Methods of therapy for cancers characterized by overexpression of the HER2 receptor protein

a cancer and receptor protein technology, applied in the field of cell proliferative disorders, can solve the problems of affecting the treatment effect of patients, affecting the treatment effect, and imposing a great limitation on the use of monoclonal antibodies, so as to promote a positive therapeutic response and promote a positive therapeutic

Inactive Publication Date: 2008-07-03
NOVARTIS VACCINES & DIAGNOSTICS INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0008]Methods for providing treatment to a subject with a cancer characterized by overexpression of the p185HER2 growth factor receptor using a combination of interleukin-2 (IL-2) or variant thereof and at least one anti-HER2 antibody or fragment thereof are provided. The combination of IL-2 (or variant thereof) and at least one anti-HER2 antibody (or fragment thereof) promotes a positive therapeutic response. The methods comprise concurrent therapy with IL-2 (or variant thereof) and at least one anti-HER2 antibody (or fragment thereof). These anti-tumor agents are administered as two separate pharmaceutical compositions, one containing IL-2 (or variant thereof), the other containing at least one anti-HER2 antibody (or fragment thereof), according to a dosing regimen. Administering of these two agents together potentiates the effectiveness of the anti-HER2 antibody, resulting in a positive therapeutic response that is improved with respect to that observed with the antibody alone.

Problems solved by technology

The use of therapeutic monoclonal antibodies has been hampered in the past primarily because of issues related to the antigenicity of the protein.
This so-called HAMA (human anti-mouse antibody) response has imposed a great limitation on the use of monoclonal antibodies, as repeated dosing is nearly always precluded.
In addition, serious complications, such as serum sickness, have been reported with the use of these agents.
However, high doses of IL-2 used to achieve positive therapeutic results with respect to tumor growth frequently cause severe toxicity effects, including capillary leak, hypotension, and neurological changes (see, for example, Duggan et al.
Although both of these agents exhibit promising anti-tumor activity, their therapeutic potential for cancer patients needs further examination.
Cancers whose cells overexpress the HER2 receptor can be particularly recalcitrant to treatment.

Method used

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  • Methods of therapy for cancers characterized by overexpression of the HER2 receptor protein
  • Methods of therapy for cancers characterized by overexpression of the HER2 receptor protein
  • Methods of therapy for cancers characterized by overexpression of the HER2 receptor protein

Examples

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Initial Pilot Study

Background

[0062]Interleukin-2 (IL-2) was the first biologic agent approved by the U.S. Food and Drug Administration for the treatment of patients with cancer. The initial clinical development of IL-2 involved high-dose therapy with substantial toxicity, which has limited the widespread acceptance of IL-2 in clinical practice. The anti-tumor effect in vitro of IL-2 is mediated primarily by activated natural killer (NK) cells, but the mechanism in vivo remains poorly understood. Recent descriptions of the IL-2 receptor complex, and the functional consequences of receptor-ligand interactions, have raised the possibility that more effective and less toxic methods of treatment with IL-2 are possible.

[0063]The IL-2 receptor complex has three known components. The alpha chain binds IL-2 with low affinity and does not by itself transmit an intracellular signal. The beta and gamma chains associate non-covalently to form an intermediate affinity IL-2 receptor. A high affini...

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Abstract

Methods for treating a subject with a cancer that is characterized by overexpression of HER2 receptor protein using a combination of interleukin-2 (IL-2) or variant thereof and at least one anti-HER2 antibody or fragment thereof are provided. These anti-tumor agents are administered as two separate pharmaceutical compositions, one containing IL-2 (or variant thereof), the other containing at least one anti-HER2 antibody (or fragment thereof), according to a dosing regimen. Administering of these two agents together potentiates the effectiveness of the anti-HER2 antibody alone, resulting in a positive therapeutic response that is improved with respect to that observed with this anti-tumor agent.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation application of U.S. patent application Ser. No. 09 / 855,342, filed May 14, 2001 from which priority is claimed pursuant to 35 U.S.C. §120, which claims the benefit under 35 U.S.C. § 119(e)(1) of U.S. Provisional Application No. 60 / 204,284, filed May 15, 2000, which applications are hereby incorporated by reference in their entireties.FIELD OF THE INVENTION[0002]The present invention is directed to methods of therapy for cell proliferative disorders, more particularly to concurrent therapy with interleukin-2 and monoclonal antibodies targeting the HER2 receptor protein to treat cancers characterized by overexpression of the HER2 receptor protein.BACKGROUND OF THE INVENTION[0003]Cancer research has shown an increasing interest in the use of monoclonal antibodies as a therapeutic. Raised in a similar fashion to diagnostic antibodies, therapeutic antibodies are aimed at specifically targeting tumor cells. The...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K38/20A61P35/00A61K38/00A61K9/19A61K39/395A61P43/00C07K16/32
CPCA61K39/39558A61K2039/505A61K2039/545C07K16/32A61K2300/00A61P35/00A61P43/00
Inventor CALIGIURI, MICHAEL A.MEROPOL, NEAL J.SCHILSKY, RICHARD L.
Owner NOVARTIS VACCINES & DIAGNOSTICS INC
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