# US 10,479,835 B2 · Agent, uses and methods for treatment

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- Number: US 10,479,835 B2
- Document ID: US10479835B2
- Status: Granted
- Kind: B2
- Application number: 15/743,549
- Filed: 2016-07-12
- Published: 2018-10-25
- Granted: 2019-11-19
- Earliest claimed: 2015-07-13
- Assignees: H. Lundbeck A/S
- Applicants: H. Lundbeck A/S
- Inventors: Lars Christian Biilmann Rønn; Ibrahim John Malik; Jeffrey B. Stavenhagen; Søren Christensen; Jan Egebjerg; Arnout Gerritsen; Edward Van Den Brink; Paul Parren; Rob De Jong
- Web page: https://patentgrep.com/patent/US10479835B2

## CPC

- C07K 16/286: {against neuromediator receptors, e.g. serotonin receptor, dopamine receptor}
- A61K 39/3955: {against proteinaceous materials, e.g. enzymes, hormones, lymphokines}
- A61P 25/28: for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
- C07K 16/28: against receptors, cell surface antigens or cell surface determinants
- A61K 2039/505: {comprising antibodies}
- C07K 2317/20: characterized by taxonomic origin
- C07K 2317/21: from primates, e.g. man
- C07K 2317/24: containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
- C07K 2317/33: Crossreactivity, e.g. for species or epitope, or lack of said crossreactivity
- C07K 2317/34: Identification of a linear epitope shorter than 20 amino acid residues or of a conformational epitope defined by amino acid residues
- C07K 2317/76: Antagonist effect on antigen, e.g. neutralization or inhibition of binding
- C07K 2317/92: Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
- C07K: PEPTIDES (peptides in foodstuffs A23; obtaining protein compositions for foodstuffs, working-up proteins for foodstuffs A23J; preparations for medicinal purposes A61K; peptides containing beta-lactam rings C07D; cyclic dipeptides not having in their molecule any other peptide link than those which form their ring, e.g. piperazine-2,5-diones, C07D; ergot alkaloids of the cyclic peptide type C07D519/02; macromolecular compounds having statistically distributed amino acid units in their molecules, i.e. when the preparation does not provide for a specific; but for a random sequence of the amino acid units, homopolyamides and block copolyamides derived from amino acids C08G69/00; macromolecular products derived from proteins C08H1/00; preparation of glue or gelatine C09H; single cell proteins, enzymes C12N; genetic engineering processes for obtaining peptides C12N15/00; compositions for measuring or testing processes involving enzymes C12Q; investigation or analysis of biological material G01N33/00)
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

## Abstract

The present invention relates to monoclonal anti-Sortilin antibodies which have been found useful in correcting a deficient level of progranulin (PGRN). In particular, these antibodies can be used in the treatment of frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS).

## Claims

### Claim 1

An antibody, or an antigen-binding fragment thereof, comprising:
a) a light chain variable domain L-CDR1 comprising SEQ ID NO: 17;
b) a light chain variable domain L-CDR 2 comprising SEQ ID NO: 18:
c) a light chain variable domain L-CDR 3 comprising SEQ ID NO: 19:
d) a heavy chain variable domain H-CDR 1 comprising SEQ ID NO: 20:
e) a heavy chain variable domain H-CDR 2 comprising SEQ ID NO: 21: and
f) a heavy chain variable domain H-CDR 3 comprising SEQ ID NO: 22.

### Claim 2 (depends on 1)

The antibody, or antigen-binding fragment thereof, of claim 1, wherein said antibody or antigen-binding fragment thereof binds to the D Region of Sortilin as defined by SEQ ID NO:170.

### Claim 3 (depends on 1)

The antibody, or antigen-binding fragment thereof of claim 1 wherein said antibody or antigen-binding fragment thereof binds to at least 3 consecutive amino acids within the D Region of Sortilin as defined in SEQ ID NO: 170.

### Claim 4 (depends on 1)

The antibody, or antigen-binding fragment thereof, or claim 1, wherein said antibody or antigen-binding fragment thereof comprises a heavy chain variable domain comprising SEQ ID NO:24.

### Claim 5 (depends on 1)

The antibody, or antigen-binding fragment thereof, of claim 1, wherein said antibody or antigen-binding fragment thereof comprises a light chain variable domain comprising SEQ ID NO:23.

### Claim 6 (depends on 1)

The antibody, or antigen-binding fragment thereof of claim 1 wherein the antibody or antigen-binding fragment thereof comprises both the heavy chain variable domain of SEQ ID NO: 24 and light chain variable domain of SEQ ID NO: 23.

### Claim 7 (depends on 1)

The antibody, or antigen-binding fragment thereof of claim 1, wherein the antigen-binding fragment is selected from the group consisting of an Fv fragment and a Fab-like fragment.

### Claim 8 (depends on 1)

The antibody, or antigen-binding fragment thereof, of claim 1, wherein the antibody is selected from the group consisting of: an antibody of subtype IgG1, IgG2, IgG3 or IgG4.

### Claim 9 (depends on 1)

The antibody, or antigen-binding fragment thereof, of claim 1, wherein the antibody or antigen-binding fragment thereof is a human, humanized, recombinant or chimeric antibody.

### Claim 10 (depends on 1)

The antibody, or antigen-binding fragment thereof of claim 1 wherein the antibody or antigen-binding fragment exhibits one or more of the following properties:
a) a binding affinity (KD) for Sortilin between 0.5-10 nM;
b) capability to reduce and/or inhibit PGRN binding to Sortilin;
c) capability to reduce and/or inhibit clearance of PGRN by Sortilin-expressing cells;
d) capability to reduce and/or inhibit the endocytosis of PGRN by Sortilin-expressing cells;
e) capability to increase the amount and/or concentration of PGRN in the brain, and/or
f) capability to increase the amount and/or concentration of PGRN in the plasma in human-Sortilin-expressing knock-in mice.

### Claim 11 (depends on 1)

A pharmaceutical composition comprising an antibody, or an antigen binding fragment thereof of claim 1 and a pharmaceutically-acceptable carrier.

### Claim 12 (depends on 1)

A kit comprising an antibody, or antigen-binding fragment thereof of claim 1.

### Claim 13 (depends on 1)

A nucleotide sequence encoding an antibody or antibody binding fragment of claim 1.

### Claim 14 (depends on 13)

A cell line comprising the nucleotide sequence of claim 13.

### Claim 15 (depends on 1)

A method of treating a disease associated with decreased PGRN levels in the brain of a patient, comprising administering an effective dosage of an antibody, or an antigen-binding fragment thereof of claim 1.

### Claim 16 (depends on 15)

The method according to claim 15, wherein the disease is frontotemporal dementia, amyotrophic lateral sclerosis or Alzheimer's disease.
