HEPATITIS B ANTIBODIES
20210221871 · 2021-07-22
Inventors
Cpc classification
C07K2317/30
CHEMISTRY; METALLURGY
C07K2317/76
CHEMISTRY; METALLURGY
C07K2317/92
CHEMISTRY; METALLURGY
International classification
Abstract
The present invention relates to anti-HBsAg antibodies, antibody fragments, and their uses for the prevention and treatment of hepatitis B virus infection and associated diseases.
Claims
1. An isolated antibody, wherein said antibody or antigen binding fragment thereof comprises: (i) a heavy chain variable region that comprises (a) a HCDR1 (CDR-Complementarity Determining Region) of SEQ ID NO: 9, (b) a HCDR2 of SEQ ID NO:10, (c) a HCDR3 of SEQ ID NO:11 and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:25, (e) a LCDR2 of SEQ ID NO:26, and (f) a LCDR3 of SEQ ID NO:27; (ii) a heavy chain variable region that comprises (a) a HCDR1 of SEQ ID NO:41, (b) a HCDR2 of SEQ ID NO:42, (c) a HCDR3 of SEQ ID NO:43; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:57, (e) a LCDR2 of SEQ ID NO:58, and (f) a LCDR3 of SEQ ID NO:59; (iii) a heavy chain variable region that comprises (a) a HCDR1 of SEQ ID NO:73, (b) a HCDR2 of SEQ ID NO:74, (c) a HCDR3 of SEQ ID NO:75; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:89, (e) a LCDR2 of SEQ ID NO:90, and (f) a LCDR3 of SEQ ID NO:91; (iv) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:105, (b) a HCDR2 of SEQ ID NO:106, (c) a HCDR3 of SEQ ID NO:107; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:121, (e) a LCDR2 of SEQ ID NO:122, and (f) a LCDR3 of SEQ ID NO:123; (v) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:137, (b) a HCDR2 of SEQ ID NO:138, (c) a HCDR3 of SEQ ID NO:139; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:153, (e) a LCDR2 of SEQ ID NO:154, and (f) a LCDR3 of SEQ ID NO:155; (vi) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:169, (b) a HCDR2 of SEQ ID NO:170, (c) a HCDR3 of SEQ ID NO:171; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:185, (e) a LCDR2 of SEQ ID NO:186, and (f) a LCDR3 of SEQ ID NO:187; (vii) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:201, (b) a HCDR2 of SEQ ID NO: 202, (c) a HCDR3 of SEQ ID NO:203; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:217, (e) a LCDR2 of SEQ ID NO:218, and (f) a LCDR3 of SEQ ID NO:219; (viii) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:233, (b) a HCDR2 of SEQ ID NO:234, (c) a HCDR3 of SEQ ID NO:235; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:249, (e) a LCDR2 of SEQ ID NO:250, and (f) a LCDR3 of SEQ ID NO:251; (ix) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:265, (b) a HCDR2 of SEQ ID NO: 266, (c) a HCDR3 of SEQ ID NO:267; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:281, (e) a LCDR2 of SEQ ID NO:282, and (f) a LCDR3 of SEQ ID NO: 283; (x) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:297, (b) a HCDR2 of SEQ ID NO: 298, (c) a HCDR3 of SEQ ID NO:299; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:313, (e) a LCDR2 of SEQ ID NO:314, and (f) a LCDR3 of SEQ ID NO: 315; (xi) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:329, (b) a HCDR2 of SEQ ID NO:330, (c) a HCDR3 of SEQ ID NO:331; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:345, (e) a LCDR2 of SEQ ID NO:346, and (f) a LCDR3 of SEQ ID NO: 347; (xii) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:361, (b) a HCDR2 of SEQ ID NO:362, (c) a HCDR3 of SEQ ID NO:363; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:377, (e) a LCDR2 of SEQ ID NO:378, and (f) a LCDR3 of SEQ ID NO: 379; (xiii) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:393, (b) a HCDR2 of SEQ ID NO:394, (c) a HCDR3 of SEQ ID NO:395; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:409, (e) a LCDR2 of SEQ ID NO:410, and (f) a LCDR3 of SEQ ID NO:411; (xiv) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:425, (b) a HCDR2 of SEQ ID NO:426, (c) a HCDR3 of SEQ ID NO:427; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:441, (e) a LCDR2 of SEQ ID NO:442, and (f) a LCDR3 of SEQ ID NO: 443; (xv) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:457, (b) a HCDR2 of SEQ ID NO:458, (c) a HCDR3 of SEQ ID NO:459; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:473, (e) a LCDR2 of SEQ ID NO:474, and (f) a LCDR3 of SEQ ID NO:475; or (xvi) a heavy chain variable region that comprises: (a) a HCDR1 of SEQ ID NO:489, (b) a HCDR2 of SEQ ID NO:490, (c) a HCDR3 of SEQ ID NO:491; and a light chain variable region that comprises: (d) a LCDR1 of SEQ ID NO:505, (e) a LCDR2 of SEQ ID NO:506, and (f) a LCDR3 of SEQ ID NO: 507.
2. The antibody of claim 1, wherein one or two amino acids within a CDR have been modified, deleted or substituted.
3. The antibody of claim 1, that retains at least 90, 91, 92, 93, 94, 95, 96, 97, 98 or 99% identity over either the variable heavy chain region or the variable light chain region.
4. The antibody of claim 1, wherein the antibody is a monoclonal antibody, a chimeric antibody, a humanized antibody, a human engineered antibody, a human antibody, a single chain antibody (scFv) or an antibody fragment.
5. An isolated antibody or antigen binding fragment thereof, wherein said antibody or antigen binding fragment thereof comprises: (i) a heavy chain variable region (vH) that comprises SEQ ID NO:18, and a light chain variable region (vL) that comprises SEQ ID NO: 34; (ii) a heavy chain variable region (vH) that comprises SEQ ID NO: 50, and a light chain variable region (vL) that comprises SEQ ID NO: 66; (iii) a heavy chain variable region (vH) that comprises SEQ ID NO: 82, and a light chain variable region (vL) that comprises SEQ ID NO:98; (iv) a heavy chain variable region (vH) that comprises SEQ ID NO:114, and a light chain variable region (vL) that comprises SEQ ID NO:130; (v) a heavy chain variable region (vH) that comprises SEQ ID NO:146, and a light chain variable region (vL) that comprises SEQ ID NO:162; (vi) a heavy chain variable region (vH) that comprises SEQ ID NO:178, and a light chain variable region (vL) that comprises SEQ ID NO:194; (vii) a heavy chain variable region (vH) that comprises SEQ ID NO:210, and a light chain variable region (vL) that comprises SEQ ID NO:226; (viii) a heavy chain variable region (vH) that comprises SEQ ID NO:242, and a light chain variable region (vL) that comprises SEQ ID NO:258; (ix) a heavy chain variable region (vH) that comprises SEQ ID NO:274, and a light chain variable region (vL) that comprises SEQ ID NO:290; (x) a heavy chain variable region (vH) that comprises SEQ ID NO:306, and a light chain variable region (vL) that comprises SEQ ID NO:322; (xi) a heavy chain variable region (vH) that comprises SEQ ID NO:338, and a light chain variable region (vL) that comprises SEQ ID NO:354; (xii) a heavy chain variable region (vH) that comprises SEQ ID NO:370, and a light chain variable region (vL) that comprises SEQ ID NO:386; (xiii) a heavy chain variable region (vH) that comprises SEQ ID NO:402, and a light chain variable region (vL) that comprises SEQ ID NO:418; (xiv) a heavy chain variable region (vH) that comprises SEQ ID NO:434, and a light chain variable region (vL) that comprises SEQ ID NO:450; (xv) a heavy chain variable region (vH) that comprises SEQ ID NO:466, and a light chain variable region (vL) that comprises SEQ ID NO:482; or (xvi) a heavy chain variable region (vH) that comprises SEQ ID NO:498, and a light chain variable region (vL) that comprises SEQ ID NO:514.
6. The antibody or fragment thereof of claim 5, that retains at least 90, 91, 92, 93, 94, 95, 96, 97, 98 or 99% identity over either the variable light or variable heavy region.
7. The antibody of claim 5, wherein one, two, three, four or five, but less than 10 amino acids within the variable light or variable heavy region have been modified, deleted or substituted.
8. The antibody of claim 5, wherein the antibody is a monoclonal antibody, a chimeric antibody, a humanized antibody, a human engineered antibody, a human antibody, a single chain antibody (scFv) or an antibody fragment.
9. The antibody of claim 1 wherein the antibody or fragment thereof has reduced glycosylation or no glycosylation or is hypofucosylated.
10. A pharmaceutical composition comprising the antibody or fragment thereof, of claim 1, further comprising a pharmaceutically acceptable carrier.
11. (canceled)
12. (canceled)
13. A pharmaceutical composition comprising a plurality of an antibody or antigen binding fragment of claim 1, wherein at least 0.05%, 0.1%, 0.5%, 1%, 2%, 3%, 5% or more or more of the antibodies in the composition have an α2,3-linked sialic acid residue.
14. A pharmaceutical composition comprising a plurality of an antibody or antigen binding fragment of claim 1, wherein none of the antibodies comprise a bisecting GlcNAc.
15. The pharmaceutical composition comprising the antibody or fragment thereof of claim 1, wherein the composition is prepared as a lyophilisate.
16. A method of neutralizing a hepatitis B virus infection comprising administering via injection or infusion to a patient in need an effective amount of the antibody of claim 1.
17. (canceled)
18. (canceled)
19. A method of treating or reducing the likelihood of hepatitis B virus associated disorder, comprising administering via injection or infusion to a patient in need an effective amount of the antibody of claim 1, and wherein the disorder is: liver failure, cirrhosis, or hepatocellular carcinoma.
20. (canceled)
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38. A nucleic acid that encodes the antibody or antigen binding fragment of claim 1.
39. A vector comprising the nucleic acid of claim 38.
40. A host cell comprising the vector of claim 39.
41. A diagnostic reagent comprising the antibody or antigen binding fragment thereof of claim 1 which is labeled.
42. (canceled)
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0132]
[0133]
[0134]
[0135]
[0136]
DETAILED DESCRIPTION
[0137] The present disclosure provides for antibodies, antibody fragments (e.g., antigen binding fragments), that bind and neutralize hepatitis B. Furthermore, the present disclosure provides antibodies that have desirable pharmacokinetic characteristics and other desirable attributes, and thus can be used for reducing the likelihood of or treating hepatitis B associate liver failure, liver cirrhosis or hepatocellular cancer. The present disclosure further provides pharmaceutical compositions comprising the antibodies and methods of making and using such pharmaceutical compositions for the prevention and treatment of hepatitis B infection and associated disorders.
Anti-HBsAg Antibodies
[0138] The present disclosure provides for antibodies or antibody fragments (e.g., antigen binding fragments) that specifically bind to HBsAg. Antibodies or antibody fragments (e.g., antigen binding fragments) of the present disclosure include, but are not limited to, the human monoclonal antibodies or fragments thereof, isolated as described, in the Examples below.
[0139] The present disclosure in certain aspects provides antibodies or antibody fragments (e.g., antigen binding fragments) that specifically bind to HBsAg, said antibodies or antibody fragments (e.g., antigen binding fragments) comprise a VH domain having an amino acid sequence of SEQ ID NO: 18, 50, 82, 114, 146, 178, 210, 242, 274, 306, 338, 370, 402, 434, 466, or 498 (Table 2). The present disclosure also provides antibodies or antibody fragments (e.g., antigen binding fragments) that specifically bind to HBsAg, said antibodies or antibody fragments (e.g., antigen binding fragments) comprise a VH CDR having an amino acid sequence of any one of the VH CDRs listed in Table 2. In particular aspects, the present disclosure provides antibodies or antibody fragments (e.g., antigen binding fragments) that specifically bind to HBsAg, said antibodies comprising (or alternatively, consist of) one, two, three, or more VH CDRs having an amino acid sequence of any of the VH CDRs listed in Table 2.
[0140] The present disclosure provides antibodies or antibody fragments (e.g., antigen binding fragments) that specifically bind to HBsAg, said antibodies or antibody fragments (e.g., antigen binding fragments) comprise a VL domain having an amino acid sequence of SEQ ID NO: 34, 66, 98, 130, 162, 194, 226, 258, 290, 322, 354, 386, 418, 450, 482 or 514 (Table 2). The present disclosure also provides antibodies or antibody fragments (e.g., antigen binding fragments) that specifically bind to HBsAg, said antibodies or antibody fragments (e.g., antigen binding fragments) comprise a VL CDR having an amino acid sequence of any one of the VL CDRs listed in Table 2. In particular, the disclosure provides antibodies or antibody fragments (e.g., antigen binding fragments) that specifically bind to HBsAg, said antibodies or antibody fragments (e.g., antigen binding fragments) comprise (or alternatively, consist of) one, two, three or more VL CDRs having an amino acid sequence of any of the VL CDRs listed in Table 2.
[0141] Other antibodies or antibody fragments (e.g., antigen binding fragments) of the present disclosure include amino acids that have been mutated, yet have at least 60, 70, 80, 90 or 95 percent identity in the CDR regions with the CDR regions depicted in the sequences described in Table 2. In some aspects, it includes mutant amino acid sequences wherein no more than 1, 2, 3, 4 or 5 amino acids have been mutated in the CDR regions when compared with the CDR regions depicted in the sequence described in Table 2.
[0142] The present disclosure also provides nucleic acid sequences that encode VH, VL, the full length heavy chain, and the full length light chain of the antibodies that specifically bind to HBsAg. Such nucleic acid sequences can be optimized for expression in mammalian cells.
TABLE-US-00002 TABLE 2 anti-HBV Antibodies NOV3832HC SEQ ID NO: 6 HCDR1 GFTFDNYAMS (Combined) SEQ ID NO: 7 HCDR2 SISGSGGSTYYADSVKG (Combined) SEQ ID NO: 8 HCDR3 SSILSGGHARVYGIDV (Combined) SEQ ID NO: 9 (Kabat) HCDR1 NYAMS SEQ ID NO: 10 (Kabat) HCDR2 SISGSGGSTYYADSVKG SEQ ID NO: 11 (Kabat) HCDR3 SSILSGGHARVYGIDV SEQ ID NO: 12 HCDR1 GFTFDNY (Chothia) SEQ ID NO: 13 HCDR2 SGSGGS (Chothia) SEQ ID NO: 14 HCDR3 SSILSGGHARVYGIDV (Chothia) SEQ ID NO: 15 (IMGT) HCDR1 GFTFDNYA SEQ ID NO: 16 (IMGT) HCDR2 ISGSGGST SEQ ID NO: 17 (IMGT) HCDR3 AKSSILSGGHARVYGIDV SEQ ID NO: 18 VH EMQVLESGGGLVQPGGSLRLSCAASGFTFDNYAMSW VRQVPGKGLEWVSSISGSGGSTYYADSVKGQFTISRD NSKNTLYLQMNSLRAEDTAVYYCAKSSILSGGHARV YGIDVWGQGTTVTVSS SEQ ID NO: 19 DNA VH GAGATGCAGGTCTTGGAATCTGGCGGAGGACTGGT TCAACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCGATAACTACGCCATGTCCTG GGTCCGACAGGTGCCAGGCAAAGGACTGGAATGG GTGTCCTCTATCAGCGGCTCTGGCGGCAGCACATAT TACGCCGATAGCGTGAAGGGCCAGTTCACCATCAG CCGGGACAACAGCAAGAACACCCTGTACCTCCAGA TGAACAGCCTGAGAGCCGAGGATACCGCCGTGTAC TACTGTGCCAAGAGCAGCATTCTGTCTGGCGGCCA CGCCAGAGTGTATGGCATTGATGTTTGGGGCCAGG GAACCACCGTGACCGTTAGTTCT SEQ ID NO: 20 Heavy Chain EMQVLESGGGLVQPGGSLRLSCAASGFTFDNYAMSW VRQVPGKGLEWVSSISGSGGSTYYADSVKGQFTISRD NSKNTLYLQMNSLRAEDTAVYYCAKSSILSGGHARV YGIDVWGQGTTVTVSSASTKGPSVFPLAPSSKSTSGG TAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVD KRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDT LMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHN AKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKC KVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMT KNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEAL HNHYTQKSLSLSPGK SEQ ID NO: 21 DNA Heavy GAGATGCAGGTCTTGGAATCTGGCGGAGGACTGGT Chain TCAACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCGATAACTACGCCATGTCCTG GGTCCGACAGGTGCCAGGCAAAGGACTGGAATGG GTGTCCTCTATCAGCGGCTCTGGCGGCAGCACATAT TACGCCGATAGCGTGAAGGGCCAGTTCACCATCAG CCGGGACAACAGCAAGAACACCCTGTACCTCCAGA TGAACAGCCTGAGAGCCGAGGATACCGCCGTGTAC TACTGTGCCAAGAGCAGCATTCTGTCTGGCGGCCA CGCCAGAGTGTATGGCATTGATGTTTGGGGCCAGG GAACCACCGTGACCGTTAGTTCTGCTAGCACCAAG GGCCCCAGCGTGTTCCCCCTGGCCCCCAGCAGCAA GAGCACCAGCGGCGGCACAGCCGCCCTGGGCTGCC TGGTGAAGGACTACTTCCCCGAGCCCGTGACCGTG TCCTGGAACAGCGGAGCCCTGACCTCCGGCGTGCA CACCTTCCCCGCCGTGCTGCAGAGCAGCGGCCTGT ACAGCCTGTCCAGCGTGGTGACAGTGCCCAGCAGC AGCCTGGGCACCCAGACCTACATCTGCAACGTGAA CCACAAGCCCAGCAACACCAAGGTGGACAAGAGA GTGGAGCCCAAGAGCTGCGACAAGACCCACACATG CCCCCCCTGCCCGGCGCCAGAGCTGCTGGGCGGAC CCTCCGTGTTCCTGTTCCCCCCCAAGCCCAAGGACA CCCTGATGATCAGCAGGACCCCCGAGGTGACCTGC GTGGTGGTGGACGTGAGCCACGAGGACCCAGAGGT GAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGC ACAACGCCAAGACCAAGCCCAGAGAGGAGCAGTA CAACAGCACCTACAGGGTGGTGTCCGTGCTGACCG TGCTGCACCAGGACTGGCTGAACGGCAAGGAATAC AAGTGCAAGGTCTCCAACAAGGCCCTGCCAGCCCC CATCGAAAAGACCATCAGCAAGGCCAAGGGCCAG CCACGGGAGCCCCAGGTGTACACCCTGCCCCCCTC CCGGGAGGAGATGACCAAGAACCAGGTGTCCCTGA CCTGTCTGGTGAAGGGCTTCTACCCCAGCGACATC GCCGTGGAGTGGGAGAGCAACGGCCAGCCCGAGA ACAACTACAAGACCACCCCCCCAGTGCTGGACAGC GACGGCAGCTTCTTCCTGTACAGCAAGCTGACCGT GGACAAGTCCAGGTGGCAGCAGGGCAACGTGTTCA GCTGCAGCGTGATGCACGAGGCCCTGCACAACCAC TACACCCAGAAGAGCCTGAGCTTAAGCCCCGGCAA G NOV3832 LC SEQ ID NO: 22 LCDR1 GGNNIGSQSVH (Combined) SEQ ID NO: 23 LCDR2 DDTDRPS (Combined) SEQ ID NO: 24 LCDR3 QVWDSSSDHVV (Combined) SEQ ID NO: 25 (Kabat) LCDR1 GGNNIGSQSVH SEQ ID NO: 26 (Kabat) LCDR2 DDTDRPS SEQ ID NO: 27 (Kabat) LCDR3 QVWDSSSDHVV SEQ ID NO: 28 LCDR1 NNIGSQS (Chothia) SEQ ID NO: 29 LCDR2 DDT (Chothia) SEQ ID NO: 30 LCDR3 WDSSSDHV (Chothia) SEQ ID NO: 31 (IMGT) LCDR1 NIGSQS SEQ ID NO: 32 (IMGT) LCDR2 DDT SEQ ID NO: 33 (IMGT) LCDR3 QVWDSSSDHVV SEQ ID NO: 34 VL QSALTQPPSVSVAPGQTARITCGGNNIGSQSVHWYQQ KPGQAPILVVYDDTDRPSGIPARFSGSSSGSTATLTIGR VEAGDEADYYCQVWDSSSDHVVFGGGTKLTVL SEQ ID NO: 35 DNA VL CAGTCTGCCCTGACTCAGCCACCCTCGGTGTCAGTG GCCCCAGGACAGACGGCCAGGATTACCTGTGGGGG AAACAACATTGGAAGTCAAAGTGTGCACTGGTACC AGCAGAAGCCAGGCCAGGCCCCTATACTGGTCGTC TATGATGATACCGACCGGCCCTCAGGGATCCCTGC GCGATTCTCTGGCTCCAGCTCTGGGAGCACGGCCA CCCTGACCATCGGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATAGTAGTAG TGATCATGTGGTATTCGGCGGAGGGACCAAGCTGA CCGTCTTA SEQ ID NO: 36 Light Chain QSALTQPPSVSVAPGQTARITCGGNNIGSQSVHWYQQ KPGQAPILVVYDDTDRPSGIPARFSGSSSGSTATLTIGR VEAGDEADYYCQVWDSSSDHVVFGGGTKLTVLSQP KAAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTVA WKADSSPVKAGVETTTPSKQSNNKYAASSYLSLTPEQ WKSHRSYSCQVTHEGSTVEKTVAPTECS SEQ ID NO: 37 DNA Light CAGTCTGCCCTGACTCAGCCACCCTCGGTGTCAGTG Chain GCCCCAGGACAGACGGCCAGGATTACCTGTGGGGG AAACAACATTGGAAGTCAAAGTGTGCACTGGTACC AGCAGAAGCCAGGCCAGGCCCCTATACTGGTCGTC TATGATGATACCGACCGGCCCTCAGGGATCCCTGC GCGATTCTCTGGCTCCAGCTCTGGGAGCACGGCCA CCCTGACCATCGGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATAGTAGTAG TGATCATGTGGTATTCGGCGGAGGGACCAAGCTGA CCGTCTTAAGTCAGCCCAAGGCTGCCCCCTCGGTCA CTCTGTTCCCGCCCTCCTCTGAGGAGCTTCAAGCCA ACAAGGCCACACTGGTGTGTCTCATAAGTGACTTCT ACCCGGGAGCCGTGACAGTGGCCTGGAAGGCAGAT AGCAGCCCCGTCAAGGCGGGAGTGGAGACCACCAC ACCCTCCAAACAAAGCAACAACAAGTACGCCGCCA GCAGCTACCTGAGCCTGACCCCCGAGCAGTGGAAG AGCCACAGAAGCTACAGCTGCCAGGTCACCCACGA GGGCAGCACCGTGGAGAAAACCGTGGCCCCCACCG AGTGCAGC NOV3833 HC SEQ ID NO: 38 HCDR1 GFTFHNYAMS (Combined) SEQ ID NO: 39 HCDR2 SISGSGGSTYYADSVKG (Combined) SEQ ID NO: 40 HCDR3 SSILSGGHARVYGIDV (Combined) SEQ ID NO: 41 (Kabat) HCDR1 NYAMS SEQ ID NO: 42 (Kabat) HCDR2 SISGSGGSTYYADSVKG SEQ ID NO: 43 (Kabat) HCDR3 SSILSGGHARVYGIDV SEQ ID NO: 44 HCDR1 GFTFHNY (Chothia) SEQ ID NO: 45 HCDR2 SGSGGS (Chothia) SEQ ID NO: 46 HCDR3 SSILSGGHARVYGIDV (Chothia) SEQ ID NO: 47 (IMGT) HCDR1 GFTFHNYA SEQ ID NO: 48 (IMGT) HCDR2 ISGSGGST SEQ ID NO: 49 (IMGT) HCDR3 AKSSILSGGHARVYGIDV SEQ ID NO: 50 VH EMQVLESGGGLVQPGGSLRLSCAASGFTFHNYAMSW VRQVPGKGLEWVSSISGSGGSTYYADSVKGQFTISRD NSKNTLYLQMNSLRAEDTAVYYCAKSSILSGGHARV YGIDVWGQGTTVTVSS SEQ ID NO: 51 DNA VH GAGATGCAGGTCTTGGAATCTGGCGGAGGACTGGT TCAACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCCATAACTACGCCATGTCCTG GGTCCGACAGGTGCCAGGCAAAGGACTGGAATGG GTGTCCTCTATCAGCGGCTCTGGCGGCAGCACATAT TACGCCGATAGCGTGAAGGGCCAGTTCACCATCAG CCGGGACAACAGCAAGAACACCCTGTACCTCCAGA TGAACAGCCTGAGAGCCGAGGATACCGCCGTGTAC TACTGTGCCAAGAGCAGCATTCTGTCTGGCGGCCA CGCCAGAGTGTATGGCATTGATGTTTGGGGCCAGG GAACCACCGTGACCGTTAGTTCT SEQ ID NO: 52 Heavy Chain EMQVLESGGGLVQPGGSLRLSCAASGFTFHNYAMSW VRQVPGKGLEWVSSISGSGGSTYYADSVKGQFTISRD NSKNTLYLQMNSLRAEDTAVYYCAKSSILSGGHARV YGIDVWGQGTTVTVSSASTKGPSVFPLAPSSKSTSGG TAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVD KRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDT LMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHN AKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKC KVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMT KNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEAL HNHYTQKSLSLSPGK SEQ ID NO: 53 DNA Heavy GAGATGCAGGTCTTGGAATCTGGCGGAGGACTGGT Chain TCAACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCCATAACTACGCCATGTCCTG GGTCCGACAGGTGCCAGGCAAAGGACTGGAATGG GTGTCCTCTATCAGCGGCTCTGGCGGCAGCACATAT TACGCCGATAGCGTGAAGGGCCAGTTCACCATCAG CCGGGACAACAGCAAGAACACCCTGTACCTCCAGA TGAACAGCCTGAGAGCCGAGGATACCGCCGTGTAC TACTGTGCCAAGAGCAGCATTCTGTCTGGCGGCCA CGCCAGAGTGTATGGCATTGATGTTTGGGGCCAGG GAACCACCGTGACCGTTAGTTCTGCTAGCACCAAG GGCCCCAGCGTGTTCCCCCTGGCCCCCAGCAGCAA GAGCACCAGCGGCGGCACAGCCGCCCTGGGCTGCC TGGTGAAGGACTACTTCCCCGAGCCCGTGACCGTG TCCTGGAACAGCGGAGCCCTGACCTCCGGCGTGCA CACCTTCCCCGCCGTGCTGCAGAGCAGCGGCCTGT ACAGCCTGTCCAGCGTGGTGACAGTGCCCAGCAGC AGCCTGGGCACCCAGACCTACATCTGCAACGTGAA CCACAAGCCCAGCAACACCAAGGTGGACAAGAGA GTGGAGCCCAAGAGCTGCGACAAGACCCACACATG CCCCCCCTGCCCGGCGCCAGAGCTGCTGGGCGGAC CCTCCGTGTTCCTGTTCCCCCCCAAGCCCAAGGACA CCCTGATGATCAGCAGGACCCCCGAGGTGACCTGC GTGGTGGTGGACGTGAGCCACGAGGACCCAGAGGT GAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGC ACAACGCCAAGACCAAGCCCAGAGAGGAGCAGTA CAACAGCACCTACAGGGTGGTGTCCGTGCTGACCG TGCTGCACCAGGACTGGCTGAACGGCAAGGAATAC AAGTGCAAGGTCTCCAACAAGGCCCTGCCAGCCCC CATCGAAAAGACCATCAGCAAGGCCAAGGGCCAG CCACGGGAGCCCCAGGTGTACACCCTGCCCCCCTC CCGGGAGGAGATGACCAAGAACCAGGTGTCCCTGA CCTGTCTGGTGAAGGGCTTCTACCCCAGCGACATC GCCGTGGAGTGGGAGAGCAACGGCCAGCCCGAGA ACAACTACAAGACCACCCCCCCAGTGCTGGACAGC GACGGCAGCTTCTTCCTGTACAGCAAGCTGACCGT GGACAAGTCCAGGTGGCAGCAGGGCAACGTGTTCA GCTGCAGCGTGATGCACGAGGCCCTGCACAACCAC TACACCCAGAAGAGCCTGAGCTTAAGCCCCGGCAA G NOV3833 LC SEQ ID NO: 54 LCDR1 GGNNIGSQSVH (Combined) SEQ ID NO: 55 LCDR2 DDTDRPS (Combined) SEQ ID NO: 56 LCDR3 QVWDSSSDHVV (Combined) SEQ ID NO: 57 (Kabat) LCDR1 GGNNIGSQSVH SEQ ID NO: 58 (Kabat) LCDR2 DDTDRPS SEQ ID NO: 59 (Kabat) LCDR3 QVWDSSSDHVV SEQ ID NO: 60 LCDR1 NNIGSQS (Chothia) SEQ ID NO: 61 LCDR2 DDT (Chothia) SEQ ID NO: 62 LCDR3 WDSSSDHV (Chothia) SEQ ID NO: 63 (IMGT) LCDR1 NIGSQS SEQ ID NO: 64 (IMGT) LCDR2 DDT SEQ ID NO: 65 (IMGT) LCDR3 QVWDSSSDHVV SEQ ID NO: 66 VL QSALTQPPSVSVAPGQTARITCGGNNIGSQSVHWYQQ KPGQAPILVVYDDTDRPSGIPARFSGSSSGSTATLTIGR VEAGDEADYYCQVWDSSSDHVVFGGGTKLTVL SEQ ID NO: 67 DNA VL CAGTCTGCCCTGACTCAGCCACCCTCGGTGTCAGTG GCCCCAGGACAGACGGCCAGGATTACCTGTGGGGG AAACAACATTGGAAGTCAAAGTGTGCACTGGTACC AGCAGAAGCCAGGCCAGGCCCCTATACTGGTCGTC TATGATGATACCGACCGGCCCTCAGGGATCCCTGC GCGATTCTCTGGCTCCAGCTCTGGGAGCACGGCCA CCCTGACCATCGGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATAGTAGTAG TGATCATGTGGTATTCGGCGGAGGGACCAAGCTGA CCGTCTTA SEQ ID NO: 68 Light Chain QSALTQPPSVSVAPGQTARITCGGNNIGSQSVHWYQQ KPGQAPILVVYDDTDRPSGIPARFSGSSSGSTATLTIGR VEAGDEADYYCQVWDSSSDHVVFGGGTKLTVLSQP KAAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTVA WKADSSPVKAGVETTTPSKQSNNKYAASSYLSLTPEQ WKSHRSYSCQVTHEGSTVEKTVAPTECS SEQ ID NO: 69 DNA Light CAGTCTGCCCTGACTCAGCCACCCTCGGTGTCAGTG Chain GCCCCAGGACAGACGGCCAGGATTACCTGTGGGGG AAACAACATTGGAAGTCAAAGTGTGCACTGGTACC AGCAGAAGCCAGGCCAGGCCCCTATACTGGTCGTC TATGATGATACCGACCGGCCCTCAGGGATCCCTGC GCGATTCTCTGGCTCCAGCTCTGGGAGCACGGCCA CCCTGACCATCGGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATAGTAGTAG TGATCATGTGGTATTCGGCGGAGGGACCAAGCTGA CCGTCTTAAGTCAGCCCAAGGCTGCCCCCTCGGTCA CTCTGTTCCCGCCCTCCTCTGAGGAGCTTCAAGCCA ACAAGGCCACACTGGTGTGTCTCATAAGTGACTTCT ACCCGGGAGCCGTGACAGTGGCCTGGAAGGCAGAT AGCAGCCCCGTCAAGGCGGGAGTGGAGACCACCAC ACCCTCCAAACAAAGCAACAACAAGTACGCCGCCA GCAGCTACCTGAGCCTGACCCCCGAGCAGTGGAAG AGCCACAGAAGCTACAGCTGCCAGGTCACCCACGA GGGCAGCACCGTGGAGAAAACCGTGGCCCCCACCG AGTGCAGC NOV3831 HC SEQ ID NO: 70 HCDR1 GFTFNNYAMS (Combined) SEQ ID NO: 71 HCDR2 SISGSGGSTYYADSVKG (Combined) SEQ ID NO: 72 HCDR3 SSILSGGHARVYGIDV (Combined) SEQ ID NO: 73 (Kabat) HCDR1 NYAMS SEQ ID NO: 74 (Kabat) HCDR2 SISGSGGSTYYADSVKG SEQ ID NO: 75 (Kabat) HCDR3 SSILSGGHARVYGIDV SEQ ID NO: 76 HCDR1 GFTFNNY (Chothia) SEQ ID NO: 77 HCDR2 SGSGGS (Chothia) SEQ ID NO: 78 HCDR3 SSILSGGHARVYGIDV (Chothia) SEQ ID NO: 79 (IMGT) HCDR1 GFTFNNYA SEQ ID NO: 80 (IMGT) HCDR2 ISGSGGST SEQ ID NO: 81 (IMGT) HCDR3 AKSSILSGGHARVYGIDV SEQ ID NO: 82 VH EMQVLESGGGLVQPGGSLRLSCAASGFTFNNYAMSW VRQVPGKGLEWVSSISGSGGSTYYADSVKGQFTISRD NSKNTLYLQMNSLRAEDTAVYYCAKSSILSGGHARV YGIDVWGQGTTVTVSS SEQ ID NO: 83 DNA VH GAAATGCAGGTGTTGGAGTCTGGGGGAGGCCTGGT ACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAG CCTCTGGATTCACCTTTAACAACTATGCCATGAGCT GGGTCCGCCAGGTTCCAGGGAAGGGGCTGGAGTGG GTCTCAAGTATTAGTGGTAGTGGAGGTAGCACGTA CTACGCAGACTCCGTGAAGGGCCAGTTCACCATCT CCAGAGACAATTCCAAGAATACGCTGTATCTGCAA ATGAACAGCCTGAGAGCCGAGGACACGGCCGTATA TTACTGTGCGAAATCCTCTATCTTGAGTGGTGGTCA CGCGCGGGTCTACGGCATAGACGTCTGGGGCCAAG GGACCACGGTCACCGTCTCCTCA SEQ ID NO: 84 Heavy Chain EMQVLESGGGLVQPGGSLRLSCAASGFTFNNYAMSW VRQVPGKGLEWVSSISGSGGSTYYADSVKGQFTISRD NSKNTLYLQMNSLRAEDTAVYYCAKSSILSGGHARV YGIDVWGQGTTVTVSSASTKGPSVFPLAPSSKSTSGG TAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVD KRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDT LMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHN AKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKC KVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMT KNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEAL HNHYTQKSLSLSPGK SEQ ID NO: 85 DNA Heavy GAAATGCAGGTGTTGGAGTCTGGGGGAGGCCTGGT Chain ACAGCCTGGGGGGTCCCTGAGACTCTCCTGTGCAG CCTCTGGATTCACCTTTAACAACTATGCCATGAGCT GGGTCCGCCAGGTTCCAGGGAAGGGGCTGGAGTGG GTCTCAAGTATTAGTGGTAGTGGAGGTAGCACGTA CTACGCAGACTCCGTGAAGGGCCAGTTCACCATCT CCAGAGACAATTCCAAGAATACGCTGTATCTGCAA ATGAACAGCCTGAGAGCCGAGGACACGGCCGTATA TTACTGTGCGAAATCCTCTATCTTGAGTGGTGGTCA CGCGCGGGTCTACGGCATAGACGTCTGGGGCCAAG GGACCACGGTCACCGTCTCCTCAGCCTCCACCAAG GGCCCATCGGTCTTCCCCCTGGCACCCTCCTCCAAG AGCACCTCTGGGGGCACAGCGGCCCTGGGCTGCCT GGTCAAGGACTACTTCCCCGAACCGGTGACGGTGT CATGGAACTCAGGCGCCCTGACCAGCGGCGTGCAC ACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTAC TCCCTCAGCAGCGTGGTGACCGTGCCCTCCAGCAG CTTGGGCACCCAGACCTACATCTGCAACGTGAACC ACAAGCCCAGCAACACCAAGGTGGACAAGAGAGT GGAGCCCAAGAGCTGCGACAAGACCCACACCTGCC CCCCCTGCCCAGCCCCAGAGCTGCTGGGCGGACCC TCCGTGTTCCTGTTCCCCCCCAAGCCCAAGGACACC CTGATGATCAGCAGGACCCCCGAGGTGACCTGCGT GGTGGTGGACGTGAGCCACGAGGACCCAGAGGTG AAGTTCAACTGGTACGTGGACGGCGTGGAGGTGCA CAACGCCAAGACCAAGCCCAGAGAGGAGCAGTAC AACAGCACCTACAGGGTGGTGTCCGTGCTGACCGT GCTGCACCAGGACTGGCTGAACGGCAAGGAATACA AGTGCAAGGTCTCCAACAAGGCCCTGCCAGCCCCC ATCGAAAAGACCATCAGCAAGGCCAAGGGCCAGC CACGGGAGCCCCAGGTGTACACCCTGCCCCCCTCC CGGGAGGAGATGACCAAGAACCAGGTGTCCCTGAC CTGTCTGGTGAAGGGCTTCTACCCCAGCGACATCG CCGTGGAGTGGGAGAGCAACGGCCAGCCCGAGAA CAACTACAAGACCACCCCCCCAGTGCTGGACAGCG ACGGCAGCTTCTTCCTGTACAGCAAGCTGACCGTG GACAAGTCCAGGTGGCAGCAGGGCAACGTGTTCAG CTGCAGCGTGATGCACGAGGCCCTGCACAACCACT ACACCCAGAAGAGCCTGAGCCTGTCCCCCGGCAAG NOV3831 LC SEQ ID NO: 86 LCDR1 GGNNIGSQSVH (Combined) SEQ ID NO: 87 LCDR2 DDTDRPS (Combined) SEQ ID NO: 88 LCDR3 QVWDSSSDHVV (Combined) SEQ ID NO: 89 (Kabat) LCDR1 GGNNIGSQSVH SEQ ID NO: 90 (Kabat) LCDR2 DDTDRPS SEQ ID NO: 91 (Kabat) LCDR3 QVWDSSSDHVV SEQ ID NO: 92 (Chothia) LCDR1 NNIGSQS SEQ ID NO: 93 (Chothia) LCDR2 DDT SEQ ID NO: 94 (Chothia) LCDR3 WDSSSDHV SEQ ID NO: 95 (IMGT) LCDR1 NIGSQS SEQ ID NO: 96 (IMGT) LCDR2 DDT SEQ ID NO: 97 (IMGT) LCDR3 QVWDSSSDHVV SEQ ID NO: 98 VL QSALTQPPSVSVAPGQTARITCGGNNIGSQSVHWYQQ KPGQAPILVVYDDTDRPSGIPARFSGSSSGSTATLTIGR VEAGDEADYYCQVWDSSSDHVVFGGGTKLTVL SEQ ID NO: 99 DNA VL CAGTCTGCCCTGACTCAGCCACCCTCGGTGTCAGTG GCCCCAGGACAGACGGCCAGGATTACCTGTGGGGG AAACAACATTGGAAGTCAAAGTGTGCACTGGTACC AGCAGAAGCCAGGCCAGGCCCCTATACTGGTCGTC TATGATGATACCGACCGGCCCTCAGGGATCCCTGC GCGATTCTCTGGCTCCAGCTCTGGGAGCACGGCCA CCCTGACCATCGGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATAGTAGTAG TGATCATGTGGTATTCGGCGGAGGGACCAAGCTGA CCGTCTTA SEQ ID NO: 100 Light Chain QSALTQPPSVSVAPGQTARITCGGNNIGSQSVHWYQQ KPGQAPILVVYDDTDRPSGIPARFSGSSSGSTATLTIGR VEAGDEADYYCQVWDSSSDHVVFGGGTKLTVLSQP KAAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTVA WKADSSPVKAGVETTTPSKQSNNKYAASSYLSLTPEQ WKSHRSYSCQVTHEGSTVEKTVAPTECS SEQ ID NO: 101 DNA Light CAGTCTGCCCTGACTCAGCCACCCTCGGTGTCAGTG Chain GCCCCAGGACAGACGGCCAGGATTACCTGTGGGGG AAACAACATTGGAAGTCAAAGTGTGCACTGGTACC AGCAGAAGCCAGGCCAGGCCCCTATACTGGTCGTC TATGATGATACCGACCGGCCCTCAGGGATCCCTGC GCGATTCTCTGGCTCCAGCTCTGGGAGCACGGCCA CCCTGACCATCGGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATAGTAGTAG TGATCATGTGGTATTCGGCGGAGGGACCAAGCTGA CCGTCTTAAGTCAGCCCAAGGCTGCCCCCTCGGTCA CTCTGTTCCCGCCCTCCTCTGAGGAGCTTCAAGCCA ACAAGGCCACACTGGTGTGTCTCATAAGTGACTTCT ACCCGGGAGCCGTGACAGTGGCCTGGAAGGCAGAT AGCAGCCCCGTCAAGGCGGGAGTGGAGACCACCAC ACCCTCCAAACAAAGCAACAACAAGTACGCCGCCA GCAGCTACCTGAGCCTGACCCCCGAGCAGTGGAAG AGCCACAGAAGCTACAGCTGCCAGGTCACCCACGA GGGCAGCACCGTGGAGAAAACCGTGGCCCCCACCG AGTGCAGC NOV3540 HC SEQ ID NO: 102 HCDR1 GFTFSPHAMS (Combined) SEQ ID NO: 103 HCDR2 AISDSGGSTHYADSVKG (Combined) SEQ ID NO: 104 HCDR3 DDDAWSGYDYWFDY (Combined) SEQ ID NO: 105 (Kabat) HCDR1 PHAMS SEQ ID NO: 106 (Kabat) HCDR2 AISDSGGSTHYADSVKG SEQ ID NO: 107 (Kabat) HCDR3 DDDAWSGYDYWFDY SEQ ID NO: 108 HCDR1 GFTFSPH (Chothia) SEQ ID NO: 109 HCDR2 SDSGGS (Chothia) SEQ ID NO: 110 HCDR3 DDDAWSGYDYWFDY (Chothia) SEQ ID NO: 111 HCDR1 GFTFSPHA (IMGT) SEQ ID NO: 112 HCDR2 ISDSGGST (IMGT) SEQ ID NO: 113 HCDR3 ARDDDAWSGYDYWFDY (IMGT) SEQ ID NO: 114 VH EVQLLESGGGLVQPGGSLRLSCAASGFTFSPHAMSW VRQAPGKGLEWVSAISDSGGSTHYADSVKGRFTISRD NSKNTLYLQMNSLRAEDTAVYYCARDDDAWSGYDY WFDYWGQGTLVTVSS SEQ ID NO: 115 DNA VH GAGGTCCAATTGCTGGAATCTGGCGGAGGACTGGT TCAGCCTGGTGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTTAGCCCTCATGCCATGTCCTG GGTCCGACAGGCTCCTGGAAAAGGACTCGAGTGGG TGTCCGCCATTTCTGATTCTGGCGGCAGCACACACT ACGCCGATAGCGTGAAGGGCAGATTCACCATCAGC CGGGACAACAGCAAGAACACCCTGTACCTGCAGAT GAACAGCCTGAGAGCCGAGGACACAGCCGTGTACT ATTGCGCGCGTGACGATGATGCTTGGTCCGGCTAC GACTATTGGTTCGATTACTGGGGCCAGGGCACCCT GGTCACAGTTAGCTCA SEQ ID NO: 116 Heavy Chain EVQLLESGGGLVQPGGSLRLSCAASGFTFSPHAMSW VRQAPGKGLEWVSAISDSGGSTHYADSVKGRFTISRD NSKNTLYLQMNSLRAEDTAVYYCARDDDAWSGYDY WFDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGT AALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQ SSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDK RVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTL MISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK VSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTK NQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALH NHYTQKSLSLSPGK SEQ ID NO: 117 DNA Heavy GAGGTCCAATTGCTGGAATCTGGCGGAGGACTGGT Chain TCAGCCTGGTGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTTAGCCCTCATGCCATGTCCTG GGTCCGACAGGCTCCTGGAAAAGGACTCGAGTGGG TGTCCGCCATTTCTGATTCTGGCGGCAGCACACACT ACGCCGATAGCGTGAAGGGCAGATTCACCATCAGC CGGGACAACAGCAAGAACACCCTGTACCTGCAGAT GAACAGCCTGAGAGCCGAGGACACAGCCGTGTACT ATTGCGCGCGTGACGATGATGCTTGGTCCGGCTAC GACTATTGGTTCGATTACTGGGGCCAGGGCACCCT GGTCACAGTTAGCTCAGCTAGCACCAAGGGCCCCA GCGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCACC AGCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGAA GGACTACTTCCCCGAGCCCGTGACCGTGTCCTGGA ACAGCGGAGCCCTGACCTCCGGCGTGCACACCTTC CCCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCCT GTCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTGG GCACCCAGACCTACATCTGCAACGTGAACCACAAG CCCAGCAACACCAAGGTGGACAAGAGAGTGGAGC CCAAGAGCTGCGACAAGACCCACACATGCCCCCCC TGCCCGGCGCCAGAGCTGCTGGGCGGACCCTCCGT GTTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGAT GATCAGCAGGACCCCCGAGGTGACCTGCGTGGTGG TGGACGTGAGCCACGAGGACCCAGAGGTGAAGTTC AACTGGTACGTGGACGGCGTGGAGGTGCACAACGC CAAGACCAAGCCCAGAGAGGAGCAGTACAACAGC ACCTACAGGGTGGTGTCCGTGCTGACCGTGCTGCA CCAGGACTGGCTGAACGGCAAGGAATACAAGTGCA AGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGAA AAGACCATCAGCAAGGCCAAGGGCCAGCCACGGG AGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGAG GAGATGACCAAGAACCAGGTGTCCCTGACCTGTCT GGTGAAGGGCTTCTACCCCAGCGACATCGCCGTGG AGTGGGAGAGCAACGGCCAGCCCGAGAACAACTA CAAGACCACCCCCCCAGTGCTGGACAGCGACGGCA GCTTCTTCCTGTACAGCAAGCTGACCGTGGACAAG TCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCAG CGTGATGCACGAGGCCCTGCACAACCACTACACCC AGAAGAGCCTGAGCTTAAGCCCCGGCAAG NOV3540 LC SEQ ID NO: 118 LCDR1 RASQSISPYLN (Combined) SEQ ID NO: 119 LCDR2 AADSLQS (Combined) SEQ ID NO: 120 LCDR3 QQSYKIPLT (Combined) SEQ ID NO: 121 (Kabat) LCDR1 RASQSISPYLN SEQ ID NO: 122 (Kabat) LCDR2 AADSLQS SEQ ID NO: 123 (Kabat) LCDR3 QQSYKIPLT SEQ ID NO: 124 LCDR1 SQSISPY (Chothia) SEQ ID NO: 125 LCDR2 AAD (Chothia) SEQ ID NO: 126 LCDR3 SYKIPL (Chothia) SEQ ID NO: 127 LCDR1 QSISPY (IMGT) SEQ ID NO: 128 LCDR2 AAD (IMGT) SEQ ID NO: 129 LCDR3 QQSYKIPLT (IMGT) SEQ ID NO: 130 VL DIQMTQSPSSLSASVGDRVTITCRASQSISPYLNWYQQ KPGKAPKLLIYAADSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYKIPLTFGQGTKVEIK SEQ ID NO: 131 DNA VL GATATCCAGATGACACAGAGCCCTAGCAGCCTGTC TGCCTCTGTGGGCGATAGAGTGACCATCACCTGTA GAGCCAGCCAGAGCATCAGCCCCTACCTGAATTGG TACCAGCAGAAGCCTGGCAAGGCCCCTAAGCTGCT GATCTATGCTGCCGACTCTCTGCAGTCTGGCGTGCC AAGCAGATTTTCTGGCAGCGGCTCTGGCACCGACT TCACCCTGACAATTAGCTCCCTGCAGCCTGAAGACT TCGCCACCTACTACTGCCAGCAGAGCTACAAGATC CCTCTGACCTTTGGCCAGGGCACCAAGGTGGAAAT CAAG SEQ ID NO: 132 Light Chain DIQMTQSPSSLSASVGDRVTITCRASQSISPYLNWYQQ KPGKAPKLLIYAADSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYKIPLTFGQGTKVEIKRTVAAPS VFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVD NALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEK VHKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 133 DNA Light GATATCCAGATGACACAGAGCCCTAGCAGCCTGTC Chain TGCCTCTGTGGGCGATAGAGTGACCATCACCTGTA GAGCCAGCCAGAGCATCAGCCCCTACCTGAATTGG TACCAGCAGAAGCCTGGCAAGGCCCCTAAGCTGCT GATCTATGCTGCCGACTCTCTGCAGTCTGGCGTGCC AAGCAGATTTTCTGGCAGCGGCTCTGGCACCGACT TCACCCTGACAATTAGCTCCCTGCAGCCTGAAGACT TCGCCACCTACTACTGCCAGCAGAGCTACAAGATC CCTCTGACCTTTGGCCAGGGCACCAAGGTGGAAAT CAAGCGTACGGTGGCCGCTCCCAGCGTGTTCATCTT CCCCCCCAGCGACGAGCAGCTGAAGAGCGGCACCG CCAGCGTGGTGTGCCTGCTGAACAACTTCTACCCCC GGGAGGCCAAGGTGCAGTGGAAGGTGGACAACGC CCTGCAGAGCGGCAACAGCCAGGAGAGCGTCACCG AGCAGGACAGCAAGGACTCCACCTACAGCCTGAGC AGCACCCTGACCCTGAGCAAGGCCGACTACGAGAA GCATAAGGTGTACGCCTGCGAGGTGACCCACCAGG GCCTGTCCAGCCCCGTGACCAAGAGCTTCAACAGG GGCGAGTGC NOV3357 HC SEQ ID NO: 134 HCDR1 GFTFSPHAMS (Combined) SEQ ID NO: 135 HCDR2 AISDSGGSTHYADSVKG (Combined) SEQ ID NO: 136 HCDR3 DDDGWSGYDYWFDY (Combined) SEQ ID NO: 137 (Kabat) HCDR1 PHAMS SEQ ID NO: 138 (Kabat) HCDR2 AISDSGGSTHYADSVKG SEQ ID NO: 139 (Kabat) HCDR3 DDDGWSGYDYWFDY SEQ ID NO: 140 HCDR1 GFTFSPH (Chothia) SEQ ID NO: 141 HCDR2 SDSGGS (Chothia) SEQ ID NO: 142 HCDR3 DDDGWSGYDYWFDY (Chothia) SEQ ID NO: 143 HCDR1 GFTFSPHA (IMGT) SEQ ID NO: 144 HCDR2 ISDSGGST (IMGT) SEQ ID NO: 145 HCDR3 ARDDDGWSGYDYWFDY (IMGT) SEQ ID NO: 146 VH EVQLLESGGGLVQPGGSLRLSCAASGFTFSPHAMSW VRQAPGKGLEWVSAISDSGGSTHYADSVKGRFTISRD NSKNTLYLQMNSLRAEDTAVYYCARDDDGWSGYDY WFDYWGQGTLVTVSS SEQ ID NO: 147 DNA VH GAGGTCCAATTGCTGGAATCTGGCGGAGGACTGGT TCAGCCTGGTGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACATTCAGCCCTCATGCCATGTCCTG GGTCCGACAGGCTCCTGGAAAAGGACTCGAGTGGG TGTCCGCCATTTCTGATTCTGGCGGCAGCACACACT ACGCCGATAGCGTGAAGGGCAGATTCACCATCAGC CGGGACAACAGCAAGAACACCCTGTACCTGCAGAT GAACAGCCTGAGAGCCGAGGACACAGCCGTGTACT ATTGCGCGCGTGACGATGATGGATGGTCCGGCTAC GACTATTGGTTCGATTACTGGGGCCAGGGCACCCT GGTCACAGTTAGCTCA SEQ ID NO: 148 Heavy Chain EVQLLESGGGLVQPGGSLRLSCAASGFTFSPHAMSW VRQAPGKGLEWVSAISDSGGSTHYADSVKGRFTISRD NSKNTLYLQMNSLRAEDTAVYYCARDDDGWSGYDY WFDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGT AALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQ SSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDK RVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTL MISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK VSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTK NQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALH NHYTQKSLSLSPGK SEQ ID NO: 149 DNA Heavy GAGGTCCAATTGCTGGAATCTGGCGGAGGACTGGT Chain TCAGCCTGGTGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACATTCAGCCCTCATGCCATGTCCTG GGTCCGACAGGCTCCTGGAAAAGGACTCGAGTGGG TGTCCGCCATTTCTGATTCTGGCGGCAGCACACACT ACGCCGATAGCGTGAAGGGCAGATTCACCATCAGC CGGGACAACAGCAAGAACACCCTGTACCTGCAGAT GAACAGCCTGAGAGCCGAGGACACAGCCGTGTACT ATTGCGCGCGTGACGATGATGGATGGTCCGGCTAC GACTATTGGTTCGATTACTGGGGCCAGGGCACCCT GGTCACAGTTAGCTCAGCTAGCACCAAGGGCCCCA GCGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCACC AGCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGAA GGACTACTTCCCCGAGCCCGTGACCGTGTCCTGGA ACAGCGGAGCCCTGACCTCCGGCGTGCACACCTTC CCCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCCT GTCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTGG GCACCCAGACCTACATCTGCAACGTGAACCACAAG CCCAGCAACACCAAGGTGGACAAGAGAGTGGAGC CCAAGAGCTGCGACAAGACCCACACATGCCCCCCC TGCCCGGCGCCAGAGCTGCTGGGCGGACCCTCCGT GTTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGAT GATCAGCAGGACCCCCGAGGTGACCTGCGTGGTGG TGGACGTGAGCCACGAGGACCCAGAGGTGAAGTTC AACTGGTACGTGGACGGCGTGGAGGTGCACAACGC CAAGACCAAGCCCAGAGAGGAGCAGTACAACAGC ACCTACAGGGTGGTGTCCGTGCTGACCGTGCTGCA CCAGGACTGGCTGAACGGCAAGGAATACAAGTGCA AGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGAA AAGACCATCAGCAAGGCCAAGGGCCAGCCACGGG AGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGAG GAGATGACCAAGAACCAGGTGTCCCTGACCTGTCT GGTGAAGGGCTTCTACCCCAGCGACATCGCCGTGG AGTGGGAGAGCAACGGCCAGCCCGAGAACAACTA CAAGACCACCCCCCCAGTGCTGGACAGCGACGGCA GCTTCTTCCTGTACAGCAAGCTGACCGTGGACAAG TCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCAG CGTGATGCACGAGGCCCTGCACAACCACTACACCC AGAAGAGCCTGAGCTTAAGCCCCGGCAAG NOV3357LC SEQ ID NO: 150 LCDR1 RASQSISPYLN (Combined) SEQ ID NO: 151 LCDR2 AADSLQS (Combined) SEQ ID NO: 152 LCDR3 QQSYKIPLT (Combined) SEQ ID NO: 153 (Kabat) LCDR1 RASQSISPYLN SEQ ID NO: 154 (Kabat) LCDR2 AADSLQS SEQ ID NO: 155 (Kabat) LCDR3 QQSYKIPLT SEQ ID NO: 156 LCDR1 SQSISPY (Chothia) SEQ ID NO: 157 LCDR2 AAD (Chothia) SEQ ID NO: 158 LCDR3 SYKIPL (Chothia) SEQ ID NO: 159 LCDR1 QSISPY (IMGT) SEQ ID NO: 160 LCDR2 AAD (IMGT) SEQ ID NO: 161 LCDR3 QQSYKIPLT (IMGT) SEQ ID NO: 162 VL DIQMTQSPSSLSASVGDRVTITCRASQSISPYLNWYQQ KPGKAPKLLIYAADSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYKIPLTFGQGTKVEIK SEQ ID NO: 163 DNA VL GATATCCAGATGACACAGAGCCCTAGCAGCCTGTC TGCCTCTGTGGGCGATAGAGTGACCATCACCTGTA GAGCCAGCCAGAGCATCAGCCCCTACCTGAATTGG TACCAGCAGAAGCCTGGCAAGGCCCCTAAGCTGCT GATCTATGCTGCCGACTCTCTGCAGTCTGGCGTGCC AAGCAGATTTTCTGGCAGCGGCTCTGGCACCGACT TCACCCTGACAATTAGCTCCCTGCAGCCTGAAGACT TCGCCACCTACTACTGCCAGCAGAGCTACAAGATC CCTCTGACCTTTGGCCAGGGCACCAAGGTGGAAAT CAAG SEQ ID NO: 164 Light Chain DIQMTQSPSSLSASVGDRVTITCRASQSISPYLNWYQQ KPGKAPKLLIYAADSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYKIPLTFGQGTKVEIKRTVAAPS VFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVD NALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEK HKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 165 DNA Light GATATCCAGATGACACAGAGCCCTAGCAGCCTGTC Chain TGCCTCTGTGGGCGATAGAGTGACCATCACCTGTA GAGCCAGCCAGAGCATCAGCCCCTACCTGAATTGG TACCAGCAGAAGCCTGGCAAGGCCCCTAAGCTGCT GATCTATGCTGCCGACTCTCTGCAGTCTGGCGTGCC AAGCAGATTTTCTGGCAGCGGCTCTGGCACCGACT TCACCCTGACAATTAGCTCCCTGCAGCCTGAAGACT TCGCCACCTACTACTGCCAGCAGAGCTACAAGATC CCTCTGACCTTTGGCCAGGGCACCAAGGTGGAAAT CAAGCGTACGGTGGCCGCTCCCAGCGTGTTCATCTT CCCCCCCAGCGACGAGCAGCTGAAGAGCGGCACCG CCAGCGTGGTGTGCCTGCTGAACAACTTCTACCCCC GGGAGGCCAAGGTGCAGTGGAAGGTGGACAACGC CCTGCAGAGCGGCAACAGCCAGGAGAGCGTCACCG AGCAGGACAGCAAGGACTCCACCTACAGCCTGAGC AGCACCCTGACCCTGAGCAAGGCCGACTACGAGAA GCATAAGGTGTACGCCTGCGAGGTGACCCACCAGG GCCTGTCCAGCCCCGTGACCAAGAGCTTCAACAGG GGCGAGTGC NOV3834HC SEQ ID NO: 166 HCDR1 GFTFNRYGMH (Combined) SEQ ID NO: 167 HCDR2 GIWHDGSHKYYADSLRG (Combined) SEQ ID NO: 168 HCDR3 QTNRGRLDDAFDI (Combined) SEQ ID NO: 169 (Kabat) HCDR1 RYGMH SEQ ID NO: 170 (Kabat) HCDR2 GIWHDGSHKYYADSLRG SEQ ID NO: 171 (Kabat) HCDR3 QTNRGRLDDAFDI SEQ ID NO: 172 HCDR1 GFTFNRY (Chothia) SEQ ID NO: 173 HCDR2 WHDGSH (Chothia) SEQ ID NO: 174 HCDR3 QTNRGRLDDAFDI (Chothia) SEQ ID NO: 175 HCDR1 GFTFNRYG (IMGT) SEQ ID NO: 176 HCDR2 IWHDGSHK (IMGT) SEQ ID NO: 177 HCDR3 VRQTNRGRLDDAFDI (IMGT) SEQ ID NO: 178 VH QVQLVESGGGVVQPGRSLRLSCAASGFTFNRYGMH WVRQAPGKGLEWVAGIWHDGSHKYYADSLRGRFTI SRDNAKNTLDLQLNRLRAEDTSVYYCVRQTNRGRLD DAFDIWGQGTMVTVSS SEQ ID NO: 179 DNA VH CAGGTGCAGCTGGTGGAGTCTGGGGGAGGCGTGGT CCAGCCTGGGAGGTCCCTGAGACTCTCCTGTGCAG CGTCAGGATTCACATTCAATAGATATGGCATGCAC TGGGTCCGCCAGGCTCCAGGCAAGGGGTTGGAGTG GGTGGCTGGTATATGGCATGATGGAAGTCATAAAT ACTATGCAGACTCTCTGAGGGGCCGATTCACCATCT CCAGAGACAATGCCAAGAACACGCTGGATCTGCAA TTGAACAGGCTGAGAGCCGAAGACACGTCTGTGTA TTATTGTGTGAGGCAAACCAACAGGGGACGTCTCG ATGATGCTTTTGACATCTGGGGCCAAGGGACAATG GTCACCGTTAGCTCA SEQ ID NO: 180 Heavy Chain QVQLVESGGGVVQPGRSLRLSCAASGFTFNRYGMH WVRQAPGKGLEWVAGIWHDGSHKYYADSLRGRFTI SRDNAKNTLDLQLNRLRAEDTSVYYCVRQTNRGRLD DAFDIWGQGTMVTVSSASTKGPSVFPLAPSSKSTSGG TAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVD KRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDT LMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHN AKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKC KVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMT KNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEAL HNHYTQKSLSLSPGK SEQ ID NO: 181 DNA Heavy CAGGTGCAGCTGGTGGAGTCTGGGGGAGGCGTGGT Chain CCAGCCTGGGAGGTCCCTGAGACTCTCCTGTGCAG CGTCAGGATTCACATTCAATAGATATGGCATGCAC TGGGTCCGCCAGGCTCCAGGCAAGGGGTTGGAGTG GGTGGCTGGTATATGGCATGATGGAAGTCATAAAT ACTATGCAGACTCTCTGAGGGGCCGATTCACCATCT CCAGAGACAATGCCAAGAACACGCTGGATCTGCAA TTGAACAGGCTGAGAGCCGAAGACACGTCTGTGTA TTATTGTGTGAGGCAAACCAACAGGGGACGTCTCG ATGATGCTTTTGACATCTGGGGCCAAGGGACAATG GTCACCGTTAGCTCAGCTAGCACCAAGGGCCCCAG CGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCACCA GCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGAAG GACTACTTCCCCGAGCCCGTGACCGTGTCCTGGAA CAGCGGAGCCCTGACCTCCGGCGTGCACACCTTCC CCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCCTG TCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTGGG CACCCAGACCTACATCTGCAACGTGAACCACAAGC CCAGCAACACCAAGGTGGACAAGAGAGTGGAGCC CAAGAGCTGCGACAAGACCCACACCTGCCCCCCCT GCCCAGCCCCAGAGCTGCTGGGCGGACCCTCCGTG TTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGATG ATCAGCAGGACCCCCGAGGTGACCTGCGTGGTGGT GGACGTGAGCCACGAGGACCCAGAGGTGAAGTTCA ACTGGTACGTGGACGGCGTGGAGGTGCACAACGCC AAGACCAAGCCCAGAGAGGAGCAGTACAACAGCA CCTACAGGGTGGTGTCCGTGCTGACCGTGCTGCAC CAGGACTGGCTGAACGGCAAGGAATACAAGTGCA AGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGAA AAGACCATCAGCAAGGCCAAGGGCCAGCCACGGG AGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGAG GAGATGACCAAGAACCAGGTGTCCCTGACCTGTCT GGTGAAGGGCTTCTACCCCAGCGACATCGCCGTGG AGTGGGAGAGCAACGGCCAGCCCGAGAACAACTA CAAGACCACCCCCCCAGTGCTGGACAGCGACGGCA GCTTCTTCCTGTACAGCAAGCTGACCGTGGACAAG TCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCAG CGTGATGCACGAGGCCCTGCACAACCACTACACCC AGAAGAGCCTGAGCCTGTCCCCCGGCAAG NOV3834LC SEQ ID NO: 182 LCDR1 RASQTISSYLN (Combined) SEQ ID NO: 183 LCDR2 AASTLQS (Combined) SEQ ID NO: 184 LCDR3 QQNYDTLWT (Combined) SEQ ID NO: 185 (Kabat) LCDR1 RASQTISSYLN SEQ ID NO: 186 (Kabat) LCDR2 AASTLQS SEQ ID NO: 187 (Kabat) LCDR3 QQNYDTLWT SEQ ID NO: 188 LCDR1 SQTISSY (Chothia) SEQ ID NO: 189 LCDR2 AAS (Chothia) SEQ ID NO: 190 LCDR3 NYDTLW (Chothia) SEQ ID NO: 191 LCDR1 QTISSY (IMGT) SEQ ID NO: 192 LCDR2 AAS (IMGT) SEQ ID NO: 193 LCDR3 QQNYDTLWT (IMGT) SEQ ID NO: 194 VL DIQMTQSPSSLSAAVGDRVTISCRASQTISSYLNWYQ QKPGEAPKLLIYAASTLQSGVPSRFGGSGSGTDFTLTI SSLQPEDSATYYCQQNYDTLWTFGQGTKVEIK SEQ ID NO: 195 DNA VL GATATCCAGATGACCCAGTCTCCATCCTCCCTGTCT GCAGCTGTAGGAGACAGAGTCACCATCTCTTGCCG GGCAAGTCAGACCATTAGTAGTTATTTAAATTGGT ATCAGCAGAAACCAGGGGAAGCCCCTAAGCTCCTG ATCTATGCTGCCTCCACCTTGCAAAGTGGGGTCCCT TCAAGGTTCGGTGGCAGTGGATCTGGGACAGATTT CACTCTCACCATCAGCAGTCTGCAACCTGAAGATTC TGCAACTTACTACTGTCAACAGAATTACGATACTTT GTGGACGTTCGGCCAAGGGACCAAGGTGGAAATCA AA SEQ ID NO: 196 Light Chain DIQMTQSPSSLSAAVGDRVTISCRASQTISSYLNWYQ QKPGEAPKLLIYAASTLQSGVPSRFGGSGSGTDFTLTI SSLQPEDSATYYCQQNYDTLWTFGQGTKVEIKRTVA APSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQW KVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKAD YEKHKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 197 DNA Light GATATCCAGATGACCCAGTCTCCATCCTCCCTGTCT Chain GCAGCTGTAGGAGACAGAGTCACCATCTCTTGCCG GGCAAGTCAGACCATTAGTAGTTATTTAAATTGGT ATCAGCAGAAACCAGGGGAAGCCCCTAAGCTCCTG ATCTATGCTGCCTCCACCTTGCAAAGTGGGGTCCCT TCAAGGTTCGGTGGCAGTGGATCTGGGACAGATTT CACTCTCACCATCAGCAGTCTGCAACCTGAAGATTC TGCAACTTACTACTGTCAACAGAATTACGATACTTT GTGGACGTTCGGCCAAGGGACCAAGGTGGAAATCA AACGTACGGTGGCCGCTCCCAGCGTGTTCATCTTCC CCCCCAGCGACGAGCAGCTGAAGAGCGGCACCGCC AGCGTGGTGTGCCTGCTGAACAACTTCTACCCCCG GGAGGCCAAGGTGCAGTGGAAGGTGGACAACGCC CTGCAGAGCGGCAACAGCCAGGAGAGCGTCACCG AGCAGGACAGCAAGGACTCCACCTACAGCCTGAGC AGCACCCTGACCCTGAGCAAGGCCGACTACGAGAA GCATAAGGTGTACGCCTGCGAGGTGACCCACCAGG GCCTGTCCAGCCCCGTGACCAAGAGCTTCAACAGG GGCGAGTGC NOV3835 HC SEQ ID NO: 198 HCDR1 GFTFDRYGMH (Combined) SEQ ID NO: 199 HCDR2 GIWHEGSHKYYADSLRG (Combined) SEQ ID NO: 200 HCDR3 QTNRGRLDDAFDI (Combined) SEQ ID NO: 201 (Kabat) HCDR1 RYGMH SEQ ID NO: 202 (Kabat) HCDR2 GIWHEGSHKYYADSLRG SEQ ID NO: 203 (Kabat) HCDR3 QTNRGRLDDAFDI SEQ ID NO: 204 HCDR1 GFTFDRY (Chothia) SEQ ID NO: 205 HCDR2 WHEGSH (Chothia) SEQ ID NO: 206 HCDR3 QTNRGRLDDAFDI (Chothia) SEQ ID NO: 207 HCDR1 GFTFDRYG (IMGT) SEQ ID NO: 208 HCDR2 IWHEGSHK (IMGT) SEQ ID NO: 209 HCDR3 VRQTNRGRLDDAFDI (IMGT) SEQ ID NO: 210 VH QVQLVESGGGVVQPGRSLRLSCAASGFTFDRYGMH WVRQAPGKGLEWVAGIWHEGSHKYYADSLRGRFTIS RDNAKNTLDLQLNRLRAEDTSVYYCVRQTNRGRLD DAFDIWGQGTMVTVSS SEQ ID NO: 211 DNA VH CAGGTGCAGCTGGTTGAATCTGGTGGCGGAGTGGT GCAGCCTGGCAGATCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCGACAGATATGGCATGCACT GGGTCCGACAGGCCCCTGGAAAAGGACTTGAATGG GTGGCCGGAATCTGGCACGAAGGCAGCCACAAGTA CTACGCCGATAGCCTGAGAGGCCGGTTCACCATCA GCAGAGACAACGCCAAGAACACCCTGGACCTCCAG CTGAACAGACTGAGAGCCGAGGATACCAGCGTGTA CTACTGCGTGCGGCAGACCAACAGAGGCAGACTGG ACGATGCCTTCGATATCTGGGGCCAAGGGACAATG GTCACCGTTAGCTCA SEQ ID NO: 212 Heavy Chain QVQLVESGGGVVQPGRSLRLSCAASGFTFDRYGMH WVRQAPGKGLEWVAGIWHEGSHKYYADSLRGRFTIS RDNAKNTLDLQLNRLRAEDTSVYYCVRQTNRGRLD DAFDIWGQGTMVTVSSASTKGPSVFPLAPSSKSTSGG TAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVL QSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVD KRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDT LMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHN AKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKC KVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMT KNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEAL HNHYTQKSLSLSPGK SEQ ID NO: 213 DNA Heavy CAGGTGCAGCTGGTTGAATCTGGTGGCGGAGTGGT Chain GCAGCCTGGCAGATCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCGACAGATATGGCATGCACT GGGTCCGACAGGCCCCTGGAAAAGGACTTGAATGG GTGGCCGGAATCTGGCACGAAGGCAGCCACAAGTA CTACGCCGATAGCCTGAGAGGCCGGTTCACCATCA GCAGAGACAACGCCAAGAACACCCTGGACCTCCAG CTGAACAGACTGAGAGCCGAGGATACCAGCGTGTA CTACTGCGTGCGGCAGACCAACAGAGGCAGACTGG ACGATGCCTTCGATATCTGGGGCCAAGGGACAATG GTCACCGTTAGCTCAGCTAGCACCAAGGGCCCCAG CGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCACCA GCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGAAG GACTACTTCCCCGAGCCCGTGACCGTGTCCTGGAA CAGCGGAGCCCTGACCTCCGGCGTGCACACCTTCC CCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCCTG TCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTGGG CACCCAGACCTACATCTGCAACGTGAACCACAAGC CCAGCAACACCAAGGTGGACAAGAGAGTGGAGCC CAAGAGCTGCGACAAGACCCACACCTGCCCCCCCT GCCCAGCCCCAGAGCTGCTGGGCGGACCCTCCGTG TTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGATG ATCAGCAGGACCCCCGAGGTGACCTGCGTGGTGGT GGACGTGAGCCACGAGGACCCAGAGGTGAAGTTCA ACTGGTACGTGGACGGCGTGGAGGTGCACAACGCC AAGACCAAGCCCAGAGAGGAGCAGTACAACAGCA CCTACAGGGTGGTGTCCGTGCTGACCGTGCTGCAC CAGGACTGGCTGAACGGCAAGGAATACAAGTGCA AGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGAA AAGACCATCAGCAAGGCCAAGGGCCAGCCACGGG AGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGAG GAGATGACCAAGAACCAGGTGTCCCTGACCTGTCT GGTGAAGGGCTTCTACCCCAGCGACATCGCCGTGG AGTGGGAGAGCAACGGCCAGCCCGAGAACAACTA CAAGACCACCCCCCCAGTGCTGGACAGCGACGGCA GCTTCTTCCTGTACAGCAAGCTGACCGTGGACAAG TCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCAG CGTGATGCACGAGGCCCTGCACAACCACTACACCC AGAAGAGCCTGAGCCTGTCCCCCGGCAAG NOV3835LC SEQ ID NO: 214 LCDR1 RASQTISSYLN (Combined) SEQ ID NO: 215 LCDR2 AASTLQS (Combined) SEQ ID NO: 216 LCDR3 QQNYDTLWT (Combined) SEQ ID NO: 217 (Kabat) LCDR1 RASQTISSYLN SEQ ID NO: 218 (Kabat) LCDR2 AASTLQS SEQ ID NO: 219 (Kabat) LCDR3 QQNYDTLWT SEQ ID NO: 220 LCDR1 SQTISSY (Chothia) SEQ ID NO: 221 LCDR2 AAS (Chothia) SEQ ID NO: 222 LCDR3 NYDTLW (Chothia) SEQ ID NO: 223 LCDR1 QTISSY (IMGT) SEQ ID NO: 224 LCDR2 AAS (IMGT) SEQ ID NO: 225 LCDR3 QQNYDTLWT (IMGT) SEQ ID NO: 226 VL DIQMTQSPSSLSAAVGDRVTISCRASQTISSYLNWYQ QKPGEAPKLLIYAASTLQSGVPSRFGGSGSGTDFTLTI SSLQPEDSATYYCQQNYDTLWTFGQGTKVEIK SEQ ID NO: 227 DNA VL GATATCCAGATGACCCAGTCTCCATCCTCCCTGTCT GCAGCTGTAGGAGACAGAGTCACCATCTCTTGCCG GGCAAGTCAGACCATTAGTAGTTATTTAAATTGGT ATCAGCAGAAACCAGGGGAAGCCCCTAAGCTCCTG ATCTATGCTGCCTCCACCTTGCAAAGTGGGGTCCCT TCAAGGTTCGGTGGCAGTGGATCTGGGACAGATTT CACTCTCACCATCAGCAGTCTGCAACCTGAAGATTC TGCAACTTACTACTGTCAACAGAATTACGATACTTT GTGGACGTTCGGCCAAGGGACCAAGGTGGAAATCA AA SEQ ID NO: 228 Light Chain DIQMTQSPSSLSAAVGDRVTISCRASQTISSYLNWYQ QKPGEAPKLLIYAASTLQSGVPSRFGGSGSGTDFTLTI SSLQPEDSATYYCQQNYDTLWTFGQGTKVEIKRTVA APSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQW KVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKAD YEKHKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 229 DNA Light GATATCCAGATGACCCAGTCTCCATCCTCCCTGTCT Chain GCAGCTGTAGGAGACAGAGTCACCATCTCTTGCCG GGCAAGTCAGACCATTAGTAGTTATTTAAATTGGT ATCAGCAGAAACCAGGGGAAGCCCCTAAGCTCCTG ATCTATGCTGCCTCCACCTTGCAAAGTGGGGTCCCT TCAAGGTTCGGTGGCAGTGGATCTGGGACAGATTT CACTCTCACCATCAGCAGTCTGCAACCTGAAGATTC TGCAACTTACTACTGTCAACAGAATTACGATACTTT GTGGACGTTCGGCCAAGGGACCAAGGTGGAAATCA AACGTACGGTGGCCGCTCCCAGCGTGTTCATCTTCC CCCCCAGCGACGAGCAGCTGAAGAGCGGCACCGCC AGCGTGGTGTGCCTGCTGAACAACTTCTACCCCCG GGAGGCCAAGGTGCAGTGGAAGGTGGACAACGCC CTGCAGAGCGGCAACAGCCAGGAGAGCGTCACCG AGCAGGACAGCAAGGACTCCACCTACAGCCTGAGC AGCACCCTGACCCTGAGCAAGGCCGACTACGAGAA GCATAAGGTGTACGCCTGCGAGGTGACCCACCAGG GCCTGTCCAGCCCCGTGACCAAGAGCTTCAACAGG GGCGAGTGC NOV3836HC SEQ ID NO: 230 HCDR1 GFTFERYGMH (Combined) SEQ ID NO: 231 HCDR2 GIWHEGSHKYYADSLRG (Combined) SEQ ID NO: 232 HCDR3 QTNRGRLDDAFDI (Combined) SEQ ID NO: 233 (Kabat) HCDR1 RYGMH SEQ ID NO: 234 (Kabat) HCDR2 GIWHEGSHKYYADSLRG SEQ ID NO: 235 (Kabat) HCDR3 QTNRGRLDDAFDI SEQ ID NO: 236 HCDR1 GFTFERY (Chothia) SEQ ID NO: 237 HCDR2 WHEGSH (Chothia) SEQ ID NO: 238 HCDR3 QTNRGRLDDAFDI (Chothia) SEQ ID NO: 239 HCDR1 GFTFERYG (IMGT) SEQ ID NO: 240 HCDR2 IWHEGSHK (IMGT) SEQ ID NO: 241 HCDR3 VRQTNRGRLDDAFDI (IMGT) SEQ ID NO: 242 VH QVQLVESGGGVVQPGRSLRLSCAASGFTFERYGMHW VRQAPGKGLEWVAGIWHEGSHKYYADSLRGRFTISR DNAKNTLDLQLNRLRAEDTSVYYCVRQTNRGRLDD AFDIWGQGTMVTVSS SEQ ID NO: 243 DNA VH CAGGTGCAGCTGGTTGAATCTGGTGGCGGAGTGGT GCAGCCTGGCAGATCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCGAGAGATATGGCATGCACT GGGTCCGACAGGCCCCTGGAAAAGGACTTGAATGG GTGGCCGGAATCTGGCACGAAGGCAGCCACAAGTA CTACGCCGATAGCCTGAGAGGCCGGTTCACCATCA GCAGAGACAACGCCAAGAACACCCTGGACCTCCAG CTGAACAGACTGAGAGCCGAGGATACCAGCGTGTA CTACTGCGTGCGGCAGACCAACAGAGGCAGACTGG ACGATGCCTTCGATATCTGGGGCCAAGGGACAATG GTCACCGTTAGCTCA SEQ ID NO: 244 Heavy Chain QVQLVESGGGVVQPGRSLRLSCAASGFTFERYGMHW VRQAPGKGLEWVAGIWHEGSHKYYADSLRGRFTISR DNAKNTLDLQLNRLRAEDTSVYYCVRQTNRGRLDD AFDIWGQGTMVTVSSASTKGPSVFPLAPSSKSTSGGT AALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQ SSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDK RVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTL MISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK VSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTK NQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALH NHYTQKSLSLSPGK SEQ ID NO: 245 DNA Heavy CAGGTGCAGCTGGTTGAATCTGGTGGCGGAGTGGT Chain GCAGCCTGGCAGATCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCACCTTCGAGAGATATGGCATGCACT GGGTCCGACAGGCCCCTGGAAAAGGACTTGAATGG GTGGCCGGAATCTGGCACGAAGGCAGCCACAAGTA CTACGCCGATAGCCTGAGAGGCCGGTTCACCATCA GCAGAGACAACGCCAAGAACACCCTGGACCTCCAG CTGAACAGACTGAGAGCCGAGGATACCAGCGTGTA CTACTGCGTGCGGCAGACCAACAGAGGCAGACTGG ACGATGCCTTCGATATCTGGGGCCAAGGGACAATG GTCACCGTTAGCTCAGCTAGCACCAAGGGCCCCAG CGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCACCA GCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGAAG GACTACTTCCCCGAGCCCGTGACCGTGTCCTGGAA CAGCGGAGCCCTGACCTCCGGCGTGCACACCTTCC CCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCCTG TCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTGGG CACCCAGACCTACATCTGCAACGTGAACCACAAGC CCAGCAACACCAAGGTGGACAAGAGAGTGGAGCC CAAGAGCTGCGACAAGACCCACACCTGCCCCCCCT GCCCAGCCCCAGAGCTGCTGGGCGGACCCTCCGTG TTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGATG ATCAGCAGGACCCCCGAGGTGACCTGCGTGGTGGT GGACGTGAGCCACGAGGACCCAGAGGTGAAGTTCA ACTGGTACGTGGACGGCGTGGAGGTGCACAACGCC AAGACCAAGCCCAGAGAGGAGCAGTACAACAGCA CCTACAGGGTGGTGTCCGTGCTGACCGTGCTGCAC CAGGACTGGCTGAACGGCAAGGAATACAAGTGCA AGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGAA AAGACCATCAGCAAGGCCAAGGGCCAGCCACGGG AGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGAG GAGATGACCAAGAACCAGGTGTCCCTGACCTGTCT GGTGAAGGGCTTCTACCCCAGCGACATCGCCGTGG AGTGGGAGAGCAACGGCCAGCCCGAGAACAACTA CAAGACCACCCCCCCAGTGCTGGACAGCGACGGCA GCTTCTTCCTGTACAGCAAGCTGACCGTGGACAAG TCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCAG CGTGATGCACGAGGCCCTGCACAACCACTACACCC AGAAGAGCCTGAGCCTGTCCCCCGGCAAG NOV3836LC SEQ ID NO: 246 LCDR1 RASQTISSYLN (Combined) SEQ ID NO: 247 LCDR2 AASTLQS (Combined) SEQ ID NO: 248 LCDR3 QQNYDTLWT (Combined) SEQ ID NO: 249 (Kabat) LCDR1 RASQTISSYLN SEQ ID NO: 250 (Kabat) LCDR2 AASTLQS SEQ ID NO: 251 (Kabat) LCDR3 QQNYDTLWT SEQ ID NO: 252 LCDR1 SQTISSY (Chothia) SEQ ID NO: 253 LCDR2 AAS (Chothia) SEQ ID NO: 254 LCDR3 NYDTLW (Chothia) SEQ ID NO: 255 LCDR1 QTISSY (IMGT) SEQ ID NO: 256 LCDR2 AAS (IMGT) SEQ ID NO: 257 LCDR3 QQNYDTLWT (IMGT) SEQ ID NO: 258 VL DIQMTQSPSSLSAAVGDRVTISCRASQTISSYLNWYQ QKPGEAPKLLIYAASTLQSGVPSRFGGSGSGTDFTLTI SSLQPEDSATYYCQQNYDTLWTFGQGTKVEIK SEQ ID NO: 259 DNA VL GATATCCAGATGACCCAGTCTCCATCCTCCCTGTCT GCAGCTGTAGGAGACAGAGTCACCATCTCTTGCCG GGCAAGTCAGACCATTAGTAGTTATTTAAATTGGT ATCAGCAGAAACCAGGGGAAGCCCCTAAGCTCCTG ATCTATGCTGCCTCCACCTTGCAAAGTGGGGTCCCT TCAAGGTTCGGTGGCAGTGGATCTGGGACAGATTT CACTCTCACCATCAGCAGTCTGCAACCTGAAGATTC TGCAACTTACTACTGTCAACAGAATTACGATACTTT GTGGACGTTCGGCCAAGGGACCAAGGTGGAAATCA AA SEQ ID NO: 260 Light Chain DIQMTQSPSSLSAAVGDRVTISCRASQTISSYLNWYQ QKPGEAPKLLIYAASTLQSGVPSRFGGSGSGTDFTLTI SSLQPEDSATYYCQQNYDTLWTFGQGTKVEIKRTVA APSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQW KVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKAD YEKHKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 261 DNA Light GATATCCAGATGACCCAGTCTCCATCCTCCCTGTCT Chain GCAGCTGTAGGAGACAGAGTCACCATCTCTTGCCG GGCAAGTCAGACCATTAGTAGTTATTTAAATTGGT ATCAGCAGAAACCAGGGGAAGCCCCTAAGCTCCTG ATCTATGCTGCCTCCACCTTGCAAAGTGGGGTCCCT TCAAGGTTCGGTGGCAGTGGATCTGGGACAGATTT CACTCTCACCATCAGCAGTCTGCAACCTGAAGATTC TGCAACTTACTACTGTCAACAGAATTACGATACTTT GTGGACGTTCGGCCAAGGGACCAAGGTGGAAATCA AACGTACGGTGGCCGCTCCCAGCGTGTTCATCTTCC CCCCCAGCGACGAGCAGCTGAAGAGCGGCACCGCC AGCGTGGTGTGCCTGCTGAACAACTTCTACCCCCG GGAGGCCAAGGTGCAGTGGAAGGTGGACAACGCC CTGCAGAGCGGCAACAGCCAGGAGAGCGTCACCG AGCAGGACAGCAAGGACTCCACCTACAGCCTGAGC AGCACCCTGACCCTGAGCAAGGCCGACTACGAGAA GCATAAGGTGTACGCCTGCGAGGTGACCCACCAGG GCCTGTCCAGCCCCGTGACCAAGAGCTTCAACAGG GGCGAGTGC NOV3837HC SEQ ID NO: 262 HCDR1 GFIFTDYYMT (Combined) SEQ ID NO: 263 HCDR2 FITSGGETTYYADSVKG (Combined) SEQ ID NO: 264 HCDR3 AHFDGYQYDTRGDFTYYFDN (Combined) SEQ ID NO: 265 (Kabat) HCDR1 DYYMT SEQ ID NO: 266 (Kabat) HCDR2 FITSGGETTYYADSVKG SEQ ID NO: 267 (Kabat) HCDR3 AHFDGYQYDTRGDFTYYFDN SEQ ID NO: 268 HCDR1 GFIFTDY (Chothia) SEQ ID NO: 269 HCDR2 TSGGET (Chothia) SEQ ID NO: 270 HCDR3 AHFDGYQYDTRGDFTYYFDN (Chothia) SEQ ID NO: 271 HCDR1 GFIFTDYY (IMGT) SEQ ID NO: 272 HCDR2 ITSGGETT (IMGT) SEQ ID NO: 273 HCDR3 VRAHFDGYQYDTRGDFTYYFDN (IMGT) SEQ ID NO: 274 VH QVQLQESGGRLVRPGGSLRLSCAASGFIFTDYYMTWI RQAPGKGPEWIAFITSGGETTYYADSVKGRFTISRDN AKKSLFLQMYSLRADDTAVYYCVRAHFDGYQYDTR GDFTYYFDNWGLGTLVSVSS SEQ ID NO: 275 DNA VH CAGGTGCAGCTGCAGGAGTCGGGGGGACGCTTGGT CAGGCCTGGAGGGTCCCTGAGACTCTCCTGTGCAG CCTCCGGATTCATCTTCACTGACTACTACATGACCT GGATCCGCCAGGCTCCAGGGAAGGGGCCGGAGTG GATTGCATTTATCACAAGTGGGGGCGAGACCACAT ACTACGCAGACTCTGTGAAGGGCCGCTTCACCATTT CCAGGGACAACGCCAAGAAGTCACTCTTTCTGCAA ATGTACAGCCTGAGAGCCGACGACACGGCCGTGTA TTATTGTGTGAGAGCCCACTTTGATGGTTATCAGTA TGATACTCGTGGTGACTTCACTTATTACTTTGACAA CTGGGGCCTGGGAACCCTGGTCAGCGTCTCCTCA SEQ ID NO: 276 Heavy Chain QVQLQESGGRLVRPGGSLRLSCAASGFIFTDYYMTWI RQAPGKGPEWIAFITSGGETTYYADSVKGRFTISRDN AKKSLFLQMYSLRADDTAVYYCVRAHFDGYQYDTR GDFTYYFDNWGLGTLVSVSSASTKGPSVFPLAPSSKS TSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFP AVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNT KVDKRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKP KDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVE VHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKE YKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRE EMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYK TTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVM HEALHNHYTQKSLSLSPGK SEQ ID NO: 277 DNA Heavy CAGGTGCAGCTGCAGGAGTCGGGGGGACGCTTGGT Chain CAGGCCTGGAGGGTCCCTGAGACTCTCCTGTGCAG CCTCCGGATTCATCTTCACTGACTACTACATGACCT GGATCCGCCAGGCTCCAGGGAAGGGGCCGGAGTG GATTGCATTTATCACAAGTGGGGGCGAGACCACAT ACTACGCAGACTCTGTGAAGGGCCGCTTCACCATTT CCAGGGACAACGCCAAGAAGTCACTCTTTCTGCAA ATGTACAGCCTGAGAGCCGACGACACGGCCGTGTA TTATTGTGTGAGAGCCCACTTTGATGGTTATCAGTA TGATACTCGTGGTGACTTCACTTATTACTTTGACAA CTGGGGCCTGGGAACCCTGGTCAGCGTCTCCTCAG CTAGCACCAAGGGCCCCAGCGTGTTCCCCCTGGCC CCCAGCAGCAAGAGCACCAGCGGCGGCACAGCCG CCCTGGGCTGCCTGGTGAAGGACTACTTCCCCGAG CCCGTGACCGTGTCCTGGAACAGCGGAGCCCTGAC CTCCGGCGTGCACACCTTCCCCGCCGTGCTGCAGA GCAGCGGCCTGTACAGCCTGTCCAGCGTGGTGACA GTGCCCAGCAGCAGCCTGGGCACCCAGACCTACAT CTGCAACGTGAACCACAAGCCCAGCAACACCAAGG TGGACAAGAGAGTGGAGCCCAAGAGCTGCGACAA GACCCACACCTGCCCCCCCTGCCCAGCCCCAGAGC TGCTGGGCGGACCCTCCGTGTTCCTGTTCCCCCCCA AGCCCAAGGACACCCTGATGATCAGCAGGACCCCC GAGGTGACCTGCGTGGTGGTGGACGTGAGCCACGA GGACCCAGAGGTGAAGTTCAACTGGTACGTGGACG GCGTGGAGGTGCACAACGCCAAGACCAAGCCCAG AGAGGAGCAGTACAACAGCACCTACAGGGTGGTGT CCGTGCTGACCGTGCTGCACCAGGACTGGCTGAAC GGCAAGGAATACAAGTGCAAGGTCTCCAACAAGGC CCTGCCAGCCCCCATCGAAAAGACCATCAGCAAGG CCAAGGGCCAGCCACGGGAGCCCCAGGTGTACACC CTGCCCCCCTCCCGGGAGGAGATGACCAAGAACCA GGTGTCCCTGACCTGTCTGGTGAAGGGCTTCTACCC CAGCGACATCGCCGTGGAGTGGGAGAGCAACGGCC AGCCCGAGAACAACTACAAGACCACCCCCCCAGTG CTGGACAGCGACGGCAGCTTCTTCCTGTACAGCAA GCTGACCGTGGACAAGTCCAGGTGGCAGCAGGGCA ACGTGTTCAGCTGCAGCGTGATGCACGAGGCCCTG CACAACCACTACACCCAGAAGAGCCTGAGCCTGTC CCCCGGCAAG NOV3837LC SEQ ID NO: 278 LCDR1 RASQSVSSSLA (Combined) SEQ ID NO: 279 LCDR2 GASTRAT (Combined) SEQ ID NO: 280 LCDR3 HQYINWPPGDT (Combined) SEQ ID NO: 281 (Kabat) LCDR1 RASQSVSSSLA SEQ ID NO: 282 (Kabat) LCDR2 GASTRAT SEQ ID NO: 283 (Kabat) LCDR3 HQYINWPPGDT SEQ ID NO: 284 LCDR1 SQSVSSS (Chothia) SEQ ID NO: 285 LCDR2 GAS (Chothia) SEQ ID NO: 286 LCDR3 YINWPPGD (Chothia) SEQ ID NO: 287 LCDR1 QSVSSS (IMGT) SEQ ID NO: 288 LCDR2 GAS (IMGT) SEQ ID NO: 289 LCDR3 HQYINWPPGDT (IMGT) SEQ ID NO: 290 VL EIVMTQSPATLSVSPGERVTLSCRASQSVSSSLAWYQ QKPGRAPRLLIYGASTRATGVPARFSGGGSGTDFTLTI SSLQSEDFAVYYCHQYINWPPGDTFGQGTRLDIK SEQ ID NO: 291 DNA VL GAAATAGTGATGACTCAGTCTCCAGCCACCCTGTCT GTGTCTCCAGGGGAAAGAGTCACCCTCTCCTGCAG GGCCAGTCAGAGTGTTAGTAGCAGCTTAGCCTGGT ACCAGCAGAAACCTGGCCGGGCTCCCAGGCTCCTC ATTTATGGAGCATCCACCAGGGCCACTGGTGTCCC AGCCAGGTTCAGTGGCGGTGGGTCTGGGACAGACT TCACTCTCACCATCAGCAGCCTGCAGTCTGAAGATT TTGCAGTTTATTACTGTCACCAGTATATTAATTGGC CTCCGGGGGACACTTTTGGCCAGGGGACGAGGCTG GATATCAAA SEQ ID NO: 292 Light Chain EIVMTQSPATLSVSPGERVTLSCRASQSVSSSLAWYQ QKPGRAPRLLIYGASTRATGVPARFSGGGSGTDFTLTI SSLQSEDFAVYYCHQYINWPPGDTFGQGTRLDIKRTV AAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQ WKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKA DYEKHKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 293 DNA Light GAAATAGTGATGACTCAGTCTCCAGCCACCCTGTCT Chain GTGTCTCCAGGGGAAAGAGTCACCCTCTCCTGCAG GGCCAGTCAGAGTGTTAGTAGCAGCTTAGCCTGGT ACCAGCAGAAACCTGGCCGGGCTCCCAGGCTCCTC ATTTATGGAGCATCCACCAGGGCCACTGGTGTCCC AGCCAGGTTCAGTGGCGGTGGGTCTGGGACAGACT TCACTCTCACCATCAGCAGCCTGCAGTCTGAAGATT TTGCAGTTTATTACTGTCACCAGTATATTAATTGGC CTCCGGGGGACACTTTTGGCCAGGGGACGAGGCTG GATATCAAACGTACGGTGGCCGCTCCCAGCGTGTT CATCTTCCCCCCCAGCGACGAGCAGCTGAAGAGCG GCACCGCCAGCGTGGTGTGCCTGCTGAACAACTTC TACCCCCGGGAGGCCAAGGTGCAGTGGAAGGTGGA CAACGCCCTGCAGAGCGGCAACAGCCAGGAGAGC GTCACCGAGCAGGACAGCAAGGACTCCACCTACAG CCTGAGCAGCACCCTGACCCTGAGCAAGGCCGACT ACGAGAAGCATAAGGTGTACGCCTGCGAGGTGACC CACCAGGGCCTGTCCAGCCCCGTGACCAAGAGCTT CAACAGGGGCGAGTGC NOV3838HC SEQ ID NO: 294 HCDR1 GFIFTDYYMT (Combined) SEQ ID NO: 295 HCDR2 FITSGGETTYYADSVKG (Combined) SEQ ID NO: 296 HCDR3 AHFDLYQYDTRGDFTYYFDN (Combined) SEQ ID NO: 297 (Kabat) HCDR1 DYYMT SEQ ID NO: 298 (Kabat) HCDR2 FITSGGETTYYADSVKG SEQ ID NO: 299 (Kabat) HCDR3 AHFDLYQYDTRGDFTYYFDN SEQ ID NO: 300 HCDR1 GFIFTDY (Chothia) SEQ ID NO: 301 HCDR2 TSGGET (Chothia) SEQ ID NO: 302 HCDR3 AHFDLYQYDTRGDFTYYFDN (Chothia) SEQ ID NO: 303 HCDR1 GFIFTDYY (IMGT) SEQ ID NO: 304 HCDR2 ITSGGETT (IMGT) SEQ ID NO: 305 HCDR3 VRAHFDLYQYDTRGDFTYYFDN (IMGT) SEQ ID NO: 306 VH QVQLQESGGRLVRPGGSLRLSCAASGFIFTDYYMTWI RQAPGKGPEWIAFITSGGETTYYADSVKGRFTISRDN AKKSLFLQMYSLRADDTAVYYCVRAHFDLYQYDTR GDFTYYFDNWGLGTLVSVSS SEQ ID NO: 307 DNA VH CAGGTTCAGCTGCAAGAATCTGGCGGCAGACTCGT TAGACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCATCTTCACCGACTACTACATGACCTG GATCAGACAGGCCCCTGGCAAGGGACCTGAGTGGA TCGCCTTTATCACAAGCGGCGGAGAGACAACCTAC TACGCCGATAGCGTGAAGGGCAGATTCACCATCAG CCGGGACAACGCCAAGAAGTCCCTGTTCCTCCAGA TGTACAGCCTGAGAGCCGACGATACCGCCGTGTAT TATTGCGTGCGGGCCCACTTTGACCTGTACCAGTAC GATACCAGAGGCGATTTCACCTACTACTTCGACAA CTGGGGCCTGGGAACCCTGGTGTCTGTCTCTTCT SEQ ID NO: 308 Heavy Chain QVQLQESGGRLVRPGGSLRLSCAASGFIFTDYYMTWI RQAPGKGPEWIAFITSGGETTYYADSVKGRFTISRDN AKKSLFLQMYSLRADDTAVYYCVRAHFDLYQYDTR GDFTYYFDNWGLGTLVSVSSASTKGPSVFPLAPSSKS TSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFP AVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNT KVDKRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKP KDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVE VHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKE YKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRE EMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYK TTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVM HEALHNHYTQKSLSLSPGK SEQ ID NO: 309 DNA Heavy CAGGTTCAGCTGCAAGAATCTGGCGGCAGACTCGT Chain TAGACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCATCTTCACCGACTACTACATGACCTG GATCAGACAGGCCCCTGGCAAGGGACCTGAGTGGA TCGCCTTTATCACAAGCGGCGGAGAGACAACCTAC TACGCCGATAGCGTGAAGGGCAGATTCACCATCAG CCGGGACAACGCCAAGAAGTCCCTGTTCCTCCAGA TGTACAGCCTGAGAGCCGACGATACCGCCGTGTAT TATTGCGTGCGGGCCCACTTTGACCTGTACCAGTAC GATACCAGAGGCGATTTCACCTACTACTTCGACAA CTGGGGCCTGGGAACCCTGGTGTCTGTCTCTTCTGC TAGCACCAAGGGCCCCAGCGTGTTCCCCCTGGCCC CCAGCAGCAAGAGCACCAGCGGCGGCACAGCCGC CCTGGGCTGCCTGGTGAAGGACTACTTCCCCGAGC CCGTGACCGTGTCCTGGAACAGCGGAGCCCTGACC TCCGGCGTGCACACCTTCCCCGCCGTGCTGCAGAG CAGCGGCCTGTACAGCCTGTCCAGCGTGGTGACAG TGCCCAGCAGCAGCCTGGGCACCCAGACCTACATC TGCAACGTGAACCACAAGCCCAGCAACACCAAGGT GGACAAGAGAGTGGAGCCCAAGAGCTGCGACAAG ACCCACACATGCCCCCCCTGCCCGGCGCCAGAGCT GCTGGGCGGACCCTCCGTGTTCCTGTTCCCCCCCAA GCCCAAGGACACCCTGATGATCAGCAGGACCCCCG AGGTGACCTGCGTGGTGGTGGACGTGAGCCACGAG GACCCAGAGGTGAAGTTCAACTGGTACGTGGACGG CGTGGAGGTGCACAACGCCAAGACCAAGCCCAGA GAGGAGCAGTACAACAGCACCTACAGGGTGGTGTC CGTGCTGACCGTGCTGCACCAGGACTGGCTGAACG GCAAGGAATACAAGTGCAAGGTCTCCAACAAGGCC CTGCCAGCCCCCATCGAAAAGACCATCAGCAAGGC CAAGGGCCAGCCACGGGAGCCCCAGGTGTACACCC TGCCCCCCTCCCGGGAGGAGATGACCAAGAACCAG GTGTCCCTGACCTGTCTGGTGAAGGGCTTCTACCCC AGCGACATCGCCGTGGAGTGGGAGAGCAACGGCC AGCCCGAGAACAACTACAAGACCACCCCCCCAGTG CTGGACAGCGACGGCAGCTTCTTCCTGTACAGCAA GCTGACCGTGGACAAGTCCAGGTGGCAGCAGGGCA ACGTGTTCAGCTGCAGCGTGATGCACGAGGCCCTG CACAACCACTACACCCAGAAGAGCCTGAGCTTAAG CCCCGGCAAG NOV3838LC SEQ ID NO: 310 LCDR1 RASQSVSSSLA (Combined) SEQ ID NO: 311 LCDR2 GASTRAT (Combined) SEQ ID NO: 312 LCDR3 HQYINWPPGDT (Combined) SEQ ID NO: 313 (Kabat) LCDR1 RASQSVSSSLA SEQ ID NO: 314 (Kabat) LCDR2 GASTRAT SEQ ID NO: 315 (Kabat) LCDR3 HQYINWPPGDT SEQ ID NO: 316 LCDR1 SQSVSSS (Chothia) SEQ ID NO: 317 LCDR2 GAS (Chothia) SEQ ID NO: 318 LCDR3 YINWPPGD (Chothia) SEQ ID NO: 319 LCDR1 QSVSSS (IMGT) SEQ ID NO: 320 LCDR2 GAS (IMGT) SEQ ID NO: 321 LCDR3 HQYINWPPGDT (IMGT) SEQ ID NO: 322 VL EIVMTQSPATLSVSPGERVTLSCRASQSVSSSLAWYQ QKPGRAPRLLIYGASTRATGVPARFSGGGSGTDFTLTI SSLQSEDFAVYYCHQYINWPPGDTFGQGTRLDIK SEQ ID NO: 323 DNA VL GAAATAGTGATGACTCAGTCTCCAGCCACCCTGTCT GTGTCTCCAGGGGAAAGAGTCACCCTCTCCTGCAG GGCCAGTCAGAGTGTTAGTAGCAGCTTAGCCTGGT ACCAGCAGAAACCTGGCCGGGCTCCCAGGCTCCTC ATTTATGGAGCATCCACCAGGGCCACTGGTGTCCC AGCCAGGTTCAGTGGCGGTGGGTCTGGGACAGACT TCACTCTCACCATCAGCAGCCTGCAGTCTGAAGATT TTGCAGTTTATTACTGTCACCAGTATATTAATTGGC CTCCGGGGGACACTTTTGGCCAGGGGACGAGGCTG GATATCAAA SEQ ID NO: 324 Light Chain EIVMTQSPATLSVSPGERVTLSCRASQSVSSSLAWYQ QKPGRAPRLLIYGASTRATGVPARFSGGGSGTDFTLTI SSLQSEDFAVYYCHQYINWPPGDTFGQGTRLDIKRTV AAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQ WKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKA DYEKHKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 325 DNA Light GAAATAGTGATGACTCAGTCTCCAGCCACCCTGTCT Chain GTGTCTCCAGGGGAAAGAGTCACCCTCTCCTGCAG GGCCAGTCAGAGTGTTAGTAGCAGCTTAGCCTGGT ACCAGCAGAAACCTGGCCGGGCTCCCAGGCTCCTC ATTTATGGAGCATCCACCAGGGCCACTGGTGTCCC AGCCAGGTTCAGTGGCGGTGGGTCTGGGACAGACT TCACTCTCACCATCAGCAGCCTGCAGTCTGAAGATT TTGCAGTTTATTACTGTCACCAGTATATTAATTGGC CTCCGGGGGACACTTTTGGCCAGGGGACGAGGCTG GATATCAAACGTACGGTGGCCGCTCCCAGCGTGTT CATCTTCCCCCCCAGCGACGAGCAGCTGAAGAGCG GCACCGCCAGCGTGGTGTGCCTGCTGAACAACTTC TACCCCCGGGAGGCCAAGGTGCAGTGGAAGGTGGA CAACGCCCTGCAGAGCGGCAACAGCCAGGAGAGC GTCACCGAGCAGGACAGCAAGGACTCCACCTACAG CCTGAGCAGCACCCTGACCCTGAGCAAGGCCGACT ACGAGAAGCATAAGGTGTACGCCTGCGAGGTGACC CACCAGGGCCTGTCCAGCCCCGTGACCAAGAGCTT CAACAGGGGCGAGTGC NOV3839HC SEQ ID NO: 326 HCDR1 GFIFTDYYMT (Combined) SEQ ID NO: 327 HCDR2 FITSGGETTYYADSVKG (Combined) SEQ ID NO: 328 HCDR3 AHFDIYQYDTRGDFTYYFDN (Combined) SEQ ID NO: 329 (Kabat) HCDR1 DYYMT SEQ ID NO: 330 (Kabat) HCDR2 FITSGGETTYYADSVKG SEQ ID NO: 331 (Kabat) HCDR3 AHFDIYQYDTRGDFTYYFDN SEQ ID NO: 332 HCDR1 GFIFTDY (Chothia) SEQ ID NO: 333 HCDR2 TSGGET (Chothia) SEQ ID NO: 334 HCDR3 AHFDIYQYDTRGDFTYYFDN (Chothia) SEQ ID NO: 335 HCDR1 GFIFTDYY (IMGT) SEQ ID NO: 336 HCDR2 ITSGGETT (IMGT) SEQ ID NO: 337 HCDR3 VRAHFDIYQYDTRGDFTYYFDN (IMGT) SEQ ID NO: 338 VH QVQLQESGGRLVRPGGSLRLSCAASGFIFTDYYMTWI RQAPGKGPEWIAFITSGGETTYYADSVKGRFTISRDN AKKSLFLQMYSLRADDTAVYYCVRAHFDIYQYDTRG DFTYYFDNWGLGTLVSVSS SEQ ID NO: 339 DNA VH CAGGTTCAGCTGCAAGAATCTGGCGGCAGACTCGT TAGACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCATCTTCACCGACTACTACATGACCTG GATCAGACAGGCCCCTGGCAAGGGACCTGAGTGGA TCGCCTTTATCACAAGCGGCGGAGAGACAACCTAC TACGCCGATAGCGTGAAGGGCAGATTCACCATCAG CCGGGACAACGCCAAGAAGTCCCTGTTCCTCCAGA TGTACAGCCTGAGAGCCGACGATACCGCCGTGTAT TATTGCGTGCGGGCCCACTTTGACATCTACCAGTAC GATACCAGAGGCGATTTCACCTACTACTTCGACAA CTGGGGCCTGGGAACCCTGGTGTCTGTCTCTTCT SEQ ID NO: 340 Heavy Chain QVQLQESGGRLVRPGGSLRLSCAASGFIFTDYYMTWI RQAPGKGPEWIAFITSGGETTYYADSVKGRFTISRDN AKKSLFLQMYSLRADDTAVYYCVRAHFDIYQYDTRG DFTYYFDNWGLGTLVSVSSASTKGPSVFPLAPSSKSTS GGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPA VLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTK VDKRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPK DTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEV HNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEY KCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREE MTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKT TPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMH EALHNHYTQKSLSLSPGK SEQ ID NO: 341 DNA Heavy CAGGTTCAGCTGCAAGAATCTGGCGGCAGACTCGT Chain TAGACCTGGCGGCTCTCTGAGACTGTCTTGTGCCGC CAGCGGCTTCATCTTCACCGACTACTACATGACCTG GATCAGACAGGCCCCTGGCAAGGGACCTGAGTGGA TCGCCTTTATCACAAGCGGCGGAGAGACAACCTAC TACGCCGATAGCGTGAAGGGCAGATTCACCATCAG CCGGGACAACGCCAAGAAGTCCCTGTTCCTCCAGA TGTACAGCCTGAGAGCCGACGATACCGCCGTGTAT TATTGCGTGCGGGCCCACTTTGACATCTACCAGTAC GATACCAGAGGCGATTTCACCTACTACTTCGACAA CTGGGGCCTGGGAACCCTGGTGTCTGTCTCTTCTGC TAGCACCAAGGGCCCCAGCGTGTTCCCCCTGGCCC CCAGCAGCAAGAGCACCAGCGGCGGCACAGCCGC CCTGGGCTGCCTGGTGAAGGACTACTTCCCCGAGC CCGTGACCGTGTCCTGGAACAGCGGAGCCCTGACC TCCGGCGTGCACACCTTCCCCGCCGTGCTGCAGAG CAGCGGCCTGTACAGCCTGTCCAGCGTGGTGACAG TGCCCAGCAGCAGCCTGGGCACCCAGACCTACATC TGCAACGTGAACCACAAGCCCAGCAACACCAAGGT GGACAAGAGAGTGGAGCCCAAGAGCTGCGACAAG ACCCACACATGCCCCCCCTGCCCGGCGCCAGAGCT GCTGGGCGGACCCTCCGTGTTCCTGTTCCCCCCCAA GCCCAAGGACACCCTGATGATCAGCAGGACCCCCG AGGTGACCTGCGTGGTGGTGGACGTGAGCCACGAG GACCCAGAGGTGAAGTTCAACTGGTACGTGGACGG CGTGGAGGTGCACAACGCCAAGACCAAGCCCAGA GAGGAGCAGTACAACAGCACCTACAGGGTGGTGTC CGTGCTGACCGTGCTGCACCAGGACTGGCTGAACG GCAAGGAATACAAGTGCAAGGTCTCCAACAAGGCC CTGCCAGCCCCCATCGAAAAGACCATCAGCAAGGC CAAGGGCCAGCCACGGGAGCCCCAGGTGTACACCC TGCCCCCCTCCCGGGAGGAGATGACCAAGAACCAG GTGTCCCTGACCTGTCTGGTGAAGGGCTTCTACCCC AGCGACATCGCCGTGGAGTGGGAGAGCAACGGCC AGCCCGAGAACAACTACAAGACCACCCCCCCAGTG CTGGACAGCGACGGCAGCTTCTTCCTGTACAGCAA GCTGACCGTGGACAAGTCCAGGTGGCAGCAGGGCA ACGTGTTCAGCTGCAGCGTGATGCACGAGGCCCTG CACAACCACTACACCCAGAAGAGCCTGAGCTTAAG CCCCGGCAAG NOV3839LC SEQ ID NO: 342 LCDR1 RASQSVSSSLA (Combined) SEQ ID NO: 343 LCDR2 GASTRAT (Combined) SEQ ID NO: 344 LCDR3 HQYINWPPGDT (Combined) SEQ ID NO: 345 (Kabat) LCDR1 RASQSVSSSLA SEQ ID NO: 346 (Kabat) LCDR2 GASTRAT SEQ ID NO: 347 (Kabat) LCDR3 HQYINWPPGDT SEQ ID NO: 348 LCDR1 SQSVSSS (Chothia) SEQ ID NO: 349 LCDR2 GAS (Chothia) SEQ ID NO: 350 LCDR3 YINWPPGD (Chothia) SEQ ID NO: 351 LCDR1 QSVSSS (IMGT) SEQ ID NO: 352 LCDR2 GAS (IMGT) SEQ ID NO: 353 LCDR3 HQYINWPPGDT (IMGT) SEQ ID NO: 354 VL EIVMTQSPATLSVSPGERVTLSCRASQSVSSSLAWYQ QKPGRAPRLLIYGASTRATGVPARFSGGGSGTDFTLTI SSLQSEDFAVYYCHQYINWPPGDTFGQGTRLDIK SEQ ID NO: 355 DNA VL GAAATAGTGATGACTCAGTCTCCAGCCACCCTGTCT GTGTCTCCAGGGGAAAGAGTCACCCTCTCCTGCAG GGCCAGTCAGAGTGTTAGTAGCAGCTTAGCCTGGT ACCAGCAGAAACCTGGCCGGGCTCCCAGGCTCCTC ATTTATGGAGCATCCACCAGGGCCACTGGTGTCCC AGCCAGGTTCAGTGGCGGTGGGTCTGGGACAGACT TCACTCTCACCATCAGCAGCCTGCAGTCTGAAGATT TTGCAGTTTATTACTGTCACCAGTATATTAATTGGC CTCCGGGGGACACTTTTGGCCAGGGGACGAGGCTG GATATCAAA SEQ ID NO: 356 Light Chain EIVMTQSPATLSVSPGERVTLSCRASQSVSSSLAWYQ QKPGRAPRLLIYGASTRATGVPARFSGGGSGTDFTLTI SSLQSEDFAVYYCHQYINWPPGDTFGQGTRLDIKRTV AAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQ WKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKA DYEKHKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 357 DNA Light GAAATAGTGATGACTCAGTCTCCAGCCACCCTGTCT Chain GTGTCTCCAGGGGAAAGAGTCACCCTCTCCTGCAG GGCCAGTCAGAGTGTTAGTAGCAGCTTAGCCTGGT ACCAGCAGAAACCTGGCCGGGCTCCCAGGCTCCTC ATTTATGGAGCATCCACCAGGGCCACTGGTGTCCC AGCCAGGTTCAGTGGCGGTGGGTCTGGGACAGACT TCACTCTCACCATCAGCAGCCTGCAGTCTGAAGATT TTGCAGTTTATTACTGTCACCAGTATATTAATTGGC CTCCGGGGGACACTTTTGGCCAGGGGACGAGGCTG GATATCAAACGTACGGTGGCCGCTCCCAGCGTGTT CATCTTCCCCCCCAGCGACGAGCAGCTGAAGAGCG GCACCGCCAGCGTGGTGTGCCTGCTGAACAACTTC TACCCCCGGGAGGCCAAGGTGCAGTGGAAGGTGGA CAACGCCCTGCAGAGCGGCAACAGCCAGGAGAGC GTCACCGAGCAGGACAGCAAGGACTCCACCTACAG CCTGAGCAGCACCCTGACCCTGAGCAAGGCCGACT ACGAGAAGCATAAGGTGTACGCCTGCGAGGTGACC CACCAGGGCCTGTCCAGCCCCGTGACCAAGAGCTT CAACAGGGGCGAGTGC NOV3840HC SEQ ID NO: 358 HCDR1 GFTFSYYGMN (Combined) SEQ ID NO: 359 HCDR2 GITNSGSITYYADSVKG (Combined) SEQ ID NO: 360 HCDR3 VGVRSSSGMWDLDY (Combined) SEQ ID NO: 361 (Kabat) HCDR1 YYGMN SEQ ID NO: 362 (Kabat) HCDR2 GITNSGSITYYADSVKG SEQ ID NO: 363 (Kabat) HCDR3 VGVRSSSGMWDLDY SEQ ID NO: 364 HCDR1 GFTFSYY (Chothia) SEQ ID NO: 365 HCDR2 TNSGSI (Chothia) SEQ ID NO: 366 HCDR3 VGVRSSSGMWDLDY (Chothia) SEQ ID NO: 367 HCDR1 GFTFSYYG (IMGT) SEQ ID NO: 368 HCDR2 ITNSGSIT (IMGT) SEQ ID NO: 369 HCDR3 AKVGVRSSSGMWDLDY (IMGT) SEQ ID NO: 370 VH EVQLLESGGGLVQPGGSRRLSCAASGFTFSYYGMNW VRQAPGKGLEWVSGITNSGSITYYADSVKGRFSISRD NSKNTLFLQMNSLRAEDTAVYYCAKVGVRSSSGMW DLDYWGQGTLVTVSS SEQ ID NO: 371 DNA VH GAGGTTCAATTGTTGGAGTCTGGGGGAGGCCTGGT ACAGCCGGGGGGGTCCCGGAGACTGTCCTGTGCAG CCTCTGGATTCACCTTTAGCTACTATGGCATGAACT GGGTCCGCCAGGCTCCAGGGAAGGGACTGGAATGG GTCTCAGGTATTACTAATAGTGGTAGTATCACATAC TACGCAGACTCCGTGAAGGGCCGGTTCAGCATCTC CAGAGACAATTCCAAGAACACGTTGTTTCTGCAAA TGAACAGCCTGAGAGCCGAGGACACGGCCGTATAT TACTGTGCGAAGGTGGGAGTGCGCAGTTCGTCCGG GATGTGGGACCTTGACTACTGGGGCCAGGGAACCC TGGTCACCGTCAGCTCA SEQ ID NO: 372 Heavy Chain EVQLLESGGGLVQPGGSRRLSCAASGFTFSYYGMNW VRQAPGKGLEWVSGITNSGSITYYADSVKGRFSISRD NSKNTLFLQMNSLRAEDTAVYYCAKVGVRSSSGMW DLDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGT AALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQ SSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDK RVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTL MISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK VSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTK NQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALH NHYTQKSLSLSPGK SEQ ID NO: 373 DNA Heavy GAGGTTCAATTGTTGGAGTCTGGGGGAGGCCTGGT Chain ACAGCCGGGGGGGTCCCGGAGACTGTCCTGTGCAG CCTCTGGATTCACCTTTAGCTACTATGGCATGAACT GGGTCCGCCAGGCTCCAGGGAAGGGACTGGAATGG GTCTCAGGTATTACTAATAGTGGTAGTATCACATAC TACGCAGACTCCGTGAAGGGCCGGTTCAGCATCTC CAGAGACAATTCCAAGAACACGTTGTTTCTGCAAA TGAACAGCCTGAGAGCCGAGGACACGGCCGTATAT TACTGTGCGAAGGTGGGAGTGCGCAGTTCGTCCGG GATGTGGGACCTTGACTACTGGGGCCAGGGAACCC TGGTCACCGTCAGCTCAGCTAGCACCAAGGGCCCC AGCGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCAC CAGCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGA AGGACTACTTCCCCGAGCCCGTGACCGTGTCCTGG AACAGCGGAGCCCTGACCTCCGGCGTGCACACCTT CCCCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCC TGTCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTG GGCACCCAGACCTACATCTGCAACGTGAACCACAA GCCCAGCAACACCAAGGTGGACAAGAGAGTGGAG CCCAAGAGCTGCGACAAGACCCACACCTGCCCCCC CTGCCCAGCCCCAGAGCTGCTGGGCGGACCCTCCG TGTTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGA TGATCAGCAGGACCCCCGAGGTGACCTGCGTGGTG GTGGACGTGAGCCACGAGGACCCAGAGGTGAAGTT CAACTGGTACGTGGACGGCGTGGAGGTGCACAACG CCAAGACCAAGCCCAGAGAGGAGCAGTACAACAG CACCTACAGGGTGGTGTCCGTGCTGACCGTGCTGC ACCAGGACTGGCTGAACGGCAAGGAATACAAGTGC AAGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGA AAAGACCATCAGCAAGGCCAAGGGCCAGCCACGG GAGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGA GGAGATGACCAAGAACCAGGTGTCCCTGACCTGTC TGGTGAAGGGCTTCTACCCCAGCGACATCGCCGTG GAGTGGGAGAGCAACGGCCAGCCCGAGAACAACT ACAAGACCACCCCCCCAGTGCTGGACAGCGACGGC AGCTTCTTCCTGTACAGCAAGCTGACCGTGGACAA GTCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCA GCGTGATGCACGAGGCCCTGCACAACCACTACACC CAGAAGAGCCTGAGCCTGTCCCCCGGCAAG NOV3840LC SEQ ID NO: 374 LCDR1 GGNNIGSKSLQ (Combined) SEQ ID NO: 375 LCDR2 DDSDRPS (Combined) SEQ ID NO: 376 LCDR3 QVWDTSSDHVV (Combined) SEQ ID NO: 377 (Kabat) LCDR1 GGNNIGSKSLQ SEQ ID NO: 378 (Kabat) LCDR2 DDSDRPS SEQ ID NO: 379 (Kabat) LCDR3 QVWDTSSDHVV SEQ ID NO: 380 LCDR1 NNIGSKS (Chothia) SEQ ID NO: 381 LCDR2 DDS (Chothia) SEQ ID NO: 382 LCDR3 WDTSSDHV (Chothia) SEQ ID NO: 383 LCDR1 NIGSKS (IMGT) SEQ ID NO: 384 LCDR2 DDS (IMGT) SEQ ID NO: 385 LCDR3 QVWDTSSDHVV (IMGT) SEQ ID NO: 386 VL SYVLTQPPSVSVAPGQTARLSCGGNNIGSKSLQWYQQ KPGQAPVLVVNDDSDRPSGIPERFSGSNSGNTATLTIS RVEAGDEADYYCQVWDTSSDHVVFGGGTKLTVL SEQ ID NO: 387 DNA VL TCCTATGTGCTGACTCAGCCACCCTCGGTGTCAGTG GCCCCAGGACAGACGGCCAGACTTTCCTGTGGGGG AAACAACATTGGAAGTAAAAGTCTGCAGTGGTACC AGCAGAAGCCAGGCCAGGCCCCTGTGCTGGTCGTC AATGATGATAGCGACCGGCCCTCAGGGATCCCTGA GCGATTCTCTGGCTCCAACTCTGGGAACACGGCCA CCCTGACCATCAGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATACTAGTAG TGATCATGTGGTCTTCGGCGGAGGGACCAAGCTGA CCGTCCTA SEQ ID NO: 388 Light Chain SYVLTQPPSVSVAPGQTARLSCGGNNIGSKSLQWYQQ KPGQAPVLVVNDDSDRPSGIPERFSGSNSGNTATLTIS RVEAGDEADYYCQVWDTSSDHVVFGGGTKLTVLGQ PKAAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTV AWKADSSPVKAGVETTTPSKQSNNKYAASSYLSLTPE QWKSHRSYSCQVTHEGSTVEKTVAPTECS SEQ ID NO: 389 DNA Light TCCTATGTGCTGACTCAGCCACCCTCGGTGTCAGTG Chain GCCCCAGGACAGACGGCCAGACTTTCCTGTGGGGG AAACAACATTGGAAGTAAAAGTCTGCAGTGGTACC AGCAGAAGCCAGGCCAGGCCCCTGTGCTGGTCGTC AATGATGATAGCGACCGGCCCTCAGGGATCCCTGA GCGATTCTCTGGCTCCAACTCTGGGAACACGGCCA CCCTGACCATCAGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATACTAGTAG TGATCATGTGGTCTTCGGCGGAGGGACCAAGCTGA CCGTCCTAGGCCAGCCTAAGGCCGCTCCCTCCGTG ACCCTGTTCCCCCCCAGCTCCGAGGAACTGCAGGC CAACAAGGCCACCCTGGTGTGCCTGATCAGCGACT TCTACCCTGGCGCCGTGACCGTGGCCTGGAAGGCC GACAGCAGCCCCGTGAAGGCCGGCGTGGAGACAA CCACCCCCAGCAAGCAGAGCAACAACAAGTACGCC GCCAGCAGCTACCTGAGCCTGACCCCCGAGCAGTG GAAGAGCCACAGAAGCTACAGCTGCCAGGTCACCC ACGAGGGCAGCACCGTGGAGAAAACCGTGGCCCCC ACCGAGTGCAGC NOV3841HC SEQ ID NO: 390 HCDR1 GFTFSYYGMN (Combined) SEQ ID NO: 391 HCDR2 GITQSGSITYYADTVKG (Combined) SEQ ID NO: 392 HCDR3 VGVRSSSGMWDLDY (Combined) SEQ ID NO: 393 (Kabat) HCDR1 YYGMN SEQ ID NO: 394 (Kabat) HCDR2 GITQSGSITYYADTVKG SEQ ID NO: 395 (Kabat) HCDR3 VGVRSSSGMWDLDY SEQ ID NO: 396 HCDR1 GFTFSYY (Chothia) SEQ ID NO: 397 HCDR2 TQSGSI (Chothia) SEQ ID NO: 398 HCDR3 VGVRSSSGMWDLDY (Chothia) SEQ ID NO: 399 HCDR1 GFTFSYYG (IMGT) SEQ ID NO: 400 HCDR2 ITQSGSIT (IMGT) SEQ ID NO: 401 HCDR3 AKVGVRSSSGMWDLDY (IMGT) SEQ ID NO: 402 VH EVQLLESGGGLVQPGGSRRLSCAASGFTFSYYGMNW VRQAPGKGLEWVSGITQSGSITYYADTVKGRFSISRD NSKNTLFLQMNSLRAEDTAVYYCAKVGVRSSSGMW DLDYWGQGTLVTVSS SEQ ID NO: 403 DNA VH GAGGTTCAATTGTTGGAGTCTGGGGGAGGCCTGGT ACAGCCGGGGGGGTCCCGGAGACTGTCCTGTGCAG CCTCTGGATTCACCTTTAGCTACTATGGCATGAACT GGGTCCGCCAGGCTCCAGGGAAGGGACTGGAATGG GTCTCAGGTATTACTCAGAGTGGTAGTATCACATAC TACGCAGACACCGTGAAGGGCCGGTTCAGCATCTC CAGAGACAATTCCAAGAACACGTTGTTTCTGCAAA TGAACAGCCTGAGAGCCGAGGACACGGCCGTATAT TACTGTGCGAAGGTGGGAGTGCGCAGTTCGTCCGG GATGTGGGACCTTGACTACTGGGGCCAGGGAACCC TGGTCACCGTCAGCTCA SEQ ID NO: 404 Heavy Chain EVQLLESGGGLVQPGGSRRLSCAASGFTFSYYGMNW VRQAPGKGLEWVSGITQSGSITYYADTVKGRFSISRD NSKNTLFLQMNSLRAEDTAVYYCAKVGVRSSSGMW DLDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGT AALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQ SSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDK RVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTL MISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK VSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTK NQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALH NHYTQKSLSLSPGK SEQ ID NO: 405 DNA Heavy GAGGTTCAATTGTTGGAGTCTGGGGGAGGCCTGGT Chain ACAGCCGGGGGGGTCCCGGAGACTGTCCTGTGCAG CCTCTGGATTCACCTTTAGCTACTATGGCATGAACT GGGTCCGCCAGGCTCCAGGGAAGGGACTGGAATGG GTCTCAGGTATTACTCAGAGTGGTAGTATCACATAC TACGCAGACACCGTGAAGGGCCGGTTCAGCATCTC CAGAGACAATTCCAAGAACACGTTGTTTCTGCAAA TGAACAGCCTGAGAGCCGAGGACACGGCCGTATAT TACTGTGCGAAGGTGGGAGTGCGCAGTTCGTCCGG GATGTGGGACCTTGACTACTGGGGCCAGGGAACCC TGGTCACCGTCAGCTCAGCTAGCACCAAGGGCCCC AGCGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCAC CAGCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGA AGGACTACTTCCCCGAGCCCGTGACCGTGTCCTGG AACAGCGGAGCCCTGACCTCCGGCGTGCACACCTT CCCCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCC TGTCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTG GGCACCCAGACCTACATCTGCAACGTGAACCACAA GCCCAGCAACACCAAGGTGGACAAGAGAGTGGAG CCCAAGAGCTGCGACAAGACCCACACCTGCCCCCC CTGCCCAGCCCCAGAGCTGCTGGGCGGACCCTCCG TGTTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGA TGATCAGCAGGACCCCCGAGGTGACCTGCGTGGTG GTGGACGTGAGCCACGAGGACCCAGAGGTGAAGTT CAACTGGTACGTGGACGGCGTGGAGGTGCACAACG CCAAGACCAAGCCCAGAGAGGAGCAGTACAACAG CACCTACAGGGTGGTGTCCGTGCTGACCGTGCTGC ACCAGGACTGGCTGAACGGCAAGGAATACAAGTGC AAGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGA AAAGACCATCAGCAAGGCCAAGGGCCAGCCACGG GAGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGA GGAGATGACCAAGAACCAGGTGTCCCTGACCTGTC TGGTGAAGGGCTTCTACCCCAGCGACATCGCCGTG GAGTGGGAGAGCAACGGCCAGCCCGAGAACAACT ACAAGACCACCCCCCCAGTGCTGGACAGCGACGGC AGCTTCTTCCTGTACAGCAAGCTGACCGTGGACAA GTCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCA GCGTGATGCACGAGGCCCTGCACAACCACTACACC CAGAAGAGCCTGAGCCTGTCCCCCGGCAAG NOV3841LC SEQ ID NO: 406 LCDR1 GGNNIGSKSLQ (Combined) SEQ ID NO: 407 LCDR2 DESDRPS (Combined) SEQ ID NO: 408 LCDR3 QVWDTSSDHVV (Combined) SEQ ID NO: 409 (Kabat) LCDR1 GGNNIGSKSLQ SEQ ID NO: 410 (Kabat) LCDR2 DESDRPS SEQ ID NO: 411 (Kabat) LCDR3 QVWDTSSDHVV SEQ ID NO: 412 LCDR1 NNIGSKS (Chothia) SEQ ID NO: 413 LCDR2 DES (Chothia) SEQ ID NO: 414 LCDR3 WDTSSDHV (Chothia) SEQ ID NO: 415 LCDR1 NIGSKS (IMGT) SEQ ID NO: 416 LCDR2 DES (IMGT) SEQ ID NO: 417 LCDR3 QVWDTSSDHVV (IMGT) SEQ ID NO: 418 VL SYVLTQPPSVSVAPGQTARLSCGGNNIGSKSLQWYQQ KPGQAPVLVVNDESDRPSGIPERFSGSNSGNTATLTIS RVEAGDEADYYCQVWDTSSDHVVFGGGTKLTVL SEQ ID NO: 419 DNA VL TCCTATGTGCTGACTCAGCCACCCTCGGTGTCAGTG GCCCCAGGACAGACGGCCAGACTTTCCTGTGGGGG AAACAACATTGGAAGTAAAAGTCTGCAGTGGTACC AGCAGAAGCCAGGCCAGGCCCCTGTGCTGGTCGTC AATGATGAGAGCGACCGGCCCTCAGGGATCCCTGA GCGATTCTCTGGCTCCAACTCTGGGAACACGGCCA CCCTGACCATCAGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATACTAGTAG TGATCATGTGGTCTTCGGCGGAGGGACCAAGCTGA CCGTCCTA SEQ ID NO: 420 Light Chain SYVLTQPPSVSVAPGQTARLSCGGNNIGSKSLQWYQQ KPGQAPVLVVNDESDRPSGIPERFSGSNSGNTATLTIS RVEAGDEADYYCQVWDTSSDHVVFGGGTKLTVLGQ PKAAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTV AWKADSSPVKAGVETTTPSKQSNNKYAASSYLSLTPE QWKSHRSYSCQVTHEGSTVEKTVAPTECS SEQ ID NO: 421 DNA Light TCCTATGTGCTGACTCAGCCACCCTCGGTGTCAGTG Chain GCCCCAGGACAGACGGCCAGACTTTCCTGTGGGGG AAACAACATTGGAAGTAAAAGTCTGCAGTGGTACC AGCAGAAGCCAGGCCAGGCCCCTGTGCTGGTCGTC AATGATGAGAGCGACCGGCCCTCAGGGATCCCTGA GCGATTCTCTGGCTCCAACTCTGGGAACACGGCCA CCCTGACCATCAGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATACTAGTAG TGATCATGTGGTCTTCGGCGGAGGGACCAAGCTGA CCGTCCTAGGCCAGCCTAAGGCCGCTCCCTCCGTG ACCCTGTTCCCCCCCAGCTCCGAGGAACTGCAGGC CAACAAGGCCACCCTGGTGTGCCTGATCAGCGACT TCTACCCTGGCGCCGTGACCGTGGCCTGGAAGGCC GACAGCAGCCCCGTGAAGGCCGGCGTGGAGACAA CCACCCCCAGCAAGCAGAGCAACAACAAGTACGCC GCCAGCAGCTACCTGAGCCTGACCCCCGAGCAGTG GAAGAGCCACAGAAGCTACAGCTGCCAGGTCACCC ACGAGGGCAGCACCGTGGAGAAAACCGTGGCCCCC ACCGAGTGCAGC NOV3842HC SEQ ID NO: 422 HCDR1 GFTFSYYGMN (Combined) SEQ ID NO: 423 HCDR2 GITNVGSITYYADTVKG (Combined) SEQ ID NO: 424 HCDR3 VGVRSSSGMWDLDY (Combined) SEQ ID NO: 425 (Kabat) HCDR1 YYGMN SEQ ID NO: 426 (Kabat) HCDR2 GITNVGSITYYADTVKG SEQ ID NO: 427 (Kabat) HCDR3 VGVRSSSGMWDLDY SEQ ID NO: 428 HCDR1 GFTFSYY (Chothia) SEQ ID NO: 429 HCDR2 TNVGSI (Chothia) SEQ ID NO: 430 HCDR3 VGVRSSSGMWDLDY (Chothia) SEQ ID NO: 431 HCDR1 GFTFSYYG (IMGT) SEQ ID NO: 432 HCDR2 ITNVGSIT (IMGT) SEQ ID NO: 433 HCDR3 AKVGVRSSSGMWDLDY (IMGT) SEQ ID NO: 434 VH EVQLLESGGGLVQPGGSRRLSCAASGFTFSYYGMNW VRQAPGKGLEWVSGITNVGSITYYADTVKGRFSISRD NSKNTLFLQMNSLRAEDTAVYYCAKVGVRSSSGMW DLDYWGQGTLVTVSS SEQ ID NO: 435 DNA VH GAGGTTCAATTGTTGGAGTCTGGGGGAGGCCTGGT ACAGCCGGGGGGGTCCCGGAGACTGTCCTGTGCAG CCTCTGGATTCACCTTTAGCTACTATGGCATGAACT GGGTCCGCCAGGCTCCAGGGAAGGGACTGGAATGG GTCTCAGGTATTACTAATGTGGGTAGTATCACATAC TACGCAGACACCGTGAAGGGCCGGTTCAGCATCTC CAGAGACAATTCCAAGAACACGTTGTTTCTGCAAA TGAACAGCCTGAGAGCCGAGGACACGGCCGTATAT TACTGTGCGAAGGTGGGAGTGCGCAGTTCGTCCGG GATGTGGGACCTTGACTACTGGGGCCAGGGAACCC TGGTCACCGTCAGCTCA SEQ ID NO: 436 Heavy Chain EVQLLESGGGLVQPGGSRRLSCAASGFTFSYYGMNW VRQAPGKGLEWVSGITNVGSITYYADTVKGRFSISRD NSKNTLFLQMNSLRAEDTAVYYCAKVGVRSSSGMW DLDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGT AALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQ SSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDK RVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTL MISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCK VSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTK NQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALH NHYTQKSLSLSPGK SEQ ID NO: 437 DNA Heavy GAGGTTCAATTGTTGGAGTCTGGGGGAGGCCTGGT Chain ACAGCCGGGGGGGTCCCGGAGACTGTCCTGTGCAG CCTCTGGATTCACCTTTAGCTACTATGGCATGAACT GGGTCCGCCAGGCTCCAGGGAAGGGACTGGAATGG GTCTCAGGTATTACTAATGTGGGTAGTATCACATAC TACGCAGACACCGTGAAGGGCCGGTTCAGCATCTC CAGAGACAATTCCAAGAACACGTTGTTTCTGCAAA TGAACAGCCTGAGAGCCGAGGACACGGCCGTATAT TACTGTGCGAAGGTGGGAGTGCGCAGTTCGTCCGG GATGTGGGACCTTGACTACTGGGGCCAGGGAACCC TGGTCACCGTCAGCTCAGCTAGCACCAAGGGCCCC AGCGTGTTCCCCCTGGCCCCCAGCAGCAAGAGCAC CAGCGGCGGCACAGCCGCCCTGGGCTGCCTGGTGA AGGACTACTTCCCCGAGCCCGTGACCGTGTCCTGG AACAGCGGAGCCCTGACCTCCGGCGTGCACACCTT CCCCGCCGTGCTGCAGAGCAGCGGCCTGTACAGCC TGTCCAGCGTGGTGACAGTGCCCAGCAGCAGCCTG GGCACCCAGACCTACATCTGCAACGTGAACCACAA GCCCAGCAACACCAAGGTGGACAAGAGAGTGGAG CCCAAGAGCTGCGACAAGACCCACACCTGCCCCCC CTGCCCAGCCCCAGAGCTGCTGGGCGGACCCTCCG TGTTCCTGTTCCCCCCCAAGCCCAAGGACACCCTGA TGATCAGCAGGACCCCCGAGGTGACCTGCGTGGTG GTGGACGTGAGCCACGAGGACCCAGAGGTGAAGTT CAACTGGTACGTGGACGGCGTGGAGGTGCACAACG CCAAGACCAAGCCCAGAGAGGAGCAGTACAACAG CACCTACAGGGTGGTGTCCGTGCTGACCGTGCTGC ACCAGGACTGGCTGAACGGCAAGGAATACAAGTGC AAGGTCTCCAACAAGGCCCTGCCAGCCCCCATCGA AAAGACCATCAGCAAGGCCAAGGGCCAGCCACGG GAGCCCCAGGTGTACACCCTGCCCCCCTCCCGGGA GGAGATGACCAAGAACCAGGTGTCCCTGACCTGTC TGGTGAAGGGCTTCTACCCCAGCGACATCGCCGTG GAGTGGGAGAGCAACGGCCAGCCCGAGAACAACT ACAAGACCACCCCCCCAGTGCTGGACAGCGACGGC AGCTTCTTCCTGTACAGCAAGCTGACCGTGGACAA GTCCAGGTGGCAGCAGGGCAACGTGTTCAGCTGCA GCGTGATGCACGAGGCCCTGCACAACCACTACACC CAGAAGAGCCTGAGCCTGTCCCCCGGCAAG NOV3842LC SEQ ID NO: 438 LCDR1 GGNNIGSKSLQ (Combined) SEQ ID NO: 439 LCDR2 DESDRPS (Combined) SEQ ID NO: 440 LCDR3 QVWDTSSDHVV (Combined) SEQ ID NO: 441 (Kabat) LCDR1 GGNNIGSKSLQ SEQ ID NO: 442 (Kabat) LCDR2 DESDRPS SEQ ID NO: 443 (Kabat) LCDR3 QVWDTSSDHVV SEQ ID NO: 444 LCDR1 NNIGSKS (Chothia) SEQ ID NO: 445 LCDR2 DES (Chothia) SEQ ID NO: 446 LCDR3 WDTSSDHV (Chothia) SEQ ID NO: 447 LCDR1 NIGSKS (IMGT) SEQ ID NO: 448 LCDR2 DES (IMGT) SEQ ID NO: 449 LCDR3 QVWDTSSDHVV (IMGT) SEQ ID NO: 450 VL SYVLTQPPSVSVAPGQTARLSCGGNNIGSKSLQWYQQ KPGQAPVLVVNDESDRPSGIPERFSGSNSGNTATLTIS RVEAGDEADYYCQVWDTSSDHVVFGGGTKLTVL SEQ ID NO: 451 DNA VL TCCTATGTGCTGACTCAGCCACCCTCGGTGTCAGTG GCCCCAGGACAGACGGCCAGACTTTCCTGTGGGGG AAACAACATTGGAAGTAAAAGTCTGCAGTGGTACC AGCAGAAGCCAGGCCAGGCCCCTGTGCTGGTCGTC AATGATGAGAGCGACCGGCCCTCAGGGATCCCTGA GCGATTCTCTGGCTCCAACTCTGGGAACACGGCCA CCCTGACCATCAGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATACTAGTAG TGATCATGTGGTCTTCGGCGGAGGGACCAAGCTGA CCGTCCTA SEQ ID NO: 452 Light Chain SYVLTQPPSVSVAPGQTARLSCGGNNIGSKSLQWYQQ KPGQAPVLVVNDESDRPSGIPERFSGSNSGNTATLTIS RVEAGDEADYYCQVWDTSSDHVVFGGGTKLTVLGQ PKAAPSVTLFPPSSEELQANKATLVCLISDFYPGAVTV AWKADSSPVKAGVETTTPSKQSNNKYAASSYLSLTPE QWKSHRSYSCQVTHEGSTVEKTVAPTECS SEQ ID NO: 453 DNA Light TCCTATGTGCTGACTCAGCCACCCTCGGTGTCAGTG Chain GCCCCAGGACAGACGGCCAGACTTTCCTGTGGGGG AAACAACATTGGAAGTAAAAGTCTGCAGTGGTACC AGCAGAAGCCAGGCCAGGCCCCTGTGCTGGTCGTC AATGATGAGAGCGACCGGCCCTCAGGGATCCCTGA GCGATTCTCTGGCTCCAACTCTGGGAACACGGCCA CCCTGACCATCAGCAGGGTCGAAGCCGGGGATGAG GCCGACTATTACTGTCAGGTGTGGGATACTAGTAG TGATCATGTGGTCTTCGGCGGAGGGACCAAGCTGA CCGTCCTAGGCCAGCCTAAGGCCGCTCCCTCCGTG ACCCTGTTCCCCCCCAGCTCCGAGGAACTGCAGGC CAACAAGGCCACCCTGGTGTGCCTGATCAGCGACT TCTACCCTGGCGCCGTGACCGTGGCCTGGAAGGCC GACAGCAGCCCCGTGAAGGCCGGCGTGGAGACAA CCACCCCCAGCAAGCAGAGCAACAACAAGTACGCC GCCAGCAGCTACCTGAGCCTGACCCCCGAGCAGTG GAAGAGCCACAGAAGCTACAGCTGCCAGGTCACCC ACGAGGGCAGCACCGTGGAGAAAACCGTGGCCCCC ACCGAGTGCAGC NOV2603 HC SEQ ID NO: 454 HCDR1 GYTFTSYYMH (Combined) SEQ ID NO: 455 HCDR2 IISPSGGSTSYAQKFQG (Combined) SEQ ID NO: 456 HCDR3 DWEGGDPYGYYYAFDY (Combined) SEQ ID NO: 457 (Kabat) HCDR1 SYYMH SEQ ID NO: 458 (Kabat) HCDR2 IISPSGGSTSYAQKFQG SEQ ID NO: 459 (Kabat) HCDR3 DWEGGDPYGYYYAFDY SEQ ID NO: 460 HCDR1 GYTFTSY (Chothia) SEQ ID NO: 461 HCDR2 SPSGGS (Chothia) SEQ ID NO: 462 HCDR3 DWEGGDPYGYYYAFDY (Chothia) SEQ ID NO: 463 HCDR1 GYTFTSYY (IMGT) SEQ ID NO: 464 HCDR2 ISPSGGST (IMGT) SEQ ID NO: 465 HCDR3 ARDWEGGDPYGYYYAFDY (IMGT) SEQ ID NO: 466 VH QVQLVQSGAEVKKPGASVKVSCKASGYTFTSYYMH WVRQAPGQGLEWMGIISPSGGSTSYAQKFQGRVTMT RDTSTSTVYMELSSLRSEDTAVYYCARDWEGGDPYG YYYAFDYWGQGTLVTVSS SEQ ID NO: 467 DNA VH CAGGTGCAATTGGTGCAGAGCGGAGCCGAAGTGAA AAAACCTGGGGCCAGCGTGAAAGTGTCCTGCAAAG CCTCCGGATACACCTTCACCAGCTACTACATGCACT GGGTCCGCCAGGCCCCAGGCCAGGGACTCGAGTGG ATGGGCATCATCAGCCCTAGCGGCGGCAGCACCAG CTACGCCCAGAAATTCCAGGGCCGGGTGACCATGA CCCGCGACACCAGCACCAGCACCGTGTACATGGAA CTGAGCAGCCTGCGCAGCGAGGACACCGCCGTGTA TTATTGCGCGCGTGACTGGGAAGGTGGTGACCCGT ACGGTTACTACTACGCTTTCGACTACTGGGGTCAAG GCACCCTGGTTACAGTCAGCTCA SEQ ID NO: 468 Heavy Chain QVQLVQSGAEVKKPGASVKVSCKASGYTFTSYYMH WVRQAPGQGLEWMGIISPSGGSTSYAQKFQGRVTMT RDTSTSTVYMELSSLRSEDTAVYYCARDWEGGDPYG YYYAFDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTS GGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPA VLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTK VDKRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPK DTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEV HNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEY KCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREE MTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKT TPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMH EALHNHYTQKSLSLSPGK SEQ ID NO: 469 DNA Heavy CAGGTGCAATTGGTGCAGAGCGGAGCCGAAGTGAA Chain AAAACCTGGGGCCAGCGTGAAAGTGTCCTGCAAAG CCTCCGGATACACCTTCACCAGCTACTACATGCACT GGGTCCGCCAGGCCCCAGGCCAGGGACTCGAGTGG ATGGGCATCATCAGCCCTAGCGGCGGCAGCACCAG CTACGCCCAGAAATTCCAGGGCCGGGTGACCATGA CCCGCGACACCAGCACCAGCACCGTGTACATGGAA CTGAGCAGCCTGCGCAGCGAGGACACCGCCGTGTA TTATTGCGCGCGTGACTGGGAAGGTGGTGACCCGT ACGGTTACTACTACGCTTTCGACTACTGGGGTCAAG GCACCCTGGTTACAGTCAGCTCAGCTAGCACCAAG GGCCCCAGCGTGTTCCCCCTGGCCCCCAGCAGCAA GAGCACCAGCGGCGGCACAGCCGCCCTGGGCTGCC TGGTGAAGGACTACTTCCCCGAGCCCGTGACCGTG TCCTGGAACAGCGGAGCCCTGACCTCCGGCGTGCA CACCTTCCCCGCCGTGCTGCAGAGCAGCGGCCTGT ACAGCCTGTCCAGCGTGGTGACAGTGCCCAGCAGC AGCCTGGGCACCCAGACCTACATCTGCAACGTGAA CCACAAGCCCAGCAACACCAAGGTGGACAAGAGA GTGGAGCCCAAGAGCTGCGACAAGACCCACACCTG CCCCCCCTGCCCAGCCCCAGAGCTGCTGGGCGGAC CCTCCGTGTTCCTGTTCCCCCCCAAGCCCAAGGACA CCCTGATGATCAGCAGGACCCCCGAGGTGACCTGC GTGGTGGTGGACGTGAGCCACGAGGACCCAGAGGT GAAGTTCAACTGGTACGTGGACGGCGTGGAGGTGC ACAACGCCAAGACCAAGCCCAGAGAGGAGCAGTA CAACAGCACCTACAGGGTGGTGTCCGTGCTGACCG TGCTGCACCAGGACTGGCTGAACGGCAAGGAATAC AAGTGCAAGGTCTCCAACAAGGCCCTGCCAGCCCC CATCGAAAAGACCATCAGCAAGGCCAAGGGCCAG CCACGGGAGCCCCAGGTGTACACCCTGCCCCCCTC CCGGGAGGAGATGACCAAGAACCAGGTGTCCCTGA CCTGTCTGGTGAAGGGCTTCTACCCCAGCGACATC GCCGTGGAGTGGGAGAGCAACGGCCAGCCCGAGA ACAACTACAAGACCACCCCCCCAGTGCTGGACAGC GACGGCAGCTTCTTCCTGTACAGCAAGCTGACCGT GGACAAGTCCAGGTGGCAGCAGGGCAACGTGTTCA GCTGCAGCGTGATGCACGAGGCCCTGCACAACCAC TACACCCAGAAGAGCCTGAGCCTGTCCCCCGGCAA G NOV2603 LC SEQ ID NO: 470 LCDR1 RASQSISSYLN (Combined) SEQ ID NO: 471 LCDR2 AASSLQS (Combined) SEQ ID NO: 472 LCDR3 QQSYSTPLT (Combined) SEQ ID NO: 473 (Kabat) LCDR1 RASQSISSYLN SEQ ID NO: 474 (Kabat) LCDR2 AASSLQS SEQ ID NO: 475 (Kabat) LCDR3 QQSYSTPLT SEQ ID NO: 476 LCDR1 SQSISSY (Chothia) SEQ ID NO: 477 LCDR2 AAS (Chothia) SEQ ID NO: 478 LCDR3 SYSTPL (Chothia) SEQ ID NO: 479 LCDR1 QSISSY (IMGT) SEQ ID NO: 480 LCDR2 AAS (IMGT) SEQ ID NO: 481 LCDR3 QQSYSTPLT (IMGT) SEQ ID NO: 482 VL DIQMTQSPSSLSASVGDRVTITCRASQSISSYLNWYQQ KPGKAPKLLIYAASSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYSTPLTFGQGTKVEIK SEQ ID NO: 483 DNA VL GATATCCAGATGACCCAGAGCCCTAGCAGCCTGAG CGCCAGCGTGGGCGACCGCGTGACCATTACCTGCA GAGCCAGCCAGAGCATCAGCAGCTACCTGAACTGG TACCAGCAGAAACCTGGCAAGGCGCCCAAACTATT AATCTACGCCGCCAGCAGCCTTCAGAGCGGCGTGC CAAGCCGCTTTAGCGGATCCGGCAGCGGCACCGAC TTCACCCTGACCATCAGCTCCCTTCAGCCTGAAGAC TTCGCCACCTACTACTGCCAGCAGAGCTACAGCAC CCCTCTGACCTTTGGCCAGGGCACCAAAGTGGAAA TCAAA SEQ ID NO: 484 Light Chain DIQMTQSPSSLSASVGDRVTITCRASQSISSYLNWYQQ KPGKAPKLLIYAASSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYSTPLTFGQGTKVEIKRTVAAPS VFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVD NALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEK HKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 485 DNA Light GATATCCAGATGACCCAGAGCCCTAGCAGCCTGAG Chain CGCCAGCGTGGGCGACCGCGTGACCATTACCTGCA GAGCCAGCCAGAGCATCAGCAGCTACCTGAACTGG TACCAGCAGAAACCTGGCAAGGCGCCCAAACTATT AATCTACGCCGCCAGCAGCCTTCAGAGCGGCGTGC CAAGCCGCTTTAGCGGATCCGGCAGCGGCACCGAC TTCACCCTGACCATCAGCTCCCTTCAGCCTGAAGAC TTCGCCACCTACTACTGCCAGCAGAGCTACAGCAC CCCTCTGACCTTTGGCCAGGGCACCAAAGTGGAAA TCAAACGTACGGTGGCCGCTCCCAGCGTGTTCATCT TCCCCCCCAGCGACGAGCAGCTGAAGAGCGGCACC GCCAGCGTGGTGTGCCTGCTGAACAACTTCTACCCC CGGGAGGCCAAGGTGCAGTGGAAGGTGGACAACG CCCTGCAGAGCGGCAACAGCCAGGAGAGCGTCACC GAGCAGGACAGCAAGGACTCCACCTACAGCCTGAG CAGCACCCTGACCCTGAGCAAGGCCGACTACGAGA AGCATAAGGTGTACGCCTGCGAGGTGACCCACCAG GGCCTGTCCAGCCCCGTGACCAAGAGCTTCAACAG GGGCGAGTGC NOV3212 HC SEQ ID NO: 486 HCDR1 GYTFTSLEMH (Combined) SEQ ID NO: 487 HCDR2 IIEPSGGSTSYAQKFQG (Combined) SEQ ID NO: 488 HCDR3 DWEGGDPYGYYYAFDY (Combined) SEQ ID NO: 489 (Kabat) HCDR1 SLEMH SEQ ID NO: 490 (Kabat) HCDR2 IIEPSGGSTSYAQKFQG SEQ ID NO: 491 (Kabat) HCDR3 DWEGGDPYGYYYAFDY SEQ ID NO: 492 HCDR1 GYTFTSL (Chothia) SEQ ID NO: 493 HCDR2 EPSGGS (Chothia) SEQ ID NO: 494 HCDR3 DWEGGDPYGYYYAFDY (Chothia) SEQ ID NO: 495 HCDR1 GYTFTSLE (IMGT) SEQ ID NO: 496 HCDR2 IEPSGGST (IMGT) SEQ ID NO: 497 HCDR3 ARDWEGGDPYGYYYAFDY (IMGT) SEQ ID NO: 498 VH QVQLVQSGAEVKKPGASVKVSCKASGYTFTSLEMH WVRQAPGQGLEWMGIIEPSGGSTSYAQKFQGRVTMT RDTSTSTVYMELSSLRSEDTAVYYCARDWEGGDPYG YYYAFDYWGQGTLVTVSS SEQ ID NO: 499 DNA VH CAGGTCCAATTGGTGCAGTCTGGCGCCGAAGTGAA GAAACCAGGCGCCAGCGTGAAGGTGTCCTGTAAAG CCAGCGGCTACACCTTTACCAGCCTGGAAATGCAT TGGGTCCGACAGGCTCCAGGACAGGGACTCGAGTG GATGGGAATTATCGAGCCTAGCGGCGGCAGCACAA GCTACGCCCAGAAATTCCAGGGCAGAGTGACCATG ACCAGAGACACCAGCACCTCCACCGTGTACATGGA ACTGAGCAGCCTGAGAAGCGAGGACACCGCCGTGT ATTATTGCGCGCGTGATTGGGAAGGCGGCGACCCT TATGGCTACTACTACGCCTTTGATTACTGGGGCCAG GGCACCCTGGTCACAGTTAGCTCA SEQ ID NO: 500 Heavy Chain QVQLVQSGAEVKKPGASVKVSCKASGYTFTSLEMH WVRQAPGQGLEWMGIIEPSGGSTSYAQKFQGRVTMT RDTSTSTVYMELSSLRSEDTAVYYCARDWEGGDPYG YYYAFDYWGQGTLVTVSSASTKGPSVFPLAPSSKSTS GGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPA VLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTK VDKRVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPK DTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEV HNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEY KCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREE MTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKT TPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMH EALHNHYTQKSLSLSPGK SEQ ID NO: 501 DNA Heavy CAGGTCCAATTGGTGCAGTCTGGCGCCGAAGTGAA Chain GAAACCAGGCGCCAGCGTGAAGGTGTCCTGTAAAG CCAGCGGCTACACCTTTACCAGCCTGGAAATGCAT TGGGTCCGACAGGCTCCAGGACAGGGACTCGAGTG GATGGGAATTATCGAGCCTAGCGGCGGCAGCACAA GCTACGCCCAGAAATTCCAGGGCAGAGTGACCATG ACCAGAGACACCAGCACCTCCACCGTGTACATGGA ACTGAGCAGCCTGAGAAGCGAGGACACCGCCGTGT ATTATTGCGCGCGTGATTGGGAAGGCGGCGACCCT TATGGCTACTACTACGCCTTTGATTACTGGGGCCAG GGCACCCTGGTCACAGTTAGCTCAGCTAGCACCAA GGGCCCCAGCGTGTTCCCCCTGGCCCCCAGCAGCA AGAGCACCAGCGGCGGCACAGCCGCCCTGGGCTGC CTGGTGAAGGACTACTTCCCCGAGCCCGTGACCGT GTCCTGGAACAGCGGAGCCCTGACCTCCGGCGTGC ACACCTTCCCCGCCGTGCTGCAGAGCAGCGGCCTG TACAGCCTGTCCAGCGTGGTGACAGTGCCCAGCAG CAGCCTGGGCACCCAGACCTACATCTGCAACGTGA ACCACAAGCCCAGCAACACCAAGGTGGACAAGAG AGTGGAGCCCAAGAGCTGCGACAAGACCCACACAT GCCCCCCCTGCCCGGCGCCAGAGCTGCTGGGCGGA CCCTCCGTGTTCCTGTTCCCCCCCAAGCCCAAGGAC ACCCTGATGATCAGCAGGACCCCCGAGGTGACCTG CGTGGTGGTGGACGTGAGCCACGAGGACCCAGAGG TGAAGTTCAACTGGTACGTGGACGGCGTGGAGGTG CACAACGCCAAGACCAAGCCCAGAGAGGAGCAGT ACAACAGCACCTACAGGGTGGTGTCCGTGCTGACC GTGCTGCACCAGGACTGGCTGAACGGCAAGGAATA CAAGTGCAAGGTCTCCAACAAGGCCCTGCCAGCCC CCATCGAAAAGACCATCAGCAAGGCCAAGGGCCA GCCACGGGAGCCCCAGGTGTACACCCTGCCCCCCT CCCGGGAGGAGATGACCAAGAACCAGGTGTCCCTG ACCTGTCTGGTGAAGGGCTTCTACCCCAGCGACAT CGCCGTGGAGTGGGAGAGCAACGGCCAGCCCGAG AACAACTACAAGACCACCCCCCCAGTGCTGGACAG CGACGGCAGCTTCTTCCTGTACAGCAAGCTGACCG TGGACAAGTCCAGGTGGCAGCAGGGCAACGTGTTC AGCTGCAGCGTGATGCACGAGGCCCTGCACAACCA CTACACCCAGAAGAGCCTGAGCTTAAGCCCCGGCA AG NOV3212 LC SEQ ID NO: 502 LCDR1 RASQSISSYLN (Combined) SEQ ID NO: 503 LCDR2 AASSLQS (Combined) SEQ ID NO: 504 LCDR3 QQSYSTPLT (Combined) SEQ ID NO: 505 (Kabat) LCDR1 RASQSISSYLN SEQ ID NO: 506 (Kabat) LCDR2 AASSLQS SEQ ID NO: 507 (Kabat) LCDR3 QQSYSTPLT SEQ ID NO: 508 LCDR1 SQSISSY (Chothia) SEQ ID NO: 509 LCDR2 AAS (Chothia) SEQ ID NO: 510 LCDR3 SYSTPL (Chothia) SEQ ID NO: 511 LCDR1 QSISSY (IMGT) SEQ ID NO: 512 LCDR2 AAS (IMGT) SEQ ID NO: 513 LCDR3 QQSYSTPLT (IMGT) SEQ ID NO: 514 VL DIQMTQSPSSLSASVGDRVTITCRASQSISSYLNWYQQ KPGKAPKLLIYAASSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYSTPLTFGQGTKVEIK SEQ ID NO: 515 DNA VL GATATCCAGATGACCCAGAGCCCTAGCAGCCTGAG CGCCAGCGTGGGCGACCGCGTGACCATTACCTGCA GAGCCAGCCAGAGCATCAGCAGCTACCTGAACTGG TACCAGCAGAAACCTGGCAAGGCGCCCAAACTATT AATCTACGCCGCCAGCAGCCTTCAGAGCGGCGTGC CAAGCCGCTTTAGCGGATCCGGCAGCGGCACCGAC TTCACCCTGACCATCAGCTCCCTTCAGCCTGAAGAC TTCGCCACCTACTACTGCCAGCAGAGCTACAGCAC CCCTCTGACCTTTGGCCAGGGCACCAAAGTGGAAA TCAAA SEQ ID NO: 516 Light Chain DIQMTQSPSSLSASVGDRVTITCRASQSISSYLNWYQQ KPGKAPKLLIYAASSLQSGVPSRFSGSGSGTDFTLTISS LQPEDFATYYCQQSYSTPLTFGQGTKVEIKRTVAAPS VFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVD NALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEK HKVYACEVTHQGLSSPVTKSFNRGEC SEQ ID NO: 517 DNA Light GATATCCAGATGACCCAGAGCCCTAGCAGCCTGAG Chain CGCCAGCGTGGGCGACCGCGTGACCATTACCTGCA GAGCCAGCCAGAGCATCAGCAGCTACCTGAACTGG TACCAGCAGAAACCTGGCAAGGCGCCCAAACTATT AATCTACGCCGCCAGCAGCCTTCAGAGCGGCGTGC CAAGCCGCTTTAGCGGATCCGGCAGCGGCACCGAC TTCACCCTGACCATCAGCTCCCTTCAGCCTGAAGAC TTCGCCACCTACTACTGCCAGCAGAGCTACAGCAC CCCTCTGACCTTTGGCCAGGGCACCAAAGTGGAAA TCAAACGTACGGTGGCCGCTCCCAGCGTGTTCATCT TCCCCCCCAGCGACGAGCAGCTGAAGAGCGGCACC GCCAGCGTGGTGTGCCTGCTGAACAACTTCTACCCC CGGGAGGCCAAGGTGCAGTGGAAGGTGGACAACG CCCTGCAGAGCGGCAACAGCCAGGAGAGCGTCACC GAGCAGGACAGCAAGGACTCCACCTACAGCCTGAG CAGCACCCTGACCCTGAGCAAGGCCGACTACGAGA AGCATAAGGTGTACGCCTGCGAGGTGACCCACCAG GGCCTGTCCAGCCCCGTGACCAAGAGCTTCAACAG GGGCGAGTGC
[0143] Other antibodies of the present disclosure include those where the amino acids or nucleic acids encoding the amino acids have been mutated; yet have at least 60, 70, 80, 90 or 95 percent identity to the sequences described in Table 2. In some aspects, it includes mutant amino acid sequences wherein no more than 1, 2, 3, 4 or 5 amino acids have been mutated in the variable regions when compared with the variable regions depicted in the sequence described in Table 2, while retaining substantially the same therapeutic activity.
[0144] Since these antibodies can bind to HBsAg, the VH, VL, full length light chain, and full length heavy chain sequences (amino acid sequences and the nucleotide sequences encoding the amino acid sequences) can be “mixed and matched” to create other HBsAg-binding antibodies. Such “mixed and matched” HBsAg-binding antibodies can be tested using the binding assays known in the art (e.g., ELISAs, and other assays described in the Example section). When these chains are mixed and matched, a VH sequence from a particular VH/VL pairing should be replaced with a structurally similar VH sequence. Likewise a full length heavy chain sequence from a particular full length heavy chain/full length light chain pairing should be replaced with a structurally similar full length heavy chain sequence. Likewise, a VL sequence from a particular VH/VL pairing should be replaced with a structurally similar VL sequence. Likewise, a full length light chain sequence from a particular full length heavy chain/full length light chain pairing should be replaced with a structurally similar full length light chain sequence. Accordingly, in one aspect, the disclosure provides for an isolated monoclonal antibody or antigen binding region thereof having: a heavy chain variable region comprising an amino acid sequence selected from the group consisting of SEQ ID NO: 18, 50, 82, 114, 146, 178, 210, 242, 274, 306, 338, 370, 402, 434, 466, or 498 (Table 2); and a light chain variable region comprising an amino acid sequence selected from the group consisting of SEQ ID NO: 34, 66, 98, 130, 162, 194, 226, 258, 290, 322, 354, 386, 418, 450, 482 or 514 (Table 2); wherein the antibody specifically binds to HBsAg.
[0145] In another aspect, the disclosure provides (i) an isolated monoclonal antibody having: a full length heavy chain comprising an amino acid sequence that has been optimized for expression in the cell of a mammalian selected from the group consisting of SEQ ID NOs: 20, 52, 84, 116, 148, 180, 212, 244, 276, 308, 340, 372, 404, 436, 468, or 500 (Table 2) and a full length light chain comprising an amino acid sequence that has been optimized for expression in the cell of a mammalian selected from the group consisting of SEQ ID NOs: 36, 68, 100, 132, 164, 196, 228, 260, 292, 324, 356, 388, 420, 452, 484 or 516 (Table 2) or (ii) a functional protein comprising an antigen binding portion thereof.
[0146] In another aspect, the present disclosure provides HBsAg binding antibodies that comprise the heavy chain and light chain CDR1s, CDR2s and CDR3s as described in Table 2, or combinations thereof. The amino acid sequences of the VH CDR1s of the antibodies are shown in SEQ ID NOs 9, 41, 73, 105, 137, 169, 201, 233, 265, 297, 329, 361, 393, 425, 457 or 489. The amino acid sequences of the VH CDR2s of the antibodies and are shown in SEQ ID NOs: 10, 42, 74, 106, 138, 170, 202, 234, 266, 298, 330, 362, 394, 426, 458 or 490. The amino acid sequences of the VH CDR3s of the antibodies are shown in SEQ ID NOs: 11, 43, 75, 107, 139, 171, 203, 235, 267, 299, 331, 363, 395, 427, 459 or 491. The amino acid sequences of the VL CDR1s of the antibodies are shown in SEQ ID NOs: 25, 57, 89, 121, 153, 185, 217, 249, 281, 313, 345, 377, 409, 441, 473 or 505. The amino acid sequences of the VL CDR2s of the antibodies are shown in SEQ ID NOs 26, 58, 90, 122, 154, 186, 218, 250, 282, 314, 346, 378, 410, 442, 474 or 506. The amino acid sequences of the VL CDR3s of the antibodies are shown in SEQ ID NOs: 27, 59, 91, 123, 155, 187, 219, 251, 283, 315, 347, 379, 411, 443, 475 or 507.
[0147] Given that each of these antibodies can bind to HBsAg and that antigen-binding specificity is provided primarily by the CDR1, 2 and 3 regions, the VH CDR1, 2 and 3 sequences and VL CDR1, 2 and 3 sequences can be “mixed and matched” (i.e., CDRs from different antibodies can be mixed and matched, although each antibody must contain a VH CDR1, 2 and 3 and a VL CDR1, 2 and 3 to create other HBsAg-binding binding molecules. Such “mixed and matched” HBsAg-binding antibodies can be tested using the binding assays known in the art and those described in the Examples (e.g., ELISAs). When VH CDR sequences are mixed and matched, the CDR1, CDR2 and/or CDR3 sequence from a particular VH sequence should be replaced with a structurally similar CDR sequence(s). Likewise, when VL CDR sequences are mixed and matched, the CDR1, CDR2 and/or CDR3 sequence from a particular VL sequence should be replaced with a structurally similar CDR sequence(s). It will be readily apparent to the ordinarily skilled artisan that novel VH and VL sequences can be created by substituting one or more VH and/or VL CDR region sequences with structurally similar sequences from the CDR sequences shown herein for monoclonal antibodies of the present disclosure.
[0148] Accordingly, the present disclosure provides an isolated monoclonal antibody or antigen binding region thereof comprising a heavy chain CDR1 comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 9, 41, 73, 105, 137, 169, 201, 233, 265, 297, 329, 361, 393, 425, 457 or 489; a heavy chain CDR2 comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 10, 42, 74, 106, 138, 170, 202, 234, 266, 298, 330, 362, 394, 426, 458 or 490; a heavy chain CDR3 comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 11, 43, 75, 107, 139, 171, 203, 235, 267, 299, 331, 363, 395, 427, 459 or 491; a light chain CDR1 comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 25, 57, 89, 121, 153, 185, 217, 249, 281, 313, 345, 377, 409, 441, 473 or 505; a light chain CDR2 comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 26, 58, 90, 122, 154, 186, 218, 250, 282, 314, 346, 378, 410, 442, 474 or 506; and a light chain CDR3 comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 27, 59, 91, 123, 155, 187, 219, 251, 283, 315, 347, 379, 411, 443, 475 or 507; wherein the antibody specifically binds to HBsAg.
[0149] In certain aspects, an antibody that specifically binds to HBsAg is an antibody or antibody fragment (e.g., antigen binding fragment) that is described in Table 2.
1. Identification of Antibodies
[0150] The present disclosure provides antibodies and antibody fragments (e.g., antigen binding fragments) that bind to HBsAg. In certain aspects the antibodies and antibody fragments can bind to the same epitope within all four hepatitis B serotypes.
[0151] The present disclosure also provides antibodies and antibody fragments (e.g., antigen binding fragments) that bind to the same epitope as do the HBsAg antibodies described in Table 2. Additional antibodies and antibody fragments (e.g., antigen binding fragments) can therefore be identified based on their ability to cross-compete (e.g., to competitively inhibit the binding of, in a statistically significant manner) with other antibodies in binding assays. The ability of a test antibody to inhibit the binding of antibodies and antibody fragments (e.g., antigen binding fragments) of the present disclosure to HBsAg demonstrates that the test antibody can compete with that antibody or antibody fragment (e.g., antigen binding fragments) for binding to HBsAg; such an antibody may, according to non-limiting theory, bind to the same or a related (e.g., a structurally similar or spatially proximal) epitope on HBsAg as the antibody or antibody fragment (e.g., antigen binding fragments) with which it competes. In a certain aspect, the antibody that binds to the same epitope on HBsAg as the antibodies or antibody fragments (e.g., antigen binding fragments) of the present disclosure is a human or humanized monoclonal antibody. Such human or humanized monoclonal antibodies can be prepared and isolated as described herein.
2. Further Alteration of the Framework of Fc Region
[0152] The present disclosure disclosed specific HBsAg antibodies. These antibodies comprise modified antibodies or antigen binding fragments thereof that further comprise modifications to framework residues within VH and/or VL, e.g. to improve the properties of the antibody. Typically such framework modifications are made to decrease the immunogenicity of the antibody. For example, one approach is to “back-mutate” one or more framework residues to the corresponding germline sequence. More specifically, an antibody that has undergone somatic mutation may contain framework residues that differ from the germline sequence from which the antibody is derived. Such residues can be identified by comparing the antibody framework sequences to the germline sequences from which the antibody is derived. To return the framework region sequences to their germline configuration, the somatic mutations can be “back-mutated” to the germline sequence by, for example, site-directed mutagenesis. Such “back-mutated” antibodies are also intended to be encompassed.
[0153] Another type of framework modification involves mutating one or more residues within the framework region, or even within one or more CDR regions, to remove T-cell epitopes to thereby reduce the potential immunogenicity of the antibody. This approach is also referred to as “deimmunization” and is described in further detail in U.S. Patent Publication No. 2003/0153043 by Carr et al.
[0154] In addition or alternative to modifications made within the framework or CDR regions, antibodies can be engineered to include modifications within the Fc region, typically to alter one or more functional properties of the antibody, such as serum half-life, complement fixation, Fc receptor binding, and/or antigen-dependent cellular cytotoxicity. Furthermore, an antibody can be chemically modified (e.g., one or more chemical moieties can be attached to the antibody) or be modified to alter its glycosylation, again to alter one or more functional properties of the antibody. Each of these aspects is described in further detail below.
[0155] In one aspect, the hinge region of CH1 is modified such that the number of cysteine residues in the hinge region is altered, e.g., increased or decreased. This approach is described further in U.S. Pat. No. 5,677,425 by Bodmer et al. The number of cysteine residues in the hinge region of CH1 is altered to, for example, facilitate assembly of the light and heavy chains or to increase or decrease the stability of the antibody.
[0156] In another aspect, the Fc hinge region of an antibody is mutated to decrease the biological half-life of the antibody. More specifically, one or more amino acid mutations are introduced into the CH2-CH3 domain interface region of the Fc-hinge fragment such that the antibody has impaired Staphylococcyl protein A (SpA) binding relative to native Fc-hinge domain SpA binding. This approach is described in further detail in U.S. Pat. No. 6,165,745 by Ward et al.
[0157] In yet other aspects, the Fc region is altered by replacing at least one amino acid residue with a different amino acid residue to alter the effector functions of the antibody. For example, one or more amino acids can be replaced with a different amino acid residue such that the antibody has an altered affinity for an effector ligand but retains the antigen-binding ability of the parent antibody. The effector ligand to which affinity is altered can be, for example, an Fc receptor or the C1 component of complement. This approach is described in, e.g., U.S. Pat. Nos. 5,624,821 and 5,648,260, both by Winter et al.
[0158] In another aspect, one or more amino acids selected from amino acid residues can be replaced with a different amino acid residue such that the antibody has altered C1q binding and/or reduced or abolished complement dependent cytotoxicity (CDC). This approach is described in, e.g., U.S. Pat. No. 6,194,551 by Idusogie et al.
[0159] In another aspect, one or more amino acid residues are altered to thereby alter the ability of the antibody to fix complement. This approach is described in, e.g., the PCT Publication WO 94/29351 by Bodmer et al. In a specific aspect, one or more amino acids of an antibody or antigen binding fragment thereof of the present disclosure are replaced by one or more allotypic amino acid residues, for the IgG1 subclass and the kappa isotype. Allotypic amino acid residues also include, but are not limited to, the constant region of the heavy chain of the IgG1, IgG2, and IgG3 subclasses as well as the constant region of the light chain of the kappa isotype as described by Jefferis et al., MAbs. 1:332-338 (2009).
[0160] In yet another aspect, the Fc region is modified to increase the ability of the antibody to mediate antibody dependent cellular cytotoxicity (ADCC) and/or to increase the affinity of the antibody for an Fcγ receptor by modifying one or more amino acids. This approach is described in, e.g., the PCT Publication WO 00/42072 by Presta. Moreover, the binding sites on human IgG1 for FcγR1, FcγRII, FcγRIII and FcRn have been mapped and variants with improved binding have been described (see Shields et al., J. Biol. Chem. 276:6591-6604, 2001).
[0161] In still another aspect, the glycosylation of an antibody is modified. For example, an aglycosylated antibody can be made (i.e., the antibody lacks glycosylation). Glycosylation can be altered to, for example, increase the affinity of the antibody for “antigen.” Such carbohydrate modifications can be accomplished by, for example, altering one or more sites of glycosylation within the antibody sequence. For example, one or more amino acid substitutions can be made that result in elimination of one or more variable region framework glycosylation sites to thereby eliminate glycosylation at that site. Such aglycosylation may increase the affinity of the antibody for antigen. Such an approach is described in, e.g., U.S. Pat. Nos. 5,714,350 and 6,350,861 by Co et al.
[0162] Additionally or alternatively, an antibody can be made that has an altered type of glycosylation, such as a hypofucosylated antibody having reduced amounts of fucosyl residues or an antibody having increased bisecting GlcNac structures. Such altered glycosylation patterns have been demonstrated to increase the ADCC ability of antibodies. Such carbohydrate modifications can be accomplished by, for example, expressing the antibody in a host cell with altered glycosylation machinery. Cells with altered glycosylation machinery have been described in the art and can be used as host cells in which to express recombinant antibodies to thereby produce an antibody with altered glycosylation. For example, EP 1,176,195 by Hang et al. describes a cell line with a functionally disrupted FUT8 gene, which encodes a fucosyl transferase, such that antibodies expressed in such a cell line exhibit hypofucosylation. PCT Publication WO 03/035835 by Presta describes a variant CHO cell line, Lec13 cells, with reduced ability to attach fucose to Asn(297)-linked carbohydrates, also resulting in hypofucosylation of antibodies expressed in that host cell (see also Shields et al., (2002) J. Biol. Chem. 277:26733-26740). PCT Publication WO 99/54342 by Umana et al. describes cell lines engineered to express glycoprotein-modifying glycosyl transferases (e.g., beta(1,4)-N acetylglucosaminyltransferase III (GnTIII)) such that antibodies expressed in the engineered cell lines exhibit increased bisecting GlcNac structures which results in increased ADCC activity of the antibodies (see also Umana et al., Nat. Biotech. 17:176-180, 1999).
[0163] In another aspect, the antibody is modified to increase its biological half-life. Various approaches are possible. For example, one or more of the following mutations can be introduced: T252L, T254S, T256F, as described in U.S. Pat. No. 6,277,375 to Ward. Alternatively, to increase the biological half-life, the antibody can be altered within the CH1 or CL region to contain a salvage receptor binding epitope taken from two loops of a CH2 domain of an Fc region of an IgG, as described in U.S. Pat. Nos. 5,869,046 and 6,121,022 by Presta et al.
[0164] In order to minimize the ADCC activity of an antibody, specific mutations in the Fc region result in “Fc silent” antibodies that have minimal interaction with effector cells. In general, the “IgG Fc region” is used to define the C-terminal region of an immunoglobulin heavy chain, including native sequence Fc region and variant Fc regions. The human IgG heavy chain Fc region is generally defined as comprising the amino acid residue from position C226 or from P230 to the carboxyl-terminus of the IgG antibody. The numbering of residues in the Fc region is that of the EU index of Kabat. The C-terminal lysine (residue K447) of the Fc region may be removed, for example, during production or purification of the antibody.
[0165] Silenced effector functions can be obtained by mutation in the Fc region of the antibodies and have been described in the art: LALA and N297A (Strohl, W., 2009, Curr. Opin. Biotechnol. vol. 20(6):685-691); and D265A (Baudino et al., 2008, J. Immunol. 181: 6664-69) see also Heusser et al., WO2012065950. Examples of silent Fc lgG1 antibodies are the LALA mutant comprising L234A and L235A mutation in the lgG1 Fc amino acid sequence. Another example of a silent lgG1 antibody is the DAPA (D265A, P329A) mutation (U.S. Pat. No. 6,737,056). Another silent lgG1 antibody comprises the N297A mutation, which results in aglycosylated/non-glycosylated antibodies.
[0166] Fc silent antibodies result in no or low ADCC activity, meaning that an Fc silent antibody exhibits an ADCC activity that is below 50% specific cell lysis (low ADCC activity), or that is below 1% specific cell lysis (no ADCC activity).
3. Production of the Antibodies
[0167] Anti-HBsAg antibodies and antibody fragments (e.g., antigen binding fragments) thereof can be produced by any means known in the art, including but not limited to, recombinant expression, chemical synthesis, and enzymatic digestion of antibody tetramers, whereas full-length monoclonal antibodies can be obtained by, e.g., hybridoma or recombinant production. Recombinant expression can be from any appropriate host cells known in the art, for example, mammalian host cells, bacterial host cells, yeast host cells, insect host cells, etc.
[0168] The disclosure further provides polynucleotides encoding the antibodies described herein, e.g., polynucleotides encoding heavy or light chain variable regions or segments comprising the complementarity determining regions as described herein. In some aspects, the polynucleotide encoding the heavy chain variable regions has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% nucleic acid sequence identity with a polynucleotide selected from the group consisting of SEQ ID NOs: 19, 51, 83, 115, 147, 179, 211, 243, 275, 307, 339, 371, 403, 435, 467 or 499. In some aspects, the polynucleotide encoding the light chain variable regions has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% nucleic acid sequence identity with a polynucleotide selected from the group consisting of SEQ ID NOs: 35, 67, 99, 131, 163, 195, 227, 259, 291, 323, 355, 387, 419, 451, 483 or 515.
[0169] In some aspects, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% nucleic acid sequence identity with a polynucleotide of SEQ ID NO: 21, 53, 85, 117, 149, 181, 213, 245, 277, 309, 341, 373, 405, 437, 469 or 501. In some aspects, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% nucleic acid sequence identity with a polynucleotide of SEQ ID NO:37, 69, 101, 133, 165, 197, 229, 261, 293, 325, 357, 389, 421, 453, 485, or 517
[0170] The polynucleotides of the present disclosure can encode only the variable region sequence of an anti-HBsAg antibody. They can also encode both a variable region and a constant region of the antibody. Some of the polynucleotide sequences encode a polypeptide that comprises variable regions of both the heavy chain and the light chain of one of an exemplified anti-HBsAg antibody. Some other polynucleotides encode two polypeptide segments that respectively are substantially identical to the variable regions of the heavy chain and the light chain of one of the antibodies.
[0171] The polynucleotide sequences can be produced by de novo solid-phase DNA synthesis or by PCR mutagenesis of an existing sequence encoding an anti-HBsAg antibody or its binding fragment. Direct chemical synthesis of nucleic acids can be accomplished by methods known in the art, such as the phosphotriester method of Narang et al., Meth. Enzymol. 68:90, 1979; the phosphodiester method of Brown et al., Meth. Enzymol. 68:109, 1979; the diethylphosphoramidite method of Beaucage et al., Tetra. Lett., 22:1859, 1981; and the solid support method of U.S. Pat. No. 4,458,066. Introducing mutations to a polynucleotide sequence by PCR can be performed as described in, e.g., PCR Technology: Principles and Applications for DNA Amplification, H. A. Erlich (Ed.), Freeman Press, NY, NY, 1992; PCR Protocols: A Guide to Methods and Applications, Innis et al. (Ed.), Academic Press, San Diego, Calif., 1990; Mattila et al., Nucleic Acids Res. 19:967, 1991; and Eckert et al., PCR Methods and Applications 1:17, 1991.
[0172] Also provided in the present disclosure are expression vectors and host cells for producing the anti-HBsAg antibodies described above. Various expression vectors can be employed to express the polynucleotides encoding the anti-HBsAg antibody chains or binding fragments. Both viral-based and nonviral expression vectors can be used to produce the antibodies in a mammalian host cell. Nonviral vectors and systems include plasmids, episomal vectors, typically with an expression cassette for expressing a protein or RNA, and human artificial chromosomes (see, e.g., Harrington et al., Nat Genet 15:345, 1997). For example, nonviral vectors useful for expression of the anti-HBsAg polynucleotides and polypeptides in mammalian (e.g., human) cells include pThioHis A, B & C, pcDNA3.1/His, pEBVHis A, B & C (Invitrogen, San Diego, Calif.), MPSV vectors, and numerous other vectors known in the art for expressing other proteins. Useful viral vectors include vectors based on retroviruses, adenoviruses, adeno-associated viruses, herpes viruses, vectors based on SV40, papilloma virus, HBP Epstein Barr virus, vaccinia virus vectors and Semliki Forest virus (SFV). See, Brent et al., supra; Smith, Annu. Rev. Microbiol. 49:807, 1995; and Rosenfeld et al., Cell 68:143, 1992.
[0173] The choice of expression vector depends on the intended host cells in which the vector is to be expressed. Typically, the expression vectors contain a promoter and other regulatory sequences (e.g., enhancers) that are operably linked to the polynucleotides encoding an anti-HBsAg antibody chain or fragment. In some aspects, an inducible promoter is employed to prevent expression of inserted sequences except under inducing conditions. Inducible promoters include, e.g., arabinose, lacZ, metallothionein promoter or a heat shock promoter. Cultures of transformed organisms can be expanded under non-inducing conditions without biasing the population for coding sequences whose expression products are better tolerated by the host cells. In addition to promoters, other regulatory elements may also be required or desired for efficient expression of an anti-HBsAg antibody chain or fragment. These elements typically include an ATG initiation codon and adjacent ribosome binding site or other sequences. In addition, the efficiency of expression may be enhanced by the inclusion of enhancers appropriate to the cell system in use (see, e.g., Scharf et al., Results Probl. Cell Differ. 20:125, 1994; and Bittner et al., Meth. Enzymol., 153:516, 1987). For example, the SV40 enhancer or CMV enhancer may be used to increase expression in mammalian host cells.
[0174] The expression vectors may also provide a secretion signal sequence position to form a fusion protein with polypeptides encoded by inserted anti-HBsAg antibody sequences. More often, the inserted anti-HBsAg antibody sequences are linked to a signal sequences before inclusion in the vector. Vectors to be used to receive sequences encoding anti-HBsAg antibody light and heavy chain variable domains sometimes also encode constant regions or parts thereof. Such vectors allow expression of the variable regions as fusion proteins with the constant regions thereby leading to production of intact antibodies or fragments thereof. Typically, such constant regions are human.
[0175] The host cells for harboring and expressing the anti-HBsAg antibody chains can be either prokaryotic or eukaryotic. E. coli is one prokaryotic host useful for cloning and expressing the polynucleotides of the present disclosure. Other microbial hosts suitable for use include bacilli, such as Bacillus subtilis, and other enterobacteriaceae, such as Salmonella, Serratia, and various Pseudomonas species. In these prokaryotic hosts, one can also make expression vectors, which typically contain expression control sequences compatible with the host cell (e.g., an origin of replication). In addition, any number of a variety of well-known promoters will be present, such as the lactose promoter system, a tryptophan (trp) promoter system, a beta-lactamase promoter system, or a promoter system from phage lambda. The promoters typically control expression, optionally with an operator sequence, and have ribosome binding site sequences and the like, for initiating and completing transcription and translation. Other microbes, such as yeast, can also be employed to express anti-HBsAg antibodies. Insect cells in combination with baculovirus vectors can also be used.
[0176] In other aspects, mammalian host cells are used to express and produce the anti-HBsAg antibodies of the present disclosure. For example, they can be either a hybridoma cell line expressing endogenous immunoglobulin genes (e.g., the myeloma hybridoma clones as described in the Examples) or a mammalian cell line harboring an exogenous expression vector. These include any normal mortal or normal or abnormal immortal animal or human cell. For example, a number of suitable host cell lines capable of secreting intact immunoglobulins have been developed, including the CHO cell lines, various COS cell lines, HeLa cells, myeloma cell lines, transformed B-cells and hybridomas. The use of mammalian tissue cell culture to express polypeptides is discussed generally in, e.g., Winnacker, From Genes to Clones, VCH Publishers, N.Y., N.Y., 1987. Expression vectors for mammalian host cells can include expression control sequences, such as an origin of replication, a promoter, and an enhancer (see, e.g., Queen et al., Immunol. Rev. 89:49-68, 1986), and necessary processing information sites, such as ribosome binding sites, RNA splice sites, polyadenylation sites, and transcriptional terminator sequences. These expression vectors usually contain promoters derived from mammalian genes or from mammalian viruses. Suitable promoters may be constitutive, cell type-specific, stage-specific, and/or modulatable or regulatable. Useful promoters include, but are not limited to, the metallothionein promoter, the constitutive adenovirus major late promoter, the dexamethasone-inducible MMTV promoter, the SV40 promoter, the MRP polIII promoter, the constitutive MPSV promoter, the tetracycline-inducible CMV promoter (such as the human immediate-early CMV promoter), the constitutive CMV promoter, and promoter-enhancer combinations known in the art.
[0177] Methods for introducing expression vectors containing the polynucleotide sequences of interest vary depending on the type of cellular host. For example, calcium chloride transfection is commonly utilized for prokaryotic cells, whereas calcium phosphate treatment or electroporation may be used for other cellular hosts (see generally Sambrook et al., supra). Other methods include, e.g., electroporation, calcium phosphate treatment, liposome-mediated transformation, injection and microinjection, ballistic methods, virosomes, immunoliposomes, polycation:nucleic acid conjugates, naked DNA, artificial virions, fusion to the herpes virus structural protein VP22 (Elliot and O'Hare, Cell 88:223, 1997), agent-enhanced uptake of DNA, and ex vivo transduction. For long-term, high-yield production of recombinant proteins, stable expression will often be desired. For example, cell lines which stably express anti-HBsAg antibody chains or binding fragments can be prepared using expression vectors which contain viral origins of replication or endogenous expression elements and a selectable marker gene. Following introduction of the vector, cells may be allowed to grow for 1-2 days in an enriched media before they are switched to selective media. The purpose of the selectable marker is to confer resistance to selection, and its presence allows growth of cells which successfully express the introduced sequences in selective media. Resistant, stably transfected cells can be proliferated using tissue culture techniques appropriate to the cell type.
Therapeutic and Diagnostic Uses
[0178] The antibodies, antibody fragments (e.g., antigen binding fragments) of the present disclosure are useful in a variety of applications including, but not limited to, hepatitis B viral infection and disease. In certain aspects, the antibodies, antibody fragments (e.g., antigen binding fragments), and are useful for neutralizing hepatitis B infection and the prevention or treatment of liver cirrhosis or liver cancer). The methods of use can be in vitro, ex vivo, or in vivo methods.
[0179] In one aspect, the antibodies, antibody fragments (e.g., antigen binding fragments), are useful for detecting the presence of HBsAg in a biological sample. The term “detecting” as used herein encompasses quantitative or qualitative detection. In certain aspects, a biological sample comprises a cell or tissue. In certain aspects, such tissues include normal and/or cancerous tissues that express HBsAg at higher levels relative to other tissues.
[0180] In one aspect, the present disclosure provides a method of detecting the presence of HBsAg or hepatitis B in a biological sample. In certain aspects, the method comprises contacting the biological sample with an anti-HBsAg antibody under conditions permissive for binding of the antibody to the antigen, and detecting whether a complex is formed between the antibody and the antigen. The biological sample can include, without limitation, urine or blood samples.
[0181] Also included is a method of diagnosing a disorder associated with expression of HBsAg. In certain aspects, the method comprises contacting a test cell with an anti-HBsAg antibody; determining the level of expression (either quantitatively or qualitatively) of HBsAg in the test cell by detecting binding of the antibody to HBsAg; and comparing the level of infection in the test cell with the level of infection of hepatitis B virus in a control cell (e.g., a normal cell of the same tissue origin as the test cell or a non-virus infected cell), wherein a higher level of presence of HBsAg in the test cell as compared to the control cell indicates the presence of a disorder associated with infection with hepatitis B. In certain aspects, the test cell is obtained from an individual suspected of having a hepatitis B virus infection.
[0182] In certain aspects, a method of diagnosis or detection, such as those described above, comprises detecting binding of a HBsAg antibody to a hepatitis B virus infected cell. An exemplary assay for detecting binding of an anti-HBsAg antibody to a hepatitis B infected cell is a “FACS” assay.
[0183] Certain other methods can be used to detect binding of anti-HBsAg antibodies. Such methods include, but are not limited to, antigen-binding assays that are well known in the art, such as Western blots, radioimmunoassays, ELISA (enzyme linked immunosorbent assay), “sandwich” immunoassays, immunoprecipitation assays, fluorescent immunoassays, protein A immunoassays, and immunohistochemistry (IHC).
[0184] In certain aspects, the anti-HBsAg antibodies are labeled. Labels include, but are not limited to, labels or moieties that are detected directly (such as fluorescent, chromophoric, electron-dense, chemiluminescent, and radioactive labels), as well as moieties, such as enzymes or ligands, that are detected indirectly, e.g., through an enzymatic reaction or molecular interaction.
[0185] In certain aspects, the anti-HBsAg antibodies are immobilized on an insoluble matrix. Immobilization entails separating the anti-HBsAg antibody from any hepatitis B proteins that remain free in solution. This conventionally is accomplished by either insolubilizing the anti-HBsAg antibody before the assay procedure, as by adsorption to a water-insoluble matrix or surface (Bennich et al, U.S. Pat. No. 3,720,760), or by covalent coupling (for example, using glutaraldehyde cross-linking), or by insolubilizing the anti-HBsAg antibody after formation of a complex between the anti-HBsAg antibody and HBsAg protein, e.g., by immunoprecipitation.
[0186] Any of the above aspects of diagnosis or detection can be carried out using an anti-HBsAg antibody of the present disclosure in place of or in addition to another anti-HBsAg antibody.
[0187] In one aspect, the disclosure provides for a method of treating, reducing the likelihood of or ameliorating a disease comprising administering the antibodies, antibody fragments (e.g., antigen binding fragments), to a patient, thereby treating the disease. In certain aspects, the disease treated with the antibodies, antibody fragments (e.g., antigen binding fragments), is a hepatitis B viral infection. Examples of hepatitis B diseases which can be treated and/or prevented include, but are not limited to; liver failure, cirrhosis, and hepatocellular carcinoma. In certain aspects, the infection is characterized by HBsAg expressing cells to which the anti-HBsAg antibodies, antibody fragments (e.g., antigen binding fragments) can specifically bind.
[0188] The present disclosure provides for methods of treating hepatitis B viral infection and liver failure, cirrhosis, and/or hepatocellular carcinoma comprising administering a therapeutically effective amount of the antibodies, antibody fragments (e.g., antigen binding fragments). In certain aspects, the subject is a human.
[0189] In certain aspects, the method of reducing hepatitis B viral infection comprises administering to a subject a therapeutically effective amount of antibodies or antibody fragments (e.g., antigen binding fragments). In certain aspects, the subject is a human. In certain aspects, the subject is immunosuppressed, immunocompromised or has reduced immune function. For immunosuppressed subjects, the amount of immunosuppression can be increased or decreased due to the therapeutic effects of the anti-HBsAg antibodies.
[0190] For the treatment of hepatitis B viral infection, the appropriate dosage of the HBsAg antibodies, or antibody fragments (e.g., antigen binding fragments), depend on various factors, such as the type of infection to be treated, the severity and course of the infection, the responsiveness of the infection, the generation of viral resistance to therapy, previous therapy, patient's clinical history, and so on. The antibody can be administered one time or over a series of treatments lasting from several days to several months, or until a cure is effected or a diminution of the infection is achieved (e.g., reduction in viruria or viral damage to the liver). Optimal dosing schedules can be calculated from measurements of drug accumulation in the body of the patient and will vary depending on the relative potency of an individual antibody or antibody fragment (e.g., antigen binding fragment). In certain aspects, dosage is from 0.01 mg to 100 mg (e.g., 0.01 mg, 0.05 mg, 0.1 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg, 7 mg, 8 mg, 9 mg, 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg, 70 mg, 80 mg. 90 mg or 100 mg) per kg of body weight, and can be given once or more daily, weekly, monthly or yearly. In certain aspects, the antibody or antibody fragment (e.g., antigen binding fragment), of the present disclosure is given once every two weeks or once every three weeks. The treating physician can estimate repetition rates for dosing based on measured half-life and concentrations of the antibody in bodily fluids or tissues.
Combination Therapy
[0191] In certain instances, the antibody or antibody fragment (e.g., antigen binding fragment), of the present disclosure is combined with other therapeutic agents, such as other anti-viral agents, anti-allergic agents, anti-nausea agents (or anti-emetics), pain relievers, cytoprotective agents, immunosuppressants and combinations thereof.
[0192] The term “pharmaceutical combination” as used herein refers to either a fixed combination in one dosage unit form, or non-fixed combination or a kit of parts for the combined administration where two or more therapeutic agents may be administered independently at the same time or separately within time intervals, especially where these time intervals allow that the combination partners show a cooperative, e.g. synergistic effect.
[0193] The term “combination therapy” refers to the administration of two or more therapeutic agents to treat a therapeutic condition or infection described in the present disclosure. Such administration encompasses co-administration of these therapeutic agents in a substantially simultaneous manner, such as in a single capsule having a fixed ratio of active ingredients. Alternatively, such administration encompasses co-administration in multiple, or in separate containers (e.g., capsules, powders, and liquids) for each active ingredient. Powders and/or liquids may be reconstituted or diluted to a desired dose prior to administration. In addition, such administration also encompasses use of each type of therapeutic agent in a sequential manner, either at approximately the same time or at different times. In either case, the treatment regimen will provide beneficial effects of the drug combination in treating the conditions or disorders described herein.
[0194] The combination therapy can provide “synergy” and prove “synergistic”, i.e., the effect achieved when the active ingredients used together is greater than the sum of the effects that results from using the individual components separately. A synergistic effect can be attained when the active ingredients are: (1) co-formulated and administered or delivered simultaneously in a combined, unit dosage formulation; (2) delivered by alternation or in parallel as separate formulations; or (3) by some other regimen. When delivered in alternation therapy, a synergistic effect can be attained when the individual components are administered or delivered sequentially, e.g., by different injections in separate syringes. In general, during alternation therapy, an effective dosage of each active ingredient is administered sequentially, i.e., serially, whereas in combination therapy, effective dosages of two or more active ingredients are administered together.
[0195] In one aspect, the present disclosure provides a method of treating hepatitis B infection by administering to a subject in need thereof anti-HBsAg antibody in together with immunosuppressant therapies. The anti-HBsAg antibodies will reduce the amount of HBsAg in the circulation and allow the immune system to mount a response to the hepatitis B viral infection resulting from the immunosuppressant therapy prior to or post administration. Examples of immunosuppressant therapy include, but are not limited to; a monophosphate dehydrogenase inhibitor, a purine synthesis inhibitor, a calcineurin inhibitor or an mTOR inhibitor. Specific examples of immunosuppressive therapeutics include but are not limited to; mycophenolate mofetil (MMF), mycophenolate sodium, azathioprine, tacrolimus, sirolimus and cyclosporine.
[0196] In one embodiment, an anti-HBsAg antibody combination is used with a PD-1 inhibitor, e.g., as described in WO2015/026684 or WO2016/057846. In some embodiments, the PD-1 inhibitor is an anti-PD-1 antibody chosen from Nivolumab, Pembrolizumab or Pidilizumab.
[0197] In some embodiments, the anti-PD-1 antibody is Nivolumab. Alternative names for Nivolumab include MDX-1106, MDX-1106-04, ONO-4538, or BMS-936558. In some embodiments, the anti-PD-1 antibody is Nivolumab (CAS Registry Number: 946414-94-4). Nivolumab is a fully human IgG4 monoclonal antibody which specifically blocks PD1. Nivolumab (clone 5C4) and other human monoclonal antibodies that specifically bind to PD1 are disclosed in U.S. Pat. No. 8,008,449 and WO2006/121168. In one embodiment, the inhibitor of PD-1 is Nivolumab, and having a sequence disclosed therein (or a sequence substantially identical or similar thereto, e.g., a sequence at least 85%, 90%, 95% identical or higher to the sequence specified).
[0198] In some embodiments, the anti-PD-1 antibody is Pembrolizumab. Pembrolizumab (also referred to as Lambrolizumab, MK-3475, MK03475, SCH-900475 or KEYTRUDA®; Merck) is a humanized IgG4 monoclonal antibody that binds to PD-1. Pembrolizumab and other humanized anti-PD-1 antibodies are disclosed in Hamid, O. et al. (2013) New England Journal of Medicine 369 (2): 134-44, U.S. Pat. No. 8,354,509 and WO2009/114335.
[0199] In one embodiment, the inhibitor of PD-1 is Pembrolizumab, disclosed in, e.g., U.S. Pat. No. 8,354,509 and WO 2009/114335, and having a sequence disclosed therein (or a sequence substantially identical or similar thereto, e.g., a sequence at least 85%, 90%, 95% identical or higher to the sequence specified).
[0200] In some embodiments, the anti-PD-1 antibody is Pidilizumab. Pidilizumab (CT-011; Cure Tech) is a humanized IgGlk monoclonal antibody that binds to PD1. Pidilizumab and other humanized anti-PD-1 monoclonal antibodies are disclosed in WO2009/101611. Other anti-PD1 antibodies include AMP 514 (Amplimmune), among others, e.g., anti-PD1 antibodies disclosed in U.S. Pat. No. 8,609,089, US 2010028330, and/or US 20120114649.
[0201] In some embodiments, the PD-1 inhibitor is an immunoadhesin (e.g., an immunoadhesin comprising an extracellular or PD-1 binding portion of PD-L1 or PD-L2 fused to a constant region (e.g., an Fc region of an immunoglobulin sequence). In some embodiments, the PD-1 inhibitor is AMP-224 (B7-DCIg; Amplimmune; e.g., disclosed in WO2010/027827 and WO2011/066342), is a PD-L2 Fc fusion soluble receptor that blocks the interaction between PD-1 and B7-H1.
[0202] In one embodiment, an anti-HBsAg antibody combination is used with an anti-PD-L1 antibody, e.g., as described in WO2016/061142. In some embodiments, the anti-PD-L1 antibody is Atezolizumab, Avelumab or Durvalumab. In some embodiments, the anti-PD-L1 antibody is Atezolizumab, disclosed in WO2010/077634. In some embodiments, the anti-PD-L1 antibody is Durvalumab, disclosed in WO2011/066389. Other anti-PD-L1 antibodies include BMS-936559 also known as MDX-1105, as disclosed in WO2007/005874 and AMP-224 also known as GSK2661380 disclosed in WO2010/027423.
Pharmaceutical Compositions
[0203] To prepare pharmaceutical or sterile compositions including anti-HBsAg antibodies, the antibodies of the present disclosure are mixed with a pharmaceutically acceptable carrier or excipient. The compositions can additionally contain one or more other therapeutic agents that are suitable for neutralizing hepatitis B infection.
[0204] Formulations of therapeutic and diagnostic agents can be prepared by mixing with physiologically acceptable carriers, excipients, or stabilizers in the form of, e.g., lyophilized powders, slurries, aqueous solutions, lotions, or suspensions (see, e.g., Hardman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, McGraw-Hill, New York, N.Y., 2001; Gennaro, Remington: The Science and Practice of Pharmacy, Lippincott, Williams, and Wilkins, New York, N.Y., 2000; Avis, et al. (eds.), Pharmaceutical Dosage Forms: Parenteral Medications, Marcel Dekker, N Y, 1993; Lieberman, et al. (eds.), Pharmaceutical Dosage Forms: Tablets, Marcel Dekker, N Y, 1990; Lieberman, et al. (eds.) Pharmaceutical Dosage Forms: Disperse Systems, Marcel Dekker, N Y, 1990; Weiner and Kotkoskie, Excipient Toxicity and Safety, Marcel Dekker, Inc., New York, N.Y., 2000).
[0205] In a specific aspect, the anti-HBsAg antibody is a lyophilisate in a vial containing the antibody. The lyophilisate can be reconstituted with water or a pharmaceutical carrier suitable for injection. For subsequent intravenous administration, the obtained solution will usually be further diluted into a carrier solution.
[0206] The antibodies disclosed herein are useful in the neutralization of hepatitis B in patients suffering from liver failure, cirrhosis, and/or hepatocellular carcinoma, so a pharmaceutical carrier of sucrose and human albumin as used previously in bone marrow transplant patients receiving CytoGam® can be used (DeRienzo et al. Pharmacotherapy 2000; 20:1175-8). Alternatively, the anti-HBsAg antibodies can be introduced into transplant patients via a pharmaceutical carrier as described for another anti-viral antibody, Synagis®, as described in WO2003/105894. In this publication, the pharmaceutical carrier was comprised of histidine and/or glycine, a saccharide (e.g. sucrose) and a polyol (e.g. polysorbate).
[0207] Selecting an administration regimen for a therapeutic depends on several factors, including the severity of the infection, the level of symptoms, and the accessibility of the target cells in the biological matrix. In certain aspects, an administration regimen maximizes the amount of therapeutic delivered to the patient consistent with an acceptable level of side effects. Accordingly, the amount of biologic delivered depends in part on the particular entity and the severity of the condition being treated. Guidance in selecting appropriate doses of antibodies, cytokines, and small molecules are available (see, e.g., Wawrzynczak, Antibody Therapy, Bios Scientific Pub. Ltd, Oxfordshire, UK, 1996; Kresina (ed.), Monoclonal Antibodies, Cytokines and Arthritis, Marcel Dekker, New York, N.Y., 1991; Bach (ed.), Monoclonal Antibodies and Peptide Therapy in Autoimmune Diseases, Marcel Dekker, New York, N.Y., 1993; Baert et al., New Engl. J. Med. 348:601-608, 2003; Milgrom et al., New Engl. J. Med. 341:1966-1973, 1999; Slamon et al., New Engl. J. Med. 344:783-792, 2001; Beniaminovitz et al., New Engl. J. Med. 342:613-619, 2000; Ghosh et al., New Engl. J. Med. 348:24-32, 2003; Lipsky et al., New Engl. J. Med. 343:1594-1602, 2000).
[0208] Determination of the appropriate dose is made by the clinician, e.g., using parameters or factors known or suspected in the art to affect treatment or predicted to affect treatment. Generally, the dose begins with an amount somewhat less than the optimum dose and it is increased by small increments thereafter until the desired or optimum effect is achieved relative to any negative side effects. Important diagnostic measures include those of symptoms of, e.g., infusion reactions.
[0209] Actual dosage levels of the active ingredients in the pharmaceutical compositions with the anti-HBsAg antibodies can be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular patient, composition, and mode of administration, without being toxic to the patient. The selected dosage level will depend upon a variety of pharmacokinetic factors including the neutralizing activity of the antibodies, the route of administration, the time of administration, the half-life of the antibody in the patient, the duration of the treatment, other drugs, compounds and/or materials used in combination with the particular compositions employed, the age, sex, weight, condition, general health and prior medical history of the patient being treated, and like factors known in the medical arts.
[0210] Compositions comprising antibodies or fragments thereof can be provided by continuous infusion, or by doses at intervals of, e.g., one day, one week, or 1-7 times per week. Doses can be provided intravenously, subcutaneously, topically, orally, nasally, rectally, intramuscular, intracerebrally, or by inhalation. A specific dose protocol is one involving the maximal dose or dose frequency that avoids significant undesirable side effects.
[0211] For the antibodies described herein, the dosage administered to a patient may be 0.0001 mg/kg to 100 mg/kg of the patient's body weight. The dosage may be between 0.0001 mg/kg and 20 mg/kg, 0.0001 mg/kg and 10 mg/kg, 0.0001 mg/kg and 5 mg/kg, 0.0001 and 2 mg/kg, 0.0001 and 1 mg/kg, 0.0001 mg/kg and 0.75 mg/kg, 0.0001 mg/kg and 0.5 mg/kg, 0.0001 mg/kg to 0.25 mg/kg, 0.0001 to 0.15 mg/kg, 0.0001 to 0.10 mg/kg, 0.001 to 0.5 mg/kg, 0.01 to 0.25 mg/kg or 0.01 to 0.10 mg/kg of the patient's body weight. The dosage of the antibodies or fragments thereof can be calculated using the patient's weight in kilograms (kg) multiplied by the dose to be administered in mg/kg.
[0212] Doses of the antibodies then can be repeated and the administrations may be separated by at least 1 day, 2 days, 3 days, 5 days, 10 days, 15 days, 30 days, 45 days, 2 months, 75 days, 3 months, or at least 6 months.
[0213] An effective amount for a particular patient may vary depending on factors such as the condition being treated, the overall health of the patient, the method, route and dose of administration and the severity of side effects (see, e.g., Maynard et al., A Handbook of SOPs for Good Clinical Practice, Interpharm Press, Boca Raton, Fla., 1996; Dent, Good Laboratory and Good Clinical Practice, Urch Publ., London, UK, 2001).
[0214] The route of administration may be by, e.g., topical or cutaneous application, injection or infusion by intravenous, intraperitoneal, intracerebral, intramuscular, intraocular, intraarterial, intracerebrospinal, intralesional, or by sustained release systems or an implant (see, e.g., Sidman et al., Biopolymers 22:547-556, 1983; Langer et al., J. Biomed. Mater. Res. 15:167-277, 1981; Langer, Chem. Tech. 12:98-105, 1982; Epstein et al., Proc. Natl. Acad. Sci. USA 82:3688-3692, 1985; Hwang et al., Proc. Natl. Acad. Sci. USA 77:4030-4034, 1980; U.S. Pat. Nos. 6,350,466 and 6,316,024). Where necessary, the composition may also include a solubilizing agent or a local anesthetic such as lidocaine to ease pain at the site of the injection, or both. In addition, pulmonary administration can also be employed, e.g., by use of an inhaler or nebulizer, and formulation with an aerosolizing agent. See, e.g., U.S. Pat. Nos. 6,019,968, 5,985,320, 5,985,309, 5,934,272, 5,874,064, 5,855,913, 5,290,540, and 4,880,078; and PCT Publication Nos. WO 92/19244, WO 97/32572, WO 97/44013, WO 98/31346, and WO 99/66903, each of which is incorporated herein by reference their entirety.
[0215] A composition of the present disclosure can also be administered via one or more routes of administration using one or more of a variety of methods known in the art. As will be appreciated by the skilled artisan, the route and/or mode of administration will vary depending upon the desired results. Selected routes of administration for the antibodies include intravenous, intramuscular, intradermal, intraperitoneal, subcutaneous, spinal or other parenteral routes of administration, for example by injection or infusion. Parenteral administration can represent modes of administration other than enteral and topical administration, usually by injection, and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal, epidural and intrasternal injection and infusion. Alternatively, a composition of the present disclosure can be administered via a non-parenteral route, such as a topical, epidermal or mucosal route of administration, for example, intranasally, orally, vaginally, rectally, sublingually or topically. In one aspect, the antibodies of the present disclosure are administered by infusion. In another aspect, the antibodies are administered subcutaneously.
[0216] If the antibodies of the present disclosure are administered in a controlled release or sustained release system, a pump may be used to achieve controlled or sustained release (see Langer, supra; Sefton, CRC Crit. Ref Biomed. Eng. 14:20, 1987; Buchwald et al., Surgery 88:507, 1980; Saudek et al., N. Engl. J. Med. 321:574, 1989). Polymeric materials can be used to achieve controlled or sustained release of the therapies of the antibodies (see e.g., Medical Applications of Controlled Release, Langer and Wise (eds.), CRC Pres., Boca Raton, Fla., 1974; Controlled Drug Bioavailability, Drug Product Design and Performance, Smolen and Ball (eds.), Wiley, New York, 1984; Ranger and Peppas, J. Macromol. Sci. Rev. Macromol. Chem. 23:61, 1983; see also Levy et al., Science 228:190, 1985; During et al., Ann. Neurol. 25:351, 1989; Howard et al., J. Neurosurg. 7 1:105, 1989; U.S. Pat. Nos. 5,679,377; 5,916,597; 5,912,015; 5,989,463; 5,128,326; PCT Publication No. WO 99/15154; and PCT Publication No. WO 99/20253.
[0217] Examples of polymers used in sustained release formulations include, but are not limited to, poly(2-hydroxy ethyl methacrylate), poly(methyl methacrylate), poly(acrylic acid), poly(ethylene-co-vinyl acetate), poly(methacrylic acid), polyglycolides (PLG), polyanhydrides, poly(N-vinyl pyrrolidone), poly(vinyl alcohol), polyacrylamide, poly(ethylene glycol), polylactides (PLA), poly(lactide-co-glycolides) (PLGA), and polyorthoesters. In one aspect, the polymer used in a sustained release formulation is inert, free of leachable impurities, stable on storage, sterile, and biodegradable. A controlled or sustained release system can be placed in proximity of the prophylactic or therapeutic target, thus requiring only a fraction of the systemic dose (see, e.g., Goodson, in Medical Applications of Controlled Release, supra, vol. 2, pp. 115-138, 1984).
[0218] Controlled release systems are discussed in the review by Langer, Science 249:1527-1533, 1990). Any technique known to one of skill in the art can be used to produce sustained release formulations comprising one or more antibodies of the present disclosure. See, e.g., U.S. Pat. No. 4,526,938, PCT publication WO 91/05548, PCT publication WO 96/20698, Ning et al., Radiotherapy & Oncology 39:179-189, 1996; Song et al., PDA Journal of Pharmaceutical Science & Technology 50:372-397, 1995; Cleek et al., Pro. Int'l. Symp. Control. Rd. Bioact. Mater. 24:853-854, 1997; and Lam et al., Proc. Int'l. Symp. Control Rd. Bioact. Mater. 24:759-760, 1997, each of which is incorporated herein by reference in their entirety.
[0219] If the antibodies of the disclosure are administered topically, they can be formulated in the form of an ointment, cream, transdermal patch, lotion, gel, spray, aerosol, solution, emulsion, or other form well-known to one of skill in the art. See, e.g., Remington's Pharmaceutical Sciences and Introduction to Pharmaceutical Dosage Forms, 19th ed., Mack Pub. Co., Easton, Pa. (1995). For non-sprayable topical dosage forms, viscous to semi-solid or solid forms comprising a carrier or one or more excipients compatible with topical application and having a dynamic viscosity, in some instances, greater than water are typically employed. Suitable formulations include, without limitation, solutions, suspensions, emulsions, creams, ointments, powders, liniments, salves, and the like, which are, if desired, sterilized or mixed with auxiliary agents (e.g., preservatives, stabilizers, wetting agents, buffers, or salts) for influencing various properties, such as, for example, osmotic pressure. Other suitable topical dosage forms include sprayable aerosol preparations wherein the active ingredient, in some instances, in combination with a solid or liquid inert carrier, is packaged in a mixture with a pressurized volatile (e.g., a gaseous propellant, such as freon) or in a squeeze bottle. Moisturizers or humectants can also be added to pharmaceutical compositions and dosage forms if desired. Examples of such additional ingredients are well-known in the art.
[0220] If the compositions comprising the antibodies are administered intranasally, it can be formulated in an aerosol form, spray, mist or in the form of drops. In particular, prophylactic or therapeutic agents for use according to the present disclosure can be conveniently delivered in the form of an aerosol spray presentation from pressurized packs or a nebuliser, with the use of a suitable propellant (e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas). In the case of a pressurized aerosol the dosage unit may be determined by providing a valve to deliver a metered amount. Capsules and cartridges (composed of, e.g., gelatin) for use in an inhaler or insufflator may be formulated containing a powder mix of the compound and a suitable powder base such as lactose or starch.
[0221] Methods for co-administration or treatment with a second therapeutic agent, e.g., an immunosuppressant, a cytokine, steroid, chemotherapeutic agent, antibiotic, or radiation, are known in the art (see, e.g., Hardman et al., (eds.) (2001) Goodman and Gilman's The Pharmacological Basis of Therapeutics, 10th ed., McGraw-Hill, New York, N.Y.; Poole and Peterson (eds.) (2001) Pharmacotherapeutics for Advanced Practice: A Practical Approach, Lippincott, Williams & Wilkins, Phila., Pa.; Chabner and Longo (eds.) (2001) Cancer Chemotherapy and Biotherapy, Lippincott, Williams & Wilkins, Phila., Pa.). An effective amount of therapeutic may decrease the symptoms by at least 10%; by at least 20%; at least about 30%; at least 40%, or at least 50%.
[0222] Additional therapies (e.g., prophylactic or therapeutic agents), which can be administered in combination with the anti-HBsAg antibodies may be administered less than 5 minutes apart, less than 30 minutes apart, 1 hour apart, at about 1 hour apart, at about 1 to about 2 hours apart, at about 2 hours to about 3 hours apart, at about 3 hours to about 4 hours apart, at about 4 hours to about 5 hours apart, at about 5 hours to about 6 hours apart, at about 6 hours to about 7 hours apart, at about 7 hours to about 8 hours apart, at about 8 hours to about 9 hours apart, at about 9 hours to about 10 hours apart, at about 10 hours to about 11 hours apart, at about 11 hours to about 12 hours apart, at about 12 hours to 18 hours apart, 18 hours to 24 hours apart, 24 hours to 36 hours apart, 36 hours to 48 hours apart, 48 hours to 52 hours apart, 52 hours to 60 hours apart, 60 hours to 72 hours apart, 72 hours to 84 hours apart, 84 hours to 96 hours apart, or 96 hours to 120 hours apart from the anti-HBsAg antibodies of the present disclosure. The two or more therapies may be administered within one same patient visit.
[0223] In certain aspects, anti-HBsAg antibodies can be formulated to ensure proper distribution in vivo. For example, the blood-brain barrier (BBB) excludes many highly hydrophilic compounds. To ensure that the anti-HBsAg antibodies cross the BBB (if desired), they can be formulated, for example, in liposomes. For methods of manufacturing liposomes, see, e.g., U.S. Pat. Nos. 4,522,811; 5,374,548; and 5,399,331. The liposomes may comprise one or more moieties which are selectively transported into specific cells or organs, thus enhance targeted drug delivery (see, e.g., Ranade, (1989) J. Clin. Pharmacol. 29:685). Exemplary targeting moieties include folate or biotin (see, e.g., U.S. Pat. No. 5,416,016 to Low et al.); mannosides (Umezawa et al., (1988) Biochem. Biophys. Res. Commun. 153:1038); antibodies (Bloeman et al., (1995) FEBS Lett. 357:140; Owais et al., (1995) Antimicrob. Agents Chemother. 39:180); surfactant protein A receptor (Briscoe et al., (1995) Am. J. Physiol. 1233:134); p 120 (Schreier et al, (1994) J. Biol. Chem. 269:9090); see also K. Keinanen; M. L. Laukkanen (1994) FEBS Lett. 346:123; J. J. Killion; I. J. Fidler (1994) Immunomethods 4:273.
[0224] The present disclosure provides protocols for the administration of pharmaceutical composition comprising antibodies alone or in combination with other therapies to a subject in need thereof. The combination therapies (e.g., prophylactic or therapeutic agents) can be administered concomitantly or sequentially to a subject. The therapy (e.g., prophylactic or therapeutic agents) of the combination therapies can also be cyclically administered. Cycling therapy involves the administration of a first therapy (e.g., a first prophylactic or therapeutic agent) for a period of time, followed by the administration of a second therapy (e.g., a second prophylactic or therapeutic agent) for a period of time and repeating this sequential administration, i.e., the cycle, in order to reduce the development of resistance to one of the therapies (e.g., agents) to avoid or reduce the side effects of one of the therapies (e.g., agents), and/or to improve, the efficacy of the therapies.
[0225] The therapies (e.g., prophylactic or therapeutic agents) of the combination therapies of the disclosure can be administered to a subject concurrently. The term “concurrently” is not limited to the administration of therapies (e.g., prophylactic or therapeutic agents) at exactly the same time, but rather it is meant that a pharmaceutical composition comprising antibodies or fragments thereof are administered to a subject in a sequence and within a time interval such that the antibodies can act together with the other therapy(ies) to provide an increased benefit than if they were administered otherwise. For example, each therapy may be administered to a subject at the same time or sequentially in any order at different points in time; however, if not administered at the same time, they should be administered sufficiently close in time so as to provide the desired therapeutic or prophylactic effect. Each therapy can be administered to a subject separately, in any appropriate form and by any suitable route. In various aspects, the therapies (e.g., prophylactic or therapeutic agents) are administered to a subject less than 15 minutes, less than 30 minutes, less than 1 hour apart, at about 1 hour apart, at about 1 hour to about 2 hours apart, at about 2 hours to about 3 hours apart, at about 3 hours to about 4 hours apart, at about 4 hours to about 5 hours apart, at about 5 hours to about 6 hours apart, at about 6 hours to about 7 hours apart, at about 7 hours to about 8 hours apart, at about 8 hours to about 9 hours apart, at about 9 hours to about 10 hours apart, at about 10 hours to about 11 hours apart, at about 11 hours to about 12 hours apart, 24 hours apart, 48 hours apart, 72 hours apart, or 1 week apart. In other aspects, two or more therapies (e.g., prophylactic or therapeutic agents) are administered to a within the same patient visit.
[0226] The prophylactic or therapeutic agents of the combination therapies can be administered to a subject in the same pharmaceutical composition. Alternatively, the prophylactic or therapeutic agents of the combination therapies can be administered concurrently to a subject in separate pharmaceutical compositions. The prophylactic or therapeutic agents may be administered to a subject by the same or different routes of administration.
EXAMPLES
Example 1: Generation of Anti-HBsAg Virus Antibodies
[0227] Human memory B cells from HBV vaccinated donors were in vitro expanded and selected for their capacity to secrete IgG antibodies against HBsAg. Specific B cells were lysed and the VH (heavy) and VL (light) chains were amplified by RT-PCR and subsequently sequenced and analyzed to identify critical post translational modification (PTM) sites. Plasmids of the VH and VL chains were then transfected in a CHO mammalian cell line in an IgG1 backbone vector for expression of the full IgG1 antibodies.
[0228] Methods for generation of monoclonal antibodies using phage display technology are known in the art (Antibody Methods and Protocols, Methods in Molecular Biology vol. 901, 2012, Chapter 3: 33). Briefly, a synthetic human germline framework antibody library in Fab format randomized in CDR-H3 was screened for anti-HBsAg antibodies by solution panning with streptavidin-coupled magnetic beads complexed with biotinylated recombinant HBsAg (TRINA Bioreactives AG, Cat #C028-3001994774 (AD serotype), C028-3001994774 (AY serotype) or Biorbyte, Cat #orb82536 (AD isotype)) over 3 rounds of selection with increasing stringency. Isolates were first expressed as Fab and screened for binding to both HBsAg serotype AD and serotype AY by ELISA. Selected isolates were then cloned and expressed as IgG1, reanalyzed for binding to HBsAg (serotype AD and AY) by ELISA and for functional activity in neutralization assays, and finally transfected in a CHO mammalian cell line for expression of the full IgG1, antibodies. Anti-HBsAg antibodies were affinity matured by CDR-directed mutagenesis. Beneficial mutations have been identified by comparing enrichment after two rounds of phage display in relation to the initial mutagenesis library by deep sequencing. Selected beneficial mutations alone and in combination were then cloned and expressed as IgG1, reanalyzed for binding to HBsAg (serotype AD and AY) by ELISA and for functional activity in neutralization assays, and finally transfected in a CHO mammalian cell line for expression of the full IgG1.
Changes to the anti-HBsAg antibodies are provided in Table 3.
TABLE-US-00003 TABLE 3 Antibody Changes NOV2603 No change NOV3212 Affinity maturation NOV3357 Affinity maturation NOV3540 NOV3357 change to remove post-translational modification: DDDGWSGYDYWFDY (SEQ ID NO: 139) to DDDAWSGYDYWFDY in HCDR3 (Kabat) (SEQ ID NO: 107) resulted in no significant change in affinity or activity NOV3831 No change NOV3832 NOV3831 change to remove post-translational modification: FNN to FDN resulted in no significant change in affinity or activity NOV3833 NOV3831 change to remove post-translational modification: FNN to FHN resulted in no significant change in affinity or activity NOV3834 No change NOV3835 NOV3834 change to remove post-translational modification: FNR to FDR resulted in no significant change in affinity or activity NOV3836 NOV3834 change to remove post-translational modification: FNR to FER resulted in no significant change in affinity or activity NOV3837 No change NOV3838 NOV3837 change to remove post-translational modification: DGY to DLY resulted in no significant change in affinity or activity NOV3839 NOV3837 change to remove post-translational modification: DGY to DIY resulted in no significant change in affinity or activity NOV3840 No change NOV3841 NOV3840 change to remove post-translational modification: TNS to TQS and DS to DT for VH, and DDS to DES for VI resulted in no significant change in affinity or activity NOV3842 NOV3840 change to remove post-translational modification: TNS to TNV and DS to DT for VH, and DDS to DES for VI resulted in no significant change in affinity or activity
Example 2: Binding of Anti-HBsAg Antibodies to HBsAg
[0229] Binding affinity interaction (K.sub.D) of the anti-HBsAg antibodies with the two major serotypes of HBsAg, AY and AD, was determined utilizing surface plasma resonance (SPR) technology. HBsAg particles were immobilized at about 800 RU onto a Series S CM5 sensor chip and anti-HBsAg antibody flowed over in 2 fold serial dilutions starting at 128 nM to assess binding utilizing the Biacore T200 instrument (GE Heathcare, Cat #28975001, Pittsburgh, Pa.). The K.sub.D was determined by fitting the plot with a 1:1 fit model (O'Shannessy et al. Anal. Biochem 1993; 212: 457-468; Karlsson, Falt J. Immunol. Methods. 1997; 200: 121-133).
[0230] Biacore measured K.sub.D values range from 110 pM to 40 nM of the anti-HBsAg antibodies and were comparable across the two major serotypes for each of the antibodies tested (AD and AY). A summary of Biacore affinity data for the anti-HBsAg antibodies is found in Table 4, and the SPR tracings are found in
TABLE-US-00004 TABLE 4 Antibody Kd AD (nM) Kd AY (nM) NOV2603 15.5 3.1 NOV3212 1.1 0.6 NOV3357 0.18 0.11 NOV3540 0.39 0.25 NOV3831 0.67 0.59 NOV3832 0.22 0.40 NOV3833 0.33 0.26 NOV3834 40.0 5.3 NOV3835 33.0 11.0 NOV3836 29.0 10.0 NOV3837 0.67 0.75 NOV3838 0.68 0.6 NOV3839 0.59 2.4 NOV3840 0.45 0.38 NOV3841 0.91 0.61 NOV3842 0.13 0.15
Example 3: Neutralization of Hepatitis B Viral Infection by Anti-HBsAg Antibodies
[0231] Infectious HBV virus was purified from genotype D, serotype ayw cell culture-derived HBV as described (Meier et al., J. Virol Hepat. 2017; 24: 662-671). Anti-HBsAg antibodies were pre-incubated with the virus for 1 hour at 37° C. to allow for binding and neutralization. HepG2-hNTCP1 cells, generated in house as described (Tropberger et al., Proc. Natl. Acad. Sci. U.S.A. 2015; 112: E5715-E5724), were then exposed to the virus-antibody mixture for 24 hrs, replaced with fresh medium, and incubated for 6 additional days to allow for viral entry, cccDNA establishment, and viral protein expression. Supernatant was recovered and HBeAg levels were analyzed by a custom made in-house eAg AlphaScreen assay (Perkin Elmer, Bridgeville Pa.). Data was analyzed using the Envision Plate Reader (Perkin Elmer, Cat #2105-0010, Bridgeville Pa.) and presented as percent of infection relative to untreated control wells.
[0232] All antibodies were able to neutralize the infection by HBV with EC.sub.50 values ranging from 17 pM to 740 pM and this is shown in Table 5 and is show graphically in
TABLE-US-00005 TABLE 5 Virus neutralization Antibody EC.sub.50 (nM) NOV2603 0.14 NOV3212 0.11 NOV3357 0.056 NOV3540 0.085 NOV3831 0.026 NOV3832 0.26 NOV3833 0.27 NOV3834 0.24 NOV3835 0.72 NOV3836 0.017 NOV3837 0.049 NOV3838 0.12 NOV3839 0.09 NOV3840 0.056 NOV3841 0.74 NOV3842 0.23 Neg. Control >500
Example 4: Hepatitis B Genotype Binding
[0233] The binding of anti-HBsAg antibodies to the 4 major genotypes (A-D) of HBV were analyzed by sandwich ELISA. Briefly, ELISA plates (Thermo Scientific, Cat #15031) were coated with 5 μg/ml horse polyclonal-HBsAg capture antibody (MyBiosource, Cat #MBS315002) for 2 hours at 37° C., then blocked overnight at 4° C. with 5% milk Supernatant collected from HBV cell-culture derived genotypes in pcDNA3.1 backbone (Genotype A: AY934772, Genotype B: AF121245, Genotype C: DQ087960, Genotype D: DQ219811.1) was allowed to bind antibody coated plates for 1 hour. Plates were washed (Alpha diagonostics wash buffer, Cat #80080) and incubated with serial dilutions of anti-HBsAg antibodies in LowCross buffer (Candor, Cat #100500) for 1 hour at room temperature. Following anti-HBsAg antibody incubation plates were washed and incubated with secondary antibody (HRP-conjugated goat anti-human IgG Fab fragment, Jackson ImmunoResearch Inc, Cat #109-035-097) diluted 1:2000 in dilution buffer (LowCross buffer, Candor, Cat #100500) for 1 hour at room temperature. Plates were washed and tetramethylbenzidine (TMB) microwell peroxidase substrate (Alpha Diagnostics, Cat #80091) was used to develop the reactions.
[0234] The anti-HBsAg antibodies NOV3834-36 showed similar binding to genotypes A (IC.sub.50 ranging from 2 to 3.3 nM), genotype B (IC.sub.50 ranging from 1.2 to 1.7 nM), and genotype D (IC.sub.50 ranging from 1.3 to 8.2 nM), but showed reduced binding to genotype C (IC.sub.50 ranging from 12-16 nM). In contrast, the remainder of the anti-HBsAg antibodies showed similar binding across the 4 major genotypes (IC.sub.50 for genotype A ranging from 0.023 to 2.3 nM, genotype B ranging from 0.017 to 1.5 nM, genotype C ranging from 0.015 to 3.6 nM, and genotype D ranging from 0.026 to 1.3 nM). For example, NOV3832 had IC.sub.50 of 0.05 nM for genotype A, 0.02 nM for genotype B, 0.015 nM for genotype C and 0.043 nM for genotype D. The IC.sub.50 for all of the antibodies in Table 6 are shown graphically in
TABLE-US-00006 TABLE 6 IC.sub.50 nM IC.sub.50 nM IC.sub.50 nM IC.sub.50 nM Antibody A B C D NOV2603 2.3 1.5 3.6 1.3 NOV3212 0.23 0.045 0.068 0.045 NOV3357 0.03 0.017 0.016 0.026 NOV3540 0.1 0.059 0.1 0.1 NOV3831 0.69 0.015 0.031 0.056 NOV3832 0.05 0.02 0.015 0.043 NOV3833 0.56 0.12 0.12 0.047 NOV3834 2 1.2 16 1.3 NOV3835 3.3 1.4 14 2 NOV3836 3.3 1.7 12 8.2 NOV3837 0.093 0.069 0.17 0.1 NOV3838 0.2 0.05 0.21 0.081 NOV3839 1.6 0.17 0.37 0.097 NOV3840 0.023 0.022 0.016 0.045 NOV3841 1.1 0.35 2 2.1 NOV3842 0.46 0.28 0.75 0.41 Neg. Control >67 >67 >67 >67
Example 5: Anti-HBsAg Recognition of Hepatitis B Clinical Mutations
[0235] The binding of anti-HBsAg antibodies to 4 well characterized vaccine and/or HBsAg clinical mutations of HBsAg (G145R, D144A, T126S, M133L) were analyzed by sandwich ELISA. Mutations were generated by Q5 site directed mutagenesis (New England Biolabs, Cat #E0554S) along the HBV Genotype D, (ayw serotype) and the HBsAg sequence cloned into the pCl-neo vector (Promega, Cat #E1841) for generation of stable cell lines. Briefly, ELISA plates (Thermo Scientific, Cat #15031) were coated with 5 μg/ml horse polyclonal-HB sAg capture antibody (MyBiosource, Cat #MBS315002) for 2 hours at 37° C., then blocked overnight at 4° C. with 5% milk Supernatant collected from HBsAg cell-culture derived clinical mutation stables (G145R, D144A, T126S, M133L) was allowed to bind antibody coated plates for 1 hour. Plates were washed (Alpha diagonostics wash buffer, Cat #80080) and incubated with serial dilutions of anti-HBsAg antibodies in LowCross buffer (Candor, Cat #100500) for 1 hour at room temperature. Following anti-HBsAg antibody incubation plates were washed and incubated with secondary antibody (HRP-conjugated goat anti-human IgG Fab fragment, Jackson ImmunoResearch Inc, Cat #109-035-097) diluted 1:2000 in dilution buffer (LowCross buffer, Candor, Cat #100500) for 1 hour at room temperature. Plates were washed and tetramethylbenzidine (TMB) microwell peroxidase substrate (Alpha Diagnostics, Cat #80091) was used to develop the reactions.
[0236] As shown in Table 7, the anti-HBsAg antibodies NOV2603, NOV3212, NOV3357, and NOV3540 are able to bind all 4 clinical mutations (G145R IC.sub.50 values ranging from 0.033 to 5.5 nM, D144A ranging from 0.079 to 2.1 nM, T126S ranging from 0.06 to 0.22 nM, and M133L ranging from 0.012 to 0.67 nM). The antibodies NOV3831, NOV3832, NOV3833, NOV3838, NOV3839, NOV3841 and NOV3842 show loss of binding to the G145R mutation but retain binding to the other 3 clinical mutations (D144A IC.sub.50 values ranging from 0.012 to 7.8 nM, T126S ranging from 0.01 to 0.11 nM, and M133L ranging from 0.013 to 0.15 nM). In contrast, the anti-HBsAg antibodies NOV3834-36 show either no binding to any of the 4 mutations (NOV3835, NOV3836) or very reduced binding (NOV3835) to just 2 (T126S, M133L) of the clinical mutation panel (T126S IC.sub.50 value 7.4 nM, M133L IC50 value 9.2 nM). The results shown in Table 7 are also represented graphically in
TABLE-US-00007 TABLE 7 IC.sub.50 nM IC.sub.50 nM IC.sub.50 nM IC.sub.50 nM Clinical Clinical Clinical Clinical Control mutation mutation mutation mutation Empty Antibody G145R D144A T126S M133L Vector NOV2603 0.33 1.34 0.06 0.072 >67 NOV3212 0.033 0.079 0.012 0.012 >67 NOV3357 5.5 2.1 0.22 0.67 >67 NOV3540 0.25 0.16 0.063 0.091 >67 NOV3831 >67 3.6 0.0093 0.0058 >67 NOV3832 >67 0.99 0.034 0.034 >67 NOV3833 >67 2.8 0.025 0.036 >67 NOV3834 >67 >67 7.4 9.2 >67 NOV3835 >67 >67 >67 >67 >67 NOV3836 >67 >67 >67 >67 >67 NOV3837 >67 0.27 0.03 0.035 >67 NOV3838 5.2 6.1 0.11 0.15 >67 NOV3839 8.6 3.6 0.088 0.085 >67 NOV3840 >67 0.012 0.01 0.013 >67 NOV3841 >67 7.8 0.079 0.044 >67 NOV3842 >67 0.12 0.042 0.084 >67
Example 6: Anti-HBsAg Antibodies Show Efficacy in a FRGN Mouse Model
[0237] In vivo efficacy for the anti-HBsAg antibodies was determined in a HBV-infected FRGN mouse model by monitoring loss of HBsAg following antibody administration. Human liver populated FRGN mice were purchased from Yecuris (FRGN K O on NOD, Cat #10-0013) and infected with 1.7×10.sup.7 copies HBV (Genotype C). Following stable infection, mice were treated with 20 mg/ml anti-HBsAg antibodies (n=2 per group) at day 0 and day 21 with serum collected at timepoints 0, 0.02, 0.3, 1, 3, 7, 14, 21, 24, and 28 days post initial antibody treatment. Free HBsAg levels were monitored through a protocol from Zhang et. al., Gut 2016; (4) 65: 658-671. Briefly, serum was diluted 1:5 in sample diluent (provided in Alpha Diagnostic International, Cat #4110), 0.5 volumes lysis buffer added (15% sodium dodecyl sulphate in 20 mM Tris HCL buffer-pH 8.0) and samples incubated for 1 hour at 37° C. Samples were neutralized with the addition of 5 volumes 4% CHAPS dissolved in 20 mM Tris HCL buffer-pH 8.0 and HBsAg levels monitored utilizing an HBsAg commercial ELISA kit (Alpha Diagnostic International, Cat #4110) following the manufacturers protocol. HBsAg levels graphed as log fold change from prebleed levels collected at timepoint 0. Maxium log fold change for this model was −3.9.
[0238] Anti-HBsAg antibodies NOV3212, NOV3357, NOV3540, NOV3831, NOV3832, NOV3834, NOV3838, NOV3841 and NOV3842 all significantly dropped the levels of HBsAg with the max log drop ranging from −3.9 to −2.8, as shown in Table 8. In contrast, NOV2603 showed only a moderate log drop of HBsAg (−1.1). For example, in
TABLE-US-00008 TABLE 8 Antibody Max ΔHBsAg log reduction NOV2603 −1.1 NOV3212 −3.6 NOV3357 −3.6 NOV3540 −2.8 NOV3831 −3.9 NOV3832 −3.6 NOV3834 −3.6 NOV3838 −3.6 NOV3840 −3.3 NOV3841 −2.8 NOV3842 −2.8 Neg. Control 0
Example 7: Anti-HBsAg Cytotoxicity
[0239] Cytotoxicity of the anti-HBsAg antibodies on both de novo HBV infected and non-infected HepG2-hNTCP1 cells (Tropberger et al. Proc. Natl. Acad. Sci. U.S.A. 2015; 112: E5715-E5724) was measured utilizing CellTiter-Glo (Promega, Cat #G7570), which monitors metabolic activity of cells through ATP concentration. In brief, HepG2-hNTCP1 cells were infected with either purified virus from genotype D (serotype ayw) cell culture-derived HBV or mock virus as described (Meier et al. J. Virol Hepat. 2017; 24: 662-671). Cells were cultured for 4 days following infection to allow for viral entry, cccDNA establishment, and viral protein expression, media removed and replaced with fresh media containing serial dilutions of anti-HBsAg antibodies starting at 3.3 μM. Cells incubated with antibody mixture for an additional 4 days and then assayed with CellTiter-Glo reagent per manufactor protocol. Luminescence readout was performed using a PHERAstar microplate reader (BMG Labtech, Cary N.C.) and percent viability was presented relative to the negative (no antibody) control.
[0240] All of the anti-HBsAg antibodies of the disclosure show no effect on cell viability in the presence or absence of virus. In brief, the anti-HBsAg antibodies of the disclosure show no toxicity. This is in contrast to two published antibodies, CR8097 and HB48-59, which show cytotoxicity (CC50s ranging from 2.24 to 2.86 uM for uninfected HepG2-NTCP1, and 2.09 to 2.11 uM for HBV infected HepG2-NTCP1). As the CR8097 and HB48-59 antibodies show toxicity to uninfected cells at the same level as infected cells, this indicates that these antibodies are binding to off-target, normal cell proteins.
TABLE-US-00009 TABLE 9 CC50 (no virus) CC50 (HBV infected) (μM) (μM) Antibody NOV2603 >3.3 >3.3 NOV3212 >3.3 >3.3 NOV3357 >3.3 >3.3 NOV3540 >3.3 >3.3 NOV3831 >3.3 >3.3 NOV3832 >3.3 >3.3 NOV3833 >3.3 >3.3 NOV3834 >3.3 >3.3 NOV3835 >3.3 >3.3 NOV3836 >3.3 >3.3 NOV3837 >3.3 >3.3 NOV3838 >3.3 >3.3 NOV3839 >3.3 >3.3 NOV3840 >3.3 >3.3 NOV3841 >3.3 >3.3 NOV3842 >3.3 >3.3 Pos Control 0.0003 nM 0.0006 nM (puromycin) Published antibodies HBC34 >3.3 >3.3 CR8097 2.86 2.11 Green27 >3.3 >3.3 HB48-33 >3.3 >3.3 HB48-35 >3.3 >3.3 HB48-59 2.24 2.09
Example 8: Eptiope Binning by SPR for Anti-HBsAg Antibodies
[0241] Epitope binning of anti-HBsAg antibodies with the two major serotypes of HBsAg, AY and AD, was performed utilizing surface plasmon resonance (SPR) technology. Antigens HBsAg AD and AY (TRINA Bioreactives AG, Cat #0824 [AD serotype], #0823 [AY serotype], Naenikon, Switzerland) were immobilized at about 800 RU in separate cells on the surface of a CM5 chip by amine coupling. Each pair of antibodies was tested for blocking one another's binding to their epitope on the antigen by subsequently applying one antibody as first (saturating) followed by the other as second (competing) antibody and vice versa. Saturating antibodies were applied at 500 nM for 120s. Competing antibodies utilized the same conditions but were supplemented with the first antibody at 500 nM to maintain saturation. Binding signals were corrected by subtracting the reference cell signal. Specific binding of the competing antibody in presence of the saturating antibody was calculated by subtracting a saturating antibody plus buffer reference signal. All signals were normalized to 100 RU of immobilized ligand. The specific binding signal obtained from the application as competing antibody was expressed as percentage of the binding signal obtained from the application of the same antibody as saturating (first) antibody, the signal of which was regarded 100% binding. Binding values less than 40% indicate that the first and second antibody cover the same region, and values greater than 60% represent different epitopes. The results indicate that the antibodies NOV3540, NOV3832, NOV3841 and NOV3842 do not compete with either CR8087 or HBC34 antibodies. Thus NOV3540, NOV3832, NOV3841 and NOV3842 bind different epitopes than CR8087 or HBC34. Results are show below in Table 10.
TABLE-US-00010 TABLE 10 CR8087 HBC34 2nd Ab 1st Ab 2nd Ab 1st Ab 2nd Ab 1st Ab 2nd Ab 1st Ab HBsAg AD serotype NOV3540 254 105 NOV3540 NOV3540 111 121 NOV3540 NOV3832 223 103 NOV3832 NOV3832 176 126 NOV3832 NOV3841 282 104 NOV3841 NOV3841 145 124 NOV3841 NOV3842 216 106 NOV3842 NOV3842 115 121 NOV3842 HBC34 146 98 HBC34 HBC34 0 0 HBC34 CR8087 0 0 CR8087 CR8087 98 146 CR8087 HBsAg AY serotype NOV3540 118 107 NOV3540 NOV3540 102 131 NOV3540 NOV3832 117 113 NOV3832 NOV3832 113 257 NOV3832 NOV3841 129 105 NOV3841 NOV3841 107 151 NOV3841 NOV3842 118 109 NOV3842 NOV3842 103 134 NOV3842 HBC34 166 107 HBC34 HBC34 0 0 HBC34 CR8087 0 0 CR8087 CR8087 107 166 CR8087 Binding of second antibody <40: First and second antibody cover the same region Binding of second antibody >60: First and second antibody have different epitopes
Example 9: Formulation
[0242] The anti-HBsAg virus antibodies described herein are monoclonal antibodies, IgG1 isotype with kappa or lambda light chains, and can be lyophilized. For subsequent intravenous administration, the obtained solution will usually be further diluted into a carrier solution to the ready-to-use antibody solution for infusion. Important stability-indicating analytical methods to select the most stable formulation encompassed, amongst others, size-exclusion chromatography to determine aggregation levels, subvisible particulate matter testing, and potency testing.
[0243] It is understood that the examples and aspects described herein are for illustrative purposes only and that various modifications or changes in light thereof will be suggested to persons skilled in the art and are to be included within the spirit and purview of this application and scope of the appended claims.