Human immunodeficiency virus therapies utilizing N332-glycan-dependent antibodies and a reservoir activator
AssigneeBeth Israel Deaconess Medical Center, Inc.
InventorDan H. Barouch
Life of this patent
Estimating the term…
Abstract
This invention relates to antibody therapies for human immunodeficiency virus (HIV). In particular, the invention provides methods of curing subjects infected with HIV and blocking HIV infections in subjects at risk of HIV transmission using a N332 glycan-dependent antibody (e.g., PGT121).
Claims73
A method for inhibiting viral replication, reducing proviral DNA, or reducing viral load comprising administering to a subject infected with human immunodeficiency virus type 1 (HIV-1) a first regimen comprising one or more doses of an N332 glycan-dependent antibody and a reservoir activator until a proviral DNA level in a tissue of the subject is below about 1,000 DNA copies/106 cells, and, at least two months after completion of the first regimen, administering a second regimen comprising one or more doses of the N332 glycan-dependent antibody with or without a reservoir activator, wherein said N332 glycan-dependent antibody is selected from the group consisting of:
- (a) an antibody comprising:
- (i) a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 1, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 2, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 3, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 4, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 5, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 6;
- or
- (ii) a heavy chain variable domain having at least 95% sequence identity to the amino acid sequence of SEQ ID NO:
- 7, and a light chain variable domain having at least 97% sequence identity to the sequence of SEQ ID NO:
- 8;
- (b) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 9, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 10, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 11, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 12, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 13, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 14;
- (c) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 17, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 18, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 19, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 20, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 21, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 22;
- (d) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 137, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 138, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 139, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 140, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 142, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 143;
- (e) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 25, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 26, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 27, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 28, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 29, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 30;
- (f) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 33, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 34, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 35, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 36, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 37, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 38;
- (g) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 41, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 42, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 43, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 44, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 45, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 46;
- (h) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 49, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 50, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 51, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 52, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 53, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 54;
- (i) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 57, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 58, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 59, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 60, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 61, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 62;
- (j) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 145, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 146, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 147, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 148, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 149, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 150;
- (k) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 153, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 154, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 155, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 156, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 157, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 158;
- (l) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 73, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 74, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 75, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 76, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 77, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 78;
- (m) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 81, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 82, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 83, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 84, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 85, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 86;
- (n) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 97, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 98, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 99, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 100, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 101, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 102;
- (o) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 169, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 170, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 171, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 172, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 173, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 174;
- (p) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 177, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 178, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 179, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 180, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 181, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 182;
- and
- (q) an antibody comprising
- a heavy chain complementarity determining region (CDR-H) CDR-H1 comprising the amino acid sequence of SEQ ID NO:
- 315, a CDR-H2 comprising the amino acid sequence of SEQ ID NO:
- 316, and a CDR-H3 comprising the amino acid sequence of SEQ ID NO:
- 317, and a light chain complementarity determining region (CDR-L) CDR-L1 comprising the amino acid sequence of SEQ ID NO:
- 318, a CDR-L2 comprising the amino acid sequence of SEQ ID NO:
- 319, and a CDR-L3 comprising the amino acid sequence of SEQ ID NO:
- 320.
Dependencies are inferred from the claim text.