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Last Updated: April 23, 2024

Claims for Patent: 9,987,357


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Summary for Patent: 9,987,357
Title:Methods and monitoring of treatment with a WNT pathway inhibitor
Abstract: Methods for treating diseases such as cancer comprising administering a Wnt pathway inhibitor, either alone or in combination with other anti-cancer agents, and monitoring for skeletal-related side effects and/or toxicity.
Inventor(s): Dupont; Jakob (Hillsborough, CA), Stagg; Robert J. (Moraga, CA)
Assignee: OncoMed Pharmaceuticals, Inc. (Redwood City, CA)
Application Number:15/147,521
Patent Claims:1. A method of treating cancer in a subject in need thereof, comprising: (a) administering to the subject a therapeutically effective amount of a soluble receptor comprising a Fri domain of a human FZD8 protein; and (b) determining the level of a bone resorption biomarker in a sample from the subject.

2. The method of claim 1, wherein the Fri domain of a human FZD8 protein is selected from the group consisting of SEQ II) NO:20, SEQ ID NO: 30, or SEQ ID NO:33.

3. The method of claim 1, wherein the soluble receptor further comprises a non-FZD8 polypeptide, and wherein the Fri domain of a human FZD8 protein is directly linked to the non-FZD8 polypeptide or is linked to the non-FZD8 polypeptide by a linker.

4. The method of claim 3, wherein the non-FZD8 polypeptide comprises a human Fe region.

5. The method of claim 4, wherein the human Fe region consists of SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ ID NO:37, or SEQ ID NO:38.

6. The method of claim 1, wherein the soluble receptor comprises (a) a first polypeptide consisting essentially of SEQ ID NO:20, SEQ ID NO:30, or SEQ ID NO:33; and (b) a second polypeptide consisting essentially of SEQ II) NO:34, SR) II) NO:35, SEQ ID NO:36, SEQ ID NO:37, or SEQ ID NO:38; wherein the first polypeptide is directly linked to the second polypeptide or the first polypeptide is connected to the second polypeptide by a linker.

7. The method of claim 1, wherein the soluble receptor comprises the amino acid sequence of SEQ ID NO: 45.

8. The method of claim 1, wherein the soluble receptor is 54F28.

9. The method of claim 1, wherein the bone resorption biomarker is selected from the group consisting of: urinary hydroxyproline, urinary total pyridinoline (PYD), urinary free deoxypryidinoline (DPD), urinary collagen type 1 cross-linked N-telopeptide (NTX), urinary or serum collagen type 1 cross-linked C-telopeptide (CTX), bone sialoprotein (BSP), and tartrate-resistant acid phosphatase 5b and .beta.-CTX.

10. The method of claim 9, wherein the bone resorption biomarker is .beta.-CTX.

11. A method for reducing a skeletal-related side effect and/or toxicity in a subject receiving treatment with a soluble receptor comprising a Fri domain of a human FZD8 protein, comprising administering to the subject a therapeutically effective amount of an anti-resorptive medication.

12. The method of claim 11, wherein the soluble receptor comprising a Fri domain of human FZD8 protein comprises (a) a first polypeptide consisting essentially of SEQ ID NO:20, SEQ. ID NO:30, or SEQ ID NO:33; and (b) a second polypeptide consisting essentially of SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ ID NO:37, or SEQ ID NO:38; wherein the first polypeptide is directly linked to the second polypeptide or the first polypeptide is connected to the second polypeptide by a linker.

13. The method of claim 11, wherein the soluble receptor comprises the amino acid sequence of SEQ ID NO: 45.

14. The method of claim 11, wherein the soluble receptor is 54F28.

15. The method of claim 11, wherein the anti-resorptive medication is a bisphosphonate or denosumab.

16. A method of preventing or attenuating the development of a skeletal-related side effect and/or toxicity in a subject receiving treatment with a soluble receptor comprising a Fri domain of a human FZD8 protein, comprising administering to the subject a therapeutically effective amount of an anti-resorptive medication.

17. The method of claim 16, wherein the soluble receptor comprising a Fri domain of human FZD8 protein comprises (a) a first polypeptide consisting essentially of SEQ ID NO:20, SEQ ID NO:30, or SEQ ID NO:33; and (b) a second polypeptide consisting essentially of SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:36, SEQ NO:37, or SEQ II) NO:38; wherein the first polypeptide is directly linked to the second polypeptide or the first polypeptide is connected to the second polypeptide by a linker.

18. The method of claim 16, wherein the soluble receptor comprises the amino acid sequence of SEQ ID NO: 45.

19. The method of claim 16, wherein the soluble receptor is 54F28.

20. The method of claim 16, wherein the anti-resorptive medication is a bisphosphonate or denosumab.

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