US20060216767A1 - Docetaxel immunoassay - Google Patents
Docetaxel immunoassay Download PDFInfo
- Publication number
- US20060216767A1 US20060216767A1 US11/087,008 US8700805A US2006216767A1 US 20060216767 A1 US20060216767 A1 US 20060216767A1 US 8700805 A US8700805 A US 8700805A US 2006216767 A1 US2006216767 A1 US 2006216767A1
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- United States
- Prior art keywords
- antibody
- compound
- conjugate
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- docetaxel
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- PMDCZENCAXMSOU-UHFFFAOYSA-N CCNC(C)=O Chemical compound CCNC(C)=O PMDCZENCAXMSOU-UHFFFAOYSA-N 0.000 description 1
- XMJHPCRAQCTCFT-UHFFFAOYSA-N COC(=O)Cl Chemical compound COC(=O)Cl XMJHPCRAQCTCFT-UHFFFAOYSA-N 0.000 description 1
- YWLXLRUDGLRYDR-QIWOJPQZSA-N [H][C@@]12CC(O)[C@@]3(C)C(=O)[C@H](O)C4=C(C)C(O)C[C@@](O)([C@@H](OC(=O)C5=CC=CC=C5)[C@]3([H])[C@]1(OC(C)=O)CO2)C4(C)C Chemical compound [H][C@@]12CC(O)[C@@]3(C)C(=O)[C@H](O)C4=C(C)C(O)C[C@@](O)([C@@H](OC(=O)C5=CC=CC=C5)[C@]3([H])[C@]1(OC(C)=O)CO2)C4(C)C YWLXLRUDGLRYDR-QIWOJPQZSA-N 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D305/00—Heterocyclic compounds containing four-membered rings having one oxygen atom as the only ring hetero atoms
- C07D305/14—Heterocyclic compounds containing four-membered rings having one oxygen atom as the only ring hetero atoms condensed with carbocyclic rings or ring systems
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/44—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material not provided for elsewhere, e.g. haptens, metals, DNA, RNA, amino acids
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/531—Production of immunochemical test materials
- G01N33/532—Production of labelled immunochemicals
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/94—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving narcotics or drugs or pharmaceuticals, neurotransmitters or associated receptors
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2407/00—Assays, e.g. immunoassays or enzyme assays, involving terpenes
- G01N2407/02—Taxol; Taxanes
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S436/00—Chemistry: analytical and immunological testing
- Y10S436/815—Test for named compound or class of compounds
Definitions
- This invention relates to the field of immunological assays for determining the presence and/or quantifying the amount of docetaxel in human biological fluids in order to rapidly determine optimal drug concentrations during chemotherapy.
- Cancer is a term used to describe a group of malignancies that all share the common trait of developing when cells in a part of the body begin to grow out of control. Most cancers form as tumors, but can also manifest in the blood and circulate through other tissues where they grow. Cancer malignancies are most commonly treated with a combination of surgery, chemotherapy, and/or radiation therapy. The type of treatment used to treat a specific cancer depends upon several factors including the type of cancer malignancy and the stage during which it was diagnosed.
- Taxotere whose chemical name is docetaxel, is one of the more common cytotoxic agents used for the treatment of Breast (Holmes et. al. Proc. Am. Soc. Clin. Oncol., 10, 60, 1991), Ovarian (Einzig et. al. Proc. Am. Assoc. Cancer Res., 31, 1114, 1990) and non-small cell lung cancer.
- Docetaxel which is also known as Taxotere, has the formula:
- This compound has been associated with debilitating side effects such as bone marrow density loss, allergic reaction, neutropenia, hypotension, bardycardia, nausea and vomiting.
- side effects such as bone marrow density loss, allergic reaction, neutropenia, hypotension, bardycardia, nausea and vomiting.
- therapeutic drug management of docetaxel would serve as an excellent tool to ensure compliance in administering chemotherapy with the actual prescribed dosage and achievement of the effective serum concentration levels. It has been found that variability in serum concentration is not only due to physiological factors, but can also result from variation in administration technique.
- a new class of antibodies have been produced which are substantially selectively reactive to docetaxel so as to bind to docetaxel without any substantial cross reactivity to paclitaxel and related compounds.
- selectively reactive it is meant that this antibody reacts with docetaxel and does not substantially react with docetaxel metabolites and docetaxel related compounds such as taxol or 10-O-Deacetylbaccatin III.
- immunogens which are conjugates of an immunogenic polyamine polymer with a ligand selected from the group consisting of a 10-hydroxydocetaxel derivatives of the formula: 7-hydroxydocetaxel derivatives of the formula: 7,10-dihydroxy docetaxel derivatives of the formula:
- Y is an organic spacing group
- X is a terminal functional group capable of binding to a carrier
- p is an integer from 0 to 1;
- a new class of antibodies which substantially selectively reacts with docetaxel and do not substantially react or cross react with docetaxel like compounds such as taxol and 10-O-deacetylbaccatin III. It has been discovered that through the use of these docetaxel derivatives of formula II-A, II-B and II-C or mixtures thereof; as immunogens, this new class of antibodies of this invention are provided. It is through the use of these antibodies that an immunoassay, including reagents and kits for such immunoassay for detecting and/or quantifying docetaxel in blood, plasma or other body fluid samples has been developed.
- this immunoassay By use of this immunoassay, the presence and amount of docetaxel in body fluid samples, preferable a blood or plasma sample, can be detected and/or quantified. In this manner, a patient being treated with docetaxel, can be monitored during therapy and treatment adjusted in accordance with said monitoring. By means of this invention one achieves the therapeutic drug management of docetaxel in cancer patients being treated with docetaxel as a chemotherapeutic agent.
- the reagents utilized in the assay of this invention are conjugates of a carrier, preferably containing polyamine functional groups, with the compounds of formula II-A, II-B and II-C or mixtures thereof. These conjugates are competitive binding partners with the docetaxel present in the sample for the binding with the antibodies of this invention. Therefore, the amount of conjugate reagent which binds to the antibody will be inversely proportional to the amount of docetaxel in the sample.
- the assay utilizes any conventional measuring means for detecting and measuring the amount of said conjugate which is bound or unbound to the antibody. Through the use of said means, the amount of the bound or unbound conjugate can be determined.
- the amount of docetaxel in a sample is determined by correlating the measured amount of the bound or unbound conjugate produced by the docetaxel in the sample with values of the bound or unbound conjugate determined from standard or calibration curve samples containing known amounts of docetaxel, which known amounts are in the range expected for the sample to be tested.
- the conjugates, as well as the immunogens, are prepared from compounds of the formula II-A, II-B and II-C or mixtures thereof.
- the carrier and the polyamine polymer are linked to ligand portions of the compounds of formula II-A, II-B and II-C.
- the ligand portions have the formula:
- X′ is —CH 2 — or a functional linking group
- ligand portions may be linked to one or more active sites on the carrier of the conjugate or polyamine polymer of the immunogen.
- X in the compound of formula II-A, II-B and II-C and X 1 in the compound of formula III-A, III-B and III-C are X 2 or X 2 1 which are functional groups capable of binding or linking to a polyamine polymer.
- alkylene designates a divalent saturated straight or branch chain hydrocarbon substituent containing from one to ten carbon atoms
- immunogen and “immunogenic” refer to substances capable of eliciting, producing, or generating an immune response in an organism.
- conjugate refers to any substance formed from the joining together of two parts.
- Representative conjugates in accordance with the present invention include those formed by the joining together of a small molecule, such as the compound of formula II-A, II-B and II-C and a large molecule, such as a carrier, preferably carriers which comprise a polyamine polymer, particularly a protein.
- a small molecule such as the compound of formula II-A, II-B and II-C
- a carrier preferably carriers which comprise a polyamine polymer, particularly a protein.
- the small molecule maybe joined or linked at one or more active sites on the large molecule.
- conjugate includes the term immunogen.
- the carrier can be any carrier and X csn be any functional group which can be linked to a carrier.
- the carrier is a polyamine polymer and X is any functional group capable of linling to a polyamine polymer.
- Haptens are partial or incomplete antigens. They are protein-free substances, mostly low molecular weight substances, which are not capable of stimulating antibody formation, but which do react with antibodies. The latter are formed by coupling a hapten to a high molecular weight immunogenic carrier and then injecting this coupled product, i.e., immunogen, into a human or animal subject.
- the hapten of this invention is docetaxel.
- a “spacing group” or “spacer” refers to a portion of a chemical structure which connects two or more substructures such as haptens, carriers, immunogens, labels, or tracer through a CH 2 or functional linking group. These spacer groups will be enumerated hereinafter in this application. The atoms of a spacing group and the atoms of a chain within the spacing group are themselves connected by chemical bonds.
- spacers are straight or branched, saturated or unsaturated, carbon chains. Theses carbon chains may also include one or more heteroatoms within the chain or at termini of the chains.
- heteroatoms is meant atoms other than carbon which are chosen from the group consisting of oxygen, nitrogen and sulfur. Spacing groups may also include cyclic or aromatic groups as part of the chain or as a substitution on one of the atoms in the chain.
- the number of atoms in the spacing group is determined by counting the atoms other than hydrogen.
- the number of atoms in a chain within a spacing group is determined by counting the number of atoms other than hydrogen along the shortest route between the substructures being connected.
- a functional linking group may be used to activate, e.g., provide an available functional site on, a hapten or spacing group for synthesizing a conjugate of a hapten with a label or carrier or polyamine polymer.
- an “immunogenic carrier,” as the terms are used herein, is an immunogenic substance, commonly a protein, that can join with a hapten, in this case docetaxel or the docetaxel derivatives hereinbefore described, thereby enabling these hapten derivatives to induce an immune response and elicit the production of antibodies that can bind specifically with these haptens.
- the immunogenic carriers and the linking groups will be enumerated hereinafter in this application.
- the immunogenic carrier substances are included proteins, glycoproteins, complex polyamino-polysaccharides, particles, and nucleic acids that are recognized as foreign and thereby elicit an immunologic response from the host.
- the polyamino-polysaccharides may be prepared from polysaccharides using any of the conventional means known for this preparation.
- poly(amino acid) immunogenic carrier examples include albumins, serum proteins, lipoproteins, etc.
- Illustrative proteins include bovine serum albumin (BSA), keyhole limpet hemocyanin (KLH), egg ovalbumin, bovine thyroglobulin (BTG) etc.
- BSA bovine serum albumin
- KLH keyhole limpet hemocyanin
- BGT bovine thyroglobulin
- synthetic poly(amino acids) may be utilized.
- Immunogenic carriers can also include poly amino-polysaccharides, which are a high molecular weight polymers built up by repeated condensations of monosaccharides.
- polysaccharides are starches, glycogen, cellulose, carbohydrate gums such as gum arabic, agar, and so forth.
- the polysaccharide also contains polyamino acid residues and/or lipid residues.
- the immunogenic carrier can also be a poly(nucleic acid) either alone or conjugated to one of the above mentioned poly(amino acids) or polysaccharides.
- the immunogenic carrier can also include solid particles.
- the particles are generally at least about 0.02 microns ( ⁇ m) and not more than about 100 ⁇ m, and usually about 0.05 ⁇ m to 10 ⁇ m in diameter.
- the particle can be organic or inorganic, swellable or non-swellable, porous or non-porous, optimally of a density approximating water, generally from about 0.7 to 1.5 g/mL, and composed of material that can be transparent, partially transparent, or opaque.
- the particles can be biological materials such as cells and microorganisms, including non-limiting examples such as erythrocytes, leukocytes, lymphocytes, hybridomas, Streptococcus, Staphylococcus aureus, E. coli , and viruses.
- the particles can also be comprised of organic and inorganic polymers, liposomes, latex, phospholipid vesicles, or lipoproteins.
- Poly(amino acid) or “polypeptide” is a polyamide formed from amino acids.
- Poly(amino acids) will generally range from about 2,000 molecular weight, having no upper molecular weight limit, normally being less than 10,000,000 and usually not more than about 600,000 daltons. There will usually be different ranges, depending on whether an immunogenic carrier or an enzyme is involved.
- a “peptide” is any compound formed by the linkage of two or more amino acids by amide (peptide) bonds, usually a polymer of ⁇ -amino acids in which the ⁇ -amino group of each amino acid residue (except the NH 2 terminus) is linked to the ⁇ -carboxyl group of the next residue in a linear chain.
- the terms peptide, polypeptide and poly(amino acid) are used synonymously herein to refer to this class of compounds without restriction as to size. The largest members of this class are referred to as proteins.
- a “label,” “detector molecule,” or “tracer” is any molecule which produces, or can be induced to produce, a detectable signal.
- the label can be conjugated to an analyte, immunogen, antibody, or to another molecule such as a receptor or a molecule that can bind to a receptor such as a ligand, particularly a hapten.
- Non-limiting examples of labels include radioactive isotopes, enzymes, enzyme fragments, enzyme substrates, enzyme inhibitors, coenzymes, catalysts, fluorophores, dyes, chemiluminescers, luminescers, or sensitizers; a non-magnetic or magnetic particle, a solid support, a liposome, a ligand, or a receptor.
- antibody refers to a specific protein binding partner for an antigen and is any substance, or group of substances, which has a specific binding affinity for an antigen to the exclusion of other substances.
- the generic term antibody subsumes polyclonal antibodies, monoclonal antibodies and antibody fragments.
- derivative refers to a chemical compound or molecule made from a parent compound by one or more chemical reactions.
- carrier refers to solid particles and/or polymeric polymers such as immunogenic polymers such as those mentioned above. Where the carrier is a solid particle, the solid particle may be bound, coated with or otherwise attached to the polymeric material which preferably is a polyamine polymer to provide one or more reactive sites for bonding to the terminal functional group X in the compounds of the formula II-A, II-B and II-C.
- reagent kit refers to an assembly of materials that are used in performing an assay.
- the reagents can be provided in packaged combination in the same or in separate containers, depending on their cross-reactivities and stabilities, and in liquid or in lyophilized form.
- the amounts and proportions of reagents provided in the kit can be selected so as to provide optimum results for a particular application.
- a reagent kit embodying features of the present invention comprises antibodies specific for docetaxel.
- the kit may further comprise ligands of the analyte and calibration and control materials.
- the reagents may remain in liquid form or may be lyophilized.
- calibration and control materials refers to any standard or reference material containing a known amount of a drug to be measured.
- concentration of drug is calculated by comparing the results obtained for the unknown specimen with the results obtained for the standard. This is commonly done by constructing a calibration curve.
- biological sample includes, but is not limited to, any quantity of a substance from a living thing or formerly living thing.
- living things include, but are not limited to, humans, mice, monkeys, rats, rabbits, horses, and other animals.
- substances include, but are not limited to, blood, serum, plasma, urine, cells, organs, tissues, bone, bone marrow, lymph, lymph nodes, synovial tissue, chondrocytes, synovial macrophages, endothelial cells, and skin.
- a conjugate of docetaxel is constructed to compete with the docetaxel in the sample for binding sites on the antibodies.
- the reagents are conjugates of a carrier with a) the 10-substituted docetaxel derivatives of the compounds of formula II-A; b) the 7-docetaxel derivatives of formula II-B and c) the 7,10-disubstituted derivatives of docetaxel of formula II-C or mixtures thereof.
- the linker spacer constitutes the —CH 2 —(Y) p X′— portion of this molecule.
- any of the conventional spacer-linking groups utilized to prepare conjugates and immunogens for immunoassays can be utilized in the compounds of formula III-A, III-B and III-C.
- Such conventional linkers and spacers are disclosed in U.S. Pat. No. 5,501,987 and U.S. Pat. No. 5,101,015.
- Particularly preferred spacing groups are groups such as alkylene containing from 1 to 10 carbon atoms, wherein n and o are integers from 0 to 6, and m is an integer from 1 to 6 with alkylene being the especially preferred spacing group.
- X′ is —CH 2 — or a functional group linking the spacer to the carrier, preferably to an amine group on the polymeric carrier.
- the group X′ is the result of the terminal functional group X in the compounds of Formula II-A, II-B and II-C which is capable of binding to a carrier, preferably to an amino group in the polyamine polymer present in the carrier or used as the immunogen.
- Any terminal functional group capable of binding to a carrier, preferably capable of reacting with an amine can be utilized as the functional group X in the compounds of formula II-A, II-B, and II-C.
- terminal functional groups preferably included within X are: wherein R 3 is hydrogen or taken together with its attached oxygen atom forms a reactive ester and R 4 is oxygen or sulfur.
- the radical —N ⁇ C ⁇ R 4 can be an isocyanate or an isothiocyanate.
- the active esters formed by OR 3 include imidoester, such as N-hydroxysuccinamide, 1-hydroxy benzotriazole and p-nitrophenyl ester. However any active ester which can react with an amine group can be used.
- the carboxylic group and the active esters are coupled to the carrier or immunogenic polymer by conventional means.
- the amine group on the polyamine polymer such as a protein, produces an amide group which connects the spacer to the polymer, immunogens or carrier and/or conjugates of this invention.
- carriers can be coated with a polyamine polymer to supply the amino group for linking to the ligand portion.
- the chemical bonds between the carboxyl group-containing docetaxel haptens and the amino groups on the polyamine polymer on the carrier or immunogen can be established using a variety of methods known to one skilled in the art. It is frequently preferable to form amide bonds.
- Amide bonds are formed by first activating the carboxylic acid moiety of the docetaxel hapten in the compounds of formula II-A, II-B and II-C by reacting the carboxy group with a leaving group reagent (e.g., N-hydroxysuccinimide, 1-hydroxybenzotriazole, p-nitrophenol and the like).
- An activating reagent such as dicyclohexylcarbodiimide, diisopropylcarbodiimide and the like can be used.
- the activated form of the carboxyl group in the docetaxel hapten of formula II-A, II-B and II-C is then reacted with a buffered solution containing the protein carrier.
- the docetaxel derivative of formula II-A, II-B and II-C contains a primary or secondary amino group as well as the carboxyl group
- an amine protecting group during the activation and coupling reactions to prevent the conjugates from reacting with themselves.
- the amines on the conjugate are protected by forming the corresponding N-trifluoroacetamide, N-tertbutyloxycarbonyl urethane (N-t-BOC urethane), N-carbobenzyloxy urethane or similar structure.
- the amine protecting group can be removed using reagents that do not otherwise alter the structure of the immunogen or conjugate.
- Such reagents and methods include weak or strong aqueous or anhydrous acids, weak or strong aqueous or anhydrous bases, hydride-containing reagents such as sodium borohydride or sodium cyanoborohydride and catalytic hydrogenation.
- hydride-containing reagents such as sodium borohydride or sodium cyanoborohydride and catalytic hydrogenation.
- Various methods of conjugating haptens and carriers are also disclosed in U.S. Pat. No. 3,996,344 and U.S. Pat. No. 4,016,146, which are herein incorporated by reference.
- X is a terminal isocyanide or isothiocyanate radical in the compound of formula II-A, II-B and II-C
- these radicals when reacted with the free amine of a polyamine polymer produce the conjugate or the immunogen
- X′ is, in the ligand portions of formula III-A, III-B and III-C, functionally connects with the amino group on the polyamine containing carrier or the immunogenic polypeptide.
- X in the compounds of formula II-A, II-B and II-C, is an aldehyde group these compounds may be connected to the amine group of the polyamine polypeptide or carrier through an amine linkage by reductive amination. Any conventional method of condensing an aldehyde with an amine such as through reductive amination can be used to form this linkage.
- X′ in the ligand portions of formula III-A, III-B and III-C is —CH 2 —.
- This 2′-hydroxy group is on the side chain extending from the 13-position on the docetaxel ring structure. This is the most reactive of the hydroxy groups in docetaxel.
- Any conventional method of protecting a hydroxy group such as by an esterification can be utilized to protect this hydroxy group at the 2′ position, while leaving the hydroxy groups at the 7 and 10 positions free for reaction.
- Any of the conventional hydroxy protecting groups can be utilized to accomplish this purpose.
- a preferred hydroxy protecting group is the allylorthoformate ester group which is formed by reacting the compound of formula I with allylchloroformate by conventional means well known in the art. This is an easily produced protecting group which can be easily removed at a later stage in the process.
- this protected docetaxel of formula I can be converted into the 10-docetaxel derivative of formula II-A, the 7-docetaxel derivative of formula II-B or the 7,10-docetaxel derivative of formula II-C depending upon the molar quantity of reagents utilized to react with the 2′ protected docetaxel of formula I.
- the resulting final product will be a mixture of the 7-0 and 10-0 substituted derivatives, as well as the 7,10-0 disubstituted derivatives.
- the 7 hydroxy group in the 2′ hydroxy protected docetaxel will react first with the reagent such as the compound of formula V-A. Therefore, by limiting the ratio of the reagent such as the compound of formula V-A or VI which is reacted with the compound of formula I to about 0.9 to 1.5 moles per mole, the final product will substantially consist of the compounds of formula II-B. Increasing the mole ratio of the reagents reacted with the 2′ protected hydroxy docetaxel of formula I will produce more of the compounds of formula II-A and II-C in the product. These derivatives can be separated from the product as described above.
- the 10 and 7-substituted derivatives of formula II-A and II-B where B is —CH 2 —, as well as the 7,10-disubstituted derivatives of formula II-C are formed by reacting the 7 and 10-hydroxy group of docetaxel with a halide of the formula: halo-CH 2 —(Y) p —X V-A
- any conventional means of reacting an alcohol to form an ether can be utilized in condensing the compound of formula V-A with the 7-hydroxy position on the docetaxel.
- the use of a halide in the compound of formula V-A provides an efficient means for forming an ether by condensing with the alcohol.
- these functional groups can be protected by means of suitable protecting groups which can be removed after this reaction as described hereinabove.
- any conventional means of converting a hydroxy group to a chloroformate group can be used.
- the halo group of the chloroformate is condensed with the amine group in the compound of formula VI.
- the reactive group on docetaxel and/or on the compound of formula VI are protected as described hereinabove with a conventional protecting group. These protecting groups can be removed after this halide condensation by conventional means such as described hereinbefore.
- the compounds of formula II-A, II-B and II-C can be converted into the immunogens and/or the conjugate reagents of this invention by reacting these compounds with a carrier, preferably a polyamine polypeptide or a carrier coated with a polyamine polypeptide.
- a carrier preferably a polyamine polypeptide or a carrier coated with a polyamine polypeptide.
- the same polypeptide can be utilized as the carrier and as the immunogenic polymer in the immunogen of this invention provided that polyamines or polypeptides are immunologically active.
- these polymers need not produce an immunological response as needed for the immunogens.
- the various functional group represented by X in the compounds of formula II-A, II-B and II-C can be conjugated to the carrier by conventional means of attaching a functional group to a carrier.
- X is a carboxylic acid group.
- the present invention also relates to novel antibodies including monoclonal antibodies to docetaxel produced by utilizing the aforementioned immunogens.
- these antibodies produced in accordance with this invention are selectively reactive with docetaxel and do not react with taxol or docetaxel or with metabolites of docetaxel derivatives which would interfere with immunoassays for docetaxel.
- taxol whose chemical name is paclitaxel.
- the ability of the antibodies of this invention not to react with the taxol and taxol metabolites make these antibodies particularly valuable in providing an immunoassay for docetaxel.
- 10-O-Deacetylbaccatin III which contain the docetaxel or taxol ring structure, as well as with other docetaxel metabolites or analogs, except analogs derived from the 7-hydroxy or 10-hydroxy derivatives of the compound of formula II-A, II-B and II-C.
- 10-O-Deacetylbaccatin III has the formula:
- the present invention relates to novel antibodies and monoclonal antibodies to docetaxel.
- the antisera of the invention can be conveniently produced by immunizing host animals with the immunogens of this invention. Suitable host animals include rodents, such as, for example, mice, rats, rabbits, guinea pigs and the like, or higher mammals such as goats, sheep, horses and the like. Initial doses, bleedings and booster shots can be given according to accepted protocols for eliciting immune responses in animals. Through periodic bleeding, the blood samples of the immunized mice were observed to develop an immune response against docetaxel binding utilizing conventional immunoassays. These methods provide a convenient way to screen for hosts and antibodies which are producing antisera having the desired activity. The antibodies were also screened against taxol and antibodies were produced which showed no substantial binding to taxol.
- Monoclonal antibodies are produced conveniently by immunizing Balb/c mice according to the schedule followed by injecting the mice with additional immunogen i.p. or i.v. on three successive days starting three days prior to the cell fusion.
- additional immunogen i.p. or i.v.
- Other protocols well known in the antibody art may of course be utilized as well.
- the complete immunization protocol detailed herein provided an optimum protocol for serum antibody response for the antibody to docetaxel.
- B lymphocytes obtained from the spleen, peripheral blood, lymph nodes or other tissue of the host may be used as the monoclonal antibody producing cell. Most preferred are B lymphocytes obtained from the spleen.
- Hybridomas capable of generating the desired monoclonal antibodies of the invention are obtained by fusing such B lymphocytes with an immortal cell line, which is a cell line that which imparts long term tissue culture stability on the hybrid cell.
- the immortal cell may be a lymphoblastoid cell or a plasmacytoma cell such as a myeloma cell, itself an antibody producing cell but also malignant.
- Murine hybridomas which produce docetaxel monoclonal antibodies are formed by the fusion of mouse myeloma cells and spleen cells from mice immunized with the aforementioned immunogenic conjugates.
- Chimeric and humanized monoclonal antibodies can be produced by cloning the antibody expressing genes from the hybridoma cells and employing recombinant DNA methods now well known in the art to either join the subsequence of the mouse variable region to human constant regions or to combine human framework regions with complementary determining regions (CDR's) from a donor mouse or rat immunoglobulin.
- CDR's complementary determining regions
- Polypeptide fragments comprising only a portion of the primary antibody structure may be produced, which fragments possess one or more immunoglobulin activities. These polypeptide fragments may be produced by proteolytic cleavage of intact antibodies by methods well known in the art, or by inserting stop codons at the desired locations in expression vectors containing the antibody genes using site-directed mutageneses to produce Fab fragments or (Fab′) 2 fragments. Single chain antibodies may be produced by joining VL and VH regions with a DNA linker (see Huston et al., Proc. Natl. Acad. Sci. U.S., 85:5879-5883 (1988) and Bird et al., Science, 242:423-426 (1988))
- the antibodies of this invention are selective for docetaxel and do not have any substantial cross-reactivity with taxol. By having no substantial cross-reactivity it is meant that the antibodies of this invention have a cross reactivity relative to docetaxel with taxol or these metabolites of 6% or less.
- the conjugated and the antibodies generated from the immunogens of thse compounds of formula II-A, II-B and II-C or mixtures thereof can be utilized as reagents for the determination of docetaxel in patient samples. This determination is performed by means of an immunoassay. Any immunoassay in which the reagent conjugates formed from the compounds of formula II-A, II-B and II-C compete with the docetaxel in the sample for binding sites on the antibodies generated in accordance with this invention can be utilized to determine the presence of docetaxel in a patient sample.
- the manner for conducting such an assay for docetaxel in a sample suspected of containing docetaxel comprises combining an (a) aqueous medium sample, (b) an antibody to docetaxel generated in accordance with this invention and (c) the conjugates formed from the compounds of formula II-A, II-B and II-C or mixtures thereof.
- the amount of docetaxel in the sample can be determined by measuring the inhibition of the binding to the specific antibody of a known amount of the conjugate added to the mixture of the sample and antibody. The result of the inhibition of such binding of the known amount of conjugates by the unknown sample is compared to the results obtained in the same assay by utilizing known standard solutions of docetaxel.
- the sample, the conjugates formed from the compounds of formula II-A, II-B and II-C and the antibody may be added in any order.
- Various means can be utilized to measure the amount of conjugate formed from the compounds of formula II-A, II-B and II-C bound to the antibody.
- One method is where binding of the conjugates to the antibody causes a decrease in the rate of rotation of a fluorophore conjugate.
- the amount of decrease in the rate of rotation of a fluorophore conjugate in the liquid mixture can be detected by the fluorescent polarization technique such as disclosed in U.S. Pat. No. 4,269,511 and U.S. Pat. No. 4,420,568.
- the antibody can be coated or absorbed on nanoparticles so that when these particles react with the docetaxel conjugates formed from the compounds of formula II-A, II-B and II-C, these nanoparticles form an aggregate.
- the antibody coated or absorbed nanoparticles react with the docetaxel in the sample, the docetaxel from the sample bound to these nanoparticles does not cause aggregation of the antibody nanoparticles.
- the amount of aggregation or agglutination can be measured in the assay mixture by absorbance.
- these assays can be carried out by having either the antibody or the docetaxel conjugates attached to a solid support such as a microtiter plate or any other conventional solid support including solid particles. Attaching antibodies and proteins to such solid particles is well known in the art. Any conventional method can be utilized for carrying out such attachments.
- labels may be placed upon the antibodies, conjugates or solid particles, such as radioactive labels or enzyme labels, as aids in detecting the amount of the conjugates formed from the compounds of formula II-A, II-B and II-C which is bound or unbound with the antibody.
- suitable labels include chromophores, fluorophores, etc.
- assay components of the present invention can be provided in a kit, a packaged combination with predetermined amounts of new reagents employed in assaying for docetaxel.
- reagents include the antibody of this invention, as well as, the conjugates formed from the compounds of formula II-A, II-B and II-C or mixtures thereof. It is generally preferred that in a given immunoassay, if a conjugate formed from a compound of formula II-B is utilized, that the antibody be generated by a immunogen formed from a compound of formula II-B. In a like manner, if a conjugate formed from a compound of formula II-B or II-C is utilized, the antibody be generated by the immunogen formed from the same compound is used for the conjugate.
- radicals p, X, Y and B in the reagent and the immunogen which forms the antibody used in a given immunoassay can be the same or be a different substituent within the groups defined for each of theses radicals. Therefore while the definitions of the radicals p, X, Y, and B are the same for the conjugate reagent and the immunogen, the particular substituent which these radicals represent for the immunogen and the conjugate reagent in a given assay may be different.
- additives such as ancillary reagents may be included, for example, stabilizers, buffers and the like.
- ancillary reagents may be included, for example, stabilizers, buffers and the like.
- the relative amounts of the various reagents may vary widely to provide for concentrations in solution of the reagents which substantially optimize the sensitivity of the assay.
- Reagents can be provided in solution or as a dry powder, usually lyophilized, including excipients which on dissolution will provide for a reagent solution having the appropriate concentrations for performing the assay.
- Derivative [3] (0.173 mmol) was dissolved in 6 mL of dichloromethane under argon and then PhSiH 3 (1.04 mmol) was added along with Pd (PPh 3 ) 4 (0.008 mmol). After 4 hours, 1.5 mL of MeOH was added and the mixture was stirred for an additional 10 minutes. The reaction mixture was evaporated to dryness to yield the deprotected docetaxel derivative [4].
- Derivative [4] was purified on a silica gel column (60% EtOAc:40% DCM as solvent system) to separate this derivative from the presence of the other derivatives such as the 7-mono docetaxel derivate and the 10-mono docetaxel derivative.
- the derivative [4] was isolated as an off white gum (145.1 mg, 80.86%), 24.25% calculated from starting material and its structure was confirmed by NMR.
- the diglutaric acid derivative [4] (125.1 mg, 0.121 mmol) was dissolved in 10 mL of dry DMSO. With stirring under nitrogen N-hydroxysulfosuccinimide sodium salt (114.7 g, 0.528 mmol, 4.4 eq) was added followed by EDC (102.4 mg, 0.534 mmol, 4.4 eq). The reaction was stirred overnight at room temperature when additional EDC was added (96 mg, 0.501 mmol, 4.15 eq). After 7 hours of continued stirring at room temperature the reaction was complete by TLC. The TLC condition was ethyl acetate: dichloromethane (3:2) with 2 drops of acetic acid.
- Derivative [6] (39.6 mg, 0.042 mmol) was dissolved in 5 mL of dry DCM. With stirring under nitrogen NHS (14.5 mg, 0.126 mmol, 3.0 eq) was added followed by EDC (24.0 mg, 0.126 mmol, 3.0 eq). The reaction was stirred for 29 hours at room temperature and was then quenched by the addition of HCl (3 mL, 0.3 N) and 15 mL of DCM. The mixture was stirred for 10 minutes and the organic layer was separated, dried (Na 2 SO 4 ), filtered and the DCM was removed in vacuo to yield an off white amorphous solid.
- the activated ester produced in Example 6 was dissolved in 700 ⁇ L of DMSO and 50 ⁇ L of this solution was added drop wise to 8 mL of a BSA solution (4 mL DMSO/4 mL 50 mM phosphate, pH 7.5). The solution was stirred for 24 hours at room temperature to produce the conjugate of BSA and the docetaxel derivative [6].
- This conjugate was purified by dialysis according to procedures previously described (Wu et. al., Bioconj. Chem., 8: pp 385-390, 1997, Li et.al., Bioconj. Chem., 8: pp 896-905, 1997, Salamone et.al., J. Forensic Sci. pp 821-826, 1998).
- mice Ten Female BALB/c mice were immunized i.p. with 100 ⁇ g/mouse of Docetaxel-BTG prepared in example 4 or with Docetaxel-KLH prepared in example 5, emulsified in Complete Freund's Adjuvant. After the initial injection mice were boosted three times at intervals of four weeks, six weeks and eight weeks after the preceding injection with 100 ⁇ g/mouse of the same immunogens emulsified in Incomplete Freund's Adjuvant. Ten days after the boosts test bleeds from each mouse were obtained by orbital bleed.
- the anti-serum from the last test bleeds containing Docetaxel antibodies from each of the mice were evaluated by the procedures in Examples 14 and 15 to determine their reactivity to Docetaxel and their cross reactivity to 10-O-Deacytlbaccatin III and, paclitaxel [Taxol]. Only the antiserum having antibodies which were selective for docetaxel and had a cross reactivity relative to docetaxel with 10-O-Deacytlbaccatin III and paclitaxel of 6% or less as determined by these screening procedures were selected.
- mice Ten Female BALB/c mice were immunized i.p. with 100 ⁇ g/mouse of Docetaxel-BTG prepared in example 9 emulsified in Complete Freund's Adjuvant. After the initial injection mice were boosted twice at four week intervals with 100 ⁇ g/mouse of the same immunogen emulsified in Incomplete Freund's Adjuvant. Ten days after the boosts test bleeds from each mouse were obtained by orbital bleed.
- the anti-serum from the last test bleeds contained Docetaxel antibodies from each of the mice were evaluated by the procedures in Examples 14 and 16 to determine their reactivity to Docetaxel and their cross reactivity to 10-O-Deacytlbaccatin III and, paclitaxel [Taxol]. Only the antiserum having antibodies which were selective for docetaxel and had a cross reactivity relative to docetaxel with 10-O-Deacytlbaccatin III and paclitaxel of 6% or less as determined by these screening procedures were selected.
- the ELISA method for measuring Docetaxel concentrations was performed in polystyrene microtiter plates (Nunc MaxiSorp C8 or F8 Immunomodules) optimized for protein binding and containing 96 wells per plate.
- the wells were washed with 0.05M sodium bicarbonate, pH 9.6 and then were blocked with 400 ⁇ L of 5% sucrose, 0.2% sodium caseinate solution for 30 minutes at room temperature. After removal of the post-coat solution the plates were dried at 37° C. overnight.
- the ELISA method for measuring Docetaxel concentrations was performed in polystyrene microtiter plates (Nunc MaxiSorp C8 or F8 Immunomodules) optimized for protein binding and containing 96 wells per plate.
- the wells were washed with 0.05M sodium bicarbonate, pH 9.6 and then were blocked with 400 ⁇ L of 5% sucrose, 0.2% sodium caseinate solution for 30 minutes at room temperature. After removal of the post-coat solution the plates were dried at 37° C. overnight.
- the ELISA method for screening Docetaxel antibodies (produced in examples 10 and 11) was performed with the microtiter plates that were sensitized with Docetaxel-BSA as described in examples 12 and 13.
- the antibody screening assay was performed by diluting the antisera containing Docetaxel antibodies to 1:100, 1:1,000, 1:10,000 and 1:100,000 in phosphate buffered saline containing 0.1% BSA and 0.01% thimerosal.
- To each well of Docetaxel-BSA sensitized wells (prepared in examples 12 and 13) 100 ⁇ L of diluted antibody was added and incubated for 10 minutes at room temperature with shaking. During this incubation antibody binds to the Docetaxel-conjugate in the well.
- the ELISA method for measuring Docetaxel concentrations was performed with the microtiter plates that were sensitized with Docetaxel-BSA described in example 13.
- Docetaxel, paclitaxel, and 10-O-deactylbaccatin III were diluted 10 fold in PBS over a concentration range of 0.01 to 10,000 ng/mL.
- the assay was performed by incubating 50 ⁇ L of the analytes to be measured with 50 ⁇ L of antibody (produced in example 10 with immunogen of example 5) diluted to a titer determined in example 14. During the 10 minute incubation (R.T., with shaking) there is a competition of antibody binding for the Docetaxel conjugate in the well and the analyte in solution.
- the amount of antibody in a well was proportional to the absorbance measured and inversely proportional to the amount of Docetaxel in the sample.
- the absorbance of the color in the wells containing analyte was compared to that with no analyte and a standard curve was generated.
- the IC50 value for a given analyte was defined as the concentration of analyte that is required to inhibit 50% of the absorbance for the wells containing no analyte.
- the ELISA method for measuring Docetaxel concentrations was performed with the microtiter plates that were sensitized with Docetaxel-BSA described in examples 12 and 13.
- Docetaxel, Paclitaxel, and 10-O-Deactylbaccatin III were diluted 10 fold in PBS over a concentration range of 0.01 to 10,000 ng/mL.
- the assay was performed by incubating 50 ⁇ L of the analytes to be measured with 50 ⁇ L of antibody (produced in example 11) diluted to a titer determined in example 14. During the 10 minute incubation (R.T., with shaking) there is a competition of antibody binding for the Docetaxel conjugate in the well and the analyte in solution.
- the amount of antibody in a well was proportional to the absorbance measured and inversely proportional to the amount of Docetaxel in the sample.
- the absorbance of the color in the wells containing analyte was compared to that with no analyte and a standard curve was generated.
- the IC50 value for a given analyte was defined as the concentration of analyte that is required to inhibit 50% of the absorbance for the wells containing no analyte.
- the cross-reactivity of a given analyte was calculated as the ratio of the IC50 for Docetaxel to the IC50 for Paclitaxel, and 10-O-Deactylbaccatin III expressed as a percent.
- the percent cross-reactivates relative to Docetaxel for Paclitaxel was less than 2%, and for 10-O-Deacytlbaccatin III less than 0.02%.
- the percent cross-reactivates relative to Docetaxel for Paclitaxel was less than 1%, and for 10-O-Deacytlbaccatin III less than 0.01% were obtained.
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Priority Applications (14)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/087,008 US20060216767A1 (en) | 2005-03-22 | 2005-03-22 | Docetaxel immunoassay |
JP2008503065A JP4889054B2 (ja) | 2005-03-22 | 2006-03-20 | ドセタキセル免疫測定方法 |
AT06738937T ATE494552T1 (de) | 2005-03-22 | 2006-03-20 | Docetaxel-immuntest |
ES06738937T ES2357249T3 (es) | 2005-03-22 | 2006-03-20 | Inmunoensayo de docetaxel. |
DE602006019404T DE602006019404D1 (de) | 2005-03-22 | 2006-03-20 | Docetaxel-immuntest |
DK06738937.9T DK1875237T3 (da) | 2005-03-22 | 2006-03-20 | Docetaxel-immunassay |
CA2602790A CA2602790C (en) | 2005-03-22 | 2006-03-20 | Docetaxel immunoassay |
PCT/US2006/009957 WO2006102200A2 (en) | 2005-03-22 | 2006-03-20 | Docetaxel immunoassay |
EP10016182A EP2302383A3 (en) | 2005-03-22 | 2006-03-20 | Docetaxel conjugates and immunogens for use in an immunoassay |
EP10016181A EP2302382A3 (en) | 2005-03-22 | 2006-03-20 | Docetaxel conjugates and immunogens for use in an immunoassay |
EP06738937A EP1875237B1 (en) | 2005-03-22 | 2006-03-20 | Docetaxel immunoassay |
US11/384,848 US7459281B2 (en) | 2005-03-22 | 2006-03-20 | Docetaxel immunoassay |
HK08105647.8A HK1116250A1 (en) | 2005-03-22 | 2008-05-21 | Docetaxel immunoassay |
US12/172,556 US20080287658A1 (en) | 2005-03-22 | 2008-07-14 | Docetaxel Immunoassay |
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US11/087,008 US20060216767A1 (en) | 2005-03-22 | 2005-03-22 | Docetaxel immunoassay |
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US11/087,008 Abandoned US20060216767A1 (en) | 2005-03-22 | 2005-03-22 | Docetaxel immunoassay |
US11/384,848 Active 2025-04-13 US7459281B2 (en) | 2005-03-22 | 2006-03-20 | Docetaxel immunoassay |
US12/172,556 Abandoned US20080287658A1 (en) | 2005-03-22 | 2008-07-14 | Docetaxel Immunoassay |
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US11/384,848 Active 2025-04-13 US7459281B2 (en) | 2005-03-22 | 2006-03-20 | Docetaxel immunoassay |
US12/172,556 Abandoned US20080287658A1 (en) | 2005-03-22 | 2008-07-14 | Docetaxel Immunoassay |
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US (3) | US20060216767A1 (ja) |
EP (3) | EP1875237B1 (ja) |
JP (1) | JP4889054B2 (ja) |
AT (1) | ATE494552T1 (ja) |
CA (1) | CA2602790C (ja) |
DE (1) | DE602006019404D1 (ja) |
DK (1) | DK1875237T3 (ja) |
ES (1) | ES2357249T3 (ja) |
HK (1) | HK1116250A1 (ja) |
WO (1) | WO2006102200A2 (ja) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060216769A1 (en) * | 2005-03-22 | 2006-09-28 | Salamone Salvatore J | Docetaxel immunoassay |
Families Citing this family (15)
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JP4777315B2 (ja) * | 2007-08-29 | 2011-09-21 | 富士フイルム株式会社 | バイオセンサー用チップおよびその製造方法並びに表面プラズモン共鳴分析用センサー |
US20110165699A1 (en) * | 2009-12-08 | 2011-07-07 | Salamone Salvatore J | Irinotecan immunoassay |
US20110136253A1 (en) * | 2009-12-08 | 2011-06-09 | Salamone Salvatore J | Irinotecan Immunoassay |
US8114621B2 (en) * | 2010-03-12 | 2012-02-14 | Saladax Biomedical Inc. | Lenalidomide and thalidomide immunoassays |
US8088594B2 (en) * | 2010-03-16 | 2012-01-03 | Saladax Biomedical Inc. | Risperidone immunoassay |
CN102964425B (zh) | 2010-05-27 | 2016-02-24 | 深圳信立泰药业股份有限公司 | 多西紫杉醇与胞壁酰二肽简化物的共缀物及抗肿瘤作用 |
US20120088312A1 (en) * | 2010-10-08 | 2012-04-12 | Salamone Salvatore J | Vincristine immunoassay |
WO2012067670A1 (en) * | 2010-11-18 | 2012-05-24 | Saladax Biomedical Inc. | Irinotecan immunoassay |
US8771972B2 (en) * | 2011-05-24 | 2014-07-08 | Saladax Biomedical Inc. | Clozapine immunoassay |
CN102621325B (zh) * | 2012-04-06 | 2014-11-12 | 上海蓝怡科技有限公司 | 用于检测血液中多西他赛浓度的试剂盒 |
US10782308B2 (en) | 2012-07-16 | 2020-09-22 | The Government Of The United States Of America As Represented By The Secretary Of The Department Of Health And Human Services, Centers For Disease Control And Prevention | Direct reading detection kits for surface contamination by antineoplastic drugs |
US20170290929A1 (en) * | 2014-06-09 | 2017-10-12 | University Of Iowa Research Foundation | Grp78 targeted conjugates |
US11199529B2 (en) | 2017-09-21 | 2021-12-14 | Becton, Dickinson And Company | Hazardous contaminant collection kit and rapid testing |
CN212748381U (zh) | 2019-01-28 | 2021-03-19 | 贝克顿·迪金森公司 | 一种有害污染物检测系统和一种有害污染物收集装置 |
US20200393451A1 (en) | 2019-06-13 | 2020-12-17 | Becton, Dickinson And Company | Multiplexed turbidimetric immunoassays to monitor environmental contamination |
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-
2005
- 2005-03-22 US US11/087,008 patent/US20060216767A1/en not_active Abandoned
-
2006
- 2006-03-20 EP EP06738937A patent/EP1875237B1/en active Active
- 2006-03-20 EP EP10016182A patent/EP2302383A3/en not_active Withdrawn
- 2006-03-20 ES ES06738937T patent/ES2357249T3/es active Active
- 2006-03-20 JP JP2008503065A patent/JP4889054B2/ja active Active
- 2006-03-20 DK DK06738937.9T patent/DK1875237T3/da active
- 2006-03-20 EP EP10016181A patent/EP2302382A3/en not_active Withdrawn
- 2006-03-20 DE DE602006019404T patent/DE602006019404D1/de active Active
- 2006-03-20 CA CA2602790A patent/CA2602790C/en active Active
- 2006-03-20 AT AT06738937T patent/ATE494552T1/de not_active IP Right Cessation
- 2006-03-20 WO PCT/US2006/009957 patent/WO2006102200A2/en active Application Filing
- 2006-03-20 US US11/384,848 patent/US7459281B2/en active Active
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2008
- 2008-05-21 HK HK08105647.8A patent/HK1116250A1/xx not_active IP Right Cessation
- 2008-07-14 US US12/172,556 patent/US20080287658A1/en not_active Abandoned
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US20060216769A1 (en) * | 2005-03-22 | 2006-09-28 | Salamone Salvatore J | Docetaxel immunoassay |
US7459281B2 (en) * | 2005-03-22 | 2008-12-02 | Saladax Biomedical Inc. | Docetaxel immunoassay |
Also Published As
Publication number | Publication date |
---|---|
EP2302382A2 (en) | 2011-03-30 |
EP1875237A4 (en) | 2008-09-24 |
EP1875237B1 (en) | 2011-01-05 |
US20080287658A1 (en) | 2008-11-20 |
EP2302383A3 (en) | 2011-10-05 |
ATE494552T1 (de) | 2011-01-15 |
WO2006102200A3 (en) | 2007-05-31 |
EP1875237A2 (en) | 2008-01-09 |
JP2008534927A (ja) | 2008-08-28 |
EP2302382A3 (en) | 2011-10-05 |
WO2006102200A2 (en) | 2006-09-28 |
JP4889054B2 (ja) | 2012-02-29 |
DE602006019404D1 (de) | 2011-02-17 |
HK1116250A1 (en) | 2008-12-19 |
US7459281B2 (en) | 2008-12-02 |
US20060216769A1 (en) | 2006-09-28 |
ES2357249T3 (es) | 2011-04-20 |
CA2602790C (en) | 2014-08-05 |
CA2602790A1 (en) | 2006-09-28 |
EP2302383A2 (en) | 2011-03-30 |
DK1875237T3 (da) | 2011-05-02 |
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