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Anti–Cd19 Chimeric Antigen Receptor (Car) For Treating Cancer

Abstract: ANTI - CD19 CHIMERIC ANTIGEN RECEPTOR (CAR) FOR TREATING CANCER The present invention relates to viral genome of recombinant LV particle wherein, the LV particle is packed with genes expressing chimeric antigen receptors against CD19 and the vector comprising such sequence. Further, the vector is used for the treatment of CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia.

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Patent Information

Application #
Filing Date
23 November 2020
Publication Number
21/2022
Publication Type
INA
Invention Field
BIOTECHNOLOGY
Status
Email
apathak@intaspharma.com
Parent Application

Applicants

Intas Pharmaceuticals Ltd.
Intas Pharmaceuticals Ltd. Corporate House, Near Sola Bridge, S. G. Highway, Thaltej, Ahmedabad - 380054, Gujarat, India.

Inventors

1. LAKSHMIKANTH GANDIKOTA
Intas Pharmaceuticals Limited – Biopharma Division, Plot No. 423/P/A/GIDC, Sarkhej-Bavla Highway, Moraiya, Ta:Sanand, Ahmedabad-382213. Gujarat, India.
2. AJIT GUPTA
Intas Pharmaceuticals Limited – Biopharma Division, Plot No. 423/P/A/GIDC, Sarkhej-Bavla Highway, Moraiya, Ta:Sanand, Ahmedabad-382213. Gujarat, India.
3. REENA RATHOD
Intas Pharmaceuticals Limited – Biopharma Division, Plot No. 423/P/A/GIDC, Sarkhej-Bavla Highway, Moraiya, Ta:Sanand, Ahmedabad-382213. Gujarat, India.
4. NEELAM KEDIA
Intas Pharmaceuticals Limited – Biopharma Division, Plot No. 423/P/A/GIDC, Sarkhej-Bavla Highway, Moraiya, Ta:Sanand, Ahmedabad-382213. Gujarat, India.
5. MOHIT SEHGAL
Intas Pharmaceuticals Limited – Biopharma Division, Plot No. 423/P/A/GIDC, Sarkhej-Bavla Highway, Moraiya, Ta:Sanand, Ahmedabad-382213. Gujarat, India.

Specification

DESC:RELATED APPLICATIONS

This application is related to Indian Provisional Application 202021050877 filed 23rd Nov, 2020 and is incorporated herein in its entirety.

FIELD OF THE INVENTION
The present invention relates to lentiviral vectors consist of sequence encoding chimeric antigen receptor which are useful in the treatment of CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia.
BACKGROUND OF THE INVENTION
The large majority of patients having B-cell malignancies, including chronic lymphocytic leukemia (CLL), will die from their disease. One approach to treating these patients is to genetically modify T cells to target antigens expressed on tumor cells through the expression of chimeric antigen receptors (CARs). CARs are antigen receptors that are designed to recognize cell surface antigens in a human leukocyte antigen-independent manner. Attempts in using genetically modified cells expressing CARs to treat these types of patients have met with very limited success.

The CD19 molecule is a receptor for specific signal transduction on the surface of B lymphocytes, which exists in various stages of B cell maturation, appears in the B progenitor cell stage and is stably and continuously expressed. As a B cell line-specific cell surface differentiation antigen, CD19 is expressed only on the surface of pre-B cells and mature B cells, but not in hematopoietic stem cells, plasma cells and other normal tissue cells. Moreover, CD19 molecules are relatively exposed on the membrane, are easily accessible, have no significant internalization and shedding after binding with monoclonal antibodies, and do not undergo antigen modulation due to binding to antibodies, so CD19 is one of the most reliable surface of B cells.

CD19 regulates signaling through B cell receptors, which play an important role in B cell development, proliferation and differentiation, and malignant transformation. Based on the above phenomena, CD19 is an important target for the treatment of cells that develop and develop CD19-positive B-cell malignancies. CD19 has high levels of expression in most B cell lymphomas (such as DLBCL, FL, and mantle cell lymphoma), acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia, and a subset of acute myeloid leukemia while it is absent in hematopoietic stem cells, plasma cells and other normal human tissues. Therefore, the targeted treatment of CD19 does not cross-react with other normal tissues.

In most cancers, tumor-specific antigens are not yet well defined, but in B cell malignancies, CD 19 is an attractive tumor target. Expression of CD19 is restricted to normal and malignant B cells, so that CD19 is a widely accepted target to safely test CARs. While CARs can trigger T-cell activation in a manner similar to an endogenous T-cell receptor, a major impediment to the clinical application of this technology to date has been limited in vivo expansion of CAR+ T cells, rapid disappearance of the cells after infusion and disappointing clinical activity.

CD19-targeted CAR T cells have emerged as a highly effective therapy in patients with refractory B-cell malignancies. Genetically modifying autologous T cells to express an anti- CD19 chimeric antigen receptor (CAR) has shown impressive response rates for the treatment of CD19+ B cell malignancies in several clinical trials. A CAR is a recombinant receptor construct composed of an antibody-derived extracellular single-chain variable fragment (scFv), linked to intracellular T-cell signaling domains of the T-cell receptor (TCR), thereby redirecting T-cell specificity to the tumor. The extracellular region responsible for binding to a particular antigen and an intracellular region that promotes T cell cytotoxic activity and proliferation.

Thus, there is an urgent need in the art for compositions and methods for treatment of cancer using CARs. The present invention addresses this need.

OBJECTS OF THE INVENTION
The principal object of the present invention is to provide lentivirus (LV) vector comprising amino acid sequences encoding chimeric antigen receptor against CD19.
Another object of the present invention is to provide lentivirus (LV) vector comprising amino acid sequence having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19.
Another object of the present invention is to generate CAR-T cells by introducing a lentiviral vector comprising a desired CAR, for example a CAR comprising anti-CD19, CD8a hinge and transmembrane domain and human 4-1BB and CD3 zeta signaling domains, into the cells. The CAR-T cells of the invention are able to replicate in vivo resulting in long-term persistence that can lead to sustained tumor control.
Another object of the present invention is to provide an isolated or purified amino acid sequences encoding chimeric antigen receptor against CD19; wherein the chimeric antigen receptor sequence comprises following elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another object of the present invention is to provide an isolated or purified amino acid sequences having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19; wherein the chimeric antigen receptor sequence comprises following elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another object of the present invention is to provide method for recombinant lentivirus (LV) particles preparation whereas, lentivirus particle is packed with genes expressing chimeric antigens receptors.
Another object of the present invention is to provide viral genome of recombinant lentivirus (LV) particle which comprises following elements:-
(a) One or more left and right long terminal repeat (LTR) sequences in its native or truncated form, that flank the 5' or 3' terminus of the heterologous polynucleotide sequence;
(b) HIV1 psi sequence;
(c) RRE i.e. Rev response element of HIV1;
(d) Ubc promoter; and
(e) WPRE element.
Another object of the present invention can be used for the treatment of CD19+ B-cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia.
Another object of the present invention is to provide method of treating CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia comprising administering a therapeutically effective amount of the recombinant lentivirus vector containing amino acid sequence having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19.
Another object of the present invention is to provide lentivirus (LV) vector comprising nucleotide sequence having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19.
Another object of the present invention is to provide an isolated or purified nucleic acid sequences having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19 and the vector comprising such nucleic acid, wherein the chimeric antigen receptor sequence comprises followings elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another object of the present invention is to provide method of treating CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia comprising administering a therapeutically effective amount of the recombinant lentivirus vector containing nucleotide sequence having at least 85% identity to the nucleotide sequence of SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19.
SUMMARY OF THE INVENTION
The principal aspect of the present invention is to provide lentivirus (LV) vector comprising amino acid sequences encoding chimeric antigen receptor against CD19.
Another aspect of the present invention is to provide lentivirus (LV) vector comprising amino acid sequence having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19.
Another aspect of the present invention is generation of CAR-T cells by introducing a lentiviral vector comprising a desired CAR, for example a CAR comprising anti-CD19, CD8a hinge and transmembrane domain, and human 4-1BB and CD3 zeta signaling domains, into the cells. The CAR T cells of the invention are able to replicate in vivo resulting in long-term persistence that can lead to sustained tumor control.
Another aspect of the present invention is to provide an isolated or purified amino acid sequences encoding chimeric antigen receptor against CD19, wherein the chimeric antigen receptor sequence comprises following elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another aspect of the present invention is to provide an isolated or purified amino acid sequences having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19, wherein the chimeric antigen receptor sequence comprises following elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another aspect of the present invention is to provide methods for recombinant lentivirus (LV) particles preparation whereas, lentivirus particle is packed with genes expressing chimeric antigens receptors.
Another aspect of the present invention is to provide viral genome of recombinant lentivirus (LV) particle which comprises following elements:-
(a) One or more left and right long terminal repeat (LTR) sequences in its native or truncated form, that flank the 5' or 3' terminus of the heterologous polynucleotide sequence;
(b) HIV1 psi sequence;
(c) RRE i.e. Rev response element of HIV1;
(d) Ubc promoter; and
(e) WPRE element.
In some aspect of the present invention can be used for the treatment of CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia.
Another aspect of the present invention is to provide method of treating CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia comprising administering a therapeutically effective amount of the recombinant lentivirus vector containing amino acid sequence having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19.
Another aspect of the present invention is to provide lentivirus (LV) vector comprising nucleotide sequence having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19.
Another aspect of the present invention is to provide an isolated or purified nucleic acid sequences having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19 and the vector comprising such nucleic acid, wherein the chimeric antigen receptor sequences comprises followings elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another aspect of the present invention is to provide method of treating CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia comprising administering a therapeutically effective amount of the recombinant lentivirus vector containing nucleotide sequence having at least 85% identity to the nucleotide sequence of SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19.

BRIEF DESCRIPTION OF DRAWINGS
In order that the disclosure may be readily understood and put into practical effect, reference will now be made to exemplary embodiments as illustrated with reference to the accompanying figures. The figure together with detailed description below, are incorporated in and form part of the specification, and serve to further illustrate the embodiments and explain various principles and advantages, in accordance with the present disclosure wherein:
Figure 1: Schematic Representation of (A) Vector Map (CD19CAR2v2_pGT-Lenti004) & (B) Expression cassette design of CD19 CAR2 with Transgene and Regulatory Elements.
Figure 2: Schematic Representation of (A) Vector Map (CD19CAR3v2_pGT-Lenti004) & (B) Expression cassette design of CD19 CAR3 with Transgene and Regulatory Elements.
Figure 3: Schematic Representation of (A) Vector Map (CD19CAR4v2_pGT-Lenti004) & (B) Expression cassette design of CD19 CAR4 with Transgene and Regulatory Elements.
Figure 4: Schematic Representation of (A) Vector Map (CD19CAR5v2_pGT-Lenti004) & (B) Expression cassette design of CD19 CAR5 with Transgene and Regulatory Elements.
Figure 5: Schematic Representation of (A) Vector Map (CD19CAR6v2_pGT-Lenti004) & (B) Expression cassette design of CD19 CAR6 with Transgene and Regulatory Elements.
Figure 6: Schematic Representation of (A) Vector Map (CD19CAR7v2_pGT-Lenti004) & (B) Expression cassette design of CD19 CAR7 with Transgene and Regulatory Elements.
Figure 7: Schematic Representation of (A) Vector Map (CD19CAR9v2_pGT-Lenti004) & (B) Expression cassette design of CD19 CAR9 with Transgene and Regulatory Elements.

DETAILED DESCRIPTION OF THE INVENTION
The present invention relates to compositions and methods for treating cancer. The present invention relates to a strategy of adoptive cell transfer of T cells transduced to express a chimeric antigen receptor (CAR). CARs are molecules that combine antibody-based specificity for a desired antigen (e.g., tumor antigen) with a T cell receptor-activating intracellular domain to generate a chimeric protein that exhibits a specific anti-tumor cellular immune activity.

The lentiviral vector are designed to express a chimeric antigen receptor against CD19 and the vector comprising such nucleic acid. These CAR are well suited for treatment of CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia, and a subset of acute myeloid leukemia.

The recombinant lentivirus particles are prepared whereas, the lentivirus (LV) particles is packed with genes expressing chimeric antigen receptors. Such viral vectors can be used for the treatment of B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia, and a subset of acute myeloid leukemia by using administration of nucleotide sequence.

DEFINITION

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by those of ordinary skill in the art to which the invention belongs. Although any methods and materials similar or equivalent to those described herein can be used in the practice or testing of particular embodiments, preferred embodiments of compositions, methods and materials are described herein. For the purposes of the present disclosure, the following terms are defined below.
The articles "a", "an" and "the" are used herein to refer to one or to more than one (i.e., to at least one, or to one or more) of the grammatical object of the article. By way of example, "an element" means one element or one or more elements.
The words "comprise", "comprises", and "comprising" are to be interpreted inclusively rather than exclusively. The words "consist", "consisting", and its variants, are to be interpreted exclusively, rather than inclusively. While various embodiments in the specification are presented using “comprising” language, under other circumstances, a related embodiment is also intended to be interpreted and described using “consisting of” or “consisting essentially” of language.
The term "antibody" as used herein, refers to an immunoglobulin molecule which specifically binds with an antigen. Antibodies can be intact immunoglobulins derived from natural sources or from recombinant sources and can be immune-reactive portions of intact immunoglobulins. Antibodies are typically tetramers of immunoglobulin molecules. The antibodies in the present invention may exist in a variety of forms including, for example, polyclonal antibodies, monoclonal antibodies, Fv, Fab and F (ab) 2, as well as single chain antibodies and humanized antibodies.
The term "antibody fragment" refers to a portion of an intact antibody and refers to the antigenic determining variable regions of an intact antibody. Examples of antibody fragments include, but are not limited to, Fab, Fab', F (ab') 2, and Fv fragments, linear antibodies, scFv antibodies, and multi-specific antibodies formed from antibody fragments.
An "antibody heavy chain" as used herein, refers to the larger of the two types of polypeptide chains present in all antibody molecules in their naturally occurring conformations.
An "antibody light chain" as used herein, refers to the smaller of the two types of polypeptide chains present in all antibody molecules in their naturally occurring conformations and ? light chains refer to the two major antibody light chain isotype.
A "co-stimulatory molecule" refers to the cognate binding partner on a T cell that specifically binds with a co-stimulatory ligand, thereby mediating a co-stimulatory response by the T cell, such as, but not limited to, proliferation, Co-stimulatory molecules include, but are not limited to an MHC class I molecule, BTLA and a Toll ligand receptor.
A "co-stimulatory signal" as used herein, refers to a signal, which in combination with a primary signal, such as TCR/CD3 ligation, leads to T cell proliferation and/or up-regulation or down-regulation of key molecules.
"Encoding" refers to the inherent property of specific sequences of nucleotides in a polynucleotide, such as a gene, a cDNA or an RNA, to serve as templates for synthesis of other polymers and macromolecules in biological processes having either a defined sequence of nucleotides (i.e., rRNA, tRNA and mRNA) or a defined sequence of amino acids and the biological properties resulting therefrom, Thus, a gene encodes a protein if transcription and translation of mRNA corresponding to that gene produces the protein in a cell or other biological system. Both the coding strand, the nucleotide sequence of which is identical to the mRNA sequence and is usually provided in sequence listings, and the non-coding strand, used as the template for transcription of a gene or cDNA, can be referred to as encoding the protein or other product of that gene or cDNA.
A "vector" is a composition of matter which comprises an isolated nucleic acid & which can be used to deliver the isolated nucleic acid to the interior of a cell. Numerous vectors are known in the art including, but not limited to, linear polynucleotides, polynucleotides associated with ionic or amphiphilic compounds, plasmids & viruses. Thus, the term "vector" includes an autonomously replicating plasmid or a virus. The term should also be construed to include non-plasmid and non-viral compounds which facilitate transfer of nucleic acid into cells, such as, for example, poly lysine compounds, liposomes, and the like. Examples of viral vectors include, but are not limited to, adenoviral vectors, Adeno-associated virus vectors, retroviral vectors, and the like.
A vector may include sequences that direct autonomous replication in a cell or may include sequences sufficient to allow integration into host cell DNA. Useful vectors include, for example, plasmids (e.g., DNA plasmids or RNA plasmids), transposons, cosmids, bacterial artificial chromosomes and viral vectors. Useful viral vectors include, e.g., replication defective retroviruses and lentiviruses.
The term "viral vector" may refer either to a virus or viral particle capable of transferring a nucleic acid into a cell or to the transferred nucleic acid itself. Viral vectors and transfer plasmids contain structural and/or functional genetic elements that are primarily derived from a virus.
The term "expression" as used herein is defined as the transcription and/or translation of a particular nucleotide sequence driven by its promoter.
"Expression vector" refers to a vector comprising a recombinant polynucleotide comprising expression control sequences operatively linked to a nucleotide sequence to be expressed. An expression vector comprises sufficient cis-acting elements for expression; other elements for expression can be supplied by the host cell or in an in vitro expression system. Expression vectors include all those known such as cosmids, plasmids (e.g., naked or contained in liposomes) and viruses (e.g., lentiviruses, retroviruses, adenoviruses, and Adeno-associated viruses) that incorporate the recombinant polynucleotide.
A "lentivirus" as used herein refers to a genus of the Retroviridae family. Lentiviruses are unique among the retroviruses in being able to infect non-dividing cells; they can deliver a significant amount of genetic information into the DNA of the host cell, so they are one of the most efficient methods of a gene delivery vector. HIV, S1V and FIV are all examples of lentiviruses. Vectors derived from lentiviruses offer the means to achieve significant levels of gene transfer in vivo.
The term "polynucleotide" as used herein is defined as a chain of nucleotides. Furthermore, nucleic acids are polymers of nucleotides. Thus, nucleic acids and polynucleotides as used herein are interchangeable. One skilled in the art has the general knowledge that nucleic acids are polynucleotides, which can be hydrolyzed into the monomeric "nucleotides". The monomeric nucleotides can be hydrolyzed into nucleosides. As used herein polynucleotides include, but are not limited to, all nucleic acid sequences which are obtained by any means available in the art, including, without limitation, recombinant means, i.e., the cloning of nucleic acid sequences from a recombinant library or a cell genome, using ordinary cloning technology and PCR™, and the like, and by synthetic means.
The term "promoter" as used herein is defined as a DNA sequence recognized by the synthetic machinery of the cell, or introduced synthetic machinery, required to initiate the specific transcription of a polynucleotide sequence.
As used herein, the term "promoter/regulatory sequence" means a nucleic acid sequence which is required for expression of a gene product operably linked to the promoter/regulatory sequence. In some instances, this sequence may be the core promoter sequence and in other instances, this sequence may also include an enhancer sequence and other regulatory elements which are required for expression of the gene product. The promoter/regulatory sequence may, for example, be one which expresses the gene product in a tissue specific manner.
By the term "stimulation" is meant a primary response induced by binding of a stimulatory molecule (e.g., a TCR/CD3 complex) with its cognate ligand thereby mediating a signal transduction event, such as, but not limited to, signal transduction via the TCR/CD3 complex, Stimulation can mediate altered expression of certain molecules, such as down-regulation of TGF- ß, and/or reorganization of cytoskeletal structures, and the like.
To "treat" a disease as the term is used herein, means to reduce the frequency or severity of at least one sign or symptom of a disease or disorder experienced by a subject.
The term "transfected" or "transformed" or "transduced" as used herein refers to a process by which exogenous nucleic acid is transferred or introduced into the host cell. A "transfected" or "transformed" or "transduced" cell is one which has been transfected, transformed or transduced with exogenous nucleic acid. The cell includes the primary subject cell and its progeny.
The main embodiment of the present invention is to provide lentivirus (LV) vector comprising amino acid sequences encoding chimeric antigen receptor against CD19.
Another embodiment of the present invention is to provide lentivirus (LV) vector comprising amino acid sequence having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19.
Another embodiment of the present invention is to generate CAR-T cells by introducing a lentiviral vector comprising a desired CAR, for example a CAR comprising anti-CD19, CD8a hinge and transmembrane domain, and human 4-1BB and CD3 zeta signaling domains, into the cells. The CAR T cells of the invention are able to replicate in vivo resulting in long-term persistence that can lead to sustained tumor control.
Another embodiment of the present invention is to provide an isolated or purified amino acid sequences encoding chimeric antigen receptor against CD19, wherein the chimeric antigen receptor sequence comprises following elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another embodiment of the present invention is to provide an isolated or purified amino acid sequences having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19; wherein the chimeric antigen receptor sequence comprises following elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another embodiments of the present invention is to provide methods for recombinant lentivirus (LV) particles preparation whereas, lentivirus particle is packed with genes expressing chimeric antigens receptors.
Another embodiment of the present invention is to provide viral genome of recombinant lentivirus (LV) particle which comprises following elements:-
(a) One or more left and right long terminal repeat (LTR) sequences in its native or truncated form, that flank the 5' or 3' terminus of the heterologous polynucleotide sequence; the right LTR comprises a deletion in a U3 region yielding a self-inactivating vector upon reverse transcription;
(b) HIV1 psi sequence; packaging signal from human immunodeficiency virus type 1;
(c) HIV central polypurine tract (cPPT) / central termination sequence (CTS);
(d) RRE i.e. Rev response element of HIV1;
(e) Ubc promoter; and
(f) WPRE element to stabilise the mRNA and enhanced nuclear transport.

Another embodiments of the present invention is to provide recombinant lentivirus (LV) vector, wherein said viral vector comprising:
(a) RSV (enhancer and promoter); for viral RNA synthesis
(b) 5’ LTR;
(c) HIV-1 psi;
(d) RRE;
(e) cPPT/CTS;
(f) Ubc promoter (enhancer and promoter) for CAR expression;
(g) CAR2/CAR3/CAR4/CAR5/CAR6/CAR7/CAR9;
(h) WPRE
(i) 3’ LTR (Delta-U3);
(j) SV40 poly (A) signal; and
(k) SV40 Ori.
In certain embodiment the present invention can be used for treatment of CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia.
In another embodiment of the present invention is to provide method of treating CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia comprising administering a therapeutically effective amount of the recombinant lentivirus vector containing amino acid sequence having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19.
Another embodiment of the present invention is to provide lentivirus (LV) vector comprising nucleotide sequence having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19.
Another embodiment of the present invention is to provide an isolated or purified nucleic acid sequences having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19 and the vector comprising such nucleic acid, wherein the chimeric antigen receptor sequence comprises followings elements:-
(a) A signal peptide from CD8 alpha or TCR beta;
(b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
(c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
(d) Transmembrane domain sequence of CD8 alpha or CD28; and
(e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.
Another embodiment of the present invention is to provide method of treating CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia comprising administering a therapeutically effective amount of the recombinant lentivirus vector containing nucleotide sequence having at least 85% identity to the nucleotide sequence of SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19.

The embodiments of the present invention are further described using specific examples herein after. The examples are provided for better understanding of certain embodiments of the invention and not, in any manner, to limit the scope thereof. Possible modifications and equivalents apparent to those skilled in the art using the teachings of the present description and the general art in the field of the invention shall also form the part of this specification and are intended to be included within the scope of it.

EXAMPLE 1: CAR Construct Designing
Seven CAR constructs (CAR2-CAR7 and CAR9) were in silico conceptualized and rationally synthesised at GenScript, USA. Structural elements of CAR ((Table-1) consists of a signal peptide (CD8a/ TCRß), an anti-CD19 scFv, a hinge + a transmembrane domain (CD8a + CD8a / CH2CH3 + CD8a), a co-stimulatory domain (4-1BB/CD28) and a signalling domain (CD3zeta).

Table-1: Structural elements of CAR2-CAR7 and CAR9

S.N. Construct Signal peptide a-CD19 svFv
(source) Hinge + TM Co-stimulatory domain Signalling domain
1 CAR2 CD8a Murine CD28 CD28 CD3zeta
2 CAR3 CD8a Human CD8a 4-1BB CD3zeta
3 CAR4 CD8a Human CD28 CD28 CD3zeta
4 CAR5 TCRß Blinatumomab CD8a 4-1BB CD3zeta
5 CAR6 TCRß Blinatumomab CD28 4-1BB CD3zeta
6 CAR7 TCRß Blinatumomab CH2CH3+ CD8a 4-1BB CD3zeta
7 CAR9 TCRß Xmab5774 CD8a 4-1BB CD3zeta

Vector map, gene cassette design and annotated sequence details of anti-CD19 CAR2-CAR7 and CAR9 constructs are shown in drawings.

EXAMPLE 2: Transformation, Banking and Bulk DNA preparation
• Transformation, clone selection and banking
The plasmid DNAs were transformed in an E. coli strain Stbl3. Transformants were scored over LB-kanamycin. Plasmid DNAs were isolated from the transformants using mimiprep and restriction digestion analysis was performed to characterize the plasmid for the presence of gene of interest. Among several correct transformant, a high performing (high purity, yield as well as high content of covalently closed circular plasmid) clone was selected and final glycerol banks were prepared by transforming either E. coli Stbl3 strains.

• Large scale DNA Preparation
A vial from the glycerol stock was grown over night at 37 °C for 16 to 18 hrs in LB medium containing desired antibiotic (kanamycin). Bacterial pellet was subsequently harvested by pelleting the biomass via centrifugation at 4oC and large scale plasmid preparation was performed using maxiprep as per manufacturer’s recommendation. Briefly, bacterial pellets were re-suspended in re-suspension buffer using a pipette followed by alkaline lysis, neutralization and column purification.

EXAMPLE 3: Generation of transgene packaged LV particles and titer determination:
LV particles was produced either single plasmid in LV producer cell line or four plasmid based transient transfection using PEI or Lipofectamine 3000.

Transfection in HEK293FT cell line:
The LV was packaged using 4 plasmid system with 3 helper plasmids (VSVG, Gag/Pol and Rev) and 1 transfer plasmid in HEK293FT cell line. HEK293FT cells on 70-80% cell confluency in T175 flasks were transfected with 4 plasmids in OptiMEM using lipofectamine 3000 as the transfection agent as per manufacturer’s instruction. 24 hours post transfection the media was changed with cell line specific complete media. LV was harvested 48 and 72 h after transfection, pooled, and clarified by low speed centrifugation followed by 0.45 µm filtration. The LV particles was concentrated (100X) using ultracentrifugation over sucrose density gradient and stored in aliquots at -80°C. Lentiviral titer estimation was done using p24 ELISA.

EXAMPLE 4: Cell line maintenance
• HEK293FT
HEK293FT (Human Embryonic Kidney cells, adherent cells) cell line was propagated in their recommended media DMEM + 10% FBS in 75 cm2 cell culture treated (adherent cell line) or non-treated flasks (suspension cell line) (T75, Corning) at 37oC, 5% CO2.
• Raji-Luc/GFP (Mono)
Raji-Luc/GFP (Mono) cell line was propagated in recommended media, RPMI-1640 supplemented with 10% FBS (fetal bovine serum) and 30 ug/ml Blasticidine in 25 cm2 cell culture non-treated flasks (for suspension cell line, Corning) at 37oC, 5% CO2. Cell density was maintained between 4 x 105 and 3 x 106 viable cells/ml.
• Nalm6 GFP/fluc (mono)
Nalm6-Luc/GFP (Mono) cell line was propagated in recommended media, RPMI-1640 supplemented with 15% FBS (fetal bovine serum), 2 ug/ml puromycin and 400 ug/ml G418 in 25 cm2 cell culture non-treated flasks (for suspension cell line, Corning) at 37oC, 5% CO2. Cell density was maintained between 1 x 105 and 1x 106 viable cells/ml.
• K562 mcherry/fluc
K562 mcherry/fluc cell line was propagated in recommended media, RPMI-1640 supplemented with 10% FBS (fetal bovine serum) and 1.5 ug/ml puromycin in 25 cm2 cell culture non-treated flasks (for suspension cell line, Corning) at 37oC, 5% CO2. Cell density was maintained between 1 x 105 and 1x 106 viable cells/ml.
• Isolation and banking of pan T cells from buffy coat:
Buffy coat or apheresis material from peripheral blood of healthy donors was obtained from Prathama blood center, Ahmedabad, after informed patient consent through a collaboration with Prathama blood centre or other blood centres. CD3+ T cells was enriched by negative selection using MACSxpress Buffy Coat isolation kit according to the manufacturers’ instructions. The percentage of CD4 and CD8 population in enriched CD3+ T cells was analysed by flow cytometry using BD tritest. Cells was cryopreserved in cryostor CS10 and stored in liquid nitrogen.

Example 5: In Vitro evaluation of CAR expression in CAR LV transduced CD3+ T cells
• The expression of CAR in T cells:
The expression of CAR was analysed on T cells after. T cells was transduced using CAR2 – CAR7 and CAR9 LVs at varying MOI in transduction medium. Transduction efficiency was determined by flow cytometry as % CAR positive cells stained with biotin labelled CAR detection reagent followed anti biotin-PE staining at different day points.

Example 6: In vitro cytotoxicity
CAR positive T cells after transduction with CAR2 – CAR7 and CAR9 was assessed for its cytotoxic potential. CAR-T cells was co-cultured with tumor cells expressing either GFP or mCherry as well as luciferase at different Effector (CAR-T cells) to Target (Tumor cells) [E:T] ratios. After 24 or 48 hours of co-culture analysis was done by assessing reduction in fluorescence expressing tumor cells by flow cytometry or luminescence by luciferase assay. This experiment will reveal the cytotoxic potential of the best CAR candidates among 7 CARs.

Example 7: In vitro cytokine release
CAR positive cells in coculture with tumor cells (as above) produced different cytokines when they see the CD19 antigen present on tumor cells. These cytokines would lead to different signalling which may either lead to tumor cell death or cytokine release syndrome. So different cytokines such as IFN?, TNFa, IL2, IL6, GM-CSF and granzyme was measured from the supernatant collected from the coculture of CAR-T cells with tumor cells by using Ella simple plex catridge kit.

Example 8: In vivo studies
In vivo proof-of-concept (POC) studies was conducted to demonstrate the therapeutic potential of CAR-T cells. Firstly luciferase producing tumor cells was injected into immunodeficient NOD (NSG) mice to establish the leukemia mouse model. Every three days tumor engraftment and growth was checked by live bioluminescence imaging. Seven days after, therapeutic CAR-T cells was injected intravenously followed by observation for next 3 weeks. In POC studies, the main aim was to evaluate successful engraftment of tumor cells first to make leukemia model. Further efficacy and toxicity of CART cells was assessed by observing reduction of tumor burden in mouse. ,CLAIMS:We Claim,

1. A lentivirus (LV) vector comprising amino acid sequence having SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19.

2. An isolated amino acid sequences containing SEQ ID NO: 01 or SEQ ID NO: 02 or SEQ ID NO: 03 or SEQ ID NO: 04 or SEQ ID NO: 05 or SEQ ID NO: 06 or SEQ ID NO: 07 encoding chimeric antigen receptor against CD19, wherein the chimeric antigen receptor sequence comprises:
a) A signal peptide from CD8 alpha or TCR beta;
b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
d) Transmembrane domain sequence of CD8 alpha or CD28; and
e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.

3. A recombinant lentivirus (LV) vector, wherein said viral vector comprising:
a) RSV promoter;
b) 5’ LTR;
c) HIV-1 psi;
d) RRE;
e) cPPT/CTS;
f) Ubc (enhancer and promoter) for CAR expression;
g) Chimeric antigen receptor selected from CAR2 /CAR3 /CAR4 /CAR5 /CAR6 /CAR7 /CAR9;
h) WPRE
i) 3’ LTR (Delta-U3);
j) SV40 poly (A) signal; and
k) SV40 Ori.

4. A lentivirus (LV) vector comprising nucleotide sequence having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19.

5. An isolated nucleic acid sequences having SEQ ID NO: 08 or SEQ ID NO: 09 or SEQ ID NO: 10 or SEQ ID NO: 11 or SEQ ID NO: 12 or SEQ ID NO: 13 or SEQ ID NO: 14 encoding chimeric antigen receptor against CD19, wherein the chimeric antigen receptor sequences comprises:
a) A signal peptide from CD8 alpha or TCR beta;
b) CD19 antigen recognition sequence or fragment from monoclonal antibody;
c) Extracellular spacer sequence or hinge region of CD8 alpha, CD28 or CH2-CH3 domain of IgG1;
d) Transmembrane domain sequence of CD8 alpha or CD28; and
e) One or multiple intracellular co-stimulatory and/or T-cell signalling domain.

6. The chimeric antigen receptor according to any of preceding claims is used for the treatment of CD19+ B cell malignancies, acute lymphocytic leukemia, chronic lymphocytic leukemia, hairy cell leukemia and a subset of acute myeloid leukemia.

Documents

Application Documents

# Name Date
1 202021050877-STATEMENT OF UNDERTAKING (FORM 3) [23-11-2020(online)].pdf 2020-11-23
2 202021050877-SEQUENCE LISTING(PDF) [23-11-2020(online)].pdf 2020-11-23
3 202021050877-SEQUENCE LISTING [23-11-2020(online)].txt 2020-11-23
4 202021050877-PROVISIONAL SPECIFICATION [23-11-2020(online)].pdf 2020-11-23
5 202021050877-POWER OF AUTHORITY [23-11-2020(online)].pdf 2020-11-23
6 202021050877-FORM 1 [23-11-2020(online)].pdf 2020-11-23
7 202021050877-FIGURE OF ABSTRACT [23-11-2020(online)].jpg 2020-11-23
8 202021050877-DRAWINGS [23-11-2020(online)].pdf 2020-11-23
9 202021050877-ENDORSEMENT BY INVENTORS [02-12-2020(online)].pdf 2020-12-02
10 202021050877-ORIGINAL UR 6(1A) FORM 1,3,5 & 26-081220.pdf 2021-10-19
11 202021050877-Power of Attorney [02-11-2021(online)].pdf 2021-11-02
12 202021050877-Form 1 (Submitted on date of filing) [02-11-2021(online)].pdf 2021-11-02
13 202021050877-Covering Letter [02-11-2021(online)].pdf 2021-11-02
14 202021050877-CERTIFIED COPIES TRANSMISSION TO IB [02-11-2021(online)].pdf 2021-11-02
15 202021050877-SEQUENCE LISTING (.txt) [17-11-2021(online)].txt 2021-11-17
16 202021050877-DRAWING [17-11-2021(online)].pdf 2021-11-17
17 202021050877-COMPLETE SPECIFICATION [17-11-2021(online)].pdf 2021-11-17
18 202021050877-CORRESPONDENCE(IPO)-(CERTIFIED COPY OF WIPO DAS)-(26-11-2021).pdf 2021-11-26
19 Abstract1.jpg 2022-04-06
20 202021050877-FORM 3 [02-12-2023(online)].pdf 2023-12-02
21 202021050877-FORM 18 [21-11-2024(online)].pdf 2024-11-21