CA3129581A1 - Antibody-drug conjugates including antibody against human dlk1, and use thereof - Google Patents

Antibody-drug conjugates including antibody against human dlk1, and use thereof Download PDF

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CA3129581A1
CA3129581A1 CA3129581A CA3129581A CA3129581A1 CA 3129581 A1 CA3129581 A1 CA 3129581A1 CA 3129581 A CA3129581 A CA 3129581A CA 3129581 A CA3129581 A CA 3129581A CA 3129581 A1 CA3129581 A1 CA 3129581A1
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solvate
pharmaceutically acceptable
antibody
acceptable salt
antibody conjugate
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Inventor
Chang Sik Park
Min Ji Choi
Tae Ik JANG
Yun-Hee Park
Ho Young Song
Juyuel BAEK
Sung Min Kim
Hyeun Joung LEE
Ju Young Lee
Hyoung Rae Kim
Kun Jung Lee
Yong Zu Kim
Chang Sun Lee
Jeiwook CHAE
Sang Pil Lee
Ji-Young Shin
Sunha YOON
Yunseon CHOI
Jae Eun Park
Jisu Lee
Bum-Chan PARK
Young Woo Park
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Legochem Biosciences Inc
Y Biologics Inc
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Legochem Biosciences Inc
Y Biologics Inc
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Priority claimed from PCT/KR2020/003100 external-priority patent/WO2020180121A1/en
Publication of CA3129581A1 publication Critical patent/CA3129581A1/en
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    • A61K47/62Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being a protein, peptide or polyamino acid
    • A61K47/65Peptidic linkers, binders or spacers, e.g. peptidic enzyme-labile linkers
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    • A61K47/6889Conjugates wherein the antibody being the modifying agent and wherein the linker, binder or spacer confers particular properties to the conjugates, e.g. peptidic enzyme-labile linkers or acid-labile linkers, providing for an acid-labile immuno conjugate wherein the drug may be released from its antibody conjugated part in an acidic, e.g. tumoural or environment
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    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
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Abstract

The present invention relates to: novel antibody-drug conjugates (ADC) targeting DLK1; active metabolites of the ADCs; a method for producing the ADCs; a use of the ADCs for treating and/or preventing diseases; and a use of the ADCs for producing medicaments for treating and/or preventing diseases, more specifically, hyperproliferative and/or angiogenic diseases such as cancer. More particularly, the present invention relates to an antibody-drug conjugate comprising an antibody binding to DLK1 or an antigen-binding fragment thereof, and to a pharmaceutical composition including same.

Description

ANTIBODY-DRUG CONJUGATES INCLUDING ANTIBODY
AGAINST HUMAN DLK1, AND USE THEREOF
TECHNICAL FIELD
The present invention relates to new antibody-drug conjugates (ADCs) targeting DLK1, active metabolites of such ADCs, methods for preparation of such ADCs, uses for such ADCs in treatment and/or prevention of illnesses, and uses for such ADCs in production of drugs for treatment and/or prevention of diseases, more specifically, uses for such ADCs in producing drugs for treatment and/or prevention of proliferative and/or angiogenetic diseases, for example, cancer.
More particularly, the present invention relates to an antibody-drug conjugate comprising an antibody binding with DLK1 or an antigen-binding fragment thereof, and a pharmaceutical composition comprising the same.
BACKGROUND
Cancer is a disease caused by abnormal lumps of uncontrolled cell growth in the tissues of the body, and is the result of uncontrolled cell growth in a variety of tissues. Tumors in early stage cancers may be removed through surgical and radiotherapeutic measures, and metastasized tumors are generally treated palliatively using chemotherapy.
Most chemotherapy agents administered non-orally may induce unwanted adverse effects or serious toxicity as a result of systemic administration. Accordingly, the focus of development has been on developing novel chemotherapy agents to achieve increased efficacy and minimal toxicity / adverse effects through improved and selective action of chemotherapy agents on tumor cells or immediately adjacent tissues.
An antibody-drug conjugate (ADC) is a new targeted technology where a toxin or drug is bonded to an antibody which in turn binds to an antigen, the toxin or drug released into a tumor cell, etc., to cause cell death. The technology has superior efficacy over antibody drugs, and is able to substantially reduce the risk of adverse effects compared to conventional anti-cancer agents, as it specifically delivers drugs to the target cancer cells with minimum impact to healthy cells, and only releases drugs under specific conditions.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 The basic structure of an antibody-drug conjugate is "antibody ¨ linker ¨
small molecule drug (toxin)". Here, the linker needs to play not only the functional role of linking the antibody and drug, but also ensure that the drug is released properly through antibody-drug dissociation (e.g. as a result of hydrolysis by enzyme) after being circulated through the body and reaching the target cells, and exhibits efficacy against the target cancer cells. That is, the stability of the linker plays a very important role in the efficacy and systemic toxicity of an antibody-drug conjugate (Discovery Medicine 2010, 10(53): 329-39).
The inventors of the present invention have developed and secured a patent for a linker including an effective self-immolative group, which is more stable in the plasma and in circulation, and allows a drug to be easily released and exhibit efficacy in a cancer cell (Korean Registered Patent No. 1,628,872, etc.). Meanwhile, use of monoclonal antibodies for cancer treatment is having substantial success. Monoclonal antibodies are suitable for target-oriented addressing of tumor tissue and tumor cells. Antibody-drug conjugates have become a novel and powerful option for therapy of lymphomas and solid tumors, and recently, immunoregulatory antibodies are seeing significant success in clinical trials. Development of therapeutic antibodies is based on a profound understanding of cancer serology, protein engineering technology, mechanisms of action and resistance, and interactions between immune systems and cancer cells.
Antigens which are expressed on the surface of human cancer cells are defined as a broad range of targets which are over-expressed compared to normal tissues, mutated or selectively expressed. The key problem is identifying the appropriate antigens for antibody-based therapies.
These therapeutic agents mediate changes in antigen or receptor function (i.e., as a stimulant or antagonist), regulate the immune system through Fc and T cell activation, and exhibit efficacy through the delivery of specific drugs that bind to antibodies targeting specific antigens. Molecular techniques that can alter antibody pharmacokinetics, functional function, size and immune stimulation are emerging as key elements in the development of novel antibody-based therapies.
Evidence from clinical trials of therapeutic antibodies in cancer patients highlights the importance of approaches for selecting optimized antibodies, including affinity and binding of the target antigen and antibodies, selection of antibody structure, and therapeutic approaches (blocking signaling or immune function).
Related research is in progress on antibodies whose antigen is DLK1. Human-derived DLK1 (delta-like 1 homolog (Drosophila)) is a single-pass transmembrane protein whose whole
2 FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 chain comprises 383 amino acids. The protein has 6 EGF (epidermal growth factor-like repeat) domains in the extracellular domain.
DLK1 is generally referred to by the gene DLK1 due to its homology in amino acid sequence with Delta, a ligand of the Notch receptor which is a cell differentiation control factor, and other names by which it is referred to are Pref-1, pG2, SCP-1 and ZOG.
While DLK1 is a transmembrane protein, it is well reported as a protein where the extracellular domain is shed from the cell membrane by TACE (Tumor necrosis factor alpha converting enzyme) and functions separately.
DLK1 exhibits high expression in undifferentiated fetal cells with a high proliferation index. In particular, whereas high expression is exhibited in the liver, kidneys, skeletal muscles and brain, etc., of the fetus, expression is not seen in most tissues after birth, with expression limited to only certain cells such as preadipocytes, pancreatic islet cells, thymic stromal cells and adrenal gland cells.
As for research into the functions of DLK1, DLK1 is most researched as Pref-1 (preadipocyte factor-1) which is a factor that inhibits adipose cell differentiation. Aside from its ability to suppress adipose cell differentiation, DLK1 is reported to be able to suppress differentiation of hematopoietic stem cells, to play a role in regulating differentiation of lymphoid progenitor cells, and to be associated with wound healing.
Further, DLK1 is reported as being expressed with high frequency in various cancers or tumors. Cancers in which the expression of DLK1 has been confirmed to date include the solid cancers of neuroendocrine tumors, neuroblastoma, glioma, neurofibromatosis type 1, small cell lung cancer, liver cancer, renal cancer, ovarian cancer, colorectal cancer, breast cancer and pancreatic cancer, and the blood cancers of myelodysplastic syndrome and acute myeloid leukemia. As for research on the association between nDLK1 and cancer, there have been reports that DLK1 is over-expressed in brain cancer cells (gliomas), and that overexpressing the cDNA of DLK1 in brain cancer cells increases proliferation and migration of brain cancer cells. It has also been reported that DLK1 expression in liver cancer is elevated compared to normal liver cells, and that when DLK1 expression is reduced through siRNA tests, tumor size decreases.
To this technical background, the inventors of the present invention have worked to develop antibodies which bind specifically to DLK1, as a result developing anti-DLK1 antibody exhibiting superior binding to DLK1. The inventors have confirmed that, by applying a linker
3 FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 including an effective self-immolative group, which is more stable in the plasma and in circulation, and allows a drug to be easily released and exhibit efficacy in a cancer cell, to the anti-DLK1 antibody to further reinforce the effect of the antibody, it is possible to provide a novel antibody-drug conjugate (ADC) which targets DLK1 and is effective at treating and/or preventing cancer illnesses, and thereby completed the present invention.
DETAILED DESCRIPTION OF THE INVENTION
TECHNICAL PROBLEM
A purpose of the present invention is to provide a novel antibody-drug conjugate targeting DLK1, or a salt or solvate thereof.
Another purpose of the present invention is to provide a drug-antibody conjugate including an antibody which binds specifically to DLK1 and a drug binding thereto, and a pharmaceutical composition including the same.
Another purpose of the present invention is to provide a method for preventing or treating a proliferative, cancer or angiogenetic disease, the method comprising a step of administering an individual with an antibody-drug conjugate comprising a pharmaceutically efficacious amount of antibody which specifically binds to DLK1 and a drug which binds to the same.
Another purpose of the present invention is to provide a use for an antibody-drug conjugate comprising a pharmaceutically efficacious amount of antibody which specifically binds to DLK1 and a drug which binds to the same as a pharmaceutical composition for preventing or treating a proliferative, cancer or angiogenetic disease.
Yet another purpose of the present invention is to provide an antibody-linker-drug (toxin) system which allows a drug and/or toxin to safely reach a target cell and effectively exhibit efficacy while substantially reducing toxicity, by grafting technology for a linker including a self-immolative group which is more stable in the plasma and in circulation, and allows a drug to be easily released in a cancer cell to maximize efficacy.
TECHNICAL SOLUTION
One aspect of the present invention provides an antibody conjugate of the General Formula I, or a pharmaceutically acceptable salt or solvate thereof.
[General Formula I] Ab ¨ (X)y
4 HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 Where:
Ab is an anti-DLK1 antibody or an antigen-binding fragment thereof, X is independently a chemical residue comprising at least one active agent and a linker, and;
the linker links an antibody and the active agent, and;
y is an integer from 1 through 20.
The anti-DLK1 antibody or antigen-binding fragment thereof, that is the antibody which binds to DLK1 or antigen-binding fragment of the same, comprises: a heavy chain variable region comprising at least one heavy chain CDR1 selected from the group comprising SEQ ID NO. 2, 16, 30, 44, 58, 72 and 86, at least one heavy chain CDR2 selected from the group comprising SEQ ID
NO. 4, 18, 32, 46, 60, 74 and 88, and at least one heavy chain CDR3 selected from the group comprising SEQ ID NO. 6, 20, 34, 48, 62, 76 and 90, and;
a light chain variable region comprising at least one light chain CDR1 selected from the group comprising SEQ ID No. 9, 23, 37, 51, 65, 79, 93, 115 and 121, at least one light chain CDR2 selected from the group comprising SEQ ID No. 11, 25, 39, 53, 67, 81 and 95, and at least one light chain CDR3 selected from the group comprising SEQ ID No.
13, 27, 41, 55, 69, 83, 97, 116 and 125.
The antibody according to the present invention may, for example, bind specifically to the extracellular domain of human DLK1.
The term "antibody" as used in the present specification refers to DLK1, in particular anti-DLK1 antibody which binds specifically to the extracellular domain of human DLK1 protein.
Included in the scope of the present invention is not only the complete form of the antibody which binds specifically to DLK1, but also antigen-binding fragments of the antibody molecule.
The complete antibody has a structure having 2 full length heavy chains and 2 full length light chains, the respective light chains linked to a heavy chain by a disulfide bond. The heavy chain constant regions have types gamma (y), mu (u), alpha (a), delta (6) and epsilon (6), with sub-classes gammal (y1), gamma2 (y2), gamma3 (y3), gamma4 (y1), alphal (al) and a1pha2 (a2). The light chain constant region has types kappa (x) and lambda (k).
An antigen-binding fragment of an antibody or antibody fragment refers to a fragment with the functionality to bind to an antigen, and includes Fab, F(ab'), F(ab')2 and Fv, etc. Among antibody fragments, Fab has a structure of light chain and heavy chain variable regions, a light chain constant region and a first constant region of a heavy chain (C111), and 1 antigen-binding FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 site. Fab' differs from Fab in that it has a hinge region comprising at least one cysteine residue at the C-terminal of the heavy chain CH1 domain. The F(ab)'2 antibody is formed when the cysteine residue of the hinge region of Fab' forms a disulfide bond. Fv is a minimum antibody fragment which only has a heavy chain variable region and light chain variable region, and recombinant technologies for preparing Fv fragments are disclosed in PCT International Published Patent Applications W088/10649, W088/106630, W088/07085, W088/07086 and W088/09344. A

two-chain Fv has a heavy chain variable region and light chain variable region linked by a non-covalent bond, and a single-chain Fv (scFv) generally has a heavy chain variable region and light chain variable region linked by a covalent bond through a peptide linker, or linked directly at the C-terminal, allowing it to form structures such as a dimer, as can a two-chain Fv. Such antibody fragments may be obtained by using protein hydrolyzing enzyme (for example, restriction cutting the entire antibody with papain yields Fab, and cutting with pepsin can yield F(ab)'2 fragment), and may also be prepared using gene recombinant technology.
In embodiments, the antibody according to the present invention is of the Fv form (for example, scFv), or in its complete antibody form. Further, the heavy chain constant region may be any one isotype selected from among gamma (y), mu (u), alpha (a), delta (6) and epsilon (6). For example, the constant region is Gammal (IgG1), Gamma3 (IgG3) or Gamma4 (IgG4).
The light chain constant region may be the kappa or lambda type.
The term "heavy chain" as used in the present specification refers to the full length heavy chain comprising the variable region domain VH which comprises amino acid sequences having sufficient variable region sequences to give antigen specificity and the three constant region domains CH1, CH2 and CH3, and all fragments of the same. Further the term "light chain" as used in the present specification refers to the full length light chain comprising the variable region domain VL which comprises amino acid sequences having sufficient variable region sequences to give antigen specificity and the constant region domain CL, and all fragments of the same.
The antibody of the invention includes, but is not limited to, monoclonal antibody, multispecific antibody, human antibody, humanized antibody, chimera antibody, single chain Fvs (scFV), single chain antibody, Fab fragment, F(ab') fragment, disulfide-bond Fvs (sdFV) and anti-idiotype (anti-Id) antibody, or epitope-binding fragments of the above antibodies, etc.
Monoclonal antibodies refer to antibodies obtained from a substantially homogeneous antibody group, that is, except for possible naturally occurring mutations in which individual HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 antibodies that occupy the population may be present in minor amounts.
Monoclonal antibodies are highly specific and are directed against a single antigenic site. In contrast to a conventional (polyclonal) antibody formulation which comprises different antibodies directed to different determining factors, the respective monoclonal antibodies are directed against a single determining factor on the antigen. For example, the useful monoclonal antibodies of the present invention may be prepared using the hybridoma method, or by using recombinant DNA methods on bacteria or eukaryotic animal cells or plant cells (see US Patent 4,816,567). Further, the monoclonal antibody may be isolated from a phage antibody library.
In one embodiment of the present invention, the phage display method was used to pan a natural human single chain Fv library (native human single chain Fv library) to prepare seven types of monoclonal human antibody which bind specifically to DLK1.
"Phage display" is a technique for displaying a mutant polypeptide as a fusion protein with the phage, for example, at least part of the coat protein on the surface of the phage particle. The usefulness of phage display is that large libraries of randomized protein variants may be targeted to quickly and efficiently classify sequences that bind to target antigens in high affinity. Displaying peptides and protein libraries on phages has been used to screen millions of polypeptides to identify polypeptides with specific binding properties.
Phage display technology has provided a powerful tool for generating and screening new proteins that bind to specific ligands (e.g. antigens). Using phage display technology, large libraries of protein variants may be generated and sequences that bind with high affinity to target antigens may be quickly classified. The nucleic acid encoding the mutant polypeptide is fused with a nucleic acid sequence encoding a viral coat protein, e.g. a gene III protein or a gene VIII protein.
A monophasic phage display system has been developed in which a nucleic acid sequence encoding a protein or polypeptide is fused with a nucleic acid sequence encoding a part of the gene III protein. In the 1-phage display system, the gene fusion is expressed at a low level and the wild-type gene III protein is also expressed, thereby maintaining the infectivity of the particles.
Demonstrating the expression of peptides on the fibrous phage surface and the expression of functional antibody fragments in the peripheral cytoplasm of E. coli is important in developing antibody phage display libraries. Libraries of antibodies or antigen-binding polypeptides have been prepared in a number of ways, for example by altering a single gene by inserting a random DNA

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 sequence, or by cloning a related gene sequence. The library may be screened for the expression of antibodies or antigen binding proteins with the desired characteristics.
Phage display technology has several advantages over conventional hybridomas and recombinant methods for producing antibodies with the desired characteristics.
This technique allows the generation of large antibody libraries with a variety of sequences in a short time without the use of animals. The production of hybridomas and the production of humanized antibodies may require several months of manufacturing time. In addition, since no immunity is required, the phage antibody library can generate antibodies against antigens that are toxic or have low antigenicity. Phage antibody libraries can also be used to generate and identify novel therapeutic antibodies.
Techniques for generating human antibodies from non-immunized humans, germline sequences, or sub-sensitized B cell Ig repertoires may be used, which are immunized using a phage display library. Various lymphatic tissues may be used to prepare an undetected or non-immunogenic antigen-binding library.
Techniques for identifying and separating high affinity antibodies from phage display libraries are important for new antibody separation for therapy. The separation of high affinity antibodies from the library can depend on the size of the library, the production efficiency in bacterial cells and the variety of libraries. The size of the library is reduced by inefficient folding of the antibody or antigen binding protein and inefficient production due to the presence of the stop codon. Expression in bacterial cells may be inhibited when the antibody or antigen binding domain is not properly folded. Expression may be improved by alternately mutating the residues at the surface of the variable / constant interface or the selected CDR
residues. The sequence of the framework region is one element to provide appropriate folding in the case of generating antibody phage libraries in bacterial cells.
It is important to generate various libraries of antibody or antigen binding proteins in high affinity antibody separation. CDR3 regions have been found to often participate in antigen binding.
The CDR3 region on the heavy chain varies considerably in terms of size, sequence and structural conformation, and thus various libraries may be prepared using the CDR3 region.
Also, diversity may be generated by randomizing the CDR regions of the variable heavy and light chains using all 20 amino acids at each position. The use of all 20 amino acids results in HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 an increased variability in antibody sequences and an increased chance of identifying new antibodies.
"Epitope" refers to a protein determinant to which an antibody can specifically bind.
Epitopes usually consist of a group of chemically active surface molecules, such as amino acids or sugar side chains, and generally have specific three-dimensional structural characteristics as well as specific charge characteristics. Three-dimensional epitopes and non-stereo epitopes are distinguished in that the binding to the former is lost but not to the latter in the presence of a denatured solvent.
The non-human (e.g., murine) antibody of the "humanized" form is a chimeric antibody containing minimal sequence derived from non-human immunoglobulin. In most cases, the humanized antibody is a non-human species (donor antibody), such as a mouse, a rat, a rabbit or a non-human, having a desired specificity, affinity and ability to retain a residue from the hypervariable region of the recipient and is a human immunoglobulin (acceptor antibody) that has been replaced with a residue from the hypervariable region of the primate.
The above-mentioned "human antibody" means a molecule derived from human immunoglobulin, wherein all the amino acid sequences constituting the antibody including the complementarity determining region and the structural region are composed of human immunoglobulin.
The other chain(s) may be derived from another species or may be derived from another antibody class or subgroup, such as a portion of the heavy chain and / or light chain derived from a particular species or identical or homologous to a corresponding sequence in an antibody belonging to a particular antibody class or subclass, "chimeric" antibodies (immunoglobulins) identical or homologous to the corresponding sequences in antibodies belonging to the subclass as well as fragments of said antibodies exhibiting the desired biological activity.
As used herein, an "antibody variable domain" refers to the light and heavy chain portions of an antibody molecule comprising complementarity determining regions (CDRs;
i.e., CDR1, CDR2, and CDR3), and the amino acid sequence of the framework region (FR) . VH
refers to the variable domain of the heavy chain. VL refers to the variable domain of the light chain.
"Complementarity determining regions" (CDRs; i.e., CDR1, CDR2, and CDR3) refer to the amino acid residues of an antibody variable domain that are necessary for antigen binding.
Each variable domain typically has three CDR regions identified as CDR1, CDR2 and CDR3.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 In the present invention, the antibody binding to DLK1 or an antigen-binding fragment thereof may specifically include the CDR sequences stated in Table 1 below. Of these, Korean Patent Application No. 10-2018-0107639 has confirmed that the anti-DLK1 antibodies of two types (18A5 and 27F7) and two other 18A5 mutant antibodies (18A5 LS 1A10 and 18A5 AM 1Al2) are capable of binding to cells where DLK1 is overexpressed, and may be developed into anti-DLK1 antibody-drug conjugates which can target DLK1 expressed on the surface of cancer cells to cause cancer cell apoptosis.
FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 [Table 1]
, __________________________________________________ =
SEQ ID
done nu Cb81 ER2 CDR2 FR3 CND FM
NO.
QvQ1. YSADSA'K
VV1G MSWV GRFTISR TREG varGQ
17811- , GUN CTh RQTPG ITKS DNsiCs-TL LGYY GTIV 99 NC QPGG SSBA KOLE GS GT YLQNINSL YGNID
, SLRU WVSS RAEDTAV V
CAAS YYC
SEQ ID NO. 1 2 3 4 5 7 N RPSGVP

QQLPG SGTSASI. 171111- SGAPG GAG GST
NW* TKVT 100 LW LC TAPRL A1TGLQA RYV vL QRvIl YD F.DRADYY
SCTGS
SEQIDNO 8 9 to 11 12 13 14 QvQL NYADSVK
VQSG 11INA v sin) GRLTIS1R vRivw weal 111A5- GA"' Q PG GRN "Nsic"rn 0c QpGa KC,117 SFQ 1.4 INSL T Tvss stens a .4Ir 111 . µN " 67' RAEDTAV
SEAS ' ________________________________________________________________ ,sEct ID NO 15 141 17 11 19 2$ 21 IMQK SLQSAvAS
TQSPS I. MAN
RFSGsGS QD I PAS- ELSA'S QQKP GAA. GrEFILri ()WY ITGGG
v M

ssLQ= FEDF IK
VN1TC tor,Liv ANYYC
RAs , \
ANY
SEQ ID NO 22 23 24 25 20 27 2$
QMQL GYADSVK
VQSG XII1vvv caurnsR TKGP WGQ
20D3- GGIN RQA PG 1SWN DNAKNS1. GLA1 HC Bey V
QPGRS . KGLE SGS1 YLQYINSL GICVY .re GTQ 103 ss LRLSC A WVSG RAEDTAV ENS a AAS YYC
¨

FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 t _____ . r ___________________________________________________ -1 - D1QM TL li NGV P
, TQSPS 1 LAWY SRFSGSAS FGQG ' 21103- SVSAS I QR1S QQKP n LC ' YGDR SW GRApK SAS crprru SSLQPEDF QQGH I TtiLD 104 SFPVT

' VT1TC LLIII , i AIINC
RAS
SEQ ID NO , 36 37 38 39 40 41 42 QVQL ' TYADSVK , ' VESG MNWV ' GRFTISR ARGY
21011- GGLV GFTF RQAPG 1SPD DNAK WGQNTL , SPKYP laa SSY
IIC ( QPGG KGI.V GSSI YLQININSL 1 TVGL GTE! air*P
W TVSS ' , SIR IS WVSR RAEDTAV DV
CAAS __ r YYC ;
SEQ ID NO. 43 44 45 46 47 45 49 DIVNIT ' NRFSGVP
, QSPLS ' ESLL LTWL DRFSGSC , veer", ' iptletel 211/11- 1, SPVTL USN QQRP ' AGTDFTL v 'gm4W1 -, 1 TKVII 1"
LC GQPAS GNT GQPPR KIS QITRVET
' INT ISCRS V LI.III EDVGµlir 1K
h , $ C
i SEQ ID NO , SO ' 51 32 53 1 54 . 55 . 54 , . _ QVQL i LYAQKFQ 1 ' VOSG 1111WV1 t rn $ I GRVTMT ARLN WGQ
21F9- AEVK GYSL QAPR new 1 EDTSTDT ' YFEST ' GTM iai HC KPGAS
SEFP MG111 ""µ.¨ 1 AYWIELSS ' DYWV VTV'S ""
VRVSC WilIGG TLIPSZDTA DAFDI $
ICVS I VYYC : ' f 4 SEQ ID NO, 57 58 lip 0 'a a 43 '. _____________________________________________________________________ , QRPSGVP
QLVLT , VQWY . DRFSGSID
2IF9- '' QPYSV SGSI QQRP gnat . SMNsAst QSYD FG`'"
Lc, SESPG
ASNF GSAPT m's." T1SGVMT SGSS TKLT 108 CTRS i C
_________________________________________________________________ = X
SEQ ID NO. 64 65 66 67 i 411 69 711 1 , i I-FHBOSTON5259862.1 Date Regue/Date Received 2021-08-09 QMQL I YVADSVIC .
VESG 3L'SWV GRFTISR
GFNF .ARD4;) WGII
27F7- GGLV RQAPG 1SST DNAKSSL.

Y GIIDV TVSS
SITLS WLAH RAEDTAV .
C'DAT , YY'C" ' , .
SEQ ID
71. 72: 73 74 75 . 76 . 77 ' NR.PSGVP
QL11õ,T
VDWY DRFSGSK ' .27F7 QPSSV SSNI QSYD ' F.GGG
- QQLPG SGTSASL .
SGAPG GAG GNT SSL.SA. ThIT 110 LC TAPKL AITGLQA QRVTI YD
, LIY EDDSDYY
,SCTGS
C
., SEQ ID
NO 7$ 74 ' 80 II 82 83 84 . , .QVQ,L, YVADSVIC ' AREG ,.
V"ESG NIIIW'V G,RFTISR
. SYDV WGQ , 35E2- GGVV GFTF RQAPG 'nrsc DNSICNTL
AITYT GAIN' HC QPGR.S SSYA KGLE GST YLQNEVSL . 111 IRIGG TVSS
LRLSC WVAV ItAEDIAV .
VF'Dli AAS YY'C , .õ.
SEQ ID
S5 84 ' 17 88 89 90 91 DIQA1 ,, , SLQSGVP , TQSPS ' VAWY
SRESGSG FGPG
35E2.. SVSAS QGIS QQKP QQA.N

LC VGT3R DW GICAõP SFPLT
ISNLQPE pc v""rtrc . .KLL1Y
D'FATYYC
RAS
, SEQ ID
NO. 92 93 . 94 95 96 97 98 QVQL NYADSVK
õ
18A5 17()SG Gn: '51H10.17 / - GRLTLSR von, 11, urftri , .LS,..li GAVV , ' RQAPG ' DNS-lei-IL .7.- - --"c QPG11 If SFQ1µLNSL . ' YG K . DI TVSS
-BC SI,.RI.S . 'Wlõ,AV . RAEDTAA' , CFAS ' YYC , SEQ ID
NO.
16 ' 17 18 19 20 21 , FIII30STON5259862.1 Date Recue/Date Received 2021-08-09 SLQSGVP
1 QSPS LAWVi SI,S AS QGTS QQKP QQSY
LS 1 A A AS SGTDFT1 LG OR SA 1 CKAP I I Pi. 1 TKVF 126 RAS I KHAN
I lliõ111 AC II
, __________________________________________________________ 1 ____ SEQ ID I

-- +-QVQL NY AD
18 A5 VW; NIHNNT GRI,TISR
(.FK ISM) N-RDW 11-(';(,) A NI I (,,;(.,1 V RQ1PC 1INSK\ 11, 1,12 Q14.(i II; K(4.1: 1 t l R1 W R s. S
CA-1S il..NN' K SFQN1NSI.
11311 : 1V
INC SN AI- ( ;I 1 N 127 Il 1)1 LASS

119 16 ' 1 *7 18 19 211 21 No.

NI KM-AT
18,15_ TQSPS L.µWY
SRFSGSG ()QS' 171-,C;f;
k A 1 i FLSAS IIDIS (:)()KS
_ sAS s( ,1111,SI, I IA 1 1 KL1. 128 i Al2 \ GDR SS C.I.A1' 11SSLQIIE I 1k , I Lt \111(' Kt L11 DI-All Nt RAS , 1 , SEQ11) 121/ 121 j 122 39 123 124 125 A "framework region" (FR) is a variable domain residue other than a CDR
residue. Each variable domain typically has four FRs identified as FR1, FR2, FR3, and FR4.
Embodiments of the present invention may comprise: at least one heavy chain FR1 selected from the group comprising SEQ ID No. 1, 15, 29, 43, 57, 71, 85 and 119; at least one heavy chain FR2 selected from the group comprising SEQ ID No. 3, 17, 31, 45, 59, 73 and 87; at least one heavy chain FR3 selected from the group comprising SEQ ID No. 5, 19, 33, 47, 61, 75 and 89; at least one heavy chain FR4 selected from the group comprising SEQ ID No. 7, 21, 35, 49, 63, 77 and 91; at least one light chain FR1 selected from the group comprising SEQ ID
No. 8, 22, 36, 50, 64, 78, 92, 117 and 120; at least one light chain FR2 selected from the group comprising SEQ ID
No. 10, 24, 38, 52, 66, 80, 94 and 122; at least one light chain FR3 selected from the group comprising SEQ ID No. 12, 26, 40, 54, 68, 82, 96, 118 and 123, and; at least one light chain FR4 selected from the group comprising SEQ ID No. 14, 28, 42, 56, 70, 84, 98 and 125.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 An "Fv" fragment is an antibody fragment that contains complete antibody recognition and binding sites. This region consists of one heavy chain variable domain and one light chain variable domain, for example, dimers substantially tightly covalently associated with scFv.
A "Fab" fragment contains the variable and constant domains of the light chain and the variable and first constant domain (CH1) of the heavy chain. F(ab')2 antibody fragments generally comprise a pair of Fab fragments covalently linked by their hinge cysteine near their carboxy ends.
A "single chain Fv" or "scFv" antibody fragment comprises the VH and VL
domains of an antibody, which domains are within a single polypeptide chain. The Fv polypeptide may further comprise a polypeptide linker between the VH domain and the VL domain such that the scFv can form the desired structure for antigen binding.
The antibody according to the present invention may be monovalent or divalent, and comprises a single chain or a double chain.
Functionally, the binding affinity of the antibody to the extracellular domain of DLK1 is in a range of 10-5M to 10-12M. For example, the binding affinity is 10-6M to 10-12M, 10-7M to 10-M
'2", 108M to 10'2M, 109M to 10'2M, 105M to 10"M, 106M to 10"M, 107M to 10"M, 10-81\4 to 10"M, 10-9M to 10-11m, 10-10A4 to 10M, -H¨¨, 10-5M to 10-0M 1 10-6M to 10-1 M, 10-7M to 10 M-10", 10-8M to 10' M, 10-9M to 10' M, 10-5M to 10-9M, 10-6M to 10-9M, 10-7M to 10-9M, 10-8M
to 10-9M, 10-5M to 10-8M, 10-6M to 10-8M, 10-7M to 10-8M, 10-5M to 10-7M, 10-6M to 10-7M or 10-5M to 10-6M.
Further, the antibodies of the present invention are antibodies with increased affinity for the antigen. The term "affinity" refers to the ability to specifically recognize and bind to specific sites of an antigen. High specificity, together with the specificity of these antibodies, is an important factor in the immune response. Any of various analyses known to the art, for example radioimmunoassays (RIA) and ELISA may be used to determine affinity, which may be expressed as various quantitative values. The affinity of an antibody to an antigen may generally be represented by the dissociation constant (Kd) of a specific antibody-antigen interaction. A lower Kd value indicates higher affinity of an antibody to an antigen. For example, the Kd value of the 18A5 antibody of the present invention is 0.52, and that of the 27F7 antibody is 0.22. This indicates these are high-affinity antibodies which bind with specificity to human DLK1.
The antibody binding to the extracellular domain of DLK1, or antigen-binding fragment thereof, may comprise a heavy chain variable region including a sequence that has at least 90%
FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 sequence homology with a sequence selected from the group comprising SEQ ID
No. 99, 101, 103, 105, 107, 109, 111 and 127. The antibody binding to the extracellular domain of DLK1, or antigen-binding fragment, thereof, may comprise a heavy chain variable region selected from the group comprising SEQ ID No. 99, 101, 103, 105, 107, 109, 111 and 127.
Further, the antibody binding to the extracellular domain of DLK1, or antigen-binding fragment thereof, may comprise a light chain variable region including a sequence that has at least 90% sequence homology with a sequence selected from the group comprising SEQ
ID No. 100, 102, 104, 106, 108, 110, 112, 126 and 128. The antibody binding to the extracellular domain of DLK1, or antigen-binding fragment, thereof, may comprise a light chain variable region selected from the group comprising SEQ ID No. 100, 102, 104, 106, 108, 110, 112, 126 and 128.
The antibody or antibody fragment of the present invention may contain, within the scope of specifically recognizing DLK1, the sequence of the anti-DLK1 antibody of the present invention described herein as well as biological equivalents thereof. For example, additional changes may be made to the amino acid sequence of the antibody to further improve the binding affinity and /
or other biological properties of the antibody. Such modifications include, for example, deletion, insertion and / or substitution of the amino acid sequence residues of the antibody. Such amino acid variations are made based on the relative similarity of the amino acid side chain substituents, such as hydrophobicity, hydrophilicity, charge, size, and the like. By analysis of the size, shape and type of amino acid side chain substituents, arginine, lysine and histidine are both positively charged residues; Alanine, glycine and serine have similar sizes;
Phenylalanine, tryptophan and tyrosine have similar shapes. Thus, based on these considerations, arginine, lysine and histidine;
alanine, glycine and serine; and phenylalanine, tryptophan and tyrosine are biologically functional equivalents.
Considering the mutation having the above-mentioned biological equivalent activity, the antibody of the present invention or the nucleic acid molecule encoding the same is interpreted to include a sequence showing substantial identity with the sequences under SEQ
ID NO. The above-mentioned substantial identity is determined by aligning the above-described sequence of the present invention with any other sequence as much as possible and analyzing the aligned sequence using an algorithm commonly used in the art, with a homology of at least 90%, and most preferably at least 95% homology, at least 96%, at least 97%, at least 98%, or at least 99%.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 Alignment methods for sequence comparison are well known in the art. The NCBI
Basic Local Alignment Search Tool (BLAST) is accessible from NBCI and may be used in conjunction with sequence analysis programs such as blastp, blasm, blastx, tblastn and tblastx on the Internet.
BLSAT is available at www.ncbi.nlm.nih.gov/BLAST/. A comparison of sequence homology using this program may be found at www.ncbi.nlm.nih.gov/BLAST/blast_help.html.
Based on this, the antibody or antigen-binding fragment thereof of the present invention is 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% compared to the specified sequence or all described in the specification. Such homology may be determined by sequence comparison and / or alignment by methods known in the art. For example, sequence comparison algorithms (i.e., BLAST or BLAST 2.0), manual alignment, visual inspection may be used to determine the percent sequence homology of nucleic acids or proteins of the invention.
In another aspect, the present invention relates to a nucleic acid encoding the antibody or antigen-binding fragment thereof.
The nucleic acid encoding the antibody or antigen-binding fragment thereof of the present invention may be isolated to recombinantly produce the antibody or antigen-binding fragment thereof. The nucleic acid is isolated and inserted into a replicable vector for further cloning (amplification of DNA) or for further expression. Based on this, the present invention relates to a vector comprising the nucleic acid in another aspect.
"Nucleic acid" is meant to encompass DNA (gDNA and cDNA) and RNA molecules inclusively, and the nucleotides that are the basic building blocks of nucleic acids include natural nucleotides as well as analogs with modified sugar or base sites. The sequences of nucleic acids encoding heavy and light chain variable regions of the invention may be modified. Such modifications include addition, deletion, or non-conservative or conservative substitutions of nucleotides.
The DNA encoding the antibody is readily isolated or synthesized using conventional procedures (e.g., by using oligonucleotide probes capable of specifically binding to the DNA
encoding the heavy and light chains of the antibody). Many vectors are available. Vector components generally include, but are not limited to, one or more of the following: signal sequence, origin of replication, one or more marker genes, enhancer elements, promoters, and transcription termination sequences.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 As used in the present specification, the term "vector" refers to a plasmid vector as a means for expressing a gene of interest in a host cell; cosmid vector; viral vectors such as bacteriophage vectors, adenovirus vectors, retrovirus vectors, and adeno-associated virus vectors, and the like.
The nucleic acid encoding the antibody in the vector is operably linked with a promoter.
"Operatively linked" means a functional binding between a nucleic acid expression control sequence (e.g., an array of promoters, signal sequences, or transcriptional regulator binding sites) and another nucleic acid sequence, whereby the regulatory sequence is the other nucleic acid. To control transcription and / or translation of the sequence.
In the case of a prokaryotic cell as a host, powerful promoters capable of promoting transcription (e.g., tac promoter, lac promoter, lacUV5 promoter, 1pp promoter, pLX, promoter, pRk promoter, rac5 promoter, amp promoter, recA promoter, SP6 promoter, trp promoter and T7 promoter, etc.), ribosome binding sites for initiation of translation, and transcription / translation termination sequences. Also, for example, when the eukaryotic cell is a host, a promoter derived from the genome of the mammalian cell (e.g., a metallothionine promoter, a I3-actin promoter, a human hemoglobin promoter and a human muscle creatine promoter) or a mammal Promoters derived from animal viruses (e.g., adenovirus late promoter, vaccinia virus 7.5K promoter, SV40 promoter, cytomegalovirus (CMV) promoter, tk promoter of HSV, mouse breast tumor virus (MMTV) promoter, LTR promoter of HIV) , promoter of the Moroni virus, promoter of the Epsteinbar virus (EBV) and Loose Sacoma virus (RSV) promoter) may be used, and generally has a polyadenylation sequence as a transcription termination sequence.
In some cases, the vector may be fused with other sequences to facilitate purification of the antibody expressed therefrom. Sequences to be fused include, for example, glutathione S-transferase (Pharmacia, USA), maltose binding protein (NEB, USA), FLAG (IBI, USA) and 6x His (hexahi sti dine; Qui agen, USA).
Such vectors include antibiotic resistance genes commonly used in the art as selection markers and include, for example, resistance genes against ampicillin, gentamicin, carbenicillin, chloramphenicol, streptomycin, kanamycin, geneticin, neomycin and tetracycline.
In another aspect, the present invention relates to a cell transformed with the above-mentioned vector. The cells used to produce the antibodies of the invention may be prokaryote, yeast or higher eukaryote cells, but are not limited thereto.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 Bacterial strains such as Escherichia coli, Bacillus subtilis and Bacillus thuringiensis, Streptomyces and Pseudomonas (e.g. Pseudomonas putida), and prokaryotic host cells such as Proteus mirabilis and Staphylococcus (e.g., Staphylococcus carnosus) may be used.
However, animal cells are of the greatest interest, and examples of useful host cell lines are, but are not limited to, COS-7, BHK, CHO, CHOK1, DXB-11, DG-44, CHO / -DHFR, CV1, COS-7, HEK293, BHK, TM4, VERO, HELA, MDCK, BRL 3A, W138, Hep G2, SK-Hep, MMT, TRI, MRC 5, F54, 3T3, RIN, A549, PC12, K562, PER.C6, 5P2/0, NS-0, U205, or HT1080.
In another aspect, the present invention relates to a method for preparing the above-stated antibodies or antigen-binding fragments thereof, the method comprising: (a) a step of culturing the cells; and (b) a step of recovering the antibody or antigen-binding fragment thereof from the cultured cells.
The cells may be cultured in various media. Commercially available media may be used without limitation as the culture medium. All other necessary supplements known to those skilled in the art may be included at appropriate concentrations. Culture conditions, such as temperature, pH, and the like, are already in use with host cells selected for expression, which will be apparent to those skilled in the art.
In the recovery of the antibody or antigen-binding fragment thereof, impurities may be removed by, for example, centrifugation or ultrafiltration, and the result may be purified using, for example, affinity chromatography or the like. Other purification techniques such as anion or cation exchange chromatography, hydrophobic interaction chromatography, hydroxylapatite chromatography and the like may be used.
In one aspect of the present invention, the linker between the antibody and the active agent may be cleavable.
In one aspect of the present invention, the linker has the structure of Chemical Formula Ha below:
[Chemical Formula Ha]
(Z),, R1 2o 422-L.W
=

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 Where:
G is a sugar, a sugar acid or a sugar derivative;
W is -C(0)-, -C(0)NR'-, -C(0)0-, -S(0)2NR'-, -P(0)R"NR'-, -S(0)NR'-, or -P02NR'-; In a case where C(0), S or P is linked directly with the phenyl ring, R' and R" are, respectively and independently, hydrogen, (C1-C8) alkyl, (C3-C8) cycloalkyl, (C1-C8) alkoxy, (C1-C8) alkylthio, mono- or di-(C1-C8) alkylamino, (C3-C2o) heteroaryl, or (C6-C2o) aryl;
Each Z is, respectively and independently, (Ci-C8) alkyl, halogen, cyano or nitro;
n is an integer of 0 through 3;
m is 0 or 1;
L is absent, or;
Contains at least one branching unit (BR) and at least one connection unit;
Ri and R2 are, respectively and independently, hydrogen, (C1-C8) alkyl or (C3-C8) cycloalkyl, or the Ri and R2, together with the carbon atoms to which they are bound, form a (C3-C8) cycloalkyl ring, and;
In the above formula, `¨' denotes a region which binds to an antibody, and *
denotes a region which binds to a drug or a toxin.
In one aspect of the present invention, the sugar or sugar acid is a monosaccharide.
In one aspect of the present invention, G is a glucuronic acid moiety or a compound of the structure of Chemical Formula (Ma) below:
[Chemical Formula (Ma)]
IS

R4...ort., "
0, -..*R4 Where:
R3 is a hydrogen or carboxyl protective group, and;
Each R4 is, respectively and independently, a hydrogen or hydroxyl protective group.
In one aspect of the present invention, R3 is hydrogen, and each R4 is hydrogen.
FuBosToN5259862.1 Date Recue/Date Received 2021-08-09 Further Ri and R2 are respectively hydrogen.
Further, each Z is, respectively and independently, (Ci-C8) alkyl, halogen, cyano or nitro.
Further, W is -C(0)-, -C(0)NR'- or -C(0)0-. More specifically, W is -C(0)NR'-, where C(0) is linked to a phenyl ring, and NR' is linked to L.
Further, n is 0, 1, 2 or 3, specifically 0, 1 or 2, and more specifically 0.
More specifically, G is a compound of the structure of chemical formula (Ma) below:
[Chemical Formula (Ma)]
o Where:
R3 is a hydrogen or carboxyl protective group;
Each R4 is, respectively and independently, a hydrogen or hydroxyl protective group, and;
W is -C(0)NR'-, where C(0) is linked to a phenyl ring, and NR' is linked to L, each Z is (Ci-C8) alkyl, halogen, cyano or nitro, n is 0, m is 1, and Ri and R2 are respectively hydrogen.
In one aspect of the present invention, at least one branching unit is an alkylene having 1 to 100 carbon atoms, where the carbon atoms of the alkylene may be substituted by one or more heteroatoms selected from a group comprised of N, 0 and S, and the alkylene may further be substituted with one or more alkyls having 1 to 20 carbon atoms.
Specifically, at least one branching unit is Ci-050 alkylene or a 1 to 50 atom heteroalkylene, and may satisfy at least one of the following:
(i) the branching unit comprises at least one unsaturated bond;
(ii) 2 atoms in the branching unit are the same as in a substituent, this completing a heteroarylene;
(iii) the branching unit is a 1 to 50 atom heteroalkylene, and;
(iv) the alkylene is substituted by at least one C1_20 alkyl.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 Further, the at least one branching unit is a nitrogen-comprising 1-50 atom heteroalkylene, the linker comprises at least 2 atoms of a hydrophilic amino acid, and the nitrogen may form a peptide bond with the carbonyl of a hydrophilic amino acid.
In one aspect of the present invention, the at least one branching unit is a hydrophilic amino acid.
In one aspect of the present invention, the hydrophilic amino acid may be arginine, aspartate, asparagine, glutamate, glutamine, histidine, lysine, ornithine, proline, serine or threonine.
Further, the hydrophilic amino acid may covalently bond an oxime of a linker to a polyethylene glycol unit of the linker.
In one aspect of the present invention, the hydrophilic amino acid may be an amino acid including a side chain having a moiety which has electric charge in aqueous solution at a neutral pH.
In one aspect of the present invention, the hydrophilic amino acid is aspartate or glutamate.
In one aspect of the present invention, the hydrophilic amino acid is ornithine or lysine.
In one aspect of the present invention, the at least one branching unit is -C(0)-, -C(0)NR'--C(0)O-, -S(0)2NR'-, -P(0)R"NR'-, -S(0)NR'-, or -P02NR'-, and R' and R" are, respectively and independently, hydrogen, (C1-C8) alkyl, (C3-C8) cycloalkyl, (C1-C8) alkoxy, (C1-C8) alkylthio, mono- or di-(C1-C8) alkylamino, (C3-C2o) heteroaryl, or (C6-C2o) aryl.
In one aspect of the present invention, the at least one branching unit is -C(0)NR'-, and R' is hydrogen.
In one aspect of the present invention, at least one connecting unit is represented by General Formula VIII or General Formula IX:
[General Formula VIII]
-(CH2)r(V(CH2)p)q-[General Formula IX]
-(CH2CH2X),-Where: V is a single bond, -0-, -S-, -NR21-, -C(0)N-R22_, NR23C(0)-, NR24S02-, or -S02NR25-;
X is -0-, C i-C8 alkylene or -NR21-;
R21 to R25 are, independently and respectively hydrogen, (C1-C6) alkyl, (C1-C6) alkyl (C6-C2o) aryl, or (C1-C6) alkyl (C3-C2o) heteroaryl;

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 r is an integer of 0 to 10;
p is an integer of 0 to 10;
q is an integer of 1 to 20, and;
w is an integer of 1 to 20.
In one aspect of the present invention, q may be 4 to 20, more specifically 6 to 20. Further, q may be 2 to 12, more specifically 2, 5 or 11. Further, may be 2. Further, p may be 2. Further, V
may be -0-.
More specifically, r may be 2, p may be 2, q may be 2, 5 or 11, and V may be -0-.
Further, in one aspect of the present invention, X may be -0-. Further, w may be an integer of 6 to 20.
More specifically, X may be -0-, and w may be 6 to 20.
In one aspect of the present invention, the at least one connecting unit comprises at least one polyethylene glycol unit represented by 1 0 or 4- '-+' , where n is 1 to 12.
In one aspect of the present invention, the at least one connecting unit may be 1 to 12 -OCH2CH2- units, 3 to 12 -OCH2CH2- units, 5 to 12 -OCH2CH2- units, 6 to 12 -OCH2CH2- units, or 3 -OCH2CH2- units.
In one aspect of the present invention, at least one connection unit is -(CH2CH2X)w-, Where X is a single bond, -0-, (C1-C8) alkylene, or -NR21-;
R21 is hydrogen, (C1-C6) alkyl, (C1-C6) alkyl (C6-C2o) aryl, or (C1-C6) alkyl (C3-C2o) heteroaryl, and;
w is an integer of 1 to 20, specifically 1, 3, 6 or 12.
In one aspect of the present invention, X is -0-, and w is an integer of 6 to 20.
In one aspect of the present invention, the linker further comprises binding units formed by 1,3-dipolar cycloaddition reactions, hetero-diels reactions, nucleophilic substitution reactions, non-aldol type carbonyl reactions, additions to carbon-carbon multiple bonds, oxidation reactions or click reactions.
In one aspect of the present invention, the binding unit is formed by a reaction between acetylene and azide, or a reaction between aldehyde or a ketone group and hydrazine or alkoxyamine.
In one aspect of the present invention, the binding unit is:
or FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 C-F-1 rre..1 Li. L
11/4 f -RcrL-1./A
Where, Li is a single bond or an alkylene having 1 to 30 carbon atoms;
Rii is hydrogen or an alkyl having 1 to 10 carbon atoms, specifically methyl.
In one aspect of the present invention, Li is a single bond, an alkylene having 11 carbon atoms, or an alkylene having 12 carbon atoms.
Further, in one aspect of the invention, the binding unit comprises Li (CH2MV(CH2)p)cr N
N
Or Li __________________________ (CH2)r(V(C1-12)p)cr NN
V is a single bond, -0-, -S-, -NR21-, -C(0)NR22-, NR23C(0)-, NR24S02-, or -S02NR25-;
R21 to R25 are, independently and respectively hydrogen, C1-C6 alkyl, C1-C6 alkyl C6-C2o aryl, or C1-C6 alkyl C3-C2o heteroaryl;
r is an integer of 1 to 10;
p is an integer of 0 to 10;
q is an integer of 1 to 20, and;
L1 is a single bond.
In one aspect of the present invention, r may be 2 or 3. Further, p may be 1 or 2. Further, q may be 1 through 6.
More specifically, in the binding unit, r may be 2 or 3; p may be 1 or 2, and;
q may be 1 through 6.
Further, in one aspect of the present invention, the binding unit may be HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 C) so..
0 tCom HOA
0J..
6.

N
s."
1404 0 14=-1.iN

Ab , or;
o2H
HO

-0 *

, where:
UGH
rai o where Ab is an anti-DLK1 antibody; B is an active agent, and; n is an integer of 0 to 20.
In one aspect of the present invention, the branching unit is Or In one aspect of the present invention, the linker may comprise 3 to 50 heteroalkylenes including oxime, the oxygen atom of the oxime is on the side of L linked to W and the carbon atom of the oxime is on the side of L linked to Ab, or;
the carbon atom of the oxime is on the side of L linked to W and the oxygen atom of the oxime is on the side of L linked to Ab.
HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 In one aspect of the present invention, the linker may additionally contain at least one r, g isoprenyl unit having the structure - , where n is at least 2.
In one aspect of the preset invention, at least one isoprenyl unit is an isoprenoid transferase substrate or a product of isoprenoid transferase.
In one aspect of the present invention, the isoprenyl unit of the linker binds covalently with an antibody through a thioether bond, and the thioether bond includes a sulfur atom of cysteine.
Further, the isoprenyl unit may covalently bind the oxime included in the linker to an antibody.
In one aspect of the present invention, the antibody includes an amino acid motif recognized by isoprenoid transferase, and the thioether bond includes a sulfur atom of the cysteine of the amino acid motif.
In one aspect of the present invention, the antibody binding to DLK1 or antigen-binding fragment thereof includes an amino acid motif recognized by isoprenoid transferase, and the thioether bond includes a sulfur atom of the cysteine of the amino acid motif.
In one aspect of the present invention, the amino acid motif is a sequence selected from a group comprised of CXX, CXC, XCXC, XXCC and CYYX, where C denotes cysteine; Y
in each case independently denotes an aliphatic amino acid; X in each case independently denotes glutamine, glutamate, serine, cysteine, methionine, alanine or leucine, and;
the thioether bond includes a sulfur atom of the cysteine of the amino acid motif.
In one aspect of the present invention, the amino acid motif is a CYYX
sequence, and Y in each case is independently alanine, isoleucine, leucine, methionine or valine.
In one aspect of the present invention, the amino acid motif is a CVIM or CVLL
sequence.
In one aspect of the present invention, at least one of the 1 to 10 amino acids preceding the amino acid motif may, respectively and independently, be selected from among glycine, arginine, aspartic acid and serine. For example, in one aspect of the present invention, at least one of the 7 amino acids preceding the amino acid motif are glycine. Alternatively, at least 3 of the 7 amino acids preceding the amino acid motif are, respectively and independently, selected from among glycine, arginine, aspartic acid and serine. Alternatively, 1 to 10 amino acids preceding the amino acid motif are glycine. Specifically, at least 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 amino acids preceding the amino acid motif are glycine.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 In one aspect of the present invention, the antibody may include the amino acid sequence GGGGGGGC VIM.
In one aspect of the present invention, L comprises at least one branch linker covalently bonded to Ab, i) the respective branch linkers comprise a branched unit covalently bonded to Ab by a primary linker (PL);
ii) the respective branch linkers bind a first active agent to a branched unit, and comprise a first branch (B1) comprising a second linker (SL) and a cleaving group (CG), and;
iii) the respective branch linkers comprise a) a second branch (B2) wherein a second active agent is covalently bonded to a branched unit by a second linker (SL) and a cleaving group (CG), or b) a second branch wherein a polyethylene glycol moiety is covalently bonded to a branched unit, and the respective cleaving groups are hydrolyzed to release an active agent from an antibody conjugate.

L3.1' L4, õ
G;ss In one aspect of the present invention, the branch linker is or ="""v L2, L3 and L4 are, respectively and independently, direct bonds or -CnH2n-, n is an integer of 1 to 30, cssL
G1' G2 and G3 are, respectively and independently, a direct bond, R3 1.<AN'Llf N '4.4221> N 5ss' Or ,and;

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 R3 is hydrogen or C1-30 alky.
More specifically, the branch linker comprises z.....H 0 HO õ
0 40 0;
4-, [ , 0 OH
0 N-h'e(9,11 H
0 N-4.--Cli"--") ' H n HO,C 0, il i Ail HO* -OHIV 0 EV
y ,,,t1 [_ , B and B' indicate active agents which may be different or identical;
n indicates, respectively and independently, an integer of 0 to 30;
f indicates, respectively and independently, an integer of 0 to 30, and;
L indicates a bond to Ab.
In one aspect of the present invention, n is an integer of 1 to 20, more specifically an integer of 1 to 10, or 4 to 20.
In one aspect of the present invention, L comprises oxime, and at least one polyethylene glycol unit covalently binds the oxime to an active agent.
In one aspect of the present invention, the cleaving group may be cleaved within a target cell, and the cleaving group may release one or more active agents.
In one aspect of the present invention, the linker comprises at least one branch linker covalently bonded to Ab, and comprises at least two active agents covalently linked to the branch linker.
Specifically, 1 branch linker may bind with Ab.
Further, two or more branch linkers may bind to Ab, and the respective branch linkers may bind to at least two active agents. More specifically, 3 branch linkers may bind to Ab.
Alternatively, 4 branch linker may bind to Ab.
In one aspect of the present invention, the respective branch linkers bind to at least two identical or different active agents. In one aspect of the present invention, the respective active agents are bonded to the branch linker by a cleavable bond.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 In one aspect of the present invention, the respective branch linkers comprise a branched unit, the respective active agents are bonded to the branched unit through a second linker, and the branched units are bonded to an antibody by a first linker.
In one aspect of the present invention, the branched unit may be a nitrogen atom. Further, the branched unit may be an amide, and the first linker or the second linker may comprise a carbonyl of the amide. Alternatively, the branched unit may be a lysine unit.
In yet another aspect of the present invention, the linker may comprise:
(a) at least one branching unit; (b) at least one connection unit; (c) at least one binding unit (BU), and; at least one trigger unit (TU).
Here, the connection unit connects the trigger unit and binding unit, the trigger unit and the branching unit, or the branching unit and the binding unit;
the at least one trigger unit may release at least one drug or toxin, and the branching unit links a connection unit and trigger unit, or a connection unit and another connection unit.
In one aspect of the present invention, the trigger unit has the structure of Chemical Formula (IIb) below:
[Chemical Formula (IIb)]
(Z)n Where:
G is a sugar, a sugar acid or a sugar derivative;
W is -C(0)-, -C(0)NR'-, -C(0)0-, -S(0)2NR'-, -P(0)R"NR'-, -S(0)NR'-, or -P02NR'-; In a case where C(0), S or P is linked directly with the phenyl ring, R' and R" are, respectively and independently, hydrogen, (C1-C8) alkyl, (C3-C8) cycloalkyl, (C1-C8) alkoxy, (Ci-C8) alkylthio, mono- or di-(C1-C8) alkylamino, (C3-C2o) heteroaryl, or (C6-C2o) aryl, and W is linked to a connection unit or a branching unit;
Each Z is, respectively and independently, (Ci-C8) alkyl, halogen, cyano or nitro;
n is an integer of 1 through 3;
m is 0 or 1;

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 Ri and R2 are, respectively and independently, hydrogen, (C1-C8) alkyl or (C3-C8) cycloalkyl, or the Ri and R2, together with the carbon atoms to which they are bound, form a (C3-C8) cycloalkyl ring.
In one aspect of the present invention, the sugar or sugar acid is a monosaccharide.
In one aspect of the present invention, G is a compound having the structure of Chemical Formula (Ma) below:
[Chemical Formula (Ma)]

R4 "C)1,1) R4' 0 0 0,R4 Where:
R3 is a hydrogen or carboxyl protective group, and;
Each R4 is, respectively and independently, a hydrogen or hydroxyl protective group.
In one aspect of the present invention, R3 is hydrogen, and each R4 is hydrogen.
In one aspect of the present invention, W is -C(0)NR'-, where C(0) is linked to a phenyl ring, and NR' is linked to L.
In one aspect of the present invention, Z is hydrogen.
In one aspect of the present invention, Ri and R2 are respectively hydrogen.
In one aspect of the present invention, the connection unit is represented as -(C112),(V(C112)p)q-, -((a12)pV)q-, -(C112),(V(C112)p),X-, -((a12)pV)q(C112),-, -Y((C112)pV)q- or -(C112),(V(C112)p)qYCH2-, Where:
r is an integer of 0 to 10;
p is an integer of 1 to 10;
q is an integer of 1 to 20;
V and Y are, independently and respectively a single bond, -0-, -S-, -NR21-, -C(0)NR22-, NR23C(0)-, NR24S02-, Or -S02NR25- and;
FI1B0ST0N5259862 .1 Date Recue/Date Received 2021-08-09 R21 to R25 are, independently and respectively hydrogen, (C1-C6) alkyl, (C1-C6) alkyl (C6-C2o) aryl, or (C1-C6) alkyl (C3-C2o) heteroaryl.
In one aspect of the present invention, r is 2.
In one aspect of the present invention, p is 2.
In one aspect of the present invention, q is an integer of 6 to 20.
In one aspect of the present invention, q is 2, 5 or 11.
In one aspect of the present invention, V and Y are, respectively and independently, -0-.
s cs ' N
jvIA, 41, ' N

=L
2 3,, 41(2 Or -/L1N.N , #
.
NN
Where:
Li, L2 and L3 are, respectively and independently, a direct bond or -CnH2n-;
n is an integer of 1 through 30;
Where:

It N
G1, G2 and G3 are, respectively and independently, a direct bond, R3 o R41 R4 R3 0 Or R3 is hydrogen or C1-C30 alkyl;
R4 is hydrogen or L4-COOR5; L4 is a direct bond or -CnH2n-; n is an integer of 1 to 10, and R5 is hydrogen or C1-C30 alkyl.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 In one aspect of the present invention, the branching unit is or risi N N -N7' /\
N=N N=N N=N
RI, I-2 Where Li is a direct bond or an alkylene having 1 to 30 carbon atoms;
Rii is hydrogen or an alkyl having 1 to 10 carbon atoms, specifically methyl;
L2 is an alkylene having 1 to 30 carbon atoms, and;
the branching unit links a connection unit and an antibody.
In one aspect of the present invention, Li is an alkylene having 12 carbon atoms.
In one aspect of the present invention, Rii is methyl.
In one aspect of the present invention, L2 is an alkylene having 11 carbon atoms.
In one aspect of the present invention, the branched unit is AN
=."-<
Or In one aspect of the present invention, the isoprenyl unit of the linker binds covalently with an antibody through a thioether bond, and the thioether bond includes a sulfur atom of cysteine.
In one aspect of the present invention, the antibody includes an amino acid motif recognized by isoprenoid transferase, and the thioether bond includes a sulfur atom of the cysteine of the amino acid motif.
In one aspect of the present invention, the amino acid motif is a sequence selected from a group comprised of CXX, CXC, XCXC, XXCC and CYYX, where C denotes cysteine; Y
in each case independently denotes an aliphatic amino acid; X in each case independently denotes glutamine, glutamate, serine, cysteine, methionine, alanine or leucine, and;
the thioether bond includes a sulfur atom of the cysteine of the amino acid motif.
In one aspect of the present invention, the amino acid motif is a CYYX
sequence, and Y in each case is independently alanine, isoleucine, leucine, methionine or valine.
In one aspect of the present invention, the amino acid motif is a CVIM or CVLL
sequence.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 In one aspect of the present invention, at least one of the 7 amino acids preceding the amino acid motif may, respectively and independently, be selected from among glycine, arginine, aspartic acid and serine.
In one aspect of the present invention, at least 3 of the 7 amino acids preceding the amino acid motif are, respectively and independently, selected from among glycine, arginine, aspartic acid and serine.
Alternatively, 1 to 10 amino acids preceding the amino acid motif are glycine.
Specifically, at least 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 amino acids preceding the amino acid motif are glycine.
In one aspect of the present invention, the antibody may include the amino acid sequence GGGGGGGC VIM.
Furtherõ in one aspect of the present invention, the active agent may be a chemotherapeutic agent or a toxin.
Further, the active agent may be an immunoregulatory compound, anti-cancer agent, antiviral, antibacterial, antifungal, antiparasitic or a combination of these, and the active agents listed below may be selectively used:
(a) erlotinib, bortezomib, fulvestrant, sutent, letrozole, imatinib mesylate, PTK787/ZK 222584, oxaliplatin, 5-fluorouracil, leucovorin, rapamycin, lapatinib, lonafarnib, sorafenib, gefitinib, AG1478, AG1571, thiotepa, cyclophosphamide, busulfan, improsulfan, piposulfan, benzodopa, carboquone, meturedopa, uredopa, ethylenimine, altretamine, triethylenemelamine, triethylenephosphoramide, triethylenethiophosphoramide, teimethylolomelamine, bullatacin, bullataciionone, camptothecin, topotecan, bryostatin, callystatin, CC-1065, adozelesin, carzelesin, bizelesin, cryptophycin 1, cryptophycin 8, dolastatin, duocarmycin, KW-2189, CB1-TM1, eleutherobin, pancratistatin, sarcodictyin, spongistatin, chlorambucil, chlornaphazine, cholophosphamide, estramustine, ifosfamide, mechlorethamine, melphalan, novembichin, phenesterine, prednimustine, trofosfamide, uracil mustard, carmustine, chlorozotoxin, fotemustine, lomustine, nimustine, ranimustine, calicheamicin, calicheamicin gamma 1, calicheamicin omega 1, dynemicin, dynemicin A, clodronate, esperamicin, neocarzinostatin chromophore, aclacinomysins, actinomycin, antrymycin, azaserine, bleomycins, catcinomycin, carabicin, carninomycin, carzinophilin, chromomycins, dactinomycin, daunorubicin, detorubucin, 6-diazo-
5-oxo-L-norleucine, doxorubicin, morpholino-doxorubicin, cyanomorpholino-doxorubicin, 2-FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 pyrrolino-doxorubucin, liposomal doxorubicin, deoxydoxorubicin, epirubicin, esorubicin, marcellomycin, mitomycin C, mycophenolic acid, nogalamycin, olivomycins, peplomycin, potfiromycin, puromycin, quelamycin, rodorubicin, streptomigrin, streptozocin, tudercidin, ubenimex, zinostatin, zorubicin, 5-fluoDLKacil, denopterin, methotrexate, pteropterin, trimetrexate, fludarabine, 6-mercaptopurine, thiamiprine, thiguianine, ancitabine, azacytidine, 6-azauridine, carmofur, cytarabine, dideoxyuridine, doxifluridine, enocitabine, floxuridine, calusterone, dromostanolone, propionate, epitiostanol, mepitiostane, testolactone, aminoglutethimide,mitotane, trilostane, folinic acid, aceglatone, aldophosphamide glycoside, aminolevulinic acid, eniluracil, amsacrine, bestrabucil, bisantrene, edatrexate, defofamine, democolcine, diaziquone, elfornithine, elliptinium acetate, etoglucid, gallium nitrate, hydroxyurea, lentinan, lonidainine, maytansine, ansamitocins, mitoguazone, mitoxantrone, mopidanmol, nitraerine, pentostatin, phenamet, pirarubicin, losoxantrone, 2-ethylhydrazide, procarbazine, polysaccharide-k, razoxane, rhizoxin, sizofiran, spirogermanium, tenuazonic acid, triaqizuone, 2,2', 2"-trichlorotriethylamine, T-2 toxin, verracurin A, roridin A, anguidine, urethane, vindesine, dacarbazine, mannomustine, mitobronitol, mitolactol, pipobroman, gacytosine, arabinoside, cyclophosphamide, thiotepa, paclitaxel, albumin-engineered nanoparticle formulation of paclitaxel, docetaxel, chlorambucil, gemcitabine,
6-thioguanine, mercaptopurine, cisplatin, carboplatin, vinblastine, platinum, etoposide, ifosfamide, mitoxantrone, vincristine, vinorelbine, novantrone, teniposide, edatrexate, daunomycin, aminopterin, xeloda, ibandronate, CPT-11, topoisomerase inhibitor RFS
2000, difluoromethylornithine, retinoic acid, capecitabine, or pharmaceutically acceptable salts, solvates or acids thereof;
(b) monokine, lympokine, traditional polypeptide hormone, parathyroid hormone, thyroxine, relaxin, pDLKelaxin, glycoprotein hormone, follicle stimulating hormone, thyroid stimulating hormone, luteinizing hormone, hepatic growth factor fibroblast growth factor, prolactin, placental lactogen, tumor necrosis factor, tumor necrosis factor-a, tumor necrosis factor-I3, Mullerian inhibiting substance, mouse gonadotropin associated peptide, inhibin, activin, vascular endothelial growth factor, thrombopoietin, erythropoietin, osteoinductive factor, interferon, interferon-a, interferon-I3, interferon-y, colony stimulating factor (C SF), macrophage-CSF, granulocyte-macrophage-CSF), granulocyte-FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 macrophage-CSF, granulocyte-CSF, interleukin (IL), IL-1, IL-la, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, I L-12, tumor necrosis factor, TNF-a, TNF-I3, polypeptide factor, LIF, kit ligand, or mixtures thereof;
(c) diphtheria toxin, botulinum toxin, tetanus toxin, dysentery toxin, cholera toxin, amanitin, a-amatinin, pyrrolobenzodiazepine, pyrrolobenzodiazepine derivative, indolinobenzodiazepine, pyridobenzodiazepine, tetrodotoxin, brevetoxin, ciguatoxin, ricin, AM toxin, auristatin, tubulysin, geldanamycin, maytansinoid, calicheamicin, daunomycin, doxorubicin, methotrexate, vindesine, SG2285, dolastatin, dolastatin analog, auristatin, cryptophycin, camptothecin, rhizoxin, rhizoxin derivatives, CC-1065, CC-1065 analogs or derivatives, duocarmycin, enediyne antibiotic, esperamicin, epothilone, toxoid, or mixtures thereof;
(d) affinity ligand, where the affinity ligand is a substrate, inhibitor, active agent, neurotransmitter, radioactive isotope, or mixtures thereof;
(e) radioactive label, 32P, 35S, fluorescent dye, electron dense reagent, enzyme, biotin, streptavidin, dioxigenin, hapten, immunogenic protein, nucleic acid molecule with a sequence complementary to a target, or mixtures thereof;
(f) immunomodulatory compound, anti-cancer agent, anti-viral agent, anti-bacterial agent, anti-fungal agent, anti-parasitic agent, or mixtures thereof;
(g) tamoxifen, raloxifene, droloxifene, 4-hydroxytamoxifen, trioxifene, keoxifene, LY117018, onapristone or toremifene;
(h) 4(5)-imidazole, aminoglutethimide, megestrol acetate, exemestane, letrozole or anastrozole (i) flutamide, nilutamide, bicalutamide, leuprolide, goserelin, or troxacitabine;
(j) aromatase inhibitor;
(k) protein kinase inhibitor;
(1) lipid kinase inhibitor;
(m) antisense oligonucleotide;
(n) ribozyme;
(o) vaccine, and;
(p) anti-angiogenic agent.
FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 Yet another aspect of the present invention provides, in relation to the preparation of a drug for prevention or treatment of a proliferative, cancer or angiogenetic disease, a use of an antibody-drug conjugate or a pharmaceutically acceptable salt or solvate thereof.
Yet another aspect of the present invention provides a method for drug for prevention or treatment of a proliferative, cancer or angiogenetic disease by administering an individual with a pharmaceutical composition for prevention or treatment of a proliferative, cancer or angiogenetic disease, the pharmaceutical composition comprising an antibody-drug conjugate or a pharmaceutically acceptable salt or solvate thereof as an active ingredient, wherein the pharmaceutical composition is mixed and administered with at least one anti-proliferative, cytostatic or cytotoxic substance.
Yet another aspect of the present invention provides an antibody-drug conjugate of the General Formula Ia below:
[General Formula Ia.]
Ab-(Linker-D), Where:
Ab is an anti-DLK1 antibody;
Linker is a linker;
D is a pyrrolobenzodiazepine dimer as an active agent, and;
the linker and the antibody are linked through the N10 or N10' position of the pyrrolobenzodiazepine dimer.
Here, a pyrrolobenzodiazepine dimer prodrug, a pharmaceutically acceptable salt or solvate of the same, where: at the N10 and N10' positions of the pyrrolobenzodiazepine dimer, respectively and independently, are attached any one selected from the group comprised of -C(0)0*, -S(0)0*, -C(0)*, -C(0)NR*, -S(0)2NR*, -(P(0)R')NR*, -S(0)NR* and -P02NR*
groups;
where * is a region where a linker is attached;
where R and R' are respectively and independently H, OH, N3, CN, NO2, SH, NH2, ONH2, NHNH2, halo, substituted or unsubstituted C1_8 alkyl, substituted or unsubstituted C3_8 cycloalkyl, substituted or unsubstituted C1-8 alkoxy, substituted or unsubstituted C1-8 alkylthio, substituted or unsubstituted C3_20 heteroaryl, substituted or unsubstituted C5_20 aryl, or mono- or di-C1-8 alkylamino, and;

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 where, in a case where the C1-8 alkyl, C3-8 cycloalkyl, C1-8 alkoxy, C1_8 alkylthio, C3_20 heteroaryl or C5-20 aryl is substituted, the substitution is by a substitution group selected from a group comprising H, OH, N3, CN, NO2, SH, NH2, ONH2, NNH2, halo, C1-6 alkyl, C1-6 alkoxy and C6-12 aryl.
A pyrrolobenzodiazepine dimer prodrug, pharmaceutically acceptable salt or solvate thereof, may be used as an active agent.
In one aspect of the present invention, a pyrrolobenzodiazepine dimer precursor is provided. In a case of administering in the form of the precursor according to the present invention, there are advantages over conventional PBD drugs in that: additional reactions are necessary for conversion to an efficacious drug upon exposure to blood, preventing the potential for adverse reactions which may arise when the linker is dissolved unexpectedly; in that toxicity to normal cells is reduced, and in that the drug is more stable.
Further, when preparing antibody-drug conjugates, whereas antibody-drug conjugate prepared using conventional methods has high impurity content, and the exposed imine group is subject to nucleophile attack, posing a risk of a drug of an undesirable structure being generated.
On the other hand, an antibody-drug conjugate prepared using the method according to the present invention has an advantage of ease of isolation due to high purity, and further improved physical properties over conventional PBD or PBD dimer.
In one aspect of the present invention, the pyrrolobenzodiazepine dimer precursor is a pyrrolobenzodiazepine dimer precursor characterized in that it has the structure of General Formula X or General Formula XI below, or a pharmaceutically acceptable salt or solvate thereof:
[General Formula X]
RX5 X Rx3 Rx3 X
N Rx4, Rx4 N ;
Rxi, -=
" Rx2. Rx2 -RX1 RX7' Rx7 [General Formula XI]

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 za, zb' r Ir X zb RX3 1 za WO . , " 1 L N.........\\/y", Rm.
., 101 N .-RX71 0 R". Rx2 0 RXT
In the above formulae:
The dotted lines denote the possible existence of double bonds between Cl and C2, between C2 and C3, between C' 1 and C'2, or between C'2 and C'3;
01 and Rx1' are independently selected from H, OH, =0, =CH2 CN, Rm ORm, =CH-Rm', =C(Rm')2, 0-S02-Rm, CO2Rm, CORm, halo and dihalo;
Rm' is selected from among Rm, CO2Rm, CORm, CHO, CO2H and halo;
each Rm is independently selected from a group comprised of C1_12 alkyl, C2_12 alkenyl, C2_12 alkynyl, C5-2o aryl, C5-2o heteroaryl, C3_6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl and 5 to 7 membered heteroaryl;
Rx2, Rx2', Rx3, Rx3', Rx5 and Rx5' are independently selected from among H, Rm, OH, ORm, SH, SRm, NH2, NHRm, NRm2, NO2, Me3SN and halo;
Rx4 and Rx4' are independently selected from among H, Rm, OH, ORm, SH, SRm, NH2, NHRm, NRm2, NO2, Me3SN, halo, C1-6 alkyl, C1-6 alkoxy, C2-6 alkenyl, C2-6 alkynyl, cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-12 aryl, 5 to 7 membered heteroaryl, -CN, -NCO, -ORn, -0C(0)R", -0C(0)NRnir, -OS(0)R", -OS(0)2R", -SRn, -S(0)R", -S(0)2R, -S(0)NRnRn', -S(0)2NRnRn', -0S(0)NRnRn', -0S(0)2NRnRn', -NRnRn', -NRnC(0)R , -NRnC(0)0R , -NRnC(0)NR R ', -NRn S (0 )Rn, -NRnS(0)2R , -NRnS(0)NR 1r, -NRnS(0)2NR Ir, -C(0)R'1, -C(0)0R'1 and -C(0)NRnRn';
Rx and Rx are independently selected from among H, OH, N3, CN, NO2, SH, NH2, ONH2, NHNH2, halo, C1_8 alkyl, C3_8 cycloalkyl, C1_8 alkoxy, C1-8 alkylthio, C3_20 heteroaryl, C5_20 aryl or mono- or di-C1_8 alkylamino;
Y and Y' are independently selected from 0, S and N(H);
Rx6 is independently selected from C3_12 alkylene, C3_12 alkenylene, or C3_12 heteroalkylene;
Rx7 and Rx7' are independently selected from among H, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6_10 aryl, 5 to 7 membered heteroaryl, -OW, -0C(0)W, -0C(0)NR1r, -0S(0)W, -0S(0)2W, -SW, -S(0)W, -S(0)2W, -S(0)NR rlr, -S(0)2NR1e, -OS(0)NW W', -0S(0)2NW RI', -NR1r, -NWC(0)Rs, -FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 NWC(0)0Rs, -NWC(0)NRsRs', -NR,S(0)Rs, -NR,S(0)2Rs, -NR,S(0)NRsir, -NR,S(0)2NRsRs, -C(0)W, -C(0)0Rs or -C(0)NRan;
each RI., RI'', Rs and Rs' is independently selected from H, C1-7 alkyl, C2_7 alkenyl, C2_7 alkynyl, C3-13 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5_10 aryl and 5 to 7 membered heteroaryl;
each Rx8 and Rx8' is independently selected from H, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 heteroalkyl, 3 to 7 membered heterocycloalkyl, C5_10 aryl, 5 to 7 membered heteroaryl, -S(0)Rm, -S(0)2Rm, -S(0)NRmR", -S(0)2NRmRm', -NRmRm', -NRmC(0)Rm, -NRmC(0)0Rn, -NRmC(0)NR -NRmS(0)Rn, -NRmS(0)2Rn, -NRmS(0)NRnRn', -NRmS(0)2NRnRn', -C(0)Rm, -C(0)0Rm and -C(0)NRmR";
Za is selected from among ORx12a, RN xl2aRX12a, or SRx12a;
Zb is selected from among ORx13a, RN xuaRxi3a, or SRx13a;
Za' is selected from among ORx12a, RN xl2aRX12a, or SRx12a;
Zb' is selected from among ORx13a', RN xua'Rxna', or SRx13a';
each RX12a, XR 12a', RX13a' and R' is independently selected from H, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-10 aryl, 5 to 7 membered heteroaryl, -C(0)Rx151, -C(0)0Rx151 and -C(0)NRx15a 1RX 5, and;
each Rx15a and R815a' is independently selected from C1_12 alkyl, C2_12 alkenyl, C2_12 alkynyl, C5-20 aryl, C5_20 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl, and 5 to 7 membered heteroaryl, and:
The Rx13a and Rx14a optionally join the atoms to which they are attached to form 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl, or 3 to 7 membered heteroaryl, and the 013' and Rxma' optionally join theatoms to which they are attached to form 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl, or 3 to 7 membered heteroaryl, and;
each of the Rn, Re', R , R ', RP and RP' is independently selected from among H, C1-7 alkyl, C2-7 alkenyl, C2-7 alkynyl, C3-13 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5_10 aryl, and to 7 membered heteroaryl.
Further, the Rm is independently selected from a group comprised of C1_12 alkyl, C2-12 alkenyl, C2-12 alkynyl, C5_20 aryl, C5-20 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl and 5 to 7 membered heteroaryl, and;

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 the Rm is additionally substituted with of C1-12 alkyl, C2_12 alkenyl, C2_12 alkynyl, C5_20 aryl, C5_20 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl or 5 to 7 membered heteroaryl.
Furtherõ Rx4 and V' are independently selected from among H, Rm, OH, ORm, SH, SRm, NH2, NHRm, NRmRm', NO2, Me3Sn, halo, C1_6 alkyl C1-6 alkoxy, C2_6 alkenyl, C2_6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-12 aryl, 5 to 7 membered heteroaryl, -CN, -NCO, -ORn, -0C(0)R, -0C(0)NRnRn', -OS(0)R, -OS(0)2R, -SR, -S(0)R, -S(0)2R, -S(0)NRnRn', -S(0)2NRnRn', -0S(0)NRnRn', -0S(0)2NRnRm, -NRnRn', -NRnC(0)R , -NRnC(0)0R , -NRnC(0)NR R ', -NRnS(0)R , -NRnS(0)2R , -NRnS(0)NR R"',-NRnS(0)2NR R ', -C(0)R, -C(0)0R'1 and -C(0)NRnRn', and;
The Rx4 or Rx4' is C1_6 alkyl, C1-6 alkoxy, C2_6 alkenyl, C2_6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-12 aryl or 5 to 7 membered heteroaryl, and additionally is substituted with at least one C1_6 alkyl, C1_6 alkoxy, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5_10 aryl, 5 to 7 membered heteroaryl, -OR, -0C(0)RP, -0C(0)NRPRP', -0S(0)RP, -0S(0)2RP, -SR, -S(0)RP, -S(0)2RP, -S(0)NRPRP', -S(0)2NRPRP', -0S(0)NRPRP', -0S(0)2NRPRP', -NRPRP', -NRPC(0)Rq, -NRPC(0)0Rq, -NRPC(0)NRqRq', -NRPS(0)Rq, -NRPS(0)2Rq, -NRPS(0)NRqRq', -NRPS(0)2NRqRq', -C(0)RP, -C(0)OR' or -C(0)NRPRP.
Further, the Rx7 and Rx7' are independently selected from among H, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6_10 aryl, 5 to 7 membered heteroaryl, -OW, -0C(0)W, -0C(0)NR an, -0S(0)W, -0S(0)2W, -SW, -S(0)W, -S(0)2W, -S(0)NW R11, -S(0)2NR le, -0S(0)NW R11, -0S(0)2NW R11, -NRall, -NWC(0)Rs, -NWC(0)0Rs, -NWC(0)NRsRs', -NWS(0)Rs, -NWS(0)2Rs, -NWS(0)NRsRs', -NWS(0)2NRsRs, -C(0)W, -C(0)ORS or -C(0)NRIr ;
Rx7 and Rx7' are independently selected from among C1-6 alkyl, C2_6 alkenyl, C2_6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6_10 aryl, or 5 to 7 membered heteroaryl, and are additionally substituted by C1_6 alkyl, C2-6 alkenyl, C2_6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6_10 aryl, 5 to 7 membered heteroaryl, -OR% -0C(0)Rt, -0C(0)NRtRt', -0S(0)Rt, -0S(0)2Rt, -SRt, -S(0)Rt, -S(0)2Rt, -S(0)NRtRt', -S(0)2NRtRt', -0S(0)NleR t', -0S(0)2NRtRt', -NRtRt', -NRtC(0)Ru, -NRtC(0)01V,-NRtC(0)NRuR"', -FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 NRtS(0)1V, -NRtS(0)2Ru, -NRtS(0)NIVR', -NRtS(0)2NIV R', -C(0)Rt, -C(0)0Rt or -C(0)NRtRt', and;
The Rr, Rr', Rs, Rs', Rt, Rt', RU and R"' are independently selected from among H, C1-7 alkyl, C2-7 alkenyl, C2-7 alkynyl, C3-13 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5_10 aryl, and to 7 membered heteroaryl.
Further, 01 and Rxr are independently selected from R", and;
WI' is selected from among C1-6 alkyl, C2_6 alkenyl, C5-7 aryl and C3_6 heteroaryl.
Further, 02, Rx2', Rx3, Rx3', Rx5 and Rx57 are independently selected from H
or OH.
Further, Rx4 and Rx4' are independently selected from R", and;
WI' is C1_6 alkoxy.
Further, the Rx4 and Rx4' are independently any one selected from a group comprised of methoxy, ethoxy and butoxy. .
Further, the Y and Y7 are 0.
Furtherõ the Rx6 is C3-12 alkylene, C3-12 alkenylene or C3-12 heteroalkylene, with the Rx6 substituted by -NH2, -NHR", -NHC(0)1r, -NHC(0)R", -NHC(0)CH2-[OCH2CH2]-R , or -[CH2CH2O]n-R ;
The Rxx is H, OH, N3, CN, NO2, SH, NH2, ONH2, NHNH2, halo, C1_8 alkyl, C3-8 cycloalkyl, C1-8 alkoxy, C1-8 alkylthio, C3_20 heteroaryl, C5_20 aryl or mono- or di-C1_8 alkyl amino, and;
n is an integer of 1 through 6.
Further, in one aspect of the present invention, the active agent is a pyrrolobenzodiazepine dimer denoted by General Formula XII or General Formula XIII;
[General Formula XII]
31 G WA.'Ab i 1 x. x Rot I Rx3* Rxs I Rxs H
, , -Rxe=Y si N H
, 4. N lb 0 Rx40 4 -- r., Rx2. Rx2 0 7.
1x7. 10 RAT

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 [General Formula XIII]
A
GI W "Ab G
* WI, itt Rx76 Xa' X8 4. 1 x 'I' z Ner Z 11.1_,_"'RX6_y , N Oil R _______________________________________________ N R x 8 Fem -= - ,, v., op RxT= . IN---* Rx2 0 Rx7 The Xa. and Xa' are independently selected from between a bond or C1_6 alkylene;
Zx' and Zx are independently selected from among hydrogen, C1-8 alkyl, halogen, cyano, 0 IVR C () 0 "RI" ' nitro, õ."."," , or -(C112).-0C113;
The respective R"' R9 and R1 are selected from among hydrogen, C1-8 alkyl, C2-6 alkenyl and C1_6 alkoxy, and;
m is an integer of 0 to 12.
The Zx' and Zx are independently any one selected from a group comprised of hydrogen, R Sal 0 0 0 ii y -Rioo 4106 and -(C112).-OCH3;
, The respective R80' R9 and R1 are selected from among hydrogen, C1_3 alkyl and C1-3 alkoxy;
m is an integer of 1 to 6 and;
the active agent is any one selected from a group comprised of:

N...õ0,-...
,h.Tisl OW , HO :.0 7 Ho:c70 iiim 6 H ...e..0 0 ,y =
HO I Z OH
I.J.L.r 400...."......"%õ0 40-11%
N ) 0 In Me FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 0 N .....õ.,,,, 0 ,fis1H :
H0.0 0 * a Tit 0.,t0 HO:07 ifit HO' -. OH 19.LIFI

0,-...,õ,,,,,,..,0 Me0 H
00:M e 0 HOC- oso H 0:C 0 e HO s= " OH . =. 4111 H 0 = ' OH
H 0 ....0,0 IH 0 0 OM e M e0 WI t:NS
O Or H H
0 N '-''NOMe 0 N..{.,.õ=-=,04NH2 H 0:C 0 vfl HO:C7 iiit 3 H 0 '. H .. OH 411 e 0 H 0 .' H '' OH 111111P0 , t_LZ.N iso ID ....."4""'N...,== 40.--5 N OM e Me )4 0 0 ,õ.^.. ow 0 H

HO:C 0 HOIC,4&.)0 . H :1114 HOILX:H 411 HO 'OH ktt0+"',-, 4--Am )4sf."."0--ki Hi I $ 14 0,4,0 0 = 0 HO 1 Y al FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 H H
0 N ,.,,,,,,..ome 0 HO:C 7 . HOC 7.

0 ,0 H0 r 1 OH
* 0 H
OMe H H
0 N "0 Me 0 H 0:C 4V aiii HO:CV,,0 0 HO .. .. OH W HO' -OH
01 0,õ 0 H 0 i 1 OH
N -,Nb,,, H
W 0 Me hie0 H H .
0 N ,....õ-,..ome 0 N .-VO4-=,..õõ, N3 H 0:C 0 44f) .. * HOC 46,1Cf,,,,,r,P oir HOc,r, ". OH HO 's .'. OH

0 =,.."..,"N/1:) *
N 0 Me Nie0 N o=N =
0 N õ,..,õ",,, opvie 0 N ,,,..)---,/^==

HOC ,,1(.10)0P HOC 0 HO ' '' OH I. HO ' .. 0 OH

HO I I OH

* *
0 Me /4.1e0 FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 H H
0 N ''=-"-'0Me 0 HO:Cy0 yp Air HOC q 0 2 HO oy. OH 11111 HO OH
OH 0o OH 0...,.0 0 Me WO

H H =
O '`.,..*% OM e 0 N ,.... N3 HO . K 0:C 4,cr0 le s. ..

HO r 1 ,y. OH
LL,Z-N -N 00 0,...õ,,...,...õ,.."0 N
OM e M e0 N
0 =
H H =
0 N ."*.' OM e 0 H 0:C 0 HOC sci3O
HO y ... .' OH 41111) H
s 0 ,,0 HOOH.
.õ, HO Ie, OH 00 I OH
N

N
OM e M N e 0 11 I H

H H .
0 N ,_ ....., HO OH 1.1 H".044X1OH 111411 H 0 0 OH 0 ,,, 0 HO I I OH
,--=tI las 0 , ....
N 0 Me Me0 1 FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 H H - .
0 N õ,,NOM e 0 N..........."-No4NH:

HO H 02C *

'A'37 0 H . H 0 0 H
H 0 0 h 0 0 HO I I OH
0,,.,..õ,,,õ.._/0 N Ohl e M e0 0 Tyiti 0 t:,'"AN 'N(A1N H H
N
H 0 N ....,0 4... Hz 0., HO
00,,,,, 0 ,,,,. 0 H 0 1 i CH
0,,,,,,,,õõ,õ,..,,,,..,0 * N......1 , N OM.

H H
0 N ,_ ,o--.,, 0 N -.........,/N.0 +N H2 ' HO 2C y0 yP 0 HO 2C
110 ..0 H HO qc. H *
OH O,.0 OH 0 0 N N
H , iial 0 .õ...,.... 0 .
IA e M eo h4e0 0 M e H H H 0 , 0 N _ .0,-.
OM e 0 N
HO2C,7 H 02C 7) H 0 = 011 III H 0 - OH
OH 0 ,0 H 0 ,.õ 0 NI OH
IL:j.z.,:" NI I*1 0,,..,...,õ.0 401 ...... .., 41'r OM e M e0 N

0 or FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 Hill H H H t=
0 N ,,...,0 me 0 N..õ..õ,,N,.,,N
HO.0 0 0 HOIC,*r:::13 * 0 O /
H07jc)70H * HO ' ''CoH
OH 0,,,.0 OH 0,,,, 0 N
H. 110c 110 LZtii 4: OM. r H , P
H H H ; 0 13 N'se''OMe 0 N
HO:CT:13,0 igki HO:C0 0 O /

0 ,0 H 0 ... 0 gli N 0 ..,..,...-õ,....õ."..õ 0 F.14.-44, Wi We Me 1" / let-1 H H .
O N --... OW 0 HO:p 470 la HOCI47 HO '. "..OH s'41111 HO . ,. oillt CH

HO I I CH
N tiot 0,,y,.."0 *
NH
N., ONie L Me) O r0 0 H H .
O N ."=.'" 0 IA e 0 N'%==="*.s%0M e HO 2C y.:õ.ip an HO 2C1A,(144) õI
HO.'0 H "lij HO . ...0 H

NH
..k N 0.1 IA e i M e0 O r'''.0 0 0 'O '%.s.%=)`).NH 2 Date Recue/Date Received 2021-08-09 0.KH:
0 , 0 me0---4 --HOC r" 0 yAOH 10 ,.0011 1104k:
H070.1 4 CO
lir v;
H = ,..,00 S 0 = CNI

Ali j-1 0,;0 011e VP
Heo 0 , ,,,ome 0, H 0:C 0 _,41 H 02C 7 air Ho"0õ
H
Tiro . 0 HO 4. .1:IH illij 0 *,.. 1 ('o III1 0 i OP) y.o oti õdo:
OM e 0 N....ome 0 v 3 H 0:C 0 Al HO:C 0 id*

H 0 ' "OH IP
H
4V) yo Ho. ..coity H 01,0 r"0 NN NH 0 ...pOM e IA e0 0 .õ,,,,,,.......0"....d. 0 iii ..... 0 O,:#i N4 H , and;
' OM e 0 HOC idii H 02C 0 idit,= 3 HOOH 1.*1 HO %OH !Illi 0 y0 H 0,1õ =
1 on N
N lir OM e IA e0 N
'= 0 Fl IBOSTON5259862.1 Date Recue/Date Received 2021-08-09 , N 7_1:N0"v Nr"."0"400.....0"XrNA N N
KikCilio 111* Hosccro 0 H 011;) OHUI

HO OH

In the present specification, "conjugates" refers to cell binding agents that are covalently linked to one or more molecules of a cytotoxic compound. Here, "cell binding agent" is a molecule having affinity for a biological target, for example, a ligand, protein, antibody, specifically a monoclonal antibody, protein or antibody fragment, and the binding agent serves to direct the biologically active compound to the biological target. In one aspect of the present invention, the conjugate may be designed to target tumor cells through cell surface antigens.
The antigen may be a cell surface antigen that is overexpressed or expressed in an abnormal cell type. Specifically, the target antigen may be expressed only on proliferative cells (e.g., tumor cells). Target antigens may be selected based on different expression, usually between proliferative and normal tissues. In the present invention, a ligand is bonded to a linker.
In the present specification, "antibody" refers to an immunoglobulin molecule which, through at least 1 antigen recognizing site located in the variable region of the immunoglobulin molecule, can bind with specificity to a target, for example a carbohydrate, polynucleotide, lipid or polypeptide, etc. The term "antibody" as used in the present specification encompasses not only complete monoclonal or polyclonal antibody, but also a given antigen-binding part (for example, "antigen-binding fragment") of a complete antibody having the capacity to bind with specificity to a certain antigen) or a single chain thereof, a fused protein comprising antibody, or any other modified arrangement of immunoglobulin molecule comprising an antigen recognizing site, non-limiting examples of which are: Fab; Fab'; F(ab')2Fd fragment; Fv fragment;
single domain antibody (dAb) fragment; isolated complementarity determining region (CDR);
single chain (scFv) and single domain antibody (e.g. shark and camel antibody), a maxibody, a minibody, an intrabody, a diabody, a triabody, a tetrabody, a v-NAR, or a bis-scFv (See e.g. the literature [Hollinger and Hudson, 2005, Nature Biotechnology 23(9): 1126-1136]".

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 Antibodies include any category of antibody, for example IgG, IgA or IgM (or sub-categories thereof), and the antibody does not need to be of a specific type.
Depending on the amino acid sequence of the constant domain of the heavy chain of the antibody, an immunoglobulin may be assigned to different categories. There exist five major types of immunoglobulin: IgA, IgD, IgE, IgG and IgM, of which a number may be additionally categorized into sub-categories (isotypes), for example, IgGl, IgG2, IgG3, IgG4, IgAl and IgA2. The heavy chain (HC) constant domains corresponding to different categories are respectively referred to as, respectively, alpha, delta, epsilon, gamma and mu. The subunit structures and three-dimensional configuration of different categories of immunoglobulin are widely known to the art. The antibody of the present invention may be prepared using techniques widely known to related arts, for example, recombinant techniques, phage display techniques, synthesis techniques, combinations of the foregoing techniques, or other techniques readily known to related arts.
In the present specification, "isolated antibody" refers to an antibody which does not substantially comprise a different antibody having specificity to another antigen, which may substantially not comprise other cellular material and/or chemical substances.
In the present specification, "biological target" refers to an antigen located on the surface of a tumor, cancer cell or extracellular matrix.
In the present specification, "linker" refers to a compound which covalently bonds a cytotoxic compound to a ligand. In one aspect of the present invention, the linker disclosed in PCT/US2016/063564 and PCT/US2016/063595 may be used as the linker.
In the present specification, "therapeutic agent" refers to an agent that exerts cytotoxicity, cell proliferation inhibition and / or immunomodulatory effects on cancer cells or activated immune cells. Examples of therapeutic agents include cytotoxic agents, chemotherapeutic agents, cell proliferation inhibitors, and immunomodulators.
In the present specification, "chemotherapeutic agent" is a chemical compound useful in the treatment of cancer.
In the present specification, "subject" is intended to include human and non-human animals, particularly mammals. Examples of subjects include human subjects, e.g., disorders, such as those described herein, e.g., human patients with cancer or normal subjects. "Non-human animal" is used in all vertebrate animals, such as non-mammals (e.g., Chickens, amphibians, reptiles) and mammals such as non-human primates, livestock and / or animals (e.g., sheep, dogs, FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 cats, cows, pigs, etc.) and rodents (e.g., mice, rats, hamsters, guinea pigs, etc.). In certain embodiments, the subject is a human patient. In certain examples, the subject is a human patient.
In the present specification, "treating" or "treating" refers to both therapeutic treatment and prophylactic or preventative measures. A subject in need of treatment includes a subject already having a disorder, and a subject susceptible to a disorder or a subject to be prevented from disorder.
Thus, when used in reference to a subject in need of the disease or treatment, the term encompasses an inhibition or slowing of disease progression, remission of disease, prevention of symptoms, reduction of disease and / or symptom severity, but is not limited to these.
In the present specification, "administer" or "administering" refers to providing and / or contacting and / or delivering a compound or compounds by any suitable route to achieve the desired effect. Administration may be by oral, sublingual, parenteral (e.g.
intravenous, subcutaneous, intradermal, intramuscular, intraarticular, intraarterial, intrathecal, intrasternal, intraspinal, Rectal, nasal, buccal, rectal, vaginal, nasal, ophthalmic, inhaled and implanted.
In the present specification, "unsubstituted or substituted" refers to a parent group which may be unsubstituted or substituted, "substituted" refers to a parent group having at least 1 substituent group, and substituent group refers to a chemical part which is covalently bonded to a parent group or fused to a parent group.
In the present specification, "halo" refers to fluorine, chlorine, bromine or iodine, etc.
In the present specification, "alkyl" is a monovalent moiety obtained by removing a hydrogen atom from a carbon atom of an aliphatic or alicyclic, saturated or unsaturated (unsaturated, fully unsaturated) hydrocarbon compound. Examples of saturated alkyls include methyl, ethyl, Butyl, n-pentyl (amyl), n-hexyl, n-heptyl and the like, saturated cyclic alkyl groups such as methyl, ethyl, Isopropyl, isobutyl, sec-butyl, tert-butyl, isopentyl and neopentyl, etc.
In the present invention, "alkoxy" refers to -OR where R is an alkyl group, and examples include methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, sec-butoxy, isobutoxy and tert-butoxy, etc.
In the present invention, "aryl" refers to a monovalent moiety obtained by removing a hydrogen atom from an aromatic ring atom of an aromatic compound having a ring atom.
In the present invention, "alkenyl" is an alkyl having at least one carbon-carbon double bond. Examples of unsaturated alkenyl groups are ethenyl (vinyl, -CH=CH2), 1-propenyl (-CH=CH-CH3), 2-propenyl, isopropenyl, butenyl, pentenyl and hexenyl, etc.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 In the present invention, "alkynyl" is an alkyl group having at least one carbon-carbon triple bond, and examples of unsaturated alkynyl group include ethynyl and 2-propynyl, etc.
In the present invention, "carboxy" refers to -C(=0)0H.
In the present invention, "formyl" refers to -C(=0)H.
In the present invention, "aryl" refers to a monovalent moiety obtained by removing a hydrogen atom from an aromatic ring atom of an aromatic compound. For example, "C5_7 aryl" is a moiety having from 5 to 7 ring atoms, which is a monovalent moiety obtained by removing a hydrogen atom from the aromatic ring atoms of an aromatic compound, and "C5_10 aryl" is a moiety having from 5 to 10 ring atoms, which is a monovalent moiety obtained by removing a hydrogen atom from the aromatic ring atoms of an aromatic compound. Here, the prefixes (C57, C5-10, etc.) refer to the number of ring atoms or a range for the number of ring atoms, regardless of whether they are carbon atoms or hetero atoms. For example, "C5_6 aryl" relates to an aryl group having 5 or 6 ring atoms. Here, the ring atoms may be all carbon atoms as in a "carboaryl group". Examples of a carboaryl group include, but are not limited to, those derived from benzene, naphthalene, azulene, anthracene, phenanthrene, naphthacene and pyrene. Examples of aryl groups that include a fused ring wherein at least one is an aromatic ring include, but are not limited to, groups derived from indane, indene, isoindene, tetralin, acenaphthene, fluorene, phenalene, acesphenanthrene and aseantrene. Alternatively, the ring atoms may contain one or more heteroatoms as in a "heteroaryl group".
In the present invention, " heteroaryl "refers to aryl containing one or more heteroatoms, such as pyridine, pyrimidine, benzothiophene, furyl, dioxolanyl, pyrrolyl, oxazolyl, pyridyl, pyridazinyl, More specifically benzofuran, isobenzofuran, indole, isoindole, indolizine, indolin, isoindoline, purine (adenine or guanine), benzimidazole, indazole, benzoxazole, benzisoxazole, benzodioxole, benzofuran, benzotriazole, benzothiofuran, benzothiazole, C9 having two fused rings derived from benzothiazole, chromene, iso-chromene, chroman, is-chroman, benzodioxane, quinoline, isoquinoline, quinolizine, benzoxazine, benzodiazine, pyridopyridine, quinoxaline, quinazoline, cinnoline, phthalazine, naphthyridine, Cio having two fused rings derived from pteridin, CH having two fused rings derived from benzodiazepine, carbazole, dibenzofuran, dibenzothiophene, carboline, pyrimidine, C13 having three fused rings derived from pyridoindole, acridine, xanthene, thioxanthene, phenoxathiine, phenazine, phenoxazine, phenothiazine, HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 thianthrene, phenanthridine, phenanthroline, and C14 having three fused rings derived from phenazine.
In the present invention, "cycloalkyl" refers to an alkyl group which is a cycloalkyl group, and relates to a monovalent moiety obtained by removing a hydrogen atom from an alicyclic ring atom of a cyclic hydrocarbon compound. Examples of cycloalkyl groups include, but are not limited to, those derived from:
Saturated single ring hydrocarbon compounds: cyclopropane, cyclobutane, cyclopentane, cyclohexane, cycloheptane, methylcyclopropane, dimethylcyclopropane, methylcyclobutane, dimethylcyclobutane, methylcyclopentane, dimethylcyclopentane and methylcyclohexane;
Unsaturated single ring hydrocarbon compounds: cyclopropene, cyclobutene, cyclopentene, cyclohexene, methylcyclopropene, dimethylcyclopropene, methylcyclobutene, dimethylcyclobutene, methylcyclopentene, dimethylcyclopentene and methylcyclohexene;
and saturated heterocyclic hydrocarbon compounds: norcaran, norphenen, and norbornene.
In the present invention, "heterocyclyl" refers to a monovalent moiety obtained by removing a hydrogen atom from a ring atom of a heterocyclic compound.
In the present invention, the prefixes (e.g., C1_12 , C 3 _8, etc.) refer to the number of ring atoms or a range for the number of ring atoms, regardless of whether they are carbon atoms or hetero atoms. For example, the term "C3-6 heterocyclyl" used in the present specification relates to a heterocyclyl group having 3 to 6 ring atoms.
Examples of single ring heterocyclyl groups include, but are not limited to, those derived from:
Ni: aziridine, azetidine, pyrrolidine, pyrroline, 2H- or 3H-pyrrole, piperidine, dihydropyridine, tetrahydropyridine, azepine;
N2: imidazolidine, pyrazolidine, imidazoline, pyrazoline, piperazine;
01: oxirane, oxetane, oxolane, oxol, oxane, dihydropyran, pyran, oxepine;
02: dioxolane, dioxane and dioxepane;
03: trioxane;
N101: tetrahydrooxazole, dihydrooxazole, tetrahydroisoxazole, dihydroisoxazole, morpholine, tetrahydrooxazine, dihydrooxazine, Si: thiiran, thiethan, thiolan, thian, tiepan;
Ni Si: thiazoline, thiazolidine, thiomorpholine;

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 N201: oxadiazine;
01Si: oxathiol, oxathian, and;
N101 Si : oxathiazine.
In the present invention, "prodrug" refers to compounds which, under in vivo physiological conditions (e.g. enzymatic oxidation, reduction and/or hydrolysis), may, by action of enzyme or gastric acid, be converted directly or indirectly into a pyrrolobenzodiazepine drug.
In the present invention, "pharmaceutically acceptable salt" may be an acid addition salt formed by pharmaceutically acceptable free acid, where the free acid is an organic acid or an inorganic acid.
The organic acids include, but are not limited to, citric acid, acetic acid, lactic acid, tartaric acid, maleic acid, fumaric acid, formic acid, propionic acid, oxalic acid, trifluoroacetic acid, benzoic acid, gluconic acid, methane sulfonic acid, glycolic acid, succinic acid, 4-toluenesulfonic acid, glutamic acid and aspartic acid. Also, the inorganic acids include, but are not limited to, hydrochloric acid, bromic acid, sulfuric acid and phosphoric acid.
For example, if the compound has a functional group which is an anion or may be an inion (e.g. -COOH may be -000-), a suitable cation may be used for forming a salt.
Examples of suitable inorganic cations include, but are not limited to, Na + and K ' alkaline earth cations such as Ca2+ and Mg2 ' and other cations such as A13 ' Examples of suitable organic cations include, but are not limited to, ammonium ion (i.e., NH4 ) and substituted ammonium ions (e.g. NH3R+, NH2R2+, NHR3+, NR4+).
Some examples of suitable substituted ammonium ions are derived from the following:
ethylamine, diethylamine, dicyclohexylamine, triethylamine, butylamine, ethylenediamine, ethanolamine, diethanolamine, piperazine, benzylamine , phenylbenzylamine, choline, meglumine and tromethamine, as well as amino acids such as lysine and arginine. An example of a typical quaternary ammonium ion is N(CH3)4 .
If the compound has a functional group which may be a cation or a cation (e.g., -NH2 may be -NH3), a salt may be formed with a suitable anion. Examples of suitable inorganic anions include, but are not limited to, those derived from the following inorganic acids: hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, sulfuric acid, nitric acid, nitrous acid, phosphoric acid and phosphorous acid.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 Examples of suitable organic anions include, but are not limited to, those derived from organic acids such as: 2-acetoxybenzoic acid, acetic acid, ascorbic acid, aspartic acid, benzoic acid, camphorsulfonic acid, cinnamic acid, citric acid, But are not limited to, disulfonic acid, ethanesulfonic acid, fumaric acid, glutaronic acid, gluconic acid, glutamic acid, glycolic acid, hydroxymaleic acid, hydroxynaphthalenecarboxylic acid, isethionic acid, lactic acid, But are not limited to, malic acid, methanesulfonic acid, mucilous acid, oleic acid, oxalic acid, palmitic acid, pamic acid, pantothenic acid, phenylacetic acid, phenylsulfonic acid, propionic acid, pyruvic acid, salicylic acid, stearic acid, succinic acid, sulfanilic acid and tartaric acid, etc. Examples of suitable multimeric organic anions include, but are not limited to, those derived from the following multimeric acids: tannic acid, carboxymethylcellulose, etc.
In the present invention, "solvate" refers to a molecular complex between a compound according to the present invention and solvent molecules, examples of which include but are not limited to water, isopropanol, ethanol, methanol, dimethylsulfoxide, ethyl acetate, acetic acid, ethanolamine or the compound according to the present invention bonded to a mixed solvent thereof.
It may be convenient or desirable to prepare, purify and/or handle solvates corresponding to active compounds. In the present specification, the term "solvate" is used in its conventional sense to refer to solutes (e.g. active compounds and salts of active compounds) and complexes of solvents. When the solvent is water, the solvate may conveniently be referred to as a hydrate, such as monohydrate, dihydrate or trihydrate, etc.
The pharmaceutical composition of the present invention may comprise a pharmaceutically acceptable carrier. Examples of pharmaceutically acceptable carrier include large macromolecules that are slowly metabolized, such as proteins, polysaccharides, polylactic acid, polyglycolic acid, polymeric amino acids, amino acid copolymers, lipid aggregates, and the like.
Such pharmaceutically acceptable carriers may be appropriately selected and used by a person skilled in the art.
The composition comprising a pharmaceutically acceptable carrier may be of various oral or parenteral formulations. In the case of formulation, a diluent or excipient such as a filler, an extender, a binder, a wetting agent, a disintegrating agent, or a surfactant is usually used.
Solid formulations for oral administration include tablets, pills, powders, granules, capsules, and the like, which may contain at least one excipient such as starch, calcium carbonate, FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 sucrose or lactose, gelatin, . In addition to simple excipients, lubricants such as magnesium stearate, talc, and the like may also be used.
Liquid preparations for oral administration include suspensions, solutions, emulsions, syrups and the like. Various excipients such as wetting agents, sweeteners, fragrances, preservatives and the like may be included in addition to water and liquid paraffin, which are commonly used simple diluents.
Formulations for parenteral administration include sterilized aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations, and suppositories. Examples of the non-aqueous solvent and the suspending agent include propylene glycol, polyethylene glycol, vegetable oil such as olive oil, and injectable ester such as ethyl oleate. Examples of the suppository base include witepsol, macrogol, tween 61, cacao paper, laurin, glycerogelatin and the like.
The pharmaceutical composition may be in the form of tablets, pills, powders, granules, capsules, suspensions, solutions, emulsions, syrups, sterilized aqueous solutions, non-aqueous solvents, suspensions, emulsions, freeze- It can have one formulation.
For intravenous, intradermal or hypodermic injection, the active ingredient may be in the form of an acceptable aqueous solution for parenteral administration, be pyrogen-free, and have the appropriate pH, isotonicity and stability. A person skilled in the art may prepare an appropriate solution using an isotonic vehicle such as sodium chloride solution, Ringer's solution or Ringer's lactate solution, and preservatives, stabilizers, buffers, anti-oxidants and other additives may be included as necessary. Solid forms suitable for injection may also be prepared as emulsions or in the form of polypeptide encapsulated in liposome.
As used herein, the phrase "effective amount" or "therapeutically effective amount" refers to the amount required to achieve the desired therapeutic result (for dose and duration and means of administration). An effective amount is at least the minimum amount of active agent required to confer a therapeutic benefit to a subject, and is less than the toxic amount. For example, the amount administered may be in a range of approximately 10Ong to approximately 100mg/kg per patient, more typically approximately lug/kg to approximately 10mg/kg. In a case where an active compound is a salt, ester, amide or prodrug, the dose is calculated based on the parent compound, and accordingly the actual weight used also increases proportionally. The pyrrolobenzodiazepine compound according to the present invention may be formulated to comprise 0.1mg to 3000mg, FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 lmg to 2000mg, or 10mg to 1000mg of active ingredient per unit dosage form, but is not limited thereto. The active ingredient may be administered to give an active compound peak plasma concentration of approximately 0.05 pM to 100[M, 1 [tM to 50uM, or 5pM to 30pM. For example, optionally it may be administered by intravenous injection of a solution of 0.1 w/v% to 5 w/v%
active ingredient in saline solution.
In a pharmaceutical composition, the concentration of the active compound is determined by the absorption, inactivation and excretion rates of the drug, and other factors known not persons skilled in the art. The dose administered may vary depending on the severity of symptoms or the disease. Further, the dose and administration therapy for a specific patient may be adjusted according to the professional judgment of an administration supervisor, giving general consideration to the degree of the patient's symptoms and illness, need for the drug, age, and reactivity to the drug, etc. The range of concentrations stated in the present invention are only intended as an example, and the manner of carrying out the claimed composition is not limited hereto. Furtherõ the active ingredient may be administered once, or smaller doses may be administered across multiple administrations.
The prodrug compound, or prodrug-linker compound, or prodrug-linker-ligand conjugate compound may be used to treat proliferative diseases, in particular cancer.
The term "proliferative disease" refers to excessive, abnormal, undesired or unregulated cell growth either in vitro or in vivo, such as hyperplasia or cytogenesis. Non-limiting examples of proliferative disease include neoplasm, tumor, cancer, leukemia, psoriasis, bone disease, fibrous dysplasia and pharyngeal arteriosclerosis. Non-limiting examples of cancer are lung cancer, small cell lung carcinoma, gastrointestinal cancer, colon cancer, intestinal cancer, breast cancer, ovarian cancer, prostate cancer, testicular cancer, liver cancer, kidney cancer, bladder cancer, pancreatic cancer, brain cancer, sarcoma, osteosarcoma, Kaposi's sarcoma and melanoma.
Benefits of the invention The antibody-drug conjugate according to the present invention, by comprising an anti-DLK1 antibody which binds with specificity to DLK1-expressing cells and is internalized into a cell exhibits the benefits of being able to deliver a drug effectively, selectively and with specificity, and allowing for a drug to bind stably to an antibody to exhibit the intended cytotoxicity while maintaining in vivo stability. In particular, by grafting technology for a linker including a self-immolative group, the present invention provides a drug-linker-ligand system which allows a drug HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 and/or toxin to stably reach a target cell and effectively exhibit a drug effect while having substantially reduced toxicity.
BRIEF DESCRIPTION OF THE DRAWINGS
Fig. 1 is a diagram confirming the efficacy of the ADC according to the present invention in a patient-derived tumor animal model.
BEST MODE(S) FOR CARRYING OUT THE INVENTION
In the following, the present invention is described in further detail through embodiments and experimental examples.
The following embodiments and experimental examples are intended to aid in understanding the present invention, and are not intended to limit the scope of the present invention thereto.
<Example 1> Preparation of compounds 1, 2, 3 and 4 Ho C; 01,1 0 OA kik IAE
Ile Ih.."
z ;,31-1:, 0 0- ri ##%%#4#' 0.".'&P.Ct 'Ng. .T1FA
it #h.
I
r op 0 HO,L. A, 0: Olit 0 M PAE
HQ : 0, 1511 r 4 : A
:1LN MN +00",. 4 N 1-11 :2 HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 "QA 4 OA MMAE

0 N."-====,-"Ho % .
H H
.,",,....,k0 ,....,,X, 0 ,,,,..%)."...,,,ON,,,,-,..Ø14 H2 ' HO2C 00 4 H 0 .TFA
fivy e t.coH 4 01, NIMAE
4,410 H 0 õ eatt 0 * 0 AM MAE
H 0 i OH H H H

HO2Cy H ' H
0 N 0..."0,,,õ,,z-N +..".0+ NH2 H 0. 0 2C 0 0 .TPA
HO '' .. OH SI ".---M MAE
.y.,õ

Compounds 1, 2, 3 and 4 were prepared using the method stated in International Patent Publication W02017-089895.
In compounds 1, 2, 3 and 4, the structure of MMAE is as follows.
MIME
HO Pi ri I ,....4,,..: I .... 0 .....0 0 <Example 2> Preparation of compounds 5, 6, 7 and 8 FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 0 it-,=*"OM e 0 H Ni0 .õ,..,... ..+NH2 .TFA
Fro 2Cy0 yD An HO2C7 iiii 6 HO *.Y.OH IIIF HO '. .. OH 'Pli OH = ,,,.0 H 0 ..... =

0,0 ilo Na OM e M e0 = 0 NIN
0 , 11. me 044+12 0, HD2C7 HO2C7 A . WA
HO " 'OH I* HD
H
HO a Y0 0 kr a OH
N N

ON, IA 00 = 0 0 1L ,OM, 0 --"*.- OM e HO2CV=00 41 14027 a HO ' ." OH HO ..0 H 41114IP
H 0 .....0 H 0 ..,o HO r 1 OH
0 õ,...õ.........õ..",.."0 N---S H
ome meo ir ,N --'-j=,' ,
7 Compounds 5, 6 and 7 were prepared using the method stated in Korean Laid-open Patent No. 10-2018-0110645.
o H o'-' -}'OH NH TFA
,-+- 2 '---f-0---2 0 , N,,,,,,ome LI 0 NN
HO2C73 is 0,1 iiii 0õr. oy.cop 1.
H 04 "'OH 0 ILI" H O.AyAbOH
0 õ,0,0 0..,0 OH
HO r o 41)1 o , 4 OH
N di N , "311'. ome M e0 lir P--,43,444.
6 . O
FHBOSTON5259862.1 Date Regue/Date Received 2021-08-09 Compound 8 was prepared using the method stated in Korean Patent Application No. 10-2019-0000514.
<Example 3> Preparation of ADC
ADC was prepared through the following two steps, and the LCB14-0511 and LCB14-0606 used commonly were prepared using the method stated in Korean Laid-open Patent No. 10-2014-0035393. The structural formulae of LCB14-0511 and LCB14-0606 are as follows:

I P
-o 3 (N1-14 ) _ _13_ 0 -3(N H4.) Step 1: Preparation of prenylated antibody A prenylation reaction mixture of an antibody (18A5) was prepared using the method stated in Korean Patent Application No. 10-2018-0107639 and reacted for 16 hours at 30 C. The reaction mixture was comprised of 2411M antibody (18A5), 200nM FTase (Calbiochem #344145) and a buffer solution (50 mM Tris-HC1 (pH 7.4), 5 mM MgCl2, 10 [tM ZnC12, 0.144 mM
DTT) containing 0.144 mM LCB14-0511 or LCB14-0606. After the reaction was completed, the prenylated antibody was desalted using a G25 Sepharose column (AKTA purifier, GE healthcare) equilibrated with PBS buffer solution.
Step 2: Method of drug-conjugation <Conjugation by oxime bond formation>
The mixture for oxime bond-forming reaction between prenylated antibody and linker-drug was prepared by mixing 100mM Na-acetate buffer solution pH 5.2, 10% DMSO, 2011M antibody and 20011M linker-drug (in house, compounds 1, 2, 3, 4, 5, 7 and 8 from Embodiments 1 and 2), and stirred lightly at 30 C. After reacting for 6 or 24 hours, an FLPC (AKTA
purifier, GE
healthcare) process was carried out to remove the surplus small compounds used. The protein fraction was collected and concentrated.
<Conjugation by click reaction>

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 The mixture for oxime bond-forming reaction between prenylated antibody and linker-drug was 10% DMSO, 20pM antibody and 200RM linker-drug (in house, compound 6 from Embodiment 2), 1mM copper (II) sulfate pentahydrate, 2mM (BimC4A)3 (Sigma-Aldrich 696854), 10mM sodium ascorbate and 10mM aminoguanidine hydrochloride, reacted for 3 hours at 25 C, then treated with 2.0mM EDTA and reacted for 30 minutes. After reacting, an FLPC (AKTA
purifier, GE healthcare) process was carried out to remove the surplus small compounds used. The protein fraction was collected and concentrated.
[Table 2] List of ADCs prepared ADCs Antibody Linker-toxin ADC1 Compound 1 ADC2 Compound 2 ADC3 Compound 3 ADC4 Compound 4 ADCS Compound 5 ADC6 Compound 6 ADC7 Compound 7 ADC8 Compound 8 Experimental Example 1: In vitro cytotoxicity assessment The cancer cell line cell proliferation inhibition activity of the drugs stated in Table 3 below and the ADCs prepared in <Embodiment 3> above was measured. For this purpose, commercially available human pancreatic cancer cell line MIA-PaCa2 (DLK1 negative or normal) and MIA-PaCa-2-DLK1 over-expressing cell line were used. As the drug, MMAF-0Me was used as the ADC, and the ADCs of Table 2 were used. In a 96-well plate, each well was seeded with 4,000 to 5,000 of the respective cancer cell lines for the 72-hour treatment group, 2,000 to 3,000 cells for the 96-hour treatment group, and 800 to 1,000 cells for the 168-hour treatment group. After culturing for 24 hours, they were treated with the drug and ADC at a concentration of 0.0015 to 10.0 nM (serially diluted threefold). 72, 96 and 168 hours later, respectively, the number of live cells was measured using SRB (Sulforhodamine B)dye.
[Table 3]

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 IC5D (tifv0 Test samples MA-PaCaZ-DLK1 negative MIA-PaCaZ-DLKI positive 7 thr 96h 166hr 7 Mr 96h _ 168h1 (AMA F- 01sile 0,41 01 11,1a 030 0.13 0.05 A DC1 >10 1.4,T >10 0$4 N,T 0,09 ADCZ >10 >10 >1 l 0,57 025 0,09 A .C3 > 1 0 2- 1 0 >10 0.19 , 0.11 0.03 A DC4 NIT > I 0 1\1,T N ,T 0,115 11,T
A DC5 > I 0 >1D Thre, 0,01 0,003 ADC 5 N.T N.T >111 N T N.T 11,Z1 7 A DC 7 >10 1,1,T >10 1 0.00B j N.T
0,004 A DC8 N ,T > I 0 NIT N,T 0,0DB NIT
*NT: not tested.
Most of the antibody-drug complexes were confirmed to have substantially improved cytotoxicity in pancreatic cancer cell lines with DLK1 over-expression than in pancreatic cancer cell lines without DLK1 expression. In pancreatic cancer cell lines over-expressing DLK1, pyrrolobenzodiazepine based antibody-drug complexes (ADCs 5, 7 and 8) were confirmed to exhibit stronger cytotoxicity than auristatin-based antibody-drug complexes (ADCs 1, 2, 3 and 4).
Furtherõ pyrrolobenzodiazepine based antibody-drug complexes was confirmed to exhibit stronger cytotoxicity compared to auristatin-based antibody-drug complexes with longer reaction time.
Experimental Example 2: In vivo efficacy assessment In a patient-derived tumor animal model, the efficacy of the ADCs prepared in <Embodiment 3> was assessed. Specifically, the patient-derived small cell lung cancer mouse model (PDX model) was provided by Champions Oncology. The control group of the PDX model was intravenously administered PBS in the tail, while the experimental groups were administered ADC4 at 6mpk/Q4D*4, 6 mpk/QW*4 and 9 mpk/QW*4, followed by measurement of tumor size.
In the results, as shown in Fig. 1, tumors disappeared from all 8 individual experimental animals in each of the 6 mpk/Q4D*4 group and the 9 mpk/QW*4 group (CR, complete remission), while tumors disappeared in 6 of the 8 experimental animals in the 6 mpk/QW*4 group.
INDUSTRIAL APPLICABILITY
The new antibody-drug conjugates (ADCs) targeting DLK1 and pharmaceutical compositions comprising the same may be used in production of drugs for treatment and/or prevention of diseases proliferative and/or angiogenetic diseases, for example, cancer.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09

Claims (62)

We claim:
1. An antibody conjugate of General Formula I, or a pharmaceutically acceptable salt or solvate thereof:
[General Fomiula I] Ab - (X)y where, in the formula:
Ab is an antibody binding specifically to DLK1 (delta-like 1 homolog (Drosophila)) comprising a heavy chain variable region and a light chain variable region, or an antigen-binding fragment thereof; wherein the antibody which binds to DLK1 or antigen-binding fragment of the same comprises:
a heavy chain variable region comprising at least one heavy chain CDR1 selected from the group comprising SEQ ID NO. 2, 16, 30, 44, 58, 72 and 86, at least one heavy chain CDR2 selected from the group comprising SEQ ID NO.
4, 18, 32, 46, 60, 74 and 88, and at least one heavy chain CDR3 selected from the group comprising SEQ ID
NO. 6, 20, 34, 48, 62, 76 and 90; and a light chain variable region comprising at least one light chain CDR1 selected from the group comprising SEQ ID No. 9, 23, 37, 51, 65, 79, 93, 115 and 121, at least one light chain CDR2 selected from the group comprising SEQ ID No.
11, 25, 39, 53, 67, 81 and 95, and at least one light chain CDR3 selected from the group comprising SEQ ID
No. 13, 27, 41, 55, 69, 83, 97, 116 and 125;
X is independently a chemical residue comprising at least one active agent and a linker, wherein the linker links the antibody and the active agent, and y is an integer of 1 through 20.
2. The antibody which binds with specificity to DLK1 or an antigen-binding fragment thereof according to Claim 1, comprising:
at least one heavy chain FR1 selected from the group comprising SEQ ID No. 1, 15, 29, 43, 57, 71, 85 and 119;
FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 at least one heavy chain FR2 selected from the group comprising SEQ ID No. 3, 17, 31 , 45, 59, 73 and 87;
at least one heavy chain FR3 selected from the group comprising SEQ ID No. 5, 19, 33, 47, 61, 75 and 89;
at least one heavy chain FR4 selected from the group comprising SEQ ID No. 7, 21, 35, 49, 63, 77 and 91;
at least one light chain FR1 selected from the group comprising SEQ ID No. 8, 22, 36, 50, 64, 78, 92, 117 and 120;
at least one light chain FR2 selected from the group comprising SEQ ID No. 10, 24, 38, 52, 66, 80, 94 and 122;
at least one light chain FR3 selected from the group comprising SEQ ID No. 12, 26, 40, 54, 68, 82, 96, 118 and 123; and at least one light chain FR4 selected from the group comprising SEQ ID No. 14, 28, 42, 56, 70, 84, 98 and 125.
3. The antibody which binds with specificity to DLK1 or an antigen-binding fragment thereof according to Claim 1, characterized in that it comprises a heavy chain variable region comprising a sequence that has at least 90% sequence homology with a sequence selected from the group comprising SEQ ID No. 99, 101, 103, 105, 107, 109, 111 and 127.
4. The antibody which binds with specificity to DLK1 or an antigen-binding fragment thereof according to Claim 1, characterized in that it comprises a light chain variable region comprising a sequence that has at least 90% sequence homology with a sequence selected from the group comprising SEQ ID No. 100, 102, 104, 106, 108, 110, 112, 126 and 128.
5. The antibody which binds with specificity to DLK1 according to Claim 1 or an antigen-binding fragment thereof, characterized in that the linker has the structure of General Formula II:
[General Formula II]
(Z), Ft1 Ab, W

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 Where in the formula, the formula:

R4-(3 0 4.
)1/4*
R

G is a glucuronic acid moiety or R3 is a hydrogen or carboxyl protective group, and the respective R4 are independently hydrogen or hydroxyl protective groups;
Ab is an antibody binding with specificity to DLK1 or an antigen-binding fragment thereof:
B is an active agent;
Ri and R2 are, respectively and independently, hydrogen, (C 1-C8) alkyl or (C3-C8) cycloalkyl;
W is -C(0)-, -C(0)NR'-, -C(0)0-, -SO2NR'-, -P(0)R"NR'-, -SONR'- or -P02NR'-;
the C, S or P
directly bonds to a phenyl ring; the NR' bonds to L; and R' and R" are respectively and independently, hydrogen, (C 1 -C8) alkyl, (C3-C8) cycloalkyl, (C1 -C8) alkoxy, (C1 -C8) alkylthio, mono- or di-(C1-C8) alkylamino, (C3-C20) heteroaryl, or (C6-C20) aryl;
each Z is, independently, (Ci-C8) alkyl, halogen, cyano or nitro;
n is an integer of 1 through 3;
L is any one of the following:
A) Is a Ci-050 alkylene or a 1 to 50 atom heteroalkylene, and satisfies at least one of the following:
(i) L comprises at least one unsaturated bond (ii) 2 atoms within L are substituted with a divalent substituent the same as in a substituent, which completes heteroarylene;
(iii) L is a 1 to 50 atom heteroalkylene, and;
(iv) The alkylene is substituted by at least one C1-20 alkyl;
B) comprises at least one isoprenyl derivative unit of General Formula III
below, which can be recognized by isoprenoid transferase;
[General Formula III]

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 *ty'H#*.
6. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in thatL is a nitrogen-containing 1 to 50 atom heteroalkylene , the linker comprising at least 2 atoms of a hydrophilic amino acid; and the nitrogen forms a peptide bond with a carbonyl of a hydrophilic amino acid selected from the group comprising arginine, aspartate, asparagine, glutamate, glutamine, histidine, lysine, ornithine, proline, serine or threonine.
7. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that W is -C(0)NR'-, and the nitrogen of W is a nitrogen atom of a hydrophilic amino acid selected from the group comprising arginine, aspartate, asparagine, glutamate, glutamine, histidine, lysine, ornithine, proline, serine or threonine.
8. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 6 or Claim 7, characterized in that the amino acid covalently bonds an oxime of a linker to a polyethylene glycol unit of the linker.
9. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 6 or Claim 7, characterized in that the hydrophilic amino acid is an amino acid selected from the group consisting of aspartate, glutamate, ornithine, lysine, and arginine comprising a side chain having a moiety representing a charge at neutral pH in an aqueous solution.
10. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that the linker comprises a peptide, the peptide comprising 2 to 20 amino acids and comprising at least one hydrophilic amino acid selected from the group comprising alanine, aspartate, asparagine, glutamate, glutamine, glycine, lysine, ornithine, proline, serine and threonine, and comprising at least one hydrophilic amino acid selected from FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 the group consisting of aspartate, glutamate, ornithine, lysine and arginine comprising a side chain having a moiety that exhibits charge at neutral pH in an aqueous solution.
11. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 10, characterized in that W is -C(0)NR'-, and the nitrogen of W is a nitrogen atom of an N-terminal amino acid of the peptide.
12. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that the peptide covalently bonds an oxime of a linker to a polyethylene glycol unit of the linker.
13. The antibody conjugate according or a pharmaceutically acceptable salt or solvate thereof to Claim 5, characterized in that the L is covalently bonded to an antibody by a thioether bond, and the thioether bond comprises a sulfur atom of the cysteine of the antibody.
14. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 13, characterized in that the antibody comprises an amino acid which can be recognized by isoprenoid transferase at the C-terminal of the antibody, and the thioether bond comprises a sulfur atom of the cysteine of the antibody.
15. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 14, characterized in that the amino acid motif is a CYYX sequence;
C is cysteine;
Y is an aliphatic amino acid selected from the group consisting of alanine, isoleucine, leucine, methionine and valine;
X is any one selected from the group consisting of glutamine, glutamate, serine, cysteine, methionine, alanine and leucine; and the thioether bond comprises a sulfur atom of cysteine of the amino acid motif.
16. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 15, characterized in that the amino acid motif is a CVIM or CVLL
sequence.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09
17. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to any one of Claim 14 through Claim 16, characterized in that at least one of the 1 to 10 amino acids preceding the amino acid motif is selected from among glycine, proline, aspartic acid, arginine and serine.
18. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 17, characterized in that the 1 to 10 amino acids preceding the amino acid motif are respectively glycine.
19. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that the L comprises the amino sequence GGGGGGGCVIM at the C-terminal.
20. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that L comprises at least one isoprenyl derivative unit of General Formula III below, which can be recognized by isoprenoid transferase:
[General Formula III]
tirt
21. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that L is a 3 to 50 heteroalkylene comprising an oxime, the oxygen atom of the oxime is on the side of L linked to W and the carbon atom of the oxime is on the side of L linked to Ab, or; the carbon atom of the oxime is on the side of L linked to W and the oxygen atom of the oxime is on the side of L linked to Ab.
22. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 20 or Claim 21, characterized in that L comprises an oxime, and in that at least one isoprenyl unit covalently links the oxime to Ab.
FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09
23.
The antibody conjugate or a phannace ., solvate thereof according 4- - in that L comprises Or N
24. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that L further comprises a connecting unit represented by General Formula VIII or General Fomiula IX:
[General Formula VIII]
-(C112),(V(C112)p)q-[General Formula IX]
-(CH2C112X)-where: V is a single bond, -0-, -S-, -NR21-, -C(0)NR22-, NR23C(0)-, NR24S02-, or -S02NR25-;
X is -0-, C1-C8 alkylene or -NR21-;
R21 tO R25 are, independently and respectively hydrogen, (Ci-C6) alkyl, (Ci-C6) alkyl (C6-C20) aryl, or (Ci-C6) alkyl (C3-C2o) heteroaryl;
r is an integer of 0 to 10;
p is an integer of 0 to 10;
q is an integer of 1 to 20; and w is an integer of 1 to 20.
25. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 24, characterized in that L comprises 1 to 20 polyethylene glycol units represented by or
26. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 25, characterized in that L comprises 1 to 12 -OCH2C112- units.

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09
27. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 25, characterized in that L comprises an oxime; and 1 to 20 polyethylene glycol units covalently bond the oxime to the active agent.
28. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that L further comprises a binding unit formed by a 1,3-dipolar cycloaddition reaction, hetero-diels reaction, nucleophilic substitution reaction, non-aldol type carbonyl reaction, addition to carbon-carbon multiple bond, oxidation reaction or click reaction.
29. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 28, characterized in that the binding unit is formed by a reaction between acetylene and azide, or a reaction between aldehyde or a ketone group and hydrazine or alkoxyamine.
30. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that L further comprises binding units represented by General Formulae IV, V, VI or VII below:
[General Formula IV]
.t.<1 N
N'N
[General Formula V]
L/IN\

[General Formula VI]
yr [General Formula VII]

R11-"N-Li -where, in the formula, HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 the L1 is a single bond or a C1-C30 alkylene; and R" is hydrogen or a Ci-Cio alkyl.
31. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 30, L1 is a single bond or a C11 or C12 alkylene.
32. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according \õ, s --(C112),(V(CH2)p)q to Claim 30, characterized in that L comprises N Or 1--(CH2)r(V(CH2)0(N"-k).--1 V is a single bond, -0-, -S-, -NR21-, -C(0)NR22-, NR23C(0)-, NR24S02-, or -S02NR25-;
R21 to R25 are, independently, hydrogen, (C1_6) alkyl, (C1_6) alkyl (C6_20) aryl, or (C1_6) alkyl (C3-20) heteroaryl;
r is an integer of 0 to 10;
p is an integer of 0 to 10;
q is an integer of 1 to 20; and L1 is a single bond.
33. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 32, characterized in that the L comprises any one selected from the group comprising oriu¨ 8 No.. o Hod OH 4) n LB

HO--t Ab 5 FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 HOAIO
HO
6H Ce`N"--and;
co,H

OH

the Ab is an antibody which bonds with specificity to DLK1 or an antigen-binding fragment thereof;
B is an active agent; and n is an integer of 0 to 20.
34. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that the isoprenoid transferase is a farnesyl protein transferase (FTase) or a geranylgeranyl transferase (GGTase).
35. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that L comprises at least one branch linker covalently bonded to Ab, i) the respective branch linkers comprise a branched unit (BR) covalently bonded to Ab by a primary linker (PL);
ii) the respective branch linkers bind a first active agent to a branched unit, and comprise a first branch (B1) comprising a second linker (SL) and a cleaving group (CG);
and iii) the respective branch linkers comprise a) a second branch (B2) wherein a second active agent is covalently bonded to a branched unit by a second linker (SL) and a cleaving group (CG), or b) a second branch wherein a polyethylene glycol moiety is covalently bonded to a branched unit;
iv) and the respective cleaving groups are hydrolyzed to release an active agent from an antibody conjugate.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09
36. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according le.G2 L31' L4'G3,"
to Claim 35, characterized in that the branch linker is -"-rtr'-' , cs-2LN rs'ss'N--A)5 R4o t,<-30 Or the L2, L3 and L4 are, respectively and independently, direct bonds or -Cn}12n-; n is an integer of 1 to 30;
o 0 R4 `ssLN)L)'s -"Hr. NH 'sss' the G1' G2 and G3 are, independently, a direct bond R30 R3 0 N

Or ; and the R3 is hydrogen or C1-30 alkyl.
37. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 36, characterized in that it comprises 1-10.211 o 0 B

HOyODj HO' i OH 0 IrBe wherein the B and B' indicate active agents which may be different or identical;
n indicates, respectively and independently, an integer of 0 to 30;
HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 f indicates, respectively and independently, an integer of 0 to 30; and L indicates a bond to Ab.
38. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 37, characterized in that L comprises an oxime and 1 to 20 polyethylene glycol unit(s) which covalently binds the oxime to the active agent.
39. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 35, characterized in that the cleavage group may be cleaved within a target cell, and the cleavage group may release one or more active agents.
40. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that L comprises 1 to 6 branched linkers covalently bonded to Ab;
and 2 to 6 identical or different active agents covalently bonded to the branched linkers.
41. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 40, characterized in that the respective active agents are bonded to the branched linker by a cleavable bond.
42. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 40, characterized in that the respective branched linkers comprise a branched unit, the respective active agents are bonded to the branched unit through a second linker, and the branched units are bonded to Ab by a first linker.
43. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 42, characterized in that the branched unit is a nitrogen unit or a lysine unit.
44. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 42, characterized in that the branched unit is an amide, and the first linker or the second linker comprises a carbonyl of the amide.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09
45. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that the active agent is a chemotherapeutic agent or a toxin.
46. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that the active agent is an immunoregulatory compound, anti-cancer agent, antiviral, antibacterial, antifungal, antiparasitic or a combination thereof.
47. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 5, characterized in that the active agent is selected from the following:
(a) erlotinib, bortezomib, fulvestrant, sutent, letrozole, imatinib mesylate, PTK787/ZK 222584, oxaliplatin, 5-fluorouracil, leucovorin, rapamycin, lapatinib, lonafarnib, sorafenib, gefitinib, AG1478, AG1571, thiotepa, cyclophosphamide, busulfan, improsulfan, piposulfan, benzodopa, carboquone, meturedopa, uredopa, ethylenimine, altretamine, triethylenemelamine, triethylenephosphoramide, triethylenethiophosphoramide, teimethylolomelamine, bullatacin, bullataciionone, camptothecin, topotecan, bryostatin, callystatin, CC-1065, adozelesin, carzelesin, bizelesin, cryptophycin 1, cryptophycin 8, dolastatin, duocannycin, KW-2189, CB1-TM1, eleutherobin, pancratistatin, sarcodictyin, spongistatin, chlorambucil, chlornaphazine, cholophosphamide, estramustine, ifosfamide, mechlorethamine, melphalan, novembichin, phenesterine, prednimustine, trofosfamide, uracil mustard, carmustine, chlorozotoxin, fotemustine, lomustine, nimustine, ranimustine, calicheamicin, calicheamicin gamma 1, calicheamicin omega 1, dynemicin, dynemicin A, clodronate, esperamicin, neocarzinostatin chromophore, aclacinomysins, actinomycin, antrymycin, azaserine, bleomycins, catcinomycin, carabicin, carninomycin, carzinophilin, chromomycins, dactinomycin, daunorubicin, detorubucin, 6-diazo-5-oxo-L-norleucine, doxorubicin, morpholino-doxorubicin, cyanomorpholino-doxorubicin, 2-pyrrolino-doxorubucin, liposomal doxorubicin, deoxydoxorubicin, epirubicin, esorubicin, marcellomycin, mitomycin C, mycophenolic acid, nogalamycin, olivomycins, peplomycin, potfiromycin, puromycin, quelamycin, rodorubicin, streptomigrin, streptozocin, tudercidin, ubenimex, zinostatin, zorubicin, 5-fluoDLKacil, denopterin, methotrexate, pteropterin, trimetrexate, fludarabine, 6-mercaptopurine, thiamiprine, thiguianine, ancitabine, azacytidine, 6-azauridine, carmofur, cytarabine, dideoxyuridine, HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 doxifluridine, enocitabine, floxuridine, calusterone, dromostanolone, propionate, epitiostanol, mepitiostane, testolactone, aminoglutethimide,mitotane, trilostane, folinic acid, aceglatone, aldophosphamide glycoside, aminolevulinic acid, eniluracil, amsacrine, bestrabucil, bisantrene, edatrexate, defofamine, democolcine, diaziquone, elfornithine, elliptinium acetate, etoglucid, gallium nitrate, hydroxyurea, lentinan, lonidainine, maytansine, ansamitocins, mitoguazone, mitoxantrone, mopidanmol, nitraerine, pentostatin, phenamet, pirarubicin, losoxantrone, 2-ethylhydrazide, procarbazine, polysaccharide-k, razoxane, rhizoxin, sizofiran, spirogennanium, tenuazonic acid, triaqizuone, 2,2', 2"-trichlorotriethylamine, T-2 toxin, verracurin A, DLKidin A, anguidine, urethane, vindesine, dacarbazine, mannomustine, mitobronitol, mitolactol, pipobroman, gacytosine, arabinoside, cyclophosphamide, thiotepa, paclitaxel, albumin-engineered nanoparticle formulation of paclitaxel, docetaxel, chlorambucil, gemcitabine, 6-thioguanine, mercaptopurine, cisplatin, carboplatin, vinblastine, platinum, etoposide, ifosfamide, mitoxantrone, vincristine, vinorelbine, novantrone, teniposide, edatrexate, daunomycin, aminopterin, xeloda, ibandronate, CPT-11, topoisomerase inhibitor RFS
2000, difluoromethylornithine, retinoic acid, capecitabine, or pharmaceutically acceptable salts, solvates or acids thereof;
(b) monokine, lympokine, traditional polypeptide homione, parathyroid homione, thyroxine, relaxin, pDLKelaxin, glycoprotein homione, follicle stimulating homione, thyroid stimulating hormone, luteinizing hormone, hepatic growth factor fibroblast growth factor, prolactin, placental lactogen, tumor necrosis factor, tumor necrosis factor-a, tumor necrosis factor-I3, Mullerian inhibiting substance, mouse gonadotropin associated peptide, inhibin, activin, vascular endothelial growth factor, thrombopoietin, erythropoietin, osteoinductive factor, interferon, interferon-a, interferon-I3, interferon-y, colony stimulating factor (CSF), macrophage-CSF, granulocyte-macrophage-CSF), granulocyte-macrophage-CSF, granulocyte-CSF, interleukin (IL), IL-1, IL-la, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, I L-12, tumor necrosis factor, TNF-a, TNF-I3, polypeptide factor, LIF, kit ligand, or mixtures thereof;
(c) diphtheria toxin, botulinum toxin, tetanus toxin, dysentery toxin, cholera toxin, amanitin, a-amatinin, pyrrolobenzodiazepine, pyrrolobenzodiazepine derivative, indolinobenzodiazepine, pyridobenzodiazepine, tetrodotoxin, brevetoxin, ciguatoxin, FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 ricin, AM toxin, auristatin, tubulysin, geldanamycin, maytansinoid, calicheamicin, daunomycin, doxorubicin, methotrexate, vindesine, SG2285, dolastatin, dolastatin analog, auristatin, cryptophycin, camptothecin, rhizoxin, rhizoxin derivatives, CC-1065, CC-1065 analogs or derivatives, duocannycin, enediyne antibiotic, esperamicin, epothilone, toxoid, or mixtures thereof;
(d) affinity ligand, where the affinity ligand is a substrate, inhibitor, active agent, neurotransmitter, radioactive isotope, or mixtures thereof;
(e) radioactive label, 32P, 35S, fluorescent dye, electron dense reagent, enzyme, biotin, streptavidin, dioxigenin, hapten, immunogenic protein, nucleic acid molecule with a sequence complementary to a target, or mixtures thereof;
(f) immunomodulatory compound, anti-cancer agent, anti-viral agent, anti-bacterial agent, anti-fungal agent, anti-parasitic agent, or mixtures thereof;
(g) tamoxifen, raloxifene, droloxifene, 4-hydroxytamoxifen, trioxifene, keoxifene, LY117018, onapristone or toremifene;
(h) 4(5)-imidazole, aminoglutethimide, megestrol acetate, exemestane, letrozole or anastrozole (i) flutamide, nilutamide, bicalutamide, leuprolide, goserelin, or troxacitabine;
(j) aromatase inhibitor;
(k) protein kinase inhibitor;
(1) lipid kinase inhibitor;
(m) antisense oligonucleotide;
(n) ribozyme;
(o) vaccine; and (p) anti-angiogenic agent.
48. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 1, characterized in that the the active agent is a pyrrolobenzodiazepine dimer, wherein the linker links Ab to the N10 or N'10 position of the pyrrolobenzodiazepine dimer.
49. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 48, characterized in that the activator is a pyrrolobenzodiazepine dimer;

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 the pyrrolobenzodiazepine dimer is substituted by X at the N10 position or by X' at the N'10 position, where X or X' links the pyrrolobenzodiazepine dimer to the linker;
X and X' are, respectively and independently, -C(0)0*, -S(0)0-*, -C(0)-*, -C(0)NRx-*, -S(0)2NRx-*, -P(0)R'NRx-*, -S(0)NRx-*, or -P02NRx-*;
Rx is C1_8 alkyl, C3_8 cycloalkyl, C3_20 heteroaryl or C5-20 aryl;
Rx'+ is OH, N3, CN, SH, C1-8 alkyl, C3-8 cycloalkyl, C1_8 alkoxy, C1_8 alkylthio, C3_20 heteroaryl, C5-20 aryl or amino; and * is a binding site between the pyrrolobenzodiazepine dimer and the linker.
50. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 49, characterized in that the pyrrolobenzodiazepine dimer is represented by General Fomiula X or General Formula XI below:
[General Fomiula X]
R" ). 05 Rx51 )tic RX31 N Y-Rx6-YN
H H
, I
t_ N Rxi=
0* Rx4'==1--.----NirN/ , , - - -- -Rxi Rx2, Rx2 r, RX7I s# = R47 [General Fomiula XI]
Z r b X' Rx3' ' za' NRx" r_Rxa_y , , 11 N - 1 -,,õR
, ' X4r RX3 i NR÷
Rx4 RV. 0 Rx2' Rx2 0 RXT
where, in the formula:
the dotted lines denote the selective existence of double bonds between Cl and C2, between C2 and C3, between C'l and C'2, or between C'2 and C'3;
Rxl and Rxl' are independently selected from H, OH, =0, =CH2 CN, Rm ORm, =CH-Rm', =C(Rm')2, 0-502-Rm, CO2Rm, CORm, halo and dihalo;
Rm' is selected from among Rm, CO2Rm, CORm, CHO, CO2H and halo;
HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09 each Rm is independently selected from a group comprised of C1_12 alkyl, C2_12 alkenyl, C2_12 alkynyl, C5_20 aryl, C5-20 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl and 5 to 7 membered heteroaryl;
RX2, RX2', RX3, RX3', RX5 and RX5' are independently selected from among H, Rm, OH, OR", SH, SRm, NH2, NHRm, NRm2, NO2, Me3Sn and halo;
Rx4 and Rx4' are independently selected from among H, R", OH, ORm, SH, SRm, NH2, NHRm, NRm2, NO2, Me3Sn, halo, C1-6 alkyl, C1_6 alkenyl, C2-6 alkynyl, C2-6 aryl, C3-6 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-12 aryl, 5 to 7 membered heteroaryl, -CN, -NCO, -ORn, -0C(0)Rn, -0C(0)NRnRn', -0S(0)Rn, -0S(0)2Rn, -SRn, -S(0)Rn, -S(0)2Rn, -S(0)NRnRn', -S(0)2NRnRn', -0S(0)NRnRn', -0S(0)2NRnRn', -NRnRn', -NR"C(0)R , -NR"C(0)0R , -NR"C(0)NR R ', -NR"S(0)R , -NR"S(0)2R , -NRnS(0)NR R ', -NRnS(0)2NR R ', -C(0)Rn, -C(0)0Rn and -C(0)NRnir;
Rx and Rx are independently selected from among H, OH, N3, CN, NO2, SH, NH2, ONH2, NHNH2, halo, C1_8 alkyl, C3-8 cycloalkyl, C1_8 alkoxy, C1-8 alkylthio, C3_20 heteroaryl, C5_20 aryl or mono- or di-C1_8 alkylamino;
Y and Y' are independently selected from 0, S and N(H);
Rx6 is independently selected from C3_12 alkylene, C3_12 alkenylene, or C3_12 heteroalkylene;
RX7 and RXT are independently selected from among H, C1-6 alkyl, C2-6 alkenyl, C2_6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6-10 aryl, 5 to 7- membered heteroaryl, -OW, -0C(0)W, -0C(0)NWR", -0S(0)W, -0S(0)2W, -SW, -S(0)W, -S(0)2W, -S(0)NWR", -S(0)2NR a", -0S(0)NW R", -0S(0)2NW R", -NWR", -NWC(0)W, -NWC(0)0W, -NWC(0)NWR5', -NWS(0)W, -NWS(0)2W, -NWS(0)NWR5', -NRrs(0)2NRsRs, -C(0)W, -C(0)0R5 or -C(0)NWR";
each R" R', Rs and W' is independently selected from H, C1-7 alkyl, C2_7 alkenyl, C2_7 alkynyl, C3-13 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-10 aryl and 5 to 7 membered heteroaryl;
each RX8 and RX8' is independently selected from H, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 heteroalkyl, 3 to 7 membered heterocycloalkyl, C5-10 aryl, 5 to 7 membered heteroaryl, -S(0)Rm, -S(0)2Rm, -S(0)NRmRnn, -S(0)2NRmRn", -NRmRm', -NRmC(0)Rm, -NRmC(0)0Rn, -NRmC(0)NRnR", -NRmS(0)Rn, -NRmS(0)2Rn, -NRmS(0)NRnir, -NRmS(0)2NRnir, -C(0)Rm, -C(0)0Rm and -C(0)NRmR";

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 Za is selected from among ORx12", NRx12aRX12a, or SRxl2a;
Zb is selected from among 0013a, NRX13aRX13a, or SR)(13a;
Za.' is selected from among 0012a, NRx12aRX12a, or SRxl2a;
Zb' is selected from among ORxl3a', NRX13a'RX13a', or SRxl3"';
each Rxl2a, RX12a', RX13a' and Rx13a' is independently selected from H, Cl_6 alkyl, C2-6alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5_10 aryl, 5 to 7 membered heteroaryl, -C(0)015a+, -C(0)0015a and -C(0)NRx15aRX15a'; and each Rx15a and Rx15"' is independently selected from C1_12 alkyl, C2_12 alkenyl, C2_12 alkynyl, C5-20 aryl, C5_20 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl, and 5 to 7 membered heteroaryl; and the Rxl3a and Rxl4a optionally join atoms to which they are attached to form a 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl, or 3 to 7 membered heteroaryl, and the R)(13a' and WULia' optionally join the atoms to which they are attached to form 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl, or 3 to 7 membered heteroaryl; and each of the R", R"', R , R ', RP and RP' is independently selected from among H, C1-7 alkyl, C2-7 alkenyl, C2-7 alkynyl, C3-13 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5_10 aryl, and to 7 membered heteroaryl.
51. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 50, characterized in that the Rm is independently selected from a group comprised of 12 alkyl, C2-12 alkenyl, C2_12 alkynyl, C5_20 aryl, C5-20 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl and 5 to 7 membered heteroaryl;
and the Rm is additionally substituted with of C1_12 alkyl, C2_12 alkenyl, C2_12 alkynyl, C5_20 aryl, C5-20 heteroaryl, C3-6 cycloalkyl, 3 to 7 membered heterocyclyl, 3 to 7 membered heterocycloalkyl or 5 to 7 membered heteroaryl.
52. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 50, characterized in that the Rx4 and Rx4' are independently selected from among H, Rm, OH, OR'', SH, SR'', NH2, NHRm, NRmRm NO2, Me3Sn, halo, C1_6 alkyl C1-6 alkoxy, alkenyl, C2_6 alkynyl, C3_6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5_12 aryl, 5 to 7 FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 membered heteroaryl, -CN, -NCO, -ORn, -0C(0)Rn, -0C(0)NRnir, -0S(0)Rn, -0S(0)2Rn, -SRn, -S(0)Rn, -S(0)2Rn, -S(0)NRnir, -S(0)2NRW, -0S(0)NRnir, -0S(0)2NRnR", -NRnir, -NRnC(0)R , -NRnC(0)0R", -NRnC(0)NR R ', -NRnS(0)R , -NRnS(0)2R", -NRnS(0)NR
R6',-NRnS(0)2NR R ', -C(0)Rn, -C(0)0Rn and -C(0)NRnR"; and the 04 or 04' is C1-6 alkyl, C1-6 alkoxy, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-12 aryl or 5 to 7 membered heteroaryl, and additionally is substituted with at least one C1_6 alkyl, C1_6 alkoxy, C2-6 alkenyl, C2-6alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-10 aryl, to 7 membered heteroaryl, -ORP, -0C(0)RP, -C(0)NRPRP', -0S(0)RP, -0S(0)2RP, -SRP,-S(0)RP, -S(0)2RP, -S(0)NRPRP', -S(0)2NRPRP', -0S(0)NRPRP', -0S(0)2NRPRP', -NRPRP',-NRPC(0)Rq, -NRPC(0)0Rq, -NRPC(0)NRqRq', -NRPS(0)Rq, -NRPS(0)2Rq, -NRPS(0)NRW, -NRPS(0)2NRW', -C(0)RP, -C(0)ORP or -C(0)NRPRP.
53. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 50, characterized in that Rx7and RxT are independently selected from H, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6-10 aryl, 5 to 7 membered heteroaryl, -OW, -0C(0)W, -0C(0)NW R", -0S(0)W, -0S(0)2W, -SW, -S(0)W, -S(0)2W, -S(0)NWR", -S(0)2NW R", -0S(0)NW R", -0S(0),NW R", -NWR", -NWC(0)Rs, -NWC(0)0Rs, -NWC(0)NRsRs', -NWS(0)Rs, -NWS(0)2Rs, - NWS(0)NRsRs', -NWS(0)2NRsRs, -C(0)W, -C(0)0Rs or -C(0)NWR"; Rx7 and RxT are independently selected from among H, C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6-10 aryl, or 5 to 7 membered heteroaryl, and are additionally substituted by C1_6 alkyl, C2_6 alkenyl, C2-6 alkynyl, C3-6 cycloalkyl, 3 to 7 membered heterocycloalkyl, C6-10 aryl, 5 to 7 membered heteroaryl, -01e, -0C(0)Rt, -0C(0)NRtie, -0S(0)Rt, -0S(0)2Rt, -Sle, -S(0)Rt, -S(0)21e, -S(0)NRtR", -S(0),NRtie, -0S(0)NRtR", -0S(0),NRtR", -NieR", -NRtC(0)Ru, -NleC(0)0R",-NleC(0)NIVR', -NRtS(0)Ru, -NRtS(0)21V, -NRtS(0)NR" R', -NRtS(0)2NIVR', -C(0)Rt, -C(0)0Rt or -C(0)NR tR"; and the Rr, RI', Rs, Rs', Rt, Re, R`T and R'" are independently selected from among H, C1-7 alkyl, C2_7 alkenyl, C2_7 alkynyl, C3-13 cycloalkyl, 3 to 7 membered heterocycloalkyl, C5-10 aryl, and 5 to 7 membered heteroaryl.
54. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 50, characterized in that the Rx6 is C3-12 alkylene, C3-12 alkenylene or C3-12 FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 heteroalkylene, with the RX6 substituted by -NH2, -NHRm, -NHC(0)Rm, -NHC(0)CH2, [OCH2CH2].-Rxx, or ¨[CH2CH20].-Rxx;the Rxx is H, OH, N3, CN, NO2, SH, NH2, ONH2, NHNH2, halo, C1-8 alkyl, C3-8 cycloalkyl, C1-8 alkoxy, C1-8 alkylthio, C3_20 heteroaryl, C5_20 aryl or mono- or di-C1_8 alkyl amino; and n is an integer of 1 through 6.
55. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 50, characterized in that the active agent is a pyrrolobenzodiazepine dimer denoted by General Formula XII or General Formula XIII;
[General Formula XII]
-G' G W1.
Nikb I. (nys x, x. x Rxs, 1 tem. Rxs 1 R"
N
..-9.
& N 1161 RX. Rx41.1 Rx1. ," le au, Rx2 0 Rx7. R"
[General Formula XIII]
I-G' (Z G
Illit 11 lit qx, x.. x.
)i. 1 x zw . N,/,..R". õR._ Rx3 L 8 215 Za , N
R ZIP Y
, , -RX7 okx2. R. 0 Rx7 Xa and Xa' are independently selected from a bond or C1_6 alkylene;
Zx' and Zx are independently selected from among hydrogen, C1-8 alkyl, halogen, cyano, nitro, 0 14 R' Q,. - R t 30 I ' VVIA0 or ¨(CH2)m-OCH3;
, FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 the respective R80' R9 and R1 are selected from among hydrogen, C1-8 alkyl, C2_6 alkenyl and C1-6 alkoxy; and m is an integer of 0 to 12.
56. The antibody conjugate or a pharmaceutically acceptable salt or solvate thereof according to Claim 1, characterized in that the active agent is selected from among the group comprising:
H H
0 t 4 '-'"" 0 Mt 0 HO ylr 1 OH
J N
0,....,............-..õ.0 OMe WO 1111 --41411141 H

HO:C f At IHO:C 0 4 õ 0111 HO I i OH
Nih--bs 0 .,...,..-N......,=-=,...,0 meo 110 H
N M*
N O

FIMOSTON5259862.1 Date Recue/Date Received 2021-08-09 CO2Me 0 ,, TI HoiC 0 At,- HIV 0 , 8 IMO " 'OH '''tI91F
' N TO
= õ,,e,0 KO ' OH
ft 0%0, =

Lat.
Neo lir d, N
0 i 43 ''. IN. 140Me 0 ,, HOiC 0 it sisl!
HO
= No 0 HO2C
RPJ H 'OH 0' , MO I T ON
:1106..Npoõ...õ.N0,,,N.,,,Ort40)5146, OMe Me0 =:=, *
NO.0 7 ,, .07 A
HO iii kitot,,..eto0 .4weNotwis ,= 0 0 = 0 064 . 1-PI OM' WO

H
0 ,,, 0 NN/0.0401.
HOCyOyO HOIC70 iii HO'? .04 Milli` He ... OH
= sop 046õ,0 HO r 1 OH
Mk Pidle0 41Ir , N

Date Recue/Date Received 2021-08-09 H H
0 N.,õ.., tome HO:CV=0 HO.Cscy is HO' "OH IV HO" **OH
OH 0 o ci ,.õ, 0 HO f 1 OH
N -:(/e_,,3,,,, ,H
:... 4.d--N a 0,...õ..........õ,....õ..0 .
N "WI OMe Me H H
0 N '''''' OM e 0 N .,......."...04-.N.,,, N 3 H O:C 0 0 HOI,C crp 40 HO .' " OH
4.(if OH 0 ,..0 OH 0 ...,. 0 2d. '44 410 0 "=,"'''N= $0 N 0 Meeo , N ".4N

H 0p 7) HOC 0 HO ' ' OH HO:' .. 0 OH
OH 0 .,..0 H/eN IN * N-.1,4-Sis.,4 H H .
0 N''OMe HO:CV0C. , a Ho:ccip imi, HO .* "OH "P. HO*. .'' OH "Ilij OH 0 ,..,40 OH 0...,0 N -..,.N.
O.../"./"N.., *I

FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 H H , CI --,-""'` OM e 0 N ,,,,..N., N 3 H 0:C y 0 yp,O so H OS 4i(Or0 at HO y. OH HO''' OH 0 ,0 OH 0 0 y N
0 .õ,..,....õ.õ...õ,., 0 0111 (00 01/le M e0 H
%

H H .
0 N NN,'"N-OM e 0 N.,,,,.,,,,.N

H 0:C c)D git H 0:C 7.
H 0 ' ." 0 H lit*P H 0 e *. 0 H
H 0 õ,,C) HO I I OH
0 ,,,.....",.....õ..-...õ...0 : =,,4,.',. :4 , uso am OM e M e0 H H , O N -.., ¨ 0 Me 0 H 0 N...VO4NH.

HO
H:Xj.Q0H = H1714XCIOH 4111 0...,0 HO I OH
ioid! 0 ...../..õ.õ...,,,O is i, N 0 Me Me0 .

H H
O s., N ,..., 0 OM e .

H 0 :CTO 040 HOV 0H 411 HO 's4T:11 *.' OH
H 0 0 OH 0 ,,,õ 0 HO I p.1 OH
N OM e M e0 o 6 FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 , 0 Xirki 0 MIC's'N'eN0'^N''AINI N/A N H H
H .i 0 N ,,...0 +N H:
0 = 3 110 H 0:C H ,r,, oz. 0 0 ' 'CH

HO 1.,,, 1 OH
:;,.t. N
N OMe H H
0 N ====1".() ii e 0 N ./....0 4.¨N H2 .
a HO 2C itrO ,p y, * HO 2C 7 HO '' .10 H HO '''.(0 H *
0 H 0 ,õ.e,0 0 H 0 .õ() HO f 1 0 H
N N
., N OMe Me N ,,, M e0 0 M e H H H 0 .
0 N . ,,,-,õ
¨ OM e 0 N ..,..,,,,-....õN y.."...
1...
HO:C 73 H 0:C c,=,5:1 411 0 HO 'OH 4111 HO . ' OH

0 * N -- iSaii N OM e M e0 N

H:N,õ _ , 0 N .õ,,..0 ma 0, HO,C 0 0 HC10,r,..:()TO At 0 HOTJOH 411:1 HO' *.OH ..'*÷.
OH 0 ,C:) OH 0 HO 1 2, OH
........
, FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 H , H H H : P 0 0 I'L =,...
-,- OM e 0 N
HOST:Ai!) 0 H 0.0 0 0 An 0 HO OH H O'VOH IIN"Pj H 0,..,0 H 0 ,y0 ai N --Sri.
OM e M 450 111=9 /

H H .

s'==00,eis, 0 N
HO...0 :ziO H 014 (...r.:2=2 . Sik HO ''.0H * H 0".. = CH
..,,e,0 HO I I CH
FL,ZA 401 .,,y=.,- . N'''*<4 N NH
OW L WO
0 ra 0 0,,,,....Ø.........,.Ø...........,,, H H , 0 NN"-%.0 M e 0 HO 2O sr.,:rr HOZC iisci. iit HO ** '0 H IF HO = ..*0 H IIIPP
0 H O õs0 0 H O õ,.,0 HO i I 0 H
N N

0 M e NH
1 L Me0 0 r0 0 ----~.0'^--- -NH2 0 -N H:
H H , 0 N , ,....
¨. 01,4 e C\ me) =",/N O
HO:C.õcrM o < Ali 0, ICI ,CO,H
HO

4"JHO")*N.%0H
' 'O
N

HO .YO 0 y = _ N wall 0,,,,,,0ts&
0 Me Me0 FHBOSTON5259862.1 Date Recue/Date Received 2021-08-09 0 ''' 11.0,1110 0 ,. 114 4Ø1No4:2".õ1112 ' H 0:C 0 ,. HO:C 0 = MI, HO OH HO
H
47.0 = a 00 H 0 1- ro a _. 0A ii 0)04 0 N iii-µ Om. , -,- me0 . 0 0 õ,.....0õ.

HO:C 0 H 0 ' ."OH Mil) ' H
Ts?õ
oyo HO' soli H ovo rµo Niti thi of%1 dp0 14),00 0 Cl ir OU 0 M 00 111" i N4 N

H and 0 , N N..", Om e 0 ,,, HO:C4,,;,. ..0,190 )) 4 3 HO .. OH 11111P) NO
H 01020 0,u, 0 N N
...- 0,/,.....õ"õ4,0 16 .11,Lei4.
N lir OM e moo 1PF5 N
i .$ 0 o o o OW
(1)4411NooNsellrOv^e=Nr0.0"06NAli",v=AN
1'7 147 ND "ON* NO ON
IN =O
04 Ho t h, 1 0H
:01671giXI

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09
57. A pharmaceutical composition for prevention or treatment of proliferative, cancer or angiogenetic disease, the composition comprising the antibody conjugate of Claim 1.
58. The pharmaceutical composition of Claim 57, further comprising a pharmaceutically efficacious amount of chemotherapeutic agent.
59. The pharmaceutical composition of Claim 57, characterized in that the cancer is selected from the group comprising lung cancer, small cell lung carcinoma, gastrointestinal cancer, colon cancer, intestinal cancer, breast cancer, ovarian cancer, prostate cancer, testicular cancer, liver cancer, kidney cancer, bladder cancer, pancreatic cancer, brain cancer, sarcoma, osteosarcoma, Kaposi's sarcoma and melanoma.
60. A method for prevention of proliferative, cancer or angiogenetic disease, the method comprising a step of administering an individual with a pharmaceutically efficacious amount of the conjugate of Claim 1.
61. A method for treatment of proliferative, cancer or angiogenetic disease, the method comprising a step of administering an individual with a pharmaceutically efficacious amount of the conjugate of Claim 1.
62. A use for the conjugate of Claim 1 as a pharmaceutical composition for prevention or treatment of proliferative, cancer or angiogenetic disease.

HIBOSTON5259862.1 Date Recue/Date Received 2021-08-09
CA3129581A 2019-03-06 2020-03-05 Antibody-drug conjugates including antibody against human dlk1, and use thereof Pending CA3129581A1 (en)

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