to other proteins to add additional specificity and / or functionality. In some embodiments, the dock-and-lock (DNL) method can be used to generate bispecific antibody molecules with higher valency. For example, bispecific antibody fusions to albumin binding proteins or human serum albumin can be constructed to extend the serum half-life of antibody fragments. In some embodiments, chemical conjugation, e.g., chemical conjugation of antibodies and / or antibody fragments, can be used to create BsAb molecules. An exemplary bispecific antibody conjugate includes the CovX-body format, in which a low molecular weight drug is conjugated site-specifically to a single reactive lysine in each Fab arm or an antibody or fragment thereof. In some embodiments, the conjugation improves the serum half-life.
[0282] Methods of production of multispecific antibodies, including bispecific antibodies, are known in the art. For example, multispecific antibodies, including bispecific antibodies, can be produced by separate expression of the component antibodies in different host cells and subsequent purification / assembly or by expression of the component antibodies in a single host cell. Purification of multispecific (e.g., bispecific) antibody molecules can be performed by various methods known in the art, including affinity chromatography.
[0283] In some embodiments, multispecific binding agents (e.g., bispecific antibodies) disclosed herein can be provided in any antibody format disclosed herein or known in the art. As a non-limiting example, in some embodiments, the multispecific binding agents (e.g., bispecific antibodies) can be selected from Fabs-in-tandem-lg (FIT-lg); DVD-lg; hybrid hybridoma (quadroma or tetradoma); anticalin platform (Pieris); diabodies; single chain diabodies; tandem single chain Fv fragments; TandAbs, Trispecific Abs (Affimed); Darts 98 NAI-5002086922v1dual affinity retargeting (Macrogenics); Bispecific Xmabs (Xencor); Bispecific T cell engagers (Bites; Amgen; 55kDa); Triplebodies; Tribody = Fab-scFv Fusion Protein multifunctional recombinant antibody derivates (CreativeBiolabs); Duobody platform (Genmab); dock and lock platform; knobs-into-holes (KIH) platform; Humanized bispecific IgG antibody (REGN1979) (Regeneron); Mab2 bispecific antibodies (F-Star); DVD-lg = dual variable domain immunoglobulin (Abbott); kappa-lambda bodies; TBTI = tetravalent bispecific tandem Ig; B-Body; and CrossMab (Roche).
[0284] In some specific embodiments, the bispecific antibody provided herein is in a format depicted in any of the three panels in FIGs.22A-22C. In some embodiments, the bispecific antibody provided herein is in the 1x1 format as depicted in the “1x1” panel of FIG.22A. In some embodiments, the bispecific antibody provided herein is in the 1x2 format as depicted in the “1x2” panel of FIG.22B. In some embodiments, the bispecific antibody provided herein is in the 2x1 format as depicted in the “2x1” panel of FIG.22C.
[0285] In some specific embodiments, the multispecific antibody provided herein comprises four polypeptides: a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a first CH2, and a second CH3; a second polypeptide comprising from N-terminus to C-terminus: a first VH and a third CH3; a third polypeptide comprising from N-terminus to C-terminus: a second VL, a CL, a second CH2, and fourth CH3; and a fourth polypeptide comprising from N-terminus to C-terminus: a second VH and a CH1. These four polypeptides form two binding domains. In some embodiments, the first polypeptide and the second polypeptide (such as, the first VL and the first VH thereof) form a binding domain that binds to PD-L1, and the third polypeptide and the fourth polypeptide (such as, the second VL and the second VH thereof) form a binding domain that binds to NKG2A. In other embodiments, the first polypeptide and the second polypeptide (such as, the first VL and the first VH thereof) form a binding domain that binds to NKG2A, and the third polypeptide and the fourth polypeptide (such as, the second VL and the second VH thereof) form a binding domain that binds to PD-L1. In some embodiments, amino acid sequences of the first CH3, the second CH3, the third CH3 and the fourth CH3, or any subgroup thereof, are different from each other. In some embodiments, the second CH3 and the fourth CH3 provide a knobs-in-holes assembly. Additionally or alternatively, amino acid sequences of the first CH2 and the second CH2 are identical to each other. In other embodiments, amino acid sequences of the first CH2 and the second CH2 are different from each other.
[0286] In some specific embodiments, the multispecific antibody provided herein comprises five polypeptides: a first polypeptide comprising from N-terminus to C-terminus: a 99 NAI-5002086922v1first VL, a first CH3, a first CH2, and a second CH3; a second polypeptide comprising from N-terminus to C-terminus: a first VH and a third CH3; a third polypeptide comprising from N-terminus to C-terminus: a second VL, a first CL, a third VL, a second CL, a second CH2, and a fourth CH3; a fourth polypeptide comprising from N-terminus to C-terminus: a second VH and a first CH1; and a fifth polypeptide comprising from N-terminus to C-terminus: a third VH and a second CH1. In some embodiments, amino acid sequences of the second VL and the third VL are identical. Additionally or alternatively, amino acid sequences of the first CL and the second CL are identical. In some embodiments, amino acid sequences of the second VH and the third VH are identical. Additionally or alternatively, amino acid sequences of the first CH1 and the second CH1 are identical. In some embodiments, amino acid sequences of the first CH3, the second CH3, the third CH3 and the fourth CH3, or any subgroup thereof, are different from each other. In some embodiments, the second CH3 and the fourth CH3 provide a knobs-in-holes assembly. Additionally or alternatively, amino acid sequences of the first CH2 and the second CH2 are identical to each other. In other embodiments, amino acid sequences of the first CH2 and the second CH2 are different from each other. In some embodiments, the fourth polypeptide is the same as the fifth polypeptide. The five polypeptides form three binding domains. In some embodiments, the first polypeptide and the second polypeptide (such as, the first VL and the first VH thereof) form a binding domain that binds to PD-L1, the third polypeptide and the fourth polypeptide (such as, the second VL and the second VH thereof) form a first binding domain that binds to NKG2A, and the third polypeptide and the fifth polypeptide (such as, the third VL and the third VH thereof) form a second binding domain that binds to NKG2A. In some embodiments, the first and the second NKG2A-binding domains are the same. In other embodiments, the first and the second NKG2A-binding domains are different from each other. In some embodiments, the first polypeptide and the second polypeptide (such as, the first VL and the first VH thereof) form a binding domain that binds to NKG2A, the third polypeptide and the fourth polypeptide (such as, the second VL and the second VH thereof) form a first binding domain that binds to PD-L1, and the third polypeptide and the fifth polypeptide (such as, the third VL and the third VH thereof) form a second binding domain that binds to PD-L1. In some embodiments, the two PD-L1 binding domains are the same.
[0287] In other more specific embodiments, the multispecific antibody provided herein comprises five polypeptides: a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a second VL, a second CH3, a first CH2, and a third CH3; a second polypeptide comprising from N-terminus to C-terminus: a first VH and a fourth CH3; a third 100 NAI-5002086922v1polypeptide comprising from N-terminus to C-terminus: a second VH and a fifth CH3; a fourth polypeptide comprising from N-terminus to C-terminus: a third VL, a first CL, a second CH2 and a sixth CH3; and a fifth polypeptide comprising from N-terminus to C- terminus: a third VH and a CH1. In some embodiments, amino acid sequences of the first VL and the second VL are identical. Additionally or alternatively, amino acid sequences of the first CH3 and the second CH3 are identical. In some embodiments, amino acid sequences of the first VH and the second VH are the same. Additionally or alternatively, amino acid sequences of the fourth CH3 and the fifth CH3 are the same. In some embodiments, the second polypeptide and the third polypeptide are the same. In some embodiments, amino acid sequences of the first CH3, the second CH3, the third CH3, the fourth CH3, the fifth CH3 and the sixth CH3, or any subgroup thereof, are different from each other. In some embodiments, the third CH3 and the sixth CH3 provide a knobs-in-holes assembly. Additionally or alternatively, amino acid sequences of the first CH2 and the second CH2 are identical to each other. In other embodiments, amino acid sequences of the first CH2 and the second CH2 are different from each other. The five polypeptides form three binding domains. In some embodiments, the first polypeptide and the second polypeptide (such as, the first VL and the first VH thereof) form a first binding domain that binds to PD-L1, the first polypeptide and the third polypeptide (such as, the second VL and the second VH thereof) form a second binding domain that binds to PD-L1, and the fourth polypeptide and the fifth polypeptide (such as, the third VL and the third VH thereof) form a binding domain that binds to NKG2A. In some embodiments, the two PD-L1 binding domains are the same. In other embodiments, the first polypeptide and the second polypeptide (such as, the first VL and the first VH thereof) form a first binding domain that binds to NKG2A, the first polypeptide and the third polypeptide (such as, the second VL and the second VH thereof) form a second binding domain that binds to NKG2A, and the fourth polypeptide and the fifth polypeptide (such as, the third VL and the third VH thereof) form a binding domain that binds to PD-L1. In some embodiments, the two NKG2A binding domains are the same. In some embodiments, the first and the second NKG2A binding domains are different from each other.
[0288] In some embodiments, any one or more of the CH3 sequences comprise GQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:102; aa 116 to aa 222 of SEQ ID NO:83). 101 NAI-5002086922v1
[0289] In some embodiments, isoallotype mutations D356E and L358M are made in a CH3 sequence as disclosed herein. In some embodiments, one or more isoallotype mutations (for example, either or both D356E and L358M) are in one or more of the CH3 sequences immediately adjacent to the C terminus of a CH2 sequence, such as either or both of the CH3 without * marks in each construct illustrated in any of the three panels of FIGs.22A-22C. Additionally or alternatively, any one or more of the CH3 sequences are engineered to reduce the risk of immunogenicity of the antibody by replacing specific amino acids of one allotype with those of another allotype and referred to herein as isoallotype mutations, as described in more detail in Stickler et al. (Genes Immun.2011 Apr; 12(3): 213–221).
[0290] Additionally or alternatively, the CH3 sequences are engineered to comprise knobs-into-holes mutations. In some embodiments, in a CH3 / CH3 pair (e.g., one CH3 in one polypeptide is dimerized to another CH3 in a different polypeptide when forming a binding agent comprising the polypeptides) immediately adjacent to the C terminus of a CH2 sequence (for example, the two CH3 without * marks in each construct illustrated in any of the three panels of FIGs.22A-22C), one CH3 comprises a knob mutation (for example, T366W), while the other CH3 comprises a hole mutation (for example, any one or any two or all three of T366S, L368A, and Y407V). In other embodiments, one CH3 immediately adjacent to the C terminus of a VH or a VL in a VH / VL pair (e.g., the VH and the VL form a binding domain in a binding agent comprising the VH and VL) comprises a knob mutation (for example, T366W), while the other CH3 (immediately adjacent to the C terminus of a VL or a VH of the same VH / VL pair) comprises hole mutations (for example, any one or any two or all three of T366S, L368A, and Y407V).
[0291] As it would be understood by one of skill in the art, a domain pair, such as a CH3 / CH3 pair, a VH / VL pair, a VL / VH pair, a CH2 / CH2 pair, a CH1 / CL pair, or a CL / CH1 pair, refers to one antibody domain (such as VH, VL, CH1, CH2, CH3, or CL) in one polypeptide chain dimerized to another antibody domain (such as VL, VH, CL, CH2, CH3, or CH, respectively) in a different polypeptide chain when forming a binding agent comprising the polypeptides.
[0292] In some embodiments, in a CH3 / CH3 pair (e.g., one CH3 in one polypeptide is dimerized to another CH3 in a different polypeptide when forming a binding agent comprising the polypeptides), one CH3 comprises a Y349C mutation, while the other CH3 comprises an S354C mutation. In some embodiments, one CH3 immediately adjacent to the C terminus of a VH or a VL in a VH / VL pair comprises an S354C mutation, while the other CH3 (immediately adjacent to the C terminus of a VL or a VH of the same VH / VL pair) 102 NAI-5002086922v1comprises a Y349C mutation. Additionally or alternatively, the CH3 sequences are engineered so that they can form a disulfide bond in an antibody, for example in order to stabilize the knobs-into-holes mutations as described above.
[0293] Additionally or alternatively, any one or more of the CH3 sequences are engineered to comprise other mutation(s) with the proviso that the mutation(s) do not significantly reduce the affinity and / or stability of the antibody, nor significantly increase the risk of immunogenicity of the antibody. In some embodiments, any one or more of the CH3 sequences are engineered to comprise a mutation as described in WO 2022 / 125986.
[0294] In some embodiments, in a CH3 / CH3 pair, one CH3 comprises a mutation of S354C and the other CH3 comprises a mutation of Y349C. Additionally or alternatively, in a CH3 / CH3 pair, E357 of one CH3 is substituted with a hydrophobic or aromatic amino acid. In various embodiments, the hydrophobic amino acid residue is selected from the group consisting of: isoleucine (I), leucine (L), methionine (M), proline (P) and valine (V). In various embodiments, the aromatic amino acid is selected from the group consisting of: histidine (H), tryptophan (W), phenylalanine (F), and tyrosine (Y). In some embodiments, the E357 of the CH3 is substituted with W. Additionally or alternatively, in some embodiments, a CH (for example a CH3) comprises a K370R mutation dimerized to an E357-mutation containing CH3 in a binding agent. In some embodiments, one CH3 of a CH3 / CH3 pair comprises a K370R mutation. Additionally or alternatively, the other CH3 of the same CH3 / CH3 pair comprises an E357W mutation. In some embodiments, one CH3 of a CH3 / CH3 pair comprises a K370R mutation, while the other CH3 of the same CH3 / CH3 pair comprises an E357W mutation. In some embodiments, in a CH3 / CH3 pair, one CH3 comprises S354C and E357W, while the other CH3 comprises Y349C and K370R. In some embodiments, each CH3 of the CH3 / CH3 pair is immediately adjacent to the C terminus of a CH2 sequence. In other embodiments, one CH3 of the CH3 / CH3 pair is immediately adjacent to the C terminus of a VH or a VL in a VH / VL pair, and the other CH3 of the CH3 / CH3 pair is immediately adjacent to the C terminus of a VL or a VH of the same VH / VL pair. In some embodiments, one CH3 immediately adjacent to the C terminus of a VH or a VL in a VH / VL pair comprises an E357W mutation; while the other CH3 (immediately adjacent to the C terminus of a VL or a VH of the same VH / VL pair) comprises a K370R mutation. In other embodiments, in a CH3 / CH3 pair immediately adjacent to the C terminus of a CH2 sequence, one CH3 comprises both S354C and E357W, while the other CH3 comprises both Y349C and K370R. 103 NAI-5002086922v1
[0295] Additionally or alternatively, one or more amino acid residues in a CH3 are swapped with the corresponding one or more amino acid residues in a CH1. In some embodiments, as used herein, a first amino acid residue in a first peptide corresponding to a second amino acid residue in a second peptide refers to the first amino acid residue aligned to the second amino acid residue in a sequence alignment between the first peptide and the second peptide. Alignment methods are available to one of skilled in the art, such as BLAST as disclosed herein and / or Clustal Omega. In some embodiments, the CH3 is immediately adjacent to C terminus of a VH or VL. Additionally or alternatively, the one or more amino acid residues are in an N-terminus fragment of a CH1, for example selected from the 1stto the 10th(including each range or integer therebetween, such as the 1stto the 5th, the 1stto the 3rd, the 1stor the 3rd) amino acids of a CH1. In some embodiments, a CH3 comprises the first amino acid residue swapped with the first amino acid residue of a CH1, which is also referred to herein as an N-terminal amino acid residue swapped with CH1. In some embodiments, the first amino acid residue of a CH3, which is a G, is substituted with the first amino acid residue of a CH1, which is an A. Such substitution is also designated as G341A herein for the ease of reference. In some embodiments, a CH3 immediately adjacent to C terminus of a VH or VL comprises G341A. Without wishing to be bound by the theory, a CH3 immediately adjacent to C terminus of a VH or VL and engineered to comprise a CH1 N-terminal fragment can improve the assembly and / or the purity of the binding agent as disclosed herein. In some embodiments, in a CH3 / CH3 pair, each CH3 of which is immediately adjacent to the C terminus of a VH or a VL, one CH3 comprises the mutations of S354C and E357W, and the other CH3 comprises the mutations of Y349C and K370R. In some embodiments, in a CH3 / CH3 pair, each CH3 of which is immediately adjacent to the C terminus of a VH or a VL, one CH3 comprises the mutations of G341A, S354C and E357W, and the other CH3 comprises the mutations of Y349C and K370R. In some embodiments, in a CH3 / CH3 pair, each CH3 of which is immediately adjacent to the C terminus of a VH or a VL, one CH3 comprises the mutations of G341A, S354C and E357W, and the other CH3 comprises the mutations of G341A, Y349C and K370R. In some embodiments, in a CH3 / CH3 pair, each CH3 of which is immediately adjacent to the C terminus of a VH or a VL, one CH3 comprises the mutations of S354C and E357W, and the other CH3 comprises the mutations of G341A, Y349C and K370R.
[0296] In some embodiments, the multispecific antibody as described herein comprises one or more CH3 mutations as disclosed in WO 2022 / 125986, which is incorporated herein 104 NAI-5002086922v1by reference in its entirety. In some embodiments, the multispecific antibody as described herein comprises one or more CH3 domains as disclosed in WO 2022 / 125986.
[0297] Accordingly, any one or more of the CH3 sequences comprise any one of the following: GQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYK TTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:102; aa 116 to aa 222 of SEQ ID NO:83); GQPREPQVCTLPPSRDELTKNQVSLTCLVRGFYPSDIAVEWESNGQPENNYKT TPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:103; Y349C and K370R); AQPREPQVCTLPPSRDELTKNQVSLTCLVRGFYPSDIAVEWESNGQPENNYKT TPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:104; N-terminal amino acid residue swapped with CH1, Y349C and K370R); GQPREPQVYTLPPCRDWLTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYK TTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:105; S354C and E357W); AQPREPQVYTLPPCRDWLTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYK TTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:106; N-terminal amino acid residue swapped with CH1, S354C and E357W); GQPREPQVYTLPPSREEMTKNQVSLSCAVKGFYPSDIAVEWESNGQPENNYK TTPPVLDSDGSFFLVSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:107; D356E, L358M, T366S, L368A and Y407V); or GQPREPQVYTLPPSRDELTKNQVSLWCLVKGFYPSDIAVEWESNGQPENNYK TTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:108; T366W).
[0298] In some embodiments, a binding agent as disclosed herein comprises a CH3 sequence as disclosed herein (such as any one of SEQ ID Nos: 70-74) but the CH3 lacks the C-terminal amino acid residue of lysine (K). In further embodiments, the CH3 is at the C terminus of any one or more polypeptides of the binding agent. In some embodiments, a C- terminus lysine was cleaved off in one or more polypeptides of the binding agent, such as any one or any two or any three of the following: the first polypeptide of a binding agent as disclosed herein, the second polypeptide of a binding agent as disclosed herein, and the third polypeptide of a binding agent as disclosed herein. 105 NAI-5002086922v1
[0299] In some embodiments, one CH3 immediately adjacent to the C terminus of a VH or a VL in a VH / VL pair comprises GQPREPQVCTLPPSRDELTKNQVSLTCLVRGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:103; Y349C and K370R), while the other CH3 (immediately adjacent to the C terminus of a VL or a VH of the same VH / VL pair) comprises AQPREPQVYTLPPCRDWLTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:106; N-terminal amino acid residue swapped with CH1, S354C and E357W).
[0300] In some embodiments, in a CH3 / CH3 pair immediately adjacent to the C terminus of a CH2 sequence (for example, the two CH3 without * marks in each construct illustrated in any of the three panels of FIGs.22A-22C), one CH3 comprises GQPREPQVYTLPPSREEMTKNQVSLSCAVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLVSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:107; D356E, L358M, T366S, L368A and Y407V), while the other CH3 comprises GQPREPQVYTLPPSRDELTKNQVSLWCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO:108; T366W).
[0301] As it will be understood by one of skill in the art and if not specified otherwise, EU numbering is referred to herein when describing a mutation in an antibody or a fragment thereof, such as an Fc or a CH3. See, more details at www.imgt.org / IMGTScientificChart / Numbering / Hu_IGHGnber.html#refs, which is hereby incorporated by reference in its entirety and identifies the residue according to its location in an endogenous constant region sequence regardless of the residue’s physical location within a chain of the antibody constructs described herein. For example, in a CH3 consisting of aa 116 to aa 222 of SEQ ID NO:83, the 1staa of the CH3 (i.e., the 116thaa of SEQ ID NO:83) is numbered as 341 and is referred to herein as G341; the 9thaa of the CH3 is referred to herein as Y349; the 14thaa of the CH3 is referred to herein as S354; the 16thaa of the CH3 is referred to herein as D356; the 17thaa of the CH3 is referred to herein as E357; the 18thaa of the CH3 is referred to herein as L358; the 26thaa of the CH3 is referred to herein as T366; the 28thaa of the CH3 is referred to herein as L368; the 30thaa of the CH3 is referred to herein as K370; and the 67 of the CH3 is referred to herein as Y407. Accordingly, the mutated aa residue can be added after the EU numbering in order to specify a mutation, such as S354C, E357W, Y349C, K370R, D356E, L358M, T366W, T366S, L368A, and Y407V. 106 NAI-5002086922v1
[0302] In some embodiments, the binding agent as disclosed herein comprises a variant Fc region, such as a silent Fc as disclosed herein. In some embodiments, the binding agent lacks one or more effector functions, such as ADCC, ADCP, or CDC. In some embodiments, a variant Fc region comprises a CH2 as disclosed herein, such as a CH2 comprising a mutation reducing an effector function as disclosed herein.
[0303] In some embodiments, any one or more of the CH2 sequences comprise APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAK (SEQ ID NO:109; aa 6 to aa 115 of SEQ ID NO:83, L234, L235, and P329). Additionally or alternatively, any one or more of the CH2 sequences lacks a mutation reducing an effector function of the binding agent. In other embodiments, any one or more of the CH2 sequences comprise a mutation reducing (including significantly reducing and abolishing) an effector function (such as ADCC, ADCP, or CDC) of the multispecific binding agent. In further embodiments, any one or more of the CH2 sequences comprise any one or any two or all three of the following mutations: L234A, L235A, and P329K (accordingly to the EU numbering). In some embodiments, any one or more of the CH2 sequences comprise a mutation to any one, or any two, or all three of the following amino acid residue: L234, L235, and P329 (accordingly to the EU numbering). In some embodiments, any one or more of the CH2 sequences comprise APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHN AKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALKAPIEKTISKAK (SEQ ID NO:110; aa 6 to aa 115 of SEQ ID NO:84, L234A, L235A, and P329K). In some embodiments, the multispecific antibody as described herein comprises one or more CH2 domains as disclosed in WO 2022 / 125986.
[0304] In some embodiments, one or more light chain constant domain (CL) comprises RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVT EQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC (SEQ ID NO:111) or RTVAAPSVFIFPPSDSQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVT EQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC (SEQ ID NO:82). In some embodiments, the multispecific antibody as described herein comprises one or more CL mutations as disclosed in WO 2022 / 125986. In some embodiments, the multispecific antibody as described herein comprises one or more CL domains as disclosed in WO 2022 / 125986. 107 NAI-5002086922v1
[0305] In some embodiments, one or more CH1 sequences comprises ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEPKSC (SEQ ID NO:112; aa 1 to aa 103 of SEQ ID NO:85), ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKRVEPKSC (SEQ ID NO:113), or ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDRKVEPKSC (SEQ ID NO:114). In some embodiments, the multispecific antibody as described herein comprises one or more CH1 mutations as disclosed in WO 2022 / 125986. In some embodiments, the multispecific antibody as described herein comprises one or more CH1 domains as disclosed in WO 2022 / 125986.
[0306] In some embodiments, a binding agent as disclosed herein further comprises a hinge domain. For example, a hinge domain is immediately adjacent to the N terminus of a CH2 domain, for example, between a CH3 and a CH2, or between a light chain consistent domain (CL) and a CH2. Additionally or alternatively, a hinge domain is immediately adjacent to the C terminus of a CL and the N terminus of a light chain variable domain (VL). In further embodiments, the hinge domain comprises DKTHTCPPCP (SEQ ID NO:115). In some embodiments, the multispecific antibody as described herein comprises one or more domain junctions as disclosed in WO 2022 / 125986.
[0307] In some embodiments, a binding agent as disclosed herein further comprises a linker. For example, a linker can be presented between two variable regions in a single polypeptide (e.g., in a binding agent having a 2x1 format or a 1x2 format). In one example, a binding agent as disclosed herein comprises a polypeptide comprising the following, optionally from its N-terminus to its-C terminus: VL-CL-linker-VL-CL-an optional hinge- CH2-CH3. In another example, a binding agent as disclosed herein comprises a polypeptide comprising the following, optionally from its N-terminus to its-C terminus: VL-CH3-linker- VL-CH3-an optional hinge- CH2-CH3. In some embodiments, the linker comprises (SSSG)n(SEQ ID NO:116) or (SSG)n, wherein n is any positive integer, such as 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more. Additionally or alternatively, the linker is about 1 amino acid long to about 30 amino acids long. In some embodiments, the linker comprises TASSGGSSSG (SEQ ID NO:117). 108 NAI-5002086922v1
[0308] In some embodiments, the multispecific binding agent as described herein has a construct as disclosed in WO 2022 / 125986, which is incorporated by reference in its entirety. In some embodiments, the multispecific binding agent as described herein comprises an antibody fragment that binds to NKG2A as described in WO2024159059, which is incorporated by reference in its entirety. In some embodiments, the multispecific binding agent as described herein is provided in WO2024158438, which is incorporated by reference in its entirety.
[0309] In some embodiments, a multispecific binding agent as disclosed herein comprises a first polypeptide comprising SEQ ID NO:118. In some embodiments, a multispecific binding agent as disclosed herein comprises a first polypeptide comprising SEQ ID NO:119. In some embodiments, a multispecific binding agent as disclosed herein comprises a first polypeptide comprising SEQ ID NO:127. In some embodiments, a multispecific binding agent as disclosed herein comprises a first polypeptide comprising SEQ ID NO:128.
[0310] In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:121. In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:123. In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:124. In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:125. In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:129. In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:130. In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:131. In some embodiments, a multispecific binding agent as disclosed herein comprises a third polypeptide comprising SEQ ID NO:132.
[0311] In some embodiments, a multispecific binding agent as disclosed herein comprises a second polypeptide comprising SEQ ID NO:120. In further embodiments, a multispecific binding agent as disclosed herein comprises two of the second polypeptides, each comprising SEQ ID NO:120.
[0312] In some embodiments, a multispecific binding agent as disclosed herein comprises a fourth polypeptide comprising SEQ ID NO:122 or SEQ ID NO:126. In further embodiments, a multispecific binding agent as disclosed herein comprises two of the fourth polypeptides, each comprising SEQ ID NO:122 or SEQ ID NO:126. 109 NAI-5002086922v1
[0313] In some embodiments, a multispecific binding agent as disclosed herein comprises: a first polypeptide comprising SEQ ID NO:118, a second polypeptide comprising SEQ ID NO:120, a third polypeptide comprising SEQ ID NO:121, and a fourth polypeptide comprising SEQ ID NO:122.
[0314] In some embodiments, a multispecific binding agent as disclosed herein comprises: a first polypeptide comprising SEQ ID NO:118, a second polypeptide comprising SEQ ID NO:120, a third polypeptide comprising SEQ ID NO:123, and one or more (such as two) fourth polypeptides, each of the fourth polypeptide comprises SEQ ID NO:122.
[0315] In some embodiments, a multispecific binding agent as disclosed herein comprises: a first polypeptide comprising SEQ ID NO:119, one or more (such as two) second polypeptides, each of the second polypeptide comprises SEQ ID NO:120, a third polypeptide comprising SEQ ID NO:121, and a fourth polypeptide comprising SEQ ID NO:122.
[0316] In some embodiments, a multispecific binding agent as disclosed herein comprises: a first polypeptide comprising SEQ ID NO:118, a second polypeptide comprising SEQ ID NO:120, a third polypeptide comprising SEQ ID NO:125, and a fourth polypeptide comprising SEQ ID NO:126.
[0317] In some embodiments, a multispecific binding agent as disclosed herein comprises: a first polypeptide comprising SEQ ID NO:118, a second polypeptide comprising SEQ ID NO:120, a third polypeptide comprising SEQ ID NO:124, and one or more (such as two) fourth polypeptides, each of the fourth polypeptide comprises SEQ ID NO:126.
[0318] In some embodiments, a multispecific binding agent as disclosed herein comprises: a first polypeptide comprising SEQ ID NO:119, one or more (such as two) second polypeptides, each of the second polypeptide comprises SEQ ID NO:120, a third polypeptide comprising SEQ ID NO:125, and a fourth polypeptide comprising SEQ ID NO:126.
[0319] In some embodiments, a multispecific binding agent as d...
Claims
WHAT IS CLAIMED IS:
1. A method for treating breast cancer or colorectal cancer in a subject, the method comprising: administering to the subject a multispecific antibody or fragment thereof, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to a non-NKG2A antigen, and wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:
73.
2. The method of claim 1, wherein the second binding domain binds to PD-L1.
3. The method of claim 2, wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:
99.
4. A method for treating breast cancer or colorectal cancer in a subject, the method comprising: administering to the subject a multispecific antibody or fragment thereof, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, and 219 NAI-5002086922v1wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:
99.
5. The method of claim 4, wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:
73.
6. A method for treating breast cancer or colorectal cancer in a subject, the method comprising: administering to the subject a multispecific antibody or fragment thereof, wherein the multispecific antibody or fragment thereof comprises a first binding domain that binds to NKG2A and a second binding domain that binds to PD-L1, wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:26; 220 NAI-5002086922v1(ii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:73; and wherein the second binding domain comprises a VH CDR1, a VH CDR2, and a VH CDR3 as set forth in a VH comprising the amino acid sequence of SEQ ID NO:98 and a VL CDR1, a VL CDR2, and a VL CDR3 as set forth in a VL comprising the amino acid sequence of SEQ ID NO:
99.
7. The method of any one of claims 1-6, wherein the method further comprises administering to the subject Compound I or a pharmaceutically acceptable salt thereof, wherein Compound I has the structure:.
8. The method of claim 7, wherein the Compound I or a pharmaceutically acceptable salt thereof is administered orally.
9. The method of claim 7 or 8, wherein the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered concurrently.
10. The method of claim 7 or 8, wherein the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered separately, and wherein the multispecific antibody or fragment thereof is administered before Compound I or a pharmaceutically acceptable salt thereof. 221 NAI-5002086922v111. The method of claim 7 or 8, wherein the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered separately, and wherein the multispecific antibody or fragment thereof is administered after Compound I or a pharmaceutically acceptable salt thereof.
12. The method of any one of claims 7-11, wherein the multispecific antibody or fragment thereof and Compound I or a pharmaceutically acceptable salt thereof are administered in separate compositions.
13. The method of any one of claims 1-12, wherein the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 2, 8, 14, 19, and 24; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 3, 9, 15, and 20; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 4, 10, 16, and 21; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 11, and 22; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 6, 17, and 23.
14. The method of any one of claims 1-13, wherein the first binding domain comprises any one or more of (i)-(vi): 222 NAI-5002086922v1(i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:2, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:8, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:9; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:2, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:6; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:14, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:15; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:17; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:19, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:20; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:23; and 223 NAI-5002086922v1(vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:24, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:3; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:
6.
15. The method of any one of claims 1-12, wherein the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 27, 32, 35, 39, and 44; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 28, 33, 36, and 40; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 29, 34, 37, and 41; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 30, 11, and 42; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 31, 38, and 43.
16. The method of any one of claims 1-12 and 15, wherein the first binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:27, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a 224 NAI-5002086922v1VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:32, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:33; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:34, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:27, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:31; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:35, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:36; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:37, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:38; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:39, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:40; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:41, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:42, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:43; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:44, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:28; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:29, a VL CDR2 comprising the 225 NAI-5002086922v1amino acid sequence of SEQ ID NO:30, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:
31.
17. The method of any one of claims 1-12, wherein the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 47, 51, 54, 55, and 59; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 48, 52, 56, 60, and 63; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 49, 53, 57, and 61; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 4, 10, 16, and 21; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 11, and 22; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 50, 58, and 62.
18. The method of any one of claims 1-12 and 17, wherein the first binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; 226 NAI-5002086922v1(ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:51, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:52, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:53; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:54, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:55, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:56, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:57; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:58; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:59, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:60, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:61; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:62; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:63, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:
50. 227 NAI-5002086922v119. The method of any one of claims 1-12, wherein the first binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 47, 51, 54, 55, and 59; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 48, 52, 56, 60, and 63; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 49, 53, 57, and 61; and (b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 66, 68, 70, and 71; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 67, 69, and 72; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs: 50, 58, and 62.
20. The method of any one of claims 1-12 and 19, wherein the first binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:51, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:52, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:53; and a VL region comprising a 228 NAI-5002086922v1VL CDR1 comprising the amino acid sequence of SEQ ID NO:68, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:69, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:54, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:48, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:50; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:55, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:56, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:57; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:70, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:69, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:58; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:59, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:60, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:61; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:71, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:72, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:62; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:47, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:63, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:49; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:66, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:67, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:
50.
21. The method of any one of claims 1-20, wherein the first binding domain further comprises a framework 1 (FR1), a framework 2 (FR2), a framework 3 (FR3) and / or a framework 4 (FR4) sequence, optionally as set forth in any one of SEQ ID NOs: 25, 26, 45, 46, 64, 65, and 73. 229 NAI-5002086922v122. The method of any one of claims 1-21, wherein the first binding domain further comprises human framework sequences.
23. The method of any one of claims 1-22, wherein the first binding domain comprises any one or more of (i)-(iv): (i) a VH comprising the amino acid sequence of SEQ ID NO:25 and a VL comprising the amino acid sequence of SEQ ID NO:26; (ii) a VH comprising the amino acid sequence of SEQ ID NO:45 and a VL comprising the amino acid sequence of SEQ ID NO:46; (iii) a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL comprising the amino acid sequence of SEQ ID NO:65; and (iv) a VH comprising the amino acid sequence of SEQ ID NO:64 and a VL comprising the amino acid sequence of SEQ ID NO:
73.
24. The method of any one of claims 1-23, wherein the first binding domain binds to a complex comprising NKG2A and CD94 or extracellular domains of each thereof; wherein the first binding domain does not bind to NKG2C, or a complex comprising NKG2C and CD94 or extracellular domains of each thereof; wherein the first binding domain also binds to cyno NKG2A; and / or wherein the first binding domain does not bind to cyno NKG2A.
25. The method of any one of claims 1-24, wherein the second binding domain comprises (a) a VH region comprising: (1) a VH CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:1, 7, 12, 13, and 18; (2) a VH CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:86, 89, 91, 94, and 97; and (3) a VH CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs:87, 90, 92, and 95; and 230 NAI-5002086922v1(b) a VL region comprising: (1) a VL CDR1 having an amino acid sequence selected from the group consisting of SEQ ID NOs:4, 10, 16, and 21; (2) a VL CDR2 having an amino acid sequence selected from the group consisting of SEQ ID NOs:5, 11, and 22; and (3) a VL CDR3 having an amino acid sequence selected from the group consisting of SEQ ID NOs:88, 93, and 96.
26. The method of claim 25, wherein the second binding domain comprises any one or more of (i)-(vi): (i) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88; (ii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:7, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:89, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:90; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:10, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88; (iii) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:12, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:86, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:88; (iv) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:13, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:91, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:92; and a VL region comprising a 231 NAI-5002086922v1VL CDR1 comprising the amino acid sequence of SEQ ID NO:16, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:11, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:93; (v) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:18, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:94, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:95; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:21, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:22, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:96; and (vi) a VH region comprising a VH CDR1 comprising the amino acid sequence of SEQ ID NO:1, a VH CDR2 comprising the amino acid sequence of SEQ ID NO:97, a VH CDR3 comprising the amino acid sequence of SEQ ID NO:87; and a VL region comprising a VL CDR1 comprising the amino acid sequence of SEQ ID NO:4, a VL CDR2 comprising the amino acid sequence of SEQ ID NO:5, and a VL CDR3 comprising the amino acid sequence of SEQ ID NO:
88.
27. The method of claim 25 or 26, wherein the second binding domain comprises a VH region comprising the amino acid sequence of SEQ ID NO:98 and a VL region comprising the amino acid sequence of SEQ ID NO:
99.
28. The method of any one of claims 1-27, wherein the multispecific antibody or fragment thereof comprises any one or more of: a silent Fc, knobs-into-holes mutations, and an isoallotype mutation.
29. The method of any one of claims 1-28, wherein the multispecific antibody or fragment thereof comprises one or more of the following mutations according to the EU numbering: L234A, L235A, P329K, G341A, Y349C, S354C, D356E, E357W, L358M, T366W, T366S, L368A, K370R, and Y407V.
30. The method of any one of claims 1-29, wherein the multispecific antibody or fragment thereof comprises: (i) a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a first CH2, and a second CH3; 232 NAI-5002086922v1(ii) a second polypeptide comprising from N-terminus to C-terminus: a first VH and a third CH3; (iii) a third polypeptide comprising from N-terminus to C-terminus: a second VL, a CL, a second CH2, and a fourth CH3; and (iv) a fourth polypeptide comprising from N-terminus to C-terminus: a second VH and a CH1; wherein the first polypeptide and the second polypeptide form the second binding domain that binds to PD-L1, and the third polypeptide and the fourth polypeptide form the first binding domain that binds to NKG2A.
31. The method of any one of claims 1-30, wherein the multispecific antibody or fragment thereof further comprises a third binding domain.
32. The method of claim 31, wherein the third binding domain binds to NKG2A.
33. The method of claim 32, wherein the third binding domain is same as the first binding domain.
34. The method of claim 33, wherein the multispecific antibody or fragment thereof comprises: (i) a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a first CH2, and a second CH3; (ii) a second polypeptide comprising from N-terminus to C-terminus: a first VH and a third CH3; (iii) a third polypeptide comprising from N-terminus to C-terminus: a second VL, a first CL, a third VL, a second CL, a second CH2, and a fourth CH3, wherein the second VL and the third VL are the same, and the first CL and the second CL are the same; (iv) a fourth polypeptide comprising from N-terminus to C-terminus: a second VH and a first CH1; and (v) a fifth polypeptide comprising from N-terminus to C-terminus: a third VH and a second CH1; 233 NAI-5002086922v1wherein the second VH and the third VH are the same, and the first CH1 and the second CH1 are the same; and wherein the first polypeptide and the second polypeptide form the second binding domain that binds to PD-L1, the third polypeptide and the fourth polypeptide form the first binding domain that binds to NKG2A, and the third polypeptide and the fifth polypeptide form the third binding domain that binds to NKG2A.
35. The method of claim 31, wherein the third binding domain binds to PD-L1.
36. The method of claim 35, wherein the third binding domain is same as the second binding domain.
37. The method of claim 36, wherein the multispecific antibody or fragment thereof comprises: (i) a first polypeptide comprising from N-terminus to C-terminus: a first VL, a first CH3, a second VL, a second CH3, a first CH2, and a third CH3, wherein the first VL and the second VL are the same, and the first CH3 and the second CH3 are the same; (ii) a second polypeptide comprising from N-terminus to C-terminus: a first VH and a fourth CH3; (iii) a third polypeptide comprising from N-terminus to C-terminus: a second VH and a fifth CH3; (iv) a fourth polypeptide comprising from N-terminus to C-terminus: a third VL, a first CL, a second CH2 and a sixth CH3; and (v) a fifth polypeptide comprising from N-terminus to C-terminus: a third VH and a CH1; wherein the first VH and the second VH are the same, and the fourth CH3 and the fifth CH3 are the same; and wherein the first polypeptide and the second polypeptide form the second binding domain that binds to PD-L1, the first polypeptide and the third polypeptide form the third binding domain that binds to PD-L1, and the fourth polypeptide and the fifth polypeptide form the first binding domain that binds to NKG2A. 234 NAI-5002086922v138. The method of any one of claims 1-29, wherein the multispecific antibody or fragment thereof comprises a first polypeptide, a second polypeptide, a third polypeptide, and a fourth polypeptide, wherein: (1) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:121, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (2) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:123, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (3) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:119, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:121, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (4) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:125, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (5) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:118, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:124, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (6) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:119, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID 235 NAI-5002086922v1NO:125, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (7) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:129, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (8) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:130, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (9) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:128, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:129, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:122; or (10) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:132, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (11) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:127, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:131, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:126; or (12) the first polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:128, the second polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:120, the third polypeptide comprises the amino acid sequence as set forth in SEQ ID 236 NAI-5002086922v1NO:132, and the fourth polypeptide comprises the amino acid sequence as set forth in SEQ ID NO:
126.
39. The method of any one of claims 1-38, wherein the multispecific antibody or fragment thereof is administered intravenously.
40. The method of any one of claims 1-39, which is for treating triple negative breast cancer (TNBC) in the subject.
41. The method of any one of claims 1-40, wherein the subject is a human subject. 237 NAI-5002086922v1