EP1227849A2 - Actinium-225 complexes and conjugates for radioimmunotherapy - Google Patents

Actinium-225 complexes and conjugates for radioimmunotherapy

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Publication number
EP1227849A2
EP1227849A2 EP01922246A EP01922246A EP1227849A2 EP 1227849 A2 EP1227849 A2 EP 1227849A2 EP 01922246 A EP01922246 A EP 01922246A EP 01922246 A EP01922246 A EP 01922246A EP 1227849 A2 EP1227849 A2 EP 1227849A2
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EP
European Patent Office
Prior art keywords
hydrogen
independently
group
proviso
alkyl
Prior art date
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EP01922246A
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German (de)
French (fr)
Inventor
Dangshe Ma
Michael R. Mcdevitt
David A. Scheinberg
Jaime Simon
Garry E. Kiefer
R. Keith Franck
Gyongyi Gulyas
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Dow Chemical Co
Memorial Sloan Kettering Cancer Center
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Individual
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Publication of EP1227849A2 publication Critical patent/EP1227849A2/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04Organic compounds
    • A61K51/08Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins
    • A61K51/10Antibodies or immunoglobulins; Fragments thereof, the carrier being an antibody, an immunoglobulin or a fragment thereof, e.g. a camelised human single domain antibody or the Fc fragment of an antibody
    • A61K51/1093Antibodies or immunoglobulins; Fragments thereof, the carrier being an antibody, an immunoglobulin or a fragment thereof, e.g. a camelised human single domain antibody or the Fc fragment of an antibody conjugates with carriers being antibodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04Organic compounds
    • A61K51/0474Organic compounds complexes or complex-forming compounds, i.e. wherein a radioactive metal (e.g. 111In3+) is complexed or chelated by, e.g. a N2S2, N3S, NS3, N4 chelating group
    • A61K51/0482Organic compounds complexes or complex-forming compounds, i.e. wherein a radioactive metal (e.g. 111In3+) is complexed or chelated by, e.g. a N2S2, N3S, NS3, N4 chelating group chelates from cyclic ligands, e.g. DOTA
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04Organic compounds
    • A61K51/0497Organic compounds conjugates with a carrier being an organic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04Organic compounds
    • A61K51/08Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins
    • A61K51/10Antibodies or immunoglobulins; Fragments thereof, the carrier being an antibody, an immunoglobulin or a fragment thereof, e.g. a camelised human single domain antibody or the Fc fragment of an antibody
    • A61K51/1027Antibodies or immunoglobulins; Fragments thereof, the carrier being an antibody, an immunoglobulin or a fragment thereof, e.g. a camelised human single domain antibody or the Fc fragment of an antibody against receptors, cell-surface antigens or cell-surface determinants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

Definitions

  • This invention relates to actinium-225 ( 25 Ac) complexes with fuctionalized chelants, their conjugates and their use for radioimmunotherapy.
  • radionuclides co plexed with suitable chelants as well as their conjugates (that is, such complexes covalently attached to a biologically active carrier, for example, protein) for diagnosis of cancer and/or therapeutic treatment of cancer in mammals is known.
  • biochemically engineered molecules provide the tumor specificity and the radioisotope provides potent cytotoxicity . See, for example, U.S. Patent Nos. 4,897,254; 5,342,925; 5,435,990; 5,652,361; 5,696,239; and 5,756,065.
  • alpha particles would allow extraordinary potent, single cell-specific killing with minimal toxicity to normal cells or the patient.
  • the use of alpha particles as an alternative to more traditional classes of radiation is derived from the particle's kinetic characteristics and the radioactive half-life of their source isotope, as well as from the properties of the target-selective carrier moiety for the source isotope.
  • alpha emitting radionuclides are highly desirable for the following reasons: (a) a single atom can kill a cell making them hundreds to thousands of times more potent than even the most potent toxins or drugs; (b) the range of alpha particles is only about 50 microns, so that adjacent tissues are not harmed; (c) the chelated atoms on humanized antibodies are unlikely to be immunogenic and can be repeatedly dosed;
  • mice inoculated intraperitoneally with the murine tumor line EL-4 were cured of their ascites after intraperitoneal injection of 150 ⁇ Ci of a 212 Bi-labeled antibody conjugate, see, for example, R. M. Macklis et al, Science, Vol. 240, pp. 1024-1026 (1988).
  • chelating agents such as, for example, 1, 4, 7, 10-tetra- azacyclododecane-1, 4, 7, 10-tetraacetic acid (DOTA) , diethylenetriaminepentaacetic acid (DTPA) , ethylene- diaminetetracetic acid (EDTA), 1, 4, 7 , 10, 13-pentaazacyclo- pentadecane-1, 4, 1 , 10, 13-pentaacetic acid (PEPA) , and 1,4,7,10,13, 16-hexaazacyclohexadecane-l, 4, 7, 10, 13, 16- hexaacetic acid (HEHA) have been complexed with 225 Ac and evaluated in vivo for toxicity and stability. However, the toxicity of these complexes has proved to be still substantial .
  • EDTMP ethylenedia inetetra- ethylenephosphonic acid
  • the study has found that EDTMP, depending on its concentration, reduces the liver uptake. However, the liver uptake of 225 Ac-EDTMP is still substantial and excretion of 225 Ac-EDTMP is poor.
  • the study has also suggested that greater efficacy in endoradionuclide therapy of bone metastasis can be expected with the use of 225 Ac-EDTMP due to the alpha-radiation.
  • conjugates of such 225 Ac complexes with a biological molecule would provide the ttuummoorr ssppeecciiffiicciittyy aarnd the 225 Ac isotope would provide potent cytotoxicity.
  • conjugates Another desirable property of these conjugates includes physiological compatibility which would permit the 225 Ac complex, if separated from its targeting, conjugated biological molecule in vivo, to be soluble in physiological fluids and thus be rapidly eliminated from the body.
  • the present invention is directed to 225 Ac complexes and their conjugates with a biological molecule.
  • the 225 Ac compelexes and conjugates of the present invention are useful for the treatment of cancer in mammals, especially humans .
  • the present invention is directed to 225 AAcc ccoommpplleexxeess ccoommpprriissiiing a functionalized chelant compound of the formula (I)
  • each Q is independently hydrogen or (CHR 5 ) p C0 2 R;
  • Q 1 is hydrogen or (CHR 5 ) w C0 2 R; each R independently is hydrogen, benzyl or C ⁇ -C alkyl; with the proviso that at least two of the sum of Q and Q 1 must be other than hydrogen; each R 5 independently is hydrogen; C3.-C 4 alkyl or (Ci-
  • X and Y are each independently hydrogen or may be taken with an adjacent X and Y to form an additional carbon-carbon bond; n is 0 or 1; m is an integer from 0 to 10 inclusive; p is 1 or 2; r is 0 or 1; w is 0 or 1; with the proviso that n is only 1 when X and/or Y form an additional carbon-carbon bond, and the sum of r and w is 0 or 1; L is a linker/spacer group covalently bonded to, and replaces one hydrogen atom of one of the carbon atoms to which it is joined, said linker/spacer group being represented by the formula
  • the present invention is also directed to a conjugate compriissiinngg tthhee aaffoorreemmeennttiioonneedd 222255 AAcc complex covalently attached to a biological molecule.
  • the present invention also includes formulations having the conjugates of this invention and a pharmaceutically acceptable carrier, especially formulations where the pharmaceutically acceptable carrier is a liquid.
  • the present invention is also directed to a method of therapeutic treatment of a mammal having cancer which comprises administering to said mammal a therapeutically effective amount of the formulation of this invention.
  • the 225 Ac complexes and conjugates of this invention are relatively stable (that is, do not easily dissociate) and some display rapid clearance from the whole body and some non-target organs, such as liver and kidney. Additionally, the alpha-particles emitting 25 Ac complexes and conjugates of this invention are expected to have several advantages over beta particle- emitting cytotoxic agents including higher energy and more potent emissions, less hazardous waste, expected lower effective dose, the potential for outpatient treatment, better retention at the target sites, and higher target to non-target radiation ratios.
  • 225 Ac complex refers to a functionalized chelant compound of formula I complexed with 225 Ac radionuclide .
  • 2 Ac conjugate refers to 225 Ac complex of the present invention that is covalently attached to a biological molecule.
  • the term “mammal” means animals that nurish their young with milk secreted by mammary glands, preferably humans.
  • biological molecule refers to any protein, antibody, antibody fragment, hormone, peptide, growth factor, antigen, hapten or any other carrier which functions in this invention to recognize a specific biological target site.
  • Antibody and antibody fragment refers to any polyclonal, monoclonal, chimeric, human, mammalian, single chains, dimeric and tetrameric antibody or antibody fragment.
  • Such biological molecule when attached to a functionalized complex, serves to carry the attached 225 Ac ion to specific targeted tissues.
  • antibody refers to any polyclonal, monoclonal, chimeric antibody or heteroantibody .
  • the antibodies used in the 225 Ac conjugates of the present invention are monoclonal antibodies having high specificity for the desired cancer cells .
  • Antibodies used in the present invention may be directed against, for example, cancer, tumors, leukemias, autoimune disorders involving cells of the immune system, normal cells that need to be ablated such as bone marrow and prostate tissue, virus infected cells including HIV, mycoplasma, differentiation and other cell membrane antigens, patogen surface antigens and any biologically active molecules .
  • HuM195 anti-CD33
  • CC-11, CC-46,CC-49, CC-49 F(ab') 2 , CC-83, CC-83 F(ab') 2 , and B72.3 Particularly preferred antibody for use in the practice of the present invention is HuM195.
  • Antibody fragment includes Fab fragments and F(ab') 2 fragments, and any portion of an antibody having specificity toward a desired epitope or epitopes .
  • the antibodies which may be used in the 225 Ac conjugates of the present invention can be prepared by techniques well known in the art.
  • pharmaceutically acceptable salt means any salt of a compound of formula (I) which is sufficiently non-toxic to be useful in therapy of mammals.
  • salts which are formed by standard reactions, from both organic and inorganic sources include, for example, sulfuric, hydrochloric, phosphoric, acetic, succinic, citric, lactic, maleic, fumaric, palmitic, cholic, palmoic, mucic, glutamic, d-camphoric, glutaric, glycolic, phthalic, tartaric, formic, lauric, steric, salicylic, methanesulfonic, bensenesulfonic, sorbic, picric, benzoic, cinnamic and other suitable acids.
  • salts formed by standard reactions from both organic and inorganic sources such as ammonium, alkali metal ions, alkaline earth metal ions, and other similar ions.
  • the term "therapeutically effective amount” means an amount of the 225 Ac conjugate that produces a therapeutic effect on the disease treated.
  • the therapeutically effective amount will vary depending on the mammal, the 225 Ac conjugate and the method of its administration (for example, oral or parenteral) .
  • a person of ordinary skill in the art can determine the therapeutically effective amount of the 225 Ac conjugate.
  • the 225 Ac conjugate may be administered per se or as a component of a pharmaceutically acceptable formulation.
  • the present invention may be practiced with the 225 Ac conjugate being provided in pharmaceutical formulation, both for veterinary and for human medical use.
  • Such pharmaceutical formulations comprise the active agent (the 225 Ac conjugate) together with a physiologically acceptable carrier, excipient or vehicle therefore.
  • the carrier (s) must be physiologically acceptable in the sense of being compatible with the other ingredient (s) in the formulation and not unsuitably deleterious to the recipient thereof.
  • the 225 Ac conjugate is provided in a therapeutically effective amount, as described above, and in a quantity appropriate to achieve the desired dose.
  • the formulations include those suitable for parenteral (including subcutaneous, intramuscular, intraperitoneal, and intravenous), oral, rectal, topical, nasal, or ophthalmic administration.
  • Formulations may be prepared by any methods well known in the art of pharmacy. Such methods include the step of bringing the 225 Ac conjugate into association with a carrier, excipient or vehicle therefore.
  • the formulation may be prepared by uniformly and intimately bringing the 25 Ac conjugate into association with a liquid carrier, a finely divided solid carrier, or both, and then, if necessary, shaping the product into desired formulation.
  • formulations of this invention may further include one or more accessory ingredient (s) selected from diluents, buffers, binders, disintegrants, surface active agents, thickeners, lubricants, preservatives, and the like.
  • a treatment regime might include pretreatment with non-radioactive carrier.
  • Injectable formulations of the present invention may be either in suspensions or solution form.
  • suitable formulations it will be recognized that, in general, the water solubility of the salt is greater than the acid form.
  • a physiologically acceptable carrier Such carriers comprise a suitable solvent, preservatives such as free radical quenching agents, for example, ascorbic acid, benzyl alcohol or any other suitable molecule, if needed, and buffers.
  • suitable solvents include, for example, water, aqueous alcohols, glycols, and phosphonate or carbonate esters. Such aqueous solutions contain no more* than 50 percent of the organic solvent by volume.
  • Injectable suspensions are compositions of the present invention that require a liquid suspending medium, with or without adjuvants, as a carier.
  • the suspending medium can be, for example, aqueous polyvinylpyrrolidone, inert oils such as vegetable oils or highly refined mineral oils, polyols, or aqueous carboxymethylcellulose .
  • Suitable physiologically acceptable adjuvants, if necessary to keep the complex in suspension may be chosen from among thickeners such as carboxymethylcellulose, polyvinylpyrrolidone, gelatin, and the alginates.
  • surfactants are also useful as suspending agents, for example, lecithin, alkylphenol, polyethyleneoxide adducts, naphthalenesulfonates, alkylbenzenesulfonates, and polyoxyethylene sorbitane esters .
  • the terms "functionalized chelant” and "bifunctional chelant” are used interchangeably and refer to compounds which have the dual functionality of sequestering metal ions plus the ability to covalently bind a biological molecule having specificity for tumor cell epitopes or antigens. Such compounds are of great utility for therapeutic and diagnostic applications when they are, for example, complexed with radioactive metal ions and covalently attached to a specific antibody. These types of complexes have been used to carry radioactive metals to tumor cells which are targeted by the specificity of the attached antibody [see, for example, Mears et al . , Anal . Biochem . 142, 68-74 (1984); Krejcarek et al . , Biochem. And Biophys , Res. Comm. 77, 581-585 (1977)].
  • R 2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
  • R 3 is selected from the group consisting of C ⁇ C 4 alkoxy, -OCH 2 C0 2 H, hydroxy and hydrogen;
  • R 4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; with the proviso that R 2 and R 4 cannot both be hydrogen but one of R 2 and R 4 must be hydrogen; or a pharmaceutically acceptable salt thereof; are preferred functionalized chelants.
  • Preferred functionalized chelant compounds of formula I include also those compounds where Q 1 is hydrogen and L is represented by formula A as shown by formula II:
  • each Q independently is hydrogen or CHR 5 COOR; with the proviso that at least two of Q must be other than hydrogen each R independently is hydrogen benzyl or C 1 -C 4 alkyl; m is integer from 0 to 5 inclusive;
  • R 2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
  • R 3 is selected from the group consisting of C 1 -C 4 alkoxy, -OCH 2 COOH, hydroxy and hydrogen;
  • R 4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R 5 independently is hydrogen or C ⁇ -C 4 alkyl; with the proviso that R 2 and R 4 cannot both be hydrogen but one of R 2 and R 4 must be hydrogen; or a pharmaceutically acceptable salt thereof.
  • Additional preferred functionalized chelant compounds of formula I include those compounds where at least one Q is hydrogen and are represented by formula III:
  • each Q independently is hydrogen or CHR 5 COOR
  • Q 1 is hydrogen or (CHR 5 ) w C0 2 R; with the proviso that at least two the sum of Q and Q 1 must be other than hydrogen and one Q is hydrogen; each R independently is hydrogen benzyl or C1-C 4 alkyl; m is integer from 0 to 5 inclusive; w is 0 or 1;
  • R 2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
  • R 3 is selected from the group consisting of C 1 -C 4 alkoxy, -OCH 2 COOH, hydroxy and hydrogen;
  • R 4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R 5 independently is hydrogen or C1-C 4 alkyl; with the proviso that R 2 and R 4 cannot both be hydrogen but one of R 2 and R 4 must be hydrogen; a pharmaceutically acceptable salt thereof.
  • each Q independently is hydrogen or CHR s 5°Cr00R; with the proviso that at least one Q must be other than hydrogen; each R independently is hydrogen benzyl or C 1 -C 4 alkyl; m is integer from 0 to 5 inclusive;
  • R 2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
  • R 3 is selected from the group consisting of C 1 -C 4 alkoxy, -OCH 2 COOH, hydroxy and hydrogen;
  • R 4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
  • each R 5 independently is hydrogen or C 3. -C 4 alkyl; with the proviso that R 2 and R 4 cannot both be hydrogen but one of R 2 and R 4 must be hydrogen; or a pharmaceutically acceptable salt thereof,
  • the functionalized chelants of formula I useful in the practice of the present invention can be prepared by known methods .
  • General synthetic approach to a twelve- membered macrocyclic, bifunctional chelant of the present invention as represented by formula I involves monofuctionalization of a free-base macrocycle (for example, 1, 4, 7, 10-tetraazacyclododecane) at only one of the nitrogen atoms with an appropriate electrophile (for example, any appropriately substituted alpha- halocarboxylic acid ester) .
  • This electrophile must possess a suitable linker moiety which would allow covalent attachment of bifunctional ligand to a biological molecule.
  • Various synthetic routes to functionalized chelants of formula I have been described U.S. Patent Nos. 5,435,990 and 5,652,361, both incorporated herein by reference.
  • 225 Ac radionuclide is not critical to the present invention.
  • 225 Ac can be prepared in a cyclotron.
  • 225 Ac can be obtained in pure form from Department of Energy (DOE), U.S.A., and
  • the 225 Ac conjugates of the present invention can be prepared by first forming the complex and then binding the biological molecule.
  • the process involves preparing or obtaining the ligand, forming the complex with 225 Ac and then adding the biological molecule.
  • the process may involve first conjugation of the ligand to the biological molecule and then the formation of the complex with 225 Ac . Any suitable process that results in the formation of the 225 Ac conjugates of this invention is within the scope of the present invention.
  • BFC bifunctional chelant
  • DOTA 1,4,7,10 tetraazacyclododecane-1,4,7,10- tetraacetic acid
  • MeO-DOTA-NCS 1- [ (2-methoxy ⁇ 5-isothiocyanato- phenyl) -carboxymethyl] -4,7, 10-triscarboxy- methyl-1, 4,7, 10-tetraazacyclododecane;
  • TMAA tetramethyl ammonium acetate buffer
  • Sephadex C-25 resin is a cation exchange resin, sold by Pharmacia Inc.
  • EDTA ethylenediaminetetraacetic acid
  • DTPA diethylenetriaminepentaacetic acid
  • TETA 1, 4, 8, 11-tetraazacyclotetradecane-l, 4, 8, 11- tetraacetic acid
  • DOTPA 1, 4,7, 10-tetraazacyclododecane-l, 4,7,10- tetrapropionic acid
  • TETPA 1, 4, 8, 11-tetraazacyclotetradecane-l, 4, 8, 11- tetrapropionic acid
  • DOTMP 1, 4, 6, 10-tetraazacyclodecane-l, 4, 7, 10- tetramethylenephosphonic acid.
  • the preparation of 225 Ac conjugates involved two steps. First, the 225 Ac complex was prepared by mixing a solution of the functionalized chelant compound of formula I with the solution of 225 Ac at pH of about 5-6 in a suitable buffer. The complex formation was tested using cation exchange chromatography. Then, the conjugation of the 225 Ac complex to a biological molecule (suitably an antibody) was carried out at the pH of about 8.5 in the presence of a suitable buffer. The antibody and the antibody 225 Ac complex conjugates were then separated from the unconjugated low molecular weight materials using gel filtration chromatography. The fraction of radioactivity associated with the antibody was then determined.
  • a biological molecule suitably an antibody
  • the ⁇ emission counting was performed using a 3-inch x 3-inch Nal well crystal utilizing the ⁇ emission of 225 Ac decay product 221 Fr (half-life of 4.8 min.) at 218 KeV. Counting was carried out half an hour after sample preparation.
  • MeO-DOTA-NCS 35 ⁇ l; 0.31 mg/ml
  • 225 Ac chloride solution 35 ⁇ l; 1.65 ⁇ Ci/ ⁇ l,
  • the pH was adjusted to about 5 using the TMAA buffer (130 ⁇ l , 0.2 M, pH about 6). Reaction mixture was incubated at about 50°C for one hour. Complex formation was checked by cation exchange chromatography employing the Sephadex C-25 resin and it was determined that 99 percent of 225 Ac was complexed.
  • HuMl95 (or B4) monoclonal antibody solution was mixed with 0.05 M HEPES containing EDTA at about pH 8 and dialysed against 0.05 M HEPES buffer for 24 hours in an Amicon stirred cell dialysis unit to remove any metal ions associated with antibodies.
  • the immunoconjugate was recovered from the stirred cell and characterized using a size exclusion high pressure liquid chromatography (HPLC) . This was compared to the native HuMl95 or B4.
  • Antibody concentration was determined by UV-absorption at 280 nM.
  • the immunoconjugates could be labeled readily with 1:L1 In showing success of the conjugation reaction.
  • 1:L1 In For example, approximately 400 ⁇ Ci of m In in 200 ⁇ l of 0.2 M HC1 was mixed with 29 ⁇ l of ammonium acetate (3M) and 9 ⁇ l of J-ascorbic acid (150 mg/ml) to adjust the pH to 5.0 and then 0.5 mg of HuM195-MeO-DOTA-NCS immunoconjugate was added. The reaction was allowed to progress at 37°C for 60 minutes. An 87% reaction yield was obtained.
  • Example 4 Labeling of HuMl95-MeO-DOTA
  • the three 225 Ac-HuM195-MeO-DOTA solutions from Example 4 were combined and challenged with 20 ⁇ l of 10 mM DTPA to remove unbounded metals. 100 ⁇ l of 1-ascorbic acid (150 mg/ml) was added as a radioprotection agent. The solution was purified through a 10-DG desalting column (Bio-Rad company) to separate 225 Ac-HuMl95-MeO-DOTA from unreacted
  • the purified 225 Ac-HuM195-MeO-DOTA was assessed for stability in different media such as 1% and 25% albumin (human) and 1% and 25% human serum at 37°C. Overall stability half-lives of 225 Ac-HuMl95-MeO-DOTA in either albumin (human) at 4 °C or human serum at 37 °C exceeded 150 days.

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Abstract

Actinium-225 (225Ac) complexes with functionalized chelants of the formula (I) wherein: each Q is independently hydrogen or (CHR5)pCO2R; Q1 is hydrogen or (CHR5)wCO2R; each R independently is hydrogen, benzyl or C1-C4 alkyl; with the proviso that at least two of the sum of Q and Q1 must be other than hydrogen; each R5 independently is hydrogen; C¿1?-C4 alkyl or (C1-C2 alkyl)phenyl; X and Y are each independently hydrogen or may be taken with an adjacent X and Y to form an additional carbon-carbon bond; n is 0 or 1; m is an integer from 0 to 10 inclusive; p is 1 or 2; r is 0 or 1; w is 0 or 1; with the proviso that n is only 1 when X and/or Y form an additional carbon to carbon bond, and the sum of r and w is 0 or 1; L is a linker/spacer group covalently bonded to, and replaces one hydrogen atom of one of the carbon atoms to which it is joined, said linker/spacer group being represented by the formula (1) wherein s is an integer of 0 or 1; t is an integer of 0 to 20 inclusive; R?1¿ is an electrophilic or nucleophilic moiety which allows for covalent attachment to an antibody or fragment thereof, or synthetic linker which can be attached to an antibody or fragment thereof, or precursor thereof; and Cyc represents a cyclic aliphatic moiety, aromatic moiety, aliphatic heterocyclic moiety, or aromatic heterocyclic moiety, each of said moieties optionally substituted with one or more groups which do not interfere with binding to an antibody or antibody fragment; with the proviso that when s, t, m, r, and n are 0, then R1 is other than carboxyl; their pharmaceutically acceptable salts, their conjugates and the use thereof for radioimmunotherapy is disclosed.

Description

ACTINIUM-225 COMPLEXES AND CONJUGATES FOR RADIOIMMUNOTHERAPY
FIELD OF THE INVENTION
This invention relates to actinium-225 ( 25Ac) complexes with fuctionalized chelants, their conjugates and their use for radioimmunotherapy.
BACKGROUND OF THE INVENTION
The use of radionuclides co plexed with suitable chelants, as well as their conjugates (that is, such complexes covalently attached to a biologically active carrier, for example, protein) for diagnosis of cancer and/or therapeutic treatment of cancer in mammals is known. These biochemically engineered molecules provide the tumor specificity and the radioisotope provides potent cytotoxicity . See, for example, U.S. Patent Nos. 4,897,254; 5,342,925; 5,435,990; 5,652,361; 5,696,239; and 5,756,065.
It has been recognized that antibody-targeted alpha particles would allow extraordinary potent, single cell- specific killing with minimal toxicity to normal cells or the patient. The use of alpha particles as an alternative to more traditional classes of radiation is derived from the particle's kinetic characteristics and the radioactive half-life of their source isotope, as well as from the properties of the target-selective carrier moiety for the source isotope. The use of alpha emitting radionuclides is highly desirable for the following reasons: (a) a single atom can kill a cell making them hundreds to thousands of times more potent than even the most potent toxins or drugs; (b) the range of alpha particles is only about 50 microns, so that adjacent tissues are not harmed; (c) the chelated atoms on humanized antibodies are unlikely to be immunogenic and can be repeatedly dosed;
(d) the radioactive atoms decay to harmless stable atoms;
(e) killing can occur from inside or outside of the cell;
(f) killing is by apoptosis and by double stranded DNA breaks and repair is not likely.
Specific cytotoxic effects of "alpha particle- emitting radioimmunoconjugates" have been demonstrated in several experimental systems. Specific in vitro cell- killing has been demonstrated against a human epidermoid cell line using 213Bi- and 225Ac-containing immunoconjugates, see, for example, Kaspersen et al, Nuclear Medicine Communica tions, Vol. 15, pp. 468-476 (1995) . Efficient and specific cell kill by the 212Bi- labeled anti-Tac (CD25) monoclonal antibody has been demonstrated against an adult T-cell leukemia cell line in vi tro, see, for example, R. W. Kozak et al, Proc . Natl . Acad. Sci . USA, Vol. 83, pp. 474-478 (1986). In other experiments, mice inoculated intraperitoneally with the murine tumor line EL-4 were cured of their ascites after intraperitoneal injection of 150 μCi of a 212Bi-labeled antibody conjugate, see, for example, R. M. Macklis et al, Science, Vol. 240, pp. 1024-1026 (1988).
Potential for use of 225Ac in radiotherapy of cancer has also been recognized due to its favorable properties. This isotope decays with a radioactive half-life of 10 days into a cascade of short-lived alpha and beta-emitting isotopes. See, for example, M. W. Geerlings et al, Nuclear Medicine Communica tions, Vol. 14, pp. 121-125 (1993) and Kaspersen et al, Nuclear Medicine Communica tions, Vol. 15, pp. 468-476 (1995). However, the use of 225Ac in radioimmunotherapy has been hampered due to its toxicity and lack of a suitable carrier which will deliver it to the targeted cells. In an effort to reduce the toxicity of 225Ac, numerous chelating agents such as, for example, 1, 4, 7, 10-tetra- azacyclododecane-1, 4, 7, 10-tetraacetic acid (DOTA) , diethylenetriaminepentaacetic acid (DTPA) , ethylene- diaminetetracetic acid (EDTA), 1, 4, 7 , 10, 13-pentaazacyclo- pentadecane-1, 4, 1 , 10, 13-pentaacetic acid (PEPA) , and 1,4,7,10,13, 16-hexaazacyclohexadecane-l, 4, 7, 10, 13, 16- hexaacetic acid (HEHA) have been complexed with 225Ac and evaluated in vivo for toxicity and stability. However, the toxicity of these complexes has proved to be still substantial .
G. J. Beyer et al, Isotoperpraxis, Vol. 26, pp. 111- 114 (1990), has evaluated the in vivo uptake of 225Ac- citrate and compared it to 16Yb-citrate . This study has found that 225Ac-citrate had more efficient blood clearance, greater liver uptake, and lower bone uptake than 159Yb-citrate.
G. J. Beyer et al, Nucl . Med. & Biol . , Vol. 24, pp.
367-372 (1997), has evaluated EDTMP (ethylenedia inetetra- ethylenephosphonic acid) as a chelant for 225Ac. The study has found that EDTMP, depending on its concentration, reduces the liver uptake. However, the liver uptake of 225Ac-EDTMP is still substantial and excretion of 225Ac-EDTMP is poor. The study has also suggested that greater efficacy in endoradionuclide therapy of bone metastasis can be expected with the use of 225Ac-EDTMP due to the alpha-radiation.
K. A. Deal et al, J. Med. Chem . , Vol 42, pp. 298-2992 (1999) , has evaluated biodistribution of a number of 225Ac chelates. It has been observed that the structure of the chelant has dramatic effect on biodistribution of 225Ac . HEHA (1, 4, 7 , 10, 13, 16-hexaazacyclohexadecane-
1, 4, 7, 10, 13, 16-hexaacetic acid) was the largest macrocyclic chelant. 225Ac readily formed a complex with
HEHA. Exceptional in vivo stability and reduced toxicity has been observed for 225Ac-HEHA. This has been attributec to the large size and macrocyclic effect of HEHA.
Although various chelating agents were suggested and evaluated as carriers for 225Ac, up to now 225Ac has not been successfully chelated to an antibody and no successful therapeutic use of 225Ac in animals or humans has been reported presumably due to its inherent toxicity and/or stability problems of its complexes.
It would be desirable to provide complexes comprising 225Ac and functionalized chelants which are kinetically and thermodynamically inert for use in therapeutic applications .
It would also be desirable to provide conjugates of such 225Ac complexes with a biological molecule. The biological molecule in these conjugates would provide the ttuummoorr ssppeecciiffiicciittyy aarnd the 225Ac isotope would provide potent cytotoxicity.
Another desirable property of these conjugates includes physiological compatibility which would permit the 225Ac complex, if separated from its targeting, conjugated biological molecule in vivo, to be soluble in physiological fluids and thus be rapidly eliminated from the body.
SUMMARY OF THE INVENTION
The present invention is directed to 225Ac complexes and their conjugates with a biological molecule. The 225Ac compelexes and conjugates of the present invention are useful for the treatment of cancer in mammals, especially humans .
More specifically, the present invention is directed to 225AAcc ccoommpplleexxeess ccoommpprriissiiing a functionalized chelant compound of the formula (I)
wherein:
each Q is independently hydrogen or (CHR5)pC02R;
Q1 is hydrogen or (CHR5)wC02R; each R independently is hydrogen, benzyl or Cι-C alkyl; with the proviso that at least two of the sum of Q and Q1 must be other than hydrogen; each R5 independently is hydrogen; C3.-C4 alkyl or (Ci-
C2 alkyl) phenyl;
X and Y are each independently hydrogen or may be taken with an adjacent X and Y to form an additional carbon-carbon bond; n is 0 or 1; m is an integer from 0 to 10 inclusive; p is 1 or 2; r is 0 or 1; w is 0 or 1; with the proviso that n is only 1 when X and/or Y form an additional carbon-carbon bond, and the sum of r and w is 0 or 1; L is a linker/spacer group covalently bonded to, and replaces one hydrogen atom of one of the carbon atoms to which it is joined, said linker/spacer group being represented by the formula
wherein
s is an integer of 0 or 1; t is an integer of 0 to 20 inclusive; R1 is an electrophilic or nucleophilic moiety which allows for covalent attachment to an antibody or fragment of thereof, or synthetic linker which can be attached to an antibody or fragment thereof, or precursor thereof; and Cyc represents a cyclic aliphatic moiety, aromatic moiety, aliphatic heterocyclic moiety, or aromatic heterocyclic moiety, each of said moieties optionally substituted with one or more groups which do not ineterfere with binding to a biologically active carrier; with the proviso that when s, t, m, r, and n are 0, then R1 is other than carboxyl; or pharmaceutically acceptable salt thereof; complexed with 225Ac.
The present invention is also directed to a conjugate compriissiinngg tthhee aaffoorreemmeennttiioonneedd 222255AAcc complex covalently attached to a biological molecule.
The present invention also includes formulations having the conjugates of this invention and a pharmaceutically acceptable carrier, especially formulations where the pharmaceutically acceptable carrier is a liquid.
The present invention is also directed to a method of therapeutic treatment of a mammal having cancer which comprises administering to said mammal a therapeutically effective amount of the formulation of this invention.
Surprisingly, the 225Ac complexes and conjugates of this invention are relatively stable (that is, do not easily dissociate) and some display rapid clearance from the whole body and some non-target organs, such as liver and kidney. Additionally, the alpha-particles emitting 25Ac complexes and conjugates of this invention are expected to have several advantages over beta particle- emitting cytotoxic agents including higher energy and more potent emissions, less hazardous waste, expected lower effective dose, the potential for outpatient treatment, better retention at the target sites, and higher target to non-target radiation ratios.
DETAILED DESCRIPTION OF THE INVENTION
As used herein, the term "225Ac complex" refers to a functionalized chelant compound of formula I complexed with 225Ac radionuclide .
As used herein, the term "2Ac conjugate" refers to 225Ac complex of the present invention that is covalently attached to a biological molecule.
As used herein, the term "mammal" means animals that nurish their young with milk secreted by mammary glands, preferably humans. As used herein, the term "biological molecule" refers to any protein, antibody, antibody fragment, hormone, peptide, growth factor, antigen, hapten or any other carrier which functions in this invention to recognize a specific biological target site. Antibody and antibody fragment refers to any polyclonal, monoclonal, chimeric, human, mammalian, single chains, dimeric and tetrameric antibody or antibody fragment. Such biological molecule, when attached to a functionalized complex, serves to carry the attached 225Ac ion to specific targeted tissues. The term "antibody" refers to any polyclonal, monoclonal, chimeric antibody or heteroantibody . Preferably the antibodies used in the 225Ac conjugates of the present invention are monoclonal antibodies having high specificity for the desired cancer cells . Antibodies used in the present invention may be directed against, for example, cancer, tumors, leukemias, autoimune disorders involving cells of the immune system, normal cells that need to be ablated such as bone marrow and prostate tissue, virus infected cells including HIV, mycoplasma, differentiation and other cell membrane antigens, patogen surface antigens and any biologically active molecules . Some examples of antibodies are HuM195 (anti-CD33) , CC-11, CC-46,CC-49, CC-49 F(ab')2, CC-83, CC-83 F(ab')2, and B72.3. Particularly preferred antibody for use in the practice of the present invention is HuM195. Antibody fragment includes Fab fragments and F(ab')2 fragments, and any portion of an antibody having specificity toward a desired epitope or epitopes . The antibodies which may be used in the 225Ac conjugates of the present invention can be prepared by techniques well known in the art. Highly specific monoclonal antibodies can be produced by hybridization techniques well known in the art, see, for example, Kohler and Milstein, Nature, 256, 495-497 (1975); and Eur . J. Immunol . , 511-519 (1976). As used herein, "pharmaceutically acceptable salt" means any salt of a compound of formula (I) which is sufficiently non-toxic to be useful in therapy of mammals. Representative of those salts, which are formed by standard reactions, from both organic and inorganic sources include, for example, sulfuric, hydrochloric, phosphoric, acetic, succinic, citric, lactic, maleic, fumaric, palmitic, cholic, palmoic, mucic, glutamic, d-camphoric, glutaric, glycolic, phthalic, tartaric, formic, lauric, steric, salicylic, methanesulfonic, bensenesulfonic, sorbic, picric, benzoic, cinnamic and other suitable acids. Also included are salts formed by standard reactions from both organic and inorganic sources such as ammonium, alkali metal ions, alkaline earth metal ions, and other similar ions. Preferred are the salts of the compounds of formula I where the salt is potassium, sodium, ammonium, or mixtures thereof.
As used herein, the term "therapeutically effective amount" means an amount of the 225Ac conjugate that produces a therapeutic effect on the disease treated. The therapeutically effective amount will vary depending on the mammal, the 225Ac conjugate and the method of its administration (for example, oral or parenteral) . A person of ordinary skill in the art can determine the therapeutically effective amount of the 225Ac conjugate.
In the practice of the present invention the 225Ac conjugate may be administered per se or as a component of a pharmaceutically acceptable formulation.
Thus, the present invention may be practiced with the 225Ac conjugate being provided in pharmaceutical formulation, both for veterinary and for human medical use. Such pharmaceutical formulations comprise the active agent (the 225Ac conjugate) together with a physiologically acceptable carrier, excipient or vehicle therefore. The carrier (s) must be physiologically acceptable in the sense of being compatible with the other ingredient (s) in the formulation and not unsuitably deleterious to the recipient thereof. The 225Ac conjugate is provided in a therapeutically effective amount, as described above, and in a quantity appropriate to achieve the desired dose.
The formulations include those suitable for parenteral (including subcutaneous, intramuscular, intraperitoneal, and intravenous), oral, rectal, topical, nasal, or ophthalmic administration. Formulations may be prepared by any methods well known in the art of pharmacy. Such methods include the step of bringing the 225Ac conjugate into association with a carrier, excipient or vehicle therefore. In general, the formulation may be prepared by uniformly and intimately bringing the 25Ac conjugate into association with a liquid carrier, a finely divided solid carrier, or both, and then, if necessary, shaping the product into desired formulation. In addition, the formulations of this invention may further include one or more accessory ingredient (s) selected from diluents, buffers, binders, disintegrants, surface active agents, thickeners, lubricants, preservatives, and the like. In addition, a treatment regime might include pretreatment with non-radioactive carrier.
Injectable formulations of the present invention may be either in suspensions or solution form. In the preparation of suitable formulations it will be recognized that, in general, the water solubility of the salt is greater than the acid form. In soliution form the complex (or when desired the separate components) is dissolved in a physiologically acceptable carrier. Such carriers comprise a suitable solvent, preservatives such as free radical quenching agents, for example, ascorbic acid, benzyl alcohol or any other suitable molecule, if needed, and buffers. Useful solvents include, for example, water, aqueous alcohols, glycols, and phosphonate or carbonate esters. Such aqueous solutions contain no more* than 50 percent of the organic solvent by volume.
Injectable suspensions are compositions of the present invention that require a liquid suspending medium, with or without adjuvants, as a carier. The suspending medium can be, for example, aqueous polyvinylpyrrolidone, inert oils such as vegetable oils or highly refined mineral oils, polyols, or aqueous carboxymethylcellulose . Suitable physiologically acceptable adjuvants, if necessary to keep the complex in suspension, may be chosen from among thickeners such as carboxymethylcellulose, polyvinylpyrrolidone, gelatin, and the alginates. Many surfactants are also useful as suspending agents, for example, lecithin, alkylphenol, polyethyleneoxide adducts, naphthalenesulfonates, alkylbenzenesulfonates, and polyoxyethylene sorbitane esters .
In the context of the present invention the terms "functionalized chelant" and "bifunctional chelant" are used interchangeably and refer to compounds which have the dual functionality of sequestering metal ions plus the ability to covalently bind a biological molecule having specificity for tumor cell epitopes or antigens. Such compounds are of great utility for therapeutic and diagnostic applications when they are, for example, complexed with radioactive metal ions and covalently attached to a specific antibody. These types of complexes have been used to carry radioactive metals to tumor cells which are targeted by the specificity of the attached antibody [see, for example, Mears et al . , Anal . Biochem . 142, 68-74 (1984); Krejcarek et al . , Biochem. And Biophys , Res. Comm. 77, 581-585 (1977)].
The functionalized chelant compounds of formula (I) useful in the practice of the present invention are known in the art. See, for example, U.S. Patent Nos. 5,, 435,990 and 5,652,361.
Compounds of formula I where: R is hydrogen or methyl; n is 0; m is 0 through 5; r is 0; and L is a moiety of formula A:
A
wherein:
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; R3 is selected from the group consisting of Cι~C4 alkoxy, -OCH2C02H, hydroxy and hydrogen; and R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof; are preferred functionalized chelants.
Preferred functionalized chelant compounds of formula I include also those compounds where Q1 is hydrogen and L is represented by formula A as shown by formula II:
wherein: each Q independently is hydrogen or CHR5COOR; with the proviso that at least two of Q must be other than hydrogen each R independently is hydrogen benzyl or C1-C4 alkyl; m is integer from 0 to 5 inclusive;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen;
R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or Cι-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof.
Additional preferred functionalized chelant compounds of formula I include those compounds where at least one Q is hydrogen and are represented by formula III:
wherein: each Q independently is hydrogen or CHR5COOR;
Q1 is hydrogen or (CHR5)wC02R; with the proviso that at least two the sum of Q and Q1 must be other than hydrogen and one Q is hydrogen; each R independently is hydrogen benzyl or C1-C4 alkyl; m is integer from 0 to 5 inclusive; w is 0 or 1;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen;
R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C1-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; a pharmaceutically acceptable salt thereof.
Other preferred functionalized chelant compounds of formula I include compounds where Q1 is C02R (w=0) and are represented by formula IV:
wherein: each Q independently is hydrogen or CHR s 5°Cr00R; with the proviso that at least one Q must be other than hydrogen; each R independently is hydrogen benzyl or C1-C4 alkyl; m is integer from 0 to 5 inclusive;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen; R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C3.-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof,
The functionalized chelants of formula I useful in the practice of the present invention can be prepared by known methods . General synthetic approach to a twelve- membered macrocyclic, bifunctional chelant of the present invention as represented by formula I involves monofuctionalization of a free-base macrocycle (for example, 1, 4, 7, 10-tetraazacyclododecane) at only one of the nitrogen atoms with an appropriate electrophile (for example, any appropriately substituted alpha- halocarboxylic acid ester) . This electrophile must possess a suitable linker moiety which would allow covalent attachment of bifunctional ligand to a biological molecule. Various synthetic routes to functionalized chelants of formula I have been described U.S. Patent Nos. 5,435,990 and 5,652,361, both incorporated herein by reference.
The method of obtaining 225Ac radionuclide is not critical to the present invention. For example, 225Ac can be prepared in a cyclotron. 225Ac can be obtained in pure form from Department of Energy (DOE), U.S.A., and
Institute for Transuranium Elements (ITU) , Karlsruhe, Germany.
The 225Ac conjugates of the present invention can be prepared by first forming the complex and then binding the biological molecule. Thus, the process involves preparing or obtaining the ligand, forming the complex with 225Ac and then adding the biological molecule. Alternatively, the process may involve first conjugation of the ligand to the biological molecule and then the formation of the complex with 225Ac . Any suitable process that results in the formation of the 225Ac conjugates of this invention is within the scope of the present invention.
In the following examples, the following terms and conditions were used unless otherwise specified.
Glossary of Terms
Ab = antibody;
BFC = bifunctional chelant; DOTA = 1,4,7,10 tetraazacyclododecane-1,4,7,10- tetraacetic acid; MeO-DOTA-NCS = 1- [ (2-methoxy~5-isothiocyanato- phenyl) -carboxymethyl] -4,7, 10-triscarboxy- methyl-1, 4,7, 10-tetraazacyclododecane;
TMAA = tetramethyl ammonium acetate buffer; Sephadex C-25 resin is a cation exchange resin, sold by Pharmacia Inc.; EDTA = ethylenediaminetetraacetic acid; DTPA = diethylenetriaminepentaacetic acid;
TETA = 1, 4, 8, 11-tetraazacyclotetradecane-l, 4, 8, 11- tetraacetic acid; DOTPA = 1, 4,7, 10-tetraazacyclododecane-l, 4,7,10- tetrapropionic acid; TETPA = 1, 4, 8, 11-tetraazacyclotetradecane-l, 4, 8, 11- tetrapropionic acid; DOTMP = 1, 4, 6, 10-tetraazacyclodecane-l, 4, 7, 10- tetramethylenephosphonic acid.
General Experimental
Method of preparation of 225Ac conjugates: The preparation of 225Ac conjugates involved two steps. First, the 225Ac complex was prepared by mixing a solution of the functionalized chelant compound of formula I with the solution of 225Ac at pH of about 5-6 in a suitable buffer. The complex formation was tested using cation exchange chromatography. Then, the conjugation of the 225Ac complex to a biological molecule (suitably an antibody) was carried out at the pH of about 8.5 in the presence of a suitable buffer. The antibody and the antibody 225Ac complex conjugates were then separated from the unconjugated low molecular weight materials using gel filtration chromatography. The fraction of radioactivity associated with the antibody was then determined. The γ emission counting was performed using a 3-inch x 3-inch Nal well crystal utilizing the γ emission of 225Ac decay product 221Fr (half-life of 4.8 min.) at 218 KeV. Counting was carried out half an hour after sample preparation.
Method for determining yield and stability of 25Ac complexes and conjugates thereof: Instant Thin Layer Chromatography (ITLC) was utilized with either a 10 mM EDTA or 10 mM NaOH/9% NaCl solvent systems using ITLC SG strips (sold by Gelman Sciences company) to assess the complexation and conjugation efficiency of the DOTA-based bifunctional 225Ac conjugate with HuM195 antibody.
The following examples are provided to further illustrate the present invention, and should not be construed as limiting thereof.
Example 1 : Preparation of 225Ac-MeO-DOTA-NCS Complex
An aqueous solution of MeO-DOTA-NCS (35 μl; 0.31 mg/ml) was mixed with the 225Ac chloride solution (35 μl; 1.65 μCi/μl,) in 0.1M HC1. The pH was adjusted to about 5 using the TMAA buffer (130 μl , 0.2 M, pH about 6). Reaction mixture was incubated at about 50°C for one hour. Complex formation was checked by cation exchange chromatography employing the Sephadex C-25 resin and it was determined that 99 percent of 225Ac was complexed.
Example 2 : Preparation of 225Ac-HuM195 Conjugate
HuM195 antibody solution (20 μl, 5 mg/ml) was added to the 225Ac complex solution (200 μl) prepared as described in Example 1. The pH was adjusted to about 8.5 using a NaHC03 buffer (85 μl, 0.1 M, pH=8.7). The molar ratios of the reactants used were as follows: MeO-DOTA- NCS / 225Ac = 6549; MeO-DOTA-NCS / HuMl95 = 24; and HuMl95 / 225Ac = 275. After 30 minutes incubation at 20°C the protein and the small molecular weight components of the solution were separated by gel filtration chromatography using the Econo-Pack 10 DG gel filtration column. The extent of coupling was determined by γ emission counting. It was determined that 7.3 percent of the 225Ac complex was coupled to HuM195 antibody.
Example 3 : Conjugation of Antibodies HuM195 (anti- CD33) and B4 (anti-CD19) to MeO-DOTA-NCS
20 mg of HuMl95 (or B4) monoclonal antibody solution was mixed with 0.05 M HEPES containing EDTA at about pH 8 and dialysed against 0.05 M HEPES buffer for 24 hours in an Amicon stirred cell dialysis unit to remove any metal ions associated with antibodies. A MeO-DOTA-NCS solution containing 3.38 mg of MeO-DOTA-NCS was added and allowed to conjugate with the antibody at room temperature for 24 hours . Then the reaction mixture was dialysed against a NaAc / NaCl buffer solution at about pH 7.0 for 24 hours to remove any unreacted MeO-DOTA-NCS. The immunoconjugate was recovered from the stirred cell and characterized using a size exclusion high pressure liquid chromatography (HPLC) . This was compared to the native HuMl95 or B4.
Antibody concentration was determined by UV-absorption at 280 nM.
The immunoconjugates could be labeled readily with 1:L1In showing success of the conjugation reaction. For example, approximately 400 μCi of mIn in 200 μl of 0.2 M HC1 was mixed with 29 μl of ammonium acetate (3M) and 9 μl of J-ascorbic acid (150 mg/ml) to adjust the pH to 5.0 and then 0.5 mg of HuM195-MeO-DOTA-NCS immunoconjugate was added. The reaction was allowed to progress at 37°C for 60 minutes. An 87% reaction yield was obtained. Example 4 : Labeling of HuMl95-MeO-DOTA
Immunoconjugate with Ac
200 μCi of 225Ac in 0.2 M HC1 was mixed with 700 μl metal free water and then buffered with 93 μl of NH4Ac at about pH 6.5. Each of four 200 μl aliquots was mixed with 0 mg, 0.1 mg, 0.5 mg, 1 mg of HuMl95-MeO-DOTA (prepared as in Example 3) , respectively. The reaction tubes were placed into a 37°C water bath. The 225Ac incorporation was monitored by TLC developed in 10 mM EDTA solvent at 3 hours. The 225Ac incorporation (percentage of activity remaining at origin) data are given in Table 1 below for the various antibody concentrations and Ab:Ac ratios.
Table 1 225 Ac Incorporation at 3 hr for three different concentrations of the antibody
Example 5 : Stability of 225Ac-HuM195-MeO-DOTA
The three 225Ac-HuM195-MeO-DOTA solutions from Example 4 were combined and challenged with 20 μl of 10 mM DTPA to remove unbounded metals. 100 μl of 1-ascorbic acid (150 mg/ml) was added as a radioprotection agent. The solution was purified through a 10-DG desalting column (Bio-Rad company) to separate 225Ac-HuMl95-MeO-DOTA from unreacted
225 Ac (in DTPA form) . The purified 2z25°A,c-HuM195-MeO-DOTA was subjected to a stability study in human serum.
The purified 225Ac-HuM195-MeO-DOTA was assessed for stability in different media such as 1% and 25% albumin (human) and 1% and 25% human serum at 37°C. Overall stability half-lives of 225Ac-HuMl95-MeO-DOTA in either albumin (human) at 4 °C or human serum at 37 °C exceeded 150 days.
Example 6: 225Ac-HuMl95-MeQ-DOTA In-Vitro Cell Kill
A cell-based immunoreactivity study (binding of labeled antibody to antigen excess) has shown that 225Ac labeled HuM195 antibody (2 5Ac-HuMl95-MeO-DOTA) is still immunoreactive (-70%) . The potency and specificity of 225Ac- HuM195-MeO-DOTA was then evaluated in-vitro as a function of specific activity and activity concentration on antigen positive and negative cell lines. The LD50 in a 5-day assay was -0.3 nCi/ml at a specific activity of 0.035 Ci/g which is 3 log more potent than the similar 213Bi alpha emitting agent with much high specific activity (see Nikula et al, J Nucl Med 1999; 40, 166-176) . These data (derived from 3H- thymidine incorporation) are plotted below in Figure 3. The LD50 in a 2-day assay is about 1.4 nCi/ml for positive cell line and about 28 nCi/ml for negative cell line which demonstrates the specificity. Internalization of isotope into target cells was also demonstrated and more than 50% was internalized in the target cells in 5 hours which is crucial to control the fate of daughter isotopes. This preliminary study suggests that 225Ac-HuM195-MeO-DOTA conjugates are useful clinically as a way to target alpha particles to kill cells.
100
0
0.01 100
Activity Concentration (nCi/ml)
Figure 3 , 225 Ac In-Vitro Cell Kill
Example 7: In Vivo Biodistribution
The in vivo biodistribution of free 225A,c acetate, 225Ac-DOTA and 225Ac-HuM195-MeO-DOTA was studied in nu/nu mice by intraperitoneal injection of approximately 2 μCi of 225Ac of each compound in 400 μl . It was demonstrated that a different pattern of distribution existed (see Table 2 below) for the three agents. The 225Ac-DOTA was excreted very quickly and most activity was cleared in less than 40 minutes 225 Ac in acetate was held up in the liver and bone but cleared from blood. The 225A,c-HuM195- MeO-DOTA has longer blood circulation time and less bone uptake over the period of 5 days . These data indicated 225Ac-HuMl95-MeO-DOTA is stable in vivo . Table 2. Summary of the 225Ac Biodistribution (% dose/g) in nu/nu Mice

Claims

WHAT IS CLAIMED IS:
1. An 225Ac complex comprising a functionalized chelant compound of the formula I
wherein :
each Q is independently hydrogen or (CHR5)pC02R;
Q1 is hydrogen or (CHR5)wC02R; each R independently is hydrogen, benzyl or C1-C4 alkyl; with the proviso that at least two of the sum of Q and Q1 must be other than hydrogen; each R5 independently is hydrogen; C!-C4 alkyl or (Ci-
C2 alkyl) phenyl;
X and Y are each independently hydrogen or may be taken with an adjacent X and Y to form an additional carbon-carbon bond; n is 0 or 1; m is an integer from 0 to 10 inclusive; p is 1 or 2, r is 0 or 1; w is 0 or 1, with the proviso that n is only 1 when X and/or Y form an additional carbon to carbon bond, and the sum of r and w is 0 or 1;
L is a linker/spacer group covalently bonded to, and replaces one hydrogen atom of one of the carbon atoms to which it is joined, said linker/spacer group being represented by the formula
wherein
s is an integer of 0 or 1; t is an integer of 0 to 20 inclusive;
R1 is an electrophilic or nucleophilic moiety which allows for covalent attachment to an antibody or fragment of thereof, or synthetic linker which can be attached to an antibody or fragment thereof, or precursor thereof; and
Cyc represents a cyclic aliphatic moiety, aromatic moiety, aliphatic heterocyclic moiety, or aromatic heterocyclic moiety, each of said moieties optionally substituted with one or more groups which do not interfere with binding to an antibody or antibody fragment; with the proviso that when s, t, m, r, and n are 0, then R1 is other than carboxyl; or a pharmaceutically acceptable salt thereof; complexed with 225Ac.
2. The 225Ac complex of Claim 1 wherein the functionalized chelant is a compound of formula II
wherein: each Q independently is hydrogen or CHR5COOR; with the proviso that at least two of Q must be other than hydrogen each R independently is hydrogen benzyl or C1-C4 alkyl; m is integer from 0 to 5 inclusive;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen; R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C1-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof.
3. The 225Ac complex of Claim 1 wherein the functionalized chelant is a compound of formula III
wherein: each Q independently is hydrogen or CHR5COOR;
Q1 is hydrogen or (CHR5)WC02R; with the proviso that at least two the sum of Q and Q1 must be other than hydrogen and one Q is hydrogen; each R independently is hydrogen benzyl or Cχ-C4 alkyl; m is integer from 0 to 5 inclusive; w is 0 or 1;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen;
R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C1-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof.
4. The 2 5Ac complex of Claim 1 wherein the fuctionalized chelant is a compound of formula IV
wherein: each Q independently is hydrogen or CHRsCOOR; with the proviso that at least one Q must be other than hydrogen; each R independently is hydrogen benzyl or C1-C4 alkyl; m is integer from 0 to 5 inclusive;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen; R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C1-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof.
The 225Ac complex of Claim 1 wherein the functionalized chelant compound is 1- [ (2-methoxy-5- isothiocyanatophenyl) -carboxymethyl] -4,7, 10-triscarboxy- methyl-1, 4, 7, 10-tetraazacyclododecane (MeO-DOTA-ΝCS) . An Ac conjugate comprising a functionalized chelant compound of the formula I
each Q is independently hydrogen or (CHR5)pC02R;
Q1 is hydrogen or (CHR5)wC02R; each R independently is hydrogen, benzyl or C1-C4 alkyl; with the proviso that at least two of the sum of Q and Q1 must be other than hydrogen; each R5 independently is hydrogen; C1-C4 alkyl or (Cι~
C2 alkyl) phenyl; X and Y are each independently hydrogen or may be taken with an adjacent X and Y to form an additional carbon-carbon bond; n is 0 or 1; m is an integer from 0 to 10 inclusive; p is 1 or 2; r is 0 or 1; w is 0 or 1; with the proviso that n is only 1 when X and/or Y form an additional carbon-carbon bond, and the sum of r and w is 0 or 1;
L is a linker/spacer group covalently bonded to, and replaces one hydrogen atom of one of the carbon atoms to which it is joined, said linker/spacer group being represented by the formula
wherein
s is an integer of 0 or 1; t is an integer of 0 to 20 inclusive;
R1 is an electrophilic or nucleophilic moiety which allows for covalent attachment to an antibody or fragment of thereof, or synthetic linker which can be attached to an antibody or fragment thereof, or precursor thereof; and
Cyc represents a cyclic aliphatic moiety, aromatic moiety, aliphatic heterocyclic moiety, or aromatic heterocyclic moiety, each of said moieties optionally substituted with one or more groups which do not interfere with binding to an antibody or antibody fragment; with the proviso that when s, t, m, r, and n are 0, then R1 is other than carboxyl; or pharmaceutically acceptable salt thereof; complexed with 225Ac; and covalently attached to a biological molecule.
7. The 225Ac conjugate of Claim 6 wherein the functionalized chelant is a compound of formula II
wherein: each Q independently is hydrogen or CHRsCOOR; with the proviso that at least two of Q must be other than hydrogen each R independently is hydrogen benzyl or C1-C4 alkyl; m is integer from 0 to 5 inclusive;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; R3 is selected from the group consisting of C3.-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen; R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C1-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof.
8. The 225Ac conjugate of Claim 6 wherein the functionalized chelant is a compound of formula III
wherein: each Q independently is hydrogen or CHR5COOR;
Q1 is hydrogen or (CHR5)wC02R; with the proviso that at least two the sum of Q and Q1 must be other than hydrogen and one Q is hydrogen; each R independently is hydrogen benzyl or C3.-C4 alkyl; m is integer from 0 to 5 inclusive; w is 0 or 1;
R2 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido;
R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen;
R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C1-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof.
9. The 225Ac conjugate of Claim 6 wherein the functionalized chelant is a compound of formula IV
wherein: each Q independently is hydrogen or CHR5COOR; with the proviso that at least one Q must be other than hydrogen; each R independently is hydrogen, benzyl or C1-C4 alkyl; m is integer from 0 to 5 inclusive;
R is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; R3 is selected from the group consisting of C1-C4 alkoxy, -OCH2COOH, hydroxy and hydrogen; R4 is selected from the group consisting of hydrogen, nitro, amino, isothiocyanato, semicarbazido, thiosemicarbazido, carboxyl, bromoacetamido and maleimido; each R5 independently is hydrogen or C1-C4 alkyl; with the proviso that R2 and R4 cannot both be hydrogen but one of R2 and R4 must be hydrogen; or a pharmaceutically acceptable salt thereof .
10. The 225Ac conjugate of Claim 6 wherein the functionalized chelant compound is 1- [ (2-methoxy-5- isothiocyanatophenyl) -carboxymethyl] -4,7, 10-triscarboxy- methyl-1, 4,7, 10-tetraazacyclododecane (MeO-DOTA-NCS) .
11. The 225Ac conjugate of any one of Claims 6 to 10 wherein the biological molecule is an antibody or antibody fragment .
12. The 225Ac conjugate of any one of Claims 6 to 10 wherein the biological molecule is selected from the group of antibodies consisting of NuMl95, CC-49, CC-49 F {ab' ) 2, CC-83, and CC-83 F(ab')2-
13. The 225Ac conjugate of Claim 6 wherein the functionalized chelant compound of the conjugate is l-[(2- methoxy-5-isothiocyanatophenyl) -carboxymethyl] -4,7,10- triscarboxy-methyl-1, , 7, 10-tetraazacyclododecane and the biological molecule is selected from the group of antibodies consisting of HuMl95, CC-49, CC-49 F(ab')2, CC- 83, and CC-83 F(ab' )2-
14. The 225Ac conjugate of Claim 13 wherein the functionalized chelant compound of the conjugate is l-[(2- methoxy-5-isothiocyanatophenyl) -carboxymethyl] -4,7, 10- triscarboxy-methyl-1, 4, 7 , 10-tetraazacyclododecane and the biological molecule is HuM195 antibody.
15. A pharmaceutical formulation comprising the 225Ac conjugate of any one of Claims 6 to 10 with a pharmaceutically acceptale carrier.
16. A pharmaceutical formulation comprising the 225Ac conjugate of Claim 12 with a pharmaceutically acceptable carrier.
17. A pharmaceutical formulation comprising the 225Ac conjugate of Claim 13 or Claim 14 with a pharmaceutically acceptable carrier.
18. A method of the therapeutic treatment of a mammal having cancer which comprises administering to said mammal a therapeutically effective amount of a pharmaceutical formulation of Claim 15.
19. A method of the therapeutic treatment of a mammal having cancer which comprises administering to said mammal a therapeutically effective amount of a pharmaceutical formulation of Claim 16.
20. A method of the therapeutic treatment of a mammal having cancer which comprises administering to said mammal a therapeutically effective amount of a pharmaceutical formulation of Claim 17.
EP01922246A 2000-02-25 2001-02-23 Actinium-225 complexes and conjugates for radioimmunotherapy Withdrawn EP1227849A2 (en)

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NO313180B1 (en) 2000-07-04 2002-08-26 Anticancer Therapeutic Inv Sa Visiting alpha particles emitting radiopharmaceuticals
US6683162B2 (en) * 2000-09-15 2004-01-27 Sloan Kettering Institute Of Cancer Research Targeted alpha particle therapy using actinium-255 conjugates
US6670456B2 (en) * 2001-02-28 2003-12-30 Dow Global Technologies Inc. Actinium-225 complexes and conjugates for targeted radiotherapy
GB0308731D0 (en) * 2003-04-15 2003-05-21 Anticancer Therapeutic Inv Sa Method of radiotherapy
NZ595758A (en) * 2003-04-15 2013-02-22 Algeta As Thorium-227 for use in radiotherapy of soft tissue disease
GB201002508D0 (en) 2010-02-12 2010-03-31 Algeta As Product
US11660357B2 (en) * 2014-05-16 2023-05-30 David A. Scheinberg One-step labeling of antibodies to high specific activity with actinium-225
US20220125962A1 (en) * 2018-11-30 2022-04-28 Actinium Pharmaceuticals, Inc. Antibodies Conjugated With Actinium-225 and Actinium-227, and Related Compositions and Methods
CN111808161A (en) * 2020-06-01 2020-10-23 北京大学 A method for radiolabeling biological compounds
US20230241256A1 (en) * 2020-06-30 2023-08-03 The Johns Hopkins University Non-intuitive combination of drug delivery carriers of the same drug for synergistic growth delay of solid tumors

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AU4450100A (en) * 1999-03-23 2000-10-23 United States Of America, Represented By The Secretary, Department Of Health And Human Services, The 225Ac-heha and related compounds, methods of synthesis and methods of use
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