# US 9,750,767 B2 · IL-18 inhibition for promotion of early hematopoietic progenitor expansion

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- Number: US 9,750,767 B2
- Document ID: US9750767B2
- Status: Granted
- Kind: B2
- Application number: 14/760,076
- Filed: 2014-01-14
- Published: 2016-02-04
- Granted: 2017-09-05
- Earliest claimed: 2013-01-14
- Assignees: The General Hospital Corporation; President and Fellows of Harvard College
- Applicants: The General Hospital Corporation; President and Fellows of Harvard College
- Inventors: David T. Scadden; Lev Silberstein; Peter Kharchenko
- Web page: https://patentgrep.com/patent/US9750767B2

## CPC

- A61K 35/28: Bone marrow; Haematopoietic stem cells; Mesenchymal stem cells of any origin, e.g. adipose-derived stem cells
- A61K 38/1709: {from mammals}
- A61K 38/20: Interleukins [IL]
- A61P 7/00: Drugs for disorders of the blood or the extracellular fluid
- A61K 2035/124: {the cells being hematopoietic, bone marrow derived or blood cells}
- 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

Disclosed herein are methods for enhancing hematopoietic reconstitution of a subject. One method involves administering a therapeutically effective amount of an inhibitor of IL-18 to a recipient subject and also administering hematopoietic stem/progenitor cells to the subject. Another method involves administering an inhibitor of IL-18 to a donor prior to harvest of hematopoietic stem/progenitor cells. Pharmaceutical compositions relating to the methods are also described.

## Claims

### Claim 1

A method for enhancing hematopoietic reconstitution of a subject in need thereof comprising:
a) administering to the subject hematopoietic stem/progenitor cells (HSPC) obtained from the blood, placenta or umbilical cord of a donor; and
b) administering to the subject a therapeutically effective amount of an inhibitor of interleukin 18 (IL-18) to thereby inhibit IL-18 interaction with IL-18R molecules present on the HSPC administered in step a).

### Claim 2 (depends on 1)

The method of claim 1, wherein administering step b) is by a route selected from the group consisting of enteral and parenteral.

### Claim 3 (depends on 2)

The method of claim 2, wherein administering step b) is performed immediately after administering step a).

### Claim 4 (depends on 2)

The method of claim 2, wherein administering step b) is performed prior to and immediately after administering step a).

### Claim 5 (depends on 1)

The method of claim 1, wherein the inhibitor of IL-18 is administered to the subject over a period of time from about 1 day to 100 days directly after administration of the HSPCs.

### Claim 6 (depends on 5)

The method of claim 5, wherein the period is from about 1 day to about 21 days directly after administration of the HSPCs.

### Claim 7 (depends on 5)

The method of claim 5, wherein the period is from about 1 day to about 5 days directly after administration of the HSPCs.

### Claim 8 (depends on 5)

The method of claim 5, wherein the period is about 5 days directly after administration of the HSPCs.

### Claim 9 (depends on 1)

The method of claim 1, wherein the HSPCs are allogenic.

### Claim 10 (depends on 1)

The method of claim 1, wherein the HSPCs are autologous.

### Claim 11 (depends on 1)

The method of claim 1 wherein the HSPC are obtained from a donor subject treated with an inhibitor of IL-18 prior to harvest of the HSPCs to thereby expand early hematopoietic progenitor cells in the HSPCs.

### Claim 12 (depends on 11)

The method of claim 11, wherein the treatment of the donor subject is by administration of the inhibitor of IL-18 to the donor subject by a method selected from the group consisting of enteral and parenteral.

### Claim 13 (depends on 1)

The method of claim 1, wherein the inhibitor of IL-18 is selected from the group consisting of IL-18 binding protein, an antibody against IL-18, an antibody against an IL-18 receptor subunits, an inhibitor of the IL-18 signaling pathway, an antagonist of IL-18 which competes with IL-18 and blocks the IL-18 receptor, an inhibitor of caspase-1 (ICE), an IL-18 isoform, an IL-18 mutein, an IL-18 fused protein, an IL-18 functional derivative, an IL-18 active fraction, and an IL-18 circularly permutated derivative thereof inhibiting the biological activity of IL-18.

### Claim 14

A method for enhanced hematopoietic reconstitution in a subject in need thereof comprising administering to the subject hematopoietic stem/progenitor cells (HSPC) obtained from a donor subject, wherein the donor subject was treated with an inhibitor of interleukin 18 (IL-18) to thereby expand early hematopoietic progenitor cells prior to harvest of the HSPCs from the donor.

### Claim 15 (depends on 14)

The method of claim 14, wherein the donor subject is treated with the inhibitor of IL-18 for a period of from about 1 day to about 10 days directly prior to harvest of the HSPCs.

### Claim 16 (depends on 15)

The method of claim 15, wherein the period is from about 1 day to about 5 days directly prior to harvest of the HSPCs.

### Claim 17 (depends on 15)

The method of claim 15, wherein the period is about 5 days directly prior to harvest of the HSPCs.

### Claim 18 (depends on 14)

The method of claim 14, wherein the HSPCs are obtained from bone marrow, blood, placenta, or umbilical cord of the donor.

### Claim 19 (depends on 14)

The method of claim 14, wherein the inhibitor of IL-18 is selected from the group consisting of IL-18 binding protein, an antibody against IL-18, an antibody against an IL-18 receptor subunits, an inhibitor of the IL-18 signaling pathway, an antagonist of IL-18 which competes with IL-18 and blocks the IL-18 receptor, an inhibitor of caspase-1 (ICE), an IL-18 isoform, an IL-18 mutein, an IL-18 fused protein, an IL-18 functional derivative, an IL-18 active fraction, and an IL-18 circularly permutated derivative thereof inhibiting the biological activity of IL-18.

### Claim 20

A method for enhancing hematopoietic reconstitution of a subject in need thereof comprising:
a) administering to the subject autologous hematopoietic stem/progenitor cells (HSPC); and
b) administering to the subject a therapeutically effective amount of an inhibitor of interleukin 18 (IL-18) to thereby inhibit IL-18 interaction with IL-18R molecules present on the HSPC administered in step a).
