EP4676540A1 - Panras inhibitor antibody-drug conjugates and methods of use thereof - Google Patents
Panras inhibitor antibody-drug conjugates and methods of use thereofInfo
- Publication number
- EP4676540A1 EP4676540A1 EP24714256.5A EP24714256A EP4676540A1 EP 4676540 A1 EP4676540 A1 EP 4676540A1 EP 24714256 A EP24714256 A EP 24714256A EP 4676540 A1 EP4676540 A1 EP 4676540A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- optionally substituted
- antibody
- membered
- alkyl
- seq
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal 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
- A61K47/51—Medicinal 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
- A61K47/62—Medicinal 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
- A61K47/65—Peptidic linkers, binders or spacers, e.g. peptidic enzyme-labile linkers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal 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
- A61K47/51—Medicinal 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
- A61K47/68—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6801—Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
- A61K47/6803—Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal 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
- A61K47/51—Medicinal 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
- A61K47/68—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6835—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
- A61K47/6849—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a receptor, a cell surface antigen or a cell surface determinant
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal 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
- A61K47/51—Medicinal 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
- A61K47/68—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6835—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
- A61K47/6851—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal 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
- A61K47/51—Medicinal 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
- A61K47/68—Medicinal 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 an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6889—Conjugates 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
Definitions
- the present disclosure relates to antibody-drug conjugates (ADCs) comprising a panRAS inhibitor and an antibody or antigen-binding fragment thereof that binds an antigen target, e.g., an antigen expressed on a tumor or other cancer cells.
- ADCs antibody-drug conjugates
- the disclosure further relates to methods and compositions useful in the treatment and/or diagnosis of cancers that express a target antigen and/or are amenable to treatment by modulating panRAS expression and/or activity, as well as methods of making those compositions.
- Linker-drug conjugates comprising a panRAS inhibitor drug moiety and methods of making same are also disclosed.
- Ras proteins (K-Ras, H-Ras and N-Ras) play an essential role in various human cancers and are therefore appropriate targets for anticancer therapy. Indeed, mutations in Ras proteins account for approximately 30% of all human cancers in the United States, many of which are fatal. Dysregulation of Ras proteins by activating mutations, overexpression or upstream activation is common in human tumors, and activating mutations in Ras are frequently found in human cancer.
- Ras proteins function by inhibiting both GTPase-activating protein (GAP)-dependent and intrinsic hydrolysis rates of GTP, significantly skewing the population of Ras mutant proteins to the “on” (GTP-bound) state (Ras(ON)), leading to oncogenic MAPK signaling.
- GAP GTPase-activating protein
- Ras exhibits a picomolar affinity for GTP, enabling Ras to be activated even in the presence of low concentrations of this nucleotide.
- Mutations at codons 13 (e.g., G13D) and 61 (e.g., Q61K) of Ras are also responsible for oncogenic activity in some cancers.
- the present disclosure provides, in part, novel antibody-drug conjugate (ADC) compounds with biological activity against cancer cells.
- the compounds may slow, inhibit, and/or reverse tumor growth in mammals, and/or may be useful for treating human cancer patients.
- the present disclosure more specifically relates, in some embodiments, to ADC compounds that are capable of binding and killing cancer cells.
- the ADC compounds disclosed herein comprise a conjugate linker that attaches a panRAS inhibitor to a full-length antibody or an antigen-binding fragment.
- the ADC compounds are also capable of internalizing into a target cell after binding.
- ADC compounds may be represented by Formula (1): Ab-(L-D) p (1) wherein Ab is an antibody or an antigen-binding fragment thereof;
- D is a panRAS inhibitor
- D comprises a panRAS inhibitor compound of Formula (la) covalently attached to the conjugate linker L: a pharmaceutically acceptable salt thereof, wherein: the dotted lines represent zero, one, two, three, or four non-adjacent double bonds;
- 6-membered heterocycloalkylene optionally substituted 6-membered arylene, or optionally substituted 5 to 6-membered heteroarylene;
- Y x is -N(R D11 )-CO ⁇ B D -L D ⁇ ;
- L D is absent or a linker
- G D is optionally substituted C 1 -C 4 alkylene, optionally substituted C 1 -C 4 alkenylene, optionally substituted C 1 -C 4 heteroalkylene, -C(O)O-CH(R D6 )- where -CH(R D6 )- is bound to - C(R D7 R D8 )-, -C(O)NH-CH(R D6 )- where -CH(R D6 )- is bound to -C(R D7 R D8 )-, optionally substituted C 1 -C 4 heteroalkylene, or 3 to 8-membered heteroarylene;
- W x is hydrogen, cyano, optionally substituted C 1 -C 3 heteroalkyl, optionally substituted amino, optionally substituted C 1 -C 4 alkoxy, optionally substituted C 1 -C 4 hydroxyalkyl, optionally substituted C 1 -C 4 aminoalkyl, optionally substituted C 1 -C 4 haloalkyl, optionally substituted C 1 - 04 alkyl, optionally substituted C 1 -C 4 guanidinoalkyl, C0-C 4 alkyl optionally substituted 3 to 11- membered heterocycloalkyl, optionally substituted 3 to 8-membered cycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted 3 to 8-membered heteroaryl;
- X D1 is optionally substituted C 1 - C 2 alkylene, NR D , O, or S(O) n o;
- X D2 is O or NH
- X D3 is N or CH; nD is 0, 1 , or 2;
- R D is hydrogen, cyano, optionally substituted C 1 -C 4 alkyl, optionally substituted C 2 - C 4 alkenyl, optionally substituted C 2 -C 4 alkynyl, C(O)R D ’, C(O)OR D ’, C(O)N(R D ’) 2 , S(O)R D ’, S(O) 2 R D ’, or S(O) 2 N(R D ’) 2 ; each R D ’ is, independently, H or optionally substituted C 1 -C 4 alkyl;
- Y D1 is C, CH, or N
- Y D5 is CH, CH 2 , or N;
- Y D6 is C(O), CH, CH 2 , or N;
- R D1 is cyano, optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 6-membered cycloalkenyl, optionally substituted 3 to 6-membered heterocycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted 5 to 10-membered heteroaryl, or
- R D1 and R D2 combine with the atoms to which they are attached to form an optionally substituted 3 to 14-membered heterocycloalkyl
- R D2 is absent, hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 - C6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 7-membered heterocycloalkyl, optionally substituted 6-membered aryl, optionally substituted 5 or 6-membered heteroaryl;
- R D5 is hydrogen, C 1 -C 4 alkyl optionally substituted with halogen, cyano, hydroxy, or C 1 - 04 alkoxy, cyclopropyl, or cyclobutyl;
- R D6 is hydrogen or methyl
- R D7 is hydrogen, halogen, or optionally substituted C 1 -C 3 alkyl, or
- R D6 and R D7 combine with the carbon atoms to which they are attached to form an optionally substituted 3 to 6-membered cycloalkyl or optionally substituted 3 to 7-membered heterocycloalkyl;
- R D7a and R D8a are, independently, hydrogen, halo, optionally substituted C 1 -C 3 alkyl, or combine with the carbon to which they are attached to form a carbonyl;
- R D7 ’ is hydrogen, halogen, or optionally substituted C 1 -C 3 alkyl
- R D8 ’ is hydrogen, halogen, hydroxyl, cyano, optionally substituted C 1 -C 3 alkoxyl, optionally substituted C 1 -C 3 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted 3 to 8-membered cycloalkyl, optionally substituted 3 to 14-membered heterocycloalkyl, optionally substituted 5 to 10-membered heteroaryl, or optionally substituted 6 to 10-membered aryl, or
- R D7 ’ and R D8 ’ combine with the carbon atom to which they are attached to form optionally substituted 3 to 6-membered cycloalkyl or optionally substituted 3 to 7-membered heterocycloalkyl;
- R D9 is hydrogen, F, optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 - C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, or optionally substituted 3 to 7- membered heterocycloalkyl;
- R D9 and L D combine with the atoms to which they are attached to form an optionally substituted 3 to 14-membered heterocycloalkyl
- R D9 ’ is hydrogen or optionally substituted C 1 -C 6 alkyl
- R D1 ° is hydrogen, halo, hydroxyl, C 1 -C 3 alkoxyl, or C 1 -C 3 alkyl;
- R D10a is hydrogen or halogen
- R D11 is hydrogen or C 1 -C 3 alkyl
- R D16 is hydrogen or C 1 -C 3 alkyl.
- p is an integer from 1 to 8. In some embodiments, p is an integer from 1 to 6. In some embodiments, p is an integer from 1 to 5. In some embodiments, p is an integer from 2 to 4. In some embodiments, p is 1. In some embodiments, p is 2. In some embodiments, p is 4. In some embodiments, p is determined by liquid chromatography-mass spectrometry (LC-MS).
- LC-MS liquid chromatography-mass spectrometry
- the conjugate linker (L) comprises an attachment group, at least one spacer group, and at least one cleavable group.
- the cleavable group comprises a pyrophosphate group and/or a self-immolative group.
- L comprises an attachment group; at least one bridging spacer group; and at least one cleavable group comprising a pyrophosphate group and/or a self-immolative group.
- the bridging spacer group comprises a hexanoyl group.
- the attachment group is formed from at least one reactive group selected from a maleimide group, thiol group, cyclooctyne group, and an azido group.
- maleimide group may have the structure:
- the cyclooctyne group may have the structure: wherein — * is a bond to the antibody or antigen-binding fragment thereof.
- the conjugate linker comprises: an attachment group, at least one bridging spacer group, a peptide group, and at least one cleavable group.
- m is 1 and the bridging spacer comprises .
- Li comprises:
- Li is , and n is an integer from 1 to 12 wherein the * of Li indicates the point of direct or indirect attachment to Lp, and the ** of Li indicates the point of direct or indirect attachment to R 1 .
- Li is , and n is 1 , wherein the * of Li indicates the point of direct or indirect attachment to Lp, and the ** of Li indicates the point of direct or indirect attachment to R 1 .
- Li comprises , wherein the * of Li indicates the point of direct or indirect attachment to Lp, and the ** of Li indicates the point of direct or indirect attachment to R 1 .
- Li is a bridging spacer comprising:
- R 2 is a hydrophilic moiety comprising polyethylene glycol, polyalkylene glycol, a polyol, a polysarcosine, a sugar, an oligosaccharide, a polypeptide, C 2 -C 6 o o alkyl substituted with 1 to 3 groups, or C 2 -C 6 alkyl substituted with 1 to
- R 2 is
- each of m and n is an integer between 2 and 25 (e.g., between 3 and 25).
- the hydrophilic moiety comprises
- the hydrophilic moiety comprises a polysarcosin, e.g., with the following moiety , wherein n is an integer between 3 and 25; and R is H, -CH 3 or -
- L3 is a spacer moiety having the structure w x— I- , wherein:
- X is a bond, triazolyl or -CH 2 -triazolyl-, wherein X is connected to R 2 .
- L3 is a spacer moiety having the structure , wherein:
- X is -CH 2 -triazolyl-C 1 - 4 alkylene-OC(O)NHS(O) 2 NH-,
- n independently is 1 , 2, or 3 and wherein X is connected to R 2 .
- the attachment group is formed by a reaction comprising at least one reactive group. In some cases, the attachment group is formed by reacting: a first reactive group that is attached to the conjugate linker, and a second reactive group that is attached to the antibody or antigen-binding fragment thereof or is an amino acid residue of the antibody or antigen-binding fragment thereof.
- At least one of the reactive groups comprises: a thiol, a maleimide, a haloacetamide, an azide, an alkyne, a cyclcooctene, a triaryl phosphine, an oxanobornadiene, a cyclooctyne, a diaryl tetrazine, a monoaryl tetrazine, a norbornene, an aldehyde, a hydroxylamine, a hydrazine,
- each R a is independently selected from H, C 1 -C 6 alkyl, and C3-C8 cycloalkyl and the * of A indicates the point of attachment to D;
- A is a bond to the antibody or antigen-binding fragment thereof; and A, D and R are as defined above.
- the linker-drug group -(L-D) comprises the following formula: is a bond to the antibody or antigen-binding fragment thereof; and Xa, A, D and R are as defined above.
- the linker-drug group -(L-D) comprises the following formula: , wherein: — is a bond to the antibody or antigen-binding fragment thereof; and Xb, A, D and R are as defined above.
- the linker-drug group -(L-D) comprises the following formula: , wherein: is a bond to the antibody or antigen-binding fragment thereof; and A and are as defined above.
- the linker-drug group -(L-D) comprises or is formed from a compound of formula: ected from H, C 1 -C 6 alkyl, and C 3 -C 8 cycloalkyl and the * of A indicates the point of attachment to D; and
- the linker-drug group -(L-D) comprises the following formula: the antibody or antigen-binding fragment thereof; and A and D are as defined above.
- the linker-drug group -(L-D) comprises the following formula:
- the linker-drug group -(L-D) comprises the following formula:
- A is a bond to the antibody or antigen-binding fragment thereof; and A and D are as defined above.
- the linker-drug group -(L-D) comprises or is formed from a compound of formula: ected from H, C 1 -C 6 alkyl, and C 3 -C 8 cycloalkyl and the * of A indicates the point of attachment to D; and
- the linker-drug group -(L-D) comprises the following formula:
- A is a bond to the antibody or antigen-binding fragment thereof; and A and D are as defined above.
- the linker-drug group -(L-D) comprises or is formed from a compound of formula: - ( ) ( ) 2 2 ( ) ( )- or
- each R a is independently selected from H, C 1 -C 6 alkyl, and C3-C8 cycloalkyl and the * of A indicates the point of attachment to D;
- the linker-drug group -(L-D) comprises the following formula:
- A is a bond to the antibody or antigen-binding fragment thereof; and A, D and R are as defined above.
- the linker-drug group -(L-D) comprises or is formed from a compound of formula: wherein: each R independently
- the linker-drug group -(L-D) comprises the following formula:
- A is a bond to the antibody or antigen-binding fragment thereof; and A, D and R are as defined above.
- the linker-drug group -(L-D) comprises or is formed from a compound of formula: wherein each R a is independently selected from H, C 1 -C 6 alkyl, and C3-C8 cycloalkyl and the * of A indicates the point of attachment to D; and
- D is a panRAS inhibitor.
- A is a bond
- R is -CH 3 .
- R is -CH 2 CH 2 COOH.
- the antibody-drug conjugate comprises the linker-drug group, -(L-D), which is formed from a compound selected from:
- the antibody-drug conjugate comprises the linker-drug group, -(L-
- panRAS inhibitor (D) comprises a compound of Formula (la):
- the panRAS inhibitor (D) comprises a compound of Formula (I): or a pharmaceutically acceptable salt thereof, wherein the dotted lines represent zero, one, two, three, or four non-adjacent double bonds;
- a D is -N(H or CH 3 )C(O)-(CH 2 )- where the amino nitrogen is bound to the carbon atom of - C(R D10a )(R D10 )-, optionally substituted 3 to 6-membered cycloalkylene, optionally substituted 3 to 6-membered heterocycloalkylene, optionally substituted 6-membered arylene, or optionally substituted 5 to 6-membered heteroarylene;
- G D is optionally substituted C 1 -C 4 alkylene, optionally substituted C 1 -C 4 alkenylene, optionally substituted C 1 -C 4 heteroalkylene, -C(O)O-CH(R D6 )- where -CH(R D6 )- is bound to - C(R D7 R D8 )-, -C(O)NH-CH(R D6 )- where -CH(R D6 )- is bound to -C(R D7 R D8 )-, optionally substituted C 1 -
- L D is absent or a drug linker
- W 0 is hydrogen, cyano, optionally substituted amino, optionally substituted C 1 -C 4 alkoxy, optionally substituted C 1 -C 4 hydroxyalkyl, optionally substituted C 1 -C 4 aminoalkyl, optionally substituted C 1 -C 4 haloalkyl, optionally substituted C 1 -C 4 alkyl, optionally substituted C 1 - C 4 guanidinoalkyl, C 0 -C 4 alkyl optionally substituted 3 to 11-membered heterocycloalkyl, optionally substituted 3 to 8-membered cycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted 3 to 8-membered heteroaryl;
- X D1 is optionally substituted C 1 - C 2 alkylene, NR D , O, or S(O) n o;
- X D2 is O or NH
- X D3 is N or CH; nD is 0, 1 , or 2;
- R D is hydrogen, cyano, optionally substituted C 1 -C 4 alkyl, optionally substituted C 2 - C 4 alkenyl, optionally substituted C 2 -C 4 alkynyl, C(O)R D ’, C(O)OR D ’, C(O)N(R D ’) 2 , S(O)R D ’, S(O) 2 R D ’, or S(O) 2 N(R D ’) 2 ; each R D ’ is, independently, H or optionally substituted C 1 -C 4 alkyl;
- Y D1 is C, CH, or N
- Y D2 , Y D3 , Y D4 , and Y D7 are, independently, C or N;
- Y D5 is CH, CH 2 , or N;
- Y D6 is C(O), CH, CH 2 , or N;
- R D1 is cyano, optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 6-membered cycloalkenyl, optionally substituted 3 to 6-membered heterocycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted 5 to 10-membered heteroaryl, or
- R D1 and R D2 combine with the atoms to which they are attached to form an optionally substituted 3 to 14-membered heterocycloalkyl
- R D2 is absent, hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 - Ce alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 7-membered heterocycloalkyl, optionally substituted 6-membered aryl, optionally substituted 5 or 6-membered heteroaryl;
- R D3 is absent or R D2 and R D3 combine with the atom to which they are attached to form an optionally substituted 3 to 8-membered cycloalkyl or optionally substituted 3 to 14-membered heterocycloalkyl;
- R D4 is absent, hydrogen, halogen, cyano, or methyl optionally substituted with 1 to 3 halogens
- R D5 is hydrogen, C 1 -C 4 alkyl optionally substituted with halogen, cyano, hydroxy, or C 1 - 04 alkoxy, cyclopropyl, or cyclobutyl;
- R D6 is hydrogen or methyl
- R D7 is hydrogen, halogen, or optionally substituted C 1 -C 3 alkyl, or
- R D6 and R D7 combine with the carbon atoms to which they are attached to form an optionally substituted 3 to 6-membered cycloalkyl or optionally substituted 3 to 7-membered heterocycloalkyl;
- R D8 is hydrogen, halogen, hydroxy, cyano, optionally substituted C 1 -C 3 alkoxy, optionally substituted C 1 -C 3 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted 3 to 8-membered cycloalkyl, optionally substituted 3 to 14-membered heterocycloalkyl, optionally substituted 5 to 10-membered heteroaryl, or optionally substituted 6 to 10-membered aryl, or
- R D7a and R D8a are, independently, hydrogen, halo, optionally substituted C 1 -C 3 alkyl, or combine with the carbon to which they are attached to form a carbonyl;
- R D7 ’ is hydrogen, halogen, or optionally substituted C 1 -C 3 alkyl
- R D8 ’ is hydrogen, halogen, hydroxyl, cyano, optionally substituted C 1 -C 3 alkoxyl, optionally substituted C 1 -C 3 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted 3 to 8-membered cycloalkyl, optionally substituted 3 to 14-membered heterocycloalkyl, optionally substituted 5 to 10-membered heteroaryl, or optionally substituted 6 to 10-membered aryl, or
- R D7 ’ and R D8 ’ combine with the carbon atom to which they are attached to form optionally substituted 3 to 6-membered cycloalkyl or optionally substituted 3 to 7-membered heterocycloalkyl;
- R D9 is hydrogen, F, optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 - Ce heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, or optionally substituted 3 to 7- membered heterocycloalkyl;
- R D9 and L D combine with the atoms to which they are attached to form an optionally substituted 3 to 14-membered heterocycloalkyl
- R D9 ’ is hydrogen or optionally substituted C 1 -C 6 alkyl
- R D1 ° is hydrogen, halo, hydroxyl, C 1 -C 3 alkoxyl, or C 1 -C 3 alkyl;
- R D10a is hydrogen or halogen
- R D11 is hydrogen or C 1 -C 3 alkyl
- R D16 is hydrogen or C 1 -C 3 alkyl.
- panRAS inhibitor (D) comprises a compound of Formula (Ic):
- a D is -N(H or CH 3 )C(O)-(CH 2 )- where the amino nitrogen is bound to the carbon atom of -CH(R D10 )-, optionally substituted 3 to 6-membered cycloalkylene, optionally substituted 3 to 6- membered heterocycloalkylene, optionally substituted 6-membered arylene, or optionally substituted 5 to 6-membered heteroarylene;
- B D is -CH(R D9 )- where the carbon is bound to the carbonyl carbon of -N(R D11 )C(O)-, optionally substituted 3 to 6-membered cycloalkylene, optionally substituted 3 to 6-membered heterocycloalkylene, optionally substituted 6-membered arylene, or 5 to 6-membered heteroarylene;
- L D is absent or a drug linker
- W 0 is hydrogen, optionally substituted amino, optionally substituted C 1 -C 4 alkoxy, optionally substituted C 1 -C 4 hydroxyalkyl, optionally substituted C 1 -C 4 aminoalkyl, optionally substituted C 1 -C 4 haloalkyl, optionally substituted C 1 -C 4 alkyl, optionally substituted C 1 - 04 guanidinoalkyl, C0-C 4 alkyl optionally substituted 3 to 11-membered heterocycloalkyl, optionally substituted 3 to 8-membered cycloalkyl, or optionally substituted 3 to 8-membered heteroaryl;
- X D2 is O or NH
- X D3 is N or CH
- R D is hydrogen, cyano, optionally substituted C 1 -C 4 alkyl, optionally substituted C 2 - C 4 alkenyl, optionally substituted C 2 -C 4 alkynyl, C(O)R D ’, C(O)OR D ’, C(O)N(R D ’) 2 , S(O)R D ’, S(O) 2 R D ’, or S(O) 2 N(R D ’) 2 ; each R D ’ is, independently, H or optionally substituted C 1 -C 4 alkyl;
- Y D1 is C, CH, or N
- Y D2 , Y D3 , Y D4 , and Y D7 are, independently, C or N;
- Y D5 and Y D6 are, independently, CH or N;
- R D1 is cyano, optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 6-membered cycloalkenyl, optionally substituted 3 to 6-membered heterocycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted 5 to 10-membered heteroaryl;
- R D2 is hydrogen, optionally substituted C 1 -C 6 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 7-membered heterocycloalkyl, optionally substituted 6-membered aryl, optionally substituted 5 or e- membered heteroaryl;
- R D3 is absent
- R D2 and R D3 combine with the atom to which they are attached to form an optionally substituted 3 to 8-membered cycloalkyl or optionally substituted 3 to 14-membered heterocycloalkyl;
- R D4 is absent, hydrogen, halogen, cyano, or methyl optionally substituted with 1 to 3 halogens;
- R D5 is hydrogen, C 1 -C 4 alkyl optionally substituted with halogen, cyano, hydroxy, or C 1 - 04 alkoxy, cyclopropyl, or cyclobutyl;
- R D6 is hydrogen or methyl
- R D7 is hydrogen, halogen, or optionally substituted C 1 -C 3 alkyl, or
- R D6 and R D7 combine with the carbon atoms to which they are attached to form an optionally substituted 3 to 6-membered cycloalkyl or optionally substituted 3 to 7-membered heterocycloalkyl;
- R D8 is hydrogen, halogen, hydroxy, cyano, optionally substituted C 1 -C 3 alkoxy, optionally substituted C 1 -C 3 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted 3 to 8-membered cycloalkyl, optionally substituted 3 to 14-membered heterocycloalkyl, optionally substituted 5 to 10-membered heteroaryl, or optionally substituted 6 to 10-membered aryl, or
- R D7 ’ is hydrogen, halogen, or optionally substituted C 1 -C 3 alkyl
- R D8 ’ is hydrogen, halogen, hydroxy, cyano, optionally substituted C 1 -C 3 alkoxy, optionally substituted C 1 -C 3 alkyl, optionally substituted C 2 -C 6 alkenyl, optionally substituted C 2 -C 6 alkynyl, optionally substituted 3 to 8-membered cycloalkyl, optionally substituted 3 to 14-membered heterocycloalkyl, optionally substituted 5 to 10-membered heteroaryl, or optionally substituted 6 to 10-membered aryl, or
- R D7 ’ and R D8 ’ combine with the carbon atom to which they are attached to form optionally substituted 3 to 6-membered cycloalkyl or optionally substituted 3 to 7-membered heterocycloalkyl;
- R D9 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, or optionally substituted 3 to 7-membered heterocycloalkyl;
- R D1 ° is hydrogen, hydroxy, C 1 -C 3 alkoxy, or C 1 -C 3 alkyl
- R D11 is hydrogen or C 1 -C 3 alkyl.
- the panRAS inhibitor (D) comprises a compound of Formula (If): a pharmaceutically acceptable salt thereof, wherein
- a D is -N(H or CH 3 )C(O)-(CH 2 )- where the amino nitrogen is bound to the carbon atom of -CH 2 -, optionally substituted 3 to 6-membered cycloalkylene, optionally substituted 3 to 6- membered heterocycloalkylene, optionally substituted 6-membered arylene, or optionally substituted 5 to 6-membered heteroarylene;
- B D is -CH(R D9 )- where the carbon is bound to the carbonyl carbon of -NHC(O)-, optionally substituted 3 to 6-membered cycloalkylene, optionally substituted 3 to 6-membered heterocycloalkylene, optionally substituted 6-membered arylene, or 5 to 6-membered heteroarylene;
- L D is absent or a drug linker
- W 0 is hydrogen, optionally substituted amino, optionally substituted C 1 -C 4 alkoxy, optionally substituted C 1 -C 4 hydroxyalkyl, optionally substituted C 1 -C 4 aminoalkyl, optionally substituted C 1 -C 4 haloalkyl, optionally substituted C 1 -C 4 alkyl, optionally substituted C 1 - 04 guanidinoalkyl, C0-C 4 alkyl optionally substituted 3 to 11-membered heterocycloalkyl, optionally substituted 3 to 8-membered cycloalkyl, or optionally substituted 3 to 8-membered heteroaryl;
- R D1 is cyano, optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 6-membered cycloalkenyl, optionally substituted 3 to 6-membered heterocycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted 5 to 10-membered heteroaryl;
- R D2 is C 1 -C 6 alkyl or 3 to 6-membered cycloalkyl
- R D7 is C 1 -C 3 alkyl
- R D8 is C 1 -C 3 alkyl
- R D9 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, or optionally substituted 3 to 7-membered heterocycloalkyl.
- R D1 is 5 to 10- membered heteroaryl.
- R D1 is optionally substituted 6-membered aryl or optionally substituted 6-membered heteroaryl.
- the panRAS inhibitor D is attached to the conjugate linker represented by L at A D or R D1 position.
- the panRAS inhibitor D comprises a compound of formula (Ig): a pharmaceutically acceptable salt thereof, wherein:
- a D is, optionally substituted 3 to 6-membered cycloalkylene, optionally substituted 3 to 6- membered heterocycloalkylene, optionally substituted 6-membered arylene, or optionally substituted 5 to 6-membered heteroarylene;
- B D is -CH(R D9 )- where the carbon is bound to the carbonyl carbon of -NHC(O)-, optionally substituted 3 to 6-membered cycloalkylene, optionally substituted 3 to 6-membered heterocycloalkylene, optionally substituted 6-membered arylene, or 5 to 6-membered heteroarylene;
- L D is absent or a drug linker;
- W 0 is hydrogen, optionally substituted amino, optionally substituted C 1 -C 4 alkoxy, optionally substituted C 1 -C 4 hydroxyalkyl, optionally substituted C 1 -C 4 aminoalkyl, optionally substituted C 1 -C 4 haloalkyl, optionally substituted C 1 -C 4 alkyl, optionally substituted C 1 - 04 guanidinoalkyl, C0-C 4 alkyl optionally substituted 3 to 11-membered heterocycloalkyl, optionally substituted 3 to 8-membered cycloalkyl, or optionally substituted 3 to 8-membered heteroaryl;
- R D2 is C 1 -C 6 alkyl or 3 to 6-membered cycloalkyl
- R D7 is C 1 -C 3 alkyl
- R D8 is C 1 -C 3 alkyl
- R D9 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, or optionally substituted 3 to 7-membered heterocycloalkyl;
- X De is N, CH, or CR D17 ;
- X Df is N or CH
- R D12 is optionally substituted C 1 -C 6 alkyl or optionally substituted C 1 -C 6 heteroalkyl
- R D17 is optionally substituted C 1 -C 6 alkyl, optionally substituted C 1 -C 6 heteroalkyl, optionally substituted 3 to 6-membered cycloalkyl, optionally substituted 3 to 6-membered cycloalkenyl, optionally substituted 3 to 6-membered heterocycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted 5 to 10-membered heteroaryl.
- a D is optionally substituted 6-membered arylene.
- a D is optionally substituted 5 to 6-membered heteroarylene.
- B D is -CHR D9 -.
- R D9 is optionally substituted C 1 -C 6 alkyl or optionally substituted 3 to 6-membered cycloalkyl.
- the drug linker in the panRAS inhibitors described in any one of the embodiments above is the structure of Formula II:
- a D1 is a bond between the drug linker and B;
- a D2 is a bond between Wand the drug linker;
- B D1 , B D2 , B D3 , and B D4 each, independently, is selected from optionally substituted C 1 - C 2 alkylene, optionally substituted C 1 -C 3 heteroalkylene, O, S, and NR DN ;
- R DN is hydrogen, optionally substituted C 1 -C 4 alkyl, optionally substituted C 1 -C 3 cycloalkyl, optionally substituted C 2 -C 4 alkenyl, optionally substituted C 2 -C 4 alkynyl, optionally substituted 3 to 14-membered heterocycloalkyl, optionally substituted 6 to 10-membered aryl, or optionally substituted C 1 -C7 heteroalkyl;
- C D1 and C D2 are each, independently, selected from carbonyl, thiocarbonyl, sulphonyl, or phosphoryl; fD, gD, hD, iD, jD, and kD are each, independently, 0 or 1 ; and
- D D1 is optionally substituted C 1 -C 10 alkylene, optionally substituted C 2 -C 10 alkenylene, optionally substituted C 2 -C 10 alkynylene, optionally substituted 3 to 14-membered heterocycloalkylene, optionally substituted 5 to 10-membered heteroarylene, optionally substituted 3 to 8-membered cycloalkylene, optionally substituted 6 to 10-membered arylene, optionally substituted C 2 -C 10 polyethylene glycolene, or optionally substituted C 1 -C 1 0 heteroalkylene, or a chemical bond linking A D1 -(B D1 )fo-(C D1 ) g D-(B D2 )hD- to -(B D3 )iD-(C D2 )Dj-(B D4 )Dk- A D2 .
- the drug linker has the structure of Formula Ila: wherein
- X Da is absent or N
- R D14 is absent, hydrogen, optionally substituted C 1 -C 6 alkyl, or optionally substituted C 1 - C3 cycloalkyl;
- L D2 is absent, -C(O)-, -SO2-, optionally substituted C 1 -C 4 alkylene or optionally substituted C 1 -C 4 heteroalkylene, wherein at least one of X Da , R D14 , or L D2 is present.
- W 0 is hydrogen
- W 0 is C0-C 4 alkyl optionally substituted 3 to 11-membered heterocycloalkyl.
- the panRAS inhibitor D is attached to the conjugate linker represented by L at A D or R D17 position.
- the panRAS inhibitor D comprises a compound of formula (Ih):
- R D9 is C 1 -C 6 alkyl
- R D14 is hydrogen or C 1 -C 6 alkyl
- R D9 is C 1 -C 3 alkyl
- R D14 is C 1 -C 3 alkyl
- R D17 is optionally substituted 3 to 6-membered heterocycloalkyl
- W 0 is optionally substituted 5 to 6- membered heterocycloalkyl.
- the panRAS inhibitor D comprises a compound represented by a pharmaceutically acceptable salt thereof.
- the panRAS inhibitor D comprises a compound of formula (Ij):
- the panRAS inhibitor D comprises a compound of formula (Ik): a pharmaceutically acceptable salt thereof, wherein aD is 0 or 1.
- aD is 0 or 1.
- the panRAS inhibitor D comprises a compound of formula (Im):
- the panRAS inhibitor D comprises a compound of formula (In): a pharmaceutically acceptable salt thereof, wherein aD is 0 or 1.
- aD is 0 or 1.
- D represents a panRAS inhibitor attached to the conjugate linker L by a covalent bond, wherein the panRAS inhibitor is selected from a compound in Table A1 :
- the panRAS inhibitor D comprises a formula selected from any one of the formulae in Table A2, or a pharmaceutically acceptable salt thereof. Table A2
- -(L-D) is formed from a compound selected from Table B or an enantiomer, a diastereoisomer, and/or a pharmaceutically acceptable salt thereof.
- the maleimide group hp in the compound of Table B form a covalent bond with the antibody or antigen-binding fragment thereof (Ab) to form the ADC compound of formula (1) comprising moiety, wherein * indicates the connection point to Ab.
- these compounds can contain one pharmaceutically acceptable monovalent anionic counterion Mr.
- the monovalent anionic counterion Mr can be selected from bromide, chloride, iodide, acetate, trifluoroacetate, benzoate, mesylate, tosylate, triflate, formate, or the like.
- the monovalent anionic counterion Mr is trifluoroacetate or formate.
- the antibody-drug conjugate has a formula according to any one of the structures shown in Table 1.
- Table 1 ADC Structures
- EphA2 antibody anti-B7-H3 antibody, or antigen-binding fragments thereof.
- LC-MS liquid chromatography-mass spectrometry
- L-D refers to the linker-payloads, linker-drugs, or linker-compounds disclosed herein and the terms “L#-D#” is used to refer to a specific linker-drug disclosed herein, while the codes “D#” is used to refer to a specific compound unless otherwise specified, including an enantiomer, diastereoisomer, atropisomer, deuterated derivative, and/or pharmaceutically acceptable salt of any of the foregoing.
- Ab is an antibody or an antigen- binding fragment thereof described herein. In some embodiments, for ADCs depicted in Table 1, Ab is an anti-EphA2 antibody or antigen-binding fragment thereof. In some embodiments, Ab is an anti-B7-H3 antibody or antigen-binding fragment thereof.
- the antibody or antigen-binding fragment binds to a target antigen on a cancer cell.
- the target antigen is EphA2 or B7-H3 (CD276).
- the target antigen is EphA2. In some embodiments, the target antigen is B7-H3 (CD276).
- the antibody or antigen-binding fragment is an anti-EphA2 antibody or antigen-binding fragment.
- the anti-EphA2 antibody or antigen-binding fragment comprises three heavy chain complementarity determining regions (HCDRs) and three light chain complementarity determining regions (LCDRs) selected from the group consisting of:
- heavy chain CDR1 consisting of SEQ ID NO: 17
- heavy chain CDR2 consisting of SEQ ID NO: 18
- heavy chain CDR3 HCDR3
- light chain CDR1 consisting of SEQ ID NO:26
- light chain CDR2 consisting of SEQ ID NO:27
- light chain CDR3 consisting of SEQ ID NO:28;
- heavy chain CDR1 consisting of SEQ ID NQ:20
- heavy chain CDR2 consisting of SEQ ID NO:21
- heavy chain CDR3 HCDR3
- light chain CDR1 consisting of SEQ ID NO:29
- light chain CDR2 consisting of SEQ ID NQ:30
- light chain CDR3 consisting of SEQ ID NO:31;
- HCDR1 heavy chain CDR1 consisting of SEQ ID NO:22
- heavy chain CDR2 HCDR2
- heavy chain CDR3 HCDR3
- light chain CDR1 LCDR1
- LCDR2 light chain CDR2
- LCDR3 LCDR3
- heavy chain CDR1 consisting of SEQ ID NO:25
- heavy chain CDR2 consisting of SEQ ID NO:21
- heavy chain CDR3 HCDR3
- light chain CDR1 consisting of SEQ ID NO:29
- light chain CDR2 consisting of SEQ ID NQ:30
- light chain CDR3 LCDR3
- the anti-EphA2 antibody or antigen-binding fragment comprises a heavy chain variable region comprising an amino acid sequence of SEQ I D NO: 11 , and a light chain variable region comprising an amino acid sequence of SEQ ID NO:12.
- the anti-EphA2 antibody or antigen-binding fragment comprises an IgG 1 heavy chain constant domain or a modified IgG 1 heavy chain constant domain.
- the IgG 1 heavy chain constant domain comprises a cysteine residue (C) at position 152 and position 375.
- the antibody or antigen-binding fragment comprises an Ig kappa light chain constant domain.
- the anti-EphA2 antibody or antigen-binding fragment comprises a heavy chain comprising an amino acid sequence of SEQ ID NO:3, and a light chain comprising an amino acid sequence of SEQ ID NO:5.
- the antibody or antigen-binding fragment is an anti-B7-H3 (CD276) antibody or antigen-binding fragment.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment comprises three heavy chain complementarity determining regions (HCDRs) and three light chain complementarity determining regions (LCDRs) selected from the group consisting of:
- heavy chain CDR1 consisting of SEQ ID NO:36
- heavy chain CDR2 consisting of SEQ ID NO:37
- heavy chain CDR3 HCDR3
- light chain CDR1 consisting of SEQ ID NO:45
- light chain CDR2 consisting of SEQ ID NO:46
- light chain CDR3 consisting of SEQ ID NO:47;
- heavy chain CDR1 consisting of SEQ ID NO:49
- heavy chain CDR2 consisting of SEQ ID NQ:50
- heavy chain CDR3 HCDR3
- LCDR1 consisting of SEQ ID NO:58
- LCDR2 light chain CDR2
- LCDR3 light chain CDR3
- heavy chain CDR1 consisting of SEQ ID NO:52
- heavy chain CDR2 consisting of SEQ ID NO:53
- heavy chain CDR3 HCDR3
- light chain CDR1 consisting of SEQ ID NO:61
- light chain CDR2 consisting of SEQ ID NO:62
- light chain CDR3 consisting of SEQ ID NO:63;
- heavy chain CDR1 consisting of SEQ ID NO:54
- heavy chain CDR2 consisting of SEQ ID NO:55
- heavy chain CDR3 HCDR3
- light chain CDR1 consisting of SEQ ID NO:58
- light chain CDR2 LCDR2
- LCDR3 LCDR3
- heavy chain CDR1 consisting of SEQ ID NO:57
- heavy chain CDR2 consisting of SEQ ID NO:53
- heavy chain CDR3 HCDR3
- light chain CDR1 consisting of SEQ ID NO:61
- light chain CDR2 LCDR2
- LCDR3 LCDR3
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment comprises a heavy chain variable region comprising an amino acid sequence of SEQ ID NO: 13, and a light chain variable region comprising an amino acid sequence of SEQ ID NO:14.
- the antibody or antigen-binding fragment comprises an IgG 1 heavy chain constant domain or a modified IgG 1 heavy chain constant domain.
- the lgG1 heavy chain constant domain comprises a cysteine residue (C) at position 152 and position 375.
- the antibody or antigen-binding fragment comprises an Ig kappa light chain constant domain.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment comprises a heavy chain variable region comprising an amino acid sequence of SEQ ID NO: 15, and a light chain variable region comprising an amino acid sequence of SEQ ID NO:16.
- the antibody or antigen-binding fragment comprises an IgG 1 heavy chain constant domain or a modified IgG 1 heavy chain constant domain.
- the lgG1 heavy chain constant domain comprises a cysteine residue (C) at position 152 and position 375.
- the antibody or antigen-binding fragment comprises an Ig kappa light chain constant domain.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment comprises a heavy chain comprising an amino acid sequence of SEQ ID NO:7, and a light chain comprising an amino acid sequence of SEQ ID NO:8.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment comprises a heavy chain comprising an amino acid sequence of SEQ ID NO:9, and a light chain comprising an amino acid sequence of SEQ ID NQ:10.
- compositions comprising multiple copies of an antibody-drug conjugate (e.g., any of the exemplary antibody-drug conjugates described herein).
- the average p of the antibody-drug conjugates in the composition is from about 2 to about 4.
- compositions comprising an antibody-drug conjugate (e.g., any of the exemplary antibody-drug conjugates described herein) or a composition (e.g., any of the exemplary compositions described herein), and a pharmaceutically acceptable carrier.
- an antibody-drug conjugate e.g., any of the exemplary antibody-drug conjugates described herein
- a composition e.g., any of the exemplary compositions described herein
- a pharmaceutically acceptable carrier e.g., any of the exemplary compositions described herein
- therapeutic uses for the described ADC compounds and compositions e.g., in treating a cancer.
- the present disclosure provides methods of treating a cancer (e.g., a cancer that expresses an antigen targeted by the antibody or antigen-binding fragment of the ADC, such as EphA2 or B7- H3 (CD276)).
- the present disclosure provides methods of reducing or slowing the expansion of a cancer cell population in a subject. In some embodiments, the present disclosure provides methods of determining whether a subject having or suspected of having a cancer will be responsive to treatment with an ADC compound or composition disclosed herein.
- An exemplary embodiment is a method of treating a subject having or suspected of having a cancer, comprising administering to the subject a therapeutically effective amount of an antibody-drug conjugate, composition, or pharmaceutical composition (e.g., any of the exemplary antibody-drug conjugates, compositions, or pharmaceutical compositions disclosed herein).
- the cancer expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1, B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1, ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1 , CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN, BEHAB, C 2 42 antigen, C5, CA-125, CA-
- the target antigen is EphA2 or B7-H3 (CD276).
- the target antigen is EphA2.
- the target antigen is B7-H3 (CD276).
- the cancer is a tumor or a hematological cancer.
- the cancer is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- Another exemplary embodiment is a method of reducing or inhibiting the growth of a tumor in a subject, comprising administering to the subject a therapeutically effective amount of an antibody-drug conjugate, composition, or pharmaceutical composition (e.g., any of the exemplary antibody-drug conjugates, compositions, or pharmaceutical compositions disclosed herein).
- the tumor expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1, B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1, ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1 , CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN, BEHAB, C 2 42 antigen, C5, CA-125, CA-
- the target antigen is EphA2 or B7-H3 (CD276). In some embodiments, the target antigen is EphA2. In some embodiments, the target antigen is B7-H3 (CD276).
- the tumor is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma
- administration of the antibody-drug conjugate, composition, or pharmaceutical composition reduces or inhibits the growth of the tumor by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, or at least about 99%.
- Another exemplary embodiment is a method of reducing or slowing the expansion of a cancer cell population in a subject, comprising administering to the subject a therapeutically effective amount of an antibody-drug conjugate, composition, or pharmaceutical composition (e.g., any of the exemplary antibody-drug conjugates, compositions, or pharmaceutical compositions disclosed herein).
- the cancer cell population expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1 , B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1 , ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1, CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN, BEHAB, C 2 42 antigen, C5, CA-125,
- the target antigen is EphA2 or B7-H3 (CD276). In some embodiments, the target antigen is EphA2. In some embodiments, the target antigen is B7-H3 (CD276). In some embodiments, the cancer cell population is from a tumor or a hematological cancer.
- the cancer cell population is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- ER positive breast cancer multiple myeloma, plasma cell myeloma, le
- administration of the antibody-drug conjugate, composition, or pharmaceutical composition reduces the cancer cell population by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, or at least about 99%. In some embodiments, administration of the antibody-drug conjugate, composition, or pharmaceutical composition slows the expansion of the cancer cell population by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, or at least about 99%.
- Another exemplary embodiment is an antibody-drug conjugate, composition, or pharmaceutical composition (e.g., any of the exemplary antibody-drug conjugates, compositions, or pharmaceutical compositions disclosed herein) for use in treating a subject having or suspected of having a cancer.
- the cancer expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1, B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1 , ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1, CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN, BEHAB, C 2 42 antigen, C5, CA-125, CA-
- the target antigen is EphA2 or B7-H3 (CD276). In some embodiments, the target antigen is EphA2. In some embodiments, the target antigen is B7-H3 (CD276). In some embodiments, the cancer is a tumor or a hematological cancer.
- the cancer is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- ER positive breast cancer multiple myeloma, plasma cell myeloma, leukemia
- Another exemplary embodiment is a use of an antibody-drug conjugate, composition, or pharmaceutical composition (e.g., any of the exemplary antibody-drug conjugates, compositions, or pharmaceutical compositions disclosed herein) in treating a subject having or suspected of having a cancer.
- the cancer expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1, B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1, ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1 , CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN, BEHAB, C 2 42 antigen, C5, CA-125, CA-
- the target antigen is EphA2 or B7-H3 (CD276). In some embodiments, the target antigen is EphA2. In some embodiments, the target antigen is B7-H3 (CD276). In some embodiments, the cancer is a tumor or a hematological cancer.
- the cancer is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- ER positive breast cancer multiple myeloma, plasma cell myeloma, leukemia
- Another exemplary embodiment is a use of an antibody-drug conjugate, composition, or pharmaceutical composition (e.g., any of the exemplary antibody-drug conjugates, compositions, or pharmaceutical compositions disclosed herein) in a method of manufacturing a medicament for treating a subject having or suspected of having a cancer.
- the cancer expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1, B7-H3, B7-H4, EGFR, CD71 , EPCAM, FOLR1, ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1 , CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN, BEHAB, C 2 42 antigen, C5, CA-125, CA
- the target antigen is EphA2 or B7-H3 (CD276). In some embodiments, the target antigen is EphA2. In some embodiments, the target antigen is B7-H3 (CD276). In some embodiments, the cancer is a tumor or a hematological cancer.
- the cancer is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- ER positive breast cancer multiple myeloma, plasma cell myeloma, leukemia
- Another exemplary embodiment is a method of determining whether a subject having or suspected of having a cancer will be responsive to treatment with an antibody-drug conjugate, composition, or pharmaceutical composition (e.g., any of the exemplary antibody-drug conjugates, compositions, or pharmaceutical compositions disclosed herein) by providing a biological sample from the subject; contacting the sample with the antibody-drug conjugate; and detecting binding of the antibody-drug conjugate to cancer cells in the sample.
- the cancer cells in the sample express a target antigen.
- the cancer expresses a target antigen.
- the target antigen is EphA2 or B7-H3 (CD276). In some embodiments, the target antigen is EphA2. In some embodiments, the target antigen is B7-H3 (CD276). In some embodiments, the cancer is a tumor or a hematological cancer.
- the cancer is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- the sample is a tissue biopsy sample, a blood sample, or a bone
- An exemplary embodiment is a method of producing an antibody-drug conjugate by reacting an antibody or antigen-binding fragment with a cleavable conjugate linker joined or covalently attached to a panRAS inhibitor under conditions that allow conjugation.
- FIG. 1 shows in vitro activities of panRAS ADCs, isotype ADC, and Sotorasib in multiple cancer cell lines (LU65, HPAC, H727, and SW1271).
- antibody drug conjugates can be identified using a naming convention in the general format of “target antigen/antibody-linker-payload”. For example only, if an antibody drug conjugate is referred to as “Target X-L0-P0”, such a conjugate would comprise an antibody that binds Target X, a conjugate linker designated as L0, and a payload designated as P0. Alternatively, if an antibody drug conjugate is referred to as “anti- Target X-L0-P0”, such a conjugate would comprise an antibody that binds Target X, a conjugate linker designated as L0, and a payload designated as P0.
- an antibody drug conjugate is referred to as “AbX-LO-PO”
- such a conjugate would comprise the antibody designated as AbX, a conjugate linker designated as L0, and a payload designated as P0.
- a control antibody drug conjugate comprising a non-specific, isotype control antibody may be referenced as “isotype control lgG1-L0-P0” or “lgG1-L0-P0”.
- any formula given herein is also intended to represent unlabeled forms as well as isotopically labeled forms of the compounds.
- Isotopically labeled compounds have structures depicted by the formulae given herein except that one or more atoms are replaced by an atom having a selected atomic mass or mass number.
- Isotopes that can be incorporated into compounds of the invention include, for example, isotopes of hydrogen, carbon, nitrogen, oxygen, fluorine, and chlorine, such as 3 H, 11 C, 13 C, 14 C, 15 N, 18 F, and 36 CI.
- Each VH and VL is composed of three CDRs and four FRs arranged from amino-terminus to carboxyl- terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4.
- the variable regions of the heavy and light chains contain a binding domain that interacts with an antigen.
- the constant regions of the antibodies may mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system (e.g., effector cells) and the first component (C 1 q) of the classical complement system.
- An antibody can be a monoclonal antibody, human antibody, humanized antibody, camelised antibody, or chimeric antibody.
- the antibody or antibody fragment disclosed herein include modified or engineered amino acid residues, e.g., one or more cysteine residues, as sites for conjugation to a drug moiety (Junutula JR, et al., Nat Biotechnol 2008, 26:925-932).
- the disclosure provides a modified antibody or antibody fragment comprising a substitution of one or more amino acids with cysteine at the positions described herein. Sites for cysteine substitution are in the constant regions of the antibody or antibody fragment and are thus applicable to a variety of antibody or antibody fragment, and the sites are selected to provide stable and homogeneous conjugates.
- the CDRs correspond to the amino acid residues that are defined as part of the Kabat CDR, together with the amino acid residues that are defined as part of the Chothia CDR.
- the CDRs defined according to the “Chothia” number scheme are also sometimes referred to as “hypervariable loops.”
- the CDR amino acid residues in the heavy chain variable domain (VH) are numbered 31-35 (HCDR1) (e.g., insertion(s) after position 35), 50-65 (HCDR2), and 95-102 (HCDR3); and the CDR amino acid residues in the light chain variable domain (VL) are numbered 24-34 (LCDR1) (e.g., insertion(s) after position 27), 50-56 (LCDR2), and 89-97 (LCDR3).
- the CDR amino acids in the VH are numbered 26-32 (HCDR1) (e.g., insertion(s) after position 31), 52-56 (HCDR2), and 95-102 (HCDR3); and the amino acid residues in VL are numbered 26-32 (LCDR1) (e.g., insertion(s) after position 30), 50-52 (LCDR2), and 91-96 (LCDR3).
- the CDRs comprise or consist of, e.g., amino acid residues 26-35 (HCDR1), 50-65 (HCDR2), and 95-102 (HCDR3) in human VH and amino acid residues 24-34 (LCDR1), 50-56 (LCDR2), and 89-97 (LCDR3) in human VL.
- the CDR amino acid residues in the VH are numbered approximately 26-35 (CDR1), 51-57 (CDR2) and 93-102 (CDR3), and the CDR amino acid residues in the VL are numbered approximately 27-32 (CDR1), 50-52 (CDR2), and 89-97 (CDR3).
- the CDR regions of an antibody may be determined using the program IMGT/DomainGap Align.
- the term "monoclonal antibody,” as used herein, refers to an antibody obtained from a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising the population are identical except for possible naturally occurring mutations that may be present in minor amounts. Monoclonal antibodies are highly specific, being directed against a single antigenic epitope. In contrast, conventional (polyclonal) antibody preparations typically include a multitude of antibodies directed against (or specific for) different epitopes. The modifier “monoclonal” indicates the character of the antibody as being obtained from a substantially homogeneous population of antibodies, and is not to be construed as requiring production of the antibody by any particular method.
- the monoclonal antibodies to be used in accordance with the present disclosure may be made by the hybridoma method first described by Kohler et al. (1975) Nature 256:495, or may be made by recombinant DNA methods (see, e.g., US Patent No. 4,816,567).
- Monoclonal antibodies may also be isolated from phage antibody libraries using the techniques described in Clackson et al. (1991) Nature 352:624-8, and Marks et al. (1991) J Mol Biol. 222:581-97, for example.
- the term also includes preparations of antibody molecules of single molecular composition.
- a monoclonal antibody composition displays a single binding specificity and affinity for a particular epitope.
- the monoclonal antibodies described herein can be non-human, human, or humanized.
- the term specifically includes "chimeric" antibodies, in which a portion of the heavy and/or light chain is identical with or homologous to corresponding sequences in antibodies derived from a particular species or belonging to a particular antibody class or subclass, while the remainder of the chain(s) is identical with or homologous to corresponding sequences in antibodies derived from another species or belonging to another antibody class or subclass, as well as fragments of such antibodies, so long as they specifically bind the target antigen and/or exhibit the desired biological activity.
- human antibody refers an antibody produced by a human or an antibody having an amino acid sequence of an antibody produced by a human.
- the term includes antibodies having variable regions in which both the framework and CDR regions are derived from sequences of human origin.
- the constant region is also derived from such human sequences, e.g., human germline sequences, or mutated versions of human germline sequences or antibody containing consensus framework sequences derived from human framework sequences analysis, for example, as described in Knappik et al. ((2000) J Mol Biol. 296(1 ):57-86).
- immunoglobulin variable domains e.g., CDRs
- CDRs may be defined using well known numbering schemes, e.g., the Kabat numbering scheme, the Chothia numbering scheme, or a combination of Kabat and Chothia, and/or ImMunoGenTics (IMGT) numbering.
- the human antibodies of the invention may include amino acid residues not encoded by human sequences (e.g., mutations introduced by random or site-specific mutagenesis in vitro or by somatic mutation in vivo, or a conservative substitution to promote stability or manufacturing).
- the term “human antibody,” as used herein, is not intended to include antibodies in which CDR sequences derived from the germline of another mammalian species, such as a mouse, have been grafted onto human framework sequences.
- recombinant human antibody refers to a human antibody that is prepared, expressed, created, or isolated by recombinant means, such as antibodies isolated from an animal (e.g., a mouse) that is transgenic or transchromosomal for human immunoglobulin genes or a hybridoma prepared therefrom, antibodies isolated from a host cell transformed to express the human antibody, e.g., from a transfectoma, antibodies isolated from a recombinant, combinatorial human antibody library, and antibodies prepared, expressed, created or isolated by any other means that involve splicing of all or a portion of a human immunoglobulin gene, sequences to other DNA sequences.
- recombinant means such as antibodies isolated from an animal (e.g., a mouse) that is transgenic or transchromosomal for human immunoglobulin genes or a hybridoma prepared therefrom, antibodies isolated from a host cell transformed to express the human antibody, e.g., from a transfectoma, antibodies isolated from a
- Such recombinant human antibodies have variable regions in which the framework and CDR regions are derived from human germline immunoglobulin sequences.
- such recombinant human antibodies can be subjected to in vitro mutagenesis (or, when an animal transgenic for human Ig sequences is used, in vivo somatic mutagenesis) and thus the amino acid sequences of the VH and VL regions of the recombinant antibodies are sequences that, while derived from and related to human germline VH and VL sequences, may not naturally exist within the human antibody germline repertoire in vivo.
- chimeric antibody refers to antibodies wherein the amino acid sequence of the immunoglobulin molecule is derived from two or more species.
- the variable regions of both heavy and light chains correspond to the variable regions of antibodies derived from one species with the desired specificity, affinity, and activity while the constant regions are homologous to antibodies derived from another species (e.g., human) to minimize an immune response in the latter species.
- humanized antibody refers to forms of antibodies that contain sequences from non-human (e.g., murine) antibodies as well as human antibodies. Such antibodies are a type of chimeric antibody which contain minimal sequence derived from non- human immunoglobulin.
- the humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the hypervariable loops correspond to those of a non-human immunoglobulin and all or substantially all of the framework (FR) regions are those of a human immunoglobulin sequence.
- the humanized antibody optionally also will comprise at least a portion of an immunoglobulin constant region (Fc), typically that of a human immunoglobulin.
- the humanized antibody can be further modified by the substitution of residues, either in the Fv framework region and/or within the replaced non-human residues to refine and optimize antibody specificity, affinity, and/or activity.
- Fc region refers to a polypeptide comprising the CH 3 , CH 2 and at least a portion of the hinge region of a constant domain of an antibody.
- an Fc region may include a CH4 domain, present in some antibody classes.
- An Fc region may comprise the entire hinge region of a constant domain of an antibody.
- an antibody or antigen-binding fragment comprises an Fc region and a CH1 region of an antibody.
- an antibody or antigen-binding fragment comprises an Fc region CH 3 region of an antibody.
- an antibody or antigen-binding fragment comprises an Fc region, a CH1 region, and a kappa/lambda region from the constant domain of an antibody.
- an antibody or antigen-binding fragment comprises a constant region, e.g., a heavy chain constant region and/or a light chain constant region.
- such a constant region is modified compared to a wild-type constant region. That is, the polypeptide may comprise alterations or modifications to one or more of the three heavy chain constant domains (CH1, CH 2 , or CH 3 ) and/or to the light chain constant region domain (CL).
- Example modifications include additions, deletions, or substitutions of one or more amino acids in one or more domains. Such changes may be included to optimize effector function, half-life, etc.
- Internalizing refers to an antibody or antigen-binding fragment that is capable of being taken through the cell’s lipid bilayer membrane to an internal compartment (i.e. , “internalized”) upon binding to the cell, preferably into a degradative compartment in the cell.
- an internalizing anti- EphA2 antibody is one that is capable of being taken into the cell after binding to EphA2 on the cell membrane.
- the antibody or antigen-binding fragment used in the ADCs disclosed herein targets a cell surface antigen (e.g., EphA2 or B7-H3 (CD276)) and is an internalizing antibody or internalizing antigen-binding fragment (i.e., the ADC transfers through the cellular membrane after antigen binding).
- the internalizing antibody or antigen-binding fragment binds a receptor on the cell surface.
- An internalizing antibody or internalizing antigen-binding fragment that targets a receptor on the cell membrane may induce receptor-mediated endocytosis.
- the internalizing antibody or internalizing antigen-binding fragment is taken into the cell via receptor-mediated endocytosis.
- Non-internalizing as used herein in reference to an antibody or antigen-binding fragment refers to an antibody or antigen-binding fragment that remains at the cell surface upon binding to the cell.
- the antibody or antigen-binding fragment used in the ADCs disclosed herein targets a cell surface antigen and is a non-internalizing antibody or non- internalizing antigen-binding fragment (i.e. , the ADC remains at the cell surface and does not transfer through the cellular membrane after antigen binding).
- the non- internalizing antibody or antigen-binding fragment binds a non-internalizing receptor or other cell surface antigen.
- non-internalizing cell surface antigens include but are not limited to CA125 and CEA, and antibodies that bind to non-internalizing antigen targets are also known in the art (see, e.g., Bast et al. (1981) J Clin Invest. 68(5):1331-7; Scholler and Urban (2007) Biomark Med. 1(4):513-23; and Boudousq et al. (2013) PLoS One 8(7):e69613).
- EphA2 EPH receptor A2
- ephrin type-A receptor 2 EphA2
- EphA2 EphA2
- the terms encompass full-length human EphA2 (e.g., NCBI Reference Sequence: NP_004422.2; SEQ ID NO: 1), as well as any form of human EphA2 that may result from cellular processing.
- EphA2 also encompass functional variants or fragments of human EphA2, including but not limited to splice variants, allelic variants, and isoforms that retain one or more biologic functions of human EphA2 (i.e., variants and fragments are encompassed unless the context indicates that the term is used to refer to the wild-type protein only).
- EphA2 can be isolated from human, or may be produced recombinantly or by synthetic methods.
- anti-EphA2 antibody or “antibody that binds to EphA2,” as used herein, refers to any form of antibody or antigen-binding fragment thereof that binds, e.g., specifically binds, to EphA2.
- the term encompasses monoclonal antibodies (including full-length monoclonal antibodies), polyclonal antibodies, and biologically functional antigen-binding fragments so long as they bind, e.g., specifically bind, to EphA2.
- W02007/030642 provides and is incorporated herein by reference for exemplary EphA2-binding sequences, including exemplary anti-EphA2 antibody sequences.
- the anti-EphA2 antibody used in the ADCs disclosed herein is an internalizing antibody or internalizing antigen-binding fragment.
- 1C 1 (W02007/030642) is an example of an exemplary anti-EphA2 antibody.
- B7 homology 3 protein B7-H3 and “CD276,” are used interchangeably herein and refer to any native form of human B7-H3 or CD276.
- the terms encompass full- length human B7-H3 (CD276) (e.g., NCBI Reference Sequence: NP_001019907.1), as well as any form of human B7-H3 (CD276) that may result from cellular processing.
- B7-H3 can be isolated from human, or may be produced recombinantly or by synthetic methods.
- anti-B7-H3 antibody or “antibody that binds to B7-H3 (CD276),” as used herein, refers to any form of antibody or antigen-binding fragment thereof that binds, e.g., specifically binds, to B7-H3 (CD276).
- the term encompasses monoclonal antibodies (including full-length monoclonal antibodies), polyclonal antibodies, and biologically functional antigen- binding fragments so long as they bind, e.g., specifically bind, to B7-H3 (CD276).
- WO2017214322 and WO2012147713 provide, and are incorporated herein by reference, exemplary B7-H3-binding sequences, including exemplary anti-B7-H3 (CD276) antibody sequences.
- exemplary anti-B7-H3 (CD276) antibody sequences include exemplary anti-B7-H3 (CD276) antibody sequences.
- ABBV-155 and DS-5573a are examples of exemplary anti-B7-H3 (CD276) antibodies.
- binding specificity refers to the ability of an individual antibody or antigen binding fragment to preferentially react with one antigenic determinant over a different antigenic determinant.
- the degree of specificity indicates the extent to which an antibody or fragment preferentially binds to one antigenic determinant over a different antigenic determinant.
- the term “specific,” “specifically binds,” and “binds specifically” refers to a binding reaction between an antibody or antigen-binding fragment (e.g., an anti-EphA2 antibody or an anti-B7-H3 antibody) and a target antigen (e.g., EphA2 or B7-H3 (CD276)) in a heterogeneous population of proteins and other biologies.
- an antibody or antigen-binding fragment e.g., an anti-EphA2 antibody or an anti-B7-H3 antibody
- a target antigen e.g., EphA2 or B7-H3 (CD276)
- Antibodies can be tested for specificity of binding by comparing binding to an appropriate antigen to binding to an irrelevant antigen or antigen mixture under a given set of conditions.
- a “specific antibody” or a “target- specific antibody” is one that only binds the target antigen (e.g., EphA2 or B7-H3 (CD276)), but does not bind (or exhibits minimal binding) to other antigens.
- an antibody or antigen-binding fragment that specifically binds a target antigen has a KD of less than 1x10 -6 M, less than 1x10 -7 M, less than 1x10 -8 M, less than 1x10 -9 M, less than 1x10 -10 M, less than 1x10 -11 M, less than 1x10 -12 M, or less than 1x10 -13 M.
- the KD is 1 pM to 500 pM. In some embodiments, the KD is between 500 pM to 1 pM, 1 pM to 100 nM, or 100 mM to 10 nM.
- affinity refers to the strength of interaction between antibody and antigen at single antigenic sites. Without being bound by theory, within each antigen binding site, the variable region of the antibody “arm” interacts through weak non-covalent forces with the antigen at numerous sites; the more interactions, typically the stronger the affinity.
- the binding affinity of an antibody is the sum of the attractive and repulsive forces operating between the antigenic determinant and the binding site of the antibody.
- k on or "k a” refers to the on-rate constant for association of an antibody to the antigen to form the antibody/antigen complex.
- the rate can be determined using standard assays, such as a surface plasmon resonance, biolayer inferometry, or ELISA assay.
- k O ff or “kd” refers to the off-rate constant for dissociation of an antibody from the antibody/antigen complex. The rate can be determined using standard assays, such as a surface plasmon resonance, biolayer inferometry, or ELISA assay.
- KD refers to the equilibrium dissociation constant of a particular antibody- antigen interaction. KD is calculated by k a /kd. The rate can be determined using standard assays, such as a surface plasmon resonance, biolayer inferometry, or ELISA assay.
- epitope refers to the portion of an antigen capable of being recognized and specifically bound by an antibody (or antigen-binding fragment).
- Epitope determinants generally consist of chemically active surface groupings of molecules such as amino acids or carbohydrate or sugar side chains and can have specific three-dimensional structural characteristics, as well as specific charge characteristics.
- epitopes can be formed from contiguous amino acids or noncontiguous amino acids juxtaposed by tertiary folding of the polypeptide.
- An epitope may be “linear” or “conformational.” Conformational and linear epitopes are distinguished in that the binding to the former but not the latter is lost in the presence of denaturing solvents.
- the epitope bound by an antibody may be identified using any epitope mapping technique known in the art, including X-ray crystallography for epitope identification by direct visualization of the antigen-antibody complex, as well as monitoring the binding of the antibody to fragments or mutated variations of the antigen, or monitoring solvent accessibility of different parts of the antibody and the antigen.
- Exemplary strategies used to map antibody epitopes include, but are not limited to, array-based oligo-peptide scanning, limited proteolysis, site-directed mutagenesis, high-throughput mutagenesis mapping, hydrogen-deuterium exchange, and mass spectrometry (see, e.g., Gershoni et al. (2007) BioDrugs 21 :145-56; and Hager-Braun and Tomer (2005) Expert Rev Proteomics 2:745-56).
- competitive binding is identified when a test antibody or binding protein reduces binding of a reference antibody or binding protein to a target antigen such as EphA2 or B7-H3 (CD276) (e.g., a binding protein comprising CDRs and/or variable domains selected from those identified in Tables 3-5), by at least about 50% in the cross-blocking assay (e.g., 50%, 60%, 70%, 80%, 90%, 95%, 99%, 99.5%, or more, or any percentage in between), and/or vice versa.
- a target antigen such as EphA2 or B7-H3 (CD276) (e.g., a binding protein comprising CDRs and/or variable domains selected from those identified in Tables 3-5)
- CD276 e.g., a binding protein comprising CDRs and/or variable domains selected from those identified in Tables 3-5
- competitive binding can be due to shared or similar (e.g., partially overlapping) epitopes, or due to steric hindrance where antibodies or binding proteins bind at nearby epitopes (see, e.g., Tzartos, Methods in Molecular Biology (Morris, ed. (1998) vol. 66, pp. 55- 66)).
- competitive binding can be used to sort groups of binding proteins that share similar epitopes. For example, binding proteins that compete for binding can be “binned” as a group of binding proteins that have overlapping or nearby epitopes, while those that do not compete are placed in a separate group of binding proteins that do not have overlapping or nearby epitopes.
- peptide As used herein, the terms “peptide,” “polypeptide,” and “protein” are used interchangeably to refer to a polymer of amino acid residues.
- the terms encompass amino acid polymers comprising two or more amino acids joined to each other by peptide bonds, amino acid polymers in which one or more amino acid residues is an artificial chemical mimetic of a corresponding naturally-occurring amino acid, as well as naturally-occurring amino acid polymers and non-naturally-occurring amino acid polymers.
- the terms include, for example, biologically active fragments, substantially homologous polypeptides, oligopeptides, homodimers, heterodimers, variants of polypeptides, modified polypeptides, derivatives, analogs, fusion proteins, among others.
- the terms also include natural peptides, recombinant peptides, synthetic peptides, or a combination thereof. Unless otherwise indicated, a particular polypeptide sequence also implicitly encompasses conservatively modified variants thereof.
- a "recombinant” protein refers to a protein (e.g., an antibody) made using recombinant techniques, e.g., through the expression of a recombinant nucleic acid.
- An "isolated" protein refers to a protein unaccompanied by at least some of the material with which it is normally associated in its natural state.
- a naturally-occurring polynucleotide or polypeptide present in a living organism is not isolated, but the same polynucleotide or polypeptide separated from some or all of the coexisting materials in the living organism, is isolated.
- the definition includes the production of an antibody in a wide variety of organisms and/or host cells that are known in the art.
- an "isolated antibody,” as used herein, is an antibody that has been identified and separated from one or more (e.g., the majority) of the components (by weight) of its source environment, e.g., from the components of a hybridoma cell culture or a different cell culture that was used for its production. In some embodiments, the separation is performed such that it sufficiently removes components that may otherwise interfere with the suitability of the antibody for the desired applications (e.g., for therapeutic use).
- Methods for preparing isolated antibodies are known in the art and include, without limitation, protein A chromatography, anion exchange chromatography, cation exchange chromatography, virus retentive filtration, and ultrafiltration.
- variant refers to a nucleic acid sequence or an amino acid sequence that differs from a reference nucleic acid sequence or amino acid sequence respectively, but retains one or more biological properties of the reference sequence.
- a variant may contain one or more amino acid substitutions, deletions, and/or insertions (or corresponding substitution, deletion, and/or insertion of codons) with respect to a reference sequence. Changes in a nucleic acid variant may not alter the amino acid sequence of a peptide encoded by the reference nucleic acid sequence, or may result in amino acid substitutions, additions, deletions, fusions, and/or truncations.
- a nucleic acid variant disclosed herein encodes an identical amino acid sequence to that encoded by the unmodified nucleic acid or encodes a modified amino acid sequence that retains one or more functional properties of the unmodified amino acid sequence. Changes in the sequence of peptide variants are typically limited or conservative, so that the sequences of the unmodified peptide and the variant are closely similar overall and, in many regions, identical. In some embodiments, a peptide variant retains one or more functional properties of the unmodified peptide sequence. A variant and unmodified peptide can differ in amino acid sequence by one or more substitutions, additions, deletions in any combination.
- a variant of a nucleic acid or peptide can be a naturally-occurring variant or a variant that is not known to occur naturally. Variants of nucleic acids and peptides may be made by mutagenesis techniques, by direct synthesis, or by other techniques known in the art. A variant does not necessarily require physical manipulation of the reference sequence. As long as a sequence contains a different nucleic acid or amino acid as compared to a reference sequence, it is considered a “variant” regardless of how it was synthesized. In some embodiments, a variant has high sequence identity (i.e. , 60% nucleic acid or amino acid sequence identity or higher) as compared to a reference sequence.
- a peptide variant encompasses polypeptides having amino acid substitutions, deletions, and/or insertions as long as the polypeptide has at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99% amino acid sequence identity with a reference sequence, or with a corresponding segment (e.g., a functional fragment) of a reference sequence, e.g., those variants that also retain one or more functions of the reference sequence.
- a corresponding segment e.g., a functional fragment
- a nucleic acid variant encompasses polynucleotides having amino acid substitutions, deletions, and/or insertions as long as the polynucleotide has at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99% nucleic acid sequence identity with a reference sequence, or with a corresponding segment (e.g., a functional fragment) of a reference sequence.
- a corresponding segment e.g., a functional fragment
- nucleic acid sequences conservatively modified variants refer to those nucleic acids which encode identical or essentially identical amino acid sequences. Because of the degeneracy of the genetic code, a large number of functionally identical nucleic acids encode any given protein. For instance, the codons GCA, GCC, GCG and GCU all encode the amino acid alanine. Thus, at every position where an alanine is specified by a codon, the codon can be altered to any of the corresponding codons described without altering the encoded polypeptide. Such nucleic acid variations are “silent variations,” which are one species of conservatively modified variations.
- Every nucleic acid sequence herein which encodes a polypeptide also describes every possible silent variation of the nucleic acid.
- each codon in a nucleic acid except AUG, which is ordinarily the only codon for methionine, and TGG, which is ordinarily the only codon for tryptophan
- TGG which is ordinarily the only codon for tryptophan
- each silent variation of a nucleic acid that encodes a polypeptide is implicit in each described sequence.
- conservatively modified variants include individual substitutions, deletions, or additions to a polypeptide sequence which result in the substitution of an amino acid with a chemically similar amino acid. Conservative substitutions providing functionally similar amino acids are well known in the art.
- conservative sequence modifications refers to amino acid modifications that do not significantly affect or alter the binding characteristics of, e.g., an antibody or antigen-binding fragment containing the amino acid sequence. Such conservative modifications include amino acid substitutions, additions, and deletions. Modifications can be introduced into an antibody or antigen-binding fragment by standard techniques known in the art, such as, e.g., site-directed mutagenesis and PCR-mediated mutagenesis. Conservative amino acid substitutions are ones in which the amino acid residue is replaced with an amino acid residue having a similar side chain. Families of amino acid residues having similar side chains have been defined in the art.
- amino acids with basic side chains e.g., lysine, arginine, histidine
- acidic side chains e.g., aspartic acid, glutamic acid
- uncharged polar side chains e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine, tryptophan
- nonpolar side chains e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine
- beta-branched side chains e.g., threonine, valine, isoleucine
- aromatic side chains e.g., tyrosine, phenylalanine, tryptophan, histidine
- one or more amino acid residues within an antibody can be replaced with other amino acid residues from the same side chain family and the altered antibody can be tested using the functional assays described herein.
- homologous refers to the subunit sequence identity between two polymeric molecules, e.g., between two nucleic acid molecules, such as, two DNA molecules or two RNA molecules, or between two polypeptide molecules.
- two nucleic acid molecules such as, two DNA molecules or two RNA molecules
- polypeptide molecules e.g., two amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids, amino acids,
- the two sequences are 50% homologous; if 90% of the positions (e.g., 9 of 10), are matched or homologous, the two sequences are 90% homologous.
- Percentage of “sequence identity” can be determined by comparing two optimally aligned sequences over a comparison window, where the fragment of the amino acid sequence in the comparison window may comprise additions or deletions (e.g., gaps or overhangs) as compared to the reference sequence (which does not comprise additions or deletions) for optimal alignment of the two sequences.
- the percentage can be calculated by determining the number of positions at which the identical amino acid residue occurs in both sequences to yield the number of matched positions, dividing the number of matched positions by the total number of positions in the window of comparison, and multiplying the result by 100 to yield the percentage of sequence identity.
- the output is the percent identity of the subject sequence with respect to the query sequence.
- the percent identity between the two sequences is a function of the number of identical positions shared by the sequences, taking into account the number of gaps, and the length of each gap, which need to be introduced for optimal alignment of the two sequences.
- amino acid identity or homology between proteins disclosed herein and variants thereof, including variants of target antigens (such as EphA2 or B7-H3 (CD276)) and variants of antibody variable domains (including individual variant CDRs) is at least 80% to the sequences depicted herein, e.g., identities or homologies of at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, almost 100%, or 100%.
- the comparison of sequences and determination of percent identity between two sequences can be accomplished using a mathematical algorithm.
- the percent identity between two amino acid sequences is determined using the Needleman and Wunsch ((1970) J Mol Biol. 48:444-53) algorithm which has been incorporated into the GAP program in the GCG software package, using either a Blossum 62 matrix or a PAM250 matrix, and a gap weight of 16, 14, 12, 10, 8, 6, or 4 and a length weight of 1, 2, 3, 4, 5, or 6.
- the percent identity between two nucleotide sequences is determined using the GAP program in the GCG software package, using a NWSgapdna.CMP matrix and a gap weight of 40, 50, 60, 70, or 80 and a length weight of 1 , 2, 3, 4, 5, or 6.
- An exemplary set of parameters is a Blossum 62 scoring matrix with a gap penalty of 12, a gap extend penalty of 4, and a frameshift gap penalty of 5.
- the percent identity between two amino acid or nucleotide sequences can also be determined using the algorithm of Meyers and Miller ((1989) CABIOS 4:11-17) which has been incorporated into the ALIGN program (version 2.0), using a PAM120 weight residue table, a gap length penalty of 12 and a gap penalty of 4.
- agent is used herein to refer to a chemical compound, a mixture of chemical compounds, a biological macromolecule, an extract made from biological materials, or a combination of two or more thereof.
- therapeutic agent or “drug” refers to an agent that is capable of modulating a biological process and/or has biological activity.
- panRAS inhibitors and the ADCs comprising them, as described herein, are exemplary therapeutic agents.
- chemotherapeutic agent or “anti-cancer agent” is used herein to refer to all agents that are effective in treating cancer (regardless of mechanism of action). Inhibition of metastasis or angiogenesis is frequently a property of a chemotherapeutic agent.
- Chemotherapeutic agents include antibodies, biological molecules, and small molecules, and encompass the panRAS inhibitors and ADCs comprising them, as described herein.
- a chemotherapeutic agent may be a cytotoxic or cytostatic agent.
- cytostatic agent refers to an agent that inhibits or suppresses cell growth and/or multiplication of cells.
- cytotoxic agent refers to a substance that causes cell death primarily by interfering with a cell’s expression activity and/or functioning.
- Ras Sarcoma Virus refers to any native form of the human Ras protein family (e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras).
- the term encompasses full-length human K-Ras (Kristen Rat Sarcoma Virus) (e.g., UniProt Reference Sequence: P01116; SEQ ID NO:64), H-Ras (Harvey Rat Sarcoma Virus) (e.g., UniProt Reference Sequence: P01112; SEQ ID NO:65), N-Ras (Neuroblastoma Rat Sarcoma Virus) (e.g., UniProt Reference Sequence: P01111 ; SEQ ID NO:66), as well as any form of human Ras that may result from cellular processing.
- K-Ras Keristen Rat Sarcoma Virus
- H-Ras Hardvey Rat Sarcoma Virus
- N-Ras Neroblastoma Rat Sarcoma Virus
- Ras proteins can be isolated from human, or may be produced recombinantly or by synthetic methods. Exemplary Ras protein amino acid sequences are listed in Table C below.
- inhibitor means to reduce a biological activity or process by a measurable amount, and can include but does not require complete prevention or inhibition. In some embodiments, “inhibition” means to reduce the expression and/or activity of panRAS and/or one or more upstream modulators or downstream targets thereof.
- panRAS inhibitor refers to an agent capable of reducing the expression and/or activity of panRAS (e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras) and/or one or more upstream modulators or downstream targets thereof.
- K-Ras including splice variants KRAS4A and KRAS4B
- upstream modulators or downstream targets thereof e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras) and/or one or more upstream modulators or downstream targets thereof.
- Exemplary panRAS modulators are described in WO2021/091956 or W02022/060836, each of which are incorporated herein by reference as exemplary panRAS modulators, including exemplary panRAS inhibitors, that can be included as drug moieties in the disclosed
- panRAS inhibitor drug moiety refers to the component of an ADC or composition that provides the structure of a panRAS inhibitor compound or a compound modified for attachment to an ADC that retains essentially the same, similar, or enhanced biological function or activity as compared to the original compound.
- panRAS inhibitor drug moiety is component (D) in an ADC of Formula (1).
- cancer refers to the presence of cells possessing characteristics typical of cancer-causing cells, such as uncontrolled proliferation, immortality, metastatic potential, rapid growth and proliferation rate, and/or certain morphological features. Often, cancer cells can be in the form of a tumor or mass, but such cells may exist alone within a subject, or may circulate in the blood stream as independent cells, such as leukemic or lymphoma cells.
- cancer includes all types of cancers and cancer metastases, including hematological cancers, solid tumors, sarcomas, carcinomas and other solid and non- solid tumor cancers.
- Hematological cancers may include B-cell malignancies, cancers of the blood (leukemias), cancers of plasma cells (myelomas, e.g., multiple myeloma), or cancers of the lymph nodes (lymphomas).
- B-cell malignancies include chronic lymphocytic leukemia (CLL), follicular lymphoma, mantle cell lymphoma, and diffuse large B-cell lymphoma.
- Leukemias may include acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), chronic myelomonocytic leukemia (CMML), acute monocytic leukemia (AMoL), etc.
- ALL acute lymphoblastic leukemia
- AML acute myeloid leukemia
- CLL chronic lymphocytic leukemia
- CML chronic myelogenous leukemia
- CMML chronic myelomonocytic leukemia
- AoL acute monocytic leukemia
- Lymphomas may include Hodgkin's lymphoma, non-Hodgkin's lymphoma, etc.
- Other hematologic cancers may include myelodysplasia syndrome (MDS).
- Solid tumors may include carcinomas such as adenocarcinoma, e.g., a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- carcinomas such as
- the term “tumor” refers to any mass of tissue that results from excessive cell growth or proliferation, either benign or malignant, including precancerous lesions.
- the tumor is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung
- tumor cell and “cancer cell” may be used interchangeably herein and refer to individual cells or the total population of cells derived from a tumor or cancer, including both non-tumorigenic cells and cancer stem cells.
- tumor cell and “cancer cell” will be modified by the term “non-tumorigenic” when referring solely to those cells lacking the capacity to renew and differentiate to distinguish those cells from cancer stem cells.
- target-negative refers to the absence of target antigen expression by a cell or tissue.
- target- positive refers to the presence of target antigen expression.
- a cell or a cell line that does not express a target antigen may be described as target-negative, whereas a cell or cell line that expresses a target antigen may be described as target-positive.
- Non-human animals include all vertebrates (e.g., mammals and non-mammals) such as any mammal.
- mammals include humans, chimpanzees, apes, monkeys, cattle, horses, sheep, goats, swine, rabbits, dogs, cats, rats, mice, and guinea pigs.
- non-mammals include birds and fish.
- the subject is a human.
- a subject in need of treatment refers to a subject that would benefit biologically, medically, or in quality of life from a treatment (e.g., a treatment with any one or more of the exemplary ADC compounds described herein).
- treatment refers to any improvement of any consequence of disease, disorder, or condition, such as prolonged survival, less morbidity, and/or a lessening of side effects which result from an alternative therapeutic modality.
- treatment comprises delaying or ameliorating a disease, disorder, or condition (i.e., slowing or arresting or reducing the development of a disease or at least one of the clinical symptoms thereof).
- treatment comprises delaying, alleviating, or ameliorating at least one physical parameter of a disease, disorder, or condition, including those which may not be discernible by the patient.
- treatment comprises modulating a disease, disorder, or condition, either physically (e.g., stabilization of a discernible symptom), physiologically (e.g., stabilization of a physical parameter), or both.
- treatment comprises administration of a described ADC compound or composition to a subject, e.g., a patient, to obtain a treatment benefit enumerated herein.
- the treatment can be to cure, heal, alleviate, delay, prevent, relieve, alter, remedy, ameliorate, palliate, improve, or affect a disease, disorder, or condition (e.g., a cancer), the symptoms of a disease, disorder, or condition (e.g., a cancer), or a predisposition toward a disease, disorder, or condition (e.g., a cancer).
- a composition disclosed herein in addition to treating a subject having a disease, disorder, or condition, can also be provided prophylactically to prevent or reduce the likelihood of developing that disease, disorder, or condition.
- the term “prevent”, “preventing,” or “prevention” of a disease, disorder, or condition refers to the prophylactic treatment of the disease, disorder, or condition; or delaying the onset or progression of the disease, disorder, or condition.
- a "pharmaceutical composition” refers to a preparation of a composition, e.g., an ADC compound or composition, in addition to at least one other (and optionally more than one other) component suitable for administration to a subject, such as a pharmaceutically acceptable carrier, stabilizer, diluent, dispersing agent, suspending agent, thickening agent, and/or excipient.
- a pharmaceutically acceptable carrier such as a pharmaceutically acceptable carrier, stabilizer, diluent, dispersing agent, suspending agent, thickening agent, and/or excipient.
- the pharmaceutical compositions provided herein are in such form as to permit administration and subsequently provide the intended biological activity of the active ingredient(s) and/or to achieve a therapeutic effect.
- the pharmaceutical compositions provided herein preferably contain no additional components which are unacceptably toxic to a subject to which the formulation would be administered.
- Pharmaceutically acceptable carriers may enhance or stabilize the composition or can be used to facilitate preparation of the composition.
- Pharmaceutically acceptable carriers can include solvents, dispersion media, coatings, surfactants, antioxidants, preservatives (e.g., antibacterial agents, antifungal agents), isotonic agents, absorption delaying agents, salts, preservatives, drug stabilizers, binders, excipients, disintegration agents, lubricants, sweetening agents, flavoring agents, dyes, and the like and combinations thereof, as would be known to those skilled in the art (see, for example, Remington's Pharmaceutical Sciences, 18th Ed. Mack Printing Company, 1990, pp. 1289- 1329). Except insofar as any conventional carrier is incompatible with the active ingredient, its use in the therapeutic or pharmaceutical compositions is contemplated.
- the carrier may be selected to minimize adverse side effects in the subject, and/or to minimize degradation of the active ingredient(s).
- An adjuvant may also be included in any of these formulations.
- excipient refers to an inert substance added to a pharmaceutical composition to further facilitate administration of an active ingredient.
- Formulations for parenteral administration can, for example, contain excipients such as sterile water or saline, polyalkylene glycols such as polyethylene glycol, vegetable oils, or hydrogenated napthalenes.
- excipients include, but are not limited to, calcium bicarbonate, calcium phosphate, various sugars and types of starch, cellulose derivatives, gelatin, ethylene-vinyl acetate co-polymer particles, and surfactants, including, for example, polysorbate 20.
- salts refers to a salt which does not abrogate the biological activity and properties of the compounds of the invention, and does not cause significant irritation to a subject to which it is administered.
- examples of such salts include, but are not limited to: (a) acid addition salts formed with inorganic acids, for example, hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid and the like; and salts formed with organic acids, for example, acetic acid, oxalic acid, tartaric acid, succinic acid, maleic acid, fumaric acid, gluconic acid, citric acid, malic acid, ascorbic acid, benzoic acid, tannic acid, palmitic acid, alginic acid, polyglutamic acid, naphthalenesulfonic acid, methanesulfonic acid, p-toluenesulfonic acid, naphthalenedisulfonic acid, polygal
- the antibody-drug conjugates (ADCs), conjugate linkers, payloads and linker-payloads described herein can contain a monovalent anionic counterion Mr.
- Any suitable anionic counterion can be used.
- the monovalent anionic counterion is a pharmaceutically acceptable monovalent anionic counterion.
- the monovalent anionic counterion Mr can be selected from bromide, chloride, iodide, acetate, trifluoroacetate, benzoate, mesylate, tosylate, triflate, formate, or the like.
- the monovalent anionic counterion Mr is trifluoroacetate or formate.
- the term “therapeutically effective amount” or “therapeutically effective dose,” refers to an amount of a compound described herein, e.g., an ADC compound or composition described herein, to effect the desired therapeutic result (i.e., reduction or inhibition of an enzyme or a protein activity, amelioration of symptoms, alleviation of symptoms or conditions, delay of disease progression, a reduction in tumor size, inhibition of tumor growth, prevention of metastasis).
- a therapeutically effective amount does not induce or cause undesirable side effects.
- a therapeutically effective amount induces or causes side effects but only those that are acceptable by a treating clinician in view of a patient’s condition.
- a therapeutically effective amount is effective for detectable killing, reduction, and/or inhibition of the growth or spread of cancer cells, the size or number of tumors, and/or other measure of the level, stage, progression and/or severity of a cancer.
- the term also applies to a dose that will induce a particular response in target cells, e.g., a reduction, slowing, or inhibition of cell growth.
- a therapeutically effective amount can be determined by first administering a low dose, and then incrementally increasing that dose until the desired effect is achieved.
- a therapeutically effective amount can also vary depending upon the intended application (in vitro or in vivo), or the subject and disease condition being treated, e.g., the weight and age of the subject, the severity of the disease condition, the manner of administration and the like, which can readily be determined by one of ordinary skill in the art.
- the specific amount may vary depending on, for example, the particular pharmaceutical composition, the subject and their age and existing health conditions or risk for health conditions, the dosing regimen to be followed, the severity of the disease, whether it is administered in combination with other agents, timing of administration, the tissue to which it is administered, and the physical delivery system in which it is carried.
- a therapeutically effective amount of an ADC may reduce the number of cancer cells, reduce tumor size, inhibit (e.g., slow or stop) tumor metastasis, inhibit (e.g., slow or stop) tumor growth, and/or relieve one or more symptoms.
- prophylactically effective amount refers to an amount of a compound disclosed herein, e.g., an ADC compound or composition described herein, that is effective, at dosages and for periods of time necessary, to achieve the desired prophylactic result.
- a prophylactic dose is used in subjects prior to or at an earlier stage of disease, the prophylactically effective amount will be less than the therapeutically effective amount.
- a prophylactically effective amount can prevent the onset of disease symptoms, including symptoms associated with a cancer.
- p or “drug loading” or “drug:antibody ratio” or “drug-to-antibody ratio” or “DAR” refers to the number of drug moieties per antibody or antigen-binding fragment, i.e., drug loading, or the number of -L-D moieties per antibody or antigen-binding fragment (Ab) in ADCs of Formula (1).
- average p refers to the average number of -L-D moieties per antibody or antigen-binding fragment, also referred to as “average drug loading.”
- the antibody-drug conjugate (ADC) compounds of the present disclosure include those with anti-cancer activity.
- the ADC compounds include an antibody or antigen- binding fragment conjugated (i.e. , covalently attached by a conjugate linker) to a drug moiety (e.g., a panRAS inhibitor), wherein the drug moiety when not conjugated to an antibody or antigen-binding fragment has a cytotoxic or cytostatic effect.
- the drug moiety when not conjugated to an antibody or antigen-binding fragment is capable of reducing the expression and/or activity of panRAS and/or one or more upstream modulators or downstream targets thereof.
- the ADCs disclosed herein may provide potent anti- cancer agents. Also, without being bound by theory, by conjugating the drug moiety to an antibody that binds an antigen associated with expression in a tumor cell or cancer, the ADC may provide improved activity, better cytotoxic specificity, and/or reduced off-target killing as compared to the drug moiety when administered alone.
- the components of the ADC are selected to (i) retain one or more therapeutic properties exhibited by the antibody and drug moieties in isolation, (ii) maintain the specific binding properties of the antibody or antigen-binding fragment; (iii) optimize drug loading and drug-to-antibody ratios; (iv) allow delivery, e.g., intracellular delivery, of the drug moiety via stable attachment to the antibody or antigen-binding fragment; (v) retain ADC stability as an intact conjugate until transport or delivery to a target site; (vi) minimize aggregation of the ADC prior to or after administration; (vii) allow for the therapeutic effect, e.g., cytotoxic effect, of the drug moiety after cleavage or other release mechanism in the cellular environment; (viii) exhibit in vivo anti-cancer treatment efficacy comparable to or superior to that of the antibody and drug moieties in isolation; (ix) minimize off-target killing by the drug moiety; and/or (x) exhibit desirable pharmacokinetic
- the ADC compounds of the present disclosure may selectively deliver an effective dose of a cytotoxic or cytostatic agent to cancer cells or to tumor tissue.
- the cytotoxic and/or cytostatic activity of the ADC is dependent on target antigen expression in a cell.
- the disclosed ADCs are particularly effective at killing cancer cells expressing a target antigen while minimizing off-target killing.
- the disclosed ADCs do not exhibit a cytotoxic and/or cytostatic effect on cancer cells that do not express a target antigen.
- ADC compounds comprising an antibody or antigen-binding fragment thereof (Ab), a panRAS inhibitor drug moiety (D), and a conjugate linker moiety (L) that covalently attaches Ab to D.
- ADC compounds comprising an antibody or antigen-binding fragment thereof (Ab) which targets a cancer cell, a panRAS inhibitor drug moiety (D), and a conjugate linker moiety (L) that covalently attaches Ab to D.
- the antibody or antigen-binding fragment is able to bind to a tumor-associated antigen (e.g., EphA2 or B7-H3 (CD276)), e.g., with high specificity and high affinity.
- a tumor-associated antigen e.g., EphA2 or B7-H3 (CD276)
- the antibody or antigen-binding fragment is internalized into a target cell upon binding, e.g., into a degradative compartment in the cell.
- the ADCs internalize upon binding to a target cell, undergo degradation, and release the panRAS inhibitor drug moiety to kill cancer cells.
- the panRAS inhibitor drug moiety may be released from the antibody and/or the conjugate linker moiety of the ADC by enzymatic action, hydrolysis, oxidation, or any other mechanism.
- An exemplary ADC has Formula (1):
- the antibody or antigen-binding fragment (Ab) of Formula (1) includes within its scope any antibody or antigen-binding fragment that specifically binds to a target antigen on a cell.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1, B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1, ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1 , CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein,
- the target antigen is EphA2 or B7-H3.
- the antibody or antigen-binding fragment (Ab) of Formula (1) includes within its scope any antibody or antigen-binding fragment that specifically binds to a target antigen on a cancer cell.
- said cell or said cancer cell expresses EphA2.
- the target antigen EphA2 has the amino acid sequence described in Table 6.
- the target antigen B7-H3 (CD276) has the amino acid sequence described in Table 6.
- the antibody or antigen-binding fragment may bind to a target antigen with a dissociation constant (KD) of ⁇ 1 mM, ⁇ 100 nM or ⁇ 10 nM, or any amount in between, as measured by, e.g., BIAcore® analysis.
- KD dissociation constant
- the KD is 1 pM to 500 pM.
- the KD is between 500 pM to 1 pM, 1 pM to 100 nM, or 100 mM to 10 nM.
- the antibody or antigen-binding fragment (e.g., anti-EphA2 or anti-B7-H3 antibody or antigen-binding fragment) is a four-chain antibody (also referred to as an immunoglobulin or a full-length or intact antibody), comprising two heavy chains and two light chains.
- the antibody or antigen-binding fragment (e.g., anti-EphA2 or anti-B7-H3 antibody or antigen-binding fragment) is an antigen-binding fragment of an immunoglobulin.
- the antibody or antigen-binding fragment (e.g., anti- EphA2 or anti-B7-H3 antibody or antigen-binding fragment) is an antigen-binding fragment of an immunoglobulin that retains the ability to bind a target cancer antigen and/or provide at least one function of the immunoglobulin.
- the antibody or antigen-binding fragment (e.g., anti-EphA2 or anti-B7-H3 antibody or antigen-binding fragment) is an internalizing antibody or internalizing antigen-binding fragment thereof.
- the internalizing antibody e.g. anti- EphA2 antibody or anti-B7-H3 antibody
- internalizing antigen-binding fragment thereof binds to a target cancer antigen expressed on the surface of a cell and enters the cell upon binding.
- the panRAS inhibitor drug moiety of the ADC is released from the antibody or antigen-binding fragment (e.g., anti-EphA2 or anti-B7-H3 antibody or antigen-binding fragment) of the ADC after the ADC enters and is present in a cell expressing the target cancer antigen (i.e., after the ADC has been internalized), e.g., by cleavage, by degradation of the antibody or antigen-binding fragment, or by any other suitable release mechanism.
- the antibody or antigen-binding fragment e.g., anti-EphA2 or anti-B7-H3 antibody or antigen-binding fragment
- the antibodies comprise mutations that mediate reduced or no antibody-dependent cellular cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC). In some embodiments, these mutations are known as Fc Silencing, Fc Silent, or Fc Silenced mutations.
- ADCC antibody-dependent cellular cytotoxicity
- CDC complement-dependent cytotoxicity
- these mutations are known as Fc Silencing, Fc Silent, or Fc Silenced mutations.
- amino acid residues L234 and L235 of the I gG 1 constant region are substituted to A234 and A235 (also known as “LALA”).
- amino acid residue N297 of the I gG 1 constant region is substituted to A297 (also known as “N297A”).
- amino acid residues D265 and P329 of the I gG 1 constant region are substituted to A265 and A329 (also known as “DAPA”).
- Other antibody Fc silencing mutations may also be used.
- the Fc silencing mutations are used in combination, for example D265A, N297A and P329A (also known as “DANAPA”).
- the antibody or antigen-binding fragment of an ADC disclosed herein may comprise any set of heavy and light chain variable domains listed in the tables above or a set of six CDRs from any set of heavy and light chain variable domains listed in the tables above.
- the antibody or antigen-binding fragment of an ADC disclosed herein may comprise amino acid sequences that are conservatively modified and/or homologous to the sequences listed in the tables above, so long as the ADC retains the ability to bind to its target cancer antigen (e.g., with a KD of less than 1x10' 8 M) and retains one or more functional properties of the ADCs disclosed herein (e.g., ability to internalize, bind to an antigen target, e.g., an antigen expressed on a tumor or other cancer cell, etc.).
- target cancer antigen e.g., with a KD of less than 1x10' 8 M
- one or more functional properties of the ADCs disclosed herein e.g., ability to internalize, bind to an antigen target, e.g., an antigen expressed on a tumor or other cancer cell, etc.
- the antibody or antigen-binding fragment of an ADC disclosed herein further comprises human heavy and light chain constant domains or fragments thereof.
- the antibody or antigen-binding fragment of the described ADCs may comprise a human IgG heavy chain constant domain (such as an IgG 1 ) and a human kappa or lambda light chain constant domain.
- the antibody or antigen-binding fragment of the described ADCs comprises a human immunoglobulin G subtype 1 (lgG1) heavy chain constant domain with a human Ig kappa light chain constant domain.
- the target cancer antigen for an ADC is EphA2.
- the anti-EphA2 antibody or antigen-binding fragment of an ADC disclosed herein further comprises human heavy and light chain constant domains or fragments thereof.
- the anti-EphA2 antibody or antigen-binding fragment of the described ADCs may comprise a human IgG heavy chain constant domain (such as an IgG 1 ) and a human kappa or lambda light chain constant domain.
- the anti-EphA2 antibody or antigen-binding fragment of the described ADCs comprises a human immunoglobulin G subtype 1 (lgG1) heavy chain constant domain with a human Ig kappa light chain constant domain.
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO: 17, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:18, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:19; light chain CDR1 (LCDR1) consisting of SEQ ID NO:26, light chain CDR2 (LCDR2) consisting of SEQ ID NO:27, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:28.
- heavy chain CDR1 HCDR1
- HCDR2 heavy chain CDR2
- HCDR3 heavy chain CDR3
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NQ:20, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:21, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:19; light chain CDR1 (LCDR1) consisting of SEQ ID NO:29, light chain CDR2 (LCDR2) consisting of SEQ ID NQ:30, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:31.
- heavy chain CDR1 consisting of SEQ ID NQ:20
- heavy chain CDR2 HCDR2
- HCDR3 heavy chain CDR3
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:22, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:23, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:24; light chain CDR1 (LCDR1) consisting of SEQ ID NO:32, light chain CDR2 (LCDR2) consisting of SEQ ID NO:27, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:31.
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:25, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:21, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:19; light chain CDR1 (LCDR1) consisting of SEQ ID NO:29, light chain CDR2 (LCDR2) consisting of SEQ ID NQ:30, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:31.
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:17), HCDR2 (SEQ ID NO:18), HCDR3 (SEQ ID NO:19); LCDR1 (SEQ ID NO:26), LCDR2 (SEQ ID NO:27), and LCDR3 (SEQ ID NO:28).
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NQ:20), HCDR2 (SEQ ID NO:21), HCDR3 (SEQ ID NO:19); LCDR1 (SEQ ID NO:29), LCDR2 (SEQ ID NQ:30), and LCDR3 (SEQ ID NO:31).
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:22), HCDR2 (SEQ ID NO:23), HCDR3 (SEQ ID NO:24); LCDR1 (SEQ ID NO:32), LCDR2 (SEQ ID NO:27), and LCDR3 (SEQ ID NO:31).
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:25), HCDR2 (SEQ ID NO:21), HCDR3 (SEQ ID NO:19); LCDR1 (SEQ ID NO:29), LCDR2 (SEQ ID NO:30), and LCDR3 (SEQ ID NO:31).
- the anti-EphA2 antibody or antigen-binding fragment thereof comprises the heavy chain variable region amino acid sequence of SEQ ID NO:11 and the light chain variable region amino acid sequence of SEQ ID NO: 12. In some embodiments, the anti- EphA2 antibody or antigen-binding fragment thereof comprises the heavy chain variable region amino acid sequence of SEQ ID NO:11 and the light chain variable region amino acid sequence of SEQ ID NO:12, or sequences that are at least 95% identical to the disclosed sequences.
- the anti-EphA2 antibody or antigen-binding fragment thereof has a heavy chain variable region amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO:11 and/or a light chain variable region amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO: 12.
- the anti-EphA2 antibody comprises the heavy chain amino acid sequence of SEQ ID NO:3 or a sequence that is at least 95% identical to SEQ ID NO:3, and the light chain amino acid sequence of SEQ ID NO:5 or a sequence that is at least 95% identical to SEQ ID NO:5. In some embodiments, the anti-EphA2 antibody comprises the heavy chain amino acid sequence of SEQ ID NO:3 and the light chain amino acid sequence of SEQ ID NO:5, or sequences that are at least 95% identical to the disclosed sequences.
- the anti-EphA2 antibody has a heavy chain amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO:3 and a light chain amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO:5.
- the target cancer antigen for an ADC is B7-H3 (CD276).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment of an ADC disclosed herein further comprises human heavy and light chain constant domains or fragments thereof.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment of the described ADCs may comprise a human IgG heavy chain constant domain (such as an IgG 1 ) and a human kappa or lambda light chain constant domain.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment of the described ADCs comprises a human immunoglobulin G subtype 1 (lgG1) heavy chain constant domain with a human Ig kappa light chain constant domain.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:33, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:34, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:35; light chain CDR1 (LCDR1) consisting of SEQ ID NO:42, light chain CDR2 (LCDR2) consisting of SEQ ID NO:43, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:44.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:36, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:37, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:35; light chain CDR1 (LCDR1) consisting of SEQ ID NO:45, light chain CDR2 (LCDR2) consisting of SEQ ID NO:46, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:47.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:38, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:39, heavy chain CDR3 (HCDR3) consisting of SEQ ID NQ:40; light chain CDR1 (LCDR1) consisting of SEQ ID NO:48, light chain CDR2 (LCDR2) consisting of SEQ ID NO:43, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:47.
- heavy chain CDR1 consisting of SEQ ID NO:38
- heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:39
- heavy chain CDR3 (HCDR3) consisting of SEQ ID NQ:40 heavy chain CDR1 (LCDR1) consisting of SEQ ID NO:48
- light chain CDR2 (LCDR2) consisting of SEQ ID NO:43
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:41, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:37, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:35; light chain CDR1 (LCDR1) consisting of SEQ ID NO:45, light chain CDR2 (LCDR2) consisting of SEQ ID NO:46, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:47.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:33), HCDR2 (SEQ ID NO:34), HCDR3 (SEQ ID NO:35); LCDR1 (SEQ ID NO:42), LCDR2 (SEQ ID NO:43), and LCDR3 (SEQ ID NO:44).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:36), HCDR2 (SEQ ID NO:37), HCDR3 (SEQ ID NO:35); LCDR1 (SEQ ID NO:45), LCDR2 (SEQ ID NO:46), and LCDR3 (SEQ ID NO:47).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:38), HCDR2 (SEQ ID NO:39), HCDR3 (SEQ ID NQ:40); LCDR1 (SEQ ID NO:48), LCDR2 (SEQ ID NO:43), and LCDR3 (SEQ ID NO:47).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:41), HCDR2 (SEQ ID NO:37), HCDR3 (SEQ ID NO:35); LCDR1 (SEQ ID NO:45), LCDR2 (SEQ ID NO:46), and LCDR3 (SEQ ID NO:47).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:49, heavy chain CDR2 (HCDR2) consisting of SEQ ID NQ:50, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:51; light chain CDR1 (LCDR1) consisting of SEQ ID NO:58, light chain CDR2 (LCDR2) consisting of SEQ ID NO:59, and light chain CDR3 (LCDR3) consisting of SEQ ID NQ:60.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:52, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:53, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:51; light chain CDR1 (LCDR1) consisting of SEQ ID NO:61 light chain CDR2 (LCDR2) consisting of SEQ ID NO:62, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:63.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:54, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:55, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:56; light chain CDR1 (LCDR1) consisting of SEQ ID NO:58, light chain CDR2 (LCDR2) consisting of SEQ ID NO:59, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:63.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises three heavy chain CDRs and three light chain CDRs as follows: heavy chain CDR1 (HCDR1) consisting of SEQ ID NO:57, heavy chain CDR2 (HCDR2) consisting of SEQ ID NO:53, heavy chain CDR3 (HCDR3) consisting of SEQ ID NO:51; light chain CDR1 (LCDR1) consisting of SEQ ID NO:61, light chain CDR2 (LCDR2) consisting of SEQ ID NO:62, and light chain CDR3 (LCDR3) consisting of SEQ ID NO:63.
- heavy chain CDR1 HCDR1
- HCDR2 heavy chain CDR2
- HCDR3 heavy chain CDR3
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:49), HCDR2 (SEQ ID NQ:50), HCDR3 (SEQ ID NO:51); LCDR1 (SEQ ID NO:58), LCDR2 (SEQ ID NO:59), and LCDR3 (SEQ ID NQ:60).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:52), HCDR2 (SEQ ID NO:53), HCDR3 (SEQ ID NO:51); LCDR1 (SEQ ID NO:61), LCDR2 (SEQ ID NO:62), and LCDR3 (SEQ ID NO:63).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:54), HCDR2 (SEQ ID NO:55), HCDR3 (SEQ ID NO:56); LCDR1 (SEQ ID NO:58), LCDR2 (SEQ ID NO:59), and LCDR3 (SEQ ID NO:63).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the three heavy chain CDRs and three light chain CDRs, wherein the CDRs include no more than one, two, three, four, five, or six amino acid additions, deletions or substitutions of HCDR1 (SEQ ID NO:57), HCDR2 (SEQ ID NO:53), HCDR3 (SEQ ID NO:51); LCDR1 (SEQ ID NO:61), LCDR2 (SEQ ID NO:62), and LCDR3 (SEQ ID NO:63).
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises a heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 13, and a light chain variable region comprising the amino acid sequence of SEQ ID NO: 14.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the heavy chain variable region amino acid sequence of SEQ ID NO: 13 and the light chain variable region amino acid sequence of SEQ ID NO: 14, or sequences that are at least 95% identical to the disclosed sequences.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises a heavy chain variable region comprising the amino acid sequence of SEQ ID NO: 15, and a light chain variable region comprising the amino acid sequence of SEQ ID NO: 16.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof comprises the heavy chain variable region amino acid sequence of SEQ ID NO: 15 and the light chain variable region amino acid sequence of SEQ ID NO: 16, or sequences that are at least 95% identical to the disclosed sequences.
- the anti-B7-H3 (CD276) antibody or antigen-binding fragment thereof has a heavy chain variable region amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO: 15 and/or a light chain variable region amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO:16.
- the anti-B7-H3 (CD276) antibody comprises the heavy chain amino acid sequence of SEQ ID NO:7 or a sequence that is at least 95% identical to SEQ ID NO:7, and the light chain amino acid sequence of SEQ ID NO:8 or a sequence that is at least 95% identical to SEQ ID NO:8.
- the anti-B7-H3 (CD276) antibody comprises the heavy chain amino acid sequence of SEQ ID NO:7 and the light chain amino acid sequence of SEQ ID NO:8, or sequences that are at least 95% identical to the disclosed sequences.
- the anti-B7-H3 (CD276) antibody has a heavy chain amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO:7 and a light chain amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO:8.
- the anti-B7-H3 (CD276) antibody comprises a heavy chain amino acid sequence of SEQ ID NO:9 or a sequence that is at least 95% identical to SEQ ID NO:9, and the light chain amino acid sequence of SEQ ID NO: 10 or a sequence that is at least 95% identical to SEQ ID NQ:10.
- the anti-B7-H3 (CD276) antibody comprises the heavy chain amino acid sequence of SEQ ID NO:9 and the light chain amino acid sequence of SEQ ID NO: 10, or sequences that are at least 95% identical to the disclosed sequences.
- the anti-B7-H3 (CD276) antibody has a heavy chain amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO:9 and a light chain amino acid sequence that is at least 96%, at least 97%, at least 98%, or at least 99% identical to SEQ ID NO: 10.
- Residues in two or more polypeptides are said to "correspond” if the residues occupy an analogous position in the polypeptide structures.
- Analogous positions in two or more polypeptides can be determined by aligning the polypeptide sequences based on amino acid sequence or structural similarities. Those skilled in the art understand that it may be necessary to introduce gaps in either sequence to produce a satisfactory alignment.
- amino acid substitutions are of single residues. Insertions usually will be on the order of from about 1 to about 20 amino acid residues, although considerably larger insertions may be tolerated as long as biological function is retained (e.g., binding to a target antigen). Deletions usually range from about 1 to about 20 amino acid residues, although in some cases deletions may be much larger. Substitutions, deletions, insertions, or any combination thereof may be used to arrive at a final derivative or variant. Generally, these changes are done on a few amino acids to minimize the alteration of the molecule, particularly the immunogenicity and specificity of the antigen binding protein.
- variant antibody sequences typically exhibit the same qualitative biological activity and will elicit the same immune response, although variants may also be selected to modify the characteristics of the antigen binding proteins as needed.
- variants may be designed such that the biological activity of the antigen binding protein is altered. For example, glycosylation sites may be altered or removed.
- the linker-payloads in the ADCs disclosed herein are surprisingly effective with different tumor antigen-targeting antibodies.
- Suitable antigens expressed on cancer cells but not healthy cells, or expressed on cancer cells at a higher level than on healthy cells, are known in the art, as are antibodies directed against them. Further antibodies against those antigen targets may be prepared by those of skill in the art.
- These antibodies may be used with the conjugate linkers and panRAS inhibitor payloads disclosed herein.
- the antibody or antigen-binding fragment targets EphA2 or B7-H3 (CD276) provided particularly improved drug:antibody ratio, aggregation level, stability (i.e. , in vitro and in vivo stability), tumor targeting (i.e., cytotoxicity, potency), minimized off-target killing, and/or treatment efficacy.
- Improved treatment efficacy can be measured in vitro or in vivo, and may include reduced tumor growth rate and/or reduced tumor volume.
- alternate antibodies to the same targets or antibodies to different antigen targets are used and provide at least some of the favorable functional properties described above (e.g., improved stability, improved tumor targeting, improved treatment efficacy, etc.).
- some or all of these favorable functional properties are observed when the disclosed conjugate linkers and panRAS inhibitor payloads are conjugated to an alternate EphA2 or B7-H3 (CD276) targeting antibody or antigen-binding fragment.
- some or all of these favorable functional properties are observed when the disclosed conjugate linkers and panRAS inhibitor payloads are conjugated to a EphA2-targeting antibody or antigen-binding fragment.
- the antibody or antigen-binding fragment targets EphA2.
- conjugate linkers and panRAS inhibitor payloads are conjugated to a B7-H3 (CD276)-targeting antibody or antigen-binding fragment.
- the antibody or antigen-binding fragment targets B7-H3 (CD276).
- the conjugate linker in an ADC is stable extracellularly in a sufficient manner to be therapeutically effective. In some embodiments, the conjugate linker is stable outside a cell, such that the ADC remains intact when present in extracellular conditions (e.g., prior to transport or delivery into a cell).
- the term “intact,” used in the context of an ADC, means that the antibody or antigen-binding fragment remains attached to the drug moiety (e.g., the panRAS inhibitor).
- “stable,” in the context of a conjugate linker or ADC comprising a conjugate linker means that no more than 20%, no more than about 15%, no more than about 10%, no more than about 5%, no more than about 3%, or no more than about 1% of the conjugate linkers (or any percentage in between) in a sample of ADC are cleaved (or in the case of an overall ADC are otherwise not intact) when the ADC is present in extracellular conditions.
- the conjugate linkers and/or ADCs disclosed herein are stable compared to alternate conjugate linkers and/or ADCs with alternate conjugate linkers and/or panRAS inhibitor payloads.
- the ADCs disclosed herein can remain intact for more than about 48 hours, more than 60 hours, more than about 72 hours, more than about 84 hours, or more than about 96 hours.
- Whether a conjugate linker is stable extracellularly can be determined, for example, by including an ADC in plasma for a predetermined time period (e.g., 2, 4, 6, 8, 16, 24, 48, or 72 hours) and then quantifying the amount of free drug moiety present in the plasma. Stability may allow the ADC time to localize to target cancer cells and prevent the premature release of the drug moiety, which could lower the therapeutic index of the ADC by indiscriminately damaging both normal and cancer tissues.
- the conjugate linker is stable outside of a target cell and releases the drug moiety from the ADC once inside of the cell, such that the drug can bind to its target.
- an effective conjugate linker will: (i) maintain the specific binding properties of the antibody or antigen-binding fragment; (ii) allow delivery, e.g., intracellular delivery, of the drug moiety via stable attachment to the antibody or antigen-binding fragment; (iii) remain stable and intact until the ADC has been transported or delivered to its target site; and (iv) allow for the therapeutic effect, e.g., cytotoxic effect, of the drug moiety after cleavage or alternate release mechanism.
- Conjugate linkers may impact the physico-chemical properties of an ADC. As many cytotoxic agents are hydrophobic in nature, linking them to the antibody with an additional hydrophobic moiety may lead to aggregation. ADC aggregates are insoluble and often limit achievable drug loading onto the antibody, which can negatively affect the potency of the ADC. Protein aggregates of biologies, in general, have also been linked to increased immunogenicity. As shown below, conjugate linkers disclosed herein result in ADCs with low aggregation levels and desirable levels of drug loading.
- a conjugate linker may be "cleavable” or “non-cleavable” (Ducry and Stump (2010) Bioconjugate Chem. 21 :5-13).
- Cleavable conjugate linkers are designed to release the drug moiety (e.g., a panRAS inhibitor) when subjected to certain environment factors, e.g., when internalized into the target cell, whereas non-cleavable conjugate linkers generally rely on the degradation of the antibody or antigen-binding fragment itself.
- alkyl refers to a straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms, containing no unsaturation.
- C 1 -C 6 alkyl refers to a straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms, containing no unsaturation, having from one to six carbon atoms, and which is attached to the rest of the molecule by a single bond.
- Non- limiting examples of " C 1 -C 6 alkyl” groups include methyl (a C 1 alkyl), ethyl (a C 2 alkyl), 1- methylethyl (a Csalkyl), n-propyl (a C 3 alkyl), isopropyl (a C 3 alkyl), n-butyl (a C4alkyl), isobutyl (a C4alkyl), sec-butyl (a C4alkyl), tert-butyl (a C4alkyl), n-pentyl (a Csalkyl), isopentyl (a Csalkyl), neopentyl (a C 5 alkyl) and hexyl (a C 6 alkyl).
- alkenyl refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one double bond.
- C 2 -C6alkenyl refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one double bond, having from two to six carbon atoms, which is attached to the rest of the molecule by a single bond.
- C 2 -C6alkenyl groups include ethenyl (a C 2 alkenyl), prop-1-enyl (a Csalkenyl), but-1-enyl (a C4alkenyl), pent-1-enyl (a C 5 alkenyl), pent-4-enyl (a Csalkenyl), penta- 1 ,4-dienyl (a C 5 alkenyl), hexa-1-enyl (a C 6 alkenyl), hexa-2-enyl (a C 6 alkenyl), hexa-3-enyl (a C 6 alkenyl), hexa- 1-,4-dienyl (a C 6 alkenyl), hexa-1 -,5-dienyl (a C 6 alkenyl) and hexa-2-, 4-dienyl (a Csalkenyl).
- C 2 -C3alkenyl refers to a straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one double bond, having from two to three carbon atoms, which is attached to the rest of the molecule by a single bond.
- Non-limiting examples of " C 2 -C3alkenyl” groups include ethenyl (a C 2 alkenyl) and prop-1-enyl (a Csalkenyl).
- alkylene refers to a bivalent straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms and containing no unsaturation.
- C 1 -C 6 alkylene refers to a bivalent straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms, containing no unsaturation, having from one to six carbon atoms.
- C 1 -C 6 alkylene groups include methylene (a C 1 alkylene), ethylene (a C 2 alkylene), 1 -methylethylene (a C 3 alkylene), n-propylene (a C 3 alkylene), isopropylene (a C 3 alkylene), n-butylene (a C4alkylene), isobutylene (a C4alkylene), sec-butylene (a C4alkylene), tert-butylene (a C4alkylene), n- pentylene (a Csalkylene), isopentylene (a Csalkylene), neopentylene (a Csalkylene), and hexylene (a Csalkylene).
- alkenylene refers to a bivalent straight or branched hydrocarbon chain radical consisting solely of carbon and hydrogen atoms and containing at least one double bond.
- C 2 -C6alkenylene refers to a bivalent straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one double bond, and having from two to six carbon atoms.
- Non-limiting examples of " C 2 -C 6 alkenylene” groups include ethenylene (a C 2 alkenylene), prop-1-enylene (a Csalkenylene), but-1-enylene (a C4alkenylene), pent-1-enylene (a C 5 alkenylene), pent-4- enylene (a C 5 alkenylene), penta- 1 ,4-dienylene (a C 5 alkenylene), hexa-1-enylene (a Csalkenylene), hexa-2-enylene (a Csalkenylene), hexa-3-enylene (a Csalkenylene), hexa-1-,4- dienylene (a Csalkenylene), hexa-1-,5-dienylene (a Csalkenylene) and hexa-2-,4-dienylene (a Csalkenylene).
- C 2 -Csalkenylene refers to a bivalent straight or branched hydrocarbon chain radical group consisting solely of carbon and hydrogen atoms, containing at least one double bond, and having from two to three carbon atoms.
- Non-limiting examples of " C 2 -C3alkenylene” groups include ethenylene (a C 2 alkenylene) and prop-1 -enylene (a Csalkenylene).
- cycloalkyl refers to a non-aromatic, monocyclic, fused bicyclic, fused tricyclic or bridged polycyclic ring system.
- the cycloalkyl is a mono- or bi-cyclic saturated carbocyclic group containing from 3 to 10 ring members, which may include fused, bridged or spiro ring systems.
- Non-limiting examples of fused bicyclic or bridged polycyclic ring systems include bicyclo[1.1.1]pentane, bicyclo[2.1.1]hexane, bicyclo[2.2.1]heptane, bicyclo[3.1.1]heptane, bicyclo[3.2.1]octane, bicyclo[2.2.2]octane and adamantanyl.
- Non-limiting examples monocyclic C 3 -C 8 cycloalkyl groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl and cyclooctyl groups.
- heteroarylene, cycloalkylene, heterocycloalkylene mean a divalent heteroaryl, cycloalkyl and heterocycloalkyl.
- haloalkyl refers to a linear or branched alkyl chain substituted with one or more halogen groups in place of hydrogens along the hydrocarbon chain. Examples of halogen groups suitable for substitution in the haloalkyl group include Fluorine, Bromine, Chlorine, and Iodine. Haloalkyl groups may include substitution with multiple halogen groups in place of hydrogens in an alkyl chain, wherein said halogen groups can be attached to the same carbon or to another carbon in the alkyl chain.
- polyoxyethylene refers to a linear chain, a branched chain or a star shaped configuration comprised of (OCH 2 CH 2 ) groups.
- PEG12 as used herein means that t is 12.
- polyalkylene glycol refers to a linear chain, a branched chain or a star shaped configuration comprised of (O(CH 2 )m)n groups.
- reactive group is a functional group capable of forming a covalent bond with a functional group of an antibody, an antibody fragment, or another reactive group attached to an antibody or antibody fragment.
- functional groups include reactive groups of Table 8 provided herein.
- attachment group refers to a bivalent moiety which links the bridging spacer to the antibody or fragment thereof.
- the attachment or coupling group is a bivalent moiety formed by the reaction between a reaction group and a functional group on the antibody or fragment thereof.
- Non limiting examples of such bivalent moieties include the bivalent chemical moieties given in Table 8 and Table 9 provided herein.
- bridging spacer refers to one or more conjugate linker components which are covalently attached together to form a bivalent moiety which links the bivalent peptide spacer to the reactive group, links the bivalent peptide space to the coupling group, or links the attachment group to the at least one cleavable group.
- the “bridging spacer” comprises a carboxyl group attached to the N-terminus of the bivalent peptide spacer via an amide bond.
- spacer moiety refers to one or more conjugate linker components which are covalently attached together to form a moiety which links the self- immolative spacer to the hydrophilic moiety.
- bivalent peptide spacer refers to bivalent conjugate linker comprising one or more amino acid residues covalently attached together to form a moiety which links the bridging spacer to the self immolative spacer.
- the one or more amino acid residues can be an residue of amino acids selected from alanine (Ala), cysteine (Cys), aspartic acid (Asp), glutamic acid (Glu), phenylalanine (Phe), glycine (Gly), histidine (His), isoleucine (lie), lysine (Lys), leucine (Leu), methionine (Met), asparagine (Asn), proline (Pro), glutamine (Gin), arginine (Arg), serine (Ser), threonine (Thr), valine (Vai), tryptophan (Trp), tyrosine (Tyr), citrulline (Cit), norvaline (Nva), norleucune (Nle), selenocysteine (Sec), pyrrolysine (Pyl), homoserine, homocysteine, and desmethyl pyrrolysine.
- amino acids selected from alanine (Ala), cyste
- a “bivalent peptide spacer” is a combination of 2 to four amino acid residues where each residue is independently selected from a residue of an amino acid selected from alanine (Ala), cysteine (Cys), aspartic acid (Asp), glutamic acid (Glu), phenylalanine (Phe), glycine (Gly), histidine (His), isoleucine (lie), lysine (Lys), leucine (Leu), methionine (Met), asparagine (Asn), proline (Pro), glutamine (Gin), arginine (Arg), serine (Ser), threonine (Thr), valine (Vai), tryptophan (Trp), tyrosine (Tyr), citrulline (Cit), norvaline (Nva), norleucune (Nle), selenocysteine (Sec), pyrrolysine (Pyl), homoserine, homoc
- conjugate linker component refers to a chemical moiety that is a part of the conjugate linker.
- Non-limiting examples of such self-immolative spacers include:
- PG is a protecting (triggering) group
- Xa is O, NH or S
- Xb is O, NH, NCH 3 or S
- X c is O or NH
- Y a is CH 2 , CH 2 O or CH 2 NH
- Y b is CH 2 , O or NH
- Y c is a bond, CH 2 , O or NH
- LG is a leaving group such as a Drug moiety (D) of the Linker-Drug group of the invention.
- a conjugate linker component can be a chemical moiety which is readily formed by reaction between two reactive groups.
- Non-limiting examples of such chemical moieties are given in Table 8.
- R 32 in Table 8 is H, C 1 .4 alkyl, phenyl, pyrimidine or pyridine;
- R 35 in Table 8 is H, C 1 - ealkyl, phenyl or C 1 -4alkyl substituted with 1 to 3 -OH groups;
- R 37 in Table 8 is independently selected from H, phenyl and pyridine; q in Table 8 is 0, 1 , 2 or 3;
- R 8 and R 13 in Table 8 is H or methyl; and
- R 9 and R 14 in Table 8 is H, -CH 3 or phenyl;
- self-immolative spacer and “self-immolative group”, as used herein, refer a moiety comprising one or more triggering groups (TG) which are activated by acid-induced cleavage, peptidase-induced cleavage, esterase-induced cleavage, glycosidase induced cleavage, phosphodiesterase induced cleavage, phosphatase induced cleavage, protease induced cleavage, lipase induced cleavage or disulfide bond cleavage, and after activation the protecting group is removed, which generates a cascade of disassembling reactions leading to the temporally sequential release of a leaving group.
- Such cascade of reactions can be, but not limited to, 1 ,4-, 1 ,6- or 1 ,8- elimination reactions.
- Non-limiting examples of self-immolative spacer or group include:
- TG is a triggering group
- Xa is O, NH or S
- Xb is O, NH, NCH 3 or S
- X c is O or NH
- Y a is CH 2 , CH 2 O or CH 2 NH
- Y b is CH 2 , O or NH
- Y c is a bond, CH 2 , O or NH
- LG is a leaving group such as a Drug moiety (D) of the Linker-Drug group of the invention.
- the self-immolative spacer is moiety having the structure enzymatically cleavable bivalent peptide spacer and
- A, D, L 3 and R 2 are as defined herein.
- the self-immolative spacer is moiety having the structure enzymatically cleavable bivalent peptide spacer and
- D is a quaternized tertiary amine- containing panRAS inhibitor.
- the self-immolative spacer is moiety having the structure enzymatically cleavable bivalent peptide spacer and
- hydrophilic moiety refers to moiety that is has hydrophilic properties which increases the aqueous solubility of the Drug moiety (D) when the Drug moiety (D) is attached to the conjugate linker group of the invention.
- hydrophilic groups include, but are not limited to, polyethylene glycols, polyalkylene glycols, sugars, o oligosaccharides, polypeptides a C 2 -Cealkyl substituted with 1 to 3 groups.
- an intermediate which is the precursor of the conjugate linker moiety, is reacted with the drug moiety (e.g., the panRAS inhibitor) under appropriate conditions.
- the drug moiety e.g., the panRAS inhibitor
- reactive groups are used on the drug and/or the intermediate or conjugate linker.
- the product of the reaction between the drug and the intermediate, or the derivatized drug (drug plus conjugate linker) is subsequently reacted with the antibody or antigen-binding fragment under conditions that facilitate conjugation of the drug and intermediate or derivatized drug and antibody or antigen-binding fragment.
- the intermediate or conjugate linker may first be reacted with the antibody or antigen-binding fragment, or a derivatized antibody or antigen-binding fragment, and then reacted with the drug or derivatized drug.
- a number of different reactions are available for covalent attachment of the drug moiety and/or conjugate linker moiety to the antibody or antigen-binding fragment. This is often accomplished by reaction of one or more amino acid residues of the antibody or antigen-binding fragment, including the amine groups of lysine, the free carboxylic acid groups of glutamic acid and aspartic acid, the sulfhydryl groups of cysteine, and the various moieties of the aromatic amino acids.
- non-specific covalent attachment may be undertaken using a carbodiimide reaction to link a carboxy (or amino) group on a drug moiety to an amino (or carboxy) group on an antibody or antigen-binding fragment.
- bifunctional agents such as dialdehydes or imidoesters may also be used to link the amino group on a drug moiety to an amino group on an antibody or antigen-binding fragment.
- drugs e.g., a panRAS inhibitor
- the Schiff base reaction This method involves the periodate oxidation of a drug that contains glycol or hydroxy groups, thus forming an aldehyde which is then reacted with the binding agent. Attachment occurs via formation of a Schiff base with amino groups of the binding agent.
- Isothiocyanates may also be used as coupling agents for covalently attaching drugs to binding agents.
- Other techniques are known to the skilled artisan and within the scope of the present disclosure. Examples of drug moieties that can be generated and linked to an antibody or antigen-binding fragment using various chemistries known to in the art include panRAS inhibitors, e.g., the panRAS inhibitors described and exemplified herein.
- Suitable drug moieties may comprise a compound of the formulas (la), (I), (Ic), (If), (Ig), (Ih), (Ij), (Ik), (Im), or (In) or an enantiomer, diastereoisomer, and/or addition salt thereof with a pharmaceutically acceptable acid or base. Additionally, the drug moiety may comprise any compounds of the panRAS inhibitor (D) described herein.
- the drug moiety (D) comprises a formula selected from Table A2.
- the drug moiety (D) comprises a panRAS inhibitor known in the art, for example, disclosed in WO2021/091956 or W02022/060836, where are hereby incorporated by reference in their entirety.
- the drug moiety (D) comprises a panRAS inhibitor selected from:
- the linker-drug (or “linker-payload”) moiety -(L-D) may comprise a compounds in Table B or an enantiomer, diastereoisomer, deuterated derivative, and/or a pharmaceutically acceptable salt of any of the foregoing.
- Compounds described herein can be asymmetric (e.g., having one or more stereocenters). All stereoisomers, such as enantiomers and diastereomers, are intended unless otherwise indicated.
- one or more compounds depicted herein may exist in different tautomeric forms.
- references to such compounds encompass all such tautomeric forms.
- tautomeric forms result from the swapping of a single bond with an adjacent double bond and the concomitant migration of a proton.
- a tautomeric form may be a prototropic tautomer, which is an isomeric protonation states having the same empirical formula and total charge as a reference form.
- moieties with prototropic tautomeric forms are ketone - enol pairs, amide - imidic acid pairs, lactam - lactim pairs, amide - imidic acid pairs, enamine - imine pairs, and annular forms where a proton can occupy two or more positions of a heterocyclic system, such as, 1 H- and 3H-imidazole, 1 H-, 2H- and 4H-1,2,4-triazole, 1 H- and 2H- isoindole, and 1 H- and 2H-pyrazole.
- tautomeric forms can be in equilibrium or sterically locked into one form by appropriate substitution.
- tautomeric forms result from acetal interconversion.
- structures depicted herein are also meant to include compounds that differ only in the presence of one or more isotopically enriched atoms.
- Exemplary isotopes that can be incorporated into compounds of the present invention include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorus, sulfur, fluorine, chlorine, and iodine, such as 2 H, 3 H, 11 C, 13 C, 14 C, 13 N, 15 N, 15 0, 17 0, 18 O, 32 P, 33 P, 35 S, 18 F, 38 CI, 123 l and i25 l.
- Isotopically-labeled compounds e.g., those labeled with 3 H and 14 C
- Tritiated (i.e. , 3 H) and carbon-14 (i.e. , 14 C) isotopes can be useful for their ease of preparation and detectability. Further, substitution with heavier isotopes such as deuterium (i.e., 2 H) may afford certain therapeutic advantages resulting from greater metabolic stability (e.g., increased in vivo half-life or reduced dosage requirements).
- one or more hydrogen atoms are replaced by 2 H or 3 H, or one or more carbon atoms are replaced by 13 C- or l4 C-enriched carbon.
- Positron emitting isotopes such as 15 O, 13 N, 11 C, and 18 F are useful for positron emission tomography (PET) studies to examine substrate receptor occupancy.
- isotopically labeled compounds can generally be prepared by following procedures analogous to those disclosed for compounds of the present invention described herein, by substituting an isotopically labeled reagent for a non-isotopically labeled reagent.
- substituents of compounds of the present disclosure are disclosed in groups or in ranges. It is specifically intended that the present disclosure includes each and every individual subcombination of the members of such groups and ranges.
- C 1 -C 6 alkyl is specifically intended to individually disclose methyl, ethyl, C3 alkyl, C 4 alkyl, C5 alkyl, and Cs alkyl.
- the present disclosure is intended to cover individual compounds and groups of compounds (e.g., genera and subgenera) containing each and every individual subcombination of members at each position.
- optionally substituted X is intended to be equivalent to “X, wherein X is optionally substituted” (e.g., “alkyl, wherein said alkyl is optionally substituted”). It is not intended to mean that the feature “X” (e.g., alkyl) per se is optional.
- certain compounds of interest may contain one or more “optionally substituted” moieties.
- substituted whether preceded by the term “optionally” or not, means that one or more hydrogens of the designated moiety are replaced with a suitable substituent, e.g., any of the substituents or groups described herein.
- an “optionally substituted” group may have a suitable substituent at each substitutable position of the group, and when more than one position in any given structure may be substituted with more than one substituent selected from a specified group, the substituent may be either the same or different at every position.
- substituents envisioned by the present disclosure are preferably those that result in the formation of stable or chemically feasible compounds.
- stable refers to compounds that are not substantially altered when subjected to conditions to allow for their production, detection, and, in certain embodiments, their recovery, purification, and use for one or more of the purposes disclosed herein.
- Suitable divalent substituents that are bound to vicinal substitutable carbons of an “optionally substituted” group include: -O(CR*2) 2 -3O-, wherein each independent occurrence of R* is selected from hydrogen, C 1 .6 aliphatic which may be substituted as defined below, or an unsubstituted 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
- Suitable substituents on the aliphatic group of R* include halogen, -R‘, -(haloR'), -OH, - OR', -O(haloR-), -CN, -C(O)OH, -C(O)OR’, -NH2, -NHR', -NR’ 2 , or -NO 2 , wherein each R* is unsubstituted or where preceded by “halo” is substituted only with one or more halogens, and is independently C 1 -4 aliphatic, -CH 2 Ph, -O(CH 2 )0-1 Ph, or a 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
- Suitable substituents on a substitutable nitrogen of an “optionally substituted” group include - Rt, -NRT2, -C(O)Rt, -C(O)ORt, -C(O)C(O)Rt, -C(O)CH 2 C(O)Rt, -S(O) 2 Rt, -S(O) 2 NRt2, -C(S)NRt2, - C(NH)NR ! 2, or -N(R !
- each Rt is independently hydrogen, aliphatic which may be substituted as defined below, unsubstituted -Oph, or an unsubstituted 3-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur, or, notwithstanding the definition above, two independent occurrences of Rt, taken together with their intervening atom(s) form an unsubstituted 3-12-membered saturated, partially unsaturated, or aryl mono- or bicyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
- Suitable substituents on an aliphatic group of Rt are independently halogen, -R‘, -(haloR'), - OH, -OR", -O(haloR’), -CN, -C(O)OH, -C(O)OR‘, -NH2, -NHR‘, -NR‘ 2 , or -N0 2 , wherein each R" is unsubstituted or where preceded by “halo” is substituted only with one or more halogens, and is independently C 1 4 aliphatic, -CH 2 Ph, -O(CH 2 )0-1 Ph, or a 5-6-membered saturated, partially unsaturated, or aryl ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur.
- acetyl refers to the group -C(O)CH 3 .
- alkoxy refers to a -O-C,-C 2ii alkyl group, wherein the alkoxy group is attached to the remainder of the compound through an oxygen atom.
- alkyl refers to a saturated, straight or branched monovalent hydrocarbon group containing from 1 to 20 (e.g., from 1 to 10 or from 1 to 6) carbons.
- an alkyl group is unbranched (i.e., is linear); in some embodiments, an alkyl group is branched.
- Alkyl groups are exemplified by, but not limited to, methyl, ethyl, n- and iso-propyl, n ⁇ , sec-, iso- and tert-butyl, and neopentyl.
- heteroalkyl refers to an “alkyl” group, as defined herein, in which at least one carbon atom has been replaced with a heteroatom (e.g., an O, N, or S atom).
- a heteroatom e.g., an O, N, or S atom.
- the heteroatom may appear in the middle or at the end of the radical.
- alkylene represents a saturated divalent hydrocarbon group derived from a straight or branched chain saturated hydrocarbon by the removal of two hydrogen atoms, and is exemplified by methylene, ethylene, isopropylene, and the like.
- Cx-Cy alkylene represents alkylene groups having between x and y carbons. Exemplary values for x are 1 , 2, 3, 4, 5, and 6, and exemplary values for y are 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 14, 16, 18, or 20 (e.g., CrCs, C-i-C-io, C 2 - C 2 0, Cs-Ce, C 2 -C 1 0, or C 2 - C 2 0 alkylene).
- the alkylene can be further substituted with 1 , 2, 3, or 4 substituent groups as defined herein.
- alkenyl represents monovalent straight or branched chain groups of, unless otherwise specified, from 2 to 20 carbons (e.g., from 2 to 6 or from 2 to 10 carbons) containing one or more carbon-carbon double bonds and is exemplified by ethenyl, 1- propenyl, 2-propenyl, 2-methyl-1-propenyl, 1-butenyl, and 2-butenyl. Alkenyls include both cis and trans isomers.
- alkenylene represents a divalent straight or branched chain groups of, unless otherwise specified, from 2 to 20 carbons (e.g., from 2 to 6 or from 2 to 10 carbons) containing one or more carbon-carbon double bonds.
- alkynyl represents monovalent straight or branched chain groups from 2 to 20 carbon atoms (e.g., from 2 to 4, from 2 to 6, or from 2 to 10 carbons) containing a carbon-carbon triple bond and is exemplified by ethynyl, and 1-propynyl.
- amino represents -N(R j ) 2 , e.g., -NH2 and -N(CH 3 ) 2 .
- aminoalkyl represents an alkyl moiety substituted on one or more carbon atoms with one or more amino moieties.
- amino acid refers to a molecule having a side chain, an amino group, and an acid group (e.g., -CO2H or -SO3H), wherein the amino acid is attached to the parent molecular group by the side chain, amino group, or acid group (e.g., the side chain).
- amino acid in its broadest sense, refers to any compound or substance that can be incorporated into a polypeptide chain, e.g., through formation of one or more peptide bonds.
- an amino acid has the general structure H2N- C(H)(R A *) ⁇ COOH, wherein R A * is any chemically feasible substituent described herein.
- an amino acid is a naturally-occurring amino acid. In some embodiments, an amino acid is a synthetic amino acid; in some embodiments, an amino acid is a D-amino acid; in some embodiments, an amino acid is an L-amino acid. “Standard amino acid” refers to any of the twenty standard L-amino acids commonly found in naturally occurring peptides.
- Exemplary amino acids include alanine, arginine, asparagine, aspartic acid, cysteine, glutamic acid, glutamine, glycine, histidine, optionally substituted hydroxylnorvaline, isoleucine, leucine, lysine, methionine, norvaline, ornithine, phenylalanine, proline, pyrrolysine, selenocysteine, serine, taurine, threonine, tryptophan, tyrosine, and valine.
- aryl represents a monovalent monocyclic, bicyclic, or multicyclic ring system formed by carbon atoms, wherein the ring attached to the pendant group is aromatic.
- aryl groups are phenyl, naphthyl, phenanthrenyl, and anthracenyl.
- An aryl ring can be attached to its pendant group at any heteroatom or carbon ring atom that results in a stable structure and any of the ring atoms can be optionally substituted unless otherwise specified.
- the aryl refers to a phenyl, nahthyl, biphenyl or indenyl group.
- Co represents a bond.
- part of the term - N(C(O)-(Co-Cs alkylene-H)- includes -N(C(O)-(Co alkylene-H)-, which is also represented by - N(C(O)-H)-.
- Carbocyclic and “carbocyclyl,” as used herein, refer to a monovalent, optionally substituted C3-C 1 2 monocyclic, bicyclic, or tricyclic ring structure, which may be bridged, fused or spirocyclic, in which all the rings are formed by carbon atoms and at least one ring is non-aromatic.
- Carbocyclic structures include cycloalkyl, cycloalkenyl, and cycloalkynyl groups.
- carbocyclyl groups are cyclohexyl, cyclohexenyl, cyclooctynyl, 1,2-dihydronaphthyl, 1,2,3,4-tetrahydronaphthyl, fluorenyl, indenyl, indanyl, decalinyl, and the like.
- a carbocyclic ring can be attached to its pendant group at any ring atom that results in a stable structure and any of the ring atoms can be optionally substituted unless otherwise specified.
- stereomer means stereoisomers that are not mirror images of one another and are non-superimposable on one another.
- enantiomer means each individual optically active form of a compound of the invention, having an optical purity or enantiomeric excess (as determined by methods standard in the art) of at least 80% (i.e., at least 90% of one enantiomer and at most 10% of the other enantiomer), preferably at least 90% and more preferably at least 98%.
- haloalkyl represents an alkyl moiety substituted on one or more carbon atoms with one or more of the same of different halogen moieties.
- halogen represents a halogen selected from bromine, chlorine, iodine, or fluorine.
- heteroalkyl refers to an “alkyl” group, as defined herein, in which at least one carbon atom has been replaced with a heteroatom (e.g., an O, N, or S atom).
- a heteroatom e.g., an O, N, or S atom.
- the heteroatom may appear in the middle or at the end of the radical.
- heteroaryl represents a monovalent, monocyclic or polycyclic ring structure that contains at least one fully aromatic ring: i.e., they contain 4n+2 pi electrons within the monocyclic or polycyclic ring system and contains at least one ring heteroatom selected from N, O, or S in that aromatic ring.
- exemplary unsubstituted heteroaryl groups are of 1 to 12 (e.g., 1 to 11, 1 to 10, 1 to 9, 2 to 12, 2 to 11, 2 to 10, or 2 to 9) carbons.
- heteroaryl includes bicyclic, tricyclic, and tetracyclic groups in which any of the above heteroaromatic rings is fused to one or more, aryl or carbocyclic rings, e.g., a phenyl ring, or a cyclohexane ring.
- heteroaryl groups include, but are not limited to, pyridyl, pyrazolyl, benzooxazolyl, benzoimidazolyl, benzothiazolyl, imidazolyl, thiazolyl, quinolinyl, tetrahydroquinolinyl, and 4-azaindolyl.
- a heteroaryl ring can be attached to its pendant group at any ring atom that results in a stable structure and any of the ring atoms can be optionally substituted unless otherwise specified.
- the heteroaryl is substituted with 1, 2, 3, or 4 substituents groups.
- the heteroaryl any mono- or bi-cyclic group composed of from 5 to 10 ring members, having at least one aromatic moiety and containing from 1 to 4 hetero atoms selected from oxygen, sulfur and nitrogen (including quaternary nitrogens).
- heterocycloalkyl represents a monovalent monocyclic, bicyclic or polycyclic ring system, which may be bridged, fused or spirocyclic, wherein at least one ring is non-aromatic and wherein the non-aromatic ring contains one, two, three, or four heteroatoms independently selected from the group consisting of nitrogen, oxygen, and sulfur.
- the 5-membered ring has zero to two double bonds, and the 6- and 7-membered rings have zero to three double bonds.
- Exemplary unsubstituted heterocycloalkyl groups are of 1 to 12 (e.g., 1 to 11, 1 to 10, 1 to 9, 2 to 12, 2 to 11, 2 to 10, or 2 to 9) carbons.
- heterocycloalkyl also represents a heterocyclic compound having a bridged multicyclic structure in which one or more carbons or heteroatoms bridges two non-adjacent members of a monocyclic ring, e.g., a quinuclidinyl group.
- heterocycloalkyl includes bicyclic, tricyclic, and tetracyclic groups in which any of the above heterocyclic rings is fused to one or more aromatic, carbocyclic, heteroaromatic, or heterocyclic rings, e.g., an aryl ring, a cyclohexane ring, a cyclohexene ring, a cyclopentane ring, a cyclopentene ring, a pyridine ring, or a pyrrolidine ring.
- heterocycloalkyl groups are pyrrolidinyl, piperidinyl, 1 ,2,3,4- tetrahydroquinolinyl, decahydroquinolinyl, dihydropyrrolopyridine, and decahydronapthyridinyl.
- a heterocycloalkyl ring can be attached to its pendant group at any ring atom that results in a stable structure and any of the ring atoms can be optionally substituted unless otherwise specified.
- hydroxyalkyl represents an alkyl moiety substituted on one or more carbon atoms with one or more -OH moieties.
- the term “isomer,” as used herein, means any tautomer, stereoisomer, atropiosmer, enantiomer, or diastereomer of any compound of the invention. It is recognized that the compounds of the invention can have one or more chiral centers or double bonds and, therefore, exist as stereoisomers, such as double-bond isomers (i.e., geometric E/Z isomers) or diastereomers (e.g., enantiomers (i.e., (+) or (-)) or cis/trans isomers).
- the chemical structures depicted herein, and therefore the compounds of the invention encompass all the corresponding stereoisomers, that is, both the stereomerically pure form (e.g., geometrically pure, enantiomerically pure, or diastereomerically pure) and enantiomeric and stereoisomeric mixtures, e.g., racemates.
- Enantiomeric and stereoisomeric mixtures of compounds of the invention can typically be resolved into their component enantiomers or stereoisomers by well-known methods, such as chiral-phase gas chromatography, chiral-phase high performance liquid chromatography, crystallizing the compound as a chiral salt complex, or crystallizing the compound in a chiral solvent.
- Enantiomers and stereoisomers can also be obtained from stereomerically or enantiomerically pure intermediates, reagents, and catalysts by well-known asymmetric synthetic methods.
- drug linker refers to a divalent organic moiety connecting moiety B D to moiety W° in a compound of Formula I, such that the resulting compound is capable of achieving an IC50 of 2 pM or less in the Ras-RAF disruption assay protocol provided in the Examples below, and provided here:
- this biochemical assay is to measure the ability of test compounds to facilitate ternary complex formation between a nucleotide-loaded Ras isoform and cyclophilin A; the resulting ternary complex disrupts binding to a BRAF RBD construct, inhibiting Ras signaling through a RAF effector.
- assay buffer containing 25 mM HEPES pH 7.3, 0.002% Tween20, 0.1% BSA, 100 mM NaCI and 5 mM MgCh, tagless Cyclophilin A, His6-K-Ras-GMPPNP (or other Ras variant), and GST-BRAF RBD are combined in a 384-well assay plate at final concentrations of 25 pM, 12.5 nM and 50 nM, respectively.
- Compound is present in plate wells as a 10 ⁇ point 3 ⁇ fold dilution series starting at a final concentration of 30 pM.
- TR- FRET signal is read on a microplate reader (Ex 320 nm, Em 665/615 nm).
- Compounds that facilitate disruption of a Ras: RAF complex are identified as those eliciting a decrease in the TR-FRET ratio relative to DMSO control wells.
- the drug linker comprises 20 or fewer linear atoms. In some embodiments, the drug linker comprises 15 or fewer linear atoms. In some embodiments, the drug linker comprises 10 or fewer linear atoms. In some embodiments, the drug linker has a molecular weight of under 500 g/mol. In some embodiments, the drug linker has a molecular weight of under 400 g/mol. In some embodiments, the drug linker has a molecular weight of under 300 g/mol. In some embodiments, the drug linker has a molecular weight of under 200 g/mol. In some embodiments, the drug linker has a molecular weight of under 100 g/mol. In some embodiments, the drug linker has a molecular weight of under 50 g/mol.
- stereoisomer refers to all possible different isomeric as well as conformational forms which a compound may possess (e.g., a compound of any formula described herein), in particular all possible stereochemically and conformationally isomeric forms, all diastereomers, enantiomers or conformers of the basic molecular structure, including atropisomers. Some compounds of the present invention may exist in different tautomeric forms, all of the latter being included within the scope of the present invention.
- sulfonyl or "sulphonyl,” as used herein, represents an -S(O) 2 - group.
- thiocarbonyl refers to a -C(S)- group.
- Drug loading is represented by p, and is also referred to herein as the drug-to-antibody ratio (DAR). Drug loading may range from 1 to 16 drug moieties per antibody or antigen-binding fragment.
- p is an integer from 1 to 16.
- p is an integer from 1 to 16, 1 to 15, 1 to 14, 1 to 13, 1 to 12, 1 to 11 , 1 to 10, 1 to 9, 1 to 8, 1 to 7, 1 to 6, 1 to 5, 1 to 4, 1 to 3, or 1 to 2.
- p is an integer from 2 to 10, 2 to 9, 2 to 8, 2 to 7, 2 to 6, 2 to 5, 2 to 4, or 2 to 3.
- p is an integer from 1 to 16.
- p is an integer from 1 to 8.
- p is an integer from 1 to
- p is an integer from 2 to 4. In some embodiments, p is 1, 2, 3, 4, 5,
- p is 1. In some embodiments, p is 2. In some embodiments, p is 4.
- Drug loading may be limited by the number of attachment sites on the antibody or antigen-binding fragment.
- the conjugate linker moiety (L) of the ADC attaches to the antibody or antigen-binding fragment through a chemically active group on one or more amino acid residues on the antibody or antigen-binding fragment.
- the conjugate linker may be attached to the antibody or antigen-binding fragment via a free amino, imino, hydroxyl, thiol, or carboxyl group (e.g., to the N- or C-terminus, to the epsilon amino group of one or more lysine residues, to the free carboxylic acid group of one or more glutamic acid or aspartic acid residues, or to the sulfhydryl group of one or more cysteine residues).
- a free amino, imino, hydroxyl, thiol, or carboxyl group e.g., to the N- or C-terminus, to the epsilon amino group of one or more lysine residues, to the free carboxylic acid group of one or more glutamic acid or aspartic acid residues, or to the sulfhydryl group of one or more cysteine residues.
- the site to which the conjugate linker is attached can be a natural residue in the amino acid sequence of the antibody or antigen-binding fragment, or it can be introduced into the antibody or antigen-binding fragment, e.g., by DNA recombinant technology (e.g., by introducing a cysteine residue into the amino acid sequence) or by protein biochemistry (e.g., by reduction, pH adjustment, or hydrolysis).
- the number of drug moieties that can be conjugated to an antibody or antigen-binding fragment is limited by the number of free cysteine residues.
- an antibody may have only one or a few cysteine thiol groups, or may have only one or a few sufficiently reactive thiol groups through which a conjugate linker may be attached.
- antibodies do not contain many free and reactive cysteine thiol groups that may be linked to a drug moiety. Indeed, most cysteine thiol residues in antibodies are involved in either interchain or intrachain disulfide bonds.
- Conjugation to cysteines can therefore, in some embodiments, require at least partial reduction of the antibody.
- Over-attachment of conjugate linker-toxin to an antibody may destabilize the antibody by reducing the cysteine residues available to form disulfide bonds. Therefore, an optimal drug:antibody ratio should increase potency of the ADC (by increasing the number of attached drug moieties per antibody) without destabilizing the antibody or antigen- binding fragment.
- an optimal ratio may be 2, 4, 6, or 8. In some embodiments, an optimal ratio may be 2 or 4.
- an antibody or antigen-binding fragment is exposed to reducing conditions prior to conjugation in order to generate one or more free cysteine residues.
- An antibody in some embodiments, may be reduced with a reducing agent such as dithiothreitol (DTT) or tris(2-carboxyethyl)phosphine (TCEP), under partial or total reducing conditions, to generate reactive cysteine thiol groups.
- DTT dithiothreitol
- TCEP tris(2-carboxyethyl)phosphine
- Unpaired cysteines may be generated through partial reduction with limited molar equivalents of TCEP, which can reduce the interchain disulfide bonds which link the light chain and heavy chain (one pair per H-L pairing) and the two heavy chains in the hinge region (two pairs per H-H pairing in the case of human IgG 1 ) while leaving the intrachain disulfide bonds intact (Stefano et al. (2013) Methods Mol Biol. 1045:145-71).
- disulfide bonds within the antibodies are reduced electrochemically, e.g., by employing a working electrode that applies an alternating reducing and oxidizing voltage.
- This approach can allow for on-line coupling of disulfide bond reduction to an analytical device (e.g., an electrochemical detection device, an NMR spectrometer, or a mass spectrometer) or a chemical separation device (e.g., a liquid chromatograph (e.g., an HPLC) or an electrophoresis device (see, e.g., US 2014/0069822)).
- an analytical device e.g., an electrochemical detection device, an NMR spectrometer, or a mass spectrometer
- a chemical separation device e.g., a liquid chromatograph (e.g., an HPLC) or an electrophoresis device (see, e.g., US 2014/0069822)
- an antibody is subjected to denaturing conditions to reveal reactive nucleophilic groups on amino acid residues, such as cysteine.
- the drug loading of an ADC may be controlled in different ways, e.g., by: (i) limiting the molar excess of drug-linker intermediate or conjugate linker reagent relative to antibody; (ii) limiting the conjugation reaction time or temperature; (iii) partial or limiting reductive conditions for cysteine thiol modification; and/or (iv) engineering by recombinant techniques the amino acid sequence of the antibody such that the number and position of cysteine residues is modified for control of the number and/or position of linker-drug attachments.
- cysteine engineered antibodies can be prepared wherein one or more amino acids of a parent antibody are replaced with a cysteine amino acid. Any form of antibody may be so engineered, i.e. mutated.
- a parent Fab antibody fragment may be engineered to form a cysteine engineered Fab referred to as a "ThioFab.”
- a parent monoclonal antibody may be engineered to form a "ThioMab.”
- a single site mutation yields a single engineered cysteine residue in a ThioFab, whereas a single site mutation yields two engineered cysteine residues in a ThioMab, due to the dimeric nature of the IgG antibody.
- DNA encoding an amino acid sequence variant of the parent polypeptide can be prepared by a variety of methods known in the art (see, e.g., the methods described in WO 2006/034488).
- ADCs of Formula (1) include, but are not limited to, antibodies that have 1, 2, 3, or 4 engineered cysteine amino acids (Lyon et al. (2012) Methods Enzymol. 502:123-38).
- one or more free cysteine residues are already present in an antibody or antigen-binding fragment, without the use of engineering, in which case the existing free cysteine residues may be used to conjugate the antibody or antigen-binding fragment to a drug moiety.
- the resulting product can be a mixture of ADC compounds with a distribution of one or more drug moieties attached to each copy of the antibody or antigen-binding fragment in the mixture.
- the drug loading in a mixture of ADCs resulting from a conjugation reaction ranges from 1 to 16 drug moieties attached per antibody or antigen-binding fragment. The average number of drug moieties per antibody or antigen-binding fragment (i.e.
- the average drug loading, or average p) may be calculated by any conventional method known in the art, e.g., by mass spectrometry (e.g., liquid chromatography-mass spectrometry (LC-MS)) and/or high-performance liquid chromatography (e.g., HIC-HPLC).
- mass spectrometry e.g., liquid chromatography-mass spectrometry (LC-MS)
- LC-MS liquid chromatography-mass spectrometry
- HIC-HPLC high-performance liquid chromatography
- the average number of drug moieties per antibody or antigen-binding fragment is determined by liquid chromatography-mass spectrometry (LC-MS).
- the average number of drug moieties per antibody or antigen-binding fragment is from about 1.5 to about
- the average number of drug moieties per antibody or antigen-binding fragment is from about 2 to about 4, about 3 to about 5, about 4 to about 6, about 5 to about 7, about 6 to about 8, about 7 to about 9, about 2 to about 8, or about 4 to about 8.
- the average number of drug moieties per antibody or antigen- binding fragment is about 2. In some embodiments, the average number of drug moieties per antibody or antigen-binding fragment is about 1.5, about 1.6, about 1.7, about 1.8, about 1.9, about 2, about 2.1 , about 2.2, about 2.3, about 2.4, or about 2.5. In some embodiments, the average number of drug moieties per antibody or antigen-binding fragment is 2.
- the average number of drug moieties per antibody or antigen- binding fragment is about 4. In some embodiments, the average number of drug moieties per antibody or antigen-binding fragment is about 3.5, about 3.6, about 3.7, about 3.8, about 3.9, about 4, about 4.1 , about 4.2, about 4.3, about 4.4, or about 4.5. In some embodiments, the average number of drug moieties per antibody or antigen-binding fragment is 4. [354] In some embodiments, the term “about,” as used with respect to the average number of drug moieties per antibody or antigen-binding fragment, means plus or minus 20%, 15%, 10%, 5%, or 1%.
- the term “about” refers to a range of values which are 10% more or less than the specified value. In another embodiment, the term “about” refers to a range of values which are 5% more or less than the specified value. In another embodiment, the term “about” refers to a range of values which are 1% more or less than the specified value.
- ADC compounds may be identified in the mixture by mass spectroscopy and separated by, e.g., LIPLC or HPLC, e.g. hydrophobic interaction chromatography (HIC-HPLC).
- LIPLC liquid phase polychromatography
- HPLC high-density polychromatography
- a homogeneous or nearly homogenous ADC product with a single loading value may be isolated from the conjugation mixture, e.g., by electrophoresis or chromatography.
- higher drug loading may cause aggregation, insolubility, toxicity, or loss of cellular permeability of certain antibody-drug conjugates. Higher drug loading may also negatively affect the pharmacokinetics (e.g., clearance) of certain ADCs.
- lower drug loading e.g., p ⁇ 2
- the drug loading for an ADC of the present disclosure ranges from about 2 to about 16, about 2 to about 10, about 2 to about 8; from about 2 to about 6; from about 2 to about 5; from about 3 to about 5; from about 2 to about 4; or from about 4 to about 8.
- a drug loading and/or an average drug loading of about 2 is achieved, e.g., using partial reduction of intrachain disulfides on the antibody or antigen-binding fragment, and provides beneficial properties.
- a drug loading and/or an average drug loading of about 4 or about 6 or about 8 is achieved, e.g., using partial reduction of intrachain disulfides on the antibody or antigen-binding fragment, and provides beneficial properties.
- a drug loading and/or an average drug loading of less than about 2 may result in an unacceptably high level of unconjugated antibody species, which can compete with the ADC for binding to a target antigen and/or provide for reduced treatment efficacy.
- a drug loading and/or average drug loading of more than about 16 may result in an unacceptably high level of product heterogeneity and/or ADC aggregation.
- a drug loading and/or an average drug loading of more than about 16 may also affect stability of the ADC, due to loss of one or more chemical bonds required to stabilize the antibody or antigen-binding fragment.
- the present disclosure includes methods of producing the described ADCs.
- the ADCs comprise an antibody or antigen-binding fragment (e.g., anti-EphA2 or anti-B7-H3 antibody or antigen-binding fragment), a drug moiety (e.g., a panRAS inhibitor), and a conjugate linker that joins the drug moiety and the antibody or antigen-binding fragment.
- the ADCs can be prepared using a conjugate linker having reactive functionalities for covalently attaching to the drug moiety and to the antibody or antigen-binding fragment.
- the antibody or antigen-binding fragment is functionalized to prepare a functional group that is reactive with a conjugate linker or a drug-linker intermediate.
- a cysteine thiol of an antibody or antigen-binding fragment can form a bond with a reactive functional group of a conjugate linker or a drug-linker intermediate to make an ADC.
- an antibody or antigen-binding fragment is prepared with bacterial transglutaminase (BTG) - reactive glutamines specifically functionalized with an amine containing cyclooctyne BCN (/V-[(1R,8S,9s)-Bicyclo[6.1.0]non-4-yn-9-ylmethyloxycarbonyl]-1,8- diamino-3,6-dioxaoctane) moiety.
- BCG transglutaminase
- BCN cyclooctyne BCN
- site-specific conjugation of a conjugate linker or a drug-linker intermediate to a BCN moiety of an antibody or antigen-binding fragment is performed, e.g., as described and exemplified herein.
- the generation of the ADCs can be accomplished by techniques known to the skilled artisan.
- an ADC is produced by contacting an antibody or antigen-binding fragment (e.g., anti-EphA2 or anti-B7-H3 antibody or antigen-binding fragment) with a conjugate linker and a drug moiety (e.g., a panRAS inhibitor) in a sequential manner, such that the antibody or antigen-binding fragment is covalently linked to the conjugate linker first, and then the pre-formed antibody-linker intermediate reacts with the drug moiety.
- the antibody-linker intermediate may or may not be subjected to a purification step prior to contacting the drug moiety.
- an ADC is produced by contacting an antibody or antigen- binding fragment with a linker-drug compound pre-formed by reacting a conjugate linker with a drug moiety.
- the pre-formed linker-drug compound may or may not be subjected to a purification step prior to contacting the antibody or antigen-binding fragment.
- the antibody or antigen-binding fragment contacts the conjugate linker and the drug moiety in one reaction mixture, allowing simultaneous formation of the covalent bonds between the antibody or antigen-binding fragment and the conjugate linker, and between the conjugate linker and the drug moiety.
- This method of producing ADCs may include a reaction, wherein the antibody or antigen-binding fragment contacts the antibody or antigen-binding fragment prior to the addition of the conjugate linker to the reaction mixture, and vice versa.
- an ADC is produced by reacting an antibody or antigen-binding fragment with a conjugate linker joined to a drug moiety, such as a panRAS inhibitor, under conditions that allow conjugation.
- the ADCs prepared according to the methods described above may be subjected to a purification step.
- the purification step may involve any biochemical methods known in the art for purifying proteins, or any combination of methods thereof. These include, but are not limited to, tangential flow filtration (TFF), affinity chromatography, ion exchange chromatography, any charge or isoelectric point-based chromatography, mixed mode chromatography, e.g., CHT (ceramic hydroxyapatite), hydrophobic interaction chromatography, size exclusion chromatography, dialysis, filtration, selective precipitation, or any combination thereof.
- TMF tangential flow filtration
- affinity chromatography affinity chromatography
- ion exchange chromatography any charge or isoelectric point-based chromatography
- mixed mode chromatography e.g., CHT (ceramic hydroxyapatite)
- hydrophobic interaction chromatography size exclusion chromatography
- dialysis filtration, selective precipitation, or any combination thereof.
- compositions described herein e.g., the disclosed ADC compounds and compositions, in treating a subject for a disorder, e.g., a cancer.
- Compositions e.g., ADCs
- Treatment efficacy may be evaluated for toxicity as well as indicators of efficacy and adjusted accordingly.
- Efficacy measures include, but are not limited to, a cytostatic and/or cytotoxic effect observed in vitro or in vivo, reduced tumor volume, tumor growth inhibition, and/or prolonged survival.
- the cytotoxic or cytostatic activity of an ADC can be measured by, e.g., exposing mammalian cells expressing a target antigen of the ADC in a cell culture medium; culturing the cells for a period from about 6 hours to about 6 days; and measuring cell viability (e.g., using a CellTiter-Glo® (CTG) or MTT cell viability assay).
- CCG CellTiter-Glo®
- MTT cell viability assay Cell-based in vitro assays may also be used to measure viability (proliferation), cytotoxicity, and induction of apoptosis (caspase activation) of the ADC.
- necrosis or apoptosis may be measured. Necrosis is typically accompanied by increased permeability of the plasma membrane, swelling of the cell, and rupture of the plasma membrane. Apoptosis can be quantitated, for example, by measuring DNA fragmentation. Commercial photometric methods for the quantitative in vitro determination of DNA fragmentation are available. Examples of such assays, including TUNEL (which detects incorporation of labeled nucleotides in fragmented DNA) and ELISA-based assays, are described in Biochemica (1999) 2:34-7 (Roche Molecular Biochemicals).
- Apoptosis may also be determined by measuring morphological changes in a cell. For example, as with necrosis, loss of plasma membrane integrity can be determined by measuring uptake of certain dyes (e.g., a fluorescent dye such as, for example, acridine orange or ethidium bromide).
- a fluorescent dye such as, for example, acridine orange or ethidium bromide.
- Cells also can be labeled with a DNA dye (e.g., acridine orange, ethidium bromide, or propidium iodide) and the cells observed for chromatin condensation and margination along the inner nuclear membrane.
- Apoptosis may also be determined, in some embodiments, by screening for caspase activity.
- a Caspase-Gio® Assay can be used to measure activity of caspase-3 and caspase-7.
- the assay provides a luminogenic caspase-3/7 substrate in a reagent optimized for caspase activity, luciferase activity, and cell lysis.
- adding Caspase-Gio® 3/7 Reagent in an “add-mix-measure” format may result in cell lysis, followed by caspase cleavage of the substrate and generation of a “glow-type” luminescent signal, produced by luciferase.
- luminescence may be proportional to the amount of caspase activity present, and can serve as an indicator of apoptosis.
- Other morphological changes that can be measured to determine apoptosis include, e.g., cytoplasmic condensation, increased membrane blebbing, and cellular shrinkage. Determination of any of these effects on cancer cells indicates that an ADC is useful in the treatment of cancers.
- Cell viability may be measured, e.g., by determining in a cell the uptake of a dye such as neutral red, trypan blue, Crystal Violet, or ALAMARTM blue (see, e.g., Page et al. (1993) Inti J Oncology 3:473-6).
- a dye such as neutral red, trypan blue, Crystal Violet, or ALAMARTM blue
- the cells are incubated in media containing the dye, the cells are washed, and the remaining dye, reflecting cellular uptake of the dye, is measured spectrophotometrically.
- Cell viability may also be measured, e.g., by quantifying ATP, an indicator of metabolically active cells.
- in vitro potency and/or cell viability of prepared ADCs or panRAS inhibitor compounds may be assessed using a CellTiter-Glo® (CTG) cell viability assay, as described in the examples provided herein.
- CCG CellTiter-Glo®
- the single reagent (CellTiter-Glo® Reagent) is added directly to cells cultured in serum-supplemented medium. The addition of reagent results in cell lysis and generation of a luminescent signal proportional to the amount of ATP present. The amount of ATP is directly proportional to the number of cells present in culture.
- Cell viability may also be measured, e.g., by measuring the reduction of tetrazolium salts.
- in vitro potency and/or cell viability of prepared ADCs or panRAS inhibitor compounds may be assessed using an MTT cell viability assay, as described in the examples provided herein.
- MTT cell viability assay in some embodiments, the yellow tetrazolium MTT (3- (4, 5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium bromide) is reduced by metabolically active cells, in part by the action of dehydrogenase enzymes, to generate reducing equivalents such as NADH and NADPH.
- the resulting intracellular purple formazan can then be solubilized and quantified by spectrophotometric means.
- the present disclosure features a method of killing, inhibiting or modulating the growth of a cancer cell or tissue by disrupting the expression and/or activity of panRAS (e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras) and/or one or more upstream modulators or downstream targets thereof.
- panRAS e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras) expression and/or activity provides a therapeutic benefit.
- Subjects that may benefit from disrupting panRAS include, but are not limited to, those having or at risk of having a cancer such as a tumor or a hematological cancer.
- the cancer is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- ER positive breast cancer multiple myeloma, plasma cell myeloma, leukemia
- the disclosed ADCs may be administered in any cell or tissue that expresses EphA2, such as a EphA2-expressing cancer cell or tissue.
- An exemplary embodiment includes a method of killing a EphA2-expressing cancer cell or tissue. The method may be used with any cell or tissue that expresses EphA2, such as a cancerous cell or a metastatic lesion.
- EphA2-expressing cancers include breast cancer, non-small cell lung cancer, pancreatic cancer, esophageal cancer, head and neck cancer, gastric or stomach cancer, bladder cancer, and colorectal cancer.
- the disclosed ADCs may be administered in any cell or tissue that expresses B7-H3 (CD276), such as a B7-H3 (CD276)-expressing cancer cell or tissue.
- An exemplary embodiment includes a method of killing a B7-H3 (CD276)-expressing cancer cell or tissue. The method may be used with any cell or tissue that expresses B7-H3 (CD276), such as a cancerous cell or a metastatic lesion.
- Non-limiting examples of B7-H3 (CD276)-expressing cancers include colorectal cancer, pancreatic cancer, lymphoma, non-small cell lung cancer, small cell lung cancer, breast cancer including ER positive breast cancer, metastatic castration resistant prostate cancer, melanoma, bladder urothelial carcinoma, head and neck cancer, and leukemia (e.g., acute myeloid leukemia).
- B7-H3 (CD276)-expressing cancers include colorectal cancer, pancreatic cancer, lymphoma, non-small cell lung cancer, small cell lung cancer, breast cancer including ER positive breast cancer, metastatic castration resistant prostate cancer, melanoma, bladder urothelial carcinoma, head and neck cancer, and leukemia (e.g., acute myeloid leukemia).
- Exemplary methods include the steps of contacting a cell with an ADC, as described herein, in an effective amount, i.e. , an amount sufficient to kill the cell.
- the method can be used on cells in culture, e.g., in vitro, in vivo, ex vivo, or in situ.
- cells that express EphA2 e.g., cells collected by biopsy of a tumor or metastatic lesion; cells from an established cancer cell line; or recombinant cells
- the contacting step can be affected by adding the ADC to the culture medium.
- the method will result in killing of cells expressing EphA2, including in particular cancer cells expressing EphA2.
- the ADC can be administered to a subject by any suitable administration route (e.g., intravenous, subcutaneous, or direct contact with a tumor tissue) to have an effect in vivo.
- a suitable administration route e.g., intravenous, subcutaneous, or direct contact with a tumor tissue
- This approach can be used for antibodies targeting other cell surface antigens (e.g., B7-H3 (CD276)).
- the in vivo effect of a disclosed ADC therapeutic composition can be evaluated in a suitable animal model.
- xenogeneic cancer models can be used, wherein cancer explants or passaged xenograft tissues are introduced into immune compromised animals, such as nude or SCID mice (Klein et al. (1997) Nature Med. 3:402-8). Efficacy may be predicted using assays that measure inhibition of tumor formation, tumor regression or metastasis, and the like.
- xenografts from tumor bearing mice treated with the therapeutic composition can be examined for the presence of apoptotic foci and compared to untreated control xenograft-bearing mice. The extent to which apoptotic foci are found in the tumors of the treated mice provides an indication of the therapeutic efficacy of the composition.
- compositions described herein e.g., the ADCs disclosed herein, can be administered to a non- human mammal or human subject for therapeutic purposes.
- the therapeutic methods include administering to a subject having or suspected of having a cancer a therapeutically effective amount of a composition comprising an panRAS inhibitor, e.g., an ADC where the inhibitor is linked to a targeting antibody that binds to an antigen (1) expressed on a cancer cell, (2) is accessible to binding, and/or (3) is localized or predominantly expressed on a cancer cell surface as compared to a non-cancer cell.
- an panRAS inhibitor e.g., an ADC where the inhibitor is linked to a targeting antibody that binds to an antigen (1) expressed on a cancer cell, (2) is accessible to binding, and/or (3) is localized or predominantly expressed on a cancer cell surface as compared to a non-cancer cell.
- An exemplary embodiment is a method of treating a subject having or suspected of having a cancer, comprising administering to the subject a therapeutically effective amount of a composition disclosed herein, e.g., an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein).
- a composition disclosed herein e.g., an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein).
- the cancer expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1 , B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1, ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1 , CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN,
- the target antigen is EphA2 or B7-H3 (CD276).
- the cancer is a tumor or a hematological cancer.
- the cancer is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung
- Another exemplary embodiment is a method of delivering a panRAS inhibitor to a cell expressing EphA2, comprising conjugating the panRAS inhibitor to an antibody or antigen- binding fragment that immunospecifically binds to a EphA2 epitope and exposing the cell to the ADC.
- Exemplary cancer cells that express EphA2 for which the ADCs of the present disclosure are indicated include breast cancer, non-small cell lung cancer, pancreatic cancer, esophageal cancer, head and neck cancer, gastric or stomach cancer, bladder cancer, and colorectal cancer cells.
- Another exemplary embodiment is a method of delivering a panRAS inhibitor to a cell expressing B7-H3 (CD276), comprising conjugating the panRAS inhibitor to an antibody or antigen-binding fragment that immunospecifically binds to a B7-H3 (CD276) epitope and exposing the cell to the ADC.
- Exemplary cancer cells that express B7-H3 (CD276) for which the ADCs of the present disclosure are indicated include colorectal cancer, pancreatic cancer, lymphoma, and leukemia cells.
- the present disclosure further provides methods of reducing or inhibiting growth of a tumor (e.g., an EphA2-expressing tumor, a B7-H3 (CD276)-expressing tumor), comprising administering a therapeutically effective amount of an ADC or composition comprising an ADC.
- a tumor e.g., an EphA2-expressing tumor, a B7-H3 (CD276)-expressing tumor
- the treatment is sufficient to reduce or inhibit the growth of the patient's tumor, reduce the number or size of metastatic lesions, reduce tumor load, reduce primary tumor load, reduce invasiveness, prolong survival time, and/or maintain or improve the quality of life.
- the tumor is resistant or refractory to treatment with the antibody or antigen-binding fragment of the ADC (e.g., an anti-EphA2 antibody or antigen-binding fragment, an anti-B7-H3 (CD276) antibody or antigen-binding fragment) when administered alone, and/or the tumor is resistant or refractory to treatment with the panRAS inhibitor drug moiety when administered alone.
- the antibody or antigen-binding fragment of the ADC e.g., an anti-EphA2 antibody or antigen-binding fragment, an anti-B7-H3 (CD276) antibody or antigen-binding fragment
- An exemplary embodiment is a method of reducing or inhibiting the growth of a tumor in a subject, comprising administering to the subject a therapeutically effective amount of an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein).
- the tumor expresses a target antigen.
- the target antigen is BCMA, CD33, HER2, CD38, CD48, CD79b, PCAD, CD74, CD138, SLAMF7, CD123, CLL1, FLT3, CD7, CKIT, CD56, DLL3, DLK1 , B7-H3, B7-H4, EGFR, CD71, EPCAM, FOLR1 , ENPP3, MET, AXL, SLC34A2 (NaPi2b), Nectin4, TROP2, LIV1, CD46, MSLN, CD142 (F3), MUC 1 , MUC 1 6, SLC39A6, TFRC, TACSTD2, GPNMB, EphA2, CD56, SEZ6, CD25, CCR8,CEACAM5, CEACAM6, 4-1 BB, 5AC, 5T4, Alpha-fetoprotein, angiopoietin 2, ASLG659, TCLI, BMPRIB, Brevican BCAN, BEHAB, C 2 42 antigen, C5, CA-125,
- the target antigen is EphA2 or B7-H3 (CD276).
- the tumor is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck
- the tumor is a gastric cancer.
- administration of the ADC, composition, or pharmaceutical composition reduces or inhibits the growth of the tumor by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, or at least about 99%, as compared to growth in the absence of treatment.
- Another exemplary embodiment is a method of delaying or slowing the growth of a tumor in a subject, comprising administering to the subject a therapeutically effective amount of an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein).
- the target antigen is EphA2 or B7-H3 (CD276).
- the tumor is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma
- the tumor is a gastric cancer.
- administration of the ADC, composition, or pharmaceutical composition delays or slows the growth of the tumor by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, or at least about 99%, as compared to growth in the absence of treatment.
- the present disclosure further provides methods of reducing or slowing the expansion of a cancer cell population (e.g., a EphA2-expressing cancer cell population, a B7-H3 (CD276)-expressing cancer cell population), comprising administering a therapeutically effective amount of an ADC or composition comprising an ADC.
- a cancer cell population e.g., a EphA2-expressing cancer cell population, a B7-H3 (CD276)-expressing cancer cell population
- An exemplary embodiment is a method of reducing or slowing the expansion of a cancer cell population in a subject, comprising administering to the subject a therapeutically effective amount of an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein).
- the target antigen is EphA2 or B7-H3 (CD276).
- the cancer cell population is from a tumor or a hematological cancer.
- the cancer cell population is a breast cancer including ER positive breast cancer, multiple myeloma, plasma cell myeloma, leukemia, lymphoma, sarcoma, gastric or stomach cancer, acute myeloid leukemia, bladder cancer, brain cancer, bone marrow cancer, cervical cancer, chronic lymphocytic leukemia, colorectal cancer, pancreatic cancer, esophageal cancer, hepatocellular cancer, lymphoblastic leukemia including acute lymphoblastic leukemia, follicular lymphoma, lymphoid malignancies of T-cell or B-cell origin, metastatic castration resistant prostate cancer, bladder urothelial carcinoma, melanoma, myelogenous leukemia, myeloma, oral cancer, ovarian cancer, non-small cell lung cancer, prostate cancer, small cell lung cancer, spleen cancer, or head and neck cancer.
- ER positive breast cancer multiple myeloma, plasma cell myeloma, le
- administration of the ADC, composition, or pharmaceutical composition reduces the cancer cell population by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, or at least about 99%, as compared to the population in the absence of treatment.
- administration of the ADC, composition, or pharmaceutical composition slows the expansion of the cancer cell population by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 80%, at least about 90%, at least about 95%, or at least about 99%, as compared to expansion in the absence of treatment.
- An exemplary embodiment is a method of determining whether a subject having or suspected of having a cancer will be responsive to treatment with an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein) by providing a biological sample from the subject; contacting the sample with the ADC; and detecting binding of the ADC to cancer cells in the sample.
- the sample is a tissue biopsy sample, a blood sample, or a bone marrow sample.
- the method comprises providing a biological sample from the subject; contacting the sample with the ADC; and detecting one or more markers of cancer cell death in the sample (e.g., increased expression of one or more apoptotic markers, reduced expansion of a cancer cell population in culture, etc.).
- one or more markers of cancer cell death in the sample e.g., increased expression of one or more apoptotic markers, reduced expansion of a cancer cell population in culture, etc.
- An exemplary embodiment is an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein) for use in treating a subject having or suspected of having a cancer (e.g., an EphA2-expressing cancer, a B7-H3 (CD276)-expressing cancer).
- Another exemplary embodiment is a use of an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein) in treating a subject having or suspected of having a cancer (e.g., an EphA2-expressing cancer, a B7-H3 (CD276)-expressing cancer).
- Another exemplary embodiment is a use of an ADC, composition, or pharmaceutical composition (e.g., any of the exemplary ADCs, compositions, or pharmaceutical compositions disclosed herein) in a method of manufacturing a medicament for treating a subject having or suspected of having a cancer (e.g., an EphA2-expressing cancer, a B7-H3 (CD276)-expressing cancer).
- a cancer e.g., an EphA2-expressing cancer, a B7-H3 (CD276)-expressing cancer.
- ADCs of the present disclosure may be administered to a non-human mammal expressing an antigen with which the ADC is capable of binding for veterinary purposes or as an animal model of human disease. Regarding the latter, such animal models may be useful for evaluating the therapeutic efficacy of the disclosed ADCs (e.g., testing of dosages and time courses of administration).
- compositions used in the practice of the foregoing methods may be formulated into pharmaceutical compositions comprising a pharmaceutically acceptable carrier suitable for the desired delivery method.
- An exemplary embodiment is a pharmaceutical composition comprising an ADC of the present disclosure and a pharmaceutically acceptable carrier, e.g., one suitable for a chosen means of administration, e.g., intravenous administration.
- the pharmaceutical composition may also comprise one or more additional inactive and/or therapeutic agents that are suitable for treating or preventing, for example, a cancer (e.g., a standard-of-care agent, etc.).
- the pharmaceutical composition may also comprise one or more carrier, excipient, and/or stabilizer components, and the like.
- Suitable carriers include any material that, when combined with the therapeutic composition, retains the anti-tumor function of the therapeutic composition and is generally non- reactive with the patient's immune system.
- Pharmaceutically acceptable carriers include any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like that are physiologically compatible.
- Examples of pharmaceutically acceptable carriers include one or more of water, saline, phosphate buffered saline, dextrose, glycerol, ethanol, mesylate salt, and the like, as well as combinations thereof.
- isotonic agents are included, for example, sugars, polyalcohols such as mannitol, sorbitol, or sodium chloride in the composition.
- Pharmaceutically acceptable carriers may further comprise minor amounts of auxiliary substances such as wetting or emulsifying agents, preservatives or buffers, which enhance the shelf life or effectiveness of the ADC.
- a pharmaceutical composition of the present disclosure can be administered by a variety of methods known in the art.
- the route and/or mode of administration may vary depending upon the desired results.
- the therapeutic formulation is solubilized and administered via any route capable of delivering the therapeutic composition to the cancer site.
- Potentially effective routes of administration include, but are not limited to, parenteral (e.g., intravenous, subcutaneous), intraperitoneal, intramuscular, intratumor, intradermal, intraorgan, orthotopic, and the like.
- the administration is intravenous, subcutaneous, intraperitoneal, or intramuscular.
- the pharmaceutically acceptable carrier should be suitable for the route of administration, e.g., intravenous or subcutaneous administration (e.g., by injection or infusion).
- the active compound(s) i.e. , the ADC and/or any additional therapeutic agent
- the active compound(s) may be coated in a material to protect the compound(s) from the action of acids and other natural conditions that may inactivate the compound(s).
- Administration can be either systemic or local.
- the therapeutic compositions disclosed herein may be sterile and stable under the conditions of manufacture and storage, and may be in a variety of forms. These include, for example, liquid, semi-solid, and solid dosage forms, such as liquid solutions (e.g., injectable and infusible solutions), dispersions or suspensions, tablets, pills, powders, liposomes, and suppositories. The form depends on the intended mode of administration and therapeutic application.
- the disclosed ADCs can be incorporated into a pharmaceutical composition suitable for parenteral administration.
- the injectable solution may be composed of either a liquid or lyophilized dosage form in a flint or amber vial, ampule, or pre- filled syringe, or other known delivery or storage device.
- one or more of the ADCs or pharmaceutical compositions is supplied as a dry sterilized lyophilized powder or water free concentrate in a hermetically sealed container and can be reconstituted (e.g., with water or saline) to the appropriate concentration for administration to a subject.
- a therapeutically effective amount or efficacious amount of a disclosed composition e.g., a disclosed ADC, is employed in the pharmaceutical compositions of the present disclosure.
- composition e.g., one comprising an ADC
- ADC an ADC
- Dosages and administration protocols for the treatment of cancers using the foregoing methods will vary with the method and the target cancer, and will generally depend on a number of other factors appreciated in the art.
- compositions disclosed herein may be adjusted to provide the optimum desired response (e.g., a therapeutic response).
- a single bolus of one or both agents may be administered at one time, several divided doses may be administered over a predetermined period of time, or the dose of one or both agents may be proportionally increased or decreased as indicated by the exigencies of the therapeutic situation.
- treatment involves single bolus or repeated administration of the ADC preparation via an acceptable route of administration.
- the ADC is administered to the patient daily, weekly, monthly, or any time period in between.
- dosage unit form refers to physically discrete units suited as unitary dosages for the subjects to be treated; each unit contains a predetermined quantity of active compound calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier.
- compositions comprising an ADC and/or any additional therapeutic agent(s) may be selected based on the unique characteristics of the active compound(s), and the particular therapeutic effect to be achieved.
- a physician or veterinarian can start doses of the ADC employed in the pharmaceutical composition at levels lower than that required to achieve the desired therapeutic effect and gradually increase the dosage until the desired effect is achieved.
- effective doses of the compositions of the present disclosure, for the treatment of a cancer may vary depending upon many different factors, including means of administration, target site, physiological state of the patient, whether the patient is human or an animal, other medications administered, and whether treatment is prophylactic or therapeutic.
- the selected dosage level may also depend upon a variety of pharmacokinetic factors including the activity of the particular compositions of the present disclosure employed, or the ester, salt, or amide thereof, the route of administration, the time of administration, the rate of excretion of the particular compound being employed, the duration of the treatment, other drugs, compounds and/or materials used in combination with the particular compositions employed, the age, sex, weight, condition, general health and prior medical history of the patient being treated, and like factors. Treatment dosages may be titrated to optimize safety and efficacy.
- Toxicity and therapeutic efficacy of compounds provided herein can be determined by standard pharmaceutical procedures in cell culture or in animal models. For example, LD50, ED50, EC50, and IC50 may be determined, and the dose ratio between toxic and therapeutic effects (LD50/ED50) may be calculated as the therapeutic index.
- the data obtained from in vitro and in vivo assays can be used in estimating or formulating a range of dosage for use in humans.
- the compositions and methods disclosed herein may initially be evaluated in xenogeneic cancer models (e.g., an NCI-H929 multiple myeloma mouse model).
- an ADC or composition comprising an ADC is administered on a single occasion. In other embodiments, an ADC or composition comprising an ADC is administered on multiple occasions. Intervals between single dosages can be, e.g., daily, weekly, monthly, or yearly. Intervals can also be irregular, based on measuring blood levels of the administered agent (e.g., the ADC) in the patient in order to maintain a relatively consistent plasma concentration of the agent.
- the dosage and frequency of administration of an ADC or composition comprising an ADC may also vary depending on whether the treatment is prophylactic or therapeutic. In prophylactic applications, a relatively low dosage may be administered at relatively infrequent intervals over a long period of time. Some patients continue to receive treatment for the rest of their lives.
- a relatively higher dosage at relatively shorter intervals is sometimes required until progression of the disease is reduced or terminated, and preferably until the patient shows partial or complete amelioration of one or more symptoms of disease. Thereafter, the patient may be administered a lower, e.g., prophylactic regime.
- the above therapeutic approaches can be combined with any one of a wide variety of additional surgical, chemotherapy, or radiation therapy regimens.
- the ADCs or compositions disclosed herein are co-formulated and/or co-administered with one or more additional therapeutic agents, e.g., one or more chemotherapeutic agents, one or more standard-of-care agents for the particular condition being treated.
- Kits for use in the therapeutic and/or diagnostic applications described herein are also provided.
- Such kits may comprise a carrier, package, or container that is compartmentalized to receive one or more containers such as vials, tubes, and the like, each of the container(s) comprising one of the separate elements to be used in a method disclosed herein.
- a label may be present on or with the container(s) to indicate that an ADC or composition within the kit is used for a specific therapy or non-therapeutic application, such as a prognostic, prophylactic, diagnostic, or laboratory application.
- a label may also indicate directions for either in vivo or in vitro use, such as those described herein.
- Directions and or other information may also be included on an insert(s) or label(s), which is included with or on the kit.
- the label may be on or associated with the container.
- a label may be on a container when letters, numbers, or other characters forming the label are molded or etched into the container itself.
- a label may be associated with a container when it is present within a receptacle or carrier that also holds the container, e.g., as a package insert.
- the label may indicate that an ADC or composition within the kit is used for diagnosing or treating a condition, such as a cancer a described herein.
- a kit comprises an ADC or composition comprising an ADC.
- the kit further comprises one or more additional components, including but not limited to: instructions for use; other reagents, e.g., a therapeutic agent (e.g., a standard-of- care agent); devices, containers, or other materials for preparing the ADC for administration; pharmaceutically acceptable carriers; and devices, containers, or other materials for administering the ADC to a subject.
- Instructions for use can include guidance for therapeutic applications including suggested dosages and/or modes of administration, e.g., in a patient having or suspected of having a cancer.
- the kit comprises an ADC and instructions for use of the ADC in treating, preventing, and/or diagnosing a cancer.
- panRAS e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras
- ADCs Antibody-drug conjugates
- other therapeutic agents including non-targeted and targeted therapeutic agents
- radiation therapy including radioligand therapy
- antibody drug conjugates described herein are administered to a subject having cancer in an amount effective to sensitize the tumor cells.
- sensitize means that the treatment with ADC increases the potency or efficacy of the treatment with other therapeutic agents and/or radiation therapy against tumor cells.
- the present disclosure provides methods of treatment wherein the antibody-drug conjugates disclosed herein are administered in combination with one or more (e.g., 1 or 2) additional therapeutic agents.
- additional therapeutic agents e.g., 1 or 2
- Exemplary combination partners are disclosed herein.
- a combination described herein comprises a PD-1 inhibitor.
- the PD-1 inhibitor is chosen from PDR001 (Novartis), Nivolumab (Bristol- Myers Squibb), Pembrolizumab (Merck & Co), Pidilizumab (CureTech), MEDI0680 (Medimmune), REGN2810 (Regeneron), TSR-042 (Tesaro), PF-06801591 (Pfizer), BGB-A317 (Beigene), BGB-108 (Beigene), INCSHR1210 (Incyte), or AMP-224 (Amplimmune).
- the PD-1 inhibitor is PDR001.
- PDR001 is also known as Spartalizumab.
- a combination described herein comprises a LAG-3 inhibitor.
- the LAG-3 inhibitor is chosen from LAG525 (Novartis), BMS-986016 (Bristol-Myers Squibb), or TSR-033 (Tesaro).
- a combination described herein comprises a TIM-3 inhibitor.
- the TIM-3 inhibitor is MBG453 (Novartis), TSR-022 (Tesaro), LY-3321367 (Eli Lily), Sym23 (Symphogen), BGB-A425 (Beigene), INCAGN-2390 (Agenus), BMS-986258 (BMS), RO-7121661 (Roche), or LY-3415244 (Eli Lilly).
- a combination described herein comprises a PDL1 inhibitor.
- the PDL1 inhibitor is chosen from FAZ053 (Novartis), atezolizumab (Genentech), durvalumab (Astra Zeneca), or avelumab (Pfizer).
- a combination described herein comprises a GITR agonist.
- the GITR agonist is chosen from GWN323 (NVS), BMS-986156, MK-4166 or MK-1248 (Merck), TRX518 (Leap Therapeutics), INCAGN1876 (Incyte/Agenus), AMG 228 (Amgen) or INBRX-110 (Inhibrx).
- a combination described herein comprises an IAP inhibitor.
- the IAP inhibitor comprises LCL161 or a compound disclosed in International Application Publication No. WO 2008/016893.
- the combination comprises an mTOR inhibitor, e.g., RAD001 (also known as everolimus).
- RAD001 also known as everolimus
- the combination comprises a HDAC inhibitor, e.g., LBH589.
- LBH589 is also known as panobinostat.
- the combination comprises an IL-17 inhibitor, e.g., CJM112.
- a combination described herein comprises an estrogen receptor (ER) antagonist.
- the estrogen receptor antagonist is used in combination with a PD-1 inhibitor, a CDK4/6 inhibitor, or both.
- the combination is used to treat an ER positive (ER+) cancer or a breast cancer (e.g., an ER+ breast cancer).
- the estrogen receptor antagonist is a selective estrogen receptor degrader (SERD).
- SESDs are estrogen receptor antagonists which bind to the receptor and result in e.g., degradation or down-regulation of the receptor (Boer K. et al., (2017) Therapeutic Advances in Medical Oncology 9(7): 465-479).
- ER is a hormone-activated transcription factor important for e.g., the growth, development and physiology of the human reproductive system. ER is activated by, e.g., the hormone estrogen (17beta estradiol).
- ER expression and signaling is implicated in cancers (e.g., breast cancer), e.g., ER positive (ER+) breast cancer.
- the SERD is chosen from LSZ102, fulvestrant, brilanestrant, or elacestrant. [411] In some embodiments, the SERD comprises a compound disclosed in International Application Publication No. WO 2014/130310, which is hereby incorporated by reference in its entirety.
- the SERD comprises LSZ102.
- LSZ102 has the chemical name: (E)-3-(4-((2-(2-(1,1-difluoroethyl)-4-fluorophenyl)-6-hydroxybenzo[b]thiophen-3- yl)oxy)phenyl)acrylic acid.
- the SERD comprises fulvestrant (CAS Registry Number: 129453-61-8), or a compound disclosed in International Application Publication No. WO 2001/051056, which is hereby incorporated by reference in its entirety.
- the SERD comprises elacestrant (CAS Registry Number: 722533-56-4), or a compound disclosed in U.S. Patent No.
- Elacestrant is also known as RAD1901 , ER-306323 or (6R)-6- ⁇ 2-[Ethyl( ⁇ 4-[2- (ethylamino)ethyl]phenyl ⁇ methyl)amino]-4-methoxyphenyl ⁇ -5,6,7,8-tetrahydronaphthalen-2-ol.
- Elacestrant is an orally bioavailable, non-steroidal combined selective estrogens receptor modulator (SERM) and a SERD.
- SERM non-steroidal combined selective estrogens receptor modulator
- Elacestrant is also disclosed, e.g., in Garner F et al., (2015) Anticancer Drugs 26(9):948-56.
- the SERD is brilanestrant (CAS Registry Number: 1365888-06-7), or a compound disclosed in International Application Publication No. WO 2015/136017, which is incorporated by reference in its entirety.
- the SERD is chosen from RU 58668, GW7604, AZD9496, apeledoxifene, pipendoxifene, arzoxifene, OP-1074, or acolbifene, e.g., as disclosed in McDonell et al. (2015) Journal of Medicinal Chemistry 58(12) 4883-4887.
- a combination described herein comprises an inhibitor of Cyclin-Dependent Kinases 4 or 6 (CDK4/6).
- CDK4/6 inhibitor is used in combination with a PD-1 inhibitor, an estrogen receptor (ER) antagonist, or both.
- the combination is used to treat an ER positive (ER+) cancer or a breast cancer (e.g., an ER+ breast cancer).
- the CDK4/6 inhibitor is chosen from ribociclib, abemaciclib (Eli Lilly), or palbociclib.
- the CDK4/6 inhibitor comprises ribociclib (CAS Registry Number: 1211441-98-3), or a compound disclosed in U.S. Patent Nos. 8,415,355 and 8,685,980, which are incorporated by reference in their entirety.
- the CDK4/6 inhibitor comprises a compound disclosed in International Application Publication No. WO 2010/020675 and U.S. Patent Nos. 8,415,355 and 8,685,980, which are incorporated by reference in their entirety.
- the CDK4/6 inhibitor comprises ribociclib (CAS Registry Number: 1211441-98-3). Ribociclib is also known as LEE011, KISQALI®, or 7-cyclopentyl-N,N- dimethyl-2-((5-(piperazin-1-yl)pyridin-2-yl)amino)-7H-pyrrolo[2,3-d]pyrimidine-6-carboxamide.
- the CDK4/6 inhibitor comprises abemaciclib (CAS Registry Number: 1231929-97-7).
- Abemaciclib is also known as LY835219 or N-[5-[(4-Ethyl-1- piperazinyl)methyl]-2-pyridinyl]-5-fluoro-4-[4-fluoro-2-methyl-1-(1-methylethyl)-1H-benzimidazol- 6-yl]-2-pyrimidinamine.
- Abemaciclib is a CDK inhibitor selective for CDK4 and CDK6 and is disclosed, e.g., in Torres-Guzman R et al. (2017) Oncotarget 10.18632/oncotarget.17778.
- the CDK4/6 inhibitor comprises palbociclib (CAS Registry Number: 571190-30-2).
- Palbociclib is also known as PD-0332991, IBRANCE® or 6-Acetyl-8- cyclopentyl-5-methyl-2- ⁇ [5-(1-piperazinyl)-2-pyridinyl]amino ⁇ pyrido[2,3-d]pyrimidin-7(8H)-one.
- Palbociclib inhibits CDK4 with an IC50 of 11nM, and inhibits CDK6 with an IC50 of 16nM, and is disclosed, e.g., in Finn et al. (2009) Breast Cancer Research 11(5):R77.
- a combination described herein comprises an inhibitor of chemokine (C-X-C motif) receptor 2 (CXCR2).
- CXCR2 inhibitor is chosen from 6-chloro-3-((3,4-dioxo-2-(pentan-3-ylamino)cyclobut-1-en-1-yl)amino)-2-hydroxy-N- methoxy-N-methylbenzenesulfonamide, danirixin, reparixin, or navarixin.
- the CSF-1/1R binding agent is chosen from an inhibitor of macrophage colony-stimulating factor (M-CSF), e.g., a monoclonal antibody or Fab to M-CSF (e.g., MCS110), a CSF-1R tyrosine kinase inhibitor (e.g., 4-((2-(((1 R,2R)-2- hydroxycyclohexyl)amino)benzo[d]thiazol-6-yl)oxy)-N-methylpicolinamide or BLZ945), a receptor tyrosine kinase inhibitor (RTK) (e.g., pexidartinib), or an antibody targeting CSF-1R (e.g., emactuzumab or FPA008).
- M-CSF macrophage colony-stimulating factor
- MCS110 monoclonal antibody or Fab to M-CSF
- CSF-1R tyrosine kinase inhibitor e
- a combination described herein comprises a c-MET inhibitor.
- c-MET a receptor tyrosine kinase overexpressed or mutated in many tumor cell types, plays key roles in tumor cell proliferation, survival, invasion, metastasis, and tumor angiogenesis. Inhibition of c-MET may induce cell death in tumor cells overexpressing c-MET protein or expressing constitutively activated c-MET protein.
- the c-MET inhibitor is chosen from capmatinib (IN C 2 80), JNJ-3887605, AMG 337, LY2801653, MS C 2 156119J, crizotinib, tivantinib, or golvatinib.
- a combination described herein comprises a transforming growth factor beta (also known as TGF-p TGFp, TGFb, or TGF-beta, used interchangeably herein) inhibitor.
- the TGF-p inhibitor is chosen from fresolimumab or XOMA 089.
- a combination described herein comprises an adenosine A2a receptor (A2aR) antagonist ⁇ e.g., an inhibitor of A2aR pathway, e.g., an adenosine inhibitor, e.g., an inhibitor of A2aR or CD-73).
- A2aR adenosine A2a receptor
- the A2aR antagonist is used in combination with a PD-1 inhibitor, and one or more (e.g., two, three, four, five, or all) of a CXCR2 inhibitor, a CSF-1/1R binding agent, LAG-3 inhibitor, a GITR agonist, a c-MET inhibitor, or an IDO inhibitor.
- the combination is used to treat a pancreatic cancer, a colorectal cancer, a gastric cancer, or a melanoma (e.g., a refractory melanoma).
- the A2aR antagonist is chosen from PBF509 (NIR178) (Palobiofarma/Novartis), CPI444/V81444 (Corvus/Genentech), AZD4635/HTL-1071 (AstraZeneca/Heptares), Vipadenant (Redox/Juno), GBV-2034 (Globavir), AB928 (Arcus Biosciences), Theophylline, Istradefylline (Kyowa Hakko Kogyo), Tozadenant/SYN-115 (Acorda), KW-6356 (Kyowa Hakko Kogyo), ST- 4206 (Leadiant Biosciences), or Preladenant/SCH 420814 (Merck/Schering).
- PBF509 NIR178
- CPI444/V81444 Corvus/Genentech
- AZD4635/HTL-1071 AdstraZeneca/Heptares
- Vipadenant Redox/
- a combination described herein comprises an inhibitor of indoleamine 2,3-dioxygenase (IDO) and/or tryptophan 2,3-dioxygenase (TDO).
- IDO indoleamine 2,3-dioxygenase
- TDO tryptophan 2,3-dioxygenase
- the IDO inhibitor is used in combination with a PD-1 inhibitor, and one or more (e.g., two, three, four, or all) of a TGF-p inhibitor, an A2aR antagonist, a CSF-1/1R binding agent, a c-MET inhibitor, or a GITR agonist.
- the combination is used to treat a pancreatic cancer, a colorectal cancer, a gastric cancer, or a melanoma (e.g., a refractory melanoma).
- the IDO inhibitor is chosen from (4E)-4-[(3- chloro-4-fluoroanilino)-nitrosomethylidene]-1,2,5-oxadiazol-3-amine (also known as epacadostat or INCB24360), indoximod (NLG8189), (1-methyl-D-tryptophan), a-cyclohexyl-5H-lmidazo[5,1- a]isoindole-5-ethanol (also known as NLG919), indoximod, BMS-986205 (formerly F001287).
- a combination described herein comprises a Galectin, e.g., Galectin-1 or Galectin-3, inhibitor.
- the combination comprises a Galectin-1 inhibitor and a Galectin-3 inhibitor.
- the combination comprises a bispecific inhibitor (e.g., a bispecific antibody molecule) targeting both Galectin-1 and Galectin-3.
- the Galectin inhibitor is used in combination with one or more therapeutic agents described herein.
- the Galectin inhibitor is chosen from an anti-Galectin antibody molecule, GR-MD-02 (Galectin Therapeutics), Galectin- 3C (Mandal Med), Anginex, or GTX-008 (OncoEthix, Merck).
- a combination described herein comprises an inhibitor of the MAP kinase pathway including ERK inhibitors, MEK inhibitors and RAF inhibitors.
- a combination described herein comprises a MEK inhibitor.
- the MEK inhibitor is chosen from Trametinib, selumetinib, AS703026, BIX 02189, BIX 02188, CI-1040, PD0325901, PD98059, U0126, XL-518, G-38963, or G02443714.
- the MEK inhibitor is trametinib.
- Trametinib is also known as JTP-74057, TMT212, N-(3- ⁇ 3-cyclopropyl-5-[(2-fluoro-4-iodophenyl)amino]-6,8-dimethyl-2,4,7- trioxo-3,4,6,7-tetrahydropyrido[4,3-d]pyrimidin-1(2H)-yl ⁇ phenyl)acetamide, or Mekinist (CAS Number 871700-17-3).
- the MEK inhibitor comprises selumetinib which has the chemical name: (5-[(4-bromo-2-chlorophenyl)amino]-4-fluoro-N-(2-hydroxyethoxy)-1-methyl-1 H- benzimidazole-6-carboxamide.
- Selumetinib is also known as AZD6244 or ARRY 142886, e.g., as described in PCT Publication No. W02003077914.
- the MEK inhibitor comprises AS703026, BIX 02189 or BIX 02188.
- the MEK inhibitor comprises 2-[(2-Chloro-4-iodophenyl)amino]-N- (cyclopropylmethoxy)-3,4-difluoro-benzamide (also known as CI-1040 or PD184352), e.g., as described in PCT Publication No. W02000035436).
- the MEK inhibitor comprises N-[(2R)-2,3-Dihydroxypropoxy]-3,4- difluoro-2-[(2-fluoro-4-iodophenyl)amino]- benzamide (also known as PD0325901), e.g., as described in PCT Publication No. W02002006213).
- the MEK inhibitor comprises 2’-amino-3’-methoxyflavone (also known as PD98059) which is available from Biaffin GmbH & Co., KG, Germany.
- the MEK inhibitor comprises 2,3-bis[amino[(2- aminophenyl)thio]methylene]-butanedinitrile (also known as 110126), e.g., as described in US Patent No. 2,779,780).
- the MEK inhibitor comprises XL-518 (also known as GDC-0973) which has a CAS No. 1029872-29-4 and is available from ACC Corp.
- the MEK inhibitor comprises G-38963.
- the MEK inhibitor comprises G02443714 (also known as AS703206)
- MEK inhibitors are disclosed in WO 2013/019906, WO 03/077914, WO 2005/121142, WO 2007/04415, WO 2008/024725 and WO 2009/085983, the contents of which are incorporated herein by reference.
- Further examples of MEK inhibitors include, but are not limited to, 2,3-Bis[amino[(2-aminophenyl)thio]methylene]-butanedinitrile (also known as U0126 and described in US Patent No.
- vemurafenib (PLX-4032, CAS 918504-65-1); (R)-3-(2,3-Dihydroxypropyl)-6-fluoro-5-(2-fluoro-4- iodophenylamino)-8-methylpyrido[2,3-d]pyrimidine-4,7(3H,8H)-dione (TAK-733, CAS 1035555- 63-5); pimasertib (AS-703026, CAS 1204531-26-9); 2-(2-Fluoro-4-iodophenylamino)-N-(2- hydroxyethoxy)-1 ,5-dimethyl-6-oxo-1,6-dihydropyridine-3-carboxamide (AZD 8330); and 3,4- Difluoro-2-[(2-fluoro-4-iodophenyl)amino]-N-(2-hydroxyethoxy)-5-[(3-oxo-[1,
- a combination described herein comprises a RAF inhibitor.
- RAF inhibitors include, but are not limited to, Vemurafenib (or Zelboraf®, PLX-4032, CAS 918504-65-1), GDC-0879, PLX-4720 (available from Symansis), Dabrafenib (or GSK2118436), LGX 818, CEP-32496, UI-152, RAF 265, Regorafenib (BAY 73-4506), CCT239065, or Sorafenib (or Sorafenib Tosylate, or Nexavar®).
- the RAF inhibitor is Dabrafenib.
- the RAF inhibitor is LXH254.
- a combination described herein comprises an ERK inhibitor.
- ERK inhibitors include, but are not limited to, LTT462, ulixertinib (BVD-523), LY3214996, G DC-0994, KO-947 and MK-8353.
- the ERK inhibitor is LTT462.
- LTT462 is 4-(3-amino-6- ((1S,3S,4S)-3-fluoro-4-hydroxy- , cyclohexyl)pyrazin-2-yl)-N-((S)-1-(3-bromo-5-fluorophenyl)-2- (methylamino)- , ethyl)-2-fluorobenzamide and is the compound of the following structure:
- LTT462 is an inhibitor of extracellular signal-regulated kinases 1 and 2 (ERK 1/2).
- a combination described herein comprises a taxane, a vinca alkaloid, a MEK inhibitor, an ERK inhibitor, or a RAF inhibitor.
- a combination described herein comprises at least two inhibitors selected, independently, from a MEK inhibitor, an ERK inhibitor, and a RAF inhibitor.
- a combination described herein comprises an anti-mitotic drug.
- a combination described herein comprises a taxane.
- Taxanes include, but are not limited to, docetaxel, paclitaxel, or cabazitaxel. In some embodiments, the taxane is docetaxel. [453] In some embodiments, a combination described herein comprises a vinca alkaloid.
- Vinca alkaloids include, but are not limited to, vincristine, vinblastine, and leurosine.
- a combination described herein comprises a topoisomerase inhibitor.
- Topoisomerase inhibitors include, but are not limited to, topotecan, irinotecan, camptothecin, diflomotecan, lamellarin D, ellipticines, etoposide (VP-16), teniposide, doxorubicin, daunorubicin, mitoxantrone, amsacrine, aurintricarboxylic acid, and HU-331.
- a combination described herein includes an interleukin-1 beta (IL- 1P) inhibitor.
- the I L-1 p inhibitor is chosen from canakinumab, gevokizumab, Anakinra, or Rilonacept.
- a combination described herein comprises an I L-15/I L-15Ra complex.
- the I L-15/I L-15Ra complex is chosen from NIZ985 (Novartis), ATL-803 (Aitor) or CYP0150 (Cytune).
- a combination described herein comprises a mouse double minute 2 homolog (MDM2) inhibitor.
- MDM2 mouse double minute 2 homolog
- the human homolog of MDM2 is also known as HDM2.
- an MDM2 inhibitor described herein is also known as a HDM2 inhibitor.
- the MDM2 inhibitor is chosen from HDM201 or CGM097.
- the MDM2 inhibitor comprises (S)-1-(4-chlorophenyl)-7-isopropoxy-6- methoxy-2-(4-(methyl(((1r,4S)-4-(4-methyl-3-oxopiperazin-1- yl)cyclohexyl)methyl)amino)phenyl)-1,2-dihydroisoquinolin-3(4H)-one (also known as CGM097) or a compound disclosed in PCT Publication No. WO 2011/076786 to treat a disorder, e.g., a disorder described herein).
- a therapeutic agent disclosed herein is used in combination with CGM097.
- a combination described herein comprises a hypomethylating agent (HMA).
- HMA hypomethylating agent
- the HMA is chosen from decitabine or azacitidine.
- a combination described herein comprises a glucocorticoid.
- the glucocorticoid is dexamethasone.
- a combination described herein comprises asparaginase.
- a combination described herein comprises an inhibitor acting on any pro-survival proteins of the Bcl2 family.
- a combination described herein comprises a Bcl-2 inhibitor.
- the Bcl-2 inhibitor is venetoclax (also known as ABT- 199): venetoclax).
- the Bcl-2 inhibitor is selected from the compounds described in WO 2013/110890 and WO 2015/011400.
- the Bcl-2 inhibitor comprises navitoclax (ABT-263), ABT-737, BP1002, SP C 2 996, APG-1252, obatoclax mesylate (GX15- 070MS), PNT2258, Zn-d5, BGB-11417, or oblimersen (G3139).
- the Bcl-2 inhibitor is (S)-5-(5-chloro-2-(3-(morpholinomethyl)-
- the antibody-drug conjugates or combinations disclosed herein are suitable for the treatment of cancer in vivo.
- the combination can be used to inhibit the growth of cancerous tumors.
- the combination can also be used in combination with one or more of: a standard of care treatment (e.g., for cancers or infectious disorders), a vaccine (e.g., a therapeutic cancer vaccine), a cell therapy, a hormone therapy (e.g., with anti-estrogens or anti-androgens), a radiation therapy, surgery, or any other therapeutic agent or modality, to treat a disorder herein.
- a standard of care treatment e.g., for cancers or infectious disorders
- a vaccine e.g., a therapeutic cancer vaccine
- a cell therapy e.g., a hormone therapy (e.g., with anti-estrogens or anti-androgens)
- a radiation therapy e.g., surgery, or any other therapeutic agent or modality
- the combination can be administered together with an antigen of interest.
- a combination disclosed herein can be administered in either order or simultaneously.
- the Linker-Drug group of the invention may be a compound having the structure of Formula (A’), or a pharmaceutically acceptable salt thereof:
- R 1 is a reactive group
- Li is a bridging spacer
- Lp is a bivalent peptide spacer
- G-L2-A is a self-immolative spacer
- R 2 is a hydrophilic moiety
- each R a is independently selected from H, C 1 -C 6 alkyl, and C 3 -C 8 cycloalkyl and the * of A indicates the point of attachment to D;
- L 3 is a spacer moiety
- D is a Drug moiety that is capable of inhibiting the activity of panRAS (e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras) when, e.g., released from the Antibody Drug Conjugates or immunoconjugates disclosed herein.
- panRAS e.g., K-Ras (including splice variants KRAS4A and KRAS4B), H-Ras and N-Ras
- Embodiment 1 The compound of Formula (A’), or pharmaceutically acceptable salt thereof, wherein:
- R 1 is a reactive group
- Li is a bridging spacer
- Lp is a bivalent peptide spacer comprising two to four amino acid residues
- G-L2-A is a self-immolative spacer
- R 2 is a hydrophilic moiety
- L2 is a bond, a methylene, a neopentylene or a C 2 -Csalkenylene
- each R a is independently selected from H, C 1 -C 6 alkyl, and C3-C8 cycloalkyl and the * of A indicates the point of attachment to D;
- L 3 is a spacer moiety
- D is a Drug moiety as defined herein, e.g., a panRAS inhibitor.
- Embodiment 2 The compound of Formula (A’), or pharmaceutically acceptable salt thereof, wherein:
- R 1 is a reactive group
- Li is a bridging spacer
- Lp is a bivalent peptide spacer comprising two to four amino acid residues; the group is selected from: indicates the point of attachment to D (e.g., to an N or a O of the Drug moiety), the *** of indicates the point of attachment to Lp;
- R 2 is a hydrophilic moiety
- L2 is a bond, a methylene, a neopentylene or a C 2 -Csalkenylene
- each R a is independently selected from H, C 1 -C 6 alkyl, and C3-C8 cycloalkyl and the * of A indicates the point of attachment to D;
- L3 is a spacer moiety
- D is a Drug moiety as defined herein, e.g., a panRAS inhibitor.
- Embodiment 3 The compound of Formula (A’), or pharmaceutically acceptable salt thereof, having the structure o
- R 1 is a reactive group
- Li is a bridging spacer
- Lp is a bivalent peptide spacer comprising two to four amino acid residues
- R 2 is a hydrophilic moiety
- each R a is independently selected from H, C 1 -C 6 alkyl, and C 3 -C 8 cycloalkyl and the * of A indicates the point of attachment to D;
- L 3 is a spacer moiety
- D is a Drug moiety as defined herein and comprising an N, wherein D is connected to A via a direct bond from A to the N of the Drug moiety.
- Embodiment 4 The compound of Formula (A’) or of any one of Embodiments 1 to 3, or pharmaceutically acceptable salt thereof, wherein:
- R 2 is a hydrophilic moiety selected from polyethylene glycol, polyalkylene glycol, a sugar, an oligosaccharide, a polypeptide or C 2 -Cealkyl substituted with 1 to 3 groups; each R 3 is independently selected from H and C 1 -C 6 alkyl;
- Lp is a bivalent peptide spacer comprising an amino acid residue selected from glycine, valine, citrulline, lysine, isoleucine, phenylalanine, methionine, asparagine, proline, alanine, leucine, tryptophan, and tyrosine;
- each R a is independently selected from H, C 1 -C 6 alkyl, and C3-C8 cycloalkyl and the * of A indicates the point of attachment to D;
- X is a bond, triazolyl or ***-CH 2 -triazolyl-*, wherein the *** of X indicates the point of attachment to W and the * of X indicates the point of attachment to R 2 ; and the * of L3 indicates the point of attachment to R 2 ; and
- D is a Drug moiety as defined herein and comprising an N or an O, wherein D is connected to A via a direct bond from A to the N or the O of the Drug moiety.
- Embodiment 5 The compound of Formula (A’) or of any one of Embodiments 1 to 4, or pharmaceutically acceptable salt thereof, wherein:
- L3 is a spacer moiety having the structure , where
- X is a bond, triazolyl or ***-CH 2 -triazolyl-*, wherein the *** of X indicates the point of attachment to W and the * of X indicates the point of attachment to R 2 ; and the * of L3 indicates the point of attachment to R 2 ;
- D is a Drug moiety as defined herein and comprising an N or an O, wherein D is connected to A via a direct bond from A to the N or the O of the Drug moiety.
- Embodiment 6 The compound of Formula (A’) or of any one of Embodiments 1 to 5, or pharmaceutically acceptable salt thereof, wherein:
- Lp is a bivalent peptide spacer selected from the * of Lp indicates the attachment point to Li and the ** of Lp indicates the attachment point to the -NH- group of G;
- L 3 IS a spacer moiety having the structure 5 ? , where
- X is a bond, triazolyl or ***-CH 2 -triazolyl-*, wherein the *** of X indicates the point of attachment to W and the * of X indicates the point of attachment to R 2 ; and the * of L3 indicates the point of attachment to R 2 ;
- R 2 is a hydrophilic moiety selected from polyethylene glycol, polyalkylene glycol, a sugar, an oligosaccharide, a polypeptide, C 2 -C6alkyl substituted with 1 to 3 groups; ndently selected from H, C 1 -C 6 alkyl, and C3-C8 cycloalkyl and the * of A indicates the point of attachment to D; and
- D is a Drug moiety as defined herein and comprising an N or an O, wherein D is connected to A via a direct bond from A to the N or the O of the Drug moiety.
- Embodiment 7 The compound of Formula (A’) or of any one of Embodiments 1 to 6, or pharmaceutically acceptable salt thereof, wherein:
- L3 is a spacer moiety having the structure 5 ? , where
- X is a bond, triazolyl or ***-CH 2 -triazolyl-*, wherein the *** of X indicates the point of attachment to W and the * of X indicates the point of attachment to R 2 ; and the * of L3 indicates the point of attachment to R 2 ;
- R 2 is a hydrophilic moiety selected from polyethylene glycol, polyalkylene glycol, a sugar, an oligosaccharide, a polypeptide, C 2 -C6alkyl substituted with 1 to 3
- D is a Drug moiety as defined herein and comprising an N or an O, wherein D is connected to A via a direct bond from A to the N or the O of the Drug moiety.
- Embodiment 8 The compound of Formula (A’) or of any one of Embodiments 1 to 7, or pharmaceutically acceptable salt thereof, wherein:
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Abstract
Description
Claims
Applications Claiming Priority (2)
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|---|---|---|---|
| US202363451458P | 2023-03-10 | 2023-03-10 | |
| PCT/IB2024/052221 WO2024189481A1 (en) | 2023-03-10 | 2024-03-07 | Panras inhibitor antibody-drug conjugates and methods of use thereof |
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| Publication Number | Publication Date |
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| EP4676540A1 true EP4676540A1 (en) | 2026-01-14 |
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| EP24714256.5A Pending EP4676540A1 (en) | 2023-03-10 | 2024-03-07 | Panras inhibitor antibody-drug conjugates and methods of use thereof |
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| EP (1) | EP4676540A1 (en) |
| JP (1) | JP2026510354A (en) |
| KR (1) | KR20250160354A (en) |
| CN (1) | CN120752058A (en) |
| AU (1) | AU2024234194A1 (en) |
| IL (1) | IL322700A (en) |
| MX (1) | MX2025010549A (en) |
| WO (1) | WO2024189481A1 (en) |
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| KR20250085767A (en) | 2022-09-29 | 2025-06-12 | 광조우 조요 파마테크 컴퍼니 리미티드 | Macrocyclic derivatives and their applications |
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| WO2025171296A1 (en) | 2024-02-09 | 2025-08-14 | Revolution Medicines, Inc. | Ras inhibitors |
| TW202547461A (en) | 2024-05-17 | 2025-12-16 | 美商銳新醫藥公司 | Ras inhibitors |
| WO2025255438A1 (en) | 2024-06-07 | 2025-12-11 | Revolution Medicines, Inc. | Methods of treating a ras protein-related disease or disorder |
| WO2025265060A1 (en) | 2024-06-21 | 2025-12-26 | Revolution Medicines, Inc. | Therapeutic compositions and methods for managing treatment-related effects |
| WO2026006747A1 (en) | 2024-06-28 | 2026-01-02 | Revolution Medicines, Inc. | Ras inhibitors |
| WO2026015801A1 (en) | 2024-07-12 | 2026-01-15 | Revolution Medicines, Inc. | Methods of treating a ras related disease or disorder |
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| CN120752058A (en) | 2025-10-03 |
| AU2024234194A1 (en) | 2025-08-07 |
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| JP2026510354A (en) | 2026-04-02 |
| IL322700A (en) | 2025-10-01 |
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