TW200533375A - Freeze dried formulations of antibody conjugates - Google Patents

Freeze dried formulations of antibody conjugates Download PDF

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TW200533375A
TW200533375A TW093140566A TW93140566A TW200533375A TW 200533375 A TW200533375 A TW 200533375A TW 093140566 A TW093140566 A TW 093140566A TW 93140566 A TW93140566 A TW 93140566A TW 200533375 A TW200533375 A TW 200533375A
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antibody
cyclodextrin
ser
doc
thr
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TW093140566A
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Chinese (zh)
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Patrick Garidel
Stefan Bassarab
Nicole Denkinger
Christian Berger
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Boehringer Ingelheim Pharma
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Priority claimed from DE2003161598 external-priority patent/DE10361598A1/en
Priority claimed from DE102004014783A external-priority patent/DE102004014783A1/en
Application filed by Boehringer Ingelheim Pharma filed Critical Boehringer Ingelheim Pharma
Publication of TW200533375A publication Critical patent/TW200533375A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/40Cyclodextrins; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal 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
    • A61K47/51Medicinal 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
    • A61K47/68Medicinal 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
    • A61K47/6801Drug-antibody or immunoglobulin conjugates defined by the pharmacologically or therapeutically active agent
    • A61K47/6803Drugs conjugated to an antibody or immunoglobulin, e.g. cisplatin-antibody conjugates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

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  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
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Abstract

The present invention relates to freeze-dried (=lyophilised) pharmaceutical compositions of antibodies, preferably antibodies which are conjugated to an effector molecule. In particular the present invention relates to stable freeze-dried formulations of antibody-DM1 complexes. Moreover, this invention relates to methods of lyophilising antibody-DM1 complexes.

Description

200533375 九、發明說明: 【發明所屬之技術領域】 本發明係關於抗體之冷凍乾燥(=經束乾)醫藥組合物,該 等抗體較佳為共軛至效應分子之抗體。詳言之,本發明係 關於抗體-DM 1複合物之穩定的冷凍乾燥調配物。此外,本 發明係關於凍乾抗體-DM1複合物之方法。 【先前技術】 重組抗體分子在此項技術中早已為吾人所知,例如人化 鼠抗體(Shin等人,1989 年;Gtissow 與 Seemann,1991年)、雙 特異抗體(Weiner等人,1993年;Goodwin,1989年)、單鏈 抗體(scFv,Johnson與Bird,1991年)、完整或殘缺免疫球蛋 白(Coloma 等人,1992 年;Nesbit 等人,1992 年;Barbas 等 人,1992年)或由鏈改組所產生之抗體(Winter等人,1994 年)。現今,完全人類抗體可(例如)由’’噬菌體顯示π方法 (Aujame等人,1997年;US 5,885,793 ; US 5,969,108 ; US 6,3 00,064 ; US 6,248,516 ; US 6,291,15 8)或借助於轉錄有功 能性人類Ig基因之轉基因小鼠(EP 0 438 474 ; EP 0 463 151 ; EP 0 546 073)來製備。 吾人亦已知抗體與效應分子之共軛物,例如單鏈抗體/毒 素融合蛋白質(Chaudhary等人,1990年;Friedman等人,1993 年);抗體與諸如mI、luIn、99mTc之放射性同位素或放射 性化合物(Larson等人,1991年;Thomas等人,1989年; Srivastava,1988年)、諸如過氧化物酶或鹼性磷酸酶之酶類 (Catty與Raykundalia,1989年)、螢光染料(Johnson,1989 97600.doc 200533375 年)或生物素分子(Guesdon等人,1979年)之共輛物;與細胞 激素或一些其它免疫調節多肽(例如,腫瘤壞死因子或介白 素-2)連接的毒素(Vitetta等人,1991年;Vitetta 與 Thorpe, 1991 年;Kreitman 等人,1993 年;Theuer 等人,1993 年)、 細胞抑制素(Schrappe等人,1992年)、前藥(Wang等人,1 992 年;Senter等人,1989年)、放射性物質。200533375 IX. Description of the invention: [Technical field to which the invention belongs] The present invention relates to a freeze-dried (= beam-dried) pharmaceutical composition of antibodies. The antibodies are preferably antibodies conjugated to effector molecules. In particular, the present invention relates to stable freeze-dried formulations of the antibody-DM 1 complex. In addition, the present invention relates to a method for lyophilizing an antibody-DM1 complex. [Prior technology] Recombinant antibody molecules have long been known to us in this technology, such as humanized murine antibodies (Shin et al., 1989; Gtissow and Seemann, 1991), bispecific antibodies (Weiner et al., 1993; Goodwin, 1989), single-chain antibodies (scFv, Johnson and Bird, 1991), intact or incomplete immunoglobulins (Coloma et al., 1992; Nesbit et al., 1992; Barbas et al., 1992) or by Antibodies produced by chain shuffling (Winter et al., 1994). Today, fully human antibodies can be obtained, for example, by the phage display method (Aujame et al., 1997; US 5,885,793; US 5,969,108; US 6,3 00,064; US 6,248,516; US 6,291,158) or by means of Transgenic mice (EP 0 438 474; EP 0 463 151; EP 0 546 073) were transcribed with functional human Ig genes. We also know conjugates of antibodies and effector molecules, such as single-chain antibody / toxin fusion proteins (Chaudhary et al., 1990; Friedman et al., 1993); antibodies and radioisotopes or radioactivity such as mI, luIn, 99mTc Compounds (Larson et al., 1991; Thomas et al., 1989; Srivastava, 1988), enzymes such as peroxidase or alkaline phosphatase (Catty and Raykundalia, 1989), fluorescent dyes (Johnson, 1989 97600.doc 200533375) or biotin molecules (Guesdon et al., 1979); toxins linked to cytokines or some other immunomodulatory polypeptides (for example, tumor necrosis factor or interleukin-2) ( Vitetta et al., 1991; Vitetta and Thorpe, 1991; Kreitman et al., 1993; Theuer et al., 1993), cytostatin (Schrappe et al., 1992), prodrugs (Wang et al., 1 992) (Senter et al., 1989), radioactive material.

CD44係在複數個細胞上表現為不同重整異構體之蛋白 質(例如,為了獲得進一步資訊,參照WO02/094879A1、 WO02/094325A2)。然而,在細胞外區域含有結構域 v6(CD44v6)之接合變異體的表現僅限於上皮組織的一部 分。如同其它變異體外顯子(CD44v3、CD44v5、CD44v7/v8、 CD44vlO),CD44v6係在人類腫瘤及正常組織中具有有利的CD44 is a protein that exhibits different reforming isomers on multiple cells (for example, for further information, see WO02 / 094879A1, WO02 / 094325A2). However, the expression of a junction variant containing the domain v6 (CD44v6) in the extracellular region is limited to a portion of the epithelial tissue. Like other variant exons (CD44v3, CD44v5, CD44v7 / v8, CD44vlO), the CD44v6 line is advantageous in human tumors and normal tissues

表現型式之腫瘤相關抗原(Heider等人,1995年;Heider等 人,1996年;Dali等人,1996年;Beham-Schmid等人,1998 年;Tempfer等人,1998年;Wagner等人,1998年)。在先 前技術中,已知關於CD44(CD44v、CD44var)之特定接合變 異體具特異性的抗體,該等變異體僅表現於上皮細胞的亞 群上。舉例而言,可提及CD44v6-特異抗體 (WO02/094879A1),特定言之亦可提及具有放射性之共軛 物或細胞毒素物質,且特定言之可提及美登素類 (maytansinoids)之共孝厄物(WOO2/094325 A2)。 為了將該抗體共軛物投與至患者,有必要研製穩定調配 物。 先前技術存在一缺點,即該分子的該功能性化學部分在 97600.doc 200533375 產物以液體形式铋左Μ ώ ^ 飞储存/月間自抗體中脫離。因此,本發明之 目的係為抗體共軛物提供新穎調配物。 【發明内容】 在α亥專利及明書及申請專利範圍之範疇中已達成該目 的。 —本發明係關於抗體之冷凍乾燥醫藥組合物。該產物的穩 定性可藉由添加環糊精及/或較佳地共軛至效應分子之低 pH值抗而;^到增加。詳言之,本發明係關於抗體 複合物之穩定的冷凍乾燥調配物及其製備方法。 【實施方式】 在描述本發明之較佳實施例之前,應指出在該專利說明 書及申專利範圍中,單數(”—⑷"、”該陶,,等)的使用亦 匕括複數除非特疋指明相反情形或在本文中很明顯為單 數。除非另有定義,否則所用之所有術語均具有此項技術 中已知之涵義。因此,本文所提及之所有公開案及專利說 明書均完全倂入該說明書中,尤其係倂入所討論之内容中。 在小數位前使用逗號(,)與在小數位前使用英文字體㈠在 涵義上等同,且因此(例如)〇.〇2等同於〇,〇2。縮寫评%等同 於重量百分比。 冷凍乾燥調配物(=經凍乾之調配物,凍乾物)為有利的簡 單、實用且廉價的製備形式。 9 現有之抗體共軛物的液體調配物在2_8t:的儲存溫产下 僅具有12週的壽命。 因此,本發明係關於含有抗體-效應分子共軛物的穩定調 97600.doc 200533375 配物之醫藥組合物 物及氣備备疋杭體-效應分子共軛物之方 ’:/、二:為減少產物儲存期間游離效應分子的形成。 二人:驚地,此已藉由以冷滚乾燥法去除水而達成。此 乂土系猎由使用特定調配物(4 w%甘露糖醇,…/〇蔗醣, :H:為6_5)來達成。該增加之穩定性亦係藉由降低溶液仲 值石達成。 —匕根據本發明之醫藥組合物係關於抗體共扼物及/或 -二:月架樂劑及/或至少一種環糊精之混合物,其中該 = 物已經冷;東乾燥。較佳地,根據本發明之醫荜组 2係關於抗體共輛物與至少—種腳手架藥劑的混合物, 藥组合物已經料乾燥。較佳地,根據本發明之 I 口物係關於抗體共輛物與至少—種環糊精的混合 ’其中該醫藥組合物已經冷;東乾燥。根據本發 =组合物較佳地含有較佳為吐溫(Tw叫2G(對應於聚山 ^醇⑽㈣卿⑷軟清㈣卜較佳地每丨响说 ::、輛物含有0·01+/_〇.〇1重量百分比,意即每i 一抗體 ,、輛物含有〇、〇·〇1或0,02重量百分比,尤其較佳地每 =細抗體共輛物含有〇.〇1重量百分比。特定言之,亦較 m〇l_0’05重量百分比之吐溫20(() 〇1、〇,〇2、〇 〇3、〇糾 =广重量百分比)。下文更全面地描述本文所用之術語及 很據本發明之實施例。 如下文更詳細描述,或者與降低溶液1)^1值相結合,以令 人吃驚的有利方式藉由添加環糊精或兩親媒性分子來獲得 更穩定的冷凍乾燥調配物。 97600.d〇c 200533375 、下/ι已證明尤其適用於穩定呈冷;東乾燥狀態之複合 物: L將pH值降至pH 5-6,較佳地降至5·5,及/或 。2•添加濃度為〇.〇1-約4〇重量百分比(w%)、較佳地〇·卜如 w%、尤其較佳地01]〇败%之環糊精,及/或 3·使用甘露糖醇及蔗醣作為骨架物質,及“戈 使用較‘為吐溫2〇(對應於聚山梨糖醇酯2〇)之清潔 劑’較佳地每1 mg/ml抗體共耗物使用〇〇1+/_〇〇1重量百分 比,意即每1 體共軛物使用〇、〇 〇1或〇 〇2重量百分 比,尤其較佳地每1 mg/ml抗體共軛物使用〇〇1重量百分 特疋。之,亦較佳為〇 〇1_〇 〇5重量百分比之吐溫 2〇(〇·〇1、0.02、0.03、0·04 或 〇〇5重量百分比)。 具有低pH值及/或含環糊精的調配物可以令人吃驚的有 利方式預防共軛效應分子自抗體中脫離。 根據本發明所用之環糊精(CD)為環系統由六、七或八個 仏1,4-連接的葡萄糖單元組成之環狀寡醣或環狀聚合物,且 視其單體數目而被稱作α、心或>環糊精。已知環糊精與不 同生物分子(例如脂肪酸或胺基酸)形成包合複合物,或可將 其封裝至飽和點。可得之不同環糊精主要在其不同環尺寸 (…環糊精、心環糊精、γ-環糊精)上有區別。亦存在經不同 取代之環糊精,其毒性及蛋白質-環糊精交互特性均不同。 舉例而言,合適的環糊精包括經取代之心環糊精(由了個 吡喃葡萄糖單兀組成)、羥丙基環糊精(Ηρ«〇)、碏丁 基醚-/3-¾糊精(SBE-/5-CD)、γ-環糊精(由8個吡喃葡萄糖單 97600.doc -10- 200533375 元組成)及羥丙基_γ-環糊精(HPKD)。 較佳地’根據本發明之環糊精為下式之磺烷基醚_環糊精 (SAE-CD):Phenotypic tumor-associated antigens (Heider et al., 1995; Heider et al., 1996; Dali et al., 1996; Beham-Schmid et al., 1998; Tempfer et al., 1998; Wagner et al., 1998 ). In the prior art, antibodies specific for specific conjugation variants of CD44 (CD44v, CD44var) are known, and these variants are expressed only on a subset of epithelial cells. For example, CD44v6-specific antibodies (WO02 / 094879A1) can be mentioned, in particular, radioactive conjugates or cytotoxic substances can be mentioned, and specifically, maytansinoids can be mentioned Common filial piety (WOO2 / 094325 A2). In order to administer this antibody conjugate to a patient, it is necessary to develop a stable formulation. A disadvantage of the prior art is that the functional chemical part of the molecule is detached from the antibody in the liquid form of bismuth and is stored in the liquid form at 97600.doc 200533375. It is therefore an object of the present invention to provide novel formulations for antibody conjugates. [Summary of the Invention] This object has been achieved within the scope of the α-Hai patent and the specification and patent application scope. -The present invention relates to a freeze-dried pharmaceutical composition of antibodies. The stability of the product can be increased by adding a cyclodextrin and / or a low pH resistance which is preferably conjugated to the effector molecule; Specifically, the present invention relates to a stable freeze-dried formulation of an antibody complex and a method for preparing the same. [Embodiment] Before describing the preferred embodiment of the present invention, it should be pointed out that the use of the singular ("-⑷ "," the pottery, etc.) in the patent specification and the scope of patent application also includes the plural unless specifically Indicate the opposite or apparently singular in this article. Unless otherwise defined, all terms used have meanings known in the art. Accordingly, all publications and patent specifications mentioned herein are fully incorporated into this specification, and particularly into the content in question. The use of a comma (,) before the decimal place is equivalent to using an English font before the decimal place, and therefore (for example) 0.02 is equivalent to 0.002. The abbreviation% is equivalent to weight percentage. Freeze-dried formulations (= freeze-dried formulations, lyophilized formulations) are advantageous simple, practical and inexpensive preparation forms. 9 Liquid formulations of existing antibody conjugates have a life of only 12 weeks at a storage temperature of 2-8t :. Therefore, the present invention relates to a stable composition of an antibody-effector molecule conjugate 97600.doc 200533375 formulation and a preparation method of a body preparation-effect molecule conjugate. Reduces the formation of free effector molecules during product storage. Two people: startled, this has been achieved by removing water by cold-roll drying. The hunting of the earthy soil is achieved by using a specific formulation (4 w% mannitol, ... / 〇sucrose,: H: 6_5). This increased stability is also achieved by lowering the solution metaspar. -The pharmaceutical composition according to the present invention relates to an antibody conjugate and / or-a mixture of moonlight and / or at least one cyclodextrin, wherein the substance has been cold; dried in the east. Preferably, the medical treatment group 2 according to the present invention relates to a mixture of an antibody co-agent and at least one scaffolding agent, and the drug composition has been dried. Preferably, the mouth mouth material according to the present invention is about the mixing of an antibody co-body with at least one cyclodextrin ', wherein the pharmaceutical composition has been cold; and dried. According to the present invention, the composition preferably contains Tween (Tw is called 2G (corresponding to Poly ^ alcohol ⑽㈣ qing ⑽㈣ soft qing ㈣ ㈣) preferably every sound ::, the vehicle contains 0 · 01 + /_〇.〇1 weight percentage, which means that every i, antibody contains 〇, 〇.〇1 or 0,02 weight percent, particularly preferably each = fine antibody total vehicle contains 0.01 weight Percentage. In particular, it is 20 (() 〇1, 〇2, 〇03, 〇〇 = wide weight percentage) than m0l_0'05 weight percentage. The following uses a more comprehensive description of the Terminology and examples according to the present invention. As described in more detail below, or in combination with reducing the value of the solution 1) ^ 1, in a surprisingly advantageous way, more cyclodextrins or amphiphilic molecules are added to obtain more Stable freeze-dried formulations. 97600.doc 200533375, under / ι has proven to be particularly suitable for stable cold; eastern dry compounds: L lowers the pH to pH 5-6, preferably to 5 · 5, and / or. 2 · Adding a cyclodextrin at a concentration of 0.001 to about 40% by weight (w%), preferably 0.00% such as w%, particularly preferably 01%. , And / or 3. Use mannitol and sucrose as backbone materials, and "Go use a cleaner of Tween 20 (corresponding to polysorbate 20)" preferably every 1 mg / ml antibody co-consumers use 001 + / _ 〇〇1 weight percent, that is, use 0, 001 or 002 weight percent per 1 conjugate, particularly preferably 1 mg / ml antibody total The conjugate uses 0.001 weight percent teflon. Of course, it is also preferably 0.001 to 5% by weight of Tween 2 (0.01, 0.02, 0.03, 0.04, or 0.05 weight). Percentage). Formulations with low pH and / or cyclodextrin can surprisingly prevent detachment of conjugate effector molecules from antibodies. The cyclodextrin (CD) used according to the invention is a ring system consisting of six A cyclic oligosaccharide or cyclic polymer consisting of 1, 7, or 8 仏 1,4-linked glucose units, and is referred to as α, cardio, or > cyclodextrin depending on the number of monomers. Cyclodextrins are known Spermine forms an inclusion complex with different biomolecules (such as fatty acids or amino acids), or it can be encapsulated to the saturation point. The different cyclodextrin available mainly lies in its There are differences in homocyclic sizes (... cyclodextrin, heart cyclodextrin, γ-cyclodextrin). There are also differently substituted cyclodextrins, which have different toxicity and protein-cyclodextrin interaction characteristics. For example Suitable cyclodextrins include substituted heart cyclodextrins (consisting of a glucopyranose unit), hydroxypropylcyclodextrin (Ηρ «〇), 碏 butyl ether- / 3-¾ dextrin ( SBE- / 5-CD), γ-cyclodextrin (composed of 8 glucopyranosyl single 97600.doc -10- 200533375 yuan) and hydroxypropyl_γ-cyclodextrin (HPKD). The cyclodextrin of the present invention is a sulfoalkyl ether_cyclodextrin (SAE-CD) of the formula:

其中, n=4、5或 6 ; 基團Ri、R2、R3、r4、R5、R6、R?、以8及在各種情況 下均獨立地表示-〇-或-〇-(C2_C6伸烷基)_s〇3·基, 其中Ri與R_2中之至少一者獨立地表示_〇_(C2_C6伸烷 基)β03-基, 其較佳為-〇 — (CH2)mS03-基, 其中 m為 4(例如 ’ _OCH2CH2CH2S〇3 或 _〇cH2CH2CH2CH2s〇$ 且 1 2 S3 s4 S5、S6、s7、88與S9在各種情況下均獨 立地表示醫藥學上可接受之陽離子,料陽離子包含⑽ 如)H+、驗金屬(例如Ll、Na' κ+)、驗土金屬(例如ca++、 Mg++)、銨離子及胺陽離子,例如(ci_c6)烧基胺、旅唆、 吼嗓、⑹,㈣胺及(C4心).環㈣胺之陽離子。 詳言之,尤其較佳之環糊精為咖麵小環糊精㈣D)、 經丙基个環糊精(HP个CD) 1丙基#叫環糊精 (HP-/5-CD)或磺丁基醚+環糊精⑽E +⑶)。 在迄今為止已公開的與環施 精(尤/、為/5-環糊精)的製備 97600.doc -11 - 200533375 及使用有關的極廣泛的文獻中,吾人將僅以實例之形式提 及以下公開案:Manning,M.等人,P/zarm. (5,第 1903-1918 頁,1989 年;Yoshida,Α.等人,#7, 第 217-222 頁,1988年;Brewster,Μ·等人,/此 J. P/zarm· 59, 弟 231-243 頁 ’ 1980年;Pitha,J.等人,/η/. «/. PAarm. 2P, 第 73-82 頁,1986年;Pitha,J.與 Pitha J.,/.尸/zarm· to·. 74, 第 987-990 頁,1985 年;Brewster,M.等人,J. PareW. 5cz·. 7^/^/.43,第 231-240頁,1978年。詳言之,?池&了.與?1此, J.之/oc. cz_i.(1986)描述了羥丙基-心環糊精(Hp«D)的製 備’且據報導HP-/3-CD的使用改良了所有種類活性物質及 生物巨分子的水溶性。關於環糊精在醫藥學領域中的使 用,參見下列概述性文章:Pitha,j·等人,c⑽斤〇//以价叩 De/z_vw[BmCk,S.D·編輯]第 ϊ卷,CRC 出版社,B〇ca Rat〇n ,Where n = 4, 5 or 6; the groups Ri, R2, R3, r4, R5, R6, R ?, 8 and in each case each independently represent -0- or -〇- (C2_C6alkylene ) _S〇3 · group, wherein at least one of Ri and R_2 independently represents a _〇_ (C2_C6 alkylene) β03- group, which is preferably -0- (CH2) mS03- group, where m is 4 (For example, '_OCH2CH2CH2S〇3 or _〇cH2CH2CH2CH2s〇 $ and 1 2 S3 s4 S5, S6, s7, 88 and S9 in each case independently represent a pharmaceutically acceptable cation, the material cation contains ⑽ such as) H +, Metal test (such as Ll, Na 'κ +), earth test metal (such as ca ++, Mg ++), ammonium ions and amine cations, such as (ci_c6) carbamoylamine, bridle, roar, radon, tritium, and (C4 heart ). The cations of Cyclamine. In particular, the particularly preferred cyclodextrin is coffee dough small cyclodextrin (D), propyl cyclodextrin (HP CD) 1 propyl # is called cyclodextrin (HP- / 5-CD) or sulfonate Butyl ether + cyclodextrin (E + ⑶). In the very extensive literature that has been published so far concerning the preparation of cyclospermia (especially, / 5-cyclodextrin) 97600.doc -11-200533375 and its use, I will only mention it by way of example. The following publications: Manning, M. et al., P / zarm. (5, pp. 1903-1918, 1989; Yoshida, A. et al., # 7, pp. 217-222, 1988; Brewster, M. Et al., / This J. P / zarm 59, brother 231-243 '1980; Pitha, J. et al., / Η /. «/. PAarm. 2P, pp. 73-82, 1986; Pitha , J. and Pitha J., /. Corpse / zarm ···. 74, pp. 987-990, 1985; Brewster, M. et al., J. PareW. 5cz ·. 7 ^ / ^ /. 43, Pp. 231-240, 1978. In more detail,? Pool &. ?? J.zhi / oc.cz_i. (1986) describes hydroxypropyl-cardiocyclodextrin (Hp «D) And the use of HP- / 3-CD is reported to improve the water solubility of all kinds of active substances and biomacromolecules. For the use of cyclodextrin in the field of medicine, see the following general article: Pitha, j. Et al. C⑽ 〇 0 // by price De / z_vw [BmCk, SD · edit] Volume ,, CRC Publishing House, B〇ca Rat〇n,

Florida’ 第 125-148頁,1983年;或Uekama,Κ·等人,CRCFlorida ’pp. 125-148, 1983; or Uekama, K. et al., CRC

Critical Reviews in Therapeutic Drug Carrier Sysiems,赛 3⑴卷,第 1_40 頁,1987年;或 uekama,K.,Tbph h pw則㈣1987[Breimer,D D·與 p•編 輯],Elsevier Science Publishers B.V.(Bi〇medical mvlslon),第 181]94頁,1987年。詳言之,如她r,ME· 等人之以腳·細j,第792_795頁,1991年更詳細描述了 2-經丙基I環糊精用於溶解及穩定不同生物活性蛋白質之 用途。 尤其較佳地,根據本發明之谔枷杜&、阳A ^ 4 &巧< %糊精為選自下表之環糊精。 97600.doc • 12 - 200533375 表1 環糊精 縮寫 基團 η ο環糊精 a-CD Η 4 0-¾糊精 β-CO Η 5 7-環糊精 γ-CD Η 6 羧曱基夺環糊精 CM-/3-CD CH2C02H 或 Η 5 羧曱基-乙基-/3-環糊精 CME-fCD CH2C02H、CH2CH3 或Η 5 二乙基-/3-¾糊精 DE-/3-CD CH2CH3 或 Η 5 二曱基-/3-環糊精 DM-/3-CD CH3 或 Η 5 甲基-/3-環糊精 M-/3-CD CH3 或 Η 5 隨機曱基_]8-環糊精 RM-/3-CD CH3 或 Η 5 葡糖基-]8-環糊精 GriS-CD 葡糖基或Η 5 麥芽糖基-/5-環糊精 G2-iS-CD 麥芽糖基或Η 5 經乙基-/5-環糊精 HE-/3-CD CH2CH2OH 或 Η 5 羥丙基妥環糊精 HP-/5-CD CH2CHOHCH3 或 Η 5 石黃丁基謎環糊精 SBE-/3-CD (CH2)4S03Na 或 Η 5 舉例而言,莫耳取代含量為〇·5至0.7之尤其最佳的羥丙基 _γ-環糊係由 Messrs Wacker-Chemie GmbH,D-Burghausen以 ’’CAVASOL® W8 HP Pharma”之名稱出售。 令人吃驚地,使用環糊精磺丁基醚環糊精(SBE-/5-CD) 之調配物亦可以開普梯索(Captisol)(Messrs CyDex,USA) 之名稱購得,其已證明為尤其有利。 該尤其較佳之環糊精係以每體積0.001至約40 w%、較佳 地0.1_20 wt.%、尤其較佳地0.1-10 wt·%或1-5 wt·%之重量 百分比(wt.%)存在於根據本發明之較佳調配物中。尤其最 佳地,根據本發明之環糊精係以約1、5或1 5 wt_%的含量存 在。尤其較佳地’ SBE-jS-CD係以約1、5或1 5 wt·%的含量存 在。 本發明係關於抗體共軛物之調配物。術語π抗體”與”抗體 分子”等同。抗體可為所有免疫球蛋白,其含有兩條重鏈及 97600.doc -13 - 200533375 兩條輕鏈、該等免疫球蛋白之片段(例如Fab、Fab‘或F(ab)2 片段)、重組性產生之抗體分子(例如嵌合、人化或完全人類 抗體)。抗體共辆物意謂抗體與效應分子的複合物。效應分 子較佳係經由共價鍵連接至抗體。 例如’以下提及者為根據本發明之抗體:HER2抗體,例 如 Herceptin⑧(曲妥珠單抗(trastuzumab),Genentech,Inc,); VEGF特異抗體’例如貝伐單抗(Bevacizumab) (Genentech, Inc·) ’ J而圖旦(Rituxan)(利妥昔單抗,rituximab),抗 EFGR 抗體 ABX-EGF ;抗體 aBX-CBL (Abgenix);抗體 ICR-62(ICR,Sutton,England Xolair(奥馬佐單抗, omalizumab)) , C242(開圖茲單抗(cantuzimab),Critical Reviews in Therapeutic Drug Carrier Sysiems, Volume 3, pages 1_40, 1987; or uekama, K., Tbph h pw then 1987 [Breimer, DD · and p • edit], Elsevier Science Publishers BV (Biomical mvlslon) ), P. 181] 94, 1987. In detail, such as She, ME, et al., Foot, J, pp. 792-795, 1991, described in more detail the use of 2-propyl I cyclodextrin for dissolving and stabilizing different biologically active proteins. It is particularly preferred that the dextrin and yang A < 4 >% dextrin according to the present invention is a cyclodextrin selected from the following table. 97600.doc • 12-200533375 Table 1 Cyclodextrin abbreviated group η ο cyclodextrin a-CD Η 4 0-¾ dextrin β-CO Η 5 7-cyclodextrin γ-CD Η 6 Dextrin CM- / 3-CD CH2C02H or Η 5 carboxyfluorenyl-ethyl- / 3-cyclodextrin CME-fCD CH2C02H, CH2CH3 or Η 5 diethyl- / 3-¾ dextrin DE- / 3-CD CH2CH3 or Η 5 difluorenyl- / 3-cyclodextrin DM- / 3-CD CH3 or Η 5 methyl- / 3-cyclodextrin M- / 3-CD CH3 or Η 5 random fluorenyl_] 8- Cyclodextrin RM- / 3-CD CH3 or Η 5 glucosyl-] 8-cyclodextrin GriS-CD glucosyl or Η 5 maltosyl- / 5-cyclodextrin G2-iS-CD maltosyl or Η 5 via ethyl- / 5-cyclodextrin HE- / 3-CD CH2CH2OH or hydrazone 5 hydroxypropyl cyclic cyclodextrin HP- / 5-CD CH2CHOHCH3 or hydrazone 5 succinylcyclodextrin SBE- / 3-CD (CH2) 4S03Na or Η 5 For example, a particularly preferred hydroxypropyl-γ-cyclopaste having a Mohr substitution content of 0.5 to 0.7 is produced by Messrs Wacker-Chemie GmbH, D-Burghausen under the name `` CAVASOL® W8 HP Pharma ". Surprisingly, formulations using cyclodextrin sulfobutyl ether cyclodextrin (SBE- / 5-CD) can also be used with Captisol (Mes srs CyDex, USA), which has proven to be particularly advantageous. The particularly preferred cyclodextrin is 0.001 to about 40 w% per volume, preferably 0.1-20 wt.%, particularly preferably 0.1- A weight percentage (wt.%) Of 10 wt.% Or 1-5 wt.% Is present in a preferred formulation according to the present invention. Particularly preferably, the cyclodextrin according to the present invention is about 1, 5 or It is present at a content of 15 wt.%. It is particularly preferred that the SBE-jS-CD is present at a content of about 1, 5 or 15 wt.%. The present invention relates to formulations of antibody conjugates. The term π antibody " Equivalent to "antibody molecule". Antibodies can be all immunoglobulins, which contain two heavy chains and 97600.doc -13-200533375 two light chains, fragments of these immunoglobulins (such as Fab, Fab 'or F (ab) 2 fragments), recombinant Sexually produced antibody molecules (such as chimeric, humanized or fully human antibodies). An antibody co-product means a complex of an antibody and an effector molecule. The effector is preferably linked to the antibody via a covalent bond. For example, 'the following refers to antibodies according to the present invention: HER2 antibodies, such as Herceptin (R) (trastuzumab, Genentech, Inc,); VEGF specific antibodies', such as Bevacizumab (Genentech, Inc ·) 'J Rituxan (rituximab), anti-EFGR antibody ABX-EGF; antibody aBX-CBL (Abgenix); antibody ICR-62 (ICR, Sutton, England Xolair MAb, omalizumab)), C242 (cantuzimab),

ImmunoGen),艾比特思(Erbitux)(西妥昔單抗(Cetuximab), IMC-C225,ImClone Systems);單株抗體 425(Merck KGaA) ·,米圖摩單抗(Mitumomab)(Imclone Systems 及 Merck KGaA);安特格林(Antegren)(整合素,natalizumab)。根據 本發明之抗體共輊物可由視情況與連接分子(所謂的連接 體)結合之根據本發明之抗體之一及效應分子製得。 效應分子之實例包括:毒素,例如下文所提及之較佳的 美登素類或以實例形式提及之DM1 ;諸如mI、nlIn、99mTc 之放射性同位素;諸如過氧化物酶或鹼性磷酸酶之酶類; 螢光染料或生物素分子;細胞抑制素(阿黴素ImmunoGen), Erbitux (Cetuximab, IMC-C225, ImClone Systems); Monoclonal Antibody 425 (Merck KGaA) ·, Mitumomab (Imclone Systems and Merck KGaA); Antegren (integrin, natalizumab). The antibody conjugate according to the present invention can be prepared from one of the antibodies according to the present invention and an effector molecule, optionally combined with a linking molecule (so-called linker). Examples of effector molecules include: toxins such as the preferred maytansinoids mentioned below or DM1 mentioned by way of example; radioisotopes such as mI, nlIn, 99mTc; such as peroxidase or alkaline phosphatase Enzymes; fluorescent dyes or biotin molecules; cytostatin (adriamycin

(doxorubicin)、諸如紫杉德⑧(Taxotere⑧)(EP 0 253 738,US 4,814,470)歐洲紫杉醇((1〇〇613\61)之紫杉烧(1&乂31^)、道諾黴 素(daunorubicin)、更生黴素(dactinomycin)、普卡黴素 97600.doc -14- 200533375 (plicamycin)、絲裂徽素(mitomycin)、博萊黴素 (bleomycin)、黃膽素(idarubicin)、環填醯胺 (cyclophosphamide)、二氯甲基二乙胺(mechlorethamine)、 美法侖(melphalan)、苯丁酸氮芥(chlorambucil)、甲基苄肼 (procarbazine)、達卡巴唤(dacarbazine)、六甲蜜胺 (altretamine)、順翻(cisplatin)、卡波翻(carboplatin)、奥賽 力始(oxaliplatin)、異丙翻(iproplatin)、奥馬始 (ormaplatin)、四翻(tetraplatin)、甲胺嗓呤(methotrexate)、 頸基嘌呤(mercaptopurine)、硫鳥嘌呤(thioguanine)、氟達 拉濱(fludarabine)石粦酸酯、克拉屈濱(cladribine)、喷司他汀 (pentostatin)、氟脲嘴 σ定(fluorouracil)(5-FU)、阿糖胞苷 (cytarabine)、氮雜胞苷(azacytidine));前藥;細胞激素; 諸如腫瘤壞死因子或介白素-2之免疫調節多肽。 可提及之根據本發明之抗體共軛物的實例包括:抗體共 幸厄物AS 1406(安替莎,antisoma);人化抗體HMFG1,其係 與酶RNase結合;擇瓦林(zevalin)(替坦異貝莫單抗, ibritumomab tiuxetan);貝克薩(bexxar)(科雷莎(corixa),蛾 1-131托西莫單抗(tositumomab));或下文提及之美登素或 DM1共輛物。 根據本發明,抗體共軛物複合物的濃度係在0.01與 40 mg/ml之間,較佳在0.1-20 mg/ml之間,尤其係在01-10 mg/ml之間。 本發明之另一實施例係關於抗體共概物與環糊精及經基 酸的複合。藉由形成由抗體共軛物、所討論的環糊精及羥 97600.doc -15 - 200533375 基酸組成的三元複合物可減少所需環糊精的量。合適的产 糊精包括(例如)HP|CD、sbe«d、7_cd及Hp个⑶因 此,除活性物質及j罗相杜 貝及衣糊精以外,旨在用於非經腸用藥的根 據本發明之醫藥組合物可含有諸如蘋果酸、乳酸、酒石酸: 琥轴酸或檸檬酸之經基酸。 十根據本發明之合適的骨架物質為糖類及其組合(例如甘 露糖醇及蔗聽、海藻糖、乳糖及麥芽糖)或胺基酸(例如精胺 酸、甘胺酸)或諸如HAS(人類血清白蛋白或牛類血清白 之蛋白質本身。 甘露糖醇與蔗醣的重量比可為1至1〇〇或1〇〇至1,較佳 至60或60至1,尤其為4至1或1至4 w%。 # 根據本發明,活性物質與環糊精的莫耳比係在1:1盥 1:33〇〇之間。較佳為1:1〇〇至1:15〇〇之莫耳比,尤其為^⑻ 至1.600。根據本發日月,在M基酸存在下,活性物質與環糊 精之莫耳比係如上所述。 舉例而a,適於替代根據本發明之環糊精用於根據本發 明之醫樂組合物的兩親媒性物質為下列各物··膽鹼衍生物 (C6 C20) ’天然存在之膽驗類(蛋及大豆卵鱗脂),例如二肉 豆蔻醯基磷脂醯膽鹼(DMPC)、二軟脂醯基磷脂醯膽鹼 (DPPC)、二油醯基磷脂醯膽鹼(DOPC);或乙醇胺衍生物(C6 至C20);天然存在之乙醇胺類(蛋及大豆乙醇胺類),例如二 肉显蔻醯基磷脂醯乙醇胺(DMPE)、二軟脂醯基磷脂醯乙醇 胺(DPPE)、二油醯基磷脂醯乙醇胺(D〇pE),其中D〇pE為 尤其I乂佳。此外,飽和及不飽和脂肪酸的相應甘油衍生物 97600 doc 200533375 (C6-C20)或鱗脂醯酸(C6-C20)可用作進一步磷脂。 根據本發明之醫藥組合物亦視情況含有習知賦形劑及載 背J ’例如等張劑葡萄糖、甘露糖醇或氯化鈉或乙酸鈉或三 水合乙酸鈉,其係與乙酸或(例如)由檸檬酸及磷酸氫二鈉或 二水合破酸氫二鈉組成之檸檬酸/磷酸鹽緩衝劑結合作為 緩衝劑。該溶劑通常為注射用水。 此類賦形劑及載劑的濃度已為熟習此項技術者所知,且 可見於(例如)Remington,s Pharmaceutical Sciences(1990), 第 18版,Mack Publ.,Easton。(doxorubicin), such as Taxotere (Taxotere⑧) (EP 0 253 738, US 4,814,470), Taxane (1 &) 31 ^) of European paclitaxel ((100613 \ 61), daunorubicin ), Dactinomycin, dactinomycin, 97600.doc -14- 200533375 (plicamycin), mitomycin, bleomycin, idarubicin, cyclotoxin Cyclophosphamide, mechlorethamine, melphalan, chlorambucil, procarbazine, dacarbazine, hexamethylamine (altretamine), cisplatin, carboplatin, oxaliplatin, iproplatin, ormaplatin, tetraplatin, methamamine ( methotrexate, mercaptopurine, thioguanine, fludarabine, lactate, cladribine, pentostatin, fluorouracil ) (5-FU), cytarabine, azacytidine (Azacytidine)); prodrugs; cytokines; immunomodulating polypeptides such as tumor necrosis factor or interleukin-2. Examples of antibody conjugates according to the present invention that may be mentioned include: antibody cohort AS 1406 (antisoma); humanized antibody HMFG1, which is bound to the enzyme RNase; zevalin (replaced by Imbritumomab tiuxetan); bexxar (corixa, tositumomab 1-131); or the maytansinoid or DM1 common vehicle mentioned below . According to the invention, the concentration of the antibody conjugate complex is between 0.01 and 40 mg / ml, preferably between 0.1-20 mg / ml, and especially between 01-10 mg / ml. Another embodiment of the present invention relates to the complexing of an antibody co-prototype with a cyclodextrin and a cationic acid. The amount of cyclodextrin required can be reduced by forming a ternary complex consisting of an antibody conjugate, the cyclodextrin in question, and the hydroxyl 97600.doc -15-200533375 base acid. Suitable dextrin producing agents include, for example, HP | CD, sbe «d, 7_cd, and Hp. Therefore, in addition to the active substance and Rosindube and dextrin, it is intended to The pharmaceutical composition of the invention may contain amenic acid such as malic acid, lactic acid, tartaric acid: succinic acid or citric acid. Ten suitable matrix substances according to the present invention are carbohydrates and combinations thereof (such as mannitol and cane, trehalose, lactose and maltose) or amino acids (such as arginine, glycine) or such as HAS (human serum Albumin or bovine serum albumin itself. The weight ratio of mannitol to sucrose may be from 1 to 100 or 100 to 1, preferably from 60 to 60 to 1, especially from 4 to 1 or 1. To 4 w%. # According to the present invention, the molar ratio of the active substance to the cyclodextrin is between 1: 1 and 1: 330.00. Preferably, the molar ratio of 1: 100 to 1: 150.00 Ear ratio, especially from ^ ⑻ to 1.600. According to the present day and month, the molar ratio of active substance to cyclodextrin in the presence of M-based acid is as described above. For example, a is suitable to replace the ring according to the present invention. Amphiphilic substances for which dextrin is used in the medical music composition according to the present invention are the following: · Choline derivatives (C6 C20) 'Naturally occurring cholecysts (eggs and soybean egg scale fat), such as two Myristyl phospholipids choline (DMPC), dipalmityl phospholipids choline (DPPC), dioleyl phospholipids choline (DOPC); or ethanolamine derivatives (C6 to C2 0); Naturally occurring ethanolamines (eggs and soy ethanolamines), such as dimyristoyl phospholipid 醯 ethanolamine (DMPE), dipalmityl phospholipid 醯 ethanolamine (DPPE), dioleyl phospholipid 醯 ethanolamine ( DopE), where DopE is particularly good. In addition, the corresponding glycerol derivatives of saturated and unsaturated fatty acids 97600 doc 200533375 (C6-C20) or linoleic acid (C6-C20) can be used as further phospholipids The pharmaceutical composition according to the invention also optionally contains conventional excipients and backing agents, such as isotonic glucose, mannitol or sodium chloride or sodium acetate or sodium acetate trihydrate, which is associated with acetic acid or (for example) A citric acid / phosphate buffer consisting of citric acid and disodium hydrogen phosphate or disodium dihydrogen dihydrate is used as a buffering agent. The solvent is usually water for injection. The concentration of such excipients and carriers is familiar. Those skilled in the art are aware and can be found, for example, in Remington, s Pharmaceutical Sciences (1990), 18th edition, Mack Publ., Easton.

可使用以下藥劑來降低pH值(製成酸性,取決於初始pH 值)· HC1、H3P〇4及其它磷酸衍生物、HN〇3、H2s〇4、 CHsCOOH或所有已知用於達成此目的之醫藥學上可接受 的酸,或可藉由選擇合適的緩衝劑系統來調節卩11值,該等 系統係選自基於以下各物之緩衝劑系統:一元酸··乙酸、 苯甲酸、葡糖酸、甘油、乳酸(lactate);二元酸:烏頭酸、 己二酸、抗壞血酸、石炭酸、麩胺酸、類果酸、琥站酸、酒 石酸;多元酸:檸檬酸、磷酸;或鹼:氨、二乙醇胺、甘 胺酸、三乙醇胺、緩血酸胺及其鹽。若由於阳值太低而必 須提高,則可使用已知的合適物質或其溶液,諸㈣漏、 KOH、氨溶液等。 如同其它成份,如額外穩定劑,該醫藥組合物亦可含有 鹽或鹽溶液,尤其可含有醫藥學上可接受之鹽,例如無機 鹽’諸如鹽酸鹽、硫酸鹽、磷酸鹽、二磷酸鹽、氫溴酸越 及/或石肖酸鹽。該液體懸浮液亦可含有有機鹽,例如頻果二 97600.doc •17- 200533375 鹽、順丁烯二酸鹽、反丁烯二酸鹽、酒石酸鹽、琥珀酸鹽、 乙基號轴酸鹽、擰檬酸鹽、乙酸鹽、乳酸鹽、甲磺酸鹽、 苯甲酸鹽、抗壞血酸鹽、對甲苯胺磺酸鹽、雙羥萘酸鹽 (palmoate)、水揚酸鹽、硬脂酸鹽、依託酸鹽(estolate)、葡 庚糖 fee 鹽(gluceptate)或萊比酸鹽(labionate)。 根據本發明之醫藥組合物中視情況含有之骨架物質的實 例為胺基酸、聚合物、糖類或糖醇類。因此,根據本發明 之w某組合物可含有諸如精胺酸及甘胺酸之不同胺基酸。 其它合適的胺基酸已為熟習此項技術者所知。 根據本發明之醫藥組合物中可視情況含有之聚合物的實 例包括:$乙㈣略.定_ ;衍生纖維素,例如經甲基、經 乙基或經丙基·乙基纖維素;聚合糖類,例如聚蔗糖(£1州 或葡聚糖;殿粉,例如經乙基錢丙基澱粉;糊精,例如 環糊精(2·㈣基+環糊精、續了基㈣_環糊精);聚乙稀; 乙二醇;聚葡萄胺糖;膠原蛋白;玻糖醛酸;聚丙_ ; 聚乙烯醇及/或果膠酸。 根據本發明之醫藥組合物中可視情況含有之糖類的實例 包括皁醣、雙醣、寡醣或多醣。。、 為釈P ^ 次,、、、且口早醣的實例較佳 一…、、_糖及其衍生物與光學異構體、果糖、 搪、半乳糖、葡萄糖、D_甘露糖、山梨糖、d(; D(+)_甘露糖、D(+)-半乳糖 m、田 门甸糖 類似物。()+搞、D(·)·果糖、外)_山梨糖及其 雙酶的實例為乳糖、蔗醣、 其類似物。 、、、畴庶搪”母澡糖、纖維二糖及 97600.doc -18 - 200533375 合適的多醣之實例尤其包括棉子糖、松三糖、糊精、丨殿 粉及其類似物。 根據本發明之醫筚*且人你由 — 口物中可視情況含有之糖醇類的實 例包括加上甘露糖醇甘露糖醇、木糖醇、麥芽糖醇、 半乳糖醇、阿拉伯糖醇、核糖醇、乳糖醇、山梨糖醇(葡萄 糖醇)、哌喃醣基山梨糖醇、纖維醇(in〇sit〇1)、肌醇 (myoinositol)及其類似物。 /如同其它成份,該醫藥組合物亦可含有清潔齊卜其較佳 係選自濃度在0.01-5重量百分比之間、較佳在〇 〇卜〇1重量 百刀比之間、尤其較佳在〇 〇1_〇 〇5重量百分比之間(〇 〇ι、 0.02、0.03、0.04或0.05重量百分比)之吐溫2〇、吐溫6〇、吐 溫80(聚山梨糖醇酯2〇、6〇、8〇、泊洛沙姆(泊洛尼克 (Pluronic))。在亦較佳之醫藥組合物中,該清潔劑的濃度為 每1 mg/ml抗體共軛物0 01+/_〇 〇1重量百分比(意即,每工 mg/ml抗體共軛物〇、〇〇1或〇〇2重量百分比),尤其較佳為 每1 mg/rnl抗體共軛物〇 〇1重量百分比。亦已證明使用 重量百分比)為尤其較佳。 根據本發明之醫藥組合物在本發明範疇中可用於非經腸 全身性(例如,靜脈内、血管内、肌肉内、動脈内、腹膜内 或勒内)用樂。根據本發明之醫藥組合物的更局部用藥可經 由皮下、皮内、心臟内、葉内、骨髓内或肺内路徑來實現 或可藉由直接進入或接近待治療之器官(結締組織、骨路、 肌肉、神經或上皮組織)來實現。 97600.doc -19- 200533375 根據本發明之醫藥製劑可用於各種臨床或非臨床應用 中,其中毒性化合物將針對表現CD4^細胞。 在另-實施例中,本發明係關於一種藉由將治療有效量 之根據本發明之醫藥製劑投與至需要治療的患者來治療癌 疒々方法"亥癌症較佳為培養盤上皮癌症(例如”Head and Neck Squamous Cell Carcin〇ma(scc)”)、食道 scc、肺似、 皮膚see、乳腺癌、肺腺癌、子宮驟c、姨腺癌、結腸腺 癌、胃腺癌)。 在癌症的g«床冶療中,根據本發明之醫藥製劑係(例如) 根據以下治療方案來投用,例如作為靜脈内大丸藥來投 用,母週一次,持續1至6週或連續5天輸注。 該大丸藥劑量可投用於其中添加5至10 ml人類血清白蛋 白之50至1〇〇 ml生理鹽水中。連續輸注可投用於其中每24 小柃添加25至50 ml人類血清白蛋白之25〇至5〇〇 ml生理鹽 水中。抗體共軛物的劑量一般為每次應用1〇 mg至4〇〇 mg/m2體表面積。一方面,該劑量必須足夠高以滿足有效 性,然而其亦必須低於所謂的”劑量極限毒性”(DLT)。低於 DLT之可耐受的最大劑量為”最大耐受劑量”(MTD)。熟習此 項技術者瞭解如何測定MTD(Lambert等人,1998年)。例如, 對於每週用藥,MTD可介於1〇〇與2〇〇 mg/m2之間。或者, 用藥之時間間隔可更長,例如2至4週,較佳為3週。在該情 況下,所期望的MTD係在200與300 mg/m2之間。或者,其 可每日分5次用藥,隨後以幾週的間隙來用藥。接著,所期 望的MTD係小於1〇〇 mg/m2。舉例而言,根據本發明之醫藥 97600.doc -20- 200533375 衣劑可每2 1天作為單一靜脈内(IV)輸注以3 mg/min的速率 來用藥。給定長達7個治療週期。若臨床情況需要,則所用 之剤里可在特定範圍之外變化。例如,若已發現MTD高於 所給定的值’則單劑量亦可高於400 mg/m2或週劑量可高於 200 mg/m2。 根據本發明之抗體共輛物的非經腸組合物的實施例含有 /舌f生物貝其劑里為母天1 mg/kg體重至40 mg/kg體重,較 佳在3-15 mg/kg體重之間。以下劑量亦較佳,以[mg/m2]表 不:l〇[mg/m2]至 200[mg/m2];更佳為 2〇s100[mg/m2];最 佳為 10、20、40或 50 mg/m2。 在一較佳實施例中,該製劑係藉由連續輸注〇.5至24小時 或有可能數天來投用,以保持穩定狀態的血漿含量。所投 用的體積係介於50至500 ml、較佳地1〇〇至250 ml之間,意 即:用於投藥之活性物質的濃度係介於8〇 mg/5〇〇 ml==〇16 mg/ml(〇.〇l5%mi500 mg/1〇〇ml=15mg/ml(1 5%)之間。活 性物質之濃度較佳為〇·5 mg/mi=〇 〇5〇/0(g/v)至3 5 mg /ml = 0.35%(g/v) 〇 因此,在較佳實施例中,本發明係關於根據本發明之調 配物或醫藥組合物在製備用於治療癌症的醫藥品上的用途 (定義見上文)。 本發明之關鍵點係由由偶合至美登素類的抗體組成的抗 體共軛物之調配物或醫藥組合物組成。抗體_DM1共扼物為 尤其最佳。根據本發明之抗體-DM1共軛物的實例為由單株 抗體媒劑T-MAV組成的抗體共軛物MLN2704,其係特定地 97600.doc -21 - 200533375 結合至前列腺特定膜蛋白質,該蛋白質係與美登素DM1、 C242/CanAg-特異人化單株抗體-DM1共軛物開圖祖單抗 (cantuzumab)_DMl(Liu等人,1996年;Lambert等人,1998 年)、特定用於CD56抗原的人化單株抗體-DM1共軛物 f’lmN901-DMln(Chari等人,2000年)、特定用於CD33抗原的 人化單株抗體-DM1共扼物My9-6-DMl(Aventis)、特定用於 IGF-1受體”抗-IGF1 hu MAbs”的人化單株抗體-DM1共軛物 (MorphoSys/ImmunoGen)、具有目標分子EGFR的人化單株 抗體-DM1共輊物抗EGFRvIII-DMl(Abgenix)共軛。尤其較 佳為下式之抗體共軛物的醫藥組合物: A(LB)n 其中 A 為抗體分子; L 為連接體物質; B 為對細胞有毒的化合物;及 η 為十進制數,η= 1至1 〇。 亦尤其較佳為上述式之醫藥組合物,其中連接體物質含 有可於細胞中分解的化學鍵。亦尤其較佳為上述式之醫藥 組合物,其中化學鍵為雙硫鍵。 有利地,該等抗體-DM1共軛物可以上述方式之一由上述 賦形劑等來調配。 抗收为子A具有關於CD44、較佳地變異體CD44之結合特 異性。 ”特定用於⑽4”意謂抗體在CD44區域中特定地結合至 97600.doc -22- 200533375 抗原決定部位。根據本發明之抗體較佳係結合至由人類 CD44基因之變異體夕卜顯子編碼的胺基酸序歹J 。較佳之抗體 分子係特定地結合至含有所附序列清單的序列SEQ ID NO: 1或該序列的對偶基因變異體或由其組成的肽。尤其較 佳地,根據本發明之抗體分子係特定地結合至胺基酸序列 SEQ ID NO:2或SEQ ID NO:3。此類抗體可由先前技術(WO 95/33771 > WO 97/21104)已知之方法生成,例如由具有上 述序列的化學合成肽之實驗動物的免疫作用來生成此類抗 體。The following agents can be used to lower the pH (made acidic, depending on the initial pH) · HC1, H3P04 and other phosphate derivatives, HNO3, H2s〇4, CHsCOOH or all known for this purpose A pharmaceutically acceptable acid, or the value of 卩 11 can be adjusted by selecting a suitable buffer system selected from a buffer system based on the following: monobasic acid · acetic acid, benzoic acid, glucose Acids, glycerol, lactate; dibasic acids: aconitic acid, adipic acid, ascorbic acid, carbolic acid, glutamic acid, fruit-like acid, succinic acid, tartaric acid; polyacids: citric acid, phosphoric acid; or alkali: ammonia , Diethanolamine, glycine, triethanolamine, tromethamine and their salts. If it is necessary to raise the positive value because it is too low, a known suitable substance or a solution thereof, such as various solvents, KOH, ammonia solution, etc. may be used. Like other ingredients, such as additional stabilizers, the pharmaceutical composition may also contain salts or saline solutions, and may especially contain pharmaceutically acceptable salts, such as inorganic salts such as hydrochloride, sulfate, phosphate, diphosphate , Hydrobromic acid and / or stone salt. The liquid suspension may also contain organic salts, such as, for example, 97600.doc • 17- 200533375 salts, maleates, fumarate, tartrate, succinate, ethyl axate , Citrate, acetate, lactate, mesylate, benzoate, ascorbate, p-toluidine sulfonate, palmoate, salicylate, stearate , Estolate, gluceptate, or labionate. Examples of the matrix substance optionally contained in the pharmaceutical composition according to the present invention are amino acids, polymers, sugars or sugar alcohols. Therefore, a certain composition according to the present invention may contain different amino acids such as arginine and glycine. Other suitable amino acids are known to those skilled in the art. Examples of the polymer optionally contained in the pharmaceutical composition according to the present invention include: $ acetylene slightly. Ding_; Derived cellulose, such as methyl, ethyl, or propyl ethyl cellulose; polymerized sugars , Such as polysucrose (£ 1 state or dextran; Dian powder, such as ethyl ethyl propyl starch); dextrin, such as cyclodextrin (2. Polyethylene glycol; Polyethylene glycol; Polyglucosamine; Collagen; Hyaluronic acid; Polypropylene; Polyvinyl alcohol and / or pectinic acid. Examples include soap sugars, disaccharides, oligosaccharides or polysaccharides., Is 釈 P ^ times, and, and examples of early sugar are preferably one, ..., sugars and their derivatives and optical isomers, fructose, Almond, galactose, glucose, D_mannose, sorbose, d (; D (+) _ mannose, D (+)-galactose m, Tianmendian sugar analogues. () + Engage, D (· ) · Fructose, exo) _ Examples of sorbose and its double enzymes are lactose, sucrose, and the like. 533375 Examples of suitable polysaccharides include, in particular, raffinose, melezitose, dextrin, powder, and the like. According to the medical practice of the present invention * and the human beings-the sugar alcohols in the mouth may optionally contain Examples include the addition of mannitol, mannitol, xylitol, maltitol, galactitol, arabitol, ribitol, lactitol, sorbitol (glucosyl alcohol), piperanyl sorbitol, cellulosic alcohol (In〇sit〇1), inositol (myoinositol) and the like. / Like other ingredients, the pharmaceutical composition may also contain cleanliness, which is preferably selected from a concentration of 0.01-5 weight percent, more than The Tween is preferably between 0.000 weight and 100 weight ratios, and particularly preferably between 0.001 and 0.05 weight percentage (00, 0.02, 0.03, 0.04, or 0.05 weight percentage). Tween 60, Tween 80 (polysorbate 20, 60, 80, poloxamer (Pluronic). In a preferred pharmaceutical composition, the concentration of the detergent 0 01 + / _ 〇〇1 weight percentage per 1 mg / ml antibody conjugate (meaning, 0, 001 or 002 weight percent), particularly preferably 0.001 weight percent per 1 mg / rnl antibody conjugate. It has also been proven that the weight percent used) is particularly preferred. Medicine according to the invention The composition is useful in the context of the present invention for parenteral systemic (eg, intravenous, intravascular, intramuscular, intraarterial, intraperitoneal, or intralesional) muscarinics. A more topical application of a pharmaceutical composition according to the present invention may be Achieved via subcutaneous, intradermal, intracardiac, intralobular, intramedullary or intrapulmonary pathways or by direct access to or access to the organ to be treated (connective tissue, bone pathways, muscle, nerve or epithelial tissue). 97600.doc -19- 200533375 The pharmaceutical preparations according to the present invention can be used in a variety of clinical or non-clinical applications, where toxic compounds will be directed to CD4 cells. In another embodiment, the present invention relates to a method for treating cancer by administering a therapeutically effective amount of a pharmaceutical preparation according to the present invention to a patient in need of treatment. &Quot; Hei cancer is preferably a culture plate epithelial cancer ( For example, "Head and Neck Squamous Cell Carcinoma (scc)"), esophagus scc, lung-like, skin-seeking, breast cancer, lung adenocarcinoma, uterine cancer c, adenoma, colon adenocarcinoma, gastric adenocarcinoma). In the cancer treatment of cancer, the pharmaceutical preparations according to the present invention are, for example, administered according to the following treatment regimens, such as intravenous bolus administration, once a week for the mother, for 1 to 6 weeks or 5 consecutive times Day infusion. The bolus dose can be administered in 50 to 100 ml of physiological saline to which 5 to 10 ml of human serum albumin is added. Continuous infusion can be administered in 25 to 50 ml of physiological saline in which 25 to 50 ml of human serum albumin is added every 24 barks. The dosage of the antibody conjugate is generally 10 mg to 400 mg / m2 body surface area per application. On the one hand, the dose must be high enough to be effective, but it must also be lower than the so-called "dose limit toxicity" (DLT). The maximum tolerable dose below DLT is the "maximum tolerated dose" (MTD). Those skilled in the art know how to determine MTD (Lambert et al., 1998). For example, for weekly dosing, the MTD can be between 100 and 200 mg / m2. Alternatively, the time interval between administrations may be longer, for example 2 to 4 weeks, preferably 3 weeks. In this case, the desired MTD is between 200 and 300 mg / m2. Alternatively, it may be administered in divided doses of 5 times per day, followed by intervals of several weeks. Next, the expected MTD is less than 100 mg / m2. For example, the medicine according to the invention 97600.doc -20-200533375 can be administered as a single intravenous (IV) infusion at a rate of 3 mg / min every 21 days. Given up to 7 treatment cycles. If clinical conditions require, the range used can vary outside a certain range. For example, if MTD has been found to be higher than a given value ', a single dose may also be higher than 400 mg / m2 or a weekly dose may be higher than 200 mg / m2. Examples of parenteral compositions of the antibody co-products according to the present invention contain 1 mg / kg body weight to 40 mg / kg body weight, preferably 3-15 mg / kg in mother tongue / biological shellfish. Weight. The following doses are also better, expressed as [mg / m2]: 10 [mg / m2] to 200 [mg / m2]; more preferably 20s100 [mg / m2]; most preferably 10, 20, 40 Or 50 mg / m2. In a preferred embodiment, the formulation is administered by continuous infusion of 0.5 to 24 hours or possibly several days to maintain a stable plasma level. The volume used is between 50 and 500 ml, preferably between 100 and 250 ml, meaning that the concentration of the active substance used for administration is between 80 mg / 500 ml ==. 16 mg / ml (0.015% mi500 mg / 100ml = 15mg / ml (15%). The concentration of the active substance is preferably 0.5 mg / mi = 0.050 / 0 ( g / v) to 35 mg / ml = 0.35% (g / v). Therefore, in a preferred embodiment, the present invention relates to a formulation or a pharmaceutical composition according to the present invention for preparing a medicine for treating cancer. (The definition is given above). The key point of the present invention consists of a formulation or pharmaceutical composition of an antibody conjugate composed of antibodies coupled to maytansinoids. The antibody_DM1 conjugate is especially Best. An example of an antibody-DM1 conjugate according to the present invention is an antibody conjugate MLN2704 composed of a single antibody vehicle T-MAV, which specifically binds to a prostate-specific membrane protein 97600.doc -21-200533375 , This protein line maytansinum DM1, C242 / CanAg-specific humanized monoclonal antibody-DM1 conjugate cantuzumab_DMl (Liu et al., 1996; Lambert et al., 1998), Humanized monoclonal antibody-DM1 conjugate destined for CD56 antigen f'lmN901-DMln (Chari et al., 2000), humanized monoclonal antibody-DM1 conjugate specifically for CD33 antigen My9-6- DM1 (Aventis), humanized monoclonal antibody-DM1 conjugate (MorphoSys / ImmunoGen) specific for IGF-1 receptor "anti-IGF1 hu MAbs", humanized monoclonal antibody with target molecule EGFR-DM1 Antibiotic EGFRvIII-DMl (Abgenix) conjugate. Particularly preferred is a pharmaceutical composition of an antibody conjugate of the formula: A (LB) n where A is an antibody molecule; L is a linker substance; B is toxic to cells And η is a decimal number, η = 1 to 10. Also particularly preferred is a pharmaceutical composition of the above formula, wherein the linker substance contains a chemical bond that can be decomposed in a cell. A pharmaceutical of the above formula is also particularly preferred A composition in which the chemical bond is a disulfide bond. Advantageously, the antibody-DM1 conjugate can be formulated in one of the above manners by the above-mentioned excipients, etc. Antireceptor A has about CD44, preferably a variant CD44 Binding specificity. "Specific for ⑽4" means that the antibody is specific in the CD44 region 97600.doc -22- 200533375 bound to the epitopes. Binds to an amino acid sequence variant of the CD44 gene encoding human body bad J Xi Bu Xianzi antibody according to the present invention the preferred system. The preferred antibody molecule specifically binds to the sequence SEQ ID NO: 1 containing the attached sequence listing or a dual gene variant of the sequence or a peptide consisting thereof. Particularly preferably, the antibody molecule according to the invention specifically binds to the amino acid sequence SEQ ID NO: 2 or SEQ ID NO: 3. Such antibodies can be produced by methods known in the prior art (WO 95/33771 > WO 97/21104), for example, by the immune action of a laboratory animal having a chemically synthesized peptide having the above-mentioned sequence to produce such antibodies.

較佳之抗體為由沉積之融合瘤細胞(沉積於1 994年6月7 曰,存取號 DSM ACC2174 5 DSM-Deutsche Sammlung fur Mikroorganismen and Zellkulturen GmbH 5 Mascheroder Weg lb,D-38 124 Braunschweig,Germany)[原文如此]的鼠單株 抗體VFF-1 8。亦較佳為人化重組性抗體,其中所謂的 VFF-18互補判定區(CDR)已應用於人類免疫球蛋白基因的 輕鏈與重鏈的相應區域中。互補判定區之界定與Kabat等人 (1991年)及Chothia與Lesk(1987年)之界定類似。最佳地,抗 體A為含有胺基酸序列SEQ ID NO:4的輕鏈與胺基酸序列 SEQ ID NO:6的重鏈之抗體。該抗體係稱作BIWA4且為 VFF-18的人化變異體。亦尤其較佳地,抗體A為含有胺基 酸序列SEQ ID NO:8的輕鏈與胺基酸序列SEQ ID NO:6的重 鏈之抗體。該抗體係稱為BIWA8且為VFF-18的人化變異 體。根據本發明之抗體可類似於WO02/094879 A1及 胃〇02/094325 Λ2分別由核苦酸序歹4 SEQ ID NO:5及SEQ ID 97600.doc -23 - 200533375 NO:7(BIWA4)及 SEQ ID NO:9 及 SEQ ID NO:7(BIWA8)生 成。WO02/094325 A2亦詳細顯示了根據本發明與毒素結 合,且其全文以引用的方式倂入本申請案中。 若該物質會抑制或完全妨礙細胞功能及/或引起細胞破 壞,則其具”毒性”。毒性物質作為配位體可關於細胞抑制 性或細胞毒性起作用且導致細胞週期停滯或細胞死亡。該 等物質可藉由與核酸合成交互作用、鈍化核酸或由微管蛋 白結合而不同程度地干擾細胞週期。 毒性化合物B較佳為美登素,意即美登素的衍生物(CAS 3 5 8465 3 8)。B較佳為美登素醇的C-3酯。可與抗體偶合的美 登素類已有所描述(Chari等人,1992年;Liu等人,1996年; 美國專利第5,208,020號)。該等美登素類可用於本發明中。 毒性化合物B較佳為N2’-去乙醯基-N2'-(3-酼基-1-氧丙基)-美登素(CAS數為139504-50-0),亦稱作DM1。較佳地,該 美登素為經由美登素醇的C-3位置的雙硫橋偶合至抗體之 美登素醇衍生物。尤其較佳地,根據本發明之抗體/美登素 共軛物係由下式之美登素製得: 97600.doc 24- 200533375 式(II) QH, 〇Preferred antibodies are fusion tumor cells deposited (deposited on June 7, 1994, accession DSM ACC2174 5 DSM-Deutsche Sammlung fur Mikroorganismen and Zellkulturen GmbH 5 Mascheroder Weg lb, D-38 124 Braunschweig, Germany) [ Original text] Murine monoclonal antibody VFF-1 8. Also preferred are humanized recombinant antibodies, in which the so-called VFF-18 complementarity determining region (CDR) has been applied to the corresponding regions of the light and heavy chains of the human immunoglobulin gene. The definition of the complementary decision area is similar to that of Kabat et al. (1991) and Chothia and Lesk (1987). Most preferably, the antibody A is an antibody containing the light chain of the amino acid sequence SEQ ID NO: 4 and the heavy chain of the amino acid sequence SEQ ID NO: 6. This resistance system is called BIWA4 and is a humanized variant of VFF-18. It is also particularly preferred that the antibody A is an antibody containing the light chain of the amino acid sequence SEQ ID NO: 8 and the heavy chain of the amino acid sequence SEQ ID NO: 6. This resistance system is called BIWA8 and is a humanized variant of VFF-18. The antibody according to the present invention may be similar to WO02 / 094879 A1 and stomach 〇02 / 094325 Λ2, respectively, by the nucleotide sequence SEQ 4 SEQ ID NO: 5 and SEQ ID 97600.doc -23-200533375 NO: 7 (BIWA4) and SEQ ID NO: 9 and SEQ ID NO: 7 (BIWA8) were generated. WO02 / 094325 A2 also shows in detail the binding to a toxin according to the present invention, and its entirety is incorporated into this application by reference. It is "toxic" if it inhibits or completely obstructs cell function and / or causes cell destruction. Toxic substances can act as ligands with regard to cytostatic or cytotoxicity and cause cell cycle arrest or cell death. These substances can interfere with the cell cycle to varying degrees by interacting with nucleic acid synthesis, inactivating nucleic acids, or by binding to microtubule proteins. The toxic compound B is preferably maytansine, meaning a maytansinoid (CAS 3 5 8465 3 8). B is preferably a C-3 ester of maytansinol. Antibodies maytansinoids have been described (Chari et al., 1992; Liu et al., 1996; U.S. Patent No. 5,208,020). Such maytansinoids can be used in the present invention. The toxic compound B is preferably N2'-desethylfluorenyl-N2 '-(3-fluorenyl-1-oxopropyl) -maytansine (CAS number: 139504-50-0), also referred to as DM1. Preferably, the maytansinoid is a maytansinol derivative that is coupled to the antibody via a disulfide bridge at the C-3 position of maytansinol. Particularly preferably, the antibody / maytansin conjugate according to the present invention is prepared from maytansinoid of the formula: 97600.doc 24-200533375 formula (II) QH, 〇

(CH2)mSR1 R!表示Η或SR4’其中R4表示 鏈烧基、環縣、單或絲代之^基、直鏈烧基、支 '之方基,或雜環; R2表示C1或Η ; R3表示Η或CH3 ;及 m表示1、2或3。(CH2) mSR1 R! Represents fluorene or SR4 'wherein R4 represents a chain alkyl group, a ring group, a single or silk group, a linear alkyl group, a branched square group, or a heterocyclic ring; R2 represents C1 or fluorene; R3 represents Η or CH3; and m represents 1, 2 or 3.

Ri較佳為Η、CH3 或 SCH3,R^c卜 R^CH4m=2。 在文獻中,其中UK卜r3 = CH3及m=2之化合物係 稱作DM1。 在較佳實施例中,根據本發明之化合物具有sin 97600.doc -25- 200533375Ri is preferably Η, CH3 or SCH3, and R ^ c and R ^ CH4m = 2. In the literature, the compounds in which UK is r3 = CH3 and m = 2 are called DM1. In a preferred embodiment, the compound according to the invention has sin 97600.doc -25- 200533375

CH0 〇 ㈧ CH。 〇CH. (式 III) 其中 A為特定用於CD44之抗體分子,較佳地特定用於變異體 外顯子v6,較佳地特定用於胺基酸序列SEQ ID NO:3 ; (Lf)為視情況存在之連接體分子; P為十進制數,其中p= 1至10。 較佳地,p=3至4,尤其較佳為約3.5。 在此項技術中已知該等美登素的製備方法(詳言之US 5,208,020,實例 1 ; WO02/094325A2)。 在較佳實施例中,與在細胞内分解後釋放的化合物B、 B-X或B-L”-X相比,式(I)化合物的毒性更小。 由雙硫鍵連接的抗體/美登素共軛物為較佳,其可釋放美 登素分子。此類細胞結合共輛物係由先前技術(US 5,208,020 ; WO02/094325A2)所述之方法來製備。 在另一態樣中,該共軛物係由CD44v6特異抗體分子與美 登素組成。’’CD44v6特異”意謂該抗體對於在具有由 97600.doc -26- 200533375 CD44(較佳地人類CD44)之變異體外顯子v6編碼的胺基酸 序列之肽中[原文如此]的抗原決定部位具有特定結合親和 力。本發明之較佳抗體分子係特定地結合至包含或正好具 有胺基酸序列SEQ ID NO: 1或該序列的對偶基因變異體之 肽或多肽。該抗體分子較佳係特定地結合至該序列中的抗 原決定部位。根據本發明之抗體分子尤其較佳係特定地結 合至胺基酸序列SEQ ID NO:2或SEQ ID NO:3的抗原決定部 位。 根據本發明之抗體分子在該共軛物中較佳為單株抗體 VFF-18(DSM ACC2174)或具有 VFF-18的互補結合區(CDR) 之重組抗體。尤其較佳地,根據本發明之抗體分子含有胺 基酸序列SEQIDNO:4的輕鏈及胺基酸序列SEQIDNO:6的 重鏈。亦尤其較佳地,根據本發明之抗體分子含有胺基酸 序列SEQ ID NO:8的輕鏈及胺基酸序列SEQ ID NO:6的重 鏈。 該美登素較佳係經由雙硫鍵偶合至該抗體且具有下式:CH0 〇 ㈧ CH. (Formula III) wherein A is an antibody molecule specifically for CD44, preferably specifically for variant exon v6, and preferably for the amino acid sequence SEQ ID NO: 3; (Lf) is Linker molecules as appropriate; P is a decimal number, where p = 1 to 10. Preferably, p = 3 to 4, and particularly preferably about 3.5. Methods for preparing such maytansinoids are known in the art (detailed US 5,208,020, Example 1; WO02 / 094325A2). In a preferred embodiment, compounds of formula (I) are less toxic than compounds B, BX or BL "-X released after intracellular breakdown. Antibodies / maytansin conjugates linked by a disulfide bond It is preferred that it releases maytansinoid molecules. Such cell-bound co-cells are prepared by methods described in the prior art (US 5,208,020; WO02 / 094325A2). In another aspect, the conjugate It is composed of CD44v6 specific antibody molecule and maytansinoid. "CD44v6 specific" means that the antibody has an amine group encoded by exon v6 with a variant of 97600.doc -26- 200533375 CD44 (preferably human CD44). The [sic] epitope in the acid sequence peptide has a specific binding affinity. A preferred antibody molecule of the present invention specifically binds to a peptide or polypeptide comprising or exactly having the amino acid sequence SEQ ID NO: 1 or a dual gene variant of that sequence. The antibody molecule preferably specifically binds to an antigen-determining site in the sequence. The antibody molecule according to the present invention is particularly preferably specifically bound to the epitope of the amino acid sequence SEQ ID NO: 2 or SEQ ID NO: 3. The antibody molecule according to the present invention is preferably a monoclonal antibody VFF-18 (DSM ACC2174) or a recombinant antibody having a complementary binding region (CDR) of VFF-18 in the conjugate. Particularly preferably, the antibody molecule according to the present invention contains the light chain of the amino acid sequence SEQIDNO: 4 and the heavy chain of the amino acid sequence SEQIDNO: 6. It is also particularly preferred that the antibody molecule according to the present invention contains a light chain of the amino acid sequence SEQ ID NO: 8 and a heavy chain of the amino acid sequence SEQ ID NO: 6. The maytansinoid is preferably coupled to the antibody via a disulfide bond and has the following formula:

式(IV) 97600.doc 200533375 其中,在式ιν中經由硫原子與抗體連接受該抗體分子中 之另一硫原子影響。如WO02/094325A2所述,為了得到用 於在抗體分子中結合的此類硫原子,可由合適的連接體來 修飾該抗體分子。該美登素較佳係由S-CH2CH2-CO-、 -S-CH2CH2CH2CH2-CO-或-S-CH(CH3)CH2CH2-CO-基結合 至抗體分子。此類連接體基團中的硫原子與美登素形成雙 硫鍵,然而羰基官能基可結合至可存在於胺基酸側鏈中的 胺官能。 若干美登素基團可以此方式結合至抗體分子。每個抗體 分子中較佳地存在3至4個結合美登素基團。 最佳為CD44V6特異抗體分子與美登素的共軛物,其中該 抗體分子含有胺基酸序列SEQ ID NO:4的輕鏈及胺基酸序 列SEQ ID NO: 6的重鏈,且其中該美登素具有下式:The formula (IV) 97600.doc 200533375 wherein the connection to the antibody via a sulfur atom in formula ιν is affected by another sulfur atom in the antibody molecule. As described in WO02 / 094325A2, in order to obtain such a sulfur atom for binding in an antibody molecule, the antibody molecule may be modified by a suitable linker. The maytansinoid is preferably bound to the antibody molecule by an S-CH2CH2-CO-, -S-CH2CH2CH2CH2-CO-, or -S-CH (CH3) CH2CH2-CO- group. The sulfur atom in such a linker group forms a disulfide bond with maytansine, however, the carbonyl functional group may be bonded to an amine function which may be present in the amino acid side chain. Several maytansinoid groups can be bound to antibody molecules in this manner. Preferably 3 to 4 binding maytansinoid groups are present in each antibody molecule. The most preferred is a conjugate of a CD44V6 specific antibody molecule and maytansinin, wherein the antibody molecule contains the light chain of the amino acid sequence SEQ ID NO: 4 and the heavy chain of the amino acid sequence SEQ ID NO: 6, and wherein Maytan has the following formula:

式(IV) 且經由雙硫鍵偶合至抗體。 97600.doc -28- 200533375 較佳地,該連接體基團為_S CH2CH2CH2CH2_c〇_或 S-CH(CH3)CH2CH2-CO-且每抗體分子中結合美登素基團 的數目為3至4。 口此’本發明之較佳目的為減少美登素或抗體-美登素或 姻1複合物的化學(較佳地水解性)分解,且藉此避免調配 物中之游離美登素類或DM 1。 因此’必須使各種物理及化學條件可行以確保抗體_DM1 稷合物的高儲存穩定性。此可藉由提供經凍乾之調配物、 使用新I員賦形劑及開發一種滚乾抗體_美登素或_DM1複合 物的方法來實現。 7人心外地,根據本發明之凍乾調配物或醫藥組合物可 有利地由使用蒸汽-可滲透包之方法來製備(例如 Medipee卜亦可參考實例)。 忒等產生穩定抗體-美登素或七M1複合物之較佳方法導 致產物儲存期間游離美登素或Dmi及其衍生物的形成減 ^ μ外地,此可藉由以冷凍乾燥除水及使用經選擇之賦 形劑來達成。另外,最好降低?11值。替代溶液?11值之降低 或舁其結合,以令人吃驚的有利方式藉由添加一或多種上 述環糊精或如上文所詳述之兩親媒性分子來得到更穩定的 冷凍乾燥調配物。 ,較佳的環糊精尤其為7_環糊精(yCD)、經基丙基十環糊 精(ΗΡ-γ-CD)、羥基丙基·卜環糊精(Hp«D)或磺丁基醚 環糊精(SBE-/3-CD)。 使用環糊精開普梯索(αΐη1δ01)(δΒΕ«Ο :磺丁基醚_尽_ 97600.doc -29- 200533375 環糊精)(〇,〇〇 1至40.69 W%)已證明盍4 代 為尤其有利。調配物中的 邊寺交化對於凍乾之前及期間的加 ^ 丄步驟亦具重要性。令 人吃驚地,與參考調配物(液體形式 ,.^ )相較,上述方法之相應 組合有可能延長凍乾調配物(在2_8。 下儲存)的有效壽命6 至8倍(參照實驗部分)。 以下步驟已證明尤其適用於穩定冷滚乾燥狀態的複合 物: 1.將_降至PH5-6,較佳地降至55,尤其較佳地借助 於琥珀酸鈉緩衝劑(例如六水合琥珀酸二鈉),及/或 2·添加環糊精,其濃度為〇·〇1,4〇重量百分比較 佳為0.1-20W%,尤其較佳為〇 H〇wt %,及/或 3·使用甘露糖醇及蔗醣作為骨架物質,及/或 、主=使用較佳為吐溫(Tween) 2〇(對應於聚山梨糖醇酯如)之 清潔劑,較佳每1 mg/ml抗體共軛物使用〇〇1+/_〇〇1重量百 μ即母1 mg/ml抗體共輛物使用〇、〇 〇1或〇 〇2重量百 刀比,尤其較佳為每1 mg/ml抗體共軛物使用〇〇1重量百分 亦尤其較佳為〇 〇1-〇 〇5重量百分比之吐溫如(〇 Μ、 0.02、〇·〇3、〇〇4或〇〇5重量百分比)。 根據較佳實施例,該抗體共軛物複合物的濃度係介於 0.01 契 40 mg/mi之間,較佳地介於 〇1_2〇 mg/ml4〇5_i〇 g ml之間,尤其係介於之間。該濃度尤其最佳 為 2 3、4、5、6、7、8、9或1〇11^/1111(各情況均對應 於g/Ι)。 〜 此類調配物的較佳實施 如同上文所提及之其它調配物 97600.doc -30- 200533375 例較佳亦含有其它成份清潔劑,其較佳係選自濃度在〇 〇1_5 重里百分比之間、較佳在0 〇1_〇1(〇 〇卜〇 〇2、〇 〇3、〇 〇4、 H 〇·〇6 ' 0·07、0·08、〇·〇9、〇·_ 量百分比之間、尤其 車乂 L 在0·01·*0,05 重量百分比之間(0.01、0·02、0.03、〇.〇4 或0.05重里百分比)的吐溫2〇、吐溫6〇、吐溫8〇(聚山梨糖醇 〇 6〇 80,泊洛沙姆(p〇i〇xamere)(泊洛尼克 (Pluromc)))。該清潔劑之用量亦較佳為每i㈤以—抗體共軛 物為0.01+/-0.01重里百分比,意即每i叫㈤抗體共辆物為 〇、〇·〇1或0·02重量百分比,尤其較佳為每lmg/ml抗體共軛 物0.01重量百分比。 具有低pH值及/或具有環糊精的調配物可以令人吃驚的 有利方式預防共軛效應分子自抗體中分解。 a與參考魏物(液體形式)相較,上述方法之相應組合可 月匕、7人l ^的有利方式延長凍乾調配物(在2_8它下儲存) 的有效壽命6至8倍(參照實驗部分)。 根據另貝施例,本發明係關於一種使冷凍乾燥調配物 中的抗體-D Μ1複合物籍$ + 物%疋之方法,其係藉由組合上文所提 及之下列兩種穩定方法爽每 乃凌;κ現·降低pH值及使開普梯索存 在於該調配物中。 根據本發明,已有可*t彡日 月b彳疋供預防DM1自冷凍乾燥調配物 中的抗體中分解之方法。沐 根據本發明之方法的特徵為抗體 -DM1複合物的高度穩定 心|王在2-8 C下的有效舞命為18至2^ 個月。在以水(WFI,注射田 ^ ^ 射用水)或鹽水溶液使冷凍乾燥製劑 重構之後,獲得用於非細眼m ^ 、、二%用樂、較佳地靜脈内用藥之液 97600.doc •31- 200533375 體調配物。 令人吃驚地,已發現pH值的減少及/或 /及開晋梯索的存在會 使抗體-DM 1複合物的冷康乾燥調配物穩定。 根據較佳實施例,該抗體-DM1複合物的濃度係介於〇〇1 與4〇mg/m丨之間,較佳係介於之間尤其係介 於0.1-10mg/ml之間。該濃度尤其最佳為i、2、3、4、5、6、 7、8、9 或 1 0 mg/ml 〇 以下步驟已證明尤其適用於穩定冷凍乾燥狀態之複合 物: 1·將pH值降至pH 5-6 ’較佳地降至5,5,及/或 2.添加開普梯索(0.01-約4〇 w%),其濃度較佳為〇1-2〇 w%,尤其較佳為〇·ι_10 w%,及/或 3·使用甘露糖醇及蔗醣作為骨架物質,甘露糖醇與蔗醣 之重量比較佳為4:1 w/w。 如同上文所提及之其它調配物,此類調配物的較佳實施 例較佳亦含有其它成份清潔劑,其較佳係選自濃度在〇〇1_5 重量百分比之間、較佳在0.0}_0」(0.(Π、〇·〇2、0.03、0.04、 〇·〇5、0.06、0.07、0.08、0·09、0·1)重量百分比之間、尤其 較佳在0.01-0.05重量百分比之間(0.01、0.02、0.〇3、〇.04 或0·05重量百分比)的吐溫2〇、吐溫60、吐溫80(聚山梨糖醇 酯20、60、80,泊洛沙姆(泊洛尼克))。該清潔劑的用量亦 較佳為每1 mg/ml抗體共軛物〇 〇1+/-0 〇1重量百分比,意即 每1 mg/ml抗體共軛物〇、〇.〇丨或〇.〇2重量百分比,尤其較佳 為每1 mg/ml抗體共軛物〇.01重量百分比。 97600.doc 200533375 尤其較佳之調配物為某一調配物,其: -係藉由將pH值降至pH 5-6(較佳地5.5)來進行調配, -含有較佳為六水合琥珀酸二鈉之琥珀酸鹽緩衝劑,其 $車父佳為1〇,〇〇毫莫耳/升;或含有磷酸鹽緩衝劑,其 含有 1-1.9 mM NaH2P〇4 X H20、4-5 mM KH2P〇4、 3.5-4.5 mM Na2HP04,及/或 -含有4:1 w/w的甘露糖醇與蔗醣,及/或 -含有吐溫20,其量為每1 mg/ml抗體共軛物〇.〇1、〇 〇2、 0·〇3、〇.〇4或〇_〇5重量百分比或〇·〇ι+/_〇·〇ι重量百分比 之吐溫20,意即每1 mg/ml抗體共輛物〇、〇·〇ι或〇·〇2重 i百分比,尤其較佳為每1 mg/ml抗體共輛物丨重量 百分比’及/或 -連同上述抗體共軛物中的一種,尤其較佳為偶合至如 上所述之美登素DM1的CD44v6特異抗體之抗體共輛 物。 較佳調配物含有磷酸鹽緩衝劑、食鹽、吐溫2〇、4: i w/w 的甘露糖醇與蔗醣及上述抗體共I厄物中的一者,尤其較佳 地含有偶合至如上所述之美登素DM 1的CD44v6特異抗體 之抗體共|厄物。尤其較佳之調配物含有包含1 _ 1.9 mM NaH2P〇4 x H20 - 4-5 mM KH2P04 - 3.5-4.5 mM Na2HP04 之石粦酸鹽緩衝劑,亦含有4:1 w/w的甘露糖醇與蔬_、3〇_loo mM NaC卜〇·〇ι·〇.〇5 wt.%的吐溫20(每1 mg/ml抗體共軛物 含有0.01+/-0.01重量百分比之吐溫20,意即每1 mg/ml抗體 共車厄物含有〇、0.01或0.02重量百分比,尤其較佳地每1 97600.doc -33 - 200533375 mg/ml抗體共軛物含有〇·(Π重量百分比)及抗體共軛物,較 佳地含有抗體-DM1共軛物,尤其較佳地含有偶合至如上所 述之美登素DM1的CD44v6特異抗體的抗體共軛物,其濃度 在卩115-6時為1-5 11^/1111。尤其較佳為?115.5。 另一較佳調配物含有下列各物:包含約丨45 mM NaH2P〇4 χ H2〇、約 4.19 mM KH2P〇4、約 3 91 mM Na2HP04之磷酸鹽 緩衝劑;4:1 w/w的甘露糖醇與蔗醣;及約6〇 mM NaCl ;以 及每ί mg/ml抗體共軛物約〇·〇2 w%之吐溫20或0.01 w%之 吐溫20 ;及抗體共軛物,較佳為抗體-DMi共軛物,尤其較 佳為偶合至如上所述之美登素Dmi的cD44v6特異抗體之 抗體共輛物,其濃度在pH 6.5時為1-2.5 mg/ml、較佳地1.8 mg/ml 〇 另一較佳調配物含有1〇❿“琥珀酸鹽緩衝劑(例如琥珀酸 鈉緩衝劑)、2-5 mg/ml的抗體共軛物以及4:1 w/w的甘露糖 醇與嚴醣’然而該抗體共軛物較佳為抗體-DM][共軛物,尤 其較佳為偶合至如上所述之美登素DM1的cd44v6特異抗 版之抗體共輛物。該尤其較佳醫藥製劑的其它可選擇成份 為· NaC1,其為濃度在30-100 mM之間的NaCl,較佳為60 mM NaCl ’及/或吐溫2〇,其為濃度在〇〇l_〇〇5 w%之間的吐溫 2〇,吐溫20之量較佳為每i mg/ml抗體共軛物〇〇1、〇〇2、 〇·〇3、〇·〇4或〇·05重量百分比或〇 〇1+/ —〇 〇1重量百分比的吐 溫20 ’意即每1 mg/ml抗體共軛物〇、〇〇1或〇〇2重量百分 比’尤其較佳為每1 mg/ml抗體共軛物〇〇1重量百分比。將 PH值調節至5-6,尤其較佳為5.5。 97600.doc -34- 200533375 以下實例係用來更詳細地說明本發明,而不以任何方式 限制本發明之範疇。 例示性實施例 以下實例係用來說明根據本發明之目的及方法。製備液 體調配物(作為對照調配物)及冷凍乾燥調配物。 設備及方法: 化學製品: 所用之賦形劑符合醫藥學使用所許可的賦形劑要求。表2 顯示所用賦形劑。WFI(注射用水)係購自Boehringer Ingelheim,Biberach,DE 〇 表2 物質 供應商 分子量 (g/mol) KH2P〇4 BTP BI 136.09 NaH2P04 x 2H2OBTP BI 156.0 Na2HP04 x 2H2OBTP BI 177.99 NaCl BTP BI 58.44 甘露糖醇BTP BI 182.17 蔗醣BTP BI 342.3 正磷酸85% Fluka HP-/3-CD BI (DE) 1521.0 ΗΡ-γ-CD Wacker (DE) 1297.0 T-CD Wacker (DE) 1576.0 開普梯索(SBE-/3-CD) CyDex (USA) 2163.0 HP :羥基-丙基 SBE :磺丁基醚 CD :環糊精 所用之所有環糊精均係購得(對照表1)。Formula (IV) is coupled to the antibody via a disulfide bond. 97600.doc -28- 200533375 Preferably, the linker group is _S CH2CH2CH2CH2_c0_ or S-CH (CH3) CH2CH2-CO- and the number of maytansinoid groups per antibody molecule is 3 to 4 . The preferred purpose of the present invention is to reduce the chemical (preferably hydrolytic) decomposition of maytansinoids or antibody-maytansinoids or matine 1 complexes, and thereby avoid free maytansinoids or DM 1. Therefore, various physical and chemical conditions must be made feasible to ensure high storage stability of the antibody-DM1 complex. This can be achieved by providing lyophilized formulations, using new I-member excipients, and developing a tumble-dried antibody _ maytansinol or _DM1 complex. In the field of 7 people, a lyophilized formulation or a pharmaceutical composition according to the present invention can be advantageously prepared by a method using a steam-permeable packet (for example, Medipee can also refer to examples). The preferred method of producing stable antibody-maytansin or heptaM1 complexes results in reduced formation of free maytansinol or Dmi and its derivatives during storage of the product. This can be achieved by freeze-drying to remove water and use This is achieved with selected excipients. Also, should it be lowered? 11 value. Alternative solution? A decrease in the value of 11 or a combination thereof results in a surprisingly advantageous way by adding one or more of the above cyclodextrins or amphiphilic molecules as detailed above to obtain more stable freeze-dried formulations. The preferred cyclodextrin is in particular 7-cyclodextrin (yCD), transpropyl decacyclodextrin (HP-γ-CD), hydroxypropyl · cyclodextrin (Hp «D) or sulfobutane Ether ether cyclodextrin (SBE- / 3-CD). The use of cyclodextrin-capitasol (αΐη1δ01) (δΒΕ «Ο: sulfobutyl ether_excess_ 97600.doc -29- 200533375 cyclodextrin) (〇, 〇〇1 to 40.69 W%) has been proven Especially advantageous. The blending of border temples in the formulation is also important for the addition steps before and during lyophilization. Surprisingly, compared to the reference formulation (liquid form,. ^), The corresponding combination of the above methods has the potential to prolong the effective life of the lyophilized formulation (stored under 2_8.) By 6 to 8 times (see experimental section) . The following steps have proven to be particularly suitable for stabilizing compounds in the cold-rolled dry state: 1. Reduce _ to pH 5-6, preferably to 55, particularly preferably with the aid of a sodium succinate buffer (such as succinic acid hexahydrate) Disodium), and / or 2. added cyclodextrin, the concentration of which is from 0.1 to 40% by weight, preferably from 0.1 to 20% by weight, particularly preferably from 0 to 0% by weight, and / or 3. Mannitol and sucrose are used as backbone materials, and / or, the main = use a cleaning agent preferably Tween 20 (corresponding to polysorbate ester), preferably 1 mg / ml antibody total The conjugate uses 〇001 + / _ 〇〇1 weight 100 μ, that is, the mother 1 mg / ml antibody, a total weight of 〇, 001, or 002 weight 100 knife ratio, particularly preferably per 1 mg / ml antibody The conjugate uses a Tween of 0.001 weight percent and particularly preferably a weight percentage of 0.001 to 0.05 weight percent (e.g., OM, 0.02, 0.003, 0.004, or 0.05 weight percent). According to a preferred embodiment, the concentration of the antibody conjugate complex is between 0.01 and 40 mg / mi, preferably between 〇1_20 mg / ml and 405_i0g ml, especially between between. This concentration is particularly preferably 2 3, 4, 5, 6, 7, 8, 9, or 1011 ^ / 1111 (each case corresponds to g / 1). ~ The preferred implementation of such formulations is the same as the other formulations mentioned above 97600.doc -30- 200533375. Examples also preferably contain other ingredients cleaners, which are preferably selected from the concentration of 0.001 to 5 weight percent Time, preferably in an amount of 0 〇1_〇1 (〇〇〇〇002, 〇 03, 〇 04, H 〇 〇 6 '0, 07, 08, 〇 09, 〇__ amount Tween 20, Tween 60, Tween 60, and T.L. 60, especially weight percent (0.01, 0.02, 0.03, 0.04, or 0.05 weight percent). Tween 80 (polysorbate 0680, poloxamer (Pluromc)). The amount of the cleaning agent is also preferably-antibody co- The conjugate is 0.01 +/- 0.01 weight percent, which means that the total amount of the antibody per antibody is 0, 0.001, or 0.02 weight percent, and it is particularly preferably 0.01 weight percent per 1 mg / ml antibody conjugate. Formulations with low pH and / or cyclodextrin can surprisingly prevent the decomposition of the conjugate effector molecule from the antibody. A Compared to the reference compound (liquid form), the method described above The effective life of the lyophilized formulation (stored under 2_8) should be extended by 6 to 8 times in an advantageous way (7 months to 7 months) (refer to the experimental part). According to another embodiment, the present invention relates to a The method of freeze-drying the antibody-D Μ1 complex compound in the formulation is based on the combination of the following two stabilization methods mentioned above; κ present · lower the pH value and make Cape Trisox exists in the formulation. According to the present invention, there are methods that can prevent the decomposition of DM1 from the antibodies in the freeze-dried formulation. Features of the method according to the present invention Highly stable heart for the antibody-DM1 complex | Wang's effective dance life at 2-8 C is 18 to 2 ^ months. Freeze-dried preparations are made with water (WFI, injection field ^^ water for injection) or saline solution After reconstitution, a liquid formulation for non-fine eye m ^, bismuth, preferably intravenous administration, 97600.doc • 31- 200533375 was obtained. Surprisingly, it has been found that the decrease in pH and And / or / and the presence of kaizen ladder will stabilize the cold-dried formulation of the antibody-DM 1 complex According to a preferred embodiment, the concentration of the antibody-DM1 complex is between 0.001 and 40 mg / m, preferably between 0.1 and 10 mg / ml. This concentration is particularly preferably i, 2, 3, 4, 5, 6, 7, 8, 9, or 10 mg / ml. The following steps have proven to be particularly suitable for compounds that stabilize the freeze-dried state: 1. Set the pH value Reduce to pH 5-6 ', preferably to 5,5, and / or 2. Add capecide (0.01 to about 40w%), preferably at a concentration of 01-20w%, especially It is preferably from 0 to 10 w%, and / or 3. using mannitol and sucrose as a skeleton substance, and the weight ratio of mannitol and sucrose is preferably 4: 1 w / w. As with the other formulations mentioned above, the preferred embodiments of such formulations preferably also contain other ingredient cleaners, which are preferably selected from concentrations ranging from 0.001 to 5 weight percent, preferably from 0.0} _0 "(0. (Π, 0.002, 0.03, 0.04, 0.005, 0.06, 0.07, 0.08, 0.09, 0.1)), particularly preferably 0.01-0.05 weight percent Tween 20, Tween 60, Tween 80 (0.01, 0.02, 0.03, 0.04, or 0.05 weight percent) (polysorbate 20, 60, 80, poloxacin (Poronic)). The amount of the cleaning agent is also preferably 0.001 +/- 0 〇1 weight percent per 1 mg / ml antibody conjugate, which means that the antibody conjugate per 1 mg / ml. , 〇 丨 or 〇002 weight percent, particularly preferably 0.01 weight percent per 1 mg / ml antibody conjugate. 97600.doc 200533375 A particularly preferred formulation is a formulation, which:- It is formulated by lowering the pH to pH 5-6 (preferably 5.5),-a succinate buffer containing preferably disodium succinate hexahydrate, which has a pH of 10.0. 〇mmol / L; or Phosphate buffer containing 1-1.9 mM NaH2P〇4 X H20, 4-5 mM KH2P04, 3.5-4.5 mM Na2HP04, and / or-containing 4: 1 w / w mannitol and sucrose , And / or-contain Tween 20 in an amount of 0.001, 0.002, 0.03, 0.004 or 0.005 weight percent or 0.005 per 1 mg / ml antibody conjugate. 〇ι + / _ 〇 · 〇ι weight percentage of Tween 20, which means that every 1 mg / ml antibody totals 〇, 〇〇〇ι or 〇 02 weight percent, especially preferably every 1 mg / ml antibody co-products 丨 weight percent 'and / or- together with one of the above-mentioned antibody conjugates, an antibody co-product that is specifically coupled to a CD44v6 specific antibody to maytansinoid DM1 as described above is particularly preferred. Contains one of phosphate buffer, table salt, Tween 20, 4: iw / w of mannitol, sucrose, and the above antibody, especially preferably maytansin coupled to the above-mentioned Antibodies for CD44v6 specific antibodies to DM 1 | Euregen. Particularly preferred formulations contain a carbamate buffer containing 1 _ 1.9 mM NaH2P〇4 x H20-4-5 mM KH2P04-3.5-4.5 mM Na2HP04, also Contains 4: 1 w / w of mannitol and vegetable _, 3__loo mM NaC, 〇.〇 ·· 0.05 wt.% Tween 20 (0.01 +/- 0.01 per 1 mg / ml antibody conjugate Tween 20 in weight percent means 0, 0.01, or 0.02 weight percent per 1 mg / ml antibody coche, and particularly preferably 1 97600.doc -33-200533375 mg / ml antibody conjugate. (Π weight percent) and antibody conjugates, preferably containing the antibody-DM1 conjugate, particularly preferably an antibody conjugate containing a CD44v6 specific antibody coupled to maytansinoid DM1 as described above, at a concentration of卩 115-6 is 1-5 11 ^ / 1111. Especially preferred? 115.5. Another preferred formulation contains the following: a phosphate buffer containing about 45 mM NaH2P04 x H20, about 4.19 mM KH2P04, and about 3 91 mM Na2HP04; 4: 1 w / w mannose Alcohol and sucrose; and about 60 mM NaCl; and about 0.02 w% Tween 20 or 0.01 w% Tween 20 per mg / ml antibody conjugate; and antibody conjugate, preferably Is an antibody-DMi conjugate, particularly preferably an antibody co-conjugate coupled to the cD44v6 specific antibody of maytansinoid Dmi as described above, whose concentration is 1-2.5 mg / ml, preferably 1.8 mg at pH 6.5 / ml. Another preferred formulation contains 10% "succinate buffer (such as sodium succinate buffer), 2-5 mg / ml antibody conjugate, and 4: 1 w / w mannitol However, the antibody conjugate is preferably antibody-DM] [conjugate, particularly preferably a cd44v6 specific anti-version antibody coupled to maytansinoid DM1 as described above. This is particularly preferred Other optional ingredients of the pharmaceutical preparation are: NaC1, which is NaCl at a concentration between 30-100 mM, preferably 60 mM NaCl 'and / or Tween 20, which is at a concentration of 0.001-0.05 vomit between w% The temperature is 20, and the amount of Tween 20 is preferably 0.001, 0.002, 0.003, 0.004, or 0.05 weight percent or 0.001 per 1 mg / ml antibody conjugate. -〇1 weight percent Tween 20 'meaning that the antibody conjugate is 0, 001, or 002 weight percent per 1 mg / ml of antibody conjugate' is particularly preferably 0.001 per 1 mg / ml antibody conjugate. Percent by weight. The pH value is adjusted to 5-6, especially preferably 5.5. 97600.doc -34- 200533375 The following examples are used to illustrate the present invention in more detail, without limiting the scope of the invention in any way. Illustrative EXAMPLES The following examples are used to illustrate the purpose and method according to the present invention. Preparation of liquid formulations (as control formulations) and freeze-dried formulations. Equipment and methods: Chemicals: The excipients used are in accordance with the medical license Excipient requirements. Table 2 shows the excipients used. WFI (water for injection) was purchased from Boehringer Ingelheim, Biberach, DE 〇 Table 2 Material supplier molecular weight (g / mol) KH2P〇4 BTP BI 136.09 NaH2P04 x 2H2OBTP BI 156.0 Na2HP04 x 2H2OBTP BI 177.99 NaCl BTP BI 58.44 Manna Sugar alcohol BTP BI 182.17 Sucrose BTP BI 342.3 Orthophosphate 85% Fluka HP- / 3-CD BI (DE) 1521.0 HP-γ-CD Wacker (DE) 1297.0 T-CD Wacker (DE) 1576.0 Cape Trisso (SBE -/ 3-CD) CyDex (USA) 2163.0 HP: hydroxy-propyl SBE: sulfobutyl ether CD: cyclodextrin All cyclodextrin used was purchased (see Table 1).

所用之抗體-DM1複合物為CD44v6特異抗體分子及美登 素DM 1的共輥物,其中該抗體分子含有胺基酸序列SEQ ID 97600.doc -35 - 200533375 NO:4之輕鏈及胺基酸序列SEQ ID NO:6之重鏈,且其中該 美登素具有下式:The antibody-DM1 complex used is a co-roller of the CD44v6 specific antibody molecule and maytansinoid DM 1, wherein the antibody molecule contains the light chain and amino group of the amino acid sequence of SEQ ID 97600.doc -35-200533375 NO: 4 The heavy chain of the acid sequence SEQ ID NO: 6, and wherein the maytansine has the formula:

?h3 〇 〇 3 Η C? h3 〇 〇 3 Η C

S- 式(IV) 且係經由雙硫鍵偶合至抗體。 A.抗體-DM1複合物的調配物研究 抗體-DM1調配物的製備: 為了製備1.8 mg/ml之抗體-DM1溶液,首先(由標準方法) 將起始溶液緩衝為新近待測試之溶液,然後添加之或同時 添加相應之賦形劑。下列實例描述了該等調配物的精確組 合物。 分析量測方法: -根據通用之PharmEu及USP方法來測定pH值、滲透性、 外觀、顏色及透明度。 -ΗΡ-SEC(高效能排阻層析法)。使用ΗΡ-SEC來測定溶液 中的單體含量。自SEC管柱中等度溶離T2且由積分法 來計算單體峰值。 97600.doc -36- 200533375S- Formula (IV) and is coupled to the antibody via a disulfide bond. A. Preparation of antibody-DM1 complex studies Preparation of antibody-DM1 preparation: To prepare a 1.8 mg / ml antibody-DM1 solution, first (by standard methods) buffer the starting solution to the solution to be tested recently, then Add or add corresponding excipients. The following examples describe the precise composition of these formulations. Analytical measurement methods:-Measure pH, permeability, appearance, color and transparency according to the universal PharmEu and USP methods. -HP-SEC (High Performance Exclusion Chromatography). HP-SEC was used to determine the monomer content in the solution. T2 was moderately dissociated from the SEC column and the monomer peak was calculated by the integration method. 97600.doc -36- 200533375

-RP-HPLC(逆相高效能液體層析法):使用RP-HPLC來測 定游離DM1的含量。該分析方法係基於HPLC與’’屏蔽ff 逆相管柱之組合,該管柱使得在蛋白質分子存在下甄 別UV可吸收之小化學分子成為可能。該組合方法組合 了尺寸排阻層析法與逆相層析的優點。大分子不能透 過該多孔管柱基質且結果,大分子不能結合於該基質 的疏水性内部。另一方面,小分子可進入管柱基質中 且結合於疏水性内部。在游離DM 1(”小”)存在下將抗體 -DM1複合物(’’大’’)溶液應用至該管柱。僅游離DM1可 結合,溶離抗體-DM1複合物。借助於乙腈梯度自管柱 中溶離DM1與相應的安塞米脫新(ansamitocine)衍生 物。 用於應力穩定性研究的主要封裝 液體調配物:-RP-HPLC (reverse phase high performance liquid chromatography): RP-HPLC was used to determine the content of free DM1. The analytical method is based on a combination of HPLC and a '' shielded ff reverse phase column, which makes it possible to identify small chemical molecules that can be absorbed by UV in the presence of protein molecules. This combined method combines the advantages of size exclusion chromatography with reversed-phase chromatography. Macromolecules cannot penetrate the porous column matrix and as a result, macromolecules cannot bind to the hydrophobic interior of the matrix. On the other hand, small molecules can enter the column matrix and bind to the hydrophobic interior. An antibody-DM1 complex (' large ') solution was applied to the column in the presence of free DM1 ("small"). Only free DM1 can bind and elute the antibody-DM1 complex. DM1 and the corresponding ansamitocine derivative were dissolved from the column by means of an acetonitrile gradient. Major Encapsulations for Stress Stability Studies

小瓶:20/25 ml標準小瓶(20R),無色,GA1 Inj.(Messrs Schott ? DE) 終止劑:Gusto WS 579,W 1 888,灰色,鐵弗龍 (Teflon)(Messrs West,USA) 凸緣蓋:Kombika/Alu-KU (Messrs West,DE) 冷凍乾燥調配物: 小瓶:20/25 ml標準小瓶(20R),無色,GA1 Inj.(Messrs Schott,DE) 終止劑:Gusto WS 1797 PH 4023/50,灰色,塗層(Messrs West,USA) 97600.doc -37- 200533375 凸緣蓋·· Kombika/Alu-KU (Messrs West,DE) 進行應力穩定性研究 使待測試之不同調配物經無菌過濾器(〇 22微米,Μα.Vial: 20/25 ml standard vial (20R), colorless, GA1 Inj. (Messrs Schott? DE) Terminator: Gusto WS 579, W 1 888, grey, Teflon (Messrs West, USA) flange Cap: Kombika / Alu-KU (Messrs West, DE) Freeze-dried formulation: Vial: 20/25 ml standard vial (20R), colorless, GA1 Inj. (Messrs Schott, DE) Terminator: Gusto WS 1797 PH 4023 / 50, gray, coated (Messrs West, USA) 97600.doc -37- 200533375 Flange cover Kombika / Alu-KU (Messrs West, DE) Conducted a stress stability study to sterilize the different formulations to be tested (22 μm, Mα.

Mmip〇re)進行無菌過濾、且將其轉移至小瓶中。液體調配物 之體積含量為20 ml,冷凍乾燥調配物為丨〇 ml。 接著對小瓶中的10 ml凍乾調配物進行冷凍乾燥。使用終 止劑與凸緣蓋來密封小瓿且將其倒置儲存。 應力穩定性研究的儲存溫度為4〇。〇。 在0、4及8週之後取出該等樣品。 實例1 · pH值及束乾作用對抗趙-DM1複合物穩定性的影響 蛋白質濃度(抗體-DM 1複合物)對所有液體調配物而言均 為1.8 mg/ml且對凍乾調配物而言為4.65 mg/ml。因此,每 一小瓶中的蛋白質$均相同· 1 ·8 mg/ml><20 1111=36 mg/小瓶 (液體調配物),4.65 mg/mlxl〇 ml=46.5 mg/小瓶(凍乾調配 物)。 對照調配物(表3)係由以下賦形劑組成。 表3 : 物質 組分 蛋白質 濃度:1.8mg/mL KH2P〇4 4.19 mM NaH2P〇4 x H2〇 1.45 mM Na2HP〇4 3.91 mM NaCl 139.6 mM 吐溫20 0.02 w% pH____ 6.5 將所研究的不同調配物之pH值調節至pH 6 · 0及5 · 5,由對 照調配物(表3)及1 N磷酸開始反應。Mmipore) was sterile filtered and transferred to a vial. The volume content of the liquid formulation was 20 ml, and the freeze-dried formulation was 0 ml. The 10 ml lyophilized formulation in the vial was then lyophilized. Use a terminator and a flanged cap to seal the vial and store it upside down. The storage temperature for the stress stability study was 40 ° C. 〇. The samples were taken after 0, 4 and 8 weeks. Example 1 · Effect of pH and beam drying on the stability of Zhao-DM1 complex Protein concentration (antibody-DM 1 complex) is 1.8 mg / ml for all liquid formulations and for lyophilized formulations It is 4.65 mg / ml. Therefore, the protein $ in each vial is the same. 1.8 mg / ml < 20 1111 = 36 mg / vial (liquid formulation), 4.65 mg / ml x 10 ml = 46.5 mg / vial (lyophilized formulation ). The control formulation (Table 3) consisted of the following excipients. Table 3: Substance component protein concentration: 1.8mg / mL KH2P〇4 4.19 mM NaH2P〇4 x H2〇1.45 mM Na2HP〇4 3.91 mM NaCl 139.6 mM Tween 20 0.02 w% pH____ 6.5 The pH was adjusted to pH 6 · 0 and 5 · 5 and the reaction was started with the control formulation (Table 3) and 1 N phosphoric acid.

將20 ml各調配物轉移至20 &小瓶中及將該等小瓶在40°C 97600.doc 200533375 下倒置儲存。 冷凍調配物係由(表4)組成。 表4 : - 組分 3 白質~~~' -- 濃度:4.65 mg/mL KH2P04 4.19 mM NaH2P04 X H20 1.45 mM ^a2HP〇4 --- 3.91 mM 甘露糖醇 4w% ' — 1 w% 吐溫20 — 0.02 w% ~ρϊϊ -- 6.5 圖1及表5顯示應力研究的結果。 表5 : 時間 pH 5,5 pH 6,0 pH 6,5 週 HP-SEC 1 體[%] ACC pH值 HP-SEC 單體[%] ACC pH值 HP-SEC 單體[%] ACC pH^ 0 94 1,3 93 1.2 5.9 92 一 L6 _ 6.3 4 84 2,1 5.3 84 2.0 5.9 82 2.6 6.4 8 87 1,4 Γ5.4 85 1 2.8 5.8 81 5.2 6.4 圖1顯示游離DM 1含量的差異。其顯示游離dmI介於0值 與4週值之間的差異及介於〇值與$週值之間的差異。 測定DM1含量的評估的描述為:將不同DM1分子關於各 取樣時間的量測面積加起來。此產生個別樣品中DM1衍生 物的面積總和。該圖形顯示出關於各調配物,該等介於〇 與4週之間(亮)的區域有所增加(相應調配物中游離美登素 類的增加)及該等介於0與8週之間(暗)的區域亦有所增加。 令人吃驚地,已發現pH值對抗體_DM1複合物的穩定性具 有主要影響。 圖2清晰地顯示出pH值的作用。在?]9[5.5調配物中的游離 97600.doc -39- 200533375 DM1含量比pH 6.5調配物中的含量低2至3倍。 在研究滚乾調配物的DM]資料時發現更令人吃驚的社 果。其可清晰地證實冷綠燥法顯著地穩定抗體_咖複二 物的穩定性。該方法發展為冷;東乾燥法及使㈣調配㈣ 致穩定產物。 在PH 5.5調配物中的單體含量比在ρΗ 6·5調配物中的單 體含量高2-6%。低ρΗ值亦對Acc(外觀、顏色、透明度)參 數具有有利影響(對照表4)。 " 歷經8週之時期(在贼下儲存),單體含量減少12%⑽ 6.5的調配物)。相應的;東乾調配物並未顯示出單體含量 少。 總結而言,可言胃將pH值自6·5降至5.5對抗體_则複合物 的穩定性具有積極影響。與pH 6 5的調配物相比,在2_代 下儲存時可延長其有效壽命2-3倍。 然而,猎由以冷凍乾燥法除水來達成顯著的穩定影響。 上文提供的凍乾調配物(表4)的應力穩定性資料清晰地顯示 出冷凍乾燥對DM1值亦及對未變化之單體含量的穩定性 響。 ” 舞藉由組合液體調配物的研究結果可預期其它有利的影 響’意即將凍乾調配物的pH值降至pH 5.5。 實例2 :環糊精對抗體-DM1複合物穩定性的影響 在第一測试中,在應力研究中對環糊精對於抗體複 合物的穩定性的影響進行評估。 測试4種不同環糊精: 97600.doc -40- 200533375 • 羥基-丙基-/5•環糊精(HP_/5_CD) • 羥基-丙基-γ-環糊精(ΗΡ-γ-CD) • γ-環糊精(γ-CD) • 磺丁基醚環糊精(SBE-/3-CD,開普梯索) 基礎調配物係由以下賦形劑(表6)組成。 表6 ··Transfer 20 ml of each formulation to a 20 & vial and store these vials upside down at 40 ° C 97600.doc 200533375. The frozen formulation consists of (Table 4). Table 4:-Component 3 White matter ~~~ '-Concentration: 4.65 mg / mL KH2P04 4.19 mM NaH2P04 X H20 1.45 mM ^ a2HP〇4 --- 3.91 mM Mannitol 4w%' — 1 w% Tween 20 — 0.02 w% ~ ρϊϊ-6.5 Figures 1 and 5 show the results of the stress study. Table 5: Time pH 5, 5 pH 6, 0 pH 6, 5 weeks HP-SEC 1 body [%] ACC pH HP-SEC monomer [%] ACC pH HP-SEC monomer [%] ACC pH ^ 0 94 1,3 93 1.2 5.9 92-L6 _ 6.3 4 84 2,1 5.3 84 2.0 5.9 82 2.6 6.4 8 87 1,4 Γ5.4 85 1 2.8 5.8 81 5.2 6.4 Figure 1 shows the difference in free DM 1 content. It shows the difference between the free dmI value between 0 and 4 weeks and the difference between 0 value and $ week. The evaluation of the DM1 content is described by adding up the measured areas of different DM1 molecules for each sampling time. This results in the sum of the area of DM1 derivatives in individual samples. The graph shows that for each formulation, the areas between 0 and 4 weeks (bright) increased (the increase in free maytansin in the corresponding formulation) and those between 0 and 8 weeks The dark (dark) area has also increased. Surprisingly, it has been found that pH has a major effect on the stability of the antibody_DM1 complex. Figure 2 clearly shows the effect of pH. in? ] 9 [5.5 Free in the formulation 97600.doc -39- 200533375 DM1 content is 2 to 3 times lower than that in the pH 6.5 formulation. More surprising results were found when studying the DM] data for tumble dry formulations. It can clearly confirm that the cold green dry method significantly stabilizes the stability of the antibody-coffin. This method was developed as cold; East drying method and mixing ㈣ to produce stable products. The monomer content in the pH 5.5 formulation is 2-6% higher than the monomer content in the pH 6.5 formulation. Low ρΗ values also have a beneficial effect on the Acc (Appearance, Color, Transparency) parameters (see Table 4). " After 8 weeks (stored under thief), the monomer content is reduced by 12% ⑽ 6.5 formulation). Correspondingly, Donggan formulations did not show low monomer content. In summary, it can be said that the pH of the stomach from 5.5 to 5.5 has a positive effect on the stability of the antibody-then complex. Compared with the formulation at pH 6 5, its effective life can be extended by 2-3 times when stored under 2_ generation. However, hunting achieved significant stabilization effects by removing water by freeze-drying. The stress stability data of the freeze-dried formulations (Table 4) provided above clearly show the effect of freeze-drying on the DM1 value and the stability of the unchanged monomer content. The results of the research on combined liquid formulations can be expected to have other beneficial effects' meaning that the pH value of the lyophilized formulation is reduced to pH 5.5. Example 2: The effect of cyclodextrin on the stability of the antibody-DM1 complex In one test, the effect of cyclodextrin on the stability of the antibody complex was evaluated in a stress study. Four different cyclodextrins were tested: 97600.doc -40- 200533375 • hydroxy-propyl- / 5 • Cyclodextrin (HP_ / 5_CD) • Hydroxy-propyl-γ-cyclodextrin (HP-γ-CD) • γ-cyclodextrin (γ-CD) • Sulfobutyl cyclodextrin (SBE- / 3 -CD, Cape Tissole) The basic formulation is composed of the following excipients (Table 6). Table 6 ··

物質 白質 ~ ~ΚΗ2Ρ〇4 rNaH2P04 x H20 ^a2HPQ4 ~NaCl 在所有CD調配物中均使pH值保持恆定為pH 6.5。 環糊精含量在1與15 wt·%之間變化(表7)。 表7 : ------------------------------- pH=6.^ I A1 K^Ay ;D w% I ΪΡ-γ-C MB), :D w% 7-CD (來自C)w% s a BE-/3-CD t 自 D)w% A5 A15 B1 B5 B15 Cl C5 •k D1 D5 D15 L 1— 5 15 1 5 15 1 5 k 1 5 15 因溶解度限制而不可行。 根據表6之基礎調配物,表7中所顯示的11種(31)液體調配 物均係藉由添加相應量的環糊精來製備。將20 ml各調配物 均置於小瓶中(小管,n=2),密封該等小瓶且在40°C下倒置 儲存。表6中顯示各種調配物的名稱。調配物D丨表示:1 wt % 環糊精D(SBE-i8-CD,開普梯索)。 圖2及圖8-11顯示應力研究的結果(表示對照實例1的結果)。 97600-doc -41 - 200533375 表8 時間 Α1 Α5 Α15 週 ΗΡ-SEC 單體[%1 ACC ΗΡ-SEC 單體 ACC ΗΡ-SEC 單體 f〇/〇1 ACC 0 93 1.0 ’ 93 1.1 — 93 0.9 4 85 5.0 9.0 85 6.7 8 ~83 ' 4.9 85 4.3 86 6.3 表ί ): 時間 Β1 Β5 B15 週 ΗΡ-SEC單體『%1 ACC ΗΡ-SEC 單體[%1 ACC HP-SEC 單體「yol ACC 0 93 1.0 93 1.0 "11 --------—- 94 0.9 4 86 5.4 87 7.0 88 6.2 8 82 4.3 83 6.2 82 8.5 時間 C1 ~C5 - 週 ΗΡ-SEC 單體[·〇/〇! 93 ACC 11.1 一 HP-SEC 單體[%] ACC 72 93 —" 一 2S4 4 88 114 89 195 8 矣1 1 84 50 "86 '~ 171 時間 ~D5 ~ ~D15 一 週 0 Λ wr七以:單體 93 ~ ACC ΗΡ-SEC 單體 ACC 1.5 ACC 1.0 92 ^ 1 Λ 4 Q 87 〇 1 Γ4.2 85 3.6 ~85 ^ 丄•兮 9 R 〇 〇1 5.0 178 ' ~ 5.2 Ύι Δ.Ο 4.9 圖2顯示調配物D(開普梯索)中游離DM1的含量最低。例 士 π周配物D1與B 1 (相同含量的環糊精)的對照顯示出游離 DM1的含量與調配物_比減半。與不含環糊精的調配物 相比,某些調配物甚至表現出對抗體-DM1複合物的失穩效 應。 β周配物D與不含環糊精的調配物(圖u之對照顯示,就8週 值而言,後一調配物中的DM1含量具有增加(雙倍)值。 不同環糊精調配物中的單體含量可與ρΗ 6·5的對照調配Substance White matter ~ ~ ΚΗ2Ρ〇4 rNaH2P04 x H20 ^ a2HPQ4 ~ NaCl keeps the pH constant at pH 6.5 in all CD formulations. The cyclodextrin content varies between 1 and 15 wt.% (Table 7). Table 7: ------------------------------- pH = 6. ^ I A1 K ^ Ay; D w% I ΪΡ -γ-C MB),: D w% 7-CD (from C) w% sa BE- / 3-CD t to D) w% A5 A15 B1 B5 B15 Cl C5 • k D1 D5 D15 L 1— 5 15 1 5 15 1 5 k 1 5 15 Not feasible due to solubility limitations. According to the basic formulations in Table 6, the 11 (31) liquid formulations shown in Table 7 were all prepared by adding a corresponding amount of cyclodextrin. 20 ml of each formulation was placed in a vial (vial, n = 2), the vials were sealed and stored upside down at 40 ° C. Table 6 shows the names of the various formulations. Formulation D 丨 means: 1 wt% of cyclodextrin D (SBE-i8-CD, Cape Tissole). Figures 2 and 8-11 show the results of the stress study (representing the results of Comparative Example 1). 97600-doc -41-200533375 Table 8 Time Α1 Α5 Α15 Weeks HP-SEC monomer [% 1 ACC HP-SEC monomer ACC HP-SEC monomer f0 / 〇1 ACC 0 93 1.0 '93 1.1 — 93 0.9 4 85 5.0 9.0 85 6.7 8 ~ 83 '4.9 85 4.3 86 6.3 Table): Time Β1 Β5 B15 week HP-SEC monomer "% 1 ACC HP-SEC monomer [% 1 ACC HP-SEC monomer" yol ACC 0 93 1.0 93 1.0 " 11 ----------- 94 0.9 4 86 5.4 87 7.0 88 6.2 8 82 4.3 83 6.2 82 8.5 Time C1 ~ C5-Zhou YPP-SEC monomer [· 〇 / 〇! 93 ACC 11.1 One HP-SEC unit [%] ACC 72 93 — " One 2S4 4 88 114 89 195 8 矣 1 1 84 50 " 86 '~ 171 Time ~ D5 ~ ~ D15 Week 0 Λ wr Monomer 93 ~ ACC ΗΡ-SEC Monomer ACC 1.5 ACC 1.0 92 ^ 1 Λ 4 Q 87 〇1 Γ4.2 85 3.6 ~ 85 ^ 兮 • Xi 9 R 〇〇1 5.0 178 '~ 5.2 Ύ Δ.Ο 4.9 Figure 2 shows that the content of free DM1 is the lowest in formulation D (Cape Texo). For example, a comparison of π week formulations D1 and B 1 (the same content of cyclodextrin) shows that the content of free DM1 is less than that of the formulation_ Half. Compared to formulations without cyclodextrin, some The formulation even showed an instability effect on the antibody-DM1 complex. Beta week D and the cyclodextrin-free formulation (control in Figure u shows that, for the 8-week value, the The DM1 content has an increased (double) value. The monomer content in different cyclodextrin formulations can be formulated with the control of ρΗ 6 · 5

物(表3)進仃比較。環糊精調配物c㈣d)由於其極高之AN 值而排除在外。 總結而言,可謂含有環糊精(尤其為開普梯索)之調配物 97600.doc -42- 200533375(Table 3) for comparison. Cyclodextrin formulations c㈣d) were excluded due to their extremely high AN values. In summary, it can be described as a formulation containing cyclodextrin (especially Cape Texo) 97600.doc -42- 200533375

有助於穩定抗體-DM1禮人舳m L 產物的有效壽命可延長此,與對照調配物相比, 在將開普梯索用於;東乾調配物時,再次預期該賦形劑將 穩定呈冷隸《態的抗體.^^。 B ·抗體-DM1複合物的凍乾作用 現將描述可滚乾抗體伽複合物的過程。由抗體侧 禝合物組成的產物為毒性產物,其涉及處理中的特定風 險在所述測试中,應發展滚乾過程及其所需步驟以排除 ; 東乾過程中由產物污染所引起的對卫人造成的危險。 此係藉由在整個凍乾過程中在緊密密封的高壓袋中熱密 封"亥荨j #瓦來達 <。在產物周圍#高壓袋的所有步驟均係 在絕緣體中進行。該過程已經改良以使完成產物·束乾餅-僅輕微區別於無高壓袋多產生的產物餅。 所述測試係在TINY凍乾器中進行。 所用之主要包裝構件為: 小瓶:20/25 ml標準小瓶(20R),無色,GA1 Inj· (Messrs Schott,DE) 終止劑:Gusto 1797 PH 4023/50,灰色,塗層(Messrs West,USA) 凸緣蓋:Kombika/Alu-KU(Messrs West,DE) 以含有及不含活性物質來測試個別經凍乾之調配物。 1.以甘露糖醇緩衝劑凍乾 兩金屬板各負載64個小瓶。各小瓶中均置放1 〇 mi缓衝劑 (表 12)。 97600.doc -43 - 200533375 表12 : 物質 組分 KH2P〇4 4.19 mM NaH2P04 x H20 1.28 mM Na2HP04 3.12 mM 甘露糖醇 4w% NaCl 139.6 mM ~PH ! 6.5 將一板留於腔室中且熱密封於由Messrs Sengewald (Medipeel)製成的高壓袋中。使用正常膜密封裝置來製成高 壓袋上的接缝。製成三條並列接縫。應用以下額外參數。 表13概述了所用之凍乾程序。在研究期間進一步改良該 程序(見下文)。其包含保溫步驟(-12°C/E·· 3 h,45 min)及持 續總計約56 h。 表13 : 步驟 名稱 處理時間[hh:mm】 溫度[°c] 真空度[%] 真空度報警[%】 1 裝載 00:01 +5 - - 2 冷凍 01:30 -50 - - 3 冷凍 02:00 -50 麵 - 4 保溫 00:45 -12 - - 5 保溫 03:00 -12 - - 6 冷凍 01:00 -50 - - 7 冷凍 00:10 -50 - 8 冷;東 00:10 -50 - - 9 冷凍 00:10 50 - - 10 冷凍 00:20 -50 - - 11 乾燥 01:30 -25 44(0.3 毫巴) 99,9 12 乾燥 02:00 土0 44(0.3 亳巴) 48(0.4 毫巴) 13 乾燥 10:00 ±0 44(0.3 毫巴) 48(0.4 毫巴) 14 乾燥 10:00 ±0 44(0.3 毫巴) 48(0.4 毫巴) 15 乾燥 10:00 ±0 44(0.3 毫巴) 48(0.4 毫巴) 16 乾燥 03:00 +30 44(0.3 毫巴) 48(0.4 毫巴) 17 乾燥 04:00 +30 44(0.3 毫巴) 48(0.4 毫巴) 18 乾燥 04:00 +30 44(0.3 毫巴) 48(0.4 毫巴) 19 乾燥 02:00 +30 44(0.3 毫巴) 48(0.4 毫巴) 20 移除 00:20 +5 98 99.9 總時間: 55:56 97600.doc -44- 200533375 該高壓袋似乎在處理期間處於一定超壓下(輕微膨脹)。 因此,在接著的測試中優化該凍乾程序。 觀察以下現象: -高壓袋中之產物似乎比無高壓袋之產物顯著更慢乾燥 -高壓袋中之產物在玻璃邊緣上升 -高壓袋中之產物形成凹面且似乎要變癟。 在兩測試(有高壓袋與無高壓袋)中發生極有差別的凍 乾。因此,高壓袋中所有的凍乾物均具有大洞結構,在其 最輕的接觸下即可變癟。相比而言,未封裝於高壓袋中之 樣品形成最佳的餅。然而,此物在接觸時亦極易分裂。其 原因為樣品的固體含量極低。 某些樣品(表14)的重構作用平均起來會導致樣品溶解時 間的延長。無可否認地,雖然最具活性之相直至所有殘餘 物均完全溶解亦主觀地保持不變,但所有殘餘物與高壓袋 中之產物相比均經顯著更長的時間來溶解。 表14 : 重構時間(隨機樣品) 無南壓袋之樣品 具有南壓袋之樣品 在[sec]之後最具 在[sec]之後完全 在[sec]之後最具 在[sec]之後完全 活性相 溶解 活性相 溶解 10 60 05 45 10 50 12 85 15 62 15 115 10 84 10 90 011.25 063.5 010.5 083J5 為了根據KaH-Fischei*來測定殘餘濕氣,挑選一些小瓶來 進行殘餘濕氣分析。根據該等結果,該等產物均處於類似 的乾燥狀態且含有平均0.23%的殘餘濕氣(表15)。 97600.doc -45 - 200533375 表15 : I無高壓袋之隨機樣品 殘餘濕氣[%] 有高壓袋之隨機樣品1 1 1 1 γΓ^Τ~ 2 "020~~ 0.31 Λ ^ 3 "〇27 "~ 3 — (\ Λ Π 4 5 ~023 1 ~~ U.1 7 ~026 — ~6 ~ i高壓袋之平均值~~ 總平均值 -— 一====== 0.22 ΎΪ9~ ' ~~024 1 ~ "023" ~ 6 有兩壓袋之平均值 ..... J ~026 ~ *022~' 以下結論可由該實驗引出: 高壓袋中之壓力指明昇華水不可輕易自高壓袋中逸出。 其原因為該塑料膜不可滲透水蒸汽。高壓袋中的壓力增加 亦為形成癟縮結構的原因。 圖3顯示當主要乾燥過程已完成時,乾燥似乎仍未完全。 因此’乾燥時間自30小時增倍至6〇小時。 同時,為了抵消高壓袋中的任何壓力增力口,嘗試將系統 壓力自44%減至37.5%。 2·甘露糖醇/蔗醣緩衝劑的凍乾 在另一測試中,若干參數同時變化/測試。此等參數為: 高壓袋的類型、金屬板的效應、一些凍乾參數的變化及調 配物的變化。該等變化係來自對於第—次測試結果的考 慮。三個金屬板負載有64個小瓶。 填充量:10 ml 填充位準:16 mm 高壓袋 1 : MedipeeKMessrs sengewald),acc DIN 58953, 30x6.5x58 高壓袋 2 : Ultraclean Cleansteam BAGS, newf〇rm (B_332〇 Hoegaarden) 97600.doc -46- 200533375 溶液pH值:6.78(使用pH計來量測) 骨架物質:4%甘露糖醇及1%蔗醣 表16 : 物質 組分 KH2P〇4 6.4 mM NaH2P04 x H20 1.97 mM Na2HP04 4.8 mM 甘露糖醇 4w% 蔗醣 1 w% PH 6.7 表17概述了所用之凍乾程序。 表17 : 步驟 名稱 處理時間[hh:mm] 温度[°C] 真空度[%] 真空度報警[%] 1 裝載 00:01 +5 - - 2 冷凍 01:30 -50 - - 3 冷凍 02:00 -50 - - 4 保溫 00:45 -12 纏 - 5 保溫 03:00 -12 - - 6 冷凍 01:00 -50 - - 7 冷凍 00:10 -50 - 8 冷凍 00:10 -50 - - 9 冷凍 00:10 -50 - - 10 冷凍 00:20 -50 _ - 11 乾燥 01:30 -25 44.0(0.3 毫巴) 99.9 12 乾燥 02:00 ±0 37.5(0.15 毫巴) 48(0.4 毫巴) 13 乾燥 20:00 ±0 37.5(0.15 毫巴) 48(0.4 毫巴) 14 乾燥 20:00 ±0 37.5(0.15 毫巴) 48(0.4 毫巴) 15 乾燥 20:00 ±0 37.5(0.15 毫巴) 48(0.4 毫巴) 16 乾燥 03:00 +30 37.5(0.15 毫巴) 48(0.4 毫巴) 17 乾燥 04:00 +30 37.5(0.15 毫巴) 48(0.4 毫巴) 18 乾燥 04:00 +30 37.5(0.15 毫巴} 48(0.4 毫巴) 19 乾燥 02:00 +30 37.5(0.15 毫巴) 48(0.4 毫巴) 20 移除 00:20 +5 98 99.9 總時間: 85:56 根據兩種考慮來優化該柬乾程序。乾燥時間加倍,而 空度自0.3毫巴減半至0.15毫巴。 此時,高壓袋中無任何超壓之外部訊號。 97600.doc -47- 200533375 使用該過程,尤# 士 _ 5| . ^ 有二。人測試中(無高壓袋、高壓袋1及 二^ ,々人信服的可比較結果。 高壓袋中之滚乾對該改良之,東乾過程起作用。 就產物而言,兩個高壓袋似乎未具有任何差里。 广亥等小瓶(二測試管)下的板經證明在經改進程序中並 «不利效應。因此,甘—龄/ , 在正個過程中均位於高壓袋中的小 瓶下。 社程序參數在乾燥過程(圖4)中的變化顯示出顯著較佳的 二果1&’吾人認為4乾程序中的所有三次測試均完全 乾;Μ在各I·月况下’產物溫度均升至標稱區域以上)。 3·抗體-DM1複合物的凍乾 根據上述;東乾測武的結果,該過程係在高壓袋⑽dipeei) 中進行。圖6顯示凍乾器中所置放的配置。 以此方式總共凍乾70個小瓶。完成之調配物具有4.65 mg/ml之蛋白質濃唐。夂^、,丄 、 各小瓶中均置放10 ml溶液。 所用之調配物(表18)係如下所述。 表18 :Contributes to stabilizing the effective life of the antibody-DM1 Li 舳 m L product, which can be extended compared to the control formulation when using Captizole in the formulation; once again, the excipient is expected to stabilize It was Leng Li "state antibody. ^^. B. Lyophilization of the antibody-DM1 complex The process by which the antibody gamma complex can be tumble-dried will now be described. The product consisting of antibody side conjugates is a toxic product that involves specific risks in processing. In the test, a tumble dry process and its required steps should be developed to eliminate it; the dry process caused by product contamination Danger to guards. This is done by heat-sealing " HAIurtj # 瓦 来 达 < " in a tightly sealed high-pressure bag throughout the freeze-drying process. All steps in the #high pressure bag around the product are performed in an insulator. The process has been modified to make the finished product bundle dry cakes-only slightly different from the product cakes produced without high pressure bags. The test was performed in a TINY lyophilizer. The main packaging components used are: vial: 20/25 ml standard vial (20R), colorless, GA1 Inj · (Messrs Schott, DE) terminator: Gusto 1797 PH 4023/50, gray, coated (Messrs West, USA) Flange cap: Kombika / Alu-KU (Messrs West, DE) Test individual lyophilized formulations with and without actives. 1. Lyophilize with mannitol buffer. Two metal plates were loaded with 64 vials each. A 10 mi buffer was placed in each vial (Table 12). 97600.doc -43-200533375 Table 12: Substance composition KH2P〇4 4.19 mM NaH2P04 x H20 1.28 mM Na2HP04 3.12 mM mannitol 4w% NaCl 139.6 mM ~ PH! 6.5 Leave a plate in the chamber and heat seal it in High pressure bag made of Messrs Sengewald (Medipeel). Use normal film seals to make seams on high pressure bags. Three side-by-side seams are made. The following additional parameters apply. Table 13 summarizes the lyophilization procedures used. The procedure was further refined during the study (see below). It includes an incubation step (-12 ° C / E ·· 3 h, 45 min) and lasts for a total of about 56 h. Table 13: Step name Processing time [hh: mm] Temperature [° c] Vacuum degree [%] Vacuum degree alarm [%] 1 Load 00:01 +5--2 Freeze 01:30 -50--3 Freeze 02: 00 -50 surface-4 insulation 00:45 -12--5 insulation 03:00 -12--6 frozen 01:00 -50--7 frozen 00:10 -50-8 cold; east 00:10 -50- -9 frozen 00:10 50--10 frozen 00:20 -50--11 dry 01:30 -25 44 (0.3 mbar) 99,9 12 dry 02:00 soil 0 44 (0.3 bar) 48 (0.4 Mbar) 13 Dry 10:00 ± 0 44 (0.3 mbar) 48 (0.4 mbar) 14 Dry 10:00 ± 0 44 (0.3 mbar) 48 (0.4 mbar) 15 Dry 10:00 ± 0 44 ( 0.3 mbar) 48 (0.4 mbar) 16 dry 03:00 +30 44 (0.3 mbar) 48 (0.4 mbar) 17 dry 04:00 +30 44 (0.3 mbar) 48 (0.4 mbar) 18 dry 04:00 +30 44 (0.3 mbar) 48 (0.4 mbar) 19 Dry 02:00 +30 44 (0.3 mbar) 48 (0.4 mbar) 20 Remove 00:20 +5 98 99.9 Total time: 55 : 56 97600.doc -44- 200533375 The high pressure bag appears to be under a certain overpressure (slight expansion) during processing. Therefore, the lyophilization procedure was optimized in subsequent tests. Observe the following phenomena:-The product in the high-pressure bag seems to dry significantly more slowly than the product without a high-pressure bag-The product in the high-pressure bag rises at the edge of the glass-The product in the high-pressure bag forms a concave surface and seems to become lumpy. Very different freeze-drying occurred in two tests (with and without high-pressure bags). Therefore, all the lyophilized materials in the high-pressure bag have a large hole structure, which can become lumpy with the lightest contact. In contrast, samples that were not encapsulated in high-pressure bags formed the best cakes. However, it is also prone to splitting upon contact. This is due to the extremely low solids content of the sample. Reconstitution of some samples (Table 14), on average, resulted in longer sample dissolution times. Admittedly, although the most active phase remains subjectively unchanged until all residues are completely dissolved, all residues dissolve over a significantly longer period of time than the product in the high-pressure bag. Table 14: Reconstruction time (random sample) Sample without south pressure bag Sample with south pressure bag is most active after [sec] and completely after [sec] Most active phase after [sec] Dissolve the active phase to dissolve 10 60 05 45 10 50 12 85 15 62 15 115 10 84 10 90 011.25 063.5 010.5 083J5 In order to determine the residual moisture based on KaH-Fischei *, select some vials for residual moisture analysis. Based on these results, the products were all in a similarly dry state and contained an average residual moisture of 0.23% (Table 15). 97600.doc -45-200533375 Table 15: I Residual moisture in random samples without high pressure bags [%] Random samples with high pressure bags 1 1 1 1 γΓ ^ Τ ~ 2 " 020 ~~ 0.31 Λ ^ 3 " 〇 27 " ~ 3 — (\ Λ Π 4 5 ~ 023 1 ~~ U.1 7 ~ 026 — ~ 6 ~ i average value of high pressure bag ~~ total average value--one ====== 0.22 ΎΪ9 ~ '~~ 024 1 ~ " 023 " ~ 6 The average value of two pressure bags ..... J ~ 026 ~ * 022 ~' The following conclusions can be drawn from this experiment: The pressure in the high pressure bag indicates that the sublimation water cannot be easily removed. It escapes from the high-pressure bag. The reason is that the plastic film is impermeable to water vapor. The increase in pressure in the high-pressure bag is also the reason for the formation of a constricted structure. Figure 3 shows that when the main drying process has been completed, the drying seems to be incomplete. Therefore 'Drying time doubled from 30 hours to 60 hours. At the same time, in order to offset any pressure booster in the high-pressure bag, try to reduce the system pressure from 44% to 37.5%. 2 · Mannitol / sucrose buffer Lyophilization In another test, several parameters were changed / tested simultaneously. These parameters were: type of high pressure bag, effect of metal plate, some lyophilization parameters Changes and changes in formulations. These changes come from considering the results of the first test. Three metal plates are loaded with 64 vials. Filling volume: 10 ml Filling level: 16 mm high-pressure bag 1: MedipeeKMessrs sengewald), acc DIN 58953, 30x6.5x58 High Pressure Bag 2: Ultraclean Cleansteam BAGS, newf〇rm (B_332〇Hoegaarden) 97600.doc -46- 200533375 Solution pH: 6.78 (measured with pH meter) Skeleton substance: 4% mannose Alcohol and 1% sucrose Table 16: Substance composition KH2P〇4 6.4 mM NaH2P04 x H20 1.97 mM Na2HP04 4.8 mM mannitol 4w% sucrose 1 w% PH 6.7 Table 17 summarizes the lyophilization procedures used. Table 17: Step name Processing time [hh: mm] Temperature [° C] Vacuum degree [%] Vacuum degree alarm [%] 1 Load 00:01 +5--2 Freeze 01:30 -50--3 Freeze 02: 00 -50--4 Insulation 00:45 -12 Wrap-5 Insulation 03:00 -12--6 Freezing 01:00 -50--7 Freezing 00:10 -50-8 Freezing 00:10 -50--9 Frozen 00:10 -50--10 Frozen 00:20 -50 _-11 Dry 01:30 -25 44.0 (0.3 mbar) 99.9 12 Dry 02:00 ± 0 37.5 (0.15 mbar) 48 (0.4 mbar) 13 Dry 20:00 ± 0 37.5 (0.15 mbar) 48 (0.4 mbar) 14 Dry 20:00 ± 0 37.5 (0.15 mbar) 48 (0.4 mbar) 15 Dry 20:00 ± 0 37.5 (0.15 mbar) ) 48 (0.4 mbar) 16 dry 03:00 +30 37.5 (0.15 mbar) 48 (0.4 mbar) 17 dry 04:00 +30 37.5 (0.15 mbar) 48 (0.4 mbar) 18 dry 04:00 +30 37.5 (0.15 mbar) 48 (0.4 mbar) 19 Dry 02:00 +30 37.5 (0.15 mbar) 48 (0.4 mbar) 20 Remove 00:20 +5 98 99.9 Total time: 85:56 according to Two considerations are used to optimize the Cambodian drying process. The drying time is doubled and the airspace is halved from 0.3 mbar to 0.15 mbar. There is no external signal of any overpressure. 97600.doc -47- 200533375 Use this process, especially # 士 _ 5 |. ^ There are two people. In the test (no high pressure bag, high pressure bag 1 and two ^, convincing Compare the results. The tumble dry in the high-pressure bag played a role in the improvement and the dry process. As far as the product is concerned, the two high-pressure bags do not seem to have any difference. The plate under the vial (two test tubes) such as Guanghai has been proven In the improved procedure, «adverse effects. Therefore, Gan-Ling /, is located under the vial in the high-pressure bag during the whole process. The change of the process parameters in the drying process (Figure 4) shows a significantly better Ergo 1 & 'I think that all three tests in the 4 drying program are completely dry; 在 the product temperature rises above the nominal area under each I · month condition) 3. Lyophilization of the antibody-DM1 complex As mentioned above, as a result of Donggan's military test, the process was performed in a high-pressure bag (⑽ipeei). Figure 6 shows the configuration placed in the lyophilizer. A total of 70 vials were lyophilized in this manner. The finished formulation has a protein concentration of 4.65 mg / ml.夂 ^ ,, 丄, put 10 ml solution in each vial. The formulations used (Table 18) are described below. Table 18:

第二次實驗的;東乾程序(表19)產生良好結果且因此未 變化即使用。 97600.doc -48- 200533375 表19 : 步驟 名稱 處理時間[hh:mm】 溫度[°c】 真空度[%】 真空度報警[%】 1 裝載 00:01 +5 - - 2 冷;東 01:30 -50 - - 3 冷凍 02:00 -50 - - 4 保溫 00:45 -12 - - 5 保溫 03:00 -12 - - 6 冷康 01:00 -50 - - 7 冷凍 00:10 -50 - - 8 冷凍 00:10 -50 - - 9 冷凍 00:10 -50 - - 10 冷練 00:20 -50 - - 11 乾燥 01:30 -25 44.0(0.3 毫巴) 99.9 12 乾燥 02:00 ±0 37.5(0.15 毫巴) 48(0.4 毫巴) 13 乾燥 20:00 ±0 37.5(0.15 毫巴) 48(0.4 毫巴) 14 乾燥 20:00 ±0 37.5(0.15 毫巴) 48(0.4 毫巴) 15 乾燥 20:00 土0 37.5(0.15 毫巴) 48(0.4 毫巴) 16 乾燥 03:00 +30 37.5(0.15 毫巴) 48(0.4 毫巴) 17 乾燥 04:00 +30 37.5(0.15 毫巴) 48(0.4 毫巴) 18 乾燥 04:00 +30 37.5(0.15 毫巴) 48(0.4 毫巴) 19 乾燥 02:00 +30 37.5(0.15 毫巴) 48(0.4 毫巴) 20 移除 00:20 +5 98 99.9 總時間·· 85:56 圖6顯示束乾過程的進展。 對根據測試3之冷凍乾燥抗體-DM1複合物進行分析性研 究(在40°C下歷經8週進行應力研究)。A區中描述了其穩定 性資料。 總結而言,可謂: 使用高壓袋對抗體-DM1複合物進行凍乾給出了無高壓 袋凍乾所得產物之可比性結果。 實例3 現將描述兩種不同調配物的抗體-DM1複合物的凍乾過 程。 1 ·琥珀酸鹽調配物: 97600.doc -49 - 200533375 表2 0給出玻ίό酸鹽調配物的配方。 表20 :The second experiment; Donggan procedure (Table 19) produced good results and was therefore used unchanged. 97600.doc -48- 200533375 Table 19: Step name processing time [hh: mm] temperature [° c] vacuum degree [%] vacuum degree alarm [%] 1 load 00:01 +5--2 cold; east 01: 30 -50--3 frozen 02:00 -50--4 insulated 00:45 -12--5 insulated 03:00 -12--6 cold 01:00 -50--7 frozen 00:10 -50- -8 frozen 00:10 -50--9 frozen 00:10 -50--10 frozen 00:20 -50--11 dry 01:30 -25 44.0 (0.3 mbar) 99.9 12 dry 02:00 ± 0 37.5 (0.15 mbar) 48 (0.4 mbar) 13 Dry 20:00 ± 0 37.5 (0.15 mbar) 48 (0.4 mbar) 14 Dry 20:00 ± 0 37.5 (0.15 mbar) 48 (0.4 mbar) 15 Dry 20:00 Soil 0 37.5 (0.15 mbar) 48 (0.4 mbar) 16 Dry 03:00 +30 37.5 (0.15 mbar) 48 (0.4 mbar) 17 Dry 04:00 +30 37.5 (0.15 mbar ) 48 (0.4 mbar) 18 Dry 04:00 +30 37.5 (0.15 mbar) 48 (0.4 mbar) 19 Dry 02:00 +30 37.5 (0.15 mbar) 48 (0.4 mbar) 20 Remove 00: 20 +5 98 99.9 Total time 85:56 Figure 6 shows the progress of the beam drying process. Analytical study of the freeze-dried antibody-DM1 complex according to Test 3 (stress study over 8 weeks at 40 ° C). The stability data are described in area A. In summary, it can be said that lyophilization of the antibody-DM1 complex using a high-pressure bag gave comparable results for the product obtained by lyophilization without a high-pressure bag. Example 3 The lyophilization process of the antibody-DM1 complex of two different formulations will now be described. 1 · Succinate formulations: 97600.doc -49-200533375 Table 2 0 gives the formulations of the hyaluronate formulations. Table 20:

組份 濃度 [mmol/1] 濃度 [g/1] 標稱量 [mg/小瓶],V=10.0ml 六水合琥珀酸二鈉 (C4H4Na204 X 6 Η20) 10.00 2.700 27.00 甘露糖醇 219.58 40.0 400.0 蔗醣 29.21 10.0 100.0 吐溫20 0.4 (0.04 w%) 4.00 抗體-DM1 4.0 40.0 WFI 添加 10.0 ml WFI 目標體積:V=10.5 ml(0.5 ml過度填充)。 與 10.5 mlWFI 重構。 此調配物(表20)的物理特性: pH=5.5 滲透性=296 mOsmol 密度=1.0183 g/ml。 主要封裝係由以下各物組成: 小瓶:50/60 m卜無色,GA1 Inj. 終止劑:Gusto 1797 PH 4023/50,灰色塗層,即將滅菌 易拉蓋:Kombika/Alu/ku,白色,Messrs West Company。 2.磷酸鹽調配物: 表21給出磷酸鹽調配物的配方。 97600.doc 50- 200533375 表21 : 組份 濃度 [mmol/1] 濃度 [g/1] 標稱量 [mg/小瓶], V= 10.0 ml KH2P〇4 4.19 0.570 5.70 NaH2P04 x 2 H20 1.45 0.226 2.26 Na2HP04 x 2H20 3.91 0.696 6.96 甘露糖醇 219.58 40.0 400.0 蔗St 29.21 10.0 100.0 吐溫20 0.4 (0.04 w%) 4.00 抗體-DM1 4.0 40.0 WFI 添加 10.0 ml WFI 目標體積:V=10.5 ml(0.5 ml過度填充)。 與 10.5 ml WFI重構。 此調配物(表21)的物理特性為: ρΗ=6·5 ; 滲透性=287 mOsmol 密度=1.0184 g/ml。 主要封裝係由以下各物組成: 小瓶:50/60 m卜無色,GA1 Inj· 終止劑:Gusto 1797 PH 4023/50,灰色塗層,即將滅菌 易拉蓋:Kombika/Alu/ku,白色,Messrs West Company。 兩個調配物實例的凍乾均係由以下凍乾器及凍乾程序來 進行。 97600.doc -51 - 200533375 表22 :凍乾器Component concentration [mmol / 1] Concentration [g / 1] Nominal weight [mg / vial], V = 10.0ml Disodium succinate hexahydrate (C4H4Na204 X 6 Η20) 10.00 2.700 27.00 Mannitol 219.58 40.0 400.0 Sucrose 29.21 10.0 100.0 Tween 20 0.4 (0.04 w%) 4.00 Antibody-DM1 4.0 40.0 WFI Add 10.0 ml WFI Target volume: V = 10.5 ml (0.5 ml overfilled). Reconstituted with 10.5 mlWFI. Physical properties of this formulation (Table 20): pH = 5.5 Permeability = 296 mOsmol Density = 1.0183 g / ml. The main package is composed of the following: Vial: 50/60 m, colorless, GA1 Inj. Terminator: Gusto 1797 PH 4023/50, gray coating, ready-to-sterilize easy-open lid: Kombika / Alu / ku, white, Messrs West Company. 2. Phosphate formulations: Table 21 gives the formulations of phosphate formulations. 97600.doc 50- 200533375 Table 21: Component concentration [mmol / 1] Concentration [g / 1] Nominal weight [mg / vial], V = 10.0 ml KH2P〇4 4.19 0.570 5.70 NaH2P04 x 2 H20 1.45 0.226 2.26 Na2HP04 x 2H20 3.91 0.696 6.96 Mannitol 219.58 40.0 400.0 Cane St 29.21 10.0 100.0 Tween 20 0.4 (0.04 w%) 4.00 Antibody-DM1 4.0 40.0 WFI Add 10.0 ml WFI Target volume: V = 10.5 ml (0.5 ml overfilled). Reconstituted with 10.5 ml WFI. The physical properties of this formulation (Table 21) are: ρΗ = 6.5; permeability = 287 mOsmol density = 1.0184 g / ml. The main package is composed of the following: Vial: 50/60 m, colorless, GA1 Inj. Terminator: Gusto 1797 PH 4023/50, gray coating, ready-to-sterilize easy-open lid: Kombika / Alu / ku, white, Messrs West Company. Both formulation examples were lyophilized by the following lyophilizer and lyophilization procedure. 97600.doc -51-200533375 Table 22: Lyophilizer

凍乾器 STOKES 132 sq. ft,BVL 程序 見表23 凍乾之處理時間 約52h 裝載 無凍乾板 真空度調節 無N2注射 真空度量測 派藍尼(Pirani)探針 退火溫度 -16°C 通風壓力 600毫巴(在下) 通風介質 n2 儲存溫度 2°C 至 8°C 表23概述了精確凍乾參數。 表 23 ·· 步驟 處理 時間 溫度 壓力 [hh:mm] [°C] [毫巴] 1 裝載 00:01 +5 2 冷凍 01:00 +5 3 冷凍 03:00 -48 4 冷凍 02:00 -48 5 冷凍 00:45 -16 6 冷柬 03:00 -16 7 冷凍 01:45 -48 8 冷凍 00:30 -48 9 製備 00:30 -48 … 10 一級乾燥1 00:30 -40 0.15 11 一級乾燥2 02:00 0 0.15 12 一級乾燥3 24:00 0 0.15 13 二級乾燥1 03:00 +30 0.15 14 二級乾燥2 10:00 +30 0.15 15 儲存1 00:05 +5 0.15 處理時間 52:05 該過程的調節使得該洗乾過程可在無金屬板及無 Me dipeel袋之情況下進行。 借助於上述凍乾過程所獲得的凍乾產物會產生符合醫藥 學要求的驚人穩定之產物。該配方的選擇亦為該產物具有 高品質的主要原因,例如將正確用量的清潔劑用於抗體 97600.doc -52- 200533375 -DM1複合物中。 文獻Freeze dryer STOKES 132 sq. Ft, BVL program is shown in Table 23. Processing time of freeze-drying is about 52h. Loading without freeze-drying plate vacuum adjustment without N2 injection vacuum measurement. Pirani probe annealing temperature -16 ° C. Ventilation pressure 600 mbar (below) Ventilation medium n2 Storage temperature 2 ° C to 8 ° C Table 23 summarizes the precise lyophilization parameters. Table 23 ·· Step Processing Time Temperature Pressure [hh: mm] [° C] [mbar] 1 Load 00:01 +5 2 Freeze 01:00 +5 3 Freeze 03:00 -48 4 Freeze 02:00 -48 5 Frozen 00:45 -16 6 Frozen 03:00 -16 7 Frozen 01:45 -48 8 Frozen 00:30 -48 9 Preparation 00:30 -48… 10 Primary drying 1 00:30 -40 0.15 11 Primary drying 2 02:00 0 0.15 12 Primary drying 3 24:00 0 0.15 13 Secondary drying 1 03:00 +30 0.15 14 Secondary drying 2 10:00 +30 0.15 15 Storage 1 00:05 +5 0.15 Processing time 52: 05 The adjustment of the process allows the washing and drying process to be performed without metal plates and without Me dipeel bags. The lyophilized product obtained by means of the above-mentioned lyophilization process produces a surprisingly stable product that meets the medical requirements. The choice of the formulation is also the main reason for the high quality of the product, such as using the correct amount of detergent in the antibody 97600.doc -52- 200533375 -DM1 complex. literature

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<110> Boehringer Ingelheim Pharma GmbH & Co. KG <120>抗體共軛物之冷凍乾燥調配物 <130> Case 1/1602-2 TK/Kn< 110 > Boehringer Ingelheim Pharma GmbH & Co. KG < 120 > Lyophilized formulation of antibody conjugate < 130 > Case 1 / 1602-2 TK / Kn

<140> 093140566 <141> 2004-12-24 <160> 9 <170> Patentln version 3.1< 140 > 093140566 < 141 > 2004-12-24 < 160 > 9 < 170 > Patentln version 3.1

<210> 1 <211> 42 <212> PRT< 210 > 1 < 211 > 42 < 212 > PRT

<213>人類⑶44外顯子v6 <400〉 1< 213 > human CD44 exon v6 < 400> 1

Gin Ala Thr Pro Ser Ser Thr Thr Glu Glu Thr Ala Thr Gin Lys Glu 15 10 15Gin Ala Thr Pro Ser Ser Thr Thr Glu Glu Thr Ala Thr Gin Lys Glu 15 10 15

Gin Trp Phe Gly Asn Arg Trp His Glu Gly Tyr Arg Gin Thr Pro Arg 20 25 30Gin Trp Phe Gly Asn Arg Trp His Glu Gly Tyr Arg Gin Thr Pro Arg 20 25 30

Glu Asp Ser His Ser Thr Thr Gly Thr Ala 35 40 97600.doc 200533375 <210> 2 <211> 14 <212> PRT <2i3>智人 <400〉 2Glu Asp Ser His Ser Thr Thr Gly Thr Ala 35 40 97600.doc 200533375 < 210 > 2 < 211 > 14 < 212 > PRT < 2i3 > Homo sapiens < 400〉 2

Gin Trp Phe Gly Asn Arg Trp His Glu Gly Tyr Arg Gin Thr 1 5 10 <210> 3 <211> 11 <212> PRT <213>智人 <400> 3Gin Trp Phe Gly Asn Arg Trp His Glu Gly Tyr Arg Gin Thr 1 5 10 < 210 > 3 < 211 > 11 < 212 > PRT < 213 > Homo sapiens < 400 > 3

Trp Phe Gly Asn Arg Trp His Glu Gly Tyr Arg 1 5 10Trp Phe Gly Asn Arg Trp His Glu Gly Tyr Arg 1 5 10

<210> 4 <211> 213 <212> PRT <213>人化抗體BIWA4輕鏈 <400〉 4< 210 > 4 < 211 > 213 < 212 > PRT < 213 > Humanized antibody BIWA4 light chain < 400> 4

Glu lie Val Leu Thr Gin Ser Pro Ala Thr Leu Ser Leu Ser Pro Gly 15 10 15 97600.doc •2- 200533375Glu lie Val Leu Thr Gin Ser Pro Ala Thr Leu Ser Leu Ser Pro Gly 15 10 15 97600.doc • 2- 200533375

Glu Arg Ala Thr Leu Ser Cys Ser Ala Ser Ser Ser lie Asn Tyr lie 20 25 30Glu Arg Ala Thr Leu Ser Cys Ser Ala Ser Ser Ser lie Asn Tyr lie 20 25 30

Tyr Trp Leu Gin Gin Lys Pro Gly Gin Ala Pro Arg lie Leu lie Tyr 35 40 45Tyr Trp Leu Gin Gin Lys Pro Gly Gin Ala Pro Arg lie Leu lie Tyr 35 40 45

Leu Thr Ser Asn Leu Ala Ser Gly Val Pro Ala Arg Phe Ser Gly Ser 50 55 60Leu Thr Ser Asn Leu Ala Ser Gly Val Pro Ala Arg Phe Ser Gly Ser 50 55 60

Gly Ser Gly Thr Asp Phe Thr Leu Thr lie Ser Ser Leu Glu Pro Glu 65 70 75 80Gly Ser Gly Thr Asp Phe Thr Leu Thr lie Ser Ser Leu Glu Pro Glu 65 70 75 80

Asp Phe Ala Val Tyr Tyr Cys Leu Gin Trp Ser Ser Asn Pro Leu Thr 85 90 95Asp Phe Ala Val Tyr Tyr Cys Leu Gin Trp Ser Ser Asn Pro Leu Thr 85 90 95

Phe Gly Gly Gly Thr Lys Val Glu lie Lys Arg Thr Val Ala Ala Pro 100 105 110Phe Gly Gly Gly Thr Lys Val Glu lie Lys Arg Thr Val Ala Ala Pro 100 105 110

Ser Val Phe lie Phe Pro Pro Ser Asp Glu Gin Leu Lys Ser Gly Thr 115 120 125Ser Val Phe lie Phe Pro Pro Ser Asp Glu Gin Leu Lys Ser Gly Thr 115 120 125

Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala Lys 130 135 140Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala Lys 130 135 140

Val Gin Trp Lys Val Asp Asn Ala Leu Gin Ser Gly Asn Ser Gin Glu 145 150 155 160Val Gin Trp Lys Val Asp Asn Ala Leu Gin Ser Gly Asn Ser Gin Glu 145 150 155 160

Ser Val Thr Glu Gin Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser Ser 165 170 175Ser Val Thr Glu Gin Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser Ser 165 170 175

Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr Ala 180 185 190Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr Ala 180 185 190

Cys Glu Val Thr His Gin Gly Leu Ser Ser Pro Val Thr Lys Ser Phe 195 200 205 97600.doc 200533375Cys Glu Val Thr His Gin Gly Leu Ser Ser Pro Val Thr Lys Ser Phe 195 200 205 97600.doc 200533375

Asn Arg Gly Glu Cys 210Asn Arg Gly Glu Cys 210

<210> 5 <211> 702 <212> DNA <213〉人化抗體BIWA4輕鏈 <400> 5 atggaagccc cagctca£ct tctcttcctc ctgctgctct ggctcccaga taccaccgga 60 gaaattgttc tcacccagtc tccagcaacc ctgtctctgt ctccagggga gagggccacc 120 ctgtcctgca gtgccagctc aagtataaat tacatatact ggtaccagca gaagccagga 180 caggctccta gactcttgat ttatctcaca tccaacctgg cttctggagt ccctgcgcgc 240 ttcagtggca gtgggtctgg aaccgacttc actctcacaa tcagcagcct ggagcctgaa 300 gattttgccg tttattactg cctgcagtgg agtagtaacc cgctcacatt cggtggtggg 360 accaaggtgg agattaaacg tacggtggct gcaccatctg tcttcatctt cccgccatct 420 gatgagcagt tgaaatctgg aactgcctct gttgtgtgcc tgctgaataa cttctatccc 480 agagaggcca aagtacagtg gaaggtggat aacgccctcc aatcgggtaa ctcccaggag 540 agtgtcacag agcaggacag caaggacagc acctacagcc tcagcagcac cctgacgctg 600 agcaaagcag actacgagaa acacaaagtc tacgcctgcg aagtcaccca tcagggcctg 660 agctcgcccg tcacaaagag cttcaacagg ggagagtgtt ga 702< 210 > 5 < 211 > 702 < 212 > DNA < 213〉 Humanized antibody BIWA4 light chain < 400 > 5 atggaagccc cagctca £ ct tctctttcctc ctgctgctct ggctcact cctcc agt cctaccggt cctaccggt ggtaccagca gaagccagga 180 caggctccta gactcttgat ttatctcaca tccaacctgg cttctggagt ccctgcgcgc 240 ttcagtggca gtgggtctgg aaccgacttc actctcacaa tcagcagcct ggagcctgaa 300 gattttgccg tttattactg cctgcagtgg agtagtaacc cgctcacatt cggtggtggg 360 accaaggtgg agattaaacg tacggtggct gcaccatctg tcttcatctt cccgccatct 420 gatgagcagt tgaaatctgg aactgcctct gttgtgtgcc tgctgaataa cttctatccc 480 agagaggcca aagtacagtg gaaggtggat aacgccctcc aatcgggtaa ctcccaggag 540 agtgtcacag agcaggacag caaggacagc acctacagcc tcagcagcac cctgacgctg 600 agcaaagcag actacgagaa acacaaagtc tacgcctgcg aagtcaccca tcagggcctg 660 agctcgcccg tcacaaagag cttcaacagg ggagagtgtt ga 702

<210> 6 <211> 444 <212> PRT 97600.doc -4- 200533375 <213>人化抗體BIWA4或BIM8重鏈 <400〉 6< 210 > 6 < 211 > 444 < 212 > PRT 97600.doc -4- 200533375 < 213 > Humanized antibody BIWA4 or BIM8 heavy chain < 400> 6

Glu Val Gin Leu Val Glu Ser Gly Gly Gly Leu Val Lys Pro Gly Gly 15 10 15Glu Val Gin Leu Val Glu Ser Gly Gly Gly Gly Leu Val Lys Pro Gly Gly 15 10 15

Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Tyr 20 25 30Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Phe Thr Phe Ser Ser Tyr 20 25 30

Asp Met Ser Trp Val Arg Gin Ala Pro Gly Lys Gly Leu Glu Trp Val 35 40 45Asp Met Ser Trp Val Arg Gin Ala Pro Gly Lys Gly Leu Glu Trp Val 35 40 45

Ser Thr lie Ser Ser Gly Gly Ser Tyr Thr Tyr Tyr Leu Asp Ser lie 50 55 60Ser Thr lie Ser Ser Gly Gly Ser Tyr Thr Tyr Tyr Leu Asp Ser lie 50 55 60

Lys Gly Arg Phe Thr lie Ser Arg Asp Asn Ala Lys Asn Ser Leu Tyr 65 70 75 80Lys Gly Arg Phe Thr lie Ser Arg Asp Asn Ala Lys Asn Ser Leu Tyr 65 70 75 80

Leu Gin Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 85 90 95Leu Gin Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr Cys 85 90 95

Ala Arg Gin Gly Leu Asp Tyr Trp Gly Arg Gly Thr Leu Val Thr Val 100 105 110Ala Arg Gin Gly Leu Asp Tyr Trp Gly Arg Gly Thr Leu Val Thr Val 100 105 110

Ser Ser Ala Ser Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser 115 120 125Ser Ser Ala Ser Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser 115 120 125

Ser Lys Ser Thr Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys 130 135 140Ser Lys Ser Thr Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys 130 135 140

Asp Tyr Phe Pro Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu 145 150 155 160 97600.doc 200533375Asp Tyr Phe Pro Glu Pro Val Thr Val Ser Trp Asn Ser Gly Ala Leu 145 150 155 160 97600.doc 200533375

Thr Ser Gly Val His Thr Phe Pro Ala Val Leu Gin Ser Ser Gly Leu 165 170 175Thr Ser Gly Val His Thr Phe Pro Ala Val Leu Gin Ser Ser Gly Leu 165 170 175

Tyr Ser Leu Ser Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr 180 185 190Tyr Ser Leu Ser Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr 180 185 190

Gin Thr Tyr lie Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val 195 200 205Gin Thr Tyr lie Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val 195 200 205

Asp Lys Lys Val Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro 210 215 220Asp Lys Lys Val Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro 210 215 220

Pro Cys Pro Ala Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe 225 230 235 240Pro Cys Pro Ala Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe 225 230 235 240

Pro Pro Lys Pro Lys Asp Thr Leu Met lie Ser Arg Thr Pro Glu Val 245 250 255Pro Pro Lys Pro Lys Asp Thr Leu Met lie Ser Arg Thr Pro Glu Val 245 250 255

Thr Cys Val Val Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe 260 265 270Thr Cys Val Val Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe 260 265 270

Asn Trp Tyr Val Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro 275 280 285Asn Trp Tyr Val Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro 275 280 285

Arg Glu Glu Gin Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr 290 295 300Arg Glu Glu Gin Tyr Asn Ser Thr Tyr Arg Val Val Ser Val Leu Thr 290 295 300

Val Leu His Gin Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val 305 310 315 320Val Leu His Gin Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val 305 310 315 320

Ser Asn Lys Ala Leu Pro Ala Pro lie Glu Lys Thr lie Ser Lys Ala 325 330 335Ser Asn Lys Ala Leu Pro Ala Pro lie Glu Lys Thr lie Ser Lys Ala 325 330 335

Lys Gly Gin Pro Arg Glu Pro Gin Val Tyr Thr Leu Pro Pro Ser Arg 340 345 350 97600.doc 200533375Lys Gly Gin Pro Arg Glu Pro Gin Val Tyr Thr Leu Pro Pro Ser Arg 340 345 350 97600.doc 200533375

Asp Glu Leu Thr Lys Asn Gin Val Ser Leu Thr Cys Leu Val Lys Gly 355 360 365Asp Glu Leu Thr Lys Asn Gin Val Ser Leu Thr Cys Leu Val Lys Gly 355 360 365

Phe Tyr Pro Ser Asp lie Ala Val Glu Trp Glu Ser Asn Gly Gin Pro 370 375 380Phe Tyr Pro Ser Asp lie Ala Val Glu Trp Glu Ser Asn Gly Gin Pro 370 375 380

Glu Asn Asn Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser 385 390 395 400Glu Asn Asn Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser 385 390 395 400

Phe Phe Leu Tyr Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gin Gin 405 410 415Phe Phe Leu Tyr Ser Lys Leu Thr Val Asp Lys Ser Arg Trp Gin Gin 405 410 415

Gly Asn Val Phe Ser Cys Ser Val Met His Glu Ala Leu His Asn His 420 425 430Gly Asn Val Phe Ser Cys Ser Val Met His Glu Ala Leu His Asn His 420 425 430

Tyr Thr Gin Lys Ser Leu Ser Leu Ser Pro Gly Lys 435 440Tyr Thr Gin Lys Ser Leu Ser Leu Ser Pro Gly Lys 435 440

<210〉 7 <211> 1392 <212> DNA <213>人化抗體BIWA4或BIWA8重鏈 <400> 7 atggagtttg ggctgagctg gctttttctt gtggctattt taaaaggtgt ccagtgtgaa 60 gtgcagctgg tggagtctgg gggaggctta gtgaagcctg gagggtccct aagactctcc 120 tgtgcagcct ctggattcac tttcagtagc tatgacatgt cttgggttcg ccaggctccg 180 gggaaggggc tggagtgggt ctcaaccatt agtagtggtg gtagttacac ctactatcta 240 gacagtataa agggccgatt caccatctcc agagacaatg ccaagaactc cctgtacctg 300 caaatgaaca gtctgagggc tgaggacacg gccgtgtatt actgtgcaag acaggggttg 360 97600.doc 200533375 gactactggg gtcgaggaac cttagtcacc gtctcctcag ctagcaccaa gggcccatcg 420 gtcttccccc tggcaccctc ctccaagagc acctctgggg gcacagcggc cctgggctgc 480 ctggtcaagg actacttccc cgaaccggtg acggtgtcgt ggaactcagg cgccctgacc 540 agcggcgtgc acaccttccc ggctgtccta cagtcctcag gactctactc cctcagcagc 600 gtggtgaccg tgccctccag cagcttgggc acccagacct acatctgcaa cgtgaatcac 660 aagcccagca acaccaaggt ggacaagaaa gttgagccca aatcttgtga caaaactcac 720 acatgcccac cgtgcccagc acctgaactc ctggggggac cgtcagtctt cctcttcccc 780 ccaaaaccca aggacaccct catgatctcc cggacccctg aggtcacatg cgtggtggtg 840 gacgtgagcc acgaagaccc tgaggtcaag ttcaactggt acgtggacgg cgtggaggtg 900 cataatgcca agacaaagcc gcgggaggag cagtacaaca gcacgtaccg tgtggtcagc 960 gtcctcaccg tcctgcacca ggactggctg aatggcaagg agtacaagtg caaggtctcc 1020 aacaaagccc tcccagcccc catcgagaaa accatctcca aagccaaagg gcagccccga 1080 gaaccacagg tgtacaccct gcccccatcc cgggatgagc tgaccaagaa ccaggtcagc 1140 ctgacctgcc tggtcaaagg cttctatccc agcgacatcg ccgtggagtg ggagagcaat 1200 gggcagccgg agaacaacta caagaccacg cctcccgtgc tggactccga cggctccttc 1260 ttcctctaca gcaagctcac cgtggacaag agcaggtggc agcaggggaa cgtcttctca 1320 tgctccgtga tgcatgaggc tctgcacaac cactacacgc agaagagcct ctccctgtct 1380 ccgggtaaat ga 1392≪ 210> 7 < 211 > 1392 < 212 > DNA < 213 > humanized antibody BIWA4 or BIWA8 heavy chain < 400 > 7 atggagtttg ggctgagctg gctttttctt gtggctattt taaaaggtgt ccagtgtgaa 60 gtgcagctgg tggagtctgg gggaggctta gtgaagcctg gagggtccct aagactctcc 120 tgtgcagcct ctggattcac tttcagtagc tatgacatgt cttgggttcg ccaggctccg 180 gggaaggggc tggagtgggt ctcaaccatt agtagtggtg gtagttacac ctactatcta 240 gacagtataa agggccgatt caccatctcc agagacaatg ccaagaactc cctgtacctg 300 caaatgaaca gtctgagggc tgaggacacg gccgtgtatt actgtgcaag acaggggttg 360 97600.doc 200533375 gactactggg gtcgaggaac cttagtcacc gtctcctcag ctagcaccaa gggcccatcg 420 gtcttccccc tggcaccctc ctccaagagc acctctgggg gcacagcggc cctgggctgc 480 ctggtcaagg actacttccc cgaaccggtg acggtgtcgt ggaactcagg cgccctgacc 540 agcggcgtgc acaccttccc ggctgtccta cagtcctcag gactctactc cctcagcagc 600 gtggtgaccg tgccctccag cagcttgggc acccagacct acatctgcaa cgtgaatcac 660 aagcccagca cct agctt aggt gggac cgtcagtctt cctcttcccc 780 ccaaaaccca aggacaccct catgatctcc cggacccctg aggtcacatg cgtggtggtg 840 gacgtgagcc acgaagaccc tgaggtcaag ttcaactggt acgtggacgg cgtggaggtg 900 cataatgcca agacaaagcc gcgggaggag cagtacaaca gcacgtaccg tgtggtcagc 960 gtcctcaccg tcctgcacca ggactggctg aatggcaagg agtacaagtg caaggtctcc 1020 aacaaagccc tcccagcccc catcgagaaa accatctcca aagccaaagg gcagccccga 1080 gaaccacagg tgtacaccct gcccccatcc cgggatgagc tgaccaagaa ccaggtcagc 1140 ctgacctgcc tggtcaaagg cttctatccc agcgacatcg ccgtggagtg ggagagcaat 1200 gggcagccgg agaacaacta caagaccacg cctcccgtgc tggactccga cggctccttc 1260 ttcctctaca gcaagctcac cgtggacaag agcaggtggc aggacagggga cgtcttctca 1320 tgctccgac ac tg

<210> 8 <211> 213 <212> PRT <213〉人化抗體BIWA8輕鏈 97600.doc 200533375 <400> 8< 210 > 8 < 211 > 213 < 212 > PRT < 213> Humanized antibody BIWA8 light chain 97600.doc 200533375 < 400 > 8

Glu lie Val Leu Thr Gin Ser Pro Ala Thr Leu Ser Leu Ser Pro Gly 15 10 15Glu lie Val Leu Thr Gin Ser Pro Ala Thr Leu Ser Leu Ser Pro Gly 15 10 15

Glu Arg Ala Thr Leu Ser Cys Ser Ala Ser Ser Ser lie Asn Tyr lie 20 25 30Glu Arg Ala Thr Leu Ser Cys Ser Ala Ser Ser Ser lie Asn Tyr lie 20 25 30

Tyr Trp Leu Gin Gin Lys Pro Gly Gin Ala Pro Arg lie Leu lie Tyr 35 40 45Tyr Trp Leu Gin Gin Lys Pro Gly Gin Ala Pro Arg lie Leu lie Tyr 35 40 45

Leu Thr Ser Asn Leu Ala Ser Gly Val Pro Ala Arg Phe Ser Gly Ser 50 55 60Leu Thr Ser Asn Leu Ala Ser Gly Val Pro Ala Arg Phe Ser Gly Ser 50 55 60

Gly Ser Gly Thr Asp Phe Thr Leu Thr lie Ser Ser Leu Glu Pro Glu 65 70 75 80Gly Ser Gly Thr Asp Phe Thr Leu Thr lie Ser Ser Leu Glu Pro Glu 65 70 75 80

Asp Phe Ala Val Tyr Tyr Cys Leu Gin Trp Ser Ser Asn Pro Leu Thr 85 90 95Asp Phe Ala Val Tyr Tyr Cys Leu Gin Trp Ser Ser Asn Pro Leu Thr 85 90 95

Phe Gly Gly Gly Thr Lys Val Glu lie Lys Arg Thr Val Ala Ala Pro 100 105 110Phe Gly Gly Gly Thr Lys Val Glu lie Lys Arg Thr Val Ala Ala Pro 100 105 110

Ser Val Phe lie Phe Pro Pro Ser Asp Glu Gin Leu Lys Ser Gly Thr 115 120 125Ser Val Phe lie Phe Pro Pro Ser Asp Glu Gin Leu Lys Ser Gly Thr 115 120 125

Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala Lys 130 135 140Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr Pro Arg Glu Ala Lys 130 135 140

Val Gin Trp Lys Val Asp Asn Ala Leu Gin Ser Gly Asn Ser Gin Glu 145 150 155 160Val Gin Trp Lys Val Asp Asn Ala Leu Gin Ser Gly Asn Ser Gin Glu 145 150 155 160

Ser Val Thr Glu Gin Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser Ser 165 170 175 97600.doc 200533375Ser Val Thr Glu Gin Asp Ser Lys Asp Ser Thr Tyr Ser Leu Ser Ser 165 170 175 97600.doc 200533375

Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr Ala 180 185 190Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu Lys His Lys Val Tyr Ala 180 185 190

Cys Glu Val Thr His Gin Gly Leu Ser Ser Pro Val Thr Lys Ser Phe 195 200 205Cys Glu Val Thr His Gin Gly Leu Ser Ser Pro Val Thr Lys Ser Phe 195 200 205

Asn Arg Gly Glu Cys 210Asn Arg Gly Glu Cys 210

<210〉 9 <211> 702 <212> DNA <213>人化抗體BIWA8輕鏈 <400〉 9 atggaagccc cagctcagct tctcttcctc ctgctgctct ggctcccaga taccaccgga 60 gaaattgttc tcacccagtc tccagcaacc ctgtctctgt ctccagggga gagggccacc 120 ctgtcctgca gtgccagctc aagtataaat tacatatact ggctccagca gaagccagga 180 caggctccta gaatcttgat ttatctcaca tccaacctgg cttctggagt ccctgcgcgc 240 ttcagtggca gtgggtctgg aaccgacttc actctcacaa tcagcagcct ggagcctgaa 300 gattttgccg tttattactg cctgcagtgg agtagtaacc cgctcacatt cggtggtggg 360 accaaggtgg agattaaacg tacggtggct gcaccatctg tcttcatctt cccgccatct 420 gatgagcagt tgaaatctgg aactgcctct gttgtgtgcc tgctgaataa cttctatccc 480 agagaggcca aagtacagtg gaaggtggat aacgccctcc aatcgggtaa ctcccaggag 540 agtgtcacag agcaggacag caaggacagc acctacagcc tcagcagcac cctgacgctg 600 agcaaagcag actacgagaa acacaaagtc tacgcctgcg aagtcaccca tcagggcctg 660 agctcgcccg tcacaaagag cttcaacagg ggagagtgtt ga 702 97600.doc -10-≪ 210> 9 < 211 > 702 < 212 > DNA < 213 > humanized antibody BIWA8 light chain < 400> 9 atggaagccc cagctcagct tctcttcctc ctgctgctct ggctcccaga taccaccgga 60 gaaattgttc tcacccagtc tccagcaacc ctgtctctgt ctccagggga gagggccacc 120 ctgtcctgca gtgccagctc aagtataaat tacatatact ggctccagca gaagccagga 180 caggctccta gaatcttgat ttatctcaca tccaacctgg cttctggagt ccctgcgcgc 240 ttcagtggca gtgggtctgg aaccgacttc actctcacaa tcagcagcct ggagcctgaa 300 gattttgccg tttattactg cctgcagtgg agtagtaacc cgctcacatt cggtggtggg 360 accaaggtgg agattaaacg tacggtggct gcaccatctg tcttcatctt cccgccatct 420 gatgagcagt tgaaatctgg aactgcctct gttgtgtgcc tgctgaataa cttctatccc 480 agagaggcca aagtacagtg gaaggtggat aacgccctcc aatcgggtaa ctcccaggag 540 agtgtcacag agcaggacag caaggacagc acctacagcc tcagcagcac cctgacgctg 600 agcaaagcag actacgagaa acacaaagtc tacgcctgcg aagtcaccca tcagggcctg 660 agctcgcccg tcacaaagag cttcaacagg ggagagtgtt ga 702 97600.doc -10-

Claims (1)

200533375 十、申請專利範圍: 1. 一種冷凍乾燥之醫藥組合物,其含有抗體與美登素 (maytansmoid)的共軛物,其特徵在於其係經調節至 5-6。 2.如請求们之組合物,其特徵在於其含有緩衝劑,該緩衝 劑較佳為琥珀酸鹽、磷酸鹽或乙酸鹽緩衝劑。 3·如凊求項1或2中任—項之組合物,其特徵在於其含有骨 木物貝,该物質較佳為甘露糖醇及/或蔗醣。 4.如請求項⑷中任—項之組合物,其特徵在於其含有、、主 潔劑,該清潔劑較佳為聚山梨糖醇§旨㈣㈣加咖、6月〇 項1或2中任—項之組合物’其特徵在於該共輛物 /辰-在冷凍乾燥之前為〇 mg/m卜較 mg/mi。 u 6. 如明求項1或2中任一 冷特徵在於該溶液在 含有4w%甘露糖醇及1 。 如請求項1或2中任一 濃度在A凍^ ,、之、,且54勿,其特徵在於該清潔劑 8. 在~凍乾燥之前為〇·〇1至0·1 w%。 種製備如請求j旨彳〇 + 徵在於使含有抗體:美4=合物之方法’其特 性溶液予以冷;東乾燥 pH值為5-6之水 9. :::冷=:醫藥組合物,其含有抗體與美登素的共 其4寸徵在於其含有環糊精。 1 〇 ·如睛求項9之纟且人斗 /、特彳政在於该環糊精為績丁基鱗 97600.doc 200533375 環糊精、超基-丙基_β_環糊精 精0 羥丙基-γ-環糊精或竹環糊 “項9或10中任-項之组合物,其特徵在於”糊伴 在冷凌乾燥之前係以0.01·4〇重量百分精 重量百分比之量存在。 較佳地°·1, I'一種製備如請求項⑷时任—項之組合物之方法,其特 徵在於使含有抗體與美登素的共軛物及環糊精之水性溶 液予以冷凍乾燥。 〆 ’其特徵在於該 ID NO:8的輕鍵 13.如請求項丨、2、9或1〇中任一項之組合物 抗體含有胺基酸序列SEQ ID N〇:4^SEq 及具有胺基酸序列SEQ ID ΝΟ:6的重鏈。 14 · 一種將如請求項1、2、 的用途。 9或10之醫藥組合物用 於治療癌症 15. —種封裝單元,其在獨立容器中含有如請求項丨、2、9或 10中任一項之醫藥組合物及水。 97600.doc200533375 10. Scope of patent application: 1. A freeze-dried pharmaceutical composition containing a conjugate of an antibody and maytansmoid, which is characterized in that it is adjusted to 5-6. 2. A composition as claimed, characterized in that it contains a buffer, preferably a succinate, phosphate or acetate buffer. 3. The composition according to any one of the items 1 or 2, characterized in that it contains bone shellfish, and the substance is preferably mannitol and / or sucrose. 4. The composition of any one of the items in claim ⑷, characterized in that it contains, and a cleaning agent, and the cleaning agent is preferably a polysorbate § purports to add coffee, any of June 0 items 1 or 2 The composition of the item 'characterized in that the total amount of the product is 1 mg / m 2 mg / mi before freeze-drying. u 6. If any one of items 1 or 2 is cold, the solution is characterized by containing 4w% mannitol and 1 in the solution. For example, if the concentration of any one of the items 1 or 2 is frozen at A, ^,, and 54, it is characterized by the cleaning agent 8. Before ~ lyophilization, it is from 0.001 to 0.1 w%. This kind of preparation is as follows: The method is to make the solution containing the antibody: US 4 = compound 'its characteristic solution is to cool; to dry the water with a pH value of 5-6 9. ::: cold =: pharmaceutical composition The four-inch sign that it contains antibodies and maytansinol is that it contains cyclodextrin. 1 〇 · If you look for item 9 and it ’s human fighting, the special feature is that the cyclodextrin is butyl scale 97600.doc 200533375 cyclodextrin, super-propyl-β_cyclodextrin 0 hydroxyl The propyl-γ-cyclodextrin or bamboo cyclodextrin composition according to any one of item 9 or 10, characterized in that the "paste companion is in an amount of 0.01 · 40% by weight and the percentage by weight before the chilling is dried presence. Preferably, · 1, I 'is a method for preparing a composition as claimed in any one of the following items, characterized in that an aqueous solution containing a conjugate of an antibody and maytansin and a cyclodextrin is freeze-dried. It is characterized by the light key of the ID NO: 8. 13. The composition of any one of the claims, 2, 9, or 10. The antibody contains an amino acid sequence of SEQ ID NO: 4 ^ SEq and has an amine. Heavy chain of the amino acid sequence SEQ ID NO: 6. 14 · A use that will be as requested in items 1, 2. The pharmaceutical composition of 9 or 10 for treating cancer 15. A packaging unit containing the pharmaceutical composition and water of any one of claims 1, 2, 9, or 10 in a separate container. 97600.doc
TW093140566A 2003-12-24 2004-12-24 Freeze dried formulations of antibody conjugates TW200533375A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE2003161598 DE10361598A1 (en) 2003-12-24 2003-12-24 The freeze-dried pharmaceutical composition as the conjugate of an antibody with a mytansinoid, for the treatment of cancers, is set to a given concentration and pH value before freeze drying
DE102004014783A DE102004014783A1 (en) 2004-03-24 2004-03-24 The freeze-dried pharmaceutical composition as the conjugate of an antibody with a mytansinoid, for the treatment of cancers, is set to a given concentration and pH value before freeze drying

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KR20210024245A (en) 2013-03-13 2021-03-04 시애틀 지네틱스, 인크. Cyclodextrin and antibody-drug conjugate formulations
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CA3129901A1 (en) 2019-02-18 2020-08-27 Eli Lilly And Company Therapeutic antibody formulation
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