(12) Translation of european patent specification

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1 (12) Translation of european patent specification (11) NO/EP B1 (19) NO NORWAY (1) Int Cl. A61K 39/00 (06.01) C07K 16/28 (06.01) Norwegian Industrial Property Office (21) Translation Published (80) Date of The European Patent Office Publication of the Granted Patent..14 (86) European Application Nr (86) European Filing Date (87) The European Application s Publication Date.0.19 (30) Priority , GB, , US, P (84) Designated Contracting States: AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MT NL NO PL PT RO SE SI SK TR (73) Proprietor Cancer Research Technology Limited, Angel Building 407 St John Street, LondonEC1V 4AD, GB-Storbritannia (72) Inventor Sancho-Madrid, David, 44 Lincolns Inn Fields, London, GB-Storbritannia Schulz, Oliver, 44 Lincolns Inn Fields, London, GB-Storbritannia Rogers, Neil Charles, 44 Lincolns Inn Fields, London, GB-Storbritannia Reis E Sousa, Caetano, 44 Lincolns Inn Fields, London, GB-Storbritannia Pennington, Daniel, 4 Newark Street, London E1 2AT, GB-Storbritannia Joffre, Olivier Pierre, 44 Lincolns Inn Fields, London, GB-Storbritannia (74) Agent or Attorney Zacco Norway AS, Postboks 03 Vika, 012 OSLO, Norge (4) Title IMMUNE MODULATION VIA C-TYPE LECTIN (6) References Cited: WO-A-01/163 WO-A-03/042 CAMINSCHI IRINA ET AL: "The dendritic cell subtype-restricted C-type lectin Clec9A is a target for vaccine enhancement." BLOOD OCT 08, vol. 112, no. 8, October 08 (08-- ), pages , XP0036 ISSN: HUYSAMEN CRISTAL ET AL: "CLEC9A is a novel activation C-type lectin-like receptor expressed on BDCA3(+) dendritic cells and a subset of monocytes" JOURNAL OF BIOLOGICAL CHEMISTRY, vol. 283, no. 24, June 08 (08-06), pages , XP0037 ISSN: CLARK H F ET AL: "THE SECRETED PROTEIN DISCOVERY INITIATIVE (SPDI), A LARGE- SCALE EFFORT TO IDENTIFY NOVEL HUMAN SECRETED AND TRANSMEMBRANE PROTEINS: A BIOINFORMATICS ASSESSMENT" GENOME RESEARCH, COLD SPRING HARBOR LABORATORY PRESS, WOODBURY, NY, US, vol. 13, 1 January 03 ( ), pages , XP ISSN: & DATABASE UniProt [Online] July 04 ( ), "RecName: Full=C-type lectin domain family 9 member A;" retrieved from EBI accession no. UNIPROT:Q6UXN8 Database accession no. Q6UXN8 WEIS W I ET AL: "THE C-TYPE LECTIN SUPERFAMILY IN THE IMMUNE SYSTEM" IMMUNOLOGICAL REVIEWS, MUNKSGAARD, vol. 163, 1 January 1998 ( ), pages

2 19-34, XP ISSN: SOBANOV Y ET AL: "A NOVEL CLUSTER OF LECTIN-LIKE RECEPTOR GENES EXPRESSED IN MONOCYTIC, DENDRITIC AND ENDOTHELIAL CELLS MAPS CLOSE TO THE NK RECEPTOR GENES IN THE HUMAN NK GENE COMPLEX" EUROPEAN JOURNAL OF IMMUNOLOGY, WILEY - V C H VERLAG GMBH & CO. KGAA, DE, vol. 31, no. 12, 1 December 01 ( ), pages , XP00113 ISSN: CARTER ROBERT W ET AL: "Preferential induction of CD4+ T cell responses through in vivo targeting of antigen to dendritic cell-associated C-type lectin-1." JOURNAL OF IMMUNOLOGY (BALTIMORE, MD. : 190) AUG 06, vol. 177, no. 4, August 06 (06-08-), pages , XP0038 ISSN:

3 Enclosed is a translation of the patent claims in Norwegian. Please note that as per the Norwegian Patents Acts, section 66i the patent will receive protection in Norway only as far as there is agreement between the translation and the language of the application/patent granted at the EPO. In matters concerning the validity of the patent, language of the application/patent granted at the EPO will be used as the basis for the decision. The patent documents published by the EPO are available through Espacenet ( or via the search engine on our website here: NO/EP21886

4 1 Patentkrav 1. Sammensetning omfattende et peptidantigen, hvori antigenet er kovalent koblet til et antistoff som har affinitet for CLEC9a, eller et funksjonelt fragment derav som har affinitet for CLEC9a, og hvori sammensetningen eventuelt ytterligere omfatter en farmasøytisk akseptabel bærer. 2. Sammensetning ifølge krav 1, hvori antigenet og antistoffet eller et funksjonelt fragment derav er del av den samme peptidkjeden. 3. Sammensetning ifølge krav 1 eller krav 2, hvori antistoffet eller et funksjonelt fragment derav er en agonist av CLEC9a. 4. Sammensetning ifølge et hvilket som helst av kravene 1 til 3, hvori antigenet er eller omfatter et peptid fra et protein uttrykt av et patogen eller en parasitt, slik som et viralt protein eller et protein fra en kreftcelle, slik som et tumorspesifikt antigen.. Sammensetning ifølge hvilke som helst av kravene 1 til 4 formulert for intravenøs, intramuskulær, intraperitoneal, nasal, subkutan eller intradermal administrering Sammensetning ifølge et hvilket som helst av kravene 1 til for bruk i en fremgangsmåte for medisinsk behandling, f.eks. for bruk til å stimulere en immunrespons mot antigenet eller for bruk til å indusere toleranse mot antigenet Sammensetning for bruk ifølge krav 6, hvori immunresponsen som skal stimuleres, er en CTL-respons, Th1-respons, Th2-respons, Th17-respons eller en Treg-respons Sammensetning for bruk ifølge krav 6 eller krav 7, hvori sammensetningen administreres, eller er formulert for administrering med en adjuvant, f.eks. retinsyre, en CD40-agonist eller en TLR-agonist, IL-1 eller TNF-alfa.

5 2 9. Sammensetning for bruk ifølge krav 7, hvori responsen er en Treg-respons, og hvori antigenet er et antigen mot hvilket det er ønskelig å hemme eller undertrykke en uønsket immunrespons.. Bruk av en sammensetning ifølge et hvilket som helst av kravene 1 til til fremstilling av et medikament for å stimulere en immunrespons mot antigenet eller for bruk til å indusere toleranse mot antigenet. 11. Bruk ifølge krav, hvori immunresponsen som skal stimuleres, er en CTLrespons, Th1-respons, Th2-respons, Th17-respons eller en Treg-respons. 12. Bruk ifølge krav eller krav 11, hvori sammensetningen administreres, eller er formulert for administrering med en adjuvant, f.eks. retinsyre, en CD40- agonist eller en TLR-agonist, IL-1 eller TNF-alfa. 13. Sammensetning ifølge krav 11, hvori responsen er en Treg-respons, og hvori antigenet er et antigen mot hvilket det er ønskelig å hemme eller undertrykke en uønsket immunrespons. 14. Fremgangsmåte for å målrette et peptidantigen til en antigenpresenterende celle, omfattende å bringe den antigenpresenterende cellen i kontakt in vitro med en sammensetning ifølge et hvilket som helst av kravene 1 til 4, og hvori den antigenpresenterende celle uttrykker CLEC9a. 2. Fremgangsmåte ifølge krav 14, hvori den antigenpresenterende cellen er en dentrittisk celle, eventuelt hvori den dentrittiske cellen er i stand til å krysspresentere ekstracellulært antigen via MHC klasse I-molekyler Nukleinsyre som er i stand til å hybridisere til nrna eller DNA som koder for CLEC9a, og som er antisens-rna eller -DNA, sirna eller et ribozym, eller et antistoff som har affinitet for CLEC9a, eller et funksjonelt fragment derav som har affinitet for CLEC9a, og som omfatter et toksinmolekyl som er i stand til å drepe en celle eller et enzym som er stand til å omdanne et ikke-toksisk molekyl til et toksisk molekyl, for bruk i en fremgangsmåte for medisinsk behandling, f.eks. for bruk til hemming av en immunrespons.

6 3 17. Nukleinsyre eller antistoff eller funksjonelt fragment for bruk ifølge krav 16, hvori immunresponsen som skal hemmes, er en inflammatorisk eller autoimmun tilstand. 18. Nukleinsyre eller antistoff eller funksjonelt fragment for bruk ifølge krav 17, hvori tilstanden er: - revmatoid artritt, systemisk lupus erythematosus, sklerodermi, Sjögrens syndrom, autoimmun (særlig type I-) diabetes, tyroiditt eller psoriasis; - multippel sklerose eller myasthenia gravis; - Chrons sykdom, kolitt, cøliaki eller hepatitt; - aterosklerose, kardiomyopati, revmatisk feber, endokarditt eller vaskulitt; - emfysem, respiratorisk luftveisinfeksjon; - allergiske prosesser, hypersensitivitetsreaksjon (type I, II, III eller IV), astma eller rhinitt; - transplantat- eller graftavstøting eller graft-versus-vert-sykdom; eller - septisk sjokk-syndrom Bruk av (i) en nukleinsyre som er i stand til å hybridisere til mrna eller DNA som koder for CLEC9a, og som er antisens-rna eller -DNA, sirna eller et ribozym, eller (ii) et antistoff som har affinitet for CLEC9a, eller et funksjonelt fragment derav som har affinitet for CLEC9a, som omfatter et toksinmolekyl som er i stand til å drepe en celle, eller et enzym som er i stand til å omdanne et ikke-toksisk molekyl til et toksisk molekyl, i fremstilling av et medikament for hemming av en immunrespons.. Bruk ifølge krav 19, hvori immunresponsen som skal hemmes, er en inflammatorisk eller autoimmun tilstand Bruk ifølge krav, hvori tilstanden er: - revmatoid artritt, systemisk lupus erythematosus, sklerodermi, Sjögrens syndrom, autoimmun (særlig type I-) diabetes, tyroiditt eller psoriasis; - multippel sklerose eller myasthenia gravis; - Chrons sykdom, kolitt, cøliaki eller hepatitt; - aterosklerose, kardiomyopati, revmatisk feber, endokarditt eller vaskulitt; - emfysem, respiratorisk luftveisinfeksjon;

7 4 - allergiske prosesser, hypersensitivitetsreaksjon (type I, II, III eller IV), astma eller rhinitt; - transplantat- eller graftavstøting eller graft-versus-vert-sykdom; eller - septisk sjokk-syndrom. 22. Fremgangsmåte for å isolere en antigenpresenterende celle fra en prøve, omfattende å bringe prøven i kontakt med et antistoff som har affinitet for CLEC9a, eller et funksjonelt fragment derav som har affinitet for CLEC9a, og å isolere én eller flere celler til hvilke bindemiddelet er bundet, hvori den antigenpresenterende cellen eventuelt er en dendrittisk celle, og videre ytterligere eventuelt er i stand til å krysspresentere ekstracellulært antigen via MHC klasse I-molekyler. 23. Fremgangsmåte for å stimulere en immunrespons mot et peptidantigen omfattende å isolere en antigenpresenterende celle eller populasjon derav ved hjelp av en fremgangsmåte ifølge krav 22, og å bringe cellen eller populasjonen av celler i kontakt in vitro med antigenet og eventuelt en adjuvant. 24. Fremgangsmåte ifølge krav 23 omfattende, etter kontakteringstrinnet, å bringe de antigenpresenterende cellene i kontakt in vitro med en populasjon av autologe celler omfattende én eller flere T-celler, og eventuelt å ekspandere T- cellene i populasjonen.

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