mRNA Vaccine

Abstract

The present invention in general relates to a combination of mRNA molecules encoding functional immunostimulatory proteins and a PD-1 pathway inhibitor. In particular, it relates to a combination of one or more mRNA molecules encoding at least one functional immunostimulatory protein selected from the list comprising: CD40L, CD70 and caTLR4; and a PD-1 pathway inhibitor, optionally also in the form of an mRNA molecule. The present invention further relates to vaccines comprising such combination, as well as uses of the combinations and vaccine of the present invention in human or veterinary medicine, in particular in the prevention and/or treatment of cell proliferative disorders.

Claims

1-13. (canceled)

14. A combination comprising: one or more mRNA molecules encoding all of the functional immunostimulatory proteins CD40L, CD70 and constitutive active TLR4 (caTLR4); one or more mRNA molecules encoding a target-specific antigen; and a PD-1 pathway inhibitor selected from a nanobody directed against PD-1, an antagonistic antibody directed against PD-1, a nanobody directed against PDL1, an antagonistic antibody directed against PDL1, or a derivative thereof, wherein the one or more mRNA molecules are formulated for intravenous administration.

15. The combination of claim 14, wherein the PD-1 pathway inhibitor is an mRNA encoding the PD-1 pathway inhibitor.

16. The combination of claim 14, wherein the antagonistic antibody directed against PD-1 is selected from the group consisting of nivolumab (BMS-936558/MDX1106), pidilizumab (CT-011), and pembrolizumab (MK-3475).

17. The combination of claim 14, wherein the target-specific antigen is a marker specific to a tumor, a bacterial cell, a fungal cell, a viral protein, or a viral structure.

18. The combination of claim 14, wherein the target-specific antigen is a tumor-associated antigen.

19. The combination of claim 14, wherein the mRNA molecules are formulated for intravenous administration, and encompassed in nanoparticles.

20. The combination of claim 19, wherein the nanoparticles are lipid nanoparticles.

21. The combination of claim 20, wherein the lipid nanoparticles comprise a combination of an ionizable lipid, a phospholipid, a sterol, and a PEG lipid.

22. The combination of claim 14, wherein the PD-1 pathway inhibitor is formulated for parenteral administration.

23. The combination of claim 14, wherein the PD-1 pathway inhibitor is formulated for intravenous administration, intratumoral administration, intradermal administration, sub cutaneous administration, intraperitoneal administration, intramuscular administration, or intranodal administration.

24. A vaccine comprising the combination of claim 14.

25. The vaccine of claim 24, wherein the vaccine is formulated for parenteral administration.

26. The vaccine of claim 24, wherein the vaccine is formulated for intravenous administration, intratumoral administration, intradermal administration, subcutaneous administration, intraperitoneal administration, intramuscular administration, or intranodal administration.

27. A human or veterinary medicine comprising the combination of claim 14.

28. A human or veterinary medicine comprising the vaccine of claim 24.

29. A method for treating a cell proliferative disorder, the method comprising administering the combination of claim 14 to a subject in need thereof.

30. A method for treating a cell proliferative disorder, the method comprising administering the vaccine of claim 24 to a subject in need thereof.

31. A method for eliciting an immune response toward a tumor in a subject, the method comprising administering the combination of claim 14 to a subject in need thereof

32. A method for eliciting an immune response toward a tumor in a subject, the method comprising administering the vaccine of claim 24 to a subject in need thereof.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0029] With specific reference now to the figures, it is stressed that the particulars shown are by way of example and for purposes of illustrative discussion of the different embodiments of the present invention only. They are presented in the cause of providing what is believed to be the most useful and readily description of the principles and conceptual aspects of the invention. In this regard no attempt is made to show structural details of the invention in more detail than is necessary for a fundamental understanding of the invention. The description taken with the drawings making apparent to those skilled in the art how the several forms of the invention may be embodied in practice.

[0030] FIG. 1: Illustration of possible routes of administration in the context of the invention.

[0031] FIG. 2: Effect of combination of IN administered Trimix and antigen with IP administered anti-PD-1 on tumor growth.

DETAILED DESCRIPTION OF THE INVENTION

[0032] As already detailed herein above, the present invention relates to a combination comprising:

[0033] one or more mRNA molecules encoding at least one functional immunostimulatory protein selected from the list comprising: CD40L, CD70 and caTLR4; and

[0034] a PD-1 pathway inhibitor; in particular, a PD-1 pathway inhibitor which prevents or blocks PD-1 initiated signalling.

[0035] Throughout the invention, the term “TriMix” stands for a mixture of mRNA molecules encoding CD40L, CD70 and caTLR4 immunostimulatory proteins.

[0036] The mRNA or DNA used or mentioned herein can either be naked mRNA or DNA, or protected mRNA or DNA. Protection of DNA or mRNA increases its stability, yet preserving the ability to use the mRNA or DNA for vaccination purposes. Non-limiting examples of protection of both mRNA and DNA can be: liposome-encapsulation, protamine-protection, (Cationic) Lipid Lipoplexation, lipidic, cationic or polycationic compositions, Mannosylated Lipoplexation, Bubble Liposomation, Polyethylenimine (PEI) protection, liposome-loaded microbubble protection etc. The term “target” used throughout the description is not limited to the specific examples that may be described herein. Any infectious agent such as a virus, a bacterium or a fungus may be targeted. In addition any tumor or cancer cell may be targeted.

[0037] The term “target-specific antigen” used throughout the description is not limited to the specific examples that may be described herein. It will be clear to the skilled person that the invention is related to the induction of immunostimulation in APCs, regardless of the target-specific antigen that is presented. The antigen that is to be presented will depend on the type of target to which one intends to elicit an immune response in a subject. Typical examples of target-specific antigens are expressed or secreted markers that are specific to tumor, bacterial and fungal cells or to specific viral proteins or viral structures. Without wanting to limit the scope of protection of the invention, some examples of possible markers are listed below.

[0038] The term “antigen presenting cell” used throughout the description includes all APCs. Specific non limiting examples are DCs, dendritic cell-lines, B-cells, or B-cell-lines. The DCs or B-cells can be isolated or generated from the blood of a patient or healthy subject. The patient or subject can have been the subject of prior vaccination or not.

[0039] The terms “neoplasms”, “cancer” and/or “tumor” used throughout the description are not intended to be limited to the types of cancer or tumors that may have been exemplified. The term therefore encompasses all proliferative disorders such as neoplasma, dysplasia, premalignant or precancerous lesions, abnormal cell growths, benign tumors, malignant tumors, cancer or metastasis, wherein the cancer is selected from the group of: leukemia, non-small cell lung cancer, small cell lung cancer, CNS cancer, melanoma, ovarian cancer, kidney cancer, prostate cancer, breast cancer, glioma, colon cancer, bladder cancer, sarcoma, pancreatic cancer, colorectal cancer, head and neck cancer, liver cancer, bone cancer, bone marrow cancer, stomach cancer, duodenum cancer, oesophageal cancer, thyroid cancer, hematological cancer, and lymphoma. Specific antigens for cancer can e.g. be MelanA/MART1, Cancer-germline antigens, gp100, Tyrosinase, CEA, PSA, Her-2/neu, survivin, telomerase.

[0040] The use of the combination of CD40L and caTLR4 generates mature, cytokine/chemokine secreting DCs, as has been shown for CD40 and TLR4 ligation through addition of soluble CD40L and LPS.

[0041] The introduction of CD70 into the DCs provides a co-stimulatory signal to CD27.sup.+ naive T-cells by inhibiting activated T-cell apoptosis and by supporting T-cell proliferation.

[0042] As an alternative to caTLR4, other Toll-Like Receptors (TLR) could be used. For each TLR, a constitutive active form is known, and could possibly be introduced into the DCs in order to elicit a host immune response. In our view however, caTLR4 is the most potent activating molecule and is therefore preferred.

[0043] In a preferred embodiment of the vaccine of the invention, the mRNA or DNA molecule(s) encode(s) the CD40L and CD70 immunostimulatory proteins. In a particularly preferred embodiment of the vaccine of the invention, the mRNA or DNA molecule(s) encode(s) CD40L, CD70, and caTLR4 immunostimulatory proteins.

[0044] Said mRNA or DNA molecules encoding the immunostimulatory proteins can be part of a single mRNA or DNA molecule. Preferably, said single mRNA or DNA molecule is capable of expressing the two or more proteins simultaneously. In one embodiment, the mRNA or DNA molecules encoding the immunostimulatory proteins are separated in the single mRNA or DNA molecule by an internal ribosomal entry site (IRES) or a self-cleaving 2a peptide encoding sequence.

[0045] In a specific embodiment, one or more of said mRNA molecules of the present invention may further contain a translation enhancer and/or a nuclear retention element. Suitable translation enhancers and nuclear retention elements are those described in WO2015071295.

[0046] As used herein, the term “PD-1 inhibitor” includes any compound able to directly or indirectly affect the regulation of PD-1 by reducing for example the expression of PD-1 (i.e., transcription and/or the translation) or its natural ligands PD-L1/PD-L2, or a PD-1 activity. It includes intracellular (e.g., agents that block a PD-1-associated signalling molecule or pathway, such as SHP-1 and SHP-2) as well as extracellular PD-1 inhibitor. Without being so limited, such inhibitors include siRNA, antisense molecules, proteins, peptides, small molecules, antibodies, etc.

[0047] Hence, in a specific embodiment, said PD-1 pathway inhibitor is selected from the list comprising: a nanobody directed against PD-1, an antagonistic antibody directed against PD-1; a nanobody directed against PDL1, an antagonistic antibody directed against PDL1; or a derivative thereof Derivatives of antibodies may for example include scFV, bispecific antibodies.

[0048] In an embodiment, the above-mentioned PD-1 inhibitor blocks/inhibits the interaction between PD-1 and a PD-1 ligand (e.g., PD-L1, PD-L2). Such inhibitor may target, for example, the IgV domain of PD-1 and/or PD-L1 and/or PD-L2, such as one or more of the residues involved in the interaction, as discussed above.

[0049] In an embodiment, the above-mentioned PD-1 inhibitor is a blocking antibody, such as an anti-PD-1 or anti-PD-L1/PD-L2 antibody. Blocking anti-PD-1 and/or anti-PD-L1/PD-L2 antibodies are well known in the art. Other blocking antibodies may be readily identified and prepared by the skilled person based on the known domain of interaction between PD-1 and PD-L1/PD-L2, as discussed above. For example, a peptide corresponding to the IgV region of PD-1 or PD-L1/PD-L2 (or to a portion of this region) could be used as an antigen to develop blocking antibodies using methods well known in the art.

[0050] By “anti-PD-1 antibody” or “anti-PD-L1” or “anti-PD-L2” in the present context is meant an antibody capable of detecting/recognizing (i.e. binding to) a PD-1, PD-L1 or PD-L2 protein or a PD-1, PD-L1 or PD-L2 protein fragment. In an embodiment, the above-mentioned antibody inhibits the biological activity of PD-1, such as PD-1-PD-L1/PD-L2 interaction or PD-1-mediated T cell inhibition. In another embodiment, the PD-1 or PD-L1/PD-L2 protein fragment is an extracellular domain of PD-1 or PD-L1/PD-L2 (e.g., the IgV domain).

[0051] The term “PD-1 levels” as used herein means the level of expression of PD-1 on T cells or the percent of PD-1 positive T cells that are also CD4+ or CD8+ expressed as a percent of the total number of CD4+ or CD8+ cells. The level of expression of PD-1 on T cells can be determined by any standard method. For example, it can be determined by flow cytometry and measured as mean fluorescence intensity (MFI).

[0052] In one embodiment, the disclosure provides a method for a combination therapy for individuals comprising administering to the individual one or more immunostimulatory factors and an inhibitor of PD-1. The one or more immunostimulatory factors and the PD-1 inhibitor may be administered simultaneously or contemporaneously, as a single composition or separate compositions, or the one or more immunostimulatory factors and PD-1 inhibitor may be administered at different times.

[0053] The compositions of the present invention generally include a PD-1 inhibitor in combination with one or more immunostimulatory factors. PD-1 is a cell surface receptor that belongs to the immunoglobulin superfamily and is expressed on T cells and pro-B cells. PD-1 binds two ligands, PD-L1 and PD-L2. PD-1, plays an important role in down regulating the immune system by preventing the activation of T-cells, which in turn reduces autoimmunity and promotes self-tolerance. The inhibitory effect of PD-1 is accomplished through a dual mechanism of promoting apoptosis (programmed cell death) in antigen specific T-cells in lymph nodes while simultaneously reducing apoptosis in Tregs. Suitable PD-1 inhibitor for use in the compositions of the present disclosure include nivolumab (BMS-936558/MDX1106), pidilizumab (CT-011), pembrolizumab (MK-3475), and combinations thereof; alternatively the PD-L1 inhibitor atezolizumab may also be suitably used within the context of the invention.

[0054] Suitable dosages of the PD-1 inhibitor will depend upon a number of factors including, for example, age and weight of an individual, at least one precise condition requiring treatment, severity of a condition, nature of a composition, route of administration and combinations thereof. Ultimately, a suitable dosage can be readily determined by one skilled in the art such as, for example, a physician, a veterinarian, a scientist, and other medical and research professionals. For example, one skilled in the art can begin with a low dosage that can be increased until reaching the desired treatment outcome or result. Alternatively, one skilled in the art can begin with a high dosage that can be decreased until reaching a minimum dosage needed to achieve the desired treatment outcome or result.

[0055] The present invention also provides a combination as defined herein; wherein said mRNA molecules are formulated for intravenous administration, and encompassed in (lipid) nanoparticles. A lipid nanoparticle (LNP) is generally known as a nanosized particle composed of a combination 25 of different lipids. While many different types of lipids may be included in such LNP, the LNP's of the present invention may for example be composed of a combination of an ionisable lipid, a phospholipid, a sterol and a PEG lipid.

[0056] As used herein, the term “nanoparticle” refers to any particle having a diameter making the 30 particle suitable for systemic, in particular intravenous administration, of, in particular, nucleic acids, typically having a diameter of less than 1000 nanometers (nm).

[0057] In an alternative embodiment, the present invention provides a combination as defined herein; wherein said mRNA molecules are formulated for intratumoral or intranodal administration, and are in the form of naked mRNA molecules in a suitable injection buffer, such as a Ringer Lactate buffer. The present invention also provides the combinations and vaccines as defined herein for use in human or veterinary medicine, in particular for use in the treatment of cell proliferative disorders, more in particular for use in eliciting an immune response towards a tumor in a subject.

[0058] Finally, the present invention provides a method for the treatment of a cell proliferative disorder comprising the steps of administering to a subject in need thereof a combination or vaccine of the present invention.

EXAMPLES

[0059] Example 1: Combination of Trimix, antigen and anti-PD-1.

[0060] The scope of this example is to elicit the T-cell immune responses against pre-defined TAAs when using Trimix either as a monotherapy or in combination with anti-PD-1. The advantages of this setting include:

[0061] The ability to incorporate TAAs

[0062] Trimix mRNA acts as an adjuvant to augment T-cell responses against TAA

[0063] Two routes of administration are explored (intranodal (IN) and intravenous (IV)), such as illustrated in FIG. 1

[0064] IV administration was shown to be more immunogenic, however, also necessitates additional formulation, such as using LNPs.

[0065] Balb/C female mice were injected with 1×10.sup.6 CT26 tumor cells on day 0. At days 5, 10, and 15 GP70-Trimix mRNA (10 μg per component) was intranodally administered. Monoclonal anti-PD-1 antibodies (10 mg/kg) were intraperitoneally administered at day 5, and repeated in total 5 times with intervals of 3 days. Complete responders (CR) were considered if being tumor free at day 40.

[0066] The results of this example are shown in FIG. 2; which clearly demonstrates a beneficial effect of both anti-PD-1 (complete responders 2 out of 6) and GP70-Trimix (complete responders 4 out of 8) on tumor growth, when used alone. Moreover, the combined use of GP70-Trimix and anti-PD-1 show an even further increased effect on tumor growth resulting in 7 out of 8 mice being completely tumor free at day 40.