NZ789089A - Anti-EGFR antibody drug conjugates - Google Patents
Anti-EGFR antibody drug conjugatesInfo
- Publication number
- NZ789089A NZ789089A NZ789089A NZ78908917A NZ789089A NZ 789089 A NZ789089 A NZ 789089A NZ 789089 A NZ789089 A NZ 789089A NZ 78908917 A NZ78908917 A NZ 78908917A NZ 789089 A NZ789089 A NZ 789089A
- Authority
- NZ
- New Zealand
- Prior art keywords
- methyl
- amino
- dec
- seq
- ethoxy
- Prior art date
Links
- 239000000611 antibody drug conjugate Substances 0.000 title claims abstract description 28
- 108091008116 antibody drug conjugates Proteins 0.000 title claims abstract description 28
- 102000017256 epidermal growth factor-activated receptor activity proteins Human genes 0.000 claims abstract description 9
- 108040009258 epidermal growth factor-activated receptor activity proteins Proteins 0.000 claims abstract description 9
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- 101710032374 BCL2L1 Proteins 0.000 claims abstract 5
- 239000000203 mixture Substances 0.000 claims abstract 3
- -1 C1 4alkoxy Chemical group 0.000 claims description 57
- 230000027455 binding Effects 0.000 claims description 11
- 201000011510 cancer Diseases 0.000 claims description 5
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- 102100010813 EGF Human genes 0.000 claims description 3
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims 97
- 125000001301 ethoxy group Chemical group [H]C([H])([H])C([H])([H])O* 0.000 claims 64
- 125000003275 alpha amino acid group Chemical group 0.000 claims 63
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 claims 54
- PVNIIMVLHYAWGP-UHFFFAOYSA-N nicotinic acid Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 claims 30
- 108090001123 antibodies Proteins 0.000 claims 25
- 102000004965 antibodies Human genes 0.000 claims 25
- 125000003277 amino group Chemical compound 0.000 claims 23
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims 19
- 229910052739 hydrogen Inorganic materials 0.000 claims 9
- 239000001257 hydrogen Substances 0.000 claims 9
- 125000004435 hydrogen atoms Chemical class [H]* 0.000 claims 8
- 125000000143 2-carboxyethyl group Chemical group [H]OC(=O)C([H])([H])C([H])([H])* 0.000 claims 7
- 125000004429 atoms Chemical group 0.000 claims 7
- 125000001475 halogen functional group Chemical group 0.000 claims 7
- 125000004970 halomethyl group Chemical group 0.000 claims 6
- 125000005647 linker group Chemical group 0.000 claims 6
- 125000000217 alkyl group Chemical group 0.000 claims 5
- 125000004404 heteroalkyl group Chemical group 0.000 claims 5
- 125000000623 heterocyclic group Chemical group 0.000 claims 5
- 230000002401 inhibitory effect Effects 0.000 claims 5
- 125000001624 naphthyl group Chemical group 0.000 claims 5
- 206010028980 Neoplasm Diseases 0.000 claims 4
- 239000002253 acid Substances 0.000 claims 4
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 claims 4
- 125000004093 cyano group Chemical group *C#N 0.000 claims 4
- 239000003814 drug Substances 0.000 claims 4
- 229940079593 drugs Drugs 0.000 claims 4
- 239000003112 inhibitor Substances 0.000 claims 4
- 239000000243 solution Substances 0.000 claims 4
- 102100010782 EGFR Human genes 0.000 claims 3
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims 3
- 238000000034 method Methods 0.000 claims 3
- 125000001436 propyl group Chemical compound [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 claims 3
- 125000002943 quinolinyl group Chemical compound N1=C(C=CC2=CC=CC=C12)* 0.000 claims 3
- 125000001731 2-cyanoethyl group Chemical group [H]C([H])(*)C([H])([H])C#N 0.000 claims 2
- 125000000570 L-alpha-aspartyl group Chemical group [H]OC(=O)C([H])([H])[C@]([H])(N([H])[H])C(*)=O 0.000 claims 2
- 125000004202 aminomethyl group Chemical group [H]N([H])C([H])([H])* 0.000 claims 2
- 125000002393 azetidinyl group Chemical group 0.000 claims 2
- 125000003917 carbamoyl group Chemical compound [H]N([H])C(*)=O 0.000 claims 2
- 150000001875 compounds Chemical class 0.000 claims 2
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- 230000003247 decreasing Effects 0.000 claims 2
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- 125000000325 methylidene group Chemical group [H]C([H])=* 0.000 claims 2
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims 2
- 239000008194 pharmaceutical composition Substances 0.000 claims 2
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims 2
- 125000003386 piperidinyl group Chemical group 0.000 claims 2
- 125000004076 pyridyl group Chemical group 0.000 claims 2
- 125000001424 substituent group Chemical group 0.000 claims 2
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- 230000004614 tumor growth Effects 0.000 claims 2
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- 125000001158 D-alpha-aspartyl group Chemical group N[C@@H](C(=O)*)CC(=O)O 0.000 claims 1
- 230000036947 Dissociation constant Effects 0.000 claims 1
- 229940116977 Epidermal Growth Factor Drugs 0.000 claims 1
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- SIOXPEMLGUPBBT-UHFFFAOYSA-N Picolinic acid Chemical compound OC(=O)C1=CC=CC=N1 SIOXPEMLGUPBBT-UHFFFAOYSA-N 0.000 claims 1
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- 229910003803 SPa Inorganic materials 0.000 claims 1
- KZNICNPSHKQLFF-UHFFFAOYSA-N Succinimide Chemical compound O=C1CCC(=O)N1 KZNICNPSHKQLFF-UHFFFAOYSA-N 0.000 claims 1
- DHXVGJBLRPWPCS-UHFFFAOYSA-N THP Chemical compound C1CCOCC1 DHXVGJBLRPWPCS-UHFFFAOYSA-N 0.000 claims 1
- 125000000738 acetamido group Chemical compound [H]C([H])([H])C(=O)N([H])[*] 0.000 claims 1
- 125000002947 alkylene group Chemical group 0.000 claims 1
- 125000004103 aminoalkyl group Chemical group 0.000 claims 1
- 239000007864 aqueous solution Substances 0.000 claims 1
- 125000000732 arylene group Chemical group 0.000 claims 1
- SNCZNSNPXMPCGN-UHFFFAOYSA-N butanediamide Chemical compound NC(=O)CCC(N)=O SNCZNSNPXMPCGN-UHFFFAOYSA-N 0.000 claims 1
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 claims 1
- 238000006243 chemical reaction Methods 0.000 claims 1
- 239000003795 chemical substances by application Substances 0.000 claims 1
- 230000002860 competitive Effects 0.000 claims 1
- 238000001816 cooling Methods 0.000 claims 1
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- IAZDPXIOMUYVGZ-UHFFFAOYSA-N dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 claims 1
- 150000002019 disulfides Chemical class 0.000 claims 1
- 125000004969 haloethyl group Chemical group 0.000 claims 1
- 125000004474 heteroalkylene group Chemical group 0.000 claims 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims 1
- 238000006460 hydrolysis reaction Methods 0.000 claims 1
- 238000004191 hydrophobic interaction chromatography Methods 0.000 claims 1
- 125000004029 hydroxymethyl group Chemical compound [H]OC([H])([H])* 0.000 claims 1
- 125000002183 isoquinolinyl group Chemical compound C1(=NC=CC2=CC=CC=C12)* 0.000 claims 1
- 238000004949 mass spectrometry Methods 0.000 claims 1
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 claims 1
- 125000000250 methylamino group Chemical compound [H]N(*)C([H])([H])[H] 0.000 claims 1
- 229910052760 oxygen Inorganic materials 0.000 claims 1
- MYMOFIZGZYHOMD-UHFFFAOYSA-N oxygen Chemical compound O=O MYMOFIZGZYHOMD-UHFFFAOYSA-N 0.000 claims 1
- 239000001301 oxygen Substances 0.000 claims 1
- WVHAUDNUGBNUDZ-GOVZDWNOSA-N phenol O-(β-D-glucuronide) Chemical compound O1[C@H](C(O)=O)[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1OC1=CC=CC=C1 WVHAUDNUGBNUDZ-GOVZDWNOSA-N 0.000 claims 1
- 229920001223 polyethylene glycol Polymers 0.000 claims 1
- 229920005862 polyol Polymers 0.000 claims 1
- 150000003077 polyols Chemical class 0.000 claims 1
- 238000002360 preparation method Methods 0.000 claims 1
- 238000000159 protein binding assay Methods 0.000 claims 1
- 230000002829 reduced Effects 0.000 claims 1
- 239000003638 reducing agent Substances 0.000 claims 1
- 150000003839 salts Chemical class 0.000 claims 1
- 239000011780 sodium chloride Substances 0.000 claims 1
- 239000007921 spray Substances 0.000 claims 1
- 125000000547 substituted alkyl group Chemical group 0.000 claims 1
- 125000005717 substituted cycloalkylene group Chemical group 0.000 claims 1
- 229960002317 succinimide Drugs 0.000 claims 1
- 229910052717 sulfur Inorganic materials 0.000 claims 1
- 238000002198 surface plasmon resonance spectroscopy Methods 0.000 claims 1
- 238000002560 therapeutic procedure Methods 0.000 claims 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims 1
- 229920002574 CR-39 Polymers 0.000 abstract 2
- 102000009465 Growth Factor Receptors Human genes 0.000 abstract 1
- 108010009202 Growth Factor Receptors Proteins 0.000 abstract 1
- 239000003446 ligand Substances 0.000 description 5
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- 230000035578 autophosphorylation Effects 0.000 description 2
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- 229940116978 human epidermal growth factor Drugs 0.000 description 1
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Abstract
The invention relates to anti-Epidermal Growth Factor Receptor (EGFR) antibody drug conjugates (ADC’s) which inhibit Bcl-xL., including compositions and methods of using said ADC’s.
Description
ANTI-EGFR ANTIBODY DRUG CONJUGATES
D APPLICATIONS
This application is a divisional of New Zealand Patent Application No. 749053 (the national
phase application of ) and claims priority to U.S. Provisional Application No.
62/347,416, filed on 8 June 2016, the entire ts of each of which are expressly incorporated
herein by reference.
CE LISTING
The t application contains a Sequence Listing which has been submitted electronically
in ASCII format and is hereby incorporated by reference in its entirety. Said ASCII copy, created on 2
June 2017, is named 117813-13420 SL.txt and is 2 bytes in size.
OUND OF THE INVENTION
The human epidermal growth factor or (also known as HER-I or Erb-Bl, and referred to
herein as "EGFR") is a 170 kDa transmembrane receptor encoded by the c-erbB protooncogene, and
exhibits intrinsic tyrosine kinase activity (Modjtahedi et al., Br. J. Cancer 73:228-235 (1996); Herbst
and Shin, Cancer 94:1593-1611 ). SwissProt database entry P00533 es the ce of
human EGFR. EGFR regulates numerous cellular processes via tyrosine-kinase mediated signal
transduction pathways, including, but not limited to, activation of signal transduction pathways that
control cell proliferation, differentiation, cell survival, apoptosis, angiogenesis, mitogenesis, and
metastasis (Atalay et al., Ann. Oncology 14:1346-1363 (2003); Tsao and Herbst, Signal 4:4-9 (2003);
Herbst and Shin, Cancer 94:1593-1611 (2002); Modjtahedi et al., Br. J. Cancer 73:228-235 (1996)).
Known ligands of EGFR include EGF, GF-alpha, amphiregulin, epigen/EPGN,
BTC/betacellulin, epiregulin/EREG and HBEGF/heparin-binding EGF. Ligand binding by EGFR
triggers receptor homo- and/or dimerization and autophosphorylation of key cytoplasmic
residues. The phosphorylated EGFR recruits adapter proteins like GRB2 which in turn activate
complex downstream signaling cascades, including at least the following major downstream signaling
cascades: the F-MEK-ERK, PI3 kinase-AKT, PLCgamma-PKC, and STATs modules. This
autophosphorylation also elicits downstream activation and signaling by several other proteins that
associate with the phosphorylated tyrosines through their own phosphotyrosine-binding SH2 domains.
These downstream signaling proteins initiate l signal transduction cascades, principally the
MAPK, Akt and JNK pathways, leading to cell proliferation. Ligand binding by EGFR may also
activate the pa-B signaling cascade. Ligand binding also directly orylates other proteins
like RGS16, activating its GTPase activity and potentially coupling the EGF receptor ing to G
protein-coupled receptor signaling. Ligand binding also phosphorylates MUCI and increases its
interaction with SRC and CTNNBI/beta-catenin.
Claims (20)
1. An anti-human Epidermal Growth Factor Receptor (hEGFR) antibody drug conjugate (ADC) comprising a drug linked to an anti-human Epidermal Growth Factor (hEGFR) antibody via a linker, wherein the drug is a Bcl-xL inhibitor according to structural formula (Ila), (lib), (Ile), or (Ild): (Ila) (Ilb) (Ile) (Ild) wherein: z2b R 12' �o z2b R'/ ......._ HN �o �o R' z2a' '# \ ", 4Q1 1 N R R 11b R 11a R11a R1a 1 707 N� J---N, I -"NV JVVv I N J-__:;,- N H N ;,_NH Ob and \___gN and is optionally substituted with one or more substituents independently selected from halo, hydroxy, nitro, lower alkyl, lower heteroalkyl, C1 4alkoxy, amino, cyano and halomethyl; CO� (N� t'1 N J �� J,_, , = , N�/�/ �/]� Error! Bookmark not defined., """" , = (]1 �Ny N2} / ____,Ny N;;-�� �/_ ""i.i.. ""i.i.. and , or an N-oxide thereof, and is optionally substituted with one or more substituents independently selected from halo, hydroxy, nitro, lower alkyl, lower heteroalkyl, C1 4alkoxy, amino, cyano and halomethyl, wherein the R 12 -Z2 b-, R' -Z2 b-, #-N(R4 )-R 1 3 -Z2 b-, or# R' -Z2 b - substituents are attached to Ar2 at any Ar2 atom capable of being substituted; Z 1 is selected from N, CH, C-halo, C-CH3 and C-CN; Z 2 a and z 2 b are each , independently from one another, selected from a bond, NR6 , CR6 aR6 \ 0, S, S(O), S(Oh, -NR6C(O)-,-NR6 aC(O)NR6 b-, and -NR6C(O)O-; R, ;,; \�X ¼e,:} m � X ¼e,:}, whereill #, whe,e auached lo R', is auached lo R' at any R' atom capable of being substituted; X' is selected at each occurrence from -N(R1 0)- , -N(R1 0)C(O)-, -N(R1 0)S(Oh-, -S(OhN(R1 0)-, and ; n is selected from 0-3; R 1 0 is independently selected at each occurrence from hydrogen, lower alkyl, heterocycle, aminoalkyl, G-alkyl, and -(CH2h-O-(CH2h-O-(CH2h-NH2; G at each occurrence is independently selected from a polyol, a polyethylene glycol with between 4 and 30 repeating units, a salt and a moiety that is charged at physiological pH; 708 SPa is independently selected at each occurrence from oxygen, -S(OhN(H)-, -N(H)S(O)r, -N(H)C(O)-, -C(O)N(H) -, -N(H)- , arylene, heterocyclene, and optionally substituted methylene; wherein methylene is optionally substituted with one or more of -NH(CH2hG, NH2, C1 8alkyl, and carbonyl; m 2 is selected from 0-12; R 1 is selected from hydrogen, methyl, halo, halomethyl, ethyl, and cyano; R 2 is selected from hydrogen, methyl, halo, halomethyl and cyano; R 3 is selected from hydrogen, methyl, ethyl, halomethyl and haloethyl; R 4 is selected from hydrogen, lower alkyl and lower heteroalkyl or is taken together with an atom of R 1 3 to form a cycloalkyl or heterocyclyl ring having between 3 and 7 ring atoms; R 6 , R 6a and R 6b are each, independent from one another, selected from hydrogen, optionally substituted lower alkyl, optionally substituted lower heteroalkyl, optionally substituted cycloalkyl and optionally substituted heterocyclyl, or are taken together with an atom from R 4 and an atom from R 1 3 to form a cycloalkyl or heterocyclyl ring having between 3 and 7 ring atoms; R 11a and R 11b are each, independently of one another, selected from hydrogen, halo, methyl, ethyl, halomethyl, hydroxyl, methoxy, CN, and SCH3 ; R 12 is optionally R' or is selected from hydrogen, halo, cyano, optionally substituted alkyl, optionally substituted heteroalkyl, optionally substituted heterocyclyl, and optionally substituted cycloalkyl; R 1 3 is selected from optionally substituted C1 8 alkylene, optionally substituted heteroalkylene, optionally substituted heterocyclene, and optionally substituted cycloalkylene; and # represents the point of attachment to a linker L; wherein the hEGFR antibody has the following characteristics: binds to an epitope within the amino acid sequence CGADSYEMEEDGVRKC (SEQ ID NO: 45) or competes with a second anti-hEGFR antibody for binding to epidermal growth factor receptor variant III (EGFRvIII) (SEQ ID NO: 33) in a competitive binding assay, wherein the second anti-EGFR antibody comprises a heavy chain variable domain comprising the amino acid sequence set forth in SEQ ID NO: I and a light chain variable domain comprising the amino acid sequence set forth in SEQ ID NO: 5; and binds to EGFR(l-525) (SEQ ID NO: 47) with a dissociation constant (Kct) of about Ix 10 6 Md less, as determined by surface plasmon resonance.
2. The ADC of claim 1, which is a compound according to structural formula (I): (I) ( D-L-LKtAb wherein: D is the Bcl-xL inhibitor drug of formula (Ila), (Ilb ), (Ile) or (Ild); L is the linker; Ab is the anti-hEGFR antibody; 709 LK represents a covalent linkage linking the linker (L) to the anti-hEGFR antibody (Ab); and m is an integer ranging from I to 20.
3. The ADC of claim I or 2, wherein the Bcl-xL inhibitor is selected from the group consisting of the following compounds modified in that the hydrogen corresponding to the # position of structural formula (Ila), (Ilb), (Ile), or (Ild) is not present forming a monoradical: 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( IH)-yl][l-( { 3-[2-( { 2-[2- ( carboxymethoxy)ethoxy ]ethyl }amino )ethoxy ]-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl} methyl)methylIH-pyrazolyl]pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( IH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l .13 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 2-{ [ (2-{ [2-( { 3-[( 4-{ 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( IH)-yl] carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-lyl }oxy)ethyl]amino }ethyl)sulfonyl]amino }deoxy-D-glucopyranose; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( IH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ ( 4-{ [ (3R,4R,5 S,6R)-3,4,5-trihydroxy(hydroxymethyl)tetrahydro-2H-pyran yl] methyl} benzyl)amino ]ethoxy} tricyclo[3.3. l .13, 7]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( IH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (3-sulfopropyl)amino ]ethoxy} tricyclo[3.3. l .13 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( IH)-yl]{ 1-[ (3-{ 2-[ (2,3- dihydroxypropyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 2-( { [ 4-( { [2-( {3-[( 4-{ 6-[8-(l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2(1H)-yl] carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l .13 ' 7 ]dec-lyl }oxy)ethyl]amino} methyl)phenyl]sulfonyl }amino )deoxy-beta-D-glucopyranose; 8-( 1,3-benzothiazolylcarbamoyl){ 6-carboxy[l-( { 3-[2-( { 2-[l-(beta-D-glucopyranuronosyl) IH-1,2,3-triazolyl]ethyl }amino )ethoxy ]-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl} methyl)methyl-IHpyrazolyl]pyridinyl }-1,2,3,4-tetrahydroisoquinoline; 3-[ 1-( { 3-[2-(2-{ [ 4-(beta-D-allopyranosyloxy) benzyl] amino }ethoxy )ethoxy ]-5, 7- dimethyltricyclo[3 .3. l. l 3 ' 7 ]dec-l-yl} methyl)methyl- IH-pyrazolyl][8-( 1,3-benzothiazol ylcarbamoy I)-3 ,4-dihydroisoquinolin-2( I H)-y I ]pyridinecarboxy lie acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( IH)-yl]( 1-{ [3,5-dimethyl(2- { 2-[ (2-sulfoethyl)amino ]ethoxy }ethoxy)tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl]methyl }methyl-IH-pyrazol yl)pyridinecarboxylic acid; 710 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (2-phosphonoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine2-carboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ methyl(3-sulfo-L-alanyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (3-phosphonopropyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (3-sulfo-L-alanyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3,5-dimethyl(2- { 2-[ (3-phosphonopropyl)amino ]ethoxy }ethoxy)tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl]methyl }methyl-l H-pyrazol yl)pyridinecarboxylic acid; 3-{ 1-[ (3-{ 2-[L-alpha-aspartyl(methyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-lyl)methyl]methyl-1H-pyrazolyl }[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin2( lH)-yl]pyridinecarboxylic acid; 6-{ 4-[( {2-[2-(2-aminoethoxy)ethoxy ]ethyl }[2-( {3-[( 4-{ 6-[8-(l,3-benzothiazolylcarbamoyl)-3,4- dihydroisoquinolin-2(1H)-yl]carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7- dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl }oxy)ethyl]amino )methyl]benzyl }-2,6-anhydro-L-gulonic acid; 4-( { [2-( { 3-[( 4-{ 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2(1H)-yl] carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l .13 ' 7 ]dec-lyl }oxy)ethyl]amino }methyl)phenyl hexopyranosiduronic acid; 6-[l-( l,3-benzothiazolylcarbamoyl)-1,2,3,4-tetrahydroquinolinyl]{ 1-[ (3,5-dimethyl{ 2- [(2-phosphonoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine2-carboxylic acid; 6-[l-( l,3-benzothiazolylcarbamoyl)-1,2,3,4-tetrahydroquinolinyl]{ 1-[ (3,5-dimethyl{ 2- [methyl(3-sulfo-L-alanyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 3-{ 1-[ (3,5-dimethyl{ 2-[(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl] methyl-1H-pyrazolyl }[8-([ 1,3 ]thiazolo[ 5,4-b ]pyridinylcarbamoyl)-3,4-dihydroisoquinolin-2( lH) yl]pyridinecarboxylic acid; 3-{ 1-[ (3,5-dimethyl{ 2-[(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl] methyl-1H-pyrazolyl }[8-([ 1,3 ]thiazolo[ 4,5-b ]pyridinylcarbamoyl)-3,4-dihydroisoquinolin-2( lH) yl]pyridinecarboxylic acid; 711 6-[l-( l,3-benzothiazolylcarbamoyl)-1,2,3,4-tetrahydroquinolinyl]{ 1-[ (3,5-dimethyl{ 2- [(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3-{ 2-[ (2- carboxyethyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (3-phosphonopropyl)(piperidinyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1Hpyrazolyl }pyridinecarboxylic acid; 3-{ 1-[ (3-{ 2-[D-alpha-aspartyl(methyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-lyl)methyl]methyl-1H-pyrazolyl }[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin2( lH)-yl]pyridinecarboxylic acid; 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3-(2-{ [1- ( carboxymethyl)piperidinyl]amino }ethoxy)-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl]methyl }methyllH-pyrazolyl)pyridinecarboxylic acid; N-[(5S)amino{ [2-( { 3-[( 4-{ 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin2( lH)-yl]carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l .13 ' 7 ]dec-lyl }oxy )ethyl] (methyl)amino }oxohexyl]-N,N-dimethylmethanaminium; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [piperidinyl(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-(l,3-benzothiazolylcarbamoyl)(3-phosphonopropoxy)-3,4-dihydroisoquinolin-2(1H)-yl]- 3-[ 1-( { 3,5-dimethyl[2-(methylamino )ethoxy ]tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl} methyl)methyl-lH-pyrazol yl]pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3-(2-{ [N-(2- carboxyethyl)-L-alpha-aspartyl] amino }ethoxy)-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl]methyl }methyllH-pyrazolyl)pyridinecarboxylic acid; 3-{ 1-[ (3-{ 2-[ (2-aminoethyl)(2-sulfoethyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-lyl)methyl]methyl-1H-pyrazolyl }[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin2( lH)-yl]pyridinecarboxylic acid; 6-[ 5-(2-aminoethoxy )( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl][ 1- ( { 3,5-dimethyl[2-(methylamino )ethoxy ]tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl} methyl)methyl-lH-pyrazol yl]pyridinecarboxylic acid; 6-[8-( 1,3-benzothiazolylcarbamoyl)naphthalenyl]{ l -[(3,5-dimethyl{ 2-[(3- sulfopropyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 712 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3-{ 2-[ (2- carboxyethyl)(piperidinyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1Hpyrazolyl }pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (3-sulfo-L-alanyl)(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3-{ 2-[ { 2-[ (2- carboxyethyl)amino ]ethyl }(2-sulfoethyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl] methyl-1H-pyrazolyl }pyridinecarboxylic acid; 3-{ 1-[ (3,5-dimethyl{ 2-[(3-phosphonopropyl)amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]- 5-methyl-1H-pyrazolyl }[8-([ l ,3]thiazolo[ 4,5-b ]pyridinylcarbamoyl)-3,4-dihydroisoquinolin-2( lH) yl]pyridinecarboxylic acid; 3-{ 1-[ (3,5-dimethyl{ 2-[(3-phosphonopropyl)amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]- 5-methyl-1H-pyrazolyl }[8-([ l ,3]thiazolo[ 5,4-b ]pyridinylcarbamoyl)-3,4-dihydroisoquinolin-2( lH) yl]pyridinecarboxylic acid; 6-[8-( 1,3-benzothiazolylcarbamoyl)( carboxymethoxy )-3 ,4-dihydroisoquinolin-2( 1 H)-yl][ 1- ( { 3,5-dimethyl[2-(methylamino )ethoxy ]tricyclo[3.3. l. l 3'7 ]dec-l-yl} methyl)methyl-lH-pyrazol yl]pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3-{ 2-[ (3- carboxypropyl)(piperidinyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyll H-pyrazoly I} pyridinecarbox ylic acid; 6-[8-( 1,3-benzothiazolylcarbamoyl)naphthalenyl]{ l -[(3,5-dimethyl{ 2-[(2- sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 3-{ 1-[ (3-{ 2-[L-alpha-aspartyl(2-sulfoethyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-lyl)methyl]methyl-1H-pyrazolyl }[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin2( lH)-yl]pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3-{ 2-[ ( 1,3- dihydroxypropanyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1Hpyrazolyl }pyridinecarboxylic acid; 6-[ 5-(2-aminoethoxy )( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ l - [ (3,5-dimethyl{ 2-[methyl(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1Hpyrazolyl }pyridinecarboxylic acid; 6-[8-( 1,3-benzothiazolylcarbamoyl){ 2-[ (2-sulfoethyl)amino ]ethoxy }-3,4-dihydroisoquinolin2( lH)-yl]{ l-[(3,5-dimethyl{ 2-[ methyl(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]- 5-methyl-1H-pyrazolyl }pyridinecarboxylic acid; 713 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3,5-dimethyl{ 2- [ (2-sulfoethyl) { 2-[(2-sulfoethyl)amino ]ethyl }amino ]ethoxy} tricyclo[3.3. l .13 ' 7 ]dec-l-yl)methyl]methyll H-pyrazoly 1} pyridinecarbox ylic acid; 6-[8-( 1,3-benzothiazolylcarbamoyl){ 2-[ (2-carboxyethyl)amino ]ethoxy }-3,4- dihydroisoquinolin-2( l H)-yl]{ l-[(3,5-dimethyl{ 2-[methyl(2- sulfoethyl)amino ]ethoxy} tricyclo[3.3. l .13 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 3-{ 1-[ (3,5-dimethyl{ 2-[(3-phosphonopropyl)(piperidin yl)amino ]ethoxy} tricyclo[3.3. l .13 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }[8-([ l,3]thiazolo[ 4,5- b ]pyridinylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]pyridinecarboxylic acid; 6-[ 4-( l,3-benzothiazolylcarbamoyl)-3,4-dihydro-2H-l ,4-benzoxazinyl]{ l-[(3,5-dimethyl { 2-[ (2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)(3-sulfopropoxy )-3 ,4-dihydroisoquinolin-2( lH)-yl][ 1 ( { 3,5-dimethyl[2-(methylamino )ethoxy ]tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl} methyl)methyl-lH-pyrazol yl]pyridinecarboxylic acid; 3-{ 1-[ (3,5-dimethyl{ 2-[(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l .13 ' 7 ]dec-l-yl)methyl] methyl-1H-pyrazolyl }[l-([l,3]thiazolo[ 4,5-b ]pyridinylcarbamoyl)-1,2,3,4-tetrahydroquinolin yl]pyridinecarboxylic acid; 3-{ 1-[ (3,5-dimethyl{ 2-[(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl] methyl-1H-pyrazolyl }[8-([ 1,3 ]thiazolo[ 4,5-b ]pyridinylcarbamoyl)naphthalenyl]pyridine carboxylic acid; ( l�) 1 ( { 2-[5-( 1 { [3-(2-aminoethoxy)-5,7-dimethyltricyclo[3 .3. l. l 3 ' 7 ]dec-l-yl]methyl }methyllH-pyrazoly 1 )carbox ypyridinyl ]( 1,3-benzothiazolylcarbamoyl )-1,2, 3, 4-tetrahydroisoquinolin5-y l} methyl)-1,5-anhydro-D-glucitol; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3-{ 2-[ (3- carboxypropyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l .13 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-( 1,3-benzothiazolylcarbamoyl)naphthalenyl]{ l -[(3,5-dimethyl{ 2-[(3- phosphonopropyl)amino ]ethoxy} tricyclo[3 .3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1 { [3-(2-{ [ 4-(beta-Dglucopyranosyloxy)benzyl]amino }ethoxy)-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl]methyl }methyl-lHpyrazo 1y 1 )pyridinecarboxylic acid; 3-(1-{ [3-(2-{ [ 4-(beta-D-allopyranosyloxy)benzyl]amino }ethoxy)-5,7- dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl]methyl }methyl-lH-pyrazolyl)[8-( 1,3-benzothiazol ylcarbamoy 1 )-3 ,4-dihydroisoquinolin-2( 1 H)-y 1 ]pyridinecarboxy lie acid; 714 3-{ 1-[ (3-{ 2-[ azetidinyl(2-sulfoethyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-lyl)methyl]methyl-1H-pyrazolyl }[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin2( l H)-yl]pyridinecarboxylic acid; 3-{ 1-[ (3-{ 2-[ (3-aminopropyl)(2-sulfoethyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-lyl)methyl]methyl-1H-pyrazolyl }[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin2( l H)-yl]pyridinecarboxylic acid; 6-[l-( l,3-benzothiazolylcarbamoyl)-1,2,3,4-tetrahydroquinolinyl]{ 1-[ (3-{ 2-[(2- carboxyethyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( l H)-yl]{ 1-[ (3-{ 2-[ (N6 ,N6 - dimethyl-L-lysyl)(methyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1Hpyrazolyl }pyridinecarboxylic acid; 3-{ 1-[ (3-{ 2-[ (3-aminopropyl)(methyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3 .3. l. l 3'7 ]dec-lyl)methyl]methyl-1H-pyrazolyl }[l-( l,3-benzothiazolylcarbamoyl)-1,2,3,4-tetrahydroquinolin yl]pyridinecarboxylic acid; 3-{ 1-[ (3-{ 2-[ azetidinyl(methyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]- 5-methyl-1H-pyrazolyl }[ 1-( l,3-benzothiazolylcarbamoyl)-1,2,3,4-tetrahydroquinolinyl]pyridine2-carboxylic acid; N 6 -(37-oxo-2,5,8, 11, 14, 17,20,23,26,29 ,32,35-dodecaoxaheptatriacontanyl)-L-lysyl-N-[2-( { 3- [ ( 4-{ 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( 1 H)-yl]carboxypyridinyl } methyl-l H-pyrazol-l -yl)methyl]-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl }oxy)ethyl]-L-alaninamide; methyl 6-[ 4-(3-{ [2-( { 3-[( 4-{ 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH) yl]carboxypyridinyl }methyl-l H-pyrazol-l-yl)methyl]-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-lyl }oxy)ethyl]amino }propyl)-l H-1,2,3-triazol-l-yl]deoxy-beta-L-glucopyranoside; 6-[8-( 1,3-benzothiazolylcarbamoyl)naphthalenyl]{ 1-[ (3-{ 2-[ (2- carboxyethyl)amino ]ethoxy }-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[ 5-( 1,3-benzothiazolylcarbamoyl)quinolinyl]{ 1-[ (3,5-dimethyl{ 2-[ (2- sulfoethyl )amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[ 4-( 1,3-benzothiazolylcarbamoyl)quinolinyl]{ 1-[ (3,5-dimethyl{ 2-[(2- sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[ 5-( 1,3-benzothiazolylcarbamoyl)quinolinyl]{ 1-[ (3-{ 2-[ (2-carboxyethyl)amino ]ethoxy }- 5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl)methyl]methyl-1H-pyrazolyl }pyridinecarboxylic acid; 715 6-[ 1-( l ,3-benzothiazolylcarbamoyl)-5,6-dihydroimidazo[ 1,5-a ]pyrazin-7 (8H)-yl ]{ 1-[ (3,5- dimethyl-7 -{ 2-[(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 8-( 1,3-benzothiazolylcarbamoyl){ 6-carboxy[l-( { 3-[2-( { 3-[l-(beta-D-glucopyranuronosyl) lH-1,2,3-triazolyl]propyl} amino )ethoxy ]-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl} methyl)methyl-lHpyrazolyl]pyridinyl }-1,2,3,4-tetrahydroisoquinoline; 6-[7-( 1,3-benzothiazolylcarbamoyl)-lH-indolyl]{ l-[(3,5-dimethyl{ 2-[(2- sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec- l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( 1,3-benzothiazolylcarbamoyl)[3-(methylamino )propyl]-3,4-dihydroisoquinolin-2( lH) yl]{ l-[(3,5-dimethyl{ 2-[(2-sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec-l-yl)methyl]methyl-1Hpyrazolyl }pyridinecarboxylic acid; 5-{ [2-( { 3-[( 4-{ 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl] carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-lyl }oxy)ethyl]amino }deoxy-D-arabinitol; 1-{ [2-( { 3-[( 4-{ 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl] carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l .13 ' 7 ]dec-lyl }oxy)ethyl]amino }-1,2-dideoxy-D-arabino-hexitol; 6-[ 4-( 1,3-benzothiazolylcarbamoyl)isoquinolinyl]{ l-[(3,5-dimethyl{ 2-[ (2- sulfoethyl)amino ]ethoxy} tricyclo[3.3. l. l 3 ' 7 ]dec- l-yl)methyl]methyl-1H-pyrazolyl }pyridine carboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3-(2-{ [3-hydroxy2-(hydroxymethyl)propyl] amino }ethoxy)-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-l-yl]methyl }methyl-lHpyrazo 1y I )pyridinecarboxylic acid; 1-{ [2-( { 3-[( 4-{ 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl] carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l .13 ' 7 ]dec-lyl }oxy)ethyl]amino }-1,2-dideoxy-D-erythro-pentitol; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3,5-dimethyl(2- { [(2S,3S)-2,3,4-trihydroxybutyl]amino }ethoxy)tricyclo[3.3. l .l 3 ' 7 ]dec-l-yl]methyl }methyl-lH-pyrazol yl)pyridinecarboxylic acid; 6-[8 -( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3-(2- { [(2S,3S,4R,5R,6R)-2,3,4,5,6,7-hexahydroxyheptyl]amino }ethoxy)-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-lyl]methyl }methyl-lH-pyrazolyl)pyridinecarboxylic acid; 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[(3-{ 2-[( { 3-[( 1,3- dihydroxypropanyl)amino ]propyl} sulfonyl)amino ]ethoxy }-5, 7-dimethyltricyclo[3.3. l. l 3 ' 7 ]dec-lyl)methyl]methyl-1H-pyrazolyl} pyridinecarboxylic acid; 716 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]{ 1-[ (3-{ 2-[ (3-{ [ l ,3- dihydroxy(hydroxymethyl)propanyl] amino }oxopropyl)amino ]ethoxy }-5, 7- dimethyltricyclo[3 .3. l. l 3'7 ]dec-l -yl)methyl]methyl-1H-pyrazolyl }pyridinecarboxylic acid; 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3-(2-{ [ (3S)-3,4- dihydroxybutyl] amino }ethoxy)-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl]methyl }methyl-lH-pyrazol yl)pyridinecarboxylic acid; 4-( { [2-( { 3-[( 4-{ 6-[8-( l ,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2(1H)-yl] carboxypyridinyl }methyl-1H-pyrazol-l-yl)methyl]-5,7-dimethyltricyclo[3.3. l. l 3'7 ]dec-lyl }oxy)ethyl]amino }methyl)phenyl beta-D-glucopyranosiduronic acid; 3-{ [2-( { 3-[( 4-{ 6-[8-( 1,3-benzothiazolylcarbamoyl)naphthalenyl]carboxypyridinyl } methyl-lH-pyrazol-l-yl)methyl]-5, 7-dimethyltricyclo[3.3. l. l 3'7 ]dec-l-yl }oxy)ethyl]amino }propyl beta-Dglucopyranosiduronic acid; 6-[ 4-( 1,3-benzothiazolylcarbamoyl)oxidoisoquinolinyl][l-( { 3,5-dimethyl[2- (methylamino )ethoxy ]tricyclo[3.3. l. l 3'7 ]dec-l-yl} methyl)methyl-lH-pyrazolyl]pyridinecarboxylic acid; 6-{ 8-[ ( l,3-benzothiazolyl)carbamoyl]-3,4-dihydroisoquinolin-2( lH)-yl }{ l-[(3,5-dimethyl { 2-[ (2-sulfoethyl)amino ]acetamido} tricyclo[3.3. l. l 3'7 ]decan-l-yl)methyl]methyl-1H-pyrazol yl} pyridinecarboxylic acid; 6-[8-( l,3-benzothiazolylcarbamoyl)-3,4-dihydroisoquinolin-2( lH)-yl]( 1-{ [3,5-dimethyl( { 2- [(2-sulfoethyl)amino ]ethyl }sulfanyl)tricyclo[3.3. l. l 3'7 ]dec-l-yl]methyl }methyl-lH-pyrazol yl)pyridinecarboxylic acid; and 6-{ 8-[ ( l,3-benzothiazolyl)carbamoyl]-3,4-dihydroisoquinolin-2( lH)-yl }{ l-[(3,5-dimethyl { 3-[ (2-sulfoethyl)amino ]propyl} tricyclo[3.3. l. l 3'7 ]decan-l-yl)methyl]methyl-1H-pyrazolyl} pyridine2-carboxylic acid.
4. The ADC of claim 2, selected from the group consisting of formulae i-vi: O<::::,,NH2 J Ab NH S O''loH H \ o H o�o m ) �N�N�N� Cf O £ 7 o� 0 H)-___ 0 N,t{: 4 0� 0 HN O �: J...-s No 717 (i), - OH OH 6H OH OH - OH OH 6H 718 Ab A b m (ii), (iii), (iv), (v), and (vi), wherein m is an integer from 1 to 6; optionally 2 to 6.
5. The ADC of any one of claims 1- 4, wherein the anti-hEGFR antibody comprises a heavy chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 12, a heavy chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 11, and a heavy chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 10; a light chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 8, a light chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 7, and a light chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 6; or a light chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 40, a light chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 39, and a light chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 38; and a heavy chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 37, a heavy chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 36, and a heavy chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 35; or a light chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 8, a light chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 7, and a light chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 6; and a heavy chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 19, a heavy chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 17, and a heavy chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 16, or a light chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 25, a light chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 24, and a light chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 23; and a heavy chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 18, a heavy chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 17, and a heavy chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 16, or a light chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 28, a light chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 27, and a light chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 26; and a heavy chain CDR3 719 domain comprising the amino acid sequence set forth in SEQ ID NO: 19, a heavy chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 11, and a heavy chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 10.
6. The ADC of any one of claims 1-4, wherein the antibody comprises a heavy chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 9, and a light chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 5.
7. The ADC of any one of claims 1-4, wherein the antibody comprises a heavy chain comprising the amino acid sequence set forth in SEQ ID NO: 15, and a light chain comprising the amino acid sequence set forth in SEQ ID NO: 13.
8. The ADC of any one of claims 1-4, wherein the antibody comprises a heavy chain variable region comprising an amino acid sequence selected from the group consisting of 50, 52, 54, 56, 58, 60, 62, 64, 66, 68, 70, 72, 74, 76, and 78; and a light chain variable region comprising an amino acid sequence selected from the group consisting of 51, 53, 55, 57, 59, 61, 63, 65, 67, 69, 71, 73, 75, 77, and 79.
9. The ADC of any one of claims 1-4, wherein the antibody comprises a heavy chain CDR set (CDRl, CDR2, and CDR3) selected from the group consisting of SEQ ID NOs: 10, 11, and 12; SEQ ID NOs: 16, 17, and 18; SEQ ID NOs: 10, 11, and 19; SEQ ID NOs: 20, 11, and 12; SEQ ID NOs: 21, 3, and 22; SEQ ID NOs: 16, 17, and 19; SEQ ID NOs: 2, 3, and 4; SEQ ID NOs: 10, 3, and 12; SEQ ID NOs: 80, 11, and 18; SEQ ID NOs: 80, 3, and 18; SEQ ID NOs: 20, 3, and 12; SEQ ID NOs: 80, 11, and 12; and SEQ ID NOs: 81, 11, and 22; and a light chain CDR set (CDRl, CDR2, and CDR3) selected from the group consisting of SEQ ID NOs: 6, 7, and 8; SEQ ID NOs: 23, 24, and 25; SEQ ID NOs: 26, 27, and 28; SEQ ID NOs: 29, 30, and 31; SEQ ID NOs: 6, 7, and 84; SEQ ID NOs: 82, 83, and 31; and SEQ ID NOs: 82, 27, and 85, wherein the antibody does not comprise both the heavy chain CDR set of SEQ ID NOs: 2, 3, and 4, and the light chain CDR set of SEQ ID NOs: 6, 7, and 8.
10. The ADC of any one of claims 1-4, wherein the antibody comprises a heavy chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 64, and a light chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 65.
11. The ADC of any one of claims 1-4, wherein the antibody comprises a heavy chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 72, and a light chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 73; or a heavy chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 74, and a light chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 75.
12. A pharmaceutical composition comprising an effective amount of an ADC according to any one of claims 1-11, and a pharmaceutically acceptable carrier. 720
13. A pharmaceutical composition comprising an ADC mixture comprising a plurality of the ADC of any one of claims 1-11, and a pharmaceutically acceptable carrier.
14. A method for treating cancer, comprising administering a therapeutically effective amount of the ADC of any one of claims 1-11 to a subject in need thereof.
15. A method for inhibiting or decreasing solid tumor growth in a subject having a solid tumor, said method comprising administering an effective amount of the ADC of any one of claims 1-11 to the subject having the solid tumor, such that the solid tumor growth is inhibited or decreased.
16. The method of claim 14 or 15, wherein the ADC is administered in combination with an additional agent or an additional therapy.
17. A process for the preparation of an ADC according to structural formula (I): (I) ( D-L--LKtAb wherein: Dis the Bcl-xL inhibitor drug of formula (Ila), (Ilb ), (Ile), or (Ild); L is the linker; Ab is an hEGFR antibody; LK represents a covalent linkage linking linker L to antibody Ab; and m is an integer ranging from I to 20; the process comprising: treating an antibody in an aqueous solution with an effective amount of a disulfide reducing agent at 30-40 °C for at least 15 minutes, and then cooling the antibody solution to 20-27 °C; adding to the reduced antibody solution a solution of water/dimethyl sulfoxide comprising a synthon selected from the group of 2.1 to 2.17 6 (Table 5); adjusting the pH of the solution to a pH of 7 .5 to 8.5; allowing the reaction to run for 48 to 80 hours to form the ADC; wherein the mass is shifted by 18 ± 2 amu for each hydrolysis of a succinimide to a succinamide as measured by electron spray mass spectrometry; and wherein the ADC is optionally purified by hydrophobic interaction chromatography.
18. An ADC prepared by the process of claim 17.
19. An anti-human Epidermal Growth Factor Receptor (hEGFR) antibody drug conjugate (ADC) selected from the group consisting of formulae (i), (ii), (iii), (iv), (v), or (vi): 721 OH 6H OH 722 Ab (i), Ab (ii), Ab (iii), and wherein m is an integer from 1 to 6; optionally 2 to 6; and wherein Ab is either (iv), (v), and (vi), an anti-hEGFR antibody comprising a heavy chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 12, a heavy chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 11, and a heavy chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 10; a comprising light chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 8, a light chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 7, and a light chain CDRl domain comprising the amino acid sequence set forth in SEQ ID NO: 6: or 723 an anti-hEGFR antibody comprising a light chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 25, a light chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 24, and a light chain CDRI domain comprising the amino acid sequence set forth in SEQ ID NO: 23; and a heavy chain CDR3 domain comprising the amino acid sequence set forth in SEQ ID NO: 18, a heavy chain CDR2 domain comprising the amino acid sequence set forth in SEQ ID NO: 17, and a heavy chain CDRI domain comprising the amino acid sequence set forth in SEQ ID NO: 16.
20. The ADC of claim 19, wherein the antibody is selected from the group consisting of an anti-hEGFR antibody comprising a heavy chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 9, and a light chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 5; an anti-hEGFR antibody comprising a heavy chain comprising the amino acid sequence set forth in SEQ ID NO: 15, and a light chain comprising the amino acid sequence set forth in SEQ ID NO: 13; and an anti-hEGFR antibody comprising a heavy chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 72, and a light chain variable region comprising the amino acid sequence set forth in SEQ ID NO: 73.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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US62/347,416 | 2016-06-08 |
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NZ789089A true NZ789089A (en) | 2022-07-01 |
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